US20140066894A1 - Self-Sealing Pad for a Needle-Based Infusion Set - Google Patents
Self-Sealing Pad for a Needle-Based Infusion Set Download PDFInfo
- Publication number
- US20140066894A1 US20140066894A1 US14/070,246 US201314070246A US2014066894A1 US 20140066894 A1 US20140066894 A1 US 20140066894A1 US 201314070246 A US201314070246 A US 201314070246A US 2014066894 A1 US2014066894 A1 US 2014066894A1
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- United States
- Prior art keywords
- needle
- needle assembly
- pad
- assembly
- distal tip
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
- A61M2005/1581—Right-angle needle-type devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
- A61M5/3245—Constructional features thereof, e.g. to improve manipulation or functioning
- A61M2005/3247—Means to impede repositioning of protection sleeve from needle covering to needle uncovering position
- A61M2005/325—Means obstructing the needle passage at distal end of a needle protection sleeve
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
- A61M5/3245—Constructional features thereof, e.g. to improve manipulation or functioning
- A61M2005/3256—Constructional features thereof, e.g. to improve manipulation or functioning having folding ring sections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
- A61M5/3273—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel freely sliding on needle shaft without connection to syringe or needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
- A61M5/3275—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel being connected to the needle hub or syringe by radially deflectable members, e.g. longitudinal slats, cords or bands
Definitions
- embodiments of the present invention are directed to a safety needle assembly of an infusion set for infusing fluids into a subcutaneously implanted access port.
- the needle assembly is configured to prevent fluid escape therefrom so as to reduce or prevent fluid exposure to a clinician using the needle assembly.
- the needle assembly comprises a handle portion including a needle extending therefrom, the needle defining a lumen for passage of a fluid therethrough.
- the needle assembly also includes a safety assembly defining a needle hole through which the needle initially extends.
- the safety assembly is axially slidable along the needle in order to shield a distal tip of the needle and prevent user contact therewith.
- a fluid isolation component is included in the safety assembly for isolating fluid escape from the needle to prevent exposure to a clinician.
- a self-sealing pad is included on the safety assembly base through which the needle initially penetrates. When it is later shielded by the safety assembly after use, the needle is also retracted back through the self sealing pad. The pad prevents any fluids that may have leaked from the distal opening of the needle from passing through the pad and escaping the needle assembly, thus preventing unintended exposure to the clinician.
- FIG. 1 is a perspective view of an infusion set including a safety needle assembly according to one embodiment
- FIG. 2 is a side view of the needle assembly of FIG. 1 ;
- FIGS. 3A-3C show actuation of needle assembly of FIG. 1 ;
- FIG. 4 shows a perspective view of an infusion set including a safety needle assembly in a first configuration according to one embodiment
- FIG. 5 shows a perspective view of the infusion set of FIG. 4 with the safety needle assembly in a second configuration
- FIGS. 6A-6C show actuation of the safety needle assembly of FIGS. 4 and 5
- FIGS. 7A-7C shows actuation of a safety needle assembly according to another embodiment
- FIGS. 8A and 8B show a bottom view of a safety needle assembly including a fluid isolation component according to one embodiment
- FIGS. 9A and 9B are cross sectional side views of a safety needle assembly including a fluid isolation component according to one embodiment
- FIG. 10 is a cross sectional side view of a safety needle assembly including a fluid isolation component according to one embodiment
- FIG. 11 is a perspective view of a safety needle assembly according to one embodiment
- FIGS. 12A and 12B are bottom views of the safety needle assembly of FIG. 11 ;
- FIG. 13 is a top view of a shutter of the safety needle assembly of FIG. 10 , including a fluid isolation component according to one embodiment;
- FIG. 14 is a perspective view of the shutter of FIG. 13 including the fluid isolation component
- FIG. 15 is a cross sectional side view of a safety needle assembly according to one embodiment
- FIGS. 16A and 16B are various views of a safety needle assembly according to one embodiment
- FIG. 17 is a cross sectional side view of a luer connector including a fluid isolation component according to one embodiment
- FIGS. 18A-18B are cross sectional side views of the luer connector of FIG. 17 during use;
- FIGS. 19A and 19B show various views of a fluid isolation component together with an infusion set, according to one embodiment
- FIG. 20 is a bottom view of a safety needle assembly including a fluid isolation component according to one embodiment
- FIGS. 21A and 21B are various views of a needle assembly including a self-sealing pad according to one embodiment
- FIGS. 22A and 22B are various views of the self-sealing pad of FIGS. 21A and 21B ;
- FIGS. 23A and 23B are various views of the needle assembly of FIGS. 21A and 21B ;
- FIG. 24 is a perspective view of a self-sealing pad according to one embodiment.
- proximal refers to a direction relatively closer to a clinician using the device to be described herein
- distal refers to a direction relatively further from the clinician.
- end of a needle placed within the body of a patient is considered a distal end of the needle, while the needle end remaining outside the body is a proximal end of the needle.
- the words “including,” “has,” and “having,” as used herein, including the claims, shall have the same meaning as the word “comprising.”
- Embodiments of the present invention are generally directed to a safety infusion set and accompanying needle assembly for infusing fluids, such as chemotherapy agents or other medicaments for example, into an access port or other medical device subcutaneously implanted into the body of a patient.
- the infusion set and/or needle assembly includes one or more components for isolation of the fluid, including vapors thereof, which may otherwise leak from a needle or other portion of the infusion set. This in turn reduces or prevents possible clinician exposure to the fluid/vapors, which in some cases may be hazardous. Potential harm to the clinician is therefore reduced.
- FIG. 1 depicts an infusion set generally designated at 10 , including a safety needle assembly (“needle assembly”) 20 and one or more extension legs 24 .
- the infusion set 10 is employed to gain access to a subcutaneously implanted access port or other device disposed below the skin of a patient in order to infuse medicaments or other fluids into the patient, and to withdraw fluids therefrom.
- a luer connector 26 is included on a proximal end of the extension leg 24 so as to enable the infusion set 10 to be placed into fluid communication with a fluid delivery device or system.
- a cap 28 can be disposed in the luer connector 26 to cover the opening thereof.
- FIG. 1 shows that the needle assembly 20 includes a needle 30 extending from a handle 44 and in fluid communication with the tubing of the extension leg 24 .
- a needle safety component 40 is also included in the needle assembly 20 , including dual extensible wings that are hinged so as to be selectively extended to substantially cover the length of the needle 30 and isolate a distal end 30 A thereof after use of the needle assembly 20 in order to prevent an unintended needle stick of the clinician by the needle tip. Examples of such a hinged safety assembly can be found in U.S. Pat. No. 5,951,522, which is incorporated herein by reference in its entirety.
- the needle assembly 20 further includes a fluid isolation component 50 for isolating any fluid or vapor that may unintentionally escape from the needle 30 during use of the needle assembly.
- the fluid isolation component 50 in the present embodiment includes absorbent pads 52 disposed on an inner surface 42 A of each wing 42 of the needle safety component 40 .
- the pads 52 are disposed such that when the wings 42 of the needle safety component 40 are deployed to cover the distal tip 30 A of the needle 30 ( FIG. 2 ), the pads sandwich the body and distal tip of the needle therebetween. Any fluid present on an external surface of the needle or any fluid/vapor leaking from the distal end thereof is captured and absorbed by the pads 52 , thus preventing escape of the fluid, which as mentioned above may contain hazardous substances. This in turn protects the clinician from fluid exposure.
- FIGS. 3A-3C show the manner in which the wings 42 of the needle safety component 40 extend to cover the needle 30 and its distal tip 30 A, and additionally the manner in which the pads 52 sandwich and partially encapsulate the needle 30 , including its external surfaces and its distal tip 30 A, to prevent fluid/vapor escape.
- the pads 52 can include an absorbent foam and/or rubber material, though many other suitable materials can be employed, including activated charcoal, etc.
