The present disclosure relates to safety needle device covers, and in particular the present disclosure relates to clam-shell needle sleeves and covers for needles and introducer needles.
It is estimated that 600,000 to 800,000 needlestick injuries occur per year in the United States. Vascular Access Devices (VAD) are used throughout the medical industry for the injection and withdrawal of a wide variety of fluids and solutions into and from the human body. Because of the numerous potential hazards associated with the handling and manipulation of bodily fluids, particularly blood, there are a number of known safety features that are frequently incorporated into various types of needle devices to protect the practitioner from accidental exposure to the needle. Needlesticks are a common occurrence in the health care profession.
Conventional vascular access devices are retrieved from a blister package, the needle shield is removed and then the plastic hub is attached to a luer lock or luer slip syringe. Drug from a vial is then retrieved and administered to the patient via injection. In spinal applications such as spinal anesthesia where there is an introducer needle and a spinal needle that are withdrawn together, once the anesthesia drug delivery is completed, the needle assembly is withdrawn from body and disposed without putting the needle shield back in place which can result in needlestick injury or cross contamination. The needle is then discarded either as is or after capping, both methods carrying their own risks of injury or contamination. On the other hand, a safety needle has an extra step wherein an additional component, the safety shield, is deployed to permanently “engulf” the needle thereby making it inaccessible. This ensures that the needle cannot be reused and also contributes to healthcare worker safety—by protecting them from contaminated needle stick injury. This extra step of safety needles are enabled by either a unique hub design that acts as a base for the safety mechanism to attach onto or a very complicated safety shield mechanism.
Thus, there is a need to provide a cover and needle shield for vascular access devices and spinal anesthesia needle assemblies incorporating features that reduce needle stick injuries while reducing manufacturing costs, including materials and molding complexity. Furthermore, there is a need to provide a method for removing a vascular access device and spinal anesthesia needle which reduces needle stick injuries.
A first aspect of the present disclosure relates to a needle cover device having a base and a two-piece hinged cap. The base has a rectangular shape and a connecting feature, the connecting feature configured to removably interdigitate with a feature of a needle hub. The two-piece hinged cap is connected to the base by two living hinges, the two-piece hinged cap having a proximal surface and a distal surface, the two-piece hinged cap having a rectangular medial portion forming a cavity configured to enclose at least the needle hub within. Each of the two-piece hinged cap has a rectangular medial portion and a lateral portion, the medial portion having a rectangular cavity formed on the distal surface configured to accommodate the needle hub, and the lateral portion having a cavity configured to accommodate a needle cannula.
In some embodiments, the connecting feature of the base comprises a pair of teeth forming a channel, the pair of teeth and channel configured to interdigitate with a flange of the needle hub. In some embodiments, the pair of teeth have a u-shaped cross-section which can be sized and dimensioned to accommodate the flange of the needle hub.
In some embodiments, the two-piece hinged cap is configured to pivot at least 180 degrees around each of the two living hinges from an open position to a closed position, wherein each distal surface of each two-piece hinged cap is closed onto the other in the closed position.
In some embodiments, each of the living hinges extend an entire width of the rectangular shape of the medial portion.
In some embodiments, the medial portion is configured to cover and accommodate an assembled spinal anesthesia introducer needle hub and spinal needle hub. In some embodiments, the connecting feature connects to a flange of the spinal needle hub. In some embodiments, the rectangular cavity has a length LF extending from the flange of the spinal needle hub slightly past the distal end of the introducer needle hub such that the introducer needle hub and spinal needle hub are fully enclosed within the rectangular cavity.
In some embodiments, the connecting feature is configured to attach to a flange of the needle hub by sliding the foldable needle cover in a medial direction relative to the needle hub.
In some embodiments, the medial portion further includes a winged tab extending from the proximal surface configured to provide a surface area for manipulating and closing the two-piece hinged cap.
