The Birmingham gauge ranges from 5/0 or 00000, the lowest gauge number corresponding to the largest size of , to 36, the highest gauge number corresponding to the smallest size of . The increments between gauge sizes are not linear and vary. 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. == Sizes of hypodermic needles ==