The present invention relates to fluid path connectors and container spikes for fluid delivery and, particularly, to fluid path connectors and container spikes for delivery of sterile, medical fluids.
The following information is provided to assist the reader to understand the invention disclosed below and the environment in which it will typically be used. The terms used herein and objectives described herein are not intended to be limited to any particular narrow interpretation unless clearly stated otherwise in this document. References set forth herein may facilitate understanding of the present invention or the background of the present invention. The disclosure of all references cited herein are incorporated by reference.
In many medical procedures, such as diagnostic and/or therapeutic drug delivery, it is desirable to inject a fluid into a patient. For example, numerous types of contrast media (often referred to simply as contrast) are injected into a patient for many diagnostic and therapeutic imaging procedures. In some medical procedures (for example, computed tomography (CT), angiography, and nuclear magnetic resonance/magnetic resonance imaging (MRI)) it is desirable to deliver a liquid such as contrast medium in a timed fashion under relatively high pressures. Such relatively high pressures and timed boluses are typically achieved through the use of powered injectors.
To, for example, optimize contrast volume delivery, minimize waste of contrast and facilitate injector procedures for operators, fluid delivery systems that are capable of delivering sufficient contrast for multiple injection procedures from a single source of contrast have recently been developed. Examples of such systems are described generally in U.S. Pat. Nos. 5,569,181, 5,806,519, 5,843,037 and 5,885,216, the disclosures of which are incorporated herein by reference. Typically, it is desirable that such fluid delivery systems include a fluid path with a disposable patient interface that is changed/discarded between each patient to reduce the potential for cross-contamination.
A fluid path connector to connect to a source of fluid is required to incorporate a removable/disposable patient interface in the fluid path of a fluid delivery or injector system. However, many fluid path connectors used in medical procedures exhibit a number of substantial drawbacks including, for example, difficulty of use and difficulty in maintaining sterility. Moreover, when such connectors are used at high pressures, leakage and failure also become substantial problems.
Often a piercing member of spike is used to form a fluid connection with a fluid source or container via puncturing of an elastomeric septum or stopper on an outlet of the container. In addition to problems associated with, for example, difficulty of use and difficulty in maintaining sterility, it is often difficult to provided a suitable flow rate for certain medical procedures (for example, delivery of a relatively viscous fluid such as a contrast medium) from spike connectors. The spike of such fluid connectors is typically of limited cross-sectional area to facilitate piercing, resulting in significant limits upon the size of the fluid line or channel passing through the spike. For example, even the largest fluid line in currently available spike fluid connectors have a cross-sectional area of approximately 0.08 in2, significantly limiting the flow rate of fluids therethrough.
It is desirable to develop improved fluid path connectors for fluid delivery that, for example, reduce or eliminate the above and/or other problems associated with currently available fluid path connector and spikes.
In one aspect, a fluid connector for use with a pierceable container port is provided. The fluid connector includes an extending section including a spiked end to pierce the container port. The extending section includes at least one air conduit and at least one fluid conduit therethrough. The extending section further includes a first abutment member and second abutment member. The first abutment member is adapted to abut a first or air side of the container port upon piercing of the container port. The second abutment member is spaced from the first abutment member and is adapted to abut a second or fluid side of the container port. The fluid connector can further include grasping members extending from the extending section to facilitate rotation (including twisting) of the extending section relative to the container port during piercing thereof. The fluid connector can also include a check valve in fluid connection with the air line. In several embodiments, the check valve is positioned within the extending section.
In another aspect, a fluid connector system includes a stopper including a first or air side, a second or fluid side and a passage therethrough from the first side to the second side. The fluid connector system further includes a connector including a base having at least one air conduit and at least one fluid conduit therethrough. The base further includes an extending section adapted to extend through the passage. The extending section includes a first abutment member adapted to abut the first side of the stopper and a second abutment member spaced from the first abutment member and adapted to abut the second side of the stopper and seal the passage.
