I.V. Administration Sets with in-line filters.

Publishing Details

Pete Phillips
Deputy Director
SMTL
Revision: $Revision: 1.6 $
Date: $Date: 1998/02/12 12:46:24 $
Table of Contents
Introduction
Sets on the All Wales contract.
Non-contract, Non-Dedicated sets
Dedicated sets
Further Information

Introduction

Recent events in the UK have highlighted the fact that under some circumstances, users injecting drugs and additives into IV fluid bags sometimes scrape the needle along the plastic tube, resulting in strips of plastic (frequently spirals of plastic) peeling off the walls and ending up in the IV fluid. St Mary's Pharmaceutical Unit (Penarth, South Wales) have stated that they believe that the 200 µ filters in blood sets will contain the particles in question.

This problem can usually be avoided by ensuring that the needle penetrates the injection port at 90° and not at an angle.

However, the IV fluid provider to the Welsh NHS contract (Maco Pharma) informed pharmacy departments (in January 1998) that "as a precautionary measure and until further notice, all Maco Pharma bags must be administered using a giving set with an incorporated filter."

This document was written in response to that letter to provide advice to pharmacists on which IV sets on the UK market had filters and which did not.

On April 7th 1998, Maco Pharma wrote another letter stating that "we are now in a position to advise you that due to modified manufacture of our injection port, it is no longer necessary to filter our products."

However, Maco Pharma have made no changes to the design of the product, but have increased the level of quality control in the manufacturing process to ensure that there are no particulates in the additive port. This does not prevent a user inadvertently scraping the sides of the port and generating the particles referred to above.

We believe that the Maco Pharma advice is incorrectly worded. We do not believe that Maco Pharma solutions require extra precautions, compared to other IV solutions. However, particles may also be produced whenever membranes are pierced on entry into bags, vials, injection ports and whenever glass ampoules are opened. Therefore SMTL and St Marys Pharmaceutical Unit advise that sets conforming to the British Standard 2463 Part 2 be used in all circumstances except where a specific reason has been given, no matter what IV solution bag is being used.

Sets conforming to British Standard BS 2463, Part 2, are required to incorporate a filter. If the set is a solution set, the filter must be a 40µ filter or smaller, and for blood sets, the filters may be of any size providing they filter blood to the same extent as a reference 200µ filter.

This document lists most of the sets in use in the UK (including those on the All Wales contract), and includes information on whether they have a filter, and the pore size of that filter.

Caution should be exercised in the use of filters which have a pore diameter of less than 10 microns due to the frequent use of emulsions and liposomal preparations which may not pass through such filters. Check the compatibility of any such fluids with the filter in your administration set.

Also, note that whilst solution sets conforming to the British Standard have filter pore sizes of 40µ or less, these are not bacterial retention filters. Pore sizes of around 0.22µ are required for bacterial retention.

 

Sets on the All Wales contract.

Baxter

The following table shows the Baxter sets on contract in Wales, whether they have a filter, and the pore size of the filter.

Table 1: Baxter All Wales Contract Sets

Manufacturer Set Description Cat No Filter Info
Baxter Solution set, burette microdrip. C9602 (previously C0163) 15µ
Baxter Simple solution set. C9608 15µ
Baxter Blood burette set. C9601, previously C0142 200µ
Baxter Blood set with pump chamber. C2071 200µ
Baxter Blood set with pump chamber. C2090A/C2071A 200µ
Baxter Primary solution set with non-reflux valve. C9605 15µ
Baxter Primary solution set with reflux valve. C9603 15µ
Baxter Secondary solution set. C0429 180µ

 

Codan

 

Table 2: Codan All Wales contract sets.

Manufacturer Set Description Cat No Filter Info
Codan SMS System set. 76.3700 15µ
Codan SMS Primary solution set. 37.3143 15µ
Codan SMS Secondary set. 37.3144 15µ
Codan Standard solution set. 37.3137 15µ

 

 

Non-contract, Non-Dedicated sets

Avon

Avon sets are distributed by Sims in the UK.

Table 3: Avon non-dedicated sets.

