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Description

B. Braun Combined Spinal Epidural Needles (12/Case) include an Espocan tuohy needle, an Espocan sleeved Pencan or Spinocan spinal needle, and a 5 mL clear spinal syringe. Please refer to the B. Braun Pain Control Products Reference Guide in the literature section for exact contents.

Warranty: Not Available.

B. Braun Combined Spinal Epidural Needles offer unmatched flexibility and allow you to quickly and easily convert your existing epidural tray to fit your own personal needle and catheter needs. These top-of-the-line needles are a technically advanced combination of two regional anesthesia needles that can enhance your CSE technique.

Features

B. Braun Combined Spinal Epidural Needles Features

  • Back-eye lumen is placed in the heel of a tuohy bevel to allow the sleeved spinal needle to pass through.
  • Provides a more tactile feel and eliminates needle-to-needle contact.
  • The unique and innovative centering sleeve aligns the spinal needle with the black-eye lumen to prevent an over-the-curve placement.
  • Epidural catheter is directed through the tuohy curve and away from the dura puncture site to lessen the possibility of an intrathecal catheter placement.

Specifications

B. Braun Combined Spinal Epidural Needles Specifications

Configuration BPA Information DEHP Information Latex Information PVC Information Total Shelf Life (Months) Ordering Unit Units per Case Dimensions per Case Shipping Weight per Case Sterile
ESPOCAN 18 Ga x 4½ in Tuohy with backeye lumen and PENCAN 27 Ga x 6 in Pencil-Point Spinal Needle N/A N/A Components do not contain natural rubber N/A 60 Case 12 10.768 x 8.768 x 6.346 inches 1.323 lb Yes
ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen, PENCAN 27 Ga x 5 in Pencil-Point Spinal Needle, ESPOCAN Docking System Contains BPA Components do not contain DEHP Components do not contain natural rubber Components do not contain PVC 60 Case 12 11.320 x 7.820 x 4.890 inches 1.116 lb Yes
ESPOCAN 17 Ga x 3½ in Tuohy with backeye lumen and PENCAN 25 Ga x 5 in Pencil-Point Spinal Needle Contains BPA Components do not contain DEHP Components do not contain natural rubber Components do not contain PVC 60 Case 12 11.320 x 7.820 x 4.890 inches 1.102 lb Yes
ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen and PENCAN 27 Ga x 5½ in Pencil-Point Spinal Needle Contains BPA N/A Components do not contain natural rubber N/A 60 Case 12 11.320 x 7.820 x 4.890 inches 1.102 lb Yes
ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen and SPINOCAN 27 Ga x 5 in Quincke-Bevel Spinal Needle Contains BPA Components do not contain DEHP Components do not contain natural rubber Components do not contain PVC 60 Case 12 11.320 x 7.820 x 4.890 inches 1.188 lb Yes

Configurations

B. Braun Combined Spinal Epidural Needles Configurations

  • #333152: ESPOCAN 18 Ga x 4½ in Tuohy with backeye lumen and PENCAN 27 Ga x 6 in Pencil-Point Spinal Needle.
  • #333160: ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen, PENCAN 27 Ga x 5 in Pencil-Point Spinal Needle, ESPOCAN Docking System.
  • #333161: ESPOCAN 17 Ga x 3½ in Tuohy with backeye lumen and PENCAN 25 Ga x 5 in Pencil-Point Spinal Needle.
  • #333174: ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen and PENCAN 27 Ga x 5½ in Pencil-Point Spinal Needle.
  • #333180: ESPOCAN 18 Ga x 3½ in Tuohy with backeye lumen and SPINOCAN 27 Ga x 5 in Quincke-Bevel Spinal Needle.

Literature

B. Braun Combined Spinal Epidural Needles Literature

B. Braun CSE Anesthesia Products

B. Braun Pain Control Products Reference Guide

Frequently asked questions

Does the system reduce intrathecal catheter placement risk?

Yes, the B. Braun Combined Spinal Epidural (CSE) system is specifically engineered to reduce the probability of unintended intrathecal catheter placement.

The design achieves this by:

  • Directing the epidural catheter through the Tuohy curve.
  • Guiding the catheter away from the dura puncture site.

This crucial design feature helps enhance patient safety and provides greater confidence during the CSE procedure.

Is spinal needle over-the-curve placement prevented?

Yes, the B. Braun Combined Spinal Epidural (CSE) needles are specifically designed to enhance procedural safety and precision, including preventing improper over-the-curve spinal needle placement.

This is achieved through several innovative design features:

  • Innovative Centering Sleeve: This component precisely aligns the spinal needle (Pencan or Spincan) with the back-eye lumen situated in the heel of the Tuohy bevel. This alignment mechanism directly prevents incorrect over-the-curve placement.
  • Enhanced Tactile Feedback: The design minimizes direct needle-to-needle contact, providing the clinician with a superior tactile feel during the procedure.
  • Reduced Intrathecal Risk: The system safely directs the epidural catheter through the Tuohy curve, guiding it away from the dura puncture site and lessening the probability of accidental intrathecal catheter placement.
What specialized needles are included in the system?

