SAFETY SYRINGE APPARATUS
An apparatus for use with a syringe to provide a safety syringe, the apparatus comprising: a sheath (100; 300; 500; 700; 900; 1100; 1300) deployable for at least partially covering a needle of the syringe; a sheath actuator (102; 302; 502; 702; 902; 1102; 1302) for deploying the sheath; and a ratioed mechanism (104; 304; 504; 704; 904; 1104; 1304) linking the sheath and the sheath actuator and configured such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator during deployment of the sheath.
This application is a continuation of U.S. patent application Ser. No. 16/071,285 filed Jul. 19, 2018, which is a national stage entry of International Application No. PCT/GB2017/050117 filed Jan. 19, 2017, which claims priority to British Patent Application Serial No. GB 1600992.0, filed Jan. 19, 2016, all of which are hereby incorporated by reference in their entirety.
TECHNICAL FIELDThe invention relates to safety syringes and apparatus for fitting to syringes to convert them to safety syringes. In particular embodiments, the invention relates to, but need not be limited to, passive safety syringes and associated apparatus.
BACKGROUNDBroadly, syringes for medical use comprise a barrel having a hypodermic needle at one end and a plunger configured to move within the barrel such that an inward stroke of the plunger causes a substance contained within the barrel to be expelled from an aperture in the needle.
Safety syringes typically include some form of safety mechanism to protect healthcare workers from the hypodermic needle after it has been injected into a patient. Exemplary safety syringes may include a sheath for covering the needle, or may cause the needle to retract within the barrel of the syringe.
Safety syringes may be broadly split into ‘active’ and ‘passive’. Active safety syringes typically require some action by a user of the syringe to engage the safety mechanism. Such action may be taken after removal of the needle from the patient, or may be taken during removal of the needle from the patient. Typically, the action required to engage the safety mechanism is separate from the action required to cause the inward stroke of the plunger. Passive safety syringes typically engage the safety mechanism without any specific action by the user, that is, without any action other than that usually taken to use the syringe.
SUMMARYThe inventors have appreciated that a safety syringe may comprise a spring-loaded safety mechanism that may be engaged by a healthcare worker after, and separate to, the inward stroke of the plunger. That is, the healthcare worker takes a separate action to engage the spring-loaded mechanism. The spring force urges a surface against the skin of the patient, thereby extracting the needle and simultaneously engaging a safety mechanism, such as a sheath. Such devices are prone to misuse as healthcare workers are known to remove the needle from the patient before engaging the safety mechanism. This exposes the healthcare worker to the needle after use and the spring-loaded action of the safety mechanism may lead to blood splatter from the needle.
Other known safety syringes require the needle to be removed from the patient before the safety mechanism may be engaged. This exposes the healthcare worker to the needle after use.
According to the invention in an aspect, there is provided an apparatus for use with a syringe to provide a safety syringe, the apparatus comprising: a sheath deployable for at least partially covering a needle of the syringe; a sheath actuator for deploying the sheath; and a ratioed mechanism linking the sheath and the sheath actuator and configured such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator during deployment of the sheath.
Optionally, the sheath actuator is operable on in-line movement thereof.
Optionally, the sheath actuator comprises a plunger and a handle portion configured for deploying the sheath by relative movement between the plunger and the handle portion.
Optionally, the ratioed mechanism comprises a rack and pinion arrangement.
Optionally, the ratioed mechanism comprises a pinion engaged with a first rack connected to the sheath actuator and a second rack connected to the sheath.
Optionally, the pinion comprises a first set of teeth engaged with the first rack and a second set of teeth engaged with the second rack, and wherein the first set of teeth has a smaller radius than the second set of teeth.
Optionally, the ratioed mechanism comprises a helical guide configured to be rotatable by the sheath actuator and to engage with a corresponding feature of the sheath for deployment thereof.
Optionally, the helical guide is located on a mount, rotatable by the sheath actuator with respect to the sheath.
Optionally, the apparatus comprises a further helical guide configured to engage with a corresponding feature on the sheath actuator for rotation of the helical guide.
