Syringe accuracy (TOGC) estimates for ISO P Phillips, Director, Surgical Materials Testing Laboratory August 10, Revision: 1.

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Syringe accuracy (TOGC) estimates for ISO 7886-1 P Phillips, Director, Surgical Materials Testing Laboratory August 10, 2016 - Revision: 1.4 Introduction This paper shows the method and for using table 1 in ISO 7886-1 to calculate the Tolerance on graduated capacity (TOGC) for syringes, and displays calculated values for different combinations of syringe size and expelled volume. It is available online as a pdf. For example, if using a 1ml syringe to deliver a particular volume of expelled liquid, ISO 7886-1 states that the tolerance on the graduated capacity is ± (1.5% syringe vol + 2% of the expelled volume) for volumes < 0.5ml, and ± 5% of the expelled volume for volumes 0.5ml. Similar but different tolerances are used depending on the syringe size for syringes up to 50ml of nominal capacity. Worked examples As a worked example, lets look at delivering 4ml from a 10ml syringe. 4ml is less than half the nominal volume of a 10ml syringe so we use the first column ( less than half nominal capacity ) (1.5% 10) + (1% 4) = 0.15 + 0.04 = 0.19ml As a percentage of the expelled volume (4ml), 4.75% If instead we look at delivering an 8ml dose from a 10ml syringe: 8ml is greater than half the nominal volume of a 10ml syringe so we use the first column ( equal to or greater than half nominal capacity ) 4% 8 = 0.32ml As a percentage of the expelled volume, 4% Tolerance Calculation Tables The following tables show how the error varies as the delivery volume changes for different size syringes. The columns are as follows: Syringe Size - Nominal capacity of syringe in ml Expelled Vol - the volume intended to be delivered from the syringe in ml (the volume called expelled volume in ISO 7886, although this may more accurately be called the intended volume of delivery) Tolerance ± (ml) - Tolerance on graduated capacity (TOGC) calculated in ml as per Table 1, EN ISO 7886-1:1997 1

Tolerance ± (%) - Tolerance on graduated capacity calculated as a % of the Expelled Vol as per Table 1, EN ISO 7886-1:1997 The tables have been generated with the R 1 language using R Markdown 2. This document and the original Rmarkdown code are available from the SMTL website 3. 1 https://en.wikipedia.org/wiki/r_(programming_language) 2 http://rmarkdown.rstudio.com/ 3 http://smtl.co.uk/pete-phillips/224-togc-from-iso-7886-1.html August 10, 2016 2 Revision: 1.4

1 0.10 0.017 17.00 1 0.20 0.019 9.50 1 0.30 0.021 7.00 1 0.40 0.023 5.75 1 0.50 0.025 5.00 1 0.60 0.030 5.00 1 0.70 0.035 5.00 1 0.80 0.040 5.00 1 0.90 0.045 5.00 1 1.00 0.050 5.00 Table 1: Syringe Accuracy Vol - Syringe Size = 1 ml 2 0.10 0.032 32.00 2 0.20 0.034 17.00 2 0.30 0.036 12.00 2 0.40 0.038 9.50 2 0.50 0.040 8.00 2 0.60 0.042 7.00 2 0.70 0.044 6.29 2 0.80 0.046 5.75 2 0.90 0.048 5.33 2 1.00 0.050 5.00 2 1.10 0.055 5.00 2 1.20 0.060 5.00 2 1.30 0.065 5.00 2 1.40 0.070 5.00 2 1.50 0.075 5.00 2 1.60 0.080 5.00 2 1.70 0.085 5.00 2 1.80 0.090 5.00 2 1.90 0.095 5.00 2 2.00 0.100 5.00 Table 2: Syringe Accuracy Vol - Syringe Size = 2 ml August 10, 2016 3 Revision: 1.4

3 0.10 0.047 47.00 3 0.20 0.049 24.50 3 0.30 0.051 17.00 3 0.40 0.053 13.25 3 0.50 0.055 11.00 3 0.60 0.057 9.50 3 0.70 0.059 8.43 3 0.80 0.061 7.62 3 0.90 0.063 7.00 3 1.00 0.065 6.50 3 1.10 0.067 6.09 3 1.20 0.069 5.75 3 1.30 0.071 5.46 3 1.40 0.073 5.21 3 1.50 0.075 5.00 3 1.60 0.080 5.00 3 1.70 0.085 5.00 3 1.80 0.090 5.00 3 1.90 0.095 5.00 3 2.00 0.100 5.00 3 2.10 0.105 5.00 3 2.20 0.110 5.00 3 2.30 0.115 5.00 3 2.40 0.120 5.00 3 2.50 0.125 5.00 3 2.60 0.130 5.00 3 2.70 0.135 5.00 3 2.80 0.140 5.00 3 2.90 0.145 5.00 3 3.00 0.150 5.00 Table 3: Syringe Accuracy Vol - Syringe Size = 3 ml August 10, 2016 4 Revision: 1.4

