CA1257163A - Tamper evident injection syringe - Google Patents

Tamper evident injection syringe

Info

Publication number
CA1257163A
CA1257163A CA000491356A CA491356A CA1257163A CA 1257163 A CA1257163 A CA 1257163A CA 000491356 A CA000491356 A CA 000491356A CA 491356 A CA491356 A CA 491356A CA 1257163 A CA1257163 A CA 1257163A
Authority
CA
Canada
Prior art keywords
plunger
needle
syringe
container
nub
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA000491356A
Other languages
French (fr)
Inventor
Bruce Rosenberg
Cynthia S. Rosenberg
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CA000491356A priority Critical patent/CA1257163A/en
Priority to US07/132,625 priority patent/US4832695A/en
Application granted granted Critical
Publication of CA1257163A publication Critical patent/CA1257163A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/50Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for preventing re-use, or for indicating if defective, used, tampered with or unsterile
    • A61M5/5013Means for blocking the piston or the fluid passageway to prevent illegal refilling of a syringe

Abstract

ABSTRACT

TAMPER EVIDENT INJECTION SYRINGE

A tamper evident injection syringe of the disposable type is described having a container for storage of the material to be injected, means for expelling the material, an interference collar at one end of the container and a flange attached to the expelling means that is close fitting to the internal wall of the container and having a dimension greater than the inter-ference collar such that the flange cannot pass through the interference means thereby preventing removal of the expelling means and the contents of the syringe. In addition a needle nub is described that permits connection of a needle or catheter and the connection of a tamper evident sealing cap that is easily removable yet when removed cannot be replaced without the removal being evident.

Description

~257~3 BACKGROUND OF TH~ INV~NTION
.. . . ... _ This invention generally relates to a disposable injection syringe of a type having a cylindrical container where the material to be injected is stored and having at one end a plunger/plunger rod combination and at the other end a needle nub to which in use the needle is attached.
More specifically this invention relates to a syringe which is designed to prevent tampering of the contents by having an ef~ective seal at the plunger end that would prevent tampering and at the needle or cap end having a easily removable cap though which once removed can not be reattached to the syringe without the tampering to the syringe and the contents being evident.
- Injection syringes of both the disposable and reusable type have been in use for many years. All these syringes have the common features of a needle, container, plunger and plunger rod. Over the years variations and improvement have been introduced including quick attachment for needles or catheters and various designs of disposable storage ampules either being patient ready or requiring some assembly. All of the syringes suffer to a varying degree from a relatively new problem namely diversion and pilfering of medication or otherwise tampering with the contents of the syringe.
For disposable syringes, the contents are often packaged by the manufacturer and stored in the syringe until ready for use. As many of the syringes are packaged by the manufacturer, it is seldom possible to arrange for custom in hospital filling and packaging by the pharmacy of the hospital.
Current systems which depend on integrity of the packaging which surrounds the syringe to maintain the integrity of the contents of the syringe suffer from the inability to permit in hospital custom filling and capping while at the same time maintaining integrity.

E;3
- 2 -Tampering and withdrawal of the contents of syringes is a current problem especially in high volu~e use situations, such as hospi~als. Drugs that are stored in disposable syringes are often kept in security lockers either to prevent improper withdrawal of a prescription drug for non-prescri~tion uses as well as to prevent intentional substitution of a drug for the prescribed drug. In numerous uses however, the drugs, while remaining secure while in the pharmacy of the hospital, may remain on the floor of the hospital for considerable periods of ti~e where a number of people may gain access to the drugs before the drugs are actually used. Thus maintenance of the integrity of the contents o~
prepackaged disposable syringes is desirable.
Previous and current methods which are an attempt to solve this problem include specially designed packages which seal the entire syringe. One package is the Carpuject* cartridge needle units which are sealed in tne factory in a ~lastic package. There is evidence of tampering if the plastic package has been torn open.
Unless the syringe is used immediately after being removed from the plastic package there still remains the possibility of pilfering or tampering with the contents as the syringe can be pil~ered by the insertion of needle through an exposed flexible rubber plunger. Furthermore the Carpuject* syringe has two parts which must be assembled before use. The first part consists of a cartridge which contains the needle, the rubber piston and the storage ampule for the drug. The second part is a separate plunger injection system to which the cartridge is inserted. In this manner a Carpuject* syringe is not patient ready and must be assembled prior to use. In a _ * trademark ~L2~

