1. Field of the Disclosure
This disclosure relates to medical fluid delivery applications, and, particularly, to fluid injection systems including a syringe, a fluid injector, and an interface between the syringe and fluid injector maintained by a removable suction force.
2. Description of the Related Art
In many medical diagnostic and therapeutic procedures, a medical practitioner such as a physician injects a patient with a fluid. In recent years, a number of injector-actuated syringes and powered injectors for pressurized injection of fluids, such as contrast media, have been developed for use in procedures such as angiography, computed tomography (CT), ultrasound, and magnetic resonance imaging. In general, these powered injectors are designed to deliver a preset amount of contrast at a preset flow rate using a disposable or refillable syringe.
Automatic injection mechanisms typically include a syringe connected to a powered injector with a linear actuator. The linear actuator operates a moveable piston that is configured to engage a plunger inserted in the barrel of the syringe. The interface or engagement between the piston and plunger generally includes a mechanical locking structure such as a luer lock, screw threads, undercuts, pins, swivels, snap fit connections, and the like for establishing and maintaining the connection between the piston and plunger.
The plunger/piston interface should be sufficiently strong to retract the plunger in a proximal direction through the barrel to draw fluid into the syringe, as well as to advance the plunger through the barrel in the distal direction to expel the fluid contained therein. More specifically, the plunger should be able to be advanced through the syringe barrel with a slow and controlled sliding movement. However, stationary surfaces having a sliding relationship often exhibit resistance to initiation of movement. This initial resistance to movement and sudden separation of stationary surfaces into a relative sliding relationship is referred to as a “breakout force” or “breakaway force”. The resistance to movement means that initial forward motion of the plunger is not slow and controlled, but a sudden forward movement once a threshold pressure is reached. The engagement between the piston and plunger must be sufficiently tight and strong to overcome the breakaway force, especially when the plunger is being retracted to fill the syringe. If the engagement between the piston and plunger is not strong enough, the engagement between the piston and plunger releases thereby preventing filling of the syringe.
In addition to being sufficiently strong to maintain good connection between the piston and plunger during use, the interface should also be removable so that the syringe and plunger can be disposed of after use. With mechanical locking structures, to disengage the piston from the plunger, the user either orients the piston and plunger for disengagement, such as by rotating the syringe to properly align locking features on the piston and plunger, or pulls the piston away from the plunger with sufficient force to overcome the locking structure. Once the piston is disengaged from the plunger, the used syringe and plunger may be discarded.
While automated injectors are well-known, improved fluid delivery systems which make the injection processes simpler for medical staff are always needed. With respect to the present disclosure, a syringe having a simplified interface between the piston and plunger is set forth. Desirably, the plunger/piston interface is strong enough to counteract frictional forces between the plunger and syringe barrel, but can be easily removed following the injector so that a user can remove and discard the used syringe and plunger. In addition, a plunger which slides easily through the barrel of the syringe, but nevertheless is configured to provide a good effective seal against the syringe barrel, for preventing leaking of the substance contained therein, is also needed.
In view of the foregoing, a need exists for a syringe having an improved interface between a piston and plunger which can be used with an injector, such as a powered injector. According to one aspect of the disclosure, a syringe interface includes a piston configured to be driven by an injector and a syringe. The syringe includes: a syringe barrel having a proximal end and a distal end; and a plunger having a proximal end, a distal end, and a sidewall extending therebetween. The plunger is slidably inserted in the syringe barrel such that the sidewall of the plunger forms a moveable seal against an inner surface of the syringe barrel. The piston is configured to form a removable suction engagement with the plunger for advancing or retracting the plunger through the syringe barrel as the piston is driven by the injector.
In certain configurations, the plunger includes a cavity on the proximal end of the plunger. In that case, the piston comprises a piston head on its distal end sized and shaped to be received within the cavity of the plunger. The cavity may include a proximal opening, a pushing surface on a distal end of the cavity, and a tapered sidewall extending between the opening and the pushing surface. The pushing surface of the cavity and a distal end of the piston head may be concave or convex. The plunger may also include an annular shoulder surrounding the proximal opening of the cavity. A portion of the piston may be configured to contact the annular shoulder for imparting a force for advancing the plunger through the syringe barrel. Optionally, the plunger is configured such that insertion of the piston head into the cavity causes a portion of the sidewall of the plunger to extend radially outward toward the syringe barrel when the piston head is inserted in the cavity. The sidewall of the plunger may also include an annular channel extending through a portion of the sidewall of the plunger for increasing radial extension of the plunger.