The B. Braun Combined Spinal Epidural (CSE) system is engineered for enhanced procedural precision and safety. Each sterile unit typically includes three specialized components:

  • Espocan Tuohy Needle: This needle features a unique back-eye lumen strategically placed in the heel of the bevel. This design eliminates direct needle-to-needle contact, significantly improves tactile feedback during use, and directs the epidural catheter away from the dura puncture site, reducing the risk of intrathecal placement.
  • Espocan Sleeved Spinal Needle: This is available as either the Pencan (Pencil-Point) or Spinocan (Quincke-Bevel) needle. It includes an innovative centering sleeve that ensures precise alignment with the Tuohy needle’s back-eye lumen, preventing placement errors like over-the-curve placement.
  • 5 mL Clear Spinal Syringe: Used for procedural requirements.

All components are supplied sterile and do not contain natural rubber (latex). Note that specific configurations may also include the ESPOCAN Docking System.

What is the shelf life of these spinal epidural needles?

The B. Braun Combined Spinal Epidural Needles have a total shelf life of 60 months.

Are the Combined Spinal Epidural Needles sterile?

Yes, the B. Braun Combined Spinal Epidural Needles are guaranteed to be provided as sterile systems. Furthermore, all components are manufactured to not contain natural rubber latex, ensuring a safe procedure for patients with related sensitivities.

How many units are in a case of these high-quality needles?

Each case of B. Braun Combined Spinal Epidural Needles includes 12 units, providing a convenient quantity for medical facilities.

What needle types and sizes are available?

Yes, the B. Braun Combined Spinal Epidural (CSE) needles are sold in various configurations to provide clinicians with procedural flexibility. Each sterile kit combines an Espocan Tuohy needle, a sleeved spinal needle, and a 5 mL syringe.

Key variability in needle type and size:

  • Spinal Needle Types: Configurations feature either the Pencan (Pencil-Point) or Spinocan (Quincke-Bevel) spinal needle.
  • Espocan Tuohy Needles: Available gauges are 17 Ga and 18 Ga, with lengths ranging from 3½ inches to 4½ inches.
  • Espocan Sleeved Spinal Needles: Available gauges are 25 Ga and 27 Ga, with lengths from 5 inches up to 6 inches.

These combination kits allow for customization to meet specific procedural requirements.

Does the back-eye lumen enhance CSE technique?

The back-eye lumen is a sophisticated feature positioned in the heel of the Espocan Tuohy needle bevel. This design, combined with the innovative centering sleeve, significantly enhances the Combined Spinal Epidural (CSE) procedure by offering several clinical advantages:

  • Improved Tactile Feedback: The system minimizes direct needle-to-needle contact between components, providing the clinician with a superior tactile feel and greater control during placement.
  • Precise Spinal Needle Alignment: It works with the centering sleeve to align the spinal needle accurately with the lumen, which helps prevent improper ‘over-the-curve’ placement errors.
  • Reduced Intrathecal Risk: The design guides the epidural catheter through the Tuohy curve and away from the dura puncture site, mitigating the probability of intrathecal catheter placement.
Does the centering sleeve ensure precise alignment?

Yes, the B. Braun Combined Spinal Epidural (CSE) Needles feature an innovative centering sleeve specifically engineered to ensure precise component alignment and enhance procedural safety.

This unique design provides several key benefits for the CSE technique:

  • Pinpoint Alignment: The centering sleeve perfectly aligns the spinal needle with the back-eye lumen located in the heel of the Espocan Tuohy bevel.
  • Prevents Misplacement: This alignment mechanism actively prevents the spinal needle from being placed “over-the-curve” inaccurately.
  • Reduced Intrathecal Risk: The overall design directs the epidural catheter through the Tuohy curve and away from the dura puncture site, which significantly reduces the risk of accidental intrathecal catheter placement.
  • Improved Feedback: The system is engineered to provide a superior tactile feel for the clinician during the procedure.
Does the design enhance tactile feel during placement?

Yes, the B. Braun Combined Spinal Epidural (CSE) needle system is specifically engineered to provide enhanced tactile feedback during placement, improving control for the clinician.

This superior tactile feel is achieved through technical advancements in the assembly:

  • Elimination of Direct Contact: The system prevents direct metal-to-metal contact between the Tuohy needle and the sleeved spinal needle during assembly and use.
  • Precision Alignment: A unique centering sleeve accurately aligns the spinal needle with the back-eye lumen in the heel of the Tuohy bevel. This precise mechanism prevents over-the-curve placement and ensures a reliable tactile sensation.