BRIEF DESCRIPTION OF THE DRAWINGS
For a better understanding of the present invention, and to show more clearly how it may be carried into effect, reference will now be made, by way of example, to the accompanying drawings, which illustrate aspects of embodiments of the present invention and in which:
FIG. 1A is a schematic drawing showing a top view of a needle for a hollow needle assembly according to a first embodiment of the invention;
FIG. 1B is a left side-view of the apparatus shown in FIG. 1A;
FIG. 1C is a right side-view of the apparatus shown in FIG. 1A;
FIG. 1D is a cross-sectional view through the apparatus shown in FIG. 1A along line D-D;
FIG. 1E is a perspective view of the apparatus shown in FIG. 1A;
FIG. 1F is detailed view of the detail F shown in FIG. 1E;
FIG. 2A is a schematic drawing showing a top view of a barrel for a hollow needle assembly according to a first embodiment of the invention;
FIG. 2B is a left side-view of the apparatus shown in FIG. 2A;
FIG. 2C is a cross-sectional view through the apparatus shown in FIG. 2A along line C-C;
FIG. 2D is a right side-view of the apparatus shown in FIG. 2A;
FIG. 2E is a cross-sectional view through the apparatus shown in FIG. 2A along line E-E,
FIG. 2F is a perspective view of the apparatus shown in FIG. 2A;
FIG. 3A is a schematic drawing showing a top view of a needle for a hollow needle assembly according to a second embodiment of the invention;
FIG. 3B is a left side-view of the apparatus shown in FIG. 3A;
FIG. 3C is a right side-view of the apparatus shown in FIG. 3A;
FIG. 3D is a cross-sectional view through the apparatus shown in FIG. 3A along line D-D;
FIG. 3E is a perspective view of the apparatus shown in FIG. 3A;
FIG. 3F is an alternative perspective view of the apparatus shown in FIG. 3A;
FIG. 4A is a schematic drawing showing a top view of a barrel for a hollow needle assembly according to a second embodiment of the invention;
FIG. 4B is a left side-view of the apparatus shown in FIG. 4A;
FIG. 4C is a cross-sectional view through the apparatus shown in FIG. 4A along line C-C;
FIG. 4D is a right side-view of the apparatus shown in FIG. 4A;
FIG. 4E is an alternative cross-sectional view through the apparatus shown in FIG. 4A along line E-E;
FIG. 4F is a perspective view of the apparatus shown in FIG. 4A;
FIG. 5A is a schematic drawing showing a top view of a needle and barrel assembled together with the needle concealed within the barrel, for a hollow needle assembly according to the second embodiment of the invention;
FIG. 5B is a left side-view of the apparatus shown in FIG. 5A;
FIG. 5C is a right side-view of the apparatus shown in FIG. 5A;
FIG. 5D is a cross-sectional view through the apparatus shown in FIG. 5A along line D-D;
FIG. 5E is a perspective view of the apparatus shown in FIG. 5A;
FIG. 5F is an alternative perspective view of the apparatus shown in FIG. 5A;
FIG. 6A is a schematic drawing showing a top view of the needle and barrel assembled together, with the needle extended outside the barrel, for a hollow needle assembly according to a third embodiment of the invention;
FIG. 6B is a cross-sectional view through the apparatus shown in FIG. 6A along line B-B;
FIG. 6C is an alternative cross-sectional view through the apparatus shown in FIG. 6A along line c-C;
FIG. 6D is a perspective view of the apparatus shown in FIG. 6A,
FIG. 7A is a schematic drawing showing a top view of a needle and barrel assembled together with the needle extended outside the barrel, for a hollow needle assembly according to a fourth embodiment of the invention;
FIG. 7B is a left side-view of the apparatus shown in FIG. 7A;
FIG. 7C is a right side-view of the apparatus shown in FIG. 7A;
FIG. 7D is a cross-sectional view through the apparatus shown in FIG. 7A along line D-D;
FIG. 7E is detailed view of the detail E shown in FIG. 7D;
FIG. 8A is a schematic drawing showing a top view of the needle and barrel assembly shown in FIGS. 7A-E, with the needle concealed inside the barrel, and with an optional safety cap on for a hollow needle assembly according to the fourth embodiment of the invention;
FIG. 8B is a left side-view of the apparatus shown in FIG. 8A;
FIG. 8C is a right side-view of the apparatus shown in FIG. 8A;
FIG. 8D is a cross-sectional view through the apparatus shown in FIG. 8A along line D-D;
FIG. 9A is a schematic drawing showing a top view of a needle and barrel assembled together, with the needle concealed inside the barrel, with a measurement apparatus 600a attached, and an optional safety cap on for a hollow needle assembly according to the fourth embodiment of the invention;
