Message Details Date Sent: 11/04/2016 02:58 PM EDT Sender: Michigan Health Alert Network Subject: Limited Availability of Naloxone Atomization Device Message:
11/4/16 To: Life Support Agencies, Medical Control Authorities, Hospitals From: Bureau of EMS, Trauma, and Preparedness RE: Limited Availability of Naloxone Atomization Device There is a national supply chain problem in the Mucosal Atomization Devices (MAD®). These devices are the primary device required for intranasal syringe administration of naloxone (Narcan). First, there is a recall of specific lots of the devices based on a potential to ineffectively atomize the medication (see attachment). This could result in a clinically significant under dosing of the medication resulting in ineffective reversal of the opiate overdose (i.e., failure to restore effective respirations). Second, the manufacturer has suspended production of new devices until the atomization problem can be resolved. At this time, we have been advised that manufacturing will not resume for another 4-5 weeks. When delivery of devices will occur remains unknown. We are unaware of an effective substitute device to permit intranasal syringe administration of naloxone. Considering the current opiate crisis, this problem with the device supply chain may have an important impact on EMS operations. Therefore, the Bureau of EMS, Trauma and Preparedness offers the following recommendations:
*** This alert is being sent to: Local Public Health EPC, Health Officer and Medical Director, BETP, Regional Epi and Regional Coalitions, EMS, MCAs, Hospitals and Emergency Management *** Attachments:
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