In certain further configurations, the piston includes a release mechanism configured to exert a releasing force against a portion of the plunger to release the suction engagement therewith. For example, the release mechanism may include a moveable pin that is transitionable from a recessed position within the piston to an extended position that extends beyond the distal end of the piston to contact the plunger. Alternatively, or in addition, the release mechanism may include a channel extending axially through the piston having a distal opening at a distal end of the piston and a pump for emitting air through the distal opening to release the piston from the plunger. Optionally, the pump is configured to draw air into the channel through the distal opening to form a suction engagement between the piston and plunger.
In certain further configurations, the syringe interface includes a channel extending axially through the piston having a distal opening at a distal end of the piston and a slider disposed within the channel. The slider is transitionable between a proximal position in which air is drawn into the channel through the distal opening to form a suction engagement between the plunger and the piston and a distal position in which air is expelled through the distal opening to release the suction engagement. The slider may include an electromechanical valve.
In certain configurations, the syringe barrel includes a wide portion and a narrow portion. In that case, the plunger includes a wide piece disposed within the wide portion of the syringe barrel, a narrow piece disposed within the narrow portion of the syringe barrel, and a connecting member extending between the wide piece and the narrow piece of the plunger. The narrow piece of the plunger may be configured to form a moveable seal against an inner surface of the narrow portion of the syringe barrel. In some embodiments, the connecting member is at least as long as the narrow portion of the syringe barrel and is capable of being inserted in the narrow portion of the syringe barrel. Additionally, the wide piece of the plunger may be free from contact with the syringe barrel.
In certain configurations, the piston includes a piston rod and a plurality of concentric, telescoping rings surrounding a distal end of the piston rod. The plurality of concentric, telescoping rings and the distal end of the piston rod are configured to be inserted in a cavity on the proximal end of the plunger to form the removable suction engagement therewith. An outermost ring of the plurality of rings is configured to break from an adjacent inner ring of the plurality of rings by pressing the outermost ring against a portion of the proximal end of the syringe barrel or against the proximal surface of the plunger. The plurality of rings may be connected together by a breakable mechanical fastener, an adhesive, a frictional force, or a magnetic force.
According to another embodiment, a syringe interface includes a piston configured to be driven by an injector and a syringe. The syringe includes: a syringe barrel having a proximal end and a distal end; and a plunger having a proximal end, a distal end, and a sidewall extending therebetween. The plunger is configured to be slidably inserted in the syringe barrel such that the sidewall of the plunger forms a moveable seal against an inner surface of the syringe barrel. The syringe interface also includes a sealing structure for forming a seal between a portion of the piston and the syringe barrel, thereby creating a vacuum cavity in the syringe barrel between the proximal end of the plunger and the sealing structure. In that case, a one-way check valve associated with the vacuum cavity is provided for expelling air from the vacuum cavity and for preventing air from entering the vacuum cavity. The interface is configured such that advancing the piston through the vacuum cavity toward the plunger expels air from the vacuum cavity thereby creating a negative vacuum pressure within the vacuum cavity. The plunger may be configured to follow the piston in the proximal direction as the piston is retracted from the syringe barrel when the negative vacuum pressure is created within the vacuum cavity. In certain embodiments, an outer diameter of the piston is substantially equivalent to an inner diameter of the syringe barrel.
According to another embodiment, a syringe interface includes a syringe having a plunger moveably inserted therein and a piston rod for advancing the plunger through the syringe. The interface also includes: a connecting surface structure connected to one of the piston rod or the plunger; and a suction cup connected to the other of the piston rod or the plunger. The suction cup may be arranged to contact the connecting surface structure to form a suction engagement therewith. Optionally, the connecting surface structure and the suction cup are removable from the piston rod and the plunger and are capable of being replaced with a suction cup and connecting surface structure of a different size. The suction cup and connecting surface structure may both be located external of the syringe. In some embodiments, the connecting surface structure includes a thumb flange connected to a plunger rod extending from the plunger of the syringe. In some other embodiments, the piston rod comprises a channel extending axially through the piston rod and a slider disposed within the channel. The slider may be transitionable between a proximal position, in which air is drawn into the channel through a distal end of the channel to engage the suction cup to the connecting surface structure, and a distal position, in which air is expelled from the distal end of the channel to release the suction cup from the connecting surface structure.
