Safety syringe abstract
A safety syringe includes a protective sheath disposed within the
interior of the body portion of the syringe. A needle extends from
the body portion of the syringe when the syringe is in an armed
condition. A biasing mechanism, such as a stretched coiled spring,
is connected to the upper end of the needle and tends to draw the
needle into the protective sheath. A releasable retainer mechanism
engages a detent formed on the upper end of the needle to retain
the needle in its extended position against the biasing force of
the spring. After use, the releasable retainer mechanism is actuated
either by the user or in response to movement of the syringe plunger,
to release the detent formed on the needle and to cause the needle
to be withdrawn into the protective sheath to prevent accidental
contact with the sharpened end of the needle. In another embodiment
of the invention, a telescoping sheath is held in a retracted condition
adjacent the hub of the needle by a releasable retainer mechanism
against the force of a biasing mechanism, such as a compressed coil
spring. After use of the needle, the releasable retainer mechanism
is actuated to effect extension of the telescoping sheath and to
thereby enclose the needle to prevent accidental contact therewith.
Safety syringe claims
We claim:
1. A syringe, comprising:
a body portion for holding fluid;
a hollow needle interconnected with said body portion for transferring
fluid between said body portion and a patient, said needle having
a head portion and a sharpened tip, said needle being movable between
an extended position in which said sharpened tip projects outwardly
from said body portion and said head portion is positioned such
that the interior of said hollow needle is in communication with
the interior of said body portion, and a retracted position in which
the sharpened tip of said needle is enclosed;
a plunger associated with said body portion for ejecting fluid
through said needle from the interior of said body portion of drawing
fluid through said needle into the interior of said body portion;
a protective sheath associated with said syringe into which needle
is withdrawn into its retracted position after use for enclosing
the tip of said needle to prevent accidental contact therewith;
disarming means associated with said syringe for disarming said
needle after use by moving said needle from its extended position
to its retracted position, said disarming means including biasing
means for biasing said needle toward its retracted position; and
actuator means associated with said syringe and actuable by the
user of said syringe for actuating said disarming means, said actuator
means comprising releasable retainer means for retaining said syringe
in an armed condition wherein said needle is in its extended position
during use against the force of said biasing means, and wherein
said releasable retainer means releases said needle upon actuation
to withdraw said needle into said sheath by the force of said biasing
means to convert said syringe to its disarmed condition to prevent
accidental contact therewith, said releasable retainer means comprising
a movable rod associated with said body portion of said syringe
and movable ball-type detent means associated with said syringe
for retaining said needle in its extended position against the biasing
force of said biasing means during use, and wherein said rod is
movable so as to effect movement of said ball-type detent mechanism,
said movement of said ball-type detent mechanism effecting a release
of said needle for allowing said needle to be withdrawn into said
protective sheath by said biasing means after use to achieve said
disarmed condition.
2. In a medical device for administering or receiving a fluid to
or from a patient, said medical device including conduit means extending
therefrom having a sharpened end adapted for insertion into said
patient for allowing said fluid to flow between said medical device
and said patient, and further including a fluid-containing cavity,
the improvement comprising:
disarming means comprising a protective sheath disposed within
said fluid-containing cavity for converting said medical device
from an armed condition wherein said sharpened end of said conduit
means is exposed, to a disarmed condition wherein said sharpened
end of said conduit means is covered so as to prevent accidental
contact therewith by enclosing the length of said conduit means
within said protective sheath, said disarming means including means
urging said medical device toward said disarmed condition; and
releasable retainer means associated with said medical device for
retaining said medical device in said armed condition prior to and
during use, said releasable retainer means including a one-way lock
for maintaining said medical device in said armed condition against
the force of said means urging said medical device toward said disarmed
condition, said one-way lock being actuable after use of said medical
device for releasing said means urging said medical device toward
said disarmed condition so as to cause said conduit means to be
withdrawn into said sheath and to retain said conduit means therein
to prevent reuse of said medical device.
3. The invention according to claim 2 wherein said means urging
said medical device toward said disarmed condition comprises biasing
means connected to said conduit means, said biasing means tending
to draw said conduit means into said protective sheath.
4. The invention according to claim 2 wherein said releasable
retainer means releases said conduit means upon actuation by the
user, and comprises a pivotable catch associated with said medical
device for engaging a detent formed on said conduit means, said
pivotable catch retaining said medical device in its armed condition
against said means urging said medical device toward said disarmed
condition, said pivotable catch being actuatable by the user of
said medical device to release said detent means formed on said
conduit means to cause said means urging said medical device toward
said disarmed condition to convert said medical device to said disarmed
condition upon actuation thereof.
5. The invention according to claim 2 wherein said releasable
retainer means releases said conduit means upon actuation by the
user, and comprises a slidable mechanism associated with said medical
device, said slidable mechanism engaging a detent means associated
with said conduit means for retaining said medical device in its
armed condition against said means urging said medical device toward
said disarmed condition during use, and wherein said slidable mechanism
is actuatable by the user by moving said slidable mechanism in a
direction transverse to said medical device, said slidable mechanism
including release means for disengaging said detent means when said
slidable mechanism is moved in a direction transverse to said medical
device to release said conduit means and to cause said conduit means
to be withdrawn into said protective sheath after use by said means
urging said medical device toward said disarmed condition.
