SYRINGE STABILIZER
20190321542 ยท 2019-10-24
Assignee
Inventors
- Scott Richard Ariagno (Palatine, IL, US)
- Angela Teresa Muriset (Hoffman Estates, IL, US)
- Daniel Edward Roush (Niles, IL, US)
- Denise A. Alexander (Naperville, IL, US)
- Madeleine Clare Gibson (Madison, WI, US)
- Gin-Fu Chen (Chicago, IL, US)
Cpc classification
A61P7/04
HUMAN NECESSITIES
A61M5/315
HUMAN NECESSITIES
A61M2005/3139
HUMAN NECESSITIES
A61M2205/586
HUMAN NECESSITIES
International classification
A61M5/00
HUMAN NECESSITIES
Abstract
A syringe stabilizing apparatus has a base and a syringe support. The syringe support is vertically disposed above the base, elevating a fluid-filled portion of an infusion set vertically above the base and orienting a delivery end of the fluid-filled portion upwardly relative to a horizontal plane to take advantage of a gravitational effect on a fluid during delivery of the fluid from the fluid-filled portion to a patient. The syringe support comprises a first retainer and a selectively actuated tube clamp. The first retainer has an opening in which a rigid portion of the infusion set is received and retained therein without further user intervention. The selectively actuated tube clamp is operatively aligned with the first retainer wherein a flexible tube extending from the rigid portion of the infusion set extends through the tube clamp.
Claims
1. A syringe stabilizing apparatus comprising: a base; and a syringe support vertically disposed above the base, elevating a fluid-filled portion of an infusion set vertically above the base and orienting a delivery end of the fluid-filled portion upwardly relative to a horizontal plane to take advantage of a gravitational effect on a fluid during delivery of the fluid from the fluid-filled portion to a patient, the syringe support comprising: a first retainer having an opening in which a rigid portion of the infusion set is received and retained therein without further user intervention; and a selectively actuated tube clamp operatively aligned with the first retainer wherein a flexible tube extending from the rigid portion of the infusion set extends through the tube clamp, wherein the selectively actuated tube clamp is releasable by a user's first arm to allow a flow of the fluid from the delivery end of the fluid-filled portion while a user's second arm remains substantially motionless and provides a stabilizing force against the base as the user receives the flow of fluid into the second arm.
2. The syringe stabilizing apparatus of claim 1 wherein the first retainer is a longitudinal slot in an upper surface of the syringe support which frictionally engages the rigid portion of the infusion set with a resistant force sufficient to maintain a position and an orientation of a syringe barrel joined to the rigid portion of the infusion set as a plunger disposed within the barrel is forced downwardly towards the delivery end.
3. The syringe stabilizing apparatus of claim 2 wherein the syringe support further comprises: a transverse slot intersecting the longitudinal slot wherein the tube clamp resides within and is slidable within the transverse slot.
4. The syringe stabilizing apparatus of claim 3 wherein the tube clamp comprises a tube receiver having an opening alignable with the longitudinal slot and a clamping section generally transverse to the longitudinal slot, the clamping section having a cross-sectional area configured for pinching a flexible tube of the infusion set as the tube clamp is slid within the longitudinal slot in a direction transverse to the longitudinal slot.
5. The syringe stabilizing apparatus of claim 4 wherein a cross-sectional area of the clamping section is less than a cross-sectional area of the tube receiver.
6. The syringe stabilizing apparatus of claim 4 wherein the transverse slot has a concave recess extending in a direction parallel to a length of the transverse slot and wherein the tube clamp has a convex keeper snap fit within the recess and traversable therein during actuation of clamping and releasing of the flexible tube within the tube clamp.
7. The syringe stabilizing apparatus of claim 4 wherein the longitudinal slot has a first segment having a first transverse cross-sectional area configured to receive and retain the rigid portion of the infusion set therein and a second segment having a second transverse cross-sectional area configured to receive and retain the flexible tube therein.
8. The syringe stabilizing apparatus of claim 5 wherein the transverse slot intersects the second segment of the longitudinal slot.
