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    • 专利摘要:
    BLOOD SAMPLING DEVICE A blood sampling device useful for collecting a blood sample from a separate vascular access device is described in the present invention. The blood sampling device includes a housing (312, 362) whose size and shape are designed for partial insertion into a separate vascular access device (450). The housing (312, 362) includes a reservoir (302) defined within the housing (312, 362), the reservoir (302) having an internal volume sufficient to contain enough blood for use in a diagnostic blood test. The housing (312, 362) also includes a gas-permeable vent (304, 354) disposed in the housing (312, 362), where the gas-permeable vent (304, 354) is in gaseous communication with the reservoir (302) . When connected to a separate vascular access device (450), the blood sampling device collects a blood sample as blood flows into the reservoir (302) from the separate vascular access device (450) and the as the gases pass out of the reservoir (302) through the gas permeable vent (304, 354).
    公开号:BR112012000396B1
    申请号:R112012000396-8
    申请日:2010-07-08
    公开日:2020-07-07
    发明作者:Bryan G. Davis；Jonathan Karl Burkholz；Minh Quang Hoang；Yiping Ma
    申请人:Becton, Dickinson And Company；
    IPC主号:
    专利说明:

    BACKGROUND OF THE INVENTION
    The present disclosure refers to the sampling of blood with vascular access devices. Blood sampling is a common medical procedure that involves taking at least one drop of blood from a patient. Blood samples are usually obtained from hospitalized patients, under home care and in the emergency room by means of a finger, heel or venipuncture. Once collected, blood samples are analyzed using one or more blood test levels.
    Blood tests determine the patient's physiological and biochemical conditions, such as diseases, mineral content, drug efficacy and organ functioning. It is possible to perform blood tests in a laboratory, far from the patient's location, or at the location, near the patient's location. An example of a remote laboratory blood test is the routine examination of a patient's blood glucose levels, which involves extracting blood by means of a finger prick and mechanically collecting blood from a cartridge. diagnosis. The diagnostic cartridge then analyzes the blood sample and provides the clinician with a reading of the patient's blood glucose level. There are other devices that analyze blood gas and electrolyte levels, lithium levels and ionized calcium levels. In addition, some remote laboratory examination devices identify markers for acute coronary syndrome (CHA) and deep vein thrombosis / pulmonary embolism (DVT / PE).
    Despite rapid advances in remote laboratory tests and diagnostics, blood sampling techniques have not changed much. Normally, blood samples are taken using hypodermic needles, or vacuum tubes attached to the proximal end of a needle or catheter assembly. In some cases, the clinician draws blood from a catheter set using a needle and a syringe that is inserted into the catheter to draw a patient's blood through the inserted catheter. These procedures use needles and vacuum tubes as intermediate devices from which the collected blood sample is typically taken before testing. These processes, therefore, make intensive use of multiple devices in the process of obtaining, preparing and examining blood samples. In addition, each device required increases the time and cost of the examination process. Therefore, the need for more efficient devices and methods for blood sampling and testing persists. BRIEF SUMMARY OF THE INVENTION
    The present invention was developed in response to problems and needs in the art that have not been fully resolved by the blood sampling systems, devices and methods currently available. Therefore, the present devices and methods
    were developed with the aim of providing greater efficiency in blood sampling and diagnosis.
    The present blood sampling device and method for sampling considerably reduces the number of components required to obtain a diagnostic blood sample immediately after IV insertion. The blood sampling embodiments combine components that directly obtain, prepare and examine blood samples during the normal venous access process. These achievements facilitate the entire blood sampling process for clinicians thanks to the reduction in the number of steps in the process and the reduction in the amount of time between sampling and obtaining the test results.
    In one aspect, a blood sampling device has a housing designed with a size and dimension to be partially inserted into a separate vascular access device, such as a catheter, a needle. The housing additionally defines a reservoir within the housing, and the reservoir has an internal volume sufficient to contain enough blood for use in a diagnostic blood test. A gas-permeable vent is arranged in the housing in gaseous communication with the reservoir to allow blood to flow into the reservoir under the pressure of the patient's blood pressure as the gas flows out of the vent.
    Implementations can include one or more of the following aspects. A diagnostic reagent can be arranged inside the reservoir. An integrated diagnostic cartridge can be in fluid communication with the reservoir. The housing may include a compressible part designed with such a shape and size to eject the contents of the reservoir when compressed. The reservoir can include multiple chambers. When the reservoir includes multiple chambers, at least one of the multiple chambers can include a diagnostic agent. The reservoir can include a blood preservative. The carcass may include an indicator of the time since blood sampling. The reservoir may include a distal opening that is in fluid communication with the separate vascular access device when the housing is partially inserted into the separate vascular access device. The housing may include a male luer adapter whose shape and size are designed for insertion into the separate vascular access device, and the distal opening may be a distal opening of the male luer adapter. The distal opening may include a capillary absorbing material disposed therein. The distal opening may include a flow restrictor. The housing can include a luer adapter for insertion into the separate vascular access device.
