WO2021045917A1 - Procédés d'utilisation d'ensembles seringues de sécurité - Google Patents

Procédés d'utilisation d'ensembles seringues de sécurité Download PDF

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Publication number
WO2021045917A1
WO2021045917A1 PCT/US2020/047496 US2020047496W WO2021045917A1 WO 2021045917 A1 WO2021045917 A1 WO 2021045917A1 US 2020047496 W US2020047496 W US 2020047496W WO 2021045917 A1 WO2021045917 A1 WO 2021045917A1
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WO
WIPO (PCT)
Prior art keywords
needle
patient
skin
bevel
hub
Prior art date
Application number
PCT/US2020/047496
Other languages
English (en)
Inventor
Ty L. Prince
Original Assignee
Prince Ty L
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
Priority claimed from US16/560,044 external-priority patent/US10765814B2/en
Priority claimed from US16/983,268 external-priority patent/US10973990B2/en
Application filed by Prince Ty L filed Critical Prince Ty L
Publication of WO2021045917A1 publication Critical patent/WO2021045917A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3202—Devices for protection of the needle before use, e.g. caps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321—Means for protection against accidental injuries by used needles
    • A61M5/3213—Caps placed axially onto the needle, e.g. equipped with finger protection guards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321—Means for protection against accidental injuries by used needles
    • A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/3129—Syringe barrels
    • A61M2005/3142—Modular constructions, e.g. supplied in separate pieces to be assembled by end-user
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321—Means for protection against accidental injuries by used needles
    • A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
    • A61M5/3245—Constructional features thereof, e.g. to improve manipulation or functioning
    • A61M2005/3253—Constructional features thereof, e.g. to improve manipulation or functioning disconnecting the needle hub from the syringe barrel during removal of the sleeve from the syringe barrel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/46—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for controlling depth of insertion

Definitions

  • This invention relates generally to processes using medical protective devices and more particularly, to methods for injecting and withdrawing fluids using safety syringe assemblies that provide one-handed operation and achieve needle protection for medical personnel while minimizing patient pain and discomfort.
  • injections may be administered on a regular schedule, and patients needing regular injections often inject the medication themselves or by a family member. Also, accidental stabs from handling syringes and needles are a common problem and can result in transmission of serious diseases.
  • Conventional syringes may cause problems in inserting a needle at the correct location and minimizing the amount of pain caused.
  • Beveled needle tips are often used to ease the pain associated with inserting the needle into the skin. Also, the sharply pointed bevel enables a user to accurately target an injection site.
  • U.S. Patent Document No. 20170156983 discloses a syringe device for mixing and administering a medicant.
  • the system includes a medicant vial; a syringe assembly comprising a barrel and a piston; a protective material supporting the syringe assembly and medicant vial; and a member within the system, the member separating the piston of the syringe assembly from the medicant vial.
  • Systems are provided that can include a syringe assembly comprising a barrel and a piston having a forward end and an opposing back end, a protective material supporting the syringe assembly, and a needle housing coupled to the protective material.
  • U.S. Patent No. 9554736 discloses a device with integrated allergy testing which provides an allergy detection system for use during catheterization.
  • the allergy detection system is incorporated into specialized syringes, connectors for use with standard syringes, or can be an independent test module designed for the sole purpose of allergy detection.
  • the detection system features a test strip, and a structure to couple the system to a connector, syringe or a housing, to form an independent test module.
  • the detection system is used to detect potential allergic reactions.
  • U.S. Patent No. 4,436,479 discloses a device is described for orienting intravenous needles or other similar articles having relatively long shank portions which terminates in beveled or flat tips.
  • the device has a fixture for supporting the needles at an angle to the horizontal and with the beveled tip resting on a knife edge.
  • a vibrator is coupled to the needle supporting fixture causing the needle to turn to its most stable position on the knife edge where the flat portion engages the knife edge.
  • the processes of the present invention for utilizing the safety syringe assemblies described herein addresses these needs and these objectives.
  • the safety syringe assembly is for inserting a needle into a patient and injecting fluids into the body of the patient or for withdrawing bodily fluids from the patient.
  • the safety syringe assembly comprises a needle hub assembly and a safety cover.
  • the needle hub assembly includes a needle, a needle hub, and a hub flex unit.
  • the needle is mounted on the front side of the needle hub.
  • a syringe is attachable to the rear side of the needle hub.
  • the hub flex unit is mounted upon the needle hub and includes a flex arm and a flat.
