U.S. patent number 3,618,751 [Application Number 05/003,125] was granted by the patent office on 1971-11-09 for crushing and dispensing container for administering pills.
This patent grant is currently assigned to Joseph Nichlos. Invention is credited to Ernest J. Rich.
United States Patent |
3,618,751 |
Rich |
November 9, 1971 |
CRUSHING AND DISPENSING CONTAINER FOR ADMINISTERING PILLS
Abstract
A disposable self-contained device in a variety of different
forms for crushing and administering pills in powder form in which
a crushing surface is sealed within an envelopelike pouch formed
from a tray base member and a plastic film sealed to the edges
thereof, which tray contains a spoon and an edible gel in a
depression, so that a part of the film can be torn, a pill can be
inserted into the envelope pouch and then crushed by an external
crushing force. The rest of the film is removed and the pill powder
is then transferred to and mixed with the edible gel, and then
dispensed to the patient by the spoon which is shaped so as to mate
with the depression containing the edible gel and powder, so the
patient easily can swallow substantially all the pill powder.
Inventors: |
Rich; Ernest J. (Hunterdon
County, NJ) |
Assignee: |
Nichlos; Joseph (Princeton,
NJ)
|
Family
ID: |
21704288 |
Appl.
No.: |
05/003,125 |
Filed: |
January 15, 1970 |
Current U.S.
Class: |
206/219; 30/326;
220/23.8; 426/115; 206/363; 229/123.1 |
Current CPC
Class: |
B65D
75/54 (20130101); B65D 77/245 (20130101); B65D
75/328 (20130101); B65D 75/36 (20130101); B65D
81/3294 (20130101); B65D 75/326 (20130101); B65D
2575/3245 (20130101) |
Current International
Class: |
B65D
81/32 (20060101); B65D 75/54 (20060101); B65D
75/52 (20060101); B65D 75/28 (20060101); B65D
75/36 (20060101); B65D 77/24 (20060101); B65d
001/36 (); B65d 081/32 (); B65d 085/56 () |
Field of
Search: |
;206/47A,47B,47R,65R,42
;229/43,1.5C ;150/.5 ;220/23 ;30/326 ;99/77.1 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Dixson, Jr.; William T.
Claims
What is claimed is:
1. A self-contained container package for crushing and dispensing
pills comprising a shaped tray base member formed of a relatively
stiff, thin-walled plastic sheetlike material having a depression
therein which contains an edible carrier gel; spoon-shaped means
containing a handle portion and a spoon portion in which said spoon
portion is proportioned in size and shape to exactly fit the bottom
and sides of said gel-filled depression when held in a relatively
vertical position and used to scoop out the gel contents from said
depression and further proportioned to matingly cover the
gel-containing depression so as to seal it when laid in a
horizontal position over said depression; relatively flexible thin
plastic film sealed to at least three edges of said base to form an
envelopelike cover over the top of said base, said container having
a crushing surface contained within said film envelopelike cover
which is strong enough to allow a pill to be crushed thereon by
crushing means applied externally of said base member and said
film.
2. The container as set forth in claim 1, wherein the crushing
surface is an elongated flange of the base member positioned on the
side of the base member away from the handle portion of the spoon
means.
3. The container as set forth in claim 1 wherein the crushing
surface is an elongated flangelike lip of the spoon means, which is
positioned on the side which is away from the handle portion of the
spoon means.
4. The container as set forth in claim 1, wherein the relatively
flexible thin plastic film is sealed to all edges of the base
member in such manner that the edge portion closest to the handle
of the spoon means can be readily opened and unsealed so as to
permit a pill to be inserted within the film envelope.
5. The container as set forth in claim 1 wherein the handle portion
of the spoon-shaped means extends beyond the outer edge of the base
member, and the base member contains a channel mating with the
handle portion, so that the top of the spoon handle is
approximately even with the top of the base member.
6. The container as set forth in claim 1 wherein there is a second
depression in the shaped tray base member positioned underneath the
end of the handle portion of the spoon-shaped means, which permits
the handle to be easily grasped by a finger inserted into said
second depression.
