The Score

1

Manufacturer

(Check the reputation of the manufacturer and if it is a real, physically existing identity

with real address and real country of origin)

0: Unreal

1: Real

2

Approval

(Check if the brand is approved by different approval entities. Pending or expired approvals don not count)

0: Non-approved

1: CE mark, else [19]

2: Nationally approved [20]

3: US FDA approved [21]

3

Evidence based quality

(Check if there is, at least one, scientific literature proving the brand quality or uniqueness of technology. Must be published in a reputable journal without conflict of interest)

0: Non-approved

2: Approved by technology name

2: Approved by brand name

4: Approved by both

4

Packaging

Boxing

Ÿ Unique design*

Ÿ Clear differentiation of varieties like using different colors, mentioning variety name clearly, concentrations and cross-linking

Ÿ Proof of authenticity or online anti-faking element (through an application or a website)

Point for each

(0 - 3)

Sealing

(of each syringe)

−1: Not sealed

0: Sealed

1: General product details printed on the seal

2: General and unique product details printed on the seal

Pamphlet included:

Multilingual (including the country of the distribution, Technical details included)

−1: No

Fairly detailed: 0

Perfectly detailed: 1

Uniqueness of sticker

Ÿ Unique Serial number on the sticker

Ÿ Online usable for authenticity check

Ÿ Serial number is barcoded

Ÿ Several stickers (at least 4):

o One for treatment plan.

o One for consent.

o One for charging sheet.

o One for nursing procedure logbook.

Point for each

(0 - 4)

5

Needles

Ÿ Flexibility

Ÿ Caliber-concentration matching

Ÿ Sharpness after multiple entries

Ÿ Smooth movement on extraction**

Ÿ Cannula is supplied

Point for each

(0 - 5)