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BD Vacutainer® Blood Collection Consumables
BD Vacutainer® Blood Collection Consumables
Contents
Introduction .................................................................................... 1 BD Contact Information ................................................................... 2
Blood collection wingset comparison ............................................... 3
BD Vacutainer® UltraTouch™ Blood Collection Set ........................... 4
Blood collection needle comparison ................................................ 8
BD Vacutainer® Flashback Needle .................................................... 9
Needle holder comparison ............................................................. 11
Blood transfer device comparison .................................................. 12
BD Vacutainer® Blood Transfer Device …………………………………………. 13 Tube comparison chart .................................................................... 15 Recommended order of Draw ......................................................... 16 BD Vacutainer® Citrate Tubes .......................................................... 17
This is an introduction to products related to a change of supplier for Pathology Collection Consumables.
SA Health will be transitioning to Becton Dickinson as its supplier of the
following Pathology Collection Consumables:
• Adult blood collection tubes
• Blood collection needles, holders, and transfer devices
The planned rollout of the new devices will commence in January 2021.
Further education will be provided closer to conversion dates within
your facility.
1
Ashleigh Zivcic Clinical Nurse Consultant Ph: 0428 256 502 Email: [email protected]
Michelle Keir Product Specialist Mobile: 0429 910 061Email: [email protected]
Michael Kersten Key Account Manager Mobile: 0439 440 473 Email: [email protected]
BD Contact Information
2
Blood Collection Wingset
Current BD Vacutainer® UltraTouch™ Push ButtonBlood Collection Set
3
BD Vacutainer® UltraTouch™ Push Button Blood Collection Set
Safety, efficiency and patient comfort
Becton Dickinson Pty Ltd, 4 Research Park Drive, North Ryde NSW 2113, Australia. Toll free: 1800 656 100.
Becton Dickinson Ltd, 14b George Bourke Drive, Mt Wellington Auckland 1060 New Zealand. Toll Free: 0800 572 468.
#Compared to BD Vacutainer® Push Button blood collection set and non-safety blood collection needles.1. Comparison of Penetration Force for the BD Vacutainer® UltraTouch™ Push Button Blood Collection Set with PentaPoint™ Comfort
Bevel and RightGauge™ Cannula to the Current BD Vacutainer® Push Button Blood Collection Set with Thin Wall 3-Bevel Cannula (February 2016). VS9248 White Paper.
2. Bowen R, Hortin G, Csako G, Otanez OH, Remaley AT. Clin Biochem. 2010; 4:25.3. Evaluation of Tube Fill Time of the BD Vacutainer® UltraTouch™ Push Button Blood Collection Set with PentaPoint™ Comfort Bevel
and RightGauge™ Cannula as Compared with the Current BD Vacutainer® Push Button Blood Collection Set with Thin Wall 3-Bevel Cannula (February 2016). VS9249 White Paper.
Draw a new experience
Only the BD Vacutainer® UltraTouch™ Push Button blood collection set combines exclusive BD innovations to deliver a better patient experience.1#
Safety, efficiency and patient comfort
©2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. BD-1739
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40
3050%
reduction
6%reduction
20
0
5mL tubefill time
(seconds)
23G
10
21G 25G
Improved tube fill times—plus consistent, quality samples3
BD Vacutainer® UltraTouchTM Push Button
BD Vacutainer® Push Button 3-bevelthin wall
50.61
34.49
20
30
40
50
23G BD Vacutainer® Push Button 3-bevel thin wall
Penetration force(in grams)
25G BD Vacutainer®UltraTouchTM Push Button
32% reduction in penetration force1
A smaller gauge for difficult veins
23G BD Vacutainer®Push Button 3-bevel thin wall
25G BD Vacutainer®UltraTouchTM Push Button
P values were not calculated.
4
Draw a new experienceOnly the BD Vacutainer® UltraTouch™ blood collection set combines BD PentaPoint™ comfort bevel technology with a RightGauge™ ultra-thin wall cannula.