In some embodiments, distal edges of the lateral portion of each of the two-piece hinged cap are configured to interlock with one another in a snap-fit configuration.
In some embodiments, the foldable needle cover is injection molded forming a singular unitary body.
A second aspect of the present disclosure is directed to method of covering a spinal-introducer needle assembly. The method comprises the steps of sliding a foldable needle cover in a medial direction relative to a syringe assembly over a spinal-introducer needle assembly; withdrawing the spinal-introducer needle assembly and syringe assembly while the foldable needle cover is attached to the spinal-introducer needle assembly; and, closing the foldable needle cover over the spinal-introducer needle assembly.
In some embodiments, the foldable needle cover is slidable over the spinal-introducer needle assembly while the spinal-introducer needle assembly is still at least partially inserted within a patient.
In some embodiments, the foldable needle cover is closed over the spinal-introducer needle assembly by depressing winged tabs located on a two-piece hinged cap of the foldable needle cover, the two-piece hinged cap connected to a base of the foldable needle cover by two living hinges. In some embodiments, depressing the winged tabs causes the two-piece hinged cap to pivot on the two living hinges.
In some embodiments, the spinal-introducer needle assembly and syringe assembly 90 are withdrawn with one hand from the skin of a patient while the foldable needle cover is attached to the spinal-introducer needle assembly.
In some embodiments, the spinal-introducer needle assembly is withdrawn while closing the foldable needle cover over the spinal-introducer needle assembly simultaneously.
A second aspect of the present disclosure is directed to a safety needle devise assembly comprising an introducer needle, a two-piece hinged cap and a sliding block. The introducer needle has an introducer needle hub and an introducer needle cannula extending from a distal end of the introducer needle hub, the introducer needle hub having a pair of attachment points positioned at the distal end of the introducer needle hub. The two-piece hinged cap has an elongated body connected to the pair of attachment points a pair of corresponding attachment points located on a medial portion of the two-piece hinged cap, the two-piece hinged cap having a proximal surface and a distal surface, the distal surface having a cavity configured to enclose at least the introducer needle cannula within, each medial portion including a tab extending from the proximal surface. The sliding block is configured to open or close the two-piece hinged cap, the sliding block having a proximal wall, a distal wall and a sidewall therebetween defining a cavity, the distal wall configured to abut the tabs of the two-piece hinged cap.
In some embodiments, the assembly further comprises a spinal needle connected to the introducer needle.
In some embodiments, the attachment points of the introducer needle hub create a snap connection with the pair of corresponding attachment points of the two-piece hinged cap.
In some embodiments, introducer needle hub further comprising a pair of wings extending from an outside surface of the introducer needle hub, the pair of wings having a width greater than a width of an opening of the proximal wall of the sliding block.
In some embodiments, the pair of wings are configured to interdigitate with a channel formed on an inside surface of the side wall of the sliding block.
In some embodiments, the proximal wall of the sliding block is removable from the sliding block. In some embodiments, the distal wall is against the tabs of the two-piece hinged cap. In some embodiments, the distal wall of the sliding block is against the tabs of the two-piece hinged cap.
In some embodiments, movement of the sliding block in a proximal direction causes the two-piece hinged cap to pivot about the attachment points of the introducer needle hub causing the two-piece hinged cap to open from a closed position to an open position
Before describing several exemplary embodiments of the disclosure, it is to be understood that the disclosure is not limited to the details of construction or process steps set forth in the following description. The disclosure is capable of other embodiments and of being practiced or being carried out in various ways.
For purposes of the description hereinafter, the terms “proximal”, “distal”, “longitudinal”, and derivatives thereof shall relate to the disclosure as it is oriented in the drawing figures. However, it is to be understood that the disclosure may assume alternative variations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification, are simply exemplary embodiments of the disclosure. Hence, specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered as limiting.
As used herein, the use of “a,” “an,” and “the” includes the singular and plural.