  • the flex arm prevents the needle hub assembly from sliding during shipping and the flat prevents the needle hub assembly from rotating within in the syringe cover during shipping.
  • the processes of the present invention for inserting fluid under the skin of a patient using a safety syringe assembly include initially locating a syringe orientation member, such as a red color, on the syringe.
  • a syringe orientation member such as a red color
  • the opposite side of the safety cover may have a green color.
  • red indicates that the needle bevel is up and ready for insertion under the skin of the patient and the green indicates that the needle bevel is down and ready for either dispensing of the fluid into the body of the patient or for withdrawing of bodily fluid from the body of the patient.
  • the up alignment marker is aligned with a bevel in the needle of the safety syringe assembly so the orientation of the needle bevel is always known by the medical professional using the safety syringe assembly, even when the needle bevel itself is under the skin of the patient and cannot be seen.
  • the needle is inserted bevel up. Once inserted, the medical professional inverts the safety syringe assembly so that the bevel is down. This is done by merely flicking the wrist of the hand holding the safety syringe assembly. This prevents splash back of any bodily fluids from the patient to the medical professional.
  • the same safety syringe assembly and the same process can also be used for withdrawing fluids from the body of the patient.
  • One preferred embodiment of the safety syringe assembly has an indexing flat to assist in determining how deep to insert the needle, and an indexing ramp which may be useful in determining the angle for injection or removal of fluid.
  • Proper intra dermal allergy testing requires that the needle bevel be inserted bevel up under the skin of the patient and then rotated bevel down, so that a precise amount is injected and at the same depth for each individual test. This prevents false positives and false negative results because a positive test is defined as an increase in size of 3MM or greater compared to a saline wheal (which is the negative control test).
  • injecting with the bevel down minimizes the likelihood of any back splash, which occurs when someone injects the needle bevel up and does not insert the needle bevel all the way under the skin.
  • the safety cover secures the needle hub assembly in a first position during shipping.
  • the safety cover secures the needle hub assembly in a second position during insertion of the needle into the patient.
  • the safety cover secures the needle hub assembly in a third position after the needle has been withdrawn from the patient while awaiting disposal.
  • a portion of the safety cover includes magnification enabling a user to view a dosage calibration scale, orient the needle bevel and detect any air bubbles.
  • the hub flex unit in the safety syringe assembly assumes a first enlarged position during shipping, is compressed during insertion into the patient, and slides back into a third position after usage while awaiting disposal.
  • the safety syringe assembly comprises a needle hub assembly and a safety cover.
  • the needle hub assembly includes a needle, a needle hub, and a conventional hub assembly.
  • the needle is mounted on the front side of the needle hub.
  • a syringe is attachable to the rear side of the needle hub.
  • orientation alignment marking refers to some type of color coding or some type of physical structure. A coloring or shading of the magnifier is included in this group.
  • Pointed upward refers to the orientation of the needle bevel prior to insertion into the body of the patient. Pointed upward means that a person positioned over the needle can see the needle bevel.
  • needle bevel position is such that any splash back from the syringe remains inside the body of the patient and will not reach the medical person handling the syringe.
  • FIGURE 1A depicts a side elevational view of a first preferred embodiment of a safety syringe assembly for use in processes for utilizing the safety syringe assemblies of the present invention, with a needle hub assembly in a shipping position;
  • FIGURE 1B depicts a side elevational view of the safety syringe assembly of FIGURE 1A, with a needle hub assembly in an insertion position for inserting the needle into the skin of the patient;
  • FIGURE 1C depicts a side elevational view of the safety syringe assembly of FIGURE 1A, with a needle hub assembly, the safety syringe assembly having been used and being in a disposal position.
  • FIGURES 2A and 2B depict side views of the first preferred embodiment of the process for using a safety syringe assembly of the present invention depicted in FIGURES 1A, 1B, and 1C, FIGURE 2A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 2B being the safety syringe assembly after insertion under the skin of the patient and injecting fluid into the body of the patient.
  • FIGURES 3A and 3B depict side views of a first preferred embodiment of the process for using a safety syringe assembly of the present invention depicted in FIGURES 1A, 1B, and 1C, FIGURE 3A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 3B being the safety syringe assembly after insertion under the skin of the patient and withdrawing bodily fluid from the patient.
  • FIGURES 4A and 4B depict side views of a second preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 4A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 4B being the safety syringe assembly after insertion under the skin of the patient and injecting fluid into the body of the patient.
