US20030195540A1 - Cap for a lancing device - Google Patents
Cap for a lancing device Download PDFInfo
- Publication number
- US20030195540A1 US20030195540A1 US10/440,617 US44061703A US2003195540A1 US 20030195540 A1 US20030195540 A1 US 20030195540A1 US 44061703 A US44061703 A US 44061703A US 2003195540 A1 US2003195540 A1 US 2003195540A1
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- US
- United States
- Prior art keywords
- cap
- contact ring
- housing
- distal end
- lancing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/14—Devices for taking samples of blood ; Measuring characteristics of blood in vivo, e.g. gas concentration within the blood, pH-value of blood
- A61B5/1405—Devices for taking blood samples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150053—Details for enhanced collection of blood or interstitial fluid at the sample site, e.g. by applying compression, heat, vibration, ultrasound, suction or vacuum to tissue; for reduction of pain or discomfort; Skin piercing elements, e.g. blades, needles, lancets or canulas, with adjustable piercing speed
- A61B5/150061—Means for enhancing collection
- A61B5/150068—Means for enhancing collection by tissue compression, e.g. with specially designed surface of device contacting the skin area to be pierced
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150015—Source of blood
- A61B5/150022—Source of blood for capillary blood or interstitial fluid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150748—Having means for aiding positioning of the piercing device at a location where the body is to be pierced
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
Definitions
- the present invention generally relates to lancing devices for lancing dermal tissue and for withdrawing a fluid sample.
- Lancets in conventional use generally have a rigid body and a sterile needle which protrudes from one end.
- the lancet may be used to pierce the skin, thereby enabling the collection of a blood sample from the opening.
- the blood is then transferred to a test collection device.
- Blood is most commonly taken from the fingertips, where there is generally an abundant supply.
- the nerve density in this region causes significant pain in many patients. Sampling of alternate sites, such as earlobes and limbs, is sometimes practiced to access sites which are less sensitive. These sites are also less likely to provide sufficient blood volume, and make blood transfer directly to test devices difficult.
- the multi-contoured surface comprises an outer radial portion oriented at a first angle relative to the axis of the contact ring and an inner radial portion proximate the opening and oriented at a second angle, distinct from the first angle, relative to the axis of the contact ring.
- the cap is removably and replaceably connected to the distal end of the housing.
- the cap body includes a contact ring having a multi-contoured surface oriented to create a radially inwardly extending pressure-gradient, which extends towards a central aperture.
- a cap for lancing curved dermal tissue is provided.
- the contact ring portion of the cap is comprised of a flexible material.
- the flexible material when placed against the lancing site conforms to the surface, and hence accommodates lancing of the curved dermal tissue to create a pressure gradient beneath the skin to express a suitable fluid sample.
- This flexible cap creates a pressure gradient and expresses dermal fluid on strongly curved and flat areas of the skin without having to change the cap or use a different lancing device.
- a lancing device for lancing dermal tissue.
- the lancing device includes a housing, a lancet and a cap.
- the cap includes a cap body and a contact ring having a multi-contoured surface oriented generally about an axis distinct from the axis of motion of the lancet.
- the multi-contoured surface is designed to pressure the dermal tissue to facilitate expression of a fluid sample after lancing the dermal tissue.
- the fluid sample can include blood, interstitial fluid, or both.
- FIG. 1 is a side elevational view of a cap for a lancing device, illustrating the cap attached to a lancing device in accordance with the teachings of the present invention
- FIG. 2 is a side elevational view of the cap of FIG. 1;
- FIG. 3A is an end view of the cap of FIG. 1;
- FIG. 3B is an end view of the cap of FIG. 1, wherein an anti-slip material is affixed to the contact ring;
- FIG. 4A is a side elevational view in cross section along line 4 - 4 of FIG. 3, illustrating the contact ring of the cap of FIG. 3;
- FIG. 4B is a graphic representation of the pressure profile created by the cap of FIG. 2;
- FIG. 4C is a cross-sectional view of an alternate embodiment of the contact ring of the lancing device of the present invention.
- FIG. 5 is a side elevational view of an alternative embodiment of the cap for a lancing device of the present invention, illustrating a sleeve positioned about the cap in accordance with the teachings of the present invention
- FIG. 8 is a side elevational view of the cap of FIG. 5, illustrating the cap in contact with the skin in accordance with the teachings of the present invention
- FIG. 11 is an end view of the cap of FIG. 10;
- FIG. 14 is a side view of an alternate embodiment of the cap of the present invention formed of a flexible material and disposed in a rest position;
- FIG. 15 is a side view of the cap of FIG. 14 when the contact ring contacts the lancing site;
- the cap of the present invention is particularly suited for collecting blood samples from lancing sites other than on the fingertip of the patient, which is the traditional location for collecting blood samples.
- Use of such alternative sites can be less painful to the patient and also allows the patient to “rest” his or her fingertip.
- Suitable alternative sites include, but are not limited to, the forearms, the upper arms, the thighs, the palms, and the abdomen of a patient.
- Blood sample collection at alternative sites can be problematic as manually applying sufficient pressure on the dermal tissue proximate the lancing site to collect the blood sample can be difficult and typically results in low yields.
- the cap of the present invention allows the user to increase the amount of pressure at the lancing site such that a sufficient quantity of blood can be expressed from the alternative sample site.
- FIGS. 1 through 4 A cap 10 in accordance with one preferred embodiment of the present invention is illustrated in FIGS. 1 through 4.
- the cap 10 is design to be connected to the distal end of the housing 12 of a conventional lancing device.
- a lancet 30 is mounted within the housing 12 of the lancing device and is movable along a first axis, indicated by line A in FIG. 1, relative to the housing 12 .
- the lancet 30 can be driven along the first axis by the lancing device to puncture the dermal tissue.
- the blood sample can then be expressed for collection from the lancing site.
- Such conventional lancing devices are available from Lifescan, Inc.
- the present invention is intended to include any device suitable for expressing a fluid sample from a user employing different extraction techniques, including the use of lancets, hollow and solid needles or microneedles, ultrasonic devices, thermal techniques, and the like.
- the device can be a simple lancing device as described above, or can include devices having integrated meters or measuring devices suitable for testing an analyte, such as glucose.
- the cap 10 includes a cap body 14 having a proximal end 32 and a distal end 34 as best illustrated in FIG. 2.
- a contact ring 16 is attached to the distal end 34 of the cap body 36 .
- An opening 18 shown in FIGS. 3A and 4, is provided in the contact ring 16 to allow a portion of the lancet 30 to pass therethrough to effect puncturing of the dermal tissue.
- the cap body 14 can be constructed from a transparent, translucent or opaque material, such as a clear, transparent plastic, or includes a transparent portion forming a window to the interior of the cap body, or can be constructed of conventional non-transparent material. If transparent, the material should be sufficiently so to permit expressed blood to be viewed within the cap body 14 . The transparency of the cap body 14 allows the user to view the amount of blood expressed for collection from the lancing site, as discussed in more detail below.
- the angle C corresponding to the slope of the outer radial portion 24 , is in the range between about 5° and about 15°.
- the radial extent of the outer radial portion 24 is preferably between about 25% to about 75% of the total radius of the contact ring 16 , as measured from the center point CP of the contact ring 16 to the perimeter 28 of the contact ring 16 .
- the radial extent E of the outer radial portion 24 is preferably about 50% of the total radius of the contact ring 16 .
- the contact ring 16 can be constructed from plastic or other materials suitable for use in a medical instrument.
