Syringe with ratcheting operating rod and lockable plunger head
09545464 ยท 2017-01-17
Assignee
Inventors
Cpc classification
A61M2205/3341
HUMAN NECESSITIES
A61M5/31505
HUMAN NECESSITIES
A61M1/815
HUMAN NECESSITIES
International classification
Abstract
A syringe for medical applications includes a syringe body having an inner wall, a first stop, located along the inner wall, to leave at least one first blank surface on the inner wall; and a plunger sliding along the inner wall of along a longitudinal axis of the syringe, the plunger including a plunger head and an operating rod, connected to the plunger head, including, on its outer surface, at least one first rack arranged longitudinally along the operating rod, the first rack including protruding teeth. The first stop and the protruding teeth are also shaped and constituted so as to prevent the plunger from lowering again due to pressure on the operating rod, unless the first rack is disengaged by rotating the plunger within the syringe body around the longitudinal axis so that the first rack faces the first blank surface of the inner wall of the syringe body.
Claims
1. A syringe (10) including: a syringe body (20) extending along a longitudinal axis (A1) from a lower end (20A) to an upper end (20B), the lower end (20A) of the syringe body (20) allowing the fixation of a needle or a cannula and the upper end (20B) of the syringe body (20) having an upper opening (20C) allowing the introduction of a plunger into the syringe body (20), the syringe body (20) having an inner wall (21) and including at least one first stop (32) located along the inner wall (21) of the syringe body (20) near the upper opening (20C), the first stop (32) being adapted to leave at least one first blank surface (22) on the inner wall (21) of the syringe body (20), and a plunger (100) sliding along the inner wall (21) of the syringe body (20) along the longitudinal axis (A1), the plunger (100) comprising a plunger head (110) and an operating rod (120) connected to the upper end (110B) of the plunger head (110), the upper end (110B) of the plunger head (110) being directed towards the upper opening (20C) of the syringe body (20), the operating rod (120) of the plunger (100) including, on its outer surface (121), at least one first rack (122) arranged longitudinally along the operating rod (120), the first rack (122) comprising protruding teeth (122A), the first stop (32) and the protruding teeth (122A) being shaped and constituted so as, during the upward movement of the plunger (100) in the syringe body (20) from a low position where the plunger head (110) is near the lower end (20A) of the syringe body (20) to a high position where the plunger head (110) is near the upper end (20B) of the syringe body (20), when the first stop (32) and the first rack (122) are opposite to each other, to allow a tooth-by-tooth upward movement of the plunger (100) along the syringe body (20), the syringe (10) being characterized in that the first stop (32) and the protruding teeth (122A) are also shaped and constituted so as to prevent any downward movement of the plunger (100) under the effect of a push on the operating rod (120), but to disengage the first rack (122) by rotation of the plunger (100) in the syringe body (20) about the longitudinal axis (A1) to bring the first rack (122) opposite the first blank surface (22) of the inner wall (21) of the syringe body (20), wherein the plunger head (110) includes: a terminal part (114) facing the lower end (20A) of the syringe body (20), the terminal part (114) being such that it prevents any full disengagement of the plunger (100) from the syringe body (20) thanks to a locking by the stop(s), and a base (111), connected to the terminal part (114), comprising at its periphery at least one first notch (112) and at least one first longitudinal groove (115), the first notch (112) and the first longitudinal groove (115) of the base (111) being shaped and constituted so as to allow the upward movement and the holding of the plunger (100) in the high position when the first notch (112) is opposite the first stop (32), and to prevent any downward movement of the plunger (100) along the syringe body (20), but to disengage the plunger head (110) by rotation of the plunger (100) in the syringe body (20) about the longitudinal axis (A1) to bring the first longitudinal groove (115) opposite the first stop (32).
2. The syringe (10) according to claim 1, wherein: the syringe body (20) includes a second stop (33) similar to the first stop (32), and located along the inner wall (21) of the syringe body (20), near the upper opening (20C), so that the first and the second stops (32, 33) form between each other a first and a second blank surfaces (22, 23) on the inner wall (21) of the syringe body (20), and wherein the operating rod (120) includes on its outer surface (121) a second rack (123) similar to the first rack (122), and arranged longitudinally along the operating rod (120), so that, when the first rack (122) is opposite the first stop (32), the second rack (123) is opposite the second stop (33).