  • FIGURES 5A and 5B depict side views of the second preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 5A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 5B being the safety syringe assembly after insertion under the skin of the patient and withdrawing bodily fluid from the patient.
  • FIGURE 6 depicts a side elevational view of the safety cover for use in the safety syringe assembly of FIGURES 1A, 1 B, and 1C, the safety cover including two halves joined by a breakaway cap.
  • FIGURE 7A depicts a front view and FIGURE 7B depicts a rear view of the third preferred embodiment of the needle hub assembly of FIGURE 1A, 1 B, and 1C, including the needle, a needle hub, and a needle flex unit.
  • the needle bevel is up toward the up-alignment marker
  • the down-alignment marker e.g. - a green stripe
  • This design ensures that the needle is always pointed upward toward the up- alignment marker, is always 90 degrees from the needle hub flat and that the needle, the needle bevel, the needle hub are always indexed, with respect to the safety cover, enabling the needle bevel to be toward the up-alignment marker, when viewed through the magnifier or provides the user knowledge of the orientation of the needle bevel relative to the safety cover.
  • FIGURE 8B depicts a cross sectional view through the safety cover, the needle, the needle hub and the syringe of the safety syringe assembly of FIGURE 8A.
  • the end of the syringe attaches to the needle hub, with the raised bump ring on the end of the syringe. This shows how the safety syringe assemblies used with the methods of the present invention are compatible with existing syringe designs.
  • FIGURE 9 depicts the hub flex unit of the safety syringe assemble of FIGURES 1A, 1 B, and 1C, highlighting the hub flex unit having three distinct positions - the shipping position, the insertion position, and the disposal position.
  • FIGURE 10 depicts a half-section of the needle hub assembly taken from FIGURE 7A.
  • FIGURE 11 depicts the needle hub assembly of FIGURES 7 A and 7B positioned in one half of the safety cover for use in the safety syringe assembly of FIGURE 6, the safety cover including two halves joined by the breakaway cap.
  • FIGURE 12 depicts the beveled needle and needle hub assembly placed into half of the safety cover of FIGURE 6, the needle and needle hub assembly, in the first position with the syringe attached to the needle hub assembly.
  • FIGURE 13 depicts the safety cover assembly of FIGURES 1A, 1 B, and 1C and a syringe in a position that enables for filling of the device from the vial of medical fluid.
  • the safety cover magnifies the volume scale to ensure that the proper amount of fluid is drawn.
  • FIGURE 14A depicts a front view and FIGURE 14B depicts a rear view of another preferred embodiment of the needle hub assembly of FIGURES 1A, 1 B, and 1C, including the needle, a needle hub, and a needle flex unit.
  • Detail “A” is an exploded view showing needle orientation and alignment.
  • FIGURE 15 depicts still another preferred embodiment of the safety cover for use with the safety syringe assembly with a lock lever to enable unobstructed movement of the needle hub assembly from the insertion position to the disposal position.
  • Detail “B” is an exploded view of the lock lever.
  • FIGURE 16 depicts yet still another preferred embodiment of the safety cover for use with the a safety syringe assembly including a lock lever to enable unobstructed movement of the needle hub assembly from the insertion position to the disposal position along with a Detail “C” of the lock lever.
  • FIGURE 17A depicts a side view of still yet another preferred embodiment of a safety syringe assembly for use in the processes of the present invention, with push locking pads and an indexing flat; and FIGURE 17B depicts a front elevational view of the safety syringe assembly of FIGURE 17A.
  • FIGURES 1A, 1 B, and 1C each depict side elevational views of a third preferred embodiment of a safety syringe assembly for use with the methods of the present invention [10].
  • FIGURES 1 A and 1 B depict side views of a first preferred embodiment of the safety syringe assembly [10] for use in the processes of the present invention, FIGURE 1 A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 1 B being the safety syringe assembly after insertion under the skin of the patient and injecting fluid into the body of the patient.
  • the safety syringe assembly for use with the processes of the present invention [10] preferably comprises a needle hub assembly [70] and a safety cover [30].
  • FIGURE 1A depicts the safety cover [30] housing the needle hub assembly [70] in a first position for shipping.
  • FIGURE 1 B depicts the safety cover [30] housing the needle hub assembly [70] in a second position for insertion of the needle [16] into the skin of the patient.
  • FIGURE 1C depicts the safety cover [30] housing the needle hub assembly [70] in a third position, the safety syringe assembly [10] having been used and awaiting disposal.
