U.S. patent number 3,654,924 [Application Number 05/037,205] was granted by the patent office on 1972-04-11 for blood collection assembly.
This patent grant is currently assigned to Abbott Laboratories. Invention is credited to Norbert W. Ellmann, Earl D. Wilson.
United States Patent |
3,654,924 |
Wilson , et al. |
April 11, 1972 |
BLOOD COLLECTION ASSEMBLY
Abstract
Disclosed herein is a blood collection assembly including an
auxiliary sample pouch with a pass-through tube for filling the
blood bag. The pass-through tube is the same diameter as the
remaining tubing of the assembly and is frangible within the pouch
so that the tubing can be placed in communication with the
pouch.
Inventors: |
Wilson; Earl D. (Ingleside,
IL), Ellmann; Norbert W. (Libertyville, IL) |
Assignee: |
Abbott Laboratories (North
Chicago, IL)
|
Family
ID: |
21893026 |
Appl.
No.: |
05/037,205 |
Filed: |
May 14, 1970 |
Current U.S.
Class: |
600/580;
604/409 |
Current CPC
Class: |
A61M
1/02 (20130101); A61J 1/12 (20130101) |
Current International
Class: |
A61M
1/02 (20060101); A61J 1/14 (20060101); A61m
005/14 () |
Field of
Search: |
;128/214,214.2,272,276,278,214D ;23/258.5 ;285/2-4,235 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. In a blood collection assembly including a needle for inserting
in a donor's vein, a bag for collection of the donation, and tubing
having an initial end and a terminal end, said tubing connected to
said needle at said initial end and to said bag at said terminal
end, the improvement comprising: said tubing having a passageway
therethrough of substantially constant inside diameter from said
initial end to said terminal end to insure laminar flow of blood
through said tubing and avoid turbulent flow at any point along
said passageway, said tubing having a frangible portion
intermediate said initial and terminal ends, and a closed sample
pouch encapsulating said frangible portion and having end walls
sealed to said tubing on either side of said frangible portion,
said pouch including an empty chamber formed about the continuous
length of said tubing including said frangible portion, said
frangible portion being disposed intermediate, but spaced from,
said end walls.
2. The assembly as defined in claim 1 wherein said frangible
portion is a hardened segment of said tubing.
3. The assembly as defined in claim 1 wherein said frangible
portion is a weakened section of said tubing.
4. The assembly as defined in claim 1 wherein said tubing includes
a first section communicating with said initial end and a second
section communicating with said terminal end, and said frangible
portion includes a sleeve holding said first and second sections of
said tubing in abutting engagement.
5. The assembly as defined in claim 4 wherein said sleeve is
flexible.
6. The assembly as defined in claim 4 wherein said sleeve is
rigid.
7. The assembly as defined in claim 1 wherein said tubing includes
a first section communicating with said initial end and a second
section communication with said terminal end, said frangible
portion includes a hardened sleeve having a weakened central
section, counterbored end sections and shoulders interconnecting
said central sections and said end sections, the inside diameter of
the central section being substantially constant and equal to the
inside diameter of said tubing, the inside diameter of said end
sections being substantially equal to the outside diameter of said
tubing and said first and second sections of said tubing fitted
within said end sections and abutting said shoulders.
8. The assembly as defined in claim 1 wherein said bag contains an
amount of anti-coagulant and said frangible portion is
unbroken.
9. A method of collecting blood from a donor which includes placing
tubing in communication with a donor source, passing blood through
said tubing in a laminar flow pattern from said cource to a
collection point, collecting a donation of blood at said collection
point, interrupting said laminar flow pattern intermediate said
source and said collection point, and collecting a sample of blood
in a pouch having a first end wall sealed to the tubing upstream of
the point of interruption of said flow pattern and a second end
wall sealed to the tubing downstream of the point of interruption
of said flow pattern said pouch having side walls surrounding said
tubing to define a chamber for collecting the sample of blood.
10. The method as defined in claim 9 further including providing an
anti-coagulant at said collection point prior to passing blood
thereto.
11. The method as defined in claim 10 further including maintaining
said chamber free from anti-coagulant solution.
12. The method as defined in claim 9 further including insuring
said laminar flow pattern by providing the tubing with a
substantially constant inside diameter between said source and said
collection point and interrupting said flow pattern by breaking the
tubing at a frangible portion thereof.
Description
This invention relates to a blood collection assembly and
particularly to an assembly that includes a blood bag and tubing
connected to the blood bag with an auxiliary sample pouch in line
with the tubing.
A number of devices are presently available to deal with the
problem of collecting, handling and storage of whole blood or other
fluid donations. And while several such devices have considered the
generic idea of a primary storage bag to contain the bulk of the
donation with an auxiliary sample pouch for segregating a sample of
the donation for tests, etc.; the prior art devices designed as a
solution to the generic problem have not been totally acceptable or
free from problems.
