Knowledge

Vacutainer

Source 📝

835: 165: 262: 25: 205: 184:
is double-ended: the inner end is encased in a thin rubber coating that prevents blood from leaking out if the Vacutainer tubes are changed during a multi-draw, and the outer end which is inserted into the vein. When the needle is screwed into the translucent plastic needle holder, the coated end is
144:
with a colored rubber stopper creating a vacuum seal inside of the tube, facilitating the drawing of a predetermined volume of liquid. Vacutainer tubes may contain additives designed to stabilize and preserve the specimen prior to analytical testing. Tubes are available with a safety-engineered
188:
When a tube is inserted into the holder, its rubber cap is punctured by this inner needle and the vacuum in the tube pulls blood through the needle and into the tube. The filled tube is then removed and another can be inserted and filled the same way. The amount of air evacuated from the tube
276:
refers to the sequence in which tubes should be filled. The needle which pierces the tubes can carry additives from one tube into the next, so the sequence is standardized so that any cross-contamination of additives will not affect laboratory results.
865:. In developing countries, it is still common to draw blood using a syringe or syringes. Many brands have now started manufacturing Vaccutainer such as Vacu-8, Hemo Tube and Hemo Vac Plus. These tubes are now also available in pre-barcoded forms. 853:
The plastic tube version, known as Vacutainer PLUS, was developed at B-D in the early 1990s by E. Vogler, D. Montgomery and G. Harper amongst others of the Surface Science Group as US patents 5344611, 5326535, 5320812, 5257633 and 5246666.
192:
Each tube is topped with a color-coded plastic or rubber cap. Tubes often include additives that mix with the blood when collected, and the color of each tube's plastic cap indicates which additives it contains.
122: 172:
using a vacutainer. The clear plastic sheath around the top of the tube holds the needle. The orange guard will shield the needle after it is withdrawn from the patient to protect from
1142: 861:
in developed countries due to safety and ease of use. Vacutainers have the advantage of being prepared with additives, allowing easy multi-tube draws, and having a lower chance of
219:. Using the wrong tube may make the blood sample unusable for the intended purpose. These additives are typically thin film coatings applied using an 1187: 258:
accumulating at the top. Tubes containing gel can be easily handled and transported after centrifugation without the blood cells and serum mixing.
250:. Additionally, some tubes contain additives that preserve certain components of or substances within the blood, such as glucose. When a tube is 196:
Blood collection tubes expire because over time the vacuum is lost and blood will not be drawn into the tube when the needle punctures the cap.
1063: 1035: 1010: 1319: 1256: 1126: 1099: 89: 145:
stopper, with a variety of labeling options and draw volumes. The color of the top indicates the additives in the vial.
61: 1296: 344:
Usually drawn first for minimal risk of contamination. Two bottles are typically collected in one blood draw; one for
108: 68: 533: 838:
Blood collection tubes are among the basic medical supplies taken by disaster relief programs to affected areas.
