title: Modified syringe design prevents plunger-related contamination--results of contamination and flow-rate tests.
abstract: The usual mechanism for syringe contamination is spread of micro-organisms along the inside of the barrel. Two or more full strokes of the plunger will inevitably transport a contaminant from the inside wall into the sterile compartment. We modified syringes by replacing the plunger with a modified version that has an additional central O-ring seal. Conventional and modified syringes were tested for their susceptibility to contamination using standard microbiological and radioisotope methods, and the flow-rate stability of the modified syringe design was assessed in a model with commercially available infusion pumps. Although conventional syringes consistently became contaminated with the second full excursion of the plunger, no contamination was observed in modified syringes, even after 100 aspiration/injection cycles. With respect to flow-rate stability, the new syringe design complies with DIN (German Institute for Standardization) standards.
authors.affiliation: Department of Trauma Surgery, University of Essen Medical School Hospitals, Essen, Germany. lucien.oliver@uni-essen.de
authors.forename: L C
authors.initials: LC
authors.lastname: Olivier
authors.forename: D
authors.initials: D
authors.lastname: Kendoff
authors.forename: U
authors.initials: U
authors.lastname: Wolfhard
authors.forename: D
authors.initials: D
authors.lastname: Nast-Kolb
authors.forename: M
authors.initials: M
authors.lastname: Nazif Yazici
authors.forename: H
authors.initials: H
authors.lastname: Esche
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D004866:Equipment Contamination; D004867:Equipment Design; D013594:Syringes / Q000382:microbiology*