1. Field of the Invention
The present invention relates generally to methods and apparatus for combining parenteral solutions and other liquids. More particularly, the present invention relates to methods for transferring a donor liquid into a recipient container filled with a recipient liquid where excess liquid in the recipient container is exhausted from the recipient container and captured.
Commonly-owned copending application US 2009/0292271, the full disclosure of which is incorporated herein by reference, describes a “dosing pen” device capable of combining liquid buffers and anesthetics. The dosing pen includes a fluid transfer device which utilizes a transfer needle 36 (the reference numbers in this paragraph refer to the '271 publication) and an exhaust needle 38 positioned in a knob 12 which can removably receive an anesthetic cartridge 28 so that distal ends of both the transfer needle and exhaust needle penetrate a septum on the anesthetic cartridge. A buffer cartridge 16 positioned within a housing 14 is also attached to the knob 12 so that a proximal end 50 of the transfer needle 36 can penetrate a septum 15 of the buffer cartridge when the knob is fully advanced onto the housing. A pusher 20 is provided to drive a plunger 58 on the buffer cartridge to transfer buffer through transfer needle 36 into the anesthetic cartridge 28 and to simultaneously exhaust anesthetic from the anesthetic cartridge back into a reservoir 72 in the housing 14 through the exhaust needle 38. While the dosing pen of the '271 application is advantageous in many respects, the excess buffer, which is exhausted through exhaust needle 38, ends up in the housing 14 and is subject to leakage.
An improved dosing pen is described in commonly owned US2011/0166543, the full disclosure of which is incorporated herein by reference. As illustrated in
For these reasons, it would be desirable to provide improved methods and apparatus for transferring and combining liquids, such as buffer solutions and anesthetics, where the liquids are held in conventional containers with needle-penetrable septums and dispensing plungers. In particular, it would be desirable to provide systems and methods which allow for transfer of a donor liquid, such as a buffer solution, into a recipient solution, such as an anesthetic, which fills a recipient container where the displaced recipient solution can be vented or exhausted into a reservoir with a minimum risk of backflow or leakage from the reservoir. At least some of these objectives will be met by the inventions described hereinbelow.
2. Description of the Background Art
US 2011/0166543 and US2009/0292271 have been described above. Glass vials and cartridges for storing medical solutions are described in U.S. Pat. Nos. 1,757,809; 2,484,657; 4,259,956; 5,062,832; 5,137,528; 5,149,320; 5,226,901; 5,330,426; and 6,022,337. Injection pens which employ drug cartridges are described in U.S. Pat. No. 5,984,906. A particular disposable drug cartridge that can find use in the present invention is described in U.S. Pat. No. 5,603,695. A device for delivering a buffering agent into an anesthetic cartridge using a transfer needle is described in U.S. Pat. No. 5,603,695. Other patents and applications of interest include U.S. Pat. Nos. 2,604,095; 3,993,791; 4,154,820; 4,630,727; 4,654,204; 4,756,838; 4,959,175; 5,296,242; 5,383,324; 5,603,695; 5,609,838; 5,779,357; and U.S. Patent Publ. No. 2004/0175437
The present invention provides apparatus and methods which rapidly absorb liquids displaced during fluid transfer into a sealed recipient container. While particularly useful when transferring a buffer solution into an anesthetic or other medical solution, the apparatus and methods of the present invention will also be useful whenever a donor fluid is being transferred into a recipient fluid held in a closed container where a volume of the recipient fluid equal to the volume of the donor fluid being transferred must be vented or exhausted from the closed container. In particular, the present invention provides structures and materials which capture and rapidly absorb the exhausted recipient fluid so that the risk of leakage of the recipient fluid is reduced or eliminated.
Apparatus according to the present invention comprise a liquid transfer connector for providing a liquid transfer path between a donor container having a needle-penetrable septum and a recipient container having a needle-penetrable septum. The connector comprises an enclosure having an interior chamber with a vent, typically a small orifice or a hole in a wall of the chamber which allows air in the chamber to be released while a displaced fluid is collected in the interior chamber. A transfer needle has an inlet end extending from one side of the interior chamber and an outlet end extending from another side of the chamber, where both the inlet end and the outlet end are capable of penetrating a septum on a liquid container. Usually, the transfer needle will be straight so that the inlet and outlet ends are disposed on opposite sides of the chamber, but in other instances the needle could be non-linear and even U-shaped so that the “sides” of the chamber could be adjacent to each other. The connector further includes an exhaust needle having an inlet end adjacent to the outlet end of the transfer needle and an outlet end in the interior chamber. The inlet end of the exhaust needle will also be capable of penetrating a septum on a liquid container, but the outlet end need not be. A liquid-absorptive mass is located within the interior chamber and adapted for rapid absorption of liquid entering the interior chamber through the exhaust needle. In this way, the liquid is captured and sequestered within the absorptive mass so that little or no free liquid remains in the chamber, thus reducing or eliminating the risk that the liquid will be lost through the vent, via backflow through the exhaust needle, or in any other way.