6. In a medical device for administering or receiving a fluid to
or from a patient, said medical device including conduit means extending
therefrom having a sharpened end adapted for insertion into said
patient for allowing said fluid to flow between said medical device
and said patient, the improvement comprising:
disarming means comprising a protective sheath disposed within
the interior of said medical device for converting said medical
device from an armed condition wherein said sharpened end of said
conduit means is exposed, to a disarmed condition wherein said sharpened
end of said conduit means is covered so as to prevent accidental
contact therewith by enclosing the length of said conduit means
within said protective sheath, said disarming means including means
urging said medical device toward said disarmed condition; and
releasable retainer means associated with said medical device for
retaining said medical device in said armed condition during use
and for releasing said means urging said medical device toward said
disarmed condition after use so as to cause said medical device
to be converted to said disarmed condition, said releasable retainer
means comprising a movable rod associated with said medical device
and movable ball-type detent means associated with said medical
device for retaining said medical device in its armed condition
against said means urging said medical device toward said disarmed
condition during use, and wherein said rod is movable so as to effect
movement of said ball-type detent mechanism, said movement of said
ball-type detent mechanism effecting a release of said conduit means
for allowing said conduit means to be withdrawn into said protective
sheath after use by said means urging said medical device toward
said disarmed condition.
7. The invention according to claim 2 wherein said releasable
retainer means releases said conduit means upon actuation by the
user, and comprises a movable rod associated with said medical device
and having a sharpened tip, said releasable retainer means further
comprising a stem extending between said medical device and said
conduit means for retaining said medical device in its armed condition
against said means urging said medical device toward said disarmed
condition during use, said stem being severable by said sharpened
tip of said rod upon movement thereof to release said conduit means
for allowing said conduit means to be withdrawn into said protective
sheath after use by said means urging said medical device toward
said disarmed condition.
8. The invention according to claim 2 wherein said releasable
retainer means releases said conduit means upon actuation by a plunger
associated with said medical device during downward movement of
said plunger, and comprises a pivotable lever disposed adjacent
the lower end of said protective sheath and being pivotably connected
thereto, said pivotable lever including a conduit-engaging end and
a trigger end, said conduit-engaging end engaging said conduit means
for retaining said medical device in its armed condition against
said means urging said medical device toward its disarmed condition
during use, and wherein said trigger end of said lever is pivotable
in response to downward movement of said plunger for releasing engagement
of said conduit means by said conduit-engaging end to allow said
conduit means to be withdrawn into said protective sheath after
use by said means urging said medical device toward said disarmed
condition.
9. The invention according to claim 2 wherein said releasable
retainer means releases said conduit means upon actuation by a plunger
associated with said medical device during downward movement of
said plunger, and comprises one or more flexible catch members associated
with said medical device for engaging said conduit means to retain
said medical device in its armed condition against said means urging
said medical device toward its disarmed condition during use, and
wherein said catch members are adapted to flex upon engagement by
said plunger and downward movement thereof to release said engagement
with said conduit means for allowing said conduit means to be withdrawn
into said protective sheath after use by said means urging said
medical device toward said disarmed condition.
10. The invention according to claim 2 wherein said releasable
retainer means releases said needle upon actuation by a plunger
associated with said medical device during downward movement of
said plunger, and comprises one or more flexible wings associated
with said medical device for engaging said conduit means to retain
said medical device in its armed condition against said means urging
said medical device toward said disarmed condition during use, and
wherein said flexible wings flex outwardly upon engagement by said
plunger and downward movement thereof to release said engagement
with said conduit means for allowing said conduit means to be withdrawn
into said protective sheath after use by said means urging said
medical device toward said disarmed condition.
11. A syringe, comprising:
a tubular body portion providing an internal fluid-containing cavity;
an axially extending sheath associated with said body portion;
a hollow needle interconnected with said syringe and having a head
portion and a sharpened tip, said needle being movable between an
extended position in which said sharpened tip projects outwardly
from an end of said tubular body portion and the interior of said
hollow needle is in communication with said body portion cavity,
and a retracted position in which said needle is withdrawn into
said sheath so as to enclose said sharpened tip for preventing accidental
contact therewith;
a plunger interconnected with said syringe and having a head portion
disposed within said body portion cavity, said head portion being
movable within said body portion cavity for ejecting fluid therefrom
or drawing fluid thereinto;
biasing means for urging said needle toward its retracted position;
one-way lock means movable between an engaging position and a release
position, said one-way lock means retaining said needle in its extended
position when in its engaging position against the force of said
biasing means, and allowing said biasing means to move said needle
to its retracted position when in its release position; and
actuator means actuable by a user after use of said syringe for
moving said one-way lock means from its engaging position to its
release position, for allowing said biasing means to move said needle
to its retracted position after use, said needle thereafter being
maintained within said sheath for preventing reuse of said syringe.
12. The syringe according to claim 11 wherein said biasing means
comprises a stretched coil spring connected at one end to said needle
head portion and connected at its other end to said syringe so as
to be in a stretched condition when said needle is in its extended
position, to create a biasing force tending to withdraw said needle
into said sheath.
13. The syringe according to claim 11 wherein movement of said
plunger triggers said actuator means so as to move said one-way
lock means to its release position, thereby causing said needle
to be moved to its retracted position.
14. The syringe according to claim 13 wherein downward movement
of said plunger by a user causes downward movement of an actuator
rod which acts to move said one-way lock means from its engaging
position to its release position.