As used herein, the term “Luer connector” refers to a connection collar that is the standard way of attaching syringes, catheters, hubbed needles, IV tubes, etc. to each other. The Luer connector consists of one or more interlocking tubes, slightly tapered to hold together with just a simple pressure/twist fit/friction fit. Luer connectors can optionally include an additional outer rim of threading, allowing them to be more secure. The Luer connector can interlock and connect to the end located on the vascular access device (VAD). A Luer connector comprises a distal end, a proximal end, an irregularly shaped outer wall, a profiled center passageway for fluid communication from the chamber of the barrel of a syringe to the hub of a VAD. A Luer connector also has a distal end channel that releasably attaches the Luer connector to the hub of a VAD, and a proximal end channel that releasably attaches the Luer connector to the barrel of a syringe. As used herein, the term “Luer connector” refers to a male luer connector or a female luer connector.
As used herein, the term “medical device” refers to common medical devices having threaded or interlocking connections, the connections having corresponding mating elements. By way of example but not limitation, a syringe may have a threaded connection which releasably interlocks with a secondary medical device such as a needless connector of a catheter, an IV line and the like. The threaded connection may include a lumen defining a fluid path surrounded by a protruding wall having the threaded means for attaching to the secondary medical device.
As would be readily appreciated by skilled artisans in the relevant art, while descriptive terms such as “thread”, “taper”, “tab”, “wall”, “proximal”, “side”, “distal” and others are used throughout this specification to facilitate understanding, it is not intended to limit any components that can be used in combinations or individually to implement various aspects of the embodiments of the present disclosure.
Embodiments of the present disclosure are directed to foldable needle sleeves and covers having a clam-shell configuration. The foldable needle cover of the embodiments described are configured to removably attach to a feature of a needle hub. By way of example but not limitation, the foldable needle cover can be configured to removably attach to a flange, ledge or taper of a needle hub. The needle hubs, needles and cannulas described herein can be conventional in the art or can include non-standard or novel features. In further embodiments described herein, a needle hub is configured to include pivot points for a two-piece hinged cap. In further embodiments, a slider is configured to cover at least part of the pivot points thereby preventing opening of the two-piece hinged cap.
Embodiments of the foldable needle covers disclosed herein and shown in
The introducer needle cannula 22 has a length LIN defined by the distal end 24 of introducer needle cannula 22 to the distal end 30 of introducer needle hub 26, and likewise the spinal needle cannula 62 has a length LSN defined by distal end 64 of spinal needle cannula 62 to the distal end 70 of spinal needle hub 66. The introducer needle cannula 22 has a needle gauge greater than a needle gauge of the spinal needle cannula 62 such that the spinal needle cannula 62 can be inserted through the introducer needle cannula 22. As shown in the figures, the introducer needle 20 receives the spinal needle 60 such that the distal end 70 of spinal needle hub 66 fully abuts the proximal end 28 of introducer needle hub 26. In such a configuration, the spinal-introducer needle assembly 10 has a total length LSI defined by the proximal end 68 of spinal needle hub 66 to the distal end 64 of spinal needle cannula 62. Furthermore, with the introducer needle hub 26 abutted against the, the two needle hubs (26, 66) have a total length LH defined by the proximal end 68 of spinal needle hub 66 to the distal end 30 of introducer needle hub 26. The length LSN of the spinal needle cannula 62 is longer than the introducer needle hub 26 and the length LIN of the introducer needle cannula 22 such that the distal end 64 of spinal needle cannula 62 extends beyond the distal end 24 of introducer needle cannula 22.
In some embodiments, the distal end 70 of spinal needle hub 66 abuts the proximal end 28 of introducer needle hub 26. In some embodiments, the distal end 70 of spinal needle hub 66 is at least partially inserted within the proximal end 28 of introducer needle hub 26. In some embodiments, the distal end 70 of spinal needle hub 66 is releasably secured to the proximal end 28 of introducer needle hub 26 by way of a luer connector, a snap connection or an interference fit.