In several embodiments, the first abutment member is operatively connectible to the base to maintain the second abutment member in compressive contact with the stopper. The first abutment member can, for example, include threading which cooperates with threading on the extending section of the base.
The second abutment member can, for example, include a wedge-shaped section, at least a portion of which enters the passage of the stopper. The second abutment member can alternatively include a radially outward extending flange to abut and apply compressive force to the second side of the stopper.
The fluid connector system can further include a filter in fluid connection with the air line. The fluid connector can also include a check valve in fluid connection with the air conduit on an end of the air conduit interior to the container.
The extending section can also include a cooperating connector adapted to place a fluid path element in fluid connection with the base. The cooperating connector can, for example, include a luer connector.
In several embodiments, at least a portion of the connector is sealed within the container. The connector can further include a pull tab section attached to an end of the extending section of the base and extending from the first side of the stopper to enable a user to pull the extending section of the base through the passage in the stopper so that the second abutment member abuts the stopper. In several embodiments, the first abutment member extends radially outward from the extending section of the base and is spaced from the second abutment member so that upon pulling a length of the extending section through the passage, the first abutment member contacts the first side of the stopper and maintains the second abutment member in compressive and sealing abutment with the stopper. The pull tab section can be removably attached to the extending section via a cooperating connector on the extending section. The cooperating connector can be adapted to place a fluid path element in fluid connection with the base. The cooperating connector can, for example, include a luer connector.
In another aspect, a system to connect to an outlet of a container includes a cap assembly including an annular cap member connected to a pierceable stopper. The cap member includes an opening to provide access to the pierceable stopper and a connector section removably connectible to the container. The system can further include a connector member attachable to the outlet of the container. The connector member includes a cooperating connector section to which the connector section of the cap assembly is removably attachable. The connector section can, for example, include threading, and the cooperating connector section can include cooperating threading. The connector and the cap assembly can, for example, form a removably sealed attachment to seal the outlet of the container.
In another aspect, a fluid connector includes a spike to pierce a pierceable section of a container and a flexible cover encompassing at least a portion of the spike. The flexible cover is penetrated by the spike when force is applied to the spike to pierce the pierceable section of the container.
In several embodiments, the spike includes a fluid line having a minimum cross-sectional area of at least 0.02 in2.
The flexible cover can, for example, be formed from a generally cylindrical layer or film of polymeric material which is sealed on an end thereof.
In several embodiments, the flexible cover includes a generally annular elastomeric member to maintain the flexible cover in encompassing connection with the spike.
In another aspect, a fluid delivery system includes a fluid bag including at least one pierceable port and a fluid connector including a spike. A fluid line in the spike has a minimum cross-sectional area of at least 0.02 in2.
In another aspect, a fluid delivery system includes a fluid connector including a fluid line and an vent line therethrough. A source of pressurized gas is in fluid connection with the vent line.
In a further aspect, a method of connecting a fluid connector to a pierceable container port, includes piercing the container port with an extending section including a spiked end. The extending section includes at least one air conduit and at least one fluid conduit therethrough. The extending section also includes a first abutment member and second abutment member spaced from the first abutment member. The method further includes extending the extending section through the container port so that the first abutment member abuts a first or air side of the container port and the second abutment member abuts a second or fluid sided of the container port.
In another aspect, a method of forming a fluid connection with a container, which includes an outlet, includes placing a stopper in connection with the outlet, the stopper including a first or air side, a second or fluid side and a passage therethrough from the first side to the second side. The method further includes providing a fluid connector in connection with the stopper. The connector includes a base which includes at least one air conduit and at least one fluid conduit therethrough. The base further includes an extending section. The extending section includes a first abutment member and a second abutment member spaced from the first abutment member. The extending section extends through the passage such that the first abutment member abuts the first side and the second abutment member abuts the second side and seals the passage.