The most common of these prior art devices includes a phlebotomy
needle connected through tubing to one end of a sample pouch. The
tubing is connected to the opposite end of the sample pouch and
communicates the sample pouch with a blood bag. With this device,
blood from the donor passes through the first tubing, the sample
pouch and then through the second tubing into the blood bag. When
the blood bag is full, the tubing closest to the bag is clamped
off. At this point, the sample pouch is allowed to fill with blood
and then the tubing closest to the donor is clamped off and the
needle is withdrawn from the patient. At this point, the sealed
sample pouch is then removed by cutting the tubing on either side
thereof and a sample of the blood just collected is thus provided
for testing purposes.
A number of problems are associated with this type of system. First
of all, the blood bag provided in the system normally contains an
anti-coagulant which helps to preserve the collected blood during
storage. This anti-coagulant, before the bag is used to collect
blood is free to flow through the tubing and into the sample pouch.
Although the anti-coagulant is necessary to preserve the collected
blood, it can be considered a contaminate of the sample of blood
which is collected in the pouch for testing. Another problem
associated with these prior art type devices is the large change in
diameter of the passage for the blood when the blood travels
through the small diameter tubing into the large diameter sample
pouch and then back into the small diameter tubing before entering
the blood bag. The varying diameter between the tubing and the
sample pouch causes a turbulent flow path for the blood which
increases the chance that some of the blood will coagulate within
the pouch.
The present invention is designed to obviate these and other
problems associated with the prior art devices and includes in its
most elementary form a sample pouch sealed about a continuous
tubing passing from the phlebotomy needle to the blood bag with a
frangible section provided in the tubing interior of the
encapulating sample pouch. With a device of this type, it is thus
possible to prevent the anti-coagulant from entering the sample
pouch prior to use of the collection assembly and moreover, during
use of the collection assembly of the present invention, the blood
from the donor flows through a constant diameter tubing to the
blood bag so as to avoid turbulent flow and the resultant
detrimental coagulation within the sample pouch.
In use, the blood collection assembly of this invention is first
removed from its shipment package and the phlebotomy needle is
inserted in the donor's vein. The blood then flows through the
tubing of the assembly into the blood bag and when the flood bag is
filled, it is isolated from the system by a clamp or tying of the
tubing. Next, the frangible section of the tubing interior of the
encapulating sample pouch is broken so that the blood will flow
into the pouch. Once the pouch is filled, the tubing between the
pouch and the phlebotomy needle is clamped off and a sample of the
donation is thus provided.
From this brief description of the prior art and summary of the
invention, it would be apparent that one of the primary objects of
this invention is to provide a blood collection assembly which
insures a constant diameter flow path of the blood from the donor
to the blood bag and which assembly further permits the collection
of a sample of the donation after the blood bag is filled.
Still another primary object of this invention is to provide an
assembly of the type just described with a frangible section in the
tubing encapulated by the sample pouch so that the sample pouch may
be placed in communication with the feed tube after the blood bag
is filled.
Some of the primary objects of the invention having been stated,
other objects attending this invention will become apparent to
those of skill in the art when consideration is given to the
following detailed description of an exemplary embodiment. This
description is made in conjunction with the accompanying drawings
wherein:
Fig. 1 is a schematic perspective of the basic system,
FIG. 2 is a blow-up partially in cross-section of the portion of
the system including the sample pouch,
FIG. 3 is a blow-up partially in cross-section of a second
embodiment of the invention including the portion of the system
having the sample pouch, and
FIG. 4 is a yet another embodiment of the invention showing
features comparable to those features shown in FIGS. 2 and 3.
Referring now to FIG. 1, the system can be seen to include a
phlebotomy needle 10 for insertion into a vein of the donor.
Connected to the hub of the needle 10 is the feed tube 12.
Connected to the opposite end of the feed tube 12 is the blood bag
14. Intermediate the initial end 16 and the terminal end 18 of the
tube 12 is a frangible portion indicated generally at 20.
Encapsulating the segment of the feed tube 12 including the
frangible portion 20 is the sample pouch 22 which is sealed at end
walls about the outside diameter of the feed tube 12 at 24 where
the tube enters the pouch and at 26 where the tube exits from the
pouch.
The first step in the use of the blood collection assembly of the
present invention would be to remove the assembly from its shipment
package (not shown) and mount the blood bag on a suitable standard.
The phlebotomy needle is then inserted in the donor's vein and
passage of the blood will proceed immediately through the feed tube
12 and directly into the blood bag 14.
It should be noted here that the packaged assembly will normally
include a standard anti-coagulant in the blood bag and that during
shipment, some of the anti-coagulant will possibly drain into the
feed tube 12. However, with the initial in rush of blood through
the tube 12, the anti-coagulant will be swept back into the blood
bag 14 where it operates in its desired capacity to prevent
coagulation of the donation during storage and shipment.
