Safety syringe abstract
A disposable two-component safety syringe with retractable injection
needle adapted for the separate storage of medicament and medicament
solvent and the pre-injection mixing thereof. The cartridge-type
syringe is adapted to be used manually or in conjunction with an
automatic injection/aspiration device for breaching a temporary
seal between chambers for the medicament and medicament solvent
immediately prior to injection are also provided. Pre-measured medicament
is provided in a form which requires no pre-injection agitation.
The cartridge is also provided with an injection needle disposed
completely within the cartridge housing for safely and sanitarily
withdrawing the injection needle to reside completely within the
disposable cartridge after use. In one embodiment of the invention,
a pushrod for automatically agitating the mixing components is provided.
Safety syringe claims
What is claimed is:
1. A mixing syringe for two-component medicaments comprising:
(A) a cartridge housing having a first end and a second end, said
cartridge housing having a substantially cylindrical cartridge housing
bore;
(B) a slidable cartridge disposed in said cartridge housing bore
and having a first end, a second end, and a temporary sealing barrier
disposed between said first and second ends and separating a cartridge
bore of said cartridge into a cylindrical medicament solvent charge
chamber and a cylindrical medicament charge chamber,
said cartridge housing having means connected thereto, for breaching
said temporary sealing barrier,
said cartridge being suitable for separately storing a medicament
solvent charge and a medicament charge in said medicament solvent
charge chamber and said medicament charge chamber, respectively,
said charges to be mixed to form a medicament to be expelled from
said cartridge;
(C) a piston disposed within said first end of said cartridge and
being slidably seated in said cartridge bore;
(D) a retractable needle housing assembly slidable in said cartridge
housing;
(E) a retractable injection needle fixedly attached to said needle
housing assembly and extending therethrough for injecting mixed
medicament; and
(F) a puncturable cartridge end stopper rigidly attached to and
sealing said second end of said cartridge;
said means for breaching the temporary sealing barrier between
chambers of said slidable cartridge comprising a pushrod having
an anchoring end and a puncturing end wherein said anchoring end
is connected to said cartridge housing, said pushrod extending from
said cartridge housing toward said cartridge puncturable end stopper;
said needle assembly housing having a pushrod aperture for freely
guiding said pushrod therethrough so that said puncturing end of
said pushrod resides in close proximity to and in alignment with
said puncturable cartridge end stopper.
2. The device of claim 1 wherein said breachable temporary sealing
barrier comprises a membrane.
3. The device of claim 2 wherein said membrane comprises a synthetic
polymer.
4. The device of claim 3 wherein said polymer is polystyrene.
5. The device of claim 2 wherein said membrane comprises rubber.
6. The device of claim 3 wherein said polymer is polyethylene.
7. The device of claim 1 wherein said needle housing assembly is
slidably disposed in said cylindrical bore of said cartridge housing
and wherein said injection needle comprises a hollow shaft, an internal
end, an internal shaft portion, an external end, an external shaft
portion, first and second apertures, and a passageway extending
through said hollow shaft and connecting said first and second apertures,
said needle being rigidly attached to and extending through said
needle housing,
said internal end of said needle extending through said needle
assembly housing toward said puncturable cartridge end stopper,
said external end of said needle extending toward said puncturable
end cap of said cartridge housing without protruding therefrom,
said needle being adapted to expel a medicament from said cartridge,
said housing having locking means for irreversibly locking said
needle assembly housing to said cartridge when said needle cap assembly
and said cartridge are a predetermined distance apart.
8. The device of claim 7 wherein said first injection needle aperture
is disposed in said internal needle shaft portion an appropriate
distance from said housing to receive fluid from a punctured medicament
cartridge, and
said second injection needle aperture is disposed in said external
needle end.
9. The device of claim 7 wherein said first injection needle aperture
is disposed in said internal needle shaft end, and
said second injection needle aperture is disposed in said external
needle end.
10. The device of claim 1 wherein said cartridge housing further
comprises
(G) a puncturable end cap, said end cap sealing said second end
of said cartridge housing and having a needle guide disposed therein.
11. The device of claim 1 wherein said piston further comprises
(H) an operating shaft for operating said piston and said cartridge
and for adapting said cartridge to other devices.
12. The device of claim 1 wherein said means fixedly attached to
said cartridge housing for breaching a temporary sealing barrier
between chambers of said slidable cartridge comprises a pushrod.
13. A mixing syringe for two-component medicaments comprising:
(A) a cartridge housing having a first end and a second end, said
cartridge housing having a substantially cylindrical cartridge housing
bore;
(B) a slidable cartridge disposed in said cartridge housing bore
and having a first end, a second end, and a temporary sealing barrier
disposed between said first and second ends and separating a cartridge
bore of said cartridge into a cylindrical medicament solvent charge
chamber and a cylindrical medicament charge chamber,
said cartridge housing having means connected thereto, for breaching
said temporary sealing barrier,
said cartridge being suitable for separately storing a medicament
solvent charge and a medicament charge in said medicament solvent
charge chamber and said medicament charge chamber, respectively,
said charges to be mixed to form a medicament to be expelled from
said cartridge;
(C) a piston disposed within said first end of said cartridge and
being slidably seated in said cartridge bore;
(D) a needle housing assembly rigidly attached to said cartridge
and contained wholly within said cartridge housing;
(E) an injection needle which is containable wholly within said
cartridge housing, which can be extended to a position in which
at least a portion of said needle extends outside of said cartridge
housing,
said needle being fixedly attached to said needle housing assembly
and extending therethrough for injecting mixed medicament;
(F) a puncturable end cap, said end cap sealing said second end
of said cartridge housing; and
(G) means for retracting said needle to reside completely within
said cartridge housing after the expulsion of said medicament from
said syringe;
said means for breaching the temporary sealing barrier between
chambers of said slidable cartridge comprising a pushrod having
an anchoring end and a puncturing end wherein said anchoring end
is connected to said cartridge housing, said pushrod extending from
said cartridge housing toward said cartridge puncturable end stopper;
said needle assembly housing having a pushrod aperture for freely
guiding said pushrod therethrough so that said puncturing end of
said pushrod resides in close proximity to and in alignment with
said puncturable cartridge end stopper.
Safety syringe description
BACKGROUND OF THE INVENTION
The present invention relates to a two-component safety injection
syringe for medical and research purposes and more particularly
to a device designed to separately store a medicament and a solvent
therefor until a time just prior to injection when the two substances
are mixed and then injected.
It is well known in the medical field that the shelf life of particular
pharmaceutically or medically active substances is increased when
the active substance is stored in a dry form or in stable but non-injectable
solution form prior to injection. Many drugs now being marketed
or being developed for marketing are not stable in their deliverable
solutions for a sufficient period of time to allow for commercial
distribution or have shelf lives which are unacceptably short. Among
these pharmaceuticals are epinephrine, which is used to treat severe
allergic and anaphylactic reactions, and cyclophosphamide, an anti-cancer
substance. Other pharmaceutically active substances such as urokinase,
which is used for dissolving blood clots, and glucagon, which is
used for treating hypoglycemia, are stable only in dry powder forms.
Papaverine, which is optimally stored in solution at very acidic
pH levels (in the range 2.0-2.8) must be mixed with a physiologically
acceptable solvent immediately prior to injection to avoid the painful
and destructive effects associated with acidic solutions. Other
medically active substances which do not store well in forms which
can be easily administered are adenosine triphosphate (available
from Genentech) and Prostaglandin-E which has a shelf life of only
24 hours when mixed for infusion.
However, storage of a medically active substance in a stable non-injectable
form necessitates the pre-injection mixing of the substance with
a medically acceptable solvent. Therefore, separate containers for
solvent and solute are generally used. However, this method of pre-injection
mixing is inconvenient because it requires more than one container.
The use of more than one container is also undesirable because judgement
on the part of the person mixing the medication is required to use
amounts which result in an appropriate dosage and also because of
the problems surrounding the difficulties in maintaining sterility
when materials from two or more separate containers are mixed.
Thus, it can be seen that a need exists for injection devices which
increase the shelf-life of particular pharmaceuticals by separately
storing the various components of certain medicaments for a commercially
acceptable period of time until a time just prior to injection.
A related need is for devices which increase those shelf-lives and
which require a minimum of preparation to insure a dependable and
correct dosage administration. The fulfillment of such need will
permit the commercial availability of many pharmaceuticals which
have been heretofore available only directly from professional medical
personnel.
In an attempt to solve these problems, a number of wet-dry syringes
which incorporate both solvent and medically active solute in the
same cartridge to be mixed just prior to injection have been developed.
