The present invention relates to the detachment of fluid-transferring devices from a corresponding hub, in particular to the removal of syringes, and especially when transferring fluid in a medical setting. The invention may find particular use in detaching a fluid-transferring device from a hub that is connected to a living subject to/from whom fluid is being transferred.
In a medical setting it may be necessary or desirable to transfer fluid to/from a subject for a variety of reasons. For example, a hub connected to a needle or other cannula may be used to draw blood from a vein or to infuse fluid substances i.e. intravenous (IV) therapy. A drip is one type of IV therapy. IV therapy may be used to correct electrolyte imbalances, to deliver medications or nutrition, for blood transfusion or as fluid replacement to correct dehydration. IV therapy can also be used for chemotherapy of cancer patients. Fluid-transferring devices such as syringes may also be attached to a hub that connects a cannula for the addition or removal of fluid to/from a variety of bodily cavities, organs or vessels. For instance, the hub may be part of an entity providing a catheter to drain urine from the bladder or kidney, to remove fluid from an abscess, to extract liquid from joints or cysts, or to administer breathing gases through a tracheal tube. A typical endotracheal tube includes a cuff inflation tube with a hub for attachment of a syringe to enable inflation to seal the trachea and bronchial tree against air leakage and aspiration of fluids. A tracheostomy tube or urinary tract catheter might also use a cuff system with a hub for connection of a syringe or other device to inject fluid to inflate a cup or balloon that holds it in place. However fluid injections using a syringe connected to a needle are one of the most common health care procedures in the world.
When transferring fluids to/from a subject, the hub with its needle, catheter or other cannula inserted in the patient is often left in-situ while the fluid-transferring device may be removed and replaced, e.g. to empty/re-fill a syringe or to change over the IV therapy. Where two medical devices that carry small fluid volumes must be connected, a standard Luer fitting is the most common means of achieving a leak-free junction. One type of Luer fitting, commonly called a “Luer lock/lok”, uses an internally threaded collar surrounding a “Luer slip” friction fit (see below) tapered male tip of a syringe or the like. The projecting tip can be inserted into a corresponding female hub with an external thread and the collar screwed down to lock the connection. Such Luer lock fittings have the advantage of providing a secure connection that can not easily come loose, but two hands are needed to hold the hub while screwing the device in/out. A more rapid form of attachment may be preferred in some circumstances, for example in an emergency situation. Another type of Luer fitting, commonly called a “Luer slip”, simply uses a friction fit between a female hub and corresponding tapered male tip of a device without a threaded collar. A standard friction fit is achieved by a 6% taper. A Luer slip attachment is common for infusing less viscous fluids, such as vaccinations, and transferring fluids where high pressures are not involved, for example when drawing blood.
A problem observed with both Luer lock and Luer slip connections is the risk of injury when detaching the fluid-transferring device from a hub that is still connected to a patient. While a medical practitioner might take care to hold the hub and avoid injury when unscrewing a Luer lock connection, there is a temptation with a Luer slip connection to try to pull the device from the hub e.g. with one hand. However this can easily result in the hub being tugged away from the body and causing tissue damage. Often the device may not be pulled in a straight line with the cannula connected to the hub, but rotated, and this can twist the components. The tape used to hold the hub e.g. IV port in position is often loosened from the skin and its cannula e.g. needle may even be accidentally extracted. When emptying fluid from a body cavity, for example, keeping the needle hub still when detaching the syringe can be essential to avoid diffuse cutting inside the cavity or damage of the cavity wall. In addition there is a risk of unacknowledged contamination of both the hub and the Luer tip (not only the user) when holding the very small hub with the thumb and index fingers while pulling away the male tip, the tip sliding past the user's fingers as it is released.
Moreover tugging with a single hand does not usually apply enough force even to pull the device out of a friction fitting (such as a Luer slip) and, depending on the force used when connecting the Luer slip tip to the hub, the practitioner usually needs to hold or push the hub while also pulling the device so that it becomes detached. Typically the device will be rotated simultaneously while pulling away from the hub. This jerking can result in unwanted extraction of the needle or other component connected to the hub. The connection will often be pressurised by fluid. For example, a cuff connected to a tracheostomy tube, endotracheal tube or urinary catheter often has a tight connection of the male Luer tip with two-handed operation being required to loosen the connection while the sprung piston in the female Luer hub blocks the outflow of fluid (air or liquid) from the cuff.
