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Safety Product List A-C

Reduce sharps injuries and bloodborne pathogen exposures
This list has been compiled to help clinicians reduce sharps injuries and bloodborne pathogen exposures.  It contains scores of safety product categories with a description of the category and a list of safety products that fit under that category. Are you aware of other safety products that should be included in this list? Please send an e-mail to info@isips.org.
Air Bubble Removal Devices
Clinicians must expel air bubbles from blood samples safely without exposure to blood or bloodborne pathogens. Allows air out the filter end but does not allow blood. This device eliminates accidentally expelled blood droplets caused by aerosolizing air bubbles from a blood-filled syringe.
Allergy Syringes
Allergen immunotherapy (allergy injection treatment) consists of repeated injections of one or more mixtures of extracts of allergens over a period of several years. A variety of allergy syringes are available with retractable needles, or shielded needles.
Amniocentesis Trays
Amniocentesis is a procedure where fluid is aspirated out of the amniotic sac. Fetal urine, fetal cells, and various proteins move freely within this sac. During amniocentesis, a long needle is placed through the abdominal wall and into the amniotic sac. Once the needle is in the amniotic sac, a syringe is used to aspirate the amniotic fluid. The fluid is then sent for evaluation. New technologies provide safety sharps that can protect the user from needlesticks.
Ampoule Breaker
Ampoules are small glass vessels in which liquids for injections are hermetically sealed. When the cap is snapped off, glass chips can fly off and a jagged or sharp edge can cut the hands of clinicians and others. The scoring at the neck does not always break where it is intended. This is due to the glass re-melding to some degree at the score line. In one study more than 62 percent of nurses said that they have been cut by a broken glass ampoule. Safety ampoule breakers prevent this problem by covering the glass ampoule during the breaking process, thus protecting the clinician’s hands.
Anesthesia Trays
anesthesia trays containing safety-engineered components that minimize sharps injury potential.
Apheresis Needles
Apheresis is a special blood donation procedure in which plasma or selected cellular elements, such as platelets or white cells, are separated from the other parts of the blood and retained. Blood is drawn and processed through a cell separator, and the other cells and plasma are returned to the body. Apheresis takes approximately two hours compared with a whole blood donation of about eight to 10 minutes. During apheresis, the patient or donor is connected to the apheresis machine. A needle is inserted into a vein in each arm. Blood is withdrawn from one arm, run through the machine to extract the stem cells, and all the remaining components of the blood are returned to the donor through the needle in the other arm. In the case of a patient donating their own stem cells, this process is performed using a central venous catheter, which has two lumens.
  • ITL Playtypus® Needle Guard - for use with Apheresis and AV Fistula needles, [available outside of the United States], ITL, www.itlcorporation.com/platypus.php
  • MasterGuard Anti-Stick Needle Protector; Medic Anti-Stick Needle/Connector; Medisystems Corp; www.medisystems.com
  • Nipro SafeTouch II Fistula Needles; Rockwell Medical Technologies Inc.,www.rockwellmed.com
  • SysLoc Safety A.V. Fistula Needle Set, WingEaster A.V. Fistula Needle Guard; JMS North America Corporation, www.jmsna.net
Arterial Blood Gas Syringes
Arterial blood must be used for ABG measurement rather than venous blood because only arterial blood accurately reflects the amount of pO2 transferred from the lungs. Specialized safety products are used for this.
Arterial Catheter Stabilization Products
Arterial catheter stabilization products are designed to hold arterial lines in place throughout therapy. Rather than using sutures, with the inherent suture wounds and the potential for accidental needlesticks—just stabilization.
Arterial Line Draw
Arterial and venous infusion lines are used to introduce fluids into the
blood stream of a patient. Typically the injection site is also used to take periodic blood samples from the patient.
  • Deltran® Plus closed needleless arterial blood collection system; Utah Medical Products, www.utahmed.com/deltranplus.htm
  • Venous Arterial blood Management Protection (VAMP) Plus, Vamp Adult, Vamp Jr.; Edwards Life Sciences, www.edwards.com
  • Portex® Line Draw Plus and Umbilical Line Draw; Smiths Medical, www.smiths-medical.com.
