Shared on behalf of Quality and Risk Management
Please be advised that we have been made aware of potential coring when puncturing a vial with the BD blunt needles. Coring involves a small piece of the rubber stopper detaching during needle insertion, which results in contamination or injection of rubber fragments into the vial. This also has the potential to be drawn into a syringe and administered to patients. Two cases of coring, resulting in no patient harm, have been identified internally and follow up with Health Canada and BD is planned. Please encourage staff and professional staff to:
- Monitor for coring when using BD blunt needle
- If coring is observed, submit a report into the Incident Learning System as soon as possible to allow for timely investigation and follow up.
- Use a new needle for every vial access to reduce risk of coring.
Please share this information with your teams as appropriate. Updates will be communicated as available.
Quality and Risk Management, ext. 6019