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Where
SHARPS SAFETY MATTERS
by Ron Stoker
?
T
he Exposure Control Plan as Recapping Devices
outlined by OSHA, must The revised OSHA Bloodborne Pathogen Standard permits
reflect changes in safety recapping of contaminated needles only under very specific and
technologies and must document the limited circumstances, such as with incremental doses of medication
evaluation of new safety products. One of or the injection of radioactive materials. When recapping must be
the most difficult tasks facing infection control performed, it must be accomplished by the use of a mechanical
managers is the ability of locating relevant sharps device or one-handed technique.
safety products. Because of this difficulty many Aim Safe Autoclavable Needle Recapping Device; Septodont
healthcare facilities are not in compliance with the USA, www.septodontusa.com.
requirements of reviewing safety technologies, prima- Needlesafe II Needle uncapper and recapper; Medidose Inc. -
rily because of the perceived difficulty of gathering Epidose Inc., http://medidose.com/catalog/safety/needlesafe.asp.
product information. NeedleVISE ® sharps securing, NeedleVISE ® Large-Bore
So, in answer to the question, “Where do I find Sharps Securing Device; Atrion Medical, www. atrionmedical.
safety products,” this month will provide the third com.
installment of our series exploring the number of safety Unigard®; Owen Mumford, www.owenmumford.com.
products currently available. The list contains a
product category and category description, followed by Retracting Needles, Automatic
a list of safety products including company name and Every year numerous clinicians suffer an accidental needlestick
a Web site where more information can be obtained. injury. It is estimated that there are one million needlestick injuries in
This month safety products in categories Q through S the United States and three million needlestick injuries in the world
are presented. each year. Retractable syringes can help solve this problem. There are
Please note: originally intended to be a three-part essentially no clinical applications for which retractable syringes are
series, due to the extensive list of products to be not only suitable but life saving in nature.
included the series has been expanded into four parts, BD Integra Syringe with Retracting Needle; BD, www.bd.com/
with the final installment to be presented next month. injection/products/integra.
Futumeds Safety Syringe; Fututech Berhad, www.fututech.
Radial Artery Catheter com.my/medical/syringe.htm.
To perform catheterization of a radial artery safely OMI Auto-Retractable Safety Syringe; Occupation and Medical
using the modified Seldinger technique, a catheter kit Innovations, www.omiltd.com/Safety_Syringe.cfm.
containing safety components, guidewire, sharp needle Safety 1st Retractable Syringe; Safety 1st, www.safety1stmedical.
and catheter is needed. com.
Arrow Radial Artery Catheterization Kit with Saf-T-Syringe; Safety Medical, www.safetymedical.net.
Integral Needle Protection; Arrow, www. VanishPoint® 1cc Insulin, 1 cc Tuberculin, 3cc, 5cc, 10 cc;
arrowintl.com. Retractable Technologies Inc.,www.vanishpoint.com.
have produced safety scalpels that are weighted to feel like Segment Sampling Devices
a conventional scalpel. After receiving donated blood, blood bank personnel
Bard-Parker® Protected Blade Systems from BD; BD, routinely will take a syringe and needle to obtain a fluid sample
www.bd.com. from the small tubing so they can create a cell suspension.
Personna Plus™ Safety Scalpel System; Personna Needlestick injuries routinely occur during this process. Newer
Medical, www.asrco.com/medical. technologies are present that can access the blood without
Sandel Weighted Safety Scalpel with Protective Safety compromising the safety of the clinician.
Shield; Sandell Medical, www.sandelmedical.com. HEMATYPE segment sampling device; Baxter, www.
baxter.com.
Scalpel Blade Remover Safety Segment Slitter; Innovative Laboratory Acrylics Inc.,
Removal of scalpel blades by hand is a practice that www.innovativelabacrylics.com.
increases exposure to bloodborne and contact pathogens Sarstedt’s Tube Segment Opener; Sarstedt, www. sarstedt.com.
and oftentimes leads to percutaneous injury. New methods Seg-Safe™ Segment Processor; Alpha Scientific Corp.,
of removing a scalpel blade from its holder will prevent www.Alpha-Scientific.com.
these sharps injuries from occurring.
Blade-Safe Surgical Blade Remover; TradeMark The process of cutting segments with scissors puts healthcare
Medical, www.trademarkmedical.com. workers at risk for exposure to bloodborne pathogens.
Cincinnati Surgical Blade Remover; Cincinnati The Sarstedt Tube Segment Opener helps to minimize the risk of
exposure, as well as the potential for cross-contamination
Surgical, www.cincinnatisurgical.com. between segments.