    In another aspect, a blood sampling device includes a housing whose size and shape are designed for partial insertion into a separate vascular access device. The housing defines a reservoir within the housing, the reservoir having an internal volume of at least 0.1 pL. A gas-permeable vent is provided in the housing, the gas vent in gaseous communication with the reservoir. In addition, a diagnostic component is in fluid communication with the reservoir.
    Implementations can include one or more of the following aspects. The diagnostic component may include an integrated diagnostic cartridge. The diagnostic component may include a diagnostic reagent disposed within the reservoir. The reservoir can include multiple chambers, and at least two of the multiple chambers can include a separate diagnostic component.
    In yet another aspect, a blood sampling device includes a housing whose size and shape are designed for partial insertion into a separate vascular access device. The housing has a compressible part and a defined reservoir within the housing. The compressible part of the housing has its shape and size designed to eject at least a part of the contents of the reservoir when compressed. The reservoir has an internal volume of at least 0.1 pL. A gas-permeable vent is provided in the housing in gaseous communication with the reservoir. Implementations may include one or more of the following aspects. The reservoir may have an internal volume of less than 10 ml, or, in some embodiments, the internal volume is less than 2 ml. In addition, the reservoir may include a blood preservative.
    In yet another aspect, a method for blood sampling using a vented blood sampling device includes inserting a vascular access device into a patient's vasculature. Next, the method includes inserting a blood sampling device into the vascular access device, the blood sampling device including a carcass whose size and shape are designed for partial insertion in a separate vascular access device; a defined reservoir within the housing, the reservoir having an internal volume sufficient to contain enough blood for use in a diagnostic blood test; and a gas permeable vent arranged in the housing, the gas vent in gaseous communication with the reservoir. The method finally includes getting blood to flow from the patient's vasculature to the blood sampling device to fill the blood reservoir. Implementations may additionally include generating flow for at least one of blood pressure and capillary absorption.
    These and other features and advantages of the present invention can be incorporated into certain embodiments of the invention and will be apparent from the description and the following appended claims or can be learned from the practice of the invention as presented hereinafter. The present invention does not require that all of the advantageous features and advantages described herein be incorporated into all embodiments of the invention. BRIEF DESCRIPTION OF THE VARIOUS VIEWS OF THE DRAWINGS
    In order that the manner in which the aforementioned characteristics and advantages of the invention are obtained, as well as other characteristics and advantages, is easily understood, a more specific description of the invention briefly described above will be presented with reference to its specific embodiments, which are illustrated in the attached drawings. These drawings illustrate only embodiments characteristic of the invention and, therefore, should not be considered to limit the scope of the invention.
    Figure 1 is a perspective view of an extravascular system of the vascular access devices and of a blood sampling device according to a representative embodiment.
    Figure 2 is a perspective view of another extravascular system of the vascular access devices and of a blood sampling device according to a representative embodiment.
    Figure 3 is a perspective view of another extravascular system of the vascular access devices and of a blood sampling device according to a representative embodiment.
    Figure 4 is a perspective view of another extravascular system of the vascular access devices and of a blood sampling device according to a representative embodiment.
    Figure 5 is a cross-sectional view of a blood sampling device according to a representative embodiment.
    Figure 6A is a perspective view of a blood sampling device according to a representative embodiment.
    Figure 6B is a perspective view of another blood sampling device in accordance with a representative embodiment.
    Figure 7A is a perspective view of an extravascular system of the vascular access devices and of a blood sampling device in use according to a representative embodiment.
    Figure 7B is a perspective view of an extravascular system of the vascular access devices and of a blood sampling device in use according to a representative embodiment.
    Figure 7A is a perspective view of a test strip and a blood sampling device in use according to a representative embodiment.
    Figure 8 is a cross-sectional view of a blood sampling device according to a representative embodiment.
    Figure 9 is a cross-sectional view of another blood sampling device containing one or more diagnostic reagents in accordance with a representative embodiment.
    Figure 10 is a cross-sectional view of another blood sampling device containing multiple chambers according to a representative embodiment.
    Figure 11A is a cross-sectional view of a blood sampling device containing multiple chambers according to a representative embodiment. This cross section follows line 11A of Figure 11B.