In specific aspects of the present invention, the absorptive mass has a structure and is formed from materials which optimize the rapid absorption of the liquid as it enters the interior chamber. The absorbent mass is preferably formed from a liquid-absorptive open-cell foam having a high porosity, typically above 75% porosity, preferable above 80% porosity, and typically 90% porosity or above, where porosity is defined as the percentage of void volume within the total volume of the absorptive mass. In addition to the high porosity, it is desirable that the liquid-absorptive foam have a rapid liquid absorption rate, preferably having a liquid absorbency time of 10 seconds, or below, preferably 5 seconds or below. The liquid absorbency time may be measured using the methods described in IS09073-6-2000, “Textiles-Test methods for non-wovens-Part 6: Absorption,” section 4, available from the International Organization of Standards, Geneva, Switzerland (www.iso.org). The test measures how rapidly a standard volume and weight of an absorptive materials can absorb liquid, where a shorter time indicates a more rapidly absorptive material. A particularly preferred liquid-absorptive foam materials is a foam formed from polyvinyl acetal (PVA) resin, which is a thermoplastic resin formed by the condensation of an aldehyde with a polyvinyl alcohol. A particularly useful TVA foam is available from PVA Unlimited (Wausau, Indiana).
In addition to the material, the structure or geometry of the liquid-absorptive mass can also be selected to promote rapid absorption and sequestration of the exhausted recipient liquid entering the interior chamber of the connector. While the geometry can be as simple as terminating an end of the exhaust needle near the center of the absorptive mass and/or providing a plurality of outlet ports or branches on the exhaust needle, it will be preferred to provide an interior void within the absorptive mass where the outlet end of the exhaust needle is spaced-apart from the walls of the interior void so that the exhausted recipient liquid can pool in the void without submerging the outlet end of the exhaust needle. Such interior void provides both a retention volume for holding the surge of liquid which result from a liquid introduction into the closed recipient container and a large but contained surface area over which the exhausted recipient liquid can penetrate into the internal pores of the absorptive mass while containing the liquid within the void of the absorptive mass even prior to absorption.
In another specific aspect, the enclosure of the liquid transfer connector may comprise a cylindrical sleeve having a partition which separates an attachment receptacle that encloses the outlet end of the transfer needle and the inlet end of the exhaust needle from the interior chamber. The transfer needle may pass axially through the liquid absorptive mass, but in other embodiments could pass outside of the mass in either a linear or non-linear configuration. The liquid transfer connectors may also be incorporated into the dosing pins described in commonly owned publications US2009/0292271 and US2011/0166543, the full disclosures of which have previously been incorporated herein by reference.
Methods according to the present invention transfer a donor liquid into a recipient liquid present in a closed container. The methods comprise establishing a transfer flow path from a source of the donor liquid into the closed container which is filled with the recipient liquid, typically with little or no head space so that transfer of the donor liquid requires displacement of the recipient liquid from the closed container. To displace the recipient liquid, an exhaust flow path is established from the closed container to an absorbent mass capable of absorbing and sequestering the recipient liquid. Thus, by causing a volume of the donor liquid to flow into the closed container through the transfer flow path, a like volume of the recipient liquid is caused to flow through the exhaust flow path into the absorbent mass, where the entire volume of the exhausted recipient liquid is absorbed by the absorbent mass.
In a specific aspect of the present invention, the outlet end of transfer needle extends further into the recipient container than does the inlet end of the exhaust needle. Such an axial offset reduces the risk that the donor liquid will “short circuit” and be exhausted from the recipient container. Ideally, only recipient liquid will be exhausted but it is possible of course that a small amount of the donor liquid will be mixed with the exhausted recipient liquid.
