US 20080312601 A1
The present invention relates to a container for a disposable needle or cannula, intended to facilitate needle or cannula placement for the infusion of a liquid drug under a patient's skin, the container comprising: a cylindrical housing (1; 101) in which there are defined a cap (1 a; 101 a) and a sleeve (1 b; 101 b) provided with a resting base (1 c; 101 c), said cap (1 a; 101 a) being axially slidable relative to said sleeve (1 b; 101 b) when a sufficient pressure is exerted on said cap (1 a; 101 a); a needle (21; 121) or cannula, which is located inside said housing so as to be directed towards said resting base (1 c; 101 c) for the infusion of the drug; a retaining member (9; 109), which is located within said housing (1; 101) between said cap (1 a; 101 a) and said sleeve (1 b; 101 b) and to which said needle (21; 121) or cannula is secured; said container being equipped with a releasing member for releasing said needle (21; 121) or cannula when said cap (1 a; 101 a) is made to slide on said sleeve (1 b; 101 b).
23. A container for facilitating placement of a cannula of a medical device through a patient's skin, the container comprising:
a housing comprising a cap telescopically slidable over a sleeve, said sleeve defining an axis therethrough and including a resting base configured for placement against said patient's skin, said cap being slidable between a first position and a second position along the axis of said sleeve, wherein said cap substantially encases the axial length of said sleeve when said cap is in said second position; and
a retaining member located within said housing, said retaining member having a piercing member secured thereto, said piercing member extending at least partially through said cannula for transcutaneous placement of said cannula;
wherein said piercing member is concealed within said sleeve when said cap is in said first position and exposed from said sleeve when said cap is in said second position;
wherein upon exertion of said pressure on said cap, said cap slides axially toward said patient's skin along said sleeve so that said piercing member is placed through said patient's skin and an end of said cannula is transcutaneously inserted and said medical device is retained on the patient and said piercing member is removed together with said housing.
The present invention relates to a container for a disposable needle. More particularly, the invention refers to a container for a disposable needle for drug infusion, which container makes needle placement through a patient's skin easier.
As known, several medical treatments exploit subcutaneous infusion of liquid drugs: the drug flows through a hose connected to a needle placed through the patient's skin and it is directly delivered under the skin through said needle. Alternatively, insertion needles are employed for placement through the patient's skin of a soft and relatively flexible tubular cannula, followed by insertion needle removal and subsequent infusion of medical fluid to the patient directly through the cannula. In some cases, the patient himself/herself is to administer the drug. For instance, many diabetic patients self-administer insulin, in the form of controlled and prolonged infusion.
Clearly, many patients have no medical knowledge and therefore they may be reluctant to place the needle or cannula through their skin or inexpert in doing so. Thus, it is necessary to provide means allowing automatic placement, so as to prevent the patient's lack of skill or hesitation from resulting in an incorrect needle or cannula placement, with possible dangerous consequences.
Devices of this kind, which can be employed for the subcutaneous infusion of a liquid drug either through a needle or through a soft cannula, already exist and one of them is disclosed in U.S. Pat. No. 6,093,172.
According to the teaching of the above mentioned patent, a device for needle placement comprises a cylinder, the lower portion of which can receive the outward-directed needle and related hose, ready for placement through the patient's skin. Said cylinder internally includes a spring that can be brought into a loaded condition and, on its upper portion, a trigger that is to release said spring. By depressing the trigger, the spring is released so as to outward project, more particularly through the patient's skin, the needle located in the lower portion of the device. Once the needle is placed through the skin, a slight traction is sufficient to retract the device and leave the needle in place, in the correct position.
A problem with such kind of devices is that the patient is to provide for the correct introduction of the infusion set into the lower portion of the cylinder, to ensure a correct needle positioning.
It is a main object of the present invention to provide a container within which a needle and the related hose or, alternatively, a cannula, are already correctly positioned, so that the patient only has to place said container against his/her skin and to release the needle or cannula through a simple movement.
Another drawback of such known devices is that, while the needle is being placed inside the device, the user risks to prickle himself/herself while handling the needle. Moreover, at such step, the needle is exposed to the outside environment and in particular to germs and bacteria.
Thus, it is another object of the present invention to provide a container for a disposable needle or cannula that does not result in the risk for the user to prickle himself/herself during use and that allows maintaining hygiene and safety in respect of possible contamination by external agents.
A container for a disposable needle according to the preamble of claim 1 is disclosed in U.S. Pat. No. 6,093,172.
The above and other objects of the invention are achieved by a container as defined in the appended claims.
The container according to the invention has the appearance of a small housing of plastic material, already containing the needle connected with the related hose or, alternatively, the end of the cannula connected with the related insertion needle, and protected from the surrounding environment by means of a protecting film.
