Abstract:
The present invention is a novel child-resistant senior-friendly blister card packaging that is cheap and easy to manufacture. The packaging requires a push-peel-push method for opening, which is cognitively and physically challenging for children and mentally impaired adults. Yet, competent adults can easily open the package, especially after reading instructions. More specifically, opening the package requires the user to: 1) Push through an aperture to create a pull tab; 2) Pull on the pull tab to remove a panel; and 3) Push the blister to force the contents through the blister&#39;s seal. Furthermore, the packaging is designed to be tear resistant and to halt any propagation of a tear. Advantageously, the present invention is designed such that information such as instructions and product information can be easily printed directly on the packaging. Moreover, users may also record information directly on the packaging. Thus, the present invention not only provides child-resistant and senior-friendly features, but also provides convenience for viewing and recording information.

Description:
RELATED SUBJECT MATTER  
       [0001]    This application is a continuation-in-part of application Ser. No. 10/394,495, filed Mar. 20, 2003. 
     
    
     
       TECHNICAL FIELD OF THE INVENTION  
         [0002]    The present invention relates to blister card packages designed to distribute products such as pharmaceutical drugs. More particularly, the present invention relates to blister card packages designed to distribute pharmaceutical drugs that provide senior citizens easy access to the contained drugs while providing difficult access for children.  
         BACKGROUND OF THE INVENTION  
         [0003]    Blister card packages are commonly used for the distribution of many products including pharmaceutical drugs, batteries, sewing kits, toy cars, etc. A blister card package is used as a stiffener or backing sheet for packaging a product contained in a blister. In general, blister card packages comprise a blister strip having a single row of blisters, or a solid form blister having a two-dimensional matrix of blisters. Typically, the blister card package is comprised of pre-printed stiff paper, such as cardboard, that is folded to create at least two adjacent sides. One or both of the sides typically contains an aperture. The product to be packaged is usually encased in a clear plastic individual blister, which may be inserted between the two adjacent sides of the blister card package such that the product protrudes from one or both apertures. The two cardboard sides are then sealed, typically via application of heat and pressure, to retain the plastic individual blister within its blister card packaging.  
           [0004]    Blister card packages may accommodate individual blisters (as described above) or may be designed to accept blister strips or solid form blisters. Solid form blisters are commonly used to package pharmaceutical drugs for public distribution or clinical trials. Pharmaceutical drugs are distributed in many forms such as capsule, pill, lozenge, etc., which are amenable to distribution in blister strips or solid form blisters.  
           [0005]    A blister strip comprises a contiguous strip of plastic blisters having a common backing, such as foil, that is one unit wide by any number of units long. In contrast, solid form blisters comprise both horizontal and vertical rows of blisters, however, solid form blisters also typically share a common backing.  
           [0006]    Blister strips and solid form blisters are popular containers for pharmaceutical drugs because the strips may be specially configured to meet the dosage requirements of the drug. For example, an antibiotic drug prescription may require 16 pills to be taken in a specific order. The blister strip or solid form blister may be manufactured such that the pills are packaged in the same order that the pills should be taken. The blister strip or solid form blister may then be packaged in a pre-printed blister card package that contains printed instructions regarding when and how to take each dose. (Additionally, the insertion of one 16-dose strip or one 4-dose wide by 4-dose long solid form blister into a blister card package is much easier to perform than the insertion of 16 distinct blisters arranged in a specific order). Therefore, pharmaceutical drugs distributed to the public or used in clinical trials are typically packaged in blister strips or solid form blisters contained within a sealed blister card package.  
           [0007]    Many blister card packaged products, especially pharmaceutical drugs, can be harmful, or even lethal, to children or mentally impaired adults. However, the products contained in blister card packages may be vital to the health of other adults including senior citizens, some of which may have impaired physical and cognitive skills and/or poor eyesight. Consequently, it is desirable to manufacture blister card packages that impede a child&#39;s access to the product contained in the blister while simultaneously facilitating a senior citizen&#39;s access to its content. Such packaging is known in the art and is commonly referred to as child-resistant and senior-friendly packaging.  