FIG. 9B is a cross-sectional view through the apparatus shown in FIG. 9A along line B-B;
FIG. 9C is a perspective view of the apparatus shown in FIG. 9A;
FIG. 10A is a schematic drawing showing a top view of a needle also comprising a measurement apparatus like 600a shown in FIGS. 9A-C, for a hollow needle assembly according to a fifth embodiment of the invention;
FIG. 10B is a cross-sectional view through the apparatus shown in FIG. 10A along line B-B;
FIG. 10C is a perspective view of the apparatus shown in FIG. 11A;
FIGS. 11A-G are schematic drawings showing details of the measurement apparatus 600a shown in FIGS. 9A-C;
FIG. 12A is a schematic drawing showing a top view of a needle also comprising a measurement apparatus 600b, for a hollow needle assembly according to a sixth embodiment of the invention;
FIG. 12B is a cross-sectional view through the apparatus shown in FIG. 12A along line B-B;
FIG. 12C is a perspective view of the apparatus shown in FIG. 12A;
FIGS. 13A-E are schematic drawings showing details of the measurement apparatus 600b shown in FIGS. 12A-C;
FIGS. 14A-G are schematic drawings showing details of the hollow fiber bundle 660 shown in FIGS. 13A-E;
FIGS. 15A-C are schematic drawings showing details of a measurement apparatus 600c that can be used with the needle of the first embodiment of the invention, as shown in FIGS. 1A-F;
FIG. 16A is a schematic drawing showing a top view of the needle and barrel assembled together, with the needle extended outside the barrel, for a hollow needle assembly according to a seventh embodiment of the invention;
FIG. 16B is a cross-sectional view through the apparatus shown in FIG. 16A along line B-B;
FIG. 16C is a perspective view of the apparatus shown in FIG. 16A,
FIG. 16D is a detailed view of the detail D shown in FIG. 16B;
FIG. 17A is a schematic drawing showing a top view of the needle and barrel assembled together, with the needle extended outside the barrel, for a hollow needle assembly according to an eight embodiment of the invention; and
FIG. 17B is a schematic drawing showing a bottom view of the needle and barrel assembly shown in FIG. 17A, with the needle extended outside the barrel, for a hollow needle assembly according to a seventh embodiment of the invention.
DETAILED DESCRIPTION OF PREFERRED ASPECTS OF THE INVENTION
Some embodiments of the invention provide a hollow needle assembly that is suitable for collection of a blood sample directly from a patient into the measurement apparatus; some embodiments of the invention provide an apparatus that is suitable for both the collection and measurement of a blood sample; and some embodiment of the invention provide one apparatus that is suitable for the collection of a blood sample, the extraction of plasma from the blood (sometimes referred to as whole blood, to distinguish blood from serum and plasma), and the measurement of both the whole blood and the plasma extracted from the whole blood. Currently a needle and syringe is required to collect the blood, and subsequently the blood is injected into the measurement apparatus after removing the needle from the syringe. The transfer of blood from a syringe to a measurement apparatus causes delays in testing, and an anticoagulant is required when blood is not tested within the first few minutes of collection. Moreover, handling the needle increases the risk of infection due to injury by the needle and subsequent infection by blood-borne pathogens, and in general, handling the blood in open vessels increases the risk of contamination by blood-borne pathogens. A further complication caused by the transfer of blood from a syringe to a measurement apparatus is contamination with air. Although blood is the fluid used to illustrate the function of the apparatus, those skilled in the art will appreciate that the present invention can also be used, for example without limitation, to transfer fluid from a plastic or rubber bag to a measurement apparatus. Once a blood sample is drawn into a measurement apparatus, the blood sample can be analyzed without delay, and without having to transfer any portion of the blood sample into another vessel.
Current medical practice strongly advises against recapping needles in syringes, due to the risk of injury by the needle contaminated with blood, which may contain hazardous pathogens. In accordance with an embodiment of the invention, recapping or removing the needle is not required, and examples of specific embodiments are shown, where the needle can be retracted into a barrel, and then as an option, the end of the barrel is capped, as a further safeguard against accidental injury.
