CN110167509B - 具有用来与输液容器和单独的注射小瓶一起使用的一体的伸缩的小瓶转接器的液体转移装置 - Google Patents
具有用来与输液容器和单独的注射小瓶一起使用的一体的伸缩的小瓶转接器的液体转移装置 Download PDFInfo
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Abstract
液体转移装置具有一体的伸缩的小瓶转接器，用来与输液容器和初始的未穿刺的原封不动的单独的注射小瓶一起使用。该一体的伸缩的小瓶转接器被配置用于初始的伸缩的卡扣安装在单独的注射小瓶上，使它的注射小瓶瓶塞保持未穿刺，直到随后的按压用于穿刺注射小瓶瓶塞。该一体的伸缩的小瓶转接器包括安全卡件机构，用于防止从预压紧状态到压紧状态的疏忽的按压。该一体的伸缩的小瓶转接器包括夹紧装置，用于在它的最终的压紧状态不可逆地夹住该一体的伸缩的小瓶转接器。
Description
技术领域
本发明涉及常规的医疗装置，具体地，用来与输液容器和单独的注射小瓶一起使用的液体转移装置。
背景技术
共同拥有的WIPO国际申请号PCT/IL2014/050680(发明名称“用来与输液容器一起使用的液体转移装置”并且在WIPO国际公开号WO 2015/019343下公布)公开了用来与输液容器和单独的注射小瓶一起使用的液体转移装置用于帮助准备具有用于向病人施用的药物输注液的输液容器。该输液容器可采用输液袋、输液瓶等形式。该输液容器含有输注液，并且具有静脉注射(IV)或施用端口。WO 2015/019343的图4和图5显示了下文被称为WO2015/019343液体转移装置的液体转移装置，WO 2015/019343的图6显示了另一液体转移装置，并且WO 2015/019343的图7显示了又一液体转移装置。
WO2015/019343液体转移装置包括三叉的连接头主体，该三叉的连接头主体具有用于密封插入到IV端口中的IV矛状物、小瓶转接器端口和扭开替代IV端口(twist-offsubstitute IV port)中，该小瓶转接器端口具有一体的小瓶转接器用于卡扣配合伸缩地安装在单独的注射小瓶上，用来与该单独的注射小瓶流体连通。该扭开替代IV端口包括在插入输液器的IV矛状物时被穿刺之前是初始密封的膜。该三叉的主体具有用于IV矛状物、小瓶转接器端口和扭开替代IV端口的三个内腔。该三个内腔在3个指向上，并且是连续的流体连接，使得具有药物输注液的输液容器的准备包括以下步骤：
步骤1：将液体转移装置的小瓶转接器卡扣配合伸缩地安装在单独的注射小瓶上。
步骤2：将液体转移装置的IV矛状物插到输液容器的IV端口中，以便在输液容器和单独的注射小瓶之间建立直接的流程。
步骤3：将输液容器中的液体内容物来回重复转移到单独的注射小瓶，以混合或重组注射小瓶的药物以在输液容器中形成药物输注液。
步骤4：打开液体转移装置的替代IV端口，并且在该替代IV端口中插入输液器的IV矛状物，用于在输液容器和输液器之间建立直接的流程，准备使药物输注液从输液容器重力流向病人。
在一些医疗机构中，步骤1至步骤4是在施用前直接邻近病人接二连三地执行，尽管保健提供者必须用戴手套的手灵巧地操作液体转移装置和单独的注射小瓶。在其他医疗机构中，这样的床边准备被认为是不方便的且麻烦的，并且步骤1至步骤3优选提前执行，只有步骤4在施用前直接邻近病人执行。但是，这样的药物输注液的提早准备本身会导致准备和施用之间的延迟，可能会对药物输注液产生不利的影响。
有必要使药物输注液的施用更方便。
发明内容