- the contact ring 16 can have a non-transparent color, such as white, that is distinct and in contrast from the color of the dermal tissue. A contrasting color allows the user to better visualize the quantity of expressed blood.
- the contact ring 16 of the cap 10 is sized and dimensioned to be placed in intimate facing contact with the skin of the user. When placed thereagainst, the contact ring creates a pressure gradient that extends from the radial outer surface inwardly towards the opening 18 . Specifically, when the skin is lanced by the lancet 30 , the contact ring 16 , which is disposed about the lancing site, creates a pressure gradient that urges fluid to flow toward the opening 18 , as indicated by arrows 19 .
- the pressure profile 31 created by the cap 10 has pressure peaks 33 that coincide with the perimeter portion of the cap, or with the start of the multi-contoured surface 22 .
- the pressure is a maximum at this portion since the cap contacts the skin of the user to a greater degree.
- the surfaces of the multi-contoured surface extend inwardly towards the opening 18 and away from the skin, the overall pressure decreases. This forms a pressure gradient that extends from the outermost portion of the cap 10 to the opening 18 .
- the illustrated pressure gradient 31 has decreases in a somewhat uniform manner across the surface 24 , and in a more rapid manner across surface 26 . Those of ordinary skill will recognize that the pressure profile will change as a function of the configuration of the contact ring.
- the contact ring 16 can include an anti-slip feature adapted to prevent the contact ring 16 and the cap 10 from moving relative to (or across) the surface of the skin during expression of a blood sample.
- the anti-slip feature comprises a suitable anti-slip material 23 , such as rubber or silicone, that is attached, coupled or affixed to a portion of the multi-contoured surface 22 of the contact ring.
- the anti-slip material 23 ensures sufficient friction between the contact ring and the skin to resist movement of the contact ring relative to the skin surface.
- the multi-contoured surface can also be configured to include the flat face portion 29 A.
- the multi-contoured surface includes three surfaces.
- an anti-slip feature comprising an anti-slip material or a roughened surface, may be incorporated in the contact ring 16 ′ to prevent movement of the contact ring relative to the skin surface during expression of the blood sample.
- the cap 10 is connected to the housing 12 of the lancing device and the dermal tissue is lanced by the lancet 30 passing through the opening 18 in the contact ring 16 .
- the lancet 30 is then withdrawn into the cap 10 or the lancing device.
- the contact ring 16 is pressed into contact with the dermal tissue proximate the lancing site causing blood to exit the lancing site and enter the cap 10 through the opening 18 .
- Dermal tissue is “squeezed” into contact with the outer radial portion 24 and the inner radial portion 26 of the multi-contoured surface 22 .
- the multi-contoured surface 22 facilitates blood expression by increasing the hydrostatic pressure on the dermal tissue in contact with the perimeter 28 of the contact ring 16 .
- the hydrostatic pressure on the dermal tissue decreases as the slope of the outer radial surface 24 and the inner radial surface changes toward the opening 18 .
- This inwardly extending pressure gradient is illustrated in FIG. 4B.
- Experimental testing has revealed that 1.5 ml to 3 ml of blood can easily be expressed from the lancing site using the cap 10 of the present invention at sampling sites other than the finger.
- the cap body 14 can be transparent and the contact ring can be a contrasting color, such as white, the user can easily monitor the volume of blood expressed.
- FIGS. 5 through 9 An alternative embodiment of the cap of the present invention is illustrated in FIGS. 5 through 9, in which a sleeve 60 is mounted about the cap body 14 .
- the sleeve 60 is movable generally along the first axis A, i.e., along the axis of motion of the lancet, and relative to the cap body 60 .
- the sleeve 60 comprises an annular collar 62 and at least two legs 64 A and 64 B that extend from the collar 62 in the direction of the first axis A toward the distal end 34 of the cap 10 .
- the legs 64 A and 64 B taper from an increased width proximate the collar 62 to a decreased width proximate the contact ring 16 .
- the legs 64 A and 64 B are arcuate in cross-section and encompass only a portion of the circumference of the contact ring 16 .
- the legs 64 A and 64 B are preferably symmetrically disposed about the circumference of the contact ring 16 .
- additional legs can be added without departing from the present invention.
- the legs need not be positioned symmetrically about the contact ring 16 .
- a spring 70 or other biasing mechanism can be provided to bias the sleeve 60 toward the distal end of the cap 10 .
- the sleeve 60 is not limited to use with the cap 10 of the present invention, but can be used with the cap of any lancing device.
- the sleeve 60 allows the user to maintain a portion of the lancing device, the legs 64 A and 64 B of the sleeve 60 , in contact with skin when the cap 14 and the contact ring 16 are removed from contact with skin, as illustrated in FIG. 7. Importantly, the legs 64 A and 64 B allow the user to maintain the opening 18 in alignment with the lancing site when the contact ring is returned into contact with dermal tissue, as illustrated in FIG. 8.
- the sleeve legs 64 A and 64 B further include an anti-slip feature to prevent movement of the sleeve relative to the skin.
- An anti-slip material such as rubber or silicone, may be affixed to the contact surface of the sleeve legs to prevent movement.
- the anti-slip feature comprises a roughened surface where the sleeve legs contact the skin.
- the legs 64 A and 64 B can be spaced apart a distance sufficient to allow a finger 80 of the user to fit between the legs 64 A and 64 B.
- the surfaces 67 connecting the two legs 64 A and 64 B can be curved, and are preferably parabolic in shape, to further facilitate the user's finger 80 .
- the legs 64 A and 64 B, as well as the sleeve 60 can be constructed from a flexible, resilient material, such as a flexible plastic.
- the preferred material of choice is ABS plastic.
- the user's finger 80 can be positioned between the legs 64 A and 64 B when the sleeve 60 is positioned beneath the cap 10 .
- the legs 64 A and 64 B compress the user's finger therebetween to pinch or squeeze the dermal tissue.
- the user's finger can then be lanced and the compression of the user's finger by the legs 64 A and 64 B can facilitate the expression of blood from the lancing site.
- FIGS. 10 through 13 Alternate embodiments of the cap of the present invention are illustrated in FIGS. 10 through 13, in which the contact ring 16 is designed for lancing the sharp curve (or side) of the fingertip, as well as the ventral side of the fingertips.
- FIGS. 10 and 11 illustrate another embodiment of the cap of the present invention.
- the cap 80 includes a cap body 81 having a proximal end 86 .
- a contact ring 85 is attached to the distal end 83 of the cap body 81 .
- An opening 92 is provided in the contact ring 85 to allow a portion of the lancet 30 to pass through to effect puncturing of the fingertip.
- the illustrated cap body 81 can include a connector 84 for removably and replaceably connecting the proximal end 86 of the cap body 81 to the distal end of the housing 12 of the lancing device.
- the connector 84 can be sized and shaped to fit the housing 12 .
- the cap 80 can be permanently affixed to the housing 12 , although it is preferable that the cap 80 be removably and replaceably connected to the housing 12 .
- the cap body 81 is constructed from transparent, translucent, or opaque material, such as clear or transparent plastic, or includes a transparent portion forming a window to the interior of the cap body.
- the material should be sufficiently transparent to allow the blood being expressed from within the cap body 81 to be viewed by the user.
- the transparency of the cap body 81 allows the view the amount of blood expressed for collection from the lancing, etc.
- the contact ring 85 preferably employs a pair of pressure wings 82 sized and dimensioned to accommodate the sharp curve of the fingertip therebetween.