9. The syringe stabilizing apparatus of claim 1 wherein the base is portable and comprises an ergonomic handset wherein the user stabilizes the syringe stabilizing apparatus against a work surface with the second hand by engaging the ergonomic handset therewith.
10. The syringe stabilizing apparatus of claim 5 wherein the ergonomic handset is a finger ring.
11. The syringe stabilizing apparatus of claim 5 wherein the ergonomic handset is located on an upper surface of the base having a surface area greater than a surface area of an upper surface of syringe support.
12. The syringe stabilizing apparatus of claim 7 wherein the base has an engagement surface sized and shaped to be supported by a generally planar work surface on which the user's second arm rests.
13. The syringe stabilizing apparatus of claim 1 wherein the syringe support is integrally joined with the base by a vertically oriented stem forming a single-piece, uni-body construction.
14. The syringe stabilizing apparatus of claim 9 wherein the syringe support comprises an upper surface having a longitudinal slot configured to accept a portion of an infusion set and retain the portion of the infusion set wherein a syringe barrel of the infusion set is oriented at an angle above a horizontal axis such that a delivery end of the syringe barrel is vertically offset below a syringe plunger and the syringe barrel is retained in an elevated position relative to the base wherein the angle is greater than 5 degrees and less than 90 degrees and wherein frictional engagement between the portion of the infusion set and the longitudinal slot is sufficient to maintain a position and an orientation of the syringe barrel as a plunger disposed within the barrel is forced downwardly towards the delivery end.
15. The syringe stabilizing apparatus of claim 1 further comprising: a syringe comprising a syringe barrel and a plunger slidable within the barrel.
16. The syringe stabilizing apparatus of claim 15 further comprising a therapeutic fluid within the syringe barrel wherein the therapeutic fluid treats hemostatic disorder caused by a liver disease.
17. The syringe stabilizing apparatus of claim 15 further comprising a therapeutic fluid within the syringe barrel wherein the therapeutic fluid treats a bleeding disorder.
18. The syringe stabilizing apparatus of claim 17 wherein the bleeding disorder is a deficiency in a coagulation factor.
19. The syringe stabilizing apparatus of claim 18 wherein the coagulation factor is a Factor V, Factor VIII, Factor IX, Factor XI, or a von Willebrand Factor.
20. The syringe stabilizing apparatus of claim 17 wherein the therapeutic fluid within the syringe barrel is a recombinant Factor VIII (rFVIII), a procoagulant bypassing agent, or a recombinant von Willebrand Factor (rVWF)
21. The syringe stabilizing apparatus of claim 15 wherein the syringe is threadably attached to a fitting attached to the syringe support.
22. The syringe stabilizing apparatus of claim 1 further comprising: a removable fitting receiver within the syringe support having slots configured to receiving and retaining portions of an infusion set fitting therein.
23. A syringe stabilizing apparatus comprising: a portable base having an engagement surface supporting the syringe stabilizer against a work surface and an ergonomic handset; and a syringe support vertically disposed above the base, the syringe support comprising: a first channel having a lengthwise opening configured to accept a portion of an infusion set and retain the portion of the infusion set therein wherein a syringe barrel of the infusion set is oriented at an angle above a horizontal axis such that a delivery end of the syringe barrel is vertically offset below a syringe plunger and the syringe barrel is retained in an elevated position relative to the base wherein the angle is greater than 5 degrees and less than 90 degrees; a second channel transverse to and intersecting the first channel; a selectively actuated tube clamp disposed within the second channel and slidable therein, the tube clamp comprising a tube receiver having an opening alignable with the first channel and a clamping section generally transverse to the first channel, the clamping section having a cross-sectional area configured for pinching a flexible tube of the infusion set as the tube clamp is slid within the second channel in a direction transverse to the first channel.
24. The syringe stabilizing apparatus of claim 23 wherein the selectively actuated tube clamp is releasable by a user's first arm to allow a flow of the fluid from the delivery end of the barrel of the syringe while the user's second arm remains substantially motionless and provides a stabilizing force against the ergonomic handset of the base as the user receives the flow of fluid into the second arm.
