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 more Biomaterials and trustworthy sources
I traveled to Moscow to share ideas and techniques at the Russian Association of Professional Piercers second annual conference August 13-16 2018 Thanks to the ruAPP for an enthusiastic and curious experience as a speaker and participant. I would be pleased to return in 2019 if you’ll have me. Overall, the conference seemed well put together with a … Read more Seminars in Moscow
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Leaving instruments unprocessed for any period of time can lead to the development of biofilm. The recommendation is to begin the cleaning process as soon as possible. As a matter of fact, a number of manufacturer’s instructions for use (IFUs) are now specifying the time frame that cleaning should be implemented. This ranges from “immediately after use” to “within 10, 20 or 30 minutes;” it varies with the device/instrument manufacturer. The manufacturer’s IFUs should always be followed.
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:
Issue 70 editorial
By Brian Skellie
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
American Society for Microbiology Bacterial Hand Contamination and Transfer after Use of Contaminated Bulk-Soap-Refillable Dispensers. Another reason not to refill bulk soap or antiseptic dispensers. Because of this is is particularly important to use single dose skin preparation solutions, as bulk dispensers post known problems.
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 more President’s Corner The Point 69
Our friends at the CDC created a helpful website about hand washing, which is worth the time to read through. I particularly appreciate their “Show me the science” section. ;) How to make your own “Didn’t Wash Hands” Alarm | MAKE. Big brother says, “wash your hands” More on Germ theory by How Stuff Works: Related: … Read more “Didn’t Wash Hands” Alarm
As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 68 editorial As we approach our twentieth annual meeting, I reflect on the beginnings of the APP. When I discovered that a group—this group—had formed to take action and establish professional industry standards I was immediately interested … Read more President’s Corner The Point 68
This is very similar to what I saw when I visited Industrial Strength LLC Sharp Ass Needles, without the hubs, followed by cleaning and chemical passivation. They are ready to be sterilized and used. We use 304 SST and keep on file for every lot of needles we make a passivation certificate. We also have an … Read more How It’s Made – Hypodermic Needles
One of the most commonly used materials for body jewelry, the ASTM F136 – Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications (UNS R56401) has been revised to F136-13 developed by Committee F04.12, ASTM BOS Volume13.01.
The new version changes are in section 9. Special Requirements
Sterility of Antiseptic Products:
FDA Investigates, Deliberates on Potential Recommendations
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.
December 2013 – CS Solutions. More insightful answers to infection control questions from Ray T. Surgical instruments should not be soaked in saline. Saline contains chloride ions which can be very damaging to surgical instruments. These chloride ions are highly caustic and can cause pitting and deterioration to instruments. (See figures 1 and 2.) For support … Read more Distilled water vs. saline soak; tears in wrapped sets; keeping instruments open for cleaning
SSI Prevention: Evidence-Based Practices Replace Lingering “Sacred Cows’ in the OR
This report explores the prevention of surgical site infections (SSIs) within the context of evidence-based practices replacing “sacred cows” in the operating room. It focuses on the critical practice of preoperative hair removal.
When Thomas Paine noted in 1776 that, “A long habit of not thinking a thing wrong, gives it a superficial appearance of being right,” he could not have imagined that he was describing a current tug-of-war that still exists in some operating rooms today.
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:
*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 USA by ANSI. ASTM makes recommendations to ANSI. ANSI has typically voted in accordance with the recommendations of the ASTM.
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
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.
Such bending, recapping or needle removal must be accomplished through the use of a mechanical device or a one-handed technique.
Immediately or as soon as possible after use, contaminated reusable sharps shall be placed in appropriate containers until properly reprocessed. These containers shall be:
Labeled or color-coded in accordance with this standard;
Leakproof on the sides and bottom; and
In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps.
Engineering Sharps Safety Workshop
Wednesday, October 22, 2003
Work practice controls
Demonstrated knowledge of and aptitude for appropriate aseptic techniques, and practices, and legal issues involved is required prior to handling sharp instruments.
Watch the sharp end
Maintain awareness and control of sharp implements at all times
Don’t point sharp things at your self, especially fingers
Aim away from client and piercer
- Example: Eyebrow begins by aiming away from eye towards hairline and away from the scalp and forehead.
- Example: Navel begins by aiming out from the top center of the navel opening, out and away from the stomach.
- Example: Tongue begins underneath the medial sulcus center and out away from upper lip and nose.
- Example: Male urethral piercing begins inside urethra and aim outward between the glans penis perineal seam.
Use gauze to support tissue upon exit
- To decelerate leaving the exit wound and avoid fingers
- To reduce tissue tearing and aiming sharp accidents
Select sharp device of appropriate length
- Three inch sharp instruments (currently lancet pointed cannulae) allow for superior control and aim.
- Use the extra length to keep fingertips away from sharp end.
Use appropriate amount of pressure for gentle penetration and exit
- To reduce pressure is to reduce risk, error, and equipment failure
- Slow down to ensure correct angle of exit
Engineered safety controls
No available devices exist specifically engineered to effectively reduce sharp injury risk both safe and effective to satisfy the requirements of the job.
Possible Ideas to assess
- At least one half inch longer than the needle tube
- Use as pin coupling to aid insertion of internally threaded jewelry
- Friction fit/notch/tab for wire/tube to lock in place
- Make 18g wire 3.5” for 14 gauge cannulae
- Get IS Needles to make prototypes for other sizes 18 gauge to 4 gauge
- Video and photograph to document
- Assess at 10 procedures
Using smaller tubing or wire stock cut to size for the stylets.
- The rod is slightly curved in the middle, to provide enough friction to prevent it from sliding back once advanced.
- For a REALLY tight fit you can bend the wire twice in opposite directions and it will basically LOCK the wire into the needle and not allow it to twist or pull out at all.
- The ends are rounded with a cup burr and polished to avoid injury.
- The tail end can even be tapered or threaded to ensure a transfer with internally threaded jewelry.
- 26/28g fits NeoMetal 18g threadless and most other 18g internally threaded posts
- 20g fits NeoMetal 16g threadless and some other 16g and larger internally threaded posts
- 18g fits 14 and 12g internally threaded posts
- Telescoping tubing better suited for larger bore needles
- Stylet wire in place, prepared for a piercing.
- Once pierced through, the wire is inserted into the jewelry then advanced flush with the butt of needle, blunting the sharp and maintaining a connection for the jewelry transfer.
- Now blunted, the jewelry insertion is safer, and the connection is sturdy without need for a taper.
- Blunted needle can be disposed of safely in a sharps container immediately, without need to return it to the work surface.
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 more APP Conference soon!