本发明针对的是与上述WO2015/019343液体转移装置类似的液体转移装置。本发明的液体转移装置与前者的区别如下：首先，该液体转移装置包括一体的伸缩的小瓶转接器，用于卡扣配合伸缩地安装在单独的注射小瓶上，但是使它保持原封未动，即，它的注射小瓶瓶塞保持未穿刺直至随后的按压。其次，该一体的伸缩的小瓶转接器包括安全卡件机构用于防止它的从预压紧状态到压紧状态的疏忽地按压。该安全卡件机构需要用户释放动作以释放它。用户释放动作可以包括，除其他外，扭动动作、拉动动作、安全卡件的移除等。以及第三，该一体的伸缩的小瓶转接器包括用于在它的压紧状态不可逆地夹住该小瓶转接器的夹紧装置。本发明的液体转移装置不限于扭开替代IV端口，但是可以同样地可配备有，例如替代IV端口，该替代IV端口需要破除易损部件用于打开该替代IV端口，从而将输液器的IV矛状物插入到替代IV端口中。
该液体转移装置优选地使未穿刺的原封未动的单独的注射小瓶，在卡扣配合伸缩地安装之后在用户按压用于刺穿它的注射小瓶瓶塞之前，能够很容易地从一体的伸缩的小瓶转接器拆除。此类拆除可以避免注射小瓶的浪费，如果提早准备药物输注液并且随后决定该药物输注液不再需要向病人施用，那么这有可能发生。此类拆除优先通过钳形压紧(力)来实现。该钳形压紧通过具有相对的一对向内指向的突起部分的原封未动的单独的注射小瓶释放工具实现。该原封未动的单独的注射小瓶释放工具可以被配置为钳形手动工具(pincers-like hand tool)或用户操作的机电设备。使用原封未动的单独的注射小瓶释放工具拆除未穿刺的原封未动的单独的注射小瓶(与手动拆除不同)只能使授权的保健提供者能够拆除该未穿刺的原封未动的单独的注射小瓶。
附图说明
为了理解本发明，并明白如何在实贱中实施它，现在将仅仅通过非限定性示例，参照附图描述优选的实施例，其中类似部件被做了同样编号，并且其中：
图1是常规的施用装置的示图，该常规的施用装置包括输液袋、WO 2015/019343液体转移装置、单独的注射小瓶和输液器；
图1A是沿图1中截面线1A-1A的单独的注射小瓶的纵向截面；
图2A是WO 2015/019343液体转移装置的顶部平面图；
图2B是沿图2A中截面线2B-2B的WO2015/019343液体转移装置的纵向截面；
图3是包括一体的伸缩的小瓶转接器的液体转移装置的正面透视图，该一体的伸缩的小瓶转接器具有在预压紧状态用于安装在单独的注射小瓶上的扭动释放安全卡件机构和用于从液体转移装置释放未穿刺的原封未动的单独的注射小瓶的钳形手动工具；
图4是图3的液体转移装置的正立视图；
图5是图3的液体转移装置的右侧立视图；
图6是图3的液体转移装置的左侧立视图；
图7是图3的小瓶转接器的分解透视图；
图8是图3的液体转移装置沿图3中的截面线8-8的纵向截面；
图9是图3的液体转移装置在初始的预压紧状态安装在单独的注射小瓶上的正视图；
图10是沿图9中的截面线10-10的图3的液体转移装置安装在单独的注射小瓶上的纵向截面；
图11是显示了在预压紧状态的钳形手动工具用于从图3的液体转移装置释放未穿刺的原封未动的单独的注射小瓶的使用的左侧立视图；
图12是沿图11中截面线12-12的图3的液体转移装置的纵向截面；
图13是图3的液体转移装置在中间的做好准备的状态(intermediate primedstate)安装在单独的注射小瓶上的正立视图；
图14是沿图13中的截面线14-14的图3的液体转移装置安装在单独的注射小瓶上的纵向截面；
图15是图3的液体转移装置在压紧状态安装在单独的注射小瓶上用来与该单独的注射小瓶流体连通的正立视图；
图16是沿图15中的截面线16-16的图3的液体转移装置安装在单独的注射小瓶上的纵向截面；
图17是具有拉动释放安全卡件机构(pull release safety catch mechanism)的液体转移装置在预压紧状态的正面透视图；
图18是图17的液体转移装置在中间的做好准备的状态的纵向截面；
图19是图17的液体转移装置在压紧状态的纵向截面；
图20是具有安全卡件机构的液体转移装置在预压紧状态的正面透视图，该安全卡件机构具有安全卡件(safety catch)；以及