In operation, the introducer needle 20 can first be inserted into the skin of a patient and the spinal needle 60 can then be inserted into the proximal end 28 of introducer needle hub 26 of the introducer needle 20. After completion of the medical procedure, the entire spinal-introducer needle assembly 10 is withdrawn together.
A foldable needle cover 100 according to one or more embodiments is removably attached to the spinal needle hub 66 aa explained in further detail below.
As shown in
In some embodiments, the pair of teeth 114 and channel 116 are configured to interdigitate with a feature of the introducer needle hub 26. In some embodiments, the pair of teeth 114 and channel 116 are configured to interdigitate with ridges, flanges or valleys of the introducer needle hub 26 and the spinal needle hub 66. In some embodiments, the pair of teeth 114 and channel 116 are configured create an interference fit with the feature it removably attaches to.
The foldable needle cover 100 further comprises a two-piece hinged cap (120, 122) connected to the base 110 by two living hinges (124. 126), each living hinge of the two living hinges (124. 126) corresponding to a hinged cap of the two-piece hinged cap (120, 122). Each two-piece hinged cap (120, 122) is configured to pivot at least 180 degrees around each of the two living hinges (124. 126) from an open position as shown in
The foldable needle cover 100, base 110 and two-piece hinged cap (120, 122) have a proximal surface 128 and a distal surface 130 in the open position as shown in
As shown in the
Each of the two-piece hinged cap (120, 122) has a medial portion 132 and a lateral portion 150 relative to the base 110. The medial portion 132 of some embodiments is rectangular in shape and has a rectangular cavity 134 formed on the distal surface 130. As shown in
As shown in
In some embodiments, the rectangular cavity 134 is configured to also cover and accommodate the entire length LSN of the spinal needle 60, thereby completely covering the entire spinal-introducer needle assembly 10 from the flange 78 of the spinal needle hub 66 to the spinal needle 60. In some embodiments, the medial portion 132 of each two-piece hinged cap (120, 122) further includes a winged tab 136 extending from the proximal surface 128. The winged tab 136 configured to provide a greater surface area for manipulating and closing the two-piece hinged cap (120, 122).
In some embodiments, the foldable needle cover 100 disclosed herein is configured to interdigitate, slide onto or otherwise removably attach to one or more features of either of the introducer needle hub 26 or the spinal needle hub 66. Such features can include ridges, flanges or valleys of either of the introducer needle hub 26 or the spinal needle hub 66. In some embodiments, ridges can include a ridge 32 of introducer needle hub 26 or a ridge 72 of spinal needle hub 66 as shown in
In some embodiments, the medial portion 132 of each of the two-piece hinged cap (120, 122) as shown in
Adjacent and lateral to the lateral end 142 of the medial portion 132, a lateral portion 150 extends therefrom. The lateral portion 150 is configured to envelop the introducer needle cannula 22 and the introducer needle hub 26. In some embodiments, distal edges (152, 154) of the lateral portion 150 of each of the two-piece hinged cap (120, 122) are configured to interlock with one another in a snap-fit configuration. In some embodiments, edges (152, 154) of the lateral portion 150 of each of the two-piece hinged cap (120, 122) are configured to non-removably interlock with one another in a snap-fit configuration.
Due to the live-hinge configuration of the foldable needle cover 100, the foldable needle cover 100 can be injection molded forming a singular unitary body. Thus, the foldable needle cover 100 can be cheap to manufacture from a single mold and can be included in a kit for an anesthesia needle assembly. Furthermore, as explained in further detail below, the foldable needle cover 100, (due to its connecting feature 112 being slidable onto a hub of the spinal-introducer needle assembly 10) can be attached to the spinal-introducer needle assembly 10 while the spinal-introducer needle assembly 10 is still inserted within the skin of a patient. Thus, in operation, a practitioner can attach the foldable needle cover 100 onto the spinal-introducer needle assembly 10, and upon removal of the spinal-introducer needle assembly 10, the foldable needle cover 100 can be non-removably closed together as the spinal-introducer needle assembly 10 is removed from the skin of a patient. Thus, the step of re-inserting the introducer needle hub 26 or the spinal needle hub 66 back into a needle-sleeve is not required as the foldable needle cover 100 fully envelops the entire spinal-introducer needle assembly 10.