7. A self-contained container package for crushing and dispensing
pills comprising a shaped tray base member formed of a relatively
stiff, thin-walled plastic sheetlike material having two
depressions therein, one of which contains an edible carrier gel
and the second of which contains spoon-shaped means containing a
handle portion and a spoon portion in which said spoon portion is
proportioned in size and shape to exactly fit the bottom and sides
of the other gel-filled depression when held in a relatively
vertical position and used to scoop out the gel contents from said
depression; relatively flexible thin plastic film sealed to the
edges of said base to form an envelopelike cover over the top of
said base, the spoon portion of said spoon-shaped means being
strong enough to allow a pill to be crushed thereon by crushing
means applied externally of said base member and said film.
8. The container as set forth in claim 7 wherein the shaped tray
base member is hinged, with one depression on either side of the
hinge, so that one side can be folded back against the other in the
storage position before use.
Description
This invention relates to a self-contained device for administering
pills and tablets and the like, and is primarily intended for use
by those who have to administer oral medication to individuals who
are unable to swallow such pills and tablets and require that they
be crushed.
A problem commonly encountered in oral medication in the hospital
and in the home is the inability of some individuals to swallow
pills, for physical or psychological reasons. There is an
especially high incidence of this difficulty among pediatric and
geriatric patients. In pediatric medicine this problem has been
recognized and, with some exceptions, medication commonly
prescribed for children is available as liquids or suspensions.
However, this is not true in general medicine; the largest
percentage by far of medication prescribed for adults is in the
pill or capsule form.
It has now been found that the dispensing of pills in a hospital to
patients who require that they be crushed presents a serious
problem to the medication nurse, because the number of pills
crushed daily in most hospitals is relatively large. Estimates of
the pills crushed vary from 5 to 30 percent of the pills dispensed.
This number can be expected to steadily increase as the population
of geriatric patients grows.
In most hospitals at the present time pills are crushed either by
grinding with mortar and pestle, pressing between two spoons, or by
sandwiching the pill between two paper cups and crushing with a
spoon handle. The pill powder is transferred to a paper or plastic
medication cup and a suspending vehicle, such as orange juice,
apricot juice, applesauce, honey or baby food, is added. In the
case of a diabetic patient, a low calorie syrup is occasionally
used. If extreme care is not taken, since the same equipment is
used to crush different medications for different patients, one
medicament could easily become mixed with another. Further, the
patient may not receive the full dosage prescribed because some of
the crushed powder will be left behind in the suspending medium or
in the container to which the pill powder has been transferred.
It thus appears there is a serious hospital need in this area that
has hitherto been overlooked or neglected. The methods commonly
employed for crushing pills and dispensing the powder to the
patients are antiquated and generally unsatisfactory.
An object of the present invention is to provide a facile device,
container or package in which pills can be easily crushed into
powder form, in such a manner that the pill contents will remain
uncontaminated by the crushing device used to apply the crushing
force.
Another object of the present invention is to provide a device in
which and with which the powder from the crushed pill can be easily
transferred to and mixed with an edible carrier gel which is then
administered to the patient without any appreciable loss of powder,
either in transferring the powder to the gel or in administering
the powder-containing gel to the patient.
Another object of the present invention is to provide a gel which
is kept within the crushing device, in a manner that it is easily
and conveniently accessible for admixture with the crushed pill
powder, but yet remains sealed from its environment and
uncontaminated by exposure to its surroundings, such as hospital
sick rooms.
Yet another object of the present invention is to provide the
foregoing devices which can be made at low cost so that they will
only be used once, and will be disposable.
Further objects and other incidental ends and advantages of the
invention will hereinafter appear in the progress of the disclosure
and as pointed out in the appended claims.
The invention is capable of being embodied in a number of forms,
some of which are specifically shown in the drawings accompanying
this specification.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a face or plan view of the package showing the preferred
form.
FIG. 2 is a vertical cross section taken along the lines 2--2 of
FIG. 1.
FIG. 3 is a vertical cross section taken on the lines 3--3 of FIG.
1.
FIG. 4 is a perspective showing one end bending horizontally on a
slant surface prior to the crushing of a pill.
FIG. 5 is a vertical cross section taken along the lines 5--5 of
FIG. 4.
FIG. 6 is a vertical fragmental cross section similar to the
left-hand portion of FIG. 3 showing the removal of the spoon.
FIG. 7 is a perspective of the package with the sealing film
removed and the crushed pill spread over the surface of the gel
prior to mixing.
