Reply To: Closed System Transfer Device

  • Leanne Adamson

    April 21, 2020 at 12:46 pm

    ​We use Spiros as well and have experienced issues with disconnects from IV tubing:
    1. Spiros “falls off” the tubing
    2. Spiros leaking

    We have done multiple rounds of education with nurses over the past 3 years and continue to see issues.
    We use Baxter tubing and I find the “thread” conversation an interesting one.
    If you look at the “threads” on the spiros, it’s almost a half thread design on either side.
    There is not very much “thread” on the Spiros itself to attach/screw on securely, in my opinion, regardless of what tubing you use.

    With our tubing as well, if you pull down the retractable collar, it’s very easy to put a little tension and pop the spiros right off.
    Baxter does not make a primary tubing without the retractable collar.

    We did an extensive evaluation of other CSTDs and will most likely be moving towards Equashield.

    Leanne Adamson
    Clinical Nurse Specialist
    Children’s Hospital Colorado
    Denver, CO
    Original Message:
    Sent: 04-21-2020 11:37 AM
    From: Ashley Varnes
    Subject: Closed System Transfer Device

    What closed system transfer device do you use on the end of your lines for chemotherapy?

    We currently use spiros and have had multiple issues with disconnecting and chemo spills.

    What do you use at your institution? If you use spiros, have you had an issue with disconnections?


    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN
    Clinical Practice Nurse Expert
    Cancer and Blood Disorders Unit
    MUSC Children’s Hospital