U.S. Pat. No. 4689042 to Sarnoff et al. shows a two-barreled syringe
wherein the solid medicament and liquid solvent are stored in separate
container portions of the device. Pre-injection mixing and injection
in Sarnoff are controlled by a number of biasing springs which sequentially
operate by way of releasing mechanisms to propel the solvent from
one compartment into a dry medicament-containing compartment via
communicating passages. The entire apparatus is then agitated by
the operator to mix the medicament and solvent prior to the injection.
The operator then places the injection needle into target tissue
and actuates an injection mechanism which propels the mixed medicament
into the subject. Sarnoff is a complex mechanism employing many
components and requiring several discrete operating steps to use.
Similarly, U.S. Pat. No. 4755169 also to Sarnoff et al. discloses
a multi-compartmented stacked syringe-within-a-syringe assembly
wherein a biasing spring propels a mixing/injection piston and primary
needle to rupture a seal between the respective medicament component
compartments of the device. After agitation of the device and insertion
of the injection needle into a target site by the operator, the
biasing spring is again actuated to drive a second piston which
propels the mixed medicament into the subject. Although somewhat
simpler than the device of the '042 Sarnoff patent, the invention
of the '169 patent is also a complex mechanism employing many components
and requiring several discrete operating steps to use.
U.S. Pat. No. 4328802 to Curley et al. discloses a wet-dry syringe
and connected vial which are separated during use and wherein the
piston portion of the syringe, being biased by a spring, is actuated
to inject the solvent into the solute vial whereby mixing occurs.
Manual aspiration into the syringe is then necessitated to charge
the syringe with the mixed medicament/solvent solution. Removal
of the syringe portion from the syringe/vial assembly is required
prior to injection into the subject.
Other two-chambered syringes are marketed under the tradename Variject,
manufactured by Bunder Glas GmbH. The Bunder device is a single
cylinder syringe wherein a fluid bypass allows mixing of the medicament
solvent and medicament during operation of the device.
The multiple piston assemblies of the aforementioned devices are
mechanically complex and expensive to manufacture. In addition,
none of the aforementioned devices provides for the withdrawal of
the used injection needle to reside completely within the device
to afford safe disposal and disease prevention characteristics.
Another problem in the medical field is that of the communication
of infectious diseases caused by used needles and syringes and fluids
therefrom coming into contact with doctors, nurses, or other medical
personnel. Needle tips often remain exposed after aspiration of
a fluid or blood from a subject, or after injection of a medicine
into a subject and medical personnel are sometimes accidentally
pricked with such tips. This problem is particularly acute in situations
where a syringe and needle have been contaminated with particularly
virulent organisms such as the AIDS virus or the hepatitis virus.
The risk of puncture with a contaminated needle point is of particular
concern after an injection because a finger, hand or other part
of the person administering the injection is typically in close
physical proximity to the needle during its removal from the subject's
tissue, during replacement of a needle or the needle cover or during
removal of the needle from a syringe for disposal.
There is also danger of such exposures to personnel, such as maintenance
people, other than medical personnel, when a used needle and/or
syringe is laid aside or discarded with a needle tip still exposed.
This danger continues even when a used needle and/or syringe are
placed in a disposal container. For instance, it is a routine medical
procedure to use a device which cuts off the tip of an exposed needle
so that it may not be re-used. However, this procedure still leaves
exposed needle stubs and syringe parts which may be contaminated
with infectious agents and with which persons may come into contact
and be infected. Thus, it is not uncommon for discarded needle stubs
to protrude through plastic garbage bags or other containers and
present serious risk of a puncture wound to a person handling or
otherwise coming into contact with the container. Similarly, even
after used needles are removed from syringes and placed in sealed
containers, the exposed syringes must also be placed in sealed containers
to reduce the likelihood of infectious contact with personnel. Sanitary
disposal of used needles and used syringes is an expensive and time
consuming process and entails significant risk of exposure to infectious
disease vectors.
A related problem is that of the dangers of exposing a needle to
the atmosphere prior to its being used in giving an injection or
withdrawing a body fluid. Not only is there danger of wounds to
user personnel and patients from the exposed needle tip, but also
there is the danger that the exposed needle will become contaminated
by airborne or aerosol borne microbial and other contaminants and
infect the patient eventually injected. This danger is particularly
acute in hospitals and other medical treatment areas where strains
of antibiotic resistant microbes endemically contaminate the air
and all exposed surfaces. Contact with non-sterile air is a certainty
with conventional exposed needle syringe technology because, in
this technology, needles are routinely exposed to the air or surfaces
for some discrete amount of time during use. Also, in emergency
use situations such as military combat, natural disasters, or industrial
accidents, the unused needle may be left exposed to such contaminants
by untrained, harried or inexperienced personnel.
An additional problem in the field is that of dosage management.
For subjects who give themselves injections, either because they
require regular doses of injected pharmaceuticals or because medical
personnel are not available, it is critical to insure that dosages
are correct. Diabetic subjects often find themselves in such situations,
particularly diabetics who suffer from the related condition of
blindness. Other blind people are similarly in need of a product
which insures that both the type of medication and its dosage are
correct for their specific needs. Similarly, soldiers in the field,
travelers requiring regular injectable medications, and subjects
in emergency situations where self-injection is necessary often
have difficulty administering the proper dosage of a given drug
and often have difficulty in using a conventional syringe. Such
problems are also compounded by darkness or poor lighting conditions
in battlefield, power failure, and other crisis or emergency situations.
Thus, it can be clearly seen that there is a need for injection
devices which contain pre-measured dosages of particular pharmaceutical
substances wherein the administration or self-administration of
those doses can be easily and dependably achieved by non-professional
personnel.
SUMMARY OF THE INVENTION
It is an object of the present invention to provide a simplified
syringe for the separate storage and pre-injection mixing of a medically
active substance and a physiologically acceptable solvent or fluid.
Another object of the present invention is to provide a disposable
safety syringe adapted to be used manually or with an automatic
injector for the separate storage and pre-injection mixing of a
medically active substance and a physiologically acceptable solvent
or fluid.
It is a similar object of the present invention to provide a syringe
adapted for the pre-injection mixing of at least one liquid component
with another component which has the safety feature of an injection
needle which withdraws after use to reside completely within the
closed cartridge, thus reducing the dangers of infection or injury
resulting from accidental contact with exposed needles.
It is an additional object of the present invention to provide
a cartridge syringe with means for automatically mixing medicament
components immediately prior to injection.
It is also an object of the present invention to provide concealment
of an injection needle at all stages of use, thereby reducing the
apprehension of the patient.
It is similarly an object of the present invention to maintain
sterility of an injection needle at all stages of use by providing
means whereby the needle, prior to contact with the skin of a patient
for penetration therethrough, is never exposed to any potentially
contaminating surfaces, aerosols or airborne particles or microbes.
It is still another object of the present invention to provide
a sanitarily disposable injection vial with a needle which, after
use in an injection, retracts completely into said vial to reduce
the risk of disease transmission caused by the risk of exposure
to a contaminated needle or to a contaminated syringe or to parts
thereof.
It is yet another object of the present invention to provide a
sanitarily disposable injection vial which can be safely discarded
without the need for special equipment or containers and which can
be safely and sanitarily disposed of in non-hospital, rugged, or
emergency environments.
It is also an object of the present invention to provide a cartridge
syringe for dispensing medication which can be filled by the use
of conventional pharmaceutical packaging machinery, thus avoiding
the substantial expense which would be required for the development
and production of non-conventional packaging methods and machinery.
It is also an object of the present invention to reduce the risk
that an incorrect dosage of a fluid medicine will be administered
by injection.
It is an additional object of the invention to provide a needle
assembly housing which can be used with necked medicament containers.
In accordance with the objects of the invention, a mixing syringe
for two-component medicaments is provided. The mixing syringe has
a cartridge housing having a first end and a second end, a substantially
cylindrical cartridge housing bore, a slidable cartridge disposed
in the cartridge housing bore having a first end, a second end,
and a temporary sealing barrier disposed between the first and second
ends separating the bore of the cartridge into a cylindrical medicament
solvent charge chamber and a cylindrical medicament charge chamber.
The cartridge housing is also provided with means, fixedly attached
thereto, for breaching the temporary sealing barrier, the cartridge
being suitable for separately storing a medicament solvent charge
and a medicament charge in the medicament solvent charge chamber
and the medicament charge chamber, respectively, the charges to
be mixed to form a medicament to be expelled from the cartridge.
A piston is disposed within the first end of the cartridge and
is slidably seated in the cartridge bore. A retractable needle housing
assembly is slidably disposed in the cartridge housing and a retractable
injection needle is provided fixedly attached to the needle housing
assembly and extending therethrough for injecting mixed medicament.
A puncturable cartridge end stopper is provided rigidly attached
to and sealing the second end of the cartridge. In some embodiments
of the invention, a puncturable end cap, the end cap sealing the
second end of the cartridge housing and having a needle guide disposed
therein is provided.
