The present disclosure is directed to flow control clamps such as those commonly used in the medical field. More particularly, the present disclosure is directed to flow control clamps that are used to restrict flow through a plastic tube defining a flow path. Even more particularly, the present disclosure is directed to flow control clamps that once closed, irreversibly restrict flow and cannot be reopened without using extraordinary means and/or destroying the clamp. The present disclosure is also directed to fluid processing sets that include one or more sterile closures such as the clamps described herein
A disposable plastic container and tubing set or fluid circuit is typically used for collecting blood from a donor. The disposable blood collection set includes a venipuncture needle for insertion into the arm of the donor. The needle is attached to one end of a flexible plastic tube which provides a flow path for the blood. The other end of the plastic tube is attached to one or more plastic bags or containers for collecting the withdrawn blood.
The blood collection set may also include a sampling sub-unit. The sampling sub-unit allows for collection of a sample of blood, which sample can be used for testing of the blood. Preferably, the sample is obtained prior to the “main” collection of blood. Collecting the sample prior to the main collection reduces the risk that bacteria residing on the donor's skin where the needle is inserted (i.e., in particular, the small section of detached skin commonly referred to as the “skin plug”) will enter the collection container and contaminate the blood collected for transfusion. Thus, it is preferred that the blood sample, which may include the skin plug, be diverted from the main collection container.
An example of a blood collection set with such a “pre-donation” sampling sub-unit is described in U.S. Pat. Nos. 6,387,086 and 6,520,948, which are incorporated by reference herein. The collection sets described therein include a needle and a length of tubing, one end of which is attached to the needle and the other end of which is attached to one or more collection containers. The tubing set also includes an additional line which is branched from the main line at a Y-connection site in the tubing set. The branched line is attached to a sampling pouch for collecting a smaller volume of blood from which samples may be obtained.
The sampling sub-unit may further include a pre-attached holder for receiving blood sample vials or tubes. The holder is connected to the outlet port of the sampling pouch and includes a needle in the holder interior. When the blood sample vial is inserted into the holder, the needle pierces the rubber cap (septum) of the vial and blood from the sampling pouch is drawn into the vial. The blood-filled vial is removed from the holder and the procedure may be repeated with as many vials as required.
The blood collection set described above also includes flow control clamps for controlling the flow of biological fluid (e.g., blood) through the set and to the sampling pouch and/or collection container. Flow control clamps commonly used are the Roberts-type clamps, which are well known in the art. The Roberts-type clamps are placed on the tubing line leading to the blood collection container and on the tubing line leading to the sampling pouch. A Roberts-type clamp is typically made from a molded piece of plastic. The clamp typically includes two “legs” which are adapted to engage each other in a snap-fit, spring relation. The body of the clamp includes a pair of apertures through which the tubing passes. The clamp further includes a pair of projections or tube contacting members which compress the tubing when the body of the clamp is depressed, thereby restricting flow through the tube. Clamps of this type are generally described in U.S. Pat. Nos. 3,942,228, 6,089,527 and 6,113,062, all of which are incorporated herein by reference.
The clamps described in these patents also typically include locking mechanisms for locking the legs together and release means which, when actuated by the technician, disengages the locked legs of the flow control clamp. Disengagement of the ends decompresses the tube and permits fluid flow through the flow path. Thus, by selectively opening and closing the different flow paths (by depressing or releasing the clamps), the technician can control the flow of blood from the donor, diverting the blood to the desired container or sampling pouch, as necessary.
In certain instances, however, it may not be desirable to reopen a closed flow path. This may particularly be the case when drawing blood samples from the sampling pouch into sample vials. For example, when the sampling pouch is filled with the required or desired volume of blood (for sampling), the line from the donor to the pouch is typically closed by the Roberts-type clamp, and remains closed as the sampling vials are filled. After clamping the sampling line closed, technicians are further instructed to more permanently seal the line using metal clips and/or by heat-sealing the line in ways that will be known to those in the field. Sealing the sampling line substantially ensures that airborne bacteria or other contaminants that may enter the set through the sampling sub-unit do not contaminate the remainder of the set, including the needle and tube leading to the collection container. In short, the clips or heat seal provide a sterile barrier to the remainder of the set.
Unfortunately, on occasion, prior to permanently sealing the sampling line, some technicians have been known to unclamp the sampling line in order to draw additional blood into the pouch so that additional sample vials may be filled. However, by doing so, the system becomes “open” and contaminants introduced from the outside environment may enter the system. Traditional Roberts-type clamps (as well as other commercially available clamps) are readily and easily openable and do not provide a disincentive to drawing additional blood into the sampling pouch.