- FIGS. 4 and 5 show the infusion set 10 including a needle assembly 120 according to another embodiment, wherein the needle assembly includes a handle portion 122 with handles 124 extending therefrom.
- a needle 130 extends from the handle portion 122 and initially through a safety assembly 134 that is slidably disposed with respect to the needle 130 so as to be axially slidable therewith.
- the safety assembly 134 includes a base 136 that houses a needle safety component 140 ( FIGS. 8A , 8 B) for shielding a distal tip 130 A of the needle 130 when use of the needle assembly is complete.
- the needle assembly 120 further includes a fluid isolation component 150 for isolating any fluid or vapor that may unintentionally escape from the needle 130 during use of the needle assembly.
- the fluid isolation component 150 in the present embodiment includes a conically shaped, extensible shroud 152 disposed about the body of the needle 130 and extending between the handle portion 122 and the axially slidable safety assembly 134 .
- the shroud 152 forms a hollow cone about the needle 130 and is corrugated with corrugations 154 in a bellows-like manner to enable it to fold up compactly when the safety assembly 134 is undeployed ( FIG.
- FIGS. 6A-6C depict the manner of deployment of the safety assembly 134 and the extension of the corrugated shroud 152 .
- the shroud 152 assists in isolating fluids/vapors present on the needle 130 or emitted from the needle distal tip 130 A from contact with the clinician.
- the shroud 152 as the fluid isolation component 150 can include other configurations.
- One such configuration is shown in FIGS. 7A-7C , wherein the shroud includes a plurality of interlocked, telescoping segments that are extendible to cover and encompass the needle body when the safety assembly 134 is deployed ( FIG. 7C ).
- the telescoping segments 156 are stacked together, as shown in FIG. 7A .
- these and other configurations for encompassing the needle body illustrate manners by which a fluid isolation component can isolate the needle body and tip in order to prevent fluid exposure to clinician.
- FIGS. 8A and 8B depict details of the needle safety component 140 of the needle assembly 120 of FIGS. 4-7C . Particularly, FIGS. 8A and 8B depict bottom views of the needle assembly 120 .
- the needle safety component 140 is shown, including a coiled wire torsion spring 160 included within the base 136 of the safety assembly 134 .
- the spring includes at one end thereof an obstruction component, i.e., a looped portion 162 that is biased to lie against the needle 130 when the needle extends through a hole 136 A defined in the base 136 of the safety assembly 134 , as shown in FIG. 8A .
- FIG. 8A depict details of the needle safety component 140 of the needle assembly 120 of FIGS. 4-7C .
- FIGS. 8A and 8B depict bottom views of the needle assembly 120 .
- the needle safety component 140 is shown, including a coiled wire torsion spring 160 included within the base 136 of the safety assembly 134 .
- the spring includes at one end thereof an obstruction component
- the spring 160 expands such that the looped portion 162 slides over the needle hole 136 A to prevent re-emergence of the needle distal tip.
- a fluid isolation component 170 is included with the spring 160 for isolating any fluid or vapor that may unintentionally escape from the needle 130 during use of the needle assembly.
- the fluid isolation component 170 includes a shield 172 , shown in FIGS. 8A and 8B , which is attached proximate the looped portion 162 of the spring 160 .
- the shield fully covers and occludes the hole so as to prevent any fluid/vapor leaking from the distal tip of the needle from exiting through the hole and potentially contaminating the environment or clinician.
- the shield 172 thus serves to occlude the hole 136 A and isolate any fluids/vapors from the clinician.
- the particular size, shape, and configuration of the shield can vary from what is shown and described herein, as can the particular configuration of the needle assembly.
- the shield can include an absorbent material so as to absorb any leaked fluid.
- FIGS. 9A and 9B depict details of the needle assembly 120 according to another embodiment, including a fluid isolation component 180 for isolating any fluid or vapor that may unintentionally escape from the needle 130 during use of the needle assembly.
- the fluid isolation component 180 in the present embodiment includes a cylindrical absorption plug 182 included with the axially slidable safety assembly 134 of the needle assembly 120 and including a central cavity so as to be positioned about a portion of the body of the needle 130 ( FIG. 9A ).
- the central cavity of the plug 182 is sized such that the plug is able to wipe the outer surface of the body of the needle 130 as the safety assembly 134 is axially slid down the needle toward the distal tip 130 A thereof, thus removing fluid from the outer needle surface and capturing it in the plug itself.
- the plug 182 is positioned about the distal opening of the lumen of the needle 130 so as to catch and absorb any fluids/vapors emanating therefrom.
- the absorption plug can include a variety of size, type, and material configurations, and can be employed on a variety of needle-based devices where residual fluid/vapor capture is desired.
- the absorption member includes activated charcoal.
- other materials and membranes can be employed, including silica gel, clays, activated alumina, zeolites, 0.2 micron or other filtration material, etc. The description included herein is therefore not intended to limit the present disclosure in any way.
- FIG. 10 shows details of a fluid isolation component 200 according to another embodiment, including an absorption disk 202 included with the safety assembly 134 .
- the absorption disk 202 is disposed above the needle safety component 140 in the safety assembly base 136 and is slit to enable the needle 130 to pass therethrough. Extension of the safety assembly 134 down the length of the needle 130 enables the absorption disk 202 to wipe the outer needle surface so as to remove any fluid present thereon.
- the absorption disk 202 is positioned so as to absorb any fluid/vapor leaking from the distal lumen opening at the needle distal tip 130 A.
- the absorption disk 202 in one embodiment includes activated charcoal or other suitable, absorbent material as outlined above in connection with the absorption plug 182 shown in FIGS. 9A and 9B .
- the position, shape, thickness or other configuration of the absorption disk can vary from what is shown and described herein.
- FIGS. 11-12B depict various details of a needle assembly 220 that can include a fluid isolation component, according to one embodiment.
- the needle assembly 220 includes a handle portion 222 from which extends a needle 230 .
- the needle 230 initially extends through a safety assembly 234 that is slidably disposed with respect to the needle so as to be axially slidable therewith.
- the safety assembly 234 includes a base 236 that houses a needle safety component 240 ( FIGS. 12A , 12 B) for shielding a distal tip 230 A of the needle 230 when use of the needle assembly is complete.
- FIGS. 12A and 12B show that the needle safety component 234 includes two spring-based shutters 242 that each define a hole 244 through which the needle 230 passes when the needle extends through the safety assembly 234 and out a hole 236 A defined in the base 236 , such as in the configuration shown in FIG. 11 .
- the shutters 242 each further include a spring arm 246 .
- FIG. 12A when the safety assembly 234 is undeployed ( FIG. 11 ), the holes 244 of the shutters 242 are aligned so that the needle 230 passes therethrough. This constrains the shutters 242 and spring arms 246 into the configuration shown in FIG. 12A .
- the needle assembly 220 includes a fluid isolation component 250 for isolating any fluid or vapor that may unintentionally escape from the needle 130 during use of the needle assembly.
- the fluid isolation component 250 in the present embodiment includes an absorption pad 252 disposed on a backside of one or both of the shutters 242 of the safety assembly 234 . As shown in FIGS. 13 and 14 , the pad 252 is disposed on the shutter 242 so that the distal tip 230 A of the needle 230 rests against it after the distal tip has been withdrawn and shielded by the base 236 of the safety assembly 234 .
- the pad can include one or more of suitable materials including those listed above in connection with the embodiment of FIGS. 9A and 9B , silicone, rubber, etc. As shown, the pad can also be recessed within the shutter 242 so as to provide a basin for capture of the fluid, in one embodiment. Note that the pad and shutters can vary in size, number, shape, design, etc.
- FIG. 15 shows the needle assembly 220 including a fluid isolation component 260 according to one embodiment, wherein the fluid isolation component includes an O-ring 262 that is disposed within the safety assembly 234 about a portion of the needle 230 . So positioned, the O-ring 262 wipes the length of the needle 230 when the safety assembly 234 is axially slid down the needle in order to shield the needle distal tip 230 A.