Further in accordance with the objects of the invention, an operating
shaft for operating the piston and the cartridge and for adapting
the cartridge to other devices is provided in the piston. The operating
shaft may be provided with a chamber for receiving a pushrod or
injection needle portion which has punctured the piston therethrough.
In some embodiments of the invention, the breachable temporary sealing
barrier is so configured that the piston can pass sealably therethrough
after the barrier is breached. In accordance with this aspect of
the invention, various valves, having substantially cylindrical
openings which permit the piston of the cartridge to pass therethrough,
are provided. These valves include but are not limited to stopcocks,
membranes and seats therefor, iris valves, and ball and seat valves.
In accordance with additional objects of the invention, a needle
housing assembly for use with necked medicament containers which
have puncturable end stoppers is provided. The assembly is provided
with a needle housing, locking means disposed in the needle housing
for locking the housing to the necked medicament container when
the needle housing assembly and the necked cartridge become a predetermined
distance apart upon relative movement between the necked medicament
container and the needle housing, and an injection needle.
The injection needle is provided with a hollow shaft, an internal
end, an internal shaft portion, an external end, an external shaft
portion, first and second apertures, and a passageway extending
through the hollow shaft and connecting the first and second apertures,
the needle being rigidly attached to and extending through the needle
housing, the internal end and internal shaft portion of the needle
being adapted to puncture a necked medicament container, and the
external end and external shaft portion of the needle being adapted
to expel a medicament out of the needle housing assembly.
The means for locking the housing to a necked medicament container
comprises protrusions which are disposed in the housing and which
are adapted to securely engage the neck and head portions of a medicament
container. In a preferred embodiment, the needle assembly housing
is provided with flanges which are disposed to capture and securely
hold the neck and end portions of a necked medicament container.
The needle assembly housing of the present invention is adapted
to be used within a cartridge housing having an expansion chamber
which permits expansion of the needle assembly housing flanges in
conjunction with a slidable cartridge for the capture thereof but
can also be used independently with various necked medicament containers
which are not used with a housing.
In accordance with yet other embodiments of the invention, the
means fixedly attached to the cartridge housing for breaching a
temporary sealing barrier between chambers of said slidable cartridge
comprises a spiral pushrod having an anchoring end and a puncturing
end suitable for engaging the operating slot of a rotor valve, the
anchoring end being provided fixedly attached to the cartridge housing
and the spiral pushrod extending from the cartridge housing toward
the cartridge puncturable end stopper, through a pushrod aperture
provided in a needle assembly housing for freely guiding the pushrod
therethrough so that the puncturing end of the pushrod resides in
close proximity to and in alignment with the puncturable cartridge
end stopper. In an additional embodiment of the invention, the spiral
pushrod is adapted to operate a mixing rotor provided in the cartridge
for agitating the solvent/solute mixture as it passes through the
cartridge to be expelled therefrom.
In accordance with still further objects of the invention, a mixing
syringe for two-component medicaments is provided comprising a cartridge
housing having a first end and a second end, the cartridge housing
having a substantially cylindrical cartridge housing bore, a slidable
cartridge disposed in the cartridge housing bore and having a first
end, a second end, and a temporary sealing barrier disposed between
the first and second ends and separating a cartridge bore of the
cartridge into a cylindrical medicament solvent charge chamber and
a cylindrical medicament charge chamber, the cartridge housing having
means, fixedly attached thereto, for breaching the temporary sealing
barrier, and being suitable for separately storing a medicament
solvent charge and a medicament charge in the medicament solvent
charge chamber and the medicament charge chamber, respectively,
the charges to be mixed to form a medicament to be expelled from
the cartridge.
The cartridge is also provided with a piston disposed within the
first end of the cartridge and being slidably seated in the cartridge
bore, and a needle housing assembly rigidly attached to the cartridge
and contained wholly within the cartridge housing. Also provided
is an injection needle which is containable wholly within the cartridge
housing, which can be extended to a position in which at least a
portion of the needle extends outside of the cartridge housing,
the needle being fixedly attached to the needle housing assembly
and extending therethrough for injecting mixed medicament. The cartridge
is also provided with a puncturable end cap, the end cap sealing
the second end of the cartridge housing, and means for retracting
the needle to reside completely within the cartridge housing after
the expulsion of the medicament from the syringe is completed. The
breachable temporary sealing barrier is so configured that the piston
can pass sealably therethrough after the barrier is breached being
provided with a cylindrical bore of substantially equal dimension
to that of the cartridge bore so that the piston can pass sealably
therethrough after the barrier is breached. The barrier can be a
valve disposed through the cartridge having an operating cam disposed
on the exterior of the cartridge wherein the valve operating cam
is configured to be operated by a pushrod integral to the cartridge
housing.
Yet further in accordance with the objects of the invention are
provided an electronically or magnetically actuated pushrod contained
within the cartridge and an electronic or magnetic pushrod actuator
contained within the cartridge housing for breaching the temporary
seal between chambers of the slidable cartridge.
Yet still further in accordance with additional objects of the
invention, a mixing syringe is provided for the pre-injection mixing
of two-component medicaments which comprises a cartridge housing
having a first end and a second end, the cartridge housing having
a substantially cylindrical cartridge housing bore and a slidable
cartridge disposed in the cartridge housing bore having a first
end, a second end, and a temporary sealing barrier disposed between
the first and second ends and separating the cartridge bore into
a cylindrical medicament solvent charge chamber and a cylindrical
medicament charge chamber, the cartridge being suitable for separately
storing a medicament solvent charge and a medicament charge in the
medicament solvent charge chamber and the medicament charge chamber,
respectively, the charges to be mixed to form a medicament to be
expelled from the cartridge. The cartridge is provided with a piston
disposed within the first end of the cartridge and being slidably
seated in the cartridge bore and a retractable needle housing assembly
slidable in the cartridge housing the needle housing having means,
fixedly attached thereto, for breaching the temporary sealing barrier.
The device is further provided with a retractable injection needle
having a hollow shaft, an internal end, an internal shaft portion,
an external end, an external shaft portion, first and second apertures,
and a passageway extending through the hollow shaft and connecting
the first and second apertures. The needle is rigidly attached to
and extends through the needle housing, the internal end and internal
shaft portion of the needle being adapted to puncture the cartridge,
and the external end and external shaft portion of the needle being
adapted to expel a medicament out of the needle housing assembly,
the first injection needle aperture being disposed in the internal
needle shaft portion an appropriate distance from the housing to
receive fluid from a punctured medicament cartridge, and the second
injection needle aperture being disposed in the external needle
end.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a sectional elevation view of a cartridge syringe constructed
in accordance with a first embodiment of the present invention which
utilizes a plug as a means for separating the chambers of the cartridge.
FIGS. 2(a)-2(d) are sectional elevation views of a cartridge syringe
constructed in accordance with a second embodiment of the present
invention which utilizes a burstable membrane as a means for separating
the chambers of the cartridge and which utilizes an elution column
for storage of the medicament solute.
FIGS. 3(a)-3(d) are sectional elevation views of a cartridge syringe
constructed in accordance with another embodiment of the present
invention wherein the means for separating the chambers of the invention
is a rotary valve operated by a spiral twist rod.
FIGS. 4 and 4(a)-4(c) are sectional elevation views of a cartridge
syringe constructed in accordance with another embodiment of the
present invention wherein the means for separating the chambers
is a stopcock extending through the cartridge which is actuated
by a pushrod and wherein means for automatically agitating the components
of the medicament during operation is provided.
FIGS. 5(a)-5(e) are sectional elevation views of a cartridge syringe
constructed in accordance with another embodiment of the present
invention wherein a stopcock barrier means is actuated by a pushrod
integral to the cartridge housing and wherein the medicament solute
is disposed in a mixing maze through which the medicament solvent
must flow.
FIGS. 6(a)-6(c) are sectional elevation views of a cartridge syringe
constructed in accordance with yet another embodiment of the present
invention wherein a burstable membrane barrier is breached by an
electronically or magnetically activated means and wherein the injection
needle is fixedly attached to the cartridge.
FIG. 7 is a sectional elevation view of a cartridge syringe constructed
in accordance with another embodiment of the invention similar to
that shown in FIG. 1 but wherein the extended injection needle also
performs the barrier breaching function of a pushrod.
FIG. 8(a) is a perspective view of an embodiment of the needle
housing assembly constructed in accordance with the invention which
can be used with various necked containers known in the art as well
as with various embodiments of the cartridge syringe of the present
invention.
FIG. 8(b) is a plan view of the needle housing assembly of FIG.
8(a).
FIG. 8(c) is a sectional view taken along the lines A--A in FIG.
8(c).
FIG. 8(d) is an enlarged view of Detail A of FIG. 8 (c).