15. The syringe according to claim 14 wherein said one-way lock
means comprises movable ball-type detent means associated with said
syringe for retaining said needle in its extended position against
the biasing force of said biasing means during use, and wherein
downward movement of said actuator rod caused by downward movement
of said plunger moves said ball-type detent means to said release
position for releasing engagement of said ball-type detent means
with said needle and allowing said needle to move to its retracted
position.
16. In a syringe comprising a tubular body portion providing an
internal fluid-receiving cavity and a plunger having a movable plunger
head disposed within said body portion cavity, the improvement comprising:
an axially extending sheath disposed within said fluid-receiving
cavity;
a hollow needle having a head portion and a sharpened tip, said
needle being movable between an extended position in which said
sharpened tip extends outwardly from an end of said tubular body
portion and the interior of said hollow needle is in communication
with said body portion cavity, and a retracted position in which
said needle is withdrawn into said sheath for enclosing said sharpened
tip for preventing accidental contact therewith;
biasing means for urging said needle toward its retracted position;
one-way lock means movable between an engaging position and a release
position, said one-way lock means retaining said needle in its extended
position when in its engaging position against the force of said
biasing means, said one-way lock means allowing said biasing means
to move said needle to its retracted position when in its release
position; and
actuator means actuable by a user after use of said syringe for
moving said one-way lock means from its engaging position to its
release position for allowing said biasing means to move said needle
to its retracted position after use, said needle thereafter being
maintained within said sheath for preventing reuse of said syringe.
17. The improvement of claim 16 wherein movement of said plunger
triggers said actuator means so as to move said one-way lock means
to its release position, thereby causing said needle to be moved
to its retracted position.
18. The improvement of claim 17 wherein downward movement of said
plunger by a user causes downward movement of an actuator rod which
acts to move said one-way lock means from its engaging position
to its release position.
19. The improvement of claim 18 wherein said one-way lock means
comprises movable ball-type detent means associated with said syringe
for retaining said needle in its extended position against the biasing
force of said biasing means during use, and wherein downward movement
of said actuator rod caused by downward movement of said plunger
moves said ball-type detent means to said release position for releasing
engagement of said ball-type detent means with said needle and allowing
said needle to move to its retracted position.
Safety syringe description
BACKGROUND AND SUMMARY
This invention broadly relates to a medical device, and more particularly
a medical device for administering or receiving fluids to or from
a patient.
Health care personnel using needles for injecting or for withdrawing
blood are subject to serious risk of infection if they are accidentally
scratched or punctured by a needle after its use. Such a scratch
or puncture carries with it the risk of incurring a viral or bacterial
infection.
It is estimated that there are, on the average, 50 to 100 accidental
needle stick injuries per hospital per month. It is further estimated
that such accidental injuries often necessitate examination and
laboratory testing costing between $700.00 and $1000.00 per injury.
An infection caused by such an accidental needle stick injury leads
to even greater expense and disability.
Because of the substantial risk and cost associated with accidental
needle stick injuries, procedures have been developed for disposing
of used hypodermic syringes and/or needles. One procedure is to
remove the needle from the syringe and dispose of it separately
in a receptacle designed for needle disposal. In some cases such
removal of the needle requires a special implement, such as a guillotine-like
mechanism which severs the needle from the syringe and deposits
the needle in a closed receptacle. However, the receptacle and the
implement needed to remove the needle are usually not available
at the bedside, where many injections are made. Thus, this procedure
is inadequate to prevent accidental needle sticks and resulting
infection in such cases.
One mechanism for protecting a needle after use is shown in U.S.
Pat. No. 4664259 to Landis. This patent discloses a container
for enclosing a needle after use. The structure of the Landis patent
requires a person to manually place the container over the needle
after use by pivoting the container onto or about the needle. Such
action requires the person to bring his or her fingers into close
proximity with the tip of the needle, thus creating the potential
for accidental contact with the needle tip. The enclosure provided
by the container of the Landis patent does not prevent reuse of
the syringe, since a person need only remove the container to once
again expose the needle for use.
U.S. Pat. No. 4676783 to Jagger et al. discloses an assembly
for disabling an intravenous cannula after use. The structure shown
in the Jagger et al. patent requires the user to manually withdraw
the needle into a cylinder, upon which the tip of the needle is
enclosed to prevent accidental contact therewith. This structure
is not for hypodermic use, and does not prevent a person from reusing
the intravenous cannula.
The present invention overcomes the shortcomings of previous mechanisms
and/or procedures for preventing accidental contact with the tip
of a needle after use. In particular, an object of the present invention
is to provide a structure for automatically or semi-automatically
disarming or disabling a needle after use. A further object of the
invention is to provide such a structure which automatically or
semi-automatically disarms or disables a needle without the user
bringing his or her fingers into the vicinity of the tip of the
needle. Yet another object of the invention is to provide a structure
for automatically or semi-automatically disarming or disabling a
needle immediately upon withdrawal of the needle from the patient
or even while the needle is still in the patient, so that the tip
of the needle is never exposed after withdrawal from the patient.
Yet another object of the invention is to provide a structure which
permanently disarms or disables a needle after use to effectively
prevent reuse of the needle, whether accidental or intentional.
In accordance with the invention, a medical device for administering
or receiving a fluid to or from a patient, such as a hypodermic
syringe, has a conduit means extending therefrom, such as a needle.