- the O-ring 262 is sized such that its wiping action cleans the outer needle surface of any fluids that might otherwise be exposed to the clinician and prevents their escape from the safety assembly base 236 .
- the O-ring can be configured to be absorbent so as to soak up any fluid it comes into contact with during wiping of the needle. Note that the O-ring can be placed in other locations with respect to the needle safety assembly and that the needle housing and safety assembly can vary in configuration from what is shown.
- FIGS. 16A and 16B depict various details of a needle assembly 320 including a fluid isolation component, according to one embodiment.
- the needle assembly 320 includes a handle portion 322 from which extends a needle 330 .
- the needle 330 initially extends through a hole 344 defined in a safety assembly 334 that is pivotally movable with respect to the handle portion 322 and the needle 330 via a hinge point 338 .
- the safety assembly 334 houses a needle safety component 340 including a laterally slidable shutter 342 , disposed in a shutter cavity 346 , for shielding a distal tip 330 A of the needle 230 when use of the needle assembly is complete.
- a foam pad 354 is disposed on the bottom of the safety assembly 334 .
- the needle 330 is biased while residing in the hole 344 of the safety assembly 334 such that when the distal tip 330 A is withdrawn from the hole, the needle 330 urges the shutter 342 to laterally slide within the shutter cavity 346 , thus covering the hole and preventing re-emergence of the needle distal tip.
- the shutter itself can be biased to urge the needle distal tip laterally.
- the needle assembly 320 further includes a fluid isolation component, here configured as an extensible shroud 352 that extends about the needle 330 between the handle portion 322 and the safety assembly 334 to isolate the body of the needle and any vapors present therewith.
- a fluid isolation component here configured as an extensible shroud 352 that extends about the needle 330 between the handle portion 322 and the safety assembly 334 to isolate the body of the needle and any vapors present therewith.
- the shroud 352 provides isolation of fluids present on the needle 330 .
- the shutter 342 provides some fluid isolation as well.
- FIGS. 17-18B disclose a luer connector 426 including a fluid isolation component, according to one embodiment.
- the connector 426 is a female-type luer connector, though the principles described here can be extended to other connective or fluid-carrying components of an infusion set or other suitable fluid delivery medical device.
- the connector 426 Connected to the extension leg tubing 24 , the connector 426 includes a body that defines a cavity 428 suitable for receiving a male-type connector 456 ( FIGS. 18A , 18 B) therein.
- the connector 426 can include threads to enable the male connector 456 to threadably connect therewith.
- the cavity 428 defines a portion of a fluid pathway through the connector body.
- a fluid isolation component 450 is included in the connector 426 .
- the fluid isolation component 450 in the present embodiment includes a slit valve 452 that is disposed in the fluid pathway defined by the connector 426 .
- Other suitable types of valves may also be employed.
- FIGS. 19A and 19B depict another example of a fluid isolation component for preventing unintended contact with fluid or vapors resulting from use of an infusion set.
- an infusion set 10 is shown, including a needle assembly 220 , extension leg tubing 24 , and luer connector 26 .
- a fluid isolation component 470 which in the present embodiment includes a bag 472 of plastic or other substantially fluid-impermeable material.
- the bag includes a sealable open end 474 and a closed end 476 .
- the bag 472 is attached to the tubing 24 of the infusion set 10 or other suitable component thereof via and adhesive strip 478 or other suitable connective apparatus.
- the bag 472 is initially inside-out before use of the infusion set 10 . Once use of the infusion set 10 has ended, the user reaches a hand through the open end 474 of the bag 472 and pulls the infusion set into the bag, turning the bag right side-out in the process. Once the infusion set 10 is fully within the bag 472 , the open end 474 of the bag 472 is sealed, as seen in FIG. 19B , thus isolating the user from any fluids or vapors included on the needle assembly 220 or any other portion of the infusion set 10 .
- the bag can be configured in one or more sizes and shapes, can include one-time, resealable, or other suitable type of sealing mechanism, and can be included with the infusion set in a variety of ways, both attached and detached thereto.
- the bag in the present embodiment is transparent, though in other embodiments it need not be.
- FIG. 20 depicts details of another possible fluid isolation component for use with the needle assembly 220 (shown in FIGS. 11-12B ), or another suitable needle assembly.
- a fluid isolation component 480 is disclosed, including an amount of suitable viscous oil 482 , such as silicone oil, interposed as a film between the shutters 242 .
- suitable viscous oil 482 such as silicone oil
- the oil 482 produces a fluid impermeable barrier layer between the shutters, thus preventing any fluid/vapor escaping the needle from escaping past the shutters.
- other barriers can be employed between the shutters, including a gasket, O-ring, other compliant/elastomeric member, etc.
- FIGS. 21A-24 depict various details regarding a fluid isolation component according to yet another embodiment, for use with a safety needle assembly.
- the fluid isolation component in the present embodiment includes a self-sealing pad that prevents unintended leakage of fluids (e.g., liquids, gases) from the needle after use of the needle assembly.
- the self-sealing pad thus prevents undesired exposure to clinicians of potentially hazardous substances.
- FIGS. 21A and 21B show the needle assembly 120 in similar configuration to that described further above in connection with FIGS. 5-6C .
- the needle assembly 120 includes a first needle assembly portion, i.e., the handle portion 122 , with handles 124 extending therefrom.
- the hollow needle 130 extends from the handle portion 122 and initially through the safety assembly 134 that is slidably disposed with respect to the needle 130 so as to be axially slidable therewith.
- the safety assembly 134 includes the base, also referred to herein as a second needle assembly portion or the base portion 136 , which houses the needle safety component 140 ( FIGS. 8A , 8 B) for shielding the distal tip 130 A of the needle 130 when use of the needle assembly is complete.
- the needle assembly 120 further includes a first fluid isolation component 150 for isolating any fluid or vapor that may unintentionally escape from the needle 130 during use of the needle assembly.
- the first fluid isolation component 150 includes the conically shaped, extensible shroud 152 disposed about the body of the needle 130 and extending between the handle portion 122 and the axially slidable safety assembly 134 of the base portion 136 .
- the shroud 152 forms a hollow cone about the needle 130 and is corrugated with corrugations 154 in a bellows-like manner to enable it to fold up compactly when the safety assembly 134 is undeployed ( FIG. 4 ) and to extend to cover and substantially encompass the needle 30 when the safety assembly 134 is deployed ( FIG. 5 ).
- the shroud 152 assists in isolating fluids/vapors present on the needle 130 or emitted from the needle distal tip 130 A from contact with the clinician.
- FIGS. 21A-21B further show a self-sealing pad 500 disposed on a bottom external surface of the base portion 136 .
- the pad 500 includes a self-sealing material that enables the needle 130 to extend therethrough, as seen in FIG. 21A (also referred to as the first needle position), but seals when the needle is retracted back through the pad via separation of the base portion 136 from the handle portion 122 , as seen in FIG. 21B (also referred to as the second needle position).
- FIG. 21A also referred to as the first needle position
- FIG. 21B also referred to as the second needle position
- the full extension of the base portion 136 from the handle portion 122 causes the distal tip 130 A of the needle 130 to be drawn through the pad 500 such that the distal tip is shielded within the base portion, in particular, shielded by the needle safety component 140 .
- the pad 500 substantially seals the hole through which the needle 130 was disposed during needle assembly use, thus preventing any fluid leakage from the distal opening of the needle 130 to escape the base portion 136 , as desired.
- the self-sealing pad 500 can be included with needle assemblies and infusion sets of a variety of configurations in addition to those discussed herein.
- FIGS. 22A and 22B depict various features of the self-sealing pad 500 according to the present embodiment.
- the pad 500 includes a body 502 shaped to conform to the shape of the base 136 , though in other embodiments the pad could include other shaped configurations.
