1. The Field of the Invention
The present invention relates to devices adapted to control motion of fluid. in particular, preferred embodiments are adapted to permit multiple filling and emptying cycles with a single syringe, but then automatically disable that syringe to resist syringe reuse subsequent to a final dose-ejecting cycle.
2. Related Art
Syringes adapted to permit only a single use are known. Desirably, after a single use, such a syringe will automatically be rendered inoperable. Such auto-disable syringes are desirable, for example, to reduce spread of blood-borne disease between individuals who share a common needle.
A plurality of differently structured syringes have been developed to address the desire for an effective auto-disable syringe. A problem with many commercially available syringes is that they do not permit use of a single syringe to permit multiple filling and complete emptying cycles, but then automatically disable that syringe to resist syringe reuse subsequent to a final dose-ejecting cycle. There is a need for a syringe that can be coupled to a needle to inspire fluid into the syringe, then expel that fluid into a container to reconstitute a treatment substance. After the treatment substance is reconstituted, it is desirable to refill the same syringe with one or more dose of treatment substance. It is further desirable for the syringe to then auto-disable upon dispensing the entire contents of the syringe. Sometimes, it is desirable to detach a needle used to inspire fluids into the syringe and to attach a different fluid-guiding element to the syringe before dispensing the fluid contents of the syringe in an auto-disable cycle.
As a practical matter, a syringe should first be completely emptied before inspiring one or more dose of reconstituted treatment substance, to avoid dilution of the treatment substance to an unknown and variable degree. It is not feasible to substantially empty certain commercially available auto-disable syringes without risk of accidentally engaging their auto-disable feature, consequently requiring use of a different syringe to administer the treatment substance.
In United States patent application No. 2010/0030146, Kakish et al. disclose an auto-disable device for syringes that permits a user to fill the syringe by inspiring fluid through a needle, and automatically disable that syringe upon discharge of the syringe contents. Their device's needle is not removable after being coupled to the syringe body, and consequently, their syringe assembly cannot realistically be used to reconstitute a treatment substance and subsequently dispense a portion of that treatment substance with the same syringe. Once fluid begins to be expelled from their syringe, an internal mechanism is displaced to prevent fluid from being inspired into the syringe. Therefore, refilling the same syringe is precluded.
In U.S. Pat. No. 6,752,784, Tsai discloses a safety syringe of the type in which capture structure carried on a plunger is coupled with locking structure to maintain a blocking element inside the syringe discharge aperture. The plunger inevitably couples with capture structure upon complete discharge of fluid contents from the syringe. Reuse of the syringe is consequently resisted subsequent to complete discharge of the syringe. In fact, attempting to retract his plunger from a fully-expelled position causes the distal portion of the syringe barrel to retract into his syringe body, which can serve as a safety cover for a needle assembly. Similar devices are disclosed in United States patent application No. 2006/0084915 to Chang, and United States patent application No. 2009/0247948 to Walsh et al.
A commercially available auto-disable syringe includes a 1 mL Auto Disable Syringe, available from Zhejiang Yusheng Medical Instrument Co., Ltd, having a place of business in Xuanmen Industry Zone, Yuhuan City, Zheijiang, China, and a world wide web address of zjyusheng.com. Such syringe includes a plunger having distally disposed capture structure on a shaft that couples with locking structure in the syringe discharge luer effective to resist retraction of the plunger from a fluid fully-expelled position. If a user retracts the plunger stem with sufficient force, a proximal portion of the plunger stem is structured to break off and separate, leaving behind a stopper that is essentially pinned inside the discharge aperture of the syringe, thereby resisting reuse of the syringe.
The invention may be embodied to provide an apparatus and a method of use of that apparatus. A currently preferred apparatus forms an assembly including a syringe body extending from an open proximal end to a discharge aperture at a distal end. A plunger assembly is disposed for reciprocal motion inside the body between a dose-loaded position and a dose fully-expelled position. A distal end of the plunger assembly carries capture structure configured to protrude distally, by an operable distance, from the syringe discharge aperture when the plunger assembly is disposed at the fully-expelled position.
The aforementioned assembly also includes a first locking element that is separate and discrete from the syringe body and is disposable at a position distal to the distal end of the syringe body. The first locking element is configured and arranged to couple with capture structure, when the plunger is displaced distally to the fully-expelled position, effective to resist reuse of the syringe. In most cases, a first locking element is affixed to an end-use fluid-dispensing or fluid-acquiring attachment that can be coupled to be syringe discharge aperture to permit one final ejection of fluid through the attachment by operation of the plunger. The first locking element can be an integral part of a fluid-guiding device, such as a fluid-dispensing or fluid-acquiring attachment, or may be temporarily, or permanently, coupled to the attachment. A first locking element may also be embodied as a separate, stand-alone component.