As a result of the rapidity of blood sample collection and measurement, the addition of an anticoagulant is not required to prevent clotting. However, it should be understood that the use of an anticoagulant and one or more than one reagent is considered to be within the scope of the present invention. The main parts of the present invention are a needle and a barrel, with an optional safety cap, which engages onto the open anterior end, an optional locking cap for locking the needle in position, and an optional spring for automatic needle retraction after the locking cap is loosened. Some embodiments of the invention use a stud and slot mechanism for keeping the stud section of the hub within the slot of the barrel. Those skilled in the art will appreciate that the stud could be a separate part, which is screwed into the hub after assembly of the needle and barrel. In some embodiments of the invention, the measurement apparatus is integrated in the hub.
Several embodiments of the invention are described in details, in order to describe the present invention. The common features in the different embodiments are a needle with a flow path that begins at a sharp open end in the shaft of the needle and terminates at a blunt open end in the hub of the needle, and a mobile barrel that facilitates extension and concealment of the sharp open end of the needle.
Referring to FIG. 1A, shown is a schematic drawing illustrating a top view of a needle 100 for a hollow needle assembly according to a first embodiment of the invention; FIG. 1B illustrates a left side-view of the apparatus shown in FIG. 1A; FIG. 1C illustrates a right side-view of the apparatus shown in FIG. 1A; FIG. 1D illustrates a cross-sectional view through the apparatus shown in FIG. 1A along line D-D; FIG. 1E illustrates a perspective view of the apparatus shown in FIG. 1A; and FIG. 1F illustrates a detailed view of the detail F shown in FIG. 1E.
Still referring to FIG. 1, the needle 100 comprises a shaft 143 and a hub with a front end 139 and a back end 123. The shaft 143 has a sharp open end 147 and a second end, which is mounted in the passage 145 of the hub. A detailed view of the sharp open end 147 (detail F in FIG. 1E) is shown in FIG. 1F. The sharp open end 147 is usually the beveled end of the shaft, which is usually a hollow metal tube. It should be understood that the sharp open end 147 could be configured differently from a bevel, and that a bevel should not limit the scope of the invention in any way. The hollow portion of the shaft is also referred to as the lumen 129. The bevel provides a point 121 for piercing a blood vessel. Also shown in FIG. 1F is the central axis 133a, which runs through the center of the shaft 143, along its length. The length of the shaft 143 outside the hub is shown to have a length I1. The section of the shaft 143 mounted inside the hub is not shown. The front end of the hub is shown as 139, and the back end of the hub is shown as 123. It should be understood that the front end refers to a general area of the hub, and does not specifically identify any point or local area. Similarly, it should be understood that the back end refers to a general area of the hub, and does not specifically identify any point or local area. The passage 145 of the hub is fluidly connected to the lumen 129 of the shaft, and a first flow path is defined by the sharp open end 147, which leads into the lumen 129, which leads into the passage 145 of the hub, and terminates at a blunt open end 137. The blunt open end 137 is located at the back end of the hub. The hub could comprise other features, which will be described later.
Still referring to FIG. 1, the back end of the hub also provides a female receptor 163 with internal threads, for receiving a measurement apparatus, for example, the measurement apparatus 600c shown in FIGS. 15A-C. Mating external threads are shown in tubing 672 of FIGS. 15A-B, for securing the hollow needle assembly to the measurement apparatus 600c.
Referring to FIG. 2A, shown is a schematic drawing illustrating a top view of a barrel 200 for a hollow needle assembly according to the first embodiment of the invention; FIG. 2B illustrates a left side-view of the apparatus shown in FIG. 2A; FIG. 2C illustrates a cross-sectional view through the apparatus shown in FIG. 2A along line C-C; FIG. 2D illustrates a right side-view of the apparatus shown in FIG. 2A; FIG. 2E illustrates an alternative cross-sectional view through the apparatus shown in FIG. 2A along line E-E; and FIG. 2F illustrates a perspective view of the apparatus shown in FIG. 2A. The barrel 200 shown in FIG. 2 should be combined with the needle 100 shown in FIG. 1, to provide the first embodiment of a hollow needle assembly. Other embodiments of hollow needle assemblies are shown later. Also illustrates in FIGS. 2A, B & D-F is an opening 167 for the needle shaft 143 (FIG. 1) in the open anterior end 159 of the barrel 200, an opening 165 for the back end of the hub 123 (FIG. 1) in the open posterior end 161 of the barrel 200, and an axis 133b which runs through the center of the barrel, along the length of the barrel shown as I2. In order for the barrel to conceal the sharp end of the shaft, 147 (FIG. 1), I2 must be greater than I1. The barrel 200 comprises an internal chamber 153 for housing the front end 139 of the hub. In the specific embodiments shown later, the central axis 133a of the needle and axis 133b of the barrel are shown to be coaxial, but the axes could also be parallel without being coaxial, for example, if the outer design of the barrel is not cylindrical.
