This invention relates to hazardous materials, for example radiopharmaceuticals. In particular this invention relates to a compression member for a pig for storing, transporting and dispensing of liquid and capsules formulations of biohazardous products and substances in liquid and solid form, for example radiopharmaceuticals.
The transportation of biohazardous materials and substances, for example radioactive materials or biological substances such as pathogens, presents a potentially dangerous situation and must be subject to strict controls.
For example, radioactive pharmaceutical products, commonly known as “radiopharmaceuticals,” are prepared for patient injection, ingestion or other forms of administration in specially equipped and controlled facilities. Radiopharmaceuticals are well known for use as markers in nuclear medicine diagnostic procedures, and to treat certain diseases.
Unless properly shielded, such products become a radiation hazard for individuals handling the product. For example, radioiodine pills or capsules that can be used for treating certain pathologies such as thyroid diseases or in conjunction with a diagnostic procedure to diagnose certain types of illnesses, are stored before use in a container typically made of plastic, for example a polyethylene pill bottle. In the case of a liquid radiopharmaceutical the container is typically a glass vial. Neither of these containers have any radioactivity-shielding properties. Therefore the storage, transportation and dispensing of radiopharmaceuticals is carefully controlled by rules designed to regulate the handling of such materials in a manner that reduces the radiation hazard.
Each metered (for example assayed or calibrated) dose of the radiopharmaceutical product, for example in the case of a treatment for thyroid issues a radioiodine pill, or in the case of isotopes used in Nuclear Medicine (SPECT) and positron emission tomography (PET) diagnostic procedures a liquid, is placed by the manufacturer into the container to be shipped to a qualified facility for administration to a particular patient or patient category. At the radiopharmacy stock vials of different radiopharmaceuticals are dispensed as unit doses. This represents the first opportunity for hazardous exposure to the radioactive contents, and accordingly is effected at the manufacturer in a shielded booth or other enclosure, or under other radioactivity-shielded conditions.
The container containing the radiopharmaceutical must then be shipped to the destination hospital or clinic for administration to the patient. To effect this safely, the container is dropped into a radioactivity-shielding container commonly known as a “pig” for interim storage and delivery to the destination.
A conventional pig comprises a two-part vessel which is either formed from a radioactivity-shielding material, for example lead or tungsten, or has an exterior shell encasing a radiopharmaceutical container compartment that is lined with a radioactivity-shielding material such as lead or tungsten. A non-limiting example is described and illustrated in U.S. Pat. No. 6,586,758 issued Jul. 1, 2003 to Martin, which is incorporated herein by reference in its entirety.
When the pig is assembled, the radiopharmaceutical container compartment is sealed in order to contain the radiation and thus minimize human exposure to the radioactive contents of the radiopharmaceutical compartment. The compartment is sized to accommodate the radiopharmaceutical product, in the ingestible radioiodine example a pill or dissolving capsule, or in the case of a liquid of radiopharmaceutical a vial, syringe, ampule or other glass container. In each case the radiopharmaceutical compartment would be dimensioned accordingly.
Once the radiopharmaceutical container has been placed into the radiopharmaceutical compartment and the pig assembled, the pig is ready to be shipped to the patient's location. Because this part of the delivery process occurs entirely within the confines of the manufacturing plant, which is specifically designed and staffed so as to meet all regulatory guidelines and procedures, there is less chance of human exposure to the radioactive radiopharmaceutical product up to the point that the pill, capsule, vial, syringe or the like is sealed in the radiopharmaceutical container compartment of the pig. As is well known, the pig is designed to provide optimal shielding so as to reduce exposure during shipping. The transportation phase is a second opportunity for exposure to the radioactive contents of the radiopharmaceutical container, posing an occupational exposure opportunity for the driver/courier.
At the destination staff trained in handling radioactive substances, for example a nuclear medicine technologist or technician, opens the pig and then removes the closure from the radiopharmaceutical container to vent the container bottle. This is the third opportunity for exposure to the radioactive contents of the radiopharmaceutical container, in the presence of hospital or clinic staff. The technologist must transfer the radiopharmaceutical to a Dose Calibrator to assay (measure) the activity of the radiopharmaceutical, which must be within 10% of prescribed activity. After recording the assay, the technologist must retrieve container containing the radiopharmaceutical and return the radiopharmaceutical container to the pig's radiopharmaceutical container compartment, which is the third opportunity for exposure to radioactivity. The technologist then applies the lid to the pig for delivery to the patient.
