DE19758804B4 - Blood and interstitial fluid sampling device for analysis=processing - uses lancing needle to pierce skin at rapid rate while ultrasonically kneading area to stimulate blood flow and pumping off sample - Google Patents

Abstract

A fluid sampling apparatus includes a housing member (1) which contains a lancing needle (16) used for piercing skin together with a spring member (11) for urging the needle to protrude form the housing end sufficient to penetrate the skin. A plunger (14) retracts the needle against the spring tension and a trigger member (2) engages the plunger to hold the needle retracted until released by the trigger. Stop and adjustment tabs (19) limit the depth of needle penetration of the skin and a sample container communicating with the needle receives the sample from the needle. Secondary springs retract the needle from the skin and a suction cam and plunger (22) activated upon retraction of the needle draws the sample of fluid which accumulates on the surface of the skin into the sample container.

Description

The The invention relates to devices and methods for obtaining Blood and other fluid samples from the body for analysis or processing.

Lots Medical procedures that are in use today require one relatively small blood sample, in the range of 5 to 50 μl. It is more cost effective and less traumatic for the patient, if one such a sample is obtained by having the skin in a selected location, z. On the finger, for taking one or two drops of blood pierced or pierced by being a veining specialist a tube venous Draws blood. With the arrival of the domestic ones Self-examination, z. B. self-monitoring of blood sugar, the demand for a simple procedure is made, to be carried out at any place by a person who has to perform such a test can.

Conventionally used Lancets generally have a solid body and a sterile needle, which comes out of an end. The lancet can be used to pierce the skin, thereby taking up a blood sample from the generated opening possible becomes. The blood gets into a test device or collecting device transferred. blood in most cases taken from the fingertips, where the blood supply is generally excellent is. However, nerve density in this area causes many Patients significant pain. A sampling elsewhere, z. B. earlobes or limbs, is sometimes practiced to intervene in places that are less are sensitive. These bodies are less likely to deliver before time Blood samples and complicate the direct blood transfer to testers.

Repeated Grooving in limited areas (eg fingertips) for cornea formation. this leads to to greater difficulty in Blood drawing and stronger Pain.

Around the fear of piercing the skin and the associated To reduce pain, many spring-loaded devices have so far been developed. The following two patents are representative for the Devices used in the 1980s for use with home diagnostic test products were developed.

U.S. Patent 4,503,856 , Cornell et al., Describes a spring-loaded lancet injector. The reusable device can be connected to a disposable lancet. The lancet holder can be locked in a retracted position. When the user touches a trigger, a spring causes the lancet to pierce the skin at high speed and then retract. Speed is important to reduce the pain associated with the puncture.

U.S. Patent 4,517,978 Levin et al. Describe a blood sampling instrument. The device, which is also spring loaded, uses a standard disposable lancet. The construction allows easy and accurate positioning on a fingertip, so that the penetration point can be easily determined. After the lancet has pierced the skin, a return spring pulls the lancet back to a secure position within the device.

In appropriate facilities, it is often desirable to give the patient the sample take it off and then bring it controlled into a test device. Certain blood glucose monitoring systems require, for example, that the Blood test of a tester supplied that will come with a test instrument is in contact. In such situations, the direct contact the patient's finger with the tester a particular Risk of contamination with blood from a previous patient. In such systems esp. Re in health facilities It spreads a patient to sting the sample in a micropipette by capillary action and then remove them from the pipette Tester leave.

U.S. Patent 4,920,977 , Haynes, describes a blood collection device with lancet and micro collection tube. This device has a lancet and a collection container in a single device. Stinging and slimming are two separate activities, but the device is a convenient, single disposable unit for those instances where it is desired to sample before use. Similar devices are in Sarrine, U.S. Patent 4,360,016 and O'Brien, U.S. Patent 4,924,987 described.

U.S. Patent 4,850,973 and 4,858,607 , Jordan et al., Disclose a combined device that can be used interchangeably as a syringe injection device and as a fixed disposable needle punch type lancing device, depending on the configuration.

U.S. Patent 5,318,584 , Lange et al., Describes a blood lancet device for withdrawing blood for diagnostic purposes. The invention uses a rotary / sliding motion transmission system to reduce puncture pain. The penetration depth is simple and exactly adjustable by the user.

Suzuki et al. U.S. Patent 5,368,047 , Dombrowski, U.S. Patent 4,654,513 and Ishibashi et al., U.S. Patent 5,320,607 all describe on Ansau tion based blood sampling devices. These devices develop a suction between the puncture site and the end of the device as the lancet retention mechanism retracts after piercing the skin. A flexible seal around the end of the device helps to close the end around the puncture site until a corresponding sample is pulled out of the puncture site or the user pulls on the device.

U.S. Patent 4,637,403 , Garcia et al., And U.S. Patent 5,217,480 Haber et al. Disclose combined lancing and blood collection devices that use a membrane to create a vacuum over the wound.

The international application WO 95/10223 , Erickson et al., Describes a device for removing and measuring body fluids. This system uses a disposable piercing and suction device with a spacer that compresses the skin around the lancet / needle.

Single-use devices have also been developed for one-time tests, ie, home cholesterol testing, and for use in appropriate facilities to eliminate patient-to-patient contamination when used. Crossman et al. U.S. Patent 4,869,249 and Swierczek, U.S. Patent 5,402,798 , also disclose disposable disposable piercing devices.

The US 3,741,197 discloses a blood collection device in which a blood collection tube is strapped to the part of the body where the blood sample is to be taken. The blood collection tube has an elastic foldable funnel that allows a lancet to pierce the skin when compressed.

The US 4 637 403 discloses a handy medical measuring system for obtaining and analyzing blood samples. The system has a disposable needle. The blood of z. B. a finger is transported to a chemical reagent strip.

The DE 1 938 870 A discloses an apparatus for performing percutaneous and digital blood sampling. The procedure is semi-automatic, ie without external intervention and with the following steps: incision of the skin of the finger intended for blood sampling, local massage of the finger above this incision, to cause the blood to flow in the direction of this incision, and catching the Blood in a test tube.

In spite of The many improvements that have been made remain Pain associated with the stinging process is a significant problem for many Patients. The need for blood sampling and anxiety the associated pain is also a major obstacle for the Millions of diagnosed diabetics because of it associated pain does not monitor their blood sugar accordingly. Furthermore The stinging spreads to obtain a blood sample for others diagnostic applications are getting more and more, and it will be one less painful, minimally invasive device needed to use these applications to improve and make such technologies more acceptable.

It discloses an apparatus and method for obtaining a body fluid sample provided by the skin, which is virtually painless and minimally invasive is.

It a procedure is provided depending on the sampling point and the depth of penetration either to a blood or interstitial fluid sample leads. Although present no commercial There are devices using interstitial fluid (ISF), are there any active efforts the correlation of substances to be analyzed, e.g. For example, blood sugar, in ISF compared to whole blood (whole blood). If ISF could easily be obtained and a correlation established ISF can, as. Sample are preferred because there is no interference the red blood cells still a required hematocrit setting gives.

It It is an object of the invention to provide a device for minimally invasive sampling, with a reusable sampling device and a To provide a disposable sample receiving device.

To The invention provides a method with which as needed a small but adjustable sample, e.g. B. 3 ul in a tester and 8 μl at another test device, can be pulled.

According to the invention, a method is provided by which the drawn sample is taken off and can be presented in a simple manner to a testing device, regardless of the location of the sampling point on the body. This method contributes to infection control insofar as several patients do not come into contact with a single test instrument; only the Probenentnahmevor direction with a disposable patient contact part is applied to the test instrument. Alternatively, the disposable part of a tester may physically with the sampling device be coupled so that the sample is introduced directly into the test device during the sampling. The testing device can then be read in a testing instrument as needed, or the testing system can be integrated into the sampling device, and the testing device can provide direct results that are displayed to the patient.