FIG. 9(a) is a sectional elevation view of a cartridge syringe
constructed in accordance with the present invention similar to
that shown in FIGS. 5(a)-(f) but wherein a spherical ball valve
having an aperture suitably configured for the passage therethrough
of the piston and a solute is disposed on a grid in the necked portion
to permit substantially complete evacuation of the cartridge are
provided.
FIG. 9(b) is a detail view of the ball valve operating cam in the
closed position of FIG. 9(a).
FIG. 9(c) is a sectional elevation view of the cartridge of FIG.
9(a) wherein the ball valve has been opened and the piston has passed
sealably therethrough to evacuate the solvent/solute mixture and
to become seated at the curved abutments forming the necked portion
of the cartridge.
FIG. 9(d) is a detail view of the ball valve operating cam in the
open position of FIG. 9(c).
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The advantages and characteristics of the cartridge mixing syringe
and needle housing of the present invention can be elucidated from
the following detailed description of several embodiments of the
mixing syringe and needle assembly to be taken as examples and not
as limitations in conjunction with the accompanying drawings.
From the information herein, it is also clear that many permutations
of the present invention other than those shown in the drawings
are possible by the combination of components from the various embodiments.
For example the needle assembly housing and cartridge housing shown
in FIG. 2 could, with slight modification, be adapted to utilize
the magnetically or electronically actuated burstable membrane components
shown in FIG. 6.
With reference to FIG. 1 a two-component cartridge mixing syringe
comprises a double ended circularly cylindrical cartridge housing
1 constructed of a rigid material such as polyethylene and having
a cartridge residence chamber 15 and a needle housing residence
chamber 2 and needle housing assembly receiving chamber 11. Cartridge
housing 1 is provided with a puncturable sealing end cap 3 of resilient
material such as butyl rubber, a plastic needle guide 5 rigidly
embedded in end cap 3 and having a needle guide aperture 7 formed
therein and an injection device positioning projection 9. End cap
3 is also provided with a pushrod 60 anchored to needle guide 5
at pushrod anchoring end 66 and constructed of a suitable material
such as stainless steel. Pushrod 60 extends through a needle assembly
housing pushrod aperture 20 toward a puncturable cartridge end stopper
39. Needle housing assembly receiving chamber 11 is further provided
with curved abutments 13 of appropriate configuration to allow a
needle assembly housing 18 to both enter and withdraw from needle
assembly housing receiving chamber 11. Needle assembly housing 18
and a cylindrical cartridge 31 are initially disposed within needle
housing residence chamber 2 and cartridge residence chamber 15
respectively.
Cylindrical cartridge 31 is constructed of a rigid material such
as Lexan plastic, is slidably positioned within cartridge housing
1 and is provided with a three-portion chamber in which is stored
a solvent charge 51 and a solute charge 63. Solvent charge 51 is
stored in a first portion 33 of cartridge 31. Solvent charge 51
can consist of a single solvent or diluent, mixed solvents or diluents,
a concentrated solution or one or more parts of a multiple-part
medically active substance or system. First portion 33 is separated
from a second cartridge solute storage portion 35 by a plug seat
62 which is rigidly affixed to the internal walls of cartridge 31
and a plug 61.
Second cartridge solute storage portion 35 has stored therein solute
charge 63 in finely divided form on a puncturable high-surface-area
solute trait grid 64. Solute charge 63 can consist of solid medicament,
liquid medicament, a diluent for a concentrated solvent or one or
more parts of a multiple-part substance or system. Solute charge
63 is disposed across second cartridge solute storage portion 35
so that solvent charge 51 moves through grid 64 thus dissolving
solute charge 63 before the mixed solute/solvent is expelled through
a hollow injection needle 23. A third cartridge injection needle
portion 37 is provided with a puncturable cartridge end stopper
39 of a resilient material within a cartridge cap 38. A cartridge
piston chamber abutment 40 forms a transition between second cartridge
storage portion 35 and third cartridge injection needle portion
37 and forms a seat for solute tray grid 64. The external portion
of the transition between third cartridge portion 37 and cartridge
cap 38 forms a cartridge shoulder 41. Cartridge shoulder 41 functions
as a flange engaging step for engaging flanges 19 of needle assembly
housing 18 during operation of the invention.
Cartridge 31 is further provided with a piston 45 of a resilient
material and having a piston shaft 47 and a piston shaft head 49
for reversibly engaging an injection/aspiration device or an adapter
for manual operation. Such a cartridge could be engaged to an injection/aspiration
device or manual adapter by any other means, other than a piston
similar to piston 45 as shown, such as a T-shaft and keyway, a threaded
rod, piston engaging barbs, or other means providing secure engagement
of a cartridge to an injection/aspiration device. It is preferred
that the means for engaging be reversible.
Needle assembly housing 18 is of a rigid material such as linear
polypropylene and is provided with a needle assembly housing bottom
16 needle housing walls 17 needle assembly housing flanges 19
and needle assembly housing lips 21 disposed for securely engaging
cartridge 31. Needle assembly housing 18 is also provided with a
needle assembly housing pushrod aperture 20 having sharpened stainless
steel pushrod 60 passing therethrough. Needle assembly housing 18
is further provided with the hollow injection needle 23 which is
rigidly attached to housing 18 and which passes therethrough. Injection
needle 23 has an internal tip 25 disposed toward puncturable cartridge
stopper 39 and an external tip 27 for selective movement out of
the housing and insertion into target tissue which passes through
aperture 7 of needle guide 5 but does not protrude through sealing
end cap 3 until operation of the invention.
The relative lengths of needle assembly housing walls 17 needle
assembly housing receiving chamber 11 and pushrod 60 are such that,
in operation of the device as described hereinbelow, a pushrod puncturing
end 68 of pushrod 60 penetrates puncturable cartridge end stopper
39 and dislodges plug 61 from plug seat 62 before needle internal
tip 25 contacts puncturable cartridge end stopper 39. Third cartridge
injection needle portion 37 is captured by the engagement of needle
assembly housing flange lips 21 by cartridge shoulder 41 of cartridge
31 when cartridge 31 has been propelled a sufficient distance toward
puncturable cartridge sealing end cap 3 so that needle assembly
housing 18 is fully within needle assembly housing receiving chamber
11.
The above-described embodiment of the mixing syringe operates as
described hereinbelow.
Piston 45 is propelled toward sealable end cap 3 by the application
of force to plunger shaft head 49 in the direction of sealing end
cap 3 which force is communicated through plunger shaft 47 to piston
45 thus applying hydraulic pressure through solvent charge 51 plug
61 and plug seat 62 and forcing cartridge 31 and needle assembly
housing 18 having injection needle 23 fixedly attached therethrough
toward sealing end cap 3 this action simultaneously forces cartridge
31 onto pushrod end 68 which slides freely through needle assembly
housing pushrod aperture 20 thus also propelling injection needle
23 through needle guide aperture 7 causing external needle tip 27
to puncture puncturable sealing end cap 3. The relative lengths
of needle assembly housing walls 17 needle assembly housing receiving
chamber 11 and pushrod 60 are such that pushrod puncturing end 68
penetrates puncturable cartridge end stopper 39 and dislodges plug
61 from plug seat 62 thus causing solvent charge 51 to enter second
cartridge solute storage portion 35 before injection needle internal
tip 25 contacts puncturable cartridge end stopper 39 thereby allowing
the mixing of solvent charge 51 and solute charge 63. By varying
the rate at which cartridge 31 is propelled toward end cap 3 after
pushrod 60 dislodges plug 61 and before internal injection needle
tip 25 punctures puncturable end cap 39 the solvation time during
which solvent charge 51 and solute 63 can be controlled.
Continued force toward puncturable cartridge sealing end cap 3
by piston 45 continues to propel needle 23 outward and into the
target tissue until needle housing 18 is stopped by sealable end
cap 3 thus positioning needle assembly housing 18 within needle
assembly receiving chamber 11 which is of a larger diameter than
cartridge residence chamber 15. The positioning of needle assembly
housing 18 within needle assembly housing receiving chamber 11 allows
flanges 19 and walls 17 of needle assembly 18 to expand to irreversibly
and securely receive and capture third cartridge injection needle
portion 37 of cartridge 31. Continued pressure in the same direction
causes piston 45 to move toward puncturable cartridge end stopper
39 thus causing expulsion of the mixed solvent charge 51/solute
63 solution through hollow injection needle 23 into the target tissue.
After injection of the mixed solvent charge 51/solute 63 solution
through hollow injection needle 23 into the target tissue, the direction
of force on piston shaft head 49 is reversed, thus causing the withdrawal
of irreversibly captured needle assembly housing 18 into cartridge
housing 1 and the withdrawal of injection needle 23 from the target
tissue so that injection needle external tip 27 resides completely
within cartridge housing 1.