The pig is opened in the patient's presence in order to gain access to the radiopharmaceutical container and remove the container closure for administration of the radiopharmaceutical product to the patient, providing a fourth opportunity for exposure to the radioactive contents of the radiopharmaceutical container. In this step exposure of radioactivity to the ambient environment is unavoidable in order to access the radiopharmaceutical product for administration to the patient, so great care must be taken to handle the unshielded radiopharmaceutical product using proper safety equipment and procedures.
However, the assaying process, and the venting of the container in the case of certain volatile radioactive substances which produce radioactive iodine vapours such as 131Iocline capsules, can present unnecessary points of risk of exposure to the technologist and other staff. Although the types of destination facilities to which these products are shipped are equipped to properly handle radiopharmaceutical products and the staff at such facilities are well trained in safety policies and procedures, this step in particular can increase the risk of human exposure to the radioactive contents of the radiopharmaceutical product.
There is accordingly a need for a radiopharmaceutical pig that reduces opportunities for human exposure to the contents of the container when the pig reaches a hospital or clinic setting and the product in the container is exposed to the ambient environment. Such a pig is disclosed in PCT/CA2017/0505689 to Kamen, the contents of which are incorporated herein.
While the inventions disclosed in the above-noted application to Kamen are useful, improvements are desirable. For example, improvements to the compression member to be disposed intermediate at least a container closure and the pig are desirable.
According to an aspect there is provided a compression member for insertion into a pig for transporting a container of biohazardous materials, the compression member comprising a flange maintained in spaced relation with an annulus by pillars; and spaced apart pivotable grip components supported by the annulus and extending downwards from the annulus between respective ones of the pillars towards, but not into contact with, the flange, the pivotable grip components resiliently compressible inwardly against the container when the container is received within the compression member.
In an embodiment, the compression member further comprises a ramp on an outward-facing surface of each of the grip components.
In an embodiment, the compression member further comprises a buttress at the interface between each pillar and the annulus.
In an embodiment, the flange of the compression member further comprises a sloped edge about its periphery for snap retention within the complementary annulus.
In an embodiment, the flange, annulus, pillars and grip components are formed as a unitary structure.
In an embodiment, the compression member is formed of a thermoplastic material.
In drawings that illustrate an embodiment of the invention by way of non-limiting example only:
A pig 20 for transporting a container 10 containing a biohazardous product is shown in
A biohazardous materials container, for example a radiopharmaceutical container 10 as shown, comprises a bottle 12 and a closure 14 for sealing the bottle 12. The container 10 may be made of any suitable material, typically plastic or glass depending upon the type and form of radiopharmaceutical contained therein. For example in the embodiment shown in
The cap 30 of the pig 20 is configured 1) to allow the container 10 to be removed from the body 22 of the pig 20 while secured to (and thus in part shielded by) the cap 30, and 2) to allow the closure 14 to be removed from the bottle 12 without opening the pig 20 in order to avoid exposing the user to the radioactive contents of the product, as described in detail below. In the embodiment shown the bottle 12 comprises a bead 12a about its neck, and the closure 14 is a stopper-type closure having a body 14a which closes the neck of the bottle 12 in an interference fit. In other containers 10 the closure may be clinched to the neck of the bottle 12. In the case of liquids the closure 14 is typically provided with a generally central septum 14b (see
The pig 20 in the embodiment illustrated a radiopharmaceutical pig 20, comprises a cylindrical body 22 and a complementary cylindrical cap 30 for attachment to the body 22.
The components of the radiopharmaceutical pig 20 shown may be formed from a radioactivity-shielding material such as lead or tungsten, or may be formed from any suitably strong metal or plastic. In the case of the radiopharmaceutical pig 20 shown the portions surrounding the compartment 24 are lined with a suitably radioactivity-resistant liner formed from a material such as lead or tungsten. If the pig is used to transport toxins, biological pathogens or other non-radioactive products or substances, the compartment 24 may be hermetically sealed when the pig 20 is closed to prevent exposure to the ambient environment.