    Figure 11B is a cross-sectional view of the blood sampling device in Figure 11A along line 11B in Figure 11 A.
    Figure 12A is a cross-sectional view of a distal end of a blood sampling device according to a representative embodiment.
    Figure 12B is an end view of the distal end of the blood sampler of Figure 12A.
    Figure 13A is a cross-sectional view of a distal end of a blood sampling device in accordance with a representative embodiment.
    Figure 13B is an end view of the distal end of the blood sampler of Figure 13A.
    Figure 13A is a cross-sectional view of a vascular access device and a vent plug.
    Figure 14A is a cross-sectional view of a distal end of a blood sampling device in accordance with a representative embodiment.
    Figure 14B is an end view of the distal end of the blood sampler of Figure 14A.
    Figure 15 is a top view of a blood sampling device containing an integrated diagnostic cartridge in accordance with a representative embodiment.
    Figure 16 is a top view of another blood sampling device containing an integrated diagnostic cartridge in accordance with a representative embodiment. DETAILED DESCRIPTION OF THE INVENTION
    The presently preferred embodiments of the present invention will be better understood with reference to the drawings, in which like reference numbers indicate like or similarly functional elements. It will be readily understood that the components of the present invention, as described and illustrated in general in the accompanying figures, can be organized and designed in a wide variety of different configurations. Therefore, the following more detailed description, as represented in the figures, should not be interpreted in a way that limits the scope of the invention as claimed, being merely representative of the presently preferred embodiments of the invention.
    The present invention relates to a blood sampling device that can collect a blood sample from a variety of extravascular systems. Figures 1 to 4 illustrate various extravascular systems with which blood sampling device 102 can be used. It should be understood that the blood sampling device 102 is not limited to the illustrated system, but can be used with other extravascular systems, from a simple needle, to more complex extravascular devices. From these figures, it is evident that a blood sampling device 102 can reduce the number of components required to extract a diagnostic blood sample from a patient. This is due to the fact that the blood sampling device combines blood collection, storage and examination capabilities in a single device.
    Referring now to Figure 1, an extravascular system 100, such as the Becton, Dickinson and Company BD NEXIVA ™ Closed IV (intravenous) Catheter System, can be accessed using a blood sampling device 102. An example of the system 100, as shown in Figure 1, includes multiple vascular access devices, such as an intravascular needle 116; a peripheral intravascular catheter over needle 114; an integrated extension tubing 108 (also referred to here as a catheter) with a Y adapter 104 containing two ports 120 and clamp 110; a Luer access device or port 106; and a passive needle protection mechanism 112. Any adapter used to connect two or more vascular access devices can be used in place of the Y 104 adapter.
    As illustrated, a blood sampling device 102 can be inserted into a port 120 of the Y 104 adapter to collect a blood sample from it. Alternatively, as shown in Figure 2, in some embodiments, the blood sampling device is inserted into a Luer access device instead of directly into port 120 of the Y 104 adapter. As illustrated, in some embodiments, the blood sampling device 102 has a distal end whose shape and size are designed for insertion into a separate vascular access device, such as a Luer access port. In some embodiments, the distal end is a male coupler. In some embodiments, the distal end is a male luer connector.
    After the introducer needle 116 is removed from the extravascular system 100, both ports of adapter Y 104 are closed. At this point, the blood is contained within system 100. The clamp 110 on the integrated extension tubing 108 can then selectively limit or eliminate the flow of blood to the blood sampler 102. As the clamp 110 opens the extension tubing 108, blood flows to the blood sampling device 102 to fill the internal reservoir with enough blood for a suitable blood sample. Generally, a suitable blood sample includes between 0.1pL-200ml_ of blood.
    Figure 3 represents an alternative extravascular system 150 that is accessed by a blood sampling device 102 directly at a proximal end instead of through an extension tube. The extravascular system 150 includes an intravascular needle 116; a peripheral intravascular catheter over the needle 114, and a passive needle protection mechanism 112. The proximal end of the needle protection mechanism includes a port 118 through which a blood sampling device 102 is inserted. Once inserted, the blood sampling device 102 can receive a blood sample from a patient, as blood flows through the intravascular catheter 114 and into the internal reservoir of the blood sampling device 102.
    Referring now to Figure 4, there is illustrated another alternative extravascular system 200 that is accessed by a blood sampling device 202 to obtain a blood sample. The extravascular system 200 is used to communicate fluid with a patient's vascular system. After the introducer needle 116 is removed from the extravascular system 200, the distal end 203 of a blood sampling device 202 is inserted into the extravascular system 200 to draw blood through catheter 214 and into the blood sampling device 202. In in some embodiments, an extravascular system 200 has an internal cavity (not shown) and blood sampling device 202 is inserted into the cavity in order to access the extravascular system 200.
