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Capping CRBSIs
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I had difficulty with the first injection cap I was using. The septum of the cap would frequently stick, making it difficult to disinfect; it was also necessary to change the cap frequently, due to flushing or infusion difficulty. 

 

InVision-Plus® Neutral® injection cap

I really like the injection cap I am now using. It is very reliable and easy to use. Further, the InVision-Plus® Neutral® injection cap, manufactured by RyMed Technologies, Inc., is designed to reduce the chances of catheter-related bloodstream infections (CRBSIs), as well as intraluminal thrombotic catheter occlusions.

 

The surface of this injection cap is tightly sealed and it’s easy to clean it thoroughly with an alcohol swab. There are no crevices for bacteria to hide in. It is also compatible with chlorhexidine, so you have the option of using a Chlorascrub™ Swab for added protection.

 

The cap is available in a “creamer” type of packaging. You simply peel back the covering and the injection cap is ready to be attached to the end of the catheter without being touched.

 

With most injection caps, blood enters the catheter when you connect or disconnect syringes or tubing, which increases the chances that the catheter will become blocked. This cap advertises zero fluid displacement, which means that when you connect or disconnect, mechanical blood reflux does not enter the catheter. Because of zero fluid displacement, you do not need to use any specific clamping sequence with this cap; you can use the clamping sequence you are familiar with. 

 

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Cutaway view of the cap, fluid pathway, and double microbial barrier

I found this cap felt “tighter” when I connected to it. It has a double microbial barrier system to protect the fluid pathway from contamination. During activation, both barriers must be “pushed in” to access the fluid pathway. This tight connection is easy to get used to, but I would suggest you take a spare flush syringe and spare cap and practice connecting it a few times to get the feel of it.

 

There is an online demonstration video showing cap changes with the special “creamer” packaging, the “tighter” feel when hooking up syringes, and other tips on RyMed’s Web site, at www.rymedtech.com/

 

This company also provides educational materials about bloodstream infections on its Web site.

 

—Tess M. Hopkins
tmhop@yahoo.com

 

 

Note: The injection cap idea was submitted by an Oley consumer member who noted that the manufacturer helped write the more technical parts of the article. InVision-Plus® and Neutral® are registered trademarks of RyMed Technologies, Inc. Photos used by permission.

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This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.

 

Updated in 2015 with a generous grant from Shire, Inc. 

 

This website was updated in 2015 with a generous grant from Shire, Inc. This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.
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