3. The syringe (10) according to claim 2, wherein: the first and second stops (32, 33) are diametrically opposed to each other, and the first and second racks (122, 123) are also diametrically opposed.
4. The syringe (10) according to claim 1, wherein the base (111) comprises at its periphery: a second notch (113) similar to the first notch (112), and a second longitudinal groove (116) similar to the first longitudinal groove (115), arranged in such a manner that, when the first longitudinal groove (115) is opposite the first stop (32), the second longitudinal groove (116) is opposite the second stop (33).
5. The syringe (10) according to claim 4, wherein the first and second longitudinal grooves (115, 116) are diametrically opposed to each other.
6. The syringe (10) according to claim 1, wherein the operating rod (120) of the plunger is detachable from the plunger head (110).
7. The syringe (10) according to claim 6, wherein: the plunger head (110) includes a receiving recess (130) integral with the base (111) so that, when the plunger (100) is in the high position, the receiving recess (130) is outside the syringe body (20), and wherein the operating rod (120) includes at one of its ends an element (124) for connection to the plunger head (110), the connection element (124) having a shape that is complementary of that of the receiving recess (130) of the piston head (110), so that, when the plunger (100) is in the high position, the connection element (124) can be engaged into or disengaged from the receiving recess (130) and that, when the connection element (124) is engaged into the receiving recess (130), the operation rod (120) and the plunger head (110) are translationally integral with each other along the longitudinal axis (A1) and rotationally integral with each other about the longitudinal axis (A1).
8. The syringe (10) according to claim 7, wherein the receiving recess (130) comprises an open lateral face (131) and an upper face (132) having a central opening (133) substantially positioned along the longitudinal axis (A1) of the syringe (10), so that the connection element (124) is engaged into or disengaged from the receiving recess (130) by being slid through the open lateral face (131), the central opening (133) allowing the passage of the operating rod (120).
9. The syringe (10) according to claim 4, wherein the operating rod (120) of the plunger is detachable from the plunger head (110).
10. The syringe (10) according to claim 5, wherein the operating rod (120) of the plunger is detachable from the plunger head (110).
Description
BRIEF DESCRIPTION OF THE DRAWING FIGURES
(1) A particular embodiment of the invention will be described hereinafter, with reference to the appended drawings in which:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
DETAILED DESCRIPTION OF THE INVENTION
(15) As a preamble, let's precise that, in the following disclosure, the terms high or upper and low or lower will be used in relation to the syringe, the lower side being the side fixed to the needle or the cannula and the upper side being the side from which protrudes the syringe plunger. Likewise, it will be considered that the syringe extends along a substantially vertical direction.
(16)
(17) As shown in
(18) The syringe body 20 comprises a lower end 20A serving for the fixation of a needle or a cannula. This lower end 20A has herein a truncated shape. The syringe body 20 also comprises an upper end 20B having a circular opening 20C and two flat areas 20D, 20E. This circular opening 20C allows the introduction of the plunger 100 as described in details hereinafter.
(19) The syringe body 20 is substantially of revolution about a longitudinal axis A1, so that the intermediate part of the syringe body, located between the lower end 20A and the upper end 20B is cylindrical.
(20) The syringe body 20 has herein a total height of the order of 80 millimeters and an inner diameter of the order of 15 millimeters, hence defining a volume of about 14 milliliters.
(21) Furthermore, the syringe body 20 has herein a thickness of about 1 millimeter.
(22) As a variant, the syringe body may for example have a total height going up to 150 millimeters and a lower diameter of 25 millimeters, hence defining a volume that can go up to about 75 milliliters.
(23) According to this embodiment, the syringe body 20 is made of polypropylene by a moulding process.
(24) As a variant, the syringe body may be made of another plastic material, as for example polycarbonate, metal or glass.
(25) The syringe body 20 is preferably transparent. This allows the surgeon, who performs a sampling with a syringe 10 according to the embodiment of the invention, to see inside the syringe 10 the quantity, and eventually the nature, of the sampled tissues.
(26) The syringe body 20 is provided, near its upper end 20B, with a ring-shape piece 30.
