- Preventing Tubing and Luer Misconnections
- Information for Manufacturers of Small-Bore Connectors and Medical Devices with Connectors
- Recommendations for Health Care Facilities
- Tips for Health Care Providers
- How Luer and Other Small-Bore Connectors are used in Clinical Settings
- How Tubing and Luer Misconnections Occur
- Examples of Tubing and Luer Misconnections
- Factors that Contribute to Tubing and Luer Misconnections
- Report a Problem to the FDA
- Additional Resources
This page provides links to resources on tubing and Luer misconnections, including education & training materials, webcasts, and guidance and standards. These resources include content from the FDA and outside organizations.
Education & Training Materials
Adverse Events Reporting Databases
Standards and Guidance
Safety Considerations to Mitigate the Risks of Misconnections with Small-bore Connectors Intended for Enteral Applications - Guidance for Industry and Food and Drug Administration Staff(PDF - 136KB)
- AAMI Provisional American National Standards for enteral connectors and for small-bore connector performance testing, AAMI/CN3:2014 (PS) Part 3 and AAMI/CN20:2014 (PS) Part 20
Association for the Advancement of Medical Instrumentation (AAMI). ISO/IEC small bore connector standard 80369-1: 2010.
- 2010 Letter from FDA to manufacturers of enteral feeding tubes (PDF - 27KB)
Articles on the Prevention of Misconnections
Enteral Feeding Misconnections: A Consortium Position Statement Institute for Safe Medication Practices Articles on Catheter Misconnections WHO Collaborating Centre for Patient Safety Solutions. Patient Safety Solutions. Avoiding Catheter and Tubing Misconnections. ECRI Institute. Health Devices: Preventing Misconnection Risks in the Hospital. Volume 35, Number 3. March 2006. The Joint Commission Sentinel Event Alert. Tubing Misconnections—A Persistent and Potentially Deadly Occurrence. April 3, 2006, Issue 36.