Automated Filling of IV Syringe Doses
The standard method of filling syringes manually creates many opportunities of accidental needlesticks and other occupational exposure to medications. Automated systems are available that make the filling of syringes safer.
  • Exacta-Mix™ 2400 Compounder (EM2400), Rapid-Fill™ Automated Syringe Filler (ASF); Baxa, www.baxa.com
Bifurcated Needles
Bifurcated needles administer vaccines by the scarification method. There is currently only one safety bifurcated needle available for smallpox vaccinations if they become necessary again.
  • BD Eclipse™ Bifurcated Needle; BD, www.bd.com
Biohazard Spill Kit
A BioHazard Spill Clean-Up Kit provides everything necessary for cleanup of bodily fluids such as blood, vomit, urine etc.
  • Sharps Biohazard Spill Cleanup and Disposal Kit -  Disposal By Mail System; Sharps Compliance, Inc,; www.sharpsinc.com
Bleeding Time Devices
Bleeding time products make an incision and are then discarded into an approved sharps container. A timer is started and the edge of the incision is blotted at 30-second intervals with filter paper. The time that the bleeding stops is noted.
  • Surgicutt® bleeding time; International Technidyne Corporation (ITC), a subsidiary of Thoratec Corporation, www.itcmed.com
Blood Collection
Blood drawing is the process of obtaining a sample of venous blood to assist in diagnosis. Typically a 5 ml to 25 ml sample of blood is adequate depending on what blood tests have been requested. A variety of devices are available to draw blood into evacuated tubes.
  • Hypodermic Needle-Pro® EDGE™ Safety Device, Saf-T Holders, Saf-T-Clik Blood Tube Holder, Venipuncture Needle-Pro Device (blood tube holder with needle shield attached); Smiths Medical, www.smiths-medical.com
  • SurShield™ Safety Winged Blood Collection, SurShield™ Safety Winged Infusion sets, Terumo Medical, www.terumotmp.com
  • Microvette® Capillary Blood Collection System, Multifly®, S-Monovette® Blood Collection System; Sarstedt, www.sarstedt.com
  • ProGuard II™ Safety Needle Holder, Defender Safety Needle Holder, MONOJECT MAGELLAN™ Safety Blood Collection Device, MONOJECT™ ANGEL WING™ Blood Collection Sets with Needle Holder, MONOJECT™ ANGEL WING™ Blood Collection/Infusion Sets with Female Luer, MONOJECT™ ANGEL WING™ Blood Collection/Infusion Sets with Multi-Sample Luer Adapter, ANGEL WING™ Blood Collection Assembly with MONOJECT BLUNTIP™ Safety I.V. Access Cannula, ANGEL WING™ Luer Lock Collection Set, MONOJECT™ ANGEL WING™ Multi-Sample Collection Sets-Male; Covidien, www.kendallhealthcare.com
  • ITL Samplok® Tube Holders, ITL, www.itlcorporation.com/samplok.php
  • VACUETTE® QuickShield Tube Holder, VACUETTE® VISIO PLUS Blood Collection Needle, VACUETTE® Safety Tube Holders, VACUETTE® Safety Blood Collection Sets, MiniCollect Capillary Blood Collection System; Greiner Bio One;www.gbo.com/preanalytics
  • Vacutainer Eclipse Blood Collection Needle, Vacutainer® Push Button Blood Collection Set, Vacutainer® Safety-Lok™ Blood Collection Set, Eclipse Safety Shielding Blood Collection Needle, One Use Stackable Holder, Vacutainer Passive Shielding Blood Collection Needle with Integrated Blood Tube Holder, Vacutainer® Eclipse™ Blood Collection Needle, Vacutainer® Push Button Collection Set, BD Vacutainer Flashback Needle; BD, www.bd.com
  • VanishPoint Blood Collection Tube Holder (needle-retracting tube holder with back-end needle protection); Retractable Technologies, www.vanishpoint.com
  • One Stick Y extension set with Volumeter, One Stick LLC, www.1stick.com
  • Punctur-Guard Blood Collection Needle; Gaven Medical; www.gavenmedical.com
Blood Culture Bottles
A blood culture is a laboratory test in which blood is injected into bottles of culture media to determine whether microorganisms have invaded the patient’s bloodstream. These blood cultures are ordered as a set consisting of two bottles, one that is an aerobic bottle and one that is an anaerobic bottle. A blood culture is done when a person has symptoms of a blood infection or bacteremia. Blood is withdrawn from the person and is then tested in a laboratory to find and identify any microorganism present and growing in the blood. This allows the physician to prescribe antibiotics if a microorganism is found. Blood is drawn from a person suspected of blood infection and is put directly into a blood culture bottle containing a nutritional broth. Some culture bottles allow clinicians to use safety needled products in transferring the blood.