图21是图20的液体转移装置在压紧状态在移除它的安全卡件后的正面透视图。
本发明的优选实施方案的详细描述
图1显示了输液器10，输液器10包括输液容器20，初始的未穿刺的原封未动的单独的注射小瓶30、输液器50和WO 2015/019343液体转移装置60。输液容器20由静脉注射(IV)袋构成，该静脉注射(IV)袋具有IV或施用端口21和注射端口22，并且包含输注液23。IV端口21由扭开帽(twist-off cap)24密封用于IV矛状物的插入用于施用目的。注射端口22终止在具有密封件密封塞27的注射端口尖26中，目的是用于将注射器内容物的针头插入到IV袋20中。
图1A显示了单独的注射小瓶30，其具有纵向的注射小瓶中心线31，并且包括一端封闭的小瓶管32，具有瓶冠开口34的管状的小瓶瓶冠33和在小瓶管32和小瓶瓶冠33中间的小瓶瓶颈36。注射小瓶30包括用于气密地密封瓶冠开口34的注射小瓶瓶塞37。小瓶瓶冠33由带38封住。注射小瓶30含有药物39，用于引入到输注液23中以形成药物输注液。药物39可以呈固体状、粉末状或液体状。注射小瓶30具有最上面的注射小瓶表面41，最上面的注射小瓶表面41在接近注射小瓶30以形成药物输注液之前被灭菌。注射小瓶30包括弹开篡改证据帽(flip-off tamper evidence cap)42，该弹开篡改证据帽42在使用前不可恢复地直接被移除以暴露最上面的注射小瓶表面41。篡改证据帽42打算用来一次性使用，因此在移除后不能被放回。
输液器50包括IV矛状物51并且还包括第一管子52、钳子53、滴注室54、第二管子56、滚动夹子57和公鲁尔连接头(male Luer connector)58。
图1、图2A和图2B显示了WO 2015/019343液体转移装置60，其包括具有纵向的连接头主体中心线62的三叉的Y形连接头主体61、用于密封插入到IV端口21中的IV矛状物63、小瓶转接器端口64和扭开替代IV端口66。IV矛状物63具有IV矛状物尖63A。小瓶转接器端口64具有一体的小瓶转接器67，一体的小瓶转接器67具有截断纵向的连接头主体中心线62的小瓶转接器中心线68。小瓶转接器67具有穿刺套管69，穿刺套管69具有穿刺套管尖71。连接头主体61具有终止在IV矛状物63处的内腔72，与穿刺套管69流体连通的内腔73和终止在替代IV端口66处的内腔74。三个内腔72、73和74在三个指向上，并且是连续的流体连通。替代IV端口66由合适的柔性塑料材料(例如PVC等)制成，用于密封地接收IV矛状物51。替代IV端口66包括打算用来在插入IV矛状物51时被穿刺的膜76。替代IV端口66包括近端的部分66A和远端的部分66B。在使用时，远端的部分66B是被扭动的并且从近端的部分66A上断开，从而暴露膜76用于通过输液器的IV矛状物51穿刺。液体转移装置60可以包括IV矛状物罩77以保护IV矛状物63。
图3至图16显示了液体转移装置100A，其具有与WO 2015/109343液体转移装置60类似的结构和操作。图3还显示了用于释放未穿刺的原封未动的单独的注射小瓶30的钳形手动工具200。钳形手动工具200包括钳形主体201，钳形主体201具有相对的一对夹片(jaws)202，每个终止在向内指向的突出部分203处。相对的一对夹片202可以很容易地朝向彼此手动推动用于施加钳形压紧(力)，从而释放未穿刺的原封未动的单独的注射小瓶30，如下文描述，参见图11和图12。
液体转移装置100A与液体转移装置60不同之处在于它包括一体的伸缩的小瓶转接器101，一体的伸缩的小瓶转接器101具有纵向的小瓶转接器中心线101A并且具有两部分结构：内小瓶转接器主体102和外小瓶转接器主体103。一体的伸缩的小瓶转接器101包括扭动释放安全卡件机构(twist release safety catch mechanism)104和夹紧装置106，扭动释放安全卡件机构104用于防止疏忽的用户从预压紧状态到压紧状态的按压，夹紧装置106用于在它的夹紧状态不可逆地夹住一体的伸缩的小瓶转接器101。一体的伸缩的小瓶转接器101还包括颠倒的T形密封部件107。
