WO2004039429A2 - Single-use lancet device - Google Patents

Single-use lancet device Download PDF

Info

Publication number
WO2004039429A2
WO2004039429A2 PCT/US2003/033623 US0333623W WO2004039429A2 WO 2004039429 A2 WO2004039429 A2 WO 2004039429A2 US 0333623 W US0333623 W US 0333623W WO 2004039429 A2 WO2004039429 A2 WO 2004039429A2
Authority
WO
WIPO (PCT)
Prior art keywords
trigger
needle assembly
cocked
spring
trigger bar
Prior art date
Application number
PCT/US2003/033623
Other languages
French (fr)
Other versions
WO2004039429A3 (en
Inventor
Paul D. Levin
Robby Jay Moore
David M. Levin
Ted Ackley
John D. Harding
Original Assignee
Palco Labs, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Palco Labs, Inc. filed Critical Palco Labs, Inc.
Priority to AT03779190T priority Critical patent/ATE492222T1/en
Priority to JP2005501892A priority patent/JP2006504502A/en
Priority to DE60335488T priority patent/DE60335488D1/en
Priority to AU2003284870A priority patent/AU2003284870A1/en
Priority to EP03779190A priority patent/EP1560530B1/en
Publication of WO2004039429A2 publication Critical patent/WO2004039429A2/en
Publication of WO2004039429A3 publication Critical patent/WO2004039429A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/151Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15142Devices intended for single use, i.e. disposable
    • A61B5/15144Devices intended for single use, i.e. disposable comprising driving means, e.g. a spring, for retracting the piercing unit into the housing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150015Source of blood
    • A61B5/150022Source of blood for capillary blood or interstitial fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150412Pointed piercing elements, e.g. needles, lancets for piercing the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381Design of piercing elements
    • A61B5/150503Single-ended needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150541Breakable protectors, e.g. caps, shields or sleeves, i.e. protectors separated destructively, e.g. by breaking a connecting area
    • A61B5/150549Protectors removed by rotational movement, e.g. torsion or screwing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/15058Joining techniques used for protective means
    • A61B5/150618Integrally moulded protectors, e.g. protectors simultaneously moulded together with a further component, e.g. a hub, of the piercing element
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150694Procedure for removing protection means at the time of piercing
    • A61B5/150717Procedure for removing protection means at the time of piercing manually removed
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150801Means for facilitating use, e.g. by people with impaired vision; means for indicating when used correctly or incorrectly; means for alarming
    • A61B5/150824Means for facilitating use, e.g. by people with impaired vision; means for indicating when used correctly or incorrectly; means for alarming by visual feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150885Preventing re-use
    • A61B5/150923Preventing re-use by means for destroying components or parts, e.g. by cutting or piercing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/151Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/151Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15101Details
    • A61B5/15103Piercing procedure
    • A61B5/15107Piercing being assisted by a triggering mechanism
    • A61B5/15113Manually triggered, i.e. the triggering requires a deliberate action by the user such as pressing a drive button
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/151Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15101Details
    • A61B5/15115Driving means for propelling the piercing element to pierce the skin, e.g. comprising mechanisms based on shape memory alloys, magnetism, solenoids, piezoelectric effect, biased elements, resilient elements, vacuum or compressed fluids
    • A61B5/15117Driving means for propelling the piercing element to pierce the skin, e.g. comprising mechanisms based on shape memory alloys, magnetism, solenoids, piezoelectric effect, biased elements, resilient elements, vacuum or compressed fluids comprising biased elements, resilient elements or a spring, e.g. a helical spring, leaf spring, or elastic strap
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/15Devices for taking samples of blood
    • A61B5/151Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15142Devices intended for single use, i.e. disposable