FIG. 8 shows a modified form of the package in plan view.
FIG. 9 is a vertical cross section therethrough and taken along the
lines 9--9 of FIG. 8.
FIG. 10 is a vertical cross section taken along the lines 10--10 of
FIG. 8.
FIG. 11 is a still further modified form shown in plan view.
FIG. 12 is a vertical cross section taken along the lines 12--12 of
FIG. 11.
FIG. 13 is a vertical cross section taken along the lines 13--13 of
FIG. 11.
FIG. 14 is a still further modified form in plan view.
FIG. 15 is a vertical cross section taken along the lines 15--15 of
FIG. 14.
FIG. 16 is a vertical cross section taken along the lines 16--16 of
FIG. 14.
FIG. 17 is a vertical cross section similar to FIG. 16 showing the
lifting of the tear tab and the insertion of the pill.
FIG. 18 is a view similar to FIG. 17 showing said pill being
crushed.
FIG. 19 is a perspective of the tray of FIG. 14 and its use.
FIG. 20 is a modified form in plan view.
FIG. 21 is a vertical cross section taken along the lines 21--21 of
FIG. 20.
FIG. 22 is a vertical cross section taken along the lines 22--22 of
FIG. 20.
FIG. 23 is a further modification shown in plan view.
FIG. 24 is a vertical cross section taken along the lines 24--24 of
FIG. 23.
FIG. 25 is a plan view of the spoon shown in FIG. 23 that has been
opened up along its hinge line.
FIG. 26 is a similar view to FIG. 25 with the film covering removed
and the spoon removed.
FIG. 27 is a modified form of the prior figures showing a
simplified form of package.
FIG. 28 is a fragmental plan view of a portion of FIG. 27 showing
the transfer of the powdered pill from one depression or cavity to
another.
FIG. 29 is a further modification in plan view.
FIG. 30 is a vertical cross section therethrough pg,6 taken along
lines 30--30 of FIG. 29.
FIG. 31 is a vertical cross section taken along lines 31--31 of
FIG. 29.
FIG. 32 is a further modified form shown in plan view.
FIG. 33 is a vertical cross section taken along the lines 33--33 of
FIG. 32.
FIG. 34 is a vertical cross section taken along the lines 34--34 of
FIG. 32 .
DESCRIPTION OF VARIOUS EMBODIMENTS
FIGS. 1-7 show the most preferred embodiment. The package 40 has a
shaped tray base member portion 41 with a shallow crushing surface
section 42 for crushing the pill at one end, a blister or cavity or
depression 43 which contains edible carrier gel J in the center
portion. The gel is effectively sealed in place by the bowl portion
of a spoon 45, the handle portion of which spoon 46 extends over
the edge of a cavity or depression or blister 44 which is found in
the other end of the package 40 and which accommodates the finger
for easier removal of the spoon as can be seen best in FIG. 6. The
handle 46 rests on a bridge and handle support 47, which is like a
shallow channel between the deeper depressions 43 and 44. The top
surface of the package is sealed with a relatively flexible thin
plastic film 48 which is heat-sealed on all edges 49 to the tray
41. In operation the tab T end of the film 48 is pulled up just far
enough so that the pill P may be inserted into the package and
allowed to slide down to the shallow crushing surface section 42.
Then the pill is crushed either by being struck with a striker S or
being squeezed between the jaws of a pair of pliers or with a spoon
or any instrument capable of providing a crushing force so that the
pill P, which is still contained within the envelope formed between
the tray 41 and the film 48 now becomes powdered as shown in FIG.
5. The package is then tipped and tapped to allow all the pill
powder to slide from the shallow crushing surface 42 into the bowl
portion of the spoon 45. The rest of the covering film 48 is then
completely removed. The user's finger is then inserted into the
depression 44 where it grasps the handle of the spoon 46, easily
removing the spoon from the package. The spoon is thereupon
utilized to empty all the pill powder into the gel, and to mix all
of the pill powder with the gel J. The mixed gel and powder is then
scooped up into the bowl portion of the spoon 45 for oral
administration to the patient. Because of the mating fit between
bowl portion of the spoon 45 and the blister or depression 43
substantially all of the gel J and the pill powder mixed therein
are scooped up in a single motion. Where the tablet is to be
crushed by a striker S or a hammerlike instrument, the package 40
should be flexed as shown in FIG. 4 so that the crushing surface 42
lies flat on a convenient surface such as a table, thereby giving
resistance to the crushing force so that the pill will be crushed
into a powder.
