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What is the dead-space loss per draw with a 31G needle at 10 mg/mL?

Asked 24 Apr 2024Modified 23 months agoViewed 26k times
30

Details up front: a 31G needle · 10 mg/mL.

This should be a straightforward calculation and I keep getting two different answers.

The numbers are arbitrary; the method is what I am after.

Can someone walk through the arithmetic step by step?

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KN
askedklara_novotna16k1624 Apr 2024

5 Answers

Accepted answer first, then by votes
43

Accepted answer

Dead space is irreducible with a high-dead-space syringe, which is why the hardware matters more than any technique.

Low-dead-space syringe designs either have the needle bonded directly to the barrel — a fixed-needle syringe, which is the cheapest route — or add a moulded projection on the plunger tip that fills the luer cone.

Delivered peptide = 10 x 0.5 mg = 5.0 mg. Lost to dead space = 10 x 84 µL = 840 µL x 0.005 = 4.2 mg. Yield = 50 per cent.

Syringe residual volume has been measured properly, mainly in the infection-control literature, with a median residual of about 84 µL for a conventional 1 mL syringe with a detachable needle and roughly 2 µL for a fixed-needle low-dead-space design.

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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MO
answered · acceptedmarta_okonkwo87k25822 Aug 2024
8Does this hold at lower concentrations, or does adsorption dominate? – kwn_analytical 5 months ago
7Worth flagging that this changed in 2025, so older answers on the site are out of date. – s_bhattacharya 4 months ago
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34

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.

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

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.

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.

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

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TU
answeredtenth_of_a_unit40k385 May 2024
19

The single most important fact about dead space is that it is almost entirely in the hub cone, not in the needle, which is why changing needle gauge or length barely changes your losses.

Be sceptical of anything advertised as low dead space that retains a conventional plunger tip: if you can look into the fitting with the plunger fully forward and see an open conical void, that void is your dead space.

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

edited 31 May 2024 by lane_transit — added the placebo-arm figures

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LT
answeredlane_transit42k3827 May 2024
16

The switch to a low-dead-space syringe nearly doubles your usable vial, which is better than switching suppliers if you are looking for cost savings.

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

Published inter-laboratory comparisons of dead-space measurements on identical syringes show good agreement, suggesting the numbers are reliable.

The limitation is that even with perfect technique, some loss is irreducible unless you switch to a low-dead-space syringe.

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

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HV
answeredh_villanueva50k3816 May 2024
14

This is arithmetic, so let us do the arithmetic and see where the losses actually are.

Draws available = 2000 / 102 = 19.6, so 19 full draws. Delivered peptide = 19 x 0.5 mg = 9.5 mg. Lost to dead space = 19 x 2 µL = 38 µL x 0.005 = 0.19 mg. Yield = 95 per cent.

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

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M4
answeredmz_411399k25820 Jul 2024

Your answer

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