|Publication number||US3814079 A|
|Publication date||Jun 4, 1974|
|Filing date||Apr 28, 1972|
|Priority date||Apr 28, 1972|
|Publication number||US 3814079 A, US 3814079A, US-A-3814079, US3814079 A, US3814079A|
|Inventors||Roy R Le|
|Original Assignee||Upjohn Co|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (10), Referenced by (46), Classifications (30)|
|External Links: USPTO, USPTO Assignment, Espacenet|
June 4. 1974 3.539.300 Il/l97n Slune 23/210 8 Nl97l 23/259 X LIQUID COLLECTING AND FILTERING Brown...
DEVICE 23/259 LIX/DIG S NW7: $uknl...... l2ll972 l 5l Inventor: Rlynsond F. Le Roy. Sn. Phoenix. 3.700.305
73 A z T U oh C K Primary Examiner-Morris WOlk mgncc Mich u a mama Aut'rranr [hummer-Sidney Marantz Attorney. Agent. or Firm-Wrxxlhams. Blanchard 8e Flynn Ill Filed: Apr. 28. 1972 l 1 Appl. No.: 248.62l
I ABWACT A pair of telescopically arranged tubes defining an expansible. closed chamber in which the pressure is initially and substantially below ambient pressure. The inner tube has an inlet end with a perforable closure member thereon and an outlet end which communicates with the outer tube. A cannula is supported iwwmnm d 3 mw o m I2 8 W F 2 l 1mm W. MR2 3 W59 3 us A M n I. 10 H mm: a n 2 mm I. u" C 5 m U h M H 5 5S.
5M Rdmm can upon said inlet end for movement between a position UNITED STATES PATENTS spaced from said closure member and a position penetrating through said closure member to communicate with said chamber Filter means is disposed in said inner tube so that liquid moving from the inlet end through the outlet end of said inner tube must pass through the filter.
8 t'flalrns. 5 Drawing Figures BACKGROUND OF THE INVENTION This invention relates in general to a device for collecting a liquid. such as blood. from a patient and thereafter separating a part of said liquid from the remainder.
Persons familiar with the collection and assaying of liquids. such as blood. are aware of the effects upon the collection and handling of the specimen resulting front the elapse of time. the need for temperature Control and chemical changes which can occur in a sample.
In the case of blood samples. it is important that the blood should be permitted to clot at a temperature of approximately 2UC. during a period of approximately 20 minutes. The serum should be promptly separated from the clot after the syneresis has occurred. In many situations. it is difficult and/or inconvenient to control the time and temperature factors as accurately as desired. For example. it may be necessary to transport the samples to a laboratory where they are centrifuged to produce the separation In such case. several minutes may be necessarily sacrificed on one side or the other of the twenty minute optimum because of the batch operations which are frequently involved. On the other hand. the individual doctor may have insufficient need for blood tests to warrant his own centrifuge equipment so that he mus rely upon techniques which produce less than completely satisfactory separations.
Accordingly. a primary object of this invention has been the provision of a device whereby samples of liquid. such as blood from a patient. can be collected and thereafter subjected to an operation whereby part of the liquid phase of the sample is separated from the remainder.
A further object of this invention is the provision of a device. as aforesaid. whereby the sample can be sanitarily collected. permitted to set for the prescribed amount of time and then subjected accurately to a liltcring processwhereby the serum is separated from the cells in the clot at precisely the proper time.
A further object of this invention is the provision of a device. as aforesaid. wherein a part of such device is used as a container for transporting the serum to a testing laboratory or station. wherein some of the parts of the device can be recovered and sterilized. and wherein the portion of the filter for the clotted cells can be easily and sanitarily disposed of with a minimum of effort.
Other objects and purposes of this invention will become apparent to persons familiar with this type of subcct matter upon reading the following descriptive material and examining the attached drawings. in which:
For convenience in description. the terms upper."
lower." and words of similar import will haic reference to the col ecting and filtering device. and parts thereof. as appearing in FIGS. 2 and 5. The terms in ner." "outer." and derivatives thereof will have reference to the geometrical center of said filtering device and parts thereof.
