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SPROTTE® Lumbar

Needles for Atraumatic Lumbar Puncture

The pioneer of Atraumatic Lumbar Puncture

Product is Available in
ISO Luer and ISO NRFit®

SPROTTE® Lumbar

Needles for Atraumatic Lumbar Puncture

Together with Pajunk, Prof. Sprotte developed the Sprotte, the first atraumatic needle for lumbar Puncture. The secret of its success can be found in its unique tip geometry and basic architecture. This design, developed especially for the requirements of dural puncture, allows for an atraumatic puncture of the ligamentary structures and optimises CSF flow while reducing the incidence of post-lumbar puncture headaches (PLPH). Sprotte decreases complications of Lumbar Puncture and increases the safety of application, and the efficiency of diagnostics.

CLINICAL COMPARISON
OF SPROTTE VS QUINCKE 6
Sprotte: Evidence class 1, recommendation level A 5,6,7,8
Sprotte - atraumatic needle
Leading technology for
decreasing incidence of
post-lumbar puncture
headaches. 5
Quincke - cutting needle
One risk factor for post-lumbar
puncture headaches is the use
of a Quincke needle 6
PLPH
Need of
bloodpatch
Need of intracenous
fluid or controlled
analgesia
STUDIES CONCLUSION
It´s time to change the needle. 1,2,11
Atraumatic lumbar puncture needles
are safe to use 1,2,4,5,6,7,8
Require a minimal learning curve 6
Provide reliable results 6
Minimise side effects, complication, and recovery time 2
High savings potential by minimising process and treatment costs 3, 9
Increase efficiency 3
CLINICAL COMPARISON
OF SPROTTE VS QUINCKE 6
Sprotte: Evidence class 1, recommendation level A 5,6,7,8
Sprotte - atraumatic needle
Leading technology for
decreasing incidence of
post-lumbar puncture
headaches. 5
Quincke - cutting needle
One risk factor for post-lumbar
puncture headaches is the use
of a Quincke needle 6
PLPH
Need of blood patch
Need of intracenous fluid or controlled analgesia
STUDIES
CONCLUSION
It´s time to change the needle. 1,2,11
Atraumatic lumbar puncture needles
are safe to use 1,2,4,5,6,7,8
Require a minimal learning curve 6
Provide reliable results 6
Minimise side effects, complication
and recovery time 2
High savings potential by minimising
process and treatment costs 3, 9
Increase efficiency 3

Sprotte® Lumbar Overview

Sprotte® Lumbar Features & Advantages

1. Atraumatic Tip Design

  • The ogive shaped tip significantly reduces the risk of PLPH and the rounded edges of the lateral eye minimise trauma to the dura mater.
  • Minimises chance of PLPH1, 2, 4, 5, 6, 7, 8
  • Consistent tactile feedback

2. Lateral Eye

  • Burr-free, rounded atraumatic edges
  • Optimised gliding properties
  • Minimum chance of tissue coring and carry-over into the subarachnoid space10

3. Optimal Lateral Eye Size and Placement

  • Unobstructed backflow, even if the eye is partially blocked by the arachnoid membrane
  • Allows for quicker CSF flashback9

4. Precision-Ground Metal Stylet

  • Lateral eye closes precisely to minimise chance of tissue coring10
  • Polished, rounded tip prevents abrasion on the inner needle tube

5. Highest Processing Quality

  • High quality stainless steel needle for increased stability
  • Smoothly polished and burr-free surface and inner lumen desgined for optimised gliding properties and CSF backflow
  • Consistent feel and reliable performance

6. Standard Hub

  • Designed for rapid detection of even the smallest quantities of CSF
  • Reduced Inner Space

7. Magnifying Hub (Only NRFit®)

  • Clear, magnifying needle hub allows for easy visualisation of blood or CSF.
  • Easier detection of CSF flashback

8. Colour-Coded Needle Hub with Size Indication

  • Easy identification of needle size

9. Introducer with Facet Tip

  • Diameter and length perfectly matched to each lumbar needle size
  • Minimal reduction of useable working length of the lumbar needle
  • Funnel-shaped hub to reduce chance of lumbar needle tip damage during insertion

10. Portfolio Excellence

  • Wide needle range with different diameters and lengths
  • Special designs for pediatrics and obese patients

Sprotte Lumbar Ordering Info

Sprotte Needles

Item description Item no. LUER Item no.  Purchase Unit

22G x 90mm (3 1/2")

001151-30C 25

22G x 120mm (4 3/4")

031151-30C 031163-30C 10

21G x 90mm (3 1/2")

001151-31A 001163-31A 25

20G x 90mm (3 1/2")

