In the Neonatal Intensive Care Unit (NICU), breastmilk is refrigerated in standard breastmilk collection containers. Typically these containers have a volume of 80, 150, or 250 milliliters. The containers are commonly filled with enough breastmilk to feed an infant over a period of 24 to 48 hours. Breastmilk fortifiers are also added to this “bulk feed” as prescribed for the infant and mixed into the breastmilk. An amount of fortified breastmilk normally between 20 ml and 60 ml is then dispensed from this bulk feed for an individual feeding every 2-4 hours. Feedings in the NICU are commonly performed enterally. Enteral feeding of the neonate generally requires that the breastmilk be drawn into a syringe (e.g., an oral slip-fit or luer-type fit) from the collection container containing the fortified breastmilk. This syringe is subsequently used with either a gravity system or enteral feeding pump to feed an infant.
Nurses typically require two hands on the syringe to extract milk from an open collection container. With two hands on the syringe, a nurse has no hand available to stabilize the container of milk being drawn from. This can result in spilling of milk or other accidents. Mothers of premature infants often do not produce an overabundance of breastmilk, so it is desired to provide the neonate with all available milk.
In addition, prior to milk withdrawal, the exterior surface of the syringe may potentially come into contact with an unclean surface, perhaps bearing pathogens. This can result in contamination of the breastmilk supply when the syringe is then dipped into the collection container for milk withdrawal.
In accordance with significant objectives of the invention, a novel feed adapter cap claimed herein minimizes the risk of contamination to the contents of the collection container, and likewise lowers the risk that the contents will be spilled or not fully dispensed.
Thus, in a first aspect, a feed adapter cap for a collection container comprises: (a) a housing defining both a fluid-communication opening and one or more air-release openings and (b) a membrane defining an annular, self-sealing fluid-valve for sealing the fluid-communication opening, wherein the fluid-valve defines at least one aperture.
The foregoing membrane may include, for instance, a plug element which is received within and closes the fluid-communication opening. The tip of a syringe, luer or the like, is then used to push the plug and membrane to a position which then opens the aperture for fluid flow out.
In a second aspect, a bulk feed adapter cap for a collection container comprises: (a) a housing defining at least one fluid-communication opening, (b) one or more air-release openings, and (c) at least one fluid-communication cap.
For example, an adapter cap for removal of fluid from a container of the invention has a housing defining at least one fluid-communication opening. A member is movably mounted within the housing to close the fluid-communication opening in a first position under force from a biasing element, which may be a portion of the member itself, and movable away from the fluid communication opening under influence of a force applied axially against the member (as by a syringe or luer tip), and against a bias of said biasing element. A fluid channel is further formed in one or both of the housing and the member, with the fluid channel communicating between the fluid-communication opening and the interior of the container, and being opened to fluid flow in a second position.
The member may be a membrane, with part of the membrane forming a plug to close the fluid-communication opening. It may further have a second plug portion which is surrounded by a second plug annulus. This second annulus provides a spring-like region permitting movement of the second plug portion away from the airflow opening under influence of a pressure change in the container interior, and back toward the airflow opening when the pressure has equalized.
In another aspect, the invention has an adapter cap for a collection container comprising (a) a housing defining a fluid communication opening, and (b) a membrane defining an air release opening, where the membrane also functions as a seal closure for the fluid communication opening.
In one version, the seal closure for the fluid communication opening may be opened by inserting a luer type or oral fitting type syringe into the fluid communication opening.
In yet a further version, the seal closure, such as in the form of an extended plug-like element, is extended up to the top edge of the opening, so that it may be wiped clean prior to inserting of a syringe.
Still another aspect of the invention has the adapter cap for a collection container comprising (a) a housing defining a fluid communication opening, and (b) a membrane defining a seal between the housing and the collection container, where the membrane also defines an air release opening (vent) and (c) at least one fluid communication cap.
The invention also contemplates an adapter cap for a collection container comprising (a) a housing defining a fluid communication opening, and (b) a membrane defining a seal between the housing and the collection container, where the membrane also defines an air release opening (vent) and a seal closure for the fluid communication opening.
An additional advantageous feature for the invention includes a tube connected to a point above the air release opening, with the tube extending into the container to a desired point with the end of the tube away from the fluid delivery outlet (such as to a point near the bottom of the container (bottle)). Air entering the container in response to fluid flow out will thus tend to be much less entrained in the outflow, or even eliminated from mixing with the fluid.
The invention also contemplates a method of using the adapter cap, comprising mounting a bulk feed adapter cap on a collection container, and then inserting a needleless syringe into a fluid-communication opening. This action axially displaces a fluid-valve. The collection container is inverted, with the user then drawing on a plunger of the needleless syringe. Equalization of the internal pressure of the collection container occurs in the course of removing fluid. Returning the collection container to an upright position, the fluid-valve reseals the fluid-communication opening.