SUMMARY OF THE INVENTION The objects and purposes of the invention. including those set forth above. have been achieved by providing inner and outer tubes telescopically arranged with re spect to each other to define a closed. espansible chamber. The inner tube is closed at its exposed end by a perforable closure member. the other end thereof being open. The outer tube is closed at the unsleewd end thereof. Annular sealing means is disposed between the inner and outer tubes near the other end of the inner tube. A cannula sharpened at both ends is coaxially mounted upon one end of sleeve means. the other end of which is sleeved in sealed relationship upon the exposed end of the inner tube. The chamber. which is under a substantially reduced pressure. can be reached by one end of the cannula when the sleeie means is moved toward the outer tube. Filter means is disposed within the inner tube. After the cannula is inserted into a patient and then connected to the chamber. liquid is drawn thcrethrough into the inner tube. by the reduced pressure therein. The cannula is separated from the inner tube and the tubes are inverted. After the tubes have set as required. the tubes are righted again. the outer tube is moved downwardly along the inner tube away from the closure member whereby the liquid in the inner tube is drawn through the filter into the outer tube.
DETAILED DESCRII'TION FIG. I illustrates one preferred embodiment of the collecting and filtering device 10 which is comprised ot a cylindrical outer tu e II. a cylindrical inner tube II. a cylindrical needle holder I3. a cannula or needle H. a closure member I6 on the upper exposed end of the inner tube I2 and a filter I7. The needle I4 and bolder l3 combine to form a needle assembly IS. The inner and outer tubes combine to form a tube assembly I).
The outer tube I I is preferably fabricated front glassv but may be fabricated from some other rigid durable material. such as plastic. and it has a closed end 18. The inner tube I2 is also preferably fabricated from glass. but may be fabricated from some other durable rigid material. such as plastic. and it is open at both ends. The closure member H5 at the upper end of the inner tube I2 may be substantially conventional. elastomeric stopper having a hollow shank 2I and an integral end wall 20 including an annular flange 22 which extends radially beyond the shank 2I. The flange 22 abuts the upper axial end of the inner tube I2 and preferably extends radially beyond the outer circumferential surf ace of the inner tube I2.
The needle holder I3 may be fabricated from any reasonably rigid and durable material. such as plastic. and has an internal diameter such that it is snugly and sealingly engaged by the peripheral edge of the flange 22 when said needle holder is telescoped upon the upper end ofthe tube I2. The needle holder 13 has an upper and annular end projection 23 of reduced diameter with a radial wall 24 thcrebetween.
A needle hub 26 snugly embraces the needle 14 near to. but spaced from. the lower end thereof. In this embodiment. the needle hub 26 is threadedly received into the threaded opening 27 in the projection 23. However. alternatively. the hub 26 can be firmly gripped within the projection at the time that the needle holder I3 is Iormed.
The lower end of the needle [4 extends dovmwardly from the wall 24 a sufficient distance that it completely penetrates the upper wall 27 of the closure member 16 to communicate with the interior of the inner tube 12 when the end wall 24 is against the flange 22. However. as shown in FIG. I. the needle holder L! can be securcly held upon the upper end of the tube 12 by engagcmcnt with the flange 22. prior to penetration of the needle 14 through the upper wall 27. The lower end of the inner tube I2 is provided with a cylindrical plug 28 having a central. axial opening 29. This plug 28 maybe an elastomeric. flanged stopper similar to the closure member 16. but having an opening extending cornpletely axially there-through. The plug 28 serves to hold a cylindrical filter 17 within the inner tube 12. The filter l7 (FIG. 4) maybe fabricated from any type ofsuitable filtering material such as a foamed plastic. the porosity of which is such that. for example. it will permit he liquid phase of whole blood to pass therethrough while preventing the cellular material of the blood clot from Passing therethrough.
An elongated tubular cannula sheath 33. which is open at its inner end and closed at its outer end. may be sleeved upon the hub 26 to protect the outer end of the needle 14 from contamination and/or from inadvertently causing an injury. The sheath 33 may have a flange .4 at its inner end to facilitate its mounting and removal relative to the hub 26.
