The present disclosure relates generally to fluid-dispensing devices and, in particular, to a disposable and/or single-use liquid adhesive dispenser device for dispensing an amount of liquid adhesive to be used for medical procedures, such as intravenous (IV) port securement, insertion site sealing, and/or wound closure procedures.
Liquid adhesives, such as curable polymeric solutions, are used for medical procedures, such as to secure an intravenous (IV) port to a patient's skin, as well as for wound closure and insertion site sealing to prevent or reduce microbial ingress. For example, minimally invasive surgery, such as laparoscopic surgery, is typically accomplished using small incisions. Such small incisions can be closed by traditional techniques, such as the introduction of sutures or staples to close the incision wounds. More recently, though, the use of surgical adhesives has gained favor in closing incisions and wounds.
Many different packaging configurations, dispenser devices, and applicators have been developed for providing a predetermined amount of the liquid adhesive to a specific surgical site, such as to a wound or insertion site. For example, liquid adhesives can be provided in disposable pouches or sleeves, which can be punctured or torn to release the liquid adhesive contained therein. Liquid adhesive can also be provided to a patient's skin using disposable tools, such as swabs, brushes, or sponges. More sophisticated dispenser and applicator devices can include sealed ampoules, cartridges, vials, or other containers containing an amount of liquid adhesive to be provided to a wound or incision site. Many existing dispenser devices include a mechanism for opening the container and then allowing the liquid adhesive to drain from the container by gravity. Other dispenser devices can include pumping or squeezing mechanisms for expelling the liquid adhesive from the dispenser device.
However, there is a need for improved dispenser devices that allow a user to precisely control fluid flow rate and volume to deposit a desired amount of the liquid adhesive at a desired surgical/wound site. The dispenser devices of the present disclosure are configured to provide this sort of precise control of fluid release, while also providing long shelf-life and preventing contamination and leakage of the device and/or liquid adhesive contained therein prior to use.
Provided herein is a liquid adhesive dispenser device, including a housing having a first housing part having a proximal end, a distal end, a first port at the distal end, and a sidewall therebetween defining a first chamber configured to hold a liquid adhesive, a second housing part, having a proximal end, a distal end, a second port at the distal end, and a sidewall therebetween defining a second chamber configured to receive a liquid adhesive, and a ball applicator arranged adjacent the second port, wherein the first housing part has a distally-extending protrusion arranged to seal the first port, wherein the second housing part has a first seat arranged adjacent the proximal end thereof and configured to receive the distally-extending protrusion of the first housing part and a second seat adjacent the distal end thereof and configured to rotatably hold a ball applicator.
In accordance with an embodiment of the present invention, the first port and the protrusion are radially offset from a center of the distal end of the first housing part.
In accordance with an embodiment of the present invention, the first seat is radially offset from a center of the proximal end of the second housing part.
In accordance with an embodiment of the present invention, the first housing part is rotatable relative to the second housing part.
In accordance with an embodiment of the present invention, the protrusion is held within the first seat and is frangible, such that as the first housing part and/or the second housing part are rotated relative to one another, the protrusion is removed from the first port, thereby placing the first chamber in fluid communication with the second chamber.
In accordance with an embodiment of the present invention, the ball applicator is configured to rotate as the device is moved across a patient's skin, thereby allowing for delivery of liquid adhesive to the patient's skin.
In accordance with an embodiment of the present invention, the second port and the ball applicator are arranged such that one or more fluid paths are present between the ball applicator and the sidewalls of the second housing part.
In accordance with an embodiment of the present invention, the second port and the ball applicator are arranged such that one or more slots are present between the ball applicator and the sidewalls of the second housing part.
In accordance with an embodiment of the present invention, the second housing part is collapsible.
In accordance with an embodiment of the present invention, the second housing part comprises one or more grips arranged on an outer surface of the sidewalls.
In accordance with an embodiment of the present invention, the liquid adhesive dispenser device further includes a liquid adhesive received within the first chamber.
In accordance with an embodiment of the present invention, an amount of the liquid adhesive received within the first chamber is a single-use amount.
In accordance with an embodiment of the present invention, the single-use amount is equal to or less than about 1.0 mL, optionally less than about 0.5 mL, optionally less than about 0.2 mL.
In accordance with an embodiment of the present invention, the liquid adhesive includes a tissue adhesive configured to be used for securing a vascular access device to skin of a patient, wound closure, and/or insertion site closure.
In accordance with an embodiment of the present invention, the liquid adhesive includes a cyanoacrylate composition.
In accordance with an embodiment of the present invention, the first housing part includes a flange at the distal end thereof, the flange configured to be received within a recess adjacent the proximal end of the second housing part.