A currently preferred first locking element is structured to effect a press-fit engagement, or friction coupling, with a fluid-guiding device. In such an arrangement, attempting to disengage a fluid-guiding device from a syringe body (e.g. by unscrewing a conventional luer-locking joint) subsequent to effecting a captured plunger coupling with a locking element will simply disengage the first locking element from its press-fit engagement with the fluid-guiding device. The disengaged first locking element remains coupled to the capture structure, and the syringe is disabled to resist plunger reciprocation and syringe reuse. Essentially, the press-fit coupling desirably forms a “weakest link” to prevent the plunger from breaking at a location that would permit reuse of the syringe.
An operable plunger assembly may sometimes include decoupling structure configured to permit separation of a proximal stem end of the plunger assembly from the distal end of the plunger assembly responsive to a user attempting to proximally displace the plunger assembly from a captured configuration comprising the fully-expelled position. An exemplary decoupling structure includes a pull-apart joint disposed at an intermediate location of the plunger assembly. One operable pull-apart joint includes a first interface structured to fail, or otherwise separate, in shear under a lower stem tension load than required for a critical cross-section of capture structure to fail under tension. The currently preferred pull-apart joint includes a one-way pull-apart joint with mutually cooperating surfaces of the plunger assembly being structured to bear in compression as the plunger is displaced from a dose-loaded position toward the dose fully-expelled position.
Typically, a distal end of the syringe body carries a first length of hollow male luer-locking taper terminating at a distal interface. In such case, a proximal end of a first locking element may be configured and arranged to cause a structural interference with the distal interface effective to resist proximal displacement of capture structure carried by the plunger. Sometimes a first locking element may be structured as a second length of hollow male luer-locking taper sized as an operable extension of the first length.
One operable capture structure includes a proximally facing surface. Upon coupling with the capture structure, locking structure of a cooperating first locking element is then configured and arranged to cause a structural interference with the proximally facing surface. An operable first locking structure can include a self-biased finger. Similarly, locking structure of a first locking element can include a plurality of self-biased fingers that are displaceable by proximal movement of capture structure to form a friction contact interface between the fingers and capture structure.
Sometimes certain embodiments of the invention may include a second locking element structured to resist removal of an end-use fluid-dispensing device from captured engagement with a syringe. An operable second locking element includes structure carried by the end-use fluid-dispensing device which automatically engages with, and creates a structural interference with a female thread of a luer-lock device to resist rotation of the end-use fluid-dispensing device in a disassembling direction.
A method of use of a preferred apparatus includes providing an auto-disable syringe having a plunger disposed for reciprocation in a body effective to inspire and eject fluid. A user may couple a fluid-guiding or -inspiring attachment (e.g. a needle) to the syringe, or use the syringe a stand-alone device to inspire a dose of fluid into the syringe. After a dose of fluid is inspired into the syringe, the user may then inject at least a portion of the dose of fluid into a container effective to reconstitute a treatment substance. A needle can be coupled to the syringe discharge orifice to facilitate guiding discharged fluid into a container, such as a vial. Typically, the user will displace the plunger to a fluid fully-expelled position in preparation for loading one or more dose of treatment substance into the syringe. The user may then inspire a portion of the moment substance into the syringe. Finally, the user will distally displace the plunger to the fluid fully-expelled position to expel a final dose of treatment substance while simultaneously coupling a first locking element to the plunger effective to resist retraction of the plunger from the fully-expelled position.
After inspiring a portion of treatment substance into the syringe, the user may remove the fluid-inspiring device and couple a second, and different, fluid-dispensing device to the syringe. The second fluid dispensing device may sometimes be made reference to as an end-use device. In that case, the second fluid-dispensing device typically carries the first locking element, which is structured to couple with capture structure carried by the plunger. Conventionally, capture structure is configured to protrude distally from a discharge aperture of the syringe when the plunger is disposed at the fluid fully-expelled position. Sometimes, subsequent to coupling the first locking element to the plunger, a user may proximally retract a stem portion of the plunger effective to separate the stem portion from a distal portion of the plunger. Sometimes, assembling the second fluid-dispensing device to a luer-lock device carried by the syringe automatically engages a second locking element effective to resist removal of the second fluid-dispensing device from the syringe.