More recently, non-reopenable clamps have become available to protect against re-opening of the clamp and the tubing flow path engaged by the clamp. Examples of such non-reopenable clamps are disclosed in U.S. patent application Ser. No. 12/635,440, filed Dec. 10, 2009, now U.S. Pat. No. 8,262,639 and U.S. Patent Application Publication No., the 20090306619, the entire contents of each is incorporated herein by reference. While the non-reopenable clamps described therein, as well as other non-reopenable clamps, have worked satisfactorily, efforts continue to develop and provide easy-to-use, low cost, non-reopenable flow control devices that are or can provide a sterile closure.
In one aspect, the present disclosure is directed to a device for controlling flow through a fluid circuit. The device includes a flexible body having a central portion and first and second relatively movable legs extending from the central portion. The central portion includes a window for receiving flexible tubing therethrough. The first and second legs are relatively movable from a spaced apart position to a closed position. One of the first and second relatively movable legs includes at least a pair of substantially parallel terminal arms extending therefrom with the arms defining a gap therebetween. The other of the first and second relatively movable legs includes a single terminal arm that extends therefrom. One of the pair of substantially parallel terminal arms includes a tooth that includes an engagement surface for engaging a tooth on the single terminal arm. The engagement surface and a surface of the one of the pair of substantially parallel terminal arms from which the tooth extends forms an angle of 90° or less. The single terminal arm of the other of the first and second legs includes a tooth that has an engagement surface that forms an angle of 90° or less with the surface of the single terminal arm from which the tooth on the single arm extends. One of the first and second legs carries both (a) tube contacting member for compressing the flexible tube when the first and second legs are in the closed position and (b) a ramp adjacent to the tube contacting member on the one of said first and second legs, the ramp including an ascending and descending surface.
In another aspect, the present disclosure is directed to a fluid processing set. The set includes a container adapted for receiving biological fluid from a donor, a donor access device and a tubing segment which defines a flow path that is in flow communication with the container and the access device. The set further includes a flow control device associated with the tubing segment. The flow control device includes a flexible body having a central portion and first and second legs extending from the central portion. The central portion includes a window for receiving flexible tubing therethrough. The first and second legs are movable from a spaced apart position to a closed position. One of the first and second legs includes at least a pair of substantially parallel terminal arms extending therefrom and defining a gap therebetween. The other of the first and second legs includes a single terminal arm that extends therefrom. One of the pair of substantially parallel arms includes a tooth that has an engagement surface for engaging a surface on a tooth on the single terminal arm. The engagement surface forms an angle of 90° or less with the surface of the one of the pair of generally parallel arms from which the tooth extends. The single arm of the other of said first and second legs includes a tooth that faces the engagement surface of the tooth on the one of the pair of generally parallel terminal arms in the closed position and has an engagement surface that forms an angle of 90° or less with the surface of the single terminal arm from which the tooth on the single arm extends. A tube contacting member id carried by one of the first and second legs for clamping the flexible tubing when the first and second legs are in the closed position. The other of the first and second legs carries both (a) tube contacting member for compressing the flexible tube when the first and second legs are in the closed position and (b) a ramp adjacent to the tube contacting member on the other of said first and second legs, the ramp including an ascending and descending surface.
With reference to the drawings,
In the blood tubing sets of the type shown in
Thus, for example, whereas flow control clamp 22 (e.g., a standard Roberts-type clamp) can be selectively opened and closed, as desired, device 30, which is the subject of the present disclosure, once closed, remains irreversibly closed or non-reopenable, as set forth above. Alternatively, both clamps 22 and 30 may be non-reopenable clamps of the type described herein.
Turning now to
As further shown in
Clamp body 34 further includes apertures or windows 40 and 44 for receiving a length of plastic tubing therethrough. In the illustrated embodiment, aperture or window 44 is defined within the central portion 35 of body 30 and window 40 is defined in leg 38; however, it will be appreciated that the window may be defined in leg 36 or by a combination of the legs. In one embodiment, as shown in
Also, it may be desirable (but not necessary) that apertures 40 and 44 be generally aligned with each other and not substantially offset relative to one another. This provides, among other things, for easier threading of the length of tubing 43. Where a more tortuous path for the tubing is desired (e.g., to limit relative movement of clamp 30 and the plastic tubing 43), windows 40 and 44 need not be substantially aligned. In an alternative embodiment, windows 40 and 44 need not completely surround the tube, but instead may include lateral slots, as described, for example, in U.S. Pat. No. 6,113,062. The lateral slots extend to the outer edge of the body so that during insertion of the tube, the clamp can be laterally slipped on the tube (as opposed to threading).