After said film has been removed and the container base has been placed against the skin, a simple push is sufficient to release the needle and pierce the skin.
Once the needle has been placed through the skin, the container can be removed by slightly pulling it, without risks of displacing the needle from the correct position.
If the drug is to be delivered to the patient directly through a soft cannula, the insertion needle of said cannula can be removed together with the container, without displacing the cannula.
Advantageously, the construction of a disposable device affords maximum simplicity of use and maximum hygiene.
A number of embodiments of the invention will be disclosed in greater detail with reference to the accompanying drawings, wherein the container according to the invention is employed for the insertion of a needle through a patient's skin. However, as already mentioned, the container according to the invention can be similarly used for the insertion of a soft cannula through a patient's skin.
In the accompanying drawings:
Said cap 1 a moreover has an inner diameter slightly exceeding the outer diameter of sleeve 1 b, so as to allow sleeve 1 b to be received within cap 1 a when the latter has been wholly depressed.
Sleeve 1 b is integral with a base 1 c intended for placing the container against the patient's skin, in the area where a L-shaped needle is to be inserted.
A hose 11, intended to supply the needle located within housing 1 with the drug, as it will be better disclosed hereinafter, radially comes out from sleeve 1 b through an axial slit 63.
It is to be noted that said L-shaped needle with its related hose can be replaced by a soft cannula provided with an insertion needle of the type shown above captioned U.S. Pat. No. 6,093,172. Said cannula is a hollow tube made from a soft and flexible material, which can be bent into a desired configuration. In order to insert the cannula through a patient's skin, an insertion needle is introduced in the free end of the cannula and used for piercing the patient's skin and driving through the patient's skin said end of said cannula. The insertion needle is then removed, the cannula is bent into a L-shaped configuration for purpose of practicalness so as to adhere to the patient's skin and the drug is infused through the cannula. It is evident that, within the scope of the invention, the above disclosed cannula, together with the associated insertion needle, is equivalent to the aforesaid L-shaped needle and, for this reason, it will not be further described.
Outside housing 1, a removable film 3 is applied onto base 1 c, to protect an adhesive gauze 5 placed between said film and base 1 c and weakly adhering to base 1 c in correspondence of a set of circular portions 7.
Referring now to
Securing portion 9 a is firmly held inside an axial cylindrical hub 10 extending within cap 1 a and integral therewith. Retaining portion 9 b axially extends inside the container and ends, at its end remote from said securing portion 9 a, with a plate 13 transversally arranged relative to the axis of retaining member 9.
As better shown in
Still with reference to
Turning back to
Two circumferential rims 25 and 27, respectively, are formed on the internal wall of sleeve 1 b to keep plate 13 in engagement against sleeve 1 b, thereby preventing cap 1 a from sliding until a force sufficient to overcome the resistance of outermost rim 25 relative to said cap 1 a is exerted against said cap.
With reference to
Said sleeve 1 b further has, at the end of said axial groove 31, a widened portion 41 in correspondence of base 1 c, to prevent branch 21 b of needle 21 from sticking into the wall of sleeve 1 b while advancing towards the outside through opening 37 provided in gauze 5. Cap 1 a has a corresponding widening 43 to receive the outer projection defined by said widened portion 41 when sleeve 1 b is completely received within cap 1 a.
Turning back to
Referring now to
Referring now to
The operation of the container according to said first embodiment is as follows: starting from the configuration shown in
Referring now to
In this second embodiment, the container comprises a cylindrical housing 101, in which a cap 101 a and a sleeve 101 b are defined. The sleeve has a slightly smaller diameter, so that, when a sufficient pressure is exerted on cap 101 a, the latter is axially slidable relative to sleeve 101 b and can internally receive the sleeve. Said sleeve 101 b is integral with a base 101 c intended for placing the container against the patient's skin.
Slightly projecting circumferential rims could be provided on the inner surface of the base of cap 101 a and on the outer surface of the edge of sleeve 101 b remote from base 101 c, respectively. Thanks to the co-operation between said circumferential rims, when housing 101 is assembled, said cap 101 a is axially slidable on sleeve 101 b but it cannot be accidentally separated therefrom.
Moreover, an annular band, e.g. of plastic material, could be applied around sleeve 101 b to prevent cap 101 a from accidentally sliding relative to sleeve 101 b. Said band can be easily removed by the user before use.
A hose 111 radially comes out from sleeve 101 b through an axial slit 163. Said hose is intended to deliver the drug to an L-shaped needle 121, located within housing 101 and comprising an inlet branch 121 a, onto which the hose is fitted, and an outlet branch 121 b, intended to be at least partly placed through the patient's skin. Said L-shaped needle 121 is housed within a retaining member 109, contained within housing 101.