  • the needle hub assembly [70] includes a hub flex unit [74] mounted upon a needle hub [76], and the needle hub [76] for retaining the needle [16] securely mounted therewithin.
  • the hub flex unit [74] includes a flex arm [77] and a flat [78].
  • the flex arm [77] prevents the needle hub assembly [70] from sliding within the safety cover [30] during shipping.
  • the flat [78] prevents the needle hub assembly [70] from rotating within the safety cover [30] during shipping.
  • the needle hub assembly [70] is preferably color coded at the factory, for either a long injection needle (for example, blue) or a shorter needle for testing (for example, white). This ensures that the proper needle length is used for either injection or testing.
  • the cap is a separate piece which can be switched. If the color-coded caps are switched, a longer injection needle may be used for testing and a shorter testing needle may be used for injections. Using the incorrect needle length can give false allergy test results or not enable the allergy fluid to be injected to the proper depth under the skin.
  • the safety cover [30] preferably uses visual indicators or alignment markers [33 and 34], such as colored stripes (for example, a green and a red stripe on the safety cover [30]) to indicate the orientation of the needle bevel [18].
  • visual indicators or alignment markers [33 and 34] such as colored stripes (for example, a green and a red stripe on the safety cover [30]) to indicate the orientation of the needle bevel [18].
  • red shows bevel [18] up for insertion under the skin and the green shows the needle bevel [18] down for dispensing of the fluid under the skin.
  • the safety cover [30] is preferably made of clear material enabling light to enter the safety cover [30] providing for a clear view of the needle bevel [18] orientation, the needle length, as well as enabling light into the safety cover [30] for the reading of the syringe volume scale [46], through the lens, during the process of filling the syringe [45] from the vial of allergy fluid.
  • the safety cover [30] preferably protects either a short needle [16] for testing or a longer needle [16] for injections.
  • the safety cover [30] includes a window [39].
  • the safety syringe assembly for use with the processes of the present invention [10] enables one-handed operation by the medical technician or user.
  • the safety cover [30] and needle hub assembly [70] for use with the processes of the present invention are both indexed to the needle bevel ensuring that during either testing or injection, the needle [16] is bevel up [18a] for insertion and bevel down [18b] for dispensing.
  • the current needle used in the allergy industry is not indexed to the needle bevel. This enables the needle bevel to be inserted in any orientation and dispensed in any orientation. This current product is deficient in that it does not enable the proper circular bubble to be created under the skin for testing (enabling false positives or no positive at all) and can cause the fluid to be sprayed back onto the medical technician or user during injection.
  • the safety cover [30] has now moved past the original position with the needle hub pads locked into recesses into this safe (disposal) pocket of the safety cover [30]. Once in this position, the needle [16], needle hub [76], safety cover [30] and syringe [45] can be disposed of together or the needle [16], needle hub [76] and safety cover [30] can be removed from the syringe [45] and disposed of separately.
  • FIGURES 2A and 2B depict side views of a second preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 2A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 2B being the safety syringe assembly after insertion under the skin of the patient and injecting fluid into the body of the patient.
  • FIGURES 3A and 3B depict side views of the first preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 3A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 3B being the safety syringe assembly after insertion under the skin of the patient and withdrawing bodily fluid from the patient.
  • FIGURES 4A and 4B depict side views of the second preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 4A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 4B being the safety syringe assembly after insertion under the skin of the patient and withdrawing bodily fluid from the patient.
  • FIGURES 5A and 5B depict side views of the second preferred embodiment of the process for using a safety syringe assembly of the present invention, FIGURE 5A being the safety syringe assembly prior to insertion under the skin of the patient, and FIGURE 5B being the safety syringe assembly after insertion under the skin of the patient and withdrawing bodily fluid from the patient.
  • the processes of the present invention for inserting fluid under the skin of a patient using a safety syringe assembly include initially locating a syringe orientation member, such as a red color, on the syringe.
  • the opposite side of the safety cover may have a green color.
  • red indicates that the needle bevel is up [18a] and ready for insertion under the skin of the patient [66] and the green indicates that the needle bevel is down [18b] and ready for either dispensing of the fluid into the body of the patient or for withdrawing of bodily fluid from the body of the patient.
  • the up alignment marker [33] is aligned with a bevel in the needle [16] of the safety syringe assembly [10] so the orientation of the needle bevel is always known by the medical professional using the safety syringe assembly [10], even when the needle bevel itself is under the skin of the patient [66] and cannot be seen.