In the drawings, which illustrate what are currently regarded as the best modes for carrying out the invention, and in which similar components are generally designated with similar numerals:
The present invention may be embodied to provide an automatically-disabled syringe assembly. At least certain embodiments permit a syringe to experience multiple filling and emptying cycles before the syringe is disabled subsequent to a final discharge cycle, typically using an end-use fluid-guiding device.
As illustrated in
Distal end 106 of illustrated syringe body 102 carries luer-locking structure including a length of hollow male luer-locking tapered element 108, and a threaded female socket 110. The hollow portion of luer-locking element 108 forms a discharge orifice for the syringe body 102. Fluid-guiding attachments may be coupled in fluid-tight engagement with luer-locking element 108 in substantially conventional fashion. In the illustrated embodiment, internally threaded socket 110 is integrated into syringe body 102, forming a contiguous structure. In other workable embodiments, a socket 110 may be adapted to rotate with respect to the syringe body.
Although at least a short length of luer-locking taper 108 is highly desirable, alternative configurations are workable, including an externally-threaded hollow male discharge end (not illustrated). While the embodiment illustrated in
Still with reference to
As seen in
In certain embodiments, and as illustrated, a size and shape (e.g. diameter) of shaft 128 is desirably formed in relatively close agreement with the syringe discharge aperture (e.g. bore in hollow luer element 108) to reduce “dead space” and promote complete evacuation of the syringe's contents. While shaft 128 can typically reciprocate through the discharge aperture of syringe body 102 without interference, shoulder 134 of the illustrated embodiment forms a structural interference with body 102 when the plunger 120 is located at a fluid fully-expelled position. Shoulder 134 is an exemplary stopper element that resists travel of the core in a distal direction. In some cases, a wiper element, such as 126, can also function as a stopper.
For purpose of this disclosure, a locking element is effective to resist disassembly of two or more components of an assembly. With reference again to
Principles of operation of an exemplary device structured according to certain principles of the invention are illustrated in
With particular reference to
A distal end of hollow male luer-locking taper 108 terminates at a distal interface, indicated generally at 151 in
It is desirable for capture structure to engage with locking structure without compromising usability of the syringe assembly. That is, with reference to
Similarly, syringe 160 may be reused a plurality of times with the atomizer generally indicated at 168. No structure is present in that illustrated combination effective to resist retraction of the plunger of syringe 160 from a fluid fully-expelled position. In contrast, the atomizer assembly indicated in 170 includes a first locking element 140 that is effective to resist proximal displacement of the plunger from a fluid fully-expelled position. Consequently, once the plunger of syringe 160 is captured in engagement with atomizer assembly 170, the syringe is effectively and automatically rendered incapable reuse.
Sometimes, a first locking assembly 140 is held in registration inside a fluid-guiding attachment, such as a needle assembly 164, or atomizer assembly 170 by way of a friction-fit, or press-fit. In certain other cases, a first locking element 140 can be a constituent part of, or permanently adhered to, or welded to, or otherwise affixed to, the fluid-guiding attachment. It is within contemplation that a locking element may even be positioned by alternative structure, such as a user's hand, to permit engagement of locking structure associated with the locking element with capture structure of a plunger.
With reference now to
An alternative workable embodiment of an auto-disable syringe assembly structured according to certain principles of the invention is illustrated in
It can be seen in
A “retaining force” is defined, for purpose of this document, as resisting a user from pulling by hand on a stem 122 to retract the core element 124 from an entrapped position, such as illustrated in
It is recognized that certain luer-locking joints including a threaded interface can be rotated in an opening direction to generate a significant tensile force in, for example, a distally extending captured shaft. A first locking element that is bonded to, or integral with, a fluid-guiding device might well generate sufficient tensile force as to break a shaft 128 (see
The alternative first locking element 182 illustrated in
Components of an assembly, such as assembly 100, are typically injection molded. The various components are generally made from medical grade plastic, or plastic-like materials. It is currently preferred to fabricate a plunger stem 122 and detachable core 124 from polypropylene or ABS. A workable wiper element can be made from polyisoprene or non-latex polyisoprene. Typically, a syringe body 102 is made from polypropylene. A workable locking element, such as alternative first locking element 182 illustrated in
As mentioned above, it is preferred for the stem 122 to separate from the core 124 to further resist reuse of the syringe assembly 100. Many ways to calm such an effect will be apparent to designers of medical products. For example, a stem and core can be injection molded as a unitary piece, with a local area of reduced cross-section at a desired decoupling location being structured to fail (in shear or tension) before a critical cross-section of shaft 128 fails in tension and thereby permits retraction of the plunger.