内小瓶转接器主体102具有颠倒的杯形状，其包括最上面的横向的环形的内小瓶转接器主体壁108和具有最下面的小瓶瓶冠套边109A的向下悬垂的小瓶瓶冠套109。内小瓶转接器主体102限定小瓶瓶冠腔111，用于在将内小瓶转接器主体102伸缩地卡扣配合在小瓶瓶冠33上时在小瓶瓶冠腔111中紧贴地接收小瓶瓶冠33。最上面的横向的环形的内小瓶转接器主体壁108具有沿纵向的小瓶转接器中心线101A的中心的最上面的横向的环形的内小瓶转接器主体壁贯穿孔108A，在伸缩地卡扣配合在单独的注射小瓶30上时，中心的最上面的横向的环形的内小瓶转接器主体壁贯穿孔108A位于最上面的注射小瓶表面41的上方。
小瓶瓶冠套109包括主要的小瓶瓶冠套围绕物112，主要的小瓶瓶冠套围绕物112具有相邻的第一对纵向的指向的狭缝113A和相邻的第二对纵向的指向的狭缝113B，用于相应地形成正好相反的一对小瓶瓶冠保持部件114A和114B。正好相反的一对小瓶瓶冠保持部件114相对主要的小瓶瓶冠套围绕物112是枢转的，使得每个小瓶瓶冠保持部件114具有近端的小瓶瓶冠保持部件部分116和远端的小瓶瓶冠保持部件部分117。最上面的横向的环形的内小瓶转接器主体壁108优选地具有正好相反的一对开口(cutout)118(相对正好相反的一对小瓶瓶冠保持部件114朝内)，使得正好相反的一对小瓶瓶冠保持部件114在最上面的横向的环形的内小瓶转接器壁108上枢转。
远端的小瓶瓶冠保持部件部分117各自被设置有朝向最下面的小瓶瓶冠套边109A的径向向内的小瓶瓶冠保持伸出部分119，以便在将内小瓶转接器主体102伸缩地卡扣配合在初始的未穿刺的原封未动的单独的注射小瓶30上时，用于卡扣配合在小瓶瓶冠33下方。朝向纵向的小瓶转接器中心线101A对近端的小瓶瓶冠保持部件部分116施加钳形压紧(力)使得小瓶瓶冠保持部件114A和114B相对主要的小瓶瓶冠套围绕物112枢转，从而使得径向向内的小瓶瓶冠保持突出部分117与纵向的小瓶转接器中心线101A分开一定距离。
最上面的横向的环形的内小瓶转接器主体壁108具有与正好相反的一对小瓶瓶冠保持部件114A和114B正交的正好相反的一对直立的翅121A和121B。正好相反的一对直立的翅121每个具有径向向外的伸出部分122，径向向外的伸出部分122构成扭动释放安全卡件机构104和夹紧装置106的组件。小瓶瓶冠套109具有外围的小瓶瓶冠套表面109B，外围的小瓶瓶冠套表面109B具有正好相反的一对用户指示，用以指示由环形箭头标记为1表示的第一用户步骤和由直立箭头标记为2表示的第二用户步骤，用于激活液体转移装置100A。小瓶瓶冠套109具有朝向最下面的向下悬垂的小瓶瓶冠套边109A的正好相反的一对径向向外的指状抓爪109C。
外小瓶转接器主体103具有颠倒的杯形状，其包括最上面的横向的外小瓶转接器主体壁123和具有最下面的裙边124A的向下悬垂的裙124。最上面的横向的外小瓶转接器主体壁123一体地被安装在小瓶转接器端口64上。外小瓶转接器主体103限定内小瓶转接器主体腔126，用于在将一体的伸缩的小瓶转接器101从预压紧状态按压到压紧状态时，在内小瓶转接器主体腔126内紧贴地伸缩地接收内小瓶转接器主体102。
最上面的横向的外小瓶转接器主体壁123包括向下悬垂的穿刺套管127，向下悬垂的穿刺套管127具有近端的穿刺套管开口127A和远端的穿刺套管尖127B。近端的穿刺套管开口127A与小瓶转接器端口64流体连通，并且在液体转移装置100A的压紧状态下远端的穿刺套管尖127B穿刺注射小瓶瓶塞37。