These and further objects of the invention are achieved by the features of claims solved.

Under In one aspect, the invention relates to a mechanical device Movement to pierce the skin and a mechanical kneading or Swing used to bring out a fluid sample from the body and a back pressure or A vacuum for receiving a small fluid sample into the device can use. In particular, the invention has a reusable Sampling device and a lancing / recording device. The device may also have a back pressure, capillary action or Use vacuum to apply a small fluid sample into the lancing / receiving device to record later can be emptied to the recorded sample to a testing device or another suitable container. The System can also be used to connect the sample to an integrated system disposable test device without the body fluid sample to record and deliver separately.

One Process aspect of the invention is the piercing of the skin with fast speed (to reduce pain) with one Needle (the trauma and the pain reaction associated with pressure minimized, which occurs in a traditional lancet). The Skin is going through the puncture held tight to an accurate and repeatable To allow penetration of the needle into the skin. After drilling the skin, the needle is withdrawn from the wound and the surrounding area by ultrasonic action, piezoelectric or mechanical vibrations or squeeze roller kneaded to the bloodstream in the wound and stimulate out of it. In addition, heat, electrical Potential or friction can be used to stimulate additional body fluid flow. This fluid or blood stream may also be due to ultrasonic vibration of the Skin around the wound to be stimulated. In an alternative embodiment to stimulate blood flow, the needle remains for a period of time in the wound, either with slow mechanical vibration or Needle rotation, ultrasonic or piezoelectric vibration the needle to keep the wound open so the blood can collect. After the area has been stimulated and blood from the wound bulging, a capillary, syringe or pumping system is used, to draw microliter samples from the patient. A pull is on the needle or the suction tube created either by peristalsis, convection (application of Heat up a capillary tube) or through a small microsphere piston. The piston will retracted by spring action in the sampling device, wherein in the cylinder of the microsyringe, a vacuum is generated and the fluid quickly out of the body through the needle or suction tube is pulled into the piston to balance the pressure differential. The piston or suction device can then be turned over to to deliver the recorded sample. The system can also use a capillary tube which is used to pull the sample after it is up the skin surface has collected. The capillary tube can then send the sample to a desired Testing or Dispense analyzer by applying pressure through the tube or simply the end of the tube touched and the sample is touched with a surface or material, that has enough fluid retention capacity to expose the sample the tube to draw.

The above method and system can be on different parts of the body be applied. It is especially for use in other places suitable as the fingertips. Although fingertips a good one Providing bloodstream ensures the high density of pain receptors for one easy access to the blood, but also for very large pain during the sampling. With the method according to the invention a sample becomes active from the body the use of sampling sites on the body is possible, the for a traditional grooving are unsuitable. Because the procedure also a mechanism for the simple transfer of the Can provide sample, the difficulty of handing over the sample to a test device eliminated. An important advantage of this system is that through the use of alternative sites on the body reduces the accompanying pain sensation and more frequent use promoted as needed becomes.

While that Procedure can be easily applied to a blood sample In a minimally invasive way, an interstitial Fluid sample are also obtained, which generally one less deep puncture is used in places with lower blood flow. This becomes more important since exams which can use ISF samples that may be compared to Blood are preferred.

The invention provides an apparatus and method for stinging a patient and for virtually simultaneously generating and receiving the fluid sample delivered to a test device can be transferred. A preferred device according to the invention comprises a blood collection system with a piercing needle, a drive mechanism, kneading or vibration mechanism and optional suction system and sample ejection mechanism. The device is preferably sized so that it can be held in one hand and operated with one hand. The device may optionally include integrated inspection or analysis components for receiving the sample and providing a test or analysis display or output to the user.

The Steering needle and shot mechanism is capable of producing a wound containing a corresponding sample but it also closes and heals quickly. The cure of Wound is a particularly important consideration for diabetic patients, often impaired Have circulatory systems and slow healing processes. The wound must have a geometry have a short-term space that deals with Fill the blood can, taking the elasticity of the skin tissue becomes. It is careful to pay attention to these geometries, otherwise the dermis closes around the piercing needle tip around, and pulling a sample through the tip is excluded. In a preferred embodiment becomes a needle in combination with a flexible cuff and used an outer tube, to widen the wound so that the blood can collect. As an alternative, a multiple needle piercing device may be used to create a wound that has multiple capillary areas pierces to fast a big To provide sample size, but the smaller multiple wounds can heal more easily.

In an alternative embodiment the needle / lancet is withdrawn from the wound, and the area which surrounds the wound is massaged or stimulated to prevent that she closes, and to the body fluid and / or to promote blood flow to the wound and surface of the skin.

Devices according to the invention create a lancing movement, which in the small, but numerous Capillaries of the surface vessel network cuts under the epidermis. The vascular area begins in many accessible Areas all over (Forearm, thigh, abdomen, palm) at a depth of 0.3 to 0.6 mm from the surface of the Skin. Blood is abundantly supplied to this area of the skin, and the healing of small wounds is not problematic. But one correspondingly large Drop of blood on the surface to bring is more problematic than with a finger pen. A Fingertip is usually massaged to a momentary bloodstream to increase. The invention provides a system for mechanically massaging a Puncture site on other parts of the body by several different methods, including swinging an annular Around the wound, around the wound around the wound Extraction by a needle or the capillary tube or the vibrating wings or other parts adjacent to the wound to pump into the wound the wished To reach the bloodstream. Furthermore, it is very difficult at others Areas of the body, z. B. on the thigh, a drop of blood from the skin to a small area on a tester too bring. An alternative according to the invention embodiment works in such a way that the Needle remains in the wound and is mechanically manipulated to the training of a body fluid sample to promote in the wound.

The Needle can be in a desired and effective vibration movement, including one Up and down movement, a lateral movement, a circular movement, a rotary motion or any combination thereof. It arises a momentary opening, that fill with blood can, while the device draws blood through the needle into the disposable sample receiving chamber draws. The vibration of the needle can be done in a wide range, from 30 cycles per minute up to 1000 cycles per minute or more. This low vibration increases the perception by the Patient not measurable, especially if it is of short duration, but increases the sample volume, that can be easily pulled out of a given wound, and the Speed at which the sample volume originated from the wound becomes clear. The vibration can cause the needle to stretch up to 2 to 3 mm per oscillation moves. The optimal needle vibration is less than 1.5 mm, according to current studies about 0.5 mm are preferred. By swinging or turning the needle with 30 to 1000 oscillations or rotations per minute and more the wound is kept open, and it prevents them from becoming includes and stopping the sample, and picking up the sample can be in a shorter time Time.

The Grooving is conventionally done in an angle of 90 ° (vertical) to the skin surface. However, we have found that the lancing piece significantly more Capillaries puncture if the puncture is made at an angle. At too low an angle, there is no significant penetration reached. The piercing with an angle of incidence of 15 to 90 ° to the surface of Skin is effective, with shallower angles involving a larger bloodstream produce.

The apparatus and system of the present invention may further increase blood flow by massaging the site prior to piercing and by massaging the area adjacent the puncture site while holding the site in place Lancing portion in the wound and after it has been removed from the wound, as well as during sample taking, as described above. Alternative methods may use a scraping or wiping device to sweep or vibrate over the skin, or may provide heat to the skin to increase blood flow to the sampling site.

In another alternative configuration, the piercing needle very little withdrawn from the point of maximum penetration be to an opening in which blood can accumulate before passing through the device is sucked off. This can be done with a double stop system, which makes the needle strike at a maximum penetration and then retreating the needle after a partial but not complete withdrawal interrupts. The area around the wound can be through optional moving parts are kneaded or massaged to the bloodstream to stimulate the wound and the sample size and speed to increase the production of the sample. The mechanical movement can move the area around the wound from 0.05 to 8 mm, with after present Investigations 1 to 5 mm are preferred. A grazing or wiping device can be used from the point of skinning over the skin, to increase the blood flow to the wound by stimulating the capillaries.