OPERATION The collecting and filtering device 10. including the needle assembly l5. may be furnished as an assembled device evacuated and ready for application to a patient. Alternatively. the inner tube [2 and outer tube ll may be furnished with the closure member l6 and filter [7 as one independent assembly. Thus. the needle assembly l would be furnished separately with the sheath 33. In either event. the chamber defined by the inner tube l2 and the outer tube It telescoped thereon. is evacuated before the closure member [6 is applied to the inner tube. Normally. the needle assembly is removed from the upper end of the inner tube 12 and the sheath 33 is removed before a sample. such as of blood. is taken from a patient.
After insertion of the needle into the patient. the inner tube I2 is inserted into the needle holder 13 and moved relatively toward it so that the inner end of the needle l4 passes completely through the upper wall 27 of the closure member 16. as shown in FIG. 2. and thereby communicates with the interior of the inner tube I2. Due to the reduced pressure within the inner tube 12. the blood is immediately drawn through the needle 14 and into the inner tube 12 above the filter I7. When a proper amount of blood is collected. the needle 14 is withdrawn from the patient and the filtering device is placed in an inverted position where it remains for approximately minutes. during which a clot forms in the blood. The needle assembly [5 can be removed from the inner tube 12. before the inversion otthe device. whereby the needle is withdrawn from the closure member l6. which is self-sealing.
After the clot has formed in the inner tube 12. the tube assembly I) is returned to its FIG. 2 position and the inner tube is moved upwardly relative to the outer tube ll (FIG. 3) and this creates a reduced pressure in the outer tube below the filter l7. Accordingly. by this procedure. the liquid phase of the blood is drawn downwardly through the filter l7 and into the outer tube II. The inner end of the closure member lb can be mechanically formed (as with small projections) or chemically treated to enhance clotting.
The outer tube II can be completely removed from the inner tube 12 with the liquid phase in the outer tube. The cellular material in the clot will remain in the inner tube above the filter 17. A stopper. not shown. can now be placed in the upper end of the outer tube H for ease of handling. and the outer tube with its liquid phase can thereafter be taken to the laboratory for appropriate tests.
It will be seen that. after the filtering device ll) has been used to collect the filter the blood sample. the closure member In. the filter 17. the needle 14 and the plug 28 can be disposed of. The inner and outer tubes and the needle holder can be sterilized for reuse.
MODIFIED CONSTRUCTION The modified filtering device 40 (FIG. 5) has an outer tube HA and inner tube l2A which are preferably identical with the outer and inner tubes II and 12. respectively. Also. a closure member lbA is mounted in and on the upper end of the inner tube l2A for engagement by a needle holder substantially identical to the needle holder l3 shown in FIG 2.
The opening at the lower end of the inner tube 12A is unobstructed and the seal between it and the outer tube "A is provided by an elastomeric sealing ring 41 which encircles and snugly embraces the inner tube 12A near the lower end thereof for snug but slidable engagement with the inner wall of the outer tube 1 l A A filter bag 42. which is open at its upper end and closed at its lower end. is disposed within and extends lengthwise substantially the full length of the inner tube 12A. The upper end of the filter bag 42 is snugly gripped between the shank 2lA of the closure member MA and the inner surface of the inner tube 12A at the upper end thereof.
The filter bag 42 can be made from material such as Milipore plastic having a pore size of less than 5 microns so that it will contain the cellular elements in the blood sample. The bag material is preferably nonwettable and inert. The bag could also be made from fabric which is silicone-coated to avoid wetting.
The operation of the modified filter device 41 is substantially the same as that set forth above with respect to the filtering device 10. That is. the chamber within the inner tube 12A. containing the filter bag 42. is evacuated before the operation is commenced. After the blood is received into the bag 42. it is permitted to clot while the device 4| is inverted. Thereafter the outer tube "A and inner tube 12A are righted again and then moved relatively away from each other. During this action. a reduced pressure condition is created in the outer tube "A which thereby draws the liquid phase of the blood through the pores of the filter bag 42 and thence down into the lower end of the outer tube HA. The outer tube HA is then removed front the inner tube lZA and either tested at once or stoppered for subsequent testing.
Although a particular preferred embodiment of the invention has been disclosed in detail for illustrative purposes. it will be recognized that variations or modifications of the disclosed apparatus. including the rearrangement of parts. lie within the scope of the present invention.