DeBlade Scalpel Blade Remover; DeRoyal, www.
xderoyal.com.
Qlicksmart Scalpel Blade Remover, Qlicksmart
CASSETTE 3in1; Qlicksmart, www.qlicksmart.com.
Surgi-Guard; Bladex Inc., www.bladex.com.
Scalpel Holder
Scalpel holder’s provide protection from accidental
sharps injuries by holding the scalpel in a safe position
preventing accidental cuts or sticks.
Scalpel Holder Sharps Safety Device; Xodus Medical,
www.xodusmedical.com.
Scalpel Shield™; Purple Surgical, www. purplesurgical.
com.
Sharps Safety Station; Medegen Medical, www.
medegen.net.
opening allows dispensing of serum in a drop-like fashion. They mandated by law. Large products such as endoscopic instru-
replace the rubber stopper and permit easy sampling without the ments need a safe place for disposal.
hazards associated with open tube use. Large Sharps Containers; BD, www.bd.com.
Filtered Tip Tops; Market Lab Inc., www.marketlabinc.com. Large Volume Sharps Containers; Bemis, www.
Bemis.com.
Sharps Containers, Dialysis Large Volume Sharps Container; Health Care Logistics,
Clinicians in a dialysis department have unique sharps safety www.healthcarelogistics.com.
needs and need to be able to accommodate small and large sharps, Large Volume Containers with Hinged, Sealing Gasket
including fistula needles. Lids, Large Volume Containers with Sliding, Sealing
BD Multi-use nestables; BD, www.bd.com. Gasket Lids, SHARPS-A-GATOR™ Large Volume
DIALYSAFETY™ Dialysis Sharps Disposal Containers; Sharps Containers; Covidien, www. kendall-
Covidien, www.kendallsharpsafety.com. sharpssafety.com.
Sharps Disposal Containers; Greiner Bio-One, www.
Sharps Containers, Disposable gbo.com/preananalytics.
Numerous areas in healthcare need to have a sharps collec-
tors that meet their specific needs. The most commonly used Bemis large volume sharps containers, designed for
sharps containers are disposable in nature; they should be high volume areas, can easily accommodate large sharps,
needle counters, trocars, endoscopic instruments, etc.
disposed of when they are three-quarters full. Two different lid styles allow for temporary closure
BD Next Generation In-Room Sharps Collector; BD, www. when not in use and one-handed disposal by activating
bd.com. the foot pedal.
Complete In-room System; Health Care Logistics Inc.,
www.healthcarelogistics.com.
EPS Sharps Disposal; Medidose Inc., www.medidose.com.
GatorGuard Sharps Disposal Containers, SharpStar Sharps
Disposal Containers, RENEWABLES™ Sharps Disposal
Containers manufactured using recycled plastics,
GATORGUARD™ In-Patient Room Sharps Containers, IN-
ROOM™ System with Always-Open Lids, IN-ROOM
System with Mailbox-Style Lids, IN-ROOM System with
SHARPSTAR™ Counterbalance Door, IN-ROOM System
with SHARPSTAR Lift Assisted Lid, SHARPS-A-GATOR™
Tortuous Path Sharp Containers, SHARPSTAR IV 3 & 4
Gallon Sharps Container with SHARPSTAR Counterbalance
Door, Horizontal-Drop Opening Lids, MONOJECT™
Sharps Containers, Multi-Purpose Sharps Container,
SHARPS-A-GATOR Sharps Collection & Disposal Systems,
ENVIROSTAR™ non-infectious waste sharps disposal
container; Covidien, www.kendallsharpsafety.com.
Multi-Safe Disposal Box; Sarstedt, www.sarstedt.com.
Sharps Disposal Containers; Greiner Bio-One, www.gbo.com/
preanalytics.
Sharps Secure™ sharps containers, Pro-Tec® sharps containers;
Sharps Compliance Inc., www.sharpsinc.com.
Sharps Sentinel Cover, Patient Room System, Phlebotomy &
Multi-Use Containers, Wall Cabinet System, Large Volume
and Chemotherapy Containers; Bemis Medical, www. Sharps Containers, Mail-back
bemis.com. Mail-back sharps containers help to provide a safe,
cost-effective method of containment and disposal of
Sharps Containers, Large Volume medical waste for many light users of sharps including
Healthcare workers and others need to be able to use a sharps home health care, dental and physician offices, satellite
disposal container to place needles and other sharps into as healthcare facilities, health clubs, and hotels. Simply put
the sharps into the container, seal it up, and ship it! More than Sharps Securing Device
eight million people use needles and syringes to manage There are times when an integrated safety needle is not
medical conditions at home each year. Home-generated available for a specific need. During times like this, it is important
needles and other sharps thrown into household waste to provide sharp securement.