The Mechanical stimulation of the wound can be done using different methods or movements and parts. A circular ring or other polygon or leaf or wing parts can um the wound around by piezoelectricity, ultrasound, electromagnet / coil, Motor and eccentric or other methods known to those skilled in the art, be vibrated. Mechanical vibration in the area from 2 to 1000 vibrations per minute are possible, with 10 to 400 vibrations to be favoured. Ultrasonic vibration is at a frequency of after all, 40 kHz has been effective. As an alternative, the device a leaf or squeeze roller stimulator use the spot with horizontal motion or a combination from horizontal and vertical motion kneads and the bloodstream promotes to the wound. The squeegee can apply to the wound area 2 to 200 times per minute act according to current Investigations 60 times per minute is preferred. In addition, can the needle is vibrated ultrasonically, with or without kneading or massage movement near the wound. The ultrasonic vibration can in the ultrasonic frequency range, depending on the sampling area and whether the needle or stimulation device is activated.

Under In another aspect of the invention, the lancing member is disposable Multi-chamber or Mehrkanalkapillarteil included, wherein a chamber contains the lancing part and an adjacent chamber is suitable for the blood or fluid emerges from the wound to record. The disposable multi-chamber capillary part may be made of any suitable material and in a sampling device be installed so that it is positioned in a suitable position relative to the wound, the is generated to receive the sample. The lancing device is driven into the skin and from the return springs after reaching the attacks withdrawn. After retreating of the lancing part becomes the stimulator ring or another polygonal one Shape vibrated by one of several methods, to pump blood from the capillaries near the wound. The sampling device according to this Aspect of the invention has stop mechanisms to prevent the intrusion of the Limit lancing part, and a sampling duration system, which sets the time of taking the sample. The lancing part guiding chamber can be trained in many different ways, and the One skilled in the art can redesign these to alternative embodiments to create.

Under similar to another aspect As described above, the lancing member may be contained in a single capillary tube and be able to extend from the end of the tube to the wound to create. The lance then pulls to a sufficient Stretch back within the capillary to allow the desired sample at the end of the same capillary tube in the room under the withdrawn Lancing part can be added. In such an embodiment For example, the lancing member in the wound may be vibrated prior to retraction be, as described above.

To achieve picking up of the sample after retraction of the needle, a stimulator ring may be used to pump the sample through the wound opening from the surrounding capillaries. The stimulator ring is capable of keeping the skin taut to allow for better penetration of the skin during grooving and to help keep the wound open during pumping. It may be appropriately vibrated to ensure that a sufficient sample is pumped from the local capillaries. The time or number of oscillations depends on the person or place where the sample is taken. To achieve a variable sampling time, one of the following methods can be used. A sensor may be incorporated in the sampling device which detects the blood in the receiving chamber or device. If a sufficient Sample level (which can be adjustable) is reached, the stimulation mechanism is turned off. A second method is to use a patient-definable input that determines the duration of the test and the number of vibrations for the stimulation ring. Additional stimulator movements can be used to promote the extraction of body fluids. These include sinus motion, swinging, kneading or peristaltic motion. An alternative stimulator device may be implemented with an inner or outer ring that alternately generates a peristaltic pumping motion on the capillaries around the wound. Another alternative stimulator device uses a coil spring that can be flattened to simulate multiple pumping rings. As will be seen, various configurations of multiple stimulator rings, wing or other parts applied in different rhythms or sequences of motion may be used in the invention. The stimulator ring or stimulator portion may be heated to heat the skin to increase the capillary volume flow to and from the wound. In addition, the housing or casing of the device or other components of the device may be heated to heat the skin.

One diffuse laser can be used to treat the surface vessel network to penetrate, and a capillary tube can be used to take the sample. A lens can be used to fix the To make the laser diffuse so that it does not size Wound produced or big Damaged skin or tissue areas. A minimal wound size is important to facilitate a quick healing. The recording capillary tube may use a suction generator to pull up the sample in the tube, and may also use an optional stimulator ring to do this To pump blood from the adjacent capillary vats.

The Piercing may be caused by a high pressure pulse Fluids, z. B. a liquid or a compressed gas. In addition, the compressed Gas at lower pressure to be directed to the skin surface to the Skin before grooving while grooving and / or during to massage the sample. By dispensing compressed gas pulses on the skin at desired To press, Profiles and intervals, including a sequence profile about the surface the skin, the desired Stimulation of blood flow to and from the wound become. The pressure gas pulse used to pierce and open to carry out the wound, may be a single pulse or multiple pulses, may be directed through a sample-receiving capillary tube and / or may be applied vertically to the surface of the skin or at an angle be as above for other latches described to a piercing possible To reach many capillaries in the skin and the absorption of the to achieve a sample in a very short period of time.

Under Another aspect of the invention is an independent of a meter tester used with a sampling device according to the invention, to provide an integrated sampling and testing device. The device can be used by the patient to take a sample to draw and this essentially at the same time on the presence or the concentration of a substance to be analyzed in one body fluid to consider. The sample can with the inventive device of another Place to be taken as the fingertips. To do this is it is critical for the exam, though a mechanism is provided to the wound and / or the surrounding area to stimulate a corresponding sample for the testing device. The stimulation can be performed by manipulating the needle or skin area around the wound becomes as described above. A combination of the two methods can be used to increase the volume and / or the sampling time to reduce. The sample is sent directly to the test device or test area introduced and not recorded and then submitted.

Under In another aspect, the invention provides a method of determination the correct sample size before handover and exam ready. Different methods can used to determine the volume and / or presence of the Sample to capture. A system uses two contacts to detect the presence and / or to detect the volume of a sample. The body fluid is either in a tube Pulled up or swells from the surface of the skin where it a short between produces two contacts that signal that the right sample has been pulled has been. An alternative system uses an LED and a receptacle. If the sample rises to a level where it separates the LED from the receiver, the right sample has been drawn. Other optically activated or contact-activated systems can be used in this aspect of the invention.

Under In another aspect, the invention also provides a method of Prepare a unit with a disposable part ready to a cross-contamination containing health risks limit.

A bell-shaped capillary tube may be provided. The capillary tube pulls the sample in the tube up until it has reached the transition to the ball or to the balloon. The balloon is then pushed to hold the sample or a known volume of the sample at a desired location, e.g. B. on a test strip or a test device to eject for analysis. The bell-shaped can be designed as a cone, and the sample can be pulled up in the cone and discharged by turning the cone over and delivering the sample to the tester by capillary action.

In an alternative embodiment pierces and stimulates the device according to the invention the area producing a fluid sample drop directly into a test device recorded or transferred to it, by the tester is applied to the drops.

A Automatic injection device can be used. A before charged head can be introduced into the cylinder. The trigger and Spring system can run like this be that sample is dispensed from the syringe rather than a sample in the syringe take. A specialist could readily reshape the mechanism described yet to inject a sample. Furthermore The device may have a dual function, namely Picking up a sample while simultaneously or sequentially, a sample is injected, which as Answer to an exam can be done in the device with the recorded sample is.

1 shows a device according to the invention with a double stop mechanism.

2A and 2 B are sectional views of a device according to the invention in the cocked or extended position.

3 shows a longitudinal section of a device according to the invention with a stimulator part near the lancet or needle.

4 shows a stimulator part positioned on the skin of the patient near the wound and the lancet.

4A Figure 11 is a schematic representation of the skin showing where the capillaries of the surface vessel plexus are relative to the skin surface.

4B Figure 3 is a sectional view of a wound facilitating the formation of a small blood collection site, but ensuring that the skin contracts completely after sampling around the wound to promote healing. The relationship between the wound, the needle and the capillaries of the surface vessel network is also shown. In the illustrated embodiment, the capillary is displaced in the needle.