BD PentaPoint™ comfort bevel enhancements for blood collection:
• Thinner profile, more gradual bevel slope,electrochemical etching and micro-bondedlubrication minimise penetration forces1*:
• The only blood collection needle with anoptimised 5-bevel design:
BD 5-bevel technology minimises patient discomfort by reducing penetration force by 32% compared to BD Vacutainer Push Button 3 bevel needles.1
BD PentaPointTM
3-bevel needle
Thinnerprofile
BD RightGauge™ cannula technology improves venepuncture and flowrate** with:
• Ultra-thin cannula wall - extends inner diameterwhile maintaining the outer diameter / gauge size.
• Inner diameter of the cannula affects shear forcesthat lead to haemolysis and the speed of bloodflow / tube-fill time.2
• Using a smaller gauge allows easier access tosmall, difficult veins.
BD RightGauge™ provides the benefits of a smaller gauge and a larger inner diameter at the same time.
23Gthin wall
25G RightGauge™
25Gthin wall
3
BD PentaPointTMneedle tip
Standard 3-bevel tip
11
32 25
4
**Compared to 21G, 23G and 25G configurations of the BD Vacutainer® Push Button blood collection set.*Compared to BD Vacutainer® Push Button Blood Collection Set.5
BD Vacutainer® Blood Collection SetBD Vacutainer® Blood Collection Set
Catalogue number
Needle gauge
Needle length
Tubing length
Adaptor Quantity Wingset colour
21G 19mm 178mm Luer 50/200
21G 19mm 305mm Luer 50/200
23G 19mm 178mm Luer 50/200
23G 19mm 305mm Luer 50/200
25G 19mm 178mm Luer 50/200
25G 19mm 305mm Luer 50/200
The safety mechanism is designed to be activated while the needle is in the vein to protect against needlestick injury after blood collection.
TM
TM
Blood Collection SetTM
TM
TM
6
Australia Toll Free: 1800 656 100Becton Dickinson L mited, New Zealand Toll Free: 0800 572 468
bd.comBD, the BD Logo BD Vacutainer are trademarks of Becton, Dickinson and Company. ©201 BD and its subsidiaries. All rights reserve
1a: Peel back packaging at arrow so that the back end of the wing set is exposed.
1b: With thumb and middle finger, grasp the rear barrel of the wingset and remove from package. Be careful to avoid activating the button.
2: CAUTION – Never use a blood collection set without a holder or syringe attached.
Attach to BD Vacutainer® One Use Holder
3: With thumb and index finger, grasp the wings together. Remove the needle sheath and perform the venepuncture according to your facility’s policies and procedures.
4: Proper access to the vein will be indicated by the presence of “flash” directly behind and below the button.
5a: The device is designed to be activated while the needle is still in the patient’s vein. Place your gauze pad on the venepuncture site. Allow gauze pad to cover nose of front barrel. Following the collection procedure, and while the needle is still in the vein, grasp the body with the thumb and middle finger. Push the button with the tip of the index finger.
5b: To ensure complete and immediate retraction of the device, make sure to keep fingers and hands away from the end of the blood collection set during retraction. Do not impede retraction.
6: Apply pressure to the venepuncture site in accordance with your facility’s protocol.
7: Discard the entire shielded blood collection set and holder into an approved sharps disposal container.
CAUTION: This guideline provides general use and disposal information. Please follow the policies and procedures of your facility and refer to the Manufacturer’s Instructions.
CAUTION: Avoid obstruction
Blood Collection SetBest Practice guidelines.
TM®
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Blood Collection Needle & Holder
Current BD Vacutainer® Flashback Needle
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BD Vacutainer® Flashback Needle
Immediate confirmation of venous access is indicated by the presence of blood in the flashback chamber
Large chamber provides enhanced visibility of the flash
9
Twist and pull the white cap to break safety seal and expose luer end of the needle.