- the pressure wings 82 thus form a recess 87 for accommodating the finger of the user. This applies the correct amount of pressure to allow for the expression of blood.
- the pressure wings extend radially outward and away from the contact ring for contacting the fingertip both during lancing and during blood sample by pressing.
- the pressure wings 82 and 82 constitute a multi-contoured surface that extends from the outer periphery of the body 81 to the opening 92 .
- the multi-contoured surface 88 is designed to pressure the fingertip to maximize blood flow rate from the lancing site and to facilitate the expression of blood for sample collection.
- the illustrated multi-contoured surface 88 comprises two or more non-planar surfaces disposed at distinct angles relative to each other and with respect to a common axis.
- the pressure wings 82 , 82 that constitute the multi-contoured surface 88 is comprised of a radial outer portion 88 A and a curved radial inner portion 88 B proximate to the opening 92 .
- the transition point between the surfaces 88 A and 88 B can be arcuate, rounded, or sharp.
- the illustrated contact ring 85 can be constructed from plastic or other materials suitable for use in a medical instrument.
- the contact ring 85 can have a non-transparent color that is distinct from the color of the fingertip. White is the preferred color of choice. A contrasting color allows the user to better visualize the quantity of blood expressed.
- the contact ring 85 can be a separate, discrete component affixed to the cap body 81 , or can be integrally formed with the cap body 81 .
- the anti-slip feature can comprise a suitable anti-slip material affixed to the multi-contoured surface, or a roughened multi-contoured surface.
- the contact ring 85 can be constructed entirely of a suitable anti-slip material to provide an anti-slip feature.
- FIGS. 12 and 13 illustrate another embodiment of the cap according to the teachings of the present invention.
- the cap 90 includes a contact ring 95 attached to the distal end 97 of the cap body 94 .
- An opening 124 formed in the contact ring 95 allows a portion of the lancet 30 to pass therethrough to create a puncture on the ventral side of the fingertip.
- the cap body 94 includes a connector 99 for removably and replaceably connecting a proximal end 98 of the cap body 94 to a distal end of the housing 12 .
- the connector 99 can be sized and shaped to fit the housing 12 .
- the cap 90 can be permanently affixed to the housing 12 .
- the cap 93 is removably and replaceably connected to the housing 12 .
- the cap body 94 is preferably similar to cap body 81 of FIG. 10.
- the materials of cap 80 are also the same for cap 93 .
- the material can be transparent or include a transparent portion to allow expressed blood to be viewed within the cap 93 .
- the illustrated contact ring 95 can be constructed from plastic or other materials suitable for use in a medical instrument.
- the contact ring 95 can have a non-transparent color that is distinct from the color of the fingertip. White is the preferred color of choice. A contrasting color allows the user to better visualize the quantity of blood expressed.
- the contact ring 95 can be separated, discrete component affixed to the cap body 94 , or can be integrally formed with the cap body 94 .
- the cap 90 When in use, the cap 90 is connected to the housing 12 of the lancing device and the fingertip is placed in intimate facing contact with the ventral side finger and lanced by the lancet 30 passing through the opening 101 in the contact ring 96 .
- the lancet 30 is withdrawn into the cap 90 or lancing device.
- the fingertip is squeezed into contact with the outer radial portion 96 A, middle radial portion 96 B, and inner radial portion 96 C of the multi-contoured surface 96 .
- the multi-contour surface 96 facilitates blood expression by creating a pressure gradient that extends radially inwardly toward the opening 101 from the perimeter 100 of the contact ring 95 or cap body 94 .
- FIGS. 14 - 17 An alternative embodiment of the cap of the present invention is illustrated in FIGS. 14 - 17 in which the contact region is designed with a flexible material for lancing various surfaces of a user.
- the contact ring 114 can be disposed in a rest position, FIG. 14, when not in contact with a lancing site, and hence no shape is imparted to the ring.
- the contact ring When placed in contact with the lancing site, such as the ventral side of a finger, or any other suitable portion of the finger, the contact ring conforms to the shape of the lancing site, FIG. 15.
- an anti-slip feature on the contact ring 114 prevents movement of the contact ring relative to the skin surface when the contact ring is pressed into contact with the fingertip.
- the anti-slip feature can comprise a suitable anti-slip material, such as rubber or silicone, affixed to the multi-contoured surface.
- at least a portion of the multi-contoured surface comprises a roughened contact surface to ensure friction between the contact ring and the skin.
Abstract
A cap for a lancing device for lancing dermal tissue is provided. The cap includes a cap body having a proximal end for connecting to the distal end of the housing of the lancing device and a contact ring attached to the distal end of the cap body. The contact ring includes an opening for a portion of the lancet of the lancing device to pass therethrough. The contact ring has a multi-contoured surface oriented generally about an axis distinct from the axis of motion of the lancet. The multi-contoured surface is designed to pressure the dermal tissue to facilitate expression of a fluid sample after lancing the dermal tissue. The fluid sample can include blood, interstitial fluid, or both.
Description
- This application claims priority to provisional patent application serial No. 60/210,808 filed Jun. 9, 2000 and provisional patent application serial No. 60/261,513 filed Jan. 12, 2001, the contents of which are hereby incorporated by reference.
- The present invention generally relates to lancing devices for lancing dermal tissue and for withdrawing a fluid sample.
- Lancets in conventional use generally have a rigid body and a sterile needle which protrudes from one end. The lancet may be used to pierce the skin, thereby enabling the collection of a blood sample from the opening. The blood is then transferred to a test collection device. Blood is most commonly taken from the fingertips, where there is generally an abundant supply. However, the nerve density in this region causes significant pain in many patients. Sampling of alternate sites, such as earlobes and limbs, is sometimes practiced to access sites which are less sensitive. These sites are also less likely to provide sufficient blood volume, and make blood transfer directly to test devices difficult.
- Repeated lancing in limited surface areas (such as fingertips) results in callous formation. This leads to increased difficulty in drawing blood and increased pain to the user. To reduce the anxiety of piercing the skin and the associated pain, many spring loaded devices have been developed.
- After puncturing the skin, conventional lancing devices are laid down and the free hand of the user squeezes blood from the puncture wound. This technique requires a clean storage site for the lancing device and a two-hand operation. Once the drop of blood is expressed from the lancing site, the user transfers the blood to a test strip of a suitable meter.
- It is often desirable to collect the expressed sample from the patient and then introduce the sample to a test device in a controlled fashion. Some blood glucose monitoring systems, for example, require that the blood sample be applied to a test device which is in contact with a test instrument. In such situations, bringing the finger of a patient directly to the test device poses some risk of contamination from blood of a previous patient. With such systems, particularly in hospital settings, it is common to lance a patient, collect a sample in a micropipette via capillary action and then deliver the sample from the pipette to the test device.
- However, these lancet devices do not extract (‘squeeze out’) a sufficient sample from the various surfaces for lancing. For example, the curved surface of a fingertip requires the right amount of pressure to be applied to extract blood quickly and efficiently from the patient. Therefore, there is a need for a lancet system that can accommodate the lancing of curved surfaces (e.g., fingertips) as well as flat surfaces (e.g., forearm or leg) to express sufficient volume of blood or interstitial fluid, while concomitantly reducing pain experienced by the user.
