ISSUE: Becton Dickinson (BD) has received several
reports indicating that the plunger of some BD 7 mL Epilor™ plastic Luer-Lok™
LOR Syringes may stall or stick when traveling within the barrel of the
syringe. This may prevent the user from
detecting a loss of resistance upon entering the epidural space. If this occurs, the user may continue to
advance the syringe and needs through the epidural space and the dura into the
spinal canal/intrathecal space, potentially resulting in spinal anesthesia
instead of an epidural anesthesia.
According to BD Medical’s Advisory Notice, there have been no reports of
harm to patients.
The product advisory notice is limited to
syringes with Luer-Lok™ design that have been distributed within the last five
years. This syringe is sold as Single
Sterile Unit or as a component in Anesthesia Trays. The affected catalogs are: 405198, 405291,
405807, 405823, 406078, 406084, 406119, 406121, and 406156.
RECOMMENDATION: Any customer who uses an affected LOR
Syringe should follow the standard routine procedure to ensure that there is no
resistance in the syringe prior to use.
Any syringe that shows sticking or stalling should be discarded. The
procedure can be continued by using another LOR syringe. BD is undertaking corrective actions to limit
the potential recurrence of this issue.
You can contact BD Customer Service at
Source: Becton Dickinson Product Advisory Notice (8/23/2013);
shared with ISIS via Kimberly-Clark Product Advisory Notice (10/22/2013)