The present invention is related to the hospital instruments manufacturing industry. More specifically it is related to the industry of manufacturing instruments for extracting and collecting blood. Still more specifically, it is related to the industry of manufacturing instruments for extracting blood safely, by means of a needle-catheter system which prevents the accidental puncturing or cutting of the vein by replacing the needle for a plastic catheter without sharp edges, which also prevents accidental punctures following its use.
Phlebotomy is the process of making an incision in a vein and is generally related to venipuncture and the extraction of blood. For decades phlebotomy has been and today it is one of the most common invasive techniques in health care [1]. There are two types of systems used for collecting blood: (a) open systems in which a blood sample, once it has been extracted for the patient's vein, must be transferred to another container for later analysis, these systems including hypodermic needles and syringes; (2) closed systems in which the blood that is collected is stored in the final container for later analysis and in which there is no need for transferring the blood to another device. Closed systems for the extraction of blood are preferred over the open systems due to their safety [2].
In 1943 [3] the American Red Cross asked a business which manufactured hospital material to develop a disposable, sterile apparatus for extracting blood. Once bottled, the material had to be kept sterile for use in battlefields. The result was the creation of a vacuum device, which allowed for extraction of blood directly from the vein, using a double pointed needle. One of the tips was directly connected to the collecting tube, which was in a vacuum, while the other tip of the needle was inserted into the vein. The blood was sucked into the vacuum tube, constituting a vacuum system for extracting blood. Since its beginnings, this device has been improved and perfected, transforming the system for blood extraction into a safe, practical procedure, which provides better quality for the diagnostic model. Today this kind of device for extracting and collecting blood samples is very common.
On the other hand, there is worldwide epidemiological evidence that shows that the main concern about accidents in the use of instruments with sharp points and their disposal as infectious waste in hospitals is the transmission of the AIDS virus and more commonly Hepatitis B and C viruses. This is due to the wounds caused by needles contaminated with human blood. Therefore there has been a growing need for producers of devices for extracting blood to try to find systems, which prevent accidental puncture wounds with needles to the medical staff and other workers who handle hospital waste.
As a result, new products are designed to incorporate special covers for needles or mechanisms for retracting the needle into a protective chamber. Such devices are described, for example, in U.S. Pat. Nos. 5,356,392, 6,004.278, 6,102.894, 6,186.960, US 2003/208.161 A1, US 2005/1187,493 A1, Pat. No. 7,513,887 B2, US 2010/241,029 A1, US 2011/166,476 A1. All of the devices described in these patents involve the use of a hollow needle, which punctures the patient's vein in order to obtain a blood sample and remains in the vein for the duration of the procedure. This process does not prevent the patient from being wounded by the movement of the needle within the vein and the only safety provided is after extracting the needle from the patient for final disposal as hazardous wastes.
The continuous use of metal cannulas, which remain in the vein during blood extraction, causes irritation to the inside of the vein by the pointed end of the cannula. This can be dangerous since phlebitis may occur and in some cases, excessive damage to the vein nullifies the procedure. Today, blood extraction is performed manually, making it necessary for the person who performs the extraction to use very refined techniques and in most cases special training in the use of the devices used as well as broad experience in order to avoid harming and thus affecting the patient when blood extraction is carried out. However, even with experience and expertise, the patient is often affected by pain, tissue damage, multi-punctures and general discomfort.
One method developed to avoid the need for keeping a metallic cannula with sharp tips in the vain is the use of plastic catheters, which have disposable needles which rim through the catheter to puncture the vein and allow the insertion of a catheter. Later, the needle may be removed, leaving the catheter in place to use as a connection for an intravenous bag, bottle or stopper for later use. With this method there is a flexible object with no sharp points inside the vein, thus preventing excessive irritation to the walls of the vein and eliminating the possibility of damaging the vein with a sharp object and the consequential ineffectiveness of the procedure. Moreover, psychologically the stress of the patient and the medical staff is diminished with the use of a non-cutting point, producing an improved procedure and greater comfort for the patient.
In patents such as US patent 2003/208,161 A1 can be found a design for devices that ensure that the cannula loses its sharp edges after use. This consists of two concentric nested tubes, in which one has a sharp tip and the other a tip that is not sharp. Here the sharp tip is counterposed to the point which is not sharp, so that during the puncturing procedure the sharp tip cuts the skin and when it enters the vein the inner tube is deployed so that it blocks the sharp tip of the exterior tube exposing a tip which is not sharp. This mechanism affords the vein with a degree of safety of not being damaged by the tip of the needle, but there is still a rigid metallic element present which may tear the vein.
As may be inferred from the text, there are certain characteristics and qualities that a device for extracting and collecting blood must possess, among them: (a) reduce or eliminate the use of a metallic cannula with sharp edges and which remains in the vein for the duration of the procedure; (b) the use of a plastic cannula or catheter for the extraction of blood samples which provides the patient greater comfort with the assurance that the sharp element has been disabled; (c) possess a safety system for medical personnel that assures that following the procedure, no accidental puncture wounds occur and (d) be easily handled. These are the characteristics claimed in the present invention.