- The present invention provides a cap for a lancing device for lancing dermal tissue. The cap includes a cap body having a proximal end for connecting to the distal end of the housing of the lancing device and a contact ring attached to the distal end of the cap body. The contact ring includes an opening for a portion of the lancet of the lancing device to pass therethrough. The contact ring has a multi-contoured surface oriented generally about an axis distinct from the axis of motion of the lancet. The multi-contoured surface is designed to pressure the dermal tissue to facilitate expression of a fluid sample after lancing the dermal tissue. The fluid sample can include blood, interstitial fluid, or both.
- In accordance with one aspect of the present invention, the cap body is transparent to facilitate viewing of the quantity of blood expressed.
- In accordance with another aspect of the present invention, the multi-contoured surface comprises an outer radial portion oriented at a first angle relative to the axis of the contact ring and an inner radial portion proximate the opening and oriented at a second angle, distinct from the first angle, relative to the axis of the contact ring.
- In accordance with a further aspect of the present invention, the cap is removably and replaceably connected to the distal end of the housing.
- In accordance with another aspect of the present invention, a sleeve can be mounted about the cap body. The sleeve can be movable generally along the axis of motion of the lancet and relative to the cap body. The sleeve includes at least two legs for maintaining contact with the dermal tissue during expression of a blood sample after lancing the dermal tissue. In addition, the sleeve can be biased toward the distal end of the cap body, for example, by a spring.
- In accordance with another aspect of the present invention, the cap body includes a contact ring having a multi-contoured surface oriented to create a radially inwardly extending pressure-gradient, which extends towards a central aperture.
- In accordance with another aspect of the present invention, a cap for lancing curved dermal tissue is provided. The contact ring portion of the cap is comprised of a flexible material. The flexible material when placed against the lancing site conforms to the surface, and hence accommodates lancing of the curved dermal tissue to create a pressure gradient beneath the skin to express a suitable fluid sample. This flexible cap creates a pressure gradient and expresses dermal fluid on strongly curved and flat areas of the skin without having to change the cap or use a different lancing device.
- In accordance with yet another aspect of the present invention, a lancing device for lancing dermal tissue is provided. The lancing device includes a housing, a lancet and a cap. The cap includes a cap body and a contact ring having a multi-contoured surface oriented generally about an axis distinct from the axis of motion of the lancet. The multi-contoured surface is designed to pressure the dermal tissue to facilitate expression of a fluid sample after lancing the dermal tissue. The fluid sample can include blood, interstitial fluid, or both.
- These and other features and advantages of the present invention will be more fully understood by reference to the following detailed description in conjunction with the attached drawings in which like reference numerals refer to like elements through the different views. The drawings illustrate principles of the invention and, although not to scale, show relative dimensions.
- FIG. 1 is a side elevational view of a cap for a lancing device, illustrating the cap attached to a lancing device in accordance with the teachings of the present invention;
- FIG. 2 is a side elevational view of the cap of FIG. 1;
- FIG. 3A is an end view of the cap of FIG. 1;
- FIG. 3B is an end view of the cap of FIG. 1, wherein an anti-slip material is affixed to the contact ring;
- FIG. 4A is a side elevational view in cross section along line4-4 of FIG. 3, illustrating the contact ring of the cap of FIG. 3;
- FIG. 4B is a graphic representation of the pressure profile created by the cap of FIG. 2;
- FIG. 4C is a cross-sectional view of an alternate embodiment of the contact ring of the lancing device of the present invention;
- FIG. 5 is a side elevational view of an alternative embodiment of the cap for a lancing device of the present invention, illustrating a sleeve positioned about the cap in accordance with the teachings of the present invention
- FIG. 6 is an end view of the cap of FIG. 5;
- FIG. 7 is a side elevational view of the cap of FIG. 5, illustrating the cap displaced from the skin in accordance with the teachings of the present invention;
- FIG. 8 is a side elevational view of the cap of FIG. 5, illustrating the cap in contact with the skin in accordance with the teachings of the present invention;
- FIG. 9 is a front elevational view of the cap of FIG. 5;
- FIG. 10 is a front elevational view of another embodiment of a cap for a lancing device, suitable for lancing a fingertip in accordance with the teachings of the present invention;
- FIG. 11 is an end view of the cap of FIG. 10;
- FIG. 12 is a front elevational view of another embodiment of a cap for a lancing device for lancing the ventral side of a fingertip in accordance with the teachings of the present invention;
- FIG. 13 is an end view of the cap of FIG. 12;
- FIG. 14 is a side view of an alternate embodiment of the cap of the present invention formed of a flexible material and disposed in a rest position;
- FIG. 15 is a side view of the cap of FIG. 14 when the contact ring contacts the lancing site;
- FIG. 16 is a side view of an alternate embodiment of the cap of the present invention formed of a deformable, flexible material and disposed in a rest position; and
- FIG. 17 is a side view of the cap of FIG. 16 when the contact ring contacts the lancing site.
- The present invention is directed to a cap for use with a lancing device for lancing dermal tissue to express a fluid sample, such as blood, interstitial fluid, or both. We refer below to the expression of blood for purposes of simplicity, although it is intended to encompass the expression of interstitial fluid or both. The cap of the present invention is designed to facilitate the expression of blood after the dermal tissue is lanced by increasing the pressure on the dermal tissue surrounding the lancing site. This increase in pressure results in increased blood flow from the lancing site, thereby reducing the time necessary to express a sufficient quantity of blood and eliminating the need for placing the lancing device on a surface and using the other free hand to squeeze out the sample fluid.
- Moreover, the cap of the present invention is particularly suited for collecting blood samples from lancing sites other than on the fingertip of the patient, which is the traditional location for collecting blood samples. Use of such alternative sites can be less painful to the patient and also allows the patient to “rest” his or her fingertip. Suitable alternative sites include, but are not limited to, the forearms, the upper arms, the thighs, the palms, and the abdomen of a patient. Blood sample collection at alternative sites can be problematic as manually applying sufficient pressure on the dermal tissue proximate the lancing site to collect the blood sample can be difficult and typically results in low yields. The cap of the present invention allows the user to increase the amount of pressure at the lancing site such that a sufficient quantity of blood can be expressed from the alternative sample site.
