Safety syringe

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A safety syringe is a syringe with a built-in safety mechanism to reduce the risk of needlestick injuries to healthcare workers and others. The needle on a safety syringe can be detachable or permanently attached. On some models, a sheath is placed over the needle, whereas in others the needle retracts into the barrel. Safety needles [1] serve the same functions as safety syringes, but the protective mechanism is a part of the needle rather than the syringe. Legislation requiring safety syringes or equivalents has been introduced in many nations since needlestick injuries and re-use prevention became the focus of governments and safety bodies.

Contents

In this model of safety syringe, the needle retracts into the barrel of the syringe after use. Sicherheitsspritze 010.JPG
In this model of safety syringe, the needle retracts into the barrel of the syringe after use.

Types

There are many types of safety syringes available on the market. [2] Auto Disable (AD) syringes are designed as a single use syringe, with an internal mechanism blocking the barrel once depressed so it cannot be depressed again. The other type of syringe with a re-use prevention feature is the breaking plunger syringe. An internal mechanism cracks the syringe when the plunger is fully depressed to prevent further use. These syringes are only effectively disabled with a full depression of the plunger; users can avoid activating the re-use prevention feature and re-use the syringe.

This syringe has a sliding needle guard Intradermal injection.jpg
This syringe has a sliding needle guard

The more effective safety syringes have reuse and needlestick prevention features. A sheath or hood slides over the needle after the injection is completed with a Needlestick Prevention Syringe, which also has a re-use prevention feature (either an auto disable mechanism or breaking plunger). Retractable syringes use either manual or spring-loaded retraction to withdraw the needle into the barrel of the syringe. Some brands of spring-loaded syringes can have a splatter effect, where blood and fluids are sprayed off the cannula from the force of the retraction. Manual retraction syringes are generally easier to depress because there is no resistance from a spring.

One model of safety syringe with deployable needle guard Needle safety demo.gif
One model of safety syringe with deployable needle guard

Alternatives

Traditional glass syringes can be re-used once disinfected. Plastic body syringes have become more popular in recent years because they are disposable. Unfortunately, improper disposal methods and re-use are responsible for transferring blood borne diseases.

Importance

Of the 55 cases documented by the CDC of (non-sex work) occupational transmission of HIV, 90% were from contaminated needles that pierced the skin. [3] The direct cost of needlestick injuries was calculated in a recent study to be between $539 and $672 million US dollars[ clarification needed ]. [4] That includes only lab tests, treatment, service and "other"[ clarification needed ]; it does not take into account lost time and wages for employers and individuals.

Legislation

United States

Two lawyers, Mike Weiss and Paul Danzinger, were approached in 1998 by an inventor, Thomas Shaw, who was having trouble selling a safety syringe developed to protect health care workers from accidentally being infected by dirty needles. The problems were due to monopolistic actions of a major industry needle maker and hospital group purchasing organizations. The case was settled before trial for $150 million. [6] This was portrayed by the 2011 movie Puncture . [7] Shaw's attempts to get his retractable needle accepted by health care facilities were covered in a 2010 Washington Monthly article. [8]

Canada

Australia

Europe

See also

Related Research Articles

<span class="mw-page-title-main">Biosafety</span> Prevention of large-scale loss of biological integrity

Biosafety is the prevention of large-scale loss of biological integrity, focusing both on ecology and human health. These prevention mechanisms include the conduction of regular reviews of biosafety in laboratory settings, as well as strict guidelines to follow. Biosafety is used to protect from harmful incidents. Many laboratories handling biohazards employ an ongoing risk management assessment and enforcement process for biosafety. Failures to follow such protocols can lead to increased risk of exposure to biohazards or pathogens. Human error and poor technique contribute to unnecessary exposure and compromise the best safeguards set into place for protection.

