quality

2016 BMXnet event interview on needles, steel and wound care

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Here is a 22 minute interview that I did at BMXnet this year for Russian colleagues.
(In English with Russian subtitles)

  1. The first question was: Can a professional piercers use a catheter?
  2. The second question was about the use of steel for totally healed piercing.
  3. The last question: What way of care is correct for a fresh piercing?

Unrelated, but interesting in light of the recent election and psychohistory:

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

APP: The Point #73

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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

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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.

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President’s Corner The Point 70

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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

 

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Somatic Piercing

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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

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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?

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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.

ASTM F04 and ISO TC 150 have merged to facilitate the flow of information.

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.

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