Genesis and evolution of KIMIE: New cost-effective indigenous human breast milk pasteurizer

Abstract

Natural mother’s breast milk is the best food for all newborns, especially preterm babies. However, if mother’s milk is unavailable or donor breast milk (DBM) is inadequate, DBM is the next best choice. Human milk pasteurizers are traditionally big, costly, and require special electrical and water connections, as well as need a large volume of water that is not recycled and an ongoing supply of disposable plastic bottles. Operation of these machines necessitates specialized training. The creation of Kimie, a compact, automated, and user-friendly human breast milk pasteurizer capable of pasteurizing small volumes of DBM, is described here. This system needs no special water plumbing, recycles water, and is reasonably priced.

"Prevention of Maternal to Infant Transmission of CMV via Breast Milk in a Full-Term Infant by Pasteurization of Maternal Breast Milk: A Case Study"

“…The use of human BM pasteurizer named Kimie [Shreyas Medicals, Pune, India] was previously approved by the CH Medical Hospital Board (Identifier: NICU-PO13) and the IRB of University of California at Los Angeles (Identifier: 22-000107). Kimie 500 or 3000 was used based on the available volume of the MBM to be pasteurized [12]. The mother was educated regarding collection, storage and transportation of expressed BM [EBM] and the use of pasteurized BM [PBM] [14].…”

“…The mother was educated regarding collection, storage and transportation of expressed BM [EBM] and the use of pasteurized BM [PBM] [14]. Manufacturer's recommendations were strictly followed to pasteurize MBM [10][11][12]. We did not perform bacterial culture of the MBM before or after pasteurization.…”

“…Until recently, it has not been easy to pasteurize natural mother's EBM since the existing pasteurizers are not readily available. With the availability of Kimie 500 or 3000 it has become easier to pasteurize natural mother's EBM before it is given to her infant [10][11][12]. Details about the genesis and the evolution of Kimie have been described [12].…”

“…With the availability of Kimie 500 or 3000 it has become easier to pasteurize natural mother's EBM before it is given to her infant [10][11][12]. Details about the genesis and the evolution of Kimie have been described [12]. In the USA, FDA approval is not necessary for the use of MBM pasteurizer since it is considered a catering device.…”

“…Pasteurization of MBM completely removes CMV [1]. With the availability of a point of care portable human milk pasteurizer, it has become easier to pasteurize MBM [10][11][12]. We encountered a full-term baby who was born to a mother who was seropositive for CMV-IgG and IgM antibodies.…”