Optionally, the plunger comprises a safety plunger coupled to a syringe plunger, the safety plunger being configured decouple from the syringe plunger at a point on a stroke of the syringe plunger, and wherein the further helical guide is located on the safety plunger and/or the syringe plunger for relative rotation therebetween after decoupling.
Optionally, the further helical guide is located on the mount.
Optionally, the helical guide and/or further helical guide comprise channels and the corresponding features on the sheath actuator and the sheath comprise lugs and/or a corresponding helical protrusion.
Optionally, the angle of the helical guide is greater than the angle of the further helical guide.
Optionally, the helical guides are in opposed directions.
Optionally, the sheath is configured to be in fixed relation to a barrel of the syringe, and is further configured to be released from the fixed relation at a point on a stroke of a plunger of the syringe.
Optionally, the sheath comprises fixings configured to fix the sheath in relation to the barrel, and wherein the fixings are further configured to be released on contact with a portion of the plunger.
Optionally, the plunger comprises a syringe plunger and the sheath actuator comprises a safety plunger coupled to the syringe plunger, the safety plunger being configured to decouple from the syringe plunger at a point on a stroke of the syringe plunger, and wherein movement of the safety plunger after decoupling actuates deployment of the sheath.
Optionally, the safety plunger comprises one or more legs for coupling to the sheath, and wherein one or more the legs are configured to provide the ratioed mechanism.
Optionally, an extension of the one or more legs is configured to be increasable following decoupling of the safety plunger and the syringe plunger.
Optionally, the one or more legs are bendable and are configured to be straightened such that the extension of the one or more legs is increased.
Optionally, the one or more legs are hinged for allowing them to be straightened.
Optionally, a lateral extent of the legs is limited after decoupling for allowing them to be straightened.
Optionally, the one or more legs are configured to pass a guide for constraining their lateral extent.
Optionally, the guide comprises an aperture fixed in relation to the syringe.
Optionally, the one or more bendable legs are bent to provide a reaction surface configured to engage a straightening member during a stroke of the safety plunger.
Optionally, the sheath actuator further comprises one or more lever arms coupled to the sheath to cause deployment thereof.
Optionally, the one or more lever arms are configured to provide the ratioed mechanism.
Optionally, the one or more lever arms are operable on movement of the safety plunger.
Optionally, first ends of the one or more lever arms are rotatable at a position fixed with respect to the syringe or the safety plunger and wherein second ends of the one or more lever arms are connected to the sheath, and wherein the sheath actuator further comprises a rotator fixed with respect to the other of the syringe and the safety plunger and configured to rotate the first end of the one or more lever arms for deployment of the sheath.
Optionally, the one or more lever arms comprise a plurality of hinged sections.
Optionally, the one or more lever arms are bendable and are configured to be at least partially straightened for deployment of the sheath.
Optionally, the apparatus according to any preceding claim, further comprising a lock configured to retain the sheath in a position at least partially covering a needle of the syringe.
Optionally, the lock comprises a first locking feature formed on the sheath and configured to engage with a second locking feature formed on the sheath actuator.
According to the invention in another aspect, there is provided a safety syringe comprising a syringe and any apparatus for use with a syringe to provide a safety syringe disclosed herein.
According to the invention in another aspect, there is provided a kit of parts comprising: a sheath; a sheath actuator for deploying the sheath; and a ratioed mechanism, wherein, when fitted to a syringe, the sheath is deployable for at least partially covering a needle of the syringe and the ratioed mechanism links the sheath and the sheath actuator and is configured such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator during deployment of the sheath.
Generally, disclosed herein are safety syringes and apparatus for providing safety syringes, in which a sheath is extended along a length of a barrel of a syringe to cover at least partially a needle of the syringe. The sheath may be urged over the needle by a force applied by the user, typically during normal use of the syringe. A sheath actuator moves to deploy the sheath and the movement of the sheath is ratioed with respect to movement of the sheath actuator such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator. Further, the sheath actuator may be configured to cause deployment of the sheath from in-line movement thereof. The term “in-line” is used to encompass longitudinal movement aligned with a longitudinal axis of the safety syringe. In-line movement may be caused by a normal action of a user using a syringe.