Ease of disconnection can be a problem not only when detaching a device from a hub connected to a patient but also when it is desired to fill/empty a device such as a syringe via a fluid hub in a quick and convenient manner. For example, when filling a syringe using a needle inserted in a vial, each time that the syringe is removed it requires two hands to firmly grasp the needle hub and the syringe to separate them while the needle remains in the vial. As mentioned above, there is again a risk of contamination as the user grasps the hub and the tip comes into contact with the fingers holding the hub.
Another situation where a user might come into contact with a needle hub is when using a blood collection tube. The blood tubes are evacuated plastic or glass containers sealed with an elastomeric septum that is piercable by a double-ended needle to draw venous blood. Due to the piercing force and pressure differential, a secure connection to the needle assembly is required and therefore a threaded Luer lock connection is normally used rather than a Luer slip. U.S. Pat. No. 5,201,716 proposes an alternative blood specimen collection system that does not require the needle assembly to be grasped and twisted during disconnection. In this system a needle assembly is mounted with an interference fit rather than a threaded connection. A pivotally mounted lever assembly is spring-biased to hold the needle assembly in position, i.e. to provide an additional level of security over the friction fit. If the lever is actuated against its spring bias then there is only an interference fit holding the needle assembly in place. The lever can be pivoted to simultaneously release the spring bias and to apply a forward ejection force to the needle assembly.
In any situation where one hand is holding a needle hub while pulling a device away there is a risk of needlestick injury and contamination. Needle caps frequently being mislaid or forgotten can exacerbate this. This also applies when separating a needle or other contaminated component from a syringe or similar device for disposal purposes, with many needlestick injuries occurring when trying to remove sharps to throw into a bin. Usually the person handling a syringe will try to cover a contaminated needle with a cap after use, before grasping the hub to separate the needle from the syringe barrel for disposal. However, when mounting a needle cap onto the contaminated needle a person will use the large muscle groups in the arms and shoulders that work less precisely and, combined with poor depth of vision, this often results in a needlestick injury to the fingers holding the needle cap. It would be better if a needle hub could be safely released without needing to cap the needle or handle the connection.
The present invention seeks to address or mitigate the problems outlined above.
According to a first aspect of the present invention there is provided a fluid transfer device comprising: a fluid chamber in communication with a male connector tip, the male tip being tapered to form a friction fit when inserted in a corresponding female hub; a disconnecting member moveable relative to the male connector tip between a first position proximal to the fluid chamber and a second position spaced from the first position towards a distal end of the male connector tip; and means for gripping a hub when connected to the tip in use.
It will be understood that such a fluid transfer device provides an alternative solution to a conventional Luer Lock connection. Instead of a threaded connection in addition to the “Luer slip” friction fitting, the device provides gripping means to hold the hub in a locked position. The gripping means can provide a safety back-up to the friction fit and additional peace of mind that the connection will not fail during use. In at least some scenarios it may be preferable to provide additional means that can ensure a reliable and unfaltering connection in case the friction fit between the tapered tip of the fluid transfer device and a corresponding female hub can not be relied upon to provide a secure, fluid-tight connection. Preferably the additional gripping means can be activated and/or de-activated without requiring two-handed operation Such gripping means may be releasable by applying linear, rather than rotational, forces. Accordingly a user may be able to disconnect the device from a hub without twisting.
To be able to disconnect the device from a hub, a user may need to first release the gripping means. However it is preferable for this to be automatic and thus the disconnecting member may be arranged to release the gripping means when moving between the first and second positions. Accordingly the gripping means is preferably released by operation of the disconnecting member.
The gripping means may operate automatically when the tip is connected to a corresponding hub, for example comprising one or more latch members or snap-fit members. It will be understood that the gripping means is intended to take any suitable form other than an internally threaded collar. Advantageously the gripping means may be integrally formed with the fluid chamber so as to avoid additional parts. The gripping means may face inwardly or outwardly. The gripping means may be designed to engage with a custom hub or with a standard hub i.e. a standard Luer slip connector hub.
