U.S. patent number 3,782,383 [Application Number 05/338,424] was granted by the patent office on 1974-01-01 for winged infusion holding device with thermoplastic elastomeric body.
This patent grant is currently assigned to Vicra Sterile, Inc.. Invention is credited to John L. Center, Paul M. Stocton, Thomas C. Thompson.
United States Patent |
3,782,383 |
Thompson , et al. |
January 1, 1974 |
WINGED INFUSION HOLDING DEVICE WITH THERMOPLASTIC ELASTOMERIC
BODY
Abstract
An intravenous infusion device includes a first wing member
attached to a needle. A flexible conduit for supplying fluid to the
needle is connected thereto via an intermediate sleeve of the same
material as the conduit. A tiedown wing is removably attached to
and movable along the conduit. Both the wing portion attached to
the needle and the movable tiedown wing are composed of a synthetic
thermoplastic eleastomer, preferably a block copolymer of styrene
and butadiene.
Inventors: |
Thompson; Thomas C. (Dallas,
TX), Center; John L. (Dallas, TX), Stocton; Paul M.
(Clarendon Hills, IL) |
Assignee: |
Vicra Sterile, Inc. (Dallas,
TX)
|
Family
ID: |
23324775 |
Appl.
No.: |
05/338,424 |
Filed: |
March 6, 1973 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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184555 |
Sep 28, 1971 |
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Current U.S.
Class: |
604/177; 24/545;
128/DIG.24 |
Current CPC
Class: |
A61M
25/0637 (20130101); Y10T 24/44769 (20150115); Y10S
128/24 (20130101) |
Current International
Class: |
A61M
25/06 (20060101); A61m 005/00 (); A61m
005/32 () |
Field of
Search: |
;128/133,214,221,214.2,214.4,215,346 ;24/137,255A,255R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Attorney, Agent or Firm: O'Neil; Michael A.
Parent Case Text
This is a continuation of application Ser. No. 184,555, filed Sept.
28, 1971, now abandoned.
Claims
What is claimed is:
1. For use in conjunction with an intravenous infusion device of
the type including an elongate, hollow needle having a
substantially sharp distal end and adapted for insertion under the
skin and into a vein of a patient and a supply tube connected to
the proximal end of the needle and adapted to receive a fluid and
to direct the fluid through the needle and into the vein of the
patient, apparatus for securing the intravenous infusion device to
the skin of the patient which comprises:
a holding member for said device having a unitary, molded member
including a hub and a pair of wings extending outwardly from the
opposite edges of the bottom of the hub and having normally
substantially planar bottom surfaces for engagement with the skin
of the patient;
said hub having a longitudinally extending passageway formed in it
which is characterized by an interior configuration normally
substantially congruent with the exterior configuration of a
portion of the intravenous infusion device;
said passageway intersecting the plane of the bottom surface of the
wings to define a slot which is normally substantially narrower
than the passageway when the wings are extended in their skin
engaging position;
whereby said wings are adapted to be manually deformed upwardly and
inwardly toward the hub to substantially open the slot and thereby
permit said portion of the intravenous infusion device to be
received in the passageway formed in the hub.
2. The apparatus according to claim 1 wherein the member is molded
from a synthetic thermoplastic material.
3. The apparatus according to claim 2 wherein the member is molded
from a block copolymer of styrene and butadiene.
4. The apparatus according to claim 1 wherein the member is further
characterized by a layer of adhesive on the bottom surface of each
wing for use in securing the member to the skin of the patient.
5. The apparatus according to claim 4 wherein the adhesive layers
are protected by removable laminating sheets prior to use.
6. An intravenous infusion device comprising:
an elongate, hollow needle having a substantially sharp distal end
and a blunt proximal end, and adapted for insertion under the skin
and into a vein of a patient;
a holding means for securing the said device to the skin of a
patient comprising a first member including a relatively thick hub
surrounding and fixedly secured to the needle at a point between
the distal and proximal ends thereof and a pair of relatively thin
wings extending outwardly from the opposite sides of the hub and
having normally coplanar bottom surfaces adapted for engagement
with the skin of the patient;
a supply tube connected at one end in fluid communication with the
proximal end of the needle and including means at the opposite end
for connection to a source of fluid; and
a second securing member including a relatively thick hub having a
passageway formed through it characterized by an inside diameter
normally substantially equal to the outside diameter of the supply
tube and a pair of relatively thin wings extending outwardly from
the opposite sides of the hub and having normally coplanar bottom
surfaces for engagement with the skin of the patient;
said passageway in the hub of the second member communicating with
the bottom surfaces of the wings of the member by means of a slot
normally substantially narrower than the outside diameter of the
supply tube to provide a hollow means that when the slot is opened
to receive the supply tube in response to bending of the wings of
the second member upwardly and inwardly toward the hub and is
closed to securely clamp the supply tube in the passageway of the
hub in response to release of the wing when they are extended
substantially flat in their skin engaging position.