It is noted that, although the apparatus described relate to syringes including a barrel, needle and syringe plunger, exemplary apparatus may also relate to an apparatus for fitting to a syringe. That is, exemplary apparatus need not include the barrel, needle and/or syringe plunger.
As used herein, the term “syringe plunger” encompasses a plunger that has an element configured to move within a barrel of a syringe to dispense a substance contained within the barrel.
Further, exemplary apparatus are described herein and relate to relative movement between various features of the apparatus. It should be understood that it is relative movement that is used to operate some of the features of the apparatus. For example, a sheath actuator may be moved and the syringe remain stationary in order to deploy a sheath, but the same effect may be achieved by movement of a syringe if the sheath actuator remains stationary. The descriptions provided herein assume that the syringe remains stationary.
The ratioed mechanism 104 comprises a mount 108, to which a pinion 110 is rotatably connected. The mount 108 is fixed to a barrel 112 of the syringe when the apparatus is fitted to the syringe. The sheath 100 and the sheath actuator 102 are configured to be slidable relative to the mount 108. Specifically, the sheath 100 is arranged to slide on an outer surface of the mount 108 and the sheath actuator 102 is configured to slide on an outer surface of the sheath 100. The sheath 100 has a fixing 114 that is configured to hold the sheath 100 in fixed relation to the mount 108 (and/or the barrel 112) until such time as it is released at a point on the stroke of a syringe plunger 116 of the syringe. This is explained in greater detail below. The stroke of the syringe plunger 116 encompasses the inward and outward movement of the syringe plunger 116 within the syringe barrel 112. The fixings 114 comprise two lugs 117a, 117b configured to engage with a lip (shown in
The ratioed mechanism 104 further comprises a first rack 118 formed on the sheath 100 and a second rack 120 formed on the sheath actuator 102. The first and second racks 118, 120 are engaged with the pinion 110. The pinion 110 comprises a first set of teeth 122 engaged with the first rack 118 and a second set of teeth 124 engaged with the second rack 120. The second set of teeth 124 has a greater radius than the first set of teeth 122, such that movement of the sheath actuator 102 causes a greater magnitude of movement of the sheath 100.
The sheath 100 is extendable over at least part of the length of the apparatus such that it covers a needle 126 of the syringe after use thereof.
Referring to
A user depresses the syringe plunger 116, which may be done by placing the thumb on a syringe plunger head 130 and the index and middle fingers against a finger grip 132 of the sheath actuator 102 and applying a relative pressure between the thumb and fingers. This concept of operation is typical in syringes. Because the sheath 100 is fixed in relation to the mount 108 and barrel 112, the sheath actuator 102 is prevented from moving, as it is linked to the sheath 100 by the ratioed mechanism 104 (not shown in
Referring to
Referring to
Referring to
A ratioed mechanism 304 of the exemplary apparatus of
The helical guides 322, 324 need not form a full 360 degree revolution around the apparatus and may form a partial revolution. In this sense, the helical guides 322, 324 need not be a full helix (i.e. greater than a 360 degree revolution), but may be a curved guide formed around an outer of the mount 308. The helical guides 322, 324 are angled such that the sheath 300 and sheath actuator 302 respectively move along a length of the apparatus as the guiding lugs travel in the channels. The angle of the helical guides 322, 324 refers to the steepness of the gradient of the helical guide, which controls the amount of linear motion translated by the guiding lugs from a given amount of rotational motion. The angle of each of the helical guides 322, 324 is different. The helical guides are in opposed directions, such that movement of the sheath actuator 302 in one direction results in movement of the sheath 300 in an opposite direction.
A user begins to operate the syringe by applying relative force between the finger grip 332 and the head 330 of the syringe plunger 316 to bring them together, similar to the process described in relation to
Referring to
As shown in
As shown in
The exemplary apparatus of
As used herein, the term “safety plunger” encompasses a feature of exemplary apparatus that is configured to deploy a sheath. Safety plungers may deploy the sheath on a normal syringe operating action of the user, that is, the user may operate the apparatus as normal and the syringe plunger will deploy the sheath under the applied force.
