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Introduction
In the life science and healthcare industries the proper storage of
temperature-sensitive products – specically vaccines – is a fundamental
and growing concern with respect to public health. Case in point: The
Centers for Disease Control and Prevention (CDC) has asserted that few
immunization issues are more important than the appropriate storage and
handling of vaccines. According to the CDC, approximately 13.5 percent of
all refrigerated vaccines are subject to accidental freezing during storage.
Effective vaccine management has many variables, including the type of
refrigeration unit being used, how the product is loaded into the unit, the number
and duration of door openings, and the ambient/exterior temperature of the
refrigerator’s location. All have an impact on the temperature of the vaccine in
storage.
Vaccine refrigerator. Credit: NIST
Since a refrigerator is “only as good as the temperature monitoring system
inside,” the CDC emphasizes that an accurate temperature history that reects
actual vaccine temperatures is imperative to effective vaccine management.
This time/temperature data is critical to determine the safety and efcacy of
refrigerated drugs. Improper storage not only causes public health concerns but
also can cost vaccine providers millions of dollars a year in spoiled product.
In view of these considerations, maintaining adequate and stable temperatures
within vaccine refrigerators, freezers, and controlled storage units is a critical,
driving necessity. And one that underscores the need for reliable temperature
monitoring to ensure that temperature-sensitive pharmaceuticals are kept within
specied temperature ranges.
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Centers for Disease Control and Prevention. Vaccine Storage and Handling Toolkit
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Monitoring Challenges
The amount of required temperature documentation for stored product has
traditionally posed a real inconvenience for pharmacy managers, vaccine
program coordinators/providers, hospitals, and medical clinics alike. By offering
no automated processes outside of taking temperature measurements, typical
USB data loggers—or older chart recorders and thermometers, in some cases—
have proved inefcient and often burdensome.
Standard Operating Procedures related to daily checks, manual documentation
of minimum and maximum temperatures, and the removal/retrieval of
temperature loggers when information is needed can hinder productivity and
detract from a clinic staff’s main focus – caring for patients. When using USB
loggers, for example, users must physically remove the data logger from the
refrigerator, connect the logger to a USB port on a computer and readout the
data. Moreover, the task of creating and sharing a daily report is often still
performed manually.
Until recently, providers with vaccine and pharmaceutical storage requirements
By offering no automated
processes outside of taking
temperature measurements,
typical USB data loggers—
or older chart recorders and
thermometers, in some cases—
have proved inefcient and often
burdensome.
had no cost-effective alternative offering a comprehensive solution tailored
for their application requirements, along with signicant improvements in
automation through advancements in technology.
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Advances in Data Logger Technology
BLE temperature loggers
provide fast measurement
and wireless transmission
of data to mobile devices,
while eliminating the need
for dedicated equipment,
computer software, or USB
cables.
Advances in temperature-monitoring technologies, specically the integration
of built-in Bluetooth Low Energy (BLE) technology, enable users to overcome
many of the logistical challenges specic to temperature-controlled storage
monitoring. These advances streamline data collection processes and reduce
many of the inefciencies associated with traditional USB loggers. BLE
temperature loggers provide fast measurement and wireless transmission of
data to mobile devices, while eliminating the need for dedicated equipment,
computer software, or USB cables.
Leveraging BLE, users can quickly congure and readout
loggers wirelessly, set alarms, and easily check the
logger status or view current, minimum, and maximum
temperatures on their mobile devices. Users can also
conveniently congure, readout, and manage data from
up to 30 meters (100 feet) away. This provides seamless
and efcient data access for pharmaceutical and clinical
managers responsible for the storage and safekeeping of
refrigerated vaccines, and is a particular advantage when
having to deal with multiple refrigeration units.
As an example, a user can download refrigerator
temperatures remotely, without entering a room. This, in
turn, eliminates the need to undergo any lab clearance
protocols that may be required. And, because data
retrieval can be accomplished without having to open a storage refrigerator,
vaccines are protected from unnecessary ambient air intrusion.
When evaluating BLE temperature loggers, it is important to be aware of
the key automated features and distinct user benets that are available.
Understanding these differentiators—and how they impact monitoring practices
for temperature-controlled products—can help facilitate the most informed
decisions and reduce the time and expense
associated with manual approaches.
Additional advances in temperature-monitoring
technologies include solutions with an optional
gateway device for automatic data downloads and
real-time alerts via email or text should an excursion
occur, and a free cloud-based data warehouse.
Following are ve important features/capabilities
to consider when evaluating data loggers for
temperature-controlled storage applications.
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1. Bluetooth Operation
Advances in wireless technology have
greatly improved the ease and efciency with
which data can be collected, organized, and
shared utilizing mobile devices. By offering
greater visibility on a more frequent basis,
without the need to consistently detach
a logger, Bluetooth Low Energy (BLE) is
particularly conducive to data logging. In
particular, BLE temperature loggers and
their associated apps make record-keeping
requirements easier, quicker, and more
convenient than ever before.
In contrast to USB data loggers, which require cable connections to retrieve and
ofoad data, and strip chart recorders, which offer imprecise views of the data,
BLE technology provides the capacity for users to readout data automatically
to an accompanying app running on a mobile device. This eliminates having to
remove the data logger from its monitoring location, thereby minimizing hassle
and gaps in temperature data. It also allows for quicker action in
the event of temperature excursions.
