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What is the dead-space loss per draw with a 25G drawing needle at 20 mg/mL?

Asked 6 Mar 2026Modified 2 months agoViewed 9.2k times
11

What I am working with: a 25G drawing needle · 20 mg/mL.

The units are where I keep going wrong, so please be explicit about them.

I have sanity-checked the order of magnitude and it seems right, which is not the same as being right.

Where is my error, and what is the correct working?

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MS
askedmira_sundqvist19k186 Mar 2026

3 Answers

Accepted answer first, then by votes
41

Accepted answer

The distinction that resolves most of these questions is understanding that dead space is a fixed volume — typically 3 to 5 µL in a fixed-needle syringe and 35 to 100 µL in a luer-lock — and its cost scales with how small your draws are.

At 5 mg/mL that is 15 to 25 µg lost per draw on the insulin syringe and 175 to 500 µg on the luer-lock — which over ten draws is the difference between losing a rounding error and losing half a milligram.

Concentration and unit conversion at a glance

VialDiluentConcentration0.25 mg0.5 mg1 mg2.5 mg
5 mg1 mL5 mg/mL5 u10 u20 u50 u
5 mg2 mL2.5 mg/mL10 u20 u40 u100 u
10 mg1 mL10 mg/mL2.5 u5 u10 u25 u
10 mg2 mL5 mg/mL5 u10 u20 u50 u
10 mg3 mL3.33 mg/mL7.5 u15 u30 u75 u

Units are U-100 insulin units, where 1 unit = 0.01 mL. Divide dose by concentration for millilitres, then multiply by 100.

The underlying point is that the complete rule: fix the syringe architecture first, and then the reconstitution volume becomes a free choice you can make on stability grounds rather than on economics.

The World Health Organisation guidance on injection equipment adopted the same high-versus-low dead-space distinction, using a low-dead-space threshold in the low single-digit microlitres.

One qualification: the dead space does not affect the dose accuracy if the hub was full of solution at the start of the draw.

If cost matters, this is the first thing to change, not the last.

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IB
answered · acceptedines_brandt93k2483 May 2026
I have seen exactly this failure mode twice and both times it was the diluent. – greta_holzmann 10 days ago
2The distinction between purity and content cannot be repeated often enough here. – micron22 2 months ago
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15

Put another way, a fixed-needle insulin syringe holds roughly 3 to 5 µL dead space and costs the same as a luer-lock syringe with 35 to 100 µL dead space.

Corollary that follows immediately: changing needle gauge or length barely changes your losses.

More usefully, the luer cone of the syringe plus the needle's own plastic hub accounts for the vast majority of the dead space.

I would not underestimate the dead-space cost when calculating your true cost per dose.

Buy the right syringe — a fixed-needle insulin syringe is cheap and solves the problem.

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JE
answeredjonas_ekstrom18k2814 May 2026
2Worth flagging that this changed in 2025, so older answers on the site are out of date. – bea_forsberg 7 months ago
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-1

More usefully, this is arithmetic, so let us do the arithmetic and see where the losses actually are.

The needle lumen volume is under a microlitre in a typical fine-gauge configuration, so the needle is not the problem.

Configuration B — 0.5 mL fixed-needle U-100 insulin syringe, dead space 2 µL: volume removed per draw = 100 + 2 = 102 µL.

The switch nearly doubles your vial, which is better than most other optimisations combined.

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ND
answerednynke_dekker18k2825 May 2026

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