In one set of embodiments the gripping means takes the form of a pair of gripping fingers provided at a front end of the fluid chamber. The gripping fingers may extend forwards parallel to the tapered tip. The gripping fingers may be integrally moulded with the fluid chamber. In one example, the gripping fingers engage with an inside surface of the hub when it connected to the tip, e.g. having outwardly facing teeth. In another example, the gripping fingers engage with an outside surface of the hub e.g. having teeth arranged to grip onto the outside of the hub. Such gripping fingers may be designed to snap-fit onto the hub when it is connected to the fluid transfer device. The hub may be provided with a rim or other surface to facilitate engagement of the fingers. In another example, the gripping fingers may take the form of a pair of snap-fit fingers, or other gripping means, that positively engage i.e. grip a hub when it is connected to the tip. The hub may be provided with a ledge or other surface for the snap-fit fingers to grip. Such snap-fit fingers may be arranged to grip onto an outer surface of the hub or inside the hub.
In another set of embodiments the device may be arranged to be gripped by means provided on the female hub. Again, such gripping means may preferably be released by operation of the disconnecting member.
In a preferred set of embodiments the disconnecting member comprises a lever member pivotally connected to the device with one end, such as a front surface, moveable between the first and second positions relative to the male connector tip. In embodiments where the gripping means takes the form of a pair of gripping fingers, the lever may pivot to push the fingers inwardly or outwardly to release their grip on the hub, e.g. while the hub is pushed along the tip. In embodiments where the gripping means takes the form of a pair of snap-fit fingers, two lever members pivotally mounted at the front of the fluid chamber may pivot so as to cause the fingers to flex outwards so that the hub is released from their grip.
The disconnecting member may be part of a lever mechanism. In fact the device may not even comprise a fluid chamber as such a lever could interact directly with the male tip that provides fluid transfer, for example if the fluid chamber is removable or if fluid is transferred directly to the tip. The fluid transfer device may have a tapered tip but no fluid chamber of its own to provide for fluid storage, for example a fluid transferring connection for a hose or tubing rather than for a syringe. Furthermore, while the present invention has been described so far in the context of a fluid transfer device comprising a “male” tapered tip, it will be appreciated that a friction fit between a device and a corresponding hub may equally be achieved by reversing the male and female parts of the connection. Accordingly, in each embodiment of the invention disclosed above the male tip could be replaced with a tapered female part that forms a friction fit when a corresponding male part provided by a hub is inserted therein instead. The disconnecting member would still act to release the friction fit, this time moving along the female part to push away the male part inserted therein. Although such embodiments depart from the standard design of a Luer slip connection for fluid transfer devices such as syringes, it is envisaged that a new standard could be implemented with the male and female parts reversed as outlined here.
A gripping means is described above as providing a safety back-up to the friction fit of a standard Luer slip connection. The reliability of such an additional gripping means may depend on how tightly it is able to grip a hub and hold it in a locked position when also connected to the fluid transfer tip by a friction fitting. The Applicant has recognised that an improvement can be provided in the form of a “double lock”, in other words, using an additional gripping means to lock the hub on the tip and then locking that grip. Furthermore the Applicant has recognised that the disconnecting member can conveniently assist in holding the hub in the locked position i.e. providing the “double lock”. This can be arranged to occur automatically by providing the disconnecting member with a resilient bias. In a preferred set of embodiments the disconnecting member is provided with a resilient bias that causes it to engage the gripping means and thereby assist in holding the hub in the locked position.
This is considered novel and inventive in its own right, and thus according to a second aspect of the present invention there is provided a fluid transfer device comprising: a fluid transfer tip, the fluid transfer tip comprising a tapered friction fitting for a corresponding hub; an additional means for gripping a hub in a locked position when connected to the fluid transfer tip by the friction fitting; and a disconnecting member provided with a resilient bias that causes it to engage the gripping means and thereby assist in holding the hub in the locked position, wherein the disconnecting member is moveable relative to the fluid transfer tip and against the resilient bias so as to release engagement of the gripping means, to move the hub out of the locked position provided by the gripping means, and to release the hub from the friction fitting.
It will be appreciated that, similar to the first aspect described above, the device provides additional means for gripping a hub in a locked position as an alternative to a Luer lock screw connection. This second aspect of the invention further provides the security of assisting the gripping means in holding the hub in the locked position, i.e. a “double lock”. The disconnecting member advantageously uses its resilient bias to automatically assist the gripping means. A hub is disconnected from the tip in a three-stage process. First the disconnecting member is moved against its resilient bias so as to release engagement of the gripping means. Then the disconnecting member acts to move the hub out of the locked position provided by the gripping means, e.g. movement of the disconnecting member overcomes the locking grip. Finally, the disconnecting member releases the hub from the friction fitting, e.g. by pushing the hub out of the tight fit provided by the taper. The disconnection process may be provided by a single, smooth movement of the disconnecting member.