present a great risk to sanitation and sewage treatment Atrion NeedleVISE ® 5-Port; Atrion Medical, www.
workers, janitors, housekeepers, children—even pets. Some atrionmedical.com.
municipalities are now setting laws into place to govern
home sharps disposal. A mail-back sharps container helps Splash Protection
meet these requirements. Once the container is full it is There are times when there is a need to shield a clinician
shipped to a manufacturer that destroys the sharps container from aerosol sprays and splashes of biological fluids. Plastic
and its contents. shields are available to act as a transparent barrier to biohazard
BD Home Sharps Container; BD, www.bd.com. splashes, aerosols and sprays for healthcare professionals and
Mail-away programs for Sharps Containers; Covidien, lab technicians.
www.kendallsharpsafety.com/sharpsafety. Safety Shield™; ITL Corporation, www.itl.com.
Medasend Mailback System; Medadyne Biomedical Splash Guard; Advanced Medical Innovations, www.
Inc., www.medadyne.com. amiwelisten.com.
Sharps Disposal By Mail System™; Sharps Compliance
Inc., www.sharpsinc.com. Shielded Syringe
Sharps Containers; GRP Mail-back Sharps Disposal, A shielded syringe provides protection to healthcare
www.sharpsdisposal.com. workers by providing a shield that covers the needle and is
Steri•Safe Sharps Mailback Program; Stericycle, locked into place, preventing reuse of the syringe.
www.stericycle.com. MONOJECT™ 3mL Safety Syringe, MONOJECT™ 6mL
Sharps Disposal by Mail; Biomedical Waste Solutions, Safety Syringe, MONOJECT™ 12mL Safety Syringe;
www.biomedicalwastesolutions.com. Covidien, www.kendallsharpsafety.com/sharpsafety.
Skin Staple Remover; DeRoyal, www.deroyal.com. Portex™ Spinal Trays with needle safety; Smiths
Staple Remover with Magazine; Advanced Medical Medical, www.smiths-medical.com.
Innovators, www.amiwelisten.com. Safety-Engineered Spinal Trays; B Braun, www.
bbraun.com.
Solidification Products Trays with Safety Engineered Devices; Baxter, www.
It has been recommend from OSHA that healthcare baxter.com.
workers take all possible precautions from direct exposure
to infectious liquids. Solidification products absorb and Sternum Closing Device
encapsulate blood, vomit, or any fluid with at least 6 percent Closing the sternum manually places risk on the patient
water content. for inadvertent puncture injuries to the heart, lungs, and
PremiCide™* sanitizer/solidifier product, KWIK- underlying vasculature. Newer technologies can reduce these
SORB™ solidifying agent; Covidien, www.kendall-ltp.com/ risks as well as the risk of sternal bleeding and make it easier
Kendall-LTP. to close the sternum.
360° Sternum Closure Device; Suturtek Inc., www.
Spinal Trays suturtek.com.
Safety-engineered spinal trays have components that
make procedures safer for anesthesia personnel by providing Strainers
safety products to minimize the risk of sharps injuries or Rather than reach by hand into a container contaminated
bloodborne pathogen exposure. with blood or other potentially infectious material, a strainer
BD Anesthesia Safety Trays; BD, www.bd.com. can be used to pick up products.
DeRoyal Safety Strainers; Deroyal, www.deroyal.com. Dieble Instrument organizer; DC Surgical, www.
DEVON™ Safe-T-Strainer; Covidien, www.kendall-ltp. dcsurgical.com.
com. Disposable Instrument Organizer; Advanced Medical
Innovations, www.amiwelisten.com.
Striped Syringe for Labeling Safety
Write-on stripes provide an easy means to label a syringe. Surgical Instrument Transfer Products
This protects patients by helping to reduce medication To avoid the use of hand-to-hand transfer of sharps
labeling errors. instruments, safety products are available to transfer
Inviro Luer Lock Syringe with InviroSTRIPE Medication commonly used sharp instruments in the surgical setting.
Label; Inviro Medical, www.inviromedical.com. Rather than passing it from one clinicians hand into
another, the clinician simply sets the sharps into a transfer
Suction Canister System tray and then removes his hand. The technician or nurse can
In one study it was found that about 40 percent of the then retrieve the sharp safely.
infectious waste from hospital operating rooms is suction canister DEVON HANDS-FREE-TRANSFER Products;
waste. Suction canisters hold body fluids and saline solution that Covidien, www.tycohealth-ece.com.
are suctioned out of a patient by an aspirator during surgical Disposable Z-Instrument Drape ™, Disposable Z-Tray,
procedures and patient care. Newer technologies provide safety Stretch-A-Tray™ Extendable Hands Free Transfer Tray;
methods of the disposal of suction canister contents. Sandel Medical, www.sandelmedical. com.