The present invention will be further appreciated, and its attributes and advantages further understood, with reference to the detailed description below of examples of presently contemplated embodiments, taken in conjunction with the accompanying drawings, in which:
In a first aspect, as shown in
The housing 15 has an internally threaded collar 45 that is adapted to be received by a collection container 50 with mating threads, and has a top surface that defines the fluid-communication opening 20 and one (or more) air-release openings 25. The collection container 50 refers to a container that houses fluids, such as breastmilk. When the housing 15 is affixed to a collection container 50 with a 6 in-lb torque, the housing 15 will maintain a leak-proof seal. This leak-proof seal will continue even when the container 50 is inverted and has an internal pressure of 5 psi, which approximates a “worst case” scenario if a nurse overdraws the breastmilk and re-injects 10 ml of milk. The cap 10 can be attached to the container 50 opening or mouth, through other means, such as a snap-fit, just for one other example.
In this embodiment, shown in
The fluid-communication opening 20 is adapted to receive an oral-tip, luer, or any other needleless syringe 60 (see, e.g.,
In one embodiment, displayed in
The fluid-communication opening 20 protrudes from the housing 15 (see e.g.,
The air-release opening 25 allows air to enter and exit a collection container 50 to maintain the internal pressure of the container 50. The one or more air-release openings 25 are shown as a circular hole (
In another embodiment, the one or more air-release openings 25 are recessed within the housing 15 (
In still another embodiment, illustrated in
The membrane is a flexible member made of a polymeric blend, silicone or rubber, for example. The membrane 30 is capable of being axially displaced, then returning to its original position due to its spring-like properties. The membrane 30 may be attached to the housing 15 using any conventional means, such as a press-fit. As shown in
Referring back to
In one embodiment, in
As shown in
In use, the feed adapter cap 10 is mounted to a collection container 50. Then the user inserts the syringe 60 into the fluid-communication opening 20, axially displacing the fluid-valve 35. The user then inverts the collection container 50 and draws on the syringe plunger, applying a suction to the contents of the collection container 50. As a result, the air-valve 125 opens during the fluid transfer as the internal pressure of the collection container 50 increases. After the syringe 60 has been filled and subsequently removed, the fluid-valve 35 returns to the closed, sealed position.
In a second aspect, the bulk feed adapter cap 10 for a collection container 50 comprises: (a) a housing 15 defining at least one fluid-communication opening 20, (b) one or more air-release openings 25, and (c) at least one fluid-communication cap 160 (see
In one embodiment, at least one fluid-communication opening 20 is substantially centered in the housing 15, and the air-release opening 25 is off-center in the housing 15. Alternatively, all the fluid-communication openings 20 and the air-release opening 25 are off-center in the housing 15 (
In another embodiment, the bulk feed adapter cap 10 further comprises a collection container 50. In this embodiment, the base 165 of the collection container 50 (see
As illustrated in
In this embodiment, at least one fluid-communication cap 162 is tethered to the housing 15 via tethers 168.
In a further embodiment, displayed in
In use of the afore-described embodiment, the bulk feed adapter cap 10 is mounted to a collection container 50. Then the user removes a fluid-communication cap, such as cap 160, and inserts the needleless syringe 60 into the fluid-communication opening 20. The user then inverts the collection container 50 and draws on the syringe plunger, applying a vacuum pressure to the contents of the collection container 50. In response, the air-valve 125 opens during the fluid transfer as the internal pressure of the collection container 50 increases. When the syringe 60 is filled, the collection container 50 is placed in the upright position and the fluid-communication cap 160 is replaced on the fluid-communication opening 20.
In a third aspect of the invention, the bulk feed adapter cap 10 comprises: (a) a housing 15 defining at least one fluid-communication opening 20, (b) an air-release opening 25, and at least one fluid-communication-pull cap 195, shown in
The pull cap 195 is preferably substantially cylindrical with a hollow interior. At one end, the pull cap 195 defines an opening 220 sized to receive a needleless syringe 60. The pull cap 195 further defines an annular detent 225 about the exterior of the other end that is disposed within the annular gap 215 between the first and second cylinders 200, 205 of the housing 15, thereby sealing the channel 208. This can be a friction fit, or the housing's first cylinder 200 may define two spaced-apart annular channels 226, 227 on its interior surface to interface with the pull cap's annular detent 225. The pull cap 195 also defines an annular shoulder 230 on its interior diameter, such that, when the pull-cap detent 225 is engaged with the first cylinder's lower annular channel 226, the pull-cap shoulder 230 interfaces with the second cylinder's shoulder 210, further creating a fluid-tight seal. When the pull-cap detent 225 is moved to engage the first cylinder's higher annular channel 227, the shoulders 210, 230 are spaced apart (not shown) and the fluid-communication channel 208 is unobstructed, and a syringe may be engaged with the outside of the cylinder 200 to remove fluid from the container 50. The user pulls the pull cap 195 to open and pushes the pull cap 195 to close the collection container 50.
Note that many aspects of the foregoing embodiments may be combined together to practice the claimed invention. Thus, while a multitude of embodiments have been variously described herein, those of skill in this art will recognize that different embodiments show different potential features/designs that can be used in the other embodiments. Even more variations, applications and modifications will still fall within the spirit and scope of the invention, all as intended to come within the ambit and reach of the following claims.
This application claims priority to provisional application U.S. Ser. No. 61/294,377, filed Jan. 12, 2010.
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