  • the needle [16] is inserted bevel up [18a]. Once inserted, the medical professional inverts the safety syringe assembly [10] so that the bevel is down [18b]. This is done by merely flicking the wrist of the hand holding the safety syringe assembly [10] and prevents splash back of any bodily fluids from the patient to the medical professional.
  • the same safety syringe assembly [10] and the same process can also be used for withdrawing fluids from the body of the patient [66].
  • One preferred embodiment of the safety syringe assembly [110] includes a first needle-injection member or indexing flat [62] to assist in determining how deep to insert the needle [16] . Also, included is a second needle-injection member or an indexing ramp [64] which is useful in determining the angle for inserting the needle [16].
  • the method of the present invention enables the needle for allergy testing fluid to be injected to a specific depth under the skin of a patient.
  • the safety syringe assembly is guided by an indexing flat [62] projecting from the safety cover [30].
  • the safety syringe assembly includes an orientation alignment marking so that the medical professional using the safety syringe assembly [10] always knows the position of the needle bevel, even when the needle bevel is under the skin of the patient [66].
  • the needle [16] is inserted under the skin of the patient with the needle bevel up [18a] to minimize patient discomfort.
  • the medical professional places the needle bevel down [18b] by rotation of the wrist holding the safety syringe assembly, preferably between an angle of 75 degrees and 285 degrees. This will minimize any splash back during the allergy testing process.
  • the safety syringe assembly [10] preferably deploys colors are used to mark the needle bevel up position.
  • colors are used to mark the [18a] position red and the [18b] position green.
  • Another embodiment tints the magnifier [44] a color, such as red.
  • the safety cover [30] of the safety syringe assembly [110] includes an indexing ramp [64] and an indexing flat [62], each of which are disposed on opposing outer surfaces, preferably 180 degrees apart.
  • the alignment ramp is centered relative to the needle bevel.
  • the indexing ramp [64] is used by the medical professional for calibrating needle depth and the indexing flat [62] is used for determining needle angle.
  • FIGURE 6 depicts a side elevational view of the safety cover [30] for use in the safety syringe assembly [10] of FIGURES 1A, 1 B, and 1C.
  • the safety cover [30] includes two halves joined by a breakaway cap [40].
  • the breakaway cap [40] is attached to both halves of the safety cover [30], holding them together and in position, relative to each other, until needle hub assembly [70] can be placed into the safety cover [30] and the breakaway cap [40] glued closed.
  • the two halves of the safety cover [30] are glued together.
  • the adhesive is applied as recommended by the manufacturer taking care to avoid the hub assembly and the windows [39].
  • the assembly is closed, clamped and cured per manufacturer instructions. Packaging and sterilization protocols are then followed.
  • FIGURE 7 A depicts a front view and FIGURE 7B depicts a rear view of a first preferred embodiment of the needle hub assembly [70] of FIGURE 1A, 1 B, and 1C, including the needle [16], a needle hub [76], and a needle flex unit [74].
  • the needle hub [76] includes locking pads and four spring members, two spring members for each pad, that are used to hold the needle [16] and needle hub [76] in an initial position or are used to lock the needle [16] and needle hub [76] in a locked position for disposal.
  • FIGURE 8A depicts a cross sectional view through the safety cover [30] and the needle [16] and needle hub [76]. This shows the red stripe, on the left, the needle is bevel up [18a] toward the red stripe and the green stripe on the right. Also depicted is the needle hub [76] indexing flat [78] toward the magnifier.
  • This design insures that the needle [16] is always pointed upward toward the red stripe, is always 90 degrees from the needle hub flat [78] and that the needle [16], the needle bevel, the needle hub [76] are always indexed, with respect to the safety cover [30], enabling the needle bevel to be toward the red stripe, when viewed through the magnifier or gives the user knowledge of the position of the needle bevel position relative on the safety cover [30].
  • This design ensures that the needle [16] is always pointed up toward the red stripe, is always 90 degrees from the needle hub flat [78] and that the needle [16], the needle bevel, the needle hub [76] are always indexed, with respect to the safety cover [30], enabling for the needle bevel to be toward the red stripe, when viewed through the magnifier or provides the medical professional knowledge of the position of the needle bevel relative to the red stripe on the safety cover [30].
  • FIGURE 8B depicts a cross-sectional view through the safety cover [30], the needle [16], the needle hub [76] and the syringe [45] of the safety syringe assembly [10] of FIGURE 12A.
  • the end of the syringe [45] attaches to the needle hub [76], with the raised bump ring on the end of the syringe [45].