25. The syringe stabilizing apparatus of claim 24 wherein the syringe support is integrally joined with the base by a vertically oriented stem forming a single-piece, uni-body construction therewith.
26. The syringe stabilizing apparatus of claim 25 further comprising: a removable fitting receiver within the syringe support having slots configured to receiving and retaining portions of an infusion set fitting therein.
27. A syringe stabilizing apparatus comprising: a base; and a syringe support vertically disposed above the base, elevating a fluid-filled portion of an infusion set vertically above the base and the fluid-filled portion upwardly at an angle less than 90 degrees relative to a horizontal plane to take advantage of a gravitational effect on a fluid during delivery of the fluid from the fluid-filled portion to a patient, the syringe support comprising: a first retainer having an opening in which a rigid portion of the infusion set is received and retained therein without further user intervention; and a selectively actuated tube clamp operatively aligned with the first retainer wherein a flexible tube extending from the rigid portion of the infusion set extends through the tube clamp, wherein an arrangement of the base and syringe support positions, orients and retains the fluid-filled portion of the infusion set such that a patient self-administering a therapeutic fluid is able to manipulate the tube clamp and the fluid-filled portion with a first arm while receiving the therapeutic fluid into a second arm via the infusion set as the second arm remains substantially motionless and provides a stabilizing force against the base.
28. A method of using a syringe stabilizing apparatus comprising the steps of: moving a tube clamp to a closed position wherein a tubing within the tube clamp is pinched closed using a first arm; threadably detaching a first syringe from a fitting attached to the syringe stabilizing apparatus using the first arm while stabilizing a base of the syringe stabilizer with a second arm such that an infusion set cannula remains attached to the second arm; threadably attaching a second syringe to the fitting using the first arm while the second arm stabilizes the base; and moving the tube clamp to an open position using the first arm while the second arm stabilizes.
29. The method of claim 28 further comprising the step of: forcing a plunger of the second syringe towards a delivery end of the second syringe using the first arm to force a fluid to the second arm via the cannula while the second arm stabilizes the base.
30. The method of claim 28 wherein the syringe stabilizer comprises: a syringe support vertically disposed above the base, elevating the second syringe vertically above the base and orienting a delivery end of the second syringe upwardly relative to a horizontal plane to take advantage of a gravitational effect on a fluid during delivery of a fluid from syringe to a user, the syringe support comprising: a first retainer having an opening in which a rigid portion of an infusion set is received and retained therein without further user intervention; and a selectively actuated tube clamp operatively aligned with the first retainer wherein a flexible tube extending from the rigid portion of the infusion set extends through the tube clamp, wherein the selectively actuated tube clamp is releasable by a user's first arm to allow a flow of the fluid from the delivery end of the fluid-filled portion while a user's second arm remains substantially motionless and provides a stabilizing force against the base as the user receives the flow of fluid into the second arm.
31. The method of claim 28 wherein the base of the syringe stabilizer is portable and has an engagement surface supporting the syringe stabilizer against a work surface and an ergonomic handset, and the syringe stabilizer further comprises: a syringe support vertically disposed above the base, the syringe support comprising: a first channel having a lengthwise opening configured to accept a portion of an infusion set and retain the portion of the infusion set therein wherein a syringe barrel of the infusion set is oriented at an angle above a horizontal axis such that a delivery end of the syringe barrel is vertically offset below a syringe plunger and the syringe barrel is retained in an elevated position relative to the base wherein the angle is greater than 5 degrees and less than 90 degrees; a second channel transverse to and intersecting the first channel; a selectively actuated tube clamp disposed within the second channel and slidable therein, the selectively actuated tube clamp comprising a tube receiver having an opening alignable with the first channel and a clamping section generally transverse to the first channel, the clamping section having a cross-sectional area configured for pinching a flexible tube of the infusion set as the selectively actuated tube clamp is slid within the second channel in a direction transverse to the first channel.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] Non-limiting embodiments of the present invention will be described by way of example with reference to the accompanying figures, which are schematic and are not intended to be drawn to scale. In the figures, each identical or nearly identical component illustrated is typically represented by a single numeral. For purposes of clarity, not every component is labeled in every figure, nor is every component of each embodiment of the invention shown where illustration is not necessary to allow those of ordinary skill in the art to understand the invention. In the figures:
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DETAILED DESCRIPTION
[0048] Some aspects of the invention relate to the administration of therapeutic fluid. According to some aspects, an apparatus that allows a single user to intravenously administer therapeutic fluid to himself/herself is provided.