The embodiments ofthe invention in which an exclusive property or privilege is claimed are defined as follows:
I. In a device for collecting a sample of blood removed from a patient by cannula means and thereafter eparating the serum from the clot of cellular material. the combination comprising:
an elongated and rigid cylindrical inner tube having openings at both ends thereof and defining an elongated passageway therethrough:
resiliently flexible closure means supported upon one end of said inner tube for sealingly closing said one end of said inner tube. said closure means having a perforable axial end wall;
ringlike annular seal means on said inner tube near the other end thereof.
an elongated and rigid cylindrical outer tube having a closed end and an open end. said inner tube having a length substantially greater than the length of said outer tube;
an elongated part of said outer tube near said open end being freely slidably telescoped on a ponion of said inner tube. the annular seal means on said inner tube being slidably and sealingly engaged with the interior wall of said outer tube for permitting free slidable telescopic movement of said inner and outer tubes relative to one another. said inner tube. said outer tube. said closure means and said annular seal means defining an air-tight chamber. the pressure within said chamber being materially below ambient pressure prior to collection of said sample; and
filter means positioned within said inner tube and extending across said passageway and through which said serum can pass. but which blocks said blood clot.
2. A device according to claim I. wherein the perforable end wall of said closure means is constructed from an elastomeric self-sealing material so as to permit same to be penetrated by a cannula. said material being sell-sealing for closing the opening created by said cannula after withdrawal ofsaid cannula from said closure means.
3. A device according to claim I. further including elongated sleeve means snugly and slidably mounted upon said inner tube adjacent said one end thereof. said sleeve means projecting outwardly beyond said one end of said inner tube and having a reduced diameter hub portion. double-pointed cannula means fixedlymounted on the hub portion of said sleeve means. one end of said cannula means being positioned to penetrate axially and completely through the perforable end wall of said closure means upon slidable movement of said sleeve means relative to said inner tube in a directio toward said outer tube. and the axial end wall of saitl closure means being constructed of a self-sealing elastomeric material 4. A device according to claim I. wherein said filter means comprises an elongated llcsible hag closed at one end and open at the other end thereof and having a plurality of small perforations therethrough. said bag extending over a major portion of the length of said passageway. the open end of said bag being scalittgl) engaged with said closure means.
5. A device according to claim I. wherein said annular seal means comprises an annular plug of elastomeric material fixedly secured to said inner tube adjacent said other end thereof. said plug having an asial passage L\- tending completely therethrough and including an annular shank portion projecting into and fixedly and sealingly connected to said inner tube. said plug also having an annular flange portion disposed esteriorly of said other end of said inner tube and positioned in sealing and sliding engagement with the interior wall of said outer tube. and said filter means comprising an axially elongated substantially cylindrical filter member constructed from a porous material. said filter member being disposed within the passageway formed by said inner tube and positioned in abutting engagement w ith the shank portion of said plug.
6. A device for collecting a sample containing a llLluid and thereafter filtering said liquid from said sample. comprising:
first elongated tubular means hating open ends and defining a passageway therethrough.
perforablc closure means tightly closing and sealing one end of said first tubular means;
second elongated tubular means having a closed end and an open end. said second tubular means being sealingly and slidably tclesco d upon said first tu bular means so as to cover the other end thereof.
elongated sleeve means snugly and slidably mounted upon said one end of said first tubular means for movement lengthwise thereof;
cannula means pointed at both ends and coasially supported by said sleeve means eitteriorly of and adjacent said one end of said first tubular means. one end of said cannula means being positioned to penetrate axially and completely through said closure means for communication with said passageway as said sleese means is moved lengthwise along said first tubular means toward said second tubular means.
filter means in said first tubular means extending completely across said pawageway.
7. A device according to claim 6. wherein said first tubular means has a length substantially greater than the length of said second tubular means. said first tubular means being normally substantially fully telescoped within said second tubular means so that said other end of said first tubular means is disposed closely adjacent the closed end of said second tubular means. the one end of said first tubular means being spaced outwardly a substantial distance from the open end of said second tubular means when in said fully telescoped position. whereby said sleeve means can be slidably moved relative to said first tubular means in a direction toward the open end of said second tubular means for causing said cannula means to penetrate said closure means.
