Further to DrugAlert vol 953, HPS Pharmacies wish to give notice that Link Medical Products, in consultation with the Therapeutic Goods Administration (TGA), has issued a notice for their adrenaline pre-filled syringes, as follows:

Adrenaline-Link Pre-Filled Syringe
Adrenaline (epinephrine) acid tartrate 1:10 000 (1mg/10mL)
ARTG 210672

This action was initiated following reports of blocked syringe bores which made it difficult or impossible to administer this product in an emergency. The use of incompatible connectors and connectors without the appropriate adaptors are the primary cause of blocked syringes.

The packaging of Adrenaline-Link Pre-Filled Syringes has been updated to include a warning that compatible connectors are required. The following connectors have recently been added to the list of connectors that are compatible with Adrenaline-Link PFS:

  • D1000 Tego Connector
  • Neutron (when used with 011-CS25 Adaptor).

Availability

Pre-filled syringes (currently out of stock)

  • Adrenaline Aguettant 1:10,000 is expected to return in mid-late November 2024.
  • Adrenaline-Link 1:10,000 is expected to return in late January 2025.

Ampoules:

  • Adrenaline Aspen 1:10,000 ampoules remain available.

Recommendations

Where pre-filled syringes are used, users must ensure any connectors and adaptors used are compatible.

Where adrenaline ampoules are used, users need to be aware of the risk of injury due to their presentation in a glass ampoule and the requirements for drawing up doses in a timely manner for emergency situations. If utilising smaller quantities for resuscitation trays or emergency trolleys, clinicians should consider the need to protect individual ampoules from light.

Retain this notice in a prominent position, including in other related business units for one month. Report any problems identified with medicines, vaccines or medical devices to the TGA.

Should you require further information regarding this matter, please contact your pharmacist at HPS Pharmacies.

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