|Numéro de publication||USRE37908 E1|
|Type de publication||Octroi|
|Numéro de demande||US 09/579,315|
|Date de publication||19 nov. 2002|
|Date de dépôt||25 mai 2000|
|Date de priorité||28 déc. 1995|
|État de paiement des frais||Caduc|
|Autre référence de publication||CA2241631A1, CA2241631C, EP0959770A1, US5755673, WO1997024067A1|
|Numéro de publication||09579315, 579315, US RE37908 E1, US RE37908E1, US-E1-RE37908, USRE37908 E1, USRE37908E1|
|Inventeurs||Phillip Spencer Kinsey|
|Cessionnaire d'origine||Bio-Plexus, Inc.|
|Exporter la citation||BiBTeX, EndNote, RefMan|
|Citations de brevets (42), Référencé par (8), Classifications (15), Événements juridiques (7)|
|Liens externes: USPTO, Cession USPTO, Espacenet|
This application is a continuation of application Ser. No. 08/580,322 filed on Dec. 28, 1995, now abandoned.
1. Field of the Invention
The present invention relates to the manipulation of devices through which fluids are delivered to and/or withdrawn from an animal through venipuncture. More particularly, this invention is directed to a holder for use with a fluid collection and/or injection system of the type including a double ended needle assembly and associated fluid container and, specifically, to such a holder having an actuation mechanism for selectively mounting or detaching the needle assembly. Accordingly, the general objects of the present invention are to provide novel and improved methods and apparatus of such character.
2. Description of the Related Art
While not limited thereto in its utility, the present invention is particularly well suited for use in fluid transfer systems of the type which are used to inject fluids into and to draw blood specimens from a patient. Current medical practice requires that the fluid containers and needle assemblies used in such systems be inexpensive and readily disposable. Consequently, existing blood collection systems, for example, typically employ some form of durable, reusable holder on which detachable and disposable needles and fluid collection tubes may be mounted. A blood collection system of this nature can be assembled prior to use and then disassembled after usage. Thus, these blood collection systems allow repeated use of the relatively expensive holder upon replacement of the relatively inexpensive disposable needle and/or fluid collection tube. In addition to reducing the cost of collecting blood specimens, these blood collection systems also help minimize the production of hazardous medical waste.
The most popular design configuration of previously available blood collection systems includes a double ended needle assembly, an evacuated collection tube, and a holder for maintaining the needle assembly and the collection tube in fixed relation. The double ended needle assembly, which is also referred to as a cannula, has a bore extending therethrough and a hub near a central region thereof. The evacuated fluid collection tube includes a puncturable stopper at one end thereof. In this type of blood collection system, the holder typically has a housing at one end thereof for receiving the needle assembly. Likewise, the holder also has a hollow body with an opening at an opposite end thereof for receiving the collection tube. The needle assembly is rigidly received within the housing of the holder such that a first end of the needle extends forwardly of the holder for puncturing the vein of a patient. The opposite, second end of the needle extends into the hollow body of the holder. Upon assembly of the blood collection system, the needle assembly is inserted into the housing and the collection tube is inserted through the open end of the hollow body until the second end of the needle pierces the puncturable stopper of the collection tube, thereby allowing fluid communication between the interior of the collection tube and the bore which extends through the needle assembly. To draw a blood specimen from a patient using one of these blood collection systems, the evacuated collection tube is partially inserted into one end of the holder, the first end of the needle is inserted into a patient's vein and the collection tube is fully inserted into the holder such that blood will be drawn through the bore of the needle assembly and into the fluid collection tube. After drawing the specimen, the collection tube is removed so that the blood contained therein can be analyzed and the needle assembly is detached for disposal. In addition to being capable of accommodating blood collection tubes, the holders of some prior art fluid transfer systems are compatible with fluid containers having a fluid to be injected into a patient. Thus, such holders can be used to inject fluid into, as well as draw blood specimens from, a patient. Efforts to improve prior art fluid transfer systems of the type briefly described above have largely focused on improving the mechanism for removably mounting the needle assembly to the holder.