Definitions

  • the present invention relates generally to single-use lancets for drawing capillary blood samples.
  • the present invention provides a single-
  • present invention is designed so that it may be assembled by automatic machinery. Automatic assembly reduces the cost of the device and assures the
  • a novel detachable tailpiece on the lancet carrier facilitates automatic or manual assembly.
  • the tailpiece serves as a guide for dropping the spring onto
  • the needle of single-use devices is driven into the patient's skin by a small spring, which is typically cocked by the technician just prior to use.
  • the safety cap with its attachment keeps the end of the lancet sterile and, since it
  • a small metal rod such as a paperclip can also be used to recock the device described
  • the configuration of the present invention has advantages not previously described in the prior art.
  • the device is pre-cocked when it is manufactured and therefore makes cocking by the user unnecessary.
  • a small hole in the floor of the case In molding the bottom half of the case in the preferred embodiment, a small hole in the floor of the case
  • a transverse trigger bar to be molded about 2 mm above the floor, in continuity with two vertical uprights.
  • the intact trigger bar is positioned to bear against an abutment on the underside of the needle carrier.
  • the bottom half of the device therefore provides both a channel for movement of the needle carrier
  • the top half of the device of the preferred embodiment of the invention carries the trigger button which can be moved downward about 3 mm when the concave button is pressed by the user.
  • the underside of the button is provided
  • the trigger mechanism has been permanently broken by detachment of the
  • the device cannot be recocked and a second use is impossible.
  • the present invention includes an advance in the manufacturing of
  • single-use lancet devices relating to a novel method of cocking and assembly of the device which facilitates manufacturing the lancet either with automation
  • the above-mentioned disposable tailpiece in the preferred embodiment is about 12 mm long, 4 mm wide and slightly less than 1 mm thick.
  • the automation arm places the carrier into the proper location in the bottom half of the clamshell and the top half of the device is
  • the tailpiece also facilitates manual assembly, but automatic assembly is preferred.
  • a primary object of the invention is to provide a single-use lancet which cannot be reused.
  • a further object of the invention is to provide a single-use lancet which can be assembled by automatic equipment.
  • Another object of the invention is to provide a single-use lancet having a
  • one-way trigger wherein the trigger remains in its depressed firing position after the lancet has been used.
  • Another object of the invention is a single-use lancet having a free-
  • a further object of the invention is a single-use lancet which is pre-cocked
  • Yet another object of the invention is to provide a single-use lancet wherein the firing mechanism includes, in one embodiment, a pair of guillotine-
  • Fig. 1 is an overall perspective view of the device.
  • the needle cover
  • Fig. 2 is a perspective view of the device after the needle cover has been removed.
  • Fig. 3A is a perspective view of the lancet device at the moment of firing.
  • the trigger button is depressed and the needle momentarily protrudes through the front aperture.
  • Fig. 3B is a perspective view of the device in its at rest position after it
  • Fig. 4 is a side elevational view of the device prior to firing.
  • Fig. 5 is a side elevational view after firing showing the permanently depressed trigger button.
  • Fig. 6 is a perspective view of the bottom half of the lancet device
  • transverse trigger bar molded between two vertical uprights.
  • Fig. 7 is a perspective view of the top half of the device showing the
  • underside of the trigger button which in this embodiment carries two vertical blades.
  • Fig. 8 is a perspective view of the needle carrier showing the tailpiece which guides placement of the drive spring. Also shown are the carrier bounce
  • Fig. 9 shows the needle carrier of Fig. 8 inside the bottom half (Fig. 6) with the spring cocked.
  • the top half of the device would ordinarily be present but has been removed for purposes of clarity.
  • Fig. 10 is a perspective view of the assembled device prior to cutting off the tailpiece flush with the rear surface of the device.
  • Fig. 11 is a sectional view of the device with the needle carrier in place and the drive spring cocked over the tailpiece.
  • Fig. 12 is a sectional view after cutting off the tailpiece flush with the
  • Fig. 13 is a sectional view after removal of the needle cover.
  • Fig. 14 is a sectional view showing the trigger button depressed and the
  • Fig. 15 shows the lancet retracted back inside the device after the needle strike.
  • Fig. 16 shows the small slot in the back of the device through which the
  • cocking tool (not shown) cocks the drive spring.
  • Fig. 17 is a sectional view of a portion of the device showing the position
  • Fig. 18 is a sectional view of a portion of the device after firing showing the trigger bar severed and unable to hold the needle carrier against the force
  • Fig. 19 is a schematic representation of an alternate compressible trigger bar.
  • Fig. 20 is a schematic representation of the compressible trigger bar illustrated in Fig. 19 after it has been compressed by depression of the trigger.
  • Fig. 21 is another alternate trigger bar, which is designed to be broken when compressed.
  • Fig. 22 is a schematic representation of the trigger bar illustrated in Fig.
  • Fig. 23 is a side elevational view of an alternate breakable trigger bar.
  • Fig. 24 is a schematic representation of the trigger bar shown in Fig. 23 after it has been deformed and broken, allowing the needle assembly to be driven to its striking position.
  • Fig. 1 illustrates the lancet device shown generally as 10 in its cocked position in which it is stored until ready for use.
  • the body 20 of the device includes upper body portion 21 and lower body portion 22.
  • Upper and lower body portions 21 and 22 may either be hingedly connected or may be separately formed and placed together in the position shown in Fig. 1 during the assembly process.
  • a trigger shown generally as 60 in Fig. 1 is carried by upper body portion 21.
  • Trigger 60 is shown in its first raised position in which the device is cocked.
  • a plastic twist off safety cap 41 is shown extending outwardly from the distal end 23 of body 20. Cap 41 is integrally molded with the needle
  • Fig. 2 illustrates the lancet device 10 after the safety cap 41 has been removed and the needle tip 45 (see Fig. 13) is exposed internally of the device
  • Fig. 3A illustrates the device 10 as the device is fired and as needle tip
  • Trigger 60 is shown in its second depressed position in which
  • the device is fired.
  • Fig. 3B is a perspective view of the device 10 in its "at rest” position after
  • the needle tip 45 is retracted through the front or distal
  • the trigger 60 is in its depressed position. The device cannot be used again.
  • Fig. 4 is a side elevational view showing the device 10 as it is received
  • Fig. 5 is a side elevational view of the device 10 after the device has been fired and illustrating the second depressed position of trigger 60.
  • Trigger 60 as shown in Fig. 5 is in its permanently depressed position because of the "over the
  • the needle tip 45 is not visible in Fig. 5 because it has been returned to a safe "at
  • Fig. 6 is a perspective view illustrating the internal design of the bottom
  • the lower portion 22 includes numerous internal
  • the lower half of distal aperture 26 is formed as recess 26a; the lower half of
  • Trigger bar means 80 is integrally molded as a part of lower
  • means 80 includes vertical uprights 81 ,82 and transverse crossbar 83 having first and second tapered ends 84 and 85 of reduced cross section. As described in greater detail below, as the trigger 60 is actuated, the ends 84 and 85 of
  • transverse crossbar or trigger bar 83 are severed from the vertical uprights 81
  • the trigger bar 83 is no longer capable of holding or retaining the needle assembly in its cocked position, thereby limiting the device to a single use.
  • Fig. 7 is a perspective view of the inverted top portion 21 of body 20.
  • upper portion 21 illustrated in Fig. 7 is preferably a single molded piece
  • the lower surface 61 of trigger 60 carries blade means shown generally as 90.
  • blade means shown generally as 90.
  • blade means 90 includes first and second guillotine-type blades 91 and 92 which extend downwardly from the
  • Blades 91 and 92 preferably have beveled
  • FIG. 8 is a perspective view of needle carrier assembly or needle
  • Safety cap 41 covers the needle tip 45 (not visible in Fig. 8). Integrally formed as part of needle carrier assembly 40 is removable tailpiece 120, described in greater detail below, and a free floating
  • the invention includes only a single, metallic and helical spring 55.