4C and 4D show alternative embodiments in which the needle is mechanically vibrated, either in an up and down motion as in FIG. 3, to improve the picking up of the sample and to minimize the wound size 4C shown, or in a transverse movement, as in 4D shown.

4E shows that the needle can be vibrated with or without kneading or massage movement in ultrasonic vibration.

4F and 4G show that the area around the wound can be kneaded by an optional mechanical motion to stimulate blood flow to the wound and to increase the sample size and the rate at which the sample is produced.

4H shows that the device may alternatively use a squeegee stimulator which kneads the site with a horizontal movement or a combination of horizontal and vertical movement and promotes blood flow to the wound.

4I shows an alternative embodiment in which a needle is set in vibration or rotary motion.

5A and 5B show a front and a side view of a replaceable needle with a spur point design, which is suitable for use according to the invention, in particular for a movable / rotatable needle for holding open a wound during the sample receiving.

6A and 6B show a front and a side view of a disposable needle having an eccentric passage for sample receiving. The needle may have a luer locking connection with the sampling device according to the invention.

7 shows a needle with a cuff or sleeve to allow mechanical spreading of the wound during sampling.

8A and 8B Figure 12 is a longitudinal sectional view of the multi-chamber capillary device receiving a lancet or needle in one chamber and providing another chamber or tube for sample collection.

8C . 8D and 8E are sectional top views of two- and three-chamber capillaries larteilen.

9A and 9B show a longitudinal section of a device with a disposable and peristaltic multi-chamber capillary pump to receive a sample.

9C shows in section an alternative disposable suction / spacer / lancet head with contacts for electrically sensing the presence and / or volume of body fluid.

10 shows in section a device with a laser positioned to radiate through the interior of the needle or capillary for piercing the skin.

11 shows in longitudinal section a device according to the invention for use with a combined suction / spacer chamber as part of a disposable sampling system.

12A and 12B show a longitudinal and a side section of a device according to the invention, which has an angular lancet or needle and uses an absorbent strip.

13 and 14 show a longitudinal and a side section of a sampling device according to the invention with an integrated colorimetric instrument test.

15 shows a longitudinal section of a sampling device according to the invention with an integrated electrochemical test.

16 and 17 show a longitudinal and side section of a sampling device according to the invention with an integrated colorimetric visual inspection.

18 Figure 4 shows an alternative device having a fully disposable lower part to minimize blood contamination between applications.

19A shows an alternating double stimulation ring system combination.

19B shows the device with a telescoping stimulator ring.

20A . 20B and 20C show a bell-shaped capillary tube, and

20D shows a straight capillary tube with a test strip.

21 shows a device according to the invention with a part to oscillate the needle to stimulate fluid flow out of the wound.

22A shows a multiple needle piercing system.

22B shows a wider single lancet.

22C and 22D show a stamped platelet having a number of small barbs on the platelet for use as a lancet according to the invention.

1 shows a minimally invasive sampling device according to the invention. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical components housed in the device.

The main body 1 has an elongated hollow cylindrical tube with openings at both ends. The sampling needle 16 that part of the disposable 3 is that can be withdrawn and extended so that it over the needle guard 17 stands out, is positioned at one end. The tensioning and dispensing piston 22 sticks out of the other end. The device has a needle guard 17 that loading the disposable device 3 allows. The disposable device 3 is at the syringe 13 attached, and the piston 14 is through the suction cam 8th Approved.

The syringe 13 is by means of a syringe clamping device 12 , with the main connecting rods 4 anchored, captively attached to the drive system. The main drive springs 11 are between the syringe clamp 12 and a cross-brace 10 firmly arranged, and the connecting rods 4 are passed through them.

At the main connecting bars 4 are the main cams 9 attached and released from the activation trigger prior to their release 2 supported. The auxiliary springs 21 and the auxiliary stops 20 After activation, provide a mechanism to pull the needle back out of the wound to allow for blood accumulation. When the skin is pierced, pull the auxiliary springs 20 the needle back out of the wound, with the suction cam 8th pushed and the piston 14 is released. The tensioning and dispensing piston 22 is a device with dual purpose. When the patient pulls it up, it becomes the mainspring 11 preloaded. He is locked by clicking on the activation trigger 2 is pressed.

The stop and adjustment devices 19 control the penetration depth of the needle 16 so that the op maximum penetration depth for a specific sampling point is achieved. The sample 15 is pulled out of the patient after the device by releasing the activation trigger 2 extended and the needle 16 has been withdrawn from the patient.

This in 2A and 2 B shown system consists of a reusable cylinder 1 and associated mechanisms and a sterile disposable device 13 , The disposable device 13 has a needle 16 with a very fine inner diameter embedded in a cap until the device is prepared for use. 2 B shows the device in the extended state with a sample in the disposable 13 , and 2A shows her in the retracted state.

A main yoke 3 is activated by activation 2 kept the main connecting rods 4 support when the system is retracted. The system is activated by the activation triggers 2 be solved. This will be the main cam 9 solved, which causes the syringe by the mainspring 11 is extended, which is between the cross brace 10 and the syringe clamps 12 is held. The needle 16 pierces the skin as a result of these operations, and the penetration depth is from the stop 27 controlled. When the suction cams 8th from the auxiliary release 5 released, the suction spring 6 Approved. This will make the suction yoke 7 due to the damping effect of the syringe plunger 14 slowly moved upward, so that in the syringe body, a back pressure or vacuum is formed. The sample 15 is actively drawn into the syringe.

The sample can be easily and accurately dispensed to a sampler or other container by pressing a button on the sampler. The disposable syringe 13 and the needle 16 may remain embedded in the cap in which they were shipped, or may be placed in a Sharp container for safe disposal.

To ensure that a sufficient sample size has been recorded, the needle can 16 be placed in vibration, vibration or rotational motion to prevent the wound from closing. The revelations in 3 . 4 . 4C . 4D . 4E . 4I . 9 . 12 and 13 show and describe various alternative movements that can be used to accomplish this.

A Another version of this device is also able to be used as an automatic injection device work. A preloaded head can be inserted into the cylinder become. The triggering and spring system can run like this be that the Sample is dispensed from the syringe instead of taking a sample. A specialist could readily reshape the mechanism described yet to inject a sample.

3 shows a minimally invasive sampling device according to the invention. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical components housed in the device.

The main body 1 has an elongated hollow cylindrical tube with openings at both ends. The sampling needle 16 that part of the disposable 3 is that can be withdrawn or extended so that it over the needle guard 17 can stand out, is positioned at one end. The tensioning and dispensing piston 22 sticks out of the other end. The device has a needle guard 17 that of the patient in the main body 1 can be moved up and down to the loading of the disposable device 3 to enable. The disposable device 3 is with a head adapter 18 at the syringe 13 attached. The internal parts of the syringe 13 are the piston 14 that of the suction spring 6 is activated, and the suction yoke 7 , The piston is released when the suction cam 8th from the auxiliary release 5 is released.

The syringe 13 is means of a syringe clamping device 12 , with the main connecting rods 4 anchored firmly attached to the drive system. The main drive springs 11 be between the syringe clamp 12 and the cross brace 10 captively fastened, and the connecting rods 4 are passed through them.

At the main connecting bars 4 are the main cams 9 attached and released from the activation trigger prior to their release 2A supported. The auxiliary springs 21 and the auxiliary stops 20 After activation, provide a mechanism to pull the needle back out of the wound to allow for blood accumulation. When the skin is pierced, the auxiliary springs pull the needle out of the wound and release the vibrating system 26 and 27 of the stimulation ring 25 to force a bloodstream to the wound. The tensioning and dispensing piston 22 is a device with dual purpose. When the patient pulls it up, it becomes the mainspring 11 preloaded. He is locked by clicking on the activation trigger 2A is pressed.