Piston 45 although slidably seated in the bore of cartridge 31
is of a slightly oversize diameter so that the frictional force
required to withdraw piston 45 back through the bore of cartridge
31 is much greater than the force required to withdraw cartridge
31 which has been captured by needle assembly housing 18 having
needle 23 attached therethrough from an injection site to reside
wholly within cartridge housing 1.
FIG. 2(a) shows an embodiment of the invention which differs from
that shown in FIG. 1 by providing a burstable membrane as a barrier
between the solvent and solute portions of the cartridge and by
presenting the solute in an elutable bead column. With reference
to FIG. 2(a), cylindrical cartridge 31 of rigid material such as
water glass is slidably positioned within cartridge housing 1 and
is provide with a three-portion chamber in which is stored solvent
charge 251 and solute charge 263. Cartridge solvent portion 33 is
separated from cartridge solute storage portion 35 by a membrane
seat 271 a resilient circular U channel made from vulcanized rubber,
which is rigidly attached and sealed to the internal walls of cartridge
31 either by pressure generated by oversizing the diameter of the
wall adjacent to the cartridge wall or an industrial adhesive known
to the art, into which is fitted a burstable membrane 273 of a material
such as natural rubber or styrene film locked in by an O-ring [not
shown].
Second solute storage portion 35 has stored therein a bead column
272 of ion exchange resins such as Rhom and Haas's Amberlite cationic
or anionic resins. In this embodiment of the invention, the resins
are saturated with the appropriate solute charge 263 and subsequently
eluted by solvent charge 251. It should be noted that in most instances
the critical factor in drug delivery is the dosage amount of solute
charge 263 while a surplus of solvent charge 251 is widely tolerated.
Supporting the base of the bead column 272 is a puncturable permeable
grid 275. Bead column 272 is charged into cartridge solute storage
portion 35 so that in operation of the invention solvent charge
251 moves through bead column 272 dissolving solute charge 263
before being expelled through hollow injection needle 23.
The relative lengths of needle assembly housing walls 17 needle
assembly receiving chamber 11 and pushrod 260 on shelf 274 are such
that in operation of the device as described hereinbelow sharpened
pushrod puncturing end 268 penetrates puncturable cartridge end
stopper 239 and burstable membrane 273 before needle internal end
25 contacts puncturable end stopper 239. This can be best seen in
FIG. 2(a). By controlling the length of time between which burstable
membrane 273 is punctured by pushrod 260 and needle tip 25 punctures
cartridge end stopper 239 the solvation time in which solvent 251
moves through solute 263 can be varied as needed for particular
solute/solvent combinations.
The embodiment of the invention shown in FIGS. 2(a)-2(e) operates
in a similar manner to that described with reference to FIG. 1 above
and is further illustrated in FIG. 2(b)-2(e) showing the device
in four positions of the injection/retraction cycle. FIG. 2(b) shows
the invention in its initial storage position.
FIG. 2(c) shows the invention after force has been applied to piston
45 through shaft head 49 of shaft 47 forcing cartridge 31 and needle
assembly housing 18 having injection needle 23 rigidly disposed
therethrough toward puncturable cartridge housing sealing end cap
3 sufficiently far so that pushrod 260 has punctured cartridge end
stopper 239 grid 275 and burstable membrane 273 and has expanded
the flanges of needle assembly housing 18 which, in this position,
is shown bottomed out in needle assembly housing residence chamber
1 but has not yet been propelled sufficiently far that the internal
end of needle 23 has punctured puncturable cartridge end stopper
239. FIG. 2(c) thus shows the device in a position wherein solvent
251 is exposed to solute 263 but does not yet have an avenue through
injection needle 23 for expulsion from cartridge 31.
FIG. 2(d) shows the device after cartridge 31 has been further
propelled toward sealing end cap 3 a sufficient distance so that
the flanges of needle assembly housing 18 have irreversibly captured
the cap and neck portion of cartridge 31 and piston 45 has propelled
part of the solvent charge 251 through solute 263 and into the third
portion of the chamber of cartridge 31 for injection.
Although not shown, it is obvious that continued force on piston
45 propels an additional amount of solvent 251 through solute 263
to inject the required amount of the medicament whereupon barbs
204 irreversibly engage membrane seat 271 so that reversal of the
force on piston 45 withdraws cartridge 31 needle assembly housing
18 and injection needle 23 to fully reside within cartridge housing
1 after the injection has occurred. FIG. 2(e) shows the fully withdrawn
cartridge with attached needle assembly housing and needle. Rigidly
anchored into rubber plunger 45 are stainless steel barbs 204.
FIG. 3 shows an embodiment of the cartridge of the present invention
having liquid constituents in both upper and lower portions of the
cartridge. This embodiment is known as a wet/wet cartridge. The
temporary barrier device for separating the portions of the cartridge
is a rotatable disk assembly valve separation barrier and trigger
therefor that extends the time available for mixing. FIGS. 3(a),
3(b), 3(c) and 3(d) show three operating positions of the device.
With reference to FIG. 3 cylindrical cartridge housing 1 is fitted
with a shelf 374 that is integral with cylindrical cartridge housing
1 into which is imbedded a rigid rectangular spiral pushrod 382
coaxially aligned with cylindrical cartridge 31. An injection needle
323 is sufficiently offset in needle assembly housing 318 so as
not to interfere with the operation of rectangular spiral pushrod
382. Cylindrical cartridge 331 is slidably positioned within cartridge
housing 1 and is provided with two chambers in which are stored
a solvent charge 351 and a solution charge 363. Solvent charge 351
such as Prostaglandin E, available from Upjohn Pharmaceutical, a
vasodilator that is provided in a solution of absolute alcohol and
must be diluted with sterile water before injecting, is stored in
first portion 333 of cartridge 31 and solution charge 363 such
as the diluent distilled water, is stored in second cartridge portion
335. First cartridge solvent portion 333 is separated from second
cartridge solution storage portion 335 by a disk assembly valve
comprising double disk valve seat 371 a circular stator disk 377
and a circular rotor disk 378. Double disk valve seat 371 a resilient
circular U channel made from castable silicone rubber, is rigidly
attached to the internal walls of cartridge 331 either by pressure
generated by oversizing the diameter of the wall adjacent to the
cartridge wall or an industrial adhesive known in the art, into
which is permanently fitted circular stator disk 377 made from
rigid rubber with alternate quarters open and circular rotor disk
378 made from stainless steel with alternate quarters open, which
is free to rotate in double disk valve seat 371. The disks are arranged
so that the open quarters do not overlap thus leaving the disk assembly
valve closed. This arrangement can be seen in FIG. 3(a). Rigidly
attached to circular rotor disk 378 by rods 379 is a driven slotted
member 381. Driven slotted member 381 has a rectangular slot 380
of an appropriate dimension so that a rectangular spiral pushrod
382 will cause driven slotted member 381 to rotate as it follows
the spiral of spiral rod 382. The sharpened spiral tip 388 of rectangular
spiral pushrod 382 is of a thickness, length and rotation to cause
driven slotted member 381 to rotate 90 degrees and pierce cartridge
end seal 339 without causing leakage therefrom.
The above described embodiment of the wet/wet cartridge syringe
operates as described below.
Piston 45 is propelled towards end cap 3 by the application of
force to plunger shaft head 49 in the direction of end cap 3 which
force is communicated through plunger shaft 47 to piston 45 thus
applying hydraulic pressure through solvent charge 351 disk assembly
valve rotor 378 and stator 377 thus forcing cartridge 31 and needle
assembly housing 318 having injection needle 323 fixedly attached
therethrough towards end cap 3 simultaneously forcing cartridge
31 onto sharpened tip 388 of rectangular spiral pushrod 382 which
slides freely through needle assembly housing aperture 320 thus
also propelling injection needle 323 to puncture end cap 3 and thin
wall 375. When the tip 388 of rectangular spiral pushrod 382 passes
through rectangular slot 380 so that driven slotted member 381 turns
as it follows the spiral curve of spiral tip 388. Rigid rods 379
cause circular rotor disk 378 to rotate 90 degrees, thus opening
the disk assembly valve. This is illustrated in FIGS. 3(b) and 3(c).
It is clearly seen that the disk assembly valve opens as soon as
spiral tip enters into slot 380 at the beginning of the injection
cycle, allowing solution charge 363 and solvent charge 351 time
to mix before internal injection needle tip 25 punctures puncturable
cartridge end stopper 339. End stopper 339 is punctured near the
end of the injection cycle. See FIG. 3(c). The remainder of rectangular
spiral pushrod 382 is linear so that no further rotation of valve
rotor 378 occurs fixing the valve in an open position.