  • the design utilizing only one spring which is free floating makes the device of the present invention capable of being assembled by automatic machinery, as described in
  • a bounce back spring shown generally as 110 in Fig. 8 comprises a pair
  • V-shaped spring arms 111 and 112 which are integrally molded with plastic needle carrier assembly or needle assembly 40.
  • Abutments 47 and 48 are formed on the top and lower surfaces of needle
  • abutment 47 or 48 will bear against transverse crossbar or trigger bar 83 and retain the needle
  • mainspring or drive spring 55 is
  • needle carrier assembly to be automatically assembled into the device with
  • needle carrier assembly 40 capable of being installed with either side up.
  • Fig. 9 illustrates needle carrier assembly or needle assembly 40 as shown positioned in lower body portion 22.
  • Upper body portion 21 has been
  • mainspring 55 has been slid
  • Abutment 48 is shown as it bears against transverse crossbar 83, holding needle carrier assembly 40 in its cocked position shown with mainspring 55 compressed.
  • Spring arms 111 and 112 slide on horizontal
  • Needle carrier assembly 40 includes a pair of support arms 51 and 52 which slide on rails 53 and 54, respectively. Rails 53 and 54 are molded into
  • arms 51 and 52 are twofold. First, the arms 51 and 52 center and guide needle tip 45 (Figs. 11-14) as the device is
  • Fig. 10 is a perspective view of the assembled device shown generally as 10 prior to the removable tailpiece 120 being severed.
  • Fig. 11 is a sectional view of the device illustrated in Figs. 1-10 with the needle carrier 40 in place. Trigger 60 is in its first raised and cocked position.
  • Blade 92 is carried by the underside 61 of trigger 60. Needle tip 45 is shown embedded within twist off safety cap 41. Abutment 48 is shown bearing against
  • mainspring or drive spring 55 is "free floating" in the
  • Removable tailpiece 120 is shown in Fig. 11 as it extends through opening 27 formed in the
  • Fig. 12 is a sectional view of the device illustrated in Figs. 1-11 wherein
  • FIG. 11 is a sectional view after the twist off safety cap 41 (Fig. 12) has
  • Fig. 14 is a sectional view on the same line as the sectional views of Figs. 11-13.
  • the trigger 60 has been depressed and is shown in its second depressed position in which the device is fired.
  • Blade 92 has descended and
  • transverse trigger bar 83 severed the tapered ends 84 and 85 of transverse trigger bar 83, as shown best in Figs. 17 and 18. As transverse trigger bar 83 is partially severed by blades
  • lug 48 is free to move forwardly as drive spring 55 expands. Needle tip 45 and needle assembly 40 are shown in Fig. 14 in their striking position in
  • Transverse crossbar or trigger bar 83 is connected to the lower portion 22 of body 20 by support stem 86.
  • Support stem 86 is bendable downwardly as the device is fired and prevents the partially severed transverse trigger bar 83
  • trigger 60 has a concave surface 62
  • Trigger 60 has a distal end 63 pivotally connected to the upper portion 21 of body 20.
  • the pivotal connection is a
  • reduced thickness portion 64 which acts as a pivot for the distal end of one-way trigger 60.
  • the proximal end 65 of trigger 60 comprises a reduced thickness 66
  • Trigger 60 includes a first segment 67 forming the distal end of trigger 60 including the concave surface 62 adapted to receive a
  • a second segment 68 forms the proximal end of the trigger 60.
  • a third segment 69 is an intermediate and inclined segment that connects segments 67 and 68.
  • a third pivot point 69a is formed as a reduced thickness
  • third segment 69 The use of these three segments creates an over-the- center motion of the trigger when depressed and creates an instability of the trigger at intermediate positions between the cocked position shown in Fig. 13
  • One-way trigger 60 has a running length, measured along the inclined surface of segment 69 and the surfaces of first and second segments 67,68 which exceeds the "straight line" distance between the distal and proximal ends 63 and 65.
  • Fig. 5 is a sectional view on the same line as Figs. 11-14 shortly after
  • the needle tip 45 has made its strike and has been retracted by bounceback spring 110 (see Figs. 8 and 9) to an "at rest" position wherein needle tip 45 is withdrawn back into body 20 and needle tip 45 is inwardly of the distal end 23
  • Fig. 16 shows the rear of the device and rectangular opening 27.
  • Figs. 17 and 18 are schematic representations illustrating the action of
  • Trigger 60 is in its first raised position and the
  • Trigger bar means 80 is shown in its first position wherein it holds the needle assembly in
  • transverse crossbar or trigger bar 83 has been partially severed from the lower portion 22 of the body 20.
  • support stem 86 extends upwardly from lower
  • transverse crossbar or trigger bar is severed and moves to its second position, as shown
  • the preferred embodiment of the present invention includes a free- floating mainspring 55 (Fig. 8), wherein neither end of the spring must be captured by or connected to the housing or the needle carrier.
  • the lancet will not retract after firing.
  • the present invention achieves the desired bounceback by providing
  • bounceback spring arms 111 and 112 integrally molded as part of needle carrier
  • Spring arms 111 and 112 comprise bounceback spring means and therefore obviate the need for a mainspring which is engaged with the housing and/or needle carrier to cause bounceback.
  • Figs. 6-13 illustrate the primary steps of the assembly operation. Automatic assembly is described below.
  • mainspring 55 is seated against seat 56.
  • the proximal end 58 of mainspring 55 is seated temporarily against a compression tool (not shown).
  • upper body portion in the preferred embodiment has pins 28 which are inserted into holes 29 formed in lower body
  • Tailpiece 120 has a hole 122 formed in it, which hole engages an
  • trigger designs may be utilized, provided that the trigger is able to carry a blade which is capable of severing or otherwise deforming or irreparably breaking the trigger bar means which retains the needle assembly
  • trigger bar means can also be utilized in the invention.
  • the preferred embodiment utilizes a transverse bar which is severed as described above, it is also possible to deform a transverse trigger
  • a compressible trigger bar could be utilized which is
  • the compressible trigger bar would be plastically deformed and would be incapable of a second use.
  • deform is used to include severing, irreparably breaking and “plastic” deformation wherein the material is permanently deformed beyond its elastic
  • trigger bar means is incapable of returning to its starting position and retaining the needle assembly in its cocked position against the compressed mainspring.
  • Figs. 19-24 illustrate alternate trigger bar means.
  • Fig. 19 illustrates a compressible trigger bar means 180. It includes a
  • top rail 183 contacts abutment 48 (not visible in Fig. 19).
  • the arms 181 and 182 have a sufficient width to retain needle carrier
  • Fig. 19 illustrates trigger bar means 180 in its first extended position wherein the device is cocked.
  • Fig. 20 illustrates trigger bar 180 in its second deformed or compressed position wherein it is sufficiently compressed by blade arms 191 and 192 so that
  • Abutment 48 no longer contacts the upper rail 183 of trigger
  • trigger bar 180 is plastically deformed, i.e., it remains essentially in the position illustrated in Fig. 20 even if
  • Figs. 21 and 22 illustrate another trigger bar 280 having essentially the
  • Trigger bar 280 may be made of
  • arms 281 and 282 are dimensioned in such a way to cause arms 281 and 282 to irreparably break as they are compressed by blade arms 291 and 292.
  • Fig. 22 illustrates the deformation of trigger bar 280 to the point where
  • arms 282 and 281 have been irreparably broken with respect to top rail 283 and with respect to lower body 22. Breaking arms 281 and 282 renders them
  • Figs. 23 and 24 illustrate yet another break-away trigger bar 380.
  • Trigger bar 380 is an inclined, rearwardly extending projection 383 molded as part of
  • Fig. 24 illustrates the second position of trigger bar 380 after the trigger
  • needle carrier assembly 40 In its break-away position illustrated in Fig. 24, needle carrier assembly 40 is no longer held in its cocked position by trigger bar 383 and is
  • partially severable trigger bar 83 shown best in Figs. 17 and 18. Compressing or breaking a trigger bar is not as reliable as partially severing it, in large part
  • Alternate blade designs may also be utilized.
  • a single blade may be utilized, but the disadvantage in most single blade designs is asymmetrical or
  • the blade or blades may also be designed to irreparably break the trigger bar as opposed to severing it, however, such designs may well require greater force to fire the device, and are therefore less desirable.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dermatology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Small-Scale Networks (AREA)

