Safety syringe abstract
A single-use safety syringe assembly comprises an elongated, generally
cylindrical barrel which forms a hollow nozzle located at the distal
end of the barrel and which opens into the interior of the barrel.
A plunger is slidably mounted in the barrel and forms a longitudinal
cavity. A needle holder carries a hollow needle on its distal end,
and the needle holder is slidably mounted in the longitudinal cavity
of the plunger. A biasing arrangement urges the needle holder in
a direction for retracting the needle into the barrel. However,
a releasable latching arrangement retains the needle holder against
the urging of the biasing arrangement in a position wherein the
needle projects from the barrel. An In-Barrel assembly sequence
is provided which permits sequentially inserting components of the
syringe into the barrel and effecting assembly with a push of the
plunger. An OTN catheter may also be employed in combination with
the syringe assembly.
Safety syringe claims
What is claimed is:
1. A safety syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel,
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle;
a needle holder mounting said needle at a distal end thereof and
slidably mounted in said longitudinal open channel of said plunger
for movement between an advanced position in which said needle on
the distal end of said needle holder projects from a distal end
of said nozzle, and a retracted position in which said needle is
retracted within said barrel;
a compression spring mounted inside of said barrel and means supporting
a distal end portion of said spring against expansion; said spring
urging said needle holder toward its retracted position; and
a latch arrangement having a closed position in which said needle
holder is latched relative to said barrel to hold said needle holder
in its advanced position against the urging of said spring, and
an open position in which said needle holder is unlatched relative
to said barrel to allow said spring to expand in a proximal direction
to move said needle holder to its retracted position; said latch
arrangement including a radially projecting arm on one of said needle
holder and said barrel by which the needle holder is directly or
indirectly engaged with the barrel, at least when in its closed
position.
2. The syringe assembly of claim 1 wherein said spring is a helical
spring disposed around said plunger.
3. The syringe assembly of claim 1 wherein said spring is a helical
spring disposed around said needle holder within said longitudinal
open channel of said plunger.
4. The syringe assembly of claim 1 wherein said spring is a helical
spring.
5. A safety syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger for movement between an advanced position in which
a needle on the distal end of said needle holder projects from a
distal end of said nozzle, and a retracted position in which said
needle is retracted within said barrel;
a spring mounted inside said barrel and urging said needle holder
toward its retracted position; and
a latch having a closed position in which said needle holder is
latched to said barrel to hold said needle holder in its advanced
position against the urging of said spring, and an open position
in which said needle holder is unlatched from said barrel to allow
said spring to move said needle holder to its retracted position;
wherein said needle holder has a lateral arm which extends radially,
and wherein said latch engages said lateral arm of said needle holder
when said latch is in its closed position.
6. The syringe assembly of claim 1 wherein said barrel includes
a guide slot and wherein said needle holder includes a lateral arm
extending laterally from said plunger open channel into said guide,
whereby said needle holder is guided by said guide slot as it moves
toward its retracted position.
7. The syringe assembly of claim 6 wherein said latch is mounted
for movement into and out of registry with a distal end of said
guide slot for capturing and releasing said lateral arm at the distal
end of said guide slot.
8. The syringe assembly of claim 1 which includes a hollow needle
attached to the distal end of said needle holder.
9. The syringe assembly of claim 5 wherein said spring comprises
a helical spring disposed around said plunger.
10. A safety syringe assembly comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger for movement between an advanced position in which
a needle on the distal end of said needle holder projects from a
distal end of said nozzle, and a retracted position in which said
needle is retracted within said barrel;
a spring mounted inside said barrel and urging said needle holder
toward its retracted position; and
a latch having a closed position in which said needle holder is
latched to said barrel to hold said needle holder in its advanced
position against the urging of said spring, and an open position
in which said needle holder is unlatched from said barrel to allow
said spring to move said needle holder to its retracted position;
wherein said latch comprises a needle holder locking element rotatably
mounted on said barrel for rotary movement between a locking position
and non-locking position on the barrel.
11. The syringe assembly of claim 1 wherein said barrel has outwardly
extending gripping flanges and said latch comprises a needle holder
locking element mounted on one of said barrel flanges for movement
between a locking position and non-locking position.
12. The syringe assembly of claim 6 wherein said guide slot is
formed in the wall of said barrel and extends radially through the
wall of said barrel.
13. The syringe assembly of claim 6 wherein said guide slot includes
a detent at a proximal end thereof for resisting advancing movement
of said needle holder after it has been fully retracted.
14. The syringe assembly of claim 1 wherein said longitudinal open
channel of said plunger includes a detent for slidably retaining
said needle holder within said longitudinal channel.
15. The syringe assembly of claim 1 wherein said barrel includes
an outwardly extending finger flange to facilitate gripping of the
barrel, and wherein said flange can be used to rotate the barrel
relative to the plunger in a direction for releasing said latch
to effect one-handed rotary retraction of the needle holder.
16. The syringe assembly of claim 15 wherein said lateral arm extends
radially through the barrel wall, and wherein said latch is located
adjacent said flange to engage a portion of said lateral arm.
17. The syringe assembly of claim 1 wherein said latch is formed
on said needle holder and releasably engages said barrel.
18. The syringe assembly of claim 1 and further including a retaining
member comprising said means for supporting a distal end portion
of the spring.
19. The syringe assembly of claim 18 and further including an inwardly
extending surface on said barrel supporting said retaining member.
20. The syringe assembly of claim 6 wherein said latch is located
at a distal end of said guide slot, and comprises a longitudinal
track on an outer surface of said barrel and a locking element slidably
mounted on said track for reciprocating movement between a locking
position at said distal end of said guide slot and a non-locking
position away from said distal end of said guide slot.
21. The syringe assembly of claim 1 wherein said latch comprises
a locking element formed as an integral part of the outer surface
of said barrel and including an integral hinge permitting pivoting
movement of said locking element between a locking position and
a non-locking position.
22. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger;
a latch arrangement for latching and unlatching said needle holder
relative to said barrel; said latch arrangement including a radially
projecting arm on one of said needle holder and said barrel by which
the needle holder is directly or indirectly engaged with the barrel,
at least when latching said needle holder relative to said barrel;
and
a compression spring located in said barrel in surrounding relation
to said needle holder and having a distal end held against expansion
so as to expand in a proximal direction for retracting said needle
holder in response to unlatching said needle holder by said latching
means.
23. The syringe assembly of claim 22 wherein said spring comprises
a coil spring disposed around said plunger.
24. The syringe assembly of claim 22 wherein said spring comprises
a coil spring disposed around said needle holder within said longitudinal
open channel of said plunger.
25. The syringe assembly of claim 22 wherein said spring comprises
a coil spring, and further including a support member for supporting
a distal end of said coil spring.
26. The syringe assembly of claim 25 wherein the support member
comprises an L-shaped bracket supported by a proximal portion of
said barrel.
27. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger;
a latch for latching and unlatching said needle holder relative
to said barrel; and
a spring for retracting said needle holder in response to unlatching
said needle holder by said latching means;
wherein said needle holder has a lateral arm which extends radially,
and wherein said latch releasably engages the lateral arm of said
needle holder.
28. The syringe assembly of claim 27 wherein said latch comprises
a needle holder locking element rotatably mounted on said barrel
for rotary movement between a locking position and non-locking position
relative to said lateral arm.
29. The syringe assembly of claim 22 wherein said barrel includes
outwardly extending gripping flanges and said latch comprises a
locking element mounted on one of said barrel flanges for movement
between a locking position and non-locking position relative to
said needle holder.
30. The syringe assembly of claim 27 wherein a guide slot is formed
in a proximal wall portion of said barrel for receiving and guiding
said lateral arm.
31. The syringe assembly of claim 30 wherein said guide slot includes
a detent at a proximal end thereof for resisting advancing movement
of said needle holder after it has been fully retracted.
32. The syringe assembly of claim 21 wherein said longitudinal
open channel of said plunger includes a detent for slidably retaining
said needle holder within said longitudinal open channel.
33. The syringe assembly of claim 30 wherein said barrel includes
outwardly extending finger flanges to facilitate gripping of the
barrel, and wherein said flanges can be used to rotate the barrel
relative to the plunger in a direction for releasing said latch
to effect one-handed rotary retraction of the needle holder.
34. The syringe assembly of claim 33 wherein said lateral arm extends
radially through the barrel wall.
35. The syringe assembly of claim 34 wherein said latch is located
adjacent said flange to releasably engage a portion of said needle
holder lateral arm.
36. The syringe assembly of claim 30 wherein said needle holder
includes a lateral arm for engaging the latch and said barrel has
an open end and said plunger includes recesses alignable with said
open end of said barrel for defining a relief space for deformation
of said open end of barrel to permit initial insertion of said lateral
arm of said needle holder past said open end of said barrel and
into said guide slot.