(27) As shown in
(28) The arm 32A includes a first stop 32 and the arm 33A includes a second stop 33, the first and second stops 32, 33 thus being diametrically opposed to each other. The first and second stops 32, 33 have a triangular prism shape, whose tip is directed downwards, and protrude towards each other.
(29) The first and second stops 32, 33 have bearing surfaces 32B and 33B, which are substantially horizontal and rectangular in shape.
(30) The first and second stops 32, 33 have herein a height comprised between 2 and 15 millimeters and the bearing surfaces 32B, 33B have a width comprised between 1 and 10 millimeters and a depth comprised between 0.5 and 7 millimeters.
(31) According to this embodiment, the ring 30 is made of polypropylene, by a moulding process. Preferentially, the ring 30 is consisted of a material whose colour is different from that of the syringe body 20 so as to allow the distinction between them and to rapidly make sure of the presence of the ring 30 in the syringe body 20.
(32) As a variant, the ring may be made of another plastic material, as for example polycarbonate, or also metal.
(33) According to the embodiment of the invention described herein, the ring 30 is inserted and fixed in the syringe body 20 by nesting of the ring 30 at the circular opening 20C, the material of the ring 30 being flexible enough so as to be elastically deformed and introduced by force in the syringe body 20.
(34) As shown in
(35) So arranged, the ring 30 and the syringe body 20 leave between the first and second opposite stops 32, 33, a first and a second blank surfaces 22, 23 on the inner wall 21 of the syringe body 20. The first and the second stops 32, 33 being herein substantially diametrically opposite to each other, the first and the second blank surfaces 22, 23 are hence also substantially diametrically opposite to each other.
(36) As shown in
(37) The total length of the operating rod 120 is herein of about 100 millimeters.
(38) The operating rod 120 includes an outer surface 121 whose precise structure is described in
(39) This outer surface 121 comprises a cross pin 121A with four arms, orthogonal two by two, and two support elements 121B arranged in two opposite intervals, formed between two consecutive arms of the cross pin 121A.
(40) The two support elements 121B extend longitudinally along the operating rod 120. One of the support elements 121B includes a first rack 122 arranged longitudinally along the operating rod 120, the first rack 122 comprising protruding teeth 122A.
(41) The other support element 121B includes a second rack 123 similar to the first rack 122 comprising protruding teeth 123A and arranged longitudinally along the operating rod 120.
(42) These protruding teeth 122A, 123A protrude outwards from the outer surface 121 of the operating rod 121. As shown in
(43) The protruding teeth 122A, 123A have a triangular prism shape and are oriented in the opposite direction relative to the stops 32, 33. They are made of a flexible plastic material.
(44) According to this embodiment, the first and second racks 122, 123 are herein diametrically opposed to each other and each comprise seven protruding teeth 122A, 123A, preferably equidistant to each other, the protruding teeth 123A of the second rack 123 being diametrically opposed to the protruding teeth 122A of the first rack 122.
(45) The operating rod 120 includes in its lower part a connection element 124 including a parallelepipedal part on which is placed a cylindrical part. The operation of this connection element 124 will be described in more details hereinafter, in particular in the description of the receiving recess 130.
(46) Moreover, the operating rod 120 includes in its upper part a flatten area 125 allowing the plunger 100 to be slid in the syringe body 20, either downwards by pushing on the flatten area 125, or upwards by pulling on the flatten area 125.
(47) The plunger 100 also includes a plunger head 110 such as described in
(48) The plunger head 110 includes at its lower end a terminal part 114 that is of revolution about the longitudinal axis A1. The terminal part 114 is a conventional terminal part of a syringe plunger head. It has a cylindrical shape in its upper part to be adapted to the cylindrical shape of the intermediate part of the syringe body 20 and a conical shape in its lower part so as to be adapted to the truncated shape of the lower end 20A of the syringe body 20.
(49) The terminal part 114 includes an O-ring 114A at its periphery so that the plunger 100 slides sealingly along the inner wall 21 of the syringe body 20, hence preventing any leakage of the substance sampled or injected with the syringe 10.
(50) The terminal part 114 of the plunger head 110 is made of polypropylene.
(51) As a variant, the terminal part may be made of polyethylene, polytetrafluoroethylene (PTFE), or fluorinated ethylene propylene (FEP).
(52) The terminal part 114 is generally black so as to facilitate the reading of the sampled or injected volume on the graduations present on the syringe body 20.