The needle has a sharpened end adapted for insertion into a patient
for allowing fluid, such as medication, to flow between the syringe
and the patient. A disarming means is provided for converting the
syringe from an armed condition wherein the sharpened end of the
needle is exposed, to a disarmed condition wherein the sharpened
end of the needle is covered, so as to prevent contact with the
end of the needle after use. The disarming means includes means
for urging the syringe toward its disarmed condition, and a releasable
retainer means for retaining the medical device in its armed condition
during use and for releasing the means urging the medical device
toward its disarmed condition after use. In this manner, the syringe
is caused to be converted to its disarmed condition after use.
In one embodiment, the hypodermic syringe is provided with an internal
silo, and the means for urging the syringe toward its disarmed condition
comprises a biasing means, such as a stretched coil spring, tending
to draw the needle into the silo. The releasable retainer means
comprises a catch or other mechanism for retaining the needle in
an extended position, so as to maintain the syringe in its armed
condition against the biasing force provided by the coil spring.
After the syringe has been used an its contents injected into the
patient through the needle, the catch is released, so as to allow
the needle to be withdrawn into the silo by the spring and the syringe
to be converted to its disarmed condition. Various mechanisms for
releasing the catch are disclosed, including semi-automatic mechanisms
manually actuable by the user after completion of the injection,
as well as automatic mechanisms responsive to movement of the syringe
plunger for automatic actuation upon completion of the injection.
In another embodiment, a telescoping sheath comprising a plurality
of segments is provided adjacent the hub of the needle. The segments
of the telescoping sheath are held in a retracted condition by the
releasable retainer means, to keep the needle exposed during use.
The means for urging the syringe toward its disarmed condition comprises
a biasing means, such as a compressed coil spring, tending to urge
the telescoping sheath outwardly toward its extended condition so
as to cover and enclose the tip of the needle. The releasable retainer
means comprises a gripping mechanism for engaging the end portions
of the segments of the sheath to retain the sheath in its retracted
condition against the force of the compression spring. After the
syringe has been used and its contents injected into the patient
through the needle, the gripping mechanism is released so as to
allow the segments of the telescoping sheath to project outwardly
to their extended condition so as to enclose the needle. In its
extended condition, the telescoping sheath covers the tip of the
needle after use to prevent accidental contact therewith.
In both embodiments, the releasable retainer means can be actuated
either automatically in response to the action of the plunger or
semi-automatically in response to manual actuation by the user.
The releasable retainer means can be actuated while the needle is
in the patient, so that the top of the needle is never exposed after
withdrawal from the patient.
BRIEF DESCRIPTION OF THE DRAWINGS
The drawings illustrate the best mode presently contemplated of
carrying out the invention.
In the drawings:
FIG. 1 is an elevation view partially in section of a syringe constructed
according to the invention in its armed condition with the needle
extended, showing a semi-automatic release mechanism;
FIG. 2 is an enlarged sectional view of a portion of the syringe
of FIG. 1 showing the pivotable catch release mechanism retaining
the needle in its extended position;
FIG. 3 is a sectional view taken generally along line 3--3 of FIG.
1;
FIG. 4 is an elevation view similar to FIG. 1 showing the syringe
after medication has been ejected therefrom and after actuation
of the release mechanism, with the needle in its retracted position
so that the syringe is in its disarmed condition;
FIG. 5 is a detail view similar to FIG. 2 showing a slidable push
button mechanism for retaining the needle in its extended position;
FIG. 6 is a sectional view taken generally along line 6--6 f FIG.
5 showing the push button mechanism of FIG. 5 retaining the needle
in its extended position;
FIG. 7 is a view similar to FIG. 6 showing the push button mechanism
of FIG. 5 moved to a release position for allowing the needle to
retract;
FIG. 8 is a view similar to FIG. 1 showing a manual retraction
mechanism for withdrawing the needle into its retracted position;
FIG. 9 is a detail view of a portion of the syringe of FIG. 8
showing the manual retraction mechanism engaging the needle head
prior to retraction of the needle;
FIG. 10 is a view similar to FIG. 1 showing an auxiliary rod for
effecting movement of a ball and socket type detent for allowing
the needle to retract;
FIG. 11 is a detail view similar to FIG. 2 showing the interaction
of the auxiliary rod with the ball and socket type detent;
FIG. 12 is a view similar to FIG. 2 showing a severable stem embodiment
for the releasable retainer means of the invention;
FIG. 13 is a view similar to FIG. 2 showing an automatic releasable
retainer mechanism for releasing the needle upon depression of the
plunger;
FIG. 14 is a detail view similar to FIG. 2 showing another automatic
releasable retainer mechanism for releasing the needle upon depression
of the plunger;
FIG. 15 is a detail view similar to FIG. 2 showing yet another
automatic releasable retainer mechanism for releasing the needle
upon depression of the plunger;
FIG. 16 is an exploded view of a myelographic needle fitted with
a retracted telescoping sheath adapted to extend outwardly to cover
the needle after use;
FIG. 17 is a detail view of the myelographic needle of FIG. 16
showing the telescoping sheath in its retracted position;
FIG. 18 is a detail view showing the telescoping sheath in its
extended position;
FIG. 19 is a section view taken generally along line 19--19 of
FIG. 18;
FIG. 20 is a detail view similar to FIG. 18 showing another embodiment
of the releasable retainer means for retaining the telescoping sheath
on a myelographic needle;
FIG. 21 is a view similar to FIG. 20 showing the releasable retainer
mechanism of FIG. 20 in a release position for allowing the telescoping
sheath to extend outwardly so as to cover the needle; and
FIG. 22 is a section view taken generally along line 22--22 of
FIG. 20.
