Why materials from countries without strict quality control requirements are unacceptable for body jewelry Brian W Skellie, APP Medical Director (published in issue 86 of The Point Journal of Body Piercing) Does it matter where a biomaterial we use comes from? Biomaterials made in the USA and in a short list of countries who maintain … Read moreBiomaterials and trustworthy sources
Join the Association and hundreds of piercers as we come together to celebrate the 23rd Annual Conference and Exposition! Our classrooms will once again fill with attendees from all over the world. Piercers, Studio Owners, Vendors, and Health Inspectors will all come together for a week of education and peer-to-peer sharing. Learn the core requirements … Read moreJoin me at the APP 23rd Annual Conference!
Here is a 22 minute interview that I did at BMXnet this year for Russian colleagues. (In English with Russian subtitles)
The first question was: Can a professional piercers use a catheter? The second question was about the use of steel for totally healed piercing. The last question: What way of care is correct for a fresh piercing?
Unrelated, but interesting in light of the recent election and psychohistory:
Sir Arthur C. Clarke’s Third Law states: “Any sufficiently advanced technology is indistinguishable from magic.” Had I been at Arthur’s elbow as he wrote those words, I’d have suggested adding: “to the uninformed observer.”
Are you using sterile gloves for body piercing procedures? If you are not, using an Aseptic Non Touch Technique with sterile engineering controls to prevent client contamination is an alternative that you can use now with equipment that you already have. The burden of proof Fitness for purpose: Sterile gloves, be they exam or surgical are designed … Read moreSterile gloves use rationale
As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 69 editorial Some of the most fundamental ideas about piercing are those that are most intriguing and still relevant to question. What materials are available now to make jewelry for initial healing and prolonged wear in the … Read morePresident’s Corner The Point 69
Original article: December 2014 – CS Solutions. How this applies to body artists: Start the cleaning process for instruments right away in the procedure area at the point of use by wiping them off and wetting them with a foam enzyme cleaner product such as the all-in-ONE™ Surgical Instrument Cleaners and Conditioners. Transport the instruments to an … Read morePassing the buck on contaminated instruments, washer placement
Aseptic No Touch Technique may be used in conjunction with sterile gloves as an alternative to full surgical asepsis for body piercing procedures. I demonstrated variations on this with colleagues during the Versatility in Piercing Techniques series of workshops for the 2014 APP conference. The following is from ANTT.org: What is Aseptic Non Touch Technique ANTT? ANTT is … Read moreWhat is Aseptic Non Touch Technique ANTT?
Nick completed his Masters degree at the Ohio State University in Somatic and Cultural Studies in 2002. His final project, “Somatic Piercing: The Art and Ritual of Body Piercing” portrays his experiences in body rituals as well as illuminates other piercers’ views on the matter.
In light of a number of high-profile recalls of contaminated alcohol prep products in the last several years, the Food and Drug Administration (FDA) is currently weighing whether or not to require sterility of patient skin prep products, specifically items such as alcohol prep pads used for injections, but it is not ruling out other surgical prep products.
On Dec. 12, 2012, the FDA held a hearing to receive expert testimony and public comment on how to address microbial contamination of these patient preoperative skin preparation drug products. It is a step in the ongoing investigational process that the agency is undertaking to determine issues related to sterility impacted by manufacturing processes.
An FDA spokesperson says that the panel members and FDA’s working group have received the submissions from the hearing and have been deliberating. FDA’s working group will be ready to make new recommendations in the coming months. The spokesperson adds that FDA’s working group has been soliciting clinician feedback from the FDA’s federal partners and other public health organizations, and that the agency will be ready to make new recommendations in the coming months.
Currently, patient preoperative skin preparations are not required to be sterile, since bacteria can contaminate these products at the time of manufacture or during product use. But because contaminated patient preoperative skin preparations have been associated with clinical infections and adverse outcomes, the FDA is exploring certain scientific and product-use issues related to patient preoperative skin preparations.
Patient preoperative skin preparations are over-the-counter (OTC) topical antiseptic drug products used to reduce the number of bacteria on the skin prior to medical procedures or injections. Although they are marketed predominantly to healthcare facilities, the use of these products extends beyond the healthcare facility setting.
Neither are surgical implant materials. These are engineering specifications. *AISI and SAE do not establish standards for biocompatibility.
More detail: ASTM ? ANSI ? ISO
One thing to know is that ISO and ASTM are both international organizations for standards, but ISO is restricted to members of national standards bodies such as ANSI. Individuals or companies cannot become ISO members.