As illustrated between
With particular reference to
In a currently preferred method of use, a user can inspire fluid into the syringe, then expel that fluid into a container to reconstitute a treatment substance. A needle may first be attached to the syringe to facilitate fluid inspiration and expulsion into a container, such as a vial having a pierceable top. The syringe can be fully emptied, meaning the plunger is completely depressed in a maximum distal, fluid fully-expelled position. Treatment substance may then be inspired into the syringe by retracting the plunger stem. The user may then couple the syringe with a fluid-guiding attachment that includes a first locking structure. Until first locking structure is affixed to the syringe plunger, the syringe can be fully emptied and re-filled a plurality of times. An operable fluid-guidance attachment includes a fluid atomizer, such as may be used for nasal therapy. One or more dose of treatment substance may be expelled until the syringe is empty. The user will auto-disable the syringe upon dispensing a dose to empty the syringe. Sometimes, subsequent to capturing structure of the plunger with a first locking element at a position distal to the discharge of the syringe body, the user may pull proximally on the plunger stem to cause separation of a proximal stem portion, leaving behind proximally untethered obstruction disposed in penetration through the syringe discharge aperture to resist reuse of the syringe.
Sometimes, a second locking element may be included in certain embodiments of the inventions. Certain of such second locking elements may also be used as a stand-alone looking element. In any case, a second locking element is effective to resist removing a conduit from an installed position in engagement with a conventional luer-lock device. A currently preferred embodiment resists rotation (in a loosening, or disassembly direction), of circumferentially spaced apart male threads from an installed position inside a female thread, such as is carried at the distal end of many fluid-dispensing syringes.
Hub 204 is configured to interface with conventional luer-lock structure of a luer-lock device, such as is carried at the dispensing (distal) end of certain fluid-dispensing syringes. Hub 204 includes an internal bore 206 configured to couple in fluid-tight engagement with a male luer of the conventional luer-lock device. A proximal end of hub 204 carries circumferentially interrupted male threads, 208 and 210, respectively, that are structured to couple with a female thread of the luer-lock device.
Wall 202 includes a band portion, generally 212, configured to wrap around a sufficient portion of the circumference of conduit 204 to resist radial separation between arcuate wall 202 and conduit 204. The illustrated band portion 212 is configured to wrap around more than half the circumference of hub 204. An alternative configuration within contemplation includes a proximal surface having a through-hole to permit engagement of a male luer inside bore 206, and a pair of distally projecting arms that together form an alternatively configured circumferentially interrupted wall.
Desirably, band 212 includes at least a first blocking portion, generally 213 in
Wall 202 also carries a flap 216 with a leading edge generally indicated at 218, and a trailing edge generally indicated at 220. Desirably, leading edge 218 is configured to facilitate rotation of all 202 in a tightening direction when assembly is installed in a luer-lock device. Illustrated leading edge 218 is radiused and disposed in sufficient radial proximity to the surface 222 as to rotatably fit into the female thread of a luer-lock device without interference. In contrast, flap 216 includes a cantilevered portion extending to the trailing edge 220 that is configured to develop a self-bias as male threads 208, 210 are rotated in a tightening direction with respect to the female thread of the luer-lock device. Further, the trailing edge 220 is configured to cause a structural interference with the female thread to resist rotation of male threads 208, 210 in a loosening direction. As illustrated, trailing edge 220 may be sharpened. Trailing edge 220 may also be twisted to cause a corner, generally indicated at 224 in
It is within contemplation that a second locking element structured according to certain principles of the invention may include one or more second blocking structure to resist displacement of an installed locking element in a distal direction. For example, the corner generally indicated at 230 in
A second embodiment of a workable second locking element is illustrated in
Desirably, a second locking element is made from metal, such as Stainless Steel. Thin Stainless Steel sheet stock advantageously can fit into the relatively small available radial space in a luer-lock device. Also, such material is strong enough to resist undesired rotation of components without experiencing structural failure. Further, such material can be configured to “bite” well into the (typically) plastic female thread of a luer-lock device to form a structural interference,.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2013/052303 | 3/22/2013 | WO | 00 |
Number | Date | Country | |
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61614996 | Mar 2012 | US |