           [0008]    The federal government has implemented various laws to ensure that materials deemed by the government to be dangerous are packaged in child-resistant and senior-friendly packaging. Specifically, the federal government enacted the Poison Prevention Act of 1970 (“PPA”)(Pub. L. 91-601, 84 Stat. 1670, 15 U.S.C. 1471-75) on Dec. 30, 1970, which is incorporated herein by reference. The Poison Prevention Act of 1970 requires harmful substances to be packaged in child-resistant packaging, i.e., such that children under 5 years of age, having no physical or mental handicaps, cannot “open or obtain a harmful amount of the substance contained therein within a reasonable time” and senior-friendly packaging, i.e., such packaging must also “not [be] difficult for normal adults to use properly.” Notably, the PPA does not require that children be prevented from opening or obtaining a toxic or harmful amount of the substance 100 percent of the times attempted. When the substance is packaged in individual units, the Code of Federal Regulations requires that child-resistant packaging is effective no less than 80 out of every 100 attempts (16 C.F.R. 1700.15(b)(1)). Conversely, senior adults between ages 50 and 70, having no mental or physical disabilities, should be able to open the packaging no less than 90 out of every 100 attempts when permitted to view printed instructions that accompany the packaging (16 C.F.R. 1700.15(b)(2)(i-ii), 16 C.F.R. 1700.20(a)(3)(i), 16 C.F.R. 1700.20 (a)(3) (iv)).  
           [0009]    To ensure compliance with the aforementioned federal guidelines, blister card packaging is submitted to a testing agency. The agency determines the child-resistance rating and whether or not the packaging is senior-friendly. Packaging is rated as senior-friendly solely based on the 90 percent guideline, i.e., senior adults are able to open the packaging at least 90 times out of every 100 attempts. However, the child resistance rating is determined on a scale ranging from F 1  through F 8 . The F represents “fatal at” and the following number represents the number of doses, therefore, F 4  is “fatal at 4 doses”. (Consequently, the more difficult it is for a child to access a product contained within a blister card package, the lower the child-resistance rating applied to the packaging). It is intuitive that products contained within packaging rated at F 1 , i.e., lethal at one dose, should be very difficult for children to access, whereas, products rated at F 8 , i.e., lethal at 8 doses, do not require the same level of difficulty. A blister card package that is to be used for distribution of potentially lethal pharmaceutical drugs or clinical trial drugs must pass the aforementioned federal guidelines prior to use. Additionally, the child resistance rating will determine what type of pharmaceutical drugs can be distributed within each rating of packaging, i.e., a pharmaceutical drug that is lethal at three doses cannot be packaged in a blister card package that is rated F 4  through F 8 . When the lethal dose of a drug has not been established, federal regulations require an assumption that the drug is lethal at eight doses, therefore, such a drug may be distributed in packaging rated F 8 .  
           [0010]    Blister card packages exist today that have passed the federal child-resistant and senior-friendly testing guidelines. Many existing, patented blister card packages were originally designed for distribution of non-lethal drugs and, therefore, were not required to pass the federal testing guidelines. To sell to a larger market of users, these blister card packages were modified to achieve child-resistance using a variety of methods including adding paperboard layers, adding plastic or tape layers to the exterior of the paperboard, reinforcing a frangible foil backing with a less frangible paper, etc.  
           [0011]    After the aforementioned modifications were made, many blister card packages that were previously non-child-resistant were able to pass child resistance testing, however, the packaging became undesirable in other ways. For example, the additional, reinforced layers often prevented the pills from being pushed cleanly through the blister backing and thereby caused degradation of the backing of other adjacent pills. Specifically, some blister card package manufacturers have added a layer of paper to the foil backing through which a pill is pushed. The paper and/or foil backing do not tear cleanly. As a result, the user has to scrape the backing until enough of it is removed to allow the user to grasp and peel the backing enough to reach the pill. This can be very difficult, especially for senior citizens or other adults with impaired physical abilities.  
           [0012]    Furthermore, once the backing is grasped and torn, a user can easily tear too much backing, exposing other blisters. Consequently, the child resistance capabilities of the adjacent blister with the partially torn backing are lessened, thereby creating a potentially lethal hazard for children. Additionally, the user may not be able to scrape the backing to the point where the backing may be pulled away, causing the user to utilize a sharp object such as a knife or scissors. Cutting of the blister card packaging can lead to many more problems including degradation of the child resistance properties of the other blisters, damage to the unused pills, damage to the printed instructions on the packaging, etc.  