37. The syringe assembly of claim 22 and further including a support
element to support the spring at a distal end portion of the spring.
38. The syringe assembly of claim 23 and further an inwardly extending
surface on said barrel which supports a distal end of the spring.
39. The syringe assembly of claim 30 wherein said latch comprises
a longitudinal track on an outer surface of said barrel and a locking
element slidably mounted on said track for reciprocating movement
between a locking position at a distal end of said guide slot and
a non-locking position away from said distal end of said guide slot.
40. The syringe assembly of claim 22 wherein said latch comprises
a locking element formed as an integral part of the outer surface
of said barrel and including an integral hinge for permitting pivoting
movement of said locking element between a locking position and
a non-locking position.
41. The syringe assembly of claim 22 wherein the barrel and plunger
have cooperating interlocking elements which engage and lock when
the plunger is fully advanced relative to the barrel, to prevent
retraction of the plunger.
42. An over-the-needle catheter and syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger for movement between an advanced position in which
a needle on the distal end of said needle holder projects from a
distal end of said nozzle, and a retracted position in which said
needle is retracted within said barrel;
an elastic biasing member mounted inside said barrel and contacting
said needle holder for urging said needle holder toward its retracted
position;
a latch releasably engageable with said needle holder and movable
between a closed position in which said needle holder is latched
to hold said needle holder in its advanced position against the
urging of said biasing means, and an open position in which said
needle holder is unlatched to allow said biasing means to move said
needle holder to its retracted position;
an over-the-needle catheter; and
cooperating locking surfaces on said catheter and said syringe
releasably securing said catheter to said syringe.
43. The catheter and syringe assembly of claim 42 wherein said
cooperating locking surfaces include a luer taper located on said
nozzle which engages with a mating luer tape located on said catheter.
44. The catheter and syringe assembly of claim 42 said catheter
further including a valve.
45. The catheter and syringe assembly of claim 44 wherein said
valve comprises a slit valve.
46. The catheter and syringe assembly of claim 44 wherein said
valve comprises a rotary ball valve.
47. The catheter and syringe assembly of claim 42 wherein said
catheter comprises a catheter body, and an elongated, generally
cylindrical catheter tip extending from said body.
48. The catheter and syringe assembly of claim 47 and further including
a slit valve in said catheter body.
49. The catheter and syringe assembly of claim 42 wherein said
catheter comprises a pair of orthogonally disposed catheter body
portions, an elongated projecting catheter tip aligned with one
of said body portions and a valve for operatively coupling said
catheter body portions with said tip.
50. The catheter and syringe assembly of claim 49 wherein said
valve comprises a rotary ball valve.
51. A syringe assembly comprising:
an elongated, generally cylindrical barrel forming a hollow nozzle
located at the distal end of said barrel and opening into the interior
of said barrel;
a plunger slidably mounted in the said barrel and forming a longitudinal
channel;
a needle holder slidably mounted in said longitudinal open channel
of the said plunger and having a lateral arm;
latching means for latching and unlatching said lateral arm of
said needle holder with the needle holder distally advanced relative
to the barrel; and
elastic means located in said barrel for retracting said needle
holder within the barrel in response to the unlatching of the needle
holder from said barrel.
52. The syringe assembly of claim 51 and further including guide
means forming a guide slot extending along a proximal end portion
of said barrel for engaging said lateral arm of said needle holder.
53. The syringe assembly of claim 51 and further including guide
means forming a helical guide slot extending along a proximal end
portion of said barrel for engaging said lateral arm of said needle
holder.
54. The syringe assembly of claim 51 wherein said latching means
comprises a needle holder locking element slidably mounted on said
barrel for reciprocating movement between a locking position and
a non-locking position.
55. The syringe assembly of claim 51 wherein the barrel and plunger
have cooperating interlocking elements which engage and lock when
the plunger is fully advanced relative to the barrel, to prevent
retraction of the plunger.
56. A syringe assembly comprising:
an elongated, generally cylindrical barrel forming a hollow nozzle
located at the distal end of said barrel and opening into the interior
of said barrel;
a plunger slidably mounted in the said barrel and forming a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of the said plunger and having a lateral arm;
latching means for latching and unlatching said lateral arm of
said needle holder relative to the barrel; and
elastic means located in the proximal end portion of said barrel
and responsive to unlatching of the needle holder from said barrel
for retracting said needle holder within the barrel.
57. The syringe assembly of claim 56 wherein the barrel includes
an outwardly extending finger flange, and said latching means include
a movable lever in the flange to capture the lateral arm of said
needle holder that extends adjacent to the flange.
58. The syringe assembly of claim 56 which includes a hollow needle
attached to the distal end of said needle holder.
59. The syringe assembly of claim 56 wherein a guide slot is formed
in the wall of the barrel and extends radially through the wall
of the barrel.
60. The syringe assembly of claim 56 wherein the elastic means
comprises a spring and a proximal portion of the barrel has an internally
projecting surface for directly or indirectly supporting a distal
end of said spring.
61. The syringe assembly of claim 56 wherein the elastic means
comprises a spring and a bracket at a proximal end portion of the
barrel supports a distal end of the spring.
62. The syringe assembly of claim 56 wherein the proximal portion
of the barrel containing the elastic retraction means has a larger
inside diameter than the distal portion of the barrel to define
said projecting surface at a shoulder formed at the transition between
the proximal and distal barrel portions.
63. The syringe assembly of claim 1 wherein said channel of said
plunger has a locking detent that holds the needle holder at the
proximal end of the plunger when retracted.
64. The syringe assembly of claim 22 wherein said channel of said
plunger has a locking detent that holds the needle holder at the
proximal end of the plunger when retracted.
65. The syringe assembly of claim 51 wherein said channel of said
plunger has locking detent means that hold the needle holder at
the proximal end of the plunger when retracted.
66. The syringe assembly of claim 56 wherein said channel of said
plunger has locking detent means that hold the needle holder at
the proximal end of the plunger when retracted.
67. A syringe assembly, comprising:
an elongated generally cylindrical barrel forming a hollow nozzle
located at a distal end of said barrel and opening into the interior
of said barrel;
a plunger slidably mounted in said barrel and forming a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger;
a latch that releasably couples the needle holder with the barrel;
and
an elastic spring located in a proximal end portion of said barrel
for retracting said needle holder within the open channel in response
to release of said latch.
68. The syringe assembly of claim 67 wherein said barrel includes
an internally projecting support ring for seating one of the elastic
spring and a support element for supporting said elastic spring,
said elastic spring being compressed by the needle holder when the
needle holder is coupled to the barrel by the latch.
69. The syringe assembly of claim 67 including a bracket projecting
into said barrel for supporting a distal end of said elastic spring,
said elastic spring being compressed when the latch is unreleased
and expanding to its full uncompressed length when the latch is
released.
70. The syringe assembly of claim 67 wherein said barrel includes
a finger flange to facilitate gripping of the barrel and said latch
comprises a sliding lever mounted to said finger flange and removably
projecting into the plunger open channel to releasably latch the
needle holder to the barrel.
71. The syringe assembly of claim 67 wherein said latch comprises
a needle holder locking element slidably mounted on said barrel
for reciprocating movement between a locking position and non-locking
position.
72. The syringe assembly of claim 67 wherein said nozzle has a
male luer taper on an outer surface thereof.
73. The syringe assembly of claim 52 wherein said longitudinal
open channel and said guide slot have detents for retaining said
needle holder lateral arm at a proximal end thereof when said needle
holder is retracted to thereby render the syringe assembly interlocked
and inoperative.
74. The needle-syringe assembly of claim 67 wherein said plunger
open channel includes a plurality of detent elements formed as integral
parts of an interior surface of said open channel for retaining
the needle holder in sliding engagement with said open channel.
75. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and forming a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger;
guide slot means defining a guide slot extending along a proximal
end portion of said barrel for guiding a retracting motion of said
needle holder within the barrel in response to a retractile force
between the barrel and the needle holder; and
latching means on said barrel for latching and unlatching said
needle holder at the distal end of said guide slot.
76. The syringe assembly of claim 75 wherein said guide slot has
latching means at a distal end thereof for releasably latching said
needle holder against said retractable force, and detent means for
interlocking the barrel, plunger and needle holder at a proximal
end.
77. A syringe assembly, of claim 75 including latching means on
said barrel for releasably latching said needle holder against said
retractable force, and comprising a locking element formed as an
integral part of the outer surface of said barrel and including
an integral hinge for permitting pivoting movement of said locking
element between a locking position, and a non-locking position.
78. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and forming a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger and having a lateral arm;
means defining a guide slot extending along a proximal end portion
of said barrel for engaging said lateral arm of needle holder and
guiding said needle holder within the barrel in response to relative
movement between the barrel and the needle holder;
latching means on said barrel for latching and unlatching said
needle holder at a distal end of said guide slot, and comprising
a locking tab hingedly joined to said barrel and movable between
a locking position in engagement with said lateral arm of said needle
holder at said distal end of said guide slot and a non-locking position
out of engagement with said lateral arm of said needle holder; and
retractable force providing means coupled with said needle holder
for applying a force thereto for causing said relative movement
between said barrel and said needle holder in a direction for retracting
said needle holder within said barrel.
79. The syringe assembly of claim 78 wherein the retractable force
providing means is a coil spring.
80. A method of assembling a safety syringe assembly comprising,
in sequence:
providing a barrel, a plunger having a longitudinal open channel,
a needle holder which mounts a needle at a distal end thereof, a
plunger cap, and a helical coil compression spring;
axially inserting a plunger cap and said needle holder with said
compression spring thereabout into said barrel;
aligning said channel portion of said plunger with said needle
holder;
axially inserting said plunger into the barrel; and
applying longitudinal force on said plunger for causing said plunger
to advance into said barrel and cause latching of said needle holder
to said barrel and sliding engagement of said needle holder with
said plunger channel.
81. The method of syringe assembly of claim 80 wherein said needle
holder includes a lateral arm for engaging a guide slot in said
barrel and said barrel has an open end and said plunger includes
recesses alignable with said open end of said barrel for defining
a relief space for deformation of said open end of barrel to permit
initial insertion of said lateral arm of said needle holder past
said open end of said barrel into said guide slot, and further including
deforming said open end of said barrel and simultaneously inserting
said lateral arm of said needle holder past said open end of said
barrel and into said guide slot.
82. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and having a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger for movement between an advanced position in which
a needle on the distal end of said needle holder projects from a
distal end of said nozzle, and a retracted position in which said
needle is retracted within said barrel;
an elastic biasing member mounted inside said barrel and contacting
said needle holder for urging said needle holder toward its retracted
position; and
a latch releasably engageable with said needle holder and movable
between a closed position in which said needle holder is latched
to hold said needle holder in its advanced position against the
urging of said biasing means, and an open position in which said
needle holder is unlatched to allow said biasing means to move said
needle holder to its retractable position.
83. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and forming a longitudinal
open channel;
a needle holder slidably mounted in said longitudinal open channel
of said plunger;
retracting means for retracting said needle holder relative to
the open channel in response to a retractile force between the barrel
and the needle holder; and
latching means on said barrel for latching and unlatching said
needle holder.
84. A syringe assembly, comprising:
an elongated, generally cylindrical barrel having a hollow interior
forming a hollow nozzle located at a distal end of said barrel and
opening into the interior of said barrel;
a plunger slidably mounted in said barrel and forming a longitudinal
open channel;
a needle holder slidable mounted in said longitudinal open channel
of said plunger and having a lateral arm;
a guide slot in said barrel for engaging said lateral arm of needle
holder and guiding said needle holder within the barrel in response
to relative movement between the barrel and the needle holder;
latching means on said barrel for latching and unlatching said
needle holder; and
retractable force providing means coupled with said needle holder
for applying a force thereto for causing said relative movement
between said barrel and said needle holder in a direction for retracting
said needle holder.
Safety syringe description
FIELD OF THE INVENTION
The present invention generally relates to syringes for use with
hypodermic needles. In particular, the present invention relates
to a needle-syringe a ssembly which withdraws the sharp point of
the hypodermic needle following use so as to render it n on-reusable.
An over-the-needle (OTN) catheter may also be used with the syringe
assembly of the invention.
BACKGROUND OF THE INVENTION
A hypodermic needle has many applications in modern medicine. One
application is to fit the hypodermic needle onto a syringe and to
then insert the needle into a person's body for intra-muscular,
subcutaneous, or intravenous injection of medications. Another application
of the hypodermic needle is to coaxially mount a catheter over a
hypodermic needle and to puncture a vein of a person's body with
the needle. Following needle puncture, the over-the-needle (OTN)
catheter is advanced into the vein, the needle is removed, and the
catheter is connected to an intravenous line for fluid infusions
into the vein.
A hypodermic needle entering into a patient's body is invariably
contaminated by the patient's blood and body fluids. Following use
of the needle, the needle presents a risk to physicians, nurses,
and other health care personnel because the needle might transmit
an infection or disease to such personnel if it were to accidentally
puncture them. Thus, health care personnel are in constant danger
of contracting infections and diseases, some of which may be deadly.
Other potential victims of accidental needle punctures include sanitation
workers who later dispose of garbage containing the hypodermic needle.
The diseases which may be transmitted by a contaminated hypodermic
needle include Immune Deficiency Virus, Hepatitis, Rabies, Kure,
Encephalitis, and Arbor viruses. The outcome of contracting one
of these diseases is often fatal because there are no known cures
for any of these diseases. Often a needle puncture in a person's
skin is so trivial that it remains unrecognized until the person
becomes seriously ill.
Many existing OTN catheters suffer from penetration problems because
of long length needles and unsecured needle supports. In addition,
many existing OTN catheters still present the danger of causing
needle pricks due to ineffective encasement of the needles following
use.
Accordingly, there exists a need for a hypodermic needle assembly
which overcomes the above-noted drawbacks associated with many existing
assemblies.
The problem of suffering accidental needle punctures is well recognized.
As a result, enormous inventive effort has been devoted to concealing
the sharp needle point of hypodermic needles. One such effort is
described in the present applicant's U.S. Pat. No. 5338311 issued
Aug. 16 1994.
SUMMARY OF THE INVENTION
One aspect of this invention comprises an improved needle-syringe
assembly which provides a simple and reliable mechanism to retract
the needle after it has been used.
Another aspect of the present invention comprises an improved needle-syringe
assembly which facilitates fabrication, and reduces the cost, of
the assembly.
Still another aspect of the present invention comprises an improved
needle-syringe assembly which facilitates the operation of the assembly,
particularly when it is desired to retract the needle prior to disposing
of the needle-syringe assembly.
Another aspect of the present invention comprises an improved needle-syringe
assembly which improves the acceptability of the assembly by providing
an external appearance which is virtually the same as that of conventional
hypodermic needle assemblies which do not provide for needle retraction.
A further aspect of the invention comprises an improved needle-syringe
assembly that has the same length as conventional hypodermic needle
assemblies which do not provide for needle retraction.
Another aspect of the invention comprises an improved needle-syringe
assembly in which linear movements are employed for normal use and
rotary movements for retracting and locking the needle in the syringe.
Yet another aspect of the invention comprises a needle-syringe
assembly which provides for conventional operation for normal use,
while needle retraction, once voluntarily activated, is automatic
and complete.
Still another aspect of the invention comprises a needle-syringe
assembly wherein the retracted position of the needle avoids puncture
of the barrel and accidental sticking of medical staff.
Other aspects and advantages of the invention will become apparent
upon reading the following detailed description and upon reference
to the accompanying drawings.
In accordance with the present invention, a syringe assembly, operable
in a normal mode and convertible to a retraction mode, comprises
a safety syringe assembly which includes an elongated, generally
cylindrical barrel having a hollow interior forming a hollow nozzle
located at a distal end of said barrel and opening into the interior
of said barrel, a plunger slidably mounted in said barrel and having
a longitudinal cavity, a needle holder slidably mounted in said
longitudinal cavity of said plunger for movement between an advanced
position in which a needle on the distal end of said needle holder
projects from a distal end of said nozzle and a retracted position
in which said needle is retracted within said barrel, elastic biasing
means mounted inside said barrel and coupled to said needle holder
for urging said needle holder toward its retracted position, and
a latch releasably engageable with said needle holder and movable
between a closed position in which said needle holder is latched
to hold said needle holder in its advanced position against the
urging of said biasing means, and an open position in which said
needle holder is unlatched to allow said biasing means to move said
needle holder to its retracted position.
In accordance with another aspect of the invention there is further
provided an over-the-needle catheter and means for releasably securing
the catheter to the above syringe assembly.
Another aspect of the invention provides a method of sequential
alignment and "single-stroke" in-barrel assembly of components
which permits economical production of the device.
BRIEF DESCRIPTION OF THE DRAWINGS
In the drawings:
FIG. 1 is an exploded view illustrating parts of a needle and syringe
assembly in accordance with one embodiment of the invention;
FIG. 2 is an assembled view of the needle-syringe assembly of FIG.