similar manner, the Tubex* syringes have 2 parts which re~uire assembly.
Another system for maintaining the integrity of the contents of a syringe through the use of packaging is the Min-i-ject* System manufactured by International Medication Systems of Almonte, California. The integrity of this contents is assured through the use of a plastic package though once the package is opened, the contents of the syringe are readily accessible by removing a 1~ replaceable cap and ~y insertion of a needle to penetrate the rubber plungerO
Other disposable syringes such as the Dupharject*, Kimble*, and.Astra* all have removable plunger rods which permit access to the contents of the syringe by the insertion of a needle through the rubber plunger.
Other types of disposable syringes include the Hy-pod* Hypodermic syringe which is manufactured by Solo Pac Laboratories of Franklin Park, Illinois. In this syringe both the plunger and needle ends are only protected by removab}e caps, which permit access to rubber plungers through which needles can be inserted.
SUMMARY OF THE INVENTION
. _ .. ....
Accordingly, the invention herein comprises a disposable injection syringe in which the contents of the syringe can not be tampered with or withdrawan without such tampering being evident~ Further the design is such that in hospital custom filling is possible and once filled and capped the contents of the syringe are secure.
The invention comprises a disposable injection syringe with a cylindrical liquid storage container having at one end a needle nub to which can be attached an injection needle or a catheter and which in use has . ___ _ __ * trademarks - ~s~

attached a tamper evident sealing cap which provides a sterile seal and which is easily removable to allow the attachment of the injection needle or catheter and having at the other end a plunger which is moveable within the container for expelling the material to be injected and a plunger rod attached to the plunger for moving the plunger and having an integral flange which is close fitting to the inside o~ the container and of a greater dimension than the inside dimension of a collar attached to the end opposite the needle such that in use the plunger rod cannot be removed from the cylinder and that the material to be in~ected can not be removed by the insertion of a needle through the plunger end.
The prevention of tampering at the end opposite the needle is achieved through the use of a flange on the plunger rod which is of a greater diameter than a collar which is attached to the end of the cylinder. The flange prevents accidental removal of the plunger assembly while at the same time prevents tampering of the contents or withdrawal of the contents of the syringe through the insertion of a needle through the resiliant rubber plunger.
The disposable injection syringe of this invention is also of a simple design such that there are no instructions and/or training that is required to use the syringe. The tamper evident sealing cap at the needle end is a known fixture in hospitals for use on serum finished vials though not with syringes. Furthermore the syringe of the present invention does not require any extra parts, packages, or assembly outside of attachment of a needle or catheter. Furthermore the simple design and use of the cap permits in hospital custom filling by addition of the liquid contents through the open needle ; end.
The resulting syringe prevents tampering in that at the plunger end access through the use of needles is ~ 5 --not feasible while at the needle end any tampering is evident through the use of the sealing cap resulting in a disposable syringe which provides security and int~grity while at the same time being of simple design.
BRIEF_DESCRIPTION OF THE DRAWINGS
Details of preferred embodiments of the invention are described by reference to the accompanying drawings:
Figure 1 is a side view, partially in section, of the injection syringe according to this invention without the needle or catheter being attached.
Figure ~ is an exploded view showing the - separate parts of the i-njection syringe shown in Figure 1.
Figure 3 is a side view, partially in section, ;- of a coMplete injection syringe with the needle attached.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENT
In the following descriptions, the corresponding 1 20 elements as shown in each figure of the drawings are given the same reference number.
In Figure 1 of the drawings the syringe indicated at 1 includes certain conventional elements such as a metal, glass or plastic outer shell 2, a plunger 3, a plunger rod 4 at one end and a needle nub 5 at the other.
In addition at the plunger end there is located a collar 6.
The collar 6 consists of a finger grip 7 as well as having an interior collar portion 8.
The plunger rod has adjacent the plunger a circumferential flange 9 which is of a diameter greater than the inside diameter of the collar flange 8 that in use prevents the plunger rod from being withdrawn. By necessity the difference in diameters need only be of sufficient extent to prevent removal of the piston from - 35 the syringe. In addition the circumferential flange 9 ~L2S7~ 3 must be close fitting with the interior of the container 2 to prevent insertion of a needle between the flange and the inside of the cylinder.
The plunger 3 and the plunger rod 4 may be permentally affixed to one another or alternatively may be attached by a screw which permits the plunger rod to be removable from the plunger. Even thou~h the plunger may be removable from the plunger rod, neither plunger rod nor the plunger can be removed from the container by reason of the collar 6 and flange 9.
The collar 6 can be attached to the cylinder through the use of cement, a snap fit or alternatively may be an integral part of the container~
The plunger 8 is perferrably a Teflon* faced L5 syringe plunger of the type manufactured by the West Company tTeflon is a registered trademark of E.I. Dupont de Nemours and Company Inc.) Teflon faced rubber plungers provide a relatively inert substance which also follows the contours of the surface to and around the periphery of the plunger. When the Teflon coated plunger is inserted in the container the outer diameter of the plunger is slightly larger than the inner diameter of the vial resulting in a compressive force which makes the Te-flon contact the glass container. The uncoated surface of the plug is an effective sealing contact with the vial or container. The Teflon face syringe plunger may have on the plunger rod side recess grooves which are adapted to accept a screw from the plunger rod.
The needle nub 5 can also be an integral part of the syringe cylinder or alternatively may be glued or otherwise fused to the cylinder. At the needle end of the nub there are located means for attaching a needle or a ____ * trademarks ~2~ 3 catheter to the inside portion of the need nub. The outside of the needle nub is designed to receive the cap 10 which is composed of two parts, an aluminium top half closure ll and a rubber stopper or liner 12. This cap are available from the West Company of Phoenixville, Pennsylvannia U.S.A. and are sold as Tip Off* seals. When the cap 10 is tipped off in use, the rubber seal 12 is automatically removea which avoids contact with the vials or cylinders mouth by the users hand. ~e one step l~ removal of the stopper and seal makes the cap quick to open and easy to use. Once the seal has been taken off signs of tampering are evident and the cap 10 can not be reattached to the syringe without the prior removal being evident.
The Tip Off* cap can be applied to the syringe using a rotary type screw feed West capper model RW-600*
or a manually operated capper. One standard size for the tip off seal is the 13 millimeter size seal.
Tip of f seals are commonly used in hospital settings for serum finished vials though have not been used with syringes. Because of the similarity with tip off seals in the hospital setting, no instruction would be required to educate users of the syringe as to the manner of removing the seal.
Figure 3 shows a syringe after the cap has been removed and a needle 13 has been attached. Attachment of the needle is achieved by scre~ing the needle with a needle shield attached onto the screw threads 14. The screw threads are located on the inside wall of the needle nub 5.
The needle attachment method is preferably the luer-lock* system which results and insures a tight and secure fit of the needle or tubing for the injection.

