This invention concerns safety devices for medical needles and in particular for a medical needle projecting forwardly from the forward end of an injector body. In particular, but not exclusively, this invention relates to a safety device for use with a syringe having a needle permanently affixed thereto, such as a pre-filled single-use syringe having a staked-in needle.
In its preferred aspects, this invention relates to improvements in the safety devices disclosed in my earlier International Patent Publication No. WO 2011/092518 and International Patent Application No. PCT/GB2011/052384, filed respectively on 1 Feb. 2011 and 2 Dec. 2011. These applications will hereinafter be referred to as “said earlier applications” and the entire specifications including the descriptions of the drawings of said earlier applications are incorporated herein by this reference thereto.
The needle safety device of this invention is intended for use with a medical injector supporting a needle used to penetrate a human or animal body, or for other medical uses such as the penetration of a pierceable membrane of an intravenous medication system. In the following, all medical uses of the needle safety device will be described simply as the penetration of a body, even though specific embodiments may be intended for other medical uses.
Throughout this specification the terms “forward” and “forwardly” used in relation to the needle safety device and an injector for use therewith refer to those ends of the components which are approached to a body when a procedure is to be performed, and the direction towards those ends. Conversely, the terms “rearward” and “rearwardly” refer to those ends of the components opposed to the forward ends and the direction away from those forward ends.
In said earlier applications, there are described medical needle safety devices having a needle mount, a needle shielding sleeve movable from an initial shielding position to a non-shielding position and a radially deformable resilient finger provided on one of the sleeve and mount and having an initial substantially undeformed condition. There is a control member having a set position at which sliding movement of the sleeve from its initial position enables engagement of the finger with the control member to deform and lift the finger outwardly, following which continued movement of the sleeve towards its non-shielding position increases the outward deformation of the finger and stores energy therein. On subsequent return of the sleeve to its shielding position under the action of the stored energy, the control member is moved from its set position and the finger returns to its substantially undeformed condition; thereafter the finger blocks movement of the sleeve towards its non-shielding position.
This invention stems from further development of the safety devices of said applications and in particular (but not exclusively) for a pre-filled syringe having a staked-in needle protected by a needle cover until the syringe is to be used. A particular aim of this invention is to provide an improved form of safety device which may be stored indefinitely and which, when required for use, operates reliably to confer passive protection to a needle with which the device is being used.
According to a first aspect of this invention, there is provided A safety device for shielding a medical needle having a sharp tip, which device comprises:
In a preferred aspect, the safety device is arranged to have:
wherein the movement of the control member from its set position and the return of the sleeve to a shielding position moves said second part of the finger outwardly and by virtue of the flexible connection of the finger also urges the first part of the finger inwardly and so into radial alignment with the abutment surface following the return of the sleeve to a shielding position, to block subsequent movement of the sleeve away therefrom.
In said earlier applications, one end region of the finger is attached to either the sleeve or the mount, but in many preferred embodiments the finger is provided on the sleeve. The other end of the finger engages an abutment surface when the sleeve has been moved from its initial shielding position to a non-shielding position and back to a shielding position, so as to block movement of the sleeve to expose the needle for a second time. A control member allows, or is arranged to move the finger outwardly to allow, the rearward movement of the sleeve (relative to the syringe and needle) and subsequently allows the finger to return to its undeformed condition so as thereafter to block movement of the sleeve.
In the present invention, the finger is provided on either the sleeve or the mount by means of a flexible connection arranged partway between the ends of the finger such that the finger behaves as a first order lever. The control member co-acts with the finger to permit that rearward movement of the sleeve by the finger sliding on the sliding surface and to be deformed thereby, so as to provide a restorative force on the sleeve, and that following the return of the sleeve to a shielding position, the sleeve is then blocked against rearward movement for a second time.
In one preferred embodiment, the finger and the flexible connection are moulded so that in their undeformed condition and with the control member in its set position ready for use, the first part of the finger is in radial alignment with the sliding surface to be permitted to slide therealong. In use of the device, the control member is moved from its set position so that on return of the sleeve to a shielding position, the finger will thereafter block rearward movement of the sleeve for a second time.
In another preferred embodiment, the control member when in its set position holds the first part of the finger in radial alignment with the sliding surface to be permitted to slide therealong but in the course of use of the device the control member moves from its set position so as to hold the finger in a position where the finger will block subsequent rearward movement of the sleeve.
The actions described above in relation to the two preferred embodiments are achieved by the control member having a set (or an initial) position where the safety device is ready to use, but in use of the device, the control member is moved from its set position to act on the second part of the finger (i.e. the end of the finger remote from the end which engages the abutment surface) to block movement of the sleeve. By moving the second part outwardly, the first part of the finger is urged to move inwardly as the finger is in effect a first order lever turning about the flexible connection, so that when the sleeve returns to a shielding position, the sleeve will thereafter be blocked from moving rearwardly.
