Packageless syringe assembly with sterilizable fluid path
11529455 · 2022-12-20
Assignee
Inventors
Cpc classification
A61M5/002
HUMAN NECESSITIES
A61M2005/312
HUMAN NECESSITIES
A61M5/001
HUMAN NECESSITIES
International classification
A61M5/00
HUMAN NECESSITIES
Abstract
Syringe assemblies comprising a first cap and a second cap to ensure sterilization of the fluid path without the need for external packaging are described. Also described are methods of sterilizing the fluid path of a syringe assembly.
Claims
1. A packageless syringe assembly including a fluid path that can be sterilized by gas or radiation comprising: a barrel including a side wall having an outside surface and an inside surface defining a chamber for retaining fluid, an open proximal end, and a distal end including a distal wall, the chamber, distal end and proximal end defining a fluid path; a plunger rod including a stopper disposed within the barrel; a first cap having a proximal end having a plurality of openings in flow communication with the fluid path and permitting sterilization of a portion of the fluid path by radiation or a gas, an interior surface having a plurality of tortuous path rings, and an open distal end affixed to the proximal end of the barrel, wherein the first cap proximal end is covered by a first permeable material; a second cap affixed to the distal end of the barrel, the second cap having a proximal end, an interior surface having a plurality of tortuous path rings, and a closed distal end having a segment with a plurality of openings in flow communication with the fluid path and permitting sterilization of a portion of the fluid path by radiation or a gas; a collar attached to the closed distal end of the second cap, the collar comprising a second permeable material that extends an entire length of the segment and that covers the openings on the closed distal end of the second cap; and a tamper-evident band covering a portion of at least one of the first and second cap.
2. The packageless syringe assembly of claim 1, wherein the syringe assembly is not surrounded by an external packaging material.
3. The packageless syringe assembly of claim 2, wherein the external packaging material is a blister pack.
4. The packageless syringe assembly of claim 1, wherein the plurality of openings of the first cap and/or the plurality of openings of the second cap are holes.
5. The packageless syringe assembly of claim 1, wherein the plurality of openings of the first cap and/or the plurality of openings of the second cap are slots.
6. The packageless syringe assembly of claim 1, wherein the syringe assembly is sterile.
7. The packageless syringe assembly of claim 1, wherein the first permeable material has a porosity of 8-400 seconds/100 mL.
8. The packageless syringe assembly of claim 1, wherein the proximal end of the first cap includes a circumferential lip defining a recess containing the first permeable material.
9. The packageless syringe assembly of claim 1, wherein the first cap is attached to the barrel using at least one heat stake.
10. The packageless syringe assembly of claim 1, wherein the second cap is attached to the barrel using at least one heat stake.
11. The packageless syringe assembly of claim 1, wherein the outside surface of the barrel has a matte finish.
12. The packageless syringe assembly of claim 1, wherein the barrel further comprises a transparent label affixed to the outside surface of the side wall of the barrel.
13. The packageless syringe assembly of claim 1, wherein the radiation is selected from E-beam and cobalt.
14. The packageless syringe assembly of claim 1, wherein the gas is ethylene oxide.
15. A method of sterilizing the fluid path of a syringe assembly, the method comprising subjecting a syringe assembly of claim 1 to radiation or a gas.
16. The method of claim 15, wherein the radiation is selected from E-beam and cobalt.
17. The method of claim 15, wherein the gas is ethylene oxide.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(12) Before describing several exemplary embodiments of the invention, it is to be understood that the invention is not limited to the details of construction or process steps set forth in the following description. The invention is capable of other embodiments and of being practiced or being carried out in various ways.
(13) With respect to terms used in this disclosure, the following definitions are provided.
(14) Reference to “syringe assembly” includes syringes that are indicated for use with needles, nozzle, tubing, or for use in flush systems.
(15) As used herein, the use of “a,” “an,” and “the” includes the singular and plural.
(16) As used herein, the term “packageless” refers to syringe assemblies that are not surrounded by external packing material, including, but not limited to, flexible and rigid blister packs.
(17) As used herein, the term “tortuous path” refers to a long known principle established by Louis Pasteur. In experiments, Pasteur fashioned glass flasks with various neck shapes. Each flask contained an enclosed sterile media. The necks on some flasks allowed microorganisms to fall on the contained media, which then became contaminated as evidenced by bacterial growth. The media in flasks with S-curved necks, or in those flasks which presented a “tortuous path” for microorganisms, remained sterile. The microorganisms were stopped at the openings to the curved necks, as well as at the curves in the necks.