Blood Culture Bottle Sample Introduction
These products are used to collect samples into vacuum blood culture bottles for bacterial detection and test tubes for laboratory tests.
Blood Donor Needles
Blood donor needles transfers blood from a blood donor into donor bags. Following the blood donation the needle is retracted or shielded to prevent needlestick injuries.
Blood Filtration Set
Blood filtration set designed for the neonatal infusion of frequently administered small volumes of blood, blood components and other fluids subject to micro filtration. The filtration set replaces a needle filter.
Blood Slide Preparation Devices
These products eliminate the need to remove the stopper from the blood tube. The old and potentially dangerous method to prepare differential slides was to take two glass slides, open a blood tube by removing its cap, place a drop of blood onto one of the slides and then place one slide against the other one. New safety products can eliminate the potential of exposure to bloodborne pathogens and without the risk of broken glass or blood splatter.
Blood Splash Protection
OSHA has recommended that healthcare workers protect themselves from biohazardous splashes, aerosols, and sprays. One method of doing this is by using transparent shields that can limit bloodborne pathogen exposures.
Blood Transfer Devices
Blood can sometime need to be transferred from a syringe draw to an evacuated tube. Safety products can be used to eliminate sharps and bloodborne pathogen exposure during this process.
Blunt Cannula Needles
Blunt cannula needles can be used in a variety of settings where a cannula is needed but where a sharp one is not required.
Blunt Suture Needles
Blunt needle cannula complies with OSHA Bloodborne Standard for Engineering Controls. Blunt needles can be used to access pre-pierced ports, and single or multi-dose drug vials. Use of these products can increase safety and ease of use by decreasing the number of steps required to draw and deliver intravenous fluids.
  • Auto Suture™ENDO STITCH™ 10 mm Suturing Device, PROTECT•POINT™ Blunt Point Needles; U.S. Surgical, www.syneture.com
  • Ethiguard Blunt Point; Ethicon, Inc., www.ethicon.com
Bodily Fluid Waste Disposal
In the past, hazardous blood wastes from angiographic catheterizations were "squirted" into an open basin creating a messy, potentially infection problem for clinicians and those required to clean up after the case.  Closed waste basins provide a safer alternative and minimize exposure to staff.
Bone Marrow Biopsy Needle Kits
Bone marrow biospy needle kits provide all of the components necessary to acquire bone marrow aspirate with safety components included in the kit.
  • Kendall® GOLDENBERG SNARECOIL™* Bone Marrow Biopsy and Aspiration Trays with Safety Components, Kendall® MONOJECT™ Bone Marrow Biopsy Trays with Safety Components, MONOJECT™ Bone Marrow Aspiration Trays with Rosenthal Type Needle with Safety Components
    MONOJECT™ Bone Marrow Biopsy Trays with Safety; Covidien,www.kendallhealthcare.com
Bone Marrow Collection Systems
Closed system that allows for the collection of bone marrow aspirates without healthcare worker exposure.
  • Bone Marrow Collection System with Sealed Collection Bag; BioAccess,www.bioaccess.com
Bone Mill, Disposable
Bone mills are used to grind bone to be used for spinal fusion, orthopedic reconstruction, and maxillofacial procedures. These procedures expose health-care workers to sharps injuries.  A disposable bone mill can eliminate exposure to sharp injuries for hospital staff, as well as cross-contamination for patients and OR personnel. Since the disposable mill is thrown away after each procedure, there is no risk for blood-borne pathogen exposure.
Capillary tubes
Carpuject syringe systems consist of prefilled cartridges that can be loaded into a specialized syringe holder. The holder is a reusable, plastic device. The other component is a disposable cartridge unit containing medication.
