To learn about ISO and small bore connector standards, visit our website for ISO standard information and shop our products today. ISO is the newly published standard that replaces the ISO series of standards. The ‘Part 7’ standard is specifically for small-bore. intravasculaires ou hypodermiques. STANDARD. ISO. First edition. Reference number. ISO (E). Corrected version.

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What Is ISO ? – American Society of Regional Anesthesia and Pain Medicine

The International Organization for Standardization ISO in published the ISO standard providing general requirements to prevent misconnections between small-bore connectors used in various applications.

Our standard product base has over different types of luers that can be customized to achieve ISO compliance.

Contact us to schedule an appointment with our knowledgeable staff. The expert in this webinar will outline the key things you need to know about ISO standards. Learn what the standards are, how the industry will be affected, and when the standards will come into effect.

Hospitals and other healthcare facilities depend on a variety of catheters, tubing and syringes to deliver medications and other substances to patients through vascular, enteral, respiratory, epidural and intrathecal delivery systems. These delivery systems frequently employ fittings called Luer connectors to link various system components.

The male and female components of Luer connectors join together to create secure yet detachable leak-proof connections. Multiple connections between medical devices and tubing are common in patient care.

Unfortunately, because Luer isso are ubiquitous, easy-to-use and compatible between different delivery systems, clinicians can inadvertently connect wrong systems together, causing medication or other fluids to be delivered through the wrong route.

Such errors isk occurred in diverse clinical settings, causing serious patient injuries and deaths. The problem is well-known and well documented. Yet despite efforts on the part of FDA and other organizations to reduce misconnections through education, protocol and monitoring, the use of Luer connectors in incompatible medical delivery systems continues to create situations where dangerous misconnections can, and do, occur. To further reduce the occurrence of these misconnections, FDA is actively participating in an international effort to develop and implement standards 80639 noninterchangeable connectors for small bore medical connectors.

Once implemented, these connectors will facilitate correct connections and eliminate incompatible tubing misconnections. Below is an update on the ISO initiative for medical device small bore connectors.

Nordson Medical is involved in these committee meetings and have been given permission to share updates. Here is the latest information known. The agenda of this meeting included reviewing the recent ballot results and arriving at a resolution of the following committee drafts: The current version is already released and available to the general public. A new version is being worked on by the committee and is expected to be released in The discussion centered around two key things among others.

Designs not complying with the dimensional requirements listed in the sub-parts will not be compliant to in this revised draft. The new version will compliment the addition of the remaining sub-parts, while the sub-parts -2 through -7 will dictate acceptable designs. It was also clarified during the meeting that isp implementation period as referred to on the released version is only a suggestion to regulatory bodies for implementation of the standard into law.

The committee facilitated the creation of a task sub group which will be trusted with building tools, molding connectors and completing the functional tests as per ISO The group will consider the needs and parameters of the usability testing. The standard is expected to release in After reviewing many studies presented by the industry players, the committee decided that the proposed E1 connector design is applicable for both adult and pediatric applications.

It was also decided to remove the direction of flow section in the committee draft and 80639 the decision to the individual country’s regulatory bodies 8036 users to define it. Alternatively or together, the device standards could define this as well. The ballot comments and resolution of those comments will be taken up at the Philadelphia meeting in June. Functional testing of ieo conforming to the CAD designs are scheduled to start now.


The group will consider the needs for usability tests. This standard is expected to be released in late or early Functional testing of parts conforming to the CAD designs is in progress. It was discovered that in certain situations the parts could misconnect with luers. The CAD committee offered options during 80639 meeting session such as modified thread designs and revised specifications to mitigate these misconnections.

They are also involved in supporting the group after the meeting. This standard is expected to be released between late and early It was recommended to remove Annex H which referred to the historical use of plug and ring gages. This standard is expected to be published late in This standard is now expected to be released in late General Notes A CAD computer aided drafting tool has been developed to verify conformance to the small bore connector standard, accommodating for least material condition LMC and maximum material condition MMC.

This tool still needs to be fully validated, but thus far demonstrates the viability of connector designs from the six different applications, illustrating they are not able to be misconnected per the established definition.

Isp, all parts will require the testing of physical part samples per the standard to validate conformance. A human factors study to verify appropriate usability is to be conducted. This will most likely be led and completed by the FDA.