Manufacturer Set Description Cat No Filter Info
Avon Solution set. A26 15µ
Avon Primary solution set. A21 15µ
Avon Secondary solution set. A22 15µ
Avon Vented solution set. A220 15µ
Avon Solution set (OBSOLETE). A226 15µ
Avon Microdrip (60 drops/ml) solution set. A263 15µ
Avon Blood set. A100 200µ
Avon Blood set. A120 200µ
Avon Blood set - Y-type, 3mm. A13 200µ
Avon Blood set. A122 200µ
Avon Burette (150ml) solution set. A200A 15µ
Avon Burette (150ml) blood set. A201 200µ
Avon Burette (150ml) solution set. A206 15µ
Avon Burette Blood set (OBSOLETE). A12 200µ
Avon Amberset Burette solution set. A2000 15µ
Avon Amberset solution set. A260 15µ

 

Baxter

 

Table 4: Baxter non-dedicated sets.

Manufacturer Set Description Cat No Filter Info
Baxter Solution set. C9615 15µ
Baxter Solution set. C9614 15µ
Baxter Solution set. C9604 15µ
Baxter Solution set. C9606 15µ
Baxter Blood set. C9609 200µ
Baxter Blood set. C9612 200µ
Baxter Solution set. C0337 15µ
Baxter Solution set. C0334 15µ
Baxter Blood set. C2071 200µ
Baxter Blood set. C2159 200µ
Baxter Solution set. C0360 15µ
Baxter Solution set. C0361 15µ
Baxter Primary Solution set. C0124 15µ
Baxter Solution set. C0117 15µ
Baxter Solution set. C0108 15µ
Baxter Solution set. C0164 15µ
Baxter Burette Solution set. C0163 15µ
Baxter Blood set. C2579 170µ
Baxter Burette Blood set. C0142 160µ

 

Codan

 

Table 5: Codan non-dedicated sets.

Manufacturer Set Description Cat No Filter Info
Codan Infusion set. 37.3138 15µ
Codan Blood set. 45.5534 200µ
Codan Blood Burette set. 45.5560 200µ
Codan Solution Burette set. 59.3310 15µ

 

Fresenius

 

Table 6: Fresenius non-dedicated sets.

Manufacturer Set Description Cat No Filter Info
Fresenius Simple solution set (recently withdrawn from market - will be reintroduced soon). - 15µ
Fresenius Metriset 120 ml burette set. 23-05-941 No filter (this set may be replaced soon with a 150 ml burette including a 15µ filter).

 

Universal Hospital Supplies

 

Table 7: Universal non-dedicated sets.

Manufacturer Set Description Cat No Filter Info
Universal Mediflex - solution set UN 998606 15µ
Universal Multiset - multi purpose blood, plasma or solution set UN 998665 200µ

 

 

Dedicated sets

Graseby

The Graseby pumps were developed originally with 3M, who still have their trademark imprinted on the sets, although the business is now wholly run/owned by Graseby. Graseby Medical Limited became SIMS Graseby Limited on 01.01.98.

Sets will ultimately become known by a revised pack code, (shown in the table below). This reflects the change of manufacturer from 3M to SIMS Graseby. Sets with this classification are expected to be introduced to the UK market in late 1998.

Table 8: Graseby Infusion Sets

Manufacturer Set Description Cat No Filter Info
Graseby Filter set (for solutions) 8C-825 (also 3MD-825) 15µ
Graseby Filter set (for solutions) 8C4240 0.22µ
Graseby Blood set 8C195 150µ
Graseby Opaque solution set 1820.001 No filter
Graseby Opaque solution set 1820.002 No filter
Graseby Lower adsorption solution set 8C290 No filter
Graseby Primary solution set 820 No filter
Graseby Primary solution set 8C820 No filter
Graseby Primary solution set 8C860 No filter
Graseby Primary solution set 8C230 No filter
Graseby Burette solution set 8C1230 No filter
Graseby Burette solution set 8C1630 No filter
Graseby Primary piggybacking solution set 8C4220 No filter

 

Fresenius

 