The stop adjustment devices 19 control the penetration depth of the needle 16 so that the optimum penetration depth for a particular sampling point is achieved. The stimulator ring can be extended during grooving to the skin taut, allowing a more accurate and repeatable penetration of the skin. The sample 15 is pulled out of the patient after the device by releasing the activation trigger 2 extended and the needle 16 has been withdrawn from the patient.

4 shows the relationship between the needle 16 , the wound 200 and the stimulation ring 25 , The details of the skin are shown for clarity. The stimulator ring 25 is used to sample the body fluid 61 in the wound area 200 to pump. In this illustration is a single stimulation ring 25 shown. However, multiple telescoping rings can be used to enhance blood transport.

The stimulation ring may also be formed with a series of notches to allow the return of body fluid into the capillaries when the stimulation ring 25 from the wound 200 is withdrawn.

In an alternative embodiment, the stimulation ring is heated or, in addition, auxiliary motion occurs to act as a wiper or wiper device to direct body fluid flow to the wound 200 to improve. Other parts may be used instead of a ring to achieve the desired stimulation.

4C . 4D and 4E show that the needle can be put into the desired vibratory motion. This creates a momentary orifice that can fill with blood as the device draws blood through the needle into the disposable sample receiving chamber. The vibration of Na del can be done over a wide range, from 30 to 1000 cycles per minute or more. This low vibration does not measurably increase the patient's perception but significantly increases the sample volume that can be easily drawn from a given wound and the rate at which the sample volume is produced from the wound. The vibration can cause the needle to move up to 2 to 3 mm per oscillation. The optimum needle vibration is less than 1.5 mm, with about 0.5 mm being preferred according to current studies. The piercing is generally at an angle of 90 ° (perpendicular) to the skin surface. However, the lancing member can pierce significantly more capillaries when the puncture is made at an angle. At a very shallow angle, no significant penetration depth is achieved. Piercing at an angle of incidence of 15 to 90 degrees to the surface of the skin is effective, with shallower angles producing greater blood flow. The ultrasonic vibration may be in the ultrasonic frequency range, depending on the sampling area and whether the needle or the stimulation device is activated.

4F and 4G show the massaging or kneading of the area around the wound. The mechanical movement can shift the area around the wound from 0.05 to 8 mm, with 1 to 5 mm being preferred according to current studies. 4G shows a scraping or wiping device that sweeps across the skin to increase blood flow to the wound by stimulating the capillaries. This procedure may also be performed by the patient by stroking over the area to increase blood flow to the sampling site prior to sampling. The vibration may be by piezoelectricity, ultrasound or by using a solenoid / coil or a motor and cam. Mechanical vibration can be in the range of 2 to 1000 vibrations per minute, with 20 to 200 vibrations being preferred. Ultrasonic vibration has been effective with a frequency of at least 40 kHz. 4F shows an alternative embodiment in which the wound is mechanically stimulated, z. B. by a circular ring that can be set in vibration.

4H shows massaging with a squeeze roller stimulator. Such a nip roll can act on the wound area 2 to 200 times per minute, with 60 times per minute being preferred.

4I shows the spinning or swinging of the needle from 30 to 1000 cycles per minute or more. This keeps the wound open and prevents it from closing and interrupting sample collection. This embodiment can use needles which are shown in FIG 4B . 5A . 5B . 6A and 6B conventional needles or round or flat lancets.

5A and 5B show a spur needle / lancet profile used in the invention to create a void area in the wound. 5A and 5B show a needle profile that is useful in the implementation of this embodiment. The spur end helps to create a void area when rotated in the small wound.

6A and 6B show an asymmetric needle design to create a wound that improves capillary blood uptake. The needle 16 is as a disposable device 3 educated. Another aspect of the invention is the presence of an easily exchangeable piercing head ( 6A and 6B ). The head must be easily attached to the device to provide a fresh, sterile needle for each sample drawn. A wide range of lancet or needle sizes can be used for the head. Current studies indicate that 10 to 32 sizes are acceptable depending on the sampling site. The entire device can also be designed as a device which can be used once. In this configuration, the device would be biased and would trip and dispense only once. Thus, a new sterile head device would be used for each sample drawn. It will be appreciated that an alternative disposable device may be constructed of a needle and a flexible tube. The tube acts as a reservoir for the sample when pulled through an applied vacuum. Another capillary disposable device is in 31 shown. The bell-type disposable utilizes the capillary action to pull the sample up the tube until it reaches the piston, or the vacuum created by pushing the balloon. The sample is dispensed by squeezing the balloon. One skilled in the art could readily redesign the embodiment shown here as a one-time-use device.

7 shows the use of a needle 16 with a flexible cuff 225 and a stimulator ring 25 which are intended to keep the wound open during the extraction of the body fluid sample. The cuff 225 is attached to the needle and acts as a stop and device for spreading the wound. This provides a means to force the wound to remain open during sampling. The cuff 225 can be implemented in various configurations, the same results being achieved by the person skilled in the art.

8A shows that the lancing part is part of a capillary multi-chamber disposable device. 8B is an exploded view of the end of the device showing the relationship between lancet 30 , Disposable device 33 and lancet guide tube 35 shows. The capillary multi-chamber disposable device may be made of any suitable material. 8C . 8D and 8E show various alternatives of this embodiment. One skilled in the art could readily redesign a disposable device that would conform to this invention.

The lancet 30 creates the wound and is passed through a guide tube 35 guided. The sample is placed in the sample pick-up tube / disposable 33 pulled up. The complete device may be implemented either as a single disposable device or as multiple components.

9A shows an inventive, minimally invasive sampling device, the alternative disposable capillary blood collection device in 8A used a disposable device 33 is. The device consists of numerous components, which are described more fully below. The main body 1 carries the various mechanical components housed in the device. 9B shows the section that allows access of the blood to the sample tube.

The main body 1 has an elongated hollow cylindrical tube with openings at both ends. The disposable capillary sampling device with a lancing piece 30 , the part of the disposable device 33 is and can be withdrawn or extended, leaving it over the end of the main body 1 can protrude is positioned at one end. The tensioning piston arrangement 36 sticks out of the other end. The lancing piece 30 is protected by placing it in the needle guide tube 35 being withdrawn, the part of the disposable device 33 is. The needle guide tube 35 acts as a lancing guide and lancet protection. The disposable device 33 gets on the main body 1 attached so that it is positioned in the appropriate place to guide the lancet and to suck the blood upwards. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 36 , The tensioning piston is in its normal position by a cam 45 and triggers 47 locked. A double stop return spring 49 is arranged and dimensioned to the lancet 30 back in the disposable 33 the needle guide tube 35 retrieve. With the needle guard 17 lies the main body 1 on the patient 41 on.

The double-stop return springs 49 After activation, they provide a mechanism to pull the needle out of the wound to collect blood 61 to enable. When the skin is pierced, pull the auxiliary springs 49 withdraw the needle from the wound and release the vibratory system of the stimulation ring 25 to force a bloodstream to the wound. The stimulator ring can oscillate in the preferred range of 1 to 5 mm. The frequency may vary from 5 to 1000 oscillations per minute in the preferred embodiment. The vibration of the stimulator ring 25 is through the coils 51 stimulated the stimulator ring 25 set in motion the blood 61 from the surrounding capillaries in the skin to pump into the wound. Every downward stroke of the stimulator ring 25 causes this pumping process. This pumping action can be modified to include sinusoidal, vibratory, kneading or peristaltic motion that increases blood flow to the wound.

A connecting link 53 Moves a peristaltic roller system 55 and roles 57 against the suction tube 59 , which causes blood 61 in the suction tube 59 is pulled up to the sample 15 to create.