    After insertion into an open extravascular system, blood sampling device 102 draws blood. In some embodiments, blood flows to the blood sampling device 102 under venous pressure. Referring again to Figure 1, in some embodiments, the blood sampling device 102 has a gas-permeable vent (shown in Figure 5) arranged thereon to allow a patient's venous pressure to draw blood flow through the extravascular system 100 into the blood sampling device 102. As blood enters the system 100, the gas permeable vent allows air to escape from the blood sampling device 102, drawing blood into it. Therefore, a gas-permeable vent allows the blood sampling device to be powered entirely by the patient's blood pressure.
    In other embodiments, blood is drawn into the blood sampling device using, at least in part, other sources of food. For example, in some embodiments, the blood sampling device is a vacuum tube that draws blood to it using the force of the vacuum. In other embodiments, blood is drawn into the blood sampling device using a pump or syringe.
    In other embodiments, the blood sampling device receives blood via a capillary absorption means disposed within the distal end of the blood sampling device. In some embodiments, the capillary absorbing material comprises microfluidics.
    After the blood sampling device has collected an appropriate blood sample, the sample can be analyzed. Continuing with reference to Figure 1, the clamp 110 interrupts the flow of blood to the Y adapter 104 and to the blood sampling device 102 so that the blood sampling device can be removed from the extravascular system 100. In some cases, the blood sampling device 102 will be sent to a laboratory for analysis. In some embodiments, the casing of the blood sampling device is at least partially compressible and the blood will be squeezed for examination, even in the remote laboratory test. In other embodiments, the blood sampling device 102 includes a diagnostic reagent that allows diagnostic tests to be carried out within the blood sampling device 102. In still other embodiments, the blood sampling device 102 includes a cartridge integrated diagnostic tool that analyzes the blood sample and displays an analysis result on the integrated diagnostic cartridge. These various embodiments will be described in detail below.
    Referring now to Figure 5, a cross section of a blood sampling device 300 is illustrated, showing a housing 312 that defines an internal reservoir 302. The housing 312 and the reservoir 302 can have different shapes and sizes. In some embodiments, the reservoir has a volume of at least 0.1 pL - 10mL, corresponding to a standard volume for a blood sample, or a single drop of blood. In some embodiments, the volume of the reservoir is up to 200 mL. A 200 mL reservoir volume may be able to contain a blood sample large enough for multiple different blood tests. In other embodiments, the volume of the reservoir is less than 20 ml or greater than 200 ml.
    In some embodiments, housing 312 is designed with a shape and size for insertion into an extravascular system, as discussed earlier. In some embodiments, the distal end of the housing includes a male coupler 356 in the form of an elongated rod or cannula, as shown in Figures 6A-7C, which is selectively inserted into a separate vascular access device. In some embodiments, the male coupler is a male luer connector. As illustrated, the distal end of the housing 312 comprises a male luer connector containing 308 threads and a male coupler 306. This distal end is designed with a shape and size for partial at least insertion into a separate vascular access device, such as a luer 106 adapter, a Y 104 adapter, a catheter assembly, a catheter projection, a needle tip, a needle, a catheter or other vascular access device, such as those illustrated in Figures 1-4.
    As discussed above, in some embodiments, a gas-permeable vent 304 is arranged in housing 312 to allow airflow to pass through it and prevent fluid, such as blood, from passing through it. This 304 gas permeable vent is in fluid communication with reservoir 302. The vent may be hydrophobic or hydrophilic and may be a glass, poly (ethylene terephthalate) (PET) material, a microfiber material, or other synthetic material of high density polyethylene fibers, such as DuPont's TYVEK® material. As illustrated, the gas-permeable vent 304 is arranged at a proximal end of the housing 312. However, in other embodiments, the gas-permeable vent 304 is located on other surfaces or parts of the housing 312. For example, on some embodiments, the 304 gas permeable vent is arranged on one side of the housing. In addition, more than one gas permeable vent 304 can be arranged in housing 312. For example, when more than one chamber is included in reservoir 302, each chamber may have a separate gas permeable vent 304.