Points to PractiseSTEP 1 STEP 2
Becton Dickinson Ltd, Toll free: 1800 656 100
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BD, the BD Logo and Vacutainer are trademarks of Becton, Dickinson and Company or it’saffiliates. ©2020 BD. All rights reserved.
LengthColour PackagingReference Number
301746
301747
Gauge
21G - 0.8mm
22G - 0.6mm
1” - 25mm
1” - 25mm
50/box1000/case
50/box1000/case
Insert luer end into BD one use holder and ensure connection is secure. Twist and pull coloured cap to exposeneedle bevel
Product information
STEP 3
Perform venepuncture according to your facilities policies and procedures. Observe blood flashback, confirming needle placement.
STEP 4Dispose needle and holder as one unit into approved sharps container
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Needle Holder
Current BD Vacutainer® One Use Holder
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Blood Transfer Device
Current BD Vacutainer® Blood Transfer Device
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The use of a needle to transfer venous blood into a blood collection tube or culture bottle may result in a needlestick injury.
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© 2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. BD-2720
Becton Dickinson Pty Ltd, 4 Research Park Drive, North Ryde NSW 2113, Australia, Toll Free: 1800 656 100
Contact your local BD representative for more information.
Becton Dickinson Limited, 14b George Bourke Drive, Mt Wellington Auckland 1060, New Zealand, Toll Free: 0800 572 468
BD Vacutainer® Blood Transfer Device is designed to reduce the risk of of transfer-related injuries.*
Reduce your risk of transfer-related injuries with BD Vacutainer® Blood Transfer Device*
Catalogue no. 36488000
*Compared to using needle and syringe to transfer venous blood to BD Vacutainer® tubes and blood culture bottles.
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© 2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. BD-2720
Becton Dickinson Pty Ltd, 4 Research Park Drive, North Ryde NSW 2113, Australia, Toll Free: 1800 656 100
Becton Dickinson Limited, 14b George Bourke Drive, Mt Wellington Auckland 1060, New Zealand, Toll Free: 0800 572 468
Best practice guidelines for BD Vacutainer® Blood Transfer Device
BD Vacutainer Blood Transfer Device with syringe
STEP 1a: Peel off paper backing.
STEP 1b: Remove from package.
STEP 3: With the syringe tip held facing down, centre BD Vacutainer tube(s) / BD BACTEC™ blood culture bottle and push into the holder end of the blood transfer device.
STEP 2a: Insert the syringe tip into the hub of the BD Vacutainer Blood Transfer Device.
STEP 2b: Rotate the syringe clock-wise until it fits securely on the hub. ecurely on the hub.
STEP 4: After removing the last tube or blood culture bottle, discard the entire assembly (the BD Vacutainerblood transfer device and syringe) in an approved sharps disposal container in accordance with applicable regulations and institutional policy.
1
3
2
4
CAUTION: Refer to the Manufacturer’s Instructions for Use and the policies and procedures of your facility.