298: 796: 558: 46: 254:, the materials within are separated by density, with the blood cells sinking to the bottom and the plasma or 75: 137: 1272: 815:
1. Grey (nil) tube 2. Green (TB1 antigen) tube 3. Yellow (TB2 antigen) tube 4. Purple (mitogen) tube
386: 42: 1408: 57: 763: 410: 1067: 489: 439:(SST): Tube inversions promote clotting. Most chemistry, endocrine and serology tests, including 173: 35: 1163: 952: 834: 1246: 1216:"Effects of standard anticoagulants and storage procedures on plasma glucose values in seals" 1116: 1089: 726: 467: 435: 882: 842:
Vacutainer technology was developed in 1947 by Joseph Kleiner, and is currently marketed by
846:(B-D). The Vacutainer was preceded by other vacuum-based phlebotomy technology such as the 554: 215:
Vacutainer tubes may contain additional substances that preserve blood for processing in a
8: 1418: 1039: 776: 169: 1388: 82: 980: 349: 216: 1248:
Accurate Results in the Clinical Laboratory: A Guide to Error Detection and Correction
912: 1367: 1252: 1227: 1122: 1095: 934: 787: 701: 220: 181: 1357: 1014: 988: 924: 843: 382: 345: 153: 133: 1323: 929: 688: 1413: 1362: 1345: 608: 566: 363: 339: 235: 1402: 847: 734: 663: 638: 596: 542: 390: 371: 329: 318: 255: 227: 209: 189:
predetermines how much blood will fill the tube before blood stops flowing.
164: 1371: 1215: 938: 820: 710: 603: 520: 414: 334: 289: 261: 247: 1231: 269:
The meanings of the various colors are standardized across manufacturers.
121: 810: 612: 574: 562: 549: 497: 1115:"Chapter 3.4.1: Blood cultures; general detection and interpretation". 858: 793: 772: 768: 715: 695: 645: 570: 293: 251: 243: 862: 538: 440: 285: 141: 24: 1393: 659: 634: 592: 297: 208:
A tiger top tube after centrifugation to separate blood cells from
1244: 509: 493: 481: 239: 957: 1346:"An Appraisal of the "Vacutainer" System for Blood Collection" 1064:"Blood collection: routine venipuncture and specimen handling" 204: 1168:
Pathology & Laboratory Medicine, UCI School of Medicine
670: 231: 1312: 148:
Vacutainer tubes were invented by Joseph Kleiner in 1949.
1213: 1091:
Mosby's Diagnostic and Laboratory Test Reference - E-Book
738: 616: 444: 1273:"What types of samples will the Toxicology Lab analyze?" 1088:
Pagana, KD; Pagana, TJ; Pagana, TN (19 September 2014).
16:
Type of blood collection equipment for medical testing
1245:
Amitava Dasgupta; Jorge L. Sepulveda (20 July 2019).
1238: 1297:"BD Vacutainer Venous Blood Collection – Tube Guide" 49:. Unsourced material may be challenged and removed. 1087: 1400: 906: 904: 644:Trace elements, heavy metals, most drug levels, 156:, which manufactures and sells the tubes today. 1214:Castellini MA, Castellini JM, Kirby VL (1992). 913:"A golden age of clinical chemistry: 1948–1960" 901: 1011:"Specimen Collection Tubes & Containers" 883:"Vacutainer and Their Use in Blood Sampling" 125:A range of Vacutainer tubes containing blood 1343: 1207: 910: 1094:. Elsevier Health Sciences. p. xiii. 421:Gold (sometimes red and grey "tiger top") 1361: 1118:Clinical Microbiology Procedures Handbook 928: 242:) or a gel with density between those of 109:Learn how and when to remove this message 1289: 833: 260: 203: 163: 120: 1320:"US Patent Office Patent number search" 306:Tube cap color or type in order of draw 1401: 1277:Oklahoma State Bureau of Investigation 1058: 1056: 1003: 875: 47:adding citations to reliable sources 18: 1389:Blood Collection Tube Coating Video 1143:"Test Tube Guide and Order of Draw" 1053: 524:. Tube inversions prevent clotting 13: 1164:"Specimen requirements/containers" 1028: 14: 1430: 1382: 1251:. Elsevier Science. p. 131. 