* trademarks ~257~L6:~

The sterile disposable needles can be of the type commercially available from B-D Yale*, though any type of quick attachment needle would be suitable.

The syringe would be assembled ~irst of all by insertion of the plunger and plunger rod into the cylinder and then by attachment of the collar 6 and the needle nub 5 .
The drug to be administered can be either be packaged at the pharmaceutical manufacturers' facilities or alternatively may be filled in a hospital pharma~y.
If the drug is packaged with the syringe at the pharmaceutical manufacturers' facilities, automative machinery can be used to insert the drug through the needle opening end 15 followed by automated capping by attachment of the cap 10. The syringe in this form is in a sterile sealed environment which can be then readily packaged and distribute~ until required to be used, at which time the cap is tipped off, the needle inserted and then immediately injected.
Alternatively a pharmacy can obtain empty syringes consisting of the needle nub 5, the cyllnder 2, the plunger 3, plunger rod 4 and collar 6. ~he syringe can be filled with a specific drug on a custom basis that is required for use in the hospital with the use of vial filling apparatus. Hand-capping machinery is available that would permit a cap 10 to be applied in the pharmacy of the hospital resulting in a syringe that will remain integral until the syringe is used.
The resulting syringe is of such a design that easy and visible aspiration is possible where the syringe is plastic or glass. The pre~errable material for the cylinder is glass made of a type 1 bora silicate glass which has strength, transparentcy and inertness.

~25~ 3 .. . g In addition the plunger rod 4 can be optionally tapered to permit easy handling during aspiration.
Disclosed in the drawings is a ribbed type plunger rod, though tha plunger rod could optionally be a solid cylindrical type which is designed to be close fitting to the interior of the collar 8 to further prevent insertion of a needle and thus to maintain the integrity of the contents of the syringeO
The flange 9 while primarily present to p~event tampering also provides greater stabili~ation of the plunger during injection.
A further method of use of the syringe is where the contents of the syringe are not added to the patient through a needle but rather a cathater is used. The luer-lock* system permits application of a either a needle or a cathater to the syringe providing additional flexability in the use of this product.