Carpuject Safety Needle Systems
Carpuject syringe systems consist of prefilled cartridges that can be loaded into a specialized syringe holder. The holder is a reusable, plastic device. The other component is a disposable cartridge unit containing medication.
Cataract Safety Scalpel
Specially designed, integrated retractable shield that protects the blade in procedure and handling. Allow the incision is scleral or corneal.
Catheter Securement Devices
According to the CDC, sutureless securement devices can be advantageous over suture securement in preventing catheter-related BSIs. The Infusion Nurses Society (INS) has indicated that using a manufactured stabilization device is preferred to suturing or taping.
Central Venous Catheters
A central venous catheter (CVC) is placed into a large vein in the neck (internal jugular vein), chest (subclavian vein) or groin (femoral vein). Central venous catheters are used to deliver medication, fluids, obtain blood tests and obtain cardiovascular measurements including some tests as central venous pressures.
Cerclage fixation of osteotomized or fractured bone fragments
Traditional cerclage fixation is performed with metallic wires and cables, which are stiff and prone to breakage during tightening in the OR and while the patient performs normal activities of daily living.  These broken metal wires and cables present sharp metallic ends that pose a significant risk of injury and potential disease transmission for the surgeon, staff, and patient.  The medical literature is replete with references to such hazards.  Newer technologies eliminate such risks because they are engineered from a flexible polymer material that is strong, soft, and "friendly" to both gloves and tissue.
  • Supercable™  Iso-Elastic™ Cerclage System; Kinamed Incorporated;www.kinamed.com 
     
Chemotherapy Reconstitution Products
Products in this category are designed to help prevent aerosolization of chemotherapy and other hazardous drugs into the atmosphere during reconstitution.
Chemo Waste Sharps Containers
Specialized containers to place needles and other sharps into as mandated by law. In addition, these containers are used for chemotherapy waste products.
  • B-D Multi-Use One-Piece Sharps Containers,BD Chemo Waste 9 gal. 17 gal.; BD,www.bd.com
  • Chemo Waste Sharps Container; Health Care Logistics Inc.,www.healthcarelogistics.com
  • Chemotherapy container; Bemis, www.bemishealthcare.com .
  • CHEMO-O-GATOR™ Sharps Containers, CHEMOSAFETY™ Containers with Hinged Lids, CHEMOSAFETY™ Containers with Sliding Lid, SharpSafety™ Chemotherapy Sharps Containers, Covidien, www.kendallhealthcare.com
Closed Arterial Sampling
Closed needleless arterial blood collection systems are designed to reduces the risk of nosocomial infection or line sepsis, reduce splashing and spraying of blood during sampling and reduces the potential exposure from needlesticks.
Closed Venous Sampling
Closed needleless venous blood collection systems are designed to reduces the risk of nosocomial infection or line sepsis, reduce splashing and spraying of blood during sampling and reduces the potential exposure from needlesticks.
Closed System Antineoplastic Systems
An important part of treatment for cancer patients is the use of antineoplastic agents. Unfortunately, these agents have been associated with potential adverse health effects for the individuals who prepare, administer and dispose of these medications. This is a major concern because there are more cancer patients than in the past, greater combinations of chemotherapeutic drugs are being used, more potent drugs are being used, and new procedures and settings have now been implemented. Often the drugs used for chemotherapy have a similar structure or activity known to hazardous drugs. Many of these drugs are carcinogenic, teratogenic, and can create reproductive and organ toxicity. Closed system protective devices can virtually eliminate any exposure of toxic drugs to healthcare workers, custodial staff or waste management employees.
  • ONGUARD™ Contained Medication System with TEADAPTOR™ Components; B Braun,www.bbraun.com
Cord Clamping Products
Two plastic clamps are placed on the cord and then are severed with scissors. Both disposable and reusable scissors are a potential source of sharps injuries to healthcare workers and others. Newer technologies exist that can take the risk of a sharps injury out of this procedure.
Cord Blood Collection Products
Cord blood collection products are designed to obtain samples of venous umbilical cord blood after delivery of a newborn infant and aids in the prevention of needle stick injuries.