8. A device according to claim 6. wherein said filter means is an elongated flexible bag closed at one end and open at the other end thereof and having a plurality of small perforations therethrough. the open end of said bag being sealingly engaged with said closure means near said first tubular means so that the adjacent end of said cannula means can communicate with the interior of said bag.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US3162195 *||Jan 2, 1962||Dec 22, 1964||Peter Dick||Vacuated body fluid collection vial|
|US3326206 *||May 31, 1966||Jun 20, 1967||Courtland Lab||Blood sampling device with releasable cannula retaining means|
|US3366103 *||Jun 24, 1965||Jan 30, 1968||Becton Dickinson Co||Blood collecting assembly|
|US3481477 *||Mar 2, 1965||Dec 2, 1969||Andrew F Farr||Apparatus for filtering out clear liquid from suspended solids|
|US3503386 *||Apr 10, 1967||Mar 31, 1970||Pieratt Glenn I||Blood collecting device|
|US3512940 *||Dec 30, 1968||May 19, 1970||Lab Ind||Test tube filter device|
|US3539300 *||Oct 23, 1967||Nov 10, 1970||Schering Corp||Body fluid collector and separator having improved flow rate|
|US3586064 *||Sep 3, 1969||Jun 22, 1971||Metropolitan Pathology Lab Inc||Blood serum collection tube and method of collection|
|US3660037 *||Aug 10, 1970||May 2, 1972||Kurt Rudolf Sokol||Device for measuring blood sedimentation rate|
|US3706305 *||Mar 3, 1971||Dec 19, 1972||Jerry G Goldsmith||Combination blood sampling vacuum syringe centrifuge container and specimen cup|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3960139 *||Jan 15, 1975||Jun 1, 1976||Bailey Donald L||Syringe device with means for removing contaminates when drawing blood sample|
|US3976572 *||Jan 8, 1975||Aug 24, 1976||Michael Ebert||Aircraft fuel contaminant tester|
|US4035294 *||May 23, 1975||Jul 12, 1977||Denver Chemical Manufacturing Company||Pressure differential filtering device and method|
|US4037464 *||Jun 5, 1975||Jul 26, 1977||Mediplast Ab||Device for transferring blood or a similar fluid to a pipette|
|US4050451 *||Aug 13, 1976||Sep 27, 1977||Eastman Kodak Company||Blood collection and separation device|
|US4071319 *||Nov 26, 1976||Jan 31, 1978||Becton, Dickinson And Company||Contaminant detector|
|US4131549 *||May 16, 1977||Dec 26, 1978||Ferrara Louis T||Serum separation device|
|US4234317 *||May 24, 1979||Nov 18, 1980||Analytical Products, Inc.||Apparatus and method for fractionation of lipoproteins|
|US4416290 *||Aug 30, 1982||Nov 22, 1983||Becton Dickinson And Company||Multiple sample needle assembly with vein indication|
|US4933148 *||Aug 4, 1988||Jun 12, 1990||Brandeis University||Pipetter barrel extension tube|
|US5115817 *||Mar 26, 1991||May 26, 1992||Walter Sarstedt Gerate Und Verbrauchsmaterial Fur Medizin Und Wissenschaft||Blood extraction device|
|US5364533 *||Jul 14, 1992||Nov 15, 1994||Sanwa Kagaku Kenkyusho Co., Ltd.||Process for separating serum and plasma|
|US5556599 *||Jun 29, 1992||Sep 17, 1996||Ahmed; Syed M.||Blood sample/fluid system|
|US5882601 *||Jun 18, 1997||Mar 16, 1999||Merck & Co., Ltd.||Deflected septum seal access port|
|US5955032 *||Sep 12, 1997||Sep 21, 1999||Becton Dickinson And Company||Collection container assembly|
|US6520036||Jul 21, 2000||Feb 18, 2003||David Dweck||Sample removal apparatus|
|US7407578||Jul 21, 2005||Aug 5, 2008||Fujifilm Corporation||Liquid filtering instrument and dry type analysis device|
|US7611473||Sep 11, 2003||Nov 3, 2009||Ethicon, Inc.||Tissue extraction and maceration device|