(53) As shown in
(54) The truncated shape that is linked to the terminal part 114 has a diameter comprised between 14 and 25 millimeters according to the syringe model considered. In its upper part, the base 111 has a truncated section having a diameter comprised between 12 and 23 millimeters.
(55) The base 111 includes a first notch 112 and a second notch 113, in recess, each formed at its periphery, such that the first and second notches 112, 113 are diametrically opposed to each other, as can be seen in
(56) The first and second notches 112, 113 are triangular in shape so as to define a first and a second planar faces 112A, 113A, which are substantially horizontal and directed downwards.
(57) In the particular embodiment described in
(58) These dimensions are substantially identical to the dimensions of the first and second stops 32, 33, such that the shape of the first and second stops 32, 33 is substantially complementary to that of the first and second notches 112, 113.
(59) The base 111 also includes a first groove 115 and a second groove 116, rectilinear, formed at its periphery, over the whole height of the base 111.
(60) As shown in
(61) As a variant, the first and second notches 112, 113 and the first and second rectilinear grooves 115, 116 cannot be diametrically opposed to each other. Likewise, the first and second notches 112, 113 and the first and second rectilinear grooves 115, 116 can be separated by an angle different from 90 degrees.
(62) The first and second rectilinear grooves 115, 116 have a width comprised between 1 and 11 millimeters and a depth comprised between 0.5 and 8 millimeters. Their width is slightly higher than the width of the first and second stops 32, 33.
(63) The base 111 is made of a flexible plastic material of the polyethylene type.
(64) As a variant, the base may for example be made of polypropylene, polycarbonate, polytetrafluoroethylene or fluorinated ethylene propylene.
(65) The plunger head 110 finally includes at its upper end a receiving recess 130 made by machining.
(66) As an alternative, the receiving recess is fixed on the upper part of the base 111, by adhesive bonding.
(67) As illustrated in
(68) The receiving recess 130 comprises an open lateral face 131 and an upper face 132 perpendicular to the longitudinal axis A1.
(69) This upper face 132 has at its centre a circular opening 133 centred about the longitudinal axis A1 and a straight groove 134 extending from the open lateral face 131 to the central opening 133.
(70) The receiving recess 130 is hence dimensioned so as to receive the connection element 124 of the operating rod 120.
(71) The operating rod 120 is herein detachable from the plunger head 110 thanks to the removable link between the connection element 124 and the receiving recess 130.
(72) Indeed, the connection element 124 is engaged with or disengaged from the receiving recess 130 by being slid through the open lateral face 131, the parallelepipedal part of the connection element 124 being nested into or separated from the receiving recess 130, the straight groove 134 and the central opening 133 allowing the passage of the cylindrical part of the connection element 124 during the nesting or the separation of the parallelepipedal part of the connection element 124.
(73) Once nested into the receiving recess 130, the connection element 124 can no longer rotate in the receiving recess 130. In this case, the connection element 124 being attached to the connection rod 120, on the one hand, and the receiving recess 130 being attached to the plunger head 110, on the other hand, the operating rod 120 is rotationally integral with the plunger head 110 about the longitudinal axis A1.
(74) Likewise, the operating rod 120 is translationally integral with the plunger head 110 along the longitudinal axis A1.
(75) When the operating rod 120 is connected to the plunger head 110 at its upper end, the notch 112 and the rack 122 on the one hand, and the notch 113 and the rack 123 on the other hand, are herein aligned with each other.
(76) The operation of the syringe 10 according to the particular embodiment described hereinabove will now be described with respect to
(77) We consider herein a tissue sampling operation performed by an operator, where the initial state of the syringe 10 is that shown in
(78) In this initial position, the plunger 100 is in its low position with respect to the syringe body 20, i.e. the terminal part 114 of the plunger head 110 presses on the lower end 20A of the syringe body 20, the respective shapes thereof being complementary of each other.
(79) The operating rod 120 is in part inside the syringe body 20, its upper end and in particular the flatten area 125 being located outside the syringe body, which allows the operator manipulating the syringe 10 to make the plunger 100 slide along the inner wall 21 of the syringe body 20 along the longitudinal axis A1, by pulling on the operating rod 120 at the level of the flatten area 125.