- A
cap 10 in accordance with one preferred embodiment of the present invention is illustrated in FIGS. 1 through 4. Thecap 10 is design to be connected to the distal end of thehousing 12 of a conventional lancing device. In a conventional lancing device alancet 30 is mounted within thehousing 12 of the lancing device and is movable along a first axis, indicated by line A in FIG. 1, relative to thehousing 12. Thelancet 30 can be driven along the first axis by the lancing device to puncture the dermal tissue. The blood sample can then be expressed for collection from the lancing site. Such conventional lancing devices are available from Lifescan, Inc. of Milpitas, Calif., Palco Laboratories of Santa Cruz, Calif., Therasense of Alameda, Calif., and Amira Medical of Scotts Valley Calif. In addition, lancing devices are described in U.S. Pat. No. 5,730,753 to Morita, U.S. Pat. No. 6,045,567 to Taylor, and U.S. Pat. No. 6,071,250 to Douglas. Each of the aforementioned patents is incorporated herein by reference. One skilled in the art will appreciate that the cap of the present invention is not limited to the lancing devices described herein. The cap of the present invention can be used with any lancing device employing a movable lancet for lancing dermal tissue. Moreover, the present invention is intended to include any device suitable for expressing a fluid sample from a user employing different extraction techniques, including the use of lancets, hollow and solid needles or microneedles, ultrasonic devices, thermal techniques, and the like. The device can be a simple lancing device as described above, or can include devices having integrated meters or measuring devices suitable for testing an analyte, such as glucose. - The
cap 10 includes acap body 14 having aproximal end 32 and adistal end 34 as best illustrated in FIG. 2. Acontact ring 16 is attached to thedistal end 34 of the cap body 36. Anopening 18, shown in FIGS. 3A and 4, is provided in thecontact ring 16 to allow a portion of thelancet 30 to pass therethrough to effect puncturing of the dermal tissue. - Referring to FIG. 2, the
cap body 14 can include aconnector 20 for removably and replaceably connecting theproximal end 32 of thecap body 14 to the distal end of thehousing 12 of the lancing device. Theconnector 20 preferably is threaded to mate with corresponding threads provided in thehousing 12 of the lancing device. One skilled in the art will recognize that alternative connecting mechanisms may be used without departing from the scope of the present invention. For example, theconnector 20 can be sized and shaped to snap-fit to thehousing 12. In addition, thecap 10 can be permanently affixed to thehousing 12, although, it is preferable for thecap 14 to be removably and replaceably connected to thehousing 12. - The
cap body 14 can be constructed from a transparent, translucent or opaque material, such as a clear, transparent plastic, or includes a transparent portion forming a window to the interior of the cap body, or can be constructed of conventional non-transparent material. If transparent, the material should be sufficiently so to permit expressed blood to be viewed within thecap body 14. The transparency of thecap body 14 allows the user to view the amount of blood expressed for collection from the lancing site, as discussed in more detail below. - Referring to FIGS. 3A and 4A, the
contact ring 16 preferably has amulti-contoured surface 22 for contacting the dermal tissue both during lancing and during blood sample expression. Themulti-contoured surface 22 is oriented generally about a second axis, indicated by line B in FIG. 4A, distinct from the first axis A. In the preferred embodiment described herein the second axis B is perpendicular to the first axis A. One skilled in the art will recognize that the second axis is not limited to this preferred orientation and that any orientation distinct from the axis of motion of the lancet can be employed. - The
multi-contoured surface 22 is designed to pressure the dermal tissue to maximize blood flow rate from the periphery of the pressured area to the center of the lancing site and to facilitate the expression of a blood sample for collection. The term multi-contoured surface as used herein is intended to include two or more surfaces oriented at distinct angles with respect to each other and with respect to a common axis. The multi-contoured surface can extend inwardly from a vertical wall, or can extend inwardly from a flat surface extending radially inwardly from the vertical wall. Those of ordinary skill will recognize that the multi-contoured surface can include any selected number of surfaces. The surface can be, according to one practice, non-planar. In one embodiment described herein, themulti-contoured surface 22 is comprised of an outerradial portion 24 and an innerradial portion 26 proximate theopening 18. The outerradial portion 24 is preferably oriented at a first angle C relative to the second axis B. The innerradial portion 26 is preferably oriented at a second angle D, distinct from the first angle C, relative to the second axis B. The outerradial portion 24 and the innerradial portion 26 can have any selected surface feature or shape, e.g., can be linear, stepped, or curved. In the illustrated embodiment, the outerradial portion 24 is generally linear from theperimeter 28 of thecontact ring 16 to the intersection with the innerradial portion 26. Alternatively, the outerradial portion 24 can be convex or concave in curvature. Additionally, the innerradial portion 26 is generally concave in curvature, but can also be linear or convex. - As shown in FIG. 4A, the angle C, corresponding to the slope of the outer
radial portion 24, is in the range between about 5° and about 15°. Additionally, the radial extent of the outerradial portion 24, generally illustrated by line E in FIG. 3A, is preferably between about 25% to about 75% of the total radius of thecontact ring 16, as measured from the center point CP of thecontact ring 16 to theperimeter 28 of thecontact ring 16. In a preferred embodiment, the radial extent E of the outerradial portion 24 is preferably about 50% of the total radius of thecontact ring 16. - The
contact ring 16 can be constructed from plastic or other materials suitable for use in a medical instrument. Thecontact ring 16 can have a non-transparent color, such as white, that is distinct and in contrast from the color of the dermal tissue. A contrasting color allows the user to better visualize the quantity of expressed blood. - The
contact ring 16 can be a separate, discrete component affixed to thecap body 14, or can be integrally formed with thecap body 14. - With reference to FIG. 4B, the
contact ring 16 of thecap 10 is sized and dimensioned to be placed in intimate facing contact with the skin of the user. When placed thereagainst, the contact ring creates a pressure gradient that extends from the radial outer surface inwardly towards theopening 18. Specifically, when the skin is lanced by thelancet 30, thecontact ring 16, which is disposed about the lancing site, creates a pressure gradient that urges fluid to flow toward theopening 18, as indicated byarrows 19. - The
pressure profile 31 created by thecap 10 has pressure peaks 33 that coincide with the perimeter portion of the cap, or with the start of themulti-contoured surface 22. The pressure is a maximum at this portion since the cap contacts the skin of the user to a greater degree. When the surfaces of the multi-contoured surface extend inwardly towards theopening 18 and away from the skin, the overall pressure decreases. This forms a pressure gradient that extends from the outermost portion of thecap 10 to theopening 18. The illustratedpressure gradient 31 has decreases in a somewhat uniform manner across thesurface 24, and in a more rapid manner acrosssurface 26. Those of ordinary skill will recognize that the pressure profile will change as a function of the configuration of the contact ring. - According to an alternative embodiment of the invention, illustrated in FIG. 3B, the
contact ring 16 can include an anti-slip feature adapted to prevent thecontact ring 16 and thecap 10 from moving relative to (or across) the surface of the skin during expression of a blood sample. According to one embodiment, the anti-slip feature comprises asuitable anti-slip material 23, such as rubber or silicone, that is attached, coupled or affixed to a portion of themulti-contoured surface 22 of the contact ring. Theanti-slip material 23 ensures sufficient friction between the contact ring and the skin to resist movement of the contact ring relative to the skin surface. According to an alternate embodiment, the multi-contoured surface can be formed to have selected surface features, such as protrusions or indentations, or can be roughened, to increase the friction between the contact ring and the skin. Alternatively, the entire contact ring can be formed from an anti-slip material to prevent movement. - FIG. 4C illustrates another embodiment of the