向下悬垂的裙124具有与纵向的小瓶转接器中心线101A同方向的正好相反的一对L型轨道128，构成扭动释放安全释放机构104和夹紧装置106的组件。向下悬垂的裙124包括正好相反的一对防滑表面129，在液体转移装置101A的初始的预压紧状态，正好相反的一对防滑表面129通常与正好相反的一对L形轨道128和正好相反的一对径向向外的指状抓爪109C正交。向下悬垂的裙124还具有正好相反的一对贯穿的单独的注射小瓶释放孔131，用于在单独的注射小瓶30的释放时使用。单独的注射小瓶释放孔131被设置在防滑表面129下面，并且被设计为需要钳形手动工具200以施加钳形压紧(力)用于释放未穿刺的原封未动的注射小瓶30，并且排除手动施加钳形压紧。
每个L形轨道128包括与纵向的小瓶转接器中心线101A同方向的主轨道腿132，横向于纵向的小瓶转接器中心线101A的次轨道腿133和在它的主腿132和它的次腿133之间的接合部134。每个L形轨道128具有邻近最下面的裙边124A的开始轨道端128A和邻近最上面的横向的外小瓶转接器主体壁123的结束轨道端128B。每个次轨道腿133具有单向通道布置(one-way passage arrangement)136，用于不可逆地能够使液体转移装置100A的做好准备。每个结束轨道端128b具有构成夹紧装置106的组件的单向通道布置137。
密封部件107具有用于安装在穿刺套管127上的密封部件管138和在液体转移装置100A的初始的预压紧状态被放置在中心的最上面的横向的环形的内小瓶转接器主体壁贯穿孔108A内的扁平的密封部件底部139。扁平的密封部件底部139的中心部分用作密封部件膜141，用于保持远端的穿刺套管尖127B无菌。在将液体转移装置100A伸缩地安装在注射小瓶30上时，扁平的密封部件底部139正密封放设置在最上面的注射小瓶表面41上。密封部件膜141打算用来在液体转移装置100A的压紧状态下由远端的穿刺套管尖127B穿刺。
现在参照图9至图16描述液体转移装置100A的使用。
图9和图10显示了在初始的预压紧状态液体转移装置100A被安装在单独的注射小瓶30上。小瓶瓶冠腔111紧贴地接收小瓶瓶冠33。径向向外的伸出部分122被设置在开始的轨道端128A处。在移除篡改证据帽42之后，密封部件底部139密封地被放置在最上面的注射小瓶表面41上。近端的小瓶瓶冠保持部件部分116被放置在单独的注射小瓶释放孔131处。一体的伸缩的小瓶转接器101具有在最上面的横向的外小瓶转接器主体壁123和最下面的小瓶瓶冠套边109A之间的预压紧高度H1。
如果决定不施用药物并重新使用未穿刺的原封未动的单独的注射小瓶30，保健提供者采取图11和图12中所示的下列步骤：保健提供者将钳形手动工具200与一体的伸缩的小瓶转接器101对齐，以便将相对的一对向内指向的突出部分203插入正好相反的一对单独的注射小瓶释放孔131中。保健提供者对近端的小瓶瓶冠保持部件部分116施加钳形压紧(力)，以朝向纵向的小瓶转接器中心线101A推动他们(如箭头A所示)。正好相反的一对小瓶瓶冠保持部件114相对主要的小瓶瓶冠套围绕物112枢转，从而使正好相反的一对径向向内的小瓶瓶冠保持伸出部分119远离纵向的小瓶转接器中心线101A一定距离(如箭头B所示)，以释放未穿刺的原封未动的单独的注射小瓶30。保健提供者从内小瓶转接器主体102上取下未穿刺的原封未动的单独的注射小瓶30(如箭头C所示)，用于后续使用，并且丢弃液体转移装置100A。尽管它的弹开篡改证据帽42已被移除且不可恢复，单独的注射小瓶30仍然被认为是原封未动的。单独的注射小瓶30是原封未动的，在这个意义上是它的注射小瓶瓶塞37没有从中穿刺，以与它的小瓶管32建立流体连通。