According to another aspect of the disclosure, a fluid injection system is disclosed. The fluid injection system includes a fluid injector including a piston and a syringe. The syringe includes a syringe barrel and a plunger. The plunger includes a cylindrical body, proximal and distal ends, and a sidewall extending between the proximal and distal ends. The plunger is slidably inserted in the syringe barrel such that the sidewall of the plunger forms a moveable seal against an inner surface of the syringe barrel. The fluid injection system also includes an interface for connecting the piston to the plunger, thereby forming a suction engagement between the piston and plunger, and a controller for controlling a piston speed for retracting and advancing the piston and plunger through the syringe barrel based on a piston speed control algorithm. The piston speed control algorithm determines a piston speed sufficient for maintaining contact between the piston and plunger based on physical parameters of the syringe and frictional characteristics of the moveable seal between the plunger and syringe barrel.
In certain arrangements, the physical parameters of the syringe and the frictional characteristics are stored in a lock-up table associated with the controller. In that case, the controller is configured to retrieve the physical parameters and frictional characteristics from the look-up table. Alternatively, or in addition to the look-up table, the system may also include at least one sensor for automatically determining the physical parameters and frictional characteristics of the syringe. Optionally, the fluid injection system also includes a pump connected to a channel extending through the piston. The pump is configured to draw air into a distal end of the channel to increase the suction engagement between the piston and plunger and to expel air from a distal end channel to detach the piston from the plunger.
According to another aspect of the disclosure, a method of filling a syringe is provided. The method includes: providing a syringe having a syringe barrel and a plunger slidably inserted in the syringe barrel such that the sidewall of the plunger forms a moveable seal against an inner surface of the syringe barrel; advancing a piston distally through the syringe barrel toward the plunger to expel air from the syringe barrel, creating a negative pressure within the syringe barrel; and retracting the piston through the syringe barrel in a proximal direction, such that fluid is drawn into the barrel through a distal end of the syringe barrel. Retracting the piston through the syringe barrel causes the plunger to follow the piston in the proximal direction as a result of the negative pressure within the syringe barrel. The outer diameter of the piston may be substantially equivalent to the inner diameter of the syringe barrel. In addition, the air expelled from the syringe barrel may be expelled through a one-way check valve.
According to another aspect of the disclosure, a system for filling a syringe is provided. The system includes: a syringe having a syringe barrel with a proximal end and a distal end and a plunger disposed within the barrel; a filling station having a syringe receiving port configured to receive the syringe to be filled and a sealing structure for creating a substantially air tight cavity within the syringe barrel; a bulk fluid source connected to the distal end of the syringe barrel; and a vacuum source connected to the substantially airtight cavity within the syringe barrel. The filling station is configured such that activation of the vacuum source causes the plunger to retract through the syringe barrel in the proximal direction, thereby drawing fluid into the syringe from the bulk fluid source.
In certain arrangements, the system for filling a syringe also includes a stopping mechanism that limits the displacement of the plunger in the proximal direction, thereby controlling a volume of fluid drawn into the syringe. Optionally, the stopping mechanism comprises a sensor coupled to the vacuum source that turns off the vacuum source when the plunger has traveled a predetermined distance in the proximal direction. Alternatively, or in addition, the stopping mechanism may include a mechanical stop configured to engage the plunger to prevent further movement of the plunger in the proximal direction.
According to another aspect of the disclosure, a syringe is provided. The syringe includes: a syringe barrel having a proximal end and a distal end; and a plunger having a proximal end, a distal end, and a sidewall extending therebetween. The plunger is configured to be slidably inserted in the syringe barrel such that the sidewall of the plunger forms a moveable seal against an inner surface of the syringe barrel. The plunger is configured to form a removable suction engagement with a piston, thereby allowing the piston to advance or retract the plunger through the syringe barrel.
In certain configurations, the plunger also includes a cavity in the proximal end thereof. The cavity includes a proximal opening, a pushing surface on a distal end of the cavity, and a tapered sidewall extending between the opening and the pushing surface. The plunger may further include an annular shoulder surrounding the proximal opening of the cavity. The annular shoulder may be configured to contact a portion of the piston to impart a pushing force thereto.
In certain arrangements, the plunger may be configured such that insertion of the piston into the cavity causes a portion of the sidewall of the plunger to extend radially outward toward the syringe barrel. In that case, the sidewall of the plunger may include an annular channel extending through a portion of the sidewall of the plunger for increasing radial extension of the plunger.
In another arrangement, the syringe barrel includes a wide portion and a narrow portion. In that case, the plunger may include a wide piece disposed within the wide portion of the syringe barrel, a narrow piece disposed within the narrow portion of the syringe barrel, and a connecting member, which is at least as long as the narrow portion of the syringe barrel, extending between the wide piece and the narrow piece of the plunger. The narrow piece of the plunger may be configured to form a moveable seal against an inner surface of the narrow portion of the syringe barrel.
