WO2011047413A1 - Blood flash needle - Google Patents

Blood flash needle Download PDF

Info

Publication number
WO2011047413A1
WO2011047413A1 PCT/AU2010/001334 AU2010001334W WO2011047413A1 WO 2011047413 A1 WO2011047413 A1 WO 2011047413A1 AU 2010001334 W AU2010001334 W AU 2010001334W WO 2011047413 A1 WO2011047413 A1 WO 2011047413A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
fluid
observation
needle portion
chamber
Prior art date
Application number
PCT/AU2010/001334
Other languages
French (fr)
Inventor
Aaron Leonard Rodd
Ross Joseph Cali
Original Assignee
Medigard Limited
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
Priority claimed from AU2009905146A external-priority patent/AU2009905146A0/en
Application filed by Medigard Limited filed Critical Medigard Limited
Priority to EP10824295.9A priority Critical patent/EP2490592B1/en
Priority to AU2010310866A priority patent/AU2010310866B2/en
Priority to CN201080054026.4A priority patent/CN102665550B/en
Priority to PL10824295T priority patent/PL2490592T3/en
Priority to CA2778394A priority patent/CA2778394C/en
Priority to JP2012534494A priority patent/JP5684270B2/en
Priority to US13/503,571 priority patent/US9615782B2/en
Priority to ES10824295.9T priority patent/ES2490247T3/en
Publication of WO2011047413A1 publication Critical patent/WO2011047413A1/en
Priority to ZA2012/03001A priority patent/ZA201203001B/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150473Double-ended needles, e.g. used with pre-evacuated sampling tubes
    • A61B5/150488Details of construction of shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150015Source of blood
    • A61B5/15003Source of blood for venous or arterial blood
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150206Construction or design features not otherwise provided for; manufacturing or production; packages; sterilisation of piercing element, piercing device or sampling device
    • A61B5/150259Improved gripping, e.g. with high friction pattern or projections on the housing surface or an ergonometric shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150389Hollow piercing elements, e.g. canulas, needles, for piercing the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150503Single-ended needles
    • A61B5/150511Details of construction of shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150503Single-ended needles
    • A61B5/150519Details of construction of hub, i.e. element used to attach the single-ended needle to a piercing device or sampling device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150572Pierceable protectors, e.g. shields, caps, sleeves or films, e.g. for hygienic purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/15058Joining techniques used for protective means
    • A61B5/150587Joining techniques used for protective means by friction fit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150694Procedure for removing protection means at the time of piercing
    • A61B5/150702Procedure for removing protection means at the time of piercing fully automatically removed, i.e. the removing does not require any action by the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150694Procedure for removing protection means at the time of piercing
    • A61B5/150717Procedure for removing protection means at the time of piercing manually removed
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150732Needle holders, for instance for holding the needle by the hub, used for example with double-ended needle and pre-evacuated tube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/153Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
    • A61B5/1535Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes comprising means for indicating vein or arterial entry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/153Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
    • A61B5/154Devices using pre-evacuated means
    • A61B5/1545Devices using pre-evacuated means comprising means for indicating vein or arterial entry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/155Devices specially adapted for continuous or multiple sampling, e.g. at predetermined intervals