Abstract

A single-use lancet device (10) includes a body (20) having an upper portion (21) and a lower portion (22) and a trigger (60) carried by the upper portion. The trigger is movable between a first raised position wherein the device is cocked and a second depressed position wherein the device is fired. A needle assembly (40) is provided which is movable between a cocked position and a striking position. A free-floating drive spring (55) moves the needle assembly from its cocked position to its striking position. A bounceback spring (110) is integrally molded with the needle assembly and includes a pair of generally V-shaped spring arms (111, 112). A trigger bar (83) has a first position wherein it holds the needle assembly in its cocked position, and a second position wherein it allows the needle assembly to move to its striking position as the drive spring expands. The trigger carries a pair of guillotine-type blades (91, 92) which sever the trigger bar releasing the needle assembly from its cocked position. Alternate trigger bars are provided which may be deformed rather than severed.

Description

SINGLE-USE LANCET DEVICE
Cross-Reference to Related Applications
This application claims the benefit of and priority from United States
provisional applications Serial No. 60/422,630 filed October 29, 2002 and Serial No. 60/446,166 filed February 7, 2003.
Background and Summary of the Invention
The present invention relates generally to single-use lancets for drawing capillary blood samples. In particular, the present invention provides a single-
use lancet which for safety reasons is not capable of being used more than
once. Reuse is prevented by a unique trigger mechanism which in the preferred embodiment is irrevocably broken upon firing. The dire consequences of reuse, such as the spread of hepatitis or HIV, are thereby avoided. Furthermore, the
present invention is designed so that it may be assembled by automatic machinery. Automatic assembly reduces the cost of the device and assures the
highest quality finished product.
Reliable attachment of the main spring to the rear end of the lancet and
to the inner body of the device to cause "bounceback" after firing is a pervasive problem in prior art devices. If the spring becomes loose at either end, the lancet will fail to properly retract after firing. The present invention obviates this
problem by using a "free floating" spring that does not require any attachments
to either end of the lancet. Assembly is simplified and lancet bounceback after
firing is reliably accomplished by utilizing plastic spring arms integrally molded into the lancet carrier. A novel detachable tailpiece on the lancet carrier facilitates automatic or manual assembly. The tailpiece serves as a guide for dropping the spring onto
the carrier and helps to stabilize the spring while it is being compressed. The
method of spring assembly and cocking of the present invention reduces assembly cost and facilitates quality control.
The needle of single-use devices is driven into the patient's skin by a small spring, which is typically cocked by the technician just prior to use. The safety cap with its attachment keeps the end of the lancet sterile and, since it
can be used as a kind of push rod, it is also employed by the user to cock the
device. When pulled off, the needle is exposed and the device, having been cocked, is ready for use. Such a device is described in U.S. patent 5,487,748 to Marshall assigned to Owen Mumford.
One disadvantage of the Marshall device is the ease with which it can be recocked after use. The needle cap can simply be replaced over the end of the
lancet and pushed inward to once again cock the spring of the lancet. A small metal rod such as a paperclip can also be used to recock the device described
in 748. While such an action is unlikely by a professional blood drawer, it is
nevertheless an undesirable feature of a lancet constructed in this fashion.
In an attempt to prevent recocking, another Owen Mumford patent W00243591 describes a single-use device in which the needle carrier has
integrally formed spring arms extending rearwardly and alongside the lancet so
that after firing, these arms will catch on abutments within the barrel of the
device if recocking is attempted by the user. A disadvantage of this technique
is that, if the lancet is pulled outward momentarily before being cocked by the user, the spring arms catch on the abutments and the device can therefore not be cocked.
Another method of preventing reuse of the device is described in U.S. patent 6,168,606 assigned to Palco Labs. In this device, a thin plastic fiber attached between the pull tab and the needle safety cap prevents any compressive force from being applied to the drive spring after firing which effectively prevents recocking of the device. The device must be cocked during manufacturing and is meant to be used after pulling off the finger tab which exposes the needle. A disadvantage of the '606 device is that a small bare area of the needle must remain exposed which could possibly result in airborne contamination since the device is not hermetically sealed.
Brief Summary of Invention
The configuration of the present invention has advantages not previously described in the prior art. The device is pre-cocked when it is manufactured and therefore makes cocking by the user unnecessary. In molding the bottom half of the case in the preferred embodiment, a small hole in the floor of the case
allows a transverse trigger bar to be molded about 2 mm above the floor, in continuity with two vertical uprights. The intact trigger bar is positioned to bear against an abutment on the underside of the needle carrier. The bottom half of the device therefore provides both a channel for movement of the needle carrier
and means to hold the carrier in place against the constant pressure from the compressed mainspring.
The top half of the device of the preferred embodiment of the invention carries the trigger button which can be moved downward about 3 mm when the concave button is pressed by the user. The underside of the button is provided
with two vertical blades. When the trigger button is depressed, the blades descend and cut through the two end attachments of the trigger bar. The trigger bar rotates downward and forward, held by a small stem attached to the middle of the bar. The carrier is released and the cocked spring now drives the needle
carrier forward causing a skin puncture. Spring arms integrally molded on the
carrier in the preferred embodiment cause a bounceback of the lancet after the strike, so that it only momentarily protrudes from the aperture at the front of the device. The stem on the trigger bar presents it from becoming completely loose
when the ends of the trigger bar are sheared from the vertical uprights. Since
the trigger mechanism has been permanently broken by detachment of the
trigger bar, the device cannot be recocked and a second use is impossible.
The present invention includes an advance in the manufacturing of
single-use lancet devices relating to a novel method of cocking and assembly of the device which facilitates manufacturing the lancet either with automation
or manually. In this technique to be described, a disposable tailpiece at the
lower end of the lancet carrier allows the spring to be dropped onto the back end
of the carrier and compressed before the needle carrier is placed inside the clam
shell body.
The above-mentioned disposable tailpiece in the preferred embodiment is about 12 mm long, 4 mm wide and slightly less than 1 mm thick. During automated assembly, a coil spring of the proper diameter and length is loaded
onto the tailpiece and then compressed by automatic machinery. While holding
the spring compressed, the automation arm places the carrier into the proper location in the bottom half of the clamshell and the top half of the device is
added, closing the device. The disposable portion of the carrier is then clipped off flush with the case. The assembly tool is now pulled out through a small horizontal slot in the back of the device. The technique speeds up assembly
and avoids previously encountered problems in hand assembly such as escape
of the compressed spring. The tailpiece also facilitates manual assembly, but automatic assembly is preferred.
Objects of the Invention A primary object of the invention is to provide a single-use lancet which cannot be reused.
A further object of the invention is to provide a single-use lancet which can be assembled by automatic equipment.
Another object of the invention is to provide a single-use lancet having a
one-way trigger, wherein the trigger remains in its depressed firing position after the lancet has been used.