In a number of embodiments, the method further includes pulling the extending section of the base through the passage in the stopper so that the second abutment member abuts the stopper. The first abutment member can, for example, extend radially outward from the extending section of the base and is spaced from the second abutment member so that upon pulling a length of the extending section through the passage, the first abutment member contacts the first side of the stopper and maintains the second abutment member in compressive and sealing abutment with the stopper.
In a further aspect, a method of providing fluid connection to a container, which includes an outlet, includes removably connecting a cap assembly to the outlet. The cap assembly includes an annular cap member connected to a pierceable stopper. The cap member includes an opening to provide access to the pierceable stopper and a connector section to removably connect the cap assembly to the outlet of the container. The method can further include attaching a connector member to the outlet of the container. The connector member includes a cooperating connector section to which the connector section is removably connectible.
In still a further aspect, a method of providing fluid flow from a connector, which includes a fluid line and an air vent line, includes connecting a source of pressurized gas to the air vent line to pressurize fluid with fluid source in fluid connection with the connector.
The present invention, along with the attributes and attendant advantages thereof, will best be appreciated and understood in view of the following detailed description taken in conjunction with the accompanying drawings.
As used herein and in the appended claims, the singular forms “a,” “an”, and “the” include plural references unless the content clearly dictates otherwise. Thus, for example, reference to “a filter” includes a plurality of such filters and equivalents thereof known to those skilled in the art, and so forth, and reference to “the filter” is a reference to one or more such filters and equivalents thereof known to those skilled in the art, and so forth.
Fluid connector 200 further includes a swabable valve 230 to, for example, connect to a transfer set 400 as illustrated in
In the embodiment illustrated in
In the embodiment of
Protective cover 100 can be sterilized and distributed in operative connection with sterilized connector 200 in sterile packaging 600 (see
As illustrated in
As described in connection with spike 710, a number of fluid connectors of the present invention include at least one fluid flow line, conduit or channel therethrough that has a larger diameter or larger cross-sectional area than found in currently available spiked fluid connectors (for example, greater than 0.008 in2). In several embodiments, the fluid line of the fluid connectors of the present invention has a minimum cross-sectional area of at least 0.010 in2, at least 0.016 in2, at least 0.020 in2, or at least 0.030 in2. The relatively large fluid line or lines can sustain flow rates of, for example, 30 mls/sec or higher using, for example, a heated (to approximately, 98.6° C.) contrast fluid having a viscosity in the range of approximately 10-12 centipoise. For example, one fluid connector of the present invention (that is, connector 1000 of
In assembling connector 800, an extending section 822 of base 820 is passed through passage 812 in stopper 810 until a first abutment member in the form of a threaded compression sleeve 830 can form a threaded connection with threading 824 on base 820. Connector 800 can then be placed in fluid connection with container 300 via stopper 810 with first abutment member 830 on a first or fluid side of stopper 810 and second abutment member 826 on a second or fluid side of stopper 810.
In that regard, base 820 includes a wedge-shaped, lower or second abutment member 826. The radius of base 810 increases over the length of second abutment member 826. Rotation of threaded first abutment member 830 relative to base 820 draws second abutment member 826 within passage 812, sealing passage 812. The drawing of second abutment member 826 within passage 812 also causes compression of stopper 810 (which can, for example, be formed from a silicone rubber) against the inner diameter of the outlet of container 300, thereby improving the sealed connection therewith and creating a generally leakproof seal.
Compression of stopper 810 by second abutment member 826 assists in retaining stopper 810 in sealing engagement with container 300 when, for example, container is inverted to deliver fluid. In an alternative embodiment illustrated in
An air filter 840 is in fluid connection with an air line (not shown) in the vicinity of and air side end of extending section 822. An air check valve 850 is in fluid connection with the air line at an opposite end 828 (that is, the fluid side end) of the air or vent line. Inclusion of check valve 850 in air filter line reduces or eliminates the chances of liquid entering and clogging filter 840, which can result in deterioration of the operation of connector 800. The inclusion of check valve 850 can, for example, be beneficial if reuse of connector 800 is desired.