Referring to FIG. 3A, shown is a schematic drawing illustrating a top view of a needle for a hollow needle assembly according to a second embodiment of the invention; FIG. 3B illustrates a left side-view of the apparatus shown in FIG. 3A; FIG. 3C illustrates a right side-view of the apparatus shown in FIG. 3A; FIG. 3D illustrates a cross-sectional view through the apparatus shown in FIG. 3A along line D-D; FIG. 3E illustrates a perspective view of the apparatus shown in FIG. 3A; and FIG. 3F illustrates an alternative perspective view of the apparatus shown in FIG. 3A. The apparatus 100 illustrated in FIG. 3 is similar to the apparatus 100 illustrated in FIG. 1, and accordingly, elements common to both share common reference numerals. The primary differences, illustrated in FIG. 3, are that the back end of the hub 139 contains external threads 173 for mating with internal threads 175 in a complementary barrel 200 shown in FIG. 4, and the blunt open end 137 is housed in a tapered projection 171, wherein the tapered projection resembles the male end of a syringe. Those skilled in the art will appreciate that other suitable mating ends can be used, for example without limitations, internal and external threads, and Leuer lock mechanisms, and are considered to be within the scope of the present invention.
Referring to FIG. 4A, shown is a schematic drawing illustrating a top view of a barrel 200 for a hollow needle assembly according to the second embodiment of the invention; FIG. 4B illustrates a left side-view of the apparatus shown in FIG. 4A; FIG. 4C illustrates a cross-sectional view through the apparatus shown in FIG. 4A along line C-C; FIG. 4D illustrates a right side-view of the apparatus shown in FIG. 4A; FIG. 4E illustrates an alternative cross-sectional view through the apparatus shown in FIG. 4A along line E-E; and FIG. 4F illustrates a perspective view of the apparatus shown in FIG. 4A. The apparatus 200 illustrated in FIG. 4 is similar to the apparatus 200 illustrated in FIG. 2, and accordingly, elements common to both share common reference numerals. The primary difference, illustrated in FIG. 41 is the internal threads 175, The threads 175 as shown in FIG. 4, do not run continuously throughout the length of the barrel, and prevents the hub from moving beyond the threaded area of the barrel 200, even if the opening 167 was larger than the opening 165.
Referring to FIG. 5A, shown is a schematic drawing illustrating a top view of a needle and barrel assembly 300 with the needle shaft 143 concealed within the barrel according to the second embodiment of the invention; FIG. 5B illustrates a left side-view of the apparatus shown in FIG. 5A; FIG. 5C illustrates a right side-view of the apparatus shown in FIG. 5A; FIG. 5D illustrates a cross-sectional view through the apparatus shown in FIG. 5A along line D-D; FIG. 5E illustrates a perspective view of the apparatus shown in FIG. 5A; and FIG. 5F illustrates an alternative perspective view of the apparatus shown in FIG. 5A. The apparatus 300 illustrated in FIG. 5 is an assembly of the needle 100 illustrated in FIG. 3, and the barrel 200 illustrated in FIG. 4, and accordingly, elements common to these share common reference numerals
Referring to FIG. 6A, shown is a schematic drawing illustrating a top view of the needle and barrel assembly 400, with the needle extended outside the barrel, for a hollow needle assembly according to a third embodiment of the invention; FIG. 6B illustrates a cross-sectional view through the apparatus shown in FIG. 6A along line B-B; FIG. 6C illustrates an alternative cross-sectional view through the apparatus shown in FIG. 6A along line C-C; and FIG. 6D illustrates a perspective view of the apparatus shown in FIG. 6A. The apparatus 400 illustrated in FIG. 6 is an assembly of a modified needle 100 illustrated in FIG. 1, and modified barrel 200 illustrated in FIG. 2, and accordingly, elements common to these share common reference numerals. The primary differences illustrated in FIG. 6 are: in the needle 100, the external diameter of the hub is uniform throughout most of the hub, the blunt open end 137 is housed in a tapered projection 171, which resembles the male end of a syringe, and a stud 115 projects from the hub, at a location around the front end 139 of the hub; in barrel 200, the internal diameter of the internal chamber (shown in FIG. 2 as 153) is uniform throughout the length I2, a slot 113 is cut through the wall of the barrel for a length I3 and having a width w, wherein I3 is at least slightly longer than the length of the shaft shown as I1, The internal diameter of the internal chamber 153 