    Figure 6A illustrates a perspective view of a blood sampling device 350 containing a housing with a compressible portion of the housing 362. As used here, the term "compressible" refers to any means of reducing the size of the reservoir volume. in order to eject a sample of fluid into the reservoir. For example, the compressible part may include a fully flexible housing, with the exception of the 356 male coupler, or the compressible part may be limited to a limited portion of the housing, which flexes when the more rigid parts are compressed together. In other cases, the compressible part includes a plunger arranged in the housing and which forms part of the reservoir. The plunger (not shown) can respond to an external inward force by moving into the housing in order to reduce the internal volume of the reservoir, thus ejecting a blood sample. In some embodiments, to facilitate compression, the housing includes two opposing supports or blocks 364 that facilitate the act of holding and compressing the housing. The blocks 364 can be rigid or compressible.
    Since different blood tests require different amounts of blood, in some embodiments, the reservoir is sized to hold an amount of blood needed for a specific blood test or for a specific number of blood tests. In some embodiments, a set of blood sampling devices is provided to a clinician who has different blood sampling devices of different sizes. Therefore, Figures 6A and 6B illustrate a minor blood sampling device 350 and a major blood sampling device 400. These devices 350 and 400 include a male coupler 346 and 406, a compressible part of the housing 362 and 412, blocks 364 and 414, a gas permeable vent 354 and 404 and a distal lumen 360 and 410. From now on, to simplify the description, we will refer only to the embodiment of Figure 6A.
    Figure 7A-7C illustrates the blood sampling and examination process using a blood sampling device 350 containing a compressible part of the housing 364. In operation, as shown in Figures 7A-7B, the male coupler 356 of the blood sampling device blood 350 is selectively inserted into a separate vascular access device 450. For example, a separate vascular access device 450 is illustrated including an adapter 126, and a luer adapter 106 with a septum 122 containing a gap 124. When the male coupler 356 is inserted into the septum 122, the reservoir 302 of the blood sampling device is in fluid communication with the separate vascular access device 450, and therefore with a patient's vasculature. As blood flows through the separate vascular access device 450 towards the blood sampling device, the gas exits through the gas permeable vent 354 of the blood sampling device 350. In this way, the blood flows to the blood sampling device and fills reservoir 302.
    As shown in Figure 7C, after blood is received in reservoir 302, the blood sampling device 350 can be removed from the separate vascular access device and compressed by a clinician 452 so that the blood sample 456 is partially or entirely expelled from the reservoir. The blood sample can be expelled on a 454 test strip (as shown), in a diagnostic cartridge, or retained within the blood sampling device 350 and transported to a laboratory for analysis.
    In some embodiments, the housing has no compressible part, but is rigid. As such, to extract the blood sample, in some embodiments, a capillary absorption medium is inserted into the blood sampling device and absorbed from it. In another embodiment, the blood is merely poured out of the distal opening of the blood sampling device. In other cases, the gas-permeable membrane is perforated to allow blood to flow out of the distal opening. In still other embodiments, blood is drawn with a needle and syringe.
    Since some blood samples may not be tested immediately, in some embodiments, the blood sampling device contains one or more preservatives within reservoir 302 to preserve blood for further analysis. Referring now to Figure 8, a cross-sectional view of a blood sampling device 500 is illustrated containing one or more preservatives 512 contained within reservoir 302. As blood enters the reservoir, it mixes with the preservative. Various preservatives can be included in reservoir 302. For example, ethylene diaminetetraacetic acid (EDTA) can be disposed within reservoir 302 to chelate calcium in the blood and prevent clotting. If the clotting time needs to be tested, then citrates can be included instead of the EDTA used. In other embodiments, heparin is included within the 302 reservoir. In still other embodiments, other types of preservatives are included within the reservoir.
    In addition, in some embodiments, the blood sampling device includes a time indicator 520 that provides an indication to the clinician or laboratory technician of the amount of time that has elapsed since the sample was drawn. In some embodiments, the time indicator 520 is external to the reservoir, such as an adhesive that changes color based on elapsed time and / or temperature. In other embodiments, time indicator 520 is a time stamp. In the other embodiments, the time indicator 520 indicates the passage of time when the blood sample is no longer useful, such as an expiration time. In some embodiments, the time indicator 520 is arranged inside the reservoir and is activated by contact with the blood sample.
    In addition or as an alternative, the blood sample can be tested within the blood sampling device. In some embodiments, the reservoir includes one or more diagnostic reagents disposed within reservoir 302 that react with the blood sample and provide a visual indication to the clinician. Diagnostic reagents can indicate the patient's physiological and biochemical conditions, such as diseases, mineral content, medication efficacy and organ functioning. Referring now to Figure 9, in some embodiments, reservoir 302 includes one or more diagnostic reagents 552, 554, 556, 558, 560 and 562, each of which can test a different physiological and / or biochemical condition. For example, in one embodiment, a reservoir can include eight diagnostic reagents, each of the reagents measuring one of the elements of the basic metabolic picture: sodium, potassium, chloride, bicarbonate, blood urea nitrogen (BUN), magnesium, creatinine and glucose. In some embodiments, the reagents can provide a visual result, such as a color change. In other embodiments, the reagents provide a non-visual result, which can be read by a machine or processed in a laboratory. For clarity of use, the exterior of the blood sampling device 312 housing may be transparent or semi-transparent and include markings that indicate the type of reagent disposed next to the mark. In this way, the blood sampling device 600 can provide clinicians with a remote laboratory diagnostic tool.