The sheath actuator is coupled to the sheath by legs 552a-b. The coupling is direct in that movement of the sheath actuator 502 causes movement of the sheath 500, but the coupling is also by way of a ratioed mechanism 504 provided by the legs 552a-b. That is, the legs 552a-b provide the ratioed mechanism 504. The legs 552a-b are bent and are configured to be straightened such that an overall extension of the legs 552a-b is increased. That is, when the legs 552a-b are straightened then the straight line distance between the top of the legs 552a-b and the bottom of the legs 552a-b is increased compared to when they are bent. It is noted that straightening of the legs 552a-b need not be a full straightening in order to achieve the desired effect. In exemplary apparatus, a partial straightening may suffice.
The legs 552a-b have hinges 554a-b that allow the legs 552a-b to be straightened.
The legs 552a-b extend to guides 560a-b that are fixed in relation to the syringe. The guides are configured to limit the lateral extent of the legs 552a-b (e.g. due to the bending as they pass the respective guide 560a-b. In the exemplary apparatus of
The safety plunger 550 is coupled to the syringe plunger 516 at a start point of the stroke. In the exemplary apparatus of
Referring to
After the syringe plunger 516 passes the keyed aperture at the opening of the barrel, it is free to rotate and becomes decoupled from the safety plunger 550. It is noted that other forms of decoupling are possible. Further movement of the safety plunger 550 causes rotation of the syringe plunger 516 due to the threaded portion of the safety plunger interacting with a corresponding threaded portion within the syringe plunger 516.
As shown in
The exemplary apparatus of
The lever arms 770a-b provide a ratioed mechanism 704 for deployment of the sheath 700. The lever arms 770a-b are bendable and may be straightened so as to increase the extension of the sheath 700 during deployment. In particular, first ends of the lever arms 770a-b are rotatable at points 772a-b that are fixed with respect to the syringe and/or are moveable relative to the plunger 750. In the exemplary apparatus of
The plunger 750, which forms part of the sheath actuator 702, comprises rotators 774a-b that are configured to rotate the lever arms 770a-b at a point on the inward stroke of the plunger 750. In the exemplary apparatus of
Referring to
This motion continues, as shown in
The exemplary apparatus of
The sheath 900 is coupled to the safety plunger by legs 952a-b. The legs 952a-b are bent and configured such that they may be straightened to increase an extension of the sheath 900. That is, the bent legs 952a-b are configured to provide a ratioed mechanism 904 to ensure a greater magnitude of movement of the sheath 900 than a magnitude of movement of the safety plunger 950.
In the exemplary apparatus of
Referring to
As shown in
The exemplary apparatus of
The sheath 1100 is coupled to the safety plunger by one or more legs 1152. The leg 1152 may not be locked to the sheath 1100 and may be coupled thereto, such that an inward stroke of the safety plunger 1150 causes movement of the sheath 1100 in the same direction, but an outward stroke of the safety plunger 1150 does not cause any movement of the sheath 1100. Alternatively, the leg 1152 may be connected to the sheath 1100.
The apparatus further comprises a lever arm 1171. The lever arm 1171 provides a ratioed mechanism 1104 for deployment of the sheath 1100. A first end of the lever arm 1172 is rotatably connected to the safety plunger 1150 at a point 1172 that is fixed with respect to the safety plunger and/or movable relative to the syringe after decoupling of the safety plunger 1150 from the syringe plunger 1116. A second end of the lever arm 1171 is connected to the sheath 1100 via the leg 1152. That is, the connection between the lever arm 1150 and the sheath 1100 is indirect. The lever arm 1171 is configured such that rotation thereof moves the leg 1152 longitudinally. The leg 1152 is coupled to the sheath 1100 such that longitudinal movement of the leg 1152 causes extension of the sheath 1100. The lever arm 1171 may comprise a plurality of hinged sections and/or may be directly connected to the sheath 1100.
