Prefilled Saline Flush Syringe Conservation Procedures – Letter to Wellbeing Treatment Personnel

March 21, 2022

The U.S. Food stuff and Drug Administration (Food and drug administration) is conscious the United States is dealing with interruptions in the provide of prefilled .9% sodium chloride (saline) intravenous (IV) lock/ flush syringes. Prefilled .9% sodium chloride IV lock/ flush syringes are in shortage since of an improve in demand from customers during the COVID-19 general public wellbeing crisis, as nicely as new seller offer chain worries, which include the long term discontinuance of sure prefilled saline lock/ flush syringes. 


The Food and drug administration suggests health care staff use prefilled .9% sodium chloride lock/ flush syringes, as your provide lets. When prefilled .9% sodium chloride lock/ flush syringes are not out there, take into account the following suggestions, which includes conservation techniques, to sustain the good quality and safety of client care:

  • Use preservative-free, sterile .9% sodium chloride single dose vials if prefilled sterile .9% sodium chloride syringes are unavailable. 
  • Use heparin lock flush syringes, generally utilized to flush an IV catheter to aid prevent blockage inside the catheter soon after acquiring an IV infusion, if medically proper and in accordance with your facility’s plan, except contraindicated in the manufacturer’s labeling.
  • Do not use expired prefilled saline flush syringes mainly because they may perhaps have diminished volume, degraded substances, or lack sterility that may perhaps compromise the device’s performance and boost individual danger.
  • Do not use prefilled saline flush syringes that are not Food and drug administration-cleared flush syringes.  
  • Make contact with the Food and drug administration at [email protected] as perfectly as your group purchasing business (GPO), local product agent, distributor, or account supervisor if the conservation methods are not enough to retain sufficient source. 
  • Think about tips from the Fda as well as suitable professional companies for other strategies that may be correct for your firm.


Prefilled .9% sodium chloride intravenous lock/ flush syringes are one use syringes crammed with sterile .9% sodium chloride (saline) resolution, which may perhaps arrive in various volumes. A prefilled .9% sodium chloride intravenous lock/flush syringe is applied to enable protect against vascular access systems from turning into blocked and to assist remove any medicine that may possibly be remaining at the catheter web site.

Fda Actions

On March 21, 2022, the Fda included prefilled .9% sodium chloride IV saline flush syringes (merchandise code NGT – Saline, Vascular Entry Flush) to the healthcare system scarcity checklist and gadget discontinuance list. The device shortage listing reflects the types of units the Fda determined to be in scarcity. The Fda will proceed to update the listing as essential.  The Fda also carefully opinions just about every notification below portion 506J of the Federal Foods, Drug, and Beauty Act gained and utilizes this info, along with any added facts about the supply and demand from customers of a unit, to figure out no matter whether a machine is in lack.

On January 14, 2022, the Fda current the table of machine types and corresponding product or service codes identified as equipment that Food and drug administration thinks are essential to the public overall health throughout the COVID-19 pandemic underneath section 506J(a)(1) of the FD&C Act to contain prefilled saline flush syringes (product or service code NGT).

The Food and drug administration lists Food and drug administration-cleared prefilled saline flush syringes in the FDA’s 510(k) Premarket Notification database underneath the product code NGT (Saline, Vascular Flush).

The Fda is performing with makers to assistance mitigate the lack. The Food and drug administration continues to keep an eye on the predicament to assist make sure prefilled .9% sodium chloride IV lock/ flush syringes are accessible for patients where intravenous infusions are medically necessary. The Fda will tell the general public if considerable new facts results in being obtainable.

Reporting Difficulties to the Food and drug administration

The Fda encourages well being treatment staff to report all adverse functions or suspected adverse situations experienced with any prefilled saline flush syringes.

Prompt reporting of adverse situations can assistance the Fda determine and superior have an understanding of the risks linked with professional medical devices.

In addition, the Fda would like to listen to from wellness treatment staff who have hassle acquiring products, as effectively as from other stakeholders who may well enable mitigate opportunity shortages. You may electronic mail the Food and drug administration at [email protected]. Note that pursuant to section 506J brands must notify the Fda of an interruption or long lasting discontinuance possible to direct in a meaningful disruption in the supply  of these units.

Make contact with Details

If you have thoughts about this letter, contact the Fda about a healthcare system offer chain concern.

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