The invention relates to a safety cannula assembly,
The positional or directional indication “proximal” according to the invention indicates an arrangement oriented towards a body of a person using the safety cannula assembly, in particular an arrangement or position oriented towards a hand of the person holding the safety cannula arrangement, whereas “distal” indicates an arrangement oriented away from the body or the hand. Consequently a proximal end of an object, thus also of the safety cannula arrangement according to the invention is closer to the body of the person than a distal end.
Cannula arrangements according to the invention are typically used in medical applications to draw a bodily fluid, in particular venous blood from a patient or to feed a fluid into a fluid vessel of the human body. Safety cannula assemblies are used to prevent injuries from needle punctures after use in an optimum manner and to provide maximum comfort for the person using the cannula assembly and to prevent pain and trauma for the patient using the cannula arrangement including activating the needle protection. A pull back movement of the needle after completion of the blood draw or infusion is performed automatically for a passive needle protection without further interaction by the user, whereas an active needle protection requires an intentional action by the person using the cannula arrangement to move the cannula into the safety position. The instant invention primarily relates to safety cannula assemblies with active needle protection.
The main body according to the invention is defined as performing a housing function and having an enveloped interior space that includes at least a portion of the sliding body in the operating position, wherein at least the cannula itself including its tip is housed in the interior space of the sliding body in the safety position, this means after displacing the sliding body, in order to prevent puncture wounds from the tip and also contact with the needle where contaminated or infectious body substance might be arranged. The main body may have a single part configuration or a multi-part configuration according to the invention wherein the individual main body parts can be inserted or clipped into one another or connected with one another in case of the multi-part configuration. Also, the connection of plural main body parts with so called film hinges is conceivable in the context of the instant invention. Walls of the main body do not have to be completely closed in this context but can also have cut outs, interruptions, slots, or other perforations so that a hermetic sealing of the interior towards the ambient does not have to be provided.
An actuation element according to the instant invention is an element configured to impart a required force upon a sliding body functioning as a drive to move the sliding body from the operating position into the safety position. A drive element and an associated energy storage device can be separate from each other. However, the two functions can be combined in one element, in particular configured as spring element that either stores mechanical energy in the form of a coil spring and/or pressure energy like e.g. in a preloaded gas storage device.
A sliding body according to this application is an element which receives the cannula at a distal end and which is connected with a tube at a proximal end. The sliding body is typically also designated as cannula holder or needle carrier.
EP 2 108 394 B1 discloses a protective cover arrangement for a cannula where the main body is assembled from three main body parts. A first main body part is formed by a distal sleeve shaped end section where the cannula is arranged in the retracted, this means safety position of the sliding body so that injuries by needle puncture are avoided. The second main body part is integrally connected in a rigid manner, this means without link or hinge with the first sleeve shaped main body part and shaped as a semi-cylindrical groove that expands at the proximal end into a trapezoid shape. The second main body part is also groove or tub shaped in the expanded section, however with an expanded width. A proximal face wall has a semi-circular section. The known arrangement, however, includes a third main body part that is connected with the second main body part by a film hinge running parallel to the longitudinal axis of the sliding body. The film hinge is arranged in the broadened proximal end section of the second main body part. The third main body part has a groove or tub shape that is complementary to the end section of the second main body part. The second and the third main body part are arranged adjacent and complementary to one another in the expanded width end section of the second main body part and are fixed at one another by a snap hook connection. The third main body part includes a semi-circular recess in its proximal face wall wherein the semi-circular recess forms a circular pass-through opening for the flexible hose and the sliding body together with the semi-circular recess in the proximal face wall of the second main body part. It is a disadvantage of this known safety cannula arrangement that the main body is open in a center portion between the sleeve shaped first main body part and the distal face of the second main body part since the main body is only made from the half shell of the second main body part at this location. This runs the risk that a contamination of persons occurs by touching the freely accessible cannula outside of the tip portion of the cannula that is wetted with a bodily fluid after using the device and transferring the needle carrier into the safety position. Additionally the known safety cannula arrangement does not include an actuation element that facilitates transferring the sliding body self-acting from the operating position into the safety position by manual triggering. A very similar safety cannular arrangement is also known from WO 2013/068855A1 by the same applicant.