One early, and extremely popular, type of mechanism for removably mounting a needle assembly to a holder utilized a fixed threaded passageway at one end of the holder designed to threadably receive complementary threads on the hub of the needle assembly. With a holder of this type, a threaded cannula could be screwed into position prior to drawing a blood specimen from a patient, subsequently unscrewed from the holder and discarded.
Blood collection systems employing a holder with a fixed threaded passageway, however, suffer from a number of serious deficiencies. The most serious of these deficiencies stems from the need for the health care worker to physically handle the cannula after it has been in contact with the patient's blood in order to unscrew the threaded cannula from the holder. This handling typically entails placing a protective cap on the externally extending portion of the threaded cannula, twisting the threaded cannula to free it from the fixed threaded passageway of the holder, and disposing of the used cannula. Thus, removal of the needle from a blood collection device of this type inevitably gives rise to the possibility of accidental contact between the health care worker and the patient's blood. Another deficiency of the above-described arrangement resides in the relatively long period of time it takes a health care worker to remove the needle from the holder. Nonetheless, due to widespread usage of this type of blood collection system, health care workers have now become accustomed to using threaded cannulas.
In response to the above-mentioned deficiencies of fixed threaded passageway holders, holders have recently been developed which employ unthreaded needle-locking mechanisms with a remote release element for ejecting the needle assembly from the needle-locking mechanism. This type of arrangement has generally been considered to be a functional improvement over fixed threaded passageway holders because, by operating the release element, a health care worker may quickly remove a needle assembly from a holder without the need to physically contact any portion of the needle assembly directly. This reduces the risk that the health care worker will accidentally contact the patient's blood. To date, however, most of the blood collection devices with holders having releasable needle-locking mechanisms have been incompatible with what has now become the industry standard threaded cannula, i.e., a double needle assembly with a threaded hub in a central region thereof and a hub disk located at one end of the threaded portion of the hub. Thus, most of these recently developed holders have required the use of relatively expensive, custom designed needle assemblies.
Holders having a needle ejection feature which are compatible with the standard double needle configuration have also been developed. However, these holders have either suffered from overall poor performance and/or have required the use of a separate adapter, for accommodating a standard threaded cannula, which is discarded along with the cannula upon removal of the cannula from the holder. In addition to increasing the overall cost of the blood collection system, the use of such an adapter can also unnecessarily complicate assembly and/or disassembly of the blood collection system.
In light of the foregoing, there exists a need in the health care industry for a needle holder for use with a fluid transfer system which (1) is compatible with standard threaded cannulas; (2) allows a user to detach a threaded cannula from the holder without physically handling any portion of the threaded cannula; and (3) is capable of operating effectively without the need for any additional components.
The present invention satisfies the above needs, and overcomes the above-stated and other deficiencies of the prior art, by providing a holder having a cannula actuation mechanism within a housing at one end of the holder for removably mounting an externally threaded cannula thereto. The actuation mechanism includes first and second mounting jaws, which may comprise first and second threaded halves with surfaces which cooperate to define a threaded passageway therebetween when the threaded halves are in a cannula-mounting position. At least one of the threaded halves is mounted within the housing in such a manner as to allow movement thereof from the cannula-mounting position to a retracted position wherein the threaded surfaces define a gap which is appreciably greater than the maximum cross-section of the cannula hub. The actuation mechanism also includes an actuator with at least one structural portion for normally maintaining the threaded halves in the cannula-mounting position. The actuator is slidably mounted to the holder and operably associated with the threaded halves such that, upon user-operation of the actuator, at least one of the threaded halves moves to the retracted position. To removably mount a standard double ended cannula to a holder in accordance with the present invention, a user simply inserts a standard threaded cannula, with its protective cap in place, into the holder and screws the threads of the cannula hub into the threaded passageway defined by the threaded surfaces of the threaded halves until the hub disk of the cannula hub abuts the top surfaces of the threaded halves. To release a threaded cannula from a holder in accordance with the present invention, the user simply orients the holder over a “sharps disposal box” such that the first end of the cannula extends vertically below the holder, and depresses the actuator to retract the threaded halves thereby allowing the cannula to fall from the holder under the force of gravity.