The stop and adjustment devices 19 control the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

In another aspect of the invention, an electrical potential may be applied across the skin to also stimulate blood flow to the wound. This can be done by having separate electrodes in the device to contact the skin and deliver the electrical current at desired locations. Or the current can be delivered to the skin via components of the device that are naturally sufficiently isolated inside, e.g. B. the stimulator ring 25 and the sample tube 59 or any other suitable combination. In general, a low voltage DC or AC current can support the blood flow. The voltage, current and oscillations (in the case of alternating current) can be determined by a person skilled in the art, but DC voltage is suitable in the range from 1 mV to 12 V. Likewise, the duration of the supplied current or its pulses can be determined as needed. In a specific example, the tube may 33 in 9A or the needle 16 in 3 the negative electrode and the ring 25 in 9A and 3 or the protection 17 be the positive electrode.

9C shows an alternative suction / distention chamber blood collection device 72 holding a lancet 30 , a suction tube 59 , an auxiliary tube that holds the lancet 30 leads, a suction / Distanzhaltekammer 105 and contacts 107 and 109 having. The suction tube 59 is in the suction / spacer chamber 105 arranged so that the suction tube can be located away from the wound to promote bleeding while the wound is stimulated. The contacts provide a means of determining if the sample size is sufficient. The contacts 109 Be closed when there is sufficient blood volume in the cap 105 is present, and these are related to the contacts 107 in communication with the electronic package of the sampling device. If the contacts 109 are closed by the blood, then the circuit is closed and signals that the system should stop.

10 shows a minimally invasive sampling device according to the invention, the alternative disposable capillary blood collection device and a piercing mechanism with a laser 67 used. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical components housed in the device.

The main body 1 consists of an elongated, hollow, cylindrical tube with openings at both ends. The capillary disposable disposable device with a diverging lens part 60 , the part of the disposable device 63 is in one end of the main body 1 Installed. The firing switch 65 sticks out of the other end. The capillary tube 59 acts as the laser guide and the sample receiving device. The disposable device 33 is at the main body 1 attached so that it is positioned in the right place to direct the laser and to suck the blood upwards. The laser 67 is dissipated as it passes through the lens and creates the wound in the patient.

When the skin is pierced, the laser shuts off. This turns the vibration system of the stimulation ring 25 triggered to force a bloodstream to the wound. The vibration of the stimulator ring 25 is through the coils 51 stimulated the stimulator ring 25 set in motion the blood 61 from the surrounding capillaries in the skin to pump into the wound. Every downward stroke of the stimulator ring 25 causes this pumping process. A connecting link 53 Moves a peristaltic roller system 55 and roles 57 against the suction tube 59 for that blood 61 in the suction tube 59 can be pulled upwards, taking the sample 15 arises. The vibration of the stimulator ring may be in a range of 0 to 8 mm, and preferably 1 to 5 mm. The frequency can also vary from 2 to 100 oscillations per minute.

In an alternative embodiment of the device according to 10 For example, the piercing means may be a high pressure liquid or a pressurized gas pulse instead of the laser. One or more compressed gas pulses may be directed to the skin. In addition, the pressurized fluid or gas pressure pulses in the annular space between ring 25 and housing 1 used to massage and stimulate the skin to increase blood flow to the wound.

It is understood that the vacuum used in various embodiments of the invention can be used with the capillary tubes, e.g. B. 59 in 10 , as well as with the needles in 4B . 5A and B and 6A and B.

11 shows an inventive, minimally invasive sampling device, the alternative suction / spacer chamber blood collection device 72 used by the illustration 9C more fully described. The device consists of numerous components that are described in more detail below. The main body 1 carries the various mechanical components housed in the device.

The main body 1 consists of an elongated, hollow, cylindrical tube with openings at both ends. The suction / spacer chamber sampling-disposing device with the lancing member 30 , the part of the disposable device 72 is and can be withdrawn or extended, leaving it over the end of the main body 1 can protrude can be positioned at one end. The clamping devices / triggers 37 protrude from the sides of the main body 1 out. The disposable device 72 gets on the main body 1 attached so that it is positioned in the right place to guide the lancet and suck the blood upwards. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 37 , The tensioning piston is in its normal position by a cam 45 and a trigger 37 locked. A double stop return spring 49 is arranged and dimensioned to the lancet 30 retrieve.

In a further aspect, the capillary sample pick-up tubes used in various embodiments of the invention, e.g. B. 33 in 8A and 9A . 59 in 9C and 10 and 150 in 20A to 20C , are selected to have an affinity for the sample fluid that is greater than the skin so that the fluid or blood in the tube is pulled up by capillary action. However, the capillary tube is also chosen to have a lower fluid or blood sampling capacity than a test strip or receiving surface of a test device so that the fluid or blood sample is drawn from the capillary tube into or onto the test strip or device. Such materials for the capillary tube may be readily determined and chosen by those skilled in the art, but generally nylon, PTFE, and the like capillary tubes will perform this function. It will be appreciated that the choice of such material for the capillary tube must be relative to the materials present in the mechanical structure of the test strip or tester when this aspect of the invention is to be used.

The double-stop return springs 49 Provide a mechanism after activation to pull the needle back out of the wound to allow an accumulation of blood 61 to enable. When the skin is pierced, pull the auxiliary springs 49 withdraw the needle from the wound and release the vibratory system of the stimulation ring 25 to force a bloodstream out of the wound. The stimulator ring can oscillate in a preferred range of 1 to 5 mm. The frequency may vary from 5 to 1000 oscillations per minute in the preferred embodiment. The vibration of the stimulator ring 25 gets off the engine 51 stimulated the stimulator ring 25 vibrated to pump the blood out of the wound into the surrounding skin capillaries so that blood will flow to the surface of the skin and eject the disposable device 72 can touch. Every downward stroke of the stimulator ring 25 causes this pumping process. The disposable device 72 is then using the auxiliary motion spring 74 , which by an auxiliary motion trigger 75 is released, lowered to the blood bead and triggered the suction of the blood. The suction device shown here 85 is a mini syringe that is powered by a spring 86 is activated when the auxiliary motion trigger 75 is released, causing blood 61 in the disposable device 72 is pulled up. The stop and adjustment 19 controls the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

12A and 12B show a minimally invasive sampling device of the present invention including a disposable lancing device, a reusable sampling device, and a disposable absorbent test strip 83 used. 12A shows the device in a side view and 12B in a front view. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical components housed in the device.

The main body consists of an elongated hollow cylindrical tube with openings at both ends. The lancing piece 30 , the part of the disposable device 33 is, can be retracted or extended, leaving it over the end of the main body 1 can protrude is positioned at one end. The clamping devices 37 protrude from the sides of the main body 1 out. The lancing piece 30 is protected by it in the tube 35 being withdrawn, the part of the disposable device 33 is. The tube 35 acts as the lancing guide and the lancet protection. The disposable device 33 gets on the main body 1 fixed so that it is positioned in the right place to guide the lancet and is from the disposable clamping device 3 kept in the normal position. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 36 , The tensioning piston is in normal position by a cam 45 and a trigger 47 locked. The double-stop return spring 49 is arranged and dimensioned to the lancet 30 back in the tube 35 retrieve.

The double-stop return springs 49 Provide a mechanism after activation to pull the needle back out of the wound to allow an accumulation of blood 61 to enable. When the skin is pierced, pull the auxiliary springs 49 withdraw the needle from the wound and release the vibratory system of the stimulation ring 25 to force a bloodstream to the wound. The cam 55 puts the oscillator ring 57 in vibration, the movement on the stimulation ring 25 transfers. The stimulator ring can oscillate in the preferred range of 1 to 5 mm. The frequency may vary from 500 to 1000 cycles per minute in the preferred embodiment. The vibration of the stimulator ring 25 gets off the engine 51 stimulated. The battery 56 provides energy to the engine 51 driving the stimulator ring 25 vibrated to pump the blood from the surrounding capillaries of the skin into the wound. Every downward stroke of the stimulator ring 25 pushes the stimulator spring 53 Together, the backward movement for the stimulator ring 25 allows. The disposable chemical strip 83 is then using an auxiliary motion spring 74 that from an auxiliary motion trigger 75 is released, lowered to the bead of blood. The blood is taken from the disposable chemical strip 83 absorbed into a slot in the main body 1 and into the stimulator ring 25 fits.