Another object of the invention is a single-use lancet having a free-
floating mainspring for firing the device, and a bounceback spring integrally
molded as a part of the movable needle assembly.
A further object of the invention is a single-use lancet which is pre-cocked
during manufacture, and which does not have to be cocked by the user.
Yet another object of the invention is to provide a single-use lancet wherein the firing mechanism includes, in one embodiment, a pair of guillotine-
type blades which partially sever a trigger bar detent, rendering the detent and
the lancet device entirely incapable of reuse. Other objects and advantages will become apparent from the following
description and drawings.
Brief Description of the Drawings Fig. 1 is an overall perspective view of the device. The needle cover
must be removed prior to use.
Fig. 2 is a perspective view of the device after the needle cover has been removed.
Fig. 3A is a perspective view of the lancet device at the moment of firing.
The trigger button is depressed and the needle momentarily protrudes through the front aperture.
Fig. 3B is a perspective view of the device in its at rest position after it
has been fired.
Fig. 4 is a side elevational view of the device prior to firing.
Fig. 5 is a side elevational view after firing showing the permanently depressed trigger button.
Fig. 6 is a perspective view of the bottom half of the lancet device
showing the channel for the spring and needle carrier and the preferred
embodiment of transverse trigger bar molded between two vertical uprights.
Fig. 7 is a perspective view of the top half of the device showing the
underside of the trigger button which in this embodiment carries two vertical blades.
Fig. 8 is a perspective view of the needle carrier showing the tailpiece which guides placement of the drive spring. Also shown are the carrier bounce
back arms, the abutments for the trigger bar and the needle cap. Fig. 9 shows the needle carrier of Fig. 8 inside the bottom half (Fig. 6) with the spring cocked. The top half of the device would ordinarily be present but has been removed for purposes of clarity.
Fig. 10 is a perspective view of the assembled device prior to cutting off the tailpiece flush with the rear surface of the device.
Fig. 11 is a sectional view of the device with the needle carrier in place and the drive spring cocked over the tailpiece.
Fig. 12 is a sectional view after cutting off the tailpiece flush with the
surface of the device.
Fig. 13 is a sectional view after removal of the needle cover.
Fig. 14 is a sectional view showing the trigger button depressed and the
lancet momentarily protruding from the front or distal aperture.
Fig. 15 shows the lancet retracted back inside the device after the needle strike.
Fig. 16 shows the small slot in the back of the device through which the
cocking tool (not shown) cocks the drive spring.
Fig. 17 is a sectional view of a portion of the device showing the position
of the trigger bar prior to firing.
Fig. 18 is a sectional view of a portion of the device after firing showing the trigger bar severed and unable to hold the needle carrier against the force
of the spring.
Fig. 19 is a schematic representation of an alternate compressible trigger bar. Fig. 20 is a schematic representation of the compressible trigger bar illustrated in Fig. 19 after it has been compressed by depression of the trigger. Fig. 21 is another alternate trigger bar, which is designed to be broken when compressed. Fig. 22 is a schematic representation of the trigger bar illustrated in Fig.
21 after it has been deformed and broken, thereby releasing the needle assembly.
Fig. 23 is a side elevational view of an alternate breakable trigger bar. Fig. 24 is a schematic representation of the trigger bar shown in Fig. 23 after it has been deformed and broken, allowing the needle assembly to be driven to its striking position.
Detailed Description of the Drawings The following description includes a description of the preferred embodiment shown in Figs. 1-18. Alternate embodiments are thereafter described and shown in Figs. 19-24.
Description of Preferred Embodiment Figs. 1-5 are perspective views of the preferred embodiment of the present invention. Fig. 1 illustrates the lancet device shown generally as 10 in its cocked position in which it is stored until ready for use. The body 20 of the device includes upper body portion 21 and lower body portion 22. Upper and lower body portions 21 and 22 may either be hingedly connected or may be separately formed and placed together in the position shown in Fig. 1 during the assembly process. A trigger shown generally as 60 in Fig. 1 is carried by upper body portion 21. Trigger 60 is shown in its first raised position in which the device is cocked. A plastic twist off safety cap 41 is shown extending outwardly from the distal end 23 of body 20. Cap 41 is integrally molded with the needle
carrier assembly 40.
Fig. 2 illustrates the lancet device 10 after the safety cap 41 has been removed and the needle tip 45 (see Fig. 13) is exposed internally of the device
and the device is ready to be fired.
Fig. 3A illustrates the device 10 as the device is fired and as needle tip
45 momentarily protrudes through front or distal aperture 26 and reaches its
striking position. Trigger 60 is shown in its second depressed position in which
the device is fired.
Fig. 3B is a perspective view of the device 10 in its "at rest" position after
it has been fired. The needle tip 45 is retracted through the front or distal
aperture 26 formed at distal end 23 to a safe position within the periphery of
body 20 (see Fig. 15). The trigger 60 is in its depressed position. The device cannot be used again.
Fig. 4 is a side elevational view showing the device 10 as it is received
by the user and in its cocked position.
Fig. 5 is a side elevational view of the device 10 after the device has been fired and illustrating the second depressed position of trigger 60. Trigger 60 as shown in Fig. 5 is in its permanently depressed position because of the "over the
center" design of the trigger assembly described in greater detail below. The needle tip 45 is not visible in Fig. 5 because it has been returned to a safe "at
rest" position within the periphery of body 20 and wherein the needle tip is
retracted inside distal end 23 of body 20 (see Fig. 15). Fig. 6 is a perspective view illustrating the internal design of the bottom
or lower portion 22 of body 20. The lower portion 22 includes numerous internal
components that are integrally molded as a single piece 22 illustrated in Fig. 6.
The lower half of distal aperture 26 is formed as recess 26a; the lower half of
rectangular, proximal opening 27 (Fig. 16) is recess 27a, both formed in lower body portion 22. Trigger bar means 80 is integrally molded as a part of lower
body portion 22 and extends between vertical uprights 81 and 82. Trigger bar
means 80 includes vertical uprights 81 ,82 and transverse crossbar 83 having first and second tapered ends 84 and 85 of reduced cross section. As described in greater detail below, as the trigger 60 is actuated, the ends 84 and 85 of
transverse crossbar or trigger bar 83 are severed from the vertical uprights 81
and 82, allowing the device to fire. Once the ends 84 and 85 have been
severed, the trigger bar 83 is no longer capable of holding or retaining the needle assembly in its cocked position, thereby limiting the device to a single use.
Fig. 7 is a perspective view of the inverted top portion 21 of body 20. The
upper portion 21 illustrated in Fig. 7 is preferably a single molded piece
containing numerous internal parts described below. The lower surface 61 of trigger 60 carries blade means shown generally as 90. In the preferred
embodiment of the invention shown in Fig. 7, blade means 90 includes first and second guillotine-type blades 91 and 92 which extend downwardly from the
lower surface 61 of trigger 60. Blades 91 and 92 preferably have beveled
cutting tips 93 and 94, respectively, to shear transverse crossbar or trigger bar 83 (Fig. 6) as the device is fired. Fig. 8 is a perspective view of needle carrier assembly or needle
assembly shown generally as 40. Safety cap 41 covers the needle tip 45 (not visible in Fig. 8). Integrally formed as part of needle carrier assembly 40 is removable tailpiece 120, described in greater detail below, and a free floating
helical drive spring 55. It is significant to note that the device of the present
invention includes only a single, metallic and helical spring 55. The design utilizing only one spring which is free floating makes the device of the present invention capable of being assembled by automatic machinery, as described in