[0049] Described herein is a syringe stabilizer provided, in some embodiments, to solve the problems discussed above and other problems, and to provide advantages and aspects not provided by prior therapeutic delivery devices. A full discussion of the features and advantages of the present syringe stabilizer is deferred to the following detailed description, which proceeds with reference to the accompanying drawings.
[0050] Referring generally to the figures, syringe stabilizing apparatuses, or simply syringe stabilizers, 10 are illustrated. The syringe stabilizer 10 has a base 14 and a syringe support 18 vertically disposed above the base 14, generally by a stem 22 or other structure suitable for attaining the desired position relative to a work surface as will be explained in more detail below. In one embodiment, the syringe support 18 is integrally joined with the base 18 by the vertically oriented stem or arm 22 forming a single-piece, uni-body, monolithic construction.
[0051] According to one aspect, in some embodiments, a general purpose of the syringe stabilizer 10 is to allow a patient or user to self-administer a fluid therapy or medicine through an infusion set while keeping a first arm relatively motionless or still while manipulating the medicine-carrying syringe using a second arm. In this way, the syringe stabilizers 10 may elevate, support, and orient a medicine-carrying vessel (i.e. a syringe) while also regulating medicine delivery therefrom. These syringe stabilizers 10 may be ergonomic, generally portable, and configured, as in sized, shaped, and structured, for tabletop use.
[0052] In some embodiments, the stem 22 sets the height of the syringe stabilizer 10. The height of the syringe stabilizer is generally chosen to place a syringe at a comfortable user level where the user can actuate a plunger on the syringe while a needle or cannula from an infusion set is within an arm of the patient/user. In some embodiments, the height of the syringe stabilizer may between 2 inches and 10 inches (5.1 cm to 25.4 cm).
[0053] In an embodiment illustrated in
[0054] The lower surface 30 has a ring 34 within a seat 38. The ring 34 may be produced from a softer elastic material which increases friction between the base 14 and a work surface upon which the base 14 is supported. The ring may be secured to the base by friction or mechanical fit, adhesive bonding, welding, or multi-shot molding. Thus, the ring 34 may provide an engagement surface against the work surface, which is generally planar and horizontally oriented so that a user may rest his/her arm thereon.
[0055] In some embodiments, the upper surface 26 may have an ergonomic feature or handset 40. This ergonomic feature 40 is located such that a user can brace, support, or steady the syringe stabilizer 10 during use. The ergonomic feature 40 illustrated in
[0056] In other embodiments, which are illustrated in
[0057] The syringe support 18 according to the embodiments illustrated in
[0058] As shown in
[0059] In some embodiments, the syringe support 18 has a retainer such as a first channel in which a rigid portion of the infusion set 44 is received. The first channel is configured to accept and retain this rigid portion of the infusion set 44, generally the delivery end 62 of the syringe 46 or a fitting, by frictional engagement, such as a snap fit arrangement. The first channel's configuration may orient a syringe barrel 68 of the infusion set 44 at an angle above a horizontal axis such that the delivery end 62 of the syringe 46 is vertically offset below the syringe plunger 50, and the syringe barrel 68 is retained in an elevated position relative to the base 14 wherein the angle a is greater than 5 degrees and less than 90 degrees, in some embodiments between 5 degrees and 75 degrees, and in some embodiments about 15 degrees.