- the body 502 defines an upper surface 502 A that is configured to mate with the base portion 136 and a bottom surface 502 B that serves as a skin-contacting surface for the needle assembly 120 .
- a groove 504 is defined about the perimeter and configured in the present embodiment to receive therein a corresponding protruded surface 506 defined on a bottom surface of the base portion 136 .
- the receipt of the protruded surface 506 by the groove 504 assists in maintaining engagement of the pad 500 with the base portion 136 , in one embodiment.
- the pad 500 can be affixed to the base portion 136 via a suitable adhesive or by other suitable methods, including mechanical fixation.
- the pad 500 includes silicone, though other self-sealing materials, plastics, and elastomers can be employed.
- a liquid silicone rubber (“LSR”) that is injection molded then cured is employed to form the pad 500 . So configured, the skin-contacting bottom surface 502 B of the pad 500 provides a compliant surface to rest against the skin of the patient during use of the needle assembly 120 .
- the pad body 502 further defines a centrally disposed raised portion 508 , best seen in FIGS. 22A and 22B , which is shaped so as to compressively fit within an opening 136 A that is defined in the base portion 136 .
- the raised portion 508 of the pad 500 is disposed within the opening 136 A and is partially maintained in place via a compressive fit with the opening. So configured, the raised portion 508 acts as a septum to provide a robust fluid barrier when the needle 130 is withdrawn therethrough and shielded by the safety assembly 134 , which occurs when the base portion 136 is selectively extended from the handle portion 122 , as shown in FIG. 23B .
- the self-sealing pad 500 serves as a second fluid isolation component, together with the shroud 152 , for preventing fluid/vapor escape from the needle assembly.
- the shape and size of both the raised portion and the opening can vary from what is shown and described herein.
- the distal tip 130 A of the needle 130 fully withdraws from the raised portion 508 , though in other embodiments the distal tip can remain in the raised portion 508 after shielding thereof by the safety assembly.
- An example of the latter configuration would include the distal tip of the needle retracting fully from the lower surface 502 B of the pad body while still residing within raised portion 508 of the pad.
- the self-sealing pad can be configured in other ways.
- FIG. 24 shows the bottom surface 502 B as including a plurality of texture features 510 for increasing patient comfort while the needle assembly 120 is disposed on the skin of the patient.
- the self-sealing pad can be treated so as to offer antimicrobial/antibacterial properties.
- the bottom surface of the self-sealing pad can include an adhesive material to enable the pad to act as a securement device in maintaining the infusion set in place at a desired position on the patient's skin during use of the needle assembly.
- the needle assembly and accompanying infusion set can include one of many possible shapes, sizes, and configurations in addition to those shown and discussed herein.
Abstract
A safety needle assembly of an infusion set is disclosed. The needle assembly is configured to prevent fluid/vapor escape therefrom so as to reduce or prevent fluid exposure to a clinician using the needle assembly. In one embodiment, the needle assembly comprises a handle portion including a needle extending therefrom, the needle defining a lumen for passage of a fluid therethrough. The needle assembly also includes a safety assembly defining a needle hole through which the needle initially extends. The safety assembly is selectively and axially slidable along the needle in order to shield a distal tip of the needle and prevent user contact therewith. A fluid isolation component is included in the safety assembly for isolating fluid escape from the needle. In one embodiment, the fluid isolation component includes a self-sealing pad that prevents needle leakage when the distal tip is shielded by the safety assembly.
Description
- This application is a continuation-in-part of U.S. patent application Ser. No. 13/229,573, filed Sep. 9, 2011, and titled “Systems for Isolation of a Needle-Based Infusion Set,” which claims the benefit of U.S. Provisional Patent Application No. 61/381,762, filed Sep. 10, 2010, and titled “Systems for Isolation of Infusion Needles.” This application also claims the benefit of U.S. Provisional Patent Application No. 61/721,412, filed Nov. 1, 2012, and titled “Self-Sealing Pad for Needle-Based Infusion Set.” Each of the foregoing applications is incorporated herein by reference in its entirety.
- Briefly summarized, embodiments of the present invention are directed to a safety needle assembly of an infusion set for infusing fluids into a subcutaneously implanted access port. The needle assembly is configured to prevent fluid escape therefrom so as to reduce or prevent fluid exposure to a clinician using the needle assembly.
- In one embodiment, the needle assembly comprises a handle portion including a needle extending therefrom, the needle defining a lumen for passage of a fluid therethrough. The needle assembly also includes a safety assembly defining a needle hole through which the needle initially extends. The safety assembly is axially slidable along the needle in order to shield a distal tip of the needle and prevent user contact therewith. A fluid isolation component is included in the safety assembly for isolating fluid escape from the needle to prevent exposure to a clinician.
- In one embodiment, a self-sealing pad is included on the safety assembly base through which the needle initially penetrates. When it is later shielded by the safety assembly after use, the needle is also retracted back through the self sealing pad. The pad prevents any fluids that may have leaked from the distal opening of the needle from passing through the pad and escaping the needle assembly, thus preventing unintended exposure to the clinician.
- These and other features of embodiments of the present invention will become more fully apparent from the following description and appended claims, or may be learned by the practice of embodiments of the invention as set forth hereinafter.
- A more particular description of the present disclosure will be rendered by reference to specific embodiments thereof that are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. Example embodiments of the invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
-
FIG. 1 is a perspective view of an infusion set including a safety needle assembly according to one embodiment; -
FIG. 2 is a side view of the needle assembly ofFIG. 1 ; -
FIGS. 3A-3C show actuation of needle assembly ofFIG. 1 ; -
FIG. 4 shows a perspective view of an infusion set including a safety needle assembly in a first configuration according to one embodiment; -
FIG. 5 shows a perspective view of the infusion set ofFIG. 4 with the safety needle assembly in a second configuration; -
FIGS. 6A-6C show actuation of the safety needle assembly ofFIGS. 4 and 5 -
FIGS. 7A-7C shows actuation of a safety needle assembly according to another embodiment; -
FIGS. 8A and 8B show a bottom view of a safety needle assembly including a fluid isolation component according to one embodiment; -
FIGS. 9A and 9B are cross sectional side views of a safety needle assembly including a fluid isolation component according to one embodiment; -
FIG. 10 is a cross sectional side view of a safety needle assembly including a fluid isolation component according to one embodiment; -
FIG. 11 is a perspective view of a safety needle assembly according to one embodiment; -
FIGS. 12A and 12B are bottom views of the safety needle assembly ofFIG. 11 ; -
FIG. 13 is a top view of a shutter of the safety needle assembly ofFIG. 10 , including a fluid isolation component according to one embodiment; -
FIG. 14 is a perspective view of the shutter ofFIG. 13 including the fluid isolation component; -
FIG. 15 is a cross sectional side view of a safety needle assembly according to one embodiment; -
FIGS. 16A and 16B are various views of a safety needle assembly according to one embodiment; -
FIG. 17 is a cross sectional side view of a luer connector including a fluid isolation component according to one embodiment; -
FIGS. 18A-18B are cross sectional side views of the luer connector ofFIG. 17 during use; -
FIGS. 19A and 19B show various views of a fluid isolation component together with an infusion set, according to one embodiment; -
FIG. 20 is a bottom view of a safety needle assembly including a fluid isolation component according to one embodiment; -
FIGS. 21A and 21B are various views of a needle assembly including a self-sealing pad according to one embodiment; -
FIGS. 22A and 22B are various views of the self-sealing pad ofFIGS. 21A and 21B ; -
FIGS. 23A and 23B are various views of the needle assembly ofFIGS. 21A and 21B ; and -
FIG. 24 is a perspective view of a self-sealing pad according to one embodiment. - Reference will now be made to figures wherein like structures will be provided with like reference designations. It is understood that the drawings are diagrammatic and schematic representations of exemplary embodiments of the present invention, and are neither limiting nor necessarily drawn to scale.