0001151-31 0001163-31 25

20 G x 150 mm (6")

0041151-31 10

22G x 90mm (3 1/2") with standard hub, NRFit with magnifying hub

001163-30C 25

Sprotte Needle with Introducer 30mm (1 1/5")

Item description Item no. LUER Item no.  Purchase Unit

22G x 90mm (3 1/2") with wings

321151-30C 321163-30C 25

21G x 90mm (3 1/2") with wings

321151-31A 321163-31A 25

20G x 90mm (3 1/2") with wings

331151-31B 331163-31B 25

Sprotte Needle with Introducer 40mm (1 3/5")

Item description Item no. LUER Item no.  Purchase Unit

22G x 103mm (4") with wings

341151-30C 341163-30C 25

22G x 150m (6")

361151-30C 10

21G x 103mm (4") with wings

341151-31A 341163-31A 25

21G x 120mm (4 3/4") with wings

331151-31A 331163-31A 25

20G x 120mm (4 3/4") with wings

321151-31B 321163-31B 25

20 G x 150mm with wings

361151-31B 10

Sprotte Introducer

Item description Item no. LUER Item no.  Purchase Unit

Ø 1,2 x 30mm (1 1/5") for 20G

061151-30L 25

Ø 1,2 x 30mm (1 1/5") for 21G

061163-30L 25

Studies:

1 Davis, A.; Dobson, R.; Kaninia, S.; Giovannoni, G.; Schmierer, K. (2016): Atraumatic needles for lumbar puncture: why haven't neurologists changed? In Practical neurology 16 (1), pp. 1822. DOI: 10.1136/practneurol-2014-001055.0
2 Engedal, Thorbjørn S.; Ørding, Helle; Vilholm, Ole Jakob (2015): Changing the needle for lumbar punctures: results from a prospective study. In Clinical neurology and neurosurgery 130, pp. 7479. DOI: 10.1016/j.clineuro.2014.12.020.
3 Tung, C. E.; Yuen, T. S.; Lansberg, M. G. (2012): Cost comparison between the atraumatic and cutting lumbar puncture needles. In Neurology 78, pp. 109113.
4 Arevalo-Rodriguez, Ingrid; Muñoz, Luis; Godoy-Casasbuenas, Natalia; Ciapponi, Agustín; Arevalo, Jimmy J.; Boogaard, Sabine; Roqué I Figuls, Marta (2017): Needle gauge and tip designs for preventing post-dural puncture headache (PDPH). In The Cochrane database of systematic reviews 4, CD010807. DOI: 10.1002/14651858.CD010807.pub2.
5 McLaughlin, Colleen A.; Hockenberry, Marilyn J.; Kurtzberg, Joanne; Hueckel, Rémi; Martin, Paul L.; Docherty, Sharron L. (2014): Standardization of health care provider competencies for intrathecal access procedures. In Journal of pediatric oncology nursing: official journal of the Association of Pediatric Oncology Nurses 31 (6), pp. 304316. DOI: 10.1177/1043454214543019.
6 Nath, Siddharth; Koziarz, Alex; Badhiwala, Jetan H.; Alhazzani, Waleed; Jaeschke, Roman; Sharma, Sunjay et al. (2018): Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis. In The Lancet 391 (10126), pp. 11971204. DOI: 10.1016/S0140-6736(17)32451-0.
7 Rochwerg, Bram; Almenawer, Saleh A.; Siemieniuk, Reed A. C.; Vandvik, Per Olav; Agoritsas, Thomas; Lytvyn, Lyubov et al. (2018): Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline. In BMJ, k1920. DOI: 10.1136/bmj.k1920.
8 Zhang, Yi C.; Chandler, Alexander J.; Kagetsu, Nolan J. (2014): Technical compliance to standard guidelines for lumbar puncture and myelography: survey of academic neuroradiology attendings and fellows. In Academic radiology 21 (5), pp. 612616. DOI: 10.1016/j.acra.2014.01.021.
9 Bellamkonda, Venkatesh R.; Wright, Thomas C.; Lohse, Christine M.; Keaveny, Virginia R.; Funk, Eric C.; Olson, Michael D.; Laack, Torrey A. (2017): Effect of spinal needle characteristics on measurement of spinal canal opening pressure. In The American journal of emergency medicine 35 (5), pp. 769772. DOI: 10.1016/j.ajem.2017.01.047.
10 Puolakka, R.; Andersson, L. C.; Rosenberg, H. (2000): Microscopic Analysis of Threee Different Spinal Needle Tips After Experimental Subarachnoid Puncture. In Regional Anesthesia and Pain Medicine 25 (2), pp. 163169.
11 Lavi R., Rowe J.M., Avivi I. Lumbar Puncture. It Is Time to Change the Needle, Eur Neurol, 2010; 64:108113

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