As described above with respect to the apparatus of the present invention, the absorbent mass is usually at least partially formed from a liquid-absorptive foam where the foam has an absorptive rate less than 10 seconds. Preferred liquid-absorptive foam materials comprise a polyvinyl acetal resin, and the absorptive mass preferably comprises a block of the absorptive material having an interior void which surrounds the outlet end of the exhaust needle.
In other specific aspects of the methods of the present invention, the absorptive mass will have an absorptive capacity equal to at least twice that of the volume of the exhausted recipient liquid, preferably being at least four times as great, and often being ten times as great or more. In this way, the absorptive mass can be used for multiple fluid transfers, optionally where the recipient liquid container and/or a donor liquid container is replaced while using the same liquid transfer connector. Additionally, the interior void will typically have a volume equal to at least the volume of the exhausted recipient liquid, but preferably will have a volume equal to two, four, or more times the expected volume of the exhausted recipient liquid. Further, the end of the exhaust needle will usually be spaced apart from the walls of the interior void so that the exhausted recipient liquid can pool in the void without submerging the outlet end, thus reducing or eliminating the risk of backflow of the liquid into the outlet end of the exhaust needle.
In order to better understand the invention and to see how it may be carried out in practice, some preferred embodiments are next described, by way of non-limiting examples only, with reference to the accompanying drawings, in which like reference characters denote corresponding features consistently throughout similar embodiments in the attached drawings.
Referring to
A liquid transfer needle 42 is attached to the enclosure, typically being fixed through the partition 34, such that an inlet and 44 is disposed on one side of the interior chamber 36 and an outlet end 46 is disposed on another side of the chamber, typically within the attachment receptacle 38. An exhaust needle 48 is also secured to the enclosure 32 and will have an inlet end 50 dispose near but axially offset from the outlet end 46 of the transfer needle since both the outlet end 46 and the inlet end 50 must penetrate through the septum of a single recipient container 56 as part of the fluid transfer procedure. An outlet end 52 of the exhaust needle 48 will be positioned within the interior chamber 36 and disposed to a release exhausted recipient liquid into an absorbent mass 58 also located within the interior chamber 36. Inlet end 44 of the transfer needle 42 will be available to penetrate the septum of a container 54 of the donor liquid which is to be transferred into the recipient liquid in container 56.
Transfer of the donor liquid from container 54 into the recipient liquid in container 56 is typically achieved by displacing a plunger (not shown) on the donor container so that liquid flows through the transfer needle 42 into the interior of the recipient container 56. As the recipient container 56 will typically be completely filled with the recipient liquid, entry of the donor liquid will cause a like volume of the recipient liquid to be exhausted through the exhaust needle 48 and into the absorptive mass 58 where it is sequestered and prevented from leaking through the vents 40, backflows into the exhaust needle 48, or otherwise being lost. Of course, it will be understood that a small portion of the donor liquid may be mixed in with the recipient liquid which is exhausted, but the amount of donor liquid in the exhausted liquid will usually be minimized, typically by offsetting the inlet end 50 of the exhaust needle 48 from the outlet end 46 of the transfer needle 42.
Referring now to
Alternatively, the absorptive mass 58 may comprise absorbent beads having a size or shape which prevents passage through the vents. The interior chamber 36 may be loose packed with such beads and the very large surface area will result in rapid absorption of liquid released by the exhaust needle 48. Typically the absorptive mass will be formed from a material that does not biologically and/or chemically react with the recipient liquid.
An alternative absorptive mass configuration is illustrated in
A presently preferred design for the absorptive mass 58 is illustrated in
As shown in
Although particular embodiments of the present invention have been described above in detail, it will be understood that this description is merely for purposes of illustration and the above description of the invention is not exhaustive. Specific features of the invention are shown in some drawings and not in others, and this is for convenience only and any feature may be combined with another in accordance with the invention. A number of variations and alternatives will be apparent to one having ordinary skills in the art. Such alternatives and variations are intended to be included within the scope of the claims. Particular features that are presented in dependent claims can be combined and fall within the scope of the invention. The invention also encompasses embodiments as if dependent claims were alternatively written in a multiple dependent claim format with reference to other independent claims.
The present application claims the benefit of provisional No. 61/458,002 (attorney docket number 36312-713.101), filed on Nov. 15, 2010, the full disclosure of which is incorporated herein by reference.
Number | Date | Country | |
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61458002 | Nov 2010 | US |