detail below. The free floating mainspring or drive spring 55 serves to fire the device. A bounce back spring shown generally as 110 in Fig. 8 comprises a pair
of generally V-shaped spring arms 111 and 112 which are integrally molded with plastic needle carrier assembly or needle assembly 40.
Abutments 47 and 48 are formed on the top and lower surfaces of needle
carrier assembly 40. When the device is assembled, either abutment 47 or 48 will bear against transverse crossbar or trigger bar 83 and retain the needle
carrier assembly in its cocked position in which mainspring or drive spring 55 is
compressed. The purpose of having dual abutments 47 and 48 is to allow
needle carrier assembly to be automatically assembled into the device with
needle carrier assembly 40 capable of being installed with either side up.
Fig. 9 illustrates needle carrier assembly or needle assembly 40 as shown positioned in lower body portion 22. Upper body portion 21 has been
deleted for the sake of clarity. As shown in Fig. 9, mainspring 55 has been slid
onto removable tailpiece 120, fully compressed and seated against the proximal
or back wall 24 of body 20. Abutment 48 is shown as it bears against transverse crossbar 83, holding needle carrier assembly 40 in its cocked position shown with mainspring 55 compressed. Spring arms 111 and 112 slide on horizontal
rails 113 and 114 integrally molded into the lower body portion 22.
Needle carrier assembly 40 includes a pair of support arms 51 and 52 which slide on rails 53 and 54, respectively. Rails 53 and 54 are molded into
lower body portion 22. The purpose of arms 51 and 52 is twofold. First, the arms 51 and 52 center and guide needle tip 45 (Figs. 11-14) as the device is
fired. Secondly, support arms 51 and 52 resist the twisting moment caused as
the user rotates twist off cap 41 to expose the needle tip embedded therein. Fig. 10 is a perspective view of the assembled device shown generally as 10 prior to the removable tailpiece 120 being severed.
Fig. 11 is a sectional view of the device illustrated in Figs. 1-10 with the needle carrier 40 in place. Trigger 60 is in its first raised and cocked position.
Blade 92 is carried by the underside 61 of trigger 60. Needle tip 45 is shown embedded within twist off safety cap 41. Abutment 48 is shown bearing against
transverse trigger bar 83. Mainspring 55 is in its compressed position. It is
significant to note that mainspring or drive spring 55 is "free floating" in the
sense that it simply bears against the rear or proximal wall 24 of body 20 and
against spring seat 56 formed on needle carrier assembly 40. Removable tailpiece 120 is shown in Fig. 11 as it extends through opening 27 formed in the
rear or proximal wall 24 of body 20.
Fig. 12 is a sectional view of the device illustrated in Figs. 1-11 wherein
removable tailpiece 120 (Fig. 11) has been cut off flush with rear or proximal wall 24 of body 20, leaving surface 121 flush with proximal or back wall 24. Fig. 13 is a sectional view after the twist off safety cap 41 (Fig. 12) has
been removed, exposing needle tip 45. As shown in Fig. 13, the device is now ready to be fired.
Fig. 14 is a sectional view on the same line as the sectional views of Figs. 11-13. In Fig. 14, the trigger 60 has been depressed and is shown in its second depressed position in which the device is fired. Blade 92 has descended and
severed the tapered ends 84 and 85 of transverse trigger bar 83, as shown best in Figs. 17 and 18. As transverse trigger bar 83 is partially severed by blades
91 and 92, lug 48 is free to move forwardly as drive spring 55 expands. Needle tip 45 and needle assembly 40 are shown in Fig. 14 in their striking position in
which needle tip 45 pierces the skin of the user to allow a blood sample to be
obtained.
Transverse crossbar or trigger bar 83 is connected to the lower portion 22 of body 20 by support stem 86. Support stem 86 is bendable downwardly as the device is fired and prevents the partially severed transverse trigger bar 83
from falling out of the device.
As shown best in Figs. 13 and 14, trigger 60 has a concave surface 62
adapted to receive a user's fingertip. Trigger 60 has a distal end 63 pivotally connected to the upper portion 21 of body 20. The pivotal connection is a
reduced thickness portion 64 which acts as a pivot for the distal end of one-way trigger 60. The proximal end 65 of trigger 60 comprises a reduced thickness 66
of upper body portion 21. Trigger 60 includes a first segment 67 forming the distal end of trigger 60 including the concave surface 62 adapted to receive a
user's fingertip. A second segment 68 forms the proximal end of the trigger 60. A third segment 69 is an intermediate and inclined segment that connects segments 67 and 68. A third pivot point 69a is formed as a reduced thickness
in third segment 69. The use of these three segments creates an over-the- center motion of the trigger when depressed and creates an instability of the trigger at intermediate positions between the cocked position shown in Fig. 13
and the firing position shown in Fig. 14. The over-the-center motion holds the
trigger down after the device is fired. One-way trigger 60 has a running length, measured along the inclined surface of segment 69 and the surfaces of first and second segments 67,68 which exceeds the "straight line" distance between the distal and proximal ends 63 and 65.
Fig. 5 is a sectional view on the same line as Figs. 11-14 shortly after
the needle tip 45 has made its strike and has been retracted by bounceback spring 110 (see Figs. 8 and 9) to an "at rest" position wherein needle tip 45 is withdrawn back into body 20 and needle tip 45 is inwardly of the distal end 23
of body 20; the device cannot be used again.
Fig. 16 shows the rear of the device and rectangular opening 27.
Figs. 17 and 18 are schematic representations illustrating the action of
guillotine blades 91 and 92 (see Figs. 7,13 and 14). As shown in Fig. 17, the
device is in its cocked position. Trigger 60 is in its first raised position and the
beveled tips 93 and 94 of guillotine blades 91 and 92 are positioned above the
reduced thickness ends 84 and 85 of transverse trigger bar 83. Trigger bar means 80 is shown in its first position wherein it holds the needle assembly in
its cocked position. As shown in Fig. 18, as trigger 60 is moved to its second depressed
position, guillotine blades 91 and 92 move downwardly and sever transverse crossbar or trigger bar 83 from vertical uprights 81 and 82. In the position shown in Fig. 18, transverse crossbar or trigger bar 83 has been partially severed from the lower portion 22 of the body 20. As noted above, a vertical
support stem 86 (not shown in Fig. 18 for clarity) extends upwardly from lower
body portion 20 to the center portion of transverse trigger bar 83 and keeps the severed trigger bar 83 from falling outwardly of the device. When the transverse crossbar or trigger bar is severed and moves to its second position, as shown
in Fig. 18, lug 48 and needle assembly 40 are released and move forwardly to
the striking position and the device is fired as the mainspring 55 expands.
Free-Floating Mainspring
The preferred embodiment of the present invention includes a free- floating mainspring 55 (Fig. 8), wherein neither end of the spring must be captured by or connected to the housing or the needle carrier. Prior art devices
typically require engagement of the mainspring with the housing and/or needle
carrier to cause a "bounceback" of the needle tip after firing. For example, the Marshall U.S. patent 5,487,748 and International Publication No. WO 98/58584
require such engagement. If those prior art devices are not assembled with
proper engagement of the mainspring, the lancet will not retract after firing.
Engagement of the mainspring adds significant cost to the assembly process.
Some prior art devices use a molded, plastic mainspring which is formed integrally with the housing. Such integrally formed mainsprings limit the spring
constants utilized for the mainspring. The present invention achieves the desired bounceback by providing
bounceback spring arms 111 and 112 integrally molded as part of needle carrier
assembly 40. Spring arms 111 and 112 comprise bounceback spring means and therefore obviate the need for a mainspring which is engaged with the housing and/or needle carrier to cause bounceback.
The combination of a free-floating mainspring with integrally molded
bounceback arms is advantageous for several reasons. First, the assembly
process is easier to automate, increasing quality and decreasing cost.
Secondly, a wider range of spring constants and spring designs may be used for the mainspring and bounceback arms.
Assembly of the Device