7. The intravenous infusion device according to claim 6 wherein the
second member comprises a unitary structure molded from a synthetic
thermoplastic material.
8. The intravenous infusion device according to claim 7 wherein the
second member is molded from a block copolymer of styrene and
butadiene.
9. The intravenous infusion device according to claim 6 wherein the
second member is further characterized by an adhesive layer formed
on the bottom surface of each wing and a protective layer initially
overlying each adhesive layer, whereby upon removal of the
protective layers the wings of the second member may be adhesively
secured to the skin of the patient.
10. Apparatus for securing a tubular member to the skin of a
patient comprising:
a hub having a longitudinally extending passageway formed through
it;
said passageway in the hub being characterized by an interior
configuration substantially congruent to the exterior configuration
of a portion of a tubular member;
a pair of wings extending outwardly from the opposite sides of the
hub and comprising normally coplanar bottom surfaces for engagement
with the skin of the patient; and
said passageway in the hub intersecting the plane of the bottom
surfaces of the wings to define a slot which is normally
substantially narrower than said portion of the tubular member;
said wings and hub having sufficient resiliency to permit upward
and inward bending of the wings to open the slot and thereby
facilitate positioning of said portion of the tubular member in the
passageway formed in the hub and thereafter to return the wings
substantially to the normal outwardly extending patient skin
engaging positions thereby closing the slot and clamping said
portion of the tubular member in the passageway of the hub.
11. The apparatus according to claim 10 wherein the hub and the
wings comprise a unitary structure molded from a synthetic
thermoplastic material.
12. The apparatus according to claim 11 wherein the synthetic
thermoplastic material comprises a copolymer of styrene and
butadiene.
13. The apparatus according to claim 10 further characterized by
adhesive layers formed on the bottom surfaces of the wings for
adhesively securing the apparatus to the skin of the patient.
14. The apparatus according to claim 13 wherein each adhesive layer
is initially protected by a removable, nonadhesive layer.
Description
BACKGROUND OF THE INVENTION
This invention relates to infusion devices and more particularly to
intravenous infusion devices including a needle and supply tubing
wherein the needle remains in place during infusion.
Infusion devices of the general type to which the present invention
pertains are known to the art. A variety of such devices are
commercially available. The devices presently available exhibit
certain deficiencies. Among the deficiencies are convenient handles
for grasping by a physician or technician during insertion
procedure. Most prior art devices either have handles which are too
rigid or too flexible for simple and accurate insertion. Other
devices available are incapable of lying substantially tangential
to the surfaces of a patient's body when in place. Preferably, a
needle once inserted will lie nearly tangential to a patient's body
surface so that it can be easily secured to the body without
harming the vein or other tissue into which it has been inserted. A
further drawback of prior art devices includes lack of security.
For example, if a needle becomes disconnected from a particular
insertion handle or becomes disconnected from supply tubing, it can
enter a vein and cause serious damage. A still further disadvantage
of presently available prior art devices is that they include no
convenient means by which to tie down supply tubing. Such prior art
devices are presently secured to the patient's body by means of
adhesive tape applied over the tubing.
SUMMARY OF THE INVENTION
The problems encountered with prior art devices as enumerated above
have been overcome by the present invention. The invention provides
an intravenous infusion device comprising a hollow needle having a
pointed distal end, a handle including a hub portion connected to
the needle between the distal and proximal ends thereof, the handle
including two winged portions normally extending sidewardly from
the rib portion, the handle composed of a synthetic thermoplastic
elastomer, and means attached to the proximal end of the needle for
supplying fluid thereto. Another aspect of the present invention
provides means for connecting the supply tubing to the needle. Such
means includes a first flexible conduit means adhesively connected
to the proximal end of the needle and extending a predetermined
distance beyond the proximal end of the needle and second conduit
means secured to the exterior of the first conduit means. Still
another aspect of the invention provides a movable tiedown wing
composed of a snythetic thermoplastic elastomer removably connected
to the second conduit means.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a pictorial view of the intravenous infusion device of
the present invention;
FIG. 2 is a top view of the needle and handle portion of the device
of FIG. 1;
FIG. 3 is an enlarged cross-sectional view of FIG. 2 taken along
section line 3--3;
FIG. 4 is a view of FIG. 2 taken along section line 4--4;
FIG. 5 is a pictorial view of a partial intravenous insertion of
the needle;
FIG. 6 is a front view of the needle and handle wherein the handle
has been flexed for insertion;
FIG. 7 is a side view of FIG. 6;
FIG. 8 is a front view of the tiedown wing of the present
invention;
FIG. 9 is a front view of the tiedown wing flexed for connection to
or removal from supply tubing;
FIG. 10 is an alternative embodiment of the tiedown wing;
FIG. 11 is another embodiment of the invention showing connection
of infusion tubing to the handle portion.
