Birmingham gauge

The Birmingham gauge is also known as the Stubs Iron Wire Gauge or Birmingham Wire Gauge and is distinct from the Stubs Steel Wire Gauge and the British Standard Wire Gauge. It is commonly referred to simply as gauge (abbreviated as G),{{cite web |title='French', 'gauge' and millimeters |url=http://aam.ucsf.edu/article/french-gauge-and-millimeters |url-status=dead |archive-url=https://web.archive.org/web/20170818160042/http://aam.ucsf.edu/article/french-gauge-and-millimeters |archive-date=2017-08-18 |accessdate=2018-02-03 |website=University of California, San Francisco}} but this should not be confused with the French gauge, a separate system used for measuring the outer diameter of catheters.

The Birmingham gauge ranges from 5/0 or 00000, the lowest gauge number corresponding to the largest size of {{convert|0.500|in}}, to 36, the highest gauge number corresponding to the smallest size of {{convert|0.004|in}}. The increments between gauge sizes are not linear and vary. At higher gauge numbers, the increment between the two highest gauges is {{convert|0.001|in}}, while at lower gauge numbers, the increment between the two lowest gauges is {{convert|0.046|in}}. This progression does not follow a mathematical formula but instead reflects historical manufacturing practices in the wire drawing industry, where the size increments were determined by practical tooling, such as a draw plate, and production constraints.{{cite book|title=Machinery's Handbook 27|year=2004|publisher=Industrial Press, Inc|location=New York, NY|page=2520}} In applications involving wires and fine tubing, the gauge number refers to the product's outside diameter. For larger mechanical tubing, however, the gauge number indicates the wall thickness, independent of the tube's overall size.

In medicine, the Birmingham gauge is widely used to specify the outer diameter of hypodermic needles, catheters, cannulae, and suture wires. However, catheters are more commonly defined using the French catheter gauge. The Birmingham gauge was originally developed in early 19th-century England for wire manufacturing and became common in medical settings in the early 20th century.

The Birmingham gauge system is also recognized in international medical standards, such as ISO 6009:2016, which includes a color-coding system for hypodermic needles. This standardization helps ensure accurate identification and compatibility of medical equipment.

Hypodermic needles are available in a wide variety of outer diameters described by gauge numbers. Smaller gauge numbers indicate larger outer diameters.{{cite web |url= http://www.sigmaaldrich.com/chemistry/stockroom-reagents/learning-center/technical-library/needle-gauge-chart.html |title= Syringe Needle Gauge Chart |publisher= Sigma Aldrich |accessdate= 20 March 2012}} Inner diameter depends on both gauge and wall thickness. The following chart shows nominal inner diameter and wall thickness for regular-wall needles.{{cite web |url= http://www.medtube.com/hypo_chrt.htm |title= Hypodermic Needle Gauge Chart |publisher= Medical Tube Technology, Inc. |accessdate= 20 March 2012 |archive-date= 10 October 2004 |archive-url= https://web.archive.org/web/20041010031333/http://www.medtube.com/hypo_chrt.htm |url-status= dead }} Thin-wall needles (not shown) have identical outer diameters but larger inner diameters for a given gauge.

File:HypodermicNeedles.jpg. These needles are normally used with other medical devices, such as a syringe; from top to bottom:

{{bulleted list

| 26G × {{frac|1|2}}″ (0.45 × 12 mm) (brown)

| 25G × {{frac|5|8}}″ (0.5 × 16 mm) (orange)

| 22G × {{frac|1|1|4}}″ (0.7 × 30 mm) (black)

| 21G × {{frac|1|1|2}}″ (0.8 × 40 mm) (green)

| 20G × {{frac|1|1|2}}″ (0.9 × 40 mm) (yellow)

| 19G × {{frac|1|1|2}}″ (1.1 × 40 mm) (cream)

}}]]

{{Clear}}

Rapid blood transfusion through 23G or smaller needles can cause hemolysis (rupturing of red blood cells).{{cite journal|last1=Miller|first1=Michal A.|last2=Schlueter|first2=Annette J.|title=Transfusions via hand-held syringes and small-gauge needles as risk factors for hyperkalemia|journal=Transfusion|volume=44|issue=3|year=2004|pages=373–381|issn=0041-1132|doi=10.1111/j.1537-2995.2004.00653.x|pmid=14996194 |s2cid=22956171 }}

This includes peripheral venous catheters. The gauge compared to outer diameter is the same as for needles, but the color coding is different.

• Wire gauge, including other systems
• French gauge, mainly for catheters
• American Wire Gauge

{{reflist}}

• ISO 9626: Stainless steel needle tubing for the manufacture of medical devices, 1st ed. Geneva: International Organization for Standardization, 1991: 1–2.
• ISO 9626: Stainless steel needle tubing for the manufacture of medical devices, Amendment 1. Geneva: International Organization for Standardization, 2001: 1–2.
• {{cite journal |doi=10.1097/00000539-200210000-00076 |author1=Wonsik Ahn |author2=Jae-Hyon Bahk |author3=Young-Jin Lim |title=The "Gauge" System for the Medical Use |journal=Anesthesia & Analgesia |volume=95 |issue=4 |pages=1125 |year=2002 |pmid=12351319 |url=http://www.anesthesia-analgesia.org/cgi/content/full/95/4/1125|doi-access=free }}

• {{cite journal |doi=10.1016/0736-4679(87)90009-6 |author=Iserson KV |title=The origins of the gauge system for medical equipment |journal=J Emerg Med |volume=5 |issue=1 |pages=45–8 |year=1987 |pmid=3295010 }}
• [http://www.engineersedge.com/gauge.htm Sheet Metal Gauge Size Data – Engineers Edge]

Category:Wire gauges

Category:Standards of the United Kingdom