- For clarity it is to be understood that the word “proximal” refers to a direction relatively closer to a clinician using the device to be described herein, while the word “distal” refers to a direction relatively further from the clinician. For example, the end of a needle placed within the body of a patient is considered a distal end of the needle, while the needle end remaining outside the body is a proximal end of the needle. Also, the words “including,” “has,” and “having,” as used herein, including the claims, shall have the same meaning as the word “comprising.”
- Embodiments of the present invention are generally directed to a safety infusion set and accompanying needle assembly for infusing fluids, such as chemotherapy agents or other medicaments for example, into an access port or other medical device subcutaneously implanted into the body of a patient. The infusion set and/or needle assembly includes one or more components for isolation of the fluid, including vapors thereof, which may otherwise leak from a needle or other portion of the infusion set. This in turn reduces or prevents possible clinician exposure to the fluid/vapors, which in some cases may be hazardous. Potential harm to the clinician is therefore reduced.
- Reference is first made to
FIG. 1 , which depicts an infusion set generally designated at 10, including a safety needle assembly (“needle assembly”) 20 and one ormore extension legs 24. The infusion set 10 is employed to gain access to a subcutaneously implanted access port or other device disposed below the skin of a patient in order to infuse medicaments or other fluids into the patient, and to withdraw fluids therefrom. Aluer connector 26 is included on a proximal end of theextension leg 24 so as to enable the infusion set 10 to be placed into fluid communication with a fluid delivery device or system. Acap 28 can be disposed in theluer connector 26 to cover the opening thereof. -
FIG. 1 shows that theneedle assembly 20 includes aneedle 30 extending from ahandle 44 and in fluid communication with the tubing of theextension leg 24. Aneedle safety component 40 is also included in theneedle assembly 20, including dual extensible wings that are hinged so as to be selectively extended to substantially cover the length of theneedle 30 and isolate adistal end 30A thereof after use of theneedle assembly 20 in order to prevent an unintended needle stick of the clinician by the needle tip. Examples of such a hinged safety assembly can be found in U.S. Pat. No. 5,951,522, which is incorporated herein by reference in its entirety. - As best seen in
FIG. 2 , theneedle assembly 20 further includes afluid isolation component 50 for isolating any fluid or vapor that may unintentionally escape from theneedle 30 during use of the needle assembly. Specifically, thefluid isolation component 50 in the present embodiment includesabsorbent pads 52 disposed on aninner surface 42A of eachwing 42 of theneedle safety component 40. Thepads 52 are disposed such that when thewings 42 of theneedle safety component 40 are deployed to cover thedistal tip 30A of the needle 30 (FIG. 2 ), the pads sandwich the body and distal tip of the needle therebetween. Any fluid present on an external surface of the needle or any fluid/vapor leaking from the distal end thereof is captured and absorbed by thepads 52, thus preventing escape of the fluid, which as mentioned above may contain hazardous substances. This in turn protects the clinician from fluid exposure. -
FIGS. 3A-3C show the manner in which thewings 42 of theneedle safety component 40 extend to cover theneedle 30 and itsdistal tip 30A, and additionally the manner in which thepads 52 sandwich and partially encapsulate theneedle 30, including its external surfaces and itsdistal tip 30A, to prevent fluid/vapor escape. In one embodiment, thepads 52 can include an absorbent foam and/or rubber material, though many other suitable materials can be employed, including activated charcoal, etc. -
FIGS. 4 and 5 show the infusion set 10 including aneedle assembly 120 according to another embodiment, wherein the needle assembly includes ahandle portion 122 withhandles 124 extending therefrom. Aneedle 130 extends from thehandle portion 122 and initially through asafety assembly 134 that is slidably disposed with respect to theneedle 130 so as to be axially slidable therewith. Thesafety assembly 134 includes a base 136 that houses a needle safety component 140 (FIGS. 8A , 8B) for shielding adistal tip 130A of theneedle 130 when use of the needle assembly is complete. - The
needle assembly 120 further includes afluid isolation component 150 for isolating any fluid or vapor that may unintentionally escape from theneedle 130 during use of the needle assembly. Specifically, thefluid isolation component 150 in the present embodiment includes a conically shaped,extensible shroud 152 disposed about the body of theneedle 130 and extending between thehandle portion 122 and the axiallyslidable safety assembly 134. Including plastic such as PET or other substantially impermeable, collapsible, and suitable durable material, theshroud 152 forms a hollow cone about theneedle 130 and is corrugated withcorrugations 154 in a bellows-like manner to enable it to fold up compactly when thesafety assembly 134 is undeployed (FIG. 4 ) and to extend to cover and substantially encompass theneedle 30 when thesafety assembly 134 is deployed (FIG. 5 ), i.e., the safety assembly is axially slid down theneedle 130 toward thedistal tip 130A such that theneedle safety component 140 shields the distal tip.FIGS. 6A-6C depict the manner of deployment of thesafety assembly 134 and the extension of thecorrugated shroud 152. In the extended state shown inFIGS. 5 and 6C , theshroud 152 assists in isolating fluids/vapors present on theneedle 130 or emitted from the needledistal tip 130A from contact with the clinician. - Note that examples of safety needles that can utilize principles discussed here and in other embodiments herein can be found in the following United States patent and patent applications: U.S. Pat. No. 7,717,888; Publication No. 2003/0114797; Publication No. 2008/0262434; and Publication No. 2010/0152677. Each of the afore-mentioned patents/patent applications is incorporated herein by reference in its entirety.
- The
shroud 152 as thefluid isolation component 150 can include other configurations. One such configuration is shown inFIGS. 7A-7C , wherein the shroud includes a plurality of interlocked, telescoping segments that are extendible to cover and encompass the needle body when thesafety assembly 134 is deployed (FIG. 7C ). When thesafety assembly 134 is undeployed, thetelescoping segments 156 are stacked together, as shown inFIG. 7A . Again, these and other configurations for encompassing the needle body illustrate manners by which a fluid isolation component can isolate the needle body and tip in order to prevent fluid exposure to clinician. -
FIGS. 8A and 8B depict details of theneedle safety component 140 of theneedle assembly 120 ofFIGS. 4-7C . Particularly,FIGS. 8A and 8B depict bottom views of theneedle assembly 120. Theneedle safety component 140 is shown, including a coiledwire torsion spring 160 included within thebase 136 of thesafety assembly 134. The spring includes at one end thereof an obstruction component, i.e., a loopedportion 162 that is biased to lie against theneedle 130 when the needle extends through ahole 136A defined in thebase 136 of thesafety assembly 134, as shown inFIG. 8A . As shown inFIG. 8B , once the distal tip of theneedle 130 is withdrawn into the base 136 in connection with extension of the safety assembly 134 (e.g.,FIGS. 5 , 6C, 7C), thespring 160 expands such that the loopedportion 162 slides over theneedle hole 136A to prevent re-emergence of the needle distal tip. - In addition, a
fluid isolation component 170 is included with thespring 160 for isolating any fluid or vapor that may unintentionally escape from theneedle 130 during use of the needle assembly. Specifically, thefluid isolation component 170 includes ashield 172, shown inFIGS. 8A and 8B , which is attached proximate the loopedportion 162 of thespring 160. Thus, when the loopedportion 162 slides over to prevent re-emergence of thedistal tip 130A of theneedle 130 through thehole 136A (FIG. 8B ), the shield fully covers and occludes the hole so as to prevent any fluid/vapor leaking from the distal tip of the needle from exiting through the hole and potentially contaminating the environment or clinician. Theshield 172 thus serves to occlude thehole 136A and isolate any fluids/vapors from the clinician. Note that the particular size, shape, and configuration of the shield can vary from what is shown and described herein, as can the particular configuration of the needle assembly. In one embodiment, it is appreciated that the shield can include an absorbent material so as to absorb any leaked fluid. -
FIGS. 9A and 9B depict details of theneedle assembly 120 according to another embodiment, including afluid isolation component 180 for isolating any fluid or vapor that may unintentionally escape from theneedle 130 during use of the needle assembly. As shown, thefluid isolation component 180 in the present embodiment includes acylindrical absorption plug 182 included with the axiallyslidable safety assembly 134 of theneedle assembly 120 and including a central cavity so as to be positioned about a portion of the body of the needle 130 (FIG. 9A ). The central cavity of theplug 182 is sized such that the plug is able to wipe the outer surface of the body of theneedle 130 as thesafety assembly 134 is axially slid down the needle toward thedistal tip 130A thereof, thus removing fluid from the outer needle surface and capturing it in the plug itself. In addition, once thesafety assembly 134 has fully shielded the needledistal tip 130A (FIG. 9B ), theplug 182 is positioned about the distal opening of the lumen of theneedle 130 so as to catch and absorb any fluids/vapors emanating therefrom. - It is appreciated that the absorption plug can include a variety of size, type, and material configurations, and can be employed on a variety of needle-based devices where residual fluid/vapor capture is desired. In one embodiment, for instance, the absorption member includes activated charcoal. In other embodiments, other materials and membranes can be employed, including silica gel, clays, activated alumina, zeolites, 0.2 micron or other filtration material, etc. The description included herein is therefore not intended to limit the present disclosure in any way.