Said retaining member 109 comprises a securing portion 109 a and a retaining portion 109 b and consists of two coupled half-shells 109 c, shaped so as to define therebetween a cavity 161 capable of receiving said needle 121.
Securing portion 109 a comprises two shoulders 157, 159, which are received into corresponding recesses 165, 167 formed in the edge of sleeve 101 b remote from base 101 c.
More particularly, recess 165 formed in correspondence with slit 163 is so sized that its edges resiliently press against shoulder 157 of retaining member 109, whereas the opposite recess 167 is oversized with respect to the corresponding shoulder 159 in said member 109, so that a clearance is left.
In the alternative, a pair of facing resilient members could be formed on the internal surface of said sleeve 101 b, which members radially project towards the centre of said sleeve to such an extent that they press against half-shells 109 c of said member 109.
Advantageously, radial projections 166, 168 are provided on the inner surface of sleeve 101 b in correspondence with recesses 165, 167 and are firmly held between said shoulders 157, 159 and corresponding teeth 158, 160 formed in securing portion 109 a of said retaining member 109. In such manner, retaining member 109 is axially joined to sleeve 101 b.
Furthermore, a recess 155, extending up to cavity 161, is defined in securing portion 109 a, to receive a projection 151 centrally provided inside cap 101 a. Preferably, end 153 of said projection 151 is so shaped that it conforms to the curved profile of hose 111.
Two facing L-shaped axial projections 169, diametrically opposed and parallel to slit 163, are provided inside sleeve 101 b and they form a seat for the portion of said retaining member 109 receiving outlet branch 121 b of needle 121.
Advantageously, said retaining member 109 consists of two facing half-shells 109 c, whereby positioning of needle 121 is particularly easy: indeed, it will be sufficient to place said needle between said half-shells 109 c and then to join them, thereby blocking the needle therebetween. Said half-shells 109 c are preferably formed by moulding into a single element, and therefore they are advantageously joined by a flexible member 171 making their assembling easier.
One of said half-shells 109 c comprises three pins 173 engaging corresponding holes 175 in the other half-shell 109 c, thereby assisting in correctly aligning both half-shells 109 c at the assembling and, subsequently, in keeping them joined.
Both half-shells 109 c have a groove 161 a, 161 b defining cavity 161 when half-shells 109 c are joined.
Inlet branch 121 a of needle 121, on which hose 111 is fitted, is retained inside cavity 161 thanks to the co-operation between a pair of support projections 177, 178 and a pair of rigid tongues 181 provided on one of half-shells 109 c and housed in respective seats 179 in the other half-shell.
One of said support projections, 178, is suitably arranged on one half-shell 109 c in correspondence of the bend between inlet and outlet branches 121 a, 121 b of needle 121. When the retaining member 109 is assembled, said projection 178 prevents, by co-operating with the surface of the facing half-shell 109, needle removal from housing 101.
As shown in
When half-shells 109 c are joined together, sections 109 e in the respective half-shells adhere to each other, whereas a passage for outlet branch 121 b of needle 121 is defined between sections 109 d.
In this second embodiment, insertion and release of the needle take place as follows. When pushing cap 101 a with sufficient force towards container base 101 c, projection 151 presses against hose 111 and, by overcoming the resistance of pins 173 and the elastic resistance of sleeve 101 b, said projection forces half-shells 109 c apart. Sections 109 d of said half-shells 109 c cannot be separated, since they are rigidly retained by L-shaped projections of sleeve 101 b, so that the passage for outlet branch 121 b of needle 121 defined therebetween keeps unchanged. On the contrary, sections 109 e of said half-shells can be spaced apart, by overcoming the elastic resistance of the edges of recess 165 in sleeve 101 b. In such manner, hose 111 can pass through half-shells 109 c along slit 163, while needle 121 is guided between facing sections 109 d of half-shells 109 c, until its outlet branch 121 b becomes completely placed through the patient's skin.
Similarly to what described in connection with the first embodiment of the invention, also in this second embodiment the container can comprise, outside housing 101 and against base 101 c, an adhesive gauze 5 weakly adhering to base 101 c in correspondence of a set of circular portions. Thus, gauze 5 can remain adhering to the patient's skin after needle 121 has been placed through the patient's skin and the container has been removed. Said adhesive gauze 5 could be possibly joined with a second, protecting adhesive gauze which could be folded onto said first gauze after container removal.
It is clear that the above description has been given only by way of non-limiting example and that changes and modifications are possible without departing from the scope of the invention.
In particular, as already mentioned, even if the above description has been given with reference to the insertion of a needle through which the drug coming from a related hose is delivered to a patient, the container according to the invention can also be used for the insertion through a patient's skin of a cannula provided with an insertion needle when the drug is to be delivered to the patient directly through said cannula.