A connector 860 such as a luer-type connector is placed in fluid connection with the fluid line extending through base 820 at the end of extending section 822. Connector 860 can, for example, be placed in fluid connection with a transfer set such as transfer set 400 described above.
Use of connector 800, including replacement stopper 810, facilitates the incorporation of relatively large fluid conduits within the connector. Such large (inner diameter) fluid conduits enable one to achieve relatively high flow rates as compared to currently available spiked fluid connectors.
Fluid connector 800a includes a replacement stopper 810a including a passage or conduit 812a therethrough. A base 820a of connector 800a can, for example, include a relatively large inner diameter passage, conduit or fluid line 821a therethrough. To place connector 800a in fluid connection with container 300, stopper 310 is removed from container 300 and replaced with fluid connector 800a, including stopper 810a.
In assembling connector 800a, an extending section 822a of base 820a is passed through passage 812a in stopper 810a until a threaded first abutment member 830a (which can include radially extending flanges or fins 832a to facilitate grasping) can form a threaded connection with threading 824a on base 820a. Connector 800a can then be placed in fluid connection with container 300 via stopper 810a.
Base 820a includes a second abutment member including a flange 826a which extends generally perpendicular to the longitudinal axis of base 820a. As, for example, illustrated in
An air filter 840a is in fluid connection with an air line 827a formed in base 820a in the vicinity of an end of extending section 822a. An air check valve 850a is in fluid connection with air line 827a at an opposite end 828a of base 820a. As described above, inclusion of check valve 850a in air filter line 827a reduces or eliminates the chances of liquid entering and clogging filter 840a.
A connector 860a such as a luer-type connector or a swabable valve can be placed in fluid connection with fluid line 821a extending through base 820a at the end of extending section 822a. Connector 860a can, for example, be placed in fluid connection with a transfer set such as transfer set 400 described above.
In assembling connector 900, a pull tab section 970, which can extend through passage 912 in stopper 910, is connected to an end of an extending section 922 of base 920. For example, pull tab section 970 can include a connector 972 (for example, a male luer connector) and extending section 922 can include a cooperating connector 960 on an end thereof (for example, a female luer connector). Extending section 922 includes a first abutment member 925. Base 920 further includes a second abutment member or wedge 926 which operates similarly to compression section 826 described above. In general, the radius of base 920 increases over the length of compression section 926 to generally form a wedge.
In deployment or activation of connector 900, one first removes an optional sterile cover 905. The user can then grasp a pull tab 974 of pull tab section 970 and pulls extending section 922 of base 920 through passage 912 in stopper 910. Second abutment member 926 is thereby drawn within passage 912, sealing passage 912 and causing compression of stopper 910 (which can, for example, be formed from a silicone rubber) against the inner diameter of the outlet of container 300, thereby improving the seal therewith and creating a generally leakproof seal. Base 920 is drawn upward (in the orientation of
An air filter 940 is in fluid connection with an air line (not shown) formed in base 920 and is positioned on base 920 in the vicinity of an end of extending section 922. An air check valve 950 is in fluid connection with the air line at an opposite end 928 of the air line. As described above, inclusion of check valve 950 in the air filter line reduces or eliminates the chances of liquid entering and clogging filter 940. During storage of fluid connector 900 within container 300, a removable, protective covering 942 can be placed over air filter 940 or an inlet thereto. Protective covering 942 can, for example, be formed from a polymeric film with an adhesive on one side there of to adhere to base 920 and prevents fluid from entering air filter 940 when fluid connector 900 is stored within container 300. When fluid connector 900 is deployed (as illustrated in
In the illustrated embodiment, fluid line 1021 was of a generally circular cross-sectional shape. Just downstream (that is, toward outlet 1060) from the centerline of fluid line inlets 1021a, extending section had an outer diameter of approximately 0.327 in. The wall thickness was approximately 0.30 in, resulting in an inner diameter D1 of approximately 0.267 in (see
Connectors 1000 used in the above-described studies were formed from an epoxy resin in a stereolithography or SLA system. In general, connectors of the present invention can be made from a variety of material including, but not limited to, metals and/or polymeric materials. Suitable polymeric materials for connectors of the present invention include, but are not limited to, acrylonitrile butadiene styrene (ABS) and polyvinyl chloride (PVC).