-
FIG. 10 shows details of afluid isolation component 200 according to another embodiment, including anabsorption disk 202 included with thesafety assembly 134. Theabsorption disk 202 is disposed above theneedle safety component 140 in thesafety assembly base 136 and is slit to enable theneedle 130 to pass therethrough. Extension of thesafety assembly 134 down the length of theneedle 130 enables theabsorption disk 202 to wipe the outer needle surface so as to remove any fluid present thereon. In addition, once thesafety assembly 134 is fully extended to shield the needle 130 (FIG. 10 ), theabsorption disk 202 is positioned so as to absorb any fluid/vapor leaking from the distal lumen opening at the needledistal tip 130A. As with the previous embodiment, theabsorption disk 202 in one embodiment includes activated charcoal or other suitable, absorbent material as outlined above in connection with theabsorption plug 182 shown inFIGS. 9A and 9B . The position, shape, thickness or other configuration of the absorption disk can vary from what is shown and described herein. -
FIGS. 11-12B depict various details of aneedle assembly 220 that can include a fluid isolation component, according to one embodiment. As shown, theneedle assembly 220 includes ahandle portion 222 from which extends aneedle 230. Theneedle 230 initially extends through asafety assembly 234 that is slidably disposed with respect to the needle so as to be axially slidable therewith. Thesafety assembly 234 includes a base 236 that houses a needle safety component 240 (FIGS. 12A , 12B) for shielding adistal tip 230A of theneedle 230 when use of the needle assembly is complete. - In greater detail,
FIGS. 12A and 12B show that theneedle safety component 234 includes two spring-basedshutters 242 that each define ahole 244 through which theneedle 230 passes when the needle extends through thesafety assembly 234 and out ahole 236A defined in thebase 236, such as in the configuration shown inFIG. 11 . Theshutters 242 each further include aspring arm 246. As seen inFIG. 12A , when thesafety assembly 234 is undeployed (FIG. 11 ), theholes 244 of theshutters 242 are aligned so that theneedle 230 passes therethrough. This constrains theshutters 242 andspring arms 246 into the configuration shown inFIG. 12A . - When the
safety assembly 234 is actuated, however, it is slid down the length of theneedle 230 so as to cause the needledistal tip 230A to recede from thehole 236A and the shutter holes 244 so as to be shielded within thesafety assembly base 236. As shown inFIG. 12B , this causes theshutters 242 to no longer be constrained by theneedle 230 and enables theshutter spring arms 246 to slide the shutters laterally within thebase 236 so as to cover and occlude thehole 236A defined in the base, thus preventing reemergence of the needledistal tip 230A. Note that further information regarding this and other related needle safety assemblies can be found in U.S. Pat. No. 6,585,704 to Luther et al., entitled “Method of Retaining a Tip Protector on a Needle with a Curved Tip.” - In accordance with one embodiment the
needle assembly 220 includes afluid isolation component 250 for isolating any fluid or vapor that may unintentionally escape from theneedle 130 during use of the needle assembly. Specifically, thefluid isolation component 250 in the present embodiment includes anabsorption pad 252 disposed on a backside of one or both of theshutters 242 of thesafety assembly 234. As shown inFIGS. 13 and 14 , thepad 252 is disposed on theshutter 242 so that thedistal tip 230A of theneedle 230 rests against it after the distal tip has been withdrawn and shielded by thebase 236 of thesafety assembly 234. Should any fluid leak from the distal opening of the lumen of theneedle 230, it can be readily captured by thepad 252, thus preventing its escape outside of thesafety assembly 234. The pad can include one or more of suitable materials including those listed above in connection with the embodiment ofFIGS. 9A and 9B , silicone, rubber, etc. As shown, the pad can also be recessed within theshutter 242 so as to provide a basin for capture of the fluid, in one embodiment. Note that the pad and shutters can vary in size, number, shape, design, etc. -
FIG. 15 shows theneedle assembly 220 including afluid isolation component 260 according to one embodiment, wherein the fluid isolation component includes an O-ring 262 that is disposed within thesafety assembly 234 about a portion of theneedle 230. So positioned, the O-ring 262 wipes the length of theneedle 230 when thesafety assembly 234 is axially slid down the needle in order to shield the needledistal tip 230A. The O-ring 262 is sized such that its wiping action cleans the outer needle surface of any fluids that might otherwise be exposed to the clinician and prevents their escape from thesafety assembly base 236. In one embodiment, the O-ring can be configured to be absorbent so as to soak up any fluid it comes into contact with during wiping of the needle. Note that the O-ring can be placed in other locations with respect to the needle safety assembly and that the needle housing and safety assembly can vary in configuration from what is shown. -
FIGS. 16A and 16B depict various details of aneedle assembly 320 including a fluid isolation component, according to one embodiment. Theneedle assembly 320 includes ahandle portion 322 from which extends aneedle 330. Theneedle 330 initially extends through ahole 344 defined in asafety assembly 334 that is pivotally movable with respect to thehandle portion 322 and theneedle 330 via ahinge point 338. Thesafety assembly 334 houses aneedle safety component 340 including a laterallyslidable shutter 342, disposed in ashutter cavity 346, for shielding adistal tip 330A of theneedle 230 when use of the needle assembly is complete. Afoam pad 354 is disposed on the bottom of thesafety assembly 334. - As shown in
FIG. 16B , theneedle 330 is biased while residing in thehole 344 of thesafety assembly 334 such that when thedistal tip 330A is withdrawn from the hole, theneedle 330 urges theshutter 342 to laterally slide within theshutter cavity 346, thus covering the hole and preventing re-emergence of the needle distal tip. In another embodiment, the shutter itself can be biased to urge the needle distal tip laterally. - The
needle assembly 320 further includes a fluid isolation component, here configured as anextensible shroud 352 that extends about theneedle 330 between thehandle portion 322 and thesafety assembly 334 to isolate the body of the needle and any vapors present therewith. Thus, theshroud 352 provides isolation of fluids present on theneedle 330. In addition, theshutter 342 provides some fluid isolation as well. -
FIGS. 17-18B disclose aluer connector 426 including a fluid isolation component, according to one embodiment. As shown, theconnector 426 is a female-type luer connector, though the principles described here can be extended to other connective or fluid-carrying components of an infusion set or other suitable fluid delivery medical device. Connected to theextension leg tubing 24, theconnector 426 includes a body that defines acavity 428 suitable for receiving a male-type connector 456 (FIGS. 18A , 18B) therein. Theconnector 426 can include threads to enable themale connector 456 to threadably connect therewith. Thecavity 428 defines a portion of a fluid pathway through the connector body. - A
fluid isolation component 450 is included in theconnector 426. In particular, thefluid isolation component 450 in the present embodiment includes aslit valve 452 that is disposed in the fluid pathway defined by theconnector 426. Other suitable types of valves may also be employed. - As seen in
FIGS. 18A and 18B , when themale connector 456 is received but not fully seated within thecavity 428 of thefemale connector 426, thevalve 452 remains closed, thus isolating any fluid contained in theextension leg tubing 24 attached thereto. When themale connector 456 is fully inserted into thefemale connector 426, the distal end of the male connector engages and opens thevalve 452, thus allowing fluid flow therethrough. This configuration of theconnector 426 thus serves as one example a connector-based fluid isolation component; other configurations of this principle are contemplated. -
FIGS. 19A and 19B depict another example of a fluid isolation component for preventing unintended contact with fluid or vapors resulting from use of an infusion set. In particular, an infusion set 10 is shown, including aneedle assembly 220,extension leg tubing 24, andluer connector 26. Also shown is afluid isolation component 470, which in the present embodiment includes abag 472 of plastic or other substantially fluid-impermeable material. The bag includes a sealableopen end 474 and aclosed end 476. Thebag 472 is attached to thetubing 24 of the infusion set 10 or other suitable component thereof via andadhesive strip 478 or other suitable connective apparatus. - The