In one set of embodiments the disconnecting member may be pivotally mounted to the device. Preferably the disconnecting member comprises at least one lever member pivotally mounted to the device. An advantage of using a lever member to disconnect the tip from a corresponding hub is that it can amplify an input force to provide a greater output force, i.e. providing leverage to push a hub away from the tip. The mechanical advantage of a lever member can increase the force applied so that the device can be released without necessarily holding the hub, thereby enabling single-handed operation. Furthermore, a lever member can be ideally suited to engage the gripping means when pivoted into one position and to move the hub out of the locked position provided by the gripping means as it pivots into another position, with further pivotal movement of the lever member also acting to release the hub from the friction fitting.
In order for the lever member to transfer force efficiently, it is preferable for it to be relatively stiff. However it may also be desirable to mould the device, or at least the lever member, from plastics materials so as to provide a cheap, sterile and disposable product for single use in a medical setting. The lever member may be stiffened by forming it as a three-dimensional shell. Preferably the lever member comprises a front surface that is substantially transverse to the axis of the tip and one or more side surfaces that extend in a direction substantially parallel to the axis of the tip. Preferably the surfaces form a shroud extending back from the front surface and away from the fluid transfer tip. The three-dimensional extent of the member can help to ensure that it is stiff even if formed of a plastics material, as is preferred in various embodiments.
In a set of embodiments the lever member has an at least partially cylindrical form with the side surface(s) extending substantially parallel to the axis of the fluid transfer tip being cylindrical side surfaces. The side surface(s) do not need to fully surround the axis of the fluid transfer tip. But in at least one set of embodiments the front surface of the lever member is connected to one or more side surfaces that surround the fluid transfer tip. This can stiffen the lever member so that the front surface preferably does not flex when pushed against a hub but instead transmits its kinetic energy to move the hub away.
Alternatively, or in addition, the front and side surface(s) of the lever member are preferably integrally formed. For example, at least these parts of the lever member may be formed as a single plastics moulding. Alternatively, or in addition, it is preferable that the front surface at least partially surrounds the fluid transfer tip. The front surface may entirely surround the fluid transfer tip, for example with the tip protruding through an aperture in the front surface. This can make the lever member more compact and/or make the front surface more effective in pushing against a hub mounted on the fluid transfer tip with a friction fit.
A further advantage of using a lever member to disconnect the hub is that the shape, in particular the curvature, of the front surface can be designed to control the leverage that is achieved. In one set of embodiments the front surface is curved such that initial movement of the lever member against the resilient bias moves the front surface substantially transverse to the fluid transfer tip to release engagement of the gripping means and further movement of the lever member against the resilient bias moves the front surface along the fluid transfer tip to move the hub out of the locked position provided by the gripping means and release the hub from the friction fitting. Accordingly the curvature of the front surface provides for two different movements that are matched to the different stages of disconnection.
While a lever member is a good example of a disconnecting member that can apply sufficient force to overcome the gripping means and release the hub from its friction fitting, a potential problem with pushing a hub away from a tip is that it may be forcibly disconnected. If the hub is carrying a needle or other sharp object then this could pose an injury risk. It is therefore preferable that the device further comprises a catch means arranged to catch the hub after it has been released from the friction fitting. Preferably further movement of the disconnecting member against the resilient bias causes the catch means to catch the hub. In this way the hub may be caught as it becomes disconnected but then controllably separated from the device. The catch means be may be subsequently released by resiliently biased movement of the disconnecting member, e.g. back to its resting state.
The additional gripping means may take any suitable form other than the internally threaded collar of a Luer lock connection. For example, it is mentioned above that suitable gripping means may include one or more latch members, snap-fit members or gripping fingers. The gripping means may be configured to grip a standard Luer slip hub, for example gripping onto the rim at the base of the hub. Alternatively, or in addition, the gripping means may be configured to grip a standard Luer lock hub but without a screw connection to the outer thread. For example, it is envisaged that gripping fingers could latch onto the outer thread of a Luer lock hub and be held in a locked position until the disconnecting member is moved against its resilient bias. This would allow for disconnection without having to twist the device relative to the hub.