With information stored electronically, users no longer have to
log monitoring data manually. This, in turn, can simplify and
digitize the common daily checking process. Digitizing the
documentation of temperature levels (traditionally done by
hand) also greatly reduces the chance of human error, fostering
improved monitoring accuracy and more reliable temperature
data.
Additionally, as Good Distribution Practices are integrated into
other areas of the supply chain, such as last mile distribution,
BLE can help contribute to more secure electronic records.
The security encryption of a BLE device ensures that only
designated individuals can access data and PDF les, providing
secure traceability for regulatory audit purposes.
Sample report generated using an InTemp CX402 Temperature
Logger
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2. Powerful Mobile Software
BLE temperature loggers
provide fast measurement
and wireless transmission
of data to mobile devices,
while eliminating the need
for dedicated equipment,
computer software, or USB
cables.
When evaluating temperature loggers, it is important to understand the features
of the accompanying mobile app. Be sure the app makes the initial logger setup
easy and efcient, allows users to choose from a range of preset congurations
(ones for clinical refrigeration or ambient storage monitoring, for example),
and enables users to create custom congurations for other applications as
necessary.
The app should also allow users to download and send data in one simple step
and easily share automated reports. This enables personnel responsible for
storage monitoring to meet regulatory compliance requirements much more
quickly, reliably, and effectively.
Make sure the app supports the secure transmission of PDF and Excel les, and
provides exibility with respect to where data can be transmitted so information
can be shared easily with numerous units or departments. Users should have
the ability to standardize across multiple labs and communicate information to
central sites. Collected data should be easily exported into Excel for advanced
analytics, and it should be easily accessible for audits so the audit preparation
process is more efcient.
Users with multiple loggers at multiple sites may nd it especially benecial to
consider technology that allows for automatic transfer of data to a cloud-based
warehousing service where all data can be viewed from any location and easily
shared with others.
Finally, to keep things secure, look for an app that enables users to set
encrypted passkeys that other mobile devices will require for connection to the
logger.
3. “Daily Check” Features
If the monitoring application requires users to perform daily or twice-daily checks
of the logger, it’s advantageous to look for a temperature logger designed to
streamline these tasks. Some loggers enable the accompanying mobile app to
connect to the logger to perform checks. Once a check is completed, it can be
recorded as a logged user-action and should be visible on the logger screen and
in the reports. This helps users keep track of temperature checks throughout the
day, while providing documentation that the checks were performed and of who
performed them.
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4. Remote Alarms
In temperature-controlled storage monitoring applications, it’s critical that the
data logger being used is able to notify personnel in the event of a temperature
excursion or a disconnected temperature probe. Look for temperature loggers
that have the ability to notify you of events like these in a variety of ways. Some
models provide a blinking indicator on the logger LCD screen, an alarm icon
on the LCD and corresponding mobile app, and even an audible alarm that will
beep until corrective action is taken.
It may also be worthwhile to check into the logger’s advanced alarm capabilities.
Some loggers can connect to an optional gateway device and a free cloud-
based data warehousing service so you can get real-time notication of
temperature excursions via text or email no matter your location.
The images above indicate an alarm state as a result of breaking the preset high temperature threshold.
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5. Large Temperature Display
Look for models that
display all temperature
values on a single screen
vs. ones where you have to
use buttons to toggle your
way through a series of
screens.
With traditional USB temperature data loggers, half the battle is being able to
easily view temperatures on the logger display.
Some of today’s advanced temperature data loggers are equipped with a large
LCD display to make it easy for users to view current and daily minimum and
maximum temperatures throughout the day. Look for models that display all
temperature values on a single screen vs. ones where you have to use buttons to
toggle your way through a series of screens.
Additionally, some loggers can display checkbox icons on the
screen when daily temperature checks are done, which can be
particularly useful in applications where CDC guidelines for
temperature monitoring need to be met.
Finally, the data logger should provide a visual indicator for
alarm conditions if an excursion occurs, as well as indicators
for battery level, storage capacity, and other diagnostics.
Beyond the considerations discussed above, it may also be
advisable to consult a data logger supplier that offers a range of
form factors/hardware congurations. This way, you can select a
solution best suited to the particulars of your monitoring application.
Among the most common conguration in hospitals and clinics is a temperature
logger connected to an external probe with attached Glycol bottle. By insulating
temperature probes and delaying their thermal response times, the Glycol
bottle is meant to simulate the actual product being stored.
Some loggers also include an additional temperature sensor
built into the housing to monitor ambient temperature outside
the refrigerator, freezer, or storage area. These loggers
eliminate the need to buy a separate logger to monitor room
temperature, and can provide useful information about room
conditions during an excursion event.
Data logger suppliers may also offer probe-only versions,
which can be useful in situations where users need to track
actual refrigerator temperatures (without Glycol buffers) or in freezer applications.
Suppliers may also offer loggers with internal temperature sensors only, designed
for room temperature monitoring.
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About Onset
Onset is a leading supplier of data logger and monitoring solutions used to measure,
record and manage data for improving the environment and preserving the quality of
temperature-sensitive products. Based on Cape Cod, Massachusetts, Onset has been
designing and manufacturing its products on site since the company’s founding in 1981.