The main objective of the invention is to achieve a device for the extraction of blood, which avoids prolonged permanence of a cannula with sharp edges inside the vein, replacing the latter with a flexible plastic catheter, which avoids damaging the patient's vein.
Another objective is to have a safety system, which avoids accidental puncture wounds to medical personnel and janitorial workers, with a hollow needle contaminated with blood by way of confining the used needle within a rigid casing.
Still another objective is to have a device for collecting blood samples with ergonomic geometry and which is easy for the personnel in charge of carrying out the procedure of extracting and collecting blood to use.
And all of those objective and advantages which will become apparent upon reading the attached drawings which for illustrative, with non-limiting purposes, make up an integral part of the present description.
The present invention refers to a device for extracting and collecting blood samples, specifically to a system for extracting blood samples which replaces the use of a hollow needle with a flexible plastic catheter for extracting blood from the vein of a patient and in which the hollow needle after making the hole and inserting the catheter is confined in a rigid casing so that the device cannot be reused and also thus preventing accidental puncture wounds to medical personnel or others with the hollow needle contaminate with blood, thereafter proceeding to safe elimination of the device.
This invention refers to a double system which allows, through one of its components, a system for extracting blood samples which uses a flexible catheter without a point which remains in a patient's vein, thus avoiding wounds to the vein and in which the hollow needle is only used for inserting the catheter into the patient's vein and will be immediately withdrawn, removing the sharp tip from the vein. In the second component, a safety mechanism which once the procedure of extracting blood is finished, allows for withdrawing the contaminated cannula into a protection chamber thus avoiding later contact with the user or other persons, preventing accidental puncture wounds and the transmission of diseases.
Moreover, with a system which utilizes a flexible catheter instead of a hollow needle for taking blood samples, the stress produced by a sharp metallic object within the body is reduced, thus preventing serious wounds which may invalidate the procedure. The procedure with the use of a flexible catheter gives medical personnel greater confidence when carrying out blood extraction and gives patients more comfort.
Furthermore, the characteristics of the retracting system of the device assure there is no contact with the cannula after placing the catheter, and allows for its being placed at a safe distance within the protection chamber of the safety system.
The mechanism consists of two spaces joined at the ends of a hollow housing and in which one of the spaces holds a flexible catheter and the other space, located at the opposite end of the space of the catheter, holds a rubber cap. A cannula or hollow puncturing needle passes through the flexible catheter, which is connected to a safety latch located within the main housing. In the latch and on the opposite side, the puncturing cannula is connected to another cannula or hollow collecting needle which permits the flow of blood towards the container tubes. The safety latch is fixed, by means of a safety lock head to the housing in a primary slot and on slide guides of the housing and under pressure by a compressed spring in the front part, in the position called the charge state. Once the puncturing is carried out and the catheter and cannula are inserted into the vein, the safety latch is disconnected manually from the primary slot and, due to the decompression of the spring, it slides inside the housing until the head of the safety latch is fixed in the secondary slot. This process causes the puncturing cannula to withdraw from the vein and remain within the main housing, and the collecting cannula is now located within the rubber cap. The configuration catheter-puncturing cannula-safety latch-extraction cannula creates a flow channel to lead blood to be deposited once the vacuum collecting tube is in place.
Once the process of collecting blood samples is completed, the catheter of the device is removed from the vein leaving only a flexible component, without a point, exposed, while the cannula or hollow needle is confined within the rigid housing, thus avoiding any accidental puncture wounds which could occur to anyone who has contact with the device during the disposal process.
For the detailed description we will refer to the figures of the preferred version of the present invention.
An isometric view of the Extraction device for collecting blood samples including a catheter and a safety system is shown in
The EDCBSCSS consists of 10 elements as shown in the exploded view in
For transporting, the EDCBSCSS is housed in the protective tubes (11) and (12) shown in
The detail of the EDCBSCSS in the charge state is shown in
References
[1] Lavery I, Ingram P. Blood sampling: best practice. Nursing Standard, 2005, 19:55 65.
[2] Berkeris L et al. Trends in blood culture contamination. A College of American Pathologist Q-tracks study of 356 institutions. Archives of Pathology and Laboratory Medicine, 2005, 123:1222-1226.
[3] McCALL, R. E.; TANKERSLEY, C. M. Phlebotomy Essentials. Philadelphia, Lippincott William: Wilkins, 3rd ed., 2003.
The invention has been described sufficiently so that a person with knowledge in the field may reproduce and obtain the results, which we mention in the present invention. However, anyone skilled in the art of the present invention may be capable of making modifications not described in the present application. If for the application of these modifications in a determined structure or in the process of manufacturing, the matter claimed in the following claims is required, said structures are considered within the scope of the invention.
Number | Date | Country | Kind |
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MX/A/2012/007851 | Jul 2012 | MX | national |
Filing Document | Filing Date | Country | Kind |
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PCT/MX2013/000079 | 7/4/2013 | WO | 00 |