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cheryl gordon
Max Plus injection cap problems

Sorry I am posting as a new topic, but apparently I am not smart enough to figure out how to reply.

The infusers that the chemo department use look like a baby bottle with a balloon inside.  The balloon is filled with the chemo drug, then it slowly gtts at either a 5ml/hr or 1.5ml/hr rate.  The tubing is preconnected to the infuser bottle, and does have a luer lock tip.  The bottles are manufactured by Baxter.

We had the rep in today, and he is taking this issue to his research department.  Interestingly the nurses from the chemo area also report that the Max Plus cap has come off where it was connected to the gripper huber needle extension from the port-a-cath access, when connected to the infuser bottles.  We use the same time of gripper needle for inpatients and have had no report of this.

This occured on very ambulatory pts in the home setting, so is concerning.  We are using another type of needless injection cap for these pts until it is resolved.. 



I would strongly recommend

I would strongly recommend changing the elastomeric drug delivery system to one that can provide a luer locking device on the end. This is the standard of practice for all types of catheters. I am actually surprised that Baxter makes one with only a luer slip tubing. I would focus on this rather than the needleless connector. That is the bigger issue to me.  


Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Marcia Ann DeRuiter
I think that part of the
I think that part of the problem stems from the packaging of the product.  When you recieve it the tubing is coiled around the top of the device very tightly. I can imagine how it would loosen from any needless connector by unwinding itself.
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