The cannula holder of the present invention is wholly compatible with standard threaded cannulas. This compatibility is achieved by pivotably mounting at least one of the threaded halves of the actuation mechanism within a housing located at one end of the holder. When these threaded halves are in the cannula-mounting position, a standard threaded cannula can be threaded into the threaded passageway in the same manner as a standard threaded needle assembly would be threaded into a holder having a fixed threaded passageway. However, upon user-operation of an actuator, which is located on the holder in a position where it is unlikely to be contaminated, at least one of the threaded halves pivots apart to a retracted position, thereby detaching the threaded cannula from the actuation mechanism. Thus, the present invention is compatible with standard threaded needle assemblies and can be used by health care workers in a manner substantially similar to the prior art needle holders to which they are accustomed.
Another significant advantage of the present invention when compared to previously available needle holders with an ejection capability is reduced cost. Since the present invention is wholly compatible with both standard threaded cannulas and standard fluid collection tubes, holders in accordance with the present invention do not require the use of expensive custom made cannulas and/or additional custom made components.
Yet another advantage of the invention relative to previously available fluid collection devices is improved reliability and ease of operation. To assemble a fluid transfer device using a holder in accordance with the present invention, a user simply threads a standard cannula into the actuation mechanism at one end of the holder and inserts a fluid container into an opening at the opposite end of the holder. After use, the fluid container is removed from the holder, the holder is positioned over a “sharps disposal box”, and the actuator is depressed thereby retracting the threaded halves of the holder and allowing the cannula to fall into the “sharps disposal box” under the force of gravity. This assembly procedure is identical to the assembly procedure used with conventional prior art holders. The disassembly procedure, on the other hand, avoids the need to unscrew a cannula, twist a bayonet mechanism or flip a lever as was necessary with various prior art holders.
The present invention will be described below with reference to the accompanying drawings, wherein like reference numerals represent like elements in the several figures, and wherein:
FIG. 1 is a perspective view of one embodiment of a holder in accordance with the present invention shown in combination with a standard threaded cannula and a standard fluid collection tube;
FIG. 2 is an exploded perspective view of the holder shown in FIG. 1;
FIG. 3a is a cross-sectional view of the holder shown in FIGS. 1 and 2, illustrating the actuation mechanism in a cannula-mounting position;
FIG. 3b is a view similar to FIG. 3a, illustrating the actuation mechanism in the retracted position;
FIG. 4a is a fragmentary medial sectional view, taken along the longitudinal axis, of the holder of FIGS. 1 and 2 shown in combination with a cannula; FIG. 4a illustrating the actuation mechanism in the cannula-mounting position; and
FIG. 4b is a fragmentary, medial sectional view, taken along the longitudinal axis, of the holder of FIGS. 1 and 2 shown in combination with a cannula; FIG. 4b illustrating the actuation mechanism in the retracted position.
With reference to the drawings, FIG. 1 shows a perspective view of a holder 10 in accordance with the present invention in combination with a standard threaded cannula 40 and a standard collection tube 50. Holder 10 generally consists of a hollow body 14, a housing 11 having an end cap 60 at one end thereof, and an actuation mechanism 20. Body 14 of holder 10 defines a longitudinal axis 5. Threaded cannula 40 is shown in axial alignment with axis 5 for insertion into actuation mechanism 20. Threaded cannula 40 has a first end 42, a second end 43, and a threaded hub, indicated generally at 45, intermediate the ends. A longitudinal bore 44 extends along the length of cannula 40. Hub 45 of threaded cannula 40 includes a threaded portion 48 which terminates, at one end thereof, at a hub disk 46. When cannula 40 is mounted on holder 10, the first end 42 extends forwardly of holder 10 and the second end 43 extends into hollow body 14.