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Current Tube BD Vacutainer® Tube Volume Instructions
Sodium Citrate
1.8ml
2.7mL
Serum Gel SSTII
5ml
8.5ml
Mix gently by inversion 6 times
Lithium Heparin Gel PSTII
Barricor
8.0mL
5.5ml
Mix gently by inversion 8 – 10 times
Lithium Heparin No Gel
10.0ml Mix gently by inversion 8 – 10 times
EDTA
2.0ml
4.0ml
10.0 ml
Mix gently by inversion 8 – 10 times
EDTA + GEL
8.5ml Mix gently by inversion 8 – 10 times
Crossmatch EDTA
6.0ml Mix gently by inversion 8 – 10 times
Sodium Fluoride Na2EDTA
2.0ml
4.0ml
Mix gently by inversion 8 – 10 times
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SA Pathology BD Vacutainer® Tube Comparison Chart
ESR Sodium Citrate ESR Sodium Citrate 8 -10
Order of draw BD Vacutainer® blood collection tubes
Order of draw Colour coding Tube type Recommended inversions
1. Sterile Samples eg. Blood cultures
Aerobic blood culture bottle n/a
Anaerobic blood culture bottle n/a
2. Citrate
Sodium citrate* 3 - 4
ACD 8 -10
3. Serum
Plain serum with clot activator (silica particles) 5 - 6
BD RST (serum with gel) 5 - 6
BD SSTTM II Advance (serum with gel) 6
4. Heparin
BD BarricorTM lithium heparin 8 - 10
Lithium & sodium heparin 8 -10
BD PSTTM II (plasma with gel) 8 -10
5. EDTA
EDTA 8 -10
Crossmatch 8 -10
BD PPTTM EDTA with gel 8 -10
6. Glucose Glucose (Fluoride Oxalate/Fluoride EDTA) 8 -10
Consult your own institution’s guidelines for ESR and Trace Elements testing
*Discard tube requiredwhen used with a wingsetCLSI guidelines recommend that when a winged blood collection set is used for venepuncture and a coagulation tube is the first tube needed, the phlebotomist must first collect a discard tube. The discard tube is used to prime the ‘deadspace’ tubing of the collection set, which ensures maintenance of the proper anticoagulant to blood ratio in the first tube filled. The discard tube must be a nonadditive or a coagulation tube and does not need to be completely filled.1
1. CLSI (Clinical & Laboratory Standards Institute), Collection of Diagnostic Venous Blood Specimens, 7th Ed, April 2017.
© 2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. BD-2700
Recommended order of draw based on CLSI guidelines.1
Becton Dickinson Pty Ltd, 4 Research Park Drive, North Ryde NSW 2113, Australia. Toll free: 1800 656 100
Becton Dickinson Limited, 14b George Bourke Drive, Mt Wellington Auckland 1060, New Zealand. Tel: 0800 572 468.
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BD Vacutainer® Plastic Citrate Tube
The importance of the 360º minimum fill indicator.1The frosted line around the tube represents the minimum volume of blood required for appropriate analysis. All blood collection tubes should be checked for appropriate fill volume but this is even more pertinent in BD Vacutainer® Citrate, where failure to have appropriate fill could result in clinical inaccuracies.
360º minimum fill indicator
2.7 mL draw tube13 x 75 mm full draw
1.8 mL draw tube13 x 75 mm full draw
Always allow the tube to fill until the blood ceases to flow
The tube is correctly filled when the blood is above or level with the minimum fill line indicator, which is a frosted line at the top of the tube.
363095 36309317
Minimising preanalytical variables
Here are a few tips to help ensure you are taking the necessary actions to reduce preanalytical variables that could impact specimen quality.
• Perform venepuncture according to your institution’s procedures.
• The tourniquet should be applied for no longer than one minute. Remove assoon as blood flow is established.2
• A discard tube should always be used to remove air from a winged bloodcollection set, prior to all other tubes.
• A BD Vacutainer®
blood transfer device (36488000) should be used in caseswhere blood is drawn with a syringe.
• Maintain tube at a downward angle below the puncture site.
• Always allow the tube to fill until blood flow ceases.
• Immediately after draw, gently invert tube 3–4 times. Do not shake.
• Once collection is complete, ensure the tube is filled to either level with or abovethe minimum fill line, if not consider collecting a second tube.
Important: this document does not replace the product instructions for use. For more information on how to use a BD Vacutainer Citrate tube, please consult the instructions for use or pictorial instructions for use shown on the outer packaging.
1 Clinical and Laboratory Standards Institute (CLSI). GP41-Ed7 (replaces H03-A6): Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; Approved Standard—Seventh Edition. 2007.
2 Clinical and Laboratory Standards Institute (CLSI). GP39-A6 (replaces H01-A6): Tubes and Additives for Venous and Capillary Blood Specimen Collection; Approved Standard—Sixth Edition. 2010.
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