Definitions

  • the present invention relates to a device for drawing fluid from a lumen.
  • the present invention relates to a device for drawing blood from a blood vessel.
  • Intravenous blood collection devices have long been used to draw bodily fluids from patients.
  • collecting a bodily fluid such as blood, involves inserting a needle into a vessel or lumen from which the fluid is to be drawn and then collecting the fluid as it flows through the needle.
  • some intravenous blood collection devices have been provided with transparent windows that allow a user to observe a "flash" of blood that confirms that the needle tip is correctly positioned.
  • the flash may be small or obscured, meaning that it may be difficult to detect.
  • the invention resides broadly in a device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is provided with enhancement means adapted to enhance the visibility of the fluid in the observation portion.
  • the invention resides in a device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is configured to enhance the visibility of the fluid in the observation portion.
  • the first and second needle portions may be of any suitable size, shape or configuration. Preferably, however, the first and second needle portions are substantially tubular so that a fluid (for instance, blood) may flow through the first and second needle portions.
  • a fluid for instance, blood
  • the first needle portion may be adapted to be inserted into a patient's body.
  • the first needle portion may be adapted to pierce or puncture the patient's skin and enter a lumen (such as a blood vessel) from which fluid may be drawn.
  • the first needle portion is adapted to function as a puncture needle.
  • the second needle portion is adapted to be brought into communication with a medical device.
  • the second needle portion may be adapted to be brought into contact with a fluid collection vessel (such as a vial, test tube, flask, bag or the like), a flexible tube, a syringe or the like.
  • the medical device may be provided with a seal, meaning that the second needle portion may be required to pierce of puncture the seal (such as a plug, bung, membrane or the like) in order to be brought into communication with the medical device.
  • the second needle portion is adapted to function as a puncture needle.
  • the second needle portion may be provided with covering means adapted to prevent leakage of fluid from the second needle portion before the second needle portion is brought into contact with a medical device.
  • Any suitable covering means may be used, although in a preferred embodiment of the invention, the covering means may comprise a flexible sheath adapted to prevent any fluid exiting the second needle portion from leaking out of the device. It is envisaged that, when the second needle portion is brought into communication with a medical device, the second needle portion will puncture the covering means, thereby allowing fluid to flow from the second needle portion into the medical device.
  • the first needle portion may form a part of a first needle, while the second needle portion may form a part of a second needle, the first and second needles being spaced apart from one another within the body of the device.
  • the first and second needle portions form part of a single needle. In this embodiment, it is envisaged that the first and second needle portions form opposing ends of a single needle.
  • the needle extends entirely through the body such that the first needle portion extends from a forward portion of the body while the second needle portion extends from a rear portion of the body.
  • the body may comprise a passageway or bore therein through which the needle may be passed.
  • the passageway may be of any suitable dimensions, however in a preferred embodiment of the invention, the passageway has a diameter along at least a portion of its length that is large enough to retain the needle in the passageway in a frictional engagement. Typically, this frictional engagement may occur at or toward the forward of rearward end of the body.
  • the passageway may include a chamber portion along a portion of its length.
  • the chamber portion is of a greater diameter than the remainder of the passageway such that a gap is formed between the needle and the inner wall of the chamber portion.
  • the needle is provided with one or more apertures that, when the device is assembled, align with the chamber portion. In use, it is envisaged that a portion of the fluid flowing through the needle will enter the chamber portion through the one or more apertures in the needle.
  • the chamber portion may be of any suitable size or configuration.
  • the chamber portion may extend entirely about the circumference of the needle, thereby comprising an annular chamber surrounding the needle.
  • the chamber portion may extend only partially around the circumference of the needle.
  • the volume of the chamber portion is relatively small.
  • the volume of the chamber is smaller than the volume of the needle over which the chamber lies such that only a small amount of fluid is required to be diverted out of the needle and into the chamber before the chamber is filled.
  • the chamber may be or form a part of the enhancement means that enables a user to observe the fluid in the chamber portion, rather than a large volume of fluid being required to enable the user to view the fluid.
  • the chamber is annular, another advantage of the invention will be that the fact that the fluid is present will be ascertainable from any direction when viewing the device. A smaller volume of fluid can be used in the annular chamber than would be used to fill a cylindrical chamber and the annual chamber will typically have a larger surface area than a cylindrical chamber of the same volume.
  • the observation portion of the body is fabricated from a transparent or semi-transparent material (such as glass or plastic).
  • the observation portion is substantially aligned with the chamber portion of the passageway such that fluid entering the chamber portion may be observed through the observation portion of the body.
  • the observation portion may comprise a portion of the outer surface of the body.
  • the entire body may be fabricated from a transparent or semi-transparent material so that the flow of fluid may be observed from any angle. This is particularly the case if the chamber portion extends entirely about the circumference of the needle.
  • the observation portion is provided with enhancement means to enhance the visibility of the fluid in the observation portion.
  • enhancement means to enhance the visibility of the fluid in the observation portion.