EP 2 509 674 B1 describes a main body of a safety cannula arrangement where two main body half shells are connected by a film hinge that runs transversal to a longitudinal axis of the main body and that leaves a pass-through opening for the cannula between two hinge sections. A respective longitudinally extending slot is arranged in opposite narrow sides of the main body that are arranged opposite to each other when the two main body parts are joined, wherein a grip lobe respectively connected with the needle carrier passes through the slot and is movable in the axial direction together with the needle carrier. An actuation element for a self-acting transfer of the sliding body from the operating position into the safety position is not provided in this known safety needle arrangement.
Additionally WO 2011/10 0039A1 discloses a safety cannula arrangement where no tube is connected to the rear end of the sliding body or the cannula carrier but where the needle protrudes on both sides of the sliding body and the rear free end of the needle is configured to directly receive the blood drawing vial. Therefore, the sliding body according to WO 20 11/10 00 39 A1 is configured with a sufficiently large diameter to receive the blood drawing vial and open at the proximal end to facilitate the insertion.
The safety function of this known cannula arrangement is provided in that a receiving body for the sliding body and the double cannula supported therein is moved in a direction transversal to the longitudinal axis of the cannula into the space for the blood drawing vial that is not present any more after completing the blood draw and decoupling and pulling the blood drawing vial out of the main body so that a trigger member releases a retraction movement of the cannula including the sliding body when a receiving cross section of the sliding body is pushed over the proximal free cannula end and thus facilitates a pull-back movement of the sliding body including the cannula in an interior of the receiving body. The receiving body and the sliding body are thus in an arrangement where they are inclined or kinked relative to each other which, however, is not a problem for the movement of the sliding body on a curved path due to the sufficiently small angle between the two longitudinal axes.
The trigger member and the locking principle implemented by the trigger member include a key hole that facilitates a locking of the sliding body in the operating position through a narrow cross section of the key hole but facilitates a passage of the sliding body with an enlarged cross section in the trigger position. Though WO 2011/10 0039 includes a film hinge for connecting two main body parts the known configuration is not suitable to implement a plurality of main body parts and their connection by a respective film hinge.
U.S. Pat. No. 5,746,215 A discloses a safety cannula arrangement where the cannula has to be pulled out into an operating position from an initially entered safety position by an externally accessible slide. During the transfer out of the main body a spring element is lengthened and thus preloaded wherein the spring element due to pressure upon a trigger member contracts again after completing the blood draw or the puncture so that the sliding body including the cannula is returned into the safety position.
EP 2 985 049 A1 discloses a butterfly needle protective sleeve that includes a main body, configured to receive a butterfly needle wherein the main body is configured as an integral one-piece injection molded component. The butterfly needle includes a needle section, a lobe section that protrudes from the main body and a grip section attached at the lobe section. Thus, an end of the grip section is connected with the needle section and the other end is configured to be connected with the tube. The butterfly needle is displaceable between an operating condition with a protruding needle tip and a safety condition without protruding needle tip. According to EP 2 985 049 A1 the main body includes a needle tip protective head which includes an upper cover and a lower cover. The needle tip protective head is configured as a cylinder including an axially open needle hole. The upper cover and the lower cover are formed by elongated components that extend in an axial direction of the main body and respectively include a distal end and a proximal end. Thus, the distal ends of the upper cover and of the lower cover are connected by film hinges with the cylindrical protective head of the main body.
Last not least EP 1 448 260 A1 discloses a cover housing of a lobed cannula where the housing or main body is assembled from two complementary half shells that are connected by a film hinge. The two half shells are connected by a film hinge running parallel to a longitudinal axis of the cover housing or the needle carrier. Snap hooks configured to fix both housing halves in the closed condition are arranged on a longitudinal side of the housing arranged opposite to the film hinge. This known housing configuration includes slots on opposite longitudinal sides wherein the slots run in the longitudinal direction and facilitate a displacement of the sliding body including the retaining lobes arranged thereon and protruding in opposite directions.