At this point, while in a sense the blood passing through the
system has passed through the sample pouch, none of the blood is
actually entered the pouch but rather it has flowed through the
tubing 12 directly into the blood bag 14. The tubing 12 from its
initial end to its terminal end is of a substantially constant
diameter and it is essential that no abrupt changes in the diameter
of the tubing be present. The substantially constant diameter of
the tube 12 throughout its entire length insures a laminae flow of
the blood from the donor to the bag 14 and avoids any turbulence in
the flow which would tend to result in coagulation. This is
particularly true when the blood is passing through the pouch 22
since in the initial use of the system, the pouch 22 acts merely to
encapsulate the tubing 12 and the smooth flow of the blood through
the pouch is uninterrupted during the period in which the donation
is collected.
It should be noted that when the system is initially taken out of
its shipment package, the bag, pouch and possibly the tubing will
be collapsed and air will have been expelled from at least a major
portion of the system. This condition of the system may be insured
by either the construction of the bag and pouch to have basically a
flat or sandwich type construction so that a minor amount of
interior space will initially be presented, or, on the other hand,
the system may be connected to a vacuum source and completely
collapsed with a clamp placed on the feed tube 12 adjacent the
initial end 16 and which clamp is removed only after the phlebotomy
needle 16 has been inserted in the donor's vein. The purpose of
insuring that air is expelled from the system initially is to avoid
the need for a vent port or the like to which air may escape when a
volume of air that would otherwise be within the bag or pouch is
displaced by the inrushing blood. If the bag is collapsed initially
so as to avoid having any air in the chamber thereof, the flexible
bag or pouch will deform in response to the incoming blood in order
to provide a sufficient volume within its chamber to accomodate the
donation and/or sample.
Once the donation has been collected, the blood bag 14 is isolated
from the system by either providing a clamp on the segment of tube
28 or tying off the tube at the section 28 in any convenient
manner. Next, the frangible portion 20 within the flexible pouch 22
is broken so as to place the passage of the tube 12 in
communication with the chamber 30 formed interior of the sample
pouch 22. Since the pouch 22 is sealed to the outside diameter of
the tube 12 at points 24 and 26, the interior side walls of the
pouch form a collection chamber surrounding the tubing in which may
be collected a sample of the donation being offered. After the
chamber 30 is filled, the section 32 of the tubing 12 is clamped or
sealed off in any desired manner and the needle 10 is removed from
the donor. The sealed sample pouch is then removed from the system
by cutting the tubing and a sample of the blood just collected is
thus provided for testing purposes. This sample is exactly
representative of the donation just collected and is obtained with
a minimum of coagulation and at the same time "contamination" of
the sample by any of the anti-coagulate in the system is
prevented.
Referring now to FIGS. 2, 3 and 4, details of the frangible portion
20 are illustrated. In FIG. 2, the frangible portion 20 is shown as
either a hardened or weakened segment 34 in the line of the tube 12
between the sections 32 and 28. Since the pouch 22 is of a flexible
and preferably transparent material, once the blood bag 14 has been
filled, it will merely be necessary to grasp the sections 28 and 32
and break the tube 12 at the point 34 in order to place the passage
of the tube 12 in communication with the chamber 30.
Referring now to FIG. 3, the frangible portion 20 of this
embodiment is shown to include a sleeve 40 connecting the two
sections 28 and 32 of the tube 12. In this embodiment, when the bag
14 is filled, and after the section 28 has been clamped or sealed
off to isolate the bag 14 from the system, it is merely necessary
to flex the pouch so as to create some slack and then grasp the
sections 28 and 32 and pull them axially, taking up the slack that
had been created and thus freeing sections 28 and 32 of the sleeve
40. When either of the sections 28 and 32 are freed from the sleeve
40, the passage of the tube 12 is placed in communication with the
chamber 30 and the sample of the donation may be collected.
Referring now to FIG. 4, another embodiment of the invention is
shown in which the frangible portion 20 includes the relatively
rigid sleeve 42. The sleeve 42 is counterbored at 44 and 46 for
receiving the sections 32 and 28, respectively, of the tubing 12.
The central portion 48 of the sleeve 42 is of the same inside
diameter as the tube 12 and the counterbores 44 and 46 are of the
same outside diameter as the tube 12 so that a substantially
constant diameter passage is provided for the blood flowing from
the donor to the bag 14 and laminae flow of the blood is insured.
This laminae flow is also insured in the embodiment shown in FIGS.
2 and 3 due to the substantially constant inside diameter of the
tubing as is apparent from the drawings.
The central portion 48 of the sleeve 42 is weakened at 50, and once
the bag 14 has been filled and isolated from the system by the
clamping procedure previously described, it is merely necessary to
grasp the two ends of the sleeve 42 on either side of the central
portion 48 and snap the frangible member at the point 50. This
rupture of the sleeve 42 places the passage of the tube 12 in
communication with the chamber 30 of the pouch 22 so that the
sample may be collected.
The exemplary embodiments of the invention having been described,
the true nature and scope of what is desired to be insured by
letters patent is defined in the appended claims.
* * * * *