  • the enhancement means may be of any suitable form. However, in a preferred embodiment of the invention the enhancement means comprise one or more recesses or shaped portions in the body.
  • the recesses may be of any suitable size, shape or configuration.
  • the one or more recesses may be in the form of one or more dimples in the surface of the body.
  • the one or more recesses may be in the form of channels or grooves extending in one or more directions along the surface of the body.
  • the one or more recesses are shaped so as to refract, multiply and/or enhance the image of the fluid in the chamber portion to make the fluid easier for a user to see.
  • the one or more recesses are substantially concave in order to improve the refraction, multiplication and/or enhancement of the image of the fluid in the chamber portion.
  • the enhancement means may be a particular colour as some colours or tints will make some fluids more visible to the naked eye of an operator. It is also possible that the enhancement means may contain a material to react with the fluid to make the fluid more easily visible to the naked eye of an operator.
  • the enhancement means may therefore be a physical enhancement means or a chemical enhancement means. If the frictional engagement between the needle and the passageway is not sufficient to retain the needle within the body, retaining means may be used to retain the needle in place. Preferably, the retaining means are adapted to seal one or more ends of the body (in order to prevent leakage of fluid) and/or to retain the needle in place.
  • one or both of the front and rear portions of the body may be provided with retaining means such as retaining caps or retaining plugs.
  • the retaining means may be in the form of a settable or hardenable material, such as an adhesive or a thermosetting plastic, applied to one or more ends of the body.
  • the needle is retained in place by the set or hardened material.
  • one or both of the retaining caps or retaining plugs and the body may be provided with engagement means adapted to improve the engagement between the retaining caps or retaining plugs and the body.
  • the retaining caps or retaining plugs may be retained within the body using adhesives or the like.
  • connection means adapted to allow the device to be connected to a suitable medical device.
  • the connection means may be of any suitable form.
  • the connection means may be one or more projections, clips, fasteners or the like.
  • the connection means may comprise a screw-threaded portion adapted for connection to a complementary screw-threaded portion in a medical device.
  • the connection means will typically be provided on a rear portion of the body adjacent the second needle portion.
  • one or both of the first and second needle portions may be provided with needle caps during transportation and storage.
  • the invention resides broadly in a device for drawing blood from a lumen, comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes a transparent observation portion adapted to allow visual observation of the blood, and wherein the observation portion is provided with one or more recesses adapted to enhance the visibility of the blood in the observation portion.
  • Figure 1 illustrates a perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 2 illustrates a side view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 3 illustrates a side view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 4 illustrates a cross-sectional view of the device for drawing fluid from a lumen illustrated in Figure 3 through section 3-3;
  • Figure 5 illustrates a perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 6 illustrates a sectional perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 7 illustrates a cross-sectional view of a device for drawing fluid from a lumen according to an embodiment of the present invention
  • Figure 8 illustrates an exploded perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention.
  • FIG. 1 there is shown a perspective view of a device 10 for drawing fluid from a lumen according to an embodiment of the present invention.
  • the device 10 comprises a body 1 1, a first needle portion 12 and a second needle portion (obscured) that is covered by a flexible sheath 13.
  • first needle portion 11 is covered by a first needle cap 14 while the second needle portion (obscured) is covered by a second needle cap 15.
  • the first needle portion 12 is in the form of a tubular puncture needle adapted to puncture a patient's skin (not shown) in order to draw fluid (such as blood) through the device 10.
  • the device 10 is provided with retaining means 16 in a forward portion of the body 11, the retaining means 16 being adapted to retain the first needle portion 12 in place within the body 1 1.
  • the rear portion of the body 11 is provided with a screw-threaded portion 17 adapted to facilitate connecting the device 10 to a complementary screw- threaded portion of a medical device (not shown).
  • a medical device not shown
  • the second needle portion (obscured) is held against a seal (such as a membrane, bung, plug or the like) in the medical device and a force is applied to the device 10 such that the second needle portion (obscured) punctures the flexible sheath 13 from within and simultaneously punctures the seal of the medical device.
  • the body 11 includes an observation portion 18 fabricated from a transparent or semi- transparent material, and through which the fluid "flash" inside the body 11 may be observed.
  • the observation portion 18 is provided with a plurality of recesses 19 in the form of channels or grooves that are adapted to refract, multiply and/or enhance the image of the fluid within the body 11.
  • FIG 2 there is shown a side view of a device 10 for drawing fluid from a lumen.
  • the device 10 is shown in its storage or transportation condition, wherein the first and second needle portions (obscured) are covered by the first needle cap 14 and the second needle cap 15 respectively. In this way, the device 10 may be stored and transported without damaging the needle portions and maintaining the sterility of the device 10.
  • Figure 3 there is shown a side view of a device 10 for drawing fluid from a lumen. In this Figure the second needle cap (not shown) has been removed to expose the flexible sheath 13 covering the second needle portion (obscured).
  • Figure 4 illustrates a cross-sectional view of the device 10 for drawing fluid from a lumen illustrated in Figure 3 through section 3-3.
  • the first needle cap 14 is provided with a plurality of projections 21 thereon.
