The article discusses the usage of Cathejell, a sterile gel containing 2% w/w Lignocaine, produced by Pharmaforte Singapore Pte Ltd. Cathejell serves as a local anesthetic in gel form and is employed as a lubricant for medical instruments like catheters and endoscopes, with the aim of reducing pain during procedures involving mucous membranes. Notably, Cathejell utilizes an accordion-style syringe design, which distinguishes it from conventional syringes.
Issues and adverse events have arisen in connection with Cathejell, particularly due to its unique syringe design. Healthcare professionals have encountered challenges in controlling the precise amount of gel dispensed, resulting in wastage and gel leakage. Furthermore, the syringe’s release creates a vacuum effect, potentially causing discomfort and bleeding at the administration site. Concerns have also been raised regarding the syringe tip’s length, sharpness, and rough edges.
In response to these concerns, the Health Sciences Authority (HSA) has taken several measures. The product registrant has conducted training sessions for users to enhance administration techniques. HSA has collaborated with the product registrant to update and emphasize administration instructions on the product’s packaging and has mandated improved communication with new users regarding administration techniques. HSA will continue to monitor the situation and encourages healthcare professionals to provide feedback and report adverse events. Users can also contact the product registrant for inquiries or product training.
HSA: Health Sciences Authority
Link to the HSA announcement: https://www.hsa.gov.sg/announcements/safety-alert/reports-of-issues-associated-with-the-use-of-cathejell-(lignocaine-2-gel)
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