1;
FIG. 3 is an elevation of a needle holder;
FIG. 4 is an elevation of another embodiment of a needle holder;
FIG. 4a is a partial view of modified portion of the needle holder
of FIG. 4;
FIG. 5 is a partial sectional view of an end portion of a needle
holder;
FIG. 6 is a partial sectional view of an alternate form of a needle
holder end portion;
FIG. 7 is an elevation of a plunger element;
FIG. 8 is an end view of the plunger of FIG. 7;
FIG. 9 is a transverse sectional view of the plunger of FIG. 5;
FIGS. 10 12 14 and 16 are side elevations, with FIGS. 12 and
14 being in section, of various forms of barrel elements;
FIGS. 11 13 15 and 17 are end views of the barrel elements of
FIGS. 10 12 14 and 16 respectively;
FIG. 18 is a plan view, partially in section of an assembled needle
and syringe assembly having embodiment features according to one
or more of the embodiments of the invention;
FIGS. 19-21 are partial elevations of a needle syringe assembly
showing a latch in accordance with one embodiment of the invention;
FIGS. 22 and 23 are partial end views illustrating a latching mechanism
in accordance with another embodiment of the invention;
FIGS. 24 and 25 are partial end views illustrating a latching mechanism
in accordance with yet another embodiment of the invention;
FIG. 26 is a partial side elevation, partially in section illustrating
a latching mechanism in accordance with another embodiment of the
invention;
FIGS. 27 28 and 29 illustrate a compression spring in accordance
with one embodiment of the invention;
FIGS. 30 and 31 illustrate a compression spring in spring retraining
element in accordance with one embodiment of the invention;
FIGS. 32a and 32b illustrate a compression spring in accordance
with another embodiment of the invention;
FIG. 33 is a partial side sectional view illustrating assembly
of the spring element and retainer of FIGS. 30 and 31 with a plunger
and barrel of one embodiment of the invention;
FIG. 34 is a partial end view illustrating assembly of the spring
element and retainer of FIGS. 30 and 31 with a plunger and barrel
of one embodiment of the invention;
FIG. 35 is a partial sectional view similar to FIG. 33 showing
a spring assembled with a barrel and a plunger in accordance with
another embodiment of the invention;
FIGS. 36 and 37 show operation of a needle holder with a biasing
spring and latching elements in accordance with one embodiment of
the invention;
FIGS. 38 and 39 show operation of a needle holder element with
a compression spring and element in accordance with another embodiment
of the invention;
FIGS. 40 and 42 are side elevations, and FIG. 41 an end view, illustrating
one method or sequence of "in-barrel" assembly of a needle-syringe
assembly of the invention;
FIG. 43 is an enlarged partial elevation illustrating the detent
locking of a needle holder in a proximal end of a barrel having
an assembly slot in accordance with one embodiment of the invention;
FIGS. 44-47 illustrate various stages or phases of operation of
a needle syringe assembly in accordance with one embodiment of the
invention;
FIG. 48 is a partial side elevation showing assembly of an alternate
embodiment of a spring retaining member for engaging and retaining
a distal end of a spring;
FIG. 49 is a reduced sized top plan view showing the spring retaining
member of FIG. 48 in connection with a barrel and plunger;
FIGS. 50 and 51 are a plan view and side elevation of the spring
support element of FIG. 48;
FIG. 52 is an enlarged plan view of another embodiment of a spring
retaining element;
FIG. 53 is a partial top plan view of an assembled plunger and
barrel incorporating the spring retaining element of FIG. 52;
FIG. 54 is a side elevation of an assembled needle and syringe
assembly of the invention including additional packaging for a proximal
end portion of the assembly in accordance with one embodiment;
FIG. 55 is an enlarged partial elevation showing a hybrid longitudinal
and curved guide slot for a needle holder;
FIGS. 56 and 57 are views illustrating a barrel plunger lock in
respective unlocked and locked positions;
FIGS. 58 and 59 are a partial elevation and a partial end view,
partially in section, illustrating a feature in accordance with
another embodiment of the invention;
FIGS. 60 and 61 are elevations showing two forms of over-the-needle
catheter which may be employed in connection with the needle and
syringe assembly of the invention.
DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENT
While the invention is susceptible to various modifications and
alternative forms, specific embodiments thereof have been shown
by way of example in the drawings and will herein be described in
detail. It should be understood, however, that it is not intended
to limit the invention to the particular forms disclosed, but on
the contrary, the intention is to cover all modifications, equivalents,
and alternatives falling within the spirit and scope of the invention
as defined by the appended claims.
In order to satisfy the best mode requirement for this disclosure,
several different modes of the invention, each with its own unique
features and alternate embodiments, are described. Permutations
and combinations of these features will, however, lead to further
modes.
Turning now to the drawings, FIG. 1 illustrates a needle-syringe
assembly including a barrel 10 a plunger 11 a hollow plunger cap
12 a hypodermic needle 13 and a needle holder 14. The barrel 10
is a hollow cylinder which terminates in a hollow tapered nozzle
15 at the distal end thereof, and has a slightly enlarged outer
diameter 16 at a proximal end. The interior of the nozzle 15 communicates
with the hollow interior of the tubular body portion of the barrel
10. As better seen in FIGS. 18 and 44-47 for example, an outwardly
extending flange 17 near the proximal end of the barrel 10 facilitates
gripping of the barrel with the user's fingers when it is desired
to move the plunger 11 relative to the barrel 10 either linearly
for normal use or rotatively for needle retraction (in some embodiments).
The flange may be annular or oblong in the various embodiments.
The outer surface of the barrel 10 may contain graduations (not
shown) indicating the volume level of fluid in the barrel. These
graduations take into account the volume of the internal components
such as the needle holder 14. A location 308 for a latch 308 (to
be described later) is provided at a proximal end of the barrel
10.
The proximal end of the plunger 11 forms a knob 20 that can be
grasped by a user to effect linear or rotary movement of the plunger
11 relative to the barrel 10. The periphery of the knob 20 is serrated
to facilitate gripping of the knob for rotary movements of the plunger.
The distal end of the plunger 11 forms a head 21 to accommodate
the hollow rubber plunger cap 12. The outside diameter of the resilient
cap 12 is reduced in the central portion so that the cap engages
the inside wall of the barrel 10 only at the pliable margins of
the ends of the cap. The diameter of the engaging end portions of
the cap 12 is slightly larger than the inside diameter of the barrel
10 so that the cap presses firmly against the inside wall of the
barrel to form an air-tight and liquid-tight seal at the cap/barrel
interface. The inner margins of the cap 12 make a similar tight
contact with the outer surface of the needle holder 14. The distal
end 22 of the cap 12 is conical to conform to the conical distal
end 23 of the inside surface of the barrel 10 when the plunger 11
is fully advanced within the barrel. The outer wall of the cap 12
may be thickened somewhat to prevent its collapse during the in
barrel assembly process (described later).
The head 21 of the plunger 11 is configured to fit tightly within
the hollow plunger cap 12. With the cap 12 locked onto the head
21 of the plunger, the flat proximal end 24 of the cap abuts the
flat surface of a circular disc 25 at the base of the plunger head
21. Due to the air-tight and liquid-tight seal between the plunger
cap 12 and the barrel 10 as well as the needle holder 14 advancing
movement of the plunger 11 inside the barrel 10 creates pressure
in the interior of the barrel between the plunger cap and the distal
end of the barrel. Similarly, retracting movement of the plunger
11 creates a vacuum in that portion of the barrel interior.
The hypodermic needle 13 is mounted on the distal end of the elongated
needle holder 14 which is detachably interlocked to the barrel
10. Prior to use of the needle-syringe assembly, the needle 13 is
covered by a protective cap 200 mounted on the nozzle 15 (see FIG.
44) which prevents needle pricks and preserves sterility prior to
use. Both the needle 13 and the distal portion of the needle holder
14 are hollow, and the interior of the hollow needle 13 communicates
with the interior of the hollow distal portion of the needle holder
14. The needle holder 14 further communicates with the interior
of the barrel 10 through an aperture 26 which extends through the
side wall of a hollow portion of the needle holder 14 at a distal
end thereof (FIGS. 5 and 6). Prior to and during use of the needle-syringe
assembly for injection of medicine or withdrawal of blood (hereafter
referred to as "normal use"), the aperture 26 is positioned
at the base of the barrel nozzle 15 (FIG. 18), sometimes within
a small cylindrical cavity 27. The aperture 26 permits blood or
medicine to enter or exit from the barrel 10 via the needle holder
14 and the needle 13. An O-ring 202 is located against a distal
shoulder of the cavity 27 to promote sealing engagement with a distal
end 203 of the needle holder 14 (see FIG. 18) when the distal end
203 is configured as shown in FIG. 5. A luer taper, described below,
may be used as an alternate form of sealing.
During normal use of the needle-syringe assembly, the needle holder
14 is locked to the barrel 10 and the plunger 11 with its cap 12
are free to slide longitudinally back and forth along the needle
holder within the barrel. In one embodiment, (see FIG. 2) the needle
holder 14 includes an L-shaped rod 30 having a longitudinal body
portion 31 extending to the aperture 26 and hollow from the aperture
26 to its distal end, and a lateral arm 32 for extending radially
across the barrel 10 at a proximal end of the rod 30. The lateral
arm 32 of the needle holder 14 may also include an enlarged diameter
circumferential shoulder surface 35 for engagement with outermost
surfaces of plunger ribs 60 62 (described below) which form the
channel 33 so as to position the needle holder 14 at the proper
depth with respect to the channel 33.