Collection tube 50, when the system is assembled and in use, will also be in axial alignment with hollow body 14 of holder 10 and will be received therein. Collection tube 50, in the disclosed embodiment, is a standard evacuated blood specimen collection tube which consists of an elongated tube 52 having a rubber stopper 54 at one end thereof. The rubber stopper 54 has a puncturable membrane 56 in a central region of the stopper 54. Upon insertion of collection tube 50 into the hollow region of hollow body 14, second end 43 of threaded cannula 40 pierces membrane 56 and extends into the interior of tube 52. Thus, when the fluid transfer system is fully assembled, bore 44 of cannula 40 is in fluid communication with the interior of collection tube 50 and the system can be used to draw a blood specimen from a patient. Alternatively, the present invention may be used to inject a fluid into a patient using a fluid container with a piston for injection of a fluid into a patient. First and second grip tabs 19 and 19′ on holder 10 assist insertion of collection tube 50, or other fluid container, into holder 10.
With primary reference now to FIG. 2, the various components of holder 10 will be described in greater detail. As shown in FIG. 2, actuation mechanism 20 generally consists of a spring biased actuator, indicated generally at 30, a pivot axle 21 and first and second threaded halves 22 and 22′, respectively. Housing 11 includes a bearing wall 39, the end cap 60, sidewalls 18 and 18′ and end walls 15 and 15′ (see FIGS. 3a and 3b). While bearing wall 39 and pivot axle 21 are preferably integrally formed with an end wall 16 of hollow body 14, threaded halves 22 and 22′, and actuator 30, are movably mounted to housing 11. Actuation mechanism 20 is captured within housing 11 between end wall 16 and end cap 60. As shown in FIG. 2, threaded halves 22 and 22′ preferably include apertured collars 25 and 25′ which are pivotably mounted within housing 11 via engagement with pivot axle 21. Alternatively, each of threaded halves 22 and 22′ can be pivotably mounted within housing 11 for rotation about separate pivot axles. Threaded halves 22 and 22′ also include first and second threaded surfaces 24 and 24′, respectively, which generally face one another and which cooperate to define a threaded passageway 23 (see FIG. 3a) having a substantially circular cross-section when biased to the position shown in FIGS. 3a and 4a. First and second threaded halves 22 and 22′ further include substantially planar first and second top surfaces 28 and 28′, respectively, located substantially perpendicularly to threaded surfaces 24 and 24′. First and second torque members 26 and 26′ extend from collars 25 and 25′, respectively, and define torque arms for driving threaded halves 22 and 22′ in respective first directions about pivot axle 21. Actuator 30 is generally in the form of a user-operable push-button which is operably associated with first and second threaded halves 22 and 22′. Actuator 30 generally consists of an external element 38, first and second driver arms 32 and 32′ extending therefrom, resilient fingers 36 and 36′, and a stop member 35. Additionally, drive projections 34 and 34′, respectively, extend from the free ends of arms 32 and 32′ for engagement with respective torque members 26 and 26′.
As shown in FIG. 2, substantially planar end cap 60 has an extended portion 64 at one end thereof, a recess 63 at an opposite end thereof, and an aperture 62 therebetween. Upon assembly of holder 10, end cap 60 serves to retain most of actuator 30 and first and second threaded halves 22 and 22′ within housing 11. To secure end cap 60 to holder 10, end cap 60 preferably engages sidewalls 18 and 18′ of housing 11 at beveled regions 65 and 67 and a lip on bearing wall 39 at a beveled region 66. Additionally, recess 63 of end cap 60 preferably engages pivot axle 21 in snap-fit fashion to prevent end cap 60 from sliding from holder 10. As an alternative, end cap 60 may be secured to holder 10 with many other well known fixation means such as adhesive bonding, affixation with fasteners or any equivalent thereof. When holder 10 is assembled, aperture 62 of end cap 60, aperture 17 of end wall 16 and threaded passageway 23 defined between threaded surfaces 24 and 24′ are generally coaxial. This relationship defines a continuous passageway through which a threaded cannula 40 may pass upon insertion thereof into holder 10.
