US 20060217679 A1
An intravenous drug access system. In one embodiment of the invention, the drug access system includes an IV bag having an inlet port and outlet port, whereby the inlet port is a female luer integral therewith. The integral female luer fitting may be fitted with a sealed end cap comprising a male luer insert with a closed end. An alternative embodiment of the present invention comprises a discrete pre-molded connector made with one spike at one end and a female luer fitting at the opposing end. The spike is used to penetrate a standard IV bag through a conventional inlet port.
1. A medical connector for use in transferring fluids to a drug access bag having at least one inlet port, the medical connector comprising:
a housing having a first and second end and an internal conduit defined therein;
a puncture member at the first end of the housing adapted to be inserted into the inlet port and configured to permit fluid transfer between said bag and said connector;
a protective flange surrounding at least a portion of the puncture member to minimize contamination of said puncture member due to inadvertent contact with contaminated surfaces;
an interlocking coupling disposed between the protective flange and the puncture member adapted to attach the connector to an inlet port on the drug access bag;
a female luer fitting at the second end of the housing adapted to mate with a corresponding male luer fitting of a discrete connector or valve; and
a resilient seal element within the second end of the housing, configured to expand to an open position when pushed by a male luer to thereby permit the passage of fluid therethrough, further configured to reseal upon removal of the male luer.
2. The medical connector of
3. The medical connector of
4. The medical connector of
5. The medical connector of
6. The medical connector of
7. The medical connector of
8. The medical connector of
9. The medical connector of
10. The medical connector of
11. The combination of
12. The combination of
13. The combination of
14. A medical connector for use in transferring fluids to or from a medical fluid bag having at least one inlet port, the medical connector comprising:
a housing having a first and second end and an internal conduit defined therein;
a puncture member at the first end of the housing adapted to be inserted into the inlet port to permit fluid transfer between said bag and said connector;
a female luer fitting at the second end of the housing for mating with a corresponding male luer fitting of a discrete connector or valve;
a resilient seal within the second end of the housing, configured to expand to an open position when pushed by a male luer to thereby permit the passage of fluid therethrough, further configured to reseal upon removal of the male luer.
15. The medical connector of
16. A method of transferring fluid to a drug access bag having an inlet port using a medical connector, the method comprising:
a housing having a first and second end and an internal conduit defined therein;
inserting a puncture member at the first end of the housing into the inlet port to permit fluid transfer between said bag and said connector;
providing a protective flange surrounding at least a portion of the puncture member to minimize contamination of said puncture member due to inadvertent contact with contaminated surfaces;
attaching the connector to an inlet port on the drug access bag with an interlocking coupling between the protective flange and the puncture member;
mating a female luer fitting at the second end of the housing with a corresponding male luer fitting of a discrete connector valve;
expanding a resilient seal element within the second end of the housing to an open position by pushing with a male luer to permit the passage of fluid therethrough; and
removing the male luer to allow the resilient seal element to contract.
17. The method of
18. The method of
providing a protective membrane in the female luer to seal the contents of the bag therein; and
penetrating said protective membrane with a male luer when inserting the male luer into said female luer.
19. The method of
providing a coupling attached to the housing;
inserting at least a portion of the inlet port in the coupling; and
retaining at least a portion of the inlet port in the coupling.
20. The method of
providing, in the needlelesss valve, a cavity with a resilient seal disposed therein;
inserting a medical implement, thereby moving the seal to a compressed position to permit fluid flow through the valve;
removing the medical implement, thus permitting the seal to be adapted to resiliently return to an uncompressed position and obstruct fluid flow.
21. The method of
providing a drug access system comprising a bag adapted to contain medicinal fluids having an inlet port and an outlet port, said outlet port configured to transfer said fluids to a patient, said inlet port of integral construction with said bag and adapted to receive fluids therethrough for introduction into said bag, said inlet port further comprising a housing defining an internal conduit for fluid communication between said medical connector and said bag; and
sealably connecting the medical connector to said inlet port.
This application is a continuation of U.S. patent application Ser. No. 10/832,906, filed Apr. 27, 2004, which is a continuation of U.S. patent application Ser. No. 09/487,105, filed Jan. 19, 2000, which is a continuation of U.S. patent application Ser. No. 09/161,942, filed Sep. 28, 1998. The entirety of each of these applications is hereby incorporated by reference and made part of the specification hereof.
The invention relates to the field of fluid transfer devices and, more specifically, to a novel intravenous drug access system.