Referring also to FIGS. 7 and 18 to permit relative sliding movement
between the plunger 11 and the needle holder 14 in the longitudinal
direction, the needle holder is mounted in a longitudinal cavity
or channel 33 formed as an integral part of the plunger 11. Multiple
pairs of resilient retaining elements or detents 34 project toward
each other from the opposed walls of the channel 33 to hold the
needle holder 14 within the channel.
Referring to FIG. 9 the plunger 11 will be seen to have a plurality
of ribs. A first pair of these ribs 60 62 define the longitudinal
channel 33 for receiving the needle holder 14 as described above.
A single rib 64 projects diametrically oppositely of these ribs
60 and 62. A further pair of diametrically oppositely extending
ribs 66 and 68 are formed in a plane at right angles to the ribs
60 62 and 64. In accordance with one form of the invention, these
latter ribs 66 and 68 may include recessed surfaces 70 72 toward
their proximal ends for purposes to be described later. These ribs
6O-68 collectively extend transversely across the interior of the
barrel 10 so as to help maintain the configuration of the barrel,
for example, to counteract any weakness caused by the slot 19. This
also helps to ensure the engagement of the lateral arm 32 with the
slot 19.
In some embodiments, the opposed walls or ribs 60 62 of the channel
33 extend all the way to the inside wall of the barrel 10 (see FIG.
9), thereby constraining the lateral arm 32 of the needle holder
against any angular or rotational displacement relative to the plunger
11. That is, the plunger 11 and the needle holder 14 can rotate
only in unison with each other, although they move independently
of each other in the longitudinal direction. At the proximal end
of the channel 33 a locking detent 75 locks the lateral arm 32
and plunger together to prevent relative longitudinal movement after
retraction of the needle holder 14 is complete.
In the embodiment shown in FIGS. 4 and 6 to lock the needle holder
14 to the barrel 10 the outer surface of the distal end portion
of the needle holder 14 is molded to form a tapered surface 40 which
mates with a complementary tapered surface 15a (e.g., FIGS. 10 and
16) on the inside wall of the barrel nozzle 15. These tapered surfaces
are conventionally known as locking luer tapers, and the angle of
the taper (typically 6% of the diameter) is conventionally known
as a locking taper angle. In one embodiment, the taper has a length
between about 0.185 and about 0.250 inch with a diameter of 0.094
inch at one end and a diameter of 0.082 inch at the other end.
The locking tapered surfaces are engaged during assembly of the
needlesyringe assembly, when the plunger 11 and needle holder 14
are inserted into the barrel 10 through the open proximal end of
the barrel. The resultant locking luer taper can be released by
the application of simultaneous axial and rotational forces.
In another embodiment (FIGS. 3 and 5) the distal end of the needle
holder is straight (not tapered) and stepped down to provide a shoulder
41 for sealing engagement with the O-ring 202 provided in the cavity
27 (FIG. 18). The corresponding interim surface of the nozzle 15
is also non-tapered and stepped to form the cavity 27. The outside
surface of the nozzle 15 may have a male luer taper to lockably
engage a female luer of an over-the needle catheter, as described
below with reference to FIGS. 60 and 61.
In some embodiments (see e.g. FIGS. 14 and 16), the proximal end
of the needle holder 14 is locked to a proximal extension of the
barrel 10 via the lateral arm 32. This arm 32 extends radially
beyond the plunger and fits into a slot 19 in the sleeve 18. The
arm 32 can be locked to the barrel 10 at the margin or distal end
of the slot 19 and, when so locked, permits only reciprocal linear
movement of the plunger 11 to create vacuum to withdraw medication
or blood and pressure to deliver medication to the patient via the
hypodermic needle. When the above-described luer taper engagement
between the needle holder and barrel is used, the slot 19 is helical
(see FIGS. 16 and 43-44) to permit the rotation needed to release
the luer taper locking. However, when the arm 32 is locked at either
end of the slot 19 the plunger 11 cannot be rotated within the
barrel 10. When the arm 32 is also locked in a plunger detent 75
(FIG. 7), following use, the entire assembly is interlocked and
inoperative.
In the advanced position, as illustrated for example in FIGS. 2
18 and 44-45 the needle holder holds the needle completely advanced
or projecting from the body of the barrel 10 for normal use. Referring
again to FIG. 1 in accordance with a feature of the invention,
a retracting means, such as an elastic or resilient biasing means,
here illustrated as a compression spring 300 is mounted inside the
barrel 10 and operatively contacts the needle holder 14 for urging
the needle holder toward its retracted position, that is a position
in which the needle 13 is retracted completely within the barrel
10 (see e.g., FIGS. 46-47). In the embodiment illustrated in FIGS.
1 and 2 the elastic biasing means takes the form of an elongate
compression spring 300 of relatively small diameter which fits about
the outer circumference of the needle holder 14. This spring 300
is of such a diameter that it also interfits within the elongated
channel or cavity 33 of the plunger 20. However, the elastic biasing
means or spring may take a number of other forms, some of which
will be described hereinbelow, without departing from the invention.
In the embodiment illustrated in FIGS. 1 and 2 a first spring
retaining means or member 302 takes the form of a relatively short
piece of material having a through aperture 303 at one end thereof
for fitting about the circumference of the needle holder 14 while
allowing sliding movement therebetween. The member 302 is arranged
to engage an inwardly extending annular rim 304 which is formed
in the interior surface of the barrel 10 at a proximal end portion
thereof. This retaining member 302 thus engages and retains in place
a distal end of the spring 300 so as to exert a force against the
opposite or proximal end of the needle holder 14. In the embodiment
shown in FIGS. 1 and 2 the needle holder 14 is of the type which
includes a laterally extending arm 32 at its distal portion. However,
as shown in FIG. 3 the needle holder 14a may instead include an
enlarged diameter annular rim or other enlarged profile portion
306 at its proximal end for abutting and engaging the proximal end
of the spring 300. With reference to FIG. 2 (and also FIGS. 45-46),
it will be seen that with the needle in its advanced position, the
spring 300 which is a compression spring, is in a compressed condition,
thereby applying an urging or biasing force against the needle holder
32.
In order to control the position of the needle holder 14 relative
to the barrel 10 for presenting the needle either fully advanced
or fully retracted with respect to the barrel, there is additionally
provided a latching means or mechanism 308. In the embodiment shown
in FIGS. 1 and 2 the latching mechanism 308 takes one form. However,
other equivalent forms may be used without departing from the invention,
some of which are further described hereinbelow. In the embodiment
shown in FIGS. 1 and 2 the latching element comprises a needle
holder locking element 308 having a central aperture 310 which
interfits about a free end portion of the radially projecting arm
32 of the needle holder 14 which projects outwardly of the slot
19 in the barrel 10 as shown in FIG. 2. The latching element 308
includes a small opening 312 in its circumference with sufficient
width to allow the lateral arm 32 to pass therethrough when the
two are in alignment. As also shown in FIG. 2 the latching element
308 when in its latched position contains the needle holder in its
advanced position and the spring 300 full compressed. However, the
latching element 308 is rotatably mounted to the needle holder locking
site 309 at a proximal external side surface of the barrel 10 to
permit rotation, by engagement with a lateral arm portion 314 thereof,
in a direction for aligning the opening 312 with the free end of
the lateral arm 32. When this occurs, the biasing force of the spring
300 will cause the needle holder 14 to rapidly withdraw to its retracted
position and thereby fully retract the needle 13 within the barrel
10. As mentioned above, the detent or retaining element 75 at the
proximal end of the plunger channel or cavity 33 thereupon non-releasably
engages the lateral arm of the needle holder to retain it in the
retracted position.
When the barrel takes the form shown in FIGS. 12 18 and 44-47
the needle holder 14 can also be released from the latching element
308 by effecting relative rotation of the barrel and the plunger,
to cause the lateral arm to rotate laterally out of engagement with
the latching element 308 through its opening 312. This relative
rotation can be effected by engaging the finger flange 17 and knob
20. Moreover, this rotation can be effected with one hand, for one-handed
retraction.
The structure and operation of the latching element 308 of FIGS.
1 and 2 is also shown in FIGS. 10 12 14 18-21 37-40 and 44-47
in connection with elastic biasing or retracting means, such as
springs, of various forms, including as well as in addition to the
form of the spring 300 illustrated in FIGS. 1 and 2. As noted above,
the latch mechanism 308 includes a manually engageable lever portion
314 for effecting the desired rotation for release of the lateral
arm 32 of the needle holder 14 therefrom.