bag 472 is initially inside-out before use of the infusion set 10. Once use of the infusion set 10 has ended, the user reaches a hand through theopen end 474 of thebag 472 and pulls the infusion set into the bag, turning the bag right side-out in the process. Once the infusion set 10 is fully within thebag 472, theopen end 474 of thebag 472 is sealed, as seen inFIG. 19B , thus isolating the user from any fluids or vapors included on theneedle assembly 220 or any other portion of the infusion set 10. Note that the bag can be configured in one or more sizes and shapes, can include one-time, resealable, or other suitable type of sealing mechanism, and can be included with the infusion set in a variety of ways, both attached and detached thereto. The bag in the present embodiment is transparent, though in other embodiments it need not be. -
FIG. 20 depicts details of another possible fluid isolation component for use with the needle assembly 220 (shown inFIGS. 11-12B ), or another suitable needle assembly. In particular, afluid isolation component 480 is disclosed, including an amount of suitableviscous oil 482, such as silicone oil, interposed as a film between theshutters 242. When theneedle 230 is retracted from thehole 236A in theneedle assembly base 236, which retraction causes theshutters 242 to slide over and cover the hole, theoil 482 produces a fluid impermeable barrier layer between the shutters, thus preventing any fluid/vapor escaping the needle from escaping past the shutters. In other embodiments, other barriers can be employed between the shutters, including a gasket, O-ring, other compliant/elastomeric member, etc. -
FIGS. 21A-24 depict various details regarding a fluid isolation component according to yet another embodiment, for use with a safety needle assembly. As will be described, the fluid isolation component in the present embodiment includes a self-sealing pad that prevents unintended leakage of fluids (e.g., liquids, gases) from the needle after use of the needle assembly. The self-sealing pad thus prevents undesired exposure to clinicians of potentially hazardous substances. -
FIGS. 21A and 21B show theneedle assembly 120 in similar configuration to that described further above in connection withFIGS. 5-6C . As before, theneedle assembly 120 includes a first needle assembly portion, i.e., thehandle portion 122, withhandles 124 extending therefrom. Thehollow needle 130 extends from thehandle portion 122 and initially through thesafety assembly 134 that is slidably disposed with respect to theneedle 130 so as to be axially slidable therewith. Thesafety assembly 134 includes the base, also referred to herein as a second needle assembly portion or thebase portion 136, which houses the needle safety component 140 (FIGS. 8A , 8B) for shielding thedistal tip 130A of theneedle 130 when use of the needle assembly is complete. - As already described further above, the
needle assembly 120 further includes a firstfluid isolation component 150 for isolating any fluid or vapor that may unintentionally escape from theneedle 130 during use of the needle assembly. Specifically, the firstfluid isolation component 150 includes the conically shaped,extensible shroud 152 disposed about the body of theneedle 130 and extending between thehandle portion 122 and the axiallyslidable safety assembly 134 of thebase portion 136. Theshroud 152 forms a hollow cone about theneedle 130 and is corrugated withcorrugations 154 in a bellows-like manner to enable it to fold up compactly when thesafety assembly 134 is undeployed (FIG. 4 ) and to extend to cover and substantially encompass theneedle 30 when thesafety assembly 134 is deployed (FIG. 5 ). As already discussed. in the extended state shown inFIGS. 5 and 6C , theshroud 152 assists in isolating fluids/vapors present on theneedle 130 or emitted from the needledistal tip 130A from contact with the clinician. -
FIGS. 21A-21B further show a self-sealingpad 500 disposed on a bottom external surface of thebase portion 136. Thepad 500 includes a self-sealing material that enables theneedle 130 to extend therethrough, as seen inFIG. 21A (also referred to as the first needle position), but seals when the needle is retracted back through the pad via separation of thebase portion 136 from thehandle portion 122, as seen inFIG. 21B (also referred to as the second needle position). In particular, and as shown inFIG. 21B , the full extension of thebase portion 136 from thehandle portion 122 causes thedistal tip 130A of theneedle 130 to be drawn through thepad 500 such that the distal tip is shielded within the base portion, in particular, shielded by theneedle safety component 140. Because of its self-sealing characteristics, thepad 500 substantially seals the hole through which theneedle 130 was disposed during needle assembly use, thus preventing any fluid leakage from the distal opening of theneedle 130 to escape thebase portion 136, as desired. Note that, though shown and described herein in connection with theneedle assembly 120, the self-sealingpad 500 can be included with needle assemblies and infusion sets of a variety of configurations in addition to those discussed herein. -
FIGS. 22A and 22B depict various features of the self-sealingpad 500 according to the present embodiment. As shown, thepad 500 includes abody 502 shaped to conform to the shape of thebase 136, though in other embodiments the pad could include other shaped configurations. Thebody 502 defines anupper surface 502A that is configured to mate with thebase portion 136 and abottom surface 502B that serves as a skin-contacting surface for theneedle assembly 120. - A
groove 504 is defined about the perimeter and configured in the present embodiment to receive therein a corresponding protrudedsurface 506 defined on a bottom surface of thebase portion 136. The receipt of the protrudedsurface 506 by thegroove 504 assists in maintaining engagement of thepad 500 with thebase portion 136, in one embodiment. Thepad 500 can be affixed to thebase portion 136 via a suitable adhesive or by other suitable methods, including mechanical fixation. - In one embodiment, the
pad 500 includes silicone, though other self-sealing materials, plastics, and elastomers can be employed. In one embodiment, a liquid silicone rubber (“LSR”) that is injection molded then cured is employed to form thepad 500. So configured, the skin-contactingbottom surface 502B of thepad 500 provides a compliant surface to rest against the skin of the patient during use of theneedle assembly 120. - The
pad body 502 further defines a centrally disposed raisedportion 508, best seen inFIGS. 22A and 22B , which is shaped so as to compressively fit within anopening 136A that is defined in thebase portion 136. As shown inFIGS. 23A and 23B , the raisedportion 508 of thepad 500 is disposed within theopening 136A and is partially maintained in place via a compressive fit with the opening. So configured, the raisedportion 508 acts as a septum to provide a robust fluid barrier when theneedle 130 is withdrawn therethrough and shielded by thesafety assembly 134, which occurs when thebase portion 136 is selectively extended from thehandle portion 122, as shown inFIG. 23B . Indeed, compression of the raisedportion 508 by theopening 136A assists in the self-sealing characteristics of thepad 500 when theneedle 130 is retracted, in one embodiment. Thus, the self-sealingpad 500 serves as a second fluid isolation component, together with theshroud 152, for preventing fluid/vapor escape from the needle assembly. The shape and size of both the raised portion and the opening can vary from what is shown and described herein. In the present embodiment, thedistal tip 130A of theneedle 130 fully withdraws from the raisedportion 508, though in other embodiments the distal tip can remain in the raisedportion 508 after shielding thereof by the safety assembly. An example of the latter configuration would include the distal tip of the needle retracting fully from thelower surface 502B of the pad body while still residing within raisedportion 508 of the pad. - The self-sealing pad can be configured in other ways. For instance,
FIG. 24 shows thebottom surface 502B as including a plurality of texture features 510 for increasing patient comfort while theneedle assembly 120 is disposed on the skin of the patient. Also, in one embodiment, it is appreciated that the self-sealing pad can be treated so as to offer antimicrobial/antibacterial properties. Further, in one embodiment, the bottom surface of the self-sealing pad can include an adhesive material to enable the pad to act as a securement device in maintaining the infusion set in place at a desired position on the patient's skin during use of the needle assembly. It is further appreciated that the needle assembly and accompanying infusion set can include one of many possible shapes, sizes, and configurations in addition to those shown and discussed herein. - Embodiments of the invention may be embodied in other specific forms without departing from the spirit of the present disclosure. The described embodiments are to be considered in all respects only as illustrative, not restrictive. The scope of the embodiments is, therefore, indicated by the appended claims rather than by the foregoing description. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.