           [0013]    Alternatively, if a user cannot remove the reinforced layer of the blister backing such that the pill is easily pushed through the non-reinforced layer of the blister backing, the user may attempt to force the pill through the reinforced backing. This leads to at least two major problems. First, the content of the blister may be damaged and unusable. For example, if the blister contains a pharmaceutical drug contained in capsule form, the pressure exerted on the capsule may cause the capsule to burst. This can be very dangerous to the health of the user. Second, the user may resort to bending the overall blister card package causing damage to the blister, adjacent blisters, blister backings, and the content of the blisters. All of the aforementioned problems exist with the blister card packages known in the art.  
           [0014]    In addition to the safety concerns discussed above, inferior blister card packaging also increases the cost of pharmaceutical drug clinical trials, which are required by the Federal Food and Drug Administration (“FDA”). Prior to submission of clinical trial results to the FDA, a specified minimum number of clinical trial participants must successfully complete the clinical trial.  
           [0015]    Many clinical trials are “double-blind,” i.e., both the subject and the administrators are unaware of which participant is receiving a particular drug. Thus, blister strips or solid form blisters contain information regarding each drug for use in an emergency; however, the blister card package hides the drug identification information from the participant. If the empty blister card package is degraded, the clinical trial participant may be exposed to the drug identification, causing that participant&#39;s results to be discarded. The reason for this is that if a participant is aware of which pill is a placebo versus an actual drug, the participant&#39;s response to each pill may be compromised because they are expecting a certain response. Therefore, use of blister card packages that are easily degraded adds to the cost of clinical trials because an alternate participant must be found, and possibly paid, and a supervising physician must be paid to supervise the additional participant, which may cost the drug manufacturer as much as $50,000 per participant. As a result, a pharmaceutical company may be required to recruit 120 participants to expeditiously complete a clinical trial requiring 80 successful participants, thereby unnecessarily adding to the cost of clinical trials.  
           [0016]    By way of example, the general state of the art of blister card packages is defined by Compere U.S. Pat. No. 3,809,221 (hereinafter referred to as “Compere”), Davie, Jr. et al. U.S. Pat. No. 4,125,190 (hereinafter referred to as “Davie”), Dlugosz U.S. Pat. No. 4,506,789 (hereinafter referred to as “Dlugosz”), Intini U.S. Pat. No. 4,537,312 (hereinafter referred to as “the Intini &#39;312 patent”), Intini U.S. Pat. No. 4,988,004 (hereinafter referred to as “the Intini &#39;004 patent”), Wharton et al. U.S. Pat. No. 5,172,812 (hereinafter referred to as “Wharton”), Bitner et al. U.S. Pat. No. 5,310,060 (hereinafter referred to as “Bitner”), Sowden U.S. Pat. No. 5,325,968 (hereinafter referred to as “Sowden”), Price U.S. Pat. No. 5,339,960 (hereinafter referred to as “Price”), Matthews et al. U.S. Pat. No. 5,469,968 (hereinafter referred to as “Matthews”), Leblong U.S. Pat. No. 5,758,774 (hereinafter referred to as “Leblong”), Vasquez et al. U.S. Pat. No. 5,775,505 (hereinafter referred to as “Vasquez”), Dressel et al. U.S. Pat. No. 5,785,180 (hereinafter referred to as “Dressel”), Plezia et al. U.S. Pat. No. 5,862,915 (hereinafter referred to as “Plezia”), Faughey et al. U.S. Pat. No. 5,878,888 (hereinafter referred to as “the Faughey &#39;888 patent”), Faughey et al. U.S. Pat. No. 5,894,930 (hereinafter referred to as “the Faughey &#39;930 patent”), Godfrey et al. U.S. Pat. No. 5,927,500 (hereinafter referred to as “Godfrey”), Ray et al. U.S. Pat. No. 5,944,191 (hereinafter referred to as “Ray”), Gartland U.S. Pat. No. 6,161,699 (hereinafter referred to as “Gartland”), Danville U.S. Pat. No. 6,338,407 B2 (hereinafter referred to as “Danville”), and Swartz U.S. Pat. No. 6,422,391 B1 (hereinafter referred to as “Swartz”).  