  • the projections 21 are adapted to be located in the recesses 19 in the body 11.
  • the projections 21 engage with the recesses 19 in a frictional engagement so as to prevent the needle cap 14 from falling off or being knocked off inadvertently during storage or transportation (or the device 10 slipping out of the needle cap 14 when being prepared for use).
  • the projections 21 prevent the needle cap 14 from spinning on the device 10 when the device 10 is being connected to a medical device (not shown), for instance in a screw-threaded engagement.
  • the projections 21 effectively transfer rotational torque to the device 10 so that the device 10 may be securely attached to a medical device (not shown).
  • the first needle portion 12 extends through the body 1 1.
  • the first needle portion 12 is substantially tubular such that fluid withdrawn from a lumen passes through the interior of the first needle portion 12.
  • a chamber portion 22 in the form of an annular ring surrounding the first needle portion 12 (and substantially co-axial therewith) may be seen.
  • Figure 5 a perspective view of a device 10 for drawing fluid from a lumen is shown.
  • the tubular nature of the first needle section 12 may be seen, along with the retaining means 16 in a forward portion of the body 1 1.
  • the recesses 19 in the observation portion 18 extending substantially co-axially with the first needle portion 12.
  • the recesses 19 are substantially concave so that even a small amount of blood flash will be refracted and multiplied so that a user will immediately be aware that the first needle portion 12 is correctly positioned.
  • FIG 6 there is shown a sectional perspective view of a device 10 for drawing fluid from a lumen.
  • the rear portion of the device 10 is shown.
  • the second needle portion 23 may be seen extending through the rear portion of the device 10.
  • the second needle portion 23 is surrounded by (and substantially co-axial with) the chamber portion 22 along a portion of the length of the second needle portion 23.
  • the second needle portion 23 is covered along a portion of its length by the flexible sheath 13 that prevents fluid in the second needle portion 23 from being lost or contaminated or from coming into contact with a user.
  • the second needle portion 23 When the second needle portion 23 is brought into contact with a medical device (not shown), the second needle portion 23 simultaneously punctures both the seal (or bung etc) of the medical device (not shown) and the flexible sheath 13, allowing fluid to flow from the second needle portion 23 into the medical device.
  • the flexible sheath 13 is resealable, such that, if multiple medical devices (such as blood collection tubes) must be connected to the device 10 in a sequential manner, the sheath 13 will cover the second needle portion 23 once a first medical device is removed and before a second medical device is connected. In this way, the second needle portion 23 is covered to prevent accidental injury or fluid flow through the needle while no medical device is attached.
  • multiple medical devices such as blood collection tubes
  • Figure 7 illustrates a cross-sectional view of a device 10 for drawing fluid from a lumen.
  • the needle is provided with an aperture 24 that is aligned with the chamber portion 22 of the body 11 such that some of the fluid flowing through the needle enters the chamber portion 22 through the aperture 24.
  • the fluid entering the chamber portion 22 may be observed through the observation portion 18 of the body 11.
  • the plurality of recesses 19 in the observation portion 18 ensure that, even if only a small amount of fluid enters the chamber portion 22, the image of the fluid will be multiplied or enhanced such that a user will quickly and easily be able to identify the presence of the fluid.
  • the user will immediately know that the first needle portion 12 is correctly positioned in the lumen.
  • the forward end of the body 11 is provided with a retaining means 16 which engages with the body 11 and retains the first needle portion 12 therein.
  • the rear end of the body comprises a screw-threaded portion 17 for allowing the device 10 to be brought into screw-threaded engagement with a suitable medical device (not shown).
  • the flexible sheath 13 may also be seen engaged with and retained on the rear portion of the body 1 1.
  • Figure 8 there is shown an exploded perspective view of a device 10 for drawing fluid from a lumen. All of the component parts of the device 10 may be clearly seen in this Figure.
  • first needle portion 12 and the second needle portion 23 comprise opposing ends of a single needle, the needle having an aperture 24 therein through which some of the fluid passing through the needle may exit into the chamber portion (obscured).
  • the needle passes through and is retained in a body 11, the body 11 having an observation portion 18 fabricated from a transparent or semi-transparent material to allow inspection of the interior of the body 1 1.
  • the observation portion 18 is provided with a plurality of recesses 19 that enhance, refract and/or multiply the image of the fluid in the chamber portion (obscured) making identification of the fluid (such as a blood flash) fast and easy.
  • the rear end of the body has a flexible sheath 13 attached thereto, the flexible sheath 13 covering the second needle portion 23 to prevent leakage or contamination of the fluid in the needle, and to prevent the user from coming into contact with the fluid in the needle.
  • the forward end of the body 1 1 is provided with a retaining means 16 which engages with the body and retains the first needle portion 12 therein.
  • the device 10 is provided with a first needle cap 14 and a second needle cap 15 that protect the first needle portion 12 and the second needle portion 23 respectively from damage and contamination during storage and transportation of the device 10.
  • the present invention provides a number of important advantages over the prior art. Firstly, the presence of the enhancement means allows a user to quickly and easily determine whether the first needle portion is correctly positioned, making the process of drawing the fluid faster and less uncomfortable for the patient. In addition, the ability to rapidly determine the correct location of the first needle portion reduces the likelihood of injuring the patient due to incorrect positioning.
  • the number of parts required to construct the device is reduced, as well as the cost and ease of construction.
  • providing a single needle rather than two separate needles reduces the likelihood that a needle will come loose and fall out of the device, making the device unusable.