<span class="mw-page-title-main">Personal protective equipment</span> Equipment designed to help protect an individual from hazards

Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, electrical, heat, chemicals, biohazards, and airborne particulate matter. Protective equipment may be worn for job-related occupational safety and health purposes, as well as for sports and other recreational activities. Protective clothing is applied to traditional categories of clothing, and protective gear applies to items such as pads, guards, shields, or masks, and others. PPE suits can be similar in appearance to a cleanroom suit.

<span class="mw-page-title-main">Syringe</span> Medical injection device

A syringe is a simple reciprocating pump consisting of a plunger that fits tightly within a cylindrical tube called a barrel. The plunger can be linearly pulled and pushed along the inside of the tube, allowing the syringe to take in and expel liquid or gas through a discharge orifice at the front (open) end of the tube. The open end of the syringe may be fitted with a hypodermic needle, a nozzle or tubing to direct the flow into and out of the barrel. Syringes are frequently used in clinical medicine to administer injections, infuse intravenous therapy into the bloodstream, apply compounds such as glue or lubricant, and draw/measure liquids. There are also prefilled syringes.

<span class="mw-page-title-main">Blood-borne disease</span> Medical condition

A blood-borne disease is a disease that can be spread through contamination by blood and other body fluids. Blood can contain pathogens of various types, chief among which are microorganisms, like bacteria and parasites, and non-living infectious agents such as viruses. Three blood-borne pathogens in particular, all viruses, are cited as of primary concern to health workers by the CDC-NIOSH: HIV, hepatitis B (HVB), & hepatitis C (HVC).

<span class="mw-page-title-main">Occupational injury</span> Bodily damage resulting from working

An occupational injury is bodily damage resulting from working. The most common organs involved are the spine, hands, the head, lungs, eyes, skeleton, and skin. Occupational injuries can result from exposure to occupational hazards, such as temperature, noise, insect or animal bites, blood-borne pathogens, aerosols, hazardous chemicals, radiation, and occupational burnout.

<span class="mw-page-title-main">Injection (medicine)</span> Method of medication administration

An injection is the act of administering a liquid, especially a drug, into a person's body using a needle and a syringe. An injection is considered a form of parenteral drug administration; it does not involve absorption in the digestive tract. This allows the medication to be absorbed more rapidly and avoid the first pass effect. There are many types of injection, which are generally named after the body tissue the injection is administered into. This includes common injections such as subcutaneous, intramuscular, and intravenous injections, as well as less common injections such as intraperitoneal, intraosseous, intracardiac, intraarticular, and intracavernous injections.

Post-exposure prophylaxis, also known as post-exposure prevention (PEP), is any preventive medical treatment started after exposure to a pathogen in order to prevent the infection from occurring.

<span class="mw-page-title-main">Chemical hazard</span> Non-biological hazards of hazardous materials

Chemical hazards are typical of hazardous chemicals and hazardous materials in general. Exposure to certain chemicals can cause acute or long-term adverse health effects. Chemical hazards are usually classified separately from biological hazards (biohazards). Main classifications of chemical hazards include asphyxiants, corrosives, irritants, sensitizers, carcinogens, mutagens, teratogens, reactants, and flammables. In the workplace, exposure to chemical hazards is a type of occupational hazard. The use of protective personal equipment (PPE) may substantially reduce the risk of damage from contact with hazardous materials.

<span class="mw-page-title-main">Needlestick injury</span> Accidental puncture of skin causing contamination

A needlestick injury is the penetration of the skin by a hypodermic needle or other sharp object that has been in contact with blood, tissue or other body fluids before the exposure. Even though the acute physiological effects of a needlestick injury are generally negligible, these injuries can lead to transmission of blood-borne diseases, placing those exposed at increased risk of infection from disease-causing pathogens, such as the hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Among healthcare workers and laboratory personnel worldwide, more than 25 blood-borne virus infections have been reported to have been caused by needlestick injuries. In addition to needlestick injuries, transmission of these viruses can also occur as a result of contamination of the mucous membranes, such as those of the eyes, with blood or body fluids, but needlestick injuries make up more than 80% of all percutaneous exposure incidents in the United States. Various other occupations are also at increased risk of needlestick injury, including law enforcement, laborers, tattoo artists, food preparers, and agricultural workers.