DESCRIPTION OF THE INVENTION
The present invention will be described in relation to preferred
embodiments thereof. It is to be understood that various
alterations, substitutions of equivalents and other changes can be
made without departing from the original concept. It is therefore
intended that the invention be limited only by the definition
contained in the appended claims. Throughout the specification
where appropriate for clarity and conciseness like numerals will be
utilized to indicate the same or similar structure.
Referring now to FIG. 1, the infusion device of the present
invention includes a handle generally designated 10 having two wing
portions 12 and 14 extending sidewardly from a central hub portion
16. A needle 18 having a sharpened or pointed distal end 20 extends
through the hub portion 16. The proximal end 22 of the needle is
connected to infusion fluid supply tubing 24. A suitable coupling
26, such as a luer coupling, is connected to the proximal end of
the supply tubing 24. A removable tiedown wing 28 is connected to
the tubing 24 between the handle 10 and coupling 26. The tiedown
wing 28 can be removed from the tubing 24 and can also be moved in
the direction of arrows 31 without removing it from the tubing
24.
Referring now to FIGS. 2, 3 and 4, the handle portion 10 of the
infusion device is preferably integrally molded about the needle
18. The handle 10 can be molded by conventional injection molding
techniques. The enlarged hub portion 16 of the handle 10
structurally reinforces the channel or hole 32 through which the
needle 18 extends. Any suitable surgical or stainless steel can be
utilized for the needle 18. The needle 18 contains a roughened
portion 34 located within the rib portion 16 which is formed by
buffing or grinding that portion of the needle 18 before molding.
The roughened portion 34 provides a better frictional bond between
the needle 18 and the hub portion 16 of the handle 10. Most
preferably, the roughened portion 34 of the needle 18 is also
coated with an uncured epoxy cement before molding the handle 10
about the needle. The epoxy cement cures during molding of the
handle 10 to provide a secure bond between the needle 18 and handle
10.
The handle 10 is preferably made from a suitable synthetic
thermoplastic elastomer of the type disclosed in U.S. Pat. No.
3,265,765, to Holden et al. A preferred thermoplastic elastomer of
the type suitable for the present invention is an ordered block
copolymer of styrene and butadiene. An exemplary material is
available from the Shell Chemical Company, Polymers Division,
Houston, Tex., and is sold under the trademark KRATON, type
designation 3202-2000. Another such material suitable for use with
the present invention is an ordered block copolymer of polystyrene
and polyisoprene. These thermoplastic elastomeric materials when
utilized with the present invention exhibit particularly suitable
and unexpected properties.
It is preferable that the bottom surface 36 (FIG. 4) of the handle
10 is flat so that it can lie substantially flat upon the exterior
of a patient's body after the needle 18 has been inserted. The
needle is also horizontally located as near the surface 36 as
possible. Such location will aid in preventing damage to a blood
vessel into which the needle has been inserted.
It will be noted that the juncture of the hub 16 and the wings 12
and 14 of the handle 10 form a relatively sharp angle. Also, the
thickness of the winged portions is greater than the thickness of
the hub between the needle channel and the bottom of the handle.
This feature can best be seen in FIG. 1. This construction combined
with the flat bottom 36 (FIG. 6) and the elastomeric composition of
the handle 10 allows the wings 12 and 14 to flex near the hub 16.
This feature of the invention prevents outward bowing near the
midpoints of the wings 12 and 14 when they are flexed for insertion
of the needle.
Fluid supply tubing, such as tubing 24, is preferably made of
polyvinyl chloride. Cost and flexibility are two major factors
involved in this preference. It has been difficult to form heat or
adhesive bond between the block copolymer of butadiene and styrene
and polyvinyl chloride tubing. Therefore, a recessed portion 30 is
provided into which the proximal portion 22 of the needle 18
extends. A sleeve 38 of polyvinyl chloride tubing having an I.D.
the same or slightly less than the O.D. of the needle 18 is
adhesively secured to the proximal end 22 of the needle 18.