FIG. 4 shows a detailed view of one embodiment of the invention
providing a stopcock as a temporary barrier between chambers of
the cartridge. The stopcock is provided with an operating cam which
is actuated by a pushrod disposed between the external surface of
the cartridge and the internal surface of the cartridge housing.
This embodiment is also provided with independently actuated means
for automatically agitating the mixing solvent and solute charges
during the injection cycle of the invention.
With reference to FIG. 4 cylindrical cartridge housing 1 is provided
with a base shelf 474 that is integral with cylindrical cartridge
housing 1 into which is imbedded a rigid rectangular spiral pushrod
482 formed from flat stainless steel and is disposed coaxially to
cylindrical cartridge housing 1. Spiral pushrod 482 is provided
with a sharpened spiral pushrod end 490. An injection needle 423
is offset in a needle assembly housing 418 to operate without interference
from rectangular spiral pushrod 482. Needle assembly housing 1 is
slidable in cartridge housing 1.
As in the embodiments shown in FIGS. 1 2 3 4 and 7 cartridge
housing 1 is provided with needle assembly housing residence chamber
1 of appropriate dimension to permit the expansion of needle assembly
housing flanges 19 when needle assembly housing 418 resides wholly
within chamber 11. Cylindrical cartridge 431 is slidably positioned
within cartridge housing 1.
A first cartridge solvent reservoir portion 433 is separated from
cartridge solute portion 435 by a stopcock assembly valve 420. Stopcock
assembly valve 420 is made of materials known in the medical arts
and can be of many different configurations such as those wherein
the aperture of the valve is of an appropriate diameter to permit
the cartridge piston to pass sealably therethrough. Additional embodiments
of the stopcock assembly valve of the present invention are more
fully elucidated in the description of FIG. 5 below.
With respect to FIG. 4 a valve operating pushrod 460 is shown
fixedly attached to base shelf 474 and is freely disposed through
an aperture (not shown) in needle assembly housing 418 for opening
stopcock assembly valve 420 and is outside cartridge 431 leaving
rectangular spiral pushrod 482 free to cause tube 491 to continually
rotate and is fully described in FIG. 5. Fitted into the lower end
of a tube 491 is driven spiral disk 481. Driven spiral disk 481
has an oval slot of a dimension so that the rectangular spiral pushrod
482 will cause driven spiral disk 481 to rotate as it follows the
spiral pattern. Rigidly attached to tube 491 are agitating rotor
blades 487 the lower one of which rests on a silicone ring 489 which
acts as a bearing for the structure. A mesh annular frame 486 hangs
over a tube top cap 495 that is closed and allows no solvent to
enter tube 491. The spiral pattern on spiral pushrod 382 is of a
length to cause driven spiral disk 481 to rotate during the entire
downward cycle of the syringe.
The above described embodiment of the two-component syringe of
the invention operates as described hereinbelow.
Piston 45 is propelled towards end cap 3 by the application of
force to plunger shaft head 49 in the direction of end cap 3 which
force is communicated through plunger shaft 47 to piston 45 thus
applying hydraulic pressure through solvent charge 51 stopcock assembly
valve 420 and forcing cartridge 431 and needle assembly housing
418 having injection needle 423 fixedly attached therethrough towards
end cap 3 and simultaneously forcing cartridge 431 onto rectangular
spiral pushrod 482 which slides freely through needle assembly housing
aperture, thus also propelling injection needle 423 to puncture
end cap 3 and thin wall 475. When the tip 490 of rectangular spiral
pushrod 482 passes through oval slot 480 driven spiral disk 481
turns as it follows the spiral curve of shaft 482. Driven spiral
disk 481 being rigidly attached to tube 491 will cause tube 491
to rotate continually, thus providing agitation to the mixing solvent
and solute. This is most clearly seen in FIG. 4(b) and 4(c) .
FIGS. 5 et. seq. illustrate an embodiment of the invention differing
from the previously described embodiments by the provision of an
elution maze for the solute and a stopcock disposed through the
cartridge component of the invention and which is actuated by a
set of ridges and grooves disposed within the cartridge housing.
In a variation thereof, the stopcock can be configured to allow
sealable passage therethrough.
FIGS. 5 (a) , (b) , (c) , (d) and (e) show a two-component cartridge
syringe of the present invention utilizing a two-chambered medicament
cartridge slidable within a cartridge housing having an injection
needle fixedly attached to the cartridge housing and an actuating
ridge and groove integral with the cartridge housing for operating
a stopcock and guiding and positioning the cartridge.
With reference to FIGS. 5(a), (b), (c), (d), and (e), a two-component
cartridge syringe comprises a double ended substantially cylindrical
cartridge housing 501 having an injection end and a cartridge operating
end constructed of a rigid material suitable for injection molding
such as linear polypropylene or polystyrene, and having a cartridge
residence chamber 515 formed therein for slidably housing a two-chambered
cartridge 531 and also having guide channel 512 and a channel ridge
510 positioned therein for operating and guiding a valve operating
cam 584 and for engaging and rotating a cam protrusion 599 and valve
rotor 583.
The injection end of cylindrical cartridge housing 501 wall 516
is significantly thinned in order to allow the injection tip and
shaft of hollow injection needle 523 to puncture an end wall 516
thereof when cartridge 531 is driven toward puncturable end cap
503 that also functions as a shock absorber when cartridge 531 is
driven toward it. End cap 503 is formulated, as is known in the
art, of a resilient material that will not core out when a needle
is embedded in it or when the needle moves therethrough at high
speeds and will adsorb efficiently an energy shock as might be transmitted
by an expanding spring One material having such properties and known
in the art is chlorobutyl rubber. Cylindrical cartridge 531 constructed
of a rigid material such as Pyrex glass, is slidably positioned
within cartridge housing 501 and has two chambers in which are provided
a solvent charge 551 and a solute charge 563. Solvent charge 551
is stored in a first portion 533 of cartridge 531 and solute charge
563 is stored in an elution maze 571 constructed and disposed in
a second cartridge portion 535 in such a manner that solvent charge
551 is forced therethrough when a stopcock assembly 520 is actuated.
First cartridge portion 533 is separated from second portion 535
by stopcock assembly 520 comprising a cylindrical rotor housing/seal
585 made of a resilient material such as cast silicone rubber and
provided with an aperture 595 that provides for the passage therethrough
of solvent charge 551 into cartridge second portion 535 after cylindrical
rotor housing/seal 585 is rotated by the relative movement of cartridge
housing 501 with respect to cartridge 531 and the interaction of
concentric cam 584 with guide channel 512 and channel ridge 510.
Cylindrical rotor housing/seal 585 and a valve rotor 583 are sealably
fitted through valve rotor seats 524 disposed in the walls of cartridge
531. Rotor seats 524 and valve rotor 583 are preferably injection
molded from a general purpose lubricating nylon polymer such as
Zytel 101L.
Aperture 595 of cylindrical rotor housing/seal 585 causes the stopcock
assembly to act as a valve. This can best be seen in FIG. 5(a).
To the front end of cylindrical rotor cylinder 583 is attached the
concentric cam 584 with a protruding hemisphere 599 which will cause
the cylindrical rotor cylinder 583 to rotate 90 degrees when the
cartridge 531 slides down the circular cylindrical cartridge housing
past the channel ridge 510 and channel 512. This 90 degree rotation
aligns the rotor aperture 595 with the cylinder bore allowing passage
of solvent charge 551 into cylinder second portion 535. Second cartridge
solute storage portion 535 has stored therein solute charge 563
in finely divided form on column trays 592 individually injection
molded and sealably stacked to the desired height so that solvent
charge 551 travels through one tray to the next before being expelled
through hollow injection needle 523. Injection needle 523 made from
hollow stainless steel tubing has an external tip 527 which does
not protrude through sealing end cap 503.
The above described embodiment of the wet/dry, wet/wet syringe
operated as described herein below.
Piston 545 is propelled towards sealable end cap 503 by the application
of force to plunger shaft head 549 in the direction of end cap 503
which force is communicated through plunger shaft 547 to piston
545 thus applying hydraulic pressure through solvent charge 551
and stopcock assembly valve 520 and forcing cartridge 531 together
with permanently attached needle assembly 593 towards end cap 503
causing cartridge 531 to slide down cartridge housing 501. As the
hemispheric portion 599 of cam 584 which is perpendicular to channel
ridge 510 slides down guide channel 512 its radius end 506 engages
the 45 degree incline 508 at the top of channel ridge 510 starting
cam 584 to rotate. This action is best seen in FIG. 5(a).
The cam 584 is attached to valve rotor 583 whose aperture 595 is
in the horizontal (closed) attitude when the hemispheric portion
599 of cam 584 is in its horizontal (closed) attitude.
As the cam 584 slides down guide channel 512 the cam 584 rotates
90 degrees causing aperture 595 to assume a vertical (open) attitude
(this action can best be seen in FIG. 5(b) thus lining up with the
cartridge bore.