The manipulation of fluids for administration to a patient in hospital and medical settings involves the use of drug access systems that typically include a sealed inflatable container, commonly referred to as an intravenous (IV) bag. The IV bag is used to store a primary liquid such as plasma, blood, saline, or other types of medicinal solutions. When fluids are to be introduced into a patient intravenously, an IV bag is suspended above the patient on a portable hanger stand. Through a series of tubes and connectors, the fluid within the IV bag is delivered from the IV bag to the patient.
To seal the contents of the bag, the inlet port 102 typically includes a septum 106 compressively affixed within the interior opening of the inlet port to prevent the flow of fluid out of the bag. The septum 106 may be of continuous construction or made with a pre-fabricated slit that remains closed until penetrated. In either case, the septum is sufficiently resilient so as to permit penetration of the septum with a sharp device such as a syringe needle for the transfer of fluids into the IV bag.
Another example of a sharp device for penetrating a septum within an inlet port is a spiked connector. One type of spiked connector is a dual-spiked connector comprising a housing having a conduit extending from one spike to the other. The first spike is open-ended, in which the conduit communicates with the ambient. The second spike, at the opposite end of the connector, is closed such that the conduit is not in communication with the ambient. This closed-end tip is designed to break away and is used to penetrate the IV bag through the inlet port. At the first end, the open-ended spike is used to penetrate a drug vial containing a secondary fluid. By placing this dual-spiked connector between a drug vial and the IV bag, a secondary fluid can be introduced into the IV bag and mixed with the primary fluid therein.
As a discrete pre-fabricated component, such a dual-spiked connector does not permit fluid flow therethrough because at least one spike includes a closed, break-away tip. However, upon penetration of the closed spike tip through the inlet port of the IV bag, fluid communication between the secondary fluid container and the bag may be established by breaking off the break-away tip while the tip is within the interior of the IV bag. Once the tip is broken, the conduit of the connector permits the flow of fluid in the internal fluid conduit from the drug vial to the interior of the IV bag. Disadvantageously, the break-away tip floats in the IV bag during the administration of the primary and secondary fluids to the patient through the outlet port. Should the break-away tip become lodged in the outlet port of the IV bag, the flow of the primary and secondary fluids to the patient may be stopped or dramatically reduced, endangering the health of a patient. Moreover, because the mixed solution in the IV bag is visible to the patient, the existence of the floating foreign object (spike tip) in the fluid may be psychologically troubling to the patient.
Another type of dual-spiked connector for introducing a secondary fluid into an IV bag is one that eliminates the break-away tip. With this alternative connector, the conduit is in communication with the ambient at both spiked ends. Instead of a breakaway tip, however, this alternative connector employs a plug centrally positioned within the internal conduit to prevent the flow of fluid therethrough until the medical practitioner so desires. After both spikes of the connector are in place, i.e., both have penetrated their respective medical containers, the medical practitioner applies an external compressive force to the plug by squeezing the IV bag. The force applied dislodges the plug, whereby the plug is forced into the secondary fluid container (drug vial).
The use of a push-away plug also presents problems. For example, it has been proven difficult, if not costly, to manufacture a conduit plug that reliably performs as designed. If the conduit plug is made too small, the plug does not exert sufficient frictional force against the interior walls of the internal conduit. Under those circumstances, the ambient pressure from the primary fluid itself may dislodge the primary plug prematurely, causing leakage of fluid intended for a patient. Alternatively, if the conduit plug is too large, the compressive force that is necessary to dislodge the plug is too great. Under those circumstances, the force applied externally to the IV bag may adversely compromise the structural integrity of the bag, again causing life sustaining fluid to leak.
With either of the above connectors, an inherent problem exists in that once fluid flow is established, it cannot be stopped. That is because neither connector is adapted to control the fluid flow therethrough. Moreover, the configuration of the connectors is such that a fluid-control valve cannot be readily attached to the exposed spike end of the connector. Valves that exist to control the flow of medicinal fluids into an IV bag, such as that shown in U.S. Pat. No. 5,694,686, have male luer fittings that are not designed to connect to a spike (e.g., the CLAVEŽ 1000 connector manufactured by ICU Medical, Inc. of San Clemente, Calif. or the pre-slit Injection Site manufactured by McGaw Inc. of Irvine, Calif.) Thus, a device to permit an IV bag to be placed in fluid communication with a wide range of commercially available connectors is needed.