Another preferred form of the package is shown in FIGS. 8-10. There
the package 50 contains a shaped tray base member portion 51 having
a shallow crushing surface 52 wherein the pill will actually be
crushed and a blister or cavity or depression 53 which contains the
gel J spaced generally in the middle of the package 50. The tab T
of the film 58 is pulled open from where it is heat-sealed 59 to
the edges of the tray portion 51 immediately above the handle
portion of the spoon 56, which rests on a handle support 57, which
is formed in the tray 51. The bowl portion of the spoon 55 is
placed in sealing relationship to the gel-containing depression or
blister 53 somewhat analogously to the embodiment previously
described. After the tab T has been peeled back the pill P is
inserted beneath the film 58 and allowed to slide down the spoon
into the crushing surface 52. The package is thereupon flexed so
that the crushing surface 52 lies flat on the surface of a table,
whereupon the pill P is crushed by the application of force to the
top of said pill by a hammer or by the use of a spoon or any other
convenient object. The pill powder thereby formed is placed in the
bowl portion of the spoon 55 by tapping the end of the crushing
surface 52 or by tilting the package. The covering film 58 is
thereupon completely removed. The spoon 55 and 56 is thereupon
lifted and the pill powder contained in the bowl portion of the
spoon 55 is placed in the gel-containing cavity 53. The powder and
gel are thereupon mixed with the spoon 55, and the spoon 55 is then
used to completely scoop out the gel and pill powder mixed
therewith from the cavity or depression 53. The patient thereupon
eats the gel in normal fashion from the spoon.
Another embodiment is shown in FIGS. 11-13. There the package 60 is
again made up of a film 68 which is heat-sealed to all edges of 69
of a shaped tray base member 61. Instead of there being a special
crushing surface as a part of the shaped tray base member, now the
bowl portion of the spoon 65 is specially strengthened so that it
serves as the surface upon which to crush the pill. The tab T of
the film 68 is raised slightly allowing the pill P to be placed on
the handle portion of the spoon 66, which rests on the handle
support 67, formed in the tray base 61. The package 60 is then
tilted so that the pill slides down to the end of the bowl portion
of the spoon 65. The pill is then crushed, using either a
plierslike force or a metal spoon or a strikerlike force so that
the pill P is completely crushed into powder which is then retained
in the bowl portion of the spoon 65. The film 68 is now completely
removed. The spoon is thereupon raised and the powder permitted to
slide off into the gel J which is contained in the blister or
depression or cavity 63. The powder is then mixed with the gel
using the bowl portion of the spoon 65 and the spoon 65 is then
used to scoop out the entire contents of the cavity 63 and serve it
to the patient. Again here as in the embodiments previously
described and also that of FIGS. 32-34, the gel is doubly sealed
from possible contamination from the air by both the bowl portion
of the spoon 65 and by the film 68.
Another embodiment is depicted in FIGS. 14-19. There the package 70
contains a shaped tray base member portion 71 which is covered with
a film 78 heat-sealed to all edges 79 of the shaped tray 71. The
package contains a tab T which seals a side channel 71a formed in
the shaped tray portion 71 so that when the tab is lifted, the pill
P can be slid through the channel 71a into the bowl portion of the
spoon 75. Initially, this spoon is positioned in the package 70
apart from the gel and the bowl portion of the spoon 75 is used as
the crushing surface wherein the pill P is crushed with any
convenient object, such as a striker S or a second spoon or a knife
handle or a special crusher pliers. Once the pill P has been
powdered, the covering film 78 is completely removed, the handle of
the spoon 76, which lies in a handle support 77 formed in the
shaped tray portion base member 71, is grasped and the powder from
the bowl portion of the spoon 75 is allowed to slide into the gel J
contained in the blister or depression or cavity 74 which contains
the gel. The powder is thereupon mixed with the gel and the spoon
is thereupon used to scoop out the gel and powder mixture and to
serve it. Because the bowl portion of the spoon 75 and the cavity
containing the gel 74 are matingly shaped, substantially all of the
powder and gel is removed in a single scooping effort.