Abstract

A device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is provided with enhancement means adapted to enhance the visibility of the fluid in the observation portion.

Description

Blood Flash Needle
Field of the Invention.
The present invention relates to a device for drawing fluid from a lumen. In particular, the present invention relates to a device for drawing blood from a blood vessel.
Background Art.
Intravenous blood collection devices have long been used to draw bodily fluids from patients. Typically, collecting a bodily fluid, such as blood, involves inserting a needle into a vessel or lumen from which the fluid is to be drawn and then collecting the fluid as it flows through the needle.
However, in situations in which the vessel or lumen is small or not visible, it may be difficult to locate the tip of the needle within the vessel. Not only does this have the potential to undermine the integrity of the sample, but a failure to correctly locate the tip of the needle could also cause injury to the patient should the needle come into contact with tissue or organs. As a result, it is desirable to provide a mechanism that allows for confirmation of the correct positioning of the tip of the needle.
In the past, some intravenous blood collection devices have been provided with transparent windows that allow a user to observe a "flash" of blood that confirms that the needle tip is correctly positioned. However, the flash may be small or obscured, meaning that it may be difficult to detect.
Thus, there would be an advantage if it were possible to provide a blood collection device that provided a user with a clear visual indication of the correct positioning of a needle.
It will be clearly understood that, if a prior art publication is referred to herein, this reference does not constitute an admission that the publication forms part of the common general knowledge in the art in Australia or in any other country. Throughout this specification, the term "comprising" and its grammatical equivalents shall be taken to have an inclusive meaning unless the context of use indicates otherwise. Object of the Invention.
It is an object of the present invention to provide a device for drawing fluid from a lumen which may overcome at least some of the abovementioned disadvantages, or provide a useful or commercial choice. In one aspect, the invention resides broadly in a device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is provided with enhancement means adapted to enhance the visibility of the fluid in the observation portion.
In an alternative aspect, the invention resides in a device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is configured to enhance the visibility of the fluid in the observation portion.
The first and second needle portions may be of any suitable size, shape or configuration. Preferably, however, the first and second needle portions are substantially tubular so that a fluid (for instance, blood) may flow through the first and second needle portions.
In a preferred embodiment of the invention, the first needle portion may be adapted to be inserted into a patient's body. For instance, the first needle portion may be adapted to pierce or puncture the patient's skin and enter a lumen (such as a blood vessel) from which fluid may be drawn. Thus, in a preferred embodiment of the present invention, the first needle portion is adapted to function as a puncture needle. Preferably, the second needle portion is adapted to be brought into communication with a medical device. For instance, the second needle portion may be adapted to be brought into contact with a fluid collection vessel (such as a vial, test tube, flask, bag or the like), a flexible tube, a syringe or the like. In some embodiments of the invention, the medical device may be provided with a seal, meaning that the second needle portion may be required to pierce of puncture the seal (such as a plug, bung, membrane or the like) in order to be brought into communication with the medical device. Thus, in a preferred embodiment, the second needle portion is adapted to function as a puncture needle.
In a preferred embodiment, the second needle portion may be provided with covering means adapted to prevent leakage of fluid from the second needle portion before the second needle portion is brought into contact with a medical device. Any suitable covering means may be used, although in a preferred embodiment of the invention, the covering means may comprise a flexible sheath adapted to prevent any fluid exiting the second needle portion from leaking out of the device. It is envisaged that, when the second needle portion is brought into communication with a medical device, the second needle portion will puncture the covering means, thereby allowing fluid to flow from the second needle portion into the medical device.
In some embodiments, the first needle portion may form a part of a first needle, while the second needle portion may form a part of a second needle, the first and second needles being spaced apart from one another within the body of the device. However, in a preferred embodiment of the invention, the first and second needle portions form part of a single needle. In this embodiment, it is envisaged that the first and second needle portions form opposing ends of a single needle.
In embodiments of the invention in which the first and second needle portions form part of a single needle, it is preferred that the needle extends entirely through the body such that the first needle portion extends from a forward portion of the body while the second needle portion extends from a rear portion of the body. Thus, it is envisaged that the body may comprise a passageway or bore therein through which the needle may be passed.
The passageway may be of any suitable dimensions, however in a preferred embodiment of the invention, the passageway has a diameter along at least a portion of its length that is large enough to retain the needle in the passageway in a frictional engagement. Typically, this frictional engagement may occur at or toward the forward of rearward end of the body.
In a preferred embodiment of the invention, the passageway may include a chamber portion along a portion of its length. Preferably, the chamber portion is of a greater diameter than the remainder of the passageway such that a gap is formed between the needle and the inner wall of the chamber portion. In this embodiment of the invention, it is preferred that the needle is provided with one or more apertures that, when the device is assembled, align with the chamber portion. In use, it is envisaged that a portion of the fluid flowing through the needle will enter the chamber portion through the one or more apertures in the needle.
The chamber portion may be of any suitable size or configuration. For instance, the chamber portion may extend entirely about the circumference of the needle, thereby comprising an annular chamber surrounding the needle. Alternatively, the chamber portion may extend only partially around the circumference of the needle.
Preferably, the volume of the chamber portion is relatively small. For instance, it is preferred that the volume of the chamber is smaller than the volume of the needle over which the chamber lies such that only a small amount of fluid is required to be diverted out of the needle and into the chamber before the chamber is filled. Thus, the chamber may be or form a part of the enhancement means that enables a user to observe the fluid in the chamber portion, rather than a large volume of fluid being required to enable the user to view the fluid. If the chamber is annular, another advantage of the invention will be that the fact that the fluid is present will be ascertainable from any direction when viewing the device. A smaller volume of fluid can be used in the annular chamber than would be used to fill a cylindrical chamber and the annual chamber will typically have a larger surface area than a cylindrical chamber of the same volume.
