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NRFit®

Connecting what belongs together with NRFit®

Medical device connectors for neuraxial and regional anaesthesia applications are changing to meet international design standards. To reduce the risk of wrong route medication errors the International Organization for Standardisation (ISO) has developed standards for small-bore connectors, one being in the field of neuraxial and regional anesthesia (ISO 80369-6). The name that will be used to identify devices that comply with the ISO 80369-6 standard is: NRFit®.

Reducing risks of misconnections in regional anesthesia

The universally compatible Luer connector has been identified as a key element in ‘wrong route’ medication errors.3-4 Luer connectors are widely used for delivery of infusions. Literature shows5 that any patient having multiple access systems in place are exposed to higher risks of misconnections.

 

User benefits of NRFit®

  • Dedicated connectors intended to help reduce the risks of misconnections
  • 20 % smaller in diameter
  • Yellow color coding where feasible allows faster identification of regional anaesthesia devices
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NRFit® product overview

In line with the new ISO standard for neuraxial and regional anesthesia devices, we have developed a comprehensive range of products with NRFit® connectors for the corresponding process steps.

NRFit® portfolio

ISO standard

ISO 80369-6 in detail

The ISO standard ‘specifies requirements for smallbore connectors intended to be used for connections in neuraxial applications. Neuraxial applications involve the use of medical devices intended to administer medications to neuraxial sites, wound infiltration anaesthesia delivery, and other regional anaesthesia procedures or to monitor or remove cerebro spinal fluid for therapeutic or diagnostic purposes.‘

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How To Convert Hospital to NRFit® And Prevent Wrong Route Errors

Preventing adverse events due to wrong route drug administration

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B. Braun products with NRFit® connector

 

In line with the ISO standard for neuraxial and regional anaesthesia devices, B. Braun has developed a comprehensive portfolio with NRFit® connectors for the corresponding process steps.

Askina Calgitrol AG dressing

cut Askina Calgitrol Ag dressing to size

put Askina Calgitrol Ag dressing on the wound
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[1] Kress R. Townley, Jason Lane, Robyn Packer, and Rajnish K. Gupta. Unintentional Infusion of Phenylephrine into the Epidural Space. A&A Case Rep. 2016 Mar 1; 6(5):124-6

[2] https://www.iso.org/standard/50734.html (06.03.2024)

[3] GEDSA, 2016, Frequently Asked Questions Neuraxial Connectors (ISO 80369-6), Stay Connected, accessed 14 December 2023, < https://stayconnected.org/faqs-neuraxial-connectors-iso-80369-6/>

[4] DIN-Fachbericht 88:2000 LUER-Verbindungen - Ein Bericht der CEN Forum Task Group "LUER fittings"; Deutsche Übersetzung des CR 13825:2000.

[5] Kress R. Townley, Jason Lane, Robyn Packer, and Rajnish K. Gupta. Unintentional Infusion of Phenylephrine into the Epidural Space. A&A Case Rep. 2016 Mar 1; 6(5):124-6.