As shown in
As shown in
The attachment points (214, 216) in the depicted embodiments consist of two pairs of apertures partially extending into the outside surface 210 of introducer needle hub 26 and are located on opposite sides on the introducer needle hub 26. Each of the two pairs of apertures and the attachment points (214, 216) are configured to create a snap connection with a pair of corresponding attachment points (224, 226) of the two-piece hinged cap (220, 222). In some embodiments, the attachment points (214, 216) of the introducer needle hub 26 are positioned at a right angle relative to the pair of wings 212 of the introducer needle hub 26. Stated differently and as best shown in
In some embodiments, the attachment points (214, 216) of the introducer needle hub 26 are positioned at the distal end 30 of the introducer needle hub 26. In some embodiments, as shown in
Referring back to
Each of the two-piece hinged cap (220, 222) has a medial portion 232 and a lateral portion 250. Each of the medial portion 232 comprises a tab 236 extending from the proximal surface 228 in a proximal direction relative to the proximal surface 228 and the pair of corresponding attachment points (224, 226). In the depicted embodiments, the pair of corresponding attachment points (224, 226) are in the form of tabs or protrusions positioned on the distal surface 230 and extend inwardly such that the tabs or protrusions are opposite each other. The tabs or protrusions are configured to interrogate in a snap-lock configuration with the apertures of the attachment points (214, 216) of the introducer needle hub 26.
As used herein, the term “attachment points (214, 216) of the introducer needle hub 26” refer to a pair of attachment points (214, 216) positioned on opposing faces of the introducer needle hub 26 as previously described. Thus, a first pair of attachment points 214 comprises two apertures on opposing faces 213 of the of the introducer needle hub 26 and a second pair of attachment points 216 adjacent to the first pair of attachment points 214. Thus, the introducer needle hub 26 has a total of four apertures which each interdigitate with the corresponding attachment points (224, 226). In the figures, only two apertures are shown, however it is to be understood that the two unshown apertures are positioned opposite the face presented in the figures. Likewise, as used herein the term “pair of corresponding attachment points (224, 226)” refer to two tabs or protrusions for each of the two-piece hinged cap (220, 222). Thus, a first pair of the corresponding attachment points 224 interdigitates with the first pair of attachment points 214 of the introducer needle hub 26 and a second pair of the corresponding attachment points 226 interdigitates with the first pair of attachment points 216. The tabs and apertures described form snap-fit configurations in which a tab is seated within an aperture by elastically deforming the two-piece hinged cap (220, 222) over the introducer needle hub 26.
As shown in
As shown in
As shown in
In some embodiments, the proximal wall 268 is separable from the sliding block 260. In some embodiments, the proximal wall 268 is a unitary body with the sliding block 260. In some embodiments, the proximal wall 268 is removably or non-removably threaded or snap-fit onto the sliding block 260. In some embodiments, the proximal wall 268 is non-removably adhered, welded, sonic welded or otherwise non-removably attached onto the sliding block 260.
As shown in
In such a configuration, the sliding block 260 can longitudinally travel relative to the introducer needle hub 26 in a distal direction until the pair of wings 212 abuts against the proximal wall 268, and in a proximal direction until the two-piece hinged cap (220, 222) are opened 180 degrees relative to each other as explained in further detail below.
