While all CSTDs are classified as closed systems, not every closed system is a CSTD. The National Institute for Occupational Safety and Health, (NIOSH) defines them as follows:
A closed system transfer device, or CSTD, is a drug transfer device that mechanically prohibits the transfer of environmental contaminants into the system and the escape of hazardous drug or vapor concentrations outside the system.
Learn more about EQUASHIELD CSTDs here
A closed system transfer device, or CSTD, is a drug transfer device that mechanically prohibits the transfer of environmental contaminants into the system and the escape of hazardous drug or vapor concentrations outside the system.
Multiple Layers of Protection Close the Gaps
USP <800> recognizes that engineering controls are divided into 3 category levels of control including:
Engineering controls that qualify as closed systems
Contamination remains a frequent issue with Isolators and BSCs. In an HMP contamination study, 75% of pharmacy area samples were wipe sampled and found to be contaminated.1
Using a CSTD in the isolator cut HMP contamination by more than half compared to a needle and syringe2
CSTDs are the only engineering control designed to prevent spills, leaks, and needlesticks in addition to providing extra vapor protection.
CSTDs are the only engineering control designed to prevent spills, leaks, and needlesticks in addition to providing extra vapor protection.
1. In combination with BSCs (biological safety cabinets), this is an effective way to protect workers from potential exposure to HMPs
Chief Pharmacists chose a solution that includes CSTDs as the safest method to prevent exposure to HMPs
2. In combination with CACIs (compounding aseptic containment isolators), this is an effective way to protect workers from potential exposure to HMPs
Chief Pharmacists chose a solution that includes CSTDs as the safest method to prevent exposure to HMPs
3. An effective way currently used in this institution to protect workers from potential exposure to HMPs
Chief Pharmacists have identified CSTDs as the most effective safety solution in their institutions.
However, a significant disparity exists between the number of Pharmacists who recognize the safety benefits of CSTDs and the facilities that actually implement them. With effective advocacy, it is possible to drive meaningful change and create safer work environments for healthcare professionals.
1. In combination with BSCs (biological safety cabinets), this is an effective way to protect workers from potential exposure to HMPs
Chief Pharmacists chose a solution that includes CSTDs as the safest method to prevent exposure to HMPs
2. In combination with CACIs (compounding aseptic containment isolators), this is an effective way to protect workers from potential exposure to HMPs
Chief Pharmacists chose a solution that includes CSTDs as the safest method to prevent exposure to HMPs
3. An effective way currently used in this institution to protect workers from potential exposure to HMPs
Chief Pharmacists have identified CSTDs as the most effective safety solution in their institutions.
EQUASHIELD CSTDs are clinically backed to be the most closed 6
A study found that implementing the EQUASHIELD CSTD significantly reduced surface contamination compared to using a conventional syringe with a BSC. Wipe samples taken from common high-contact areas, such as dispensing counters, door handles, and floors, frequently showed contamination levels above safe concentrations.  Â
          
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However, the introduction of the EQUASHIELD CSTD effectively eliminated cytotoxic agent contamination in both preparation and administration areas within the ambulatory cancer chemotherapy infusion center. This study demonstrates that using EQUASHIELD CSTDs effectively minimizes contamination throughout the HD lifecycle.
   
Pharmacists and nurses can safeguard their health by ensuring they are using the appropriate closed systems
Protect yourself with safer practices by empowering yourself with the facts. Where procedures mandate the use of closed systems, CSTDs must be used alongside primary and secondary engineering controls. They each serve distinct purposes, working together to ensure the safe handling of HMPs.
 