           [0017]    Compere, the Intini &#39;312 patent, Wharton, Price, and Dressel disclose child-resistant blister card packaging having two layers covering the opening to each blister. To access the product contained within the blister, the user first peels an outer non-frangible layer, such as stiff paper, to expose an underlying frangible layer, such as thin foil. The underlying frangible layer comprises a material that allows the user to push the product contained within the blister through the frangible layer. This type of packaging is referred to as peel-push.  
           [0018]    A few problems exist with peel-push blister card packaging. One such problem is the difficulty involved with grasping the outer layer such that it may be peeled. Since many outer layers are difficult to grasp, users tend to bend the overall packaging or use sharp objects to remove the outer layer. This results in damage to the packaging of the remaining products. In particular, some of these outer layers are so difficult to grasp, that senior citizens or other adults suffering from diminished physical abilities or poor eyesight may not be able to access the blister product without assistance. Also, the damage to the remaining packaging diminishes or frequently eliminates its child resistance.  
           [0019]    Another problem with peel-push packaging is that even if the user is able to grasp the outer layer, the user sometimes removes more of the outer layer than that which covers the desired product. Therefore, the frangible layer of other adjacent products that the user does not intend to remove is exposed. Again, this problem causes the child resistance rating of the adjacent product to be reduced, if not totally eliminated.  
           [0020]    Davie also discloses peel-push blister card packaging. However, to remove the content of the blister as disclosed in Davie, the user peels away a tear strip that exposes the frangible foil backings of an entire row of blisters. After the tear strip is removed, the user may push the content of any blister in the row through its respective foil backing. The blister card packaging disclosed in Davie suffers the same limitations as other peel-push packaging, i.e., it is difficult to grasp the outer layer prior to peeling. In addition, the Davie product is actually designed to expose the frangible layer of products that are not ready to be removed. This aspect obviously diminishes the child resistant capabilities of the unopened package.  
           [0021]    Dlugosz also discloses a peel-push blister card package; however, Dlugosz discloses a method that requires the user to first bend the package. The blister card package disclosed in Dlugosz comprises a paperboard sheet folded to create two adjacent paperboard sheets. The blisters are inserted between the two adjacent paperboard sheets and contain a frangible backing through which the user may push the content of the blister. To expose the frangible backing, the user removes a tear strip located on one of the paperboard sheets. The user grasps the tear strip by bending the edge of the paperboard to access a leading tab, which assists in the removal of the tear strip. Although Dlugosz discloses a better method of grasping the tear strip, Dlugosz still requires the bending of the packaging. Also, Dlugosz does not disclose a method that prevents the user from tearing more of the backing than necessary to expose the frangible layer of the desired product. Finally, the tear strip may still be difficult to grasp for senior citizens or other adults suffering from diminished physical abilities.  
           [0022]    Similar to Dlugosz, the Intini &#39; 004  patent discloses a blister card package that requires the user to perform a “bend-peel-push” method to remove the content. First, the user bends the entire blister card package to expose a pull-tab. Then, the pull-tab may be used to peel away the outer layer of the card such that only the frangible layer remains. The content of the blister may then be pushed through the frangible layer. Although the Intini &#39;004 patent discloses a better method of grasping the outer non-frangible layer, the Intini &#39;004 patent still requires the user to bend the packaging. This may be difficult for frail adults, especially those suffering from an ailment such as arthritis. Furthermore, because the Intini &#39;004 patent requires both foil and paper frangible layers, it is difficult to push the product through the two frangible layers. This added resistance makes the card unsuitable for soft capsules, gel caps, and soft tablets/caplets. Furthermore, seniors have a more difficult time pressing products through the thicker frangible layers.  
           [0023]    Bitner discloses a blister card package that requires a user to break a T-shaped perforation to access a corner of a non-frangible layer. The non-frangible layer may then be peeled away to expose the frangible layer. Subsequently, the user may push the content of the blister through the frangible layer. Although the additional layer containing the T-shaped perforation may provide a higher child resistance rating, the additional layer also adds another level of complexity for those users who suffer from diminished physical abilities or poor eyesight.  