is approximately equal to the external diameter of the hub, in order that the needle 100 would slide smoothly inside the barrel, for extending and retracting the sharp open end of the shaft. The stud 115 fits into the slot 113, with the stud slightly extended beyond the barrel, in order that the smooth sliding motion of the needle inside the barrel, could be accomplished using a finger pressed against the stud 115. The width of the slot w is slightly larger than the diameter of the stud, in order for the slot 113 to act as a track for the stud 115, without unnecessary friction. The stud 115 can only move along the length I3 of the slot 113, and helps to keep the needle inside the barrel. A locking cap as described later is not essential because the user could lock the needle in a position during use, by pressing a finger against the stud 115. As an alternative to this third embodiment of the invention, shown is an eight embodiment of the invention, illustrated in FIG. 17A-B. The difference is the slot 113 shown in FIG. 6A is replaced with a slot 113a, with a hooked end 113b. The hooked end 113b is used for securing the stud 115, so that the needle cannot move relative to the barrel during insertion of the sharp end of the needle into a blood vessel, without having to press a finger against the stud 115.
Referring to FIG. 7A, shown is a schematic drawing illustrating a top view of a needle and barrel assembly 500 with the needle extended outside the barrel, according to a fourth embodiment of the invention; FIG. 7B illustrates a left side-view of the apparatus shown in FIG. 7A; FIG. 7C illustrates a right side-view of the apparatus shown in FIG. 7A; FIG. 7D illustrates a cross-sectional view through the apparatus shown in FIG. 7A along line D-D; and FIG. 7E illustrates a detailed view of the detail E shown in FIG. 7D. The needle 100 of apparatus 500 illustrated in FIG. 7 is similar to the needle 100 illustrated in FIG. 1, and the barrel 200 of apparatus 500 illustrated in FIG. 7 is similar to the barrel 200 illustrated in FIG. 2, and accordingly, elements common to them share common reference numerals. The primary differences, illustrated in FIG. 7, are a locking cap 181, external threads at the open posterior end 161 of the barrel, and a spring 187. The locking cap 181 is fitted with a flexible member 185 at the juncture of the locking cap 181 and the open posterior end 161 of the barrel. The locking cap has internal threads that mate with the external threads at the open posterior end 161, The spring 187 is located within the internal chamber 153, between the open anterior end 159 of the barrel, and the front end 139 of the hub. The flexible member 185 is a hollow O-ring preferably made from plastic or rubber, and expands towards the axes 133a and 133b, when the locking cap is tightened, causing the flexible member 185 to press against the hub. As the flexible member 185 presses against the hub, the needle becomes locked in the current position. Although threads are a preferred means of operating the locking cap 181, those skilled in the art will appreciate that a locking cap could also operate by frictional engagement of a locking cap similar to that of the apparatus 500 illustrated in FIG. 7, but without threads, to the open posterior end 161 of the barrel without threads. A second embodiment of a flexible member 185 (an O-ring with a C-shaped cross-sectional area) is shown in FIG. 16, and it should be understood that these are just non-limiting examples of means used to lock the needle in position. Those skilled in the art will appreciate that other means of locking the needle in position exist, and are considered to be within the scope of the present invention.
Referring to FIG. 8A, shown is a schematic drawing illustrating a top view of the needle and barrel assembly 700, as shown in FIG. 7, with the needle concealed inside the barrel, and with an optional safety cap 189 engaged, according to the fourth embodiment of the invention; FIG. 8B illustrates a left side-view of the apparatus shown in FIG. 8A; FIG. 8C illustrates a right side-view of the apparatus shown in FIG. 8A; and FIG. 8D illustrates a cross-sectional view through the apparatus shown in FIG. 8A along line D-D. The apparatus 700 illustrated in FIG. 8 is similar to the apparatus 500 illustrated in FIG. 7, and accordingly, elements common to both share common reference numerals. The primary differences, illustrated in FIG. 8, are that the needle shaft 143 is withdrawn inside the barrel 200, and a safety cap 189 is fitted over the open anterior end 159 of the barrel, to further protect the user from accidental injury.
