Closed System Drug-Transfer Devices Buyer’s Guide


May 2020 - Vol. 17 No. 5 - Page #8
 Equashield Pro Automated Compounding System

The Equashield Pro automated compounding system aims to add efficiency and safety to pharmacy compounding. A CSTD-enabled automated compounding system, it utilizes the Equashield CSTD to ensure staff safety in compounding and preparing hazardous medication doses. With eight simultaneous workstations enabling a throughput of up to 60 doses per hour, the system can be used for both high-volume patient-specific dose preparation and batch compounding. Proprietary dose verification and image processing software help prevent medication errors, including dosing and labeling errors. The Pro is compatible with all commercially available drug vials and IV bags, and can detect air bubbles within the syringes to ensure dose accuracy. Its high capacity allows it to store more than 50 syringes and 70 drug vials, while its compact design, comparable in size to standard biological safety cabinets, allows it to easily integrate into hospital pharmacies.

  • From Equashield

HALO from Corvida

HALO is a containment CSTD, as defined by NIOSH, containing no vents, valves, or filters. It provides air-tight and leak-proof protection for clinicians compounding and administering hazardous drugs. HALO delivers safety, allowing the components to be connected and/or disconnected up to 14 times with no fear of fluid or vapor exposure. Containing only six parts, it offers ease of use with a short learning curve, and eliminates the need to stock proprietary parts.

The CSTD is ergonomically designed, having been created with the goal of reducing the repetitive motion injuries that can be associated with compounding and administering chemotherapy drugs. Clinicians are able to compound and administer hazardous drugs with less force and less twisting required, and simple “push on/pull apart” movements eliminate complex twisting motions. The system is compatible with all commercially available hazardous drugs and associated solvents, bags, lines, syringes, and pumps.

  • From Corvida (IMI)

OnGuard CSTD with Locking Syringe Adaptor from B. Braun Medical

The OnGuard CSTD, manufactured by Simplivia Healthcare and distributed by B. Braun Medical, is designed to prevent exposure to hazardous drugs during compounding and delivery. NIOSH recognizes the air-cleaning technology of CSTDs to prevent the escape of hazardous drugs into the work environment; OnGuard has undergone testing for vapor containment using chemotherapy drugs. Per USP Chapter <800>, CSTD use is recommended in the pharmacy, and required for the administration of hazardous drugs. As such, OnGuard can play a key role in USP <800> compliance planning.

  • From B. Braun Medical Inc

PhaSeal and Texium from BD

The BD PhaSeal System is an airtight, leak-proof closed system drug-transfer device (CSTD) that utilizes membrane-to-membrane technology to prohibit the transfer of environmental contaminants into the system and the escape of drug or vapor concentrations outside the system.

The Texium System utilizes a mechanical valve technology. It includes a needle-free Luer-lock connection and bonded syringes, which offer a workflow advantage, especially when integrated seamlessly with the SmartSite valve technology and the Alaris pump system. When Texium and BD’s SmartSite are paired together, they provide a leak-free, drip-free connection and disconnection.

BD’s hazardous drug safety program, which includes these systems, offers an array of products to keep health care workers protected, and can provide the clinical expertise and evidence necessary to deliver a tailored solution that best meets the health care organization’s needs for safety, efficacy, efficiency, and budget.

  • From BD

ChemoLock from ICU Medical

The ChemoLock system from ICU Medical aims to help pharmacy comply with USP <800> CSTD recommendations and protects health care staff from exposure to hazardous drugs. The system’s click-to-lock, membrane-to-membrane seal locks with an audible click, ensuring a secure connection. Users may choose from vial spikes with a barrier or air-cleansing technology to help reduce HD exposure while maintaining the sterility of the drug. Workflow can be improved with the use of specialty kits and multi-packs.

ChemoLock is available as an integrated component within the Diana compounding workflow system, which combines IV workflow technologies with wireless pharmacist notification to let pharmacy users remotely verify each preparation without having to gown up and enter the cleanroom.

  • From ICU Medical

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