DISINFECTING AND STERILIZING CAP ASSEMBLY AND RELATED METHODS
20230355949 · 2023-11-09
Assignee
Inventors
Cpc classification
A61M39/18
HUMAN NECESSITIES
A61M39/20
HUMAN NECESSITIES
International classification
Abstract
A disinfecting cap assembly device for protecting disinfecting and sterilizing medical connectors, and methods for using the disinfecting and sterilizing cap assembly device to protect the cleanliness of medical connectors such as IV access ports or other types of devices having a Luer connections.
Claims
1. A cap assembly capable of disinfectingly enclosing a Luer-type fitting of an injection port of an intravenous administration set or capable of enclosing a hypodermic needle-puncturable stopper on a single-dose stoppered vial containing sterile drug or diluent, said cap assembly comprising: a base having a first or bottom end configured to couple to the injection port or the stoppered vial and a second or top end configured to receive cover, a cover having an outer surface and an inner surface, said cover being moveable between an open position and a closed position, and a disinfecting means disposed on the inner surface of the cover, wherein the disinfectant means is selected from an absorbent pad or adsorbent pad retaining a disinfectant, and an ultraviolet (UV)-light source, wherein said base and cover are hingedly or pivotally affixed to one another wherein said hinge or pivot is spring-loaded such that the cover is biased in the closed position to form a self-closing cover.
2. The cap assembly of claim 1 wherein the cap assembly is separate from and connectable to the Luer-type fitting provided on the injection port of an intravenous administration set.
3. The cap assembly of claim 1 wherein the cap assembly is separate from and connectable to the single-use vial containing drug or diluent.
4. The cap assembly of claim 1 wherein the cap assembly is formed integrally with and part of the injection port of an intravenous administration set.
5. The cap assembly of claim 1 wherein the cover, in its closed position, forms an airtight seal with the injection port or drug or diluent vial stopper.
6. The cap assembly of claim 1 wherein the cover comprises a flange extending outwardly and away from the outer surface of the cover wherein the flange is configured for engagement by a finger or thumb of a user such that applied pressure to the flange hingedly opens the cover away from the closed position to an open position, exposing the stopper of the injection port or vial.
7. The cap assembly of claim 6, wherein the flange extends curvilinearly away from the cover to facilitate ergonomic engagement with the finger or thumb of the user.
8. The cap assembly of claim 1, wherein the cap has a domed outer surface.
9. The cap assembly of claim 1 wherein, upon closing of the cover to form an airtight seal, a confirmatory feedback signal is audibly communicated to a user.
10. The cap assembly of claim 1 wherein the cap assembly comprises a least one raised area or rib formed on the base, cap, or base and cap, which matingly engages an opposing area on the base, cap, or base and cap to resist opening of the cover away from the base without external force being applied.
11. The cap assembly of claim 1, wherein the cap assembly is capable of maintaining a sterile field on the Luer-type fitting or vial stopper, when said cap assembly is in the closed position.
12. The cap assembly of claim 1 wherein said disinfecting means is an absorbent pad containing a disinfectant.
13. The cap assembly of claim 1, wherein said disinfecting means is a UV-light source or UV light cell.
14. The cap assembly of claim 1 wherein said disinfecting means is an absorbent pad containing a disinfectant and a UV-light source.
15. A method for protecting from microbial contamination and maintaining a sterile field in a Luer-type fitting of an injection port on an intravenous administration set or on a stopper on a single-use vial containing a sterile drug or diluent, said method comprising: providing a cap assembly of claim 1; coupling the cap assembly to an injection port having a Luer-type fitting or a single-use vial; opening the cover with one hand to access the injection port or stopper of a single-use vial; connecting a syringe to the injection port or puncturing the vial stopper with a hypodermic needle for delivery or retrieval of a fluid therethrough; disconnecting the syringe or needle from the injection port or vial stopper; and allowing the cover to spring-loadingly return to the closed position thereby exposing said injection port or vial stopper to said disinfectant means.
16. A method for converting a single-use vial containing sterile drug or diluent into a multi-use vial containing sterile drug or diluent, said method comprising: providing a cap assembly of claim 1; opening and using the single-use vial a first time; coupling the cap assembly to the single-use vial over a puncturable stopper provided on the single-use vial, wherein the cap assembly can be opened and closed a plurality of times for use as needed until the vial no longer contains a useful amount of sterile drug or diluent, and closing the cover of the cap assembly following each use to prevent contamination and maintain a sterile field for the stopper.
17. A kit comprising a cap assembly of claim 1 and at least one of an intravenous administration set having an injection port with a Luer-type fitting or a single-use vial containing sterile drug or diluent.