The body 22 comprises a recess concentric with and overlying the radiopharmaceutical container compartment 24, forming a throat 23 which provides projecting cams 25 along its interior wall, as best seen in
The first body closure stage comprises an outer collar 30a that fits within the throat 23 of the body, which when secured to the body 22 extends into and sealingly engages with the throat 23. In the embodiment illustrated the collar 30a comprises a projecting collar neck portion 31 that provides external projecting cams 31a, best seen in
The collar 30a comprises an orifice 29 extending through the body and neck 31 of the collar 30a, in communication with the biohazardous materials container compartment 24. The upper portion of the orifice 29 provides a larger diameter and projecting cams 31d (see
The cap closure 30b provides a cap closure neck 33 that fits into the orifice 29. In the embodiment illustrated the cap closure 30b comprises a projecting closure neck portion 33 that provides external projecting cams 33a, best seen in
The cap closure 30b attaches to the collar 30a in a compressive motion, such that the container closure 14 is gripped by the annulus 35 of the closure 30b. Although a bayonet fitting arrangement is a particularly convenient means of compressively attaching the cap closure 30b to the collar 30a, these components may be attached together in any other suitable manner that provides a compressive motion of the cap closure 30b relative to the collar 30a, for example by threading. Also, in the embodiment shown the body 22 and cap 30 have a cylindrical exterior, which simplifies the provision of a bayonet connection, however any other convenient configuration may be used with a closure mechanism suitable for substantially preventing leakage of radioactivity from the pig 20.
To improve the gripping action of the cap closure 30b compressed against the collar 30a, the somewhat resilient grip 50 may be disposed in the orifice. In the embodiment shown the grip 50 comprises a flange 51 supporting spaced apart fingers 54 that form a circle complementary to the inner wall of the annulus 35, as best seen in
The grip 50 may be formed from a semi-compressible material such as plastic (such as a thermoplastic such as Delrin™ available from Dupont Corporation of Wilmington, Del., U.S.A. or polypropylene) or silicone, and has an external profile allowing it to fit snugly within the recess 35a of the annulus 35, and an internal profile allowing the closure 14 of the biohazardous container 10 to fit snugly within the grip 50, as shown in
The lower end of the annulus 35 has a slightly diverging wall which is drawn downwardly against the grip 50 as the collar 30a is engaged to the body 22, compressing the grip 50 slightly. The grip 50 thus provides a buffer between the incompressible interior surface of the annulus 35 and the container closure 14, which in the example shown is a stopper engaged with the neck of the container 12 in an interference fit thereby capping the container 12. This both allows the closure 14 to be held securely by the cap 30 and, where the biohazardous container 10 is made of glass, potentially avoids breakage. As in the embodiment illustrated the grip 50 may be frictionally and secured to the collar by lugs 52 projecting into complementary bores 31e formed in the lower edge of the neck 31 of the collar 30a thereby to inhibit rotation and translational exit from the bores 31e. In other embodiments (not shown) the periphery of the flange 51 may snap-fit onto the recess 37 formed in the bottom surface of the collar 30a (see
The grip 50 can be supplied in a single-use sterile package for the plastic piece, or can be pre-loaded to vial and both sterilized together. Different sizes of vial would dictate a corresponding change in the diameter of the compartment 24, but such vials tend to have a standard neck and same septum circumference and in such cases the same size of cap 30 and grip 50 can be used.
In the case of the radiopharmaceutical pig 20 shown, the assembled cap 30 and body 22 thus provide a radioactively-shielded compartment 24, for shielding the radioactive contents of the radiopharmaceutical container 10 contained when sealed into the radiopharmaceutical compartment 24. In the embodiment shown the compartment 24 is defined by a cavity formed largely within the body 22 which is sized to receive the bottle 12 in a close fit, preferably a clearance fit but alternatively an interference fit, however the compartment 24 may be formed by defined by suitably sized and aligned adjoining cavities formed respectively in the body 22 and the cap 30.