The Applicant has recognised that an alternative hub design may be used to ensure a tight grip. The hub may comprise both a tapered surface to form a friction fit with a corresponding fluid transfer tip and an additional receiving means allowing a fluid transfer tip to grip the hub when the hub is connected thereto by the friction fit. The additional receiving means may comprise a flange or groove. For example, a female hub may comprise a tapered internal surface and the additional receiving means may comprise a flange or groove also provided on the internal surface. Preferably the fluid transfer tip is provided with a corresponding groove or flange, for example on an outer surface of a male fluid transfer tip that is to be inserted into a female hub, that engages with the receiving means to hold the two parts together.
Turning back to the fluid transfer device, in one set of embodiments the additional means for gripping a hub comprises a flange or groove provided on the fluid transfer tip. The flange or groove may engage with a corresponding groove or flange provided on a corresponding hub. The gripping means may be held in a locked position by the disconnecting member acting to reinforce this physical engagement. In a preferred embodiment the disconnecting member has a surface that is resiliently biased to at least partly surround the flange or groove. Where the disconnecting member comprises a lever member with a front surface that is substantially transverse to the axis of the tip and at least partially surrounds the tip, the tip may pass through an aperture in the front surface that has walls arranged substantially parallel to the tip so as surround the flange or groove. Preferably these walls apply pressure around the flange or groove when the lever member is resiliently biased into a position to assist locking of the hub. The aperture may be dimensioned so that its walls no longer hold the flange or groove in engagement with the hub once the lever member pivots against its resilient bias.
The aperture in the lever member, or any other surface of a disconnecting member, may vary in diameter so as to provide a tight fit surrounding the flange or groove only when the disconnecting member is resiliently biased. The disconnecting member can then automatically engage or release the gripping means depending on its position relative to the resilient bias. In one example the disconnecting member has a surface that is shaped to slide against a hub in the vicinity of the flange or groove.
There have already been described above some embodiments in which the gripping means takes the form of gripping fingers that can engage with a standard Luer slip hub or a novel hub design. In embodiments of the second aspect of the invention such gripping fingers are held in their locked position so as to ensure that a hub can not be accidentally released e.g. during a fluid transfer procedure. In one set of embodiments the additional means for gripping a hub comprises one or more fingers arranged to grip onto an outer or inner surface of the hub. For example, the fingers may be arranged to grip onto an outer surface of a rim on the hub. In another example, the fingers may be arranged to grip onto an outer thread on the hub. Preferably the disconnecting member has one or more supports aligned with respective fingers and the disconnecting member is resiliently biased to press the support(s) against the finger(s) in the locked position. The support(s) can therefore act to strengthen the gripping fingers and ensure that they do not flex when holding a hub in the locked position. It is preferable that the pressure provided by the support(s) is automatically released when the disconnecting member is moved against its resilient bias so as to release engagement of the gripping means. Accordingly the disconnecting member may be moveable against the resilient bias to release the support(s) and thereby release the fingers. The fingers may then be free to flex away as the hub is moved out of the locked position released from the friction fitting. However it may be preferable for the fingers to be positively moved out of gripping engagement so that they can not hinder release of the hub. Accordingly the disconnecting member may be further moveable against the resilient bias to push the fingers away from the hub.
In one example, the fingers may comprise one or more gripping teeth. Alternatively, or in addition, the fingers may comprise at least one thread arranged to engage with a thread on the hub. Alternatively, or in addition, the fingers may comprise a stepped gripping surface.
In one set of embodiments the additional means for gripping a hub comprises a latch mechanism at the base of the fluid transfer tip. For example, the latch mechanism may comprise one or more snap-fit members. It is preferable that the disconnecting member has a surface that is resiliently biased to bear on the latch mechanism and thereby assist in holding the hub in the locked position. The disconnecting member may have a surface that varies in diameter so as to bear on the latch mechanism only when the disconnecting member is moved by the resilient bias.
In addition to (or instead of) a surface or supports arranged to apply pressure to a gripping means and thereby assist in holding the hub in the locked position, the disconnecting member may ensure the integrity of such “double locking” by positively engaging with the hub in another way. In one set of embodiments the disconnecting member comprises at least one latch member arranged to engage with the hub and assist in holding the hub in the locked position. The latch member may be engaged and/or disengaged independently of movement of the disconnecting member. However it is preferable for the latch member to be engaged and/or disengaged automatically. Preferably it is movement of the disconnecting member against the resilient bias that disengages the at least one latch member from the hub. The latch member may engage with an inside or outside surface of the hub.