  • FIGURE 8B depicts how the end of the syringe [45] attaches to the needle hub assembly [70], with the raised bump ring on the end of the syringe [45].
  • This design enables the safety syringe assembly [10] to be compatible with an existing syringe design.
  • This syringe design is made in the millions each year. Slight modifications to the needle hub [76] can be made enabling the safety syringe assembly [10] to be used with other standard medical syringes.
  • FIGURE 9 depicts the hub flex unit [74] of the safety syringe assembly [10] of FIGURES 1A, 1 B, and 1C, highlighting the hub flex unit, the hub flex unit being in a first position during shipping, the hub flex unit being in a second position during insertion of the needle [16] into the skin of the patient [66], and the hub flex unit [74] being in a third position after the needle [16] has been inserted into the skin of the patient awaiting disposal.
  • the safety syringe assembly [10] for use with the processes of the present invention [10] enables the medical professional to push one or two buttons on the needle hub [76], releasing the needle [16] and hub from an initial safety position. After the release, the syringe [45], protected needle [16] and safety cover [30] can be placed on the top of the vial of allergy fluid and be safely inserted into the vial for the extraction of the fluid into the syringe [45]. This protects the medical technician from the potential stick hazard of an exposed needle [16] during the process of extracting fluid from the vial.
  • FIGURE 10 depicts a half-section of the needle hub assembly [70] of FIGURE 9A.
  • the hub well into which the cannula is inserted, has two functions.
  • the hub well [86] helps to align the adhesive-dispensing tip with the cannula-to-hub bond joint and the hub well [86] helps to promote adhesive flow into the bond line.
  • FIGURE 11 depicts the needle hub assembly of FIGURES 7A and 7B positioned in one half of the safety cover [30] for use in the safety syringe assembly [10] of FIGURE 6, the safety cover [30] including two halves joined together by the breakaway cap [40].
  • the needle [16] and needle hub [76] are inserted into a half [36] of the safety cover without the magnifier [44]. Also, the needle [16] and needle hub [76] are depicted in their initial position. After the needle [16] and needle hub [76] are placed into this position, an adhesive can be placed on the edge of half of the safety cover [30] and the safety cover [30] is closed, creating the safety cover [30], needle [16] and needle hub assembly [70]. This safety syringe assembly [10] is now ready to have the syringe [45] inserted.
  • FIGURE 12 depicts the needle [16] and needle hub [76] placed into half of the safety cover [30] of FIGURE 6, the needle [16] and needle hub [76], in the first position with the syringe [45] attached to the needle hub [76].
  • the needle [16] and needle hub [76] are depicted into half of the safety cover [30], the needle [16] and needle hub [76] in the initial position, with the syringe [45] attached to the needle hub [76].
  • the syringe volume scale [46] need not be placed in this position because it can be rotated later, on the needle hub [76], so that the scale [46] is visible through the magnifier [44].
  • FIGURE 13 depicts the safety cover [30] assembly of FIGURES 1A, 1 B, and 1C and a syringe
  • the safety cover [30] includes magnification to magnify the volume scale [46] on the syringe [45], for both a long and short needle, and magnifies a large portion of the volume scale [46].
  • Magnifying is particularly important when injecting low doses (0.01 to 0.30 ml) and permitting the practitioner, nurse, or user to detect air bubbles that can significantly alter the amount of allergen drawn into the syringe [45] and can also increase the risk of blood clots developing in the patient after injection.
  • magnification can significantly affect the reproducibility of the skin test wheal (bleb) when comparing the saline negative control injection to the actual allergy injection.
  • Proper intradermal allergy testing requires inserting the needle [16] under skin is bevel up [18a] and rotating the needle [16] 180 degrees and injecting the allergen is bevel down [18b] to prevent splash back on the practitioner, nurse, or user if the needle bevel is not fully inserted and to have all of the allergy tests injected needle ]16] is bevel down [18b] so every test is done the same way by all practitioners.
  • the safety cover magnifier [44] enlarges the volume scale [46] to ensure that the proper amount of fluid is either drawn or inserted through the syringe [45]. With the needles and syringes, used today, it is difficult to read the small graduations, on the syringe volume scale [46]. Without drawing in the proper amount of allergy fluid, false positives or false negatives are possible, during testing. For example, if the proper volume of allergy fluid is not being drawn into the syringe [45], allergy testing may be less affective.
