The present disclosure is directed to systems, devices, and methods for establishing a sterile fluid flow path between two or more fluid processing sets. More particularly, the present disclosure is directed to systems, devices, and methods for establishing a reversible, sterile connection between two or more fluid processing sets wherein the connection does not involve forming a physical and permanent sealing or welding of one set to another set.
In the medical field, the transfer of medical and/or biological fluids from a source container to one or more other containers must typically be carried out in a sterile manner, i.e., without exposing the fluids or the open ends of the tubing that carry the fluid to the outside environment. Accordingly, creating a sterile connection and establishing a sterile flow path between the source fluid and the receiving containers or receptacles is needed.
Currently, one way for making a sterile fluid flow connection is to use needleless connectors. Fluid flow connection using needleless connectors is an aseptic process where the exterior surface of the valve, diaphragm or septum of the female connector is manually swabbed with antiseptic prior to insertion of the male connector (which compresses and opens the valve). Manual swabbing requires care, increased vigilance and discipline on the part of the healthcare professional attending to a patient or carrying out the process in question. Failure to follow rigorous procedures can potentially result in microorganisms or other contaminants being inadvertently introduced into the fluid path. Even for specialized care in controlled environments, training and existing connector design may not completely eliminate the possibility of human error, which can result in contamination when such manual process is used.
Other ways for connecting medical fluid flow tubing include irradiation of connectors with ultraviolet light to provide an antibacterial effect on, or sterilization of, the irradiated connector surfaces. Examples of such systems and devices are presented in U.S. Pat. No. 4,500,788 to Kulin et al.; U.S. Pat. No. 4,503,333 to Kulin et al. and U.S. Pat. No. 4,883,496 to Bellotti et al. The systems and devices of these references, however, are intended for use in specialized settings with connectors of special design.
Another example of a device that creates a sterile connection and a sterile fluid pathway is the TSCD-II sterile tubing welder, available from Terumo Medical Corporation. This device uses a heated cutting element to sever and melt the ends of facing tubing ends which are joined together after the cutting element is removed. The heated wafer also sterilizes the connection. Aspects of this device are disclosed in U.S. Patent Application Publication No. 2020/0047423, which is incorporated herein by reference. Other sterile connection systems are described in U.S. Patent Application Publication No. US 2014/0077488; U.S. Pat. Nos. 4,157,723; and 5,009,446.
One disadvantage of a welding device and the method of making a sterile connection using such device is that the welded connection cannot be easily undone as the tubes are physically bonded to each other. Thus, where fluid from a single source container must be dispensed to multiple (smaller volume) containers or receptacles, (such as in the collection of multiple samples from a large volume of a collected biological fluid) each transfer from the source container would require severing the first connection between the source container and the receiving container, followed by the (re)establishing a new sterile connection between the source and the next receiving container. This sequence of creating a sterile connection, transferring fluid, severing the connection, and re-establishing a sterile connection with the next receiving container is time-consuming and inefficient.
In addition, the repeated severing of a tubing each time a subsequent sterile connection is required results in a further shortened tubing length in one of the fluid processing sets which may eventually make manipulating the tubing and the processing set more difficult and challenging.
Thus, it would be desirable to provide a device which can easily and repeatedly establish a sterile fluid pathway without the successive cutting, heating, and physical joining of plastic tubes. In addition, it would be desirable to provide a system and method that does not require manual user disinfection by swabs or the use of heater wafers.
The systems, devices and methods disclosed herein avoid the shortcomings of current sterile connection systems and address these and other needs.
There are several aspects of the present subject matter which may be embodied separately or together in the devices and systems described and claimed below. These aspects may be employed alone or in combination with other aspects of the subject matter described herein, and the description of these aspects together is not intended to preclude the use of these aspects separately or the claiming of such aspects separately or in different combinations as set forth in the claims appended hereto.
In one aspect, a system for establishing a sterile fluid connection between a first fluid processing set and a second fluid processing set is provided. The system includes a first connector configured for attachment with a first fluid processing set and a second connector configured for attachment with a second processing set. The first connector includes a housing having a receiver at a distal end of the first connector. The receiver includes an open end and defines a chamber configured to receive at least a portion of the second connector in air-tight engagement. The system includes a light source in proximity to said first and second connectors.
In another aspect, a connector for establishing a reversible, sterile fluid connection between a first tube and a second tube is provided. The connector includes a body having a proximal end portion and a distal end portion. The connector includes a plunger moveable within said body and a sealing member associated and moveable with the plunger from a first sealing position to a second open flow position. A tube attachment member is located at the proximal end portion of the body. The connector includes an openable flow path between the attachment member and the plunger.