Thus, when the closure remover 34 is seated over the compartment 24 it closes the cap opening 32 in order to radioactively seal the radiopharmaceutical compartment 24. Also, when the cap 30 is removed from the body 22 it is possible to manipulate the sealed container 10 by handling only the cap 30, thereby shielding the technologist's extremities from radiation.
To preserve a radiopharmaceutical pill (not shown), the bottle 12 optionally may be provided with fins (not shown) that confine the pill 2 to an axially central portion of the container 10 and thus reduce the amount of pill surface touching the bottle 12.
In use of the embodiment shown, a radiopharmaceutical liquid or solid material (e.g. a pill) is placed into the bottle 12 using conventional techniques and equipment to avoid exposure to staff. A radioisotope solution 2 in a glass bottle 12 is illustrated in
The closure 14 is applied to the container 10 which is then placed into the container compartment 24. The cap 30 is placed on the body 22 of the pig 20 and rotated in the closing direction to engage the cams 25, 31a and to seal the cap 30 tightly to the body 22, confining radioactivity from the pill 2 within the container compartment 24.
The pig 20 can then be transported to the patient's facility for administration of the biohazardous material, in the example shown a liquid radioisotope.
When the pig 20 arrives at the destination, the pig 20 is taken to a room designed to contain the radioactivity and protect staff, as is conventional. The technician grasps the collar 30a and ensures that the cap closure 30b is fully rotated in the direction that locks it to the collar 30a, clockwise in the embodiment illustrated as indicated by the ‘pick up vial’ arrow in
The technician then grasps the body 22 and rotates the cap 30 collar (30a and cap closure 30b together) to remove the cap 30 from the body 22 with the container closure 14 lodged in the annulus 35 (or where a grip 50 is used, in the grip 50), and lifts the cap 30 off the body 22 as shown in
Where the biohazardous material is a liquid and the cap 14 of the bottle (typically a vial) 12 provides a septum 14b or other entry orifice for a syringe (not shown), the closure 30b can be removed from the collar 30a to expose the top of the container closure 14 and allow the insertion of a syringe without releasing the vial from the collar 30a. A tungsten insert 60, for example as shown in
An alternative tungsten insert 60A is shown in
The container 10 can be released by grasping the collar 30a and fully rotating the cap closure 30b in the direction that unlocks it from the collar 30a, counter-clockwise in the embodiment illustrated as indicated by the ‘release vial’ arrow in
In use, the biohazardous material is placed in the container 10 by the manufacturer, placed in the container compartment 24 of the pig 20, and shipped to the destination. A technician at the destination removes the cap 30 with the container 10 attached, moves the container 10 to a dose calibrator (not shown) and, while grasping the collar 30a, rotates the cap closure 30b to release the container closure 14 and (typically using tongs) insert the container 10 into the dose calibrator to measure (assay) amount of radioactivity. The bottle 12 is vented in the dose calibrator, if required (typically only in the case of radioiodine capsules).
The container 10 can then be re-sealed and the closure 14 reinserted into the grip 50. The technician while grasping the collar 30a rotates the cap closure 30b in the locking direction to secure the container closure 14 to the grip 50. The cap 30 is then replaced in the manner described above, and delivered to the patient for administration by a qualified professional.
At the patient site, in the case of a liquid the technician removes the cap closure 30b from the collar 30a and secures the insert 60 or insert 60A to the collar 30a by interlocking cams 66 and 25 in a bayonet fashion. The technician then inserts a syringe through the orifice 80 and the septum 14b to aspirate the liquid 2 from the bottle 12. The insert 60 or 60A can then be removed and the cap closure 30b replaced on the collar 30a to shield the residual radioactivity in the bottle 12.
The pig according to the invention can be used for any type of radioisotope, including those used for so-called “theranostics.” Although tungsten shields gamma rays effectively, optionally a Lucite (Trademark) or Aluminum tube can be used to line the compartment 24 for materials having high beta emissions, for example to shield beta emissions from a radioisotope such as I-131. Bremsstrahlung occurs as beta particles strike a dense material like tungsten or steel, and the Lucite tube thus serves as a ‘pillow’ to reduce or eliminate bremsstrahlung x-rays.
As will be described, handle assembly 300 is configurable for carrying pig 200, for supporting pig 200 during extraction of contents of bottle contained within, and for inhibiting unintended removal of cap 30 particularly during transportation of pig 200.