Thus, it is an object of the invention to provide a safety cannula arrangement where the assembly process is simplified and the positioning of the actuation element and the generation of its preload is made easier while reducing manufacturing complexity.
Improving upon the generic safety cannula arrangement recited supra the object is achieved by A safety cannula assembly, comprising: a cannula configured to puncture human or animal tissue, wherein a distal end section of the cannula is provided with a tip; a sliding body including a distal end section including the cannula and a proximal end section including a flexible tube, wherein a flow connection between the tip of the cannula and a proximal end of the flexible tube runs through the sliding body; a main body in which the sliding body is displaceable from an operating position where the tip of the cannula is arranged outside of the main body into a safety position where the tip of the cannula is arranged inside the main body, wherein the main body is assembled from at least three main body parts, including a first main body part configured sleeve shaped and enveloping a distal end section of the sliding body in the operating position of the sliding body, a second main body part adjoining the first main body part in the proximal direction and connected with the first main body part, wherein the second main body part has a U-shaped, L-shaped, C-shaped, or lid-shaped cross section, a third main body part joinable with the second main body part to form a hollow body that is open at two opposite faces, wherein the third main body part is configured lid-shaped, C-shaped, L-shaped, or U-shaped and connected by a film hinge with the second main body part or the first main body part; an actuation element arranged between the main body and the sliding body and configured to displace the sliding body from the operating position to the safety position; and a trigger mechanism arranged at the main body and configured to trigger a displacement of the sliding body from the operating position to the safety position, wherein the trigger mechanism includes at least one trigger member loadable with a radially oriented compressive force or a torque by a person using the safety cannula assembly, and at least one locking element displaceable by loading with the pressure force or the torque from a locking position where the locking element engages the sliding body and locks the sliding body in the operating position to a trigger position, where the locking element does not engage the sliding body so that the sliding body moves into the safety position, wherein the actuation element is supported at a support surface of the first main body part with a distal end of the actuation element.
The cannula arrangement according to the invention which is primarily used as a blood drawing device has many advantages during assembly, in particular during insertion of the sliding body into the main body, thus initially the first main body part and the adjoining second main body part are provided, both of which are arranged axially behind one another in the direction of the longitudinal axis of the main body or the sliding body or brought into linear alignment with each other in case of a film hinge connection between the first and the second main body part. Then, the sliding body and the actuation element are joined and inserted as a unit into the first and the second main body part or the actuation element is initially inserted without preload into the first main body part and the second main body part and the sliding body is added only in a next step and the actuation element is placed into the preloaded condition by the sliding element.
The sleeve shaped first main body part has a substantial advantage with respect to a safe precisely fitting positioning of the actuation element in the main body part. In particular when a coil spring is used as an actuation element the coil spring can be aligned coaxial to the sleeve shaped first main body part and inserted so that the coil spring is then reliably fixed at its distal end against sliding or escaping or skipping away while transitioning into the preloaded condition.
The third main body part is then connected with the second main body part as a last step in the assembly sequence so that the main body is completed and provided in its final form.
In order to simplify handling or to provide an alternative handling in addition to gripping the housing part of the main body it is proposed to provide the main body with a respective gripping lobe at two opposite sides. The gripping lobes can be made from a rubber elastic material and can be pressed against one another in a known manner by gripping them with two fingers in a portion above the main body until they are in contact with each other. An embodiment with two gripping lobes increases comfort for the user. An application with only gripping lobe or no gripping lobe at all is also conceivable.
An advantageous embodiment of the invention provides that the actuation element is supported with its distal end at a shoulder formed in an interior of the first main body part or at a face wall forming a distal termination of the first main body part. This assures particularly simple and reliable fixing of the actuation element while transferring the actuation element into the preloaded condition.