Releaseable latching of the needle holder relative of the barrel
can be effected in other ways without departing from the invention.
For example, as shown in FIG. 4a, the lateral arm 32 may have an
additional 90.degree. bend 132 and an undercut 134 which may releaseably
lockingly engage or latch with the rim 16 formed at the proximal
end of the barrel 10 as indicated in FIG. 4a, when the barrel is
of the form in FIGS. 12 18 and 44-47. Alternately (not shown),
the engagement could be with the wall of the barrel at a distal
end of the guide channel or slot 19.
When the user desires to retract the hypodermic needle 13 within
the barrelplunger assembly, the mechanical latch is manually actuated
to unlock the arm 32 and thereby permit withdrawal of the needle
holder (and rotation of the plunger 11 in the case where the channel
19 is a helical) relative to the barrel 10. This motion retracts
and locks the needle-needle holder assembly within the barrel-plunger
assembly, as indicated above. For the needle and needle holder to
be moved to the retracted position, the plunger 11 can be in any
desired position, e.g., to permit blood or medication to be retained
in the syringe, as shown for example in FIGS. 46 and 47).
That is, when the latch is opened to retract the needle holder,
the plunger can be in any desired longitudinal position. For example,
the plunger can be fully advanced, fully retracted, or at any intermediate
position. This is advantageous because it might be desired to retract
the needle after only a portion of a dose of medication has been
injected into the patient, or it might be desired to retain all
or a portion of a blood sample withdrawn from a patient within the
syringe. To prevent the leakage of any fluid contained within the
syringe at the time the needle is retracted, a latex seal (not shown)
may be provided at the end of the nozzle 15. Also, the plunger cap
12 may be provided with a slit valve that engages the needle and
prevents leakage.
During normal use of the needle-syringe assembly, the barrel 10
and the needle holder 14 are held stationary, and the plunger 11
is free to move relative to both the barrel 10 and the needle holder
14. Advancing movement of the plunger 11 is limited by contact of
the plunger cap 12 with the end wall of the barrel 10 as shown
in FIG. 1. The needle holder 14 is releasably locked to the barrel
10 by the locking engagement of the lateral arm 32 to the wall of
the barrel by a latch such as the latch 308. Also, when used, the
locking luer taper releasably locks the needle holder 14 to the
barrel 10. The plunger 11 is also free to move longitudinally relative
to the needle holder 14 as illustrated in FIGS. 45-48 because
the needle holder is not locked to the plunger in that direction.
The locking of the lateral arm 32 by the latch mechanism 300 at
the barrel wall, prevents rotation of the plunger. As long as the
lateral arm 32 of the needle holder is locked to the barrel wall,
the needle-syringe assembly is in its normal operating mode.
Following normal use of the needle-syringe assembly, the needle
13 can be retracted into the plunger 11 and the barrel 10. This
requires axial movement of the needle holder 14 within the barrel
10 toward the proximal end thereof, which in turn requires that
the needle holder 14 be unlocked for movement, under the influence
of the biasing or retracting means such as spring 300 along the
slot 19. Thus, to initiate retraction of the needle holder 14 the
arm 32 is unlocked by releasing the latching mechanism 308.
When the slot 19 is a helical, rotation of the needle holder 14
relative to the barrel releases the locking luer taper at the distal
end of the barrel nozzle 15 due to the resulting compound rotational
and longitudinal forces applied to the tapered surfaces. The arm
32 traverses the entire length of the slot 19 (whether linear or
helical), thereby retracting the entire needle holder 14 through
a corresponding axial distance within the plunger 11 (see FIG. 46).
Of course, the needle 13 is retracted along with the needle holder
14 and thus the needle is retracted completely within the barrel
nozzle 15 as illustrated in FIG. 46.
The helical slot 19 (when used with the luer taper) is formed in
a proximal end portion of the barrel 10. The helical slot may have
a constant rate of curvature along its length. Alternatively, a
helical channel can be molded as a part of the inside wall of a
proximal end portion of the barrel that has a slight wall thickness
(not shown). The syringe structure might employ a modified form
of latch instead of latch 308 for example as shown in FIGS. 24-25.
Yet another alternative is a slot 19b as shown in FIG. 55 which
has an angled or curved distal portion of sufficient extent to cause
rotation of the needle holder sufficiently to release the locking
luer taper, and is thereafter straight. The illustrative syringe
need not be any longer than a conventional syringe because conventional
syringes are made longer than required to provide more than the
desired fluid volume, so as to avoid inadvertent withdrawal of the
plunger and the resultant spillage of the syringe contents. The
extra plunger barrel length to accommodate the user's fingers in
the space between the plunger knob and the finger flanges contributes
to excess length in conventional syringes. In the present invention,
the extension of the barrel length in this area can be used for
slot 19 of the needle-retracting mechanism.
Referring now to the remaining FIGS. 10-47 of the drawings, a number
of alternative structures and arrangements of the syringe assembly
are illustrated and will be described hereinbelow. These alternative
structures or embodiments include, among other things, alternative
embodiments of barrels, retracting means or an elastic biasing means
for retracting the needle holder 14 including primarily alternative
forms of spring to the spring 300 shown in FIGS. 1 and 2. These
alternate embodiments also include various embodiments of a latching
mechanism or latching means for releasably holding the needle holder
in its advanced position with the needle extended from the barrel
10 of the syringe (as shown for example in FIG. 2) against the biasing
force of the retracting or elastic means or resilient biasing means.
As shown in FIGS. 10-17 the barrel may be provided in various
lengths, with the latching means or mechanism 308 in FIGS. 12-15
being essentially the same as illustrated and described above with
reference to FIGS. 1 and 2. It will be noted that a linear channel
19 is illustrated in FIGS. 10 and 14-15. The barrel of FIGS. 12-13
is too short to include a channel 19 whereby the needle holder
13 is retracted within the channel or cavity 33 of the plunger,
but does not require any corresponding slot in the barrel 10 to
permit passage thereof during retraction. This embodiment could
also be used with the locking taper described above. In FIGS. 10-11
an additional outwardly extending protective rib member 210 is illustrated
for overlying the linear channel 19 and permitting access to the
laterally extending arm 32 of the needle holder 14 to permit engagement
thereof with the barrel while concealing the spring or other biasing
or retracting means, following release thereof by the latching mechanism
308 and retraction of the needle. FIG. 16 shows the helical slot
configuration 19 and the associated latching mechanism which is
more fully described hereinbelow.
FIGS. 18 and 35 show a second version of the spring 300 designated
by reference numeral 300a. The spring 300a is of a larger inside
diameter so as to interfit about an outermost surface of the respective
ribs 60 62 64 66 and 68 which comprise the plunger 11. The gripping
flange 17 is also illustrated in this figure.
FIGS. 22-23 and 24-25 illustrate two further forms of latching
mechanism 308 here designated by reference numerals 308a and 308b.The
latching mechanism 308a may operate with the form of the needle
holder 14a shown in FIG. 3 that is, without the lateral arm 32
but with an enlarged diameter end portion 306 to engage the coil
spring 300. The latch mechanism 308a comprises a spring-clip-like
member 320 which is collapsible as shown in FIG. 23 by manipulation
of an outwardly extending ear or tab 322. When in its extended condition
the spring latch 320 has an outwardly extending arm 324 which overlies
and engages an end portion of the needle holder 14a. When retracted,
the needle holder 14a is free to retract under the influence of
the spring 300 or other retracting or biasing means.
A similar spring-clip-like device 330 is illustrated in FIGS. 24-25.
This element 330 also has an outwardly extending manually engageable
release tab or button 332 which causes the spring member 330 to
collapse as shown in FIG. 25 so as to release the lateral arm 32
of the needle holder 14. It will be noted that one leg or portion
334 of the spring clip 330 overlies a projecting free end portion
of the lateral arm 32 in FIG. 24 but is released from such engagement
upon activation of the release lever 332 in FIG. 25. The latching
mechanisms 308a and 308b are shown mounted on an outwardly extending
finger flange 17 which may comprise an integral portion of the
barrel 10 as mentioned above. The respective spring members 320
and 330 may be mounted in molded recesses or compartments formed
within the flanges 17 and which may be provided with integrally
attached protective covers 326 336.
Alternatively, a hinged locking tab 59 (FIG. 26) connected by a
living hinge 61 to the barrel 10 may be provided. The tab 59 has
a through aperture 63 for engaging the lateral arm 32 at the distal
end of the slot 19. One or more detents 65 on the outer wall of
the barrel 10 may hold the tab in place when engaged with the lateral
arm 32 of the needle holder 14. Also, the lateral arm 32 may have
a snapping detent to engage the barrel proximal end or rim.
FIGS. 19-21 illustrate yet another form of the spring 300 designated
by reference numeral 300b, together with further details of the
latching mechanism 308.