Res-Q-Vac Airway Suction System; ReproMed Systems Inc., Neutray, The “Neutral” Zone Sharps Safety Transfer
www.repro-med.com. Tray; Advanced Medical Innovations, www.amiwelisten.
Vac-U-Port™/Vac-U-Station™, Quick-Drain™ Liquid com.
Infectious Waste Management System; Bemis, www. bemis.com. ScrubSafe™; DeRoyal, www.deroyal.com.
Sharps Passing Tray, Scalpel Shield; Purple Surgical,
Surgical Clippers www.purplesurgical.com.
Pre-operative hair removal used to mean shaving the surgical
site prior to procedures. It is now recommended by AORN and Surgical Safety Products
CDC that the area NOT be shaved but that it should be clipped There are a number of safety products that can be
if necessary. This pre-operative hair removal using surgical used to reduce the potential of sharps injuries in the
clippers offers many benefits over razors including a higher surgical suite.
quality of care and improved comfort for patients. It will also DEVON™ Safe-T-Strainer; Covidien, www.kendall-ltp.
lower infection rates which should make both patients and com/Kendall-LTP.
hospital administrators happy. DeRoyal Skin Staplers; DeRoyal, www.deroyal.com.
3M Surgical Clippers; 3M, http://solutions.3m.com. Disposable Instrument Organizer; Advanced Medical
Cardinal Clipper; Cardinal, www.cardinal.com. Innovations, www.amiwelisten.com.
Medline Clippers; Medline, www.medline.com. Puddle Guppy; Deroyal, www.deroyal.com.
Scalpel Caddy™; Cover-U Medical Products,
Surgical Floor Aspirator coverumedical@msn.com.
During a surgical procedure towels or mats are placed on Sharps Safety Station; Purple Surgical, www.
the floor to absorb and clean up body fluids. Newer technologies purplesurgical.com.
are available that can eliminate this by aspirating the fluids into
a container. Syringe Labeling for Safety
Puddle Guppy; DeRoyal, www.deroyal.com. Write-on stripes provide an easy means to label a syringe.
Waterbug Quiet Floor Suction Device, Waterboom Quiet This protects patients by helping to reduce medication
Floor Suction Device; Aspen Surgical, www.aspensurgical. labeling errors.
com. Inviro Luer Lock Syringe with InviroSTRIPE Medication
Label; Inviro Medical, www.inviromedical. com.
Surgical Instrument Organizer Products Portex™ Regional Anesthesia Trays with syringe
Sharp injury potential can be minimized when the surgical medication labels; Smiths Medical, www.smiths-
instruments are organized with their tips away from the medical.com.
practitioner. Products are available to help surgical staff better Qlicksmart CHECK CLIP; Qlicksmart, www.
organize sharps instruments. qlicksmart.com.
Syringe Management System on sharps safety, hand hygiene and infection control issues.
This group of safety products is a “point-of-care” automated He is coauthor of the “Compendium of Infection Control
syringe and sharps disposal system that completely extracts the Technologies.” For more information on the Compendium,
needle from the syringe body. Following an injection, the go to www.medicalsafetybook.com. Mr. Stoker is providing a
syringe and needle are dropped into the management system number of webinars focusing on a variety of sharps injury
where the needle is removed from the syringe and dropped into prevention safety products. For more information on the
a special internal sharps container. webinars, go to www.isips.org/seminars.html.
SMS-1, SharpsFree SMS-2 (Sharps Management System - Author’s note: Even with months of preparation, this list is
Pro), SharpsFree SMS-3 (Sharps Mgmt System - Personal), incomplete but the author believes that it contains more safety
SharpsFree SMS-4 (Sharps Management System, wall products and categories than has previously been assembled
mount); Medtech, www.sharpsfree.com. ✛ together in one list. The intent is to include all safety products
that are currently available in the marketplace. The author is
indebted to those that have provided information on safety
products. If you are aware of safety products that have not been
included in this list, please send an e-mail to info@isips.org.
Ron Stoker is the founder and executive director of the This list is copyrighted by ISIPS and may not be republished
International Sharps Injury Prevention Society (ISIPS) and is a without the expressed written consent of the author. Please
frequent contributor to Managing Infection Control magazine. contact the author to add additional company and product
He speaks frequently at national and international meetings names at info@isips.org.