I keep getting sprayed - I had to start leaving the saline bag flat on the counter until I manage to spike it. They are horrid, horrid, horrid! My biggest worry is that I have bent the tip spiking the first bag, and will need another one spiked quickly during a crash and my partner won't be able to do it. I called Fresenious and complained about them - but they are not carrying the others at all anymore. I wish NxStage would get their act together and start carrying ALL the supplies. Then we could get things that were meant to work with their system!