As shown in
The outer surface 52 of flow control clamp 30 is generally flat and smooth. However, outer surface 52 may include portions that are roughened or textured to provide some friction when contacted by the fingertips of the technician during operation. As shown in
As best shown in
As discussed generally above, where the blood processing set includes a sampling pouch of the type shown in
Accordingly, flow control clamp 30 includes a locking mechanism, and more particularly, legs 36 and 38 include surfaces that are adapted for irreversibly securing together legs 36 and 38 when the legs of flow control clamp 30 are moved from a first (spaced-apart) position to the second closed position, as shown in
Many different ways for securing legs 36 and 38 together to prevent easy reopening by the technician are contemplated by the present disclosure. For example, flow control clamp 30 may include engagement members on the leg surfaces for interlocking legs or members 36 and 38. Specifically, as shown in
As shown in
As further shown in
As legs 36 and 38 are moved from the first open spaced-apart position, as generally depicted in
As further shown in
Outer arm 68 prevents release or further outward displacement of arm 72 from the closed position, thereby making clamp 30 more capable of being “irreversibly closed” or non-reopenable. Outer arm 68 may be thicker and a less flexible than, for example, arm 66, thereby providing more strength to arm 68 and making it even more difficult to release extension 72. As will be appreciated by those in the field, flow control clamp 30 does not include any tabs or other means for readily releasing extension 72. Thus, flow control clamp 30 remains in the second closed position. In addition, clamp 30 lacks any easy-to-grasp surface or member that can be used to pry open the clamp when it is in the second closed position. For example, clamps that have tabs or outwardly extending members or surfaces may be more susceptible to re-opening by being grasped by a user or accidentally caught on an object and used as a lever arm to pry open the clamp. In contrast, the interengaging legs 36 and 38 including associated arms 66, 68 and 72, as described above, are contoured relative to each other and are in sufficiently close association so as to be devoid of any easy-to-grasp surface or member to allow grasping or other manipulation that could result in relatively easy re-opening of the clamp. Accordingly, the compact and contained body of clamp 30 prevents inadvertent or even intentional opening of the clamp once in the non-reopenable position.
As shown in
As shown in
As will be appreciated from the discussion above and the Figures, clamps of the type disclosed herein preferably include a ramp carried by one or both members 36 and 38. As shown in the Figures, ramps 130, 130′, 130″ or 130′″ may be adjacent to one of the tube contacting members 48 and/or 50 and may often be adjacent to or integral with lateral arms 104, 104′, 104″ or 104′″. Ramps 130, 130′, 130″ or 130′″ provide a surface(s) over which tubing 43 travels between windows 40 and 44. Ramps 130, 130′, 130″ or 130′″ may include one or more ascending and descending surfaces such that when clamp 30 is in a closed position, the tubing is curved upwardly and/or downwardly as it approaches window 44. The tortuous path provided by ramps 130, 130′, 130″ or 130′″ makes it more difficult for the tubing and clamp 30 to slide relative to one another when clamp 30 is in the irreversibly closed or non-reopenable condition. Ramps 130, 130′, 130″ or 130′″ (as well as tube contacting members 48 and 50, 48′ and 50′, etc.) may also include a roughened or otherwise textured surface finish to further limit or prevent relative movement of clamp 30 and tubing 43.
It will be appreciated that the description set forth above has been offered for illustrative purposes only. Other embodiments and other modifications to the flow control clamp shown and described above will be readily apparent to one skilled in the art and may also be included within the scope of the present disclosure. The above description is not intended to limit the scope of the invention of this application, which is as defined in the claims below.
This application claims the benefit of U.S. Provisional Patent Application Ser. No. 61/698,398 filed Sep. 7, 2012, the contents of which is incorporated herein by reference in its entirety.
