CR 13825:2000

1 SUMMARY
2 RECOMMENDATIONS
3 BACKGROUND
4 PROBLEMS ARISING FROM THE USE OF LUER CONNECTORS
5 RISK ASSESSMENT
6 DISCUSSION
  6.1 Human factors
  6.2 Safety under single fault conditions
  6.3 Inherent safe design
  6.4 The Medical Device Directive 93/42/EEC
7 prEN 13014: CONNECTIONS FOR GAS SAMPLING TUBES TO ANAESTHETIC
  AND RESPIRATORY EQUIPMENT
8 CONCLUSIONS
BIBLIOGRAPHY
ANNEX 1
  1.1 THE LUER CONNECTOR
  1.2 STANDARDS FOR LUER CONNECTORS
  1.3 APPLICATION AND USE OF LUER CONNECTORS
ANNEX 2 COMMONLY USED DEVICES INCORPORATING LUER CONNECTORS
ANNEX 3 Potential Problems With Luer Connectors

Luer connectors are used in medical devices with a wide range of functions, raising the possibility of accidental cross connection between devices. We assessed the hazards arising from accidental misconnection, and reviewed adverse incidents known to have involved Luer connectors.We considered three possible strategies for reducing the risk of misconnection being made:1) The use of different male/female sequences for different applications.2) The use of colour coding.3) The restriction of the applications for which the use of Luer connectors ispermitted.Only the last of these offered real benefits.