Referring to FIG. 9A, shown is a schematic drawing of an apparatus 800, illustrating a top view of a needle and barrel assembly 700 shown in FIG. 8, with a measurement apparatus 600a attached, according to the fourth embodiment of the invention; FIG. 9B illustrates a cross-sectional view through the apparatus shown in FIG. 9A along line B-B; and FIG. 9C illustrates a perspective view of the apparatus shown in FIG. 9A. Details of the measurement apparatus 600a are illustrated in FIGS. 11A-G. The blunt open end of the hollow needle assembly 700 is shown as 137a. When apparatus 600a and apparatus 700 are fluidly connected, the new blunt open end of the extended fluid path is shown as the vent 137b of the measurement apparatus 600a.
Use of the hollow needle assembly and measurement apparatus shown collectively in FIGS. 7A-E, FIGS. 8A-D, FIGS. 9A-C, and FIGS. 11A-G, will be described, as a non-limiting example. It will be appreciated by those skilled in the art, that the steps described below may be slightly different for other embodiments of the hollow needle assembly. Before use, the hollow needle assembly 700 will look like the illustration shown in FIG. 8A. The steps are as follows:
- 1. Insert the blunt open end 171 of the needle 100 securely into the inlet chamber 670 of the measurement apparatus 600a. The hollow needle assembly 700 attached to the apparatus 600a will look like the illustration shown in FIGS. 9A-C, labeled as 800.
- 2. Remove the optional safety cap 189
- 3. Loosen the locking cap 181 and carefully extend the shaft of the needle by pushing the hub of the needle 100 against the spring 187. Tighten the looking cap to maintain the needle in the extended position. The hollow needle assembly 700 (the apparatus 600a is not shown) will now look like the illustration 500 shown in FIG. 7A.
- 4. Carefully insert the sharp open end 147 of the needle into the blood vessel, following procedures well know by doctors and phlebotomists.
- 5. Allow the blood to flow into the measurement apparatus 600a, via the needle 100, until the blood is between the two “fill between lines” shown in FIG. 11C. Blood will flow according to the blood pressure within the blood vessel. In the case of an artery, where the blood pressure is higher than the pressure in a vein, more case must be taken. The capillary break 622 is used as a buffer zone to prevent blood from escaping through the vent 137. In the case of a vein, application of a tourniquet may be necessary. Capillary action may also help draw blood into the apparatus, depending on the width of the flow path, and the hydrophilic properties of the internal surfaces of the flow path.
- 6. Carefully withdraw the needle from the blood vessel.
- 7. Slowly loosen the locking cap, allowing the force of the spring 187 to retract the sharp end 147 of the needle 100 into the barrel 200.
- 8. Tighten the locking cap to keep the needle inside the barrel. Optionally, the safety cap 189 could be replaced.
As described later, the needle and the measurement apparatus could be integrated, as show in FIGS. 10A-C, as a non-limiting example.
Referring to FIG. 10A, shown is a schematic drawing of an apparatus 900, illustrating a top view of a needle 100, wherein the measurement apparatus 600a (illustrated in FIGS. 11A-G) is an integral part of the hub of the needle 100, according to a fifth embodiment of the invention; FIG. 10B illustrates a cross-sectional view through the apparatus shown in FIG. 10A along line B-B; and FIG. 10C illustrates a perspective view of the apparatus shown in FIG. 10A. The only outlet is the vent of the measurement apparatus 600a, shown as the blunt open end 137. Moreover, a single flow path is defined from the sharp open end 147, to the blunt open end 137. The needle 100 and measurement apparatus 600a together form a needle with a larger hub, and with the flow path of the measurement apparatus 600a integrated in the flow path of the hollow needle assembly.
