BD 405811 - Combined Spinal and Epidural (CSE) Tray, 2T2092, with 27G x 4.7" Spinal Needle and 18G x 3.5" Epidural Needle, 10/BOX
The BD 405811 Combined Spinal and Epidural (CSE) Tray is a sterile, single-use anesthesia kit designed to streamline and standardize the dual-technique approach for neuraxial anesthesia. This tray includes a 27G x 4.7" spinal needle engineered for precise intrathecal access and an 18G x 3.5" epidural needle for catheter placement. The CSE technique provides the rapid onset of spinal anesthesia with the flexibility of extended epidural analgesia, making this kit highly suitable for obstetric, orthopedic, and surgical anesthesia. BDs engineering ensures dependable needle performance, enhanced tactile feedback, and consistent procedural outcomes.
Key Benefits
The 27G spinal needle offers a fine-gauge design for patient comfort while maintaining reliable cerebrospinal fluid (CSF) return for confirmation of intrathecal placement. The 18G epidural needle provides stable access for catheter insertion, enabling continuous analgesia or anesthesia as needed. Combining both needles in one sterile tray reduces preparation time, minimizes variability in equipment selection, and helps clinicians execute the CSE technique efficiently. All components are arranged to enhance aseptic workflow and consistency in neuraxial procedures.
Compatibility and Applications
The BD 405811 CSE tray is compatible with standard epidural catheters, loss-of-resistance syringes, medication syringes, and standard anesthesia protocols. It is widely used in labor and delivery, orthopedic surgery, urology, general surgery, postoperative pain management, and interventional pain procedures requiring both rapid onset and extended-duration analgesia.
Usage Guidelines
Prepare the procedural field using strict aseptic technique. Insert the epidural needle using standard loss-of-resistance technique. Introduce the 27G spinal needle through the epidural needle to access the intrathecal space and confirm CSF flow. Administer the intended spinal medication, then proceed with epidural catheter placement if required. Anchor and secure the catheter per institutional policy. Dispose of all single-use components in accordance with sharps and biohazard regulations.
Certifications, Safety Standards, and Regulatory Approvals
The BD 405811 tray is manufactured under BDs rigorous quality systems and complies with all applicable regulatory standards for sterile, single-use spinal and epidural anesthesia kits. Needles meet ISO requirements for sharpness, rigidity, and performance. The tray supports adherence to anesthesia safety guidelines, including aseptic technique and safe neuraxial procedure standards.
Comparison with Competitor Products
Compared to generic CSE kits, the BD 405811 delivers superior needle precision, improved tactile feedback, and more reliable intrathecal confirmation. BDs fine-gauge 27G spinal needle reduces insertion discomfort and the incidence of post-dural puncture headache compared to thicker-gauge alternatives. The consistent quality and sharpness of BD needles make the kit a preferred choice for anesthesia teams requiring dependable performance.
Typical User Profile and Application Scenarios
This tray is used by anesthesiologists, CRNAs, and anesthesia trainees performing combined spinal-epidural techniques. It is ideal for obstetric anesthesia (including labor analgesia and cesarean delivery), orthopedic procedures such as hip and knee replacements, and surgical cases requiring both rapid onset and flexible, prolonged analgesia.
Best Practices for Use and Maintenance
Confirm patient positioning and maintain aseptic conditions throughout the procedure. Always verify CSF return when using the spinal needle. Ensure correct identification and labeling of spinal and epidural medications. Secure epidural catheters carefully to minimize dislodgment. Monitor patients closely for block height, hemodynamic changes, and expected sensory and motor responses. All components are single-use and must be discarded after the procedure.
Regulatory and Safety Information
The BD 405811 CSE tray complies with regulatory requirements for sterile neuraxial anesthesia kits. All components are prescription-use devices and must be handled by licensed clinical professionals trained in spinal and epidural anesthesia. Follow institutional policies for medication safety, sharps disposal, and documentation of neuraxial procedures.
How to Order
To order the BD 405811 Combined Spinal and Epidural Tray (2T2092) with 27G x 4.7" Spinal Needle and 18G x 3.5" Epidural Needle, add the item to your cart and complete the secure checkout on the CIA Medical website. For bulk procurement, anesthesia department supply planning, or assistance selecting related neuraxial kits, contact CIA Medical customer service at (312) 275-5850 or submit an inquiry through the contact form on this page.