These and other features and characteristics of the piston and plunger interface, as well as the methods of operation and functions of the related elements of structures and the combination of parts and economies of manufacture, will become more apparent upon consideration of the following description and the appended claim with reference to the accompanying drawings, all of which form a part of this specification, wherein like reference numerals designate corresponding parts in the various figures. It is to be expressly understood, however, that the drawings are for the purpose of illustration and description only, and are not intended as a definition of the limits of the invention. As used in the specification and the claims, the singular form of “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise.
For purposes of the description hereinafter, spatial orientation terms, if used, shall relate to the referenced embodiment as it is oriented in the accompanying drawing figures or otherwise described in the following detailed description. However, it is to be understood that the embodiments described hereinafter may assume many alternative variations and embodiments. It is also to be understood that the specific devices illustrated in the accompanying drawing figures and described herein are simply exemplary and should not be considered as limiting.
Referring to the drawings in which like reference characters refer to like parts throughout the several views thereof, a syringe 10 including a cylindrical syringe barrel 12 and plunger 14, as well as a method of pushing and retracting the plunger 14 through the barrel 12 are described herein in detail. With initial reference to
The barrel 12 is adapted to contain a fluid F, such as a medicament, biological solution, or contrast agent, to be injected to a patient. The syringe barrel 12 extends longitudinally from a proximal end 20, near the injector apparatus, to a distal end 22 and is configured to expel the fluid F from the distal end 22 of the barrel 12. The distal end 22 may include an outflow port 24, such as a nozzle, needle cannula, or catheter tubing. The barrel 12 may be formed from any suitable biocompatible and medical grade material including glass, metal, ceramic, plastic, rubber, or combinations thereof.
The plunger 14 is adapted to be slidably inserted in the barrel 12, and includes a cylindrical body 26 formed of elastomeric material, a sidewall 28, and a conical cap 30. The plunger 14 has an external diameter ED (shown in
With reference to
The sidewall 28 is flexible and can deform outwards to increase the size of the opening 36 and cavity 34, to accept the piston head 16. With reference to
In one embodiment, there is a slight shape mismatch between the distal end of the piston head 16 and the tapered sidewall surface 38 and pushing surface 40 of the cavity 34. The dimensional mismatch may only be about a 1 to 3 degree difference in an angular dimension between the surface of the distal end of the piston head 16 and pushing surface 40 and may only extend radially about 0.20 inches from the center of the pushing surface 40. In this configuration, a center portion of the distal end of the piston head 16 initially contacts a center portion of the pushing surface 40. Continuing to advance the piston head 16 in the distal direction causes the remaining portion of the distal end of the piston head 16 to initially contact the remaining area of the pushing surface 40 in a radial manner until the distal end of the piston head 16 contacts the entire pushing surface 40. Allowing a center portion of the piston head 16 to contact a central portion of the pushing surface 40 reduces or limits trapping air between the surface of the end of the piston head 16 and pushing surface 40. Entrapped air reduces the strength of the connection between the piston head 16 and plunger 14. In certain embodiments, the slight mismatch in shape between the distal end of the piston head 16 and cavity 34 continues radially outward from the pushing surface 40 to the interface between the tapered sidewall surface 38 of the cavity 34 and sides of the piston head 16. These embodiments are intended to “burp” or vent the air outward from between the piston head 16 and cavity 34 as contact between the piston head 16 and plunger 14 is established.
In use, the piston head 16 is inserted into the cavity 34 of the plunger 14 establishing a removable suction (e.g., vacuum) engagement therebetween. The suction engagement is sufficient to maintain the connection between the plunger 14 and piston head 16 both as the plunger 14 is advanced through and retracted from the barrel 12. As such, the suction engagement must be strong enough to counteract both the initial frictional breakaway force created by the contact between the plunger sidewall 28 or ribs 32 and the inner surface of the barrel 12, as well as the dynamic frictional forces created as the plunger 14 slides through the barrel 12.