In a preferred embodiment, the observation portion of the body is fabricated from a transparent or semi-transparent material (such as glass or plastic). Preferably, the observation portion is substantially aligned with the chamber portion of the passageway such that fluid entering the chamber portion may be observed through the observation portion of the body. The observation portion may comprise a portion of the outer surface of the body. Alternatively, the entire body may be fabricated from a transparent or semi-transparent material so that the flow of fluid may be observed from any angle. This is particularly the case if the chamber portion extends entirely about the circumference of the needle.
As previously stated, the observation portion is provided with enhancement means to enhance the visibility of the fluid in the observation portion. By this it is meant that the user's ability to see the fluid is enhanced by the enhancement means.
The enhancement means may be of any suitable form. However, in a preferred embodiment of the invention the enhancement means comprise one or more recesses or shaped portions in the body. The recesses may be of any suitable size, shape or configuration. For instance, the one or more recesses may be in the form of one or more dimples in the surface of the body. Alternatively, the one or more recesses may be in the form of channels or grooves extending in one or more directions along the surface of the body. In a preferred embodiment, the one or more recesses are shaped so as to refract, multiply and/or enhance the image of the fluid in the chamber portion to make the fluid easier for a user to see. Thus, it is preferred that the one or more recesses are substantially concave in order to improve the refraction, multiplication and/or enhancement of the image of the fluid in the chamber portion.
It is further provided that the enhancement means may be a particular colour as some colours or tints will make some fluids more visible to the naked eye of an operator. It is also possible that the enhancement means may contain a material to react with the fluid to make the fluid more easily visible to the naked eye of an operator. The enhancement means may therefore be a physical enhancement means or a chemical enhancement means. If the frictional engagement between the needle and the passageway is not sufficient to retain the needle within the body, retaining means may be used to retain the needle in place. Preferably, the retaining means are adapted to seal one or more ends of the body (in order to prevent leakage of fluid) and/or to retain the needle in place. For instance, one or both of the front and rear portions of the body may be provided with retaining means such as retaining caps or retaining plugs. Alternatively, the retaining means may be in the form of a settable or hardenable material, such as an adhesive or a thermosetting plastic, applied to one or more ends of the body. In this embodiment, the needle is retained in place by the set or hardened material. In embodiments of the invention in which retaining caps or retaining plugs are present, one or both of the retaining caps or retaining plugs and the body may be provided with engagement means adapted to improve the engagement between the retaining caps or retaining plugs and the body. Alternatively, the retaining caps or retaining plugs may be retained within the body using adhesives or the like. In some embodiments of the invention, the rear portion of the body (or, if present, the retaining device located at the rear of the body) may be provided with connection means adapted to allow the device to be connected to a suitable medical device. The connection means may be of any suitable form. For instance, the connection means may be one or more projections, clips, fasteners or the like. Alternatively, the connection means may comprise a screw-threaded portion adapted for connection to a complementary screw-threaded portion in a medical device. The connection means will typically be provided on a rear portion of the body adjacent the second needle portion. In a preferred embodiment of the invention, one or both of the first and second needle portions may be provided with needle caps during transportation and storage. In this way, damage to the needle portions may be prevented, and the likelihood of a user accidentally injuring themselves on the needle portions is reduced. In another aspect, the invention resides broadly in a device for drawing blood from a lumen, comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes a transparent observation portion adapted to allow visual observation of the blood, and wherein the observation portion is provided with one or more recesses adapted to enhance the visibility of the blood in the observation portion.
Brief Description of the Drawings.
An embodiment of the invention will be described with reference to the following drawings in which:
Figure 1 illustrates a perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention;
Figure 2 illustrates a side view of a device for drawing fluid from a lumen according to an embodiment of the present invention;
Figure 3 illustrates a side view of a device for drawing fluid from a lumen according to an embodiment of the present invention;
Figure 4 illustrates a cross-sectional view of the device for drawing fluid from a lumen illustrated in Figure 3 through section 3-3;
Figure 5 illustrates a perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention;
Figure 6 illustrates a sectional perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention; Figure 7 illustrates a cross-sectional view of a device for drawing fluid from a lumen according to an embodiment of the present invention;
Figure 8 illustrates an exploded perspective view of a device for drawing fluid from a lumen according to an embodiment of the present invention.
Detailed Description of the Drawings.
It will be appreciated that the drawings have been provided for the purposes of illustrating preferred embodiments of the present invention and that the invention should not be considered to be limited solely to the features as shown in the drawings. In Figure 1 there is shown a perspective view of a device 10 for drawing fluid from a lumen according to an embodiment of the present invention. The device 10 comprises a body 1 1, a first needle portion 12 and a second needle portion (obscured) that is covered by a flexible sheath 13. During transportation and storage the first needle portion 11 is covered by a first needle cap 14 while the second needle portion (obscured) is covered by a second needle cap 15.
The first needle portion 12 is in the form of a tubular puncture needle adapted to puncture a patient's skin (not shown) in order to draw fluid (such as blood) through the device 10.
The device 10 is provided with retaining means 16 in a forward portion of the body 11, the retaining means 16 being adapted to retain the first needle portion 12 in place within the body 1 1. The rear portion of the body 11 is provided with a screw-threaded portion 17 adapted to facilitate connecting the device 10 to a complementary screw- threaded portion of a medical device (not shown). In use, when the device 10 is brought into communication with a medical device (not shown), the second needle portion (obscured) is held against a seal (such as a membrane, bung, plug or the like) in the medical device and a force is applied to the device 10 such that the second needle portion (obscured) punctures the flexible sheath 13 from within and simultaneously punctures the seal of the medical device. In this way, fluid may be retained within the device 10 until such time as the device 10 is in communication with a medical device (not shown). The body 11 includes an observation portion 18 fabricated from a transparent or semi- transparent material, and through which the fluid "flash" inside the body 11 may be observed. The observation portion 18 is provided with a plurality of recesses 19 in the form of channels or grooves that are adapted to refract, multiply and/or enhance the image of the fluid within the body 11.
