FINGER RECEPTACLE AND HOLDING DEVICE
20230309871 · 2023-10-05
Assignee
Inventors
Cpc classification
A61B5/150442
HUMAN NECESSITIES
A61B5/150748
HUMAN NECESSITIES
A61B5/150343
HUMAN NECESSITIES
A61B5/150305
HUMAN NECESSITIES
A61B5/150068
HUMAN NECESSITIES
A61B5/15126
HUMAN NECESSITIES
A61B5/155
HUMAN NECESSITIES
International classification
Abstract
A finger receptacle having an elongated, flexible sleeve having a length defined between a proximal end and a distal end, the sleeve further comprising a support base, a ceiling and a top surface defining a longitudinal axis X, whereby the sleeve is adapted to bias toward a radially contracted state and when urged into a radially expanded state effects a radial compression action about the length to releasably secure a finger within the receptacle; and at least one angled projection extending from the ceiling and top surface at the distal end of the sleeve, the at least one angled projection angled inwardly from the longitudinal axis X of the ceiling and adapted to contact a nail of the finger releasably secured in the sleeve at the distal end of the receptacle to effect a second compression action. The invention further related to devices of blood capture and blood collection and those that incorporate said receptacle or a finger compression sleeve.
Claims
1. A finger receptacle comprising: an elongated, flexible sleeve having a length defined between a proximal end and a distal end, the sleeve further comprising a support base, a ceiling and a top surface having a longitudinal axis X, whereby the sleeve is adapted to bias toward a radially contracted state and when urged into a radially expanded state effects a radial compression action about the length to releasably secure a finger within the receptacle; and at least one angled projection extending from the ceiling and top surface at the distal end of the sleeve, the at least one angled projection angled inwardly from the longitudinal axis X of the ceiling and adapted to contact a nail of the finger releasably secured in the sleeve at the distal end of the receptacle to affect a second compression action.
2. The finger receptacle according to claim 1, wherein the base and the ceiling of the receptacle are flexibly connected by sides of the sleeve.
3. The finger receptacle according to claim 1, wherein the base and ceiling are connected by sides defining a flexible, expandable, and/or memory material.
4. The finger receptacle according to claim 2, wherein the base, the ceiling, and the sides of the sleeve are integrally formed.
5. The finger receptacle according to claim 1, wherein the distal end of the sleeve comprises a flared edge or an outwardly-curved perimeter.
6. The finger receptacle according to claim 1, wherein the top surface comprises an elongated ridge, centrally aligned with the axis X and having one, two, or three cutaway or recessed sections formed therein.
7. The finger receptacle according to claim 1, wherein the top surface defines an engagement structure, extending along a length thereof.
8. The finger receptacle according to claim 1, wherein sides of the receptacle define a window or cutaway toward the distal end of the sleeve, the window configured to visibly frame or part frame an optimal incision area.
9. The finger receptacle according to claim 1, wherein the receptacle has two angled projections and/or the one or two projections define an angle (A) relative to the longitudinal axis X measuring between 10-40 degrees, preferably 15 to 35 and most preferably 20 to 25 degrees.
10. The finger receptacle according to claim 1, further comprising one or more alignment aide for enabling a visual and/or physical alignment with at least one cutting mechanism.
11. The finger receptacle according to claim 10, wherein the alignment aide facilitates a connection with one or more cutting tools.
12. A finger holding device comprising: a base; an elongate docking structure comprising a docking arm and docking foot; a finger receptacle, for finger compression, wherein the docking arm is engaged with the finger receptacle and movable there along, such that the device has a closed configuration in which the receptacle is aligned alongside the docking arm and rests adjacent the docking foot and an open configuration in which the receptacle extends from the docking arm and is non-adjacent the docking foot; and an attachment interface associated with the base for releasably mounting an interchangeable collector attachment to the device.
13. A finger holding device comprising: a base; an elongate docking structure comprising a docking arm and docking foot; the finger receptacle of claim 1, wherein the docking arm is engaged with the finger receptacle and movable there along, such that the device has a closed configuration in which the receptacle is aligned alongside the docking arm and rests adjacent the docking foot and an open configuration in which the receptacle extends from the docking arm and is non-adjacent the docking foot; an attachment interface for releasably mounting an interchangeable collector attachment to the device.