It is possible to configure a safety device of this invention with the sleeve sliding over the mount or with the sleeve sliding within the mount. In the case of the former, the flexible connection of the finger to the sleeve should be adjacent the forward end thereof such that the rearward end of the finger may engage the abutment surface of the mount to block rearward movement of the sleeve following use of the device. In the case of the latter, the flexible connection of the finger should be to the mount such that the forward end of the finger may engage the abutment surface of the sleeve to block rearward movement of the sleeve following use of the device.
In one embodiment of this invention, the control member when in its set position is disposed adjacent the mount and is arranged to slide forwardly with respect to the sleeve as the sleeve slides rearwardly from its initial shielding position to expose at least the tip of a needle, in the course of performing an injection. On the subsequent return of the sleeve to a shielding position, the control member remains stationary with respect to the sleeve and thus is displaced from its set position and acts on the second part of the finger to bring the first part of the finger into radial alignment with the abutment surface.
In a second embodiment of this invention, the control member when in its set position is disposed at the front end of the sleeve and has a portion which projects beyond that front end, such that in use the control member is moved away from its set position by contact with skin at an injection site as the needle is moved forwardly into that site. In the course of the control member moving rearwardly with respect to the sleeve from its set position, the control member acts on the second part of the finger to bring the first part of the finger into radial alignment with the abutment surface.
The control member in this embodiment may have a recess to accommodate the forward end of the finger when the control member is in its set position. When the control member moves from its set position the forward end of the finger comes out of the recess so as to be acted on by the control member and cause movement of the finger about the flexible connection to bring the first part of the finger into radial alignment with the abutment surface.
The device of this invention is particularly suitable for use with a pre-filled syringe. In one arrangement, the syringe is wholly contained in the mount but with the plunger of the syringe projecting rearwardly therefrom. In this case, the sleeve may slide internally within the mount. Then, the control member may be arranged for movement with respect to the mount, for example by being associated with the plunger. Thus, the control member may be either fixed to or slidable on the plunger, to control operation of the fingers in the course of performing an injection.
Accordingly, another but closely related aspect of this invention provides a safety device of this invention as described above in combination with an injection device comprising a syringe having a medical needle with a sharp tip, a plunger for expelling a contained liquid drug though the needle and a safety device for shielding the needle, wherein the control member is associated with the plunger and is arranged such that movement of the plunger to expel the drug from the syringe displaces the control member from the set position and moves said second part of the finger outwardly so urging the first part of the finger inwardly by virtue of the flexible connection of the finger. In this way, the first part of the finger comes into radial alignment with the abutment surface following the return of the sleeve to a shielding position and the finger then blocks subsequent movement of the sleeve away from that shielding position.
Preferably, in this arrangement, the abutment surface and the sliding surface are provided on the sleeve and the finger is carried by the mount to project forwardly for contacting the abutment surface or the sliding surface on the sleeve.
In any of the arrangements of this invention, the final axial shielding position of the sleeve, when blocked against rearward movement, may be exactly the same as the initial axial shielding position thereof, or may differ slightly from that initial position. It may be advantageous in some embodiments to allow the sleeve to have a small degree of freedom of movement in the axial direction when in its shielding position, to assure proper operation of the safety device. In such a case, the initial position of the sleeve may be at one extreme of that freedom of movement and the final position at the other extreme of that freedom of movement. Despite this possible variation in the initial and final positions of the sleeve, the final position will be substantially the same as the initial position and functionally will be the same, in that in both positions the needle is fully shielded by the sleeve. Thus, it will be appreciated that the initial shielding position of the sleeve and the further shielding position thereof may in fact be the same axial position.
Though the invention has been described above in relation to a safety device having a single finger, it is contemplated that a device will have typically two diametrically opposed fingers or three or more fingers equi-spaced around the device though other numbers of fingers could be employed as may be required.
This invention extends to a safety device of this invention in combination with a medical needle projecting forwardly from a hub, the needle mount having a bore for receiving that hub. The hub may comprise a part of a syringe having a needle permanently affixed thereto and projecting forwardly therefrom whereby the device is mounted to the syringe in order to give passive protection to the needle of the syringe. In its preferred aspects, the syringe comprises a pre-filled single-use syringe having a permanently attached staked-in needle.