The operation of the various components of actuation mechanism 20 will now be described with joint reference to FIGS. 3a and 3b. FIG. 3a shows a cross sectional view of the holder of FIGS. 1 and 2 illustrating actuation mechanism 20 in the cannula-mounting position. When actuation mechanism 20 is in this position, actuator 30 is urged radially outward with respect to housing 11 by the cooperation of resilient fingers 36 and 36′ and bearing wall 39. In this position of actuator 30, external portion 38 thereof is substantially aligned with grip tab 19 and (FIG. 2) extended portion 64 of end cap 60. Furthermore, shoulders on drive projections 34 and 34′ contact exterior surfaces of threaded halves 22 and 22′ and arms 32 and 32′, respectively, contact side walls 18 and 18′ of housing 11 to constrain threaded halves 22 and 22′ from pivoting apart. Thus, in the cannula-mounting position, cooperation between drive projections 34 and 34′ and threaded halves 22 and 22′, ensures maintenance of a rigid threaded passageway 23 between facing threaded surfaces 24 and 24′.
The movement of actuation mechanism 20 from the cannula-mounting position into the retracted position occurs upon user-operation of actuator 30. As described above, external element 38 of actuator 30 extends radially outwardly from holder 10 when actuation mechanism 20 is in the cannula-mounting position. Upon depression of external element 38 of actuator 30 in the direction of arrow 7 (see FIG. 3b), arms 32 and 32′ cooperate with side walls 18 and 18′ to guide actuator 30 linearly in the direction of arrow 7. Upon partial depression of external element 38, drive projections 34 and 34′ temporarily disengage from threaded halves 22 and 22′. Thus, threaded halves 22 and 22′ are no longer constrained from rotation about pivot axle 21. Upon further depression of external element 38, drive projections 34 and 34′ engage torque members 26 and 26′ to urge threaded halves 22 and 22′ to pivot in opposite directions about pivot axle 21 from the cannula-mounting position to the retracted position shown in FIG. 3b. Simultaneously with depression of external element 38, resilient fingers 36 and 36′ are bent inwardly and the outer surface of external element 38 becomes generally flush with the outer surface of holder 10. When actuator 30 is fully depressed, torque members 26 and 26′ are pinched between end walls 15 and 15′ of housing 11 and drive projections 34 and 34′ of actuator 30. Additionally, resilient fingers 36 and 36′ are pinched between bearing wall 39 and stop member 35 of actuator 30. Upon release of actuator 30, resilient fingers 36 and 36′ and bearing wall 39 cooperate to urge actuator 30 to slide back to its initial position along a linear path in a direction opposite to that of arrow 7. During return of actuator 30 to its initial position, drive projections 34 and 34′, once again, cooperate with threaded halves 22 and 22′ to return threaded halves 22 and 22′ to the cannula-mounting position. Optionally, a number of operationally equivalent structures can be used to pivot threaded halves 22 and 22′ between the cannula-mounting and retracted positions. For example, at least one of torque members 26 and 26′ can be positioned on top surfaces 28 and 28′ of threaded halves 22 and 22′, for engagement with at least one camming channel on actuator 30. An additional option includes providing threaded engagement between the various components of the actuation mechanism 20 such as between torque members 26 and 26′ and actuator 30.
