|
*The bold items in the first column of each section may contain natural rubber latex. The items in the second column are latex-free alternatives, unless otherwise noted.
|
|
Respiratory Supplies |
| Airways/Face Masks: |
 |
- Hudson RCI (800-399-1039)
- Vital Signs (800-932-0760)
- Rusch (800-514-7234)
- Kendall (800-962-9888)
- Westmed (800-724-2328)
- Remove elastic bands or provide cloth barrier between band and patient's skin, check valve content.
|
| Ambu Bag/Maunual Resuscitators |
|
|
| Anesthesia Circuits |
|
|
| Bite Blocks |
|
|
| Endotracheal Tubes |
|
|
| Peak Flow Meters |
|
|
| Ventilator Hose, Bellows, Balloons |
|
|
 |
|
Adhesives/Bandages |
| Bandages |
|
- Sterile dressing with paper, silk, or cloth tape
- Kendall (800-962-9888) - Curity bandages
- 3M (800-228-3957) - Nexcare Active bandages
- Johnson & Johnson (800-526-3967) - Advanced Healing and Active Flex bandages
- Latex in packaging only: Readi-Bandages, 3M Active Strip, CURAD Neon (800-227-4703)
|
| Casts |
|
|
Cold Wraps/ Latex-Free Packaging |
|
|
| Dressings |
|
|
| Elastic Bandages |
|
|
| Electrodes |
|
- 3M (888-364-3577) - Red Dot electrodes
|
| Heat Wraps |
|
|
| Tape |
|
|
 |
|
Tubing |
| Catheters |
|
|
Gastrointestinal/ Rectal |
|
Cook (800-245-4717) |
| Urinary |
|
|
| Vascular |
|
|
Drains
Penrose Drains
Oxford Tubes
|
|
- Jackson-Pratt silicone tubing
- Zimmer Hemovac
|
IV Supplies
IV bags
Injection ports
Adapters
Tourniquets
|
|
- Alaris Medical Systems (800-854-7128) - SmartSite needle-free system
- Becton Dickinson
- B. Braun (800-854-6851)
- Vital Signs (800-932-0760)
- Avcor (800-282-6748) - Latex-free tourniquet
- Cover Y-sites, use stopcock for meds, do not puncture latex caps, flush all tubing before use, use polymer injection caps, use cloth barrier between latex tourniquet and patient's skin.
|
| Suction Tubing |
|
|
 |
|
Patient Assessment Equipment |
| Blood Pressure Cuff/Tubing |
|
- Use cuff over clothing, or cover cuff with Webril or stockinette
- Vital Signs (800-932-0760) - CLEENCUFF, CUFF-ABLE, CLEAN-ABLE
- GE Healthcare (877-274-8456) - Critikon Dinamap
|
| Pulse Oximeters |
|
- Nellcor (800-NELLCOR) - Adult clip sensor
- Cover skin with Tegaderm or Opsite
|
| Rubber Reflex Hammer |
|
- Cover hammer with baggie, or use cloth barrier between hammer and patient's skin
|
| Stethoscope Tubing |
|
- Keep tubing from skin, cover with cotton battings, stockinette, or Stethoscope Covers
- Sprague, Littman (800-228-3957)
*All Littman stethoscopes are latex free EXCEPT the Littman Anesthescope
|
 |
|
Patient Comfort/Therapy |
| Chux/Rubber Sheets |
|
|
| Resistive Exercise Bands |
|
- Cover with cloth
- Thera-Bands (800-321-2135) - offer both latex and latex-free exercise bands.