Table 9: Fresenius Sets

Manufacturer Set Description Cat No Filter Info
Fresenius Admin set for Verifuse portable pump. V021007 No filter
Fresenius Admin set for Verifuse portable pump - vented/non-vented. V021011 No filter
Fresenius Admin set for Verifuse portable pump. V021014 1.2µ
Fresenius Admin set for Verifuse portable pump. V021015 0.22µ
Fresenius Admin set for Inca pump. 9004121 15µ
Fresenius Admin set for Inca pump (PVC free). 9002111 15µ
Fresenius Admin set for Inca pump (lower Y site). 9001611 15µ
Fresenius Rate Minder standard infusion set. 9915071 No filter
Fresenius Rate Minder infusion set with 0.22µ filter. 9915081 0.22µ
Fresenius Rate Minder nitroglycerin infusion set. 9916031 No filter

 

Imed

IVAC products are now marketed by Alaris medical systems.

Table 10: Imed sets

Manufacturer Set Description Cat No Filter Info
IMED Primary set for use with Gemini series pumps. 2210 No filter
IMED Primary set for use with Gemini series pumps. 2214 15µ
IMED ADD-I-MED set for use with Gemini series pumps. 2220 No filter
IMED Burette set for use with Gemini series pumps. 2241 No filter
IMED Nitro set for use with Gemini series pumps. 2260 No filter
IMED Blood set for use with Gemini series pumps. 2277 150 µ

 

IVAC

IVAC products are now marketed by Alaris medical systems. Extension sets (such as the G40020 etc) have been excluded as these products do not normally include filters

Table 11: IVAC sets

Manufacturer Set Description Cat No Filter Info
IVAC Solution set for 560 series pump. G52703 No filter.
IVAC Solution set for 560 series pump. G52303 15µ
IVAC Solution set for 560 series pump. G52503 15µ
IVAC Solution set for 560 series pump. G50219 1.2µ
IVAC Solution set for 560 series pump. G52033 0.22µ
IVAC Burette Solution set for 560 series pump. 52103 No filter
IVAC Blood set for 560 series pump. 52080 200µ
IVAC Opaque set for 560 series pump. G52543 15µ
IVAC PET Nitro set for 560 series pump. G52053 No filter
IVAC TPN set for 560 series pump. C50019B No filter
IVAC Burette Solution set for 560 series pump. C50108B 0.22µ
IVAC Solution set for 590 series pump. G59793 No Filter
IVAC Solution set for 590 series pump. G59593 15µ
IVAC Solution set for 590 series pump. G59693 15µ
IVAC Solution set for 590 series pump. C59123 1.2µ
IVAC Burette set for 590 series pump. 59103 No filter
IVAC Blood set for 590 series pump. 59980 200µ
IVAC Opaque set for 590 series pump. 59643 15µ
IVAC PET Nitro set for 590 series pump. 59953 No filter
IVAC TPN set for 590 series pump. C59903 15µ
IVAC Solution set for Signature edition pumps. 72303 15µ
IVAC Solution set for Signature edition pumps. 72503 15µ
IVAC Solution set for Signature edition pumps. 72703 No filter
IVAC Burette set for Signature edition pumps. 72103 No filter
IVAC Blood set for Signature edition pumps. 72980 200µ
IVAC PET Nitro set for Signature edition pumps. 72953 No filter
IVAC Opaque set for Signature edition pumps. 72543 15µ
IVAC IV cassette for 922/7/8 & 960 series pumps. 9200 No filter
IVAC IV cassette for 922/7/8 & 960 series pumps. 9230 No filter
IVAC IV cassette for 922/7/8 & 960 series pumps. 9212 15µ
IVAC Microset with microbore tubing for 922/7/8 & 960 series pumps. 9260 No filter
IVAC Microset burette for 922/7/8 & 960 series pumps. 9274 No filter
IVAC IV cassette for 922/7/8 & 960 series pumps. 9216 0.2µ
IVAC IV cassette (nitro set) for 922/7/8 & 960 series pumps. 9630 No filter
IVAC Unvented administration set for 280/580 pumps. S75313 (was S75320) No filter
IVAC Nitro set for 280/580 pumps. S75053 No filter
IVAC Standard administration set for 280/580 pumps. S75853 No filter
IVAC Secondary set for 280/580 pumps. S75213 No filter
IVAC Administration set for 280/580 pumps. S75103 (was S75100) No filter
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