SYRINGE
This invention relates to prefilled syringes for use in medical or veterinary treatment.
In the applicant's published European Patent Application 0298585, there is disclosed a syringe system based on the concept of a "bottomless vial" in which the conventional base of a glass vial is replaced by a rubber piston which forms a hermetic seal with the walls of the vial, and which has a downward extension within the vial which can be coupled to a syringe plunger. When a plunger is so coupled to the piston, and an adaptor is applied to a cap of the vial, the vial is converted into a syringe. An extremely important advantage of a syringe based upon such a bottomless vial, as compared to conventional prefilled syringe systems, is that it can be sterilized, filled and capped utilizing conventional vial filling equipment generally available and in use in the pharmaceutical industry, rather than requiring specialized capital intensive filling systems, and that the number of clean room operations required in production of the product is greatly reduced as compared with known syringe assembly and filling systems. As described in more detail in the above application, the system is also extremely versatile in that the "bottomless vial" can form the basis of a wide range of syringe delivery systems.
The very reason for the advantages of the above system, namely that the vials can be sterilized, filled and capped utilizing conventional vial filling machinery, is also a limitation in certain applications, since the vials must remain stable whilst passing through the machinery, which in turn limits the permissible height of the vial relative to its diameter. This problem is aggravated by the necessity for providing a bead around the external periphery of the bottom of the vial, both in order to
provide necessary strength to the glass and to provide means for anchoring a component of the syringe such as a combined piston retainer, plunger grip and plunger guide which is applied after filling of the vial, by pressing it over the bead. The projection of the bead, although kept to a minimum, interacts with the beads of adjacent vials and other obstructions in such a manner as to reduce the stability of the vial. There are also constraints on the shaping of the bead so as to prevent ramping effects as the beads interact which tend to promote tipping. Additionally, the application of the adaptor to the cap of the vial is an additional clean-room operation which is not required during the filling of conventional vials.
Although it is generally considered that the inner side walls of syringes should be smooth and unobstructed, it has now unexpectedly been found that considerable advantages can be obtained by forming the peripheral bead at the base of a "bottomless vial" at least partially inwardly of an internal wall of the glass body of the vial. This makes it possible for any external extent of peripheral bead to be reduced or eliminated, which improves the stability of the vial and enables its height to diameter ratio to be somewhat increased. It is also found that a versatile combined finger grip and plunger guide of much simplified construction yet improved performance can be utilized in conjunction with the modified bead.
It is also found that in many applications it is possible to dispense with the application of a separate adaptor to the cap of the vial by incorporating an adaptor into the cap structure in a manner which does not interfere with normal operation of the conventional vial capping machinery.
These and other features of the invention are se forth in the appended claims.
For a better understanding of the invention, reference may be had to the following description of preferred embodiments thereof, with reference to the accompanying drawings in which:
Figure 1 is an exploded isometric view of the components of a first embodiment the syringe;
Figure 2 is a vertical section through a vial portion of the syringe, ready for filling;
Figure 3 is a longitudinal section through an assembled syringe, after discharge of its contents;
Figure 4 is a fragmentary longitudinal section on an enlarged scale of a portion of the syringe shown in Figure 3, showing a modification of the arrangement shown in that Figure; and
Figure 5 is an enlarged vertical section through the bead of a second embodiment of the syringe, also showing adjacent parts of a modified piston retainer and finger grip.
Referring to Figures 1 - 4 of the drawings, a syringe comprises a syringe barrel in the form of a somewhat elongated glass vial 2, of which the bottom wall is absent apart from a slight inward projection of a strengthening bead 6 formed at the bottom of a side wall 4 of the vial and best seen in Figure 4. In the example shown the strengthening bead 6 also has a very slight outward projection, but this is far smaller than would be necessary if the bead were formed wholly externally of the side wall 4, and may be entirely eliminated. In any event, the outward extent of the projection should be insufficient to prevent vials from standing very closely adjacent to one another without sufficient space to tip. Typically the projection will not exceed about one fifth of the total thickness of the bead. The projection of the bead on the
- 4 - inside should also be limited, both so that the head 10 of a moulded rubber piston 8 can be inserted into the vial past the projection (this is facilitated by the presence of peripheral grooves 12 in the head between sealing lands 14) , and so that a sleeve 18 of a combined finger grip, piston stop and plunger guide 16 (henceforth referred to as the finger grip) can be pushed past the projection whilst remaining a snug fit within the side wall of the vial. Insertion is facilitated by the slight flare provided at the bottom entry to the vial body by the rounding of the bead, and the insertion is readily mechanised.