- Exercise putty (Roylan)
|
| Wheelchair Seats/Tires/Hand Brakes |
|
- ROHO (800-851-3449) - cushions
- Cover seat with fabric, use leather gloves to turn wheels, neoprene cushion
|
 |
|
Medication Administration |
| Bulb Syringes/ Medication Droppers |
|
- Health Enterprises (800-633-4243) - latex-free bulbs
- Med-Worldwide (800-638-9224) - latex-free 2 oz bulb syringe
- Lang Dental (800-222-5264) - synthetic bulbs
|
| Syringes |
|
- Terumo (800-888-3786) - BD Luer-Lok, Toomey Tip Syringe (See www.allmed.net)
- Dey Labs (800-869-9005) - Epi-Pen
- Glass syringes, or prepare medication in syringe just before use.
|
| Vial Stoppers |
|
- Remove latex stopper
- Eli-Lilly (800-545-5979)
- Fujisawa (800-888-7704)
- Merck (800-672-6372)
- For Insulin: Advantajet (800-991-4464)
|
 |
|
Gloves |
| Latex Gloves |
|
- Use vinyl, nitrile, neoprene, polymer gloves
- Allerderm (800-365-6868) - Nitrile, vinyl
- Kimberly Clark (800-524-3577) - Safeskin
- Ammex (800-274-7354) - Nitrile, vinyl
- Ansell (800-321-9752) - Dermaprene, Allergard
- ECI Medical Technologies (800-668-5289) - Elastyfree, Elastylite
- Medline (800-633-5463) - Maxxim Sensicare, Tru-Touch
- Best (800-241-0323) - N-DEX nitrile, RealFeel Vinyl
- Regent (800-843-8497) - Neotech, Skinsense
- Smart Practice (800-522-0800) - QualiTouch nitrile, Vinylite vinyl
- Microflex (800-876-6866) - FreeForm, Supreno
- Top Quality Mfg. Inc. (800-483-8559)
|
 |
|
Surgical Equipment |
| Rubber Head Straps |
|
|
| Surgical Garb |
|
|
| Surgical Packs |
|
- DeRoyal (800-251-9864) - Latex Safe TracePak for several different procedures in easy-to-store, portable containers.
|
| Vascular Stockings |
|
|
Warming Blankets: (Fluid Circulating) |
|
|
 |
|
Staff Training/Apparel |
| CPR Manikins |
|
|
| Lab Coats/Jackets |
|
|
| Masks |
|
|
 |
|
Dental |
| Anesthetic Cartriges |
|
- Septodont, Inc (800-872-8305)- latex-free dental cartridges
- Use glass ampule-based anesthetics with latex-free syringe.
|
| Bitewing Tabs |
|
|
| Dental Dam |
|
- Hygenic (800-321-2135)
- Patterson (800-873-7683)
|
| Endodotic Filling Material (Gutta Percha) |
|
|
Home Care Products
Toothbrush Handles Irrigation Tips Gum Stimulators |
|
|
| Impression Material |
|
- Parkell (800-243-7446) - Blu-Mousse
- GC America (800-323-7063) - Exaflex
- Alginate, Impergum
|
| Instrument Bands |
|
|
| Model Former (Rubber Base) |
|
|
| Mixing Bowls |
|
|
| Orthodontic Elastics |
|
|
| Polishing Points/Wheels |
|
|
| Prophy Cups |
|
|
Laboratory Cases
Advise the laboratory of the latex-allergy status of your patient when sending the case out, but be aware that materials returned from a dental laboratory may have been handled with latex gloves. Wash all prosthetics and appliances thoroughly with soap and water before insertion in a latex-allergic patient.
All Dental Materials
To prevent the transfer of latex allergens onto nonlatex products, DO NOT handle products while wearing latex gloves or with unwashed hands after wearing latex gloves. DO NOT store nonlatex products with natural rubber latex products. DO NOT leave dental materials and instruments exposed to airborne allergens and latex glove powder if they are to be used on a latex-allergic patient.
References:
Shojaei AR, Haas DA. Local anesthetic cartridges and latex allergy: a literature review. J Can Dent Assoc Nov. 2002; 68(10):622-6.
Scarlett, M. Current concepts in local anesthetics. Woman Dentist Journal; April 2004.
Hamann C, Rodgers PA, Alenius H, Halsey JF, Sullivan K. Cross-reactivity between gutta-percha and natural rubber latex: assumptions vs. reality. J Am Dent Assoc Oct. 2002; 133(10):1357-67.
| See Alliance Medical for many types of latex-free medical/dental equipment. |
|