The disconnecting member may be moveable between two or more different positions relative to the fluid transfer tip. In one example, the disconnecting member is provided with a second resilient bias acting to oppose the first resilient bias so that an intermediate position can be achieved.
In some embodiments it may be helpful for a user to move the disconnecting member against the resilient bias at the same time as mounting a hub to the fluid transfer tip. This may help to ensure disengagement of the gripping means before the hub is fully connected, otherwise the disconnection member might interfere with mounting the hub. However it is preferable for this to be achieved automatically so that a user merely has to push a hub onto the tip. In one set of embodiments the disconnecting member comprises a surface that is arranged to be acted upon by a hub as it is connected to the fluid transfer tip such that the disconnecting member is temporarily moved against the resilient bias to accommodate the hub.
In a set of embodiments the disconnecting member comprises a slot and the fluid transfer tip passes through the slot, the slot providing space around the tip to accommodate the hub when the disconnecting member is temporarily moved against the resilient bias. The surface arranged to be acted upon by a hub may be provided by such a slot.
In a set of embodiments the surface arranged to be acted upon by a hub is provided by a nose extending substantially parallel to the fluid transfer tip. For example, the disconnecting member may comprise a nose extending substantially parallel to the fluid transfer tip and having an angled forward surface that is arranged to be acted upon by a hub as it is connected to the fluid transfer tip.
In either set of embodiments, the disconnecting member may be moved by the resilient bias to engage the gripping means after the hub has been accommodated and connected to the tip.
It may be desirable to disable the resilient bias when the device is not in use, for example to make it compact for storage and/or transport. A generally applicable feature is for the device to comprise means to lock the disconnecting member against the resilient bias.
Embodiments of the second aspect of the invention described above benefit from the security of “double locking” i.e. a gripping connection (in addition to the friction fitting) that is then locked by automatic engagement of the disconnecting member. However the Applicant has recognised that a double lock may not be necessary if the gripping connection is strong enough on its own, for example a screw fit. However it is still advantageous to take advantage of a disconnection mechanism using a lever member for force amplification.
Thus when viewed from a third aspect of the present invention there is provided a fluid transfer device comprising: a fluid transfer tip, the fluid transfer tip comprising a tapered friction fitting for a corresponding hub; a lever member pivotally mounted to move relative the fluid transfer tip; and a screw thread mounted on the lever member to enable a hub to be connected to the tip by a screw fit in addition to the friction fitting; wherein the lever member is resiliently biased so that the screw thread is positioned to form a screw fit with the hub; and wherein the hub can be disconnected by pivoting the lever member against the resilient bias to release the screw fit with the hub and to subsequently release the hub from the friction fitting.
Such a device provides a novel mechanism for locking with a screw fit and automatic release using a lever. The mechanism may be combined with one or more additional gripping means as already described above. For example, the device may further comprise fingers that have a thread to additionally grip the hub when the lever member is resiliently biased to form a screw fit. Such fingers may be arranged to disengage from the hub by the lever member pivoting against the resilient bias.
While the lever member may take many different forms, preferably the lever member comprises a front surface that is substantially transverse to the axis of the tip and the front surface is arranged to move along the tip when the lever member is pivoted against the resilient bias. Any of the other features of a lever member already described above may equally be applied to this aspect of the invention.
The Applicant has further recognised that a resilient bias may not be an essential feature to at least some further aspects of the invention. Thus when viewed from a fourth aspect of the present invention there is provided a fluid transfer device comprising: a fluid transfer tip, the fluid transfer tip comprising a tapered friction fitting for a corresponding hub; an additional means for gripping a hub in a locked position when connected to the fluid transfer tip by the friction fitting; and a disconnecting member comprising an actuator portion and operable to move the actuator portion between at least two different positions, wherein in a first position the actuator portion engages the gripping means and thereby assists in holding the hub in the locked position and in a second position the actuator portion does not engage the gripping means but acts to move the hub out of the locked position and release the hub from the friction fitting.
