BD™ Long Length Spinal Needle with Quincke Bevel, Sterile, Single Use, 20 G x 6 in., Box of 10

Becton Dickinson

Medical device – spinal needle

Long length Quincke spinal needle for spinal/neuraxial procedures

CE Marked as a sterile single Use spinal needle medical device under applicable EU/UK medical device regulations.
Manufactured in facilities operating an ISO 13485 Certified quality management system for medical devices.
Materials and construction evaluated for biocompatibility according to ISO 10993 standards for devices with transient contact with tissue and body fluids.
Sterilisation process validated to an appropriate sterility assurance level in line with ISO/EN standards for terminally sterilised single Use medical devices.
Latex Free, PVC Free and DEHP Free as indicated by manufacturer specifications and labelling.

CE Marked as a sterile single Use spinal needle medical device under applicable EU/UK medical device regulations.
Manufactured in facilities operating an ISO 13485 Certified quality management system for medical devices.
Materials and construction evaluated for biocompatibility according to ISO 10993 standards for devices with transient contact with tissue and body fluids.
Sterilisation process validated to an appropriate sterility assurance level in line with ISO/EN standards for terminally sterilised single Use medical devices.
Latex Free, PVC Free and DEHP Free as indicated by manufacturer specifications and labelling.

Long length Quincke spinal needle for spinal/neuraxial procedures

Description

The BD™ Long Length Spinal Needle with Quincke Bevel, 20 G x 6 in. (152.4 mm), is a sterile, single-use spinal needle designed for lumbar puncture and intrathecal procedures. It features a Quincke (cutting) bevel for clean dural puncture and a long 6-inch shaft to facilitate access in patients where additional length is required, such as those with obesity or deep anatomical landmarks. The needle is supplied with a matching stylet and a translucent polypropylene hub that allows visualisation of cerebrospinal fluid (CSF) to help confirm dural puncture and proper needle placement. The device is PVC- and DEHP-free, latex-free and is packaged as a disposable, single-use medical device.

Bnefits

Long 6-inch (152.4 mm) needle length provides additional reach for spinal and lumbar puncture procedures in patients where standard-length needles may be insufficient.
Quincke cutting bevel is designed to provide precise, sharp penetration of tissues and dura for reliable CSF access.
Translucent hub facilitates visualisation of cerebrospinal fluid (CSF) upon dural puncture, helping confirm correct intrathecal placement.
Integrated stylet with key/slot hub arrangement supports consistent bevel orientation and reduces the risk of tissue coring.
Single-use, sterile and latex-free design supports infection prevention and reduces risk of cross-contamination and latex-related reactions.
PVC-free and DEHP-free material formulation helps align with current safety and environmental preferences.
Available in a standardised 20 G size, offering a balance between adequate CSF flow and controlled puncture size.
Packaged in convenient boxes of 10 sterile needles for procedural efficiency in anaesthesia and neurology settings.

Indications

Diagnostic lumbar puncture for collection of cerebrospinal fluid (CSF).
Administration of intrathecal (spinal) anaesthesia in surgical and obstetric procedures, where a 20 G Quincke needle is clinically appropriate.
Intrathecal administration of medications such as chemotherapeutic agents or antibiotics, as per institutional protocols and prescribing information.
Other clinician-determined spinal or neuraxial procedures that require a long-length 20 G Quincke spinal needle.

Composition

Needle cannula: Medical-grade stainless steel, 20 G (approx. 0.90 mm outer diameter) with Quincke (cutting) tip design.
Needle hub: Translucent polypropylene hub to allow visual confirmation of CSF flashback and facilitate bevel orientation.
Stylet: Stainless steel stylet with a key/slot arrangement to align with cannula hub and maintain tip geometry.
Protective cap: Rigid protective sheath/cap covering the needle to maintain sterility prior to use.
Materials status: Latex-free; natural rubber latex is not part of the material formulation.
Plasticisers: PVC-free and DEHP-free based on manufacturer specification for the product range.

Formulation

Gauge: 20 G spinal needle.
Length: 6 in. (152.4 mm) long length configuration.
Tip type: Quincke bevel (cutting bevel) spinal needle.
Configuration: Needle with matching stylet, standard Luer hub connection to manometers or syringes.
Use: Disposable, single-use only; supplied sterile.
Hub material: Polypropylene hub designed for secure connection and clear CSF visualisation.
Wall type: Regular wall spinal needle design.
Product type: Long type spinal needle (BD long length Quincke).
Catalogue/sku number: 405211 (20 G x 6 in.).