14. The finger holding device of claim 12 wherein the device further comprises an interchangeable collector attachment, wherein the collector attachment is adapted to temporarily secure one or more fluid collectors to the device.
15. The finger holding device according to claim 12, wherein the docking arm is engaged with a top surface engagement structure of the finger receptacle and is slidable there along to facilitate movement of the device between the open, closed, and/or partially closed configurations.
16. The finger holding device according to claim 12, wherein the docking arm comprises a channel for receiving the top surface engagement structure of the finger receptacle.
17. The finger holding device according to claim 12, wherein the docking arm further comprises a flexible catch for temporarily engaging the receptacle and maintaining a one of the open, closed, and/or partially closed configurations.
18. The finger holding device according to claim 12, wherein the base defines an inner compartment partially defining a fluidic pathway within the device.
19. The finger holding device according to claim 18, wherein the base further comprises an aperture connecting the fluidic pathway from the inner compartment to the collector attachment.
20. The finger holding device according to claim 12, wherein the collector attachment is slidable or rotatable relative to the base to selectively block the aperture.
21-27. (canceled)
Description
BRIEF DESCRIPTION
[0060] The invention and various embodiments thereof will now be described with reference to the following figures:
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DETAILED DESCRIPTION
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[0079] The support base 3 defines at least a part of the inner surface 5 and which base surface is arced or curved, e.g. concave, to comfortably support the rounded underside of a finger, when inserted into the sleeve. Similarly, the ceiling 7 defines at least a further part of the inner surface of the sleeve and is curved to closely cup the topside surface of the finger, further helping to achieve a good fit during use.
[0080]
[0081] Here, in
[0082] The material of the sleeve may be rigid and be made flexible by the side sections or be inherently elasticated by virtue of the material itself. Typically it may be non-toxic plastic or environmentally friendly for easy disposal. The receptacle may be made from materials such as polypropylene, polycarbonate (PC), polycarbonate acrylonitrile butadiene styrene (PC/ABS), polymethyl methacrylate (PMMA), polystyrene or even metals, such as steel or memory shape alloys. Where an elasticated structure is preferred a strengthened or structured silicone may be selected.
[0083] The side portions may have a matrixed, latticed or meshed type of structure. As shown, the flexible side section 12 has a patterned cut-out portion to help facilitate the radial expansion and retraction function of the sleeve. To facilitate insertion and accommodate any finger girth, the general diameter of the sleeve, aided by the flexibility of the side sections, increases. However, the side sections will help resist or limit that increase, to ensure a snug fit of the sleeve about the finger and enhance the blood flow rate at the tip of the finger.
[0084] The general elongate nature of the sleeve alone smooths the surface of the finger along its length, providing a more consistent and even pressure which contributes to technical effect achieved by the compression actions, described herein.
[0085] As shown, the ceiling 7 of the sleeve defines longitudinal axis X. The receptacle further includes at least one angled, distal projection 10. The projection extends away from the longitudinal axis of the ceiling, being angled inwardly (see arrow) relative to a central axis (not shown) of the receptacle. As shown in
[0086] At the proximal end P of the structure sleeve, located at proximal end of ceiling 7, and/or the support base 5, there may be a flanged or lipped section 20, present to ensure comfort such that no sharp or harsh edge is pressed against the skin webbing between fingers on the hand when the finger is inserted into the sleeve of the receptacle.
[0087] The receptacle may have further advantageous features designed to optimise existing function and enhance use in specific applications. For example, although not essential in a primary form, the topside of the sleeve ceiling structure 7 may include specific features which enable a secure, movable inter-connection with a finger holding device, which is a further aspect of the invention disclosed herein.
[0088] Such a finger holding device may be provided, as described below, for use in blood capture.