           [0024]    Sowden discloses a blister card package that requires the user to perform multiple steps to remove the content of the blister. Initially, the user must remove a single blister from a solid form blister. Next, the user peels a first strip from the single blister. Once the first peelable strip is removed, a depression is exposed that allows the user to peel away the backing of the blister, thereby gaining access to the content of the blister. Similar to the packaging disclosed in Bitner, although the additional complexity required to access the content of the blister might achieve a higher child resistance rating, the additional complexity also makes the content of the blister less accessible to those users who suffer from diminished physical abilities or poor eyesight.  
           [0025]    Matthews discloses a blister card packaging comprising three distinct layers. The first, innermost layer is frangible, and the second and third outer layers are non-frangible. Moreover, the second and third layers are perforated in two distinct patterns. Therefore, the user initially removes the third, outermost layer according to its perforation pattern. Then, the second outermost layer is removed according to its distinct perforation pattern. Finally, the content can be pushed through the innermost frangible layer. The packaging disclosed in Matthews suffers from the same limitations as the aforementioned packaging containing two distinct layers, namely, the additional level of complexity required to access the product and the possibility that the user tears more of the backing than required. As a result, the child resistant properties of the packaging of the remaining products are reduced. However, these limitations are magnified by the addition of a third layer, i.e., the outermost, non-frangible layer.  
           [0026]    Vasquez discloses a blister card package that requires a user to remove an individual blister from a solid form blister via perforations in the non-frangible layer. Once the individual blister has been isolated from the solid form blister, a pull-tab is exposed on the corner of the backing of the individual blister. The user then pulls the pull-tab to peel away the backing and access the content of the blister. Again, the Vasquez packaging requires multiple, intricate steps that will be difficult to perform by users suffering from diminished physical abilities or poor eyesight.  
           [0027]    Leblong discloses a blister card package that requires the user to tear away two strips before accessing the content of a blister. The first strip is formed on the edge of a solid form blister. Once the first strip is torn away, multiple pull-tabs form a series of secondary strips are exposed. The user may then pull away an individual secondary strip by pulling the respective pull-tab, thereby exposing a frangible layer covering a row of blisters. Thereafter, the content of any blister in the row may be removed by pushing the content of the blister through the frangible layer. Again, when the blister card packaging is used to package pharmaceutical drugs, removing the non-frangible layer from an entire row of pills degrades the child resistance of the pills in the row that are not immediately removed.  
           [0028]    Plezia, the Faughey &#39;888 patent, the Faughey &#39;930 patent, and Ray disclose blister card packages that require the user to press on a specified area of the blister card package to create a pull tab. Thereafter, the pull-tab may be pulled to remove the backing from the blister and expose the blister content. However, none of these patents disclose a method that prevents the user from removing more of the backing than that which covers the intended blister or blisters. In addition, although the pull-tab facilitates removal of the blister backing for an adult, the pull-tab also facilitates removal of the blister backing for a child.  
           [0029]    Godfrey discloses a folded blister card package that encloses a blister, blister strip, or solid form blister. The side of the folded blister card that faces the blister backings comprises a series of oval perforations. To eject the content of a blister, the user simply presses the top of the blister forcing the content of the blister through the foil backing and the respective oval perforation, causing a hole to form in the blister card packaging through which the content of the blister may pass. If the rigidity of the perforated ovals is low, the packaging disclosed in Godfrey allows a child to have easy access to the content of the blister. In contrast, if the rigidity of the perforated ovals is high, the Godfrey packaging impedes access to the content of the blister for adults having impaired physical abilities.  
           [0030]    Similar to Godfrey, Gartland also discloses a blister card package comprising a series of perforated ovals; however, Gartland discloses a layer of plastic biaxial film that covers the perforated ovals. To remove the perforated ovals, the user must first peel the plastic biaxial film from the ovals. The perforated ovals can then be removed such that the foil backing of the blisters are exposed. The user then pushes on an individual blister to force the blister content through the blister backing. These three steps can be very difficult for a senior citizen, or other adult, having impaired physical abilities. Such individuals may resort to sharp objects for removal of any of the aforementioned layers, which is likely to damage the packaging. In a clinical trial, the results of a participant that returns damaged, empty packaging may be discarded, thereby increasing the total number of participants and the cost of the clinical trial.  
