Procuring Single-use Injection Equipment and Safety Boxes
(2003; 44 pages) View the PDF document
Table of Contents
View the documentAcknowledgements
View the documentExecutive summary
View the documentObjective of the guide
View the documentWho should use this guide?
Open this folder and view contentsBackground
Open this folder and view contentsPlanning policy changes
Open this folder and view contentsManaging procurement
View the documentGlossary and abbreviations
Close this folderAppendices
View the documentAppendix 1: Sharps waste management
View the documentAppendix 2: Characteristics of injection equipment
View the documentAppendix 3: Characteristics of safety boxes
View the documentAppendix 4: List of potential suppliers
View the documentAppendix 5: International standards and supplier information
View the documentAppendix 6: Checklist to collect information on quality from vendors or manufacturers
View the documentAppendix 7: Algorithm for injection equipment selection11
View the documentAppendix 8: Criteria for evaluating suppliers
View the documentAppendix 9: Resources for standard bidding documents
View the documentReferences
 

Appendix 2: Characteristics of injection equipment

Product description:

Syringe, single-use

General characteristics

Sterile
Nozzle with a Luer fitting
Single-use
Polypropylene (material)

Use

Injection for general purpose and other uses including, reconstitution and feeding (e.g., into a naso-gastric tube)
For intradermal injection (tuberculin testing)

Type

2 pieces: one barrel and one plunger
3 pieces: one barrel, one plunger and one elastomeric piston seal

 

Luer fitting
Luer Lock fitting

Need for a fixed needle

Yes: with by-packed needle (see needle nomenclature)
No: without a needle

Volume

0.3, 0.5, 1, 2 ml for insulin
0.5 ml or 1ml for tuberculin
1, 2, 3 ml for general purpose
5, 10, 20 ml for general purpose

- nozzle located centrally
- nozzle located eccentrically


50 ml with Luer nozzle for mixing,
50 ml for feeding and other uses

Specific packaging

Individual sterilized blister or ribbon packs made of paper and plastic
Protective end capped syringes

Sterilization

Ethylene oxide (EO)
Irradiation (R)

Shelf life remaining

Minimum of 2/3 of the life time when leaving the supplier warehouse

Requirements

Conform to ISO standards:
ISO 7886 -1: Sterile hypodermic syringes for single use - Part 1: Syringes for manual use19
ISO 8537: Sterile single-use syringes, with or without needle, for insulin

Auto-Disable syringes

General characteristics

Single-use
Sterile
Including a mechanism to prevent reuse

Material

Polypropylene
Stainless steel for some mechanisms preventing reuse

Use

For immunization
For curative and preventive care

Syringe size with pre-set volume and single marking

0.05 ml for BCG vaccine
0.1 ml for BCG vaccine
0.5, 1 ml for immunization

Syringe size with graduated scale

1, 2, 3, 5, 10 ml for preventive or curative care

Needle for immunization

Diameter: e.g.: 23G , 24G, 25G for 0.5 ml and 1ml syringes e.g.: 27 G for 0.05 ml syringe
Length: e.g.: 30mm (11/4"), 25mm (1"), 16mm (5/8") for 0.5 ml and 1 ml syringes e.g.: 10mm (3/8"), 12mm (½") for 0.05 ml syringe

Needle for general purpose

Diameter: for IM, IV and subcutaneous injection
Length: for IM, IV and subcutaneous injection

Types

Syringes with permanently attached needle
Syringes packed with non standard Luer needle in the blister or ribbon pack
Syringes packed with a Luer needle in the blister or ribbon pack.(once the needle is fixed, the needle becomes permanently attached)

Packaging

Individual sterilized blister or ribbon pack made of paper and plastic
Needle cap and cap over thumb plate (if applicable) make syringe into a sterile unit

Shelf life remaining

Minimum of 2/3 of the life time when leaving the supplier warehouse

Requirements

Conform to:
WHO performance specification E8/DS.120 if AD syringes for immunization purpose
WHO specifications WHO/BCT/02.1221 if AD syringes for general purpose

In progress: ISO standard ISO 7886-3: Sterile hypodermic syringes for single use - Part 3: Auto-Disable syringes for fixed doses immunization 22

Needle single-use, hypodermic

General characteristics

Single-use
Sterile
Luer conical fitting
Stainless steel (material)

Purpose

intramuscular
intravenous
subcutaneous
intradermal

Length

10 mm (3/8")
12 mm (1/2")
16 mm (5/8")
25 mm (1")
30 mm (1 1/4")
40 mm (1 ½")
50 mm (2")

Diameter of the needle tube and Luer colour code of the needle hub

External Diameter
(Gauge and mm)

Colour code of the hub
(in accordance with ISO 600923)

 

27G: 0.4 mm

Grey

 

26G: 0.45 mm

Brown

 

25G: 0.5 mm

Orange

 

24G: 0.55 mm

Purple

 

23G: 0.6 mm

Blue

 

22G: 0.7 mm

Black

 

21G: 0.8mm

Deep green

 

20G: 0.9 mm

Yellow

 

19G: 1.1mm

Cream

 

18G: 1.2 mm

Pink

 

17G: 1.5 mm

Deep red

 

16G: 1.6 mm

White

 

15G: 1.8 mm

Blue Grey

 

14G: 2.0mm

Pale green

Packaging

Individually sterilized blister or ribbon packs made of paper and plastic

Shelf life remaining

Minimum of 2/3 of the life time when leaving the supplier warehouse

Requirements

Conform to ISO standards:
ISO 7864: Sterile hypodermic needles for single use 24

Proposed Nomenclature of needle size for each route

Lengh in mm

30 mm

16 mm

16 mm

25 mm

30 mm

40 mm

50 mm

40 mm

25 mm

40 mm

30 mm

30 mm

Outside diameter in mm

0.45 mm

0.5 mm

0.55 mm

0.6 mm

0.7 mm

0.8 mm

0.8 mm

0.9 mm

0.9 mm

1.1mm

1.1mm

1.2 mm

Outside diameter in Gauge

26G

25G

24G

23G

22G

21G

21G

20G

20G

19G

19G

18G

Length in inch

1 ¼"

5/8"

5/8"

1"

1 ¼"

1 ½"

2"

1 ½"

1"

1 ½"

1 ¼"

1 ¼"

Colour code of Luer needle hub

brown

orange

purple

blue

black

deep green

deep green

yellow

yellow

cream

cream

pink

Intradermal

Adults
Children

Adults
Children

                   

Subcutaneous

Children

Children

Adults
Children

Adults

               

Intravenous

Injection

     

Children

Adults
Children

             
 

Tap

               

Adults
Children

Adults
Children

 

Adults

Intramuscular

     

Children

Adults
Children

Adults

Adults

Adults

 

Adults

   

Intra-arterial

 

Surface

         

Adults
Children

Adults
Children

Adults
Children

Adults
Children

     
 

Injection

Middle

   

Adults
Children

                 
   

Deep

     

Adults
Children

Adults
Children

             
 

Tap

           

Adults
Children

Adults
Children

     

Adults
Children

Intra-articular

               

Adults
Children

Adults
Children

Adults
Children

   
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Last updated: May 3, 2013