In another advantageous embodiment of the arrangement according to the invention the gripping lobes can be connected to a sleeve shaped connector that is slid onto the main body. Thus, an overlapping portion between the connector and the main body envelops at least an axial section of the first main body part as well as a respective axial section of the second main body part and of the third main body part. The sleeve shaped connector thus not only causes a safe and firm connection of the gripping lobes at the main body but stabilizes the main body forming a jacket or a clamp ring which provides an additional safety in the assembled condition for the assembly of the main body from several main body parts.
A first embodiment of the first and second main body part, is characterized in that both parts are rigidly connected with one another. Thus, there is no pivotability between the two main body parts, in particular there is no film hinge between the two main body parts. In this embodiment the alignment of the first body part with the second main body part is always automatically provided and a degree of freedom is eliminated during the assembly, wherein this degree of freedom would otherwise need to be eliminated by respective fixing and guiding the components.
As an alternative the embodiment recited supra, it is also possible to connect the first main body part and the second main body part with one another by a film hinge. In this case a hinge axis of the film hinge should be aligned perpendicular to and at a distance from the longitudinal axis of the sliding body.
With respect to the third main body part two basic cases of connection with the remaining main body parts are feasible. In a first case the third main body part and the second main body part can be connected with one another by a film hinge. The hinge axis of the film hinge can thus be aligned parallel or perpendicular to the longitudinal axis of the sliding body. In this variant the second main body part forms a center element of a three-element chain formed by the three main body parts which are connected by two film hinges, wherein the second main body part is connected with both film hinges.
As an alternative to the embodiment recited supra there is an option to connect the third main body part and the second main body part with one another by a film hinge. In this case like in the case where the first and the second main body part are connected, the hinge axis of the film hinge is aligned perpendicular to and at a distance from the longitudinal axis of the sliding body. In the latter case a symmetrical arrangement can be provided where the first main body part forms the center link of the three-element chain and the two end-links of the chain are formed by advantageously identically configured main body parts. In this constellation, the second and the third main body parts are advantageously synchronously pivoted about the respective film hinge axes onto the longitudinal axis of the sliding body previously inserted into the first main body part and brought in contact with one another and fixed relative to one another.
For reasons of symmetry and in order to simplify assembly the two film hinges should have the same distance from the tip of the cannula viewed in the axial direction in the latter case. By the same token the two film hinges should have the same distance respectively from the longitudinal axis of the sliding body.
In an advantageous embodiment of the invention, the first main body part
According to an advantageous embodiment of the safety cannula arrangement according to the invention, the rotation symmetrical section of the first main body part has a cylindrical tip section and also has a cylindrical transition section configured to receive the actuation element that is compressed in the operating position, wherein the removable tubular cannula protection is advantageously slid onto the tip section.
According to an advantageous embodiment, the second main body part and the third main body part, in joined condition
According to an advantageous embodiment of the invention, the first main body part forms a distal end of the main body.
The invention is subsequently described based on an embodiment with reference to drawing figures, wherein
It is evident from the exploded view according to
The inner cavity of the main body 2 includes an essentially hollow cylindrical sliding body 15 that is movably supported in the axial direction, this means in the direction of the longitudinal axis 7 relative to the main body 2. A cannula 17 including a tip 18 formed at a distal end by a ground surface is inserted into the sliding body and sealed therein. A proximal end section 19 that is formed as a socket section is inserted with a distal end section 20 of the tube 5 which is sealed therein. Therefore, the sliding body 15, the canula 17, and the tube 5 form a firmly connected unit whose components besides the flexibility of the tube 5 are not movable relative to one another. An activation element 21 configured as a coil spring is externally slid onto the distal end section 16 of the sliding body 15 in order to support the sliding body 15 in the operating position under a preload in the main body 2 and in order to provide a propulsion for a pullback movement of the sliding body 15 relative to the main body 2 in the proximal direction, wherein the coil spring is supported with a distal end 22 in the first main body part 10 and supported with a proximal end 23 at a flange 24 that has a rectangular cross section and that protrudes beyond an outer enveloping surface of the sliding body 15.