ASTM members are comprised of representatives of both government and stakeholders in related business, such as me. I joined ASTM in the mid 1990’s to represent the needs and learn more about the responsibilities of the body piercing business, and have been able to attend conferences, contribute my research based evaluations and vote for standards that affect us as body artists.
ISO voting is done for the US by ANSI. ASTM makes recommendations to ANSI. ANSI has typically voted in accordance with the recommendations of the ASTM.
The 2013 update that my ASTM F04.12 committee just voted to approve for the most common steel alloy for surgical implant is also most the commonly used for body jewelry, F138.
ASTM F138-13a specifies chemical, mechanical and metallurgical refinements for 316 series steel alloys for surgical implant. It doesn’t really matter if the material is 316L, 316LVM, etc. The material is only acceptable for body jewelry when specified for human surgical implant and validated for this purpose to a peer reviewed scientific standard such as ASTM or ISO provides. AISI/SAE
As an aside: I don’t personally use steel alloy jewelry for initial piercings. I prefer pure unalloyed metals or simpler alloys with a greater margin of safety and less reactivity in the body.
My company Piercers.com and I are pleased to sponsor a Statim autoclave for sterilization at this year’s event again! I will be there to educate and to learn, as well as to sell infection control equipment and anodizers. The Statim 2000 G4 is on the way, and the new Optim 33TB Blue version for surface disinfection as well. — at Unperfekthaus for the BMXnet … Read moreSponsorship for BMXnet 2013 infection control
I strongly suggest that my fellow piercers discontinue the use of any caps applied manually after piercing, especially two handed capping methods, which appear most likely to result in sharps injury.
OSHA considers recapping of needles unacceptable risk unless there are no alternatives. OSHA allows one handed capping, such as spearing the needle tip into a stopper on your work tray, or using a mechanical device such as a tweezer or clamp to apply the cap providing a safe distance from the sharp end. Even using a receiving tube can pose risks if the tube a small diameter or not sufficiently puncture resistant.
When piercing without a clamp, longer needles allow the tube to be held securely far away from the tip once it has passed through the body. I use 3 inch needles for all body piercings so that the sharp end can be cleared far enough from the pierced area and the tube can be secured close to the blunt base without the need to manipulate the sharp end.
The stylet approach is stable, and based on existing self-blunting sharps technology. Provided that the wire is the appropriate size, the sharp is secured and there is not a cutting edge to catch or stick. It will only move back in the needle with a similar level of force that would puncture through a cork or plastic tube. A telescoping metal tube with a reduction to catch the needle could be more secure, and I’m working on a demonstration of that as well.
This is a prototypical demonstration of the concept and a version of it can be made to fit into needles for our industry with a number of locking and blunting variations of the same strong passivated 304 steel as the needles.
Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below. Shearing or breaking of contaminated needles is prohibited.
Contaminated needles and other contaminated sharps shall not be bent, recapped or removed unless the employer can demonstrate that no alternative is feasible or that such action is required by a specific medical or dental procedure.
Standards are useful, and guidance based on evidence is often even more so.
This guidance provides recommendations regarding reuse instructions in labeling for reusable medical devices and the validation of the recommended reprocessing process in the instructions. The recommendations are applicable to the three device reprocessing situations below.
A gravity displacement (class N) steam sterilization process can not reliably remove gases from hollow or porous items, resulting in areas that do not get sterilized, and the failure of the load. They should not be used for body jewelry, needles, tattoo tubes or textiles.
395 CENTRAL SERVICE Volume 13 2005
Effects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes
steam sterilisation process
non-condensable gases (NCGs)
process challenge device (PCD)
The dangers posed by non-condensable gases (NCGs) in steam sterilisation processes have long been underestimated. Biological indicators, or the best chemical indicators on the market, do not signal the presence of a NCG content of up to 10% in a sterilisation process so long as there is mixing of steam and NCGs in the sterilisation chamber.
What Titanium materials are best for body jewelry? My articles at http://jewelry.piercing.org/ and https://brnskll.com/shares/titanium-standards-why-not-g23/ explain that the two most effective Titanium standards are alloyed ASTM F136 and pure ASTM F67, the most common being the former as it is stronger, harder and easier to polish. Both are used for permanent surgical implants.
Can unused wrapped items be re-sterilized reusing the original wraps?
When unused sterile instrument sets are returned from the OR or patient floors our policy is to re-sterilize the sets. Since these were unopened we inspect the wrap to be sure there are no holes, replace the tapes and labeling and re-sterilize the item.