In this embodiment, handle assembly 300 includes an upper collar 310 and a lower collar 320 maintained in a fixed spaced relationship by two struts 330a, 330b located opposite each other with respect to pig 200 and extending between the upper collar 310 and the lower collar 320.
Upper collar 310 includes a ring 312 with a central opening 314 and an outer diameter that is slightly larger than the outer diameter of body 220 of pig 200, and a wall 316 depends downwards at right angles to the ring 312 about its periphery. The diameter of the central opening 314 is slightly larger than the diameter of collar 30a so that the upper collar 310 can be associated with the body 220 of pig 200 by being placed atop the body 220 such that the ring 312 of upper collar 310 directly faces the ledge of body 220 with the wall 316 of the upper collar 310 extending down a short distance along the exterior of body 220.
In this embodiment, lower collar 320 is identical to upper collar 310, but is oriented upward thereby to be associated with the bottom of body 220 by receiving the bottom of body 220 within its peripheral wall 326. It will be understood that, while upper and lower collars 310, 320 are identical in this embodiment, the lower collar 320 in this embodiment does not really need its own central opening 322 to fulfil its function since the bottom of body 220 does not have a corresponding feature.
In this embodiment, upper collar 310 and lower collar 320 are made of Delrin™.
Each of struts 330a, 33b is connected at a proximate end to the wall 316 of upper collar 310 and at a distal end to the wall 326 of lower collar 320. In this embodiment, channels 318a, 318b, 328a and 328b in the outer face of the peripheral walls 316, 326 of each of upper and lower collars 310, 320 receives corresponding proximate and distal ends of a strut 330a or 330b, and the proximate and distal ends of the strut 330a or 330b are locked within the corresponding channels 318a, 318b, 328a, 328b with fasteners F. In this way, the upper and lower collars 310, 320 contain body 220 of pig 200 such that it is not separable from the upper and lower collars 310, 320 unless these fasteners F are removed.
Each of struts 330a, 330b has an outward-facing threaded aperture along its outward-facing surface and intermediate its proximate and distal ends for receiving the threaded end of a corresponding knob 340a or 340b via a corresponding washer 341a, 341b. A U-shaped handle 350 has elongate arms 352a and 352b each depending from a cross member 354, and each of the elongate arms 352a, 352b has therethrough an elongate channel 356a, 356b. The handle 350 is connectable to the struts 330a, 330b by passing knob 340a, 340b through a respective elongate channel 356a, 356b threading the knobs 340a, 340b into its corresponding threaded aperture in the strut 330a, 330b. In this configuration, if both of the knobs 340a, 340b are not fully threaded into corresponding threaded apertures, they do not compress respective arms 352a, 352b against the corresponding strut 330a, 330b, such that the channel 356a, 356b and correspondingly the handle 350 can be both freely rotated about and freely slid along the corresponding knob 340a, 340b while remaining generally connected to the rest of the handle assembly 300. In this way, the handle 350 can be moved between various rotational and extensional orientations with respect to the body 220 of pig 200. If any or both of the knobs 340a, 340b are tightened so as to press the arms 352, 352b against the struts 330a, 330b, the handle is held frictionally in position and is thereby prevented from rotating or sliding with respect to the struts 330a, 330b. It is preferred that the operator tighten both knobs 340a, 340b when intending to maintain the handle 350 in a particular fixed position with respect to the body 220, since the body 220 and the closure 30, being formed with dense, thick walls of tungsten, can be quite heavy.
In this embodiment, flange 510 is formed of a semi-compressible material such as plastic (such as a thermoplastic such as Delrin™ or polypropylene). In this embodiment, flange 510 is not circular, but is instead substantially a square with significantly rounded corners 512. Furthermore, flange 510, as best seen in the side elevation view of
In this embodiment, fingers 540 are formed of the same rigid material as flange 510, while sleeve 505 and webs 542 are formed of a more flexible but resilient material such as silicone that is fused at its boundaries with flange 510 and fingers 540.
