The Risks

The unsafe handling of hazardous drugs used to treat many forms of cancer has been recognized since the 1970's as a big health hazard to healthcare workers.

The toxicity of hazardous drugs and the dangers of prolonged exposure have been proven to cause hair loss, skin rashes, infertility, miscarriage, birth defects, and even leukemia or other forms of cancer in healthcare workers.1,2,3,4 Studies have shown that healthcare workers can be at risk of exposure to these drugs throughout their life cycle—from manufacturing and distribution to use in the clinical or home care environment and all the way through to waste disposal.

Our Solution

In response to the well-documented risks associated with handling hazardous drugs, ICU Medical has developed the ChemoClave system, the world's first needlefree closed systems and closed system transfer devices for the safe handling of hazardous drugs.

The ChemoClave CSTD is comprised of a selection of vial adapters that mechanically prohibit the transfer and escape of environmental contaminants, including the Genie® needlefree CSTD vial access device with an internal balloon that automatically equalizes drug vial pressure when extracting hazardous medications from vials; a selection of needlefree bag spikes; and primary add-on and administration sets featuring the Spiros® CSTD male luer. 

The components within the ChemoClave system, which can be combined in various configurations as either CSTDs or closed systems as defined by NIOSH, work to create and maintain a mechanically and microbiologically closed system throughout the preparation, transportation, administration, and disposal of hazardous drugs.

ChemoClave | Needlefree Closed Systems and Closed System Transfer Devices (CSTDs)

How it works

The ChemoClave system maintains a mechanically and microbiologically closed needlefree system that is safe, intuitive, and easy to use during every step of the hazardous drug handling process and assures compliance with OSHA, NIOSH, ASHP, ISOPP, ONS, APHON and USP <797> safe-handling guidelines.

Preparation - ChemoClave

Safe Preparation

The ChemoClave CSTD maintains a mechanically and microbiologically closed needlefree system during the preparation of hazardous drugs to help keep you safe and comply with recommended guidelines.

Transport - ChemoClave

Safe Transportation

By maintaining a closed system, the ChemoClave CSTD helps you prevent leaks and spills during the transport of hazardous drugs from pharmacy to nursing.


Administration - ChemoClave

Safe Administration

The ChemoClave CSTD makes it safer for you and your patients by preventing accidental disconnects to minimize drug exposure without having to change any standard nursing protocols.

Disposal - ChemoClave

Safe Disposal

The ChemoClave CSTD remains mechanically and microbiologically closed all the way through disposal to eliminate potential drug exposure to you or the environment.


  1. Connor TH, McDiarmid MA. Preventing occupational exposures to antineoplastic drugs in health care settings. CA Cancer J Clin 2006; 56: 354-365.
  2. National Institute for Occupational Safety and Health. NIOSH Alert: preventing occupational exposures to antineoplastic and other hazardous drugs in the health care setting. Centers for Disease Control and Prevention, National Institute for Occupation Safety and Health, DHHS (NIOSH) Publication No. 2004-165. Washington, DC: U.S. Department of Health and Human Services.
  3. Valanis B, Vollmer WM, Steele P. Occupational exposure to antineoplastic agents: self-reported miscarriages and stillbirths among nurses and pharmacists. Journal of Occupational and Environmental Medicine: 41(8) August 1999;632-638.
  4. Skov T, Maarrup B, Olsen J et al. Leukaemia and reproductive outcome among nurses handling antineoplastic drugs. British J of Industrial Medicine 1992; 49:855-861.

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