(18) As used herein, the term “tortuous path ring” refers to a ring, circle, loop, band, sphere, etc. that creates a barrier between the contaminated exterior and the sterile interior region of the syringe assembly by creating a extended pathway with a plurality of interruptions that prevents the migration of microorganisms from the outside of the syringe assembly into the sterile fluid path.
(19) As used herein, the term “microorganism” refers to a microbe or organism that is unicellular or lives in a colony of cellular organisms. Microorganisms are very diverse; they include, but are not limited to bacteria, fungi, archaea, and protozoans.
(20) As used herein, the terms “heat staking” and “heat stake” refer to a process of connecting two components by creating an interference fit between the two pieces. A plastic stud protruding from one component fits into the hole in a second component. The plastic stud is then deformed through the softening of the plastic via heat to form a head which mechanically locks the two components together.
(21) As used herein, the term “permeable material” refers to any medical grade material such as a paper or fabric which is breathable and permeable to gas, but is not permeable to microorganisms. Medical grade packaging materials such as papers or woven materials have a typical porosity between 8 and 400 seconds/100 mL as defined by ASTM D-726 or ISO 5636. These materials must provide a microbial barrier as defined by ASTM F-1608 and/or F-2638. These materials can be provided with an antimicrobial agent or disinfectant integral with or converted coating of the material. Medical grade materials can include, but are not limited to, medical grade papers and Tyvek®. Typical suppliers can include, but are not limited to, Arjo-Wiggins, Billerud, Domtar, Neenah, Hansol, and Dupont.
(22) Tyvek® is a synthetic material consisting of flashspun high-density polyethylene fibers (i.e. a spunbound olefin fiber). The material is lightweight and strong, and is resistant to tearing but can be cut with scissors or a knife. Water vapor and other gases can pass through Tyvek® as the material is highly breathable, but, at the same time, the material is impermeable to liquid water and microorganisms.
(23) As used herein, the terms “antimicrobial agent” or “antimicrobial” refers to substances that kill or inhibit the growth of microorganisms such as bacteria, fungi, archaea, or protozoans. Antimicrobial agents either kill microbes, or prevent the growth of microbes.
(24) As used herein, the term “disinfectant” refers to antimicrobial substances that are used on non-living objects or outside the body, e.g., on the skin.
(25) Disinfectants or antimicrobial agents can include, but are not limited to, ethanol, 2-propanol, butanol, methylparaben, ethylparaben, propylparaben, propyl gallate, butylated hydroxyanisole (BHA), butylated hydroxytoluene, t-butyl-hydroquinone, chloroxylenol, chlorohexidine, dichlorobenzyl alcohol, dehydroacetic acid, hexetidine, triclosan, hydrogen peroxide, colloidal silver, and mixtures thereof.
(26) As used herein, the term “sterilization” refers to a means of eliminating or killing microorganisms present on a surface, contained in a fluid, or in a compound such as biological culture media in order to achieve asepsis or a sterile microbial environment. Sterilization can be achieved by applying heat, chemicals, irradiation/radiation, high pressure, filtration, or combinations thereof. Chemical sterilization includes sterilization with gases such as ethylene oxide, hydrogen peroxide gas, and ozone, liquids such as chlorine bleach, iodine, glutaraldehyde and formaldehyde, ortho-phthaladehyde (OPA), hydrogen peroxide, peracetic acid, sodium hydroxide, silver, and cobalt. Radiation sterilization involves the use of radiation such as electron beams (E-beam), x-rays, gamma rays, or subatomic particles.
(27) As used herein, the terms “ethylene oxide” or “EO” or “EtO” refer to a gas that is commonly used to sterilize objects sensitive to temperatures greater than 65° C. and/or radiation, such as plastics, optics and electrics. Ethylene oxide sterilization is generally carried out between 30° C. and 65° C. with relative humidity above 30% and a gas concentration between 200 and 1000 mg/L. Typical EtO exposure lasts for at least two or more hours with additional time allowed for pre and post conditioning. Ethylene oxide is highly effective at sterilization and penetrates well, moving through permeable papers, cloth, and some plastic films. Ethylene oxide can kill all known microorganisms, including viruses, bacteria, and fungi. Ethylene oxide is highly flammable, toxic, and carcinogenic.
(28) Ethylene oxide sterilization typically consists of a preconditioning phase, the actual sterilization run, and a period of post-sterilization aeration to remove toxic residues, such as ethylene oxide residues and by-products such as ethylene glycol and ethylene chlorohydrine. The two most significant ethylene oxide sterilization methods as: (1) the gas chamber method, and (2) the micro-dose method. The gas chamber method involves flooding a large chamber with a combination of ethylene oxide and other gases used as dilutants. This method has drawbacks inherent to the use of large amounts of ethylene oxide being releases into a large space, including air contamination produced by CFCs and/or large amounts of ethylene oxide residuals, flammability and storage issues calling for special handling and storage, operator exposure risk and training costs.