While a grip 500 of two integrated materials exhibiting the two different properties (rigid and flexible) can be very useful, it can be expensive to manufacture. As such, in alternative embodiments grip 500 may be manufactured from a single material for the sleeve 505, fingers 540 and webs 542 with the relative rigidity and flexibility produced through differing thicknesses at different points throughout the grip 500 of the one material rather than necessarily from different materials. For example, the interfaces between the webs 542 and the fingers 540 and flange 510 may incorporate less of the material than between the fingers 540 and the flange 510 thereby to permit webs 542 to be flexed relative to the flange 510 and fingers 540 more than the fingers 540 can flex relative to the flange 510. In this way, the resilience of fingers 540 with respect to flange 510 can be maintained while reducing the rigidifying effect of the webs 542 between the fingers 540.
The radiopharmaceutical pigs 20 and 200 described and illustrated are particularly suitable for transporting radioactive substances such as liquid and solid radiopharmaceuticals due to the radioactivity-shielding character of the container 24, but can be adapted to transport other biohazardous products and materials without the use of radioactivity shielding by hermetically sealing the container 24.
Various embodiments of the present invention comprising been thus described in detail by way of example, it will be apparent to those skilled in the art that variations and modifications may be made without departing from the invention. The invention includes all such variations and modifications as fall within the scope of the appended claims.
For example, while embodiments described herein involve the compartment 24 of body 22 or body 220 being dimensioned to receive only a container of the biohazardous material, embodiments are contemplated in which the compartment 24 is dimensioned to receive a container in addition to a sponge, such as a cellulose sponge, for physically absorbing liquid originally contained within the received container should it escape from the container during transportation or other handling. Some regulators require that there be provided a quantity of sponge that is capable of absorbing twice the volume of liquid to be contained within the container. Such a cellulose sponge may be formed as a slab and positioned at the bottom of compartment 24 underneath the container, but may alternatively be formed as a cup having a bottom and a sleeve dimensioned to receive the container and, in turn, to be received within compartment 24. The cellulose sponge slab or sleeve would be a consumable.
Furthermore, while handle assembly depicted and describe herein has two struts, alternatives are contemplated having more than two struts, or other structures for encapsulating the body within the handle assembly.
Still further, very thin layers of rubber or other frictional material may be placed at the interfaces between collar 30a and cap closure 30b and collar 30a and body 22 in order to resist inadvertent relative movements when being transported to thereby resist inadvertent exposure to the contents of the container 10.
The pivotable grip components 640 and pillars 630 encircle a closure 14 and part of a neck 12 of a container 10 received within the interior of flange 610. This interaction with a closure 14 and part of a neck 12 of a container 10 is similar to that shown between grip 50 and container 10 in
Also, because pivotable grip components 640 depend from annulus 620 between the pillars 630 only partway, compression member 600 is, via the pivoting of the pivotable grip components 640, therefore able to apply more even force along the surface of a crimped vial closure 14. This provides an improved grip, and improved handling and radiation safety. In use, the grip 600 is placed atop of a crimped-top of a vial, and the corresponding portions of the pig in the annulus 35 of the pig that interact with the ramps 642 along the outward-facing sides of the pivotable grip components 640 as the compression member 600 (along with the container 10) are inserted therein cause the pivotable grip components 640 to move inwardly to grip the closure 14 of the container 10 and, in some embodiments, also contact the glass of the container 10. Grip 600 also serves as a spacer for between these portions of the container 10 and the pig 20.
In this embodiment, the above-described components of grip 600 are formed of a semi-compressible material such as plastic (such as a thermoplastic such as Delrin™ or polypropylene). In this embodiment, grip 600 is a single-piece component—a unitary structure—formed by machining. Furthermore, in this embodiment, flange 610 is not circular, but is instead substantially a square with significantly rounded corners 612. Furthermore, flange 610, as best seen in the side elevation view of
The alternative compression member 600 of
This application claims priority to U.S. Provisional Patent Application Ser. No. 62/640,683 to Robert Kamen filed on Mar. 9, 2018 and entitled “COMPRESSION MEMBER FOR BIOHAZARDOUS MATERIAL TRANSPORTING PIG”, the contents of which are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2019/050274 | 3/6/2019 | WO | 00 |
Number | Date | Country | |
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62640683 | Mar 2018 | US |