  • the needle hub indexing flat toward the magnifier ensures that the needle [16] is always pointed upward toward the up-alignment marker [33], is always 90 degrees from the needle hub flat and that the needle, the needle bevel, the needle hub are always indexed, with respect to the safety cover [30], enabling the needle bevel to be pointed toward the up-alignment marker [33], when viewed through the magnifier [44] or gives the user knowledge of the position of the needle bevel position relative on the safety cover.
  • the needle [16] should be clearly visible in the magnifier [44] of the safety cover with the needle bevel [18] facing toward the red stripe.
  • the one or more flex arms [77] are pressed, and the safety cover [30] slides back on the syringe [45] to expose the needle [16]. Then, the safety syringe assembly [10] is filled to the desired level, as the safety cover [30] is unlocked into this position, as the syringe [45] is held and the plunger [88] is pulled to fill.
  • the plunger [88] is pulled back so that the needle hub assembly [70] is in the shipping position and the arms [77] are again depressed, continuing pulling until the needle hub assembly [70] snaps into the disposal pockets [32] and the syringe [45] pops off.
  • the release points on the needle hub [76] are tapered such that after injection, the safety cover [30] can be moved into a locked position that insures that the needle [16] with allergy fluid, potential blood and bodily fluid will not expose the medical professional to any bio-hazards because the safety cover [30] will completely cover the needle [16].
  • the safety cover [30], with the needle [16] and needle hub [76] in the locked position lock the safety cover [30], needle [16] and needle hub [76] together such that this bio-hazard can be properly disposed of, in a sharps container and the syringe [45] can be separated from the safety cover [30], needle [16] and needle hub [76] for recycling by placing the syringe [45] in a separate container.
  • FIGURE 14A depicts a front view and FIGURE 14B depicts a rear view of a second preferred embodiment of the needle hub assembly [170] of the safety syringe assembly depicted in FIGURES 1A, 1 B, and 1C, including the needle [16], a needle hub [76], and a needle flex unit [174].
  • the needle hub assembly [170] includes locking pads and four spring members, two spring members for each pad, that are used to hold the needle [16] and needle hub [76] in an initial position and are used to lock the needle [16] and needle hub [76] in a locked position for disposal.
  • the needle as depicted in FIGURES 14A and 14B and further shown in Detail “A” includes a longitudinal axis [17a], a vertical axis [17b], and a lateral axis [17c].
  • the top of the needle bevel is aligned with the vertical axis [17b] as shown in DETAIL “A” when the needle bevel is pointed upward.
  • the needle is initially positioned horizontally with the bevel facing upward.
  • the medical professional using the syringe assembly will not be using a leveler and the needle will not be lying on a horizontal plane. Accordingly, the initial position will be horizontal with the bevel facing upward, ⁇ 75 degrees about the vertical axis [17b].
  • the needle [16] is inverted from a bevel-up position [18a] to a bevel-down position [18b] to avoid splash-back or other contamination to the medical professional.
  • FIGURE 15 depicts still another embodiment of the safety syringe assembly [210] for use in the processes of the present invention.
  • a lock lever [212] enables unobstructed movement of the needle hub [276] from the insertion position to the disposal position along with a Detail “B” depicting an exploded view of the lock lever [212].
  • the lock lever [212] ensures that the needle hub [276] will not become reengaged with the safety cover window [239] of the safety cover [230].
  • FIGURE 16 depicts yet another embodiment of a safety syringe assembly [310] for use in the processes of the present invention.
  • a syringe [345] is secured to a needle hub [376] which securely retains a needle [16] having a needle bevel positioned upward [18a] prior to insertion.
  • a lock lever [312] is depicted which enables movement of the needle hub [376] from the insertion position to the disposal position along with a Detail “C” of the lock lever [312].
  • the lock lever [312] ensures that the flex arm [77] of the needle hub [376] will not become reengaged with the window [339] of the safety cover [330].
  • FIGURES 17A and 17B depict still yet another embodiment of a safety syringe assembly [410] for use in the processes of the present invention.
  • a syringe [445] is secured to a needle hub [476] which retains a needle [16] having a needle bevel positioned upward [18a] prior to insertion.
  • a pair of opposing push locking pads [412] and an indexing flat [462] positioned on the needle hub [476] between the pair of opposed locking pads [412].
  • the pair push locking pads [412] are used when the needle hub [476] moves through the safety cover from the shipping position to the injection position or from the injection position to the disposal position.