[0060] As illustrated in
[0061] As illustrated, for example in
[0062] As illustrated in
[0063] In some embodiments, the syringe support 18 also has a second channel transverse to and intersecting the first channel. In one embodiment, the second channel intersects the second segment of the first slot 70. In some embodiments, a selectively actuated tube clamp 84 is disposed within the second channel and is slidable therein. In the embodiments illustrated in the figures, the second channel is a second slot 86. The second slot 86 has a concave recess 88 in an upright side wall 90. The recess 88 runs lengthwise within the second slot 86 such that it is transverse to the first slot 70 and spans the entire length of the second slot 86, thus extending in a direction parallel to, or complementary with, a length of the second slot 86.
[0064] In some embodiments, the tube clamp 84 is disposed within the second slot 86. The tube clamp is illustrated individually in
[0065] The clamping section 102 has a slot-like structure having a cross-sectional area that is substantially less than a cross-sectional area of a flexible tubing 54 of the infusion set 44. Here, the term substantially refers to the size of the cross-sectional area of the clamping section 102 being smaller than the cross-sectional area of the tubing 54 wherein the tubing 54 is pinched and closed to restrict or eliminate a fluid flow through the tubing when the tubing 54 is located within the clamping section 102. The slot-like structure of the clamping section 102 is oriented at an angle to the upright wall 90, and, in some embodiments a right angle thereto.
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[0067] The tube clamp 84 has a convex keeper 104 that is retained within the concave recess 88 in the second slot 86 upright wall 90. The combination of the keeper 104 within the recess 88 maintains the tube clamp 84 in the proper location and orientation within the second slot 86 while allowing the tube clamp 84 to be within same.
[0068] In some embodiments, an angle ? of an upper surface of the tube clamp 84 is generally equal to an angle of the upper surface 72 of the syringe support 18. This structural arrangement may provide a smooth transition between the tube clamp 84 within the second slot 86 of the syringe support 18 and adjacent portions of the upper surface 72 of the syringe support 18.
[0069] As illustrated in
[0070] For example, as illustrated in
[0071] According to one embodiment illustrated in
[0072] Wings on the Luer fitting 74 may be received within the opposing slots 78 adjacent to the arcuate section 80 to prevent free spin (i.e. resist torque) during connection or disconnection of a syringe 46 from the fitting 74. In some cases, excessive clearance at the wing and the arcuate section 80 may increase risk of damage to wings of the fitting 74. The inventors determined through testing that the opposing slot 78 in the 3 o'clock and 9o'clock configuration shown in, for example,
[0073] The abutment surface 82 at the front of the arcuate section 80 provides a visual queue to guide use of the stabilizer 10. The Luer hub is inserted until it bottoms out against this abutment 82.
[0074] In some embodiments, the base 14 is approximately 2.36 inches?4.72 inches (6 cm?12 cm) oblong shape. This feature sits firmly on a flat table surface. It extends approximately 0.79 inches to 1.18 inches (2 cm to 3 cm) both left and right of the stem 22. A slightly larger extension of 1.18 inches to 1.97 inches (3 cm to 5 cm) behind the stem 22 improves comfort for resting the second arm 110 not operating the syringe 46 (see
[0075] In some embodiments, the height of the lower base 14 may be low, and edges may be rounded, e.g., for hand comfort. The bottom surface 30 of the base 14 may incorporate a perimeter groove 38 sized to securely press-fit the elastomeric ring 34. The purpose of the ring 34 is to prevent sliding of the syringe stabilizer 10 relative to the table surface. In this embodiment, Marco Rubber part number SB1000-152 (Standard Size S152, 70A black buna square ring) may fit into the groove 38. Other ring cross-sections are possible, such as an O-ring. The ring formulation may be adjusted and/or cleaning processes may further increase tackiness, as needed. The groove height may allow full contact between an exposed square ring and the table surface. A pattern of ribs radiating from center to perimeter may be added to increase structural rigidity.
[0076] The stem 22 extends vertically from the base 14. In some embodiments, the diameter of the stem is approximately 0.40 inches to 0.79 inches (1 cm to 2 cm) and large enough for adequate structure and small enough that users are able to rest fingers around the stem 22. A stem height of 1.18 inches to 1.97 inches (3 cm to 5 cm) with <1 cm blend radius may allow adequate clearance for hands while minimizing overall size of the assembly.