contact ring 16 of thecap 10 of the present invention. Like reference numerals designate like or similar parts plus a superscript prime. The illustratedcontact ring 16′ has an axially or vertically extending outer wall orperimeter 28′ that terminates at adistal end 29. Thedistal end 29 includes a firstflat face portion 29A that is adapted to press against the skin of the user during use. Theflat face portion 29A is generally perpendicular to theperimeter portion 28′. Themulti-contoured surface 22′ extends radially inwardly from theflat face portion 29A towards the opening 18′. Themulti-contoured surface 22′ extends between the annularflat face portion 29A, as indicated by the designation L. The multi-contoured surface can also be configured to include theflat face portion 29A. In this embodiment, the multi-contoured surface includes three surfaces. Optionally, an anti-slip feature, comprising an anti-slip material or a roughened surface, may be incorporated in thecontact ring 16′ to prevent movement of the contact ring relative to the skin surface during expression of the blood sample. - The illustrated
multi-contoured surface 22′ includes two or more surfaces oriented relative to each other to form different, distinct angles. In particular, themulti-contoured surface 22′ includes a pair ofsurfaces outer surface 25 is oriented at a first angle relative to the axis B. The radiallyinner surface 27 is oriented at a second angle relative to the axis B different from the first angle. As described above, thesurfaces - In use, the
cap 10 is connected to thehousing 12 of the lancing device and the dermal tissue is lanced by thelancet 30 passing through theopening 18 in thecontact ring 16. Thelancet 30 is then withdrawn into thecap 10 or the lancing device. Thecontact ring 16 is pressed into contact with the dermal tissue proximate the lancing site causing blood to exit the lancing site and enter thecap 10 through theopening 18. Dermal tissue is “squeezed” into contact with the outerradial portion 24 and the innerradial portion 26 of themulti-contoured surface 22. Themulti-contoured surface 22 facilitates blood expression by increasing the hydrostatic pressure on the dermal tissue in contact with theperimeter 28 of thecontact ring 16. The hydrostatic pressure on the dermal tissue decreases as the slope of the outerradial surface 24 and the inner radial surface changes toward theopening 18. This inwardly extending pressure gradient is illustrated in FIG. 4B. Experimental testing has revealed that 1.5 ml to 3 ml of blood can easily be expressed from the lancing site using thecap 10 of the present invention at sampling sites other than the finger. In addition, because thecap body 14 can be transparent and the contact ring can be a contrasting color, such as white, the user can easily monitor the volume of blood expressed. - An alternative embodiment of the cap of the present invention is illustrated in FIGS. 5 through 9, in which a
sleeve 60 is mounted about thecap body 14. Thesleeve 60 is movable generally along the first axis A, i.e., along the axis of motion of the lancet, and relative to thecap body 60. Thesleeve 60 comprises anannular collar 62 and at least twolegs collar 62 in the direction of the first axis A toward thedistal end 34 of thecap 10. Thelegs collar 62 to a decreased width proximate thecontact ring 16. - As illustrated in FIG. 6, the
legs contact ring 16. Thelegs contact ring 16. Although only two legs are illustrated, one skilled in the art will appreciate that additional legs can be added without departing from the present invention. In addition, the legs need not be positioned symmetrically about thecontact ring 16. - The
sleeve 60 is preferably slidable along an axis parallel to the first axis A, as indicated by arrow T in FIG. 5. A longitudinally extendingslot 66 can be formed in one or both of sides of thecap body 14. A protrudingguide member 68 can be formed in one or both of thelegs guide member 68 is sized and shaped to slide within theslot 66 and inhibits lateral motion of thesleeve 60 relative to thecap body 14. Alternatively, theslot 66 can be formed in one or more of thelegs guide member 68 can be formed on thecap body 14. - A
spring 70 or other biasing mechanism can be provided to bias thesleeve 60 toward the distal end of thecap 10. One skilled in the art will appreciate that thesleeve 60 is not limited to use with thecap 10 of the present invention, but can be used with the cap of any lancing device. - It is sometimes desirable to remove the
cap 10 and thecontact ring 16 from contact with the dermal tissue after lancing, for example, to remove pressure from the dermal tissue or to visibly inspect the lancing site. Thesleeve 60 allows the user to maintain a portion of the lancing device, thelegs sleeve 60, in contact with skin when thecap 14 and thecontact ring 16 are removed from contact with skin, as illustrated in FIG. 7. Importantly, thelegs opening 18 in alignment with the lancing site when the contact ring is returned into contact with dermal tissue, as illustrated in FIG. 8. According to one embodiment, thesleeve legs - Referring to FIG. 9, the
legs finger 80 of the user to fit between thelegs surfaces 67 connecting the twolegs finger 80. In addition, thelegs sleeve 60, can be constructed from a flexible, resilient material, such as a flexible plastic. The preferred material of choice is ABS plastic. As illustrated in FIG. 9, the user'sfinger 80 can be positioned between thelegs sleeve 60 is positioned beneath thecap 10. Thelegs legs - Alternate embodiments of the cap of the present invention are illustrated in FIGS. 10 through 13, in which the
contact ring 16 is designed for lancing the sharp curve (or side) of the fingertip, as well as the ventral side of the fingertips. - FIGS. 10 and 11 illustrate another embodiment of the cap of the present invention. The
cap 80 includes acap body 81 having aproximal end 86. Acontact ring 85 is attached to thedistal end 83 of thecap body 81. Anopening 92 is provided in thecontact ring 85 to allow a portion of thelancet 30 to pass through to effect puncturing of the fingertip. The illustratedcap body 81 can include aconnector 84 for removably and replaceably connecting theproximal end 86 of thecap body 81 to the distal end of thehousing 12 of the lancing device. For example, theconnector 84 can be sized and shaped to fit thehousing 12. Thecap 80 can be permanently affixed to thehousing 12, although it is preferable that thecap 80 be removably and replaceably connected to thehousing 12. - The
cap body 81 is constructed from transparent, translucent, or opaque material, such as clear or transparent plastic, or includes a transparent portion forming a window to the interior of the cap body. The material should be sufficiently transparent to allow the blood being expressed from within thecap body 81 to be viewed by the user. The transparency of thecap body 81 allows the view the amount of blood expressed for collection from the lancing, etc. - The
contact ring 85 preferably employs a pair ofpressure wings 82 sized and dimensioned to accommodate the sharp curve of the fingertip therebetween. Thepressure wings 82 thus form arecess 87 for accommodating the finger of the user. This applies the correct amount of pressure to allow for the expression of blood. - Referring to FIG. 11, the pressure wings extend radially outward and away from the contact ring for contacting the fingertip both during lancing and during blood sample by pressing. The
pressure wings body 81 to theopening 92. Themulti-contoured surface 88 is designed to pressure the fingertip to maximize blood flow rate from the lancing site and to facilitate the expression of blood for sample collection. The illustratedmulti-contoured surface 88 comprises two or more non-planar surfaces disposed at distinct angles relative to each other and with respect to a common axis. For example, thepressure wings multi-contoured surface 88 is comprised of a radialouter portion 88A and a curved radialinner portion 88B proximate to theopening 92. The transition point between thesurfaces - The illustrated
contact ring 85 can be constructed from plastic or other materials suitable for use in a medical instrument. Thecontact ring 85 can have a non-transparent color that is distinct from the color of the fingertip. White is the preferred color of choice. A contrasting color allows the user to better visualize the quantity of blood expressed. Thecontact ring 85 can be a separate, discrete component affixed to thecap body 81, or can be integrally formed with thecap body 81. - When in use, the
cap 80 is connected to thehousing 12 of the lancing device, and the fingertip of the user is placed in therecess 87 formed by thepressure wings lancet 30 of the device is deployed and passes through theopening 92 in thecontact ring 85 to pierce the skin. Thecontact ring 85 is pressed into contact with the fingertip proximate to the lancing site to express blood. Themulti-contoured surface 87 facilitates blood expression by creating a pressure gradient that extends radially inwardly towards theopening 92. According to an alternate embodiment, an anti-slip feature on thecontact ring 85 prevents movement of the contact ring relative to the skin surface when the contact ring is pressed into contact with the fingertip. As discussed, the anti-slip feature can comprise a suitable anti-slip material affixed to the multi-contoured surface, or a roughened multi-contoured surface. Alternatively, thecontact ring 85 can be constructed entirely of a suitable anti-slip material to provide an anti-slip feature. - FIGS. 12 and 13 illustrate another embodiment of the cap according to the teachings of the present invention. As illustrated in FIG. 12, the