The design of the single-use lancet of the present invention lends itself to either automatic or manual assembly. Figs. 6-13 illustrate the primary steps of the assembly operation. Automatic assembly is described below. The
identical steps can be performed manually, although the preferred method
includes the use of automatic equipment. In the first step of the operation, as
shown in Fig. 6, the lower body portion 22 is supported and is ready to receive needle carrier assembly 40. In the next step of the operation, mainspring 55 is
automatically loaded onto tailpiece 120. Next, mainspring 55 is automatically
compressed against spring seat 56 and held in its compressed position (Figs.
8 and 9). As shown best in Fig. 9, the needle assembly 40 with mainspring 55 temporarily held in its cocked position on tailpiece 120 is automatically loaded
into lower body portion 22. In this position, the distal end 57 of mainspring 55
is seated against seat 56. The proximal end 58 of mainspring 55 is seated temporarily against a compression tool (not shown).
As shown best in Fig. 10, the next step in the assembly process is to
automatically close the device by attaching upper body portion 21 to lower body portion 22. As shown best in Fig. 7, upper body portion in the preferred embodiment has pins 28 which are inserted into holes 29 formed in lower body
portion 22. In the preferred embodiment, a frictional fit is formed between pins
28 and holes 29. After the single-use lancet 10 has been closed as illustrated
in Fig. 10, the automatic compression tool (not shown for clarity) is withdrawn
through rectangular opening 27. Tailpiece 120 has a hole 122 formed in it, which hole engages an
automatic compression tool (not shown). As shown best in Fig. 11 , hole 122 is positioned adjacent the back or proximal wall 24 of the device. The compression tool is removed through rectangular opening 27 (Figs. 11 and 16). Spring 55
now seats directly against the back wall 24. Spring 55 is "free-floating" in that
neither the distal end 57 nor the proximal end 58 need engage the needle carrier
or the housing to create a "bounceback" of the needle after firing.
After the compression tool is removed, that portion of the tailpiece 120
that extends outwardly of rear wall 24 is severed flush with rear wall 24 as
shown best in Fig. 12. The device is therefore cocked, as shown in Fig. 12, since mainspring 55 is compressed and in its cocked position, the device is
ready to be shipped.
Description of Alternate Embodiments It is significant to note that the preferred embodiment disclosed herein
utilizes a one-way trigger having an "over the center" actuating mechanism. Alternate trigger designs may be utilized with the invention, including trigger
designs as illustrated in U.S. patent 6,168,606, incorporated herein by
reference. Other trigger designs may be utilized, provided that the trigger is able to carry a blade which is capable of severing or otherwise deforming or irreparably breaking the trigger bar means which retains the needle assembly
40 in its cocked position.
Alternate forms of the trigger bar means can also be utilized in the invention. Although the preferred embodiment utilizes a transverse bar which is severed as described above, it is also possible to deform a transverse trigger
bar. For example, a compressible trigger bar could be utilized which is
compressed against the bottom of lower body portion 22. As the trigger is depressed, the compressible trigger bar would be plastically deformed and would be incapable of a second use. As used herein and in the claims, the term
"deform" is used to include severing, irreparably breaking and "plastic" deformation wherein the material is permanently deformed beyond its elastic
limit and is incapable of returning to its original position. Other alternate trigger bar means could be used provided that the trigger bar means is sufficiently
deformed, severed or broken by the action of the blade means such that the
trigger bar means is incapable of returning to its starting position and retaining the needle assembly in its cocked position against the compressed mainspring.
Figs. 19-24 illustrate alternate trigger bar means.
Fig. 19 illustrates a compressible trigger bar means 180. It includes a
pair of generally S-shaped arms 181 and 182 and top rail 183 integrally molded
into the lower body portion 22. Top rail 183 contacts abutment 48 (not visible in Fig. 19). The arms 181 and 182 have a sufficient width to retain needle carrier
assembly 40 in its cocked position illustrated in Fig. 19. The width of arms 181
and 182 extends perpendicularly out of the plane of the drawing of Fig. 19. The thickness of arms 181 and 182 is sufficiently thin to allow the trigger bar means 180 to be compressed as the blade arms 191 and 192 are pressed downwardly in the direction of the arrows by depressing the trigger button. Fig. 19 illustrates trigger bar means 180 in its first extended position wherein the device is cocked. Fig. 20 illustrates trigger bar 180 in its second deformed or compressed position wherein it is sufficiently compressed by blade arms 191 and 192 so that
the device is fired. Abutment 48 no longer contacts the upper rail 183 of trigger
bar 180 and the needle assembly is driven to its striking position by the mainspring. In the position shown in Fig. 20, trigger bar 180 is plastically deformed, i.e., it remains essentially in the position illustrated in Fig. 20 even if
the blade arms 191 and 192 are lifted upwardly. In this fashion, the plastic
deformation of arms 181 and 182 beyond their elastic limit prevents the trigger
bar 180 from being able to return to its position where it is capable of holding or
detaining the needle carrier assembly 40 in a cocked position.
Figs. 21 and 22 illustrate another trigger bar 280 having essentially the
same design as that illustrated in Fig. 19, wherein generally S-shaped arms 281 and 282 and top rail 283 are integrally molded to lower body portion 22. Upper rail 283 holds abutment 48 (not visible in Fig. 21 ), thereby holding the needle carrier assembly 40 in its cocked position. Trigger bar 280 may be made of
slightly more brittle plastic material than that illustrated in Fig. 19 and/or may be
dimensioned in such a way to cause arms 281 and 282 to irreparably break as they are compressed by blade arms 291 and 292.
Fig. 22 illustrates the deformation of trigger bar 280 to the point where
arms 282 and 281 have been irreparably broken with respect to top rail 283 and with respect to lower body 22. Breaking arms 281 and 282 renders them
incapable of holding the needle assembly 40 in its cocked position, thereby
limiting the device to a single use.
Figs. 23 and 24 illustrate yet another break-away trigger bar 380. Trigger bar 380 is an inclined, rearwardly extending projection 383 molded as part of
body portion 22 and bears against abutment 48 and holds needle carrier assembly 40 in its cocked position illustrated in Fig. 23.
Fig. 24 illustrates the second position of trigger bar 380 after the trigger
of the device (not shown for clarity) has been depressed driving projection 383
downwardly as shown in Fig. 24 and causing it to break away from lower body
portion 22. In its break-away position illustrated in Fig. 24, needle carrier assembly 40 is no longer held in its cocked position by trigger bar 383 and is
driven to its striking position as shown by the arrow in Fig. 24.
The embodiments illustrated in Figs. 19-24 are not as desirable as the
partially severable trigger bar 83 shown best in Figs. 17 and 18. Compressing or breaking a trigger bar is not as reliable as partially severing it, in large part
because of the limited downward travel available to the trigger button.
Alternate blade designs may also be utilized. A single blade may be utilized, but the disadvantage in most single blade designs is asymmetrical or
unbalanced loads. The double blade design of the preferred embodiment
applies symmetrical loads. The blade or blades may also be designed to irreparably break the trigger bar as opposed to severing it, however, such designs may well require greater force to fire the device, and are therefore less desirable.
The foregoing description of the invention has been presented for purposes of illustration and description and is not intended to be exhaustive or to limit the invention to the precise form disclosed. Modifications and variations are possible in light of the above teaching. The embodiments were chosen and described to best explain the principles of the invention and its practical application to thereby enable others skilled in the art to best use the invention in various embodiments and with various modifications suited to the particular use contemplated. The scope of the invention is to be defined by the following claims.