The syringe comprises a rotator 1174 that is configured to rotate the lever arm 1171 after decoupling of the safety plunger 1150 from the syringe plunger 1116. In the exemplary apparatus of
After decoupling, continued movement of the safety plunger 1150 brings the second end 1171b of the lever arm 1171 into contact with the rotator 1174. Further movement of the syringe plunger 1150 causes rotation of the second end 1171b, which results in a corresponding rotation of the first end 1171a about the pivot point 1172. Because they are at opposed sides of the pivot point 1172, upward movement of the second end 1171b causes downward movement of the first end 117a. A ratioed rotation of the first end 1171a is caused by the relative lengths of the first and second ends 1171a, b. Rotation of the first end 1171a causes longitudinal movement of the leg 1152, which deploys the sheath 1100.
The exemplary apparatus of
The sheath actuator 1302 of the exemplary apparatus of
The safety plunger 1350 comprises a head and a plurality (two in the exemplary apparatus of
In the exemplary apparatus of
In alternative arrangements, linear decoupling may be provided by a combination of a threaded portion of the safety plunger 1350 and a keyed entry of the syringe plunger 1316 into the barrel of the syringe, as described above in relation to other apparatus. In such arrangements, rotation is prevented by a non-circular cross sectional shape of the syringe plunger 1316 interacting with a corresponding aperture at the entrance to the barrel. The corresponding aperture may be in a handle portion 1362 that is fixed in relation to the barrel of the syringe. The syringe plunger 1316 is configured to be rotatable at a point on the stroke, such that the safety plunger 1350 and the syringe plunger become decoupled, that is, linear motion of the safety plunger 1350 need not result in linear motion of the syringe plunger 1316. After that, rotation of the mount 1380 is possible.
As shown better in
Referring to
In
As shown in
The skilled person will be able to envisage other embodiments without departing from the scope of the appended claims.
Claims
1. An apparatus for use with a syringe to provide a safety syringe, the apparatus comprising:
- a sheath deployable for at least partially covering a needle of the syringe;
- a sheath actuator for deploying the sheath;
- a ratioed mechanism linking the sheath and the sheath actuator and configured such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator during deployment of the sheath, and
- wherein the ratioed mechanism defines a helical guide configured to be rotatable by the sheath actuator and to engage with a corresponding feature of the sheath for linear deployment thereof.
2. An apparatus according to claim 1, wherein the helical guide is located on a mount, rotatable by the sheath actuator with respect to the sheath.
3. An apparatus according to claim 1, comprising a further helical guide configured to engage with a corresponding feature on the sheath actuator for rotation of the helical guide.
4. An apparatus according to claim 3, wherein the plunger comprises a safety plunger coupled to a syringe plunger, the safety plunger being configured decouple from the syringe plunger at a point on a stroke of the syringe plunger,
- and wherein the further helical guide is located on the safety plunger and/or the syringe plunger for relative rotation therebetween after decoupling.
5. An apparatus according to claim 3, wherein the further helical guide is located on the mount.
6. An apparatus according to claim 3, wherein the helical guide and/or further helical guide comprise channels and the corresponding features on the sheath actuator and the sheath comprise lugs and/or a corresponding helical protrusion.
7. An apparatus according to claim 3, wherein the angle of the helical guide is greater than the angle of the further helical guide.
8. An apparatus according to claim 3, wherein the helical guides are in opposed directions.
9. A safety syringe comprising a syringe and an apparatus according to claim 1.
10. A kit of parts comprising:
- a sheath;
- a sheath actuator for deploying the sheath; and
- a ratioed mechanism,
- wherein, when fitted to a syringe, the sheath is deployable for at least partially covering a needle of the syringe and the ratioed mechanism links the sheath and the sheath actuator and is configured such that a magnitude of movement of the sheath is greater than a magnitude of movement of the sheath actuator during deployment of the sheath, wherein the ratioed mechanism comprises a helical guide configured to be rotatable by the sheath actuator and to engage with a corresponding feature of the sheath for deployment thereof.
Type: Application
Filed: Aug 26, 2021
Publication Date: Dec 9, 2021
Inventors: Damian Alexander Holland (Woodstock), Clive Nicholls (Woodstock), Dale Marc Comley (Derbyshire), Lee Thomas Smith (Staffordshire), Joseph David Cowan (Staffordshire)
Application Number: 17/412,558