Referring to FIGS. 11A-G, shown are schematic drawings providing details of the measurement apparatus 600a illustrated in FIGS. 9A-C and FIGS. 10A-C. The measurement technology includes spectroscopy with the optional use of one or more than one reagent. Referring to FIG. 11A, shown is schematic drawing of a front view of the measurement apparatus 600a illustrated in FIGS. 9A-C and FIGS. 10A-C, showing the sample inlet opening 612 and the vent 137. Referring to FIG. 11B, shown is a perspective view of the measurement apparatus 600a. Referring to FIG. 11C, shown is a schematic drawing of a top view of the apparatus shown in FIG. 11A, with a wall-portion 624a of the optical chamber 616, and two guide lines for filling the apparatus with blood. Referring to FIG. 11D shown is a cross-sectional view of the apparatus illustrated in FIG. 11C along line D-D. Referring to FIG. 11D, shown is a schematic drawing of the inlet opening 612, the inlet chamber 670, which can accept the outlet 171 of a needle (for example, 171 shown in FIG. 3), the inlet transition chamber 614, the optical chamber 616, the overflow chamber 618, the optical chamber wall-portions 624a and 624b. Referring to FIG. 11E, shown is a cross-sectional view through the apparatus 600a illustrated in FIG. 11C along line E-E, showing the outflow 620, the capillary break 622, and the vent 137. Referring to FIG. 11F, shown is a left side-view of the apparatus 600a illustrated in FIG. 11C. Referring to FIG. 11G, shown is an alternative cross-sectional view through the apparatus 600a illustrated in FIG. 11F along line G-G, showing the complete flow path, beginning at the sample inlet opening 612, and terminating at the vent 137, with the inlet chamber 670, the inlet transition chamber 614, the optical chamber 616, the overflow chamber 618, the outflow chamber 620, the capillary break 622 fluidly connected in series. Those skilled in the art will appreciate the different designs of cartridges used as the measurement apparatus, and for the sake of brevity, measurement apparatus will not be discussed in great details.
Referring to FIG. 12A, shown is a schematic drawing illustrating a top view of a needle 100, the hub of the needle also comprising a measurement apparatus 600b, for a hollow needle assembly according to a sixth embodiment of the invention; FIG. 12B illustrates a cross-sectional view through the apparatus shown in FIG. 12A along line B-B; FIG. 12C is a perspective view of the apparatus shown in FIG. 12A. Details of the measurement apparatus 600b are illustrated in FIG. 13.
Referring to FIGS. 13A-E, shown are schematic drawings illustrating details of the measurement apparatus 600b shown in FIGS. 12A-C. The apparatus 600b is also a plasma extraction apparatus, and the measurement technology includes spectroscopy with the optional use of one or more than one reagent, and biosensor technology. Referring to FIG. 13A is a top view of the apparatus 600b showing the sample inlet opening 612, the inlet chamber 670, a whole blood optical chamber wall-portion 624a, a plasma optical chamber wall-portion 626a, and three vents 137a, 137b, and 137c. The apparatus 600b contain two whole blood flow paths and one plasma flow path. The flow paths are illustrated in FIG. 13E.
Referring to FIG. 13E, shown is the sample inlet opening 612, the inlet chamber 670. In use, the blunt open end of a needle is first securely inserted into the inlet chamber 670 of the measurement apparatus 600b. Then the sharp open end of the needle is inserted into a blood vessel, allowing the blood to flow into the apparatus 600b, arriving at first at the manifold 640; from the manifold 640, the blood is distributed into the two whole blood flow paths: the blood biosensor flow path includes in series, the whole blood biosensor inlet transition chamber 642, the whole blood biosensor chamber 674, the whole blood biosensor outflow chamber 620b, the whole blood biosensor capillary break 622b, and terminating at the whole blood biosensor vent 137b, the blood spectroscopy flow path includes in series, the whole blood spectroscopic inlet transition chamber 614a, the whole blood optical chamber 616a, the filtration chamber 634 (for extracting plasma from the whole blood using the hollow fiber bundle 660 with closed flange 682; shown in details in FIGS. 14A-G), the filtration chamber outflow 620a, the filtration chamber capillary break 622a, and terminating at the filtration chamber vent 137a. A third flow path is defined as a plasma flow path, but is still in fluid connection with the sample inlet 612. The third flow path continues from the filtration chamber 634 at the plasma collection chamber 636, and includes in series the plasma biosensor chamber 672, the plasma spectroscopic inlet transition chamber 614b, the plasma optical chamber 616b, the plasma capillary break 622c, and terminating at the plasma vent 137c. One plasma biosensor is shown as 652c, which is which is electrically connected through a medium 676c to the electrical output contact 654c. Two whole blood biosensors are shown as 652a and 652b, which are connected to their respective electrical output contacts 654a and 654b, through respective media 676a and 676b. The blood pressure in the blood vessel is sufficient to force the blood into the measurement apparatus, via the needle, especially when the blood vessel is an artery. If the blood vessel is a vein, application of a tourniquet may be required in some patients.
Referring to FIG. 13B, shown is a cross-sectional view through apparatus 600b illustrated in FIG. 13A along line B-B, showing parts already identified for FIG. 13E.