199: 1344:Ames, A.C.; Bamford, E. (1975). 953:"VACUTAINER - Trademark Details" 393:(TT). Tube must be filled 100%. 23: 1350:Annals of Clinical Biochemistry 1337: 1265: 1180: 1156: 1135: 961:. Justia Corporate Center. 2020 857:Vacutainers are widely used in 34:needs additional citations for 1108: 1081: 973: 945: 1: 868: 159: 152:is a registered trademark of 805:Grey, Green, Yellow, Purple 326:Sodium polyanethol sulfonate 7: 1150:Guthrie Laboratory Services 930:10.1093/clinchem/46.10.1705 387:partial thromboplastin time 10: 1435: 1363:10.1177/000456327501200136 829: 226:The additives may include 411:Total complement activity 1121:. Wiley. 6 August 2020. 174:accidental needle sticks 1036:"Quick Collection List" 565:, platelet antibodies, 370:(weak calcium chelator/ 168:Drawing blood from the 1188:"Proper Order of Draw" 839: 746:Pearlescent ("white") 266: 265:Vacutainer blood tubes 212: 177: 126: 1195:Memorial Lab Services 837: 727:Acid-citrate-dextrose 515:Plasma separator gel 468:serum-separating tube 436:Serum-separating tube 264: 207: 167: 124: 911:Rosenfeld L (2000). 529:Lavender ("purple") 488:Chromosome testing, 43:improve this article 350:anaerobic organisms 312:Usage and comments 302: 185:inside the holder. 170:median cubital vein 1394:Pre barcoded tubes 1220:J Am Vet Med Assoc 840: 569:, blood levels of 280: 267: 217:medical laboratory 213: 178: 127: 1409:Medical equipment 1258:978-0-12-813777-2 1128:978-1-55581-881-4 1101:978-0-323-22592-2 889:. 5 February 2018 827: 826: 702:Potassium oxalate 379:Coagulation tests 346:aerobic organisms 221:ultrasonic nozzle 140:glass or plastic 119: 118: 111: 93: 1426: 1376: 1375: 1365: 1341: 1335: 1334: 1332: 1331: 1322:. Archived from 1316: 1310: 1309: 1307: 1306: 1301: 1293: 1287: 1286: 1284: 1283: 1269: 1263: 1262: 1242: 1236: 1235: 1211: 1205: 1204: 1202: 1201: 1192: 1184: 1178: 1177: 1175: 1174: 1160: 1154: 1153: 1147: 1139: 1133: 1132: 1112: 1106: 1105: 1085: 1079: 1078: 1076: 1075: 1066:. Archived from 1060: 1051: 1050: 1048: 1047: 1038:. Archived from 1032: 1026: 1025: 1023: 1022: 1013:. Archived from 1007: 1001: 1000: 998: 996: 989:Becton Dickinson 981:"BD Vacutainer®" 977: 971: 970: 968: 966: 949: 943: 942: 932: 908: 899: 898: 896: 894: 879: 844:Becton Dickinson 683:Fluoride Oxalate 513:(anticoagulant) 460:serum separating 429:serum separating 383:prothrombin time 303: 301: 279: 154:Becton Dickinson 134:blood collection 114: 107: 103: 100: 94: 92: 51: 27: 19: 1434: 1433: 1429: 1428: 1427: 1425: 1424: 1423: 1399: 1398: 1385: 1380: 1379: 1356:(1–6): 151–55. 1342: 1338: 1329: 1327: 1318: 1317: 1313: 1304: 1302: 1299: 1295: 1294: 1290: 1281: 1279: 1271: 1270: 1266: 1259: 1243: 1239: 1212: 1208: 1199: 1197: 1190: 1186: 1185: 1181: 1172: 1170: 1162: 1161: 1157: 1145: 1141: 1140: 1136: 1129: 1114: 1113: 1109: 1102: 1086: 1082: 1073: 1071: 1062: 1061: 1054: 1045: 1043: 1034: 1033: 1029: 1020: 1018: 1009: 1008: 1004: 994: 992: 979: 978: 974: 964: 962: 951: 950: 946: 923:(10): 1705–14. 