Another embodiment is shown in FIGS. 20-22. Here the spoon handle
86 has more of a square shape than the conventional spoon handle.
The package 80 has a shaped tray portion, which contains two
separate deeper depression or blisters or cavities, the first one
of which cavities 83 is shaped to hold the bowl portion of the
spoon 85. The handle portion of the spoon 86 rests on a lesser
handle support depression 87, so that when the spoon is in place,
the top sides thereof are relatively even with the top sides of the
shaped tray base member 81. The other cavity 84 contains the gel J.
Again there is a film 88 which is heat-sealed to the edges 89 of
the shaped tray 81. In operation, a tab T of the film 88, or a
corner of the film if optionally no tab is present, is raised and
the pill P is inserted down the top of the spoon handle 86 to the
bowl portion of the spoon 85 which then serves as the crushing
surface. The pill is crushed into powder using any convenient
object as the crushing force applied to the top of the pill outside
of the film 88. The film 88 is then removed, and the powder is
transferred to the gel cavity 84 using the spoon which is then used
further to mix the powder with the gel and thereafter is used to
scoop out completely the gel and powder mixture and serve it to the
patient.
Yet another embodiment is shown in FIGS. 23-26. Here the package 90
is formed with a hinge portion 97, but otherwise is similar to
those previously described in that it is made of a shaped tray
portion 91 bearing two depressions or cavities or blisters, one
cavity 93 being shaped so as to receive the bowl portion of the
spoon 95 and having a channel at one end to matingly hold the
portion of the handle of the spoon 96 which is attached to the bowl
portion of the spoon 95. The other cavity or blister 94 contains
the gel J. The film 98 is heat-sealed to the edges 99 of the shaped
tray portion 91 thereby sealing the gel and the spoon separately
and away from each other. Initially, the hinge 97 is closed as
shown in FIG. 23. The package 90 is thereupon snapped open and the
tab T of the film 98 over the spoon handle 96 is open sufficiently
so that the spoon can be removed without destroying the envelope
formed by the film cavity or depression 93. The pill is thereupon
inserted into this cavity and crushed with the spoon or any other
convenient object. The covering film 98 is thereupon removed from
all parts of the shaped tray portion 91 and the powder is
transferred to the gel-containing cavity 94 or alternatively the
gel is transferred to the powder in the cavity 93. The gel and
powder are thereupon mixed, using the spoon which is then used to
scoop out the mixture and serve it. Once again the dimensions of
the spoon and the gel cavity are such that the spoon easily empties
the gel cavity 94 substantially completely of all gel and powder
contained therein.
Still another embodiment is shown in FIGS. 27 and 28. This
embodiment is a slight modification of the embodiment of FIGS.
23-26, differing therefrom in that the hinge 107 is widened and
contains an interrupted portion in the middle thereof to which the
film 108 is not heat-sealed or sealed with any adhesive so that the
pill powder in the cavity 103 may be more easily transferred to the
gel J containing cavity 104 without any holdup in the hinge
channel. Aside from this, the embodiment package 100 contains the
shaped tray portion 101 having the two distinct cavities, one
cavity for the gel 108 and one cavity for the spoon 103 (which is
not shown but is the same as in the preceding embodiment) and a
film 108 heat-sealed to the edges 109 of the tray. The operation
here is analogous to that of the preceding embodiment.
Yet a further embodiment is shown in FIGS. 29 and 30. This package
110 contains a shaped tray portion 111 having a film 118
heat-sealed to the edges 119 of said shaped tray base member 111.
There are two depressions or cavities or blisters, one such cavity
113 containing the gel J and which cavity is then covered by the
bowl portion of the spoon 115 and a raised extension of which
cavity, the handle support 117, is covered by the handle of the
spoon 116. There is a less deep depression or cavity 114 which
serves as the crushing surface. The tab T of the film 118 is raised
sufficiently to permit the pill to be placed on the handle portion
of the spoon 116 and to be slid into the crushing surface cavity
114 where it is crushed either with a pliers or any convenient
object. After the pill has been crushed into powder, the sides of
the shaped tray 111 are tapped gently to allow all the powder to go
into the bowl portion of the spoon 115. The film 118 is then
completely removed. The spoon is thereupon raised and the powder
emptied from the spoon into the gel J which is in the cavity 113.