DETAILED DESCRIPTION
With reference to FIG. 1 a safety syringe 2 includes a cylindrical
body portion 4 having a side wall 6 and an end wall 8 at one end
thereof. The interior of cylindrical body portion 4 is adapted to
be filled with a fluid, such as a medication, to be injected into
a patient. A nipple 9 extends from end wall 8 of cylindrical body
portion 4. A plunger assembly 10 has a head 12 formed of a resilient
material connected to a series of webs 14. As is well known, head
12 of plunger assembly 10 mates with the interior of cylindrical
body portion 4 and is slidable therealong to eject medication from
the interior of cylindrical body portion 4.
A needle assembly 16 has an elongated hollow needle 18 which extends
from nipple 9 of body portion 4. Needle 18 is in fluid communication
with the interior of body portion 4 and provides a conduit for
passage of fluid ejected from the interior of body portion 4. Needle
18 has a sharpened end 20 adapted for hypodermic or intramuscular
insertion, for providing an injection of medication from body portion
4 through needle 18 by means of plunger assembly 10 as is well
known.
As a means for disarming syringe 2 after use, a cylindrical silo
22 is provided in the interior of body portion 4. Silo 22 extends
longitudinally along substantially the entire length of body portion
4. Silo 22 is affixed at its upper end by means of a pin 24 (FIG.
3) extending across the width of the cylindrical body portion 4
and affixed at either end to side wall 6. Pin 24 extends through
openings disposed in either side wall of silo 22. Silo 22 is connected
at its lower end to end wall 8 of body portion 4 (FIG. 2). A pair
of passages 26 28 are formed in the lower end of silo 22 adjacent
end wall 8 the function of which will be explained. As seen in
FIGS. 1 and 3 webs 14 are formed to accommodate the central location
of silo 22.
With reference to FIG. 2 needle assembly 16 includes a head or
hub portion, generally denoted at 30 from which needle 18 extends.
Head portion 30 of needle assembly 16 is adapted to fit within the
interior of nipple 9. Head portion 30 has a substantially central
longitudinal passage 32 which is adapted to receive the upper end
of needle 18 to retain needle 18 therein. Longitudinal passage 32
terminates at a transverse passage 34 extending across the upper
end of head portion 30. With this arrangement, medication contained
within the interior of body portion 4 of syringe 2 can flow from
the interior of body portion 4 through passages 26 28 in silo 22
and into transverse passage 34 of needle head portion 30. The medication
then passes from transverse passage 34 into longitudinal passage
32 and into the hollow interior or lumen of needle 18 to the patient.
In this manner, an unrestricted flow path is provided from the interior
of cylindrical body portion 4 into the patient.
A pair of resilient sealing rings 36 38 are provided in a pair
of circumferential grooves disposed in the upper end of needle head
portion 30. Rings 36 38 seal silo 22 and nipple 9 respectively,
against passage of medication thereto during ejection of medication
from syringe 2.
With reference to FIGS. 1 and 2 a coil spring 40 is connected
at one end to pin 24 and at the other end to the upper end of needle
head portion 30. When syringe 2 is in an armed condition as shown
in FIG. 1 where needle 18 is extended for use, coil spring 40 is
in a stretched condition so as to bias needle assembly 16 upwardly.
Such biasing force urges needle assembly toward silo 22.
A detent is formed in needle head portion 30 shown in FIG. 2 as
an angled circumferential reduced portion 42 forming a shoulder
44. A pivotable catch 46 having a retainer end 48 and a trigger
end 50 is pivotably connected to nipple 9. Retainer end 48 of pivotable
catch 46 engages shoulder 44 of needle head portion 30 to retain
needle 18 in its extended position against the bias of spring 40.
This maintains syringe 2 in its armed condition. When trigger end
50 of catch 46 is depressed, retainer end 48 pivots outwardly from
the interior of nipple 9 to disengage shoulder 44 thus allowing
the biasing force provided by spring 40 to draw needle assembly
16 into silo 22 as shown in FIG. 4. This action disarms syringe
2 and prevents accidental contact with sharpened end 20 of needle
18. In its disarmed condition, syringe 2 has the entire length of
needle 18 withdrawn into silo 22 with coil spring 40 in its normal
relaxed condition.
As is customary with medical syringes, syringe 2 is shipped in
its armed condition with needle 18 extending from body portion 4
with a protective sheath (not shown) installed over needle 18 to
prevent accidental contact therewith prior to administration of
medication from syringe 2. In operation, the protective sheath covering
needle 18 during shipment is removed, and syringe 2 filled with
medication in a manner as is well known. Needle 18 is then inserted
into the patient, and the medication is injected by depressing plunger
10 to eject the medication from the interior of body portion 4.
As above explained, medication passes through needle 18 to enter
into the patient's bloodstream or muscle.
After the medication has been administered, needle 18 may either
be withdrawn from the patient or left in the patient. If the needle
is withdrawn from the patient, accidental contact with sharpened
end 20 of needle 18 which breaks the skin will pass any infectious
agent on the needle from the patient to the person making such contact
with the needle. Thus, immediately after withdrawal of the needle
from the patient the syringe should be placed in its disarmed condition.
To do so, the user depresses trigger end 50 of catch 46 to release
needle assembly 16 and thereby allow needle 18 to be withdrawn into
silo 22. As can be seen, a person may depress trigger end 50 of
catch 46 while keeping his or her fingers a clear, safe distance
from sharpened end 20 of needle 18 to minimize the potential for
contact therewith. In such a disarmed condition, accidental contact
with sharpened end 20 of needle 18 is prevented.