Another problem with the connectors identified above is that manufacturing costs are high. Typically, the connectors are injection molded. To generate the interior conduit of the connector housing, a core pin is used to define the surface of the interior conduit. Due to the extremely high temperatures used in the molding process, there is a tendency of the core pin to float within the liquified housing material during the molding process, creating non-uniform wall thickness, which is unacceptable. Thus, the rejection rate is high, driving up the costs of manufacture.
There is, therefore, a need for a drug access system configured to eliminate break-away or floating parts, to reduce the cost of part manufacture, and to expand the use of connectors to which an IV bag may be attached.
The drug access system of the present invention has several features, no single one of which is solely responsible for its desirable attributes. Without limiting the scope of this invention, as expressed by the claims which follow, its more prominent features will now be discussed briefly.
The present invention is an intravenous drug access system. In one embodiment of the invention, the drug access system includes an IV bag having an inlet (injection) port and an outlet port, whereby the inlet port is a female luer fitting integral with the IV bag. With a female luer fitting integral with the IV bag, any number of one-way valves or needleless syringes may be connected to the female luer fitting to facilitate and control the flow of fluid into or out of the IV bag. With a one-way valve connected to the female luer, the IV bag of the present drug access system may be filled with primary fluid and shipped to the end user for later introduction of a secondary fluid. In this embodiment, breakaway parts and/or push-away plugs are advantageously eliminated.
Where it is desired that the IV bag be filled and shipped without a one-way valve already attached thereto, the integral female luer fitting may be enclosed with a sealed end cap comprising a male luer insert with a closed end. Upon receipt by the end user, the IV bag may be turned upside down to isolate the inlet port away from the contents of the IV bag so that the end cap may be removed and replaced by any valve or connector chosen by the end user. In a variation of this embodiment, the female luer fitting may include a thin membrane stretched across the opening of the female luer fitting to prevent the flow of fluid therethrough. It is contemplated that the membrane be readily penetrable by the application of a male luer fitting of a valve by the end user when desired. With this latter variation, no end cap is required and the IV bag need not be turned upside down to connect the valve thereto.
The advantage of an integral female luer with an IV bag is that it eliminates the need for a costly conventional dual-spiked connector. However, if a user would prefer to receive IV bags that have conventional inlet ports, an alternative embodiment of the present invention comprises a discrete pre-fabricated connector made with one spike at one end and a female luer fitting at the opposing end. The spike is used to penetrate the IV bag through the conventional inlet port, as with the prior art connectors. Instead of having a second spike, however, an integral female luer is provided that permits connection to a one-way valve or needleless syringe, or any other connector having a male luer fitting. In one variation of this second embodiment, the improved connector includes a protective flange that surrounds, at least in part, the spike to prevent the spike from inadvertently coming into contact with other objects and becoming contaminated when the connector is not in use. In addition, the flange prevents the spike from piercing the skin of a healthcare worker.
There are additional advantages to this second embodiment. In the molding process of the prior art connectors, there were high rejection rates, as explained above. With a connector having a female luer fitting at one end, instead of a second spike, the core pin may be more effectively secured, reducing the likelihood of the core pin floating during the molding process. This results in a reduction in the cost of manufacture, when compared to the molding of prior art connectors. Unlike the prior art connectors, the spike contemplated in the second embodiment of the present invention need not be a closed tip spike. In other words, the spike can be open-ended, permitting immediate backflow of the primary fluid in the IV bag into the interior conduit of the inventive connector. In that instance, the female luer fitting at the other end may be provided with an end cap or thin membrane, as described above, to prevent the fluid from leaking. Upon the connection of a one-way valve or a needleless syringe, fluid flow may be established between a secondary fluid source and the IV bag.
The following detailed description is directed to certain specific embodiments of the invention. However, the invention can be embodied in a multitude of different ways as defined and covered by the claims. In this description, reference is made to the drawings wherein like parts are designated with like numerals throughout.
As discussed above,
To seal the contents of the IV bag 202, a male luer cap 214 may be used. The male luer cap 214 consists of a housing 216 defining a solid plug 218 that fits within the interior conduit 208 of the female luer inlet port 204. Preferably, the male luer cap 214 includes an annular collar 222 having internal threads 224 for mating with the threads 210 of the housing 206. If desired, the interior conduit 208 and the corresponding mating plug 218 may be tapered to permit a more snug fit. Upon receipt by the end user, the IV bag 202 may be turned upside down, as will be understood by those skilled in the art, in order to isolate the inlet port 204 away from the contents of the IV bag 202. At that point, the user may remove the end cap 214 and replace it with a valve or connector having a male luer.