cap 90 includes acontact ring 95 attached to thedistal end 97 of thecap body 94. An opening 124 formed in thecontact ring 95 allows a portion of thelancet 30 to pass therethrough to create a puncture on the ventral side of the fingertip. - The
cap body 94 includes aconnector 99 for removably and replaceably connecting aproximal end 98 of thecap body 94 to a distal end of thehousing 12. For example, theconnector 99 can be sized and shaped to fit thehousing 12. Also, thecap 90 can be permanently affixed to thehousing 12. Preferably, the cap 93 is removably and replaceably connected to thehousing 12. Thecap body 94 is preferably similar to capbody 81 of FIG. 10. The materials ofcap 80 are also the same for cap 93. The material can be transparent or include a transparent portion to allow expressed blood to be viewed within the cap 93. - The illustrated
contact ring 95 has amulti-contoured surface 96 that extends from the periphery of thecap body 94 to thecentral opening 101. Themulti-contoured surface 96 can include two or more surfaces disposed at distinct angles relative to each other and with respect to a common axis. For example, the illustratedmulti-contoured surface 96 is comprised of an outerradial portion 96A, amiddle portion 96B, and an innerradial portion 96C disposed proximate to theopening 101. The outer, middle and inner radial portions of the cap can have any selected surface feature or shape, e.g., can be linear, stepped, or curved. Moreover, the transition points between eachsurface - The illustrated
contact ring 95 can be constructed from plastic or other materials suitable for use in a medical instrument. Thecontact ring 95 can have a non-transparent color that is distinct from the color of the fingertip. White is the preferred color of choice. A contrasting color allows the user to better visualize the quantity of blood expressed. Similarly to cap 80, thecontact ring 95 can be separated, discrete component affixed to thecap body 94, or can be integrally formed with thecap body 94. - When in use, the
cap 90 is connected to thehousing 12 of the lancing device and the fingertip is placed in intimate facing contact with the ventral side finger and lanced by thelancet 30 passing through theopening 101 in thecontact ring 96. Thelancet 30 is withdrawn into thecap 90 or lancing device. The fingertip is squeezed into contact with the outerradial portion 96A, middleradial portion 96B, and innerradial portion 96C of themulti-contoured surface 96. Themulti-contour surface 96 facilitates blood expression by creating a pressure gradient that extends radially inwardly toward the opening 101 from theperimeter 100 of thecontact ring 95 orcap body 94. According to one embodiment, an anti-slip feature on thecontact ring 95 prevents movement of the contact ring relative to the skin surface when the contact ring is pressed into contact with the fingertip. As discussed, the anti-slip feature can comprise a suitable anti-slip material, such as rubber or silicone, affixed to the multi-contoured surface. Alternatively, at least a portion of the multi-contoured surface comprises a roughened contact surface to ensure friction between the contact ring and the skin. - An alternative embodiment of the cap of the present invention is illustrated in FIGS.14-17 in which the contact region is designed with a flexible material for lancing various surfaces of a user.
- FIGS. 14 and 15 illustrate another embodiment of the cap for use at multiple different lancing sites according to the teachings of the present invention. The illustrated
cap 110 includes acap body 112 that terminates at acontact ring 114 mounted at a distal end. The distal end 115 of thecap 110 can couple to thehousing 12 via any suitable structure. According to a preferred embodiment, the cap is permanently affixed to the housing, and hence not axially movable relative thereto. Thecontact ring 114 of thecap 110 can include, if desired, amulti-contoured surface 118 having a plurality of surfaces oriented at angles relative to each other. A central opening can also be formed therein. According to an alternate embodiment, the contact ring can be a unitary structure with nominal surface features formed therein. - The illustrated contact ring is preferably formed of a deformable, resilient, flexible material that is capable of conforming to the shape of the body region of the user placed in contact therewith. The contact ring can be preferably formed of a rubber material, polyurethane, latex, or other flexible material. The
cap body 112 can also be formed of any suitable transparent, translucent, or opaque material, such as clear or transparent plastic, or can include a transparent portion forming a window to the interior of the cap body to enable the user to view the expressed blood. Alternatively, the cap can be formed of a non-transparent material. - The
contact ring 114 can be disposed in a rest position, FIG. 14, when not in contact with a lancing site, and hence no shape is imparted to the ring. When placed in contact with the lancing site, such as the ventral side of a finger, or any other suitable portion of the finger, the contact ring conforms to the shape of the lancing site, FIG. 15. According to one embodiment, an anti-slip feature on thecontact ring 114 prevents movement of the contact ring relative to the skin surface when the contact ring is pressed into contact with the fingertip. As discussed, the anti-slip feature can comprise a suitable anti-slip material, such as rubber or silicone, affixed to the multi-contoured surface. Alternatively, at least a portion of the multi-contoured surface comprises a roughened contact surface to ensure friction between the contact ring and the skin. - According to an alternate embodiment, as illustrated in FIGS. 16 and 17, a
cap 130 includes acap body 132 that has mounted thereto adeformable contact ring 134. The illustratedcontact ring 134 hasedge portions 136 that extend over or outwardly from the perimeter of thecap body 132. The contact ring can include, if desired, a multi-contoured surface having a plurality of surfaces oriented at angles relative to each other. A central opening can also be formed therein. According to an alternate embodiment, the contact ring can be a unitary structure with nominal surface features formed therein. - The contact ring can be preferably formed of rubber material, polyurethane, latex, or other flexible material. The
contact ring 134 can be disposed in a rest position, FIG. 16, when not disposed in contact with a lancing site, and hence no shape is imparted to the ring. When placed in contact with the lancing site, such as the ventral side of a finger, or any other suitable portion of the finger, thecontact ring 134 conforms to the shape of the lancing site, FIG. 17. Moreover, when disposed in this position, the overhanging portions of the deformable contact ring, can ‘flip’ over and extend along the outer surface of thecap body 132 so it can be used on a flatter skin area, such as the forearm. - The
cap body 132 can includes a connector for removably and replaceably connecting a proximal end of thecap body 132 to a distal end of thehousing 12. According to one practice, thecap 130 can be permanently affixed to thehousing 12. Preferably, thecap 130 is removably and replaceably connected to thehousing 12. - Since certain changes may be made in the above constructions without departing from the scope of the invention, it is intended that all matter contained in the above description or shown in the accompanying drawings be interpreted as illustrative and not in a limiting sense.
- It is also to be understood that the following claims are to cover all generic and specific features of the invention described herein, and all statements of the scope of the invention which, as a matter of language, might be said to fall therebetween.
Claims (29)
1. A cap for a lancing device for lancing dermal tissue, the lancing device including a housing having a proximal end and a distal end and a lancet mounted within the housing, the lancet being movable along a first axis relative to the housing, the cap comprising:
a cap body having a proximal end and a distal end, the proximal end of the cap body connecting to the distal end of the housing of the lancing device; and
a contact ring attached to the distal end of the cap body, the contact ring including an opening for a portion of the lancet to pass therethrough, the contact ring having a multi-contoured surface oriented generally about a second axis distinct from the first axis for pressuring the dermal tissue to facilitate expression of a blood sample after lancing the dermal tissue.
2. The cap of claim 1 , wherein the cap body is transparent, translucent, or opaque.
3. The cap body of claim 1 , wherein a portion of the cap body is transparent to allow a user to view the blood sample.
4. The cap of claim 1 , wherein the multi-contoured surface comprises
an outer radial portion oriented at a first angle relative to the second axis, and
an inner radial portion proximate the opening and oriented at a second angle, distinct from the first angle, relative to the second axis.
5. The cap of claim 1 , wherein the cap is removably and replaceably connected to the distal end of the housing.
6. The cap of claim 1 , wherein the contact ring has a contacting surface having a flat portion extending radially inwardly from a perimeter portion, wherein the multi-contoured surface extends from the flat portion to the opening.
