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Double gloving with puncture indication for extra safety

The key to maximum safety is making sure that punctures in surgical gloves can be detected as rapidly as possible.

Mölnlycke Biogel gloves with puncture indication system

The Biogel® Indicator® System's puncture indications are clear, fast and large 1 – all important factors for immediate puncture detection and a clear path to safety and reduced risk of infection.

  • A 2014 Cochrane Review concludes that double gloving reduces the risk of an inner-glove perforation by 71% compared to single gloving2  
  • A study by Laine and colleagues concluded that indicator gloves substantially increase the detection for glove perforations during surgical procedures. Indicator gloves detect approximately 90% of the perforations, while standard double gloves and single gloves only detect 36% and 23% of the punctures respectively 3.
  • Biogel Indicator System detects up to 97% of punctures 4 

Protection you can see

The Biogel Indicator System is unique in that it offers vividly visible puncture detection in three proven ways: 1 

  • Clear – The colour of the inner glove is selected based on colour physics, maximising the sensitivity of the human eye
  • Fast – The gloves are designed to make a puncture visible as fast as possible and to ensure that the regions of indication grow quickly
  • Large – The Biogel puncture indication is large and visible from a distance

The Biogel PI Micro Indicator system gives significantly clearer indication than other synthetic double-gloving combinations, making punctures visible as fast as possible 5.

How the puncture indication system works

The Biogel Indicator System is made up of a dark-coloured underglove and a straw-coloured overglove.

Normally, the overglove blocks out most of the underglove's colour. When fluid gets between the two layers, light passes through the overglove and reveals the underglove.

Take our e-learning courses below on puncture indication and double gloving to learn more about infection prevention and control.

    1. REPR0355, Spectrophotometer Measurement of the Colour Indicator Type Surgical Gloves. 2008. Data on file.
    2. Mischke C, et al. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane Database Syst Rev. 2014 [cited 14 Sep 2017];(3):CD009573. URL: doi:10.1002/14651858.CD009573.pub2.
    3. Laine T, et al. Glove perforation in orthopaedic and trauma surgery. A comparison between single, double indicator gloving and double gloving with two regular gloves. J Bone Joint Surg. British Volume; 2004;86(6):896-900.
    4. Wigmore SJ & Rainey JB. Use of coloured undergloves to detect puncture. BJS 1994: 81:1480. https://doi.org/10.1002/bjs.1800811026
    5. Mölnlycke Health Care. Evaluation of Indication Performance and Determination of Surface Accelerators of Biogel PI Indicator versus Competitors’ PI Double Gloving Systems. Report no. 887. 2015. Data on file.