This invention relates to a hypodermic safety syringe assembly.
The needles of used hypodermic syringes pose an increasing threat of the transmissibility of potentially lethal infections such as HIV+ and hepatitis B viruses, not only to persons administering the injection, but also to persons who are charged with handling such equipment immediately after use, to others who are exposed to the possibility of accidental, post-injection contact in environments in which hypodermic procedures are routinely administered, and to still others who might come into contact with used syringes which have been inadequately disposed of.
Various safety hypodermic syringes have been designed which attempt to minimise these risks. These include various forms of needle containment and needle disposal units which respectively seek to encapsulate a used needle or allow such used needle to be destroyed by incineration or the like. In order to be effective, needle destroying devices have to be available in situ at all locations where such procedures are undertaken. The effectiveness of needle destroying devices is further reduced by the fact that the sharp end of the used needle may typically be exposed for an appreciable period of time before it is destroyed.
Another arrangement which is available comprises a cylindrical sleeve which fits around the barrel of a syringe, and which can be extended forward over the needle attached to the syringe after use. When the sleeve is fully extended, locking formations on the sleeve engage complemental locking formations formed on or adjacent the end of the syringe barrel so that the sleeve cannot be retracted.
Drawbacks of protective sleeve arrangements include the fact that in a number of such devices the shield has an open end, which is large enough to allow a user's finger to enter and to contact the needle. A directly concomitant disadvantage is the fact that in order to obviate this danger, the needle used has to be substantially shorter than the length of the syringe barrel and shield. The extended and locked syringe/sleeve assembly is relatively long and bulky, and uses a substantial additional mass of plastic material compared with the syringe alone. Arrangements of this type are also relatively complicated to manufacture, frequently involving a complete re-engineering of the syringe in order for it to co-operate in secure locking engagement with the sleeve. Examples are provided by the disclosures in U.S. Pat. Nos. 5,053,018 and 5,304,149, both of which teach a hypodermic syringe and needle assembly on which is mounted a shield which is movable between a retracted position in which the needle point is exposed and an extended position in which the needle point is covered.
User resistance has been encountered to the added bulk and overall diameter of the assembly contributed by the sleeve, which is particularly disadvantageous when the needle point needs to be acutely tangential to the surface of the skin of the patient. The fact that the contents and the graduations on the syringe must be viewed through the material of the shield has also proved inconvenient and can lead to errors in use.
An alternative arrangement where the syringe is substantially re-engineered typically proposes a device having a barrel, sheath and piston, the piston being provided with a liquid passageway interconnectable with the barrel. The injection of fluid is accomplished by moving the barrel relative to the sheath (as opposed to the more familiar approach of moving the piston relative to the barrel, in conventional hypodermic syringe assemblies). An example of this approach is provided by South African Patent 93/5302, which teaches the automatic and non-discretionary single use safe rendition of a needle.
Three disadvantages of this approach have manifested themselves in practice. The first is the fact that the procedure represents a significant departure from the operation of a conventional syringe. Nursing staff have shown resistance to the required adjustment from what is a comfortable and familiar routine. A further disadvantage is the fact that this approach requires a large number of component parts, which adds significantly to the cost of both the moulds and mould operations required and of the materials used. A final disadvantage is the impression left with the practitioner that the precise point when the device is rendered needle-safe is no longer a matter of professional choice, but is rather a matter of when the manufacturer has prescribed that it is advisable or necessary.
The highest incidence of the HIV+ and hepatitis viruses generally occur in poor, third world countries which can ill afford devices reliant on significant re-engineering, which do not take into account the high level of the capital invested world-wide in manufacturing facilities for and stocks of conventional hypodermic syringes and needles.
It is an object of the invention to provide an alternative safety syringe assembly which allows for an administering procedure which does not depart significantly from that of a conventional syringe, and which does not utilise an additional outer sheath or shield.
According to a first aspect of the invention there is provided a hypodermic safety syringe assembly including a cylindrical barrel having a front end defining a first aperture and a rear end defining a second aperture, a closure member shaped to engage the barrel at or adjacent the front end thereof to seal the first aperture, and a piston assembly reciprocally movable within the barrel and including a retractor terminating in a piston formation engageable with the closure member to disengage the closure member from the front end of the barrel so that a hypodermic needle attached thereto can be withdrawn into the barrel after use, wherein the closure member includes a barrel engaging formation releasably engageable within a closure member engaging formation at the front end of the barrel, and a piston coupling formation for engaging a closure member coupling formation on the piston, with inter-engagement of the piston and closure member coupling formations being arranged to facilitate disengagement of the barrel engaging and closure member engaging formations from one another and to allow withdrawal of the piston assembly, closure member and hypodermic needle into the barrel.
The closure member preferably includes an inner skirt portion connected to an outer skirt portion by a hinge, with a displacement groove located between the inner and outer skirt portions.
The barrel engaging formation preferably includes a lip extending from the outer skirt portion, and the closure member engaging formation preferably includes a lip receiving recess adjacent the front end of the barrel.
The piston coupling formation preferably includes at least one first projection and a corresponding projection receiving recess located radially outwardly of the first projection, and the closure member coupling formation preferably includes a second projection and a corresponding recess located radially inwardly of the second projection, with the second projection being arranged to displace the first projection inwardly about the hinge during inter-engagement of the piston coupling formation and closure member coupling formation so as to urge the outer skirt formation, from which the first projection depends, inwardly so as to disengage the lip from the lip receiving recess.
The first projection is preferably a first annular lobe formation and the second projection is preferably a second annular lobe formation.
The assembly preferably includes detaining means for detaining the used needle in a locked safe position within the barrel.
An embodiment of the invention is described in detail in the following passages of the specification which refer to the accompanying drawings. The drawings, however, are merely illustrative of how the invention might be put into effect, so that the specific form and arrangement of the features shown is not to be understood as limiting on the invention.
Referring first to
Referring now to
Referring now to
When the closure member 32 is in the forward engaged position of
After administration of the injection, the piston formation 24 is moved forwards within the barrel 12 to the position indicated in
In the
In the engaged position of
The piston assembly 18, closure member 32 and needle hub assembly including the used needle 40 and the needle hub 38 are subsequently retracted fully to the
Number | Date | Country | Kind |
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2000/2283 | May 2000 | ZA | national |
Filing Document | Filing Date | Country | Kind |
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PCT/IB01/00880 | 5/10/2001 | WO |