|US7794408 *||Mar 28, 2003||Sep 14, 2010||Ethicon, Inc.||Tissue collection device and methods|
|US7998086||Sep 29, 2009||Aug 16, 2011||Depuy Mitek, Inc.||Tissue extraction and maceration device|
|US8034003||Mar 27, 2008||Oct 11, 2011||Depuy Mitek, Inc.||Tissue extraction and collection device|
|US8562542||Jul 15, 2010||Oct 22, 2013||Depuy Mitek, Llc||Tissue collection device and methods|
|US8585610||Jun 28, 2011||Nov 19, 2013||Depuy Mitek, Llc||Tissue extraction and maceration device|
|US8870788||Jun 24, 2011||Oct 28, 2014||Depuy Mitek, Llc||Tissue extraction and collection device|
|US8974386||Nov 1, 2005||Mar 10, 2015||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9014773||Mar 7, 2007||Apr 21, 2015||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9066697||Oct 27, 2011||Jun 30, 2015||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9072477||Jun 21, 2007||Jul 7, 2015||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9078607||Jun 17, 2013||Jul 14, 2015||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9283313 *||Feb 6, 2015||Mar 15, 2016||Roche Diagnostics Operations, Inc.||Device and filter cartridge for separating plasma from whole blood|
|US9326716||Dec 5, 2014||May 3, 2016||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9498159||Oct 30, 2007||Nov 22, 2016||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US9610034||Nov 9, 2015||Apr 4, 2017||Abbott Diabetes Care Inc.||Analyte monitoring device and methods of use|
|US20040193071 *||Mar 28, 2003||Sep 30, 2004||Ethicon, Inc.||Tissue collection device and methods|
|US20050059905 *||Sep 11, 2003||Mar 17, 2005||Robert Boock||Tissue extraction and maceration device|
|US20060018798 *||Jul 21, 2005||Jan 26, 2006||Fuji Photo Film Co., Ltd.||Liquid filtering instrument and dry type analysis device|
|US20080017577 *||Jul 21, 2006||Jan 24, 2008||Becton, Dickinson And Company||Membrane-based Double-layer Tube for Sample Collections|
|US20080234715 *||Mar 27, 2008||Sep 25, 2008||Depuy Mitek, Inc.||Tissue Extraction and Collection Device|
|US20100022915 *||Sep 29, 2009||Jan 28, 2010||Depuy Mitek, Inc.||Tissue extraction and maceration device|
|US20100280406 *||Jul 15, 2010||Nov 4, 2010||Ethicon, Inc.||Tissue Collection Device and Methods|
|US20150151035 *||Feb 6, 2015||Jun 4, 2015||Roche Diagnostics Operations, Inc.||Device and filter cartridge for separating plasma from whole blood|
|CN105054947A *||Aug 31, 2015||Nov 18, 2015||重庆开奇科技发展有限公司||Blood sampling pipe capable of adjusting blood transfusion speed|
|CN105078477A *||Aug 31, 2015||Nov 25, 2015||重庆开奇科技发展有限公司||Blood collection tube capable of adjusting blood transfusion speed|
|EP0058440A1 *||Jan 21, 1982||Aug 25, 1982||DEMATEX DEVELOPMENT & INVESTMENT ESTABLISHMENT||Blood collection unit|
|EP0550950A3 *||Jul 24, 1992||Oct 6, 1993||Sanwa Kagaku Kenkyusho Co., Ltd.||Process and device for separating blood serum and plasma|
|EP1618939A1 *||Jul 22, 2005||Jan 25, 2006||Fuji Photo Film Co., Ltd.||Liquid filtering instrument and dry type analysis device|
|U.S. Classification||600/577, 210/359, 422/550|
|Cooperative Classification||A61B5/150732, A61B5/1416, A61B5/150496, A61B5/150267, A61B5/150236, A61B5/150351, A61B5/150587, A61B5/150755, A61B5/150251, A61B5/15003, A61B5/150717, A61B5/150389, A61B5/154|
|European Classification||A61B5/15B18D6B, A61B5/15B12, A61B5/15B18D12F, A61B5/154, A61B5/15B8H, A61B5/15B8L, A61B5/15B26, A61B5/15B2D, A61B5/15B20, A61B5/15B18B2, A61B5/15B18B8F, A61B5/15B8P, A61B5/14B4|