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
[0064] The features and advantages of the invention will be readily understood by reference to specific embodiments which are illustrated in the appended drawings. These drawings depict only typical embodiments of the invention and are not to be considered as limiting the scope of the invention.
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DETAILED DESCRIPTION OF THE INVENTION
[0079] The subject invention can be understood by the description provided herein, along with reference to the accompanying drawings. It will be readily understood that the components of the present invention, as generally described and illustrated in the figures herein, can be arranged and designed in a wide variety of different configurations within the scope of the invention described. Thus, the following detailed description, as represented in the figures, is not intended to limit the scope of the invention as claimed but is merely representative of presently preferred embodiments of the invention.
[0080] Referring to
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[0082] However, it would be understood in the art that the cover may also be affixed to the inner surface of the base while still allowing the cover to be spring-loaded and to move in an arcuate motion. The cover 103 component preferably has a curved outer surface or is dome-shaped wherein the curve is shaped downwardly and towards the base. The preferred dome shape of the cover 103 is not required or critical. For example, the top outer surface of cover 103 can be flat or angular.
[0083] Cover 103 has an inner face, wherein a disinfecting means, such as a disinfecting implement or device (depicted in
[0084] Alternatively, the disinfecting implement or device can be an ultraviolet (UV) light source or UV cell providing disinfecting or sterilizing UV light to the top surface of the extension coupler. Advantageously, a UV cell serving as the disinfecting implement or device can disinfect or sterilize the target surface without physically contacting the injection port.
[0085] A disinfecting implement or device configured as an absorbent or adsorbent pad is enclosed by the cover 103. The preferred disinfecting pad material can have adsorptive or absorptive properties which allow a fluid disinfectant to be stored within the material. Disinfectant can be added or reloaded onto the pad by applying disinfectant directly to the disinfecting pad as needed. In a preferred embodiment, the disinfecting pad is provided infused with a disinfectant such that the amount of disinfectant remains sufficient for use of the life of the cap assembly and does not require added disinfectant or reloading of disinfectant onto the pad.
[0086] The disinfecting pad can comprise any suitable absorbent or adsorbent material, for example, a sponge material, gel material, foam material, woven material, non-woven material, and/or a polymeric material such that the contained disinfectant is released or contacts the proximate contacting surface, such as the top surface of the extension coupler, when the cover is in a closed position. Advantageously, in the embodiment shown, moving cover 103 in an arcuate motion from the closed position to the opened position, or from the closed position to the opened position, the pad contacts the extension coupler in a rubbing motion that wipes away contaminants and applies the disinfectant to the top surface of the extension coupler. Commonly used disinfectants are solutions containing alcohols (ethanol, methanol, propanol, isopropanol, or the like) iodine or iodine mixtures with alcohols, polyvinylpyrrolidone, or other available disinfectants.
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[0088] As shown, a needleless syringe 108 having a Luer-type fitting can be coupled to the cap assembly. Illustrated in
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[0091] An exploded view of
[0092] Another embodiment of the invention is depicted in
[0093] In this embodiment, the first or bottom end of base 602 is configured for coupling to a Luer-type fitting on an injection port of an intravenous administration set. For ease of adapting and connecting a cap assembly of the invention to an injection port, extension coupler 603 is affixed to the bottom end of base 602. Extension coupler 603 is configured at one end 604 to engage a Luer-type fitting on an injection port and configured at its opposite end to receive a Luer-fitting on a needleless syringe. Base 602 is annularly disposed in relation to extension coupler 604 and engages at its opposite (top) end with cover 601. Annular base 602 comprises flange 605 forming a first portion of a hinge joint.
[0094] Cover 601 comprises flange 606 forming a second portion of a hinge joint, matingly receiving and adjoined to base flange 605 by hinge post 607 disposed within mated channels formed within the hinge portions of flanges 605 and 606. The channels and hinge post are aligned perpendicular to the longitudinal midline of the cap assembly and extension coupler.
[0095] Base flange 605 and cover flange 606 matingly engage with hinge post 607 and with one another to form a hinge joint about which the cover 601 hingedly opens and closes. Base flange 605 can preferably be integrally formed or molded as part of the base 602, or can be formed separately and affixed thereto. Cover flange 606 can preferably be integrally formed or molded as part of the cover 601, or can be formed separately and affixed thereto.