The stop and adjustment devices 19 control the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

13 and 14 show an association of the inventive, minimally invasive sampling device with a chemical test measurement, z. As blood sugar, and an electronic display, a disposable lancing device 33 , a reusable sampling device 1 , a disposable absorbent test strip 83 and a method of outputting such a colorimetric test, which is displayed electronically and has an electronic display system. 13 shows the device in a side view and 14 in a front view. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical and electrical components housed in the device.

The main body 1 consists of an elongated, hollow, cylindrical tube with openings at both ends. The lancing piece 30 that part of a disposable device 33 is, can be retracted or extended so that it is over the end of the main body 1 can protrude is positioned at one end. The clamping devices 37 protrude from the sides of the main body 1 out. The lancing piece 30 is protected by it in the tube 35 being withdrawn, the part of the disposable device 33 is. The tube 35 acts as the lancing guide and the lance guard. The disposable device 33 gets on the main body 1 fixed so that it is positioned in the right place to guide the lancet, and by the disposable clamping device 3 kept in place. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 36 , The tensioning piston is in normal position by a cam 45 and a trigger 47 locked. The double-stop return spring 49 is arranged and dimensioned to the lancet 30 back in the tube 35 retrieve.

The double-stop return springs 49 Provide a mechanism after activation to pull the needle back out of the wound to allow an accumulation of blood 61 to enable. When the skin is pierced, pull the auxiliary springs 49 withdraw the needle from the wound and release the vibratory system of the stimulation ring 25 to force a bloodstream to the wound. The cam 55 puts the oscillator ring 57 in vibration, the movement on the stimulation ring 25 transfers. The stimulation ring can oscillate in the preferred range of 1 to 5 mm. The frequency may vary from 5 to 1000 oscillations per minute in the preferred embodiment. The vibration of the stimulator ring 25 gets off the engine 51 stimulated. The battery 56 provides energy to the engine 51 driving the stimulator ring 25 vibrated to pump the blood from the surrounding capillaries in the skin into the wound. Every downward stroke of the stimulator ring 25 pushes the stimulator ring 53 Together, the backward movement for the stimulator ring 25 allows. The disposable chemical strip 83 is then using the auxiliary motion spring 74 that from an auxiliary motion trigger 75 is released, lowered to the blood bead and triggered the suction of the blood. The blood gets from the disposable chemical strip 83 absorbed in the disposable device 33 is incorporated. The strip is then put in place by a colorimetric system with an LED 88 output and analyzed by the electronics that is part of the device, and on a display 84 displayed.

The stop and adjustment devices 19 control the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

15 shows a combination of a minimally invasive sampling device according to the invention with a chemical test measurement, z. As blood sugar, and an electronic output, a disposable lancing device 33 , one again usable sampling device 1 , a disposable absorbent test strip 83 and a method of outputting such an electrochemical test that is output electronically and has an electronic output system. The device consists of numerous components, which are described in more detail below. The main body 1 carries various mechanical and electrical components housed in the device.

The main body 1 consists of an elongated, hollow, cylindrical tube with openings at both ends. The lancing piece 30 , the part of the disposable device 33 is, can be retracted and extended, so that it over the end of the main body 1 can protrude is positioned at one end. The clamping devices 37 protrude from the sides of the main body 1 out. The lancing piece 30 is protected by it in the tube 35 being withdrawn, the part of the disposable device 33 is. The tube 35 acts as the lancing guide and the lancet protection. The disposable device 33 gets on the main body 1 attached so that it is positioned in the correct position to guide the lancet, and is of the disposable clamping device 3 kept in place. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 36 , The tensioning piston is in normal position by a cam 45 and a trigger 47 locked. The double-stop return spring 49 is arranged and dimensioned to the lancet 30 back in the tube 35 retrieve.

The double-stop return springs 49 Provide a mechanism after activation to pull the needle back out of the wound to allow an accumulation of blood 61 to enable. When the skin is pierced, pull the auxiliary springs 49 withdraw the needle from the wound and release the vibratory system of the stimulation ring 25 to force a bloodstream to the wound. The cam 55 puts the oscillator ring 57 in vibration, the movement on the stimulation ring 25 transfers. The stimulator ring can oscillate in the preferred range of 1 to 5 mm. The frequency may vary from 5 to 1000 oscillations per minute in the preferred embodiment. The vibration of the stimulator ring 25 gets off the engine 51 stimulated. The battery 56 provides energy to the engine 51 driving the stimulator ring 25 vibrated to pump the blood from the surrounding capillaries in the skin into the wound. Every downward stroke of the stimulator ring 25 pushes the stimulator spring 53 Together, the backward movement for the stimulator ring 25 allows. The disposable test strip 83 is then using the auxiliary motion spring 74 that from the auxiliary motion trigger 75 is released, lowered to the blood bead and triggered the suction of the blood. The blood is taken from the disposable chemical strip 83 absorbed in the disposable device 33 is incorporated. The strip is then read in-situ by one milliampere / millivolt detection electronics, depending on the specific chemistry of the test strip. This reading is converted into a chemical concentration by the electronics on the printed circuit board and displayed on the LCD on the side of the device.

The stop and adjustment devices 19 control the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

16 and 17 show a union of the minimally invasive sampling device with a chemical test measurement, e.g. B. Blood sugar, which is a disposable lancing device 33 , a reusable sampling device 1 , a disposable absorbent test strip 83 which can provide semiquantitative colorimetric results. The device consists of numerous components, which are described in more detail below. The main body 1 carries the various mechanical and electrical components housed in the device.

The main body 1 consists of an elongated, hollow, cylindrical tube with openings at both ends. The lancing piece 30 , the part of the disposable device 33 is, can be retracted or extended so that it is over the end of the main body 1 can protrude is positioned at one end. The clamping devices 37 stick out of the sides of the main body. The lancing piece 30 is protected by it in the tube 35 being withdrawn, the part of the disposable device 33 is. The tube 35 acts as the lancing guide and the lancet protection. The disposable device 33 gets on the main body 1 attached so that it is positioned in the correct location to guide the lancet and is from the disposable clamping device 3 kept in place. The firing pin 39 is pushed forward to the lancet in the patient 41 to drive, by the spring 43 and the tensioning piston assembly 36 , The tensioning piston is in normal position by a cam 45 and a trigger 47 locked. The double-stop return spring 49 is arranged and dimensioned to the lancet 30 back in the tube 35 retrieve.

The double-stop return springs 49 Provide a mechanism after activation to pull the needle back out of the wound to allow an accumulation of blood 61 to make it possible. If the Skin is pierced, pull the auxiliary springs 49 The needle back out of the wound and release a vibration system of the stimulation ring 25 to force a bloodstream to the wound. The cam 55 puts the oscillator ring 57 in vibration, the movement on the stimulation ring 25 transfers. The stimulator ring can oscillate in the preferred range of 1 to 5 mm. The frequency may vary from 20 to 200 oscillations per minute in the preferred embodiment. The vibration of the stimulator ring 25 gets off the engine 51 stimulated. The battery 56 provides energy to the engine 51 driving the stimulator ring 25 vibrated to the blood 61 from the surrounding capillaries in the skin to pump into the wound. Every downward stroke of the stimulator ring 25 pushes the stimulator spring 53 Together, the backward movement for the stimulator ring 25 allows. The disposable chemical strip 83 is then using an auxiliary motion spring 74 that from an auxiliary motion trigger 85 is released, lowered to the blood bead and triggered the suction of the blood. The blood gets from the disposable chemical strip 83 absorbed. The strip is then removed and read by the patient.

The stop and adjustment devices 19 control the penetration depth of the lancet 30 so that the optimum penetration depth for a particular sampling point is achieved.