Cyanoacrylate adhesives are suitable for this purpose. A preferred
adhesive for this purpose is an alkyl cyano acrylate such as
1-methyl cyano acrylate, available from Eastman Kodak, Rochester,
N.Y., under their tradename "Eastman 910 EM." The proximal end 40
of sleeve 38 extends a small distance past the proximal end of the
needle. This provision serves as protection for the distal end of
the supply tubing 24 which is adhesively bonded to the sleeve 38 by
a suitable solvent such as a lower aliphatic ketone, for example,
methyl ethyl ketone. The proximal end 40 of the sleeve 38 will
prevent rupture of the tubing 24 if a sharp bend is caused in the
supply tubing 24 near the proximal portion 22 of the needle 18. If
no protection were provided by sleeve 38 it would be possible for
the proximal portion 22 of the needle 18 to rupture or sever the
tubing 24, and, thus, render the tubing unusable.
When inserting the needle 18 into a patient, the bottom surfaces of
the wings 12 and 14 can be grasped between a thumb and forefinger
as illustrated in FIG. 5. The needle 18 can then readily be
inserted through the skin 44 of a patient and into a vein 45 thus
readying the device for infusion. In front view, the handle 10 when
flexed appears as in FIG. 6 and in side view appears as in FIG. 7.
The unique properties of the preferred block copolymer of styrene
and butadiene of the present invention allows flexure of the wings
12 and 14 near the hub portion in the manner illustrated without
undue flexure at the midpoint 46 of the wings 12 and 14. The
material will flex at 48 near the hub member 16 without provision
of any weakening or other structure discontinuity in the handle 10.
This provides a more secure, more positive acting handle than prior
art devices. In addition, the unique properties of the preferred
synthetic thermoplastic elastomer tends to eliminate flexure in the
direction indicated by arrows 50 in FIG. 7. This enables positive
and accurate placement of the needle 18 when inserting the
device.
A second aspect of the invention involves a movable and removable
tiedown wing 28 shown in FIGS. 8 and 9. In front view, the tiedown
wing 28 includes two wing portions 54 and 56 integral with a hub
portion 58. A channel 60, having an I.D. about the same or slightly
less than the O.D. of the supply tubing 24 (FIG. 1), runs
longitudinally through the hub portion 58. The channel 60
communicates longitudinally along its entire length with the bottom
surface 62 of the wings 28 via a longitudinal slot 64.
When the lower surfaces of wings 54 and 56 are grasped between a
thumb and forefinger and bent upwardly as shown in FIG. 9, the slot
64 will separate sufficiently to permit coupling of the channel 64
with the supply tubing 24, and vice versa will facilitate removal
of the tiedown wing 28 from the tubing 24. In addition to opening
the slot 64, flexure of the wings 54 and 56 will increase the I.D.
of the channel 60. Thus the tiedown wing 28 can be moved
longitudinally along tubing 24 as shown in the direction of arrows
31 (FIG. 1) without removal of the wing from the tubing. Most
preferably the tiedown wing 28 is composed of the same material as
is the handle 10, namely, a block copolymer of styrene and
butadiene. The unique properties of that material allows some
flexure in the wings 54 and 56 at location 66 and also allow the
top of th hub portion 58 to flex, thus cooperating to open the slot
64.
FIG. 10 illustrates an alternate embodiment of the tiedown wing of
FIGS 8 and 9. The only difference between the wing shown in FIG. 10
and that shown in FIG. 8 is that the wing 70 in FIG. 10 has an
adhesive material 76 attached to the bottom surfaces of wing
portions 72 and 74. Any suitable nontoxic adhesive is satisfactory
for contacting the bottom surface of wing 70. Smooth removable
protective tapes 78 cover the adhesive 76 during the manufacture,
transportation and preliminary use. When the infusion needle has
been inserted into the patient and the tiedown wing 70 properly
positioned along the supply tubing 24 the tapes 78 can be removed,
exposing the adhesive 76. Thus, the tiedown wing will be
self-adhering when contacted with the exterior of a patient's body.
Similar self-adhering adhesives can be used if desired on the
needle handle 10.
Another embodiment of the handle 10 is shown in partial cross
section in FIG. 11. In this embodiment an integrally molded
extension 80 of the handle 10 extends from the proximal end of the
hub 16 toward the proximal end of the needle 20. Polyvinyl chloride
infusion tubing 82 is joined to the extension 80 with a
polyurethane adhesive. To effect a good bond between tubing 82 and
extension 80, the extension is first washed with a cleaning
solution composed of, for example, 94.5 parts by weight water, 5
parts by weight of a weak aqueous solution of sodium hypochlorite
(CLOROX) and 0.5 parts by weight of hydrochloric acid (37 percent
by weight aqueous solution). Thereafter, a polyurethane adhesive is
applied to the extension 80. The tubing 82 is then filtered over
the extension 80. This method for connecting infusion tubing to the
thermoplastic elastomeric composition of the handle 10 presents an
effective alternative to that described in conjunction with FIG.
3.
* * * * *