As shown in
As shown in
As shown in
In operation, a practitioner can pull the safety needle assembly 200 out of a package or kit, grasp the sliding block 260 and pull the sliding block 260 in a proximal direction until the safety needle assembly 200 is either in a fully open position or an intermediate position anywhere between the fully open and fully closed position. The safety needle assembly 200 can then be inserted into the skin of a patient and the desired medical procedure can be performed. Upon removal of the safety needle assembly 200, the safety needle assembly 200 can be withdrawn while simultaneously pulling the sliding block 260 in a proximal direction, thereby closing the two-piece hinged cap (220, 222).
As shown in
Further embodiments are directed to a method of assembling a safety needle assembly 200 comprising the steps of attaching the two-piece hinged cap (220, 222) to the attachment points (214, 216) of the introducer needle hub 26, closing the two-piece hinged cap (220, 222), sliding the sliding block 260 absent the proximal wall 268 over the two-piece hinged cap (220, 222) until the distal wall 272 abuts the bottom surface of the tabs 236 of the two-piece hinged cap (220, 222), sliding the proximal wall 268 over the introducer needle hub 26 and securing or adhering the proximal wall 268 to the sliding block 260. In some embodiments, the method further comprises abutting the spinal needle hub 66 against the introducer needle hub 26 as previously explained.
Further embodiments are directed to a method of use of a safety needle assembly 200 comprising the steps of can pulling the safety needle assembly 200 out of a package or kit, grasping the sliding block 260 and pulling the sliding block 260 in a proximal direction until the safety needle assembly 200 is either in a fully open position or an intermediate position anywhere between the fully open and fully closed position. In some embodiments, the method further comprises the step of inserting the safety needle assembly 200 into the skin of a patient. In some embodiments, the method further comprises the steps of removing of the safety needle assembly 200 from the skin of a patient. In some embodiments the method further comprises the steps of pulling the sliding block 260 in a proximal direction, thereby closing the two-piece hinged cap (220, 222). In some embodiments, the method further comprises the steps of removing of the safety needle assembly 200 from the skin of a patient while simultaneously pulling the sliding block 260 in a proximal direction, thereby closing the two-piece hinged cap (220, 222).
While the present disclosure has been shown and described with reference to certain exemplary embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the embodiments of the present disclosure. Also, the inner and/or the outer housing of the disinfection cap can be single shot molded, or made by other suitable process. Furthermore, any of the features or elements of any exemplary implementations of the embodiments of the present disclosure as described above and illustrated in the drawing figures can be implemented individually or in any combination(s) as would be readily appreciated by skilled artisans without departing from the spirit and scope of the embodiments of the present disclosure.
In addition, the included drawing figures further describe non-limiting examples of implementations of certain exemplary embodiments of the present disclosure and aid in the description of technology associated therewith. Any specific or relative dimensions or measurements provided in the drawings other as noted above are exemplary and not intended to limit the scope or content of the inventive design or methodology as understood by artisans skilled in the relevant field of invention.
Reference throughout this specification to “one embodiment,” “certain embodiments,” “one or more embodiments” or “an embodiment” means that a particular feature, structure, material, or characteristic described in connection with the embodiment is included in at least one embodiment of the disclosure. Thus, the appearances of the phrases such as “in one or more embodiments,” “in certain embodiments,” “in one embodiment” or “in an embodiment” in various places throughout this specification are not necessarily referring to the same embodiment of the disclosure. Furthermore, the particular features, structures, materials, or characteristics may be combined in any suitable manner in one or more embodiments.
Although the disclosure herein has provided a description with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present disclosure. It will be apparent to those skilled in the art that various modifications and variations can be made to the method and apparatus of the present disclosure without departing from the spirit and scope of the disclosure. Thus, it is intended that the present disclosure include modifications and variations that are within the scope of the appended claims and their equivalents.
This application claims priority under 35 U.S.C. § 119(e) to U.S. Provisional Application No. 63/241,263, filed Sep. 7, 2021, the disclosures of which are incorporated herein by reference in their entirety.
Number | Date | Country | |
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63241263 | Sep 2021 | US |