Patent Application
20080147047
This invention related to medical implements such as needleless hubs or injection ports, and in particular to a device for disinfecting the hub or port and, when applied, keeping the hub or port covered, cleaned and disinfected.
Needleless vascular catheter hubs and access or injection ports are used thousands of times each day in the United States medical facilities. Unless the hubs and ports are disinfected, patients are at a significant risk of blood stream infections caused by microbes that gain access through the needleless hub or injection port.
In the past, practitioners using a needleless hub or injection port have sought to disinfect the hub or port with alcohol in order to prevent microbial entry. Practitioners who seek disinfection in this manner typically wipe the hub or injection port with an alcohol-soaked swab before accessing it. That, however, has proven to be only partially successful in reducing blood stream infections which are introduced through the needleless hubs or injection ports.
U.S. Pat. Nos. 5,554,135, 5,792,120 and 6,045,539 deal with the infection problem by providing a cover for the injection port, with the cover including a sponge and shatterable plastic capsule containing an antiseptic solution. When the cover is applied to a needleless hub or injection port and the plastic capsule is shattered, disinfectant soaks the sponge and disinfects the covered end of the needleless hub or injection port.
One form of a needleless hub disinfection device is disclosed in copending U.S. patent application Ser. No. 11/132,902, the disclosure of which is incorporated herein by reference and which is owned by the owner of the present application. The present application, albeit more manual in use than the incorporated application, provides a simple and effective means of disinfection.
The invention is directed to a device and method for disinfecting a portion of a medical implement, such as a needleless hub or injection port, and protecting it when applied. The device comprises a shroud shaped to be engaged on the medical implement, with the shroud having an internal cavity. A disinfecting pad is located in the cavity, with the pad containing a liquid disinfectant. A covering is provided for maintaining the liquid disinfectant in the pad.
In accordance with one form of the invention, the shroud comprises a cap having internal threads in the cavity. The thread engage complementary threads of the medical implement when the cap is applied.
In one form of the invention, the covering comprises a seal applied to the shroud over the cavity. In this form of the invention, the seal can comprise a removable foil seal or a frangible foil seal. In another form of the invention, the covering comprises a pouch, with the shroud being sealed in the pouch. Preferably, the pouch is a foil pouch.
The pad is saturated with a liquid disinfectant of any appropriate nature. In accordance with the preferred form of the invention, the pad comprises a pair of pillows that are saturated with disinfectant when inserted in the internal cavity. The disinfectant can be any appropriate liquid, such as a chlorhexidine gluconate-based disinfectant.
The invention is described in greater detail in the following description of examples embodying the best mode of the invention, taken in conjunction with the drawing figures, in which:
A first form of the device according to the invention is shown generally at 10 in
The cap 12 preferably is formed with internal threads 16 of the luer variety, which are formed to engage similar threads of a needleless hub or injection port, such as the hub 18 illustrated in
The cap 12 includes a disinfecting pad located in an inner cavity 24. While the pad can be of any form, preferably the pad is a pair of pillows 26, best illustrated in
The seal 14 is preferably a foil seal that is applied to, and seals, the open end of the cavity 24. The means of application of the seal 14 to the cap 12 can be conventional, such as by use of adhesives, and is therefore not described in greater detail.
The seal 14 can be frangible or removeable, or both. The purpose of the seal 14 is to maintain the integrity of the disinfecting solution in the pillows 26 until such time as the device 10 is used.
A second form of the invention is shown in
In this form of the invention, in order to maintain the integrity of the disinfecting solution in the pillows 26, a different form of covering is utilized. Instead of a seal 14, this form of the invention includes a pouch 28. The pouch 28 can be any conventional pouch which is fluid impervious, and is formed to contain the cap 12 therewithin. Preferably the pouch 28 is made of foil, which can either be separated to gain access to the cap 12 therewithin, or can be breached in some other manner to gain access to the cap 12, such as tearing or cutting.
In use, the covering in the form of the foil 14 or the pouch 28 is breached by removing or fracturing its structure, and the cap 12 is then applied to the hub 18 on the threads 20 so that the pad in the form of the pillows 26 engages the port 22. The disinfectant solution contained in the pillows 22 then disinfects the port 22, and with the cap in place on the hub 18, the port 22 remains covered and disinfected.
The invention has been described in relation to use with a luer end. However, as will be evident to one skilled in the art, the invention can be used in connection with all types of fittings, whether threaded or not, and whether needleless or needle-engaged. Various changes can be made to the invention without departing from the spirit thereof or scope of the following claims.