The piston 8 is also provided with an integrally moulded downward extension 20 which is formed with a central cavity 23 to increase its flexibility relative to the head 10 of the piston which is substantially solid. The piston is dimensioned so that when it is inserted in the vial 2, the lands 14 are compressed sufficiently to form a hermetic seal against the interior of wall 4 whilst permitting the piston to be moved longitudinally of the vial. Initially, the piston is located at the bottom of the vial (see Figure 2) , with the bottom of extension 20 just within the vial so that it does not affect the ability of the vial to stand upright on its base formed by the bead 6. The location of the fairly massive solid rubber piston 8 at the base of the vial helps stabilize the empty vial 2, even when the height of the latter is somewhat greater relative to its diameter than is normally required for stability. The practical limit of the height to diameter ratio is set entirely by the requirement that the vials can be conveyed through a conventional vial filling and capping machine in a sufficiently stable manner to permit reliable operation of the machine at an acceptable speed. In the example shown, the vial has an outside diameter of approximately 3 cm and a height of 12.8 cm. For this diameter a height of 14 centimetres is believed to approach the practical limit for stability, but this ratio will vary
somewhat according to the relative wall thickness of the vial and the weight of the piston. Provided that the outward projection of the bead 6 is insufficient to affect stability, so that the vials can jostle without applying tipping force to each other, and assuming use of a piston generally as described, the maximum ratio attainable should be greater than 4, but will be less than 5.
The stopper 22 and cap 24 applied by the conventional vial filling and capping machinery may be of conventional construction, although the stopper 22 is preferably designed substantially to fill the neck of the vial so as to minimize dead space above the piston when the latter is pushed to the top of the vial (See Figure 3) . This ensures that as much as possible of the contents of a syringe formed from the vial can be expelled by movement of the piston.
The cap 24 is preferably modified as shown in Figure 3 and Figure 5. In Figure 3, a conventional main cap cooperates with a moulded plastic adaptor assembly comprising an annular flange 26 within the cap, a cylindrical extension 28 extending through the cap and a thin diaphragm 30 closing a bottom end of the extension. An internal thread 32, similar to that provided on conventional syringe adaptors for receiving needles, such as those sold under the trade-mark LUER-LOK, is formed within the adaptor. A removable push on cap may be provided to close the open end of the adaptor during storage, being removed prior to use. In Figure 4, the cylindrical extension 28 is formed integrally with the aluminum cap, again with an internal thread 32. I have found that the extension 28 can be accommodated by conventional vial capping machinery, at any rate with no more than minor modification, without interfering with the capping process, whilst the provision of such an extension
enables the elimination of a separate adaptor cap, and the additional assembly step required to apply it.
In order to convert the vial into a syringe, either a double ended needle 34 of the blood collecting type may be applied directly to the extension 28 (See Figure 4) or an adaptor 36 (See Figures 1 and 3) may be provided for any needle or alternative delivery device equipped with a standard syringe coupling so as to provide the latter with the capability of penetrating the stopper 22, as well as the diaphragm 30 if present. The adaptor 36 has a needle 38 and external thread 40 at one end, the needle providing the penetration function and the thread 40 engaging the thread 32, while its other end provides an internally threaded socket 42 and coaxial spigot 44 for forming a fluid-tight coupling to the needle or the like.
Prior to fitting the double ended needle 34, or needle and adaptor 36, a plunger 46 is applied to the extension 20 of the piston. The plunger has a shaft 48, of cruciform cross-section in the example shown, an internally threaded sleeve 50 at its one end, and an end flange 52 at its other end. The sleeve 50 has internal multistart threads 54, complementary to external multistart threads 56 on the extension 20. The lands between the threads 54 on the sleeve 50 and the threads 56 on the extension 20 both stop short respectively of the outer end of the sleeve 50 and the inner end of the extension 20 so as to form abutments 58,60 which prevent the sleeve 50 from being screwed tightly against the underside of the head 10 of the piston. This means that any tilting forces applied to the plunger are applied to the relatively flexible extension 20 and not directly to the head 10, thus minimizing the risk of breaking the hermetic seal between the head 10 and the vial.
The plunger is formed of a hinge-forming synthetic plastic such as a pharmaceutical grade polypropylene, and a generally semicircular peripheral portion 62 of the flange and is separated from the remainder by a slot 64, remaining connected only by thin, hinge-forming connections 66. This portion 62 provides a finger loop which can be pulled rearwardly, as shown by broken lines in Figure 1, to facilitate handling of the plunger. As a supplemental or alternative feature, a notch 72 may be formed in the shaft 48 of the plunger, to provide a hook by means of which the syringe may be suspended when used in certain infusion applications.
In order to provide the various functions of preventing total withdrawal of the piston, forming a guide for the plunger and restricting its tilting movements, and providing a finger grip for the user, the combined finger grip 16 and retainer is pressed into the bottom of the vial 2 after filling and capping of the latter. It comprises the sleeve 18 and a peripheral flange forming oppositely extending finger tags 68. It is also moulded from pharmaceutical grade plastic such as polypropylene. The sleeve 18 is a resilient press fit in the open end of the vial 4 so that it is slightly compressed by the internal projection of the bead 6 during insertion. Insertion of the retainer 16 may be facilitated by moderate warming of at least the retainer and the slight flare provided by the rounding of the bead 6 also facilitates insertion. Beneath the grips 68 the sleeve has shallow arcuate grooves 70 in which the bead 6 snaps as the sleeve is pressed home. Forces applied to the grips 68 tending to pull the sleeve 18 away from the vial in turn tend to deform the sleeve, in such a manner as to increase the grip of the grooves 70 on the bead thus resisting withdrawal of the sleeve.
During manufacture, the empty vials 4 are conveyed through a conventional sterilizing station, the
piston 8 is inserted in each vial 4, and the latter is filled and capped utilizing conventional vial filling and capping machinery (but preferably using a modified cap as shown in Figures 1 and 3 or Figure 5) . The guide and finger grip 18 is then pressed into the base of the vial, which is shipped with the plunger 46 unattached. Prior to use, the plunger 46 is screwed onto the piston, and a needle or the like is applied to the extension 28, utilizing an adaptor 36 if necessary so as to penetrate the stopper 22, at which point the syringe is ready for use.
A modified configuration of the bottom end of the vial body is shown in Figure 5, in which an alternative approach is utilized to bringing the bead at the bottom end substantially within the diameter of the cylindrical vial body. Peripheral beads around the openings of glass bodies of this type are conventionally formed by flame softening the glass and adjusting the positioning and profile of the bead by rolling the body against suitable forming surfaces. In the Figure 5 embodiment, a bottom portion 74 of the body 4 is flame softened and rolled so as slightly to reduce its diameter over about a length of typically 5-6 mm, with a fairly conventional out-turned rounded bead 6 formed by flaring the bottom of this reduced diameter section. The reduction in diameter is such that at least the greater part of the bead is within the general diameter of the body, but is not so great as to require excessive force in inserting the piston.. In the example shown, the outside diameter of the bead is very slightly greater than the general outside diameter of the body but this need not be so. In a typical example, the inside and outside diameters of the main portion of the vial body are 27 mm and 30 mm respectively, providing a wall thickness of 1.5 mm, and the reduction in diameter at the bottom is about 1 mm. The bead can then be formed by flaring the bottom end of the vial without increasing the outside diameter of the bead significantly beyond that of the main portion of the
vial, typically by no more than 0.5 mm. A significant flare 76 can be provided which facilitates insertion of the piston despite the reduction in diameter of the bottom of the body, and, because of the flare, the bottom contact line 78 of the vial when free-standing on a plane surface is substantially coincident with the outside diameter of the main body 4 of the vial, thus maximizing stability. Juxtaposition of the vial bodies in the event of jostling on a line will prevent any ramping tendencies which might otherwise occur with a flared bottom configuration of this type.
Whilst the presence of the piston after its insertion in the vial body acts to introduce a substantial mass which tends to stabilize the vial, the mass of the piston relative to that of the vial body will decrease as the height of the latter increases. Nevertheless it will result in a smaller elevation of the centre of gravity of the assembly as the vial becomes higher than would otherwise be the case. It is also desirable that the vial bodies be stable without the piston present so that they may be conveyed through a sterilizer prior to insertion of the pistons. The present invention is particularly valuable in this respect since the disturbing influence of a bead at the open end projecting beyond the diameter of the main portion of the body is particularly severe under such conditions.
In order to cooperate with the modified vial body profile, the finger grip/retainer 16 must also be modified. The groove 70 is replaced by a bead 80 at the upper end of the c/lindrical portion 18, which bead may be moulded with slots 82 if necessary to facilitate insertion, and/or the component 16 may be warmed to facilitate insertion. The bead must retain the component with sufficient tenacity to withstand pressures from the piston which may be developed through pressure build-up in the vial during normal
storage, although it should be noted that contact of the piston on the bead may actually help retain it by forcing it against the shoulder 84. Alternatively or additionally, claws 86 may be moulded onto the component 16 to retain it by engagement with the bead 6. If the portion 18 of the component 16 is dimension so as to abut the lower face of the piston,it will further assist in stabilizing the latter and maintaining an hermetic seal.