It is preferable that the disconnecting member is manually operable. A resilient bias may optionally be used to assist manual operation. In one example, the disconnecting member is provided with a resilient bias that moves the actuator portion into the first position. In one example, the disconnecting member is operable to move the actuator portion into a third position, between the first and second positions, where the actuator portion releases the gripping means and allows a hub to be connected to the fluid transfer tip by the friction fitting.
The disconnecting member may act in a similar manner to a lever member as already described. In one example the actuator portion extends in a plane substantially transverse to the axis of the fluid transfer tip. The actuator portion is preferably arranged to move along the tip when the disconnecting member is moved between the different positions. In one set of embodiments the disconnecting member comprises one of more lever members.
It will be appreciated that the various aspects of the present invention are not limited to a male transfer tip. In one set of embodiments the fluid transfer tip comprises a male connector tip that is tapered to form a friction fit when inserted in a corresponding female hub. However, in another set of embodiments the fluid transfer tip comprises a tapered female part that forms a friction fit when a corresponding male part provided by the hub is inserted therein.
Any suitable hub may be connected to the fluid transfer device, at least by the friction fitting. The hub may be a standard Luer slip hub, for example a hub comprising a tapered internal surface and an outer rim at its base. Or the hub may be a standard Luer lock hub, for example a hub comprising a tapered internal surface and an outer thread at its base. In some preferred embodiments there is provided a novel hub comprising a tapered internal surface and an outer rim or thread spaced from its base by a skirt portion.
The present invention extends to a hub for directing fluid from a fluid transfer device, the hub comprising a tapered internal surface to form a friction fit with a corresponding fluid transfer tip and an outer rim or thread to enable it to be positively engaged when connected to a fluid transfer tip by the friction fit, wherein the outer rim or thread is spaced from a base of the hub by a skirt portion. The skirt portion is useful as it can interact with the disconnecting member. This can be particularly beneficial when the friction fitting is supplemented by an additional gripping means. Thus the hub may further comprise an additional means for gripping a fluid transfer tip when the hub is connected thereto by the friction fit.
The present invention also extends to a hub for directing fluid from a fluid transfer device, the hub comprising a tapered surface to form a friction fit with a corresponding fluid transfer tip, a threaded collar or rim external to the tapered surface, and an additional means for gripping a fluid transfer tip when the hub is connected thereto by the friction fit. To ensure compatibility with at least some of the embodiments of a fluid transfer device described above, the additional means for gripping a tip may comprise a flange or groove provided on the tapered surface. As already mentioned, the threaded collar or rim may be spaced from a base of the hub by a skirt portion.
In at least some embodiments it is preferable that the skirt portion is flexible. This may be achieved by using the flexibility of the hub material and/or design of the hub, for example splitting the skirt portion into cut segments. If the skirt portion is split into separate, downwardly extending segments then it may be desirable for the segments to be arranged to provide flexibility but without making the skirt overly prone to splitting open. In one example, the skirt portion may be split into an odd number of equal segments, e.g. three, five, seven, etc. so that no two segments are ever diametrically aligned. This means that there is always a skirt segment on at least one side of a given diameter which can be engaged by the disconnecting member to assist in holding the hub locked onto the tip.
The fluid transfer device may comprise any type of device used to transfer fluid—liquid and/or gas—either to or from a fluid receptacle. The fluid receptacle may be inanimate or it may be part of a living subject, for example a bodily cavity, organ or vessel, such as a vein or artery. Although the present invention may find a wide range of uses, preferably the fluid transfer device is a medical device. The fluid transfer device may comprise one or more devices such as a syringe, pre-filled syringe, IV delivery device e.g. “drip”, transfusion device, fluid pump, stopcock, aspirator, suction device, container for a blood collection tube or hose. The device may be made to meet the relevant medical standard(s), for example ISO 7886 for sterile hypodermic syringes. In one set of embodiments hub comprises a cannula or hypodermic needle. In such embodiments the device may take the form of a syringe.
Some embodiments of the present invention will now be described, by way of example only, and with reference to the accompanying drawings, in which:
As is seen throughout the Figures, the male tip may be connected to a corresponding female hub in order to transfer fluid to a needle or other cannula. Although not shown, the needle might already be inserted into a living subject, for example for IV therapy with the hub providing an IV port for the injection and/or removal of various fluids. The tapered tip is inserted into the hub and forms a friction fit that is fluid-tight. In each of the embodiments, a disconnection mechanism is provided that can be manually operated to move relative to the male tip between a first position, proximal to the syringe barrel, and a second position spaced from the first position towards the forward end of the male tip so as to push against the hub. Operation of the mechanism therefore acts to automatically disconnect the syringe from the hub without a user needing to pull or tug the syringe to release the friction fit of the Luer slip connection. Preferred embodiments provide a lever mechanism to push the tip away from a hub.