5 0.10 0.076 76.00 5 0.20 0.077 38.50 5 0.30 0.078 26.00 5 0.40 0.079 19.75 5 0.50 0.080 16.00 5 0.60 0.081 13.50 5 0.70 0.082 11.71 5 0.80 0.083 10.37 5 0.90 0.084 9.33 5 1.00 0.085 8.50 5 1.10 0.086 7.82 5 1.20 0.087 7.25 5 1.30 0.088 6.77 5 1.40 0.089 6.36 5 1.50 0.090 6.00 5 1.60 0.091 5.69 5 1.70 0.092 5.41 5 1.80 0.093 5.17 5 1.90 0.094 4.95 5 2.00 0.095 4.75 5 2.10 0.096 4.57 5 2.20 0.097 4.41 5 2.30 0.098 4.26 5 2.40 0.099 4.12 5 2.50 0.100 4.00 5 2.60 0.104 4.00 5 2.70 0.108 4.00 5 2.80 0.112 4.00 5 2.90 0.116 4.00 5 3.00 0.120 4.00 5 3.50 0.140 4.00 5 4.00 0.160 4.00 5 4.50 0.180 4.00 5 5.00 0.200 4.00 Table 4: Syringe Accuracy Vol - Syringe Size = 5 ml August 10, 2016 5 Revision: 1.4

6 0.10 0.091 91.00 6 0.20 0.092 46.00 6 0.30 0.093 31.00 6 0.40 0.094 23.50 6 0.50 0.095 19.00 6 0.60 0.096 16.00 6 0.70 0.097 13.86 6 0.80 0.098 12.25 6 0.90 0.099 11.00 6 1.00 0.100 10.00 6 1.10 0.101 9.18 6 1.20 0.102 8.50 6 1.30 0.103 7.92 6 1.40 0.104 7.43 6 1.50 0.105 7.00 6 1.60 0.106 6.62 6 1.70 0.107 6.29 6 1.80 0.108 6.00 6 1.90 0.109 5.74 6 2.00 0.110 5.50 6 2.10 0.111 5.29 6 2.20 0.112 5.09 6 2.30 0.113 4.91 6 2.40 0.114 4.75 6 2.50 0.115 4.60 6 2.60 0.116 4.46 6 2.70 0.117 4.33 6 2.80 0.118 4.21 6 2.90 0.119 4.10 6 3.00 0.120 4.00 6 2.50 0.115 4.60 6 3.00 0.120 4.00 6 3.50 0.140 4.00 6 4.00 0.160 4.00 6 4.50 0.180 4.00 6 5.00 0.200 4.00 6 5.50 0.220 4.00 6 6.00 0.240 4.00 Table 5: Syringe Accuracy Vol - Syringe Size = 6 ml August 10, 2016 6 Revision: 1.4

10 0.10 0.151 151.00 10 0.20 0.152 76.00 10 0.30 0.153 51.00 10 0.40 0.154 38.50 10 0.50 0.155 31.00 10 0.60 0.156 26.00 10 0.70 0.157 22.43 10 0.80 0.158 19.75 10 0.90 0.159 17.67 10 1.00 0.160 16.00 10 1.50 0.165 11.00 10 2.00 0.170 8.50 10 2.50 0.175 7.00 10 3.00 0.180 6.00 10 3.50 0.185 5.29 10 4.00 0.190 4.75 10 4.50 0.195 4.33 10 5.00 0.200 4.00 10 5.50 0.220 4.00 10 6.00 0.240 4.00 10 6.50 0.260 4.00 10 7.00 0.280 4.00 10 7.50 0.300 4.00 10 8.00 0.320 4.00 10 8.50 0.340 4.00 10 9.00 0.360 4.00 10 9.50 0.380 4.00 10 10.00 0.400 4.00 Table 6: Syringe Accuracy Vol - Syringe Size = 10 ml August 10, 2016 7 Revision: 1.4

20 0.10 0.301 301.00 20 0.20 0.302 151.00 20 0.30 0.303 101.00 20 0.40 0.304 76.00 20 0.50 0.305 61.00 20 0.60 0.306 51.00 20 0.70 0.307 43.86 20 0.80 0.308 38.50 20 0.90 0.309 34.33 20 1.00 0.310 31.00 20 1.50 0.315 21.00 20 2.00 0.320 16.00 20 2.50 0.325 13.00 20 3.00 0.330 11.00 20 3.50 0.335 9.57 20 4.00 0.340 8.50 20 4.50 0.345 7.67 20 5.00 0.350 7.00 20 5.50 0.355 6.45 20 6.00 0.360 6.00 20 6.50 0.365 5.62 20 7.00 0.370 5.29 20 7.50 0.375 5.00 20 8.00 0.380 4.75 20 8.50 0.385 4.53 20 9.00 0.390 4.33 20 9.50 0.395 4.16 20 10.00 0.400 4.00 20 10.50 0.420 4.00 20 11.00 0.440 4.00 20 11.50 0.460 4.00 20 12.00 0.480 4.00 20 12.50 0.500 4.00 20 13.00 0.520 4.00 20 13.50 0.540 4.00 20 14.00 0.560 4.00 20 14.50 0.580 4.00 20 15.00 0.600 4.00 20 15.50 0.620 4.00 20 16.00 0.640 4.00 20 16.50 0.660 4.00 20 17.00 0.680 4.00 20 17.50 0.700 4.00 20 18.00 0.720 4.00 20 18.50 0.740 4.00 20 19.00 0.760 4.00 20 19.50 0.780 4.00 20 20.00 0.800 4.00 Table 7: Syringe Accuracy Vol - Syringe Size = 20 ml August 10, 2016 8 Revision: 1.4

APPENDIX A SMTL is a UK NHS Medical Device Testing Laboratory, funded centrally to provide testing and medical device technical services to the Welsh NHS. SMTL also provides medical device testing and technical services on a commercial basis to the global medical device industry. SMTL are accredited to ISO 17025 for testing medical devices. Surgical Materials Testing Laboratory, Princess of Wales Hospital, Coity Road, Bridgend, CF31 1RQ Tel: 01656-752820 Web: http://www.smtl.co.uk/ & http://www.medidex.com/ August 10, 2016 9 Revision: 1.4