Again as before the powder is mixed with the gel and scooped out
with the special spoon 115 which is exactly fitted size wise to
completely scoop out in a single motion the entire contents of the
gel cavity 113 and thus serve all the powder to the patient.
A still further and somewhat preferred embodiment is shown in FIGS.
32-34. There the package 120 consists of a shaped tray base member
portion 121 which has a film 128 heat-sealed to all edges 129 of
the tray portion 121. There is a single cavity 123 which contains
the gel J. This is covered by the bottom of the bowl portion of the
spoon 125. The handle portion of the spoon 126 is channel shaped.
The bowl portion of the spoon 125 has a specially elongated and
strengthened front edge to serve as the crushing surface. The tab T
of the film 128 or the end immediately above the handle of the
spoon 126 is raised sufficiently to allow the pill P to be put in
position 1. The package is tipped to allow the pill to slide down
the channel in the spoon handle 126 to the tip of the spoon into
position 2, where it is then crushed with a plierslike crusher or
any convenient object. The covering film 128 is then removed
completely. The handle of the spoon 126 is then raised to permit
the powder from the bowl portion of the spoon 125 to be emptied
into the gel cavity 123 where it is mixed with the gel J using the
spoon. It is then scooped out with the spoon and served.
THE EDIBLE CARRIER GEL
The carrier gel utilized in the present invention need not be, but
preferably is, flavored. Any edible gel, such as a food store jelly
or jam or a fruit puree, etc., could be used as the carrier gel
vehicle.
The properties required in a preferred form of a flavored carrier
gel are: all ingredients must be approved foodstuff or foodstuff
additives, low calorie content, good mouth feel, rapid mouth
clearing, good taste masking properties, no unpleasant aftertaste,
pleasing color and consistency, medium viscosity, flavorable with
acceptable flavoring agents, stable for an indefinite period at
room temperature, good powder dispersing properties, and low
cost.
The preferred formulation arrived at for this gel vehicle was based
on carboxymethyl cellulose and Sorbitol as thickening agents.
Sorbitol, in addition, contributes to good mouth feel. The gel
formula meets all the requirements listed above. The formula is as
follows:
---------------------------------------------------------------------------
Ingredients Amount (%) CMC 7H3SF (Hercules) 1.75 Sorbitol 13.0 Na
Benzoate 0.2 Saccharin 0.05 Glycerin 0.45 Wild Cherry Flavor
(F-3540) (Givaudan) 0.035 F.D.&C. No. 2 Red 0.004 Citric Acid
0.43 Water 84.08 Total 100.00%
__________________________________________________________________________
This gel was prepared with four different artificial
flavors--raspberry, custard, orange juice and banana. Other flavors
are easily possible.
MATERIALS OF CONSTRUCTION
The particular materials of construction used in the various parts
of the container of the present invention are not critical, save as
they must have the properties necessary to perform their intended
functions. Thus the shaped tray base member portion is preferably
made of a relatively stiff, thin-walled plastic sheetlike material
such as polyvinylchloride, polyethylene, polypropylene, polystyrene
or any other plastic which is FDA approved for food stuff use and
which is susceptible to inexpensive large-scale manufacture by
vacuum forming, molding, or any other means. The spoon-shaped
means, which is a spoon having a bowl and a handle portion, is
preferably made of a hard styrene rubber, but it can be made of
many other plastics or even of wood or other materials which are
susceptible to inexpensive large-scale manufacture. The relatively
flexible thin plastic film is preferably made of polyethylene film
or polyvinylchloride film, but can be made of other films which can
be heat-sealed or attached by use of an adhesive or other sealing
means to the edges of the shaped tray base member. As with all
materials used herein, the film should be of a material approved by
the Food and Drug Administration for food stuff use. The film is
preferably sealed to all of the edges of the shaped tray base
member, and preferably has a tearing tab to permit it to be easily
opened so the pill may be inserted. However, the tab is not vital,
and in a less preferred version, the sealing could be on at least
three sides only, leaving the side of the envelope or pouch where
the pill is to be inserted open, for those packages where the spoon
itself also seals the edible carrier gel from contamination by the
air.
* * * * *