Alternatively, the person administering the injection may leave
the needle in place in the patient after the injection is completed.
In this case, with the needle still in the patient, the administrator
depresses trigger end 50 of catch 46 to release needle assembly
16. This action allows needle 18 to be withdrawn directly into silo
22 from the patient, thus eliminating exposure of tip 20 of needle
18 after the injection is completed. Of course, the biasing force
provided by spring 40 is sufficient to overcome any forces tending
to retain needle 18 within the patient.
Another embodiment of the invention is shown in FIGS. 5-7. In this
embodiment, a push button mechanism is provided for retaining needle
assembly 16 in its armed condition and for releasing needle assembly
16 for withdrawal into silo 22. A push button actuator 52 has a
button end 54 with a pair of parallel legs 56 58 extending therefrom.
Legs 56 58 have arcuate indentations 60 62 respectively, formed
therein. A slot 64 is provided about the periphery of head portion
30 of needle assembly 16. To retain needle assembly 16 in its extended
position, the outer ends of legs 56 58 engage slot 64 against the
bias of spring 40. To release needle assembly 16 button 54 is pushed
inwardly toward nipple 9 to position arcuate indentations 60 62
adjacent slot 64 as shown in FIG. 7. In this manner, arcuate indentations
60 62 create an opening of sufficient size to allow head portion
30 of needle assembly 16 to pass therebetween. The bias of spring
40 then draws needle assembly 16 into silo 22 to disarm syringe
2. As described above, this retraction of needle assembly 16 into
silo 22 may be accomplished either before or after withdrawal of
needle 18 from the patient.
Another embodiment of the invention is shown in FIGS. 8 and 9.
In this embodiment, a retractable rod 66 extends longitudinally
along the length of plunger assembly 10. Retractable rod 66 has
an end portion 68 formed so as to mate with a receiving portion
70 formed in the upper end of needle head portion 30. A membrane
72 is provided over the end of head 12 of plunger assembly 10. In
this embodiment, medication is administered by depressing plunger
10 to force medication through receiver 70 and into the longitudinal
passage of needle 18. After medication has been so administered,
head 12 of plunger assembly 10 is completely depressed so that membrane
72 is in contact with the inner surfaces of end wall 8 of body portion
4. A button 74 on the end of rod 66 is then depressed to move rod
66 downwardly so as to puncture membrane 72 and engage end portion
68 of rod 66 with receiving portion 70 as shown in FIG. 9. Thereafter,
retractable rod 66 is manually drawn upwardly to withdraw needle
assembly 16 into silo 22. Again, such retraction of needle assembly
16 may be accomplished either before or after withdrawal of needle
18 from the patient.
In accordance with another embodiment of the invention, as shown
in FIGS. 10 and 11 an actuator rod 80 extends along the length
of body portion 4 of syringe 2 in a passage formed along silo 22
by means of a wall 82 connected to silo 22. The upper end of actuator
rod 80 is provided with a button 84. An opening 86 is formed in
the top of plunger assembly 10 of sufficient size to accommodate
passage of button 84 provided on the upper end of actuator rod 80
therethrough. The lower end of actuator rod 80 is placed adjacent
to and in contact with the upper edge of a movable ball-type detent
88. As shown in FIG. 11 the interior of movable ball-type detent
88 is provided with a pair of adjacent and adjoining internal sockets,
both of which are adapted to receive a ball 90 therein The lowermost
socket retains ball 90 in frictional engagement with the side portion
of needle head portion 30 to frictionally engage needle head portion
30 and retain needle 18 in its extended position.
In this embodiment, plunger assembly 10 is depressed to eject fluid
from the interior of body portion 4 of syringe 2 as is well known.
When head portion 12 of plunger assembly 10 approaches end wall
8 of body portion 4 wherein substantially all of the medication
contained within the interior of body portion 4 has been ejected
therefrom, button 84 passes through opening 86 so that the upper
surface of button 84 is substantially flush with the upper surface
of plunger assembly 10. In this event, button 84 is engaged by the
user during depression of plunger assembly 10 to eject the remainder
of the medication from the interior of body portion 4. During the
final ejection of medication, button 84 is depressed along with
plunger assembly 10 thus moving actuator rod 80 downwardly. Such
downward movement of actuator rod 80 also causes downward movement
of movable ball-type detent 88. Upon downward movement of detent
88 ball 90 moves into the uppermost socket provided in detent 88
which is formed so as to release the frictional engagement of the
side of needle head portion 30 to allow the needle assembly 16 to
be withdrawn into silo 22 by the biasing force provided by spring
40. As with the previously described embodiments, the embodiment
of FIGS. 10 and 11 includes passages in the lower end of silo 22
and in the upper end of needle head portion 30 to allow flow of
medication from the interior of body portion 4 through needle 18.
O-rings are provided in the upper portion of needle head portion
30 to prevent leakage of medication from the flow path.
A further embodiment, which is a variation on the embodiment of
FIGS. 10 and 11 is shown in FIG. 12. In the embodiment of FIG.