[0096] Cover flange 606 is preferably configured in an ergonomic shape to facilitate manual actuation, and preferably actuation using one hand. More preferably cover flange 606 is configured to facilitate actuation of cover 601 using one manual digit, e.g., finger or thumb, of the user. Effectively, cover flange 606 serves as a lever for manually opening the cover 601 for access to the top end of the injection port or extension coupler, where hinge post 607 serves as the fulcrum for the lever, providing mechanical advantage and facilitating the opening of cover 601 by using one hand, preferably one finger or thumb of the user. More preferably, as shown, cover flange 606 can have a portion formed in a curvilinear shape, e.g., in a shape akin to a trigger and therefore referred to herein as a “trigger lever,” which can further facilitate actuation using a thumb. View A in
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[0098] Further illustrated in
[0099] Alternatively, it would be understood that disinfecting means 703 can be an ultraviolet (UV)-light source or UV-light cell which provides disinfecting properties at UV wavelengths. As would be understood, contact between disinfecting means 703 and needle-puncture surface 704 is not critical using a UV disinfecting means, whereby UV light can disinfect without physical contact between the source and the target surface being disinfected by the UV light.
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[0102] Elevational views of the left side, back, right side, and front of cap assembly embodiment 900 are shown in
[0103] View A is a side view showing trigger lever 906 on the right side of the cap assembly 900; view B is a back view showing trigger lever 906 on cap assembly 900 facing the viewer; view C is a side view showing trigger lever 906 on the left side of the cap assembly 900; and view D is a front view showing the trigger lever 906 on the back side of the cap assembly 900.
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[0107] In a method of the invention a cap assembly suitable for connecting to an IV administration set or a stoppered vial, i.e., as described herein can be provided, with or without an extension coupler, and coupled to the IV administration set or stoppered vial, wherein the cap assembly has the cover in a closed position. In the closed position, disinfecting implement or device can disinfect a top surface of the injection port or stoppered vial. A cover component of the cap assembly is moved in an open position, using one hand, and preferably one finger or thumb of one hand to access the injection port or vial stopper for filling or withdrawing contents therefrom. Following filling or withdrawing contents, the cover is released and allowed to spring into a closed position, thereby protecting the top surface of the coupled injection port or stoppered vial and maintaining a sterile field on that top surface.
[0108] In one embodiment, moving the cover in an arcuate manner about its one or more pivot joints and into its open position, the cover can be moved in an arcuate path, thereby wiping disinfectant across the top surface of the injection port and injection port valve.
[0109] As one example, a syringe or other medical apparatus having a Luer-type fitting can be connected to the injection port with the cap assembly in the opened position to administer a fluid to the patient or to withdraw a sample from the patient. Upon completion of the administration or withdrawal of fluid to or from the vessel, the syringe can be disconnected and removed from the injection port, thereby allowing the spring-loaded cover to automatically return to the closed position. Advantageously, when the cover returns to the closed position, disinfecting implement or device, when provided as an absorbent or adsorbent pad again wipes clean the top surface of the injection port and injection port valve, and retains the disinfectant pad in contact with the top surface of the injection port and injection port valve, and encompasses the entire top portion of the injection port to facilitate a clean and microbe-free surface.
[0110] In an embodiment comprising a UV light source or UV cell as a disinfecting implement or device, returning the cover to the closed position positions the UV cell over the surface of the injection port such that the surface of the injection port is exposed to disinfecting or sterilizing UV light, thereby disinfecting or sterilizing the surface of the injection port without the injection port and UV cell physically contacting one another.
[0111] It would be understood that the cap assembly may be connected to medical vials or other devices having a Luer-type fitting where these disinfecting procedures are preferred.
[0112] It would also be understood that the invention can include a kit comprising an IV administration set having an injection port with a Luer-type fitting, and a cap assembly as descried herein for use with the IV administration set, packaged together. An embodiment of a kit according to the subject invention is illustrated in
[0113] Alternatively, an IV administration set may be provided having an injection port having a cap assembly formed integrally therewith, wherein the injection port is manufactured to include a pivoting or hinged cap assembly as a single unit.
[0114] Written instruction for use of the cap assembly and IV administration set may also be included in the kit having a separately provided cap assembly or having an injection port comprising an integrally formed cap assembly.
[0115] The present invention may be embodied in other specific forms without departing from its structures, methods, or other essential characteristics as broadly described herein and claimed hereinafter. The described embodiments are to be considered in all respects only as illustrative, and not restrictive. The scope of the invention is, therefore, indicated by the appended claims, rather than by the foregoing description. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.
[0116] The above disclosure and example generally describe the present invention and is provided for purposes of illustration and is not intended to limit the scope of the invention. The invention described herein may be practiced in the absence of any element or elements, limitation or limitations which is not specifically disclosed herein. Thus, for example, in each instance herein, any of the terms “comprising,” “consisting essentially of,” and “consisting of” may be replaced with either of the other two terms. The terms and expressions are used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the invention claimed. Thus, it should be understood that although the present invention has been specifically disclosed by preferred embodiments and optional features, modification and variation of the concepts herein disclosed may be resorted to by those skilled in the art, and that such modifications and variations are considered to be within the scope of this invention as defined by the claims.