图13和图14显示了在保健提供者已经用单手握住正好相反的一对防滑表面129并且对正好相反的一对径向向外的指状抓爪109C施加旋转力，以将内小瓶转接器主体102相对外小瓶转接器主体103围绕纵向的小瓶转接器中心线101A旋转到中间的做好准备的状态后的液体转移装置100A。径向向外的伸出部分122沿次轨道腿133行进，直到它们到达它们各自的接合部134。单向通道布置136防止液体转移装置100A从中间的做好准备的状态返回到它的初始的预压紧状态，从而防止释放单独的注射小瓶30。近端的小瓶瓶冠保持部件部分116被旋转，远离单独的注射小瓶释放孔131，从而防止使用钳形手动工具200以从液体转移装置100A上释放原封未动的单独的注射小瓶30。
图15和图16显示了在最终的压紧状态在将外小瓶转接器主体103伸缩地安装到内小瓶转接器主体102上使得外小瓶转接器主体103在其中紧贴地接收内小瓶转接器主体102时的液体转移装置100A。径向向外的伸出部分122沿主轨道腿132行进直到它们穿过位于结束轨道端128B的单向通道布置137，从而在它的压紧状态不可逆地夹住一体的伸缩的小瓶转接器101。远端的穿刺套管尖127B穿刺密封部件膜141，并且随后穿刺注射小瓶瓶塞37，用于在穿刺套管127与小瓶管32之间建立流体连通，用来准备药物输注液。一体的伸缩的小瓶转接器101具有在最上面的横向的外小瓶转接器主体壁123和最下面的小瓶瓶冠套边109A之间的压紧高度H2，其中H1>H2。
图17至图19示出了具有与液体转移装置100A相似结构的液体转移装置100B，因此类似的部件被做了同样编号。后者100B与前者100A不同之处在于后者100B包括与扭动释放安全卡件机构104不同的拉动释放安全卡件机构151。图17显示了液体转移装置100B在它的预压紧状态具有预压紧高度H1。图18显示了在内小瓶转接器主体102从外小瓶转接器主体103在与纵向的小瓶转接器中心线101A同方向的初始延伸之后，液体转移装置100B在它的中间的做好准备的状态具有在最上面的横向的外小瓶转接器主体壁123和最下面的小瓶瓶冠套边109A之间的准备的小瓶转接器高度H3，其中H3>H1。图19显示了在外小瓶转接器主体103在其中紧贴地伸缩地接收内小瓶转接器主体102之后，液体转移装置100B在它的压紧状态具有压紧高度H2，其中H1＞H2。
图20和图21显示了具有与液体转移装置100A类似结构的液体转移装置100C，因此类似的部件被做了同样编号。后者100C与前者100A在以下几个方面不同：后者100C包括与扭动释放安全卡件机构104不同的安全卡件机构161，安全卡件机构161具有安全卡件162。后者100C包括具有易损部件163的替代IV端口，易损部件163破掉用来使IV矛状物51能够插入到替代IV端口中。后者100C包括正好相反的一对夹紧部件164，夹紧部件164构成夹紧装置的组件，用于在最终的压紧状态不可逆地夹住一体的伸缩的小瓶转接器101。
图20显示了安全卡件162横向地延伸通过外小瓶转接器主体103，防止液体转移装置100C从它的预压紧状态到它的压紧状态的手动压紧。一体的伸缩的小瓶转接器101具有预压紧高度H1。图21显示了在从外小瓶转接器主体103上移除安全卡件162从而使外小瓶转接器主体103能够在其中紧贴地伸缩地接收内小瓶转接器主体102后的在它的压紧状态的液体转移装置100C。一体的伸缩的小瓶转接器101具有压紧高度H2，其中H1>H2。
虽然本发明的具体实施方案被举例说明并且描述了，对本领域技术人员来说，很明显，各种其他的改变和修改可以在不背离本发明的精神和范围的情况下做出。
Claims (10)
1.液体转移装置，所述液体转移装置用来与输液容器、初始的未穿刺的原封不动的单独的注射小瓶和输液器一起使用，所述输液容器包含输注液并且具有用于施用输注液的静脉注射端口，所述初始的未穿刺的原封不动的单独的注射小瓶具有包含药物的一端闭合的小瓶管、具有由未穿刺的注射小瓶瓶塞塞住的瓶冠开口的管状的小瓶瓶冠和最上面的注射小瓶表面，所述输液器包括用于密封插入到IV端口中的IV矛状物和用于向患者施用目的的连接头，