Subsequently the configuration of the main body 2 made from the main body parts 10-12 and the cooperation of the main body 2 with the sliding body 15 is described in more detail with reference to
It is evident from
It is evident from
The individual portions of the main body 2 and the mirror symmetrical arrangement of the identically formed main body parts 11 and 12 are evident from
Viewing
The locking elements 61a, 61b have a triangular or trapezoid shape in an axial viewing direction and contact an outer enveloping surface 65 of the tube 5 with a respective control edge 64a, 64b.
It is evident from
When the sliding body 15 needs to be transferred into the safety position after completing the blood draw or the infusion with the safety cannula arrangement 1 so that the cannula 17 is arranged within the main body 2 in its entirety, the operator of the safety cannula arrangement 1 imparts a pressure force upon the protrusions 68a, 68b of the trigger members 67a, 67a wherein the pressure force is imparted with two fingers of one hand simultaneously and runs in a radial direction according to the arrows 69a, 69b. Starting from the locking position illustrated in
When the trigger members 67a, 67b with their associated knob shaped protrusions 68a, 68b are in the position shown in
Accordingly,
In order to prevent an exit of the entire sliding body 15 and thus also of the cannula 17 itself at the proximal end of the main body 2 the safety position of the sliding body 15 is defined by a stop surface 73 arranged at the sliding body 15. The stop surface 73 arranged at the sliding body 15 thus cooperates with a stop surface 74 of the main body 2 that is formed at the proximal end of the main body 2, thus at the proximal end of the closure portion 38 which is formed jointly by the second main body part 11 and the third main body part 12.
It is evident from the sectional view of
As evident from
It is evident from
In addition to limiting the pull back movement of the sliding body 15 in the proximal direction it is also important to prevent that the sliding body 15, after having moved into the safety position, is moved back in the distal direction intentionally or unintentionally so that the cannula 17 is exposed again and the safety cannula arrangement 1 may be used again which shall be avoided and prevented under all circumstances. The blocking tongues 79 recited supra serve this purpose wherein the blocking tongues are configured as spring elastic elements of the main body 2 and respectively arranged within a window 80 enveloping the blocking tongues 79 on three sides. This configuration is clearly evident from
As evident from
The following is appreciated regarding the configuration of the trigger mechanism 37 with reference to
As stated supra, the main body 2 is substantially cuboid in the trigger portion 36, wherein a respective trigger member 67a, 67b and the associated compression rod 66a, 66b in combination with link elements configured as bar 82 jointly form a L-shaped wall arrangement, wherein the three link elements are connected by the respective compression rod 66a, 66b. Due to the small cross sections of the bars 82, they can be deformed easily by pressure upon the trigger members 67a relative to the proximal closure portion 38. When pressure is imparted upon the trigger members 67a, 67b, a connection cross section 83 arranged between the trigger members 67a, 67b and the closure portion 38 functions as an additional pivot joint. A trigger surface respectively formed by the trigger member 67a, 67b runs at an angle of 90 degrees relative to a plane in which the bars 82 and the respective compression rod 66a, 66b connecting the bars 82 are arranged. The respective locking elements 61a, 61b extend at an angle of 90 degrees relative the plane of the bars 82, and the respectively associated compression rod 66a, 66b. Overall, a C- or U-arrangement is achieved in cross section.
Number | Date | Country | Kind |
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DE 102021115556.8 | Jun 2021 | DE | national |
This application is a continuation of International patent application PCT/EP2022/065995 filed on Jun. 13, 2022 claiming priority from German Patent application DE 10 2021 115 556.8 filed on Jun. 16, 2021, both of which are incorporated in their entirely by this reference.
Number | Date | Country | |
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Parent | PCT/EP22/65995 | Aug 2022 | WO |
Child | 18537296 | US |