Continued movement by piston 545 toward end cap 503 propels needle
523 though puncturable cartridge end cap 503 and puncturable thin
wall 516 into target tissue. The force needed to inject the needle
into target tissue is in the order of 6 oz., while the backpressure
needed to force the solvent charge 551 through the tray column is
in the order of pounds. Therefore the open stopcock assembly value
will continue to allow the force to be translated through the piston
to the cartridge. Once the cartridge 531 is seated in the down position
so that needle assembly 593 is contacting end cap 503 solvent charge
551 is forced through elution maze 571 thus eluting solute charge
563 therefrom and the mixed medicament is expelled through hollow
injection needle 523 into target tissue. After injection of the
mixed solvent charge 551 and solute 563 through hollow injection
needle 523 into target tissue, the direction of force on piston
shaft head 549 is reversed, thus causing the withdrawal of the cartridge
531 and injection needle 523 to reside completely within cartridge
housing 501.
FIG. 6 shows an embodiment of the present invention differing from
the other described embodiments in that the separation barrier and
the separation barrier attachment groove is recessed past the line
of descent of the piston to allow passage thereof through the breached
separation barrier and wherein the barrier breaching device is activated
by an electromagnet or electronically actuated pin embedded in the
wall of the substantially circular cartridge housing.
With reference to FIG. 6 two-component cartridge syringe comprises
a double ended substantially cylindrical cartridge housing 601 having
a conically tapered injection end constructed of a rigid material
suitable for injection molding such as linear polypropylene or polystyrene.
A housing is provided with cartridge residence chamber 615 and a
cavity 613 for an electromagnet 623. The lower end of cartridge
housing 601 tip 616 is significantly thinned and made of easily
puncturable material in order to allow a needle 618 to puncture
a tip 616 when a cartridge 631 descends. Cartridge housing 601 is
provided with a puncturable end cap 603 that also functions as a
shock absorber when the cartridge 631 bottoms out.
Cylindrical cartridge 631 of rigid material such as Boron glass,
is slidably positioned within cartridge housing 601 and is provided
with a two-portion chamber in which is provided a solvent charge
651 and a solute charge 663. Solvent charge 651 is stored in a first
portion 633 of cartridge 631 while solute charge 663 is stored
in a second portion 635. A rectangular glass wall protrusion 634
is provided in cartridge 631 to allow a membrane seat 671 to be
recessed out of the line of descent of a piston 645. First portion
633 is separated from second portion 635 by membrane seat 671 a
resilient circular U channel cast from silicone rubber which is
rigidly attached to attachment on groove 632 of glass wall protrusion
634 either by pressure generated by oversizing the diameter of
the membrane seat wall 636 adjacent to the attachment groove 632
or an industrial adhesive known in the art into which is fitted
a puncturable membrane 673 such as a hydrophobic coated polystyrene
film of 0.005" which film has the property of being shattered
when pricked. The film is locked in by an O-ring (not shown). A
permanent magnet N 637 is held in place on the glass wall of cartridge
631 by silicone grease and which has the property, in a thin layer,
0.005-1.000" of acting as temporary adhesive. Rigidly attached
to permanent magnet N 637 is a pin 638. A permeable tray 640 holds
solute charge 663. N and S as used in magnets are conventions for
opposite magnetic charges.
The above described embodiment of the mixing syringe operates as
described herein below.
Cartridge 631 is propelled toward sealing end cap 603 by the application
of force to plunger shaft head 649 in the direction of end cap 603
which force is communicated through the plunger shaft to piston
645 thus applying hydraulic pressure through solvent charge 651
and membrane seat 671 forcing cartridge 631 and permanently attached
needle assembly 693 toward end cap 603 causing cartridge 631 to
slide down cartridge housing 601. As cartridge 631 moves toward
end cap 603 glass wall protrusion 634 trips contact switch 655
which closes the circuit (not shown) of battery 642 causing current
to flow through magnetic windings 643 causing electromagnet 623
to be magnetic charged N and holding firmly in place relative to
cartridge housing 601 permanent magnet S 637 and attached pin 638.
As cartridge 631 continues in motion toward end cap 603 as seen
in FIG. 6(b), pin 638 causes burstable membrane 673 to burst allowing
solute charge 651 to enter into second portion 635 of cartridge
631. Piston 645 continues to propel cartridge 631 towards sealable
end cap 603 propelling needle 618 into target tissue. When cartridge
631 is seated onto end cap 603 the force toward end cap 603 on piston
645 will cause the piston to move toward end cap 603 as shown in
FIG. 6(c) forcing permanent magnet S to be move down the inner glass
wall of cartridge 631.
The silicone grease that held permanent magnet S 637 onto the glass
walls of cartridge 631 acts as a lubricant for piston 645 and also
as an adhesive for magnet with a force of about 3 oz. Piston 645
can pass the recessed membrane seat 671 and expel the solvated solute
charge through hollow needle 618 into target tissue. The embodiment
of the invention shown in FIG. 7 illustrates a variation of that
shown in FIG. 1 but having a modified injection needle which also
functions as a pushrod to burst a burstable barrier separating the
two cartridge portions.
With reference to FIG. 7 cylindrical cartridge 31 of rigid material
such as water glass is slidably positioned within cartridge housing
1 and is provided with a three-portion chamber in which is stored
a solvent charge 751 and a solute charge 763. A cartridge solvent
portion having solvent 751 therein is separated from the cartridge
portion having solute 763 therein by a burstable membrane 761 as
in the embodiment shown in FIG. 2 burstable membrane 761 is seated
in cartridge 31 by a membrane seat made from vulcanized rubber which
is rigidly attached and sealed to the internal walls of cartridge
31 either by pressure generated by oversizing the diameter of the
wall adjacent to the cartridge wall or an industrial adhesive known
to the art.
The solute storage portion of cartridge 31 is provided with a bead
column of ion exchange resins similar to that shown in FIG. 2 which
are saturated with the appropriate solute charge to be eluted by
solvent charge 751.
Needle assembly housing 18 is provided with a hollow pushrod/injection
needle 723 rigidly attached therethrough. Hollow pushrod injection
needle 723 is provided with a sharpened pushrod injection needle
internal end 725 having no aperture. Hollow pushrod injection needle
723 is also provided with a pushrod injection needle aperture 773
positioned in relation to needle assembly housing 18 such that pushrod
injection needle aperture 773 is not exposed to the mixed solvent
751/solute 763 mixture until puncturable cartridge end stopper 39
is seated against the bottom of needle assembly housing 18 during
the injection stroke of the device.
The operation of the device shown in FIG. 7 is similar to that
shown in the other embodiments, cartridge 31 being impelled by pressure
provided through piston shaft head 49 forcing cartridge 31 toward
puncturable cartridge housing sealing end cap 3. Such pressure is
sufficient to break breakable cartridge positioning tab 771 allowing
cartridge 31 to proceed toward puncturable cartridge housing sealing
end cap 3. Continued downward pressure on piston head shaft 49 causes
pushrod injection needle internal end which has no aperture to puncture
puncturable cartridge end stopper 39 bead column 772 and burstable
membrane 761. As in the other embodiments disclosed, the breaching
of the barrier between the solvent and solute of cartridge 31 permits
the joining those two chambers and the mixing of the solute and
solvent. The position of pushrod injection needle aperture 773 permits
access of the mixed medicament only after third cartridge portion
37 is completely captured and needle assembly housing 18 with third
cartridge portion 37 is fully within needle assembly receiving chamber
11.
With reference to FIG. 8 various views of the needle housing of
the present invention are shown. FIG. 8(a) shows a perspective view
of the needle assembly housing showing needle assembly housing bottom
18 needle assembly housing flanges 19 and needle assembly housing
flange lips 21. Injection needle aperture 822 which is configured
for the rigid attachment therethrough of an injection needle is
also shown.
FIG. 8(b) is a plan view of the housing of the present invention
showing housing bottom 18 housing flanges 19 and housing flange
lips 21 as well as injection needle aperture 822.
FIG. 8(c) shows a sectional view through section A--A of FIG. 8(b)
showing housing bottom 18 housing flanges 19 and housing flange
lips 21. In addition, an injection needle aperture 822 is shown
disposed through housing bottom 18.
FIG. 8(d) is a detailed cross-sectional view of a portion of FIG.
8(c) showing injection needle aperture 822 in needle assembly housing
bottom 18.
As can be seen with reference to FIGS. 8(a), (b), (c), and (d),
and with reference to FIGS. 2 3 4 and 7 needle assembly housing
17 having an injection needle rigidly affixed therethrough operates
in relation to a necked medicament container. More specifically,
when the necked end of a medicament container is pressed into contact
with the curved abutments of flanges 19 of needle assembly housing
17 the flanges 19 expand to receive the end of the necked medicament
container and contract to securely capture the container when flange
lips 21 are exposed to the narrowing recess forming the neck of
the necked medicament container.