7. The cap of claim 1 , wherein the multi-contoured surface comprises a pair of pressure wings.
8. The cap of claim 1 , wherein the contact ring is formed of a flexible, deformable material.
9. The cap of claim 8 , wherein the contact ring includes edge portions which extend outwardly from the cap body.
10. The cap of claim 1 , wherein the contact ring has a non-transparent color distinct from and in contrast to the color of the dermal tissue.
11. The cap of claim 1 , wherein the contact ring comprises a separate and discrete component mounted on the cap body.
12. The cap of claim 1 , wherein the contact ring is integrally formed with the cap body.
13. The cap of claim 1 , wherein the contact ring urges blood in the dermal tissue towards the opening in the contact ring.
14. The cap of claim 1 , wherein the multi-contoured surface includes an anti-slip feature.
15. The cap of claim 14 , wherein the anti-slip feature comprises a roughened surface on the multi-contoured surface to increase friction between the contact ring and the skin.
16. The cap of claim 14 , wherein the anti-slip feature comprises an anti-slip material affixed to the multi-contoured surface.
17. The cap of claim 1 , wherein the contact ring is formed of an anti-slip material.
18. The cap of claim 1 , wherein the multi-contoured surface comprises:
an outer radial portion oriented at a first angle relative to the second axis;
a middle radial portion oriented at a second angle relative to the second axis; and
an inner radial portion oriented at a third angle relative to the second axis.
19. A cap for a lancing device for lancing dermal tissue, the lancing device including a housing having a proximal end and a distal end and a lancet mounted within the housing, the lancet being movable along a first axis relative to the housing, the cap comprising:
a cap body having a proximal end and a distal end, the proximal end of the cap body connecting to the distal end of the housing of the lancing device,
a contact ring attached to the distal end of the cap body, the contact ring including an opening for a portion of the lancet to pass therethrough, and
a sleeve mounted about the cap body, the sleeve being movable generally along the first axis and relative to the cap body, the sleeve including at least two legs for maintaining contact with the dermal tissue during expression of a blood sample after lancing the dermal tissue.
20. The cap of claim 19 , wherein the sleeve is biased toward the distal end of the cap body.
21. The cap of claim 19 , wherein the legs are spaced apart to permit a user's fingers in the space therebetween.
22. The cap of claim 19 , wherein the legs are constructed from a resilient material such that the legs act to compress the user's finger when positioned therebetween.
23. The cap of claim 19 , wherein the legs include an anti-slip feature to prevent movement of the legs relative to the skin.
24. The cap of claim 23 , wherein the anti-slip feature comprises a roughened surface to increase friction between the legs and the skin.
25. The cap of claim 23 , wherein the anti-slip feature comprises an anti-slip material affixed to a portion of the legs in contact with the skin.
26. A cap for a lancing device for lancing a fingertip, the lancing device including a housing having a proximal end and a distal end and a lancet mounted within the housing, the lancet being movable along the housing, the cap comprising:
a cap body having a proximal end and a distal end, the proximal end of the cap body connecting to the distal end of the housing of the lancing device;
a contact ring attached to the distal end of the cap body, the contact ring including an opening for a portion of the lancet to pass therethrough, the contact ring having a multi-contoured surface oriented to create a pressure gradient decreasing towards a puncture on an irregularly curved surface of the fingertips.
27. The cap of claim 26 , wherein the cap body is transparent, translucent, or opaque.
28. A cap for a lancing device for lancing a curved dermal tissue, the lancing device including a housing having a proximal end and a distal end and a lancet mounted within the housing, the lancet being movable along the housing, the cap comprising:
a cap body having a proximal end and a distal end, the proximal end of the cap body connecting to the distal end of the housing of the lancing device,
a contact ring attached to the distal end of the cap body, the contact ring including an opening for a portion of the lancet to pass therethrough, the contact ring having a multi-contoured surface oriented for pressuring the curved dermal tissue, wherein the contact ring is comprised of a deformable, flexible material for conforming to the skin at the lancing site to facilitate the expression of a fluid therefrom.
29. A lancing device for lancing dermal tissue, comprising:
a housing having a proximal end and a distal end;
a lancet mounted within the housing, the lancet being movable along a first axis relative to the housing; and
a cap attached to the distal end of the housing, the cap comprising a cap body having a proximal end connecting to the distal end of the housing and a distal end having a contact ring, wherein the contact ring includes an opening for a portion of the lancet to pass therethrough, and a multi-contoured surface oriented generally about a second axis distinct from the first axis for pressuring the dermal tissue to facilitate expression of a blood sample after lancing the dermal tissue.
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US12/234,758 US20090076415A1 (en) | 2000-06-09 | 2008-09-22 | Cap for a Lancing Device |
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US21080800P | 2000-06-09 | 2000-06-09 | |
US26151301P | 2001-01-12 | 2001-01-12 | |
US09/877,514 US6706049B2 (en) | 2000-06-09 | 2001-06-08 | Cap for a lancing device |
US10/440,617 US20030195540A1 (en) | 2000-06-09 | 2003-05-19 | Cap for a lancing device |
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US12/234,758 Division US20090076415A1 (en) | 2000-06-09 | 2008-09-22 | Cap for a Lancing Device |
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US12/234,758 Abandoned US20090076415A1 (en) | 2000-06-09 | 2008-09-22 | Cap for a Lancing Device |
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US12/234,758 Abandoned US20090076415A1 (en) | 2000-06-09 | 2008-09-22 | Cap for a Lancing Device |
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EP (2) | EP1318752A2 (en) |
JP (1) | JP4772263B2 (en) |
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Also Published As
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RU2002132895A (en) | 2004-03-27 |
US20020016606A1 (en) | 2002-02-07 |
PL195673B1 (en) | 2007-10-31 |
IL153295A0 (en) | 2003-07-06 |
ATE543437T1 (en) | 2012-02-15 |
NO20025880D0 (en) | 2002-12-06 |
JP4772263B2 (en) | 2011-09-14 |
NO20025880L (en) | 2003-01-30 |
WO2001095806A3 (en) | 2003-03-20 |
CN1494396A (en) | 2004-05-05 |
US20090076415A1 (en) | 2009-03-19 |
AU6676601A (en) | 2001-12-24 |
TWI305492B (en) | 2009-01-21 |
RU2269954C2 (en) | 2006-02-20 |
PL359528A1 (en) | 2004-08-23 |
EP1787583B1 (en) | 2012-02-01 |
EP1318752A2 (en) | 2003-06-18 |
ES2378699T3 (en) | 2012-04-17 |
EP1787583A2 (en) | 2007-05-23 |
KR20030045678A (en) | 2003-06-11 |
EP1787583A3 (en) | 2010-02-17 |
WO2001095806A2 (en) | 2001-12-20 |
CN100515336C (en) | 2009-07-22 |
MXPA02012175A (en) | 2004-08-19 |
CA2412401A1 (en) | 2001-12-20 |
CZ20024006A3 (en) | 2003-11-12 |
CA2412401C (en) | 2011-05-10 |
PL197142B1 (en) | 2008-03-31 |
JP2004503286A (en) | 2004-02-05 |
IL153295A (en) | 2010-06-16 |
US6706049B2 (en) | 2004-03-16 |
AU2001266766B2 (en) | 2006-02-02 |
TW200410661A (en) | 2004-07-01 |
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