[0089] For example, when used as part of the finger holding device embodiments of the receptacle may have further useful technical features. In some embodiments there may be an elongated linking or connecting structure (s) such as a mono-rail or, as shown clearly in
[0090] This rails feature allows secure engagement of receptacle 1 with (an arm 104) of the finger holding device 100. Although the feature does not have to embody rails specifically, it must act to facilitate engagement or link the finger receptacle with the device and permit a limited lateral movement between the device and the receptacle. In such embodiments, the lipped section 20 of the receptacle 1, located at a proximal end of the top surface of the sleeve ceiling 7 may also partly act to prevent the sleeve of the receptacle going too far into the finger holding device as well as providing user comfort during finger insertion and fitting, as mentioned above in relation to
[0091] As will be described below, when the finger is inserted into the device and the sleeve is closed with the docking arm, the lipped/flared section 20 outer edge will naturally rest against the corresponding outer edge of the arm 104, the latter edge being shaped to receive the former. In later described embodiments, after fully engaging the sleeve and docking therewith a flexible tab of the docking arm 102 may naturally rest in a cutaway formed in the end of the flared section to temporarily secure the two together.
[0092] Other features may be present to help prevent automatic disengagement of the finger receptacle from device when it is pulled by the user and the device is opened. For example, a recessed stop 18 may be present in a central location along the topside of the receptacle 1 between the rails 17. This will be described further in reference to
[0093] The receptacle 1 and device 100 are operable together to provide many advantages as will be discussed in more detail in relation to the device of the invention further below.
[0094] In examples, the receptacle 1 is formed of one single moulded piece, that is, the features of the structure described here above are inherently integrated during manufacture by plastic injection moulding or 3D printing. However, it is conceivable that some of these features may not be entirely integral (e.g. made by single moulding process) but are nonetheless able to be present in the device.
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[0096] The finger receptacle 1 of the device 100 is received within docking structure 103 and held thereon by an elongated arm 104 which extends from a docking foot 106, which structurally borders and sits adjacent the base 102.
[0097] The receptacle 1 is movably connected to the finger holding device 100 via a recessed portion or channel provided in the underside of the elongate arm 104. As discussed, the receptacle comprises rails 17, which sit within the channel of the arm 104, connecting the receptacle 1 for slidable movement therewith.
[0098] In the closed position; the configuration shown in
[0099] It is noted that the foot 106 and part of the arm 104 of the docking structure 103 adjoin docking base 102 to define an inner compartment 104.
[0100] As can be seen clearly with reference to
[0101] Referring back to
[0102] As shown in
[0103] In the example shown, docking base 102 comprises attachment interface or interfacing surface 107 and interface structures: side elements 108. As provided here, the side structures at the interfacing surface may incorporate means to secure the edges of a collector attachment to the device, allowing for different types of collector attachment to be slidably interchanged therewith.
[0104] In
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[0106] In the field of blood capture having a modifiable device would be very useful, especially where this feature is present at the interface of the base, i.e. as part of the collector attachment. Thus, in alternative embodiments, the collector attachment 110 shown in
[0107] Referring again to the example shown in
[0108] In embodiments, especially where it is desirable to use single form processes to manufacture the device, the collector attachment 110 maybe inherently secured, or as mentioned above be a part of the physical surface interface 107 or otherwise adjoined with the docking base in a permanent manner.
[0109] The attachment interface 107 and associated structures may also allow the device to be adapted such that in some embodiments the mechanism of use with collectors, such as vials provides further technical advantages or functionality during blood capture. These examples, such as those enabling rotational collection mechanisms, will be described in further detail below.
[0110] Referring back to
[0111] Once a finger is present within the sleeve of the receptacle 1, as shown in
[0112] However, this distal movement, as indicated in
[0113] The holding device in the open position creates two optimal cutting locations or visible windows of skin on lateral sides of the finger. Furthermore, the user having his or her finger secured in the receptacle experiences a combination of compression actions which optimise blood flow for subsequent capture. The radial compression of the sleeve continues to clamp, squeezing circumferentially around the body of the finger, increasing blood flow towards the tip of the finger. The flow for improved release rate is further enhanced when the receptacle is massaged externally by the other hand to further direct the blood flow to the distal part of the finger as well causing increased inward flow into the finger. Further, the projection focussing pressure downwardly in a second action enhances the localised blood flow at the tip of the finger towards the cutting zones and causes these areas to be locally engorged with blood.