By way of example only, several specific embodiments of safety device of this invention will now be described in detail, reference being made to the accompanying drawings in which:
Throughout the following description of the preferred embodiments of safety device of this invention, the same reference characters are used to identify corresponding parts of the various embodiments. Only the first embodiment will be described in complete detail and for a full understanding of the second to fourth embodiments, reference may be made to the description of the first embodiment. Also, where a reference is made to a Figure number without a suffix, that should be understood as referring to each Figure having that number together with a suffix.
The first embodiment of safety device of this invention is shown in
The safety device 20 has a generally cylindrical mount 28 the external diameter of which is substantially the same as that of the syringe barrel 22. A pair of diametrically opposed ramp surfaces 29 are formed in the external surface of the mount 28, the rearward end of each ramp surface providing an upstanding lug 30, the forwardly directed face of each lug defining an abutment surface 31. The mount has a front wall 32 in which is formed a hole 33 sized so that the mount may be snap-fitted over the annular rib 26 at the forward end of the syringe nose 24, whereby the mount may be securely carried at the forward end of the syringe, as shown in
The safety device also includes a sleeve 34 arranged for axial sliding movement with respect to the mount 28 and so also with respect to the syringe 21 and staked-in needle 25. The initial needle-shielding position is shown in
The sleeve has a pair of opposed elongate apertures 36 within which are furnished respective fingers 37 connected to the main part of the sleeve near the forward end 38 thereof. For each finger, there is a pair of flexible connections (not shown) between opposed edges of the finger 37 and the adjacent edges of the respective aperture 36. Each finger may thus flex about an axis within the connections. Moreover, each finger is resiliently deformable along its length so that it may serve as a leaf spring by the radially deformation thereof. Though two such apertures 36 each having a respective finger 37 are shown, other numbers of apertures and fingers could be employed, ranging from a single aperture and finger up to three or four apertures and fingers or perhaps even more.
The opposed lugs 30 formed on the mount 28 locate in the apertures 36 of the sleeve and serve to prevent removal of the sleeve 34 from the mount, once fitted thereon and with the sleeve in its initial position shown in
A generally ring-shaped control member 40 is disposed within the sleeve 34, that member having a cylindrical forward projection 41 and in the initial setting of the device (
Internally, the rearward end 46 of each finger 37 has a surface for sliding on the ramp surface 29 of the mount 28, as the sleeve 34 slides rearwardly in the course of the performance of an injection procedure. The end face of the rearward end 46 of each finger is formed for engagement with the abutment surface 31 formed at the front of each lug 30 of the mount 28, when the finger is radially aligned with the abutment surface. As shown in the drawings, the free end of each finger is raked slightly and the abutment surface is correspondingly angled such that when the rearward end 46 of the finger engages the abutment surface 31, the finger is encouraged to move deeper into engagement. A small amount of free play may be provided between the rearward end of each finger and the abutment surface, so permitting a limited amount of free movement of the sleeve 34 in its shielding position.
An internal rib 47 is formed at the forward end of each finger, for engagement by the forward projection 41 of the control member 40 in the course of use of the device, as will be described below.
In this embodiment, each of the mount, sleeve and control member is made of a moulded polymeric material. The fingers 37 are resiliently deformable radially outwardly by flexing of those fingers but in the initial position of the device shown in
The operation of the safety device 20 described above will now be explained, following the fitting of the device to a syringe 21. The initial setting (and also the storage position) of the device is shown in
When an injection is to be performed, the safety device is prepared by grasping and pulling the needle cover out of the device. An injection is performed by offering the forward end 38 of the sleeve 34 to the surface of the skin at an injection site. The syringe 21 is then pushed forwardly while the sleeve remains stationary bearing against the injection site. There is thus relative movement between the sleeve 34 and the syringe 21 and mount 28, the fingers 37 sliding along the lugs 30 during this action. Initially, as shown in
The actual drug injection is then performed by depressing the plunger 23 of the syringe, to dispense the liquid drug through the needle. Once the injection has been completed, the syringe is moved away from the injection site, so withdrawing the needle therefrom. The control member remains at the front end 44 of the sleeve 34 by virtue of the frictional contact between the internal ribs 47 of the fingers with the forward projection 41 of the control member, so maintaining an amount of stored energy in the fingers. Initially, the front end 44 of the sleeve 34 stays in contact with the injection site by virtue of the fingers 37 releasing their stored energy, which in effect moves the sleeve forwardly with respect to the mount 28 and syringe 21 (
The control member 50 is of a simple cylindrical form having a bore 43 as with the first embodiment, though there is an annular groove 51 formed around the periphery of the control member, adjacent the rear end 52 thereof. The initial position of the control member 50 is shown in
As before, the syringe is offered to an injection site but in this case, the projecting part of the control member 50 engages the skin at the injection site. On moving the syringe forwardly to cause the needle 25 to penetrate the injection site, the sleeve initially moves rearwardly with respect to the mount to bring the rear ends 46 of the fingers on to the ramp surfaces 29, after which continued rearward movement of the sleeve starts to deflect the fingers outwardly. As the deflection of the fingers increases, the control member 50 moves rearwardly within the sleeve 34 until the front end 44 of the sleeve engages the injection site, as shown in
At the completion of the injection procedure (
The initial position of the control member 54 is as shown in
As with the first embodiment, the front end 44 of the sleeve 34 is offered to skin at an injection site and the syringe 21 is moved forwardly so that the needle 25 penetrates that site. Relative to the syringe, the sleeve moves rearwardly until full penetration of the needle is achieved, as shown in
Following the completion of the injection, the syringe is pulled away from the injection site and as has been described with reference to the first and second embodiments, the stored energy of the fingers pushes the sleeve forwardly with respect to the mount and syringe. During this action, by virtue of the friction between the internal ribs 47 of the fingers and the control member 54, the control member remains at the front end of the sleeve.