Extending section 1022 includes a first abutment member 1030 to abut a first or air side of stopper 310 and a second abutment member 1025 spaced from first abutment member 1030 to abut a second of fluid side of a pierceable septum of stopper 310 to retain fluid connector 1000 in fluid connection with stopper 310 and container 300. In that regard, enlargement of extending section 1022 (as compared to currently available fluid connector spikes) results is substantial force exerted by elastomeric stopper 300 upon extending section 1022 tending to push fluid connector out of connection with stopper 300. The entrapment of a portion of stopper 310 between first abutment member 1030 and second abutment member 1025 prevents disengagement. To facilitate full connection of fluid connector 1000 with stopper 310, wherein the pierceable portion of stopper 310 is engages on the first side thereof by first abutment member 1030 and on the second side thereof by second abutment member 1025, fluid connector 1000 includes extending flanges 1032 to facilitate rotation or twisting of fluid connector 1000 during penetration of stopper 310. An air side end 1060 of fluid connector 1000 can include a connector such as luer connector as described above to, for example, attach transfer set 400. A filter (not shown) as described above can also be placed in fluid connection with the air side end of the air line.
In many currently available containers for pharmaceuticals (such as contrast media) which include a pierceable stopper, a user can remove a metal tab from the container to remove the pierceable stopper, enabling pouring of fluid from the container or use of a fill tube (to, for example, fill a syringe). However, removal of metal tabs on currently available containers can cause a safety hazard as a result of remaining sharp metal edges. These edges can easily cut or pierce surgical gloves. In the case system 1300, in which stopper 1320 is attached to removable cap 1310, the stopper can be removed without worry of creating sharp metal edges. Further, if removal of cap assembly 1340 is not desirable, a user can spike stopper 1320 in the usual manner.
The foregoing description and accompanying drawings set forth the preferred embodiments of the invention at the present time. Various modifications, additions and alternative designs will, of course, become apparent to those skilled in the art in light of the foregoing teachings without departing from the scope of the invention. The scope of the invention is indicated by the following claims rather than by the foregoing description. All changes and variations that fall within the meaning and range of equivalency of the claims are to be embraced within their scope.
Number | Name | Date | Kind |
---|---|---|---|
3857909 | Huggins | Dec 1974 | A |
4898209 | Zbed | Feb 1990 | A |
5569181 | Heilman et al. | Oct 1996 | A |
5806519 | Evans, III et al. | Sep 1998 | A |
5817082 | Niedospial, Jr. et al. | Oct 1998 | A |
5843037 | Uber, III | Dec 1998 | A |
5885216 | Evans, III et al. | Mar 1999 | A |
5895383 | Niedospial, Jr. | Apr 1999 | A |
5902298 | Niedospial, Jr. et al. | May 1999 | A |
5916197 | Reilly et al. | Jun 1999 | A |
6071270 | Fowles et al. | Jun 2000 | A |
6197000 | Reilly et al. | Mar 2001 | B1 |
6394992 | Sjoholm | May 2002 | B1 |
6499617 | Niedospial, Jr. et al. | Dec 2002 | B1 |
6599273 | Lopez | Jul 2003 | B1 |
6651956 | Miller | Nov 2003 | B2 |
20010000793 | Daubert et al. | May 2001 | A1 |
20050070853 | Gatton et al. | Mar 2005 | A1 |
20070016161 | Costa et al. | Jan 2007 | A1 |
Number | Date | Country | |
---|---|---|---|
20110049866 A1 | Mar 2011 | US |