[0114] The combination of these compressive actions permits the device including its receptacle increasing the blood flow rate and the amount released when a cutting action is applied to one or both windows of skin revealed by the device in the open position shown in
[0115] The finger holding device presents the optimal areas for cutting (and which may include markers on the device to assist the user in applying the cutting device in the optimal location(s)) to the user whilst retaining flexibility for the user choice of cutting tool). The user may then apply a cutting action by slicing/cutting with a tool of choice in one, or both, visible windows of skin.
[0116] In some embodiments, the support or base section 3 of the receptacle 1 comprises one or more features which enable the cutting tool to be aligned and/or temporarily attached or connected with the receptacle. Cutting lines or guides 170, in particular two or three guide lines, may be present on the outer surface of the support section of the receptacle to provide a visible aid to the user as to where to place the cutting tool (s). This helps ensure an incision(s) is made in the relevant position and improved blood release and capture is possible during use of the current invention. The example form of such guides is shown in
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[0119] In some embodiments, to improve co-operation between the receptacle and the cutting tool and further facilitate ease of use, the guides may protrude outwardly from the receptacle thereby providing a physical alignment aid by defining a space which the cutting tool may occupy.
[0120] As shown in
[0121] In further embodiments where, for example, more than one cutting tool is required to be used with the receptacle, three fins 180 are present and spaced around the curved surface of the receptacle. This example permits two “single use” cutting tools to be mounted to the device simultaneously and multiple cuts to be made in quick succession. Since the time lag needed for changing the tool and re-cutting is avoided and the cuts are able to be made in accurate but slightly different locations, blood capture and collection (of a useful volume) is effective and efficient.
[0122] Alternatively, in place of the alignment fins, there may be at least one clamp, or in examples shown in
[0123] After cutting in this position, the user subsequently removes the cutting tool and immediately closes the finger holding device by pushing on the docking structure 103 and/or gripping the device using flat side surfaces 118 and pushing in the opposite direction to d, bringing the base 102/foot 106 back toward the receptacle 1. As the arm 104 slides returning along the rails 17 the device adopts the closed configuration again.
[0124] Usefully, when the device is closed, the finger is able to be held partially within the base of the holder and immediately adjacent thereto but without abutting any surface of the inner compartment.
[0125] As shown in
[0126] Consequently, the arm can slidably move along the length of the rail of the receptacle with ease, giving rise to the open, closed and in some cases a partially closed positions of the device. The distance of the sliding movement and position of the arm relative to the receptacle is enabled or controlled by further features in various embodiments of the device, as shown and described herein:
[0127] In these examples, shown particularly in
[0128] When the device is fully open as shown in
[0129] Whereas, as shown in
[0130] Additionally, some embodiments of the device may include a further cutaway 909c, formed in the end of the flared section of the sleeve of the receptacle 1. This cutaway permits the device to be temporarily secure closed position, in which the docking arm 102, has fully engaged/engulfed the sleeve of the receptacle. In this example, use of a further external overriding force by the user in the opposing direction to d will cause the catch 128 of the docking arm 103 to move out of the cutaway 909b and briefly encounter an additional short ridge 902 on the receptacle (not shown but see
[0131] Turning back to the use, once the incisions have been made in the skin windowed sections and the device re-closed, the user lets their arm hang down by their side in a relaxed position, resting below (lower than) their heart and blood capture and collection will initiate. The user can as required move around without risk of spillage and complete other tasks which may further increase the blood flow. The finger holding device and its correct use thereof permits that the user will not need to see the cuts or flow of blood therefrom once cutting is complete. The elongate shape of the holding device and position relative to the heart during the flow and collection phase, further improve the blood flow from the cutting site(s).
[0132] The internal profile or geometry of the device additionally promotes or helps guide blood efficiently during capture and collection. As shown in
[0133] The blunt spike has the further advantage that is helps finger alignment within the device, although additional indicators may be present on the device to assist with this function. Indicators may be in the form of a label, ink, embossing, etching or aperture which permits the user to visually confirm that that the finger is positioned correctly in the receptacle and device.
[0134] Blood flow rate and collection rate is able to be optimised by the combination of several factors due to features of the device and receptacle. The multiple compression actions of the receptacle, the possibility for a resting placement in the device permitting gravity to naturally enhance flow and features that cause blood flow to follow an efficient pathway through the device for collection.