909: 902: 892: 890: 887:medcaretips.com 881: 880: 876: 871: 832: 755: 737:, DNA studies, 731:(anticoagulant) 704:(anticoagulant) 588: 485:(anticoagulant) 359:("light blue") 202: 180:The Vacutainer 162: 115: 104: 98: 95: 52: 50: 40: 28: 17: 12: 11: 5: 1432: 1422: 1421: 1416: 1411: 1397: 1396: 1391: 1384: 1383:External links 1381: 1378: 1377: 1336: 1311: 1288: 1264: 1257: 1237: 1206: 1179: 1155: 1134: 1127: 1107: 1100: 1080: 1052: 1027: 1002: 972: 944: 900: 873: 872: 870: 867: 831: 828: 825: 824: 817: 807: 800: 799: 791: 788:Sodium Citrate 784: 780: 779: 760: 753: 750:Separating gel 747: 743: 742: 732: 723: 719: 718: 707: 706: 705: 699: 679: 675: 674: 667: 653: 649: 648: 642: 628: 621: 620: 609:cross-matching 600: 586: 582: 578: 577: 567:flow cytometry 546: 530: 526: 525: 517: 505: 501: 500: 486: 477: 473: 472: 463: 456:Clot activator 453: 449: 448: 432: 425:Clot activator 422: 418: 417: 404: 399: 395: 394: 376: 361: 354: 353: 342: 340:microorganisms 323: 314: 313: 310: 307: 236:sodium citrate 228:anticoagulants 201: 200:Types of tubes 198: 161: 158: 117: 116: 31: 29: 22: 15: 9: 6: 4: 3: 2: 1431: 1420: 1417: 1415: 1412: 1410: 1407: 1406: 1404: 1395: 1392: 1390: 1387: 1386: 1373: 1369: 1364: 1359: 1355: 1351: 1347: 1340: 1326:on 2019-04-28 1325: 1321: 1315: 1298: 1292: 1278: 1274: 1268: 1260: 1254: 1250: 1249: 1241: 1233: 1229: 1225: 1221: 1217: 1210: 1196: 1189: 1183: 1169: 1165: 1159: 1151: 1144: 1138: 1130: 1124: 1120: 1119: 1111: 1103: 1097: 1093: 1092: 1084: 1070:on 2006-01-29 1069: 1065: 1059: 1057: 1042:on 2005-12-16 1041: 1037: 1031: 1017:on 2006-02-12 1016: 1012: 1006: 990: 986: 982: 976: 960: 959: 954: 948: 940: 936: 931: 926: 922: 918: 914: 907: 905: 888: 884: 878: 874: 866: 864: 860: 855: 851: 849: 848:Keidel vacuum 845: 836: 823: 822: 818: 816: 813: 812: 808: 806: 802: 801: 798: 795: 792: 790: 789: 785: 782: 781: 778: 774: 770: 766: 765: 761: 759: 751: 748: 745: 744: 740: 736: 735:Tissue typing 733: 730: 728: 724: 721: 720: 717: 713: 712: 708: 703: 700: 697: 693: 692: 687: 686: 685: 684: 680: 677: 676: 673: 672: 668: 665: 664:anticoagulant 661: 657: 654: 651: 650: 647: 643: 640: 639:anticoagulant 636: 632: 629: 627: 623: 622: 618: 614: 610: 606: 605: 601: 598: 597:anticoagulant 594: 590: 583: 580: 579: 576: 572: 568: 564: 560: 556: 552: 551: 547: 544: 543:anticoagulant 540: 536: 535: 531: 528: 527: 523: 522: 518: 516: 512: 511: 506: 503: 502: 499: 495: 491: 487: 484: 483: 478: 475: 474: 470: 469: 464: 461: 457: 454: 451: 450: 446: 442: 438: 437: 433: 430: 426: 423: 420: 419: 416: 415:cryoglobulins 412: 408: 405: 403: 400: 397: 396: 392: 391:thrombin time 388: 384: 380: 377: 375: 373: 372:anticoagulant 368: 367: 362: 360: 356: 355: 351: 347: 343: 341: 337: 336: 331: 330:anticoagulant 327: 324: 321: 320: 319:Blood culture 316: 315: 311: 308: 305: 304: 300: 295: 291: 287: 283: 278: 275: 274:order of draw 270: 263: 259: 257: 253: 249: 245: 241: 237: 233: 229: 224: 222: 218: 211: 206: 197: 194: 190: 186: 183: 175: 171: 166: 157: 155: 151: 146: 143: 139: 135: 132: 123: 113: 110: 102: 91: 88: 84: 81: 77: 74: 70: 67: 63: 60: –  59: 55: 54:Find sources: 48: 44: 38: 37: 32:This article 30: 26: 21: 20: 1353: 1349: 1339: 1328:. Retrieved 1324:the original 1314: 1303:. Retrieved 1291: 1280:. Retrieved 1276: 1267: 1247: 1240: 1226:(1): 145–8. 1223: 1219: 1209: 1198:. Retrieved 1194: 1182: 1171:. Retrieved 1167: 1158: 1152:. June 2019. 