FIG. 26 shows the spring 300b with the hinged latching mechanism
described above.
The spring 300b is sized with an inner diameter to fit about an
outer surface of the plunger 11 with the plunger 11 being designed
in FIGS. 19-21 with a recessed area 338 in the ribs in which to
mount and receive the spring 300a. This recess in the ribs of the
plunger 11 will provide a stop surface for engaging the distal end
surface of the spring 300a. In FIGS. 19-21 both the barrel 10 and
plunger 11 have smaller outer diameters than in the preceding FIGS.
Alternatively, as shown in FIG. 26 the plunger 11 has a smaller
outer diameter (shorter ribs 60-68) and the barrel has the same
outer diameter as in FIGS. 1 and 2. Also, in FIG. 26 the distal
surface of spring 300b may be engaged in position by an annular
retaining disc 340 which is engaged with the annular inwardly projecting
shoulder 304 of the barrel 10 described above. The annular disc
340 has a through central opening 342 of sufficient diameter to
allow the plunger to freely pass therethrough while engaging and
providing a stop surface for the distal end of the spring 300b.
FIGS. 27-30 and 32 illustrate various alternative forms of the
spring designated 300c, which may include a laterally extending
distal end portion 350 for engagement with the distal end stop member
302 or which may engage the rim 304 of the barrel, eliminating the
stop 302. A hook-like proximal end extension 352 is also provided
for engagement about the lateral arm 32 of the needle holder 14.
FIGS. 30 and 31 show the spring 300 and stop 302 and FIG. 32 shows
spring 300b for purposes of comparison. FIGS. 33 and 34 also show
other views of the spring 300 stop 302 rim 304 and the rod 30
and lateral arm 32 of the needle holder 14 while FIG. 35 shows
an embodiment with the larger diameter spring 300a and rim 304
again, for purposes of comparison.
FIGS. 36-39 illustrate the action of the latching mechanism 308
of FIGS. 1 and 2 in connection with the needle holder 14 and its
lateral extension or arm 32 using both a small diameter spring 300
and a relatively larger diameter spring such as the springs 300a
or 300b described above.
FIGS. 40-43 illustrate an embodiment utilizing a helical channel
19 in the barrel 10. FIGS. 40-42 also show a simple method of assembly
of the invention wherein the cap 12 and needle holder are axially
inserted in the barrel 10 followed by the plunger 11 with the
channel 33 aligned to slidably receive the needle holder 14. While
FIGS. 40-41 show the helical track 19 and latching mechanism 50
or rib 52 the same method of assembly applies to the other embodiments
shown and described herein. FIG. 43 also shows a proximal end detent
320 for retaining the lateral arm 32 once retracted, at the proximal
end of the helical track 19.
FIGS. 44-47 illustrate various positions of the assembly of FIGS.
1 and 2. FIG. 44 illustrates the assembled syringe and needle assembly
with the cap 200 in place as it might be provided for use. FIG.
45 illustrates the assembly with the cap 200 removed and the plunger
11 withdrawn, as would be done, for example, to introduce a medication
into the syringe or to withdraw blood from a patient.
FIG. 46 illustrates the assembly fully advanced, with the needle
holder 14 and needle retracted, following release of the spring
300 by the latching mechanism 308. FIG. 47 illustrates the needle
holder 14 and needle 13 retracted relative to the plunger 11 but
with the plunger partially withdrawn from the barrel 10 as would
be the case with some medication or other fluid remaining in the
syringe, following use thereof, and with the cap 200 replaced to
prevent leakage of the remaining fluid within the barrel 10.
The alternative latch mechanism of FIGS. 16-17 and 40-42 is used
with the helical track 19 and includes a longitudinally grooved
tab 51 mounted for sliding movement upon a short longitudinal track
52 on the outer wall of the barrel 10. The groove (not shown) of
the tab 51 is shaped to match the outer surface of the track 52
so that the tab 51 slides back and forth on the track 52. The outer
surface 54 of the tab 51 is serrated to facilitate movement thereof
with the user's finger or thumb.
The locking tab 51 also includes a small recess 56 formed within
the groove 53. This recess 56 is sized and located to engage a terminal
end part of the lateral arm 32 of the needle holder 14 when the
lateral arm 32 is at a distal end portion of the helical slot 19
with the needle 13 in a fully extended position. This prevents the
tab from sliding in the proximal direction along the track 52. This
engagement can be overcome by a deliberate manually applied force
to retract the tab 51 when it is desired to retract the needle.
The latch 50 can be opened or closed by linear movement of the
locking tab 51 along the track 52. During normal use, the needle
holder arm 32 is positioned at the distal end of the helical slot
19 which is immediately adjacent the flange 17 and the locking
tab 51 is advanced on the track 52 to retain the arm 32 at the distal
end of the slot 19. This locks the needle holder 14 in the normal
operative mode in which only linear reciprocal movement of the plunger
11 is permitted. Because the locking tab 51 retains the arm 32
the needle holder 14 cannot rotate and thus cannot travel along
the helical slot 19 for retraction of the hypodermic needle 13.
When it is desired to retract the needle, the tab 50 is retracted
along the track 52 toward the proximal end of the syringe, thereby
permitting rotation of the plunger 11 and retraction of the needle
holder 14 by movement of the arm 32 along the helical slot 19 driven
by the spring 300. A proximal end of the helical slot 19 may include
a locking feature 320 to lock the end of the arm 32 in place when
the needle holder has been fully retracted. Also illustrated in
FIG. 43 are several approximate positions of the lateral arm 32
of the needle holder 14 as it is rotated relative to a proximal
end portion of the helical slot 19. The needle holder 14 ascending
proximally on the helical 19 slot passes into the locking feature
320 snapping into the locked position with a click.
Referring to FIGS. 58-59 with the plunger 11 partially withdrawn
with respect to the barrel 10 the recessed surfaces 70 and 72 of
the ribs 66 and 68 provide a relief space for a proximal end part
of the barrel 10 when opposed walls of the open end of the barrel
10 are pressed toward each other, for example by applying pressure
between a thumb and a finger. As best viewed in FIG. 51 this action
momentarily distorts the proximal open end of the barrel 10 to a
somewhat elliptical shape so as to permit the initial insertion
of the lateral arm portion 32 of the needle holder 14 past the proximal
open end of the barrel 10 and into the helical slot 19. When the
pressure on the barrel 10 is released, it resumes its generally
circular cross-sectional shape for retaining the lateral arm 32
in engagement with the helical slot 19.
To operate the needle-syringe assembly, the protective cap 200
(FIG. 44) is removed from the needle 13 and the required amount
of medication is aspirated into the barrel 10 (FIG. 45). Next, the
injection site on the body of a patient is determined and the skin
is cleaned with an antiseptic solution. Following percutaneous entry
of the needle into the patient, location of the needle tip in the
vein is confirmed by aspirating a small amount of blood into the
transparent barrel 10. The plunger 11 is then advanced to force
the medication from the barrel 10 into the vein. After the medication
is administered, the needle 13 is withdrawn from the patient, the
latch mechanism 308 is released and the spring 300 or other retracting
means retracts the needle holder 14 and the needle 13 (FIG. 46 or
FIG. 47) and locks the needle holder in the plunger detent 75. With
the needle 13 completely retracted inside the barrel 10 interlocked
and non-reusable, the needle-syringe assembly can be safely discarded
in its entirety.
It can be seen from the foregoing description that the needle-syringe
assembly performs all the conventional functions of injection syringes
and yet, upon completion of injection, the hypodermic needle 13
is concealed within the barrel 10. The needle-syringe assembly can
receive and disperse medications any number of times for a given
patient by reciprocal longitudinal movement of the plunger 11 within
the barrel 10. However, once the latch is released it cannot be
reused.
The needle-syringe assembly of this invention is easy to manufacture,
costeffective, and easy to use in the field. The parts can all be
made by conventional plastic molding and using readily available
metal needle stock. The plastic parts can be made by injection molding
medical grade polymers such as polypropylene. The plunger seal or
cap can be molded from natural or synthetic elastomeric polymers.
The helical channel on the inside wall of the barrel (if used) can
be molded with slides or rotating cores which are removed by rotating
them while withdrawing them from the molded part.
Because the needle holder 14 is retracted directly into the plunger
11 itself, the plunger 11 need not be fully extended for needle
retraction to occur. Thus, when discarded following use, the needle-syringe
assembly contributes minimally to the bulk of refuse. Since retraction
of the needle 13 is effected by the spring or other elastic biasing
means, upon releasing the latch, the hand of a user does not come
into the vicinity of the needle point, thereby minimizing the possibility
of a needle prick during retraction. Moreover, the assembly employs
substantially the same number of components as conventional syringes,
and does not require additional guards, sheaths, sleeves, etc. to
conceal the needle following use.