12 the lower end of actuator rod 80 is provided with a sharpened
tip 92. A ball 94 is disposed within a cavity provided in head portion
30 of needle assembly 16. A stem portion 96 extends between ball
94 and a cross-member 98 which spans across an opening formed in
nipple 9. In this embodiment, upon depression of button 84 at the
upper end of actuator rod 80 sharpened tip 92 at the lower end
of actuator rod 80 moves downwardly so as to sever stem 96. Such
severance of stem 96 takes place after medication has been completely
ejected from the interior of body portion 4. Upon severance of stem
portion 96 needle assembly 16 is allowed to retract into silo 22
by the force of spring 40 to disarm syringe 2. As with the previously
described embodiments, passages are provided in the lower end of
silo 22 and in the upper portion of needle head portion 30 to accommodate
passage of medication from the interior of body portion 4 through
needle 18. O-rings are provided to seal against leakage of medication.
Further embodiments of the invention are shown in FIGS. 13-15.
These embodiments provide automatic retraction of needle assembly
16 upon downward movement of plunger assembly 10 at a predetermined
point in the interior of body portion 4 of syringe 2. With reference
to FIG. 13 nipple 9 is disposed adjacent one side of body portion
4 of syringe 2 Silo 22 extends upwardly into the interior of body
portion 4 from nipple 9 adjacent the same side of body portion 4
as nipple 9. A lever 100 is provided in an opening formed at the
lower end of silo 22 adjacent end wall 8 of body portion 4. Lever
100 is pivotable about a pin 102 extending between the sides of
the opening formed in the lower end of silo 22. Lever 100 has a
trigger end 104 and a needle-engaging end 106. Head portion 30 of
needle assembly 16 is provided with a detent depression 108 having
an engagement surface 110 which is adapted to be engaged by needle-engaging
end 106 of lever 100. A torsion spring or other similar mechanism
(not shown) is provided at pin 102 to retain lever 100 in its needle
engaging position shown in FIG. 13 wherein needle assembly 16 is
retained in its extended position.
In operation, needle assembly 16 is released automatically upon
depression of head portion 12 of plunger assembly 10 to a certain
point. When head portion 12 is moved downwardly so as to move trigger
end 104 of lever 100 leftwardly, lever 100 pivots clockwise about
pin 102. Such pivoting of lever 100 moves needle-engaging end 106
rightwardly to release engagement surface 110 formed in head portion
30 of needle assembly 16. Such movement of ever 100 which takes
place preferably after all medication within the interior of body
portion 4 is ejected therefrom, allows needle assembly 16 to be
retracted into silo 22 by the force of spring 40 to disarm syringe
2. As with the previously-described embodiments, passages are provided
in needle head portion 30 and the lower end of silo 22 to allow
medication to pass from the interior of body portion 4 through needle
18. O-rings are provided for sealing against leakage of medication.
Yet another automatic disarming system is shown in FIG. 14. In
this system, a pair of upstanding flexible catch members 112 114
are formed on the inner surface of end wall 8. Catch members 112
114 have laterally extending upper portions 116 118 respectively,
the inner ends of which engage a pair of ears 120 122 formed on
head portion 30 of needle assembly 16 to retain needle assembly
16 in its extended position. Upon downward movement of plunger head
12 the lower surface of plunger head 12 contacts the outer ends
of laterally extending upper portions 116 118 of catch members
112 114. Continued downward movement of plunger head 12 pivots
catch members 112 114 outwardly to release the engagement of ears
120 122 by the inner ends of laterally extending upper portions
116 118 of catch members 112 114. Such outward flexing of catch
members 112 114 is accomplished after substantially all of the
medication has been ejected from the interior of body portion 4
of syringe 2. As with the previously described embodiments, passages
are provided in the lower end of silo 22 and in the upper portion
of needle head portion 30 to allow medication to pass from the interior
of body portion 4 through needle 18. O-rings are provided to seal
such passage of medication against leakage.
Another embodiment of an automatic retraction system is shown in
FIG. 15. In this embodiment, a pair of flexible wings 124 126 are
provided adjacent end wall 8 of body portion 4 and are anchored
thereto, such as by embedment within the upper portion of nipple
9 as shown. Flexible wings 124 126 have retaining portions 128
130 formed therein which engage a pair of ears 132 134 formed on
head portion 30 of needle assembly 16. Retaining portions 128 130
engage ears 132 134 to retain needle assembly 16 in its extended
position. Upon downward movement of plunger assembly 10 and head
12 the lower surface of plunger head 12 comes into contact with
flexible wing members 124 126. Upon continued downward movement
of plunger head 12 flexible wings 124 126 are depressed downwardly
and outwardly so as to release retaining portions 128 130 from
engagement with ears 132 134. Such release of ears 132 134 allows
needle assembly 16 to be retracted upwardly into silo 22 by the
force of spring 40. The release of ears 132 134 is accomplished
after head portion 12 of plunger assembly 10 has moved downwardly
toward end wall 8 a sufficient amount to eject substantially all
of the medication from the interior of body portion 4. As with the
previous embodiments, passages are provided in the lower end of
silo 22 and the upper portion of needle head 30 to allow medication
to flow from the interior of body portion 4 through needle 18. O-rings
are provided in needle head portion 30 to seal against leakage of
medication.
It is understood that a variety of mechanisms are contemplated
for providing automatic retraction of the needle assembly after
use of the needle. For example, and without limitation, withdrawal
of the needle assembly in response to movement of the plunger may
be caused by the presence or absence of a magnetic force, by attaining
a certain predetermined hydrostatic pressure in the interior of
the syringe, by the plunger releasing a thether retaining the needle
in its extended condition, or by rotational movement of either the
plunger or needle to effect release of the needle.
It is contemplated that the upper end of silo 22 can be sealed
and a disinfectant provided in the interior of silo 22. This provides
neutralization of any contamination present on needle 18 when needle
assembly 16 is retracted.