1149: 1137: 1117: 1110: 1090: 1083: 1072:. Retrieved 1068:the original 1044:. Retrieved 1040:the original 1030: 1019:. Retrieved 1015:the original 1005: 993:. Retrieved 984: 975: 963:. Retrieved 956: 947: 920: 916: 891:. Retrieved 886: 877: 856: 852: 841: 821:Tuberculosis 819: 814: 809: 804: 803:QuantiFERON 786: 762: 757: 749: 725: 709: 690: 682: 681: 669: 655: 630: 625: 604:Blood typing 602: 584: 548: 532: 519: 514: 508: 504:Light green 480: 466: 459: 455: 434: 428: 424: 406: 401: 378: 369: 365: 358: 348:and one for 335:growth media 333: 325: 317: 290:venipuncture 281: 273: 271: 268: 248:blood plasma 225: 214: 195: 191: 187: 179: 149: 147: 130: 128: 105: 96: 86: 79: 72: 65: 58:"Vacutainer" 53: 41:Please help 36:verification 33: 995:February 9, 965:February 9, 811:QuantiFERON 714:, lactate, 656:Sodium EDTA 624:Royal blue 619:viral load 613:Coombs test 575:cyclosporin 563:Coombs test 550:Whole blood 476:Dark green 402:No additive 286:sample tube 252:centrifuged 244:blood cells 1419:Containers 1403:Categories 1330:2009-09-24 1305:2007-05-30 1282:2024-01-24 1200:2023-06-15 1173:2020-09-10 1074:2006-02-01 1046:2006-02-01 1021:2006-02-01 869:References 859:phlebotomy 794:Paediatric 773:toxoplasma 769:adenovirus 716:toxicology 698:inhibitor) 696:glycolysis 646:toxicology 571:tacrolimus 398:Plain red 389:(PTT) and 294:phlebotomy 288:types for 282:Vacutainer 160:Principles 150:Vacutainer 136:tube is a 131:vacutainer 69:newspapers 917:Clin Chem 863:hemolysis 741:cultures 626:("navy") 611:, direct 441:hepatitis 385:(PT) and 272:The term 142:test tube 99:July 2015 1372:15637911 939:11017957 691:fluoride 660:chelator 635:chelator 593:chelator 539:chelator 507:Lithium 492:typing, 381:such as 309:Additive 1232:1644639 830:History 722:Yellow 711:Glucose 689:Sodium 510:heparin 498:lactate 494:ammonia 482:heparin 479:Sodium 471:(RST). 452:Orange 366:citrate 364:Sodium 296:  240:heparin 138:sterile 83:scholar 1370:  1255:  1230:  1125:  1098:  991:. 2020 958:Justia 937:  893:27 May 783:Black 752:and (K 521:Plasma 465:Rapid 332:) and 322:bottle 182:needle 85:  78:  71:  64:  56:  1414:Blood 1300:(PDF) 1191:(PDF) 1146:(PDF) 777:HHV-6 678:Gray 581:Pink 407:Serum 357:Blue 256:serum 210:serum 90:JSTOR 76:books 1368:PMID 1253:ISBN 1228:PMID 1123:ISBN 1096:ISBN 997:2020 967:2020 935:PMID 895:2020 775:and 767:for 758:EDTA 671:Lead 652:Tan 631:EDTA 607:and 589:EDTA 573:and 534:EDTA 458:and 443:and 427:and 338:for 299:edit 246:and 232:EDTA 62:news 1358:doi 1224:201 925:doi 797:ESR 764:PCR 739:HIV 617:HIV 559:ESR 555:CBC 490:HLA 462:gel 445:HIV 431:gel 374:) 45:by 1405:: 1366:. 1354:12 1352:. 1348:. 1275:. 1222:. 1218:. 1193:. 1166:. 1148:. 1055:^ 987:. 985:BD 983:. 955:. 933:. 921:46 919:. 915:. 903:^ 885:. 850:. 771:, 662:/ 637:/ 615:, 595:/ 561:, 557:, 553:: 541:/ 496:, 447:. 413:, 409:: 352:. 238:, 234:, 223:. 129:A 1374:. 1360:: 1333:. 1308:. 1285:. 1261:. 1234:. 1203:. 1176:. 1131:. 1104:. 1077:. 1049:. 1024:. 999:. 969:. 941:. 927:: 897:. 756:) 754:2 729:A 694:( 666:) 658:( 641:) 633:( 599:) 591:( 587:2 585:K 545:) 537:( 328:( 292:/ 284:/ 230:( 176:. 112:) 106:( 101:) 97:( 87:· 80:· 73:· 66:· 39:.

Index


verification
improve this article
adding citations to reliable sources
"Vacutainer"
news
newspapers
books
scholar
JSTOR
Learn how and when to remove this message

blood collection
sterile
test tube
Becton Dickinson

median cubital vein
accidental needle sticks
needle

serum
medical laboratory
ultrasonic nozzle
anticoagulants
EDTA
sodium citrate
heparin
blood cells
blood plasma

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.