Referring to FIGS. 48-57 some alternative forms of various parts
and components heretofore described are illustrated. FIGS. 48-51
illustrate an alternate form of a retaining member 500 for retaining
a distal end of the spring 300 in place. The retaining member 500
is a generally L-shaped bracket, having a projecting lateral arm
portion 501 with a through aperture 502 for permitting the needle
holder 14 to slide therethrough while retaining the spring 300 in
place about the needle holder 14. The lateral arm 501 of the retaining
member 500 is of a width to interfit within the channel or cavity
33 of the plunger 11. An upper end of the retaining member 500 includes
a hook-shaped lateral projection 504 which may hook through and
over an outer wall of the barrel 10 for example, at a bottom portion
of the slot 19 just below the point at which the lateral arm 32
extends therethrough and engages the latching member 308. The L-shaped
bracket 500 could also be molded as an external part of the barrel,
and folded into place inside of the barrel during assembly.
FIGS. 52 and 53 show yet another embodiment of a spring retaining
element 520 for retaining the distal end of the spring 300. This
element has a through aperture 522 for permitting the needle holder
14 to pass through, while retaining the spring 300 in place. The
element 520 is of a width to interfit within the channel or cavity
33 of the plunger 11. An end portion of the retaining member 520
has outwardly projecting arms 524 and 526 for embracing the respective
ribs 60 and 62 which define the channel 33. An outer end surface
of the retaining member 520 may rest upon the annular rim 304 of
the barrel 10.
FIG. 54 illustrates an assembled needle-syringe assembly in accordance
with the invention which has been further provided with a protective
cylindrical sheath, covering or packaging 540 which extends between
the large knob 20 at the end of the plunger and the finger flange
17 which in the embodiment of FIG. 54 is generally annular in shape.
This protective sheath or covering 540 protects and prevents access
to the latch and retracting mechanism prior to use. When ready for
use, the protective sheath or packaging 540 may be removed from
the needle-syringe assembly.
FIG. 55 illustrates an alternate form of channel 19c, in which
a distal end portion is angled curved to facilitate initial release
of a luer locking taper, where one is used between the needle holder
14a and nozzle 15. Thereafter, the channel 19c is straight and axial
to permit a linear longitudinal retraction of the needle holder
32 under the influence of the spring 300.
FIGS. 56 and 57 illustrate a barrel-plunger locking arrangement
to prevent withdrawal of the plunger, once the same is fully advanced
relative to the barrel. In the embodiment illustrated in FIGS. 56
and 57 this locking arrangement takes the form of a pair of projecting
locking tabs 560 562 which have ramped leading or distal edges.
These locking tabs are aligned with corresponding apertures in the
side walls and finger flange 17 of the barrel 10 such that they
can be deformed radially inwardly upon encountering and advancing
through these apertures. Thereafter, the locking tabs 560 and 562
return to their original undeformed condition as shown in FIG. 57
whereby their trailing or proximal edges cannot thereafter be passed
through the same apertures. That is, the radial extent of the apertures
is less than that of the undeformed tabs 560 and 562.
FIG. 60 depicts an over-the-needle ("OTN") catheter assembly
including an OTN catheter 80 and the syringe assembly of FIGS. 1-20
(only a distal end portion of which is illustrated) with a hypodermic
needle 13 mounted therein. In the embodiment of FIG. 60 the OTN
catheter 80 is a polymeric catheter having an elongated tip 82 mounted
thereto. Prior to use of the OTN catheter assembly, a proximal end
surface 84 of the OTN catheter 80 is coaxially mounted over the
nozzle 15 and the hypodermic needle 13 protrudes through both the
nozzle 15 and the OTN catheter 80. The elongated tip 82 of the catheter
80 is advanced over the needle 13. Prior to use, i.e., prior to
inserting the needle 13 and catheter tip 82 into a vein, the needle
13 and catheter tip 80 are enclosed by a removable cap (not shown).
Preferably, the catheter 80 includes an internal valve, such as
a slit valve 86 to restrict the flow of fluids therethrough. Prior
to and during normal use of the OTN catheter assembly, the OTN catheter
80 is held engaged over the nozzle 15 of the syringe assembly by
locking luer tapers on the outer surface 115 of the nozzle 15 and
the inner surface 81 of the catheter 80. Following puncture of the
vein of a patient and insertion of the tip 82 of the OTN catheter
80 into the vein, the needle carrier 14 and the mounted needle 13
are retracted in the manner described above. At this retracted position
the needle carrier 14 is irretrievably locked in place inside the
barrel as described above. The syringe is then disengaged from the
catheter by simultaneously rotating and withdrawing the syringe,
so as to release the locking luer taper formed by surfaces 115 and
81 as shown in FIG. 50. The OTN catheter 80 is then advanced into
the vein, and secured to the skin by adhesive tapes.
The purpose of the locking luer taper formed by surfaces 115 and
81 is to mechanically unify the syringe with the OTN catheter so
that insertion force applied to the syringe is directly transmitted
to the hypodermic needle 13 and catheter 80. Release of the locking
luer taper disassociates this mechanical unity, permitting the syringe
(with the needle 13 retracted) to be removed from the catheter 80.
During puncture of the vein, confirmation that the needle 13 and
catheter tip 82 are located in the vein can be made by viewing blood
entering the catheter 80 by capillary action. It, however, is also
possible to confirm a flashback within the syringe barrel by partially
retracting the plunger 11 relative to the barrel 10 to assure that
continuity between the needle 13 and the vein is established. The
side aperture 26 of the needle holder 14 opens into the flashback
chamber thus created. Confirmation of proper insertion in the vein
is indicated by blood entering the barrel chamber via the side aperture
26 in the needle holder 14.
To use the OTN catheter-syringe assembly, the skin of a patient
is first prepared and a peripheral vein is made prominent. Under
aseptic precautions the vein is punctured with the needle 13 and
catheter tip 82 and the location of the needle tip is judged by
the change in color under the catheter or by the appearance of blood
in is the catheter or the flashback chamber. Once the location of
the needle tip is confirmed, the needle carrier is retracted in
the manner described above. While advancing and retaining the OTN
catheter 80 in the vein, the syringe assembly is removed and an
intravenous line is connected to the catheter 80. Finally, the catheter
80 is secured to the skin of the patient by adhesive tape.
As shown in FIG. 61 it is possible to replace the OTN catheter
80 having the slit valve 86 with an OTN catheter assembly 90 having
two orthogonally disposed body portions 90a and 90b, which are operatively
coupled to the elongated catheter tip 82 by a rotary-type 3-way
ball valve mechanism 92. The elongated catheter tip 82 is the same
as that of the catheter 80 of FIGS. 24-26.
The various novel and improved syringe assemblies as described
above offer a number of advantageous features, including but not
limited to various combinations of the following:
The detents 34 in the plunger channel 33 add precision to the needle
holder movement. For example, straight axial retraction of the needle
in the plunger channel 33 avoids angulation of the needle and puncture
of the barrel cavity. It does not require extending the overall
length of the syringe, and avoids the need for special measures
such as breaking the plunger to prevent re-use.
The proximal end part 16 of the barrel 10 is strengthened by reducing
the circumference of the helical slot 19 (when used) from 360.degree.
to 270.degree. or even further. Reinforcing rib 52 is also incorporated
in the barrel for strength when using the helical slot. The rib
52 also acts as a track for the latching member 51.
The number of the components in the present invention is not significantly
different from a conventional syringe to keep it cost effective.
Use of the sliding needle holder eliminates the usual needle holder
on the barrel nozzle, which eliminates the associated dead-space
and quantity of wasted medications left over in the syringe nozzle
and the female needle holder.
The operation of the syringe is one-way so that accidental misuse
is minimized, i.e., once retracted the needle holder is locked in
place, so the needle cannot be re-extended.
Operation of the syringe is particularly safe because all the required
manipulations of the various parts of the syringe are performed
at or near the proximal end of the syringe, well away of the needle,
during both the normal and retracting modes of operation.
The locking and disablement is automatic when the needle holder
is retracted. Pull-back of the plunger is also blocked by the detent
75 in the plunger while the back-tracking of the needle holder in
the helical slot is also blocked by the detent 75 when the needle
holder with the lateral arm 32 is used.
In the rare event when only a partial dose of medicine is given
to the patient, the syringe with leftover medicine can be rendered
safe by retraction of the needle holder, while capping of the nozzle
will prevent spillage.
It should be noted that the syringe assembly as described may be
used to dispense medication or as a blood collection device. It
may also be used to place an over-the-needle catheter, as described
above.
While the present invention has been described with reference to
one or more particular embodiments, those skilled in the art will
recognize that many changes may be made thereto without departing
from the spirit and scope of the present invention. Each of these
embodiments and obvious variations thereof is contemplated as falling
with the spirit and scope of the claimed invention, which is set
forth in the following claims. |