           [0031]    Danville discloses blister card packaging that also requires the user to perform a series of steps to access the blisters&#39; content. First, the user must remove a group of blisters by pushing the group through a perforated section of the blister card package. Once the blister group is removed from the blister card package, a second perforation is exposed. The user then uses the second perforation to grab and tear the packaging in the area adjacent to the desired blister. Along the tear, there is an area wherein the portion of the backing being torn and the underlying backing are not adhered together. At this location, the layers may be easily separated allowing the innermost backing to be easily peeled away from the blister. Whereas the lack of adhesion between the outer and inner layers of the backing facilitates removal of the backing, the multiple peels required to remove the blister&#39;s content renders the Danville packaging difficult for adults having impaired physical abilities.  
           [0032]    Finally, Swartz provides a blister card package that requires the user to tear the blister card package in two directions. Prior to tearing the blister card package, the user must remove a blister segment via a perforated section of the blister card package. Each blister segment comprises two lines cut in the blister segment backing such that the two lines merge on one side of the backing and are separated on the other side of the backing. Therefore, by pushing between these two lines at the point where the two lines merge, the user may create a pull-tab that may be used to begin tearing the segment backing. Finally, to access the content of the desired blister, the user continues to tear the previously torn backing in the direction of the desired blister. The blister card packaging disclosed in Swartz does not contain a method of preventing more than the desired backing from being torn. Additionally, the pressure exerted on the packaging to form the pull-tab may damage the packaging.  
           [0033]    Thus, there is a clear need for child-resistant and senior-friendly blister card packaging that achieves a high child resistance rating when tested while remaining easy to use for senior citizens, including those with diminished physical abilities and/or poor eyesight. There is a further need for child-resistant and senior-friendly packaging equipped with a non-frangible backing that tears cleanly such that the frangible layer of only one individual blister is exposed, thereby maintaining the child resistance rating of adjacent blisters. Additionally, there is a need for child-resistant and senior-friendly packaging designed to prevent tears and halt the propagation of a tear if it occurs. Finally, there is also a need for a child-resistant and senior-friendly packaging that allows a tear strip to be torn and the content of the individual blister to be pushed through a frangible layer without bending the entire blister card packaging or resulting to the use of sharp objects to access the content of the blister.  
         SUMMARY OF THE INVENTION  
         [0034]    Generally, the present invention provides an improved child-resistant and senior-friendly blister card package particularly suited for the distribution of pharmaceutical drugs for public or clinical trial use. Specifically, the blister card package of the present invention achieves federally mandated child-resistant and senior-friendly guidelines while providing a blister card package that is easy to use for all adults including those with impaired physical abilities. Furthermore, the blister card package is designed to increase the level of child resistance by preventing tears in the paperboard which could result in failure of the child resistant properties. In addition, the blister card package halts existing tears to avoid further damage to the blister package. Additionally, the blister card package of the present invention allows an individual pharmaceutical drug to be removed cleanly from its individual blister without damage to the blister card package or the pharmaceutical drugs contained in the blister card package. Furthermore, the drug may be removed without degrading the child resistance rating of the blister card packaging enclosing the remaining pharmaceutical drugs.  
           [0035]    The blister card package of the present invention is used to encase an individual blister, blister strip, or solid form blister as described above. After one or more of the blister segments are inserted into the blister card package, the blister card package is sealed around the blister segment, typically via the application of pressure and heat. The blister card package and contained blister segment(s) are then distributed to individual users. The user accesses the content of the individual blister using a push-peel-push method, as described in the instructions printed on the paperboard of the blister card package and in further detail below.  
           [0036]    First, the user pushes a specially marked, color-coded target area with an object, such as a pen, fingernail or a specially designed tool, which may be provided with the blister card package, to form a pull-tab. The use of a tool to create a pull-tab minimizes the physical strength required by the user. One such tool is specially designed for use with arthritic hands. It has a wide base for holding the tool and a small end for pushing the target area on the blister card. The color-coded target area facilitates use for users suffering from diminished eyesight. Additionally, pushing the tool through a specially marked target area that is separate from the individual blister, as compared to bending the blister card package or pushing the individual blister, prevents damage to the blister card package and its contents and also maintains the child-resistance of the packaging.  