Further, it is contemplated that needle assembly 16 can be in its
retracted position during transportation, shipping and storage,
and deployed into its extended position for arming syringe 2 for
use. Thereafter, needle assembly 16 is retracted into silo 22 to
disarm syringe 2.
FIGS. 16-22 disclose further embodiments of the invention, wherein
a telescoping segmental sheath is adapted to extend over the needle
after use to enclose its sharpened tip. The embodiments of FIGS.
16-22 will be described with reference to a myelographic needle,
but it is understood that such embodiments are equally and effectively
applicable to any needle adapted for use with a syringe.
As shown in FIG. 16 a myelographic injection assembly 136 generally
includes a needle portion 138 and an insert portion 140. Needle
portion 138 has a hub 142 from which a needle 144 having a sharpened
end 146 extends therefrom. An extendible segmental telescoping sheath,
shown generally at 148 is connected to hub 142. Insert 140 has
a head portion 150 and a plug portion 152. Head portion 150 is adapted
to mate with an opening provided in the end of hub 142 of needle
portion 138 with plug portion 152 extending throughout the length
of needle portion 138 so as to plug the passage provided in needle
144 during insertion of the myelographic injection assembly 136
into the patient. Plug 152 prevents the passage of any tissue into
the interior of the spinal cord during insertion of the myelographic
injection assembly 136. After insertion of myelographic injection
assembly 136 into the patient, insert portion 140 is withdrawn from
needle portion 138 to allow a myelographic injection, as is well
known.
FIG. 17 shows extendible segmental sheath 148 in its unextended
or retracted condition, wherein needle 144 is exposed for use. Sheath
148 includes a plurality of telescoping segments 154 156 158 and
60 best shown in FIG. 18. Segments 154-160 are provided with cooperating
inwardly and outwardly extending flanges which engage each other
upon extension of sheath 148 to form the telescoping sheath assembly
as shown in FIG. 18.
A retainer mechanism 162 retains telescoping sheath 148 in its
retracted condition. Retainer mechanism 162 includes a ring 164
provided at hub 142 of needle portion 138. Ring 164 has a pair of
arms 166 168 extending therefrom. Arms 166 168 are provided at
their ends with inwardly extending fingers 170 172 respectively.
When myelographic injection assembly 136 is in its armed condition,
wherein needle 144 is exposed for use, fingers 170 172 engage the
end portions of telescoping segments 154-160 to retain the segments
in their retracted position. A biasing means, such as a compressed
coil spring 174 is provided within a circumferential passage formed
in hub 142 about needle 144. Coil spring 174 bears at one end against
the end of the circumferential passage in hub 142 and at the other
end against the inner end of telescoping segment 160. When telescoping
sheath 148 is in its retracted position as shown in FIG. 17 telescoping
segments 154 160 are retained in position by retainer mechanism
162 against the force of coil spring 174.
To release telescoping sheath 148 ring 164 is turned counterclockwise,
as shown in FIG. 19. Such clockwise turning of ring 164 causes arms
166 168 to engage a pair of ramps 176 178 formed on sheath segment
154. Such engagement of arms 166 168 with ramps 176 178 causes
arms 166 168 to move outwardly, as shown in FIGS. 18 and 19. Such
outward movement of arms 166 168 causes fingers 170 172 to likewise
move outwardly to release the ends of telescoping segments 154-160
and to cause telescoping sheath 148 to move to its extended position,
shown in FIG. 18 by means of the biasing force provided by spring
174. As with the previously described embodiments of the invention,
the counterclockwise rotation of ring 164 may be performed by the
person administering the injection either while needle 144 is still
in place in the patient or after needle 144 has been withdrawn.
FIGS. 20-22 show another embodiment for the telescoping sheath
disabling mechanism of the present invention. In this embodiment,
ring 164 of retainer mechanism 162 again has arms 166 168 extending
therefrom. Hub 142 of needle portion 138 is provided with a series
of external threads 180 and ring 164 is provided with a series
of internal threads adapted to mate with external threads 180. In
this embodiment, arms 166 168 have inwardly extending angled fingers
182 184 which retain telescoping segments 154-160 in their retracted
position against the force of spring 174. Angled fingers 182 184
extend from the ends of arms 166 168 at an obtuse angle thereto.
After the injection has been completed, ring 164 is turned on threads
180 of hub 142 so as to move rightwardly. Such movement of ring
164 causes angled fingers 182 184 to ride up on the leftward ends
of telescoping segments 154-160 so as to release telescoping segments
154-160 as shown in FIG. 21. This release of engagement of fingers
182 184 with the end portions of segments 154-160 allows the biasing
force provided by spring 174 to project telescoping segments 154-160
outwardly to cover needle 144. Again, this can occur either while
needle 144 is still in the patient or after needle 144 has been
withdrawn from the patient.
It is understood that the telescoping sheath arrangement for enclosing
the needle after use may be utilized in connection with an automatic
or semi-automatic triggering mechanism provided on the syringe,
as opposed to on the needle assembly itself.
The present invention provides a medical syringe which, after actuation
of the disarming mechanism, is practically not reusable without
destruction of the syringe. This feature of the invention is advantageous
in that it prevents contact with the needle after use, whether intentional
or inadvertent, thus preventing the spread of any infection present
on the needle from the patient.
Various alternatives and modifications are contemplated as being
with the scope of the following claims particularly pointing out
and distinctly claiming the invention.
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