In an embodiment seen in
Operation of the syringe 102 is shown in detail in
Another embodiment of the syringe 102 is seen in
Operation of the syringe 2 is shown in
A further feature of this, and other embodiments, is that the sleeve 94 (or other part of a disconnecting mechanism) can be arranged to render the device unusable after the hub 110′ has been disconnected. This may be achieved, for example, by forward movement of the sleeve 94 crushing or severing the lever members 98 so that they are no longer operative. This ensures that the device is single use only.
There is seen in
The design of the hub 210 is seen in more detail in
Operation of the disconnecting mechanism for the syringe 202 will now be described with reference to
From
The final locked position of the hub 210 on the fluid transfer tip 206 is shown in
Once a procedure has been completed and it is desired to disconnect the hub 210 from the tip 206 of the syringe 202, there are three stages to the disconnection process as shown in
There is seen in
The hub 210 may be disconnected from the tip 206 by operating the lever member 234′ in the same way as is described above with respect to
There is seen in
The syringe 302 includes a pair of gripping fingers 320 provided at a front end of the barrel 304, and extending forwards parallel to the tapered tip 306. The gripping fingers 320 are integrally moulded with the barrel 304. The gripping fingers 320 can be flexed outwardly from the tip 306 if a force is applied to an actuator e.g. knob 321 on their inwardly facing surface. The front surface 338 of the lever member 334 includes both a central slot 339 for the tip 306 and a pair of additional apertures either side of the slot 339 that accommodate the gripping fingers 320 passing therethrough, as is seen in
Operation of the disconnection mechanism for the syringe 302 will now be described with reference to
The stages of disconnection are illustrated with reference to
In the embodiments of
In a further unillustrated embodiment, it is envisaged that a lever member 534 carrying such a the threaded latch 546 could be combined with a syringe 302′ as seen in
There is seen in
In embodiments where a pivotally mounted lever member is resiliently biased away from the syringe barrel, it may be desirable to have some control over the position of the lever member, for example so that the lever member can more easily be put in a neutral position where the slot in its front surface provides space around the fluid transfer tip to accommodate a corresponding hub.
Of course various embodiments of the present invention, such as those described above, are not limited to a fluid transfer device in the form of a syringe. It will be appreciated that the disconnecting mechanisms described herein are not limited to use with a syringe comprising a barrel as a fluid chamber, but may instead be mounted to a fluid transfer tip at the end of a hose, pipe, cannula, etc.
It will be appreciated that various different hub designs have been described above. In
Although the present invention has been described in the context of syringe of other fluid transfer device having a “male” connector tip that is externally tapered to form a friction fit when inserted in a corresponding “female” hub, the various disconnecting mechanisms outlined above may equally find use in releasing the connection between a “female” connector tip and a “male” hub.
While the invention has been described in the context of various embodiments, these are merely examples and features of one embodiment may be combined with those of another and vice versa. Furthermore, although not illustrated in all of the embodiments, a locking or blocking member may be provided to prevent the disconnecting lever, sleeve, etc. from moving out of its first position until it is desired to be able to operate the disconnecting mechanism. The disconnecting mechanism could be disabled, for example, by a blocking interaction with a cap on the syringe needle (where provided). Further variants and suitable features will be apparent to the skilled person. The scope of the invention is defined by the following claims.
It should be apparent that the foregoing relates only to the preferred embodiments of the present application and the resultant patent. Numerous changes and modification may be made herein by one of ordinary skill in the art without departing from the general spirit and scope of the invention as defined by the following claims and the equivalents thereof.
Number | Date | Country | Kind |
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12178732.9 | Jul 2012 | EP | regional |
The present application is a continuation of U.S. application Ser. No. 14/418,605, filed Jan. 30, 2015, entitled “Fluid Transfer Devices.” U.S. application Ser. No. 14/418,605 is incorporated herein by reference in full.
Number | Date | Country | |
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Parent | 14418605 | Jan 2015 | US |
Child | 16118527 | US |