Packaging

Primary packaging: Individual sterile blister or peel-open pouch containing one needle and stylet assembly.
Box configuration: Box of 10 sterile, single-use long length spinal needles (20 G x 6 in.).
Outer packaging: Labelled carton with product name, gauge and length, SKU (405211), lot number, expiry date, sterility symbol, single-use symbol and regulatory marks.
Shipping configuration: Multiple boxes may be supplied in outer cases for institutional purchasing and storage.

Usage

Verify that the package is intact and the product is within its expiry date. Do not use if the sterile package is damaged or opened.
Perform hand hygiene and don appropriate personal protective equipment according to institutional and procedural guidelines.
Position the patient appropriately for lumbar puncture or spinal anaesthesia (e.g., lateral decubitus or sitting, with spine flexed) following local protocols.
Identify the appropriate intervertebral space and mark the insertion site using anatomical landmarks.
Prepare the skin with an appropriate antiseptic solution and allow it to dry completely. Drape the area using sterile technique.
Open the sterile package and connect the spinal needle stylet assembly to any required introducer or syringe setup under aseptic conditions.
Insert the needle with stylet in place through the anaesthetised skin, advancing slowly in the midline (or paramedian) toward the subarachnoid space, maintaining bevel orientation as desired.
Periodically advance and carefully check for loss of resistance or changes in feel; once the ligamentum flavum is traversed and the subarachnoid space is entered, gently remove the stylet to check for CSF flow through the translucent hub.
If CSF is observed, attach the appropriate syringe or manometer and proceed with CSF collection or intrathecal drug administration according to clinical indication and local policy.
If bone is contacted, withdraw slightly and redirect the needle as appropriate, avoiding excessive bending or force that could damage the needle.
After completion of the procedure, remove the needle and apply a small sterile dressing to the puncture site.
Dispose of the used needle immediately in an approved sharps container. Do not recap or reuse the needle.
Monitor the patient post-procedure for complications such as post-dural puncture headache, neurological changes, bleeding or signs of infection.

Contraindications

Do not use in patients with known hypersensitivity to stainless steel or other materials contained in the device when clinically relevant.
Contraindicated at sites with local infection, severe skin disease or sepsis at the intended puncture area.
Generally contraindicated in patients with untreated coagulopathy, thrombocytopenia or those on anticoagulant therapy where spinal/neuraxial procedures are not recommended according to current guidelines.
Avoid use in patients with raised intracranial pressure or mass lesions where lumbar puncture/spinal anaesthesia may increase the risk of brain herniation.
Do not use if the sterile package is damaged, opened or past the labelled expiry date.
Single-use only; do not reuse, resterilise or reprocess the needle.

Adverse Effects

Local pain or discomfort at the puncture site during or after the procedure.
Post–dural puncture headache (PDPH) following spinal puncture with a cutting (Quincke) needle.
Bleeding or haematoma at the puncture site or in the epidural/spinal space, particularly in patients with coagulation abnormalities.
Infection, including local site infection or, rarely, meningitis or epidural abscess if aseptic technique is not strictly followed.
Transient or persistent neurological symptoms, paraesthesia or nerve root irritation due to needle contact with neural structures.
Hypotension, bradycardia or high/total spinal block related to the intrathecal anaesthetic rather than the needle itself.
Very rare risk of needle breakage or retained fragment if excessive bending or force is applied.
Allergic or hypersensitivity reactions to medications administered via the needle (not to the device itself) in susceptible individuals.

Storage Conditions

Store in a clean, dry environment in the original packaging until use.
Keep away from direct sunlight, excessive heat and moisture.
Avoid crushing, bending or otherwise damaging the cartons or sterile pouches.
Observe any temperature or storage recommendations provided on the product labelling.
Do not use after the expiry date indicated on the packaging.
Keep out of reach of children and unauthorised personnel.

Duration

Single-use procedural device used for the duration of a single spinal or lumbar puncture procedure only. The clinical duration of effect depends on the medication administered and the underlying indication rather than the needle itself.

Onset

Not directly applicable to the device. The onset and duration of clinical effect are determined by the pharmacology of the intrathecal medication or diagnostic intervention performed through the spinal needle.