[0077] In some embodiments, the syringe support 18 sits above the stem 22. The first slot 70 is chamfered opening to accept the tubing 54. The second slot 86 accepts the tube clamp 84 component, which is assembled at the manufacturing plant by a downward push that engages one-way snap fit features. Snap-fit geometry and material selections may permit easy removal of the clamp, e.g. for improved cleanability. In an alternative embodiment, the degree of engagement can be increased and snap-fit angles adjusted for a one-way snap configuration. The sides of the mount area may be substantially cored out (i.e., material removed) and drafted for improved manufacturability by injection molding.
[0078] In some embodiments, the tube clamp 84 includes a flat upper surface that sits approximately flush with upper surface 72 of the syringe support 18. The surface may allow easily readable (approximately 3 mm to 5 mm tall) printed or embossed text and symbols, such as OPEN and an arrow indicating the open clamp position. This wider clamp surface may also prevent incorrect clamp orientation during manufacturing. The tube clamp 84 may be molded in a bold or contrasting color from the base.
[0079] In some embodiments, the opening 98 in the tube receiver 94 is about 0.16 inches to 0.20 inches (4 mm to 5 mm). The opening 98 aligns with the first slot 70 when the clamp is in open position as illustrated in
[0080] In some embodiments, flat pads approximately 0.4 inches?0.4 inches (1 cm?1 cm) at opposite ends of the clamp 82 provide comfortable and intuitive surfaces to operate the clamp 84. Edges in this region, and all exposed edges of the stabilizer assembly, are blended for user comfort.
[0081] Polyolefin materials (polyethylene, polypropylene) or other cost-effective plastic resins (ABS, PC, polystyrene, etc.) may be used for the base 14 and clamp components. In some embodiments, sterilization is not required. High density polyethylene may be used as a material because of its cleanability, possibly even in dishwasher cycles, and general compatibility with household cleaning solutions. A variety of materials may be used for the ring component, including rubber, silicone, or thermoplastic elastomer. Similar function could be achieved by 2-shot or overmolding elastomer material to the bottom surface of the base component.
[0082] According to one aspect, the stabilizer device 10 may enhance an infusion experience by improving ease of use. As illustrated in
[0083] More specifically, the syringe stabilizer 10 can be used as follows. A user slides the tube clamp 84 to an open position (shown, for example, in
[0084] To swap syringes 46, the tube clamp 84 is moved or slid within the second slot 86 to a closed position (shown, for example, in
[0085] According to one aspect, the stabilizer device 10 allows users to connect and disconnect multiple syringes 46 to an infusion set 44 with one hand, without directly handling the set with the other. The stabilizer effectively anchors a Luer fitting 74 of the infusion set 44 in a fixed, raised position above a table surface.
[0086] According to one aspect, the stabilizer 10 helps users minimize risk of leaks from an open set (i.e. due to blood pressure) and risk of touch contaminating an open set during syringe exchanges. In some embodiments, the stabilizer device 10 includes a tube clamp 84 that, when activated, occludes and anchors tubing 54 in the device 10. Less direct handling of the Luer fitting 74 is required for a fitting that is supported by the stabilizer 10. In some embodiments, when closed, the tube clamp prevents fluid flow through the infusion set while exposed to a pressure of about 31 mmHg (0.6 psi) at the needle.
[0087] According to one aspect, the stabilizer 10 can support weight of filled syringe 46 in a stable and hands-free manner when the user releases grip on that syringe 46.
[0088] According to one aspect, the stabilizer 10 allows adequate position of and clearance around an attached syringe 46, such that the user can comfortably operate the attached syringe 46. For example, a user could alternatively elevate a hand 106 operating the syringe 46 above a table surface or rest that hand 106 on the table during administration.
[0089] According to one aspect, the stabilizer 46 is in non-fluid contact. Therefore, this simple accessory is reusable and does not require sterilization. Stabilizer materials and design result in a lightweight, portable, cleanable, recyclable, and low-cost system.
[0090] While the specific embodiments have been illustrated and described, numerous modifications come to mind without significantly departing from the spirit of the invention, and the scope of protection is only limited by the scope of the accompanying Claims.