所述液体转移装置包括三叉的连接头主体、小瓶转接器端口和替代IV端口，所述三叉的连接头主体具有IV矛状物用于密封插入到所述输液容器的IV端口中，所述小瓶转接器端口具有一体的伸缩的小瓶转接器用于伸缩地卡扣配合安装在所述单独的注射小瓶上，所述替代IV端口用于密封地接收所述输液器的IV矛状物，
所述三叉的连接头主体的所述IV矛状物、所述小瓶转接器端口和所述替代IV端口在3个指向上并且是连续的液体连通，从而实现药物输注液在所述输液容器中的最初形成和药物输注液向患者的随后施用，
所述一体的伸缩的小瓶转接器具有纵向的小瓶转接器中心线并包括：
i)内小瓶转接器主体，所述内小瓶转接器主体具有颠倒的杯形状，其具有最上面的横向的环形的内小瓶转接器主体壁和具有最下面的小瓶瓶冠套边的向下悬垂的小瓶瓶冠套，
所述内小瓶转接器主体限定小瓶瓶冠腔，所述小瓶瓶冠腔用于在将所述内小瓶转接器主体伸缩地安装在所述小瓶瓶冠上时紧贴地接收所述小瓶瓶冠，
ii)外小瓶转接器主体，所述外小瓶转接器主体具有颠倒的杯形状，其具有最上面的横向的外小瓶转接器主体壁和向下悬垂的裙，
所述外小瓶转接器主体限定内小瓶转接器主体腔，所述内小瓶转接器主体腔用于，在将所述一体的伸缩的小瓶转接器从具有预压紧高度H1的初始的预压紧状态按压到具有压紧高度H2的最终的压紧状态时，在其中紧贴地伸缩地接收所述内小瓶转接器主体，其中H1>H2，其中所述预压紧高度H1和所述压紧高度H2是在所述最上面的横向的外小瓶转接器主体壁和所述最下面的小瓶瓶冠套边之间，
向下穿刺套管，所述向下穿刺套管具有与所述小瓶转接器端口流体连通的近端的穿刺套管开口和用于穿刺注射小瓶瓶塞用来与小瓶管流体连通的远端的穿刺套管尖，
iii)安全卡件机构，所述安全卡件机构用于防止疏忽的用户将所述小瓶转接器从所述预压紧状态按压到所述压紧状态，以及
iv)夹紧装置，所述夹紧装置用于在所述最终的压紧状态不可逆地夹住所述小瓶转接器，
所述小瓶转接器被配置使得在所述预压紧状态，所述远端的穿刺套管尖位于所述未穿刺的注射小瓶瓶塞上方，并且在压紧状态，所述远端的穿刺套管尖穿刺通过所述注射小瓶瓶塞，用于与所述小瓶管流体连通。
2.根据权利要求1所述的装置，其中所述安全卡件机构由扭动释放安全卡件机构组成，包括：
所述外小瓶转接器主体具有正好相反的一对L形轨道，
每个所述L形轨道具有与所述纵向的小瓶转接器中心线同方向的主轨道腿、横向于所述纵向的小瓶转接器中心线的次轨道腿、邻近所述最下面的向下悬垂的裙边的开始轨道端和邻近所述最上面的横向的外小瓶转接器主体壁的结束轨道端，
每个所述次轨道腿包括单向通道布置，用于使所述一体的伸缩的小瓶转接器在中间的移动状态下不可逆地移动，
所述内小瓶转接器主体具有正好相反的一对径向向外的伸出部分，用于沿所述正好相反的一对L形轨道从在所述预压紧状态的所述开始轨道端行进到在所述压紧状态的所述结束轨道端；
所述扭动释放安全卡件机构需要所述内小瓶转接器主体相对所述外小瓶转接器主体围绕所述纵向的小瓶转接器中心线的初始的手动旋转，用于使所述小瓶转接器从初始的预压紧状态移动到所述中间的移动状态，用于实现所述小瓶转接器从所述预压紧状态到所述压紧状态的所述按压。
3.根据权利要求2所述的装置，其中每个所述结束轨道端包括单向通道布置，用于在所述最终的压紧状态不可逆地夹住所述小瓶转接器。
4.根据权利要求2所述的装置，其中所述内小瓶转接器主体具有朝向所述最下面的向下悬垂的小瓶瓶冠套边的正好相反的一对径向向外的指状抓爪，并且所述外小瓶转接器主体具有正好相反的一对防滑表面，所述正好相反的一对防滑表面在所述初始的预压紧状与所述正好相反的一对径向向外的指状抓爪正交，用于帮助所述内小瓶转接器主体相对所述外小瓶转接器主体的所述手动旋转。