<span class="mw-page-title-main">Needle remover</span> Medical device

A needle remover is a device used to physically remove a needle from a syringe. In developing countries, there is still a need for improvements in needle safety in hospital settings as most of the needle removal processes are done manually and under severe risk of hazard from needles puncturing skin risking infection. These countries cannot afford needles with individual safety devices attached, so needle-removers must be used to remove the needle from the syringe. This lowers possible pathogen spread by preventing the reuse of the syringes, reducing incidents of accidental needle-sticks, and facilitating syringe disposal.

<span class="mw-page-title-main">Sharps waste</span> Form of biomedical waste

Sharps waste is a form of biomedical waste composed of used "sharps", which includes any device or object used to puncture or lacerate the skin. Sharps waste is classified as biohazardous waste and must be carefully handled. Common medical materials treated as sharps waste are hypodermic needles, disposable scalpels and blades, contaminated glass and certain plastics, and guidewires used in surgery.

<span class="mw-page-title-main">Drug injection</span> Method of introducing a drug

Drug injection is a method of introducing a drug into the bloodstream via a hollow hypodermic needle, which is pierced through the skin into the body. Intravenous therapy, a form of drug injection, is universally practiced in modernized medical care. As of 2004, there were 13.2 million people worldwide who self-administered injection drugs outside of medical supervision, of which 22% are from developed countries.

Workplace health surveillance or occupational health surveillance (U.S.) is the ongoing systematic collection, analysis, and dissemination of exposure and health data on groups of workers. The Joint ILO/WHO Committee on Occupational Health at its 12th Session in 1995 defined an occupational health surveillance system as "a system which includes a functional capacity for data collection, analysis and dissemination linked to occupational health programmes".

Prevention through design (PtD), also called safety by design usually in Europe, is the concept of applying methods to minimize occupational hazards early in the design process, with an emphasis on optimizing employee health and safety throughout the life cycle of materials and processes. It is a concept and movement that encourages construction or product designers to "design out" health and safety risks during design development. The process also encourages the various stakeholders within a construction project to be collaborative and share the responsibilities of workers' safety evenly. The concept supports the view that along with quality, programme and cost; safety is determined during the design stage. It increases the cost-effectiveness of enhancements to occupational safety and health.

<span class="mw-page-title-main">Physical hazard</span> Hazard due to a physical agent

A physical hazard is an agent, factor or circumstance that can cause harm with contact. They can be classified as type of occupational hazard or environmental hazard. Physical hazards include ergonomic hazards, radiation, heat and cold stress, vibration hazards, and noise hazards. Engineering controls are often used to mitigate physical hazards.

<span class="mw-page-title-main">Occupational safety and health</span> Field concerned with the safety, health and welfare of people at work

Occupational safety and health (OSH) or occupational health and safety (OHS), also known simply as occupational health or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at work. These terms also refer to the goals of this field, so their use in the sense of this article was originally an abbreviation of occupational safety and health program/department etc. OSH is related to the fields of occupational medicine and occupational hygiene.

<span class="mw-page-title-main">Hierarchy of hazard controls</span> System used in industry to eliminate or minimize exposure to hazards

Hierarchy of hazard control is a system used in industry to minimize or eliminate exposure to hazards. It is a widely accepted system promoted by numerous safety organizations. This concept is taught to managers in industry, to be promoted as standard practice in the workplace. It has also been used to inform public policy, in fields such as road safety. Various illustrations are used to depict this system, most commonly a triangle.