(29) Gamma rays are very penetrating and are commonly used for sterilization of disposable medical equipment, such as syringes, needles, cannulas, and IVs. Gamma radiation requires bulky shielding for the safety of the operators; it also requires storage of a radioisotope (usually Cobalt-60), which continuously emits gamma rays.
(30) As used herein, the term “cobalt” or “cobalt-60” refers to cobalt-60, which is a synthetic radioactive isotope of cobalt; it is a hard, gray-blue metal and might appear as small metal disks or in a tube, enclosed at both ends, that holds the small disks. Cobalt-60 can occur as a powder if the solid sources have been ground or damaged. Cobalt-60 is used medically for radiation therapy as implants and as an external source of radiation exposure. Cobalt-60 is also used industrially in leveling gauges and to x-ray welding seams and other structural elements to detect flaws. Additionally, cobalt-60 is used for food irradiation and other sterilization processes. Cobalt-60 decays by gamma radiation. External exposure to large sources of Cobalt-60 can cause skin burns, acute radiation sickness, or death
(31) As used herein, the term “E-beam” refers to electron beam (E-beam) processing, which is commonly used for medical sterilization. Electron beams use an on-off technology and provide a much higher dosing rate than gamma or x-rays. Due to the higher dose rate, less exposure time is needed, and, thereby, any potential degradation to polymer materials is reduced. A limitation is that electron beams are less penetrating than either gamma rays or x-rays.
(32) Provided are syringe assemblies that include a plunger rod and a syringe barrel and a first and second cap, that incorporate elements for sterilizing the fluid path without the need for external packaging surrounding the syringe assembly. The assembled syringe is shown in
(33) A plunger rod 24 including a stopper 25 that is slidably positioned in fluid-tight engagement with the inside surface of the barrel for drawing fluid into and driving fluid out of the chamber by movement of the stopper 25 relative to the barrel 21, the plunger rod 24 extending outwardly from the open proximal end 22 of the barrel.
(34) Referring to
(35) Referring to
(36) Referring to
(37) Referring to
(38) Referring to
(39) Optionally, a collar 35 is attached to the distal end 33 of the second cap 31, the collar 35 comprising a second permeable material 36 that covers the closed distal end 33 of the second cap 31; and a tamper evident band 37 covering a portion of at least one of the first cap 26 and the second cap 31.
(40) The packageless syringe assembly 20 can further comprise a plurality of openings 39 on the second segment 34 of the second cap 31 that are radiation and gas permeable and are in flow communication with the fluid path and permitting sterilization of a portion of the fluid path by radiation or a gas. In a specific embodiment, the plurality of openings are selected from holes and slots.
(41) Referring to
(42) In a specific embodiment, each of the first cap 26 and the second caps 31 is covered with a tamper-evident band 37. In one or more embodiments, the outside surface of the barrel 21 has a matte finish. The texture of the substrate on which the tamper evident band 37 will sit will influence how well the tamper evident band 37 adheres to the body of the syringe barrel 21 and to the first cap 26 and the second cap 31. A matte finish will provide a better surface for adherence of the tamper evident band 37 than a smooth/shiny surface.
(43) Referring to
(44) The syringe assembly 20 can be sterile. The fluid path of the syringe assembly 20 can be sterilized using radiation or a gas. Radiation can include, but is not limited to, E-beam, or gamma radiation. Gamma radiation involves the use of the radioactive isotope Cobalt-60. Gas sterilization can include, but is not limited to, ethylene oxide sterilization.
(45) In one or more embodiments, the packageless syringe assembly 20 is not surrounded by any external packaging material. External packaging material includes, but is not limited to flexible and rigid blister packs.
(46) The syringe assembly 20 may be stored in a Tyvek® bag with a plurality of other packageless syringe assemblies.
(47) One or more embodiments of the present invention provides for a method of sterilizing the fluid path of a syringe assembly. The method comprising subjecting a syringe assembly to radiation or a gas. The syringe assembly is as described in
(48) In one or more embodiments, the sterilization of the syringe assembly is carried out using radiation. The radiation can be selected from E-beam and cobalt.
(49) In one or more embodiments, the sterilization of the syringe assembly is carried out using gas sterilization. The gas can be ethylene oxide.
(50) Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as disclosed.