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A novel use of a pen cap as a glass ampoule opener

*Corresponding author: Muhammed Mukhtar Department of Dermatology, Mukhtar Skin Centre, Katihar, Bihar, India. drmmukhtar20@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Mukhtar M, Mukhtar S. A novel use of a pen cap as a glass ampoule opener. CosmoDerma. 2026;6:13. doi: 10.25259/CSDM_225_2025
PROBLEM
Glass ampoules contain several injectable medications, including local anesthetic agents, normal saline, vitamin D3, and placental extracts, which are used in medicine, surgery, dermatology, and dentistry for intramuscular, intralesional, and mesotherapy purposes. However, shattering the ampoule with your finger is a dangerous activity, and using a metallic opener may result in the mixing of mini to micro glass spicules with the drug. A few atraumatic ampoule breakers and syringe tubes are not widely accessible in the clinic.[1,2] We utilized a pen cap to solve the problem of not having an ampoule opener.
SOLUTION
The cap of a plastic pen is used after making aseptic with povidone-iodine or chemically sterilizing with glutaraldehyde solution, which is easily accessible in the clinic. The plastic, non-metallic pen cap is shock-absorbing. The ampoule head is inserted into the cap until it reaches the neck, the weakest section of the ampoule [Figure 1a]. The ampoule’s neck is then manually broken without the issue of glass spicules because the loose plastic pen cap is shock absorbent, and it is able to apply pressure over a more constricted part of the ampoule neck [Figure 1b and Video 1]. As a result, the pen cap may be reused to open ampoules.
Video 1:
Video 1:An ampoule is being opened, and the ampoule head is removed from the cap. Video available on: https://doi.org/10.25259/CSDM_225_2025
- (a) The ampoule head is inserted into the plastic pen cap till its neck, (b) the ampoule is opened with the help of the pen cap.
Ethical approval:
Institutional Review Board approval is not required.
Declaration of patient consent:
Patient’s consent is not required as there are no patients in this study.
Conflicts of interest:
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation:
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
Financial support and sponsorship: Nil.
References
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- Syringe tube as ampoule opener: A safe, simple, and effective tool in dermatologic surgery. J Am Acad Dermatol. 2022;86:e101-2.
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