18 shows an integrated, minimally invasive sampling device incorporating a disposable piercing, pacing and penetration depth adjuster 92 used. The device may have any of the configurations described herein as being in accordance with the invention. This modification uses the same parts used in a typical reusable sampling device, e.g. B. 11 , With 19 . 30 . 72 . 25 . 3 are designated. The disposable unit may include a test strip, a sample container, an electrical detection unit, and other test and sampling components.

19A shows the idea of an alternating double stimulation ring system. The auxiliary stimulation ring 120 changes its position by 180 ° out of phase with the stimulation ring 25 , This creates a peristaltic pumping motion on the capillaries near the wound. This device can be used with any embodiment to increase blood flow. The connecting link 121 connects the two rings to the main body 1 , The peristaltic pumping causes the body fluid to be forced to the wound by massaging the fluid inwardly toward the wound.

19B shows the idea of a concentric collapsible stimulation ring. In this embodiment, the inner ring touches 25 the skin after the outer ring 120 , A feather 299 provides a resistance and such a process that the outer ring 120 the skin in front of the inner ring 25 touched. This forces the body fluid to the wound by massaging the fluid inside the wound.

In an alternative embodiment, the ring 25 also act as a sample pick-up tube after the piercing needle 16 has been withdrawn.

In a further alternative embodiment, compressed gas pulses in annular spaces between the housing 1 and the ring 120 and / or between the ring 120 and the ring 25 are delivered to massage the skin and to stimulate a flow of current. Such use of compressed gas pulses may instead or in combination with the movement of the ring 120 or other stimulation parts.

20A shows a bell-shaped capillary tube 150 which is used to take a body fluid sample. The bell-shaped capillary tube is shaped to fit around the drop, and this is pulled up the tube until it reaches the balloon or ball 151 reached. This helps to ensure that a reasonable sample 152 is pulled and the balloon 151 the capillary action interrupts. The sample 152 is by squeezing the balloon 151 issued. The capillary can be heated to increase the capillary pulling and the speed of sampling.

20B and 20C show an alternative method in which the sample 152 in the tube 150 Pulled upwards and then the tube is inverted so that the sample on an absorbent Prüfbausch 153 can be transferred.

20D shows a straight capillary 310 in which the sample 152 in the tube 310 Pulled upwards and by the capillary action of the Prüfbauschs on the absorbent Prüfbausch 153 is transmitted.

The tubes in 20A . 20B . 20C and 20D can be modified with a surfactant to increase the absorption capacity of the body fluid.

21 shows a device in which the vibrating ring 130 at the disposable clamping device 3 is attached to the needle 33 to vibrate to stimulate the wound and keep it open so that it does not close. Zusätz Lich can be a heated ring 135 used to increase the capillary volume to stimulate the bloodstream.

22A shows a multiple needle piercing device used to cause multiple wounds to increase the sample size. The multiple needles are of sufficient size and length to minimize the sensation of pain and still produce a corresponding sample size.

22B shows a broader single lancet that is used to cause multiple wounds to increase the sample size.

22C and 22D show a stamped platelet having a number of small barbs formed therein and used to cause multiple wounds to increase the sample size. The multiple barbs are of sufficient size and length to minimize the sensation of pain and still produce a corresponding sample size.

The lancing devices in 22A to 22D may be used in the sampling devices disclosed herein.

Claims (29)

Capillary, disposable multi-chamber tube for use in a body fluid sampling device to obtain a fluid sample through the skin, with: a chamber in the tube, wherein in the chamber a needle is arranged for piercing the skin is suitable; and a second chamber in the tube, the suitable for receiving a fluid sample from the pierced skin is, wherein the second chamber arranged parallel to the first chamber is. Multi-chamber tube according to claim 1, wherein the second chamber is provided with a pumping system for Pulling the fluid sample is in communication. Multi-chamber tube according to claim 1 or 2, with: a distance holding part to the Touch the skin is suitable; and Electrodes in the spacer part positioned and suitable for connection to a sensor, to detect the presence of fluid in the spacer part; in which the spacer part surrounds the multi-chamber tube and the needle is movable is stored. Multi-chamber tube according to claim 3, further comprising electrodes disposed in the second chamber positioned and suitable for connection to a sensor to detect the presence and amount of fluid in the collection tube. Multi-chamber tube according to claim 3 or 4 with an integrated test unit for testing the Sample. Multi-chamber tube according to claim 5, wherein the test unit a colorimetric test unit or an electrochemical test unit having. Multi-chamber tube according to one of claims 4 to 6, which is suitable to receive a testing unit, which absorbs the sample from the site of the wound. Multi-chamber tube according to one of claims 4 to 7, further comprising a system for injecting a material into the skin. Multi-chamber tube according to one of claims 4 to 8, further comprising a suction device for drawing a sample in the needle, tube or chamber. Multi-chamber tube according to one of the claims 1 to 9, wherein the needle is suitable, the skin at an angle less than 90 ° to pierce. Multi-chamber tube according to claim 10, which is suitable for the skin before or during the Puncture to stimulate. Multi-chamber tube according to one of the claims 1 to 11, which is designed as a disposable element. Multi-chamber tube according to one of the claims 1 to 12, with the needle while she introduced into the skin is capable of oscillating, the vibration being caused by vertical, horizontal, rotary or cyclic movement takes place. Multi-chamber tube according to one of the claims 1 to 13, further comprising a system for applying an electrical Potentials over the skin from a point away from the wound in the skin, to a point near or in the wound in the skin. Multi-chamber tube according to one of the claims 1 to 14 with a system to measure the volume of the collected sample to eat. Multi-chamber tube according to claim 15, wherein the measuring system is suitable, the sample collection at a predetermined sample volume to end. A multi-chamber tube according to any one of claims 1 to 16, wherein the second chamber comprises: a material having a windup capability for the pro It is also sufficiently low to allow the fluid sample to be drawn out of the second chamber when it is placed in contact with a test strip or tester which is sufficiently high to receive the fluid sample from the surface of the skin. their absorption capacity for the fluid sample is higher than that of the second chamber. A method of collecting a body fluid sample comprising the steps of: piercing the skin to create a wound; mechanical massaging a skin area adjacent to the wound; Pick up one Fluid sample from the wound or surface of the skin; Introduce one Device for piercing the skin; Swinging the Device in the wound; and partial withdrawal the device and receiving the sample while the device partially introduced into the wound is. The method of claim 18 with the further step the mechanical massaging of a skin area before piercing of the skin. Method for receiving a fluid sample through the Skin with the steps: Piercing skin at an angle less than 90 ° with respect to skin surface with a piercing element of a sampling device, around an opening to produce in the skin; Receiving a fluid sample from the opening with the sampling device; wherein the piercing element a needle, the sampling device comprises a test strip and to receive the sample of test strips in the direction to the opening is moved that the Test strips the body fluid sample absorbed. The method of claim 20, wherein the piercing the skin is at an angle of less than 15 °. The method of claim 18, wherein the opening of the Wound increases with a stimulation part and the fluid flow the wound is increased with the stimulation part. The method of claim 22, wherein the stimulation part the skin goes over to the wound, to increase fluid flow out of the wound. Method according to one of claims 18 to 23 with the other Step of testing the sample. The method of claim 24, wherein the testing of Sample is colorimetrically or electrochemically. A method according to any one of claims 18 and 21 to 25, wherein a section of a device that punctures the skin swings, while he introduced into the skin is, with the swing by vertical, horizontal, rotary or cyclic movement takes place. Method according to one of claims 18 to 26, wherein an electrical Potential over the skin from a point away from the wound in the skin, is applied to a point near or in the wound in the skin. Method according to one of claims 18 to 27, wherein the volume the collected sample is measured. A method according to any one of claims 18 to 28, wherein the picking the sample is terminated at a predetermined sample volume.