Use of a (proposed) standard protocol to validate Terumo TSCD-II connections between dissimilar blood bag tubing.
OBJECTIVE
ISO standards for blood bags do not adequately define and control the dimensions of blood bag transfer tubing. This lack of standardization presents potential difficulties when making sterile connections between the wide range of tubing that has evolved in the absence of such standards. We aim to validate the suitability of the TSCD-II and provide a minimum standard for assessing the suitability of sterile connections (welds) between dissimilar tubing.


METHODS
The Terumo TSCD-II was used in this study to connect by hermetic welding seven tubing types with a wide range of dimensions from five suppliers. Thirty sterile connections were made between each combination split between dry/dry, wet/wet and dry/wet connections. Welds were assessed for visual defects, by tensile stress test (TST) and pressure tests.


RESULTS
All welds passed visual inspection and pressure tests. All welds had a minimum tensile strength of greater than 40 N and mean of greater than 45 N.


CONCLUSIONS
Successful connections have been made between dissimilar tube types and this work does not support the requirement for 'tight' tubing dimensional specifications. We have recommended to the ISO Technical Committee 76 Work Group 1 that ISO 3826-1 be revised and should include a minimum standard validation protocol for joining dissimilar tubing.
Nightingale
M J
MJ
National Blood Service, Southampton, UK. mark.nightingale@nbs.nhs.uk
Lees
B
B
Biset
R
R
Mertens
W
W
D016913:Blood Component Transfusion / Q000295:instrumentation / Q000592:standards*; D001793:Blood Preservation / Q000295:instrumentation*; D004866:Equipment Contamination / Q000517:prevention & control; D004867:Equipment Design / Q000592:standards; D006801:Humans; D008422:Materials Testing / Q000592:standards*; D013242:Sterilization / Q000592:standards*