In a still further aspect, a method of establishing a sterile fluid connection between two or more fluid processing sets is provided. The method includes attaching a tube of a first fluid processing set to a proximal end of a first connector, the first connector including a plunger with a distal aperture and a sealing member. The sealing member is associated and moveable with the plunger from a first sealing position to a second open flow position. The method includes attaching a tube of a second processing set to a proximal end of a second connector, the second connector including a plunger with a distal eyelet and a sealing member. The sealing member is associated and moveable with the plunger from a first sealing position to a second open flow position. In a further step, the method includes aligning a distal end of the first connector plunger with a distal end of the second connector plunger in a face-to-face relationship and contacting said distal ends of the first and second connector plungers. In accordance with the method, each of the sealing members of the first and second connectors are moved from a first sealing position to an open flow position. The connectors are exposed to light from a light source for a selected period of time, the light being sufficient to sterilize the interiors of the first and second connectors. The method includes flowing fluid from a first processing set through said first and second connectors to said second processing set.
These and other aspects of the present subject matter are set forth in the following detailed description of the accompanying drawings.
The embodiments disclosed herein are for the purpose of providing a description of the present subject matter, and it is understood that the subject matter may be embodied in various other forms and combinations not shown in detail. Therefore, specific designs and features disclosed herein are not to be interpreted as limiting the subject matter as defined in the accompanying claims.
As shown in
As shown in
Turning now to
The terms “proximal” and “distal” are used to describe ends or portions of connector 22 (and connector 24 described below). As used herein, the term “proximal” refers to the end of a connector that is closer to the tubing of the processing set to which it is attached. The term “distal” refers to that portion or end of the connector that is further away from the tubing end and/or processing set to which the connector is attached. The “distal” end of a connector is that end that engages the other connector. Thus, during establishment of a sterile pathway between two processing sets, the distal ends of connectors 22 and 24 are brought together in a face-to-face manner, as shown in
As further seen in
Distal housing portion 28 of connector 22 includes receiver 32 at its distal end. Receiver 32 may be a hollow cylinder with an open distal end 33. Receiver 32 defines a chamber 34 (
Thus, turning now to
As connectors 22 and 24 are advanced toward each other, distal end of connector 24 enters receiver 32 of connector 22. Resilient sealing members 60 of second connector 24 may have a slightly larger diameter than the inside diameter of receiver chamber 34 thereby providing an air-tight seal between first and second connectors 22 and 24. Once resilient sealing members 60 of connector have entered receiver 32 and cleared the outermost distal rim 88 of receiver 32, connection site and the flow path established thereby are ready to be sterilized.
Connectors 22 and 24 and, more particularly, housings 25 and 52, respectively are each preferably (a) made of a material and (b) have a housing wall thickness that can be penetrated by a sterilizing medium to effectively sterilize the interior of the of the housing and the connection site established by the bringing together of connectors 22 and 24. Where the sterilizing medium is light, connector housings 25 and 52 should be made of a material that is transparent to the sterilizing wavelength of the light to be delivered. In accordance with the systems and device disclosed herein, the light source may be ultraviolet C (UV-C) light and the connector housings may be made of a polymeric material such as, but not limited to cyclic olefin copolymers. A suitable housing wall thickness for connectors may be between 0.5 mm and 5 mm. Where light of a different wavelength is used, or a different sterilizing medium altogether is used, housings made of different materials and having different housing thicknesses may be used.
In the embodiment where the sterilizing medium is UV-C and the connector housings are made of cyclic olefin copolymer, the duration of irradiation by the light source may be anywhere between 0.1 sec and 300 sec. It will be understood that the duration of irradiation may depend, at least in part, on the light intensity. Of course, the duration of irradiation may be affected by the size and contour of the light chamber, light intensity, and the positioning of the connection site relative to the incident light as well as other factors. While tubing ends of processing sets 12 and 11 that are attached at attachment members 30 and 62 may be exposed to the sterilizing radiation, in general the sets 12 and 11, including the tubing ends are typically pre-sterilized.
Once sterilization of the connection site is complete, connectors are further advanced toward each other as shown in
After fluid transfer, connectors 22 and 24 may be disengaged as shown in
The advantages of the disclosed connection system as compared to existing practices is the ability to perform multiple repeatable sterile fluid flow connections between two fluids using a single connection system. In this manner one fluid pathway can be replaced by another and the same connection system can be repeatedly used to create additional sterile fluid pathways. This method does not require manual user disinfection by swabs or the use of heater wafers and each connector can be reused and sterilized as the user sees fit.
The application of repeatable sterile connections using these systems, devices, and methods described herein are especially useful in distributing high volume collected biological components into multiple bags or fluid pathways without permanently bonding each fluid pathways. The reversible sterile connection system reduces hands-on time by the technician and eliminates any potential product loss due to standard heated wafer sterile connection techniques. As described above, the connection system of this disclosure may be used with or within laboratory devices to distribute biological components into individual units for medical use.
Aspects of the present subject matter described above may be beneficial alone or in combination with one or more other Aspects, as described below.
Aspect 1. A system for establishing a sterile fluid connection between a first fluid processing set and a second fluid processing set. The system includes a first connector configured for attachment with a first fluid processing set and a second connector configured for attachment with a second fluid processing set. The first connector includes a housing having a receiver at a distal end of the first connector, the receiver includes an open end and defining a chamber configured to receive at least a portion of the second connector in liquid-tight engagement. A light source is in proximity to the first and second connectors.
