Medical Devices

Information for Health Care Facilities

As manufacturers introduce devices with new connectors, it is important that health care facilities take the appropriate steps to ensure a seamless transition from non-standardized connector designs. Keys to a successful transition include planning, communication, and training. Health care facilities should consider the following strategies:

  • Work with suppliers to develop a plan for removing devices with old connector designs from inventory and replacing them with devices with the new connectors.
  • Promote early coordination between the facility staff that obtains and maintains medical devices and the staff that uses the medical devices to ensure adequate inventory levels as devices with new connectors for therapeutic groups are introduced. The patient safety and quality assurance staff should be alerted to the transition, in order to make any relevant changes to their procedures.
  • Develop a plan to ensure that all clinicians and providers are informed of the transition to devices with new connectors.
  • Ensure all clinicians and providers are trained in advance of introducing medical devices with new connectors to avoid any interruption in therapy.
  • Advise all staff to not modify or adapt the medical device or its connector outside of its intended use, in order to prevent misconnections.

For specific case studies describing device misconnections and how to prevent or correct them, visit the Examples of Medical Device Misconnections page.

Additional Resources

Global Enteral Device Supplier Association (GEDSA) http://stayconnected.org for additional information and resources for health care professionals and facilities.

The Joint Commission Sentinel Event Alert, Issue 53, “Managing risk during transition to new ISO tubing connector standards.”

Page Last Updated: 10/04/2016
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