2016 BMXnet event interview on needles, steel and wound care

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:

http://www.newyorker.com/news/news-desk/when-newt-met-hari-seldon

APP: The Point #73

As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 73 editorial   Please enjoy my article on asepsis in the new issue of The Point by the Association of Professional Piercers  

President’s Corner The Point 71

The Point Issue 71 Association of Professional Piercers

As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine.

The Point Issue 71 Association of Professional PiercersIssue 71 editorial

Brian Skellie headshot at 2014 APP conference by April BerardiBrian Skellie
APP President

In an organization comprised of exceptional participants who have gladly offered countless hours of work and traveled across the planet to share their ardor for safe body adornment, it is the privilege and great pleasure of the President each year to shine a light upon one who has exemplified our mission. To offer a special award in esteem of the outstanding contributions of this volunteer is equally to recognize the potential we all have to achieve the goals set forth by our Association.

Read morePresident’s Corner The Point 71

President’s Corner The Point 70

As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine.

Point70-coverIssue 70 editorial

Brian Skellie headshot at 2014 APP conference by April BerardiBy Brian Skellie
APP President

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.”

James Randi, WHY MAGICIANS ARE A SCIENTIST’S BEST FRIEND

 

Read morePresident’s Corner The Point 70

Somatic Piercing

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.

FDA Antiseptic sterility report

Sterility of Antiseptic Products:

FDA Investigates, Deliberates on Potential Recommendations

(Infection Control Today, PDF)
FDA investigates Antiseptics Sterility and potential recommendations_Page_01

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.

Safe steel for body jewelry?

A forum participant asked:

please discuss 316l and implant grade 316lvm grade stainless steel

They added a link to an essay titled
Body Jewelry Materials. Understanding Implant Grade Surgical Steel

The easy answer:

Neither are surgical implant materials. These are engineering specifications.
*AISI and SAE do not establish standards for biocompatibility.

me+.lMore 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 USA 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.

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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.

Read moreSafe steel for body jewelry?

Sponsorship for BMXnet 2013 infection control

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

APP Conference soon!

  CONFERENCE IS ALMOST UPON US! THE CONFERENCE ADVANCED (ONLINE) REGISTRATION WILL SHUT DOWN AT MIDNIGHT ON MAY 17TH, PST ANY CHANGES TO YOUR REGISTRATION SHOULD BE MADE BEFORE THEN (OR WILL HAVE TO WAIT UNTIL WE ARE ONSITE IN LAS VEGAS) BANQUET DINNER SPONSORED BY INDUSTRIAL STRENGTH BODY JEWELRY; ANATOMETAL, INC.; LEROI, INC.; AND KAOS SOFTWEAR THURSDAY JUNE … Read moreAPP Conference soon!

Processing Devices

Standards are useful, and guidance based on evidence is often even more so.

Scope

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.

Read moreProcessing Devices

OPTIM 33TB protocol

OPTIM 33 TB is a One-Step Cleaner Disinfectant with no hazardous ingredients.

For the modern body artist, OPTIM offers a number of advantages for cleaning and thorough and safe disinfection in one minute for:

  • Temperature sensitive Body jewelry materials for healed piercings
    Such as wood, horn, stone, bone, certain polymers
    Break the chain of infection for MRSA, VRE, HCV, HBV, HIV, Mycobacteria and other pathogens for non-critical items that can not withstand the heat of an autoclave. 
  • Tattoo machine frames, coils, springs, clip cords
  • Mayo trays and other work surfaces
  • Exam tables, massage tables, tattoo chairs
  • Display cases
  • Furniture in your waiting area including fabric covered items.
  • Suspension rigs and equipment

Read moreOPTIM 33TB protocol

Questionable jewelry project

Have you seen any body jewelry that made you wonder whether or not it was safe to wear?
Please add any manufacturer to this list who makes body jewelry that does not seem to meet appropriate safety standards. Our work group is collecting a list of examples for body jewelry review. You can email pictures, too. Your comments will be used in our ongoing project to help inform the public and improve body jewelry quality worldwide.

Read moreQuestionable jewelry project

Working with a STATIM autoclave

Practical information about your STATIM sterilizer

Statim G4 & Classic 2000, 5000, 7000, & 900 (Stattoo)

These details and suggested practices should help you better understand and streamline your workflow

Contents

Read moreWorking with a STATIM autoclave

A brief history of sterilization

A Brief History of Sterilization : An educational overview of some of the important historical steps forward in infection control and sterilization

An educational overview of some of the important historical steps forward in infection control and sterilization