    In some embodiments, different diagnostic reagents are kept separate to allow for more accurate results. Therefore, as shown in Figure 10, in some embodiments, reservoir 622 includes multiple chambers 608, 610, 612 separated by dividing parts of the housing, so that one or more of the chambers includes a reagent 614 and 616. In addition, in some embodiments, one or more chambers may include a preservative. Since each chamber 608, 610, 612 is in fluid communication with the gas permeable vent 604, blood flowing to reservoir 622 flows into each of chambers 608, 610, 612. As blood enters chambers 608 , 610, 612, it mixes with any reagents inside them. Once mixed, the reagents can provide diagnostic information to a clinician without the need for additional instruments or other delays.
    In some embodiments, the chambers of the reservoir 608, 610, 612 are also separated by a distal flow restrictor 620. The flow restrictor 620 limits the fluid communication between each chamber by limiting the speed at which the fluid passes through it. Therefore, after the blood passes through the filter and mixes with the reagent, it is partially prevented by the flow restrictor 620 from leaving the chamber and entering another reservoir chamber by the flow restrictor 620. In some embodiments, the flow restrictor includes a continuous porous filter that crosses the cross section and limits the speed at which the fluid passes through it. Alternative examples of flow restrictors are illustrated in Figures 12A-14B. To avoid unnecessary blood exposure in each container, a clinician can place the blood sampling device upright at its proximal end (the end illustrated as including the gas permeable vent 604) during the time of ( s) reagent reaction process (es). As an alternative, in some embodiments, the blood sampling device 550 includes a lid that covers the distal opening and prevents blood exposure.
    Figures 11A-11B illustrate an alternative reservoir chamber configuration. In some embodiments, the reservoir is divided into multiple chambers 656, 658, 660, 662, 664 and 668, separated by radial dividing parts 654 of frame 652 In some embodiments, each chamber is in fluid communication with a permeable vent. gas 672. In other embodiments, as discussed above, each chamber is in fluid communication with a separate gas permeable vent (not shown). Therefore, in some embodiments, the body includes two or more gas-permeable vents.
    In some embodiments, the dividing parts 654 of the body 652 extend distally to the male coupler 306. In other embodiments, the dividing parts 654 of the body 652 extend into the male coupler 306, so that the fluid is segregated in the various chambers immediately after entry into the blood sampling device 650. In still other embodiments, the dividing parts 654 of the body 652 extend partially to the male coupler 306. In still other embodiments, the dividing parts 654 of body 652 do not extend entirely to the male coupler 306, but only partially between the proximal and distal ends of reservoir 302, similar to that shown in Figure 10. In addition, in some embodiments, the entrance to the chamber includes a flow restrictor 620, as shown in Figures 10 and 12A-14B, to form a partial barrier for the chambers.
    Referring now to Figures 12A-14B, in some embodiments, the distal end of the blood sampling device includes a flow restrictor that comprises a solid barrier 704 formed integrally with the body. The solid barrier 704 includes one or more orifices or channels through it to allow a certain flow of fluid to the blood sampling device. One or more orifices can retain fluid within the reservoir only by surface tension. For example, Figures 12A-12B illustrate a flow restrictor comprising a solid barrier 704 with a single orifice 706 through it. Orifice 706 may be its shape and dimension designed to withstand the flow of blood through it without venous pressure. In some embodiments, the hole has a diameter within the range of 0.1 to 0.5 mm. In other embodiments, the hole has a diameter within the range of 0.2 to 0.3 mm. Therefore, in operation, venous pressure will make blood flow in the blood sampling device. Once inside the internal reservoir, blood will not generally flow out of the flow restrictor orifice without additional pressure. The holes or channels can be cut or molded in the flow restrictor.
    Referring now to Figures 13A-13B, in some embodiments, a flow restrictor 754 is a solid barrier with a plurality of holes 756 through it. Multiple orifices 756 can increase the flow rate through flow restrictor 754. In addition, in some embodiments, flow restrictor 754 includes one orifice for each inner chamber, so that each orifice directs fluid to an separate chamber. As such, the flow restrictor can form a distal barrier for each inner chamber.