Also provided herein is a kit including a liquid adhesive dispenser device and a package configured to hold the liquid adhesive dispenser device.
In accordance with an embodiment of the present invention, the device is hermetically sealed within the package.
In accordance with an embodiment of the present invention, the device and/or the package are sterilized.
The following description is provided to enable those skilled in the art to make and use the described embodiments contemplated for carrying out the invention. Various modifications, equivalents, variations, and alternatives, however, will remain readily apparent to those skilled in the art. Any and all such modifications, variations, equivalents, and alternatives are intended to fall within the spirit and scope of the present invention.
For purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof shall relate to the invention as it is oriented in the drawing figures. However, it is to be understood that the invention may assume various alternative variations, except where expressly specified to the contrary. It is also to be understood that the specific devices illustrated in the attached drawings, and described in the following specification, are simply exemplary embodiments of the invention. Hence, specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered as limiting.
It should be understood that any numerical range recited herein is intended to include all values and sub-ranges subsumed therein. For example, a range of “1 to 10” is intended to include all sub-ranges between (and including) the recited minimum value of 1 and the recited maximum value of 10, that is, having a minimum value equal to or greater than 1 and a maximum value of equal to or less than 10.
Provided herein is a dispensing device, optionally for a liquid adhesive, which can be used to provide controlled application of a fluid, such as a liquid adhesive, to a site of a skin puncture, for example a venipuncture via a central venous catheter (CVC), a peripheral intravenous catheter (PIVC), or a peripherally-inserted central catheter (PICC).
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Second housing part 120 may be a nozzle, and may include a proximal end 122, a distal end 124, and a sidewall 126 therebetween defining a second chamber 128 configured to receive and/or hold a liquid adhesive. Second housing part 120 may be formed of any suitable material, for example a plastic material. In non-limiting embodiments, second housing part 120 is collapsible, such that a user can compress sidewalls 126 to expel a liquid adhesive received or held therein. In non-limiting embodiments, sidewall 126 includes one or more grips 142, configured to allow a user to grip sidewall 126 to compress second housing part 120. Second housing part 120 further may include a second port 127 arranged at distal end 124 thereof. Second port 127 may include a ball applicator 140 received within port 127.
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As first chamber 118 and second chamber 128 are placed into liquid communication, and liquid adhesive enters second chamber 128, such adhesive can be dispensed through second port 127 in a number of ways. Liquid adhesive may be actively dispensed from device 100 by a user applying pressure to and compressing first housing part 110 and/or second housing part 120. As used herein, “active” dispensing of the liquid adhesive means that some portion or component of the device 100 is operated or actuated to force liquid adhesive from the device 100. In contrast, “passive” dispensing of liquid adhesive refers to movement of fluid by environmental or inherent forces, such as gravity, natural elasticity of components of the container or device, osmosis, differential pressure, etc.
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With continuing reference to the appended figures, and further to the non-limiting embodiments described above, in non-limiting embodiments, the liquid adhesive is a tissue adhesive, also referred to as surgical glue, skin glue, or liquid stitches, configured to adhere to the skin of a patient. The tissue adhesive can be used, for example, for securing a vascular access device, such as an intravenous (IV) port, to the patient's skin. The tissue adhesive can also be used for wound closure or insertion site sealing to prevent microbial ingress. The dispensing devices 100, 215 disclosed herein may be filled with a variety of different types of biocompatible tissue adhesives, as are known in the art. For example, the tissue adhesive contained in the dispensing devices 100, 215 may be a cyanoacrylate composition.
In some non-limiting embodiments, the dispensing devices 100, 215 disclosed herein may be configured to be single-use and/or disposable devices configured to be disposed of after delivering a single dose or single-use amount of the liquid adhesive. As used herein, a “single-use amount” of the liquid adhesive refers to an amount of adhesive needed for performing common medical actions including, but not limited to, IV port securement, wound closure for small wounds or incisions, and/or insertion site sealing. For example, the dispensing devices 100, 215 may be configured to contain less than about 1.0 mL, preferably less than 0.5 mL, or more preferably less than about 0.2 mL of the liquid adhesive. In other examples, the dispensing devices 100, 215 may contain from about 0.05 mL to about 1.0 mL of the liquid adhesive.
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Although the present disclosure has been described in detail for the purpose of illustration based on what is currently considered to be the most practical and preferred embodiments or aspects, it is to be understood that such detail is solely for that purpose and that the present disclosure is not limited to the disclosed embodiments or aspects, but, on the contrary, is intended to cover modifications and equivalent arrangements that are within the spirit and scope of the appended claims. For example, it is to be understood that the present disclosure contemplates that, to the extent possible, one or more features of any embodiment may be combined with one or more features of any other embodiment.