As shown in FIG. 8(a), needle assembly housing bottom 18 has injection
needle aperture 822 therethrough for receipt of an injection needle.
Such a needle can be molded therein, threaded therethrough, or snap
fit therethrough or affixed in any other manner known in the art.
Although a pass-through valve having a barrel-shaped rotor may
be adaptable for certain uses, a ball valve having a substantially
spherical rotor and seat therefor is another preferred embodiment
of the temporary breachable barrier of the invention. The ball valve
rotor is provided with a cylindrical aperture therethrough of appropriate
dimension so that, when the valve rotor is rotated to align the
rotor aperture with the bore of the cartridge cylinder, the cartridge
piston can pass sealably therethrough. This can be accomplished
by providing the valve rotor with a cylindrical bore substantially
identical to the cartridge bore through which the piston moves.
Alternatively, by providing a cartridge piston of elastically deformable
material such as silicone plastic or rubber which can compress or
expand to pass sealably through the valve rotor, the contents of
the cartridge can be more completely expelled. The ball valve seat
is preferably integral to the cartridge walls and recessed sealably
therein sufficiently far to permit the cartridge piston to pass
sealably therethrough.
FIGS. 9(a), (b), (c), and (d) illustrate an additional embodiment
of the invention wherein the means for separating the two chambers
of the cartridge is a ball valve operated in much the same manner
as the stopcock shown in FIG. 5. A key aspect of this embodiment
of the invention is the passthrough feature of the valve which permits
the cartridge piston to pass sealably therethrough, thus evacuating
the cartridge more completely.
With references to FIGS. 9(a), (b), (c) and (d), a cartridge housing
909 has a cartridge 981 slidably disposed therein. A cartridge housing
909 also has a needle assembly housing 929 slidably disposed therein
between a cartridge 981 and a puncturable cartridge housing sealing
end cap 937. A cartridge 981 comprises a glass cylindrical top element
969 having a first cartridge solvent reservoir portion 907 therein
and also having a piston 905 slidably seated therein. A cartridge
981 is further provided with a ball valve cast housing 911 having
a substantially spherical ball valve 913 seated therein. A ball
valve 913 also has a cylindrical channel 915 of a diameter greater
than the bore of a cartridge 981.
A cartridge 981 is further provided with a glass element 925 which
is attached to the injection end of a ball valve cast housing. A
glass element 925 comprises a cartridge neck 927 and a puncturable
cartridge end stopper 928. A ball valve 913 is further provided
with an operating cam 919 disposed to rotatably engage a guide ridge
923 having an inclined plane 921 and a guide channel 949 disposed
therein for guiding and operating a cartridge 981 and a ball valve
913 respectively.
The operation of the embodiment of the present invention shown
in FIGS. 9(a), (b), (c) and (d) is very similar to the operation
of the embodiment of the invention shown in FIGS. 5(a), (b), (c),
(d) and (e). More specifically, force transmitted through a piston
shaft head 901 a piston shaft 903 a rubber piston 905 and a solvent
charge 906 forces a cartridge 981 toward a puncturable cartridge
housing sealing end cap 937. The movement of a cartridge 981 causes
a rotatable cam element 943 to engage an inclined plane 921 of a
guide ridge 923 thus causing a 90 degree rotation of a rotatable
cam element 943 and of a ball valve 913 which is fixedly attached
thereto, and causing the alignment of cylindrical aperture 915 with
the bore of a first cartridge solvent reservoir portion 907 and
with a bore of second cartridge solute portion 979 to such an extent
that a rubber piston 905 can pass sealably through a ball valve
913 forcing a solvent charge 906 into a second cartridge solute
portion 979 and through a solute grid 988 having a medically active
substance disposed therein. The medically active substance is eluted
by solvent charge 906 as it passes through a solute grid 988 recessed
into the neck portion of a cartridge 981 to permit a piston 905
to almost completely evacuate cartridge 981. Simultaneously with
the downward movement of a cartridge 981 is the movement of a needle
assembly housing 929 into a needle assembly housing expansion chamber
933 allowing the expansion of the needle assembly housing flanges
926 and the capture of a cartridge neck 927 by a needle assembly
housing 929 and the puncturing of puncturable cartridge end stopper
928 by an injection needle internal end 931. Continued pressure
on a rubber piston 905 causes the complete expulsion of a solvent
charge 906 and the eluted solute contained therein.
Reversing the direction of force placed on a rubber piston 905
causes retraction of a cartridge 981 and an irreversibly captured
needle housing assembly 929 so that a cartridge 981 a needle housing
assembly 929 and an injection needle 985 reside wholly within a
cartridge 981.
TABLE 1 ______________________________________ EM- BODI- BREACH-
MIXING MENT TYPE OF ING SOLUTE MECHA- NO. BARRIER TRIGGER VEHICLE
NISM ______________________________________ 1 Wedge Pushrod Tray
None plug 2 Burstable Pushrod (PIN) Column of Backpressure membrane
beads of column 3 Disk valve 90 degree spiral Packing Backpressure
rod of packing 4 Stopcock External Doughnut Rotating Pushrod prepack
Paddles 5 Stopcock Integral Elution Backpressure pushrod/cam Maze
of Maze 6 Pass- Electromag- Tray Backpressure through netic pin
column of column membrane 7 Burstable Pushrod/ Bead Backpressure
membrane Injection column of column needle 9 Pass- Integral Grid
in Backpressure through pushrod/cam Cartridge of prepack stopcock
Neck ______________________________________
Table 1 lists some major characteristics of the eight embodiments
of the cartridge shown in FIGS. 1-7 and 9. The listed combinations
of elements are illustrative only and are intended to demonstrate
some of the permutations of the invention. For example, although
not shown in the drawings or table, it is obvious from the description
herein that a passthrough stopcock can be substituted for the stopcock
in Embodiment No. 5. Similarly, an elution maze can be substituted
for the bead columns of Embodiment Nos. 7 or 2.
Thus, with reference to FIGS. 1-9 it can be clearly seen that
by performing only the simple operation of applying downward pressure
on the operating piston of any of the various embodiments of the
present invention, that joining of the solvent and solute chambers,
mixing of the two medicament components, and the injection of the
medically active substance is achieved. It can also be clearly seen
that the simple operation of reversing the direction of force on
the operating piston, that the injection needle is both withdrawn
from the injection site and withdrawn to reside wholly within the
cartridge housing of the invention.
Thus the present invention provides a series of embodiments wherein
the relative motion of a prepackaged cartridge containing at least
one medically active substance and a housing for the cartridge triggers
the breaching of a barrier between a cartridge chamber having the
medically active substance therein and another cartridge chamber
containing a physiologically acceptable solvent or diluent.
Preferred methods of using the two-component syringes of the types
described above are both with an adaptor for manual use and with
an automatic injection/aspiration device of the type described in
parent application Ser. No. 641752 pending, of which the instant
application is a continuation-in-part.
With reference to the resilient materials disclosed herein, such
materials are those standard in the medical and dental packaging
and hypodermic syringe art such as rubber, plastics, and other synthetic
and non-synthetic materials known in the art for use in fulfilling
similar and related objectives. It is also clear that all of the
embodiments of the invention disclosed herein are adapted to be
manufactured by standard medical and dental container and device
manufacturing equipment.
Also, the cartridges of the present invention are adapted to contain
standard amounts of solvent and appropriate amounts of solute for
standard dosages of the particular medically active substance to
be administered.
"Cylindrical" means having a shape or cavity described
by a line which always has a point in common with a given closed
curve, and which line moves so that it is always parallel with a
given line not in the plane of the closed curve. Thus, a right circular
cylinder is one having two equal parallel circular bases and a perpendicular
axis, and a right elliptical cylinder is one having two equal parallel
elliptical bases and a perpendicular axis. In the context of the
invention, it can be seen that the relationship between the various
cartridge embodiments and their corresponding cartridge housings
is that of a piston fitted to a cylinder. That is, the cartridge
housing bore (cylinder) acts as both container and guide for the
cartridge (piston) as the device operates. With respect to the various
pistons of the cartridges, each operates much the same as a standard
syringe plunger known in the art.
By "substantially cylindrical" it is meant that the housing
and corresponding cartridge and needle housing assembly of a particular
embodiment of the invention are of appropriate relative configuration,
though not precisely cylinders, that the relative movement of the
various components approximates the action of a piston or pistons
within a cylinder.
By "sealably" with regard to piston movement through
a breachable temporary barrier means is meant sealed sufficiently
while moving through the breachable barrier that fluid is driven
therethrough by the piston. |