Referring to FIG. 13C, shown is a cross-sectional view through apparatus 600b illustrated in FIG. 13A along line C-C, showing parts already identified for FIG. 13E.
Referring to FIG. 13D, shown is a rear view of apparatus 600b illustrated in FIG. 13A, showing the three electrical output contacts 654a, 654b, and 654c.
Referring to FIGS. 14A-G, shown are schematic drawings illustrating details of the hollow fiber bundle 660 shown inside the plasma extraction chamber 634 illustrated in FIG. 13. The hollow fiber bundle 660 comprises several hollow fibers 696, held together by two flanges 682 and 684. Referring to FIG. 14A, shown is a top view of the hollow fiber bundle 660, illustrating the closed flange 682, and the perforated flanged 684, and a hollow fiber 696. Referring to FIG. 14B, shown is a left side-view of the hollow fiber bundle 660, illustrating the closed flange 682. Referring to FIG. 14C, shown is a right side-view of the hollow fiber bundle 660, illustrating the perforated flange 684, and the open end 690 of a hollow fiber. Referring to FIG. 14D, shown is a cross-sectional view through the bundle 660 shown in FIG. 14A along line D-D. Referring to FIG. 14E, shown is a perspective view of the hollow fiber bundle 660, showing the closed flange 682. Referring to FIG. 14G, shown is an alternative perspective view of the hollow fiber bundle 660, showing the perforated flange 684, and the open end 690 of a hollow fiber. The hollow fibers are inserted inside perforations in the flange 684 and sealed at the juncture of the hollow fiber and the flange. Referring to FIG. 14F, shown is a detailed view of the cross-section of a hollow fiber, according to detail F identified in FIG. 14D, showing the lumen of the fiber 692, and the wall of the fiber (also referred to as membrane) 694. In some embodiments, the walls of the fiber contain pores with an approximate distribution of diameters ranging from about 0.1 micrometer to about 10 micrometers. In some embodiments, the internal diameter of the hollow fiber (also referred to as hollow fiber filter) ranges approximately from about 0.1 mm to about 1 mm. Those skilled in the art will appreciate that blood flow decreases the viscosity of the blood and therefore enhances separation (or filtration, or extraction) of plasma from blood; separation of plasma from blood also increases with increasing pore size, decreasing thickness of the membrane 694, and increasing membrane surface area. The surface area increases in proportion to the number of hollow fibers used.
Referring to FIGS. 15A-C, shown are schematic drawings of a measurement apparatus 600c suitable for attachment to a needle illustrated in FIGS. 1A-F, via the internal threads in female receptor 163, and the matching threads in the inlet tubing 672 shown in FIG. 15. Referring to FIG. 15A, shown is a side view of the apparatus 600c. Referring to FIG. 15B, shown is a cross-sectional view through the apparatus 600c shown in FIG. 15A along line A-A. Referring to FIG. 15C, shown is a perspective view of the apparatus 600c. The apparatus 600c illustrated in FIGS. 15A-C is similar to the apparatus 600a illustrated in FIGS. 13A-E, and accordingly, elements common to them share common reference numerals. The primary difference is that apparatus 600c does not have a filtration chamber for extracting plasma from whole blood.
Referring to FIGS. 16A-D, shown are schematic drawings showing a needle and barrel assembly, with the needle extended outside the barrel, for a hollow needle assembly according to a seventh embodiment of the invention; FIG. 16B illustrates a cross-sectional view through the apparatus shown in FIG. 16A along line B-B; FIG. 6C illustrates a perspective view of the apparatus shown in FIG. 16A; and FIG. 16D illustrates a detailed view of the detail D shown in FIG. 16D, illustrating the second embodiment of a flexible member 185. The apparatus 1100 illustrated in FIG. 16 is similar to the apparatus 500 illustrated in FIG. 7, and accordingly, elements common to both share common reference numerals. The primary differences, illustrated in FIGS. 16A-D, are the absence of a spring, and the axis 133c of the back end of the hub running through the blunt open end 137, is different from axes 133a and 133b. In this specific embodiment of the apparatus, the axis 133c is orthogonal to axes 133a and 133b.
While the above description provides example embodiments, it will be appreciated that the present invention is susceptible to modification and change without departing from the fair meaning and scope of the accompanying claims. Accordingly, what has been described is merely illustrative of the application of aspects of embodiments of the invention. Numerous modifications and variations of the present invention are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims, the invention may be practiced otherwise than as specifically described herein.