    In some embodiments, a flow restrictor is disposed within the male coupler 702. Thus, positioned, as the blood sampling device is removed from the separate vascular access device, the flow restrictor prevents the exposure of the blood that it would be inside the male coupler 702. In other embodiments, the flow restrictor is arranged with the reservoir of the blood sampling device, as explained above.
    Referring now to Figure 14A-14B, in some embodiments, the flow restrictor comprises a solid barrier 808 transposing the male coupler 802 and one or more channels 806 molded or cut into the male coupler 802. In some embodiments, the cut channels 806 have lengths and widths within the range of 0.1 to 0.5 mm. These channels function like the orifices described with reference to Figures 12A-13B, to allow blood to enter and limit blood removal from the blood sampling device.
    We will now refer to Figures 15 to 16, which illustrate a blood sampling device containing an integrated diagnostic cartridge. Diagnostic cartridges are a remote laboratory diagnostic device that receive a blood sample and examine one or more physiological and biochemical conditions of the blood. Due to their small size, the diagnostic cartridges can be used at the patient's site, thus providing clinicians and patients with fast examination results. After the exam is complete, the diagnostic cartridge. Integrated displays one or more test results to the clinician. Therefore, the clinician receives test results within minutes of taking a blood sample. Examples of integrated diagnostic cartridges include the i-STAT € test cartridge from the Abbott group of companies. These devices can include displays similar to those used in disposable digital pregnancy tests that employ display technologies, and are relatively inexpensive (for example, Clearblue's Clearblue Easy Digital Pregnancy Test).
    Integrated diagnostic cartridges, therefore, allow the clinician to receive electronic analysis of a blood sample at the patient's site and in a relatively short period of time. Referring now to Figures 15 and 16, in some embodiments, a blood sampling device 900 and 950 comprises a housing 910 which defines an internal fluid reservoir 902 and containing a male coupler 906. The blood sampling device 900 additionally includes an integrated diagnostic cartridge 904 containing a display 902. The integrated diagnostic cartridge 904 receives blood via a fluid communication channel or by direct contact with reservoir 902. Thus, blood within the reservoir is communicated to the cartridge diagnostic tool 904 and analyzed in it.
    In some embodiments, the integrated diagnostic cartridge 904 is integrated into the body 910 of the blood sampling device 900. In other embodiments, the integrated diagnostic cartridge 904 is selectively attached to the 910 housing and selectively removable from the 910 housing. in some embodiments, housing 910 includes a slot, latch, clamp or channel for receiving a diagnostic cartridge. Integrated 904 selectively removable.
    As indicated above, the diagnostic cartridge. Integrated 904 employs internal analysis capabilities. Thus, in some embodiments, the integrated diagnostic cartridge 904 includes an internal circuit board; a power source, such as a battery; and appropriate components needed to separate blood into components and analyze blood. To display the analysis results, the integrated diagnostic cartridge 904 includes a display. In some embodiments, the display is an LCD 954 screen (shown in Figure 16). In other embodiments, the display is a structure that changes color to indicate the result of the analysis.
    The blood sampling device containing an integrated 904 diagnostic cartridge combines aspects of medical technology that directly obtain, prepare and examine blood samples in one easy-to-use device. Such a device reduces the number of steps in the process and reduces the amount of time between sampling and obtaining test results.
    From what has been said, it will be realized that a blood sampling device can be used to collect a blood sample from a patient. Therefore, a method for blood sampling using a vented blood sampling device involves first inserting a vascular access device into a patient's vasculature. As illustrated in Figures 1 to 4, the blood sampling device has its size and shape designed to be partially inserted into a variety of vascular access devices, including catheters, needle tips and other devices with a luer connection. female.
    Then, the blood sampling device is inserted into the vascular access device. In some embodiments, blood sampling devices include a male coupler distal to the housing of the blood sampling device including a threaded male luer connector. In other embodiments, the distal male coupler comprises a projection containing an internal lumen, but without threads.
    Finally, blood is taken to flow from the patient's vasculature to the blood sampling device to fill the reservoir of the blood sampling device with blood. In some embodiments, the blood flow to the reservoir is fed by the patient's venous pressure, and facilitated by the inclusion of a gas-permeable vent in fluid communication with the reservoir. As the venous pressure forces the blood into the reservoir, the gas permeable vent allows gases inside the reservoir to escape through the vent. In other embodiments, the blood flow to the reservoir is fed by a vacuum inside the reservoir. In still other embodiments, the blood flow to the reservoir is powered by a syringe attached to the casing of the blood sampling device.