.
* trademarks

Claims (12)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. A unitary tamper evident syringe, comprising:
a barrel body defining a substantially cylindrical interior chamber for the receipt of material to be injected into a subject, said body having a needle end with a needle nub fixedly secured thereto, said nub removably supporting tamper evident closure means. and upon removal of said closure means thereafter receiving one of a needle and a catheter thereon, and having an open plunger end adapted for the passage of a plunger rod therethrough;
tamper evident closure means, mounted on said needle nub, and including deformable members which can not be re-affixed to said needle nub as originally mounted once removed without the said removal being evident;
interference means, fixedly secured to said barrel body plunger end, including a rigid annular element positioned at said body plunger end for reducing the diameter of the passage therethrough, and plunger means reciprocally received within said barrel body, for controllably expelling fluid within said chamber outwardly through said needle end of said body, said plunger means including a plunger element having a close fit to the interior of said body chamber and received on the end of a plunger rod reciprocally disposed within said body chamber, said plunger rod extending outwardly of said chamber through said body plunger end with a close fit to the reduced diameter thereof; wherein said plunger means further includes a rigid flange received about said plunger rod interposed between said plunger element and said interference means and having a close fit with the interior of said body chamber, to prevent insertion of a needle into said barrel body interior chamber through said open plunger end thereof whereby said rigid flange engages the reduced diameter passage defined by said interference means at said body plunger end as said plunger means is moved in a direction to withdraw same from said body chamber, so as to affirmatively prevent intentional complete removal of said plunger means from said body chamber, wherefore damage to any of the foregoing elements or defeat of said interference means evidences tampering of said unitary syringe.
2. A syringe as in claim 1, wherein said rigid flange forms a part of said plunger rod.
3. A syringe as in claim 2, wherein said annular element of said interference means comprises a collar.
4. A syringe as in claim 3 wherein said collar has an external extension which defines a finger grip for a user of said syringe.
5. A syringe as in claim 3 wherein said collar includes a split ring assembly received about said plunger rod.
6. A disposable tamper evident injection syringe comprising: an elongated cylindrical container for storage of injectable material having at one end a nozzle with attachment means for selective attachment of one of an injection needle, catheter and a tamper evident sealing cap, and at the other end a collar fixedly secured to said container; a plunger which is movable within said container for expelling material therein to be injected; a plunger rod attached to said plunger for moving said plunger; a rigid flange attached to said plunger rod which is in close fitting relation to the inside wall of said container and of greater dimension than the inner dimension of said collar, such that in use said plunger can not be removed from said cylinder without evidence of tampering thereof because said flange engages said collar as said plunger rod is moved in a withdrawal direction, and said material to be injected can not be removed by insertion of a needle through or alongside of said plunger since same can not be intentionally completely withdrawn from said container.
7. A syringe as in claim 6 further including a tamper evident sealing cap mounted on said nozzle to provide a sterile seal, in use said cap being easily removable to allow attachment of an injection needle or catheter but which when removed can not be replaced without such removal being evident, whereby tampering is indicated at said one end of said container.
8. An attachment for removably supporting a tamper evident sealing cap on a disposable injection syringe of the type having a container for storing material to be injected and expelling means within the container for expelling such material from a given end of the container said attachment comprising a needle nub for fixed attachment to the given end of the container, having a generally cylindrical construction of about the same diameter as that of the container and having interiorly-defined receiver means for removably receiving one of an injection needle and catheter for passage therethrough of the material being expelled from the syringe and further having exteriorly-defined mounting means including a circumferential rib for receiving a tamper evident closure of the type comprising a flexible plug and a deformable metallic exterior mounted about said rib and which can not be re-affixed thereto as originally mounted once removed therefrom, whereby tampering of said closure is indicated.
9. An attachment as in claim 8, wherein said receiver means includes screw threads located on an inside wall of said needle nub.
10. An attachment as in claim 8, wherein said circumferential rib includes a radial projection located about said needle nub on an end thereof away from where said nub attaches to the container given end.
11. An attachment as in claim 8, wherein said needle nub is formed as an integral part of the syringe container on the given end thereof.
12. An attachment as in claim 8, wherein said needle nub is permanently attached to the cylinder given end of a pre-existing syringe.
CA000491356A 1985-09-23 1985-09-23 Tamper evident injection syringe Expired CA1257163A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CA000491356A CA1257163A (en) 1985-09-23 1985-09-23 Tamper evident injection syringe
US07/132,625 US4832695A (en) 1985-09-23 1987-12-04 Tamper evident injection syringe

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CA000491356A CA1257163A (en) 1985-09-23 1985-09-23 Tamper evident injection syringe

Publications (1)

Publication Number Publication Date
CA1257163A true CA1257163A (en) 1989-07-11

Family

ID=4131449

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000491356A Expired CA1257163A (en) 1985-09-23 1985-09-23 Tamper evident injection syringe

Country Status (2)

Country Link
US (1) US4832695A (en)
CA (1) CA1257163A (en)

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