[0135] Once the cut(s) is made the blood flows readily from the lateral side(s) of the finger toward the fingertip. In the examples shown in
[0136] With the device secured the user may move around naturally to further increase flow for optimal collection. Light further compression may be applied around the receptacle to “milk” the finger but it is not essential in order to collect a sample of at least 500 μL or 600 μL and most desirably at least 1 ml.
[0137] Direct external force, such as repeated pumping upon and around the site of cutting to extract suitable quantities of blood is not required. Physical force may cause haemolysis of red blood cells and can be detrimental to the quality of the blood. Very limited manual stimulation is required, if any. The invention is advantageous since it minimises, or even avoids, the need for techniques which may impact quality and thus reduces chance that the sample obtained will be unsuitable for analytical/diagnostic testing.
[0138] The invention allows a patient to independently use the finger holding device to identify an optimal cutting area, release blood, connect a collector and if required remove a vial and thus collect a greater amount of blood with less haemolysis and risk of clotting per cutting action (around 1 ml) from their finger than existing self-operated devices and with limited risk of blood leakage, reduced collector time and reduced pain (including a requirement for fewer cuts to achieve the required amount of blood).
[0139] The sample volume of around 1 ml obtained in the one or more collector chambers/vials, would therefore be suitable for directly sending and processing in lab-based diagnostic tests, without the need to visit a clinician or requiring a trained phlebotomist. The invention and embodiments thereof facilitate a convenient home-based method for blood collection, whereby the user experiences less discomfort or pain than the conventional needle-based method used by the clinician and other devices on the market.
[0140] Should the user require a greater (or further) sample, the finger holding device can be re-opened and an additional cut in the same window and/or on the other lateral side of the finger can be performed at will and the closure/collection process repeated. For example, as shown in
[0141] Thus, in a further aspect, there is provided a blood collection assembly kit which comprises the finger holding device as described, together with at least one cutting tool and/or at least one blood collection vial for use with the holding device. Additional components, whether a cutting tool and/or collector/vial, may be sterilised and packaged separately ready for use with the finger holding device. Advantageously, the user can effectively utilise the components together for immediate and convenient blood capture and collection at home.
[0142] Off the shelf cutting tool products such as the sort of tools described herein may be used with the invention. An example of such a tool is shown in
[0143] Such cutting tools are typically operable by the user to make at least one elongate incision in the digit/finger when held in the finger receptacle in the open position of the finger holding device as shown in the positions in
[0144] As shown in
[0145] A sliding movement between the collector attachment 110 and the base 102 at the interfacing surface 107 of the device allows a user to selectively open a first fluidic pathway between the funnelled compartment of the base 104 and the microtainer vial.
[0146] Alternatively, the collector attachment 220 may interface with the base 102 such that a rotational movement is undertaken with respect to the base. An example of this embodiment is shown in
[0147] In the examples shown, the collectors or vials used may have a capacity of 0.5 ml to 2.0 ml. Such vials normally have visible fill lines so the user can see when the required collector volume is reached during use. Such tubes tend to be of approximate dimension 13×75 mm but are not limited to this and hold a volume of 250-5004 or 400-600 μL. After use, when the tube is unscrewed from the assembly, the cap is replaced, sealing the tube containing the blood (or plasma) for safe transport. In simple embodiments, the assembly arrangement may comprise a collector attachment with only a single vial connection capability and thus may not include any complex functions associated with multiple vial attachment.
[0148] In some embodiments the collector attachment/base and interface 110/107/102 may include a means for managing air blockages to allow any trapped air to escape from the fluid pathway of the device effectively without compromising blood flow to the vials. Such means may include an escape flue, for example.
[0149] Where the device of the invention is used as part of a packaged kit, after use with the cutting and collector components, the filled collector vial or tube can be removed by disconnecting from the collector attachment and sealed with its cap or lid, ready for transporting elsewhere. In embodiments, either the collector attachment and/or the one or more collectors may comprise an agent selected from one or more of an anticoagulant and preservative. The capped blood vials/tubes are then ready to by transported e.g. by post to a lab without needed a clinician's involvement, or in some locations immediately processed.
[0150] The rest of the disposable assembly can then be replaced into the package, optionally re-sealed and discarded safely.