In one variation of this embodiment, the housing 206 may come fitted with a thin membrane made of, e.g., latex (not shown) across an opening 212 of the internal conduit 208 to prevent the flow of fluid therethrough. It is contemplated that the thin membrane be readily penetrable by the application of a mating male luer of a valve or needleless syringe by the end user when desired. In a second variation, a compressible seal (not shown) may be provided within the opening 212 of the housing 206, wherein the seal has a pre-fabricated slit therein that remains closed until the seal is compressed by the application of a male luer into the opening 212. With these latter variations, no cap is necessary and the IV bag 202 need not be turned upside down to connect the valve thereto. The membrane and seal may be manufactured by known methods used by those of skill in the industry.
Once the male luer cap 214 is removed, the female luer inlet port 204 of the IV bag 202 may be advantageously mated with various male luer connectors or valves. For example, referring to
It is contemplated that any number of valves or connectors may be connected to the female luer inlet port 204 of the IV bag 202 of intravenous drug access system 200. For example, the female luer inlet port 204 may be mated with a pre-slit Injection Site connector having a male luer fitting. The pre-slit Injection Site connector may include a septum, such as an elastomeric plug, to act as a seal. The septum can be penetrated by a sharp piercing member such as a cannula, a syringe, or other medical implement. As with a needleless valve, the use of a pre-slit Injection Site connector advantageously permits a user to control the flow of liquid to or from the IV bag 202.
With reference to
Preferably, the medical connector 500 includes a main housing 514 that is preferably integrally molded from a suitable plastic material, such as polycarbonate, although other medically inert materials may be used. The housing 514 defines an internal fluid conduit 518 having a first, proximal end with a spike or puncture member 526. The spike 526 is configured for piercing or spreading apart the sealed inlet port 404 of the IV bag 402. The spike 526 preferably includes a sharp tip 530 having at least one aperture 532 near or at the tip 530 of the spike 526. The aperture 532 permits fluid from the conduit 518 to the IV bag 402. The aperture 532 is preferably open to the ambient, although a removable closure feature, such as a break-away tip or a push-away plug, is also contemplated.
A second, distal end 536 of the connector 500 preferably defines a female fitting, such as a female luer 538. The female luer 538 is contemplated to be configured as described above in association with the first embodiment of the present invention. As with the female luer fitting of the first embodiment (
Preferably, the housing 514 also includes an interlocking coupling 542 for use in locking the connector 500 to the standard inlet (injection) port 404. It is contemplated that the interlocking coupling 542 comprises resilient fingers 544 that snap over the annular locking member 408 of the inlet port 404. At the end of each finger 544 is a lip that extends inward to provide a seat for the annular locking member 408 of the inlet port 404. Preferably, there are at least three fingers 544 of the interlocking coupling 542. As the medical connector 500 is directed toward the IV bag 402, the annular locking member 408 bears against the ends of the fingers 544, pushing them outward. After the annular locking member 408 has passed the lips of each finger, the fingers return to their normal position for a snap fit. At that point, the spike 526 has penetrated the septum 406 of the inlet port 404 to establish fluid connection therewith.
It is also desirable that an annular protective collar 550 surround the spike 526 to prevent contact of the spike with a contaminated surface prior to use. The protective collar 550 further reduces the risk that medical personnel are injured by exposure to the spike 526. The protective collar may comprise discrete flanges 552 arranged radially about the spike 526. Preferably, the protective flanges 552 extend axially past the termination point of the spike 526, thereby allowing the connector 500 to be placed on a resting surface, if desired. When applied to an IV bag, the protective collar 550 straddles the base of the IV bag 402, as shown in
In a variation of this embodiment, the fingers 544 of the interlocking coupling 542 may be made integral with the protective flanges 552 instead. In that variation, each flange has at least one finger extending inwardly therefrom for locking engagement with the annular locking member 408 of the inlet port 404
If the medical connector 500 is to be connected to the IV bag 402, which has been shipped pre-filled with a fluid, it is recommended that a needleless valve 600, such as the CLAVEŽ 1000 connector, be affixed to the second end 536 of the medical connector 500. Other valves or closures having a male luer fitting may also be used, as will be understood by those of skill in the art.
A further variation of the embodiment of
While the above detailed description has shown, described, and pointed out novel features of the invention as applied to various embodiments, it will be understood that various omissions, substitutions, and changes in the form and details of the device or process illustrated may be made by those skilled in the art without departing from the spirit of the invention. The scope of the invention is indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.