The cooperation between actuation mechanism 20 and threaded cannula 40 will now be described in greater detail with reference to FIGS. 4a and 4b. FIG. 4a depicts a cross-sectional view of holder 10 illustrating actuation mechanism 20 in the cannula-mounting position in combination with cannula 40. As shown therein, when threaded cannula 40 has been fully threaded into threaded passageway 23 of holder 10, threads 48 of cannula hub 45 engage threaded surfaces 24 and 24′ of threaded halves 22 and 22′. Additionally, hub disk 46 of cannula hub 45 abuts top surfaces 28 and 28′ to prevent further rotation of cannula 40. Since aperture 62 of end cap 60 and aperture 17 of end wall 16 are both appreciably larger than threaded passageway 23, the only contact between holder 10 and cannula 40 occurs between threads 48 and threaded surfaces 24 and 24′, and between hub disk 46 and top surfaces 28 and 28′. Limiting contact between holder 10 and cannula 40 in this way helps ensure effective removal of cannula 40 from actuation mechanism 20 upon retraction of threaded halves 22 and 22′.
Referring now to FIG. 4b, actuation mechanism 20 is shown therein with threaded halves 22 and 22′ in the retracted position and threaded cannula 40 aligned with, but detached from, actuation mechanism 20. As illustrated in FIG. 4b, the substantially thinner driver arms 32 and 32′ of actuator 30 are generally aligned with threaded halves 22 and 22′ to allow threaded halves 22 and 22′ to retract away from one another. Also as shown, when threaded halves 22 and 22′ are in the retracted position, threaded surfaces 24 and 24′ no longer define a threaded passageway. Since threaded surfaces 24 and 24′ are now generally aligned with the perimeters of apertures 62 and 17, threaded cannula 40 is detached from actuation mechanism 20. Thus, if holder 10 is oriented vertically, cannula 40 is free to fall from holder 10 under the force of gravity and holder 10 can be subsequently reused. The various components of holder 10 can be made from a wide variety of materials. In one reduction to practice, hollow body 14, housing 11, bearing wall 39 and pivot axle 21 are integrally formed from inexpensive, moldable plastic. Additionally, in this embodiment first and second threaded halves 22 and 22′ and end cap 60 are also individually formed of inexpensive plastic. The actuator 30, however, is preferably made from an acetal, or equivalents thereof, because of its resilience, its durability and its low coefficient of friction. These properties enable resilient fingers 36 and 36′ to provide sufficient biasing force against movement of actuator 30 while still allowing actuator 30 to freely glide against sidewalls 18 and 18′ when depressed.
While a preferred embodiment of the present invention has been illustrated and described in detail, it should be readily appreciated that many modifications and changes thereto are within the ability of those of ordinary skill in the art. Therefore, the appended claims are intended to cover any and all of such modifications which fall within the true spirit and scope of the invention.
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|Classification aux États-Unis||600/577|
|Classification internationale||A61B5/15, A61M5/32, A61M5/34|
|Classification coopérative||A61B5/150496, A61B5/150389, A61M5/344, A61M2005/3206, A61B5/150732, A61B5/15003, A61B5/150572, A61B5/154, A61B5/1444|
|Classification européenne||A61M5/34C, A61B5/14B12B|
|6 nov. 2002||AS||Assignment|
|26 mai 2006||FPAY||Fee payment|
Year of fee payment: 8
|26 mai 2006||SULP||Surcharge for late payment|
Year of fee payment: 7
|21 juin 2007||AS||Assignment|
Owner name: ICU MEDICAL SALES, INC., CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BIO-PLEXUS MERGER CORP.;REEL/FRAME:019477/0033
Effective date: 20021113
|7 déc. 2009||AS||Assignment|
Owner name: CARDIOMED SUPPLIES INC., CANADA
Free format text: LICENSE;ASSIGNORS:GAVEN MEDICAL LLC;ICU MEDICAL SALES, INC.;REEL/FRAME:023668/0940;SIGNING DATES FROM 20071219 TO 20090914
|28 déc. 2009||REMI||Maintenance fee reminder mailed|
|21 mai 2010||LAPS||Lapse for failure to pay maintenance fees|