5.根据权利要求1所述的装置，其中所述安全卡件机构由拉动释放安全卡件机构组成，所述拉动释放安全卡件机构需要在与所述纵向的小瓶转接器中心线的同方向所述内小瓶转接器主体相对所述外小瓶转接器主体的初始的手动延伸到中间的移动状态以释放所述安全卡件机构，用来实现所述小瓶转接器从所述预压紧状态到所述压紧状态的所述按压。
6.根据权利要求1所述的装置，其中所述安全卡件机构包括在所述预压紧状态横向地延伸通过所述外小瓶转接器主体的安全卡件，从而阻止所述一体的伸缩的小瓶转接器从所述预压紧状态到所述压紧状态的所述按压，进而所述安全卡件从所述外小瓶转接器主体的手动拆掉实现所述一体的伸缩的小瓶转接器从所述预压紧状态到所述压紧状态的所述按压。
7.根据权利要求1至6中任一项所述的装置，所述装置用来与具有相对的一对向内指向的突出部分的原封未动的单独的注射小瓶释放工具一起使用，用于施加钳形压紧用来从所述一体的伸缩的小瓶转接器释放未穿刺的原封未动的单独的注射小瓶，
所述小瓶瓶冠套包括主要的小瓶瓶冠套围绕物和相对所述主要的小瓶瓶冠套围绕物枢转的正好相反的一对注射小瓶保持部件，使得每个所述小瓶瓶冠保持部件具有近端的小瓶瓶冠保持部件部分和远端的小瓶瓶冠保持部件部分，
每个所述远端的小瓶瓶冠保持部件部分具有朝向所述最下面的小瓶瓶冠套边的径向向内的小瓶瓶冠保持伸出部分，所述径向向内的小瓶瓶冠保持伸出部分用于当将所述内小瓶转接器主体伸缩地卡扣配合在所述初始的未穿刺的原封未动的单独的注射小瓶上时卡扣配合在所述小瓶瓶冠下面，
所述正好相反的一对近端的小瓶瓶冠保持部件部分相对所述主要的小瓶瓶冠套围绕物枢转，使得对所述正好相反的一对近端的小瓶瓶冠保持部件部分施加的钳形压紧将所述正好相反的一对径向向内的小瓶瓶冠保持伸出部分与所述纵向的小瓶转接器中心线分开一定距离，用于从所述内小瓶转接器主体上释放所述未穿刺的原封未动的单独的注射小瓶。
8.根据权利要求7所述的装置，其中所述向下悬垂的裙包括正好相反的一对贯穿的单独的注射小瓶释放孔，用于为具有相对的一对向内指向的突出部分的原封未动的单独的注射小瓶释放工具提供入口，用于在所述小瓶转接器的所述预压紧状态施加钳形压紧。
9.根据权利要求7所述的装置，其中当所述施加钳形压紧时，所述正好相反的一对小瓶瓶冠保持部件在所述最上面的横向的环形的内小瓶转接器主体壁上枢转。
10.一种成套工具，其包括根据权利要求7到9中任一项所述的液体转移装置和具有相对的一对向内指向的突出部分的原封未动的单独的注射小瓶释放工具，所述原封未动的单独的注射小瓶释放工具被配置为钳形手动工具，所述钳形手动工具具有相对的一对夹片，所述相对的一对夹片具有相对的一对向内指向的突出部分。
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| US20200368111A1 (en) | 2020-11-26 |
| IL290701B2 (en) | 2023-07-01 |
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| US10772797B2 (en) | 2020-09-15 |
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| CN114767531A (zh) | 2022-07-22 |
| EP3551157A1 (en) | 2019-10-16 |
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| US20200093692A1 (en) | 2020-03-26 |
| EP3551157B1 (en) | 2023-06-07 |
| JP2020500582A (ja) | 2020-01-16 |
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