    Thus, the present blood sampling device and method for sampling considerably reduces the number of components required to obtain a diagnostic blood sample immediately after IV insertion. As described here, embodiments of the blood sampling device can combine components that directly obtain, prepare and examine blood samples during the normal venous access process. These embodiments facilitate the entire blood sampling process for clinicians thanks to the reduction in the number of steps in the process and the reduction in the amount of time between sampling and obtaining the test results.
    The present invention can be realized in other specific forms without deviating from its structures, methods or other essential characteristics as described in general terms in the present document and claimed hereinafter. The described embodiments should be considered, from all points of view, only as illustrative and non-restrictive. Therefore, the scope of the invention is indicated by the appended claims, rather than by the preceding description. All changes that fall within the meaning and equivalence range of the claims must be considered within the scope of these.
    权利要求:
    Claims (11)
    [0001]
    1. Blood sampling device FEATURED for comprising: a housing (312, 362) having a proximal end, a distal end, and a distal opening, the distal end being configured for coupling with a separate vascular access device (450); a reservoir (302) defined within the housing (312, 362), the distal opening comprising an opening of the reservoir (302); a gas-permeable vent (304, 354) comprising a membrane, the gas-permeable vent (304, 354) being arranged at the proximal end of the housing (312, 362), a distal surface of the gas-permeable vent (304, 354) being in direct communication with the reservoir (302), and a proximal surface of the gas-permeable vent (304, 354) being in direct communication with an external environment; and a diagnostic component in fluid communication with the reservoir (302).
    [0002]
    2. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the diagnostic component includes an integrated diagnostic cartridge (904) in fluid communication with a reservoir chamber (302).
    [0003]
    3. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the integrated diagnostic component includes a diagnostic reagent (552, 554, 556, 558, 560 and 562) arranged inside a chamber the reservoir (302).
    [0004]
    4. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the reservoir (302) includes multiple chambers (608, 610, 612), and in which at least two of the multiple chambers (608, 610, 612) include a separate diagnostic component.
    [0005]
    5. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the diagnostic component includes a preservative (512).
    [0006]
    6. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the housing (312, 362) further comprises a flexible housing (362) that is compressible, in which when the flexible housing (362) is compressed , an internal volume of the reservoir (302) is reduced.
    [0007]
    7. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the carcass (312, 362) further comprises a time indicator (520).
    [0008]
    8. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the reservoir (302) is in fluid communication with a separate vascular access device (450) via the distal opening when the distal end of the housing (312 , 362) is coupled to the separate vascular access device (450).
    [0009]
    Blood sampling device according to claim 1, CHARACTERIZED by the fact that the distal end of the housing (312, 362) further comprises a male luer connector.
    [0010]
    10. Blood sampling device according to claim 1, CHARACTERIZED by the fact that the distal opening includes a flow restrictor (620, 754).
    [0011]
    Blood sampling device according to claim 1, CHARACTERIZED by the fact that the distal end of the housing (312, 362) comprises a luer adapter (106).
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    同族专利:
    公开号 | 公开日
    ES2467142T3|2014-06-12|
    CN102573629B|2015-06-17|
    CN102573629A|2012-07-11|
    US8383044B2|2013-02-26|
    US20130121897A1|2013-05-16|
    US20110009717A1|2011-01-13|
    IN2012DN00342A|2015-08-21|
    JP2012532683A|2012-12-20|
    US20160038067A1|2016-02-11|
    BR112012000396A2|2017-07-11|
    WO2011005956A2|2011-01-13|
    US10182753B2|2019-01-22|
    AU2010271420A1|2012-02-02|
    AU2010271420B2|2015-05-14|
    US9198610B2|2015-12-01|
    EP2451353B1|2014-03-26|
    JP5628310B2|2014-11-19|
    EP2451353A2|2012-05-16|
    WO2011005956A3|2011-03-10|
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    法律状态:
    2019-01-15| B06F| Objections, documents and/or translations needed after an examination request according art. 34 industrial property law|
    2019-07-16| B06T| Formal requirements before examination|
    2020-02-11| B06A| Notification to applicant to reply to the report for non-patentability or inadequacy of the application according art. 36 industrial patent law|
    2020-05-26| B09A| Decision: intention to grant|
    2020-07-07| B16A| Patent or certificate of addition of invention granted|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 08/07/2010, OBSERVADAS AS CONDICOES LEGAIS. |
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    US61/224.208|2009-07-09|
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    PCT/US2010/041366|WO2011005956A2|2009-07-09|2010-07-08|A blood sampling device|
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