  • FIGURES 7A and 7B, and 14A and 14B may be used in the safety syringe assemblies depicted in FIGURES 15 and 16 along with only minor modifications to the safety cover [30]. Also, hub units that do not flex may also be used in FIGURES 15, 16, and 17.
  • safety cover [30] may also be deployed in a broad range of safety syringe assemblies.
  • the hub with flex arms [77] is positioned in the safety cover windows [39] with the needle [16] pointing toward the sharps guard and the needle bevel [18] toward the red stripe.
  • the syringe [45] can be rotated to any position, but the needle bevel [18] will maintain its position.
  • the safety syringe assembly [10] is snapped off and disposed of in recycling.
  • the needle hub assembly [70] is locked into the dispose pocket [32] and cannot be dislodged easily.
  • the needle [16] is contained and is disposed of in the sharps container while the syringe [45] is recycled.
  • Safety Cover Disposal Pocket . Up Alignment Marker . Down Alignment Marker . Safety Cover First Portion . Safety Cover Second Portion . Safety Cover Window . Breakaway Cap . Magnifier . Syringe . Syringe Calibration Scale . Thumb Stop . Indexing Flat . Indexing Ramp . Skin of Patient . Needle Hub Assembly . Hub Flex Unit . Needle Hub . Hub Flex Arm . Hub Flat . Alignment Pins . Alignment Holes . Hub Well

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Environmental & Geological Engineering (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention porte sur des procédés d'insertion de fluide sous la peau d'un patient à l'aide d'un ensemble seringue de sécurité qui comprennent initialement la localisation d'un marqueur d'alignement. Le marqueur est aligné avec un biseau dans l'aiguille de l'ensemble seringue de sécurité de telle sorte que l'orientation du biseau d'aiguille est toujours connue par le professionnel de la santé, même lorsque le biseau d'aiguille n'est pas visible. L'aiguille est insérée en biseau avant l'insertion. Une fois inséré, le professionnel de la santé inverse l'ensemble seringue de sécurité de telle sorte que le biseau est abaissé. Il lui suffit, pour cela, d'effectuer un mouvement rapide du poignet de la main tenant l'ensemble seringue de sécurité. Ceci évite au professionnel de la santé d'être éclaboussé par les fluides corporels du patient. Le même ensemble seringue de sécurité et le même procédé sont utilisés pour retirer des fluides du corps du patient.
PCT/US2020/047496 2019-09-04 2020-08-21 Procédés d'utilisation d'ensembles seringues de sécurité WO2021045917A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US16/560,044 US10765814B2 (en) 2018-09-05 2019-09-04 Safety syringe assembly
US16/560,044 2019-09-04
US16/983,268 US10973990B2 (en) 2018-09-05 2020-08-03 Processes for utilizing safety syringe assemblies
US16/983,268 2020-08-03

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AU2021201821A Division AU2021201821B2 (en) 2018-09-05 2021-03-23 Processes for utilizing safety syringe assemblies

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WO2021045917A1 true WO2021045917A1 (fr) 2021-03-11

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5100387A (en) * 1990-07-02 1992-03-31 Ng Raymond C Disposable universal needle guide apparatus (for amniocentesis)
US5836920A (en) * 1994-09-24 1998-11-17 Robertson; William Frost Needle guard
US6190361B1 (en) * 2000-04-18 2001-02-20 Gettig Technologies, Inc. Selectively lockable needle guard
US20030153874A1 (en) * 2001-12-26 2003-08-14 Michael Tal Vascular access device
US20090187153A1 (en) * 2008-01-14 2009-07-23 West Richard L Winged needle assembly and frangible cover
US20110202035A1 (en) * 2009-10-19 2011-08-18 Terumo Medical Corporation Syringe Assemblies Having Detachable Needle Assemblies and Low Dead Space

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5100387A (en) * 1990-07-02 1992-03-31 Ng Raymond C Disposable universal needle guide apparatus (for amniocentesis)
US5836920A (en) * 1994-09-24 1998-11-17 Robertson; William Frost Needle guard
US6190361B1 (en) * 2000-04-18 2001-02-20 Gettig Technologies, Inc. Selectively lockable needle guard
US20030153874A1 (en) * 2001-12-26 2003-08-14 Michael Tal Vascular access device
US20090187153A1 (en) * 2008-01-14 2009-07-23 West Richard L Winged needle assembly and frangible cover
US20110202035A1 (en) * 2009-10-19 2011-08-18 Terumo Medical Corporation Syringe Assemblies Having Detachable Needle Assemblies and Low Dead Space

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