The fourth embodiment of this invention is shown in
In this fourth embodiment, the control member 57 is somewhat longer than the control member 54 of the third embodiment and between the rear end region 58 and the fore end region 59, there is formed a peripheral recess 60. The set position of the control member is as shown in
An injection is performed by offering the fore end region 59 of the control member 57 to skin at an injection site and then pushing the syringe forwardly so as to have the needle 25 penetrate that site. This has the effect of moving the sleeve 34 rearwardly with respect to the syringe 21 and the mount 28 but after an initial sleeve movement, also moving the control member 57 into the sleeve so that the front of the control member is more or less aligned with the front end 44 of the sleeve as shown in
The fifth embodiment shown in
The mount 63 has a par of diametrically opposed elongate apertures 67 within which are provided the fingers 68, each finger being connected to the mount by a flexible connection spaced from but adjacent the rear end of the mount. Each finger and its connection to the mount is similarly formed to the fingers and the connection thereof to the sleeve of the previous embodiments. Thus, at the rear end of each finger 68 there is formed an internally projecting rib 69, for co-operation with a control member 70 forming a part of the plunger 64, to be described below.
The sleeve 62 has a ramp surface 72 at its rear end, for co-operation with the fingers 68 in order to deflect the fingers outwardly as the sleeve slides rearwardly with respect to the mount 63, in the course of performing an injection. The rearwardly directed face of the ramp surface 72 forms the abutment surface of the previous embodiment, for co-operation with the forward ends of the fingers when in radial alignment with the abutment surface, to block relative sliding movement of the sleeve with respect to the mount. As with the previous embodiments, the abutment surface of the sleeve and the forward ends of the fingers are raked slightly such that when the forward end of a finger engages the abutment surface, the finger is encouraged to move deeper into engagement.
As shown in
When the sleeve has moved rearwardly to its fullest extent, with the needle then projecting fully into the injection site, the plunger 64 is depressed so as to dispense liquid drug from the syringe. On the control member reaching the rearward ends of the fingers 68, the control member moves between the ribs 69 on the fingers, so moving those rearward ends outwardly more or less into alignment with the mount axis (
Once the drug has been dispensed by pushing the plunger into the syringe to its fullest extent, the mount is moved away from the injection site. This allows the stored energy of the fingers 68 to move the sleeve 62 forwardly relative to the mount until the forward end of the sleeve comes clear of the injection site. The sleeve continues to move forwardly under the action of the fingers which, on account of the control member remaining between the ribs 69 on the fingers, ensures that the fingers have sufficient stored energy fully to move the sleeve to its initial position, and the forward ends of the fingers move radially inwardly beyond the initial as-moulded condition so that the forward ends thereof become radially aligned with the abutment surface of the sleeve. As with the previous embodiments, this then blocks the sleeve against rearward movement for a second time.
Though in the fifth embodiment described above the control member 70 is moulded integrally with the plunger 64, the control member could be separately formed and then attached to the plunger at a suitable position having a regard to the required stroke of the plunger. Another possibility would be to allow the control member to be free to slide on the plunger. For such an arrangement, the control member could have a peripheral groove formed adjacent the forward end thereof, with the ribs 69 on the fingers located in that groove at the initial setting of the device. The control member would remain stationary with respect to the fingers until the plunger has almost reached its final position. Then the plunger will move the control member forwardly such that the ribs 69 will be moved out of the groove and onto the larger diameter part of the control member. Such an arrangement is similar to the second embodiment described above.
Number | Date | Country | Kind |
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1100488.4 | Jan 2011 | GB | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/GB2012/050049 | 1/11/2012 | WO | 00 | 7/10/2013 |