In Figure 2 there is shown a side view of a device 10 for drawing fluid from a lumen. In this Figure, the device 10 is shown in its storage or transportation condition, wherein the first and second needle portions (obscured) are covered by the first needle cap 14 and the second needle cap 15 respectively. In this way, the device 10 may be stored and transported without damaging the needle portions and maintaining the sterility of the device 10. In Figure 3 there is shown a side view of a device 10 for drawing fluid from a lumen. In this Figure the second needle cap (not shown) has been removed to expose the flexible sheath 13 covering the second needle portion (obscured).
Figure 4 illustrates a cross-sectional view of the device 10 for drawing fluid from a lumen illustrated in Figure 3 through section 3-3. In this Figure it may be seen that the first needle cap 14 is provided with a plurality of projections 21 thereon. The projections 21 are adapted to be located in the recesses 19 in the body 11. Preferably, the projections 21 engage with the recesses 19 in a frictional engagement so as to prevent the needle cap 14 from falling off or being knocked off inadvertently during storage or transportation (or the device 10 slipping out of the needle cap 14 when being prepared for use).
In addition, the projections 21 prevent the needle cap 14 from spinning on the device 10 when the device 10 is being connected to a medical device (not shown), for instance in a screw-threaded engagement. Thus, the projections 21 effectively transfer rotational torque to the device 10 so that the device 10 may be securely attached to a medical device (not shown).
In this Figure, it may be seen that the first needle portion 12 extends through the body 1 1. The first needle portion 12 is substantially tubular such that fluid withdrawn from a lumen passes through the interior of the first needle portion 12. In addition, a chamber portion 22 in the form of an annular ring surrounding the first needle portion 12 (and substantially co-axial therewith) may be seen. In Figure 5 a perspective view of a device 10 for drawing fluid from a lumen is shown. In this Figure, the tubular nature of the first needle section 12 may be seen, along with the retaining means 16 in a forward portion of the body 1 1. It may also be seen that the recesses 19 in the observation portion 18 extending substantially co-axially with the first needle portion 12. The recesses 19 are substantially concave so that even a small amount of blood flash will be refracted and multiplied so that a user will immediately be aware that the first needle portion 12 is correctly positioned.
Turning now to Figure 6, there is shown a sectional perspective view of a device 10 for drawing fluid from a lumen. In particular, the rear portion of the device 10 is shown. In this Figure the second needle portion 23 may be seen extending through the rear portion of the device 10. The second needle portion 23 is surrounded by (and substantially co-axial with) the chamber portion 22 along a portion of the length of the second needle portion 23.
The second needle portion 23 is covered along a portion of its length by the flexible sheath 13 that prevents fluid in the second needle portion 23 from being lost or contaminated or from coming into contact with a user. When the second needle portion 23 is brought into contact with a medical device (not shown), the second needle portion 23 simultaneously punctures both the seal (or bung etc) of the medical device (not shown) and the flexible sheath 13, allowing fluid to flow from the second needle portion 23 into the medical device.
In addition, the flexible sheath 13 is resealable, such that, if multiple medical devices (such as blood collection tubes) must be connected to the device 10 in a sequential manner, the sheath 13 will cover the second needle portion 23 once a first medical device is removed and before a second medical device is connected. In this way, the second needle portion 23 is covered to prevent accidental injury or fluid flow through the needle while no medical device is attached.
Figure 7 illustrates a cross-sectional view of a device 10 for drawing fluid from a lumen. In this Figure it may be seen that the first needle portion 12 and the second needle portion 23 are actually opposing ends of a single needle. The needle is provided with an aperture 24 that is aligned with the chamber portion 22 of the body 11 such that some of the fluid flowing through the needle enters the chamber portion 22 through the aperture 24. The fluid entering the chamber portion 22 may be observed through the observation portion 18 of the body 11. The plurality of recesses 19 in the observation portion 18 ensure that, even if only a small amount of fluid enters the chamber portion 22, the image of the fluid will be multiplied or enhanced such that a user will quickly and easily be able to identify the presence of the fluid. Thus, the user will immediately know that the first needle portion 12 is correctly positioned in the lumen.
The forward end of the body 11 is provided with a retaining means 16 which engages with the body 11 and retains the first needle portion 12 therein.
The rear end of the body comprises a screw-threaded portion 17 for allowing the device 10 to be brought into screw-threaded engagement with a suitable medical device (not shown). The flexible sheath 13 may also be seen engaged with and retained on the rear portion of the body 1 1.
In Figure 8 there is shown an exploded perspective view of a device 10 for drawing fluid from a lumen. All of the component parts of the device 10 may be clearly seen in this Figure.
Firstly it may be seen that the first needle portion 12 and the second needle portion 23 comprise opposing ends of a single needle, the needle having an aperture 24 therein through which some of the fluid passing through the needle may exit into the chamber portion (obscured).
The needle passes through and is retained in a body 11, the body 11 having an observation portion 18 fabricated from a transparent or semi-transparent material to allow inspection of the interior of the body 1 1. The observation portion 18 is provided with a plurality of recesses 19 that enhance, refract and/or multiply the image of the fluid in the chamber portion (obscured) making identification of the fluid (such as a blood flash) fast and easy.
The rear end of the body has a flexible sheath 13 attached thereto, the flexible sheath 13 covering the second needle portion 23 to prevent leakage or contamination of the fluid in the needle, and to prevent the user from coming into contact with the fluid in the needle. The forward end of the body 1 1 is provided with a retaining means 16 which engages with the body and retains the first needle portion 12 therein.
Finally, the device 10 is provided with a first needle cap 14 and a second needle cap 15 that protect the first needle portion 12 and the second needle portion 23 respectively from damage and contamination during storage and transportation of the device 10.
It will be understood that the present invention provides a number of important advantages over the prior art. Firstly, the presence of the enhancement means allows a user to quickly and easily determine whether the first needle portion is correctly positioned, making the process of drawing the fluid faster and less uncomfortable for the patient. In addition, the ability to rapidly determine the correct location of the first needle portion reduces the likelihood of injuring the patient due to incorrect positioning.
Furthermore, by providing a single needle, rather than first and second needles as in many prior art devices, the number of parts required to construct the device is reduced, as well as the cost and ease of construction. In addition, providing a single needle rather than two separate needles reduces the likelihood that a needle will come loose and fall out of the device, making the device unusable.
Those skilled in the art will appreciate that the present invention may be susceptible to variations and modifications other than those specifically described. It will be understood that the present invention encompasses all such variations and modifications that fall within its spirit and scope.