Claims

1. A single-use disposable lancet device comprising:
a body having an upper portion and a lower portion, a trigger carried by said upper portion of said body, said trigger movable between a first raised position wherein the device is cocked and a
second depressed position wherein the device is fired, a needle assembly movable between a cocked position and a
striking position, a drive spring for moving said needle assembly from its cocked position to its striking position, trigger bar means having a first position wherein said trigger bar
means holds said needle assembly in its cocked position and having a second
position wherein said needle assembly is moved to its striking position by said drive spring, blade means carried by said trigger, and as said trigger moves
from its first position to its second position, said blade means deforms a portion
of said trigger bar means whereby said deformed trigger bar means releases
said needle assembly from its cocked position and said deformed trigger bar means is thereafter not capable of holding said needle assembly in its cocked
position, thereby limiting the device to a single use.
2. The device of claim 1 wherein said trigger bar means is integrally molded as a part of said lower body portion.
3. The device of claim 2 wherein said trigger bar means includes a transverse crossbar, said transverse crossbar having first and second ends, said first and second ends being severed by said blade means when said trigger is moved to said second position.
4. The device of claim 3 wherein said blade means comprises first
and second guillotine type blades which sever said first and second ends of said
transverse crossbar when the device is fired.
5. The device of claim 1 wherein said needle assembly carries an abutment which bears against said transverse crossbar to hold the device in its
cocked position.
6. The device of claim 1 wherein said drive spring comprises a free
floating spring and further comprising bounceback spring means integrally
formed with said needle assembly.
7. The device of claim 6 wherein said bounceback spring comprises
a pair of spring arms.
8. The device of claim 7 wherein each of said spring arms is generally V-shaped.
9. The device of claim 1 wherein said trigger bar means is
compressible by said blade means, and said trigger bar means has a first
extended position in which the device is cocked and a second compressed
position in which the device is fired.
10. The device of claim 1 wherein said trigger comprises: a one-way trigger button molded into said upper portion of said
body, said trigger button having a first raised and cocked position and a second
depressed and firing position, said trigger button having distal and proximal
ends pivotally connected to said body, said trigger button having a running length that exceeds the distance between said proximal and distal ends, so that said trigger button is stable only in its first and second positions and is unstable
at any intermediate position.
11. A single-use disposable lancet device comprising:
a body having an upper portion and a lower portion, a trigger carried by said upper portion of said body, said trigger movable between a first raised position in which the device is cocked and a second depressed position in which the device is fired,
a needle assembly movable between a cocked position and a striking position, a drive spring for moving said needle assembly from its cocked
position to its striking position, trigger bar means having a first position wherein said trigger bar
means holds said needle assembly in its cocked position and having a second position wherein said needle assembly is movable to its striking position by said
drive spring,
blade means carried by said trigger, and as said trigger moves
from its first position to its second position, said blade means severs a portion of said trigger bar means causing said partially severed trigger bar means to release said needle assembly from its cocked position and thereafter preventing
said partially severed trigger bar means from holding said needle assembly in its cocked position, thereby limiting the device to a single use.
12. The device of claim 11 wherein said trigger bar means is integrally
molded as a part of said lower body portion.
13. The device of claim 12 wherein said trigger bar means includes a transverse crossbar, said transverse crossbar having first and second ends, said first and second ends being severed by said blade means when said trigger is
moved to said second position.
14. The device of claim 13 wherein said blade means comprises first
and second guillotine type blades which sever said first and second ends of said
transverse crossbar when the device is fired.
15. The device of claim 14 wherein said trigger bar means includes a support stem to prevent said transverse crossbar from falling out of said body
after said first and second ends are severed.
16. The device of claim 11 wherein said needle assembly carries an
abutment which bears against said transverse crossbar to hold the device in its
cocked position.
17. The device of claim 11 wherein said drive spring comprises a free
floating spring and further comprising bounceback spring means integrally
formed with said needle assembly.
18. The device of claim 17 wherein said bounceback spring comprises
a pair of generally V-shaped spring arms.
19. The device of claim 11 wherein said trigger comprises: a one-way trigger button molded into said upper portion of said
body, said trigger button having a first retracted and cocked position and a second depressed and firing position, said trigger button having distal and
proximal ends pivotally connected to said upper portion of said body, said trigger
button having a running length that exceeds the distance between said proximal and distal ends, so that said trigger button is stable only in its first and second
positions and is unstable at any intermediate position.
20. A single-use disposable lancet device comprising: a body having an upper portion and a lower portion, a trigger carried by said upper portion of said body, said trigger movable between a first raised position in which the device is cocked and a second depressed position in which the device is fired, a needle assembly movable between a cocked position and a
striking position,
a free-floating drive spring for moving said needle assembly from its cocked position to its striking position, a bounceback spring means integrally formed with said needle
assembly,
trigger bar means having a first position wherein said trigger bar means holds said needle assembly in its cocked position and having a second position wherein said needle assembly is moved to its striking position by said drive spring,
blade means carried by said trigger, and as said trigger moves
from its first position to its second position, said blade means severs a portion of said trigger bar means whereby said partially severed trigger bar means releases said needle assembly from its cocked position and said partially severed trigger bar means is thereafter not capable of holding said needle
assembly in its cocked position, thereby limiting the device to a single use.
21. The device of claim 20 wherein each of said spring arms is generally V-shaped.
22. The device of claim 20 wherein said trigger bar means includes a
support stem and a transverse crossbar, said transverse crossbar having first and second ends, said first and second ends being severed by said blade
means when said trigger is moved to said second position.
23. The device of claim 22 wherein said blade means comprises first
and second guillotine-type blades which sever said first and second ends of said transverse crossbar when the device is fired.
24. The device of claim 20 wherein said trigger comprises:
a one-way trigger button molded into said upper portion of said body, said trigger button having a first retracted and cocked position and a second depressed and firing position, said trigger button having distal and
proximal ends pivotally connected to said upper portion of said body, said trigger
button having a running length that exceeds the distance between said proximal
and distal ends, so that said trigger button is stable only in its first and second positions and is unstable at any intermediate position.
25. A single-use disposable lancet device comprising:
a body having an upper portion and a lower portion, a trigger carried by said upper portion of said body, said trigger movable between a first raised position in which the device is cocked and a
second depressed position in which the device is fired, a needle assembly movable between a cocked position and a
striking position, a drive spring for moving said needle assembly from its cocked
position to its striking position, trigger bar means having a first position wherein said trigger bar means holds said needle assembly in its cocked position and having a second
position wherein said needle assembly is moved to its striking position by said
drive spring, blade means carried by said trigger, and as said trigger moves from its first position to its second position, said blade means irreparably breaks
a portion of said trigger bar means whereby said broken trigger bar means releases said needle assembly from its cocked position and said broken trigger
bar means is thereafter not capable of holding said needle assembly in its cocked position, thereby limiting the device to a single use.
26. The apparatus of claim 25 wherein a trigger bar is integrally
molded as part of said lower body portion
27. The apparatus of claim 25 wherein the depressible trigger button
carries two vertical blades which sever a portion of said trigger bar means when
the trigger button is depressed.
28. The apparatus of claim 25 wherein an abutment on the needle
assembly contacts said trigger bar means and holds said needle assembly in its
cocked position.
29. The apparatus of claim 25 in which a support stem is molded onto
the trigger bar and is bendable downward when the device is fired, thereby
retaining the trigger bar within the body of the device.
30. The apparatus of claim 25 wherein the top of the trigger button is concave.
31. The apparatus of claim 25 wherein said trigger has an over-the-
center motion when pressed, thereby holding the button down after the device
is fired.
32. The apparatus of claim 25 in which two integrally molded lateral arms on the carrier cause a bounceback of the lancet following a skin puncture.
33. The apparatus of claim 25 in which the needle point is covered with a twist off cap integrally molded with the needle carrier.
34. In a lancet device for drawing a capillary blood sample, wherein a needle assembly is carried within a body, and said needle assembly is movable
between a cocked position, a striking position and an at rest position, the
improvement comprising:
a free floating mainspring means for driving said needle assembly from its cocked position to its striking position, and
bounceback spring means carried by said needle assembly for
returning said needle assembly from said striking position to said at rest
position, said bounceback spring means being integrally formed with said needle assembly.
35. The device of claim 34 wherein said bounceback spring means comprises a pair of spring arms.
36. The device of claim 35 wherein each of said spring arms is generally V-shaped.
37. The device of claim 34 wherein said mainspring means comprises a metallic, helical spring.
38. The device of claim 37 wherein said body has a front wall and a
back wall, and said metallic, helical spring has a distal end and a proximal end, and wherein said distal end seats against said needle assembly and said proximal end seats against said back wall of said body.
39. The method of automatically assembling a lancet device in a
cocked position, wherein the components of said lancet device include an upper body portion having proximal and distal ends, a lower body portion having proximal and distal ends, a mainspring and a needle assembly having a
removable tailpiece, and wherein an opening is formed in said proximal ends of
one or both of said body portions of said device for temporarily receiving said
tailpiece, comprising the steps: supporting said lower body portion,
automatically loading said mainspring onto said tailpiece,
automatically compressing said mainspring on said tailpiece,
automatically and temporarily holding said compressed mainspring on said tailpiece,
automatically loading said needle assembly with said compressed
mainspring into said lower body portion,
automatically closing the device by attaching said upper body portion to said lower body portion, and
severing said tailpiece from said needle assembly, leaving said
cocked mainspring in position ready to cause said needle assembly to fire.
40. The method of claim 39 wherein said mainspring is compressed
and held on said tailpiece by an automatic compression tool, and wherein said automatic compression tool is withdrawn through said opening after the device
is closed.
41. The method of assembling a lancet device in a cocked position,
wherein the components of said lancet device include an upper body portion having proximal and distal ends, a lower body portion having proximal and distal ends, a mainspring and a needle assembly having a removable tailpiece, and
wherein an opening is formed in said proximal ends of one or both of said body
portions of said device for temporarily receiving said tailpiece, comprising the steps:
supporting said lower body portion,
loading said mainspring onto said tailpiece,
compressing said mainspring on said tailpiece, temporarily holding said compressed mainspring on said tailpiece,
loading said needle assembly with said compressed mainspring
into said lower body portion,
closing the device by attaching said upper body portion to said lower body portion, and
severing said tailpiece from said needle assembly, leaving said cocked mainspring in position ready to cause said needle assembly to fire.
42. The method of claim 41 wherein said mainspring is compressed
and held on said tailpiece by a compression tool, and wherein said compression tool is withdrawn through said opening after the device is closed.
43. In a single-use disposable lancet device having a body with upper
and lower portions, a needle assembly movable between a cocked position and a striking position, and a drive spring for advancing said needle assembly, the improvement comprising: a one-way trigger button molded into said upper portion of said
body, said trigger button having a first retracted and cocked position and a second depressed and firing position, said trigger button having distal and proximal ends pivotally connected to said body, said trigger button having a
running length that exceeds the distance between said proximal and distal ends,
so that said trigger button is stable only in its first and second positions and is
unstable at any intermediate position.
44. The device of claim 43 wherein said trigger button comprises three segments, a first segment forming said distal end of said trigger button which is
concave and adapted to comfortably receive a user's fingertip, a second
segment forming said proximal end of said trigger button, and a third segment
which is positioned between said first and second segments.
45. The device of claim 44 wherein said third segment is inclined between said first and second segments.
46. The device of claim 45 wherein said three segments create an
over-the-center motion of said trigger, wherein said trigger is unstable at intermediate positions between said cocked and firing positions.
47. The device of claim 46, wherein said trigger button remains in its depressed firing position after the device is fired.
PCT/US2003/033623 2002-10-29 2003-10-24 Single-use lancet device WO2004039429A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AT03779190T ATE492222T1 (en) 2002-10-29 2003-10-24 SINGLE-USE LANCET DEVICE
JP2005501892A JP2006504502A (en) 2002-10-29 2003-10-24 Single-use lancet device
DE60335488T DE60335488D1 (en) 2002-10-29 2003-10-24 LANZETTEN DEVICE FOR UNIQUE APPLICATION
AU2003284870A AU2003284870A1 (en) 2002-10-29 2003-10-24 Single-use lancet device
EP03779190A EP1560530B1 (en) 2002-10-29 2003-10-24 Single-use lancet device

Applications Claiming Priority (4)

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US42263002P 2002-10-29 2002-10-29
US60/422,630 2002-10-29
US44616603P 2003-02-07 2003-02-07
US60/446,166 2003-02-07

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EP (1) EP1560530B1 (en)
JP (1) JP2006504502A (en)
AT (1) ATE492222T1 (en)
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JP2006504502A (en) 2006-02-09
AU2003284870A1 (en) 2004-05-25
EP1560530A2 (en) 2005-08-10
EP1560530A4 (en) 2008-08-13
AU2003284870A8 (en) 2004-05-25
US20040092997A1 (en) 2004-05-13
WO2004039429A3 (en) 2004-12-09
US7282058B2 (en) 2007-10-16
ATE492222T1 (en) 2011-01-15
EP1560530B1 (en) 2010-12-22
DE60335488D1 (en) 2011-02-03

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