Number | Name | Date | Kind |
---|---|---|---|
2722932 | Hickey | Nov 1955 | A |
2908476 | Hidding | Oct 1959 | A |
2950716 | Walter et al. | Aug 1960 | A |
3127892 | Bellamy, Jr. et al. | Apr 1964 | A |
3942228 | Buckman et al. | Mar 1976 | A |
4038726 | Takabayashi | Aug 1977 | A |
4053135 | Saliaris | Oct 1977 | A |
4097020 | Sussman | Jun 1978 | A |
4193174 | Stephens | Mar 1980 | A |
4235412 | Rath et al. | Nov 1980 | A |
4247076 | Larkin | Jan 1981 | A |
4453295 | Laszczower | Jun 1984 | A |
4589626 | Kurtz et al. | May 1986 | A |
4643389 | Elson et al. | Feb 1987 | A |
4676476 | Herrli | Jun 1987 | A |
4725269 | Danby et al. | Feb 1988 | A |
4764996 | Pino | Aug 1988 | A |
4807622 | Ohkaka et al. | Feb 1989 | A |
4835824 | Durham et al. | Jun 1989 | A |
4857274 | Simon | Aug 1989 | A |
4988355 | Leveen et al. | Jan 1991 | A |
5035399 | Rantanen-Lee | Jul 1991 | A |
5062846 | Oh et al. | Nov 1991 | A |
5167656 | Lynn | Dec 1992 | A |
5203056 | Funk et al. | Apr 1993 | A |
5226892 | Boswell | Jul 1993 | A |
5238218 | Mackal | Aug 1993 | A |
5270003 | Bernes et al. | Dec 1993 | A |
5416954 | Sobin | May 1995 | A |
5615965 | Saurat et al. | Apr 1997 | A |
5651766 | Kingsley et al. | Jul 1997 | A |
5702383 | Giesler et al. | Dec 1997 | A |
5817116 | Takahashi et al. | Oct 1998 | A |
5827306 | Yoon | Oct 1998 | A |
5836619 | Shemesh et al. | Nov 1998 | A |
5928166 | Shemesh et al. | Jul 1999 | A |
6089527 | Utterberg | Jul 2000 | A |
6113062 | Schnell | Sep 2000 | A |
6123859 | Lee et al. | Sep 2000 | A |
6126618 | Bischof | Oct 2000 | A |
6132407 | Genese et al. | Oct 2000 | A |
6161812 | Guala et al. | Dec 2000 | A |
6193675 | Kraus et al. | Feb 2001 | B1 |
6234448 | Porat | May 2001 | B1 |
6238377 | Liu | May 2001 | B1 |
6298526 | Baumdicker et al. | Oct 2001 | B1 |
6328726 | Ishida et al. | Dec 2001 | B1 |
6387086 | Mathias et al. | May 2002 | B2 |
6553632 | Brumpton | Apr 2003 | B1 |
6592613 | Ishida | Jul 2003 | B1 |
6626884 | Dillon et al. | Sep 2003 | B1 |
6638282 | Ramsey | Oct 2003 | B2 |
6644618 | Balbo | Nov 2003 | B1 |
6692479 | Kraus et al. | Feb 2004 | B2 |
6708931 | Miura | Mar 2004 | B2 |
6730071 | Dassa | May 2004 | B1 |
6742760 | Blickhan et al. | Jun 2004 | B2 |
6923792 | Staid et al. | Aug 2005 | B2 |
7044941 | Mathias et al. | May 2006 | B2 |
7087047 | Kraus et al. | Aug 2006 | B2 |
7137611 | Aulicino | Nov 2006 | B2 |
7384416 | Goudaliez et al. | Jun 2008 | B2 |
7766854 | Goudaliez et al. | Aug 2010 | B2 |
RE43283 | Ishida | Mar 2012 | E |
RE43310 | Ishida | Apr 2012 | E |
8262639 | Mathias et al. | Sep 2012 | B2 |
20040106890 | Goudaliez et al. | Jun 2004 | A1 |
20050038374 | Williams, Jr. et al. | Feb 2005 | A1 |
20050107765 | Kashmiran et al. | May 2005 | A1 |
20050171492 | Rodriquez | Aug 2005 | A1 |
20050215975 | Mathias et al. | Sep 2005 | A1 |
20060015074 | Lynn | Jan 2006 | A1 |
20060129170 | Royce et al. | Jun 2006 | A1 |
20070007208 | Brugger et al. | Jan 2007 | A1 |
20070161978 | Fedenia et al. | Jul 2007 | A1 |
20070219513 | Lina et al. | Sep 2007 | A1 |
20070261214 | Nerbonne et al. | Nov 2007 | A1 |
20080132875 | Goudaliez | Jun 2008 | A1 |
20090306619 | Mathias et al. | Dec 2009 | A1 |
20100152681 | Mathias | Jun 2010 | A1 |
20100168680 | Callahan | Jul 2010 | A1 |
20120172755 | Mathias et al. | Jul 2012 | A1 |
Number | Date | Country |
---|---|---|
0206997 | Dec 1986 | EP |
0691139 | Jan 1996 | EP |
0799627 | Oct 1997 | EP |
1000633 | May 2000 | EP |
1064959 | Jan 2001 | EP |
1125596 | Aug 2001 | EP |
1389473 | Feb 2004 | EP |
03703927 | Mar 2005 | EP |
WO 9325143 | Dec 1993 | WO |
WO 0077428 | Dec 2000 | WO |
WO 0108582 | Feb 2001 | WO |
WO 03063945 | Aug 2003 | WO |
WO 2007112500 | Oct 2007 | WO |
WO 2007133291 | Nov 2007 | WO |
Entry |
---|
International Search Report for PCT/US03/01758 dated Jun. 23, 2003. |
Supplemental International Search Report for EP 03703927 dated Mar. 30, 2005. |
Extended European Search Report and Opinion for EP 09015333 dated Jun. 30, 2010. |
Extended European Search Report for EP Application No. EP 10 009215. |
Photographs of Baxter “All in One Container” and Instruction Sheet dated Sep. 2011. |
Number | Date | Country | |
---|---|---|---|
20140074047 A1 | Mar 2014 | US |
Number | Date | Country | |
---|---|---|---|
61698398 | Sep 2012 | US |