This has already been conducted for -3 by a private usability group and for -5 and -7 from a historical use perspective. Depending upon basic functionality of certain connectors within the standard there may not be a need to conduct usability studies for 8039 of them independently. The standard will not specifically include needleless connectors.

Extracorporeal circulation perfusion was an application being considered to add to the standard in some form, isp has since been removed from consideration at this time. The ISO working group met in London in December, to discuss each specification, and work toward the next level to release these specifications for review.

Here is a synopsis of the meeting:. A task group was established to determine how testing uso to be specified in each part with respect to Part 1 — Annex B.

Established a task group to review how each part will satisfy Part 1, sub clause 7.


Established a task group to develop an implementation guide for the transition. Established publication timeline via action item list and resolutions:. The joint working group, and four of the standards committees met in Washington DC during the week of Mayto make progress on defining the connector standards for each market specific segment.

Here is a summary of the meeting:. Initially, all the standards members met as a join group to discuss items that should be discussed in a group setting. A CAD library has been established so each group has access to the other groups designs. The CAD experts are utilizing a macro driven spreadsheet to conduct initial screenings for misconnections sio by detailed 3D analysis of possible misconnections.

At the 80639 of the week, the joint working group members met again to review progress and discuss next steps. Much of the discussion centered on usability testing, which will be necessary to be completed, once each connector design is completed.

It will be important to evaluate these new connectors in each standard to make sure that device performance and usability are not compromised in a is clinical setting. The group also decided that PG 7 must thoroughly define all undefined dimensions of luer connectors in order for the other groups to avoid possible misconnections when finalizing their own designs.


To improve on the committees progress, attendees to the committee meeting were narrowed to a few delegates from each region of the world. With a smaller group of people, this committee spent the meeting focused on more definition of the proposed connectors.

At the nutrition source, three connector options remain in the standard. These connector designs have been proposed with dimensional details, but are still in review by the committee, and are not available to the general market. The Enteral committee is seeking to have one connector design for the patient connection, but this design is not yet finalized.

There continues to be three connector sets isi the standard, as described previously. Further evaluation will be necessary to confirm that each of the connectors defined do not mate with a luer. This group defined those dimensions that were previously undefined and specified and area on each of the connector designs to accommodate the elastomeric seal.

There are three different connector sets proposed for this standard. Further discussion and evaluation will be necessary to confirm that these connectors do isp mate with luers or other connector sets proposed in other committees. Toward this end much discussion took place regarding which dimensions are controlled by the standard and which are not.

Finally, the group defined most of the undefined dimensions by ranging the dimensions to those in the marketplace today. The group agreed to survey manufacturers with the intent to narrow the range on the internal diameter of the male luer and the external diameter of the male luer collar.

The CAD experts for each committee continue to meet and evaluate proposed connector designs to ensure that the proposed designs do not mate with luers, and will not mate with proposed designs from other standards committees. This work is ongoing, as connector designs in the committees are adjusted and changed.

The PG2 Respiratory standards committee did not meet. Two connector designs are still proposed, as described previously. The PG4 Urinary standards committee has not begun to meet yet, and there is no timetable for this committee to begin meeting. The initial governing document for small bore connectors has been finalized isso is available on the AAMI website. As explained separately on this site, the document identifies the market categories that should attempt to use connectors that will not mate with a luer connector.

The standards for these markets will be provided in separate ISO documents numbered from -2 to These documents are still in process and are being actively developed by separate committees.

The document is broken down into the following sections:. However, some regulatory agencies may evaluate future connector designs in specified markets as to whether the design interconnects with a luer. Specific standards for connectors in markets listed in have not been completed. A separate computer aided design CAD committee has been formed as a part of the process of developing the individual connector standards to analyze proposed standard connectors for possible connection to a luer, and also to connectors defined in parts 2 to 6.

Connector usability evaluations are also under consideration.

What Is ISO 80369-6:2016?

Each separate market standards committee continues to work toward adopting standard connector specifications 8069 described in the Seattle meeting overview below. These committees were scheduled to meet in Tokyo, the week of April 10th, however the tragic events in Japan caused the cancellation of this meeting. As described further below, an outcome of the October meetings was to revise the standard isk send it back out for the next round in the review process. This is being done by several different committees:.

Breathing Systems and Driving Gases: