Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/15—Devices for taking samples of blood
  • A61B5/150007—Details
  • A61B5/150343—Collection vessels for collecting blood samples from the skin surface, e.g. test tubes, cuvettes
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/15—Devices for taking samples of blood
  • A61B5/150007—Details
  • A61B5/150206—Construction or design features not otherwise provided for; manufacturing or production; packages; sterilisation of piercing element, piercing device or sampling device
  • A61B5/150274—Manufacture or production processes or steps for blood sampling devices
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/15—Devices for taking samples of blood
  • A61B5/150007—Details
  • A61B5/150351—Caps, stoppers or lids for sealing or closing a blood collection vessel or container, e.g. a test-tube or syringe barrel
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
  • B01L—CHEMICAL OR PHYSICAL LABORATORY APPARATUS FOR GENERAL USE
  • B01L3/00—Containers or dishes for laboratory use, e.g. laboratory glassware; Droppers
  • B01L3/50—Containers for the purpose of retaining a material to be analysed, e.g. test tubes
  • B01L3/508—Rigid containers without fluid transport within
  • B01L3/5082—Test tubes per se
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
  • B01L—CHEMICAL OR PHYSICAL LABORATORY APPARATUS FOR GENERAL USE
  • B01L2300/00—Additional constructional details
  • B01L2300/04—Closures and closing means
  • B01L2300/041—Connecting closures to device or container
  • B01L2300/042—Caps; Plugs
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
  • B01L—CHEMICAL OR PHYSICAL LABORATORY APPARATUS FOR GENERAL USE
  • B01L2300/00—Additional constructional details
  • B01L2300/04—Closures and closing means
  • B01L2300/046—Function or devices integrated in the closure
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
  • B01L—CHEMICAL OR PHYSICAL LABORATORY APPARATUS FOR GENERAL USE
  • B01L2300/00—Additional constructional details
  • B01L2300/04—Closures and closing means
  • B01L2300/046—Function or devices integrated in the closure
  • B01L2300/048—Function or devices integrated in the closure enabling gas exchange, e.g. vents

Definitions

• the disclosure relates, in general, to a collection device and a method of making a balanced fluid collection device for collecting a biological fluid sample, and more particularly, to a blood sample collection device integrated with an evacuated blood collection tube for use in connection with blood gas analysis and even more particularly, to a blood sample collection device designed to draw blood using an “atmospheric-balanced vacuum” to ensure the blood is exposed to the sample atmospheric partial pressure oxygen and partial pressure carbon dioxide levels as found in a standard arterial blood gas (ABG) syringe, resulting in blood gas sample stabilization during collection.
• ABS arterial blood gas
• a lmL-3mL syringe -based platform is commonly accepted for blood gas laboratory tests.
• Current blood gas devices fall within two categories based on the filling methods employed (1) plunger-user assisted and (2) vented-blood pressure assisted.
• plunger-user assisted and (2) vented-blood pressure assisted.
• These syringe configurations typically require the user to follow a protocol that involves air purging, capping/sealing, and anticoagulant mixing steps to ensure blood sample quality isn’t compromised for analysis in the diagnostic instruments.
• conventional blood collection syringes significantly elevate the safety risk for blood exposure during the air burp and capping procedure.
• a recent device for blood collection for collecting small samples of blood and dispensing a portion of the sample into a device intended or designed to analyze the sample is disclosed in U.S. Patent Number 9,649,061, the entirety of which is incorporated herein by reference.
• the blood sample collection device disclosed therein is integrated within an evacuated container, such as a BD Vacutainer® blood collection tube, owned by Becton, Dickinson, and Company, the assignee of the present invention.
• Use of this device allows for blood sample collection and dispensing for point-of-care applications which incorporates conventional automatic blood draw and includes a novel controlled sample dispensing capability while minimizing exposure risk.
• the gas composition, dissolved and bound to hemoglobin in the blood (O2, N2, CO2), is exposed to a gas mixture in the tube where each respective gas mixture component has its own partial pressure.
• the internal pressure of a tube is defined by an internal volume of the tube and a desired draw volume of the tube (e.g., ImL, 2mL, etc.).
• normal atmospheric gas composition has an oxygen partial pressure of 160 mmHg at atmospheric pressure and 760 mmHg at sea level.
• This standard vacuum process creates an environment that exposes blood to a larger partial pressure gradient (AP) for both oxygen and carbon dioxide in a conventional Vacutainer® tube in comparison to a syringe that can then lead to blood gas bias.
• AP partial pressure gradient
• gases can come out of solution (blood), as determined by the equilibrium between the undissolved gas in the vacuum tube and the gas dissolved in the blood.
• the key benefits of the arterial blood gas (ABG) atmospheric-balanced vacuum tube of the present disclosure is the reduction in both blood collection workflow steps and blood exposure associated with conventional (ABG) syringe blood collection sets.
• the device of the present disclosure provides a simplified user workflow as it uses a vacuum drawing method to uniformly mix anticoagulant in a fixed maximum blood sample that is air free.
• a plug element is located at a fixed position in a tip cap. This plug element is air permeable and liquid impermeable to allow air to be purged as the device fills and subsequently seals off upon blood contact.
• This atmospheric-balanced vacuum design of the present disclosure allows the removal of a dispenser component from the evacuated tube, which allows a controlled sample to be dispensed to a diagnostic instrument cartridge or aspiration by/through a probe in a blood gas diagnostic port.
• a biological liquid collection device may include a collection module for receiving a biological liquid sample; an evacuated container having an open end and a closed end, said evacuated container containing the collection module therein; and a closure for closing the open end of the evacuated container, wherein the evacuated container comprises a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to an internal cavity of the evacuated container.
• the evacuated container may include the gas composition with select partial pressures of targeted gasses that are greater than the targeted gas partial pressures of the atmosphere outside of the evacuated container.
• the gas composition within the evacuated container may include oxygen, carbon dioxide, and nitrogen.
• the oxygen in the gas composition located within the evacuated container may have a partial pressure that is greater than a partial pressure of atmospheric oxygen outside of the evacuated container.
• the carbon dioxide in the gas composition located within the evacuated container may have a partial pressure that is substantially equal to a partial pressure of atmospheric carbon dioxide outside of the evacuated container.
• the gas composition may include approximately 75% oxygen, approximately 23% nitrogen, and approximately 0.1% carbon dioxide.
• the evacuated container may have a total pressure of 300 mmHg and wherein the oxygen within the gas composition in the evacuated container has a partial pressure of approximately 160 mmHg.
• the evacuated container may have a total pressure of 300 mmHg and wherein the carbon dioxide within the gas composition in the evacuated container has a partial pressure of approximately 0.3 mmHg.
• the oxygen within the gas composition of outside air may have a partial pressure of approximately 160 mmHg and the carbon dioxide within the gas composition of the outside air may have a partial pressure of approximately 0.3 mmHg.
• the collection module may include a first end having a sample introduction opening, a second end having a sample dispensing opening, a passageway extending between the sample introduction opening and the sample dispensing opening, and a porous plug covering the second end of a housing.
• a closure may be configured to close the sample introduction opening in the collection module and wherein the closure comprises a pierceable self-sealing stopper.
• the porous plug may be adapted to allow air to pass from the passageway of the collection module while preventing the biological liquid sample to pass therethrough.
• the evacuated container When the evacuated container is one of a 1 mL 13X75 tube, 2 mL 13X75 tube, 2.5 mL 13X75 tube, 3.5 mL 13X75 tube, and 4 mL 13X75 tube, the evacuated container may have a shelf life of at least 10 months, 24 months, 24 months, 12 months, and 21 months, respectively.
• the gas composition in the evacuated container may include argon.
• the gas composition within the evacuated container may include oxygen, nitrogen, and a third gas such as Argon with a similar permeation rate to nitrogen.
• the oxygen in the gas composition located within the evacuated container may have a partial pressure that is equal to the partial pressure of atmospheric oxygen outside of the evacuated container, and the Argon in the gas composition located within the evacuated container has a partial pressure that is greater than the partial pressure of atmospheric Argon outside of the evacuated container.
• the evacuated container may be a partial draw tube.
• a biological liquid collection device may include a collection module for receiving a biological liquid sample; an evacuated container containing the collection module therein; and a closure for closing an open end of the evacuated container, wherein the evacuated container comprises a gas composition that has an enriched oxygen content having a partial pressure substantially greater than a partial pressure of oxygen in air at atmospheric pressure of 760 mmHg external to an inner cavity of the evacuated container.
• the evacuated container may have a partial pressure of approximately 300 mmHg and wherein the partial pressure of oxygen within the evacuated container is approximately 160 mmHg.
• the gas composition may include carbon dioxide and nitrogen, and wherein the partial pressure of carbon dioxide within the evacuated container may be approximately 0.3 mmHg and the partial pressure of nitrogen within the evacuated container may be approximately 140 mmHg.
• the evacuated container may have a partial pressure of approximately 300 mmHg and wherein the partial pressure of oxygen within the evacuated container is greater than 160 mmHg.
• the gas composition may include approximately 75% oxygen.
• the gas composition may include approximately 23% nitrogen and approximately 0.1% carbon dioxide.
• a method of making an atmospheric balanced fluid collection device may include providing a container having an open end and a closed end, said container defining a chamber; drawing a vacuum within the container to remove at least some gas from within the chamber; back purging the chamber with a gas composition that is proportioned greater than a gas composition of atmosphere outside of an evacuated container, wherein the back purging of the chamber is conducted until reaching a predetermined vacuum pressure within the container; drawing a further vacuum within the container to remove at least some of the gas from within the chamber; back purging the chamber with a further gas composition that is proportioned greater than the gas composition of the atmosphere outside of the evacuated container, wherein the back purging of the chamber is conducted until reaching the predetermined vacuum pressure within the container; and closing the open end of the container.
• the predetermined vacuum pressure within the container may be 300 mmHg and the gas composition may include approximately 75% oxygen having a partial pressure of approximately 160 mmHg.
• the method may further include placing a fluid collection module within the container, wherein the fluid collection module comprises a first end having a sample introduction opening, a second end having a sample dispensing opening, a passageway extending between the sample introduction opening and the sample dispensing opening, and a porous plug covering the second end of a housing, said porous plug being adapted to allow air to pass from the passageway of the collection module while preventing a biological liquid sample to pass therethrough.
• the evacuated container When the evacuated container is one of a 1 mL 13X75 tube, 2 mL 13X75 tube, 2.5 mL 13X75 tube, 3.5 mL 13X75 tube, and 4 mL 13X75 tube, the evacuated container may have a shelflife of at least 10 months, 24 months, 24 months, 12 months, and 21 months, respectively.
• a biological liquid collection device assembly may include an evacuated tube for receiving a biological liquid sample; and a barrier packaging, said barrier packaging containing the evacuated tube therein, wherein the barrier packaging comprises a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to the barrier packaging.
• the evacuated tube may also include a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to the barrier packaging.
• a biological liquid collection device comprising a collection module for receiving a biological liquid sample; an evacuated container having an open end and a closed end, said evacuated container containing the collection module therein; and a closure for closing the open end of the evacuated container, wherein the evacuated container comprises a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to an internal cavity of the evacuated container.
• Clause 2 The biological liquid collection device of Clause 1, wherein the evacuated container comprises the gas composition with select partial pressures of targeted gasses that are greater than the targeted gas partial pressures of the atmosphere outside of the evacuated container.
• Clause 3 The biological liquid collection device of Clause 1 or Clause 2, wherein the gas composition within the evacuated container comprises oxygen, carbon dioxide, and nitrogen.
• Clause 4 The biological liquid collection device of Clause 3, wherein the oxygen in the gas composition located within the evacuated container has a partial pressure that is greater than a partial pressure of atmospheric oxygen outside of the evacuated container.
• Clause 5 The biological liquid collection device of Clause 3 or Clause 4, wherein the carbon dioxide in the gas composition located within the evacuated container has a partial pressure that is substantially equal to a partial pressure of atmospheric carbon dioxide outside of the evacuated container.
• Clause 6 The biological liquid collection device of any of Clauses 3-5, wherein the gas composition comprises approximately 75% oxygen, approximately 23% nitrogen, and approximately 0.1% carbon dioxide.
• Clause 7 The biological liquid collection device of Clause 6, wherein the evacuated container has a total pressure of 300 mmHg and wherein the oxygen within the gas composition in the evacuated container has a partial pressure of approximately 160 mmHg.
• Clause 8 The biological liquid collection device of Clause 7, wherein the evacuated container has a total pressure of 300 mmHg and wherein the carbon dioxide within the gas composition in the evacuated container has a partial pressure of approximately 0.3 mmHg.
• Clause 9 The biological liquid collection device of Clause 8, wherein the oxygen within the gas composition of outside air has a partial pressure of approximately 160 mmHg and the carbon dioxide within the gas composition of the outside air has a partial pressure of approximately 0.3 mmHg.
• Clause 10 The biological liquid collection device of any of Clauses 1-9, wherein the collection module includes a first end having a sample introduction opening, a second end having a sample dispensing opening, a passageway extending between the sample introduction opening and the sample dispensing opening, and a porous plug covering the second end of a housing.
• Clause 11 The biological liquid collection device of Clause 10, wherein a closure is configured to close the sample introduction opening in the collection module and wherein the closure comprises a pierceable self-sealing stopper.
• Clause 12 The biological liquid collection device of Clause 10 or Clause 11 , wherein the porous plug is adapted to allow air to pass from the passageway of the collection module while preventing the biological liquid sample to pass therethrough.
• Clause 13 The biological liquid collection device of any of Clauses 1-12, wherein, when the evacuated container is one of a 1 mL 13X75 tube, 2 mL 13X75 tube, 2.5 mL 13X75 tube, 3.5 mL 13X75 tube, and 4 mL 13X75 tube, the evacuated container has a shelf life of at least 10 months, 24 months, 24 months, 12 months, and 21 months, respectively.
• Clause 14 The biological liquid collection device of any of Clauses 1-13, wherein the gas composition in the evacuated container further comprises argon.
• Clause 15 The biological liquid collection device of any of Clauses 1-14, wherein the gas composition within the evacuated container comprises oxygen, nitrogen, and a third gas such as Argon with a similar permeation rate to nitrogen.
• Clause 16 The biological liquid collection device of Clause 15, wherein the oxygen in the gas composition located within the evacuated container has a partial pressure that is equal to the partial pressure of atmospheric oxygen outside of the evacuated container, and the Argon in the gas composition located within the evacuated container has a partial pressure that is greater than the partial pressure of atmospheric Argon outside of the evacuated container.
• Clause 17 The biological liquid collection device of Clause 1, wherein the evacuated container is a partial draw tube.
• a biological liquid collection device comprising: a collection module for receiving a biological liquid sample; an evacuated container containing the collection module therein; and a closure for closing an open end of the evacuated container, wherein the evacuated container comprises a gas composition that has an enriched oxygen content having a partial pressure substantially greater than a partial pressure of oxygen in air at atmospheric pressure of 760 mmHg external to an inner cavity of the evacuated container.
• Clause 19 The biological liquid collection device of Clause 18, wherein the evacuated container has a partial pressure of approximately 300 mmHg and wherein the partial pressure of oxygen within the evacuated container is approximately 160 mmHg.
• Clause 20 The biological liquid collection device of Clause 19, wherein the gas composition includes carbon dioxide and nitrogen, and wherein the partial pressure of carbon dioxide within the evacuated container is approximately 0.3 mmHg and the partial pressure of nitrogen within the evacuated container is approximately 140 mmHg.
• Clause 21 The biological liquid collection device of any of Clauses 18-20, wherein the evacuated container has a partial pressure of approximately 300 mmHg and wherein the partial pressure of oxygen within the evacuated container is greater than 160 mmHg.
• Clause 22 The biological liquid collection device of any of Clauses 18-21, wherein the gas composition comprises approximately 75% oxygen.
• Clause 23 The biological liquid collection device of Clause 22, wherein the gas composition further comprises approximately 23% nitrogen and approximately 0.1% carbon dioxide.
• Clause 24 A method of making an atmospheric balanced fluid collection device comprising: providing a container having an open end and a closed end, said container defining a chamber; drawing a vacuum within the container to remove at least some gas from within the chamber; back purging the chamber with a gas composition that is proportioned greater than a gas composition of atmosphere outside of an evacuated container, wherein the back purging of the chamber is conducted until reaching a predetermined vacuum pressure within the container; drawing a further vacuum within the container to remove at least some of the gas from within the chamber; back purging the chamber with a further gas composition that is proportioned greater than the gas composition of the atmosphere outside of the evacuated container, wherein the back purging of the chamber is conducted until reaching the predetermined vacuum pressure within the container; and closing the open end of the container.
• Clause 25 The method of Clause 24, wherein the predetermined vacuum pressure within the container is 300 mmHg and the gas composition comprises approximately 75% oxygen having a partial pressure of approximately 160 mmHg.
• Clause 26 The method of Clause 24 or Clause 25, further including placing a fluid collection module within the container, wherein the fluid collection module comprises a first end having a sample introduction opening, a second end having a sample dispensing opening, a passageway extending between the sample introduction opening and the sample dispensing opening, and a porous plug covering the second end of a housing, said porous plug being adapted to allow air to pass from the passageway of the collection module while preventing a biological liquid sample to pass therethrough.
• Clause 27 The method of any of Clauses 24-26, wherein, when the evacuated container is one of a 1 mL 13X75 tube, 2 mL 13X75 tube, 2.5 mL 13X75 tube, 3.5 mL 13X75 tube, and 4 mL 13X75 tube, the evacuated container has a shelf life of at least 10 months, 24 months, 24 months, 12 months, and 21 months, respectively.
• a biological liquid collection device assembly comprising: an evacuated tube for receiving a biological liquid sample; and a barrier packaging, said barrier packaging containing the evacuated tube therein, wherein the barrier packaging comprises a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to the barrier packaging.
• Clause 29 The biological liquid collection device assembly of Clause 28, wherein the evacuated tube also comprises a gas composition with select partial pressure of a targeted gas that is substantially greater than a targeted gas partial pressure of atmosphere external to the barrier packaging.
• FIG. 1 is a front perspective view of a biological liquid collection device having a collection module disposed within an outer housing in accordance with an aspect of the present disclosure
• FIG. 2 is a partial cross-sectional side view of the biological liquid collection device of FIG. 1 in accordance with an aspect of the present disclosure
• FIGS. 3A and 3B are enlarged partial cross-sectional side views of FIGS. 1 and 2 showing the porous plug closing the liquid collection chamber in accordance with an aspect of the present disclosure
• FIGS. 4A and 4B are schematic diagrams illustrating blood gas vacuum bias using a standard vacuum process in a conventional Vacutainer® tube in accordance with principles known in the art;
• FIG. 5 is a schematic illustration of adjusting a pressure in a container according to one aspect of the present disclosure
• FIG. 6 is a schematic illustration depicting the flow of oxygen relative to a container of the present disclosure
• FIG. 7 is a graph showing tube pressure versus time of an oxygen backfilled nongelled tube in accordance with the disclosed invention, as well as a non-backfilled tube;
• FIG. 8 is a graph showing tube pressure versus time of an oxygen backfilled gelled tube in accordance with the disclosed invention, as well as a non-backfilled tube;
• FIG. 9 is a schematic illustration depicting the flow of oxygen and argon relative to a container of the present disclosure.
• FIG. 10 is a schematic illustration of an evacuated tube with a barrier packaging according to one non-limiting embodiment or aspect of the present disclosure.
• FIGS. 1 and 2 show a biological liquid collection device, generally indicated as 1, having a collection module 10 disposed within an outer housing or evacuated container 34 in accordance with an aspect of the present disclosure.
• the collection module 10 is adapted to receive a biological liquid sample, such as a blood sample, and includes a housing 12, a closure 14, a mixing chamber 16, a holding chamber 18, a cap 26, as shown in FIG. 2, and an activation member 22.
• the housing 12 includes a first end 24, a second end 26, and a passageway 28 extending therebetween and providing fluid communication between the first end 24 and the second end 26 of the housing 12.
• the passageway 28 has a sample introduction opening 30 at the first end 24 of the housing 12 and a sample dispensing opening 32 at the second end 26 of the housing 12.
• the mixing chamber 16 and the holding chamber 18 are provided in fluid communication with the passageway 28.
• the mixing chamber 16 and the holding chamber 18 are positioned such that a biological fluid sample, such as a blood sample, introduced into the sample introduction opening 30 of the passageway 28 will first pass through the mixing chamber 16 and subsequently pass into the holding chamber 18, prior to reaching the sample dispensing opening 32 of the passageway 28.
• the blood sample may be mixed with an anticoagulant or other additive provided within the mixing chamber 16 before the stabilized sample is received and stored within the holding chamber 18.
• the mixing chamber 16 allows for passive mixing of the blood sample with an anticoagulant or another additive, such as a blood stabilizer, as the blood sample flows through the passageway 28.
• the internal portion of the mixing chamber 16 may have any suitable structure or form as long as it provides for the mixing of the blood sample with an anticoagulant or another additive as the blood sample passes through the passageway 28.
• the mixing chamber 16 may include a dry anticoagulant, such as Heparin or EDTA, deposited on or within the mixing chamber 16.
• the mixing chamber 16 may, for example, include an open cell foam containing dry anticoagulant dispersed within the cells of the open cell foam to promote the effectiveness of the flow-through mixing and anticoagulant uptake.
• the blood sample may be directed to the holding chamber 18.
• the holding chamber 18 may take any suitable shape and size to store a sufficient volume of blood necessary for the desired testing, for example 500 pl or less.
• the holding chamber 18 is defined by a portion of the housing 12 in combination with an elastic sleeve 40 secured about the exterior of the housing 12.
• the elastic sleeve 40 may be made of any material that is flexible, deformable, and capable of providing a fluid tight seal with the housing 12, including, but not limited to, natural or synthetic rubber, and other suitable elastomeric materials.
• a porous or vented plug 44 is disposed at the second end 26 of the housing 12 and plugs the sample dispensing opening 32 of the passageway 28.
• the construction of the vented plug 44 allows air to pass therethrough and out of the collection module 10 while preventing the blood sample from passing therethrough and may include a hydrophobic filter.
• the vented plug 44 has selective air passing resistance that may be used to finely control the filling rate of the passageway 28. By varying the porosity of the plug, the velocity of the air flow out of the plug 44, and thus the velocity of the blood sample flow into the collection module 10, may be controlled. If the blood sample flow velocity into the collection module 10 is too fast, hemolysis may occur. If the blood sample flow velocity into the collection module 10 is too slow, sample collection time may be excessive.
• a closure 14 is engaged with the first end 24 of the housing 12 to seal the passageway 28.
• the closure 14 allows for introduction of a blood sample into the passageway 28 of the housing 12 and may include a pierceable self-sealing stopper 36 with an outer shield 38 such as a HemogardTM cap commercially available from Becton, Dickinson and Company.
• the closure 14 also secures to the outer housing or evacuated container 34.
• the evacuated container 34 can be any well-known vacuum containing blood collection tube, such as a Vacutainer® blood collection tube commercially available from Becton, Dickinson and Company.
• FIGS. 4A and 4B schematically illustrate blood gas vacuum bias using a standard vacuum process in a conventional or prior art evacuated container 200, such as a Vacutainer® container, in accordance with principles known in the art.
• a conventional evacuated container 200 When blood fills a conventional evacuated container 200, the gas composition, dissolved and bound to hemoglobin in the blood (O2, N2, CO2), is exposed to a gas mixture in the tube where each respective gas mixture component has its own partial pressure.
• the standard vacuum process creates an environment that exposes blood to a larger partial pressure gradient (AP) for both oxygen and carbon dioxide in a conventional evacuated container 200 in comparison to a syringe that can then lead to blood gas bias.
• AP partial pressure gradient
• Henry states that the amount of dissolved gas is proportional to its partial pressure in the gas phase. This equilibrium constant shows that the partial pressure of blood gases are directly proportional to the partial pressure of the gas in the tube.
• gases in the conventional container 200 as discussed above and shown in FIG. 4A will come out of solution (blood), as determined by the equilibrium between the undissolved gas in the evacuated container and the gas dissolved in the blood.
• FIG. 5 schematically illustrates the liquid evacuated container 34, and method of preparing the evacuated tube 34 in accordance with the present disclosure, wherein the evacuated container 34, which contains the collection module 10, comprises a gas composition that has a pressure that is greater than the pressure of the gas composition of the atmosphere outside of the evacuated container 34.
• the term “outside” may be understood to mean an area or position external to an inner cavity of the evacuated container 34.
• the gas composition has a pressure that is equal to or matches the pressure of the gas composition of the atmosphere outside of the evacuated container 34 (-160 mmHg).
• the proposed device adjusts the fundamental partial pressure composition of oxygen, O2, and carbon dioxide, CO2, within the vacuum chamber relative to that of the atmospheric conditions, to provide a blood gas sample equivalent to a standard arterial blood gas ABG syringe (current standard of care).
• the O2 may be considered a targeted gas since the partial pressure of O2 is being adjusted relative to the partial pressure of the O2 in the atmosphere external to the inner cavity of the evacuated container 34.
• the targeted gas may be different from O2 or in addition to the O 2 , such as the Argon gas discussed below.
• the targeted gas is understood to be the particular gas of the gas composition that is to be adjusted so as to reduce or eliminate the same targeted gas external from the evacuated container 34 seeping into the evacuated container 34. This was accomplished by developing a vacuum assembly procedure where a high vacuum is pulled and then oxygen, O2, and carbon dioxide, CO2, are backfilled into the chamber until achieving the desired final vacuum level and partial pressures of O2 and CO2.
• the presently disclosed device and method results in the collection of blood samples into a vacuum chamber or into the evacuated container 34 where blood is exposed to an increased pressure as compared to the atmospheric partial pressure of oxygen (PO2) and partial pressure of carbon dioxide (PCO2) levels found in a standard arterial blood gas syringe, which exposes the blood sample to normal atmospheric air, and its respective PO2 and PCO2 levels, as shown in the graph of FIG. 4B.
• PO2 atmospheric partial pressure of oxygen
• PCO2 partial pressure of carbon dioxide
• the method for obtaining the pressure adjusted container 34 of the present disclosure is achieved by starting with a container which is at atmospheric pressure, 760 mmHg, comprising a composition of approximately 21% oxygen, O2, and 79% nitrogen, N2, having a partial pressure of nitrogen (PN2) of approximately 160 mmHg, and a partial pressure of oxygen PO2 of approximately 600 mmHg.
• N2 having a partial pressure of nitrogen
• PN2 partial pressure of nitrogen
• PO2 partial pressure of oxygen
• the tube is back purged with a deliberately proportioned gas composition of O2, N2, and CO2 until reaching the desired vacuum level of approximately 300 mmHg that is greater than atmospheric partial pressures of O2 and CO2 forming the pressure adjusted evacuated tube 34, of the disclosure, as shown in FIG. 5, wherein the composition of the tube is approximately 30%-100% oxygen and up to 70% nitrogen, and the partial pressure of oxygen PO2 is approximately 160 mmHg, the partial pressure of nitrogen PN2 is approximately 140 mmHg, and the partial pressure of carbon dioxide PCO2 is approximately 0.3 mmHg.
• the composition of the tube is approximately greater than 50% oxygen and less than 50% nitrogen. In another example of the present disclosure, the composition of the tube may be 100% oxygen. It may be appreciated that the tube can be back purged such that the partial pressure of oxygen within the evacuated container is greater than 160 mmHg. In another example, an oxygen barrier may be provided in the body of the evacuated tube to assist in preventing gas permeation.
• the PO2 (or another gas) in the tube may be deliberately above PO2 (or another gas) in the atmosphere (e.g. hypers aturation within the tube). This could also be used to allow to increase draw volume over time, if so desired. This is potentially useful in tubes with higher internal pressure/internal volume ratios (e.g. a partial draw tube). Use of this embodiment further extends the product shelf-life (beyond what is already discussed).
• a partial draw tube is understood to be a blood collection tube that is smaller (in one example, approximately 3.0 mL or less) than a standard (in one example, approximately 4.5 mL) draw tube.
• Pressure-adjusted partial pressure PO2 and PCO2 vacuum tube architecture enables stable blood gas levels during blood vacuum draws using conventional blood collection sets based on the typical evacuated container systems.
• Vacuum shelf-life loss in the evacuated containers 134 of the prior art is due to gas permeation through the plastic tube, which is driven by the atmospheric and vacuum partial pressure gradient at the plastic barrier. Nitrogen contributes the least to vacuum loss as the permeation factor for oxygen is an order of magnitude higher in polyethylene terephthalate (PET), a plastic primarily used in typical evacuated tubes.
• PET polyethylene terephthalate
• the above-described pressure- adjusted vacuum tube architecture provides a superior vacuum shelf-life, as the increased PO2 and PCO2 gradients in the tube are not susceptible to gas permeation. This is due to the fact that by design there is an increased difference in PO2 and PCO2 pressures inside and outside the container 134 of the prior art.
• the oxygen within the gas composition of the outside air has a partial pressure of approximately 160 mmHg
• the carbon dioxide within the gas composition of the outside air has a partial pressure of approximately 0.3 mmHg.
• the oxygen within the gas composition within the tube also has a partial pressure of approximately 160 mmHg
• the carbon dioxide within the gas composition within the tube has a partial pressure of approximately 0.3 mmHg
• the composition inside the tube has an increased percentage of oxygen. Because the oxygen percentage of the composition is increased inside the tube, there is no pressure exchange and no resultant vacuum loss from the O2 and CO2.
• the difference in partial pressure of nitrogen N2 within and outside of the tube can be significantly different, i.e., the partial pressure of nitrogen PN2 within the tube is approximately 140 mmHg and the partial pressure of nitrogen PN2 within the atmosphere outside of the tube is approximately 593 mmHg.
• This difference in partial pressure can result in a slight increase in the vacuum pressure within the tube due to nitrogen N2 permeation into the tube because nitrogen has approximately 10X lower permeability vs. oxygen.
• the pressure-adjusted compositions as described could be useful in increasing the shelf-life of any conventional specimen collection container.
• this pressure adjusting technique could be useful for prolonging the shelf-life of plastic blood collection containers, including any kind of evacuated tube.
• pressure adjusting methodologies described herein can be utilized for any evacuated plastic container.
• pressure adjusting methodologies identified herein may be suitably used in venous or other blood collection applications.
• FIGS. 7 and 8 illustrate different graphs of draw volume as a function of time due to the permeability of the tube being tested.
• O2 backfilled tubes have been found to take significantly longer to reach a threshold (e.g., a critical 20% threshold wherein the tube can still draw within 20% of the volume that it drew when it was first evacuated, referred to herein as “shelf life”) than counterpart non-backfilled tubes.
• a threshold e.g., a critical 20% threshold wherein the tube can still draw within 20% of the volume that it drew when it was first evacuated
• shelf life e.g., a critical 20% threshold wherein the tube can still draw within 20% of the volume that it drew when it was first evacuated
• the evacuated container when the evacuated container is one of a 1 mL 13X75 tube, 2 mL 13X75 mL tube, 2.5 mL 13X75 tube, 3.5 mL 13X75 tube, and 4 mL 13X75 tube, the evacuated container has a shelf life of at least 10 months, 24 months, 24 months, 12 months, and 21 months, respectively.
• the method of adjusting the composition in the tube may also include the introduction of a third gas, besides oxygen and nitrogen, to provide the potential for an even longer shelf life benefit for the evacuated tube.
• a third gas besides oxygen and nitrogen
• the pressure in the tube is maintained at nearly constant levels for a significant portion of the shelf life of the tube.
• the oxygen in the tube is matched to the oxygen content in the atmosphere to effectively eliminate oxygen permeation.
• a third gas is also introduced into the evacuated tube to counteract nitrogen permeation from atmosphere into the tube.
• the third gas may be argon. Argon has a similar permeation rate to nitrogen and nearly balances nitrogen permeation from atmosphere into the tube.
• the optimized device oxygen pressure may be greater or lower than 70 mmHg as needed based on the type of device being used.
• the gas mixture backfilled into the tube may include at least one of the following: nitrogen, oxygen, or a combination of nitrogen and oxygen.
• the tube 02 pressure can be controlled to be lower than atmospheric pressure (pO2) but still higher than a regular evacuated tube. This control will provide balanced 02 pressure in the device headspace after sample collection compared to the pO2 in the blood sample, which in turn reduces 02 transfer from the headspace to the sample or vice versa during the turnaround time before testing the blood sample.
• pO2 atmospheric pressure
• a barrier packaging 100 with a controlled oxygen pressure may be used to extend a product shelf life of an evacuated tube 102.
• the packaging 100 may have a controlled oxygen pressure that matches the controlled oxygen pressure of the evacuated tube 102.
• the packaging 100 may be a foil pouch, a blister pack, a foil film shelf pack, an oxygen barrier shrink wrap, or any other packaging used to store an evacuated tube 102 or fluid container.
• the oxygen pressure of the packaging 100 may be controlled by pulling vacuum and/or backfilling the packaging with gas, such as nitrogen or oxygen, during the packaging process to match the oxygen pressure of the evacuated tube 102.
• the matched oxygen pressure in the packaging 100 reduces oxygen permeation and extends the shelf life of the evacuated tube 102.
• Evacuated blood collection tubes have typically much lower oxygen pressure (e.g. - 0-20 mmHg) compared to atmosphere (-160 mmHg). This pressure difference generates oxygen permeation through the tube wall of the blood collection tubes, which induces vacuum loss and limits the product shelf life of the blood collection tube.
• the oxygen barrier packaging 100 with controlled oxygen pressure can extend the product shelf life without changing the tube design and/or material by reducing oxygen permeation.
• the controlled oxygen pressure in the packaging 100 can accommodate semi-barrier packaging material.
• an evacuated tube may have a vacuum with a controlled and optimized oxygen pressure (pO2) to improve device blood gas performance.
• the controlled vacuum composition may be achieved by pulling vacuum in the tube and backfilling the tube with a gas mixture during the tube evacuation process.
• a barrier packaging for the evacuated tube may have a controlled oxygen pressure that matches the controlled oxygen pressure of the evacuated tube. Therefore, using this process, the shelf life of the evacuated tube is extended and the oxygen permeation for the evacuated tube is reduced by using a combination of the controlled vacuum composition in the evacuated tube and the barrier packaging with the controlled oxygen pressure.

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• 2023
  • 2023-10-04 JP JP2025519816A patent/JP2025536237A/ja active Pending
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