With continued reference to
In some non-limiting embodiments, the piston 18 and plunger 14 may further include a release mechanism for releasing the suction engagement. With reference to
With reference to
In further non-limiting embodiments, the suction engagement between the plunger and piston may be an active vacuum engagement. With reference to
With reference to
With reference to
However, by including both a wide portion 250 and a narrow portion 248, the syringe 10 has increased sealing strength at the narrow portion 248 and increased suction force at the wide portion 250. More specifically, by increasing the size of the plunger cavity 34, a stronger suction engagement between the piston head 16 and plunger 14 is formed. Increasing the strength of the suction engagement means that the tightness of the seal with the inner surface of the barrel 12 can also be increased. Accordingly, in the embodiment of
With reference to
With continued reference to
In use, the suction cup 322 is brought into contact with the disk 320 of the disposable syringe 310. Once contact is established, the slider 330 is moved in the proximal direction within the piston rod 324 to create a negative vacuum in the cavity 328, thereby establishing or strengthening the suction engagement. Once the suction engagement is established, the external piston 318 can be retracted to fill the syringe 310 or driven in the proximal direction to eject fluid therein. Once the fluid is ejected, the slider 330 is moved in the proximal direction, thereby creating positive pressure in the cavity 328 that disengages the suction cup 322 from the disk 320. Once the suction cup 322 is disengaged, a user can dispose of the syringe 310.
Alternatively, the interface between the disk 320 and suction cup 322 could be a passive vacuum engagement. In that case, the suction engagement is formed merely by bringing the suction cup 322 into contact with the disk 320, without an additional mechanism for creating a vacuum in the cavity 328. While a passive vacuum engagement is not as strong as an active vacuum engagement formed with a vacuum piston or air pump, the passive engagement structure is structurally simpler, includes fewer moving parts, and may be easier to use.
Having described embodiments of syringe interfaces between a fluid injector piston rod and a syringe plunger, systems and exemplary apparatus and methods for retracting the piston rod and syringe plunger through the syringe barrel and for filling the syringe will now be discussed.
With reference to
As shown in
As shown in
In certain embodiments, the fluid injector 402 may be configured to monitor and control the piston speed to ensure that good contact between the plunger 414 and piston 416 is maintained. For example, the fluid injector 402 may include a controller 441 that implements a piston speed control algorithm to control the advancing and retraction speed of the piston 416. The algorithm is based on physical parameters of the syringe 410 and frictional characteristics between the plunger 414 and syringe barrel 412. Physical parameters of the syringe 410 include the physical dimensions of the syringe barrel 412, piston 416, and plunger 414. Frictional characteristics include the material composition, area of contact, and sliding characteristics for the plunger 414 and barrel 412. More specifically, the algorithm determines the suction force between the piston 416 and plunger 414. The algorithm determines a suitable piston speed so that frictional force between the plunger 414 and syringe barrel 412 does not overcome the suction force causing the piston 416 to detach from the plunger 414.
In order for the controller 441 to obtain the physical parameters and frictional characteristics, the fluid injector 402 may be provided with sensors 442 for automatically measuring these values. Sensors 442 may be located in various positions on injector 402. Alternatively, the sensors 442 may identify the type of syringe 410 and plunger 414 inserted into the injector 402. Once the syringe 410 is identified, the physical parameters and frictional characteristics may be automatically obtained from a look-up table or other database. Look-up table values may be determined by experimental results or statistical calculators based on the type of syringe 410 and plunger 414 being used. Alternatively, physical dimensions and friction characteristics of the syringe 410 and plunger 414 may be manually entered in the system by an operator. Based on these parameters and mechanical characteristics, a maximum retraction speed or retraction force for retracting the piston 416 without causing it to separate from the plunger 414 can be calculated and used.
In an alternative embodiment, with reference to
Alternatively, with reference to
With reference to
As shown in
With reference to
With reference to
In certain embodiments, the system 500a may further include a mechanism for drawing the plunger 514 to the distal end 522 of the syringe barrel 512 prior to filling. Generally, disposable syringes 510 are shipped with the plunger 514 positioned at the proximal end 520 of the barrel 512 to maintain sterility of the interior of the syringe barrel 512. As shown in
With reference to
In use, with reference to
With reference to
While several embodiments of the syringe interface and, particularly, the plunger and piston interface are shown in the accompanying figures and described hereinabove in detail, other embodiments will be apparent to, and readily made by, those skilled in the art without departing from the scope and spirit of the invention. For example, it is to be understood that this disclosure contemplates that, to the extent possible, one or more features of any embodiment can be combined with one or more features of any other embodiment. Accordingly, the foregoing description is intended to be illustrative rather than restrictive.
The present application claims priority to U.S. Provisional Application No. 61/844,570 filed Jul. 10, 2013 and U.S. Provisional Application No. 61/968,097 filed Mar. 20, 2014, the disclosures of which are incorporated by reference herein.
Filing Document | Filing Date | Country | Kind |
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PCT/US14/45923 | 7/9/2014 | WO | 00 |
Number | Date | Country | |
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61844570 | Jul 2013 | US | |
61968097 | Mar 2014 | US |