Claims

Claims.
1. A device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is provided with enhancement means adapted to enhance the visibility of the fluid in the observation portion.
2. A device for drawing fluid from a lumen comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes an observation portion adapted to allow visual observation of the fluid, and wherein the observation portion is configured to enhance the visibility of the fluid in the observation portion.
3. A device according to claim 1 or claim 2 wherein the first needle portion is adapted to function as a puncture needle.
4. A device according to any one of claims 1 to 3 wherein the second needle portion is adapted to be brought into communication with a medical device.
5. A device according to claim 4 wherein the second needle portion is provided with covering means adapted to prevent leakage of fluid from the second needle portion before the second needle portion is brought into communication with the medical device.
6. A device according to claim 4 or claim 5 wherein the medical device comprises a fluid collection vessel, flexible tube, syringe or the like.
7. A device according to any one of the preceding claims wherein the first needle portion and the second needle portion form opposing ends of a single needle.
8. A device according to any one of the preceding claims wherein the body includes a passageway therein through which the first needle portion and the second needle portion are passed.
9. A device according to claim 8 wherein the passageway comprises a chamber portion along a portion of its length, the diameter of the chamber portion being greater than the diameter of the remainder of the passageway such that a gap is formed between the first needle portion and/or the second needle portion and an inner wall of the chamber portion.
10. A device according to claim 9 wherein the observation portion is fabricated from a transparent or semi-transparent material and is substantially aligned with the chamber portion such that fluid entering the chamber portion may be observed through the observation portion.
11. A device according to claim 1 wherein the enhancement means comprises one or more recesses or shaped portions in the body.
12. A device according to claim 11 wherein the enhancement means are substantially concave.
13. A device according to any one of the preceding claims wherein the device further comprises retaining means adapted to seal one of more ends of the body and/or to retain the first needle portion and/or second needle portion in place.
14. A device according to claim 13 wherein the retaining means comprises one or more retaining caps or retaining plugs.
15. A device according to any one of the preceding claims wherein the rear portion of the body is provided with connection means adapted to allow the device to be connected to a medical device.
16. A device according to claim 15 wherein the connection means comprises a screw- threaded portion.
17. A device according to any one of the preceding claims wherein one or both of the first and second needle portion are provided with needle caps during transportation and storage.
18. A device according to any one of the preceding claims wherein the fluid is blood.
19. A device for drawing blood from a lumen, comprising a body, a first needle portion extending from a forward portion of the body and a second needle portion extending from a rear portion of the body, wherein the body includes a transparent observation portion adapted to allow visual observation of the blood, and wherein the observation portion is provided with one or more recesses adapted to enhance the visibility of the blood in the observation portion.
PCT/AU2010/001334 2009-10-22 2010-10-11 Blood flash needle WO2011047413A1 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
EP10824295.9A EP2490592B1 (en) 2009-10-22 2010-10-11 Blood flash needle
AU2010310866A AU2010310866B2 (en) 2009-10-22 2010-10-11 Blood flash needle
CN201080054026.4A CN102665550B (en) 2009-10-22 2010-10-11 Blood flash needle
PL10824295T PL2490592T3 (en) 2009-10-22 2010-10-11 Blood flash needle
CA2778394A CA2778394C (en) 2009-10-22 2010-10-11 Blood flash needle
JP2012534494A JP5684270B2 (en) 2009-10-22 2010-10-11 Blood flush needle
US13/503,571 US9615782B2 (en) 2009-10-22 2010-10-11 Blood flash needle
ES10824295.9T ES2490247T3 (en) 2009-10-22 2010-10-11 Needle with blood reflux display
ZA2012/03001A ZA201203001B (en) 2009-10-22 2012-04-24 Blood flash needle

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AU2009905146 2009-10-22
AU2009905146A AU2009905146A0 (en) 2009-10-22 Blood flash needle

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WO2011047413A1 true WO2011047413A1 (en) 2011-04-28

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US (1) US9615782B2 (en)
EP (1) EP2490592B1 (en)
JP (1) JP5684270B2 (en)
CN (1) CN102665550B (en)
AU (1) AU2010310866B2 (en)
CA (1) CA2778394C (en)
ES (1) ES2490247T3 (en)
PL (1) PL2490592T3 (en)
PT (1) PT2490592E (en)
WO (1) WO2011047413A1 (en)
ZA (1) ZA201203001B (en)

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Also Published As

Publication number Publication date
AU2010310866B2 (en) 2013-08-22
EP2490592B1 (en) 2014-05-07
CN102665550B (en) 2014-12-24
US9615782B2 (en) 2017-04-11
CA2778394A1 (en) 2011-04-28
EP2490592A4 (en) 2013-05-01
ZA201203001B (en) 2013-06-26
JP5684270B2 (en) 2015-03-11
ES2490247T3 (en) 2014-09-03
PT2490592E (en) 2014-08-25
AU2010310866A1 (en) 2012-05-17
PL2490592T3 (en) 2014-11-28
EP2490592A1 (en) 2012-08-29
JP2013508038A (en) 2013-03-07
US20120232424A1 (en) 2012-09-13
CN102665550A (en) 2012-09-12
CA2778394C (en) 2018-01-02

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