Claims (29)
1. A needle assembly, comprising:
a first needle assembly portion;
a hollow needle included with the first needle assembly portion, the needle suitable for passing fluids therethrough;
a second needle assembly portion selectively extensible from the first needle assembly portion between a first position and a second position, wherein a distal tip of the needle extends through the second needle assembly when in the first position and wherein the distal tip of the needle is shielded by the second needle assembly when in the second position; and
a self-sealing pad included on the second needle assembly portion, wherein the distal tip of the needle extends through the pad when the second needle assembly is in the first position and wherein the distal tip of the needle retracts from at least a surface of the pad when the second needle assembly portion is extended to the second position, the self-sealing pad preventing fluids that leak from the needle from escaping through the pad after retraction of the needle from the pad.
2. The needle assembly as defined in claim 1 , wherein the first needle assembly portion includes a handle portion and wherein the second needle assembly portion includes a base portion.
3. The needle assembly as defined in claim 2 , wherein the base portion includes a needle safety assembly for shielding the distal tip of the needle.
4. The needle assembly as defined in claim 2 , wherein the pad is interposed between the base portion and the skin of a patient during use of the needle assembly.
5. The needle assembly as defined in claim 4 , wherein the pad further includes a groove that receives a protruding surface of the base portion.
6. The needle assembly as defined in claim 1 , further comprising an extensible shroud that interconnects the first and second needle assembly portions and shrouds the needle to prevent escape of fluids from the needle assembly.
7. The needle assembly as defined in claim 6 , wherein the shroud includes a corrugated configuration.
8. The needle assembly as defined in claim 1 , wherein the pad includes an elastomer.
9. The needle assembly as defined in claim 8 , wherein the pad includes silicone.
10. The needle assembly as defined in claim 1 , wherein the pad includes a raised portion through which the needle initially passes, the raised portion compressively received within a hole defined by the second needle assembly portion.
11. The needle assembly as defined in claim 1 , wherein the distal tip of the needle is fully retracted from the pad when the second needle assembly portion is extended to the second position.
12. The needle assembly as defined in claim 1 , wherein the body of the pad includes a generally flattened shape.
13. The needle assembly as defined in claim 1 , wherein a bottom skin-contacting surface of the pad is smooth.
14. The needle assembly as defined in claim 1 , wherein a bottom skin-contacting surface of the pad includes a textured surface.
15. A method for using a needle assembly, the method comprising:
providing a needle assembly as defined in claim 1 ;
inserting the needle into a patient body while the second needle assembly portion is in the first position; and
retracting the needle from the patient body via moving the second needle assembly portion into the second position, wherein movement of the second needle assembly portion into the second position retracts the needle from the self-sealing pad so as prevent any fluids that leak from the needle from escaping the needle assembly through the pad.
16. The method for using as defined in claim 15 , wherein retracting the second needle assembly portion into the second portion causes a safety assembly included with the second needle assembly portion to shield the distal tip of the needle and prevent user contact therewith.
17. The method for using as defined in claim 15 , wherein providing the needle assembly further includes adding an antimicrobial component to the self-sealing pad.
18. The method for using as defined in claim 15 , wherein inserting the needle further includes temporarily adhering the self-sealing pad of the second needle assembly to the skin of the patient.
19. A needle assembly, comprising:
a handle portion including a hollow needle;
a base portion through which the needle initially extends, the base portion being selectively and axially slidable along the needle and including a safety assembly to shield a distal tip of the needle;
an extensible shroud extending between the handle portion and the base portion so as to enclose a substantial portion of the needle when the base portion is slid to shield the distal tip of the needle; and
a self-sealing pad disposed on a bottom surface of the base portion, the needle initially extending through the pad, the needle retracting from the pad when the base portion is slid to shield the distal tip of the needle, the pad sealing when the needle is retracted therefrom so as to prevent fluids that escape from the needle from escaping through the pad.
20. The needle assembly as defined in claim 19 , wherein the needle assembly is part of an infusion set and wherein the shroud and the pad prevent escape of fluids passed through the needle from escaping the needle assembly when the distal tip of the needle is shielded.
21. The needle assembly as defined in claim 20 , wherein the pad is interposed between the base portion and the skin of a patient during use of the needle assembly.
22. The needle assembly as defined in claim 21 , wherein the shroud includes a corrugated configuration.
23. The needle assembly as defined in claim 22 , wherein the pad includes silicone.
24. The needle assembly as defined in claim 23 , wherein the pad includes a raised portion through which the needle initially passes, the raised portion compressively disposed within a hole defined by the base portion.
25. The needle assembly as defined in claim 19 , wherein the distal tip of the needle is fully retracted from the pad when the second needle assembly portion is extended to the second position.
26. The needle assembly as defined in claim 19 , wherein at least a bottom surface of the pad includes an antimicrobial component.
27. The needle assembly as defined in claim 19 , wherein a bottom surface of the pad includes an adhesive.
28. The needle assembly as defined in claim 19 , wherein a bottom skin-contacting surface of the pad includes a textured surface of a plurality of dimples.
29. A needle assembly, comprising:
at least one needle assembly portion;
a hollow needle included with the at least one needle assembly portion, the needle suitable for passing fluids therethrough; and
a self-sealing pad included with the at least one needle assembly portion, wherein a distal tip of the needle extends through the pad in a first needle position and wherein the distal tip of the needle at least partially retracts from the pad in a second needle position, the self-sealing pad preventing fluids that leak from the needle from escaping through the pad when in the second needle position.
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US14/789,341 US10525234B2 (en) | 2010-09-10 | 2015-07-01 | Antimicrobial/haemostatic interface pad for placement between percutaneously placed medical device and patient skin |
US16/142,928 US10729846B2 (en) | 2010-09-10 | 2018-09-26 | Self-sealing pad for a needle-based infusion set |
US16/264,375 US20190160261A1 (en) | 2010-09-10 | 2019-01-31 | Safety Needle Set For Delivering Fluid To An Access Port |
US16/733,926 US10806900B2 (en) | 2010-09-10 | 2020-01-03 | Insertion device with interface pad and methods of making |
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US14/070,246 US20140066894A1 (en) | 2010-09-10 | 2013-11-01 | Self-Sealing Pad for a Needle-Based Infusion Set |
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US10729846B2 (en) | 2010-09-10 | 2020-08-04 | C. R. Bard, Inc. | Self-sealing pad for a needle-based infusion set |
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