Sprotte Lumbar Puncture

For decades clinicians performing lumbar punctures had to battle the issues of Post Lumbar Puncture Headache (PLPH). One risk factor for post-lumbar puncture headaches is the use of a Quincke needle.⁶ With the introduction of the atraumatic Sprotte needle, the PLPH rates have been significantly reduced to allow for safer punctures and happier patients. Pajunk’s Sprotte needle increases the safety of Lumbar Puncture, improves the efficiency of diagnostics and decreases complications of the application.

Dyna Medical carries a wide range of Pajunk’s Sprotte needle sizes to match the needs of the different patient populations.

‍Read the Clinical Comparison of Sprotte vs. Quincke.

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Overview of key advantages

Unobstructed CSF backflow

Clear needle hub allows for easy visualization of blood of CSF and allows for rapid detection of even the smallest quantities of CSF

Reduce Cost & Treatment Process

Increases efficiency, reduces process and treatment costs¹⁰

Patient Safety

Increases application safety

Minimizes chance of tissue coring

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Lower chance of PDPH^{1,2,4,5,6,7,8}

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Overview of key advantages

Features & Advantages

1. Atraumatic Tip Design

The ogive shaped tip significantly reduces the risk of PDPH and the rounded edges of the lateral eye minimize trauma to the dura mater
Minimizes chance of PDPH¹
Consistent tactile feedback

2. Lateral Eye

Burr-free, rounded atraumatic edges
Optimized gliding properties
Minimum chance of tissue coring and carry-over into the subarachnoid space

3. Optimal Lateral Eye Size & Placement

Unobstructed backflow, even if the eye is partially blocked by the arachnoid membrane
Allows for quicker CSF flashback²

4. Precision-Ground Metal Stylet

Lateral eye closes precisely to minimize chance of tissue coring³
Polished, rounded tip prevents abrasion on the inner needle tube

5. Standard Hub

Designed for rapid detection of even the smallest quantities of CSF
Reduced inner space

6. Highest Processing Quality

High quality stainless steel needle for increased stability
Smoothly polished and burr-free surface of inner and outer lumen for optimized gliding properties and CSF backflow
Consistent feel and reliable performance

7. Colour-Coded Needle Hub for Size Identification

Easy identification of needle size

8. Introducer with Facet Tip

Diameter and length perfectly matched to each spinal needle size
Minimal reduction of usable working length of the spinal needle
Funnel-shaped hub to reduce chance of spinal needle tip damage during insertion

¹ Davis, A.; Dobson, R.; Kaninia, S.; Giovannoni, G.; Schmierer, K. (2016): Atraumatic needles for lumbar puncture: why haven't neurologists changed? In Practical neurology 16 (1), pp. 1822. DOI: 10.1136/practneurol-2014-001055.0
² Engedal, Thorbjørn S.; Ørding, Helle; Vilholm, Ole Jakob (2015): Changing the needle for lumbar punctures: results from a prospective study. In Clinical neurology and neurosurgery 130, pp. 7479. DOI: 10.1016/j.clineuro.2014.12.020.
³ Tung, C. E.; Yuen, T. S.; Lansberg, M. G. (2012): Cost comparison between the atraumatic and cutting lumbar puncture needles. In Neurology 78, pp.109113.
⁴ Arevalo-Rodriguez, Ingrid; Muñoz, Luis; Godoy-Casasbuenas, Natalia; Ciapponi, Agustín; Arevalo, Jimmy J.; Boogaard, Sabine; Roqué I Figuls, Marta (2017): Needle gauge and tip designs for preventing post-dural puncture headache (PDPH). In The Cochrane database of systematic reviews 4, CD010807. DOI:10.1002/14651858.CD010807.pub2.
⁵ McLaughlin, Colleen A.; Hockenberry, Marilyn J.; Kurtzberg, Joanne; Hueckel, Rémi; Martin, Paul L.; Docherty, Sharron L. (2014): Standardization of health care provider competencies for intrathecal access procedures. In Journal of pediatric oncology nursing: official journal of the Association of Pediatric Oncology Nurses 31(6), pp. 304316. DOI: 10.1177/1043454214543019.
⁶ Nath, Siddharth; Koziarz, Alex; Badhiwala, Jetan H.; Alhazzani, Waleed; Jaeschke, Roman; Sharma, Sunjay et al. (2018): Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis. In The Lancet 391(10126), pp. 11971204. DOI: 10.1016/S0140-6736(17)32451-0.
⁷ Rochwerg, Bram; Almenawer, Saleh A.; Siemieniuk, Reed A. C.; Vandvik, Per Olav; Agoritsas, Thomas; Lytvyn, Lyubov et al. (2018): Atraumatic (pencil-point)versus conventional needles for lumbar puncture: a clinical practice guideline. In BMJ, k1920. DOI: 10.1136/bmj.k1920.
⁸ Zhang, Yi C.; Chandler, Alexander J.; Kagetsu, Nolan J. (2014): Technical compliance to standard guidelines for lumbar puncture and myelography: survey of academic neuroradiology attendings and fellows. In Academic radiology 21 (5), pp.612616. DOI: 10.1016/j.acra.2014.01.021.
⁹ Bellamkonda, Venkatesh R.; Wright, Thomas C.; Lohse, Christine M.; Keaveny, Virginia R.; Funk, Eric C.; Olson, Michael D.; Laack, Torrey A. (2017): Effect of spinal needle characteristics on measurement of spinal canal opening pressure. In The American journal of emergency medicine 35 (5), pp. 769772. DOI:10.1016/j.ajem.2017.01.047.
¹⁰ Puolakka, R.; Andersson, L. C.; Rosenberg, H. (2000): Microscopic Analysis of Three Different Spinal Needle Tips After Experimental Subarachnoid Puncture. In Regional Anesthesia and Pain Medicine 25 (2), pp. 163169.
¹¹ Lavi R., Rowe J.M., Avivi I. Lumbar Puncture. It Is Time to Change the Needle, EurNeurol, 2010; 64:108113

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Features & Advantages

Ordering Information

| Needle Size | Item no. | NRFit Item no.
| PU | Introducer
& Wings | MDALL License | | :-------------------- | :------------ | :---------------------------------------: | :--: | :----------------------: | :-------------: | | 22G x 90mm (3 1/2") | 321151-30C | ---------- | 25 | • | 11625 | | 22G x 90mm (3 1/2") | 001151-30C\* | 001163-30C | 25 | | 11625 | | 22G x 103mm (4") | 341151-30C | ---------- | 25 | • | 11625 | | 22G x 120mm (4 3/4") | 331151-30C | ---------- | 25 | • | 11625 | | 22G x 120mm (4 3/4") | 031151-30C\* | ---------- | 10 | | 11625 | | 21G x 90mm (3 1/2") | 321151-31A | ---------- | 25 | • | 11625 | | 21G x 90mm (3 1/2") | 001151-31A | ---------- | 25 | | 11625 | | 21G x 103mm (4") | 341151-31A | ---------- | 25 | • | 11625 | | 21G x 120mm (4 3/4") | 331151-31A | ---------- | 10 | • | 11625 | | 20G x 90mm (3 1/2") | 331151-31B | ---------- | 25 | • | 11625 | | 20G x 90mm (3 1/2") | 0001151-31 | ---------- | 25 | | 11625 | | 20G x 120mm (4 3/4") | 321151-31B | ---------- | 10 | • | 11625 | | 20G x 150mm (6") | 0041151-31 | ---------- | 10 | | 11625 |

*Regular inventory products, other sizes listed are available as a special order (3-10 weeks delivery)

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