Aspect 2. The system of Aspect 1 wherein the first connector includes an openable flow path between the receiver and the first fluid processing set.
Aspect 3. The system of any one of Aspects 1 and 2 wherein the second connector includes an openable flow path with the second fluid processing set.
Aspect 4. The system of any one of Aspects 1 through 3 wherein the first connector includes an attachment member located at a proximal end of the first connector and is configured to receive a tube of the first fluid processing set.
Aspect 5. The system of any one of Aspects 1 through 4 wherein the second connector includes an attachment member configured to receive a tube of the second fluid processing set.
Aspect 6. The system of any one of Aspects 1 through 5 wherein the first connector includes a sealing member movable along a central axis.
Aspect 7. The system of Aspect 6 wherein the first connector includes a plunger, the plunger of the first connector includes a distal end and an opening in the distal end.
Aspect 8. The system of any one of Aspects 1 through 7 wherein the second connector includes a housing having a plunger and sealing member movable within the housing.
Aspect 9. The system of Aspect 8 wherein the plunger of the second connector includes a distal end and an opening in the distal end.
Aspect 10. The system of any one of Aspects 8 through 9 wherein the first connector housing and the second connector housing are made of a transparent material.
Aspect 11. The system of Aspect 10 wherein the light source emits light of a wavelength selected to effectively sterilize the first and second connectors when said connectors are in liquid-tight engagement.
Aspect 12. The system of any one of Aspects 1 through 11 wherein the light source emits ultraviolet C (UV-C) light.
Aspect 13. The system of any one of Aspects 10 through 12 further comprising an enclosed irradiation chamber configured to receive the first and second connectors and an actuator for activating the light source.
Aspect 14. The system of any one of Aspect 13 further comprising a movable holding assembly for aligning the first and second connectors in a facing arrangement.
Aspect 15. A connector for establishing a reversible sterile fluid connection between a first tube and a second tube. The connector includes a body having a proximal end portion and a distal end portion. The body has a central axis and a plunger moveable within the body. A sealing member is associated and moveable with the plunger from a first sealing position to a second open flow position. A tube attachment member is located at the proximal end portion of the body and an openable flow path is located between the attachment member and the plunger.
Aspect 16. The connector of Aspect 15 wherein the body is generally cylindrical and is made of a material that is transparent to light of a selected wavelength.
Aspect 17. The connector of any one of claims 15 and 16 wherein the plunger includes an open aperture.
Aspect 18. The connector of Aspect 17 including a spring for actuating movement of the plunger and the sealing member.
Aspect 19. The connector of Aspect 17 wherein the body includes a collar proximally spaced from the sealing member.
Aspect 20. The connector of any one of Aspects 15 and 16 wherein the connector includes at least one or more additional sealing members. The at least one or more additional sealing members are sized and shaped to provide fluid-tight engagement with another connector.
Aspect 21. The connector of any one of Aspects 15 and 16 wherein the distal end portion defines a receiver including an inner surface defining a receiving chamber configured to receive at least a portion of another connector, the receiver further including a distal open end.
Aspect 22. A method of establishing a sterile fluid connection between two or more fluid processing sets, wherein each of sets includes a tube defining a flow path. The method includes attaching a tube of a first fluid processing set to a proximal end of a first connector that includes a plunger with a distal eyelet and a sealing member. The sealing member is associated and moveable with the plunger from a first sealing position to a second open flow position. The method further includes attaching a tube of a second processing set to a proximal end of a second connector. The second connector includes a plunger with a distal eyelet and a sealing member, the sealing member being associated and moveable with the plunger from a first sealing position to a second open flow position. The method includes aligning a distal end of the first connector plunger with a distal end of the second connector plunger in a face-to-face relationship; contacting said distal ends of said first and second connector plungers; moving each of the sealing members of the first and second connectors from the first sealing position to said open flow position; exposing the first and second connectors to light from a light source for a selected period of time. The light is sufficient to sterilize interiors of said first and second connectors; and flowing fluid from a first processing set through said first and second connectors to the second processing set.
Aspect 23. The method of Aspect 22 further including returning each of the sealing members from said open flow position back to the sealing positions.
Aspect 24. The method of any one of Aspects 22 and 23 including introducing a portion of first connector into a receiver of a second connector.
Aspect 25. The method of Aspect 24 including forming an air-tight seal between the portion of said first connector and an inner surface of the receiver.
Aspect 26. The method of any one of Aspects 22 through 25 further including detaching at least one of the connectors from its processing set and attaching the detached connector to a different processing set.
Aspect 27. The method of Aspect 26 further including repeating the steps of Aspect 22.
This application claims the benefit of and priority to U.S. Provisional Patent Application Ser. No. 63/319,613, filed on Mar. 14, 2022, the disclosure of which is incorporated herein by reference in its entirety.
Number | Date | Country | |
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63319613 | Mar 2022 | US |