(80) In the situation illustrated in
(81) Starting from the situation illustrated in
(82) The distance between the first two protruding teeth 122A, 123A being higher than the distance between the first and second stops 32, 33, the operator cannot continue to easily pull on the operating rod 120.
(83) The operator must then exert an additional force so as to move the first two protruding teeth 122A, 123A past the first and second stops 32, 33, thanks to the elastic deformation of the first two protruding teeth 122A, 123A.
(84) Once having moved past the first and second stops 32, 33, the first two protruding teeth 122A, 123A bear on the bearing surfaces 32B, 33B of the first and second stops 32, 33 preventing any downward move of the plunger 100 under the effect of a push on the operating rod 120.
(85) In this configuration shown in
(86) The position of the first two protruding teeth 122A, 123A are determined so that this first sampling volume 24 corresponds to such a volume that the corresponding vacuum exerted on the sampled tissue is lower than a threshold value.
(87) Here, the syringe body 20 having a total volume of 10 milliliters, the first sampling volume 24 is equal to 2 cubic centimeters, limiting the vacuum exerted to value of 0.4 atmosphere (in absolute value).
(88) By repeating several times the preceding step, the operator moves the plunger 100 upwards, tooth by tooth, in the syringe body 20, the additional volume sampled, and hence the vacuum exerted on the sampled tissues, being always the same due to the constant distance determined between the protruding teeth 122A, 123A.
(89)
(90) So as to disengage the first and second racks 122, 123, the operator bring the first rack 122, respectively the second rack 123, opposite the first blank surface 22, respectively the second blank surface 23, of the inner wall 21 of the syringe body 20 by rotation of the plunger 100 in the syringe body 20 about the longitudinal axis A1.
(91) Hence, the width of the outer surface 121 of the operating rod 120 being lower that the distance between the first and the second stops 32, 33, the plunger 100 can slide without hindrance along the inner wall 21 of the syringe body 20.
(92) The operator may then either bring the plunger 10 down to its low position, such as shown in
(93) If, starting from the situation shown in
(94) By continuing to exert a pulling force on the operating rod 120, the operator brings the upper part of the base 111 between the first and second stops 32, 33, the base 111 being deformed thanks to its elasticity, as the protruding teeth 122A, 123A. The first and second stops 32, 33 are then opposite the first and second notches 112, 113, and the first and second planar faces 112A, 113A of the first and second notches 112, 113 bear on the first and second bearing surfaces 32B, 33B of the first and second stops 32, 33.
(95) As hereinabove, the passage of the first base part 111 increases the sampling volume by such a value that the corresponding vacuum exerted on the sampled tissues is lower than the above-defined threshold value, and preferably similar to the moving tooth by tooth.
(96) When the first and second notches 112, 113 are opposite the first and second bearing surfaces 32B, 33B of the first and second stops 32, 33, the plunger 100 is held in the high position and cannot move downwards along the syringe body 20.
(97) So as to disengage the plunger head 110, the operator brings the first longitudinal groove 115 opposite the first stop 32 by rotation of the plunger 100 in the syringe body 20 by means of the operating rod 120. The second stop 33 and the second longitudinal groove 116 being diametrically opposed to the first stop 32 and to the first longitudinal groove 115, respectively, the second stop 33 and the second longitudinal groove 116 are then also opposite to each other.
(98) Moreover, the first and second racks 122, 123 being aligned with the first and second notches 112, 113, they are located above and in the alignment with the first and second blank surfaces 22, 23.
(99) Hence, the operator can then slide the plunger 100 downwards inside the syringe body 20 by exerting a pushing force on the operating rod 120.
(100) Besides, as shown in
(101) Indeed, the terminal part 114 being made of a rigid material, the operator cannot fully disengage the plunger 100 from the syringe body 20, but to exert voluntarily a very high pulling force on the operating rod 120. This avoids that involuntary errors of manipulation fully disengage the plunger head 110 from the syringe body 20 and possibly compromise the quality of the sampling.
(102) Furthermore, the longitudinal position of the first and second notches 112, 113 on the base 111 is such that, in the high position shown in
(103) The operating rod 120 may then be detached from the piston head 110, which reduces the total length of the syringe 10 when the plunger head 110 is in the high position and hence facilitating the manipulation of the syringe 10.