Occupational toxicology is the application of toxicology to chemical hazards in the workplace. It focuses on substances and conditions that occur in workplaces, where inhalation exposure and dermal exposure are most important, there is often exposure to mixtures of chemicals whose interactions are complex, health effects are influenced or confounded by other environmental and individual factors, and there is a focus on identifying early adverse affects that are more subtle than those presented in clinical medicine.

<span class="mw-page-title-main">Workplace hazard controls for COVID-19</span> Prevention measures for COVID-19

Hazard controls for COVID-19 in workplaces are the application of occupational safety and health methodologies for hazard controls to the prevention of COVID-19. Vaccination is the most effective way to protect against severe illness or death from COVID-19. Multiple layers of controls are recommended, including measures such as remote work and flextime, increased ventilation, personal protective equipment (PPE) and face coverings, social distancing, and enhanced cleaning programs.

An occupational infectious disease is an infectious disease that is contracted at the workplace. Biological hazards (biohazards) include infectious microorganisms such as viruses, bacteria and toxins produced by those organisms such as anthrax.

References

  1. "HMD Launches Single-Use Dispojekt Safety Needle to Prevent Injuries". Businesswireindia.com. Retrieved 30 June 2021.
  2. "WHO | Safe syringes for injection safety". World Health Organization. 2010-11-30. Archived from the original on December 14, 2007. Retrieved 2012-02-07.
  3. International Council of Nurses. "Health Care Worker Health and Safety: Preventing Needlestick Injury and Occupational Exposure to Bloodborne Pathogens" (PDF). World Health Organization.
  4. Jagger, Janine (1998). "Healthcare Direct Cost of Follow-up for Percutaneous and Mucocutaneous Exposures to At-Risk Body Fluids: Data From Two Hospitals" (PDF). Advances in Exposure Prevention. International Healthcare Worker Safety Center. 3 (3).
  5. 106th Congress. "Needlestick Safety and Prevention Act". U.S. Government Printing Office. Retrieved 25 February 2012.
  6. "Syringe Manufacturer Settles Claim of Market Manipulation". The New York Times. 2004-07-03. Retrieved 25 November 2011.
  7. "Puncture (2011)". IMDb. Retrieved 25 February 2012.
  8. Blake, Mariah (July–August 2010). "Dirty Medicine". Washington Monthly. Retrieved 19 January 2020.
  9. "Laboratory Biosafety Guidelines 3rd Edition 2004 – Pathogen Regulation Directorate". Public Health Agency of Canada. 2011-02-18. Retrieved 2012-02-07.
  10. "OHS Guidelines Part 6 Substance Specific Requirements" . Retrieved 2012-02-07.
  11. "OCCUPATIONAL HEALTH AND SAFETY CODE" (PDF). Government of Alberta.
  12. "The Workplace Safety and Health Amendment Act (Needles in Medical Workplaces)". 2005-06-09. Retrieved 2012-02-07.
  13. "Labour Standards Information for the Restaurant and Foodservices Industry" (PDF). Saskatchewan Ministry of Labour Relations and Workplace Safety.
  14. "Occupational Health and Safety Act – O. Reg. 474/07". 2010-07-01. Retrieved 2012-02-07.
  15. "Regulations – Safer Needles in Healthcare Workplaces" . Retrieved 2012-02-07.
  16. "Sharps Injuries – Prevention in the NSW Public Health System" (PDF). Department of Health, NSW.
  17. "OHS Reps @ Work : Infectious Diseases – Needlestick Injuries". 2008-02-25. Retrieved 2012-02-07.
  18. "OCCUPATIONAL EXPOSURES TO BLOOD AND BODY FLUIDS RECOMMENDED PRACTICES FOR PREVENTING HOLLOW-BORE NEEDLESTICK INJURIES" (PDF). Centre for Healthcare Related Infection Surveillance and Prevention.
  19. "COUNCIL DIRECTIVE implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU" (PDF). COUNCIL OF THE EUROPEAN UNION.

• Washington Monthly, Jul/Aug 2010, "Dirty Medicine"