           [0037]    Each individual blister has an associated target area and die-cut portal. Pushing the specially marked target area causes the die-cut portal in the paperboard backing (i.e., the backing that reinforces the foil backing of the blister segment) to break away from the remainder of the paperboard backing. The pushed portion of the die-cut portal forms a tab that may be used to peel the remainder of the die-cut portal from the paperboard backing, thereby exposing the frangible layer covering the individual blister opening. Due to the unique manufacturing method of the blister card package (as discussed in greater detail below) the die-cut portal is removed completely and easily without removing any of the paperboard surrounding the die-cut portal, thereby maintaining the child resistance rating and the structural integrity of the blister card package. Finally, the content of the designated individual blister may be pushed through the frangible backing.  
           [0038]    To manufacture the blister card of the present invention, a single sheet or multiple sheets of a material such as paperboard, cardboard, or another similar material may be used. For exemplary purposes, manufacturing with a single sheet of paperboard will be described. First, the paperboard sheet is cut. The cut of the sheet is based partly on the specifications of the items to be packaged, i.e., pharmaceutical drugs pre-packaged in 4×4 solid form blisters, and partly on the blister card manufacturer&#39;s method of achieving child-resistant and senior-friendly standards. In the preferred embodiment, a laminated tear-resistant film, such as a biaxial film, is applied to the back side of the paperboard, opposite the finished/smooth surface for printing. Preferably, the tear-resistant layer is polyester but could be any similar tear-resistant layer of material such as polyester.  
           [0039]    Although a tear-resistant layer is used to prevent the start points of a tear, any break, cut, nick or deformity in the edge of the paperboard can allow for the initiation and continuation of a tear. Specifically, during manufacturing of a child resistant heat seal blister card, it is likely that some portion of the outer edges of the card may have areas of cut, nick, or break which can allow for the initiation of a tear and therefore the propagation of the tear to the product containing blister and eventually to the product itself.  
           [0040]    The blister card package of the present invention is designed to halt the propagation of a tear in the tear resistant material if it occurs. This is accomplished by applying a clean/unbroken cut to the paperboard which fully penetrates the thickness of the biaxial tear resistant film but does not fully penetrate through the paperboard. This eliminates the possibility of tear initiation points by creating a stop-point. In the preferred embodiment, the clean-cut is added to the paperboard approximately ¼ inch inside of all of the cut edges of the card. However, the clean-cut may be placed closer or farther from the outside edge. Therefore, a tear, if it is initiated from the outer edge of the sealed card, is prevented from running through the stop-point cut. Alternatively, a clean-cut may also be placed around each of the individual blister targets, or any place that would halt the continuation of a tear in the paperboard. In the preferred embodiment, the stop-point cut is applied to all perimeters of the card, maintaining the tear resistance of the laminated paperboard. Thus, it is difficult to access the product by tearing the heat seal child resistant blister card from the edges of the card.  
           [0041]    The child-resistant and senior-friendly attributes of the present invention are created by two distinct cuts per blister on the front card and a unique bi-level cut on the rear card. The front card is the portion of the paperboard sheet that will be placed on top of the blisters and the rear card is the portion of the paperboard sheet placed behind the foil backing of the blister segment. One of the two distinct cuts per individual blister on the front card provides an aperture through which the individual blister is placed. The second, adjacent cut, which is preferably a perforated cut, borders the color-coded target area that is pushed to create the pull-tab. The bi-level cut on the rear card includes one perforated cut, which completely penetrates the paperboard, and one cut-score, which partially penetrates the paperboard. In the preferred embodiment of the present invention, the perforated cut comprises an oval that surrounds the blister opening and the specially marked target area associated with the blister. The cut-score is also oval, but slightly smaller than the perforated cut.  
           [0042]    The cut score is located on the interior of the blister card package to facilitate a clean tear of the die-cut portal only when the portal is pressed from the inside of the blister card package, via the front of the package. Therefore, the cut score does not facilitate a clean tear if the user does not follow the directions. For example, it will be very difficult for a child playing with the package to tear the portal from the exterior of the package without using a tool to push the portal through the front of the card. Additionally, the length and size of the cuts and landings (i.e., the intact portions between the cuts that form the portal) can be varied to regulate the difficulty with which the portal is removed.  
           [0043]    Furthermore, using paperboard or some other printable material to create the blister card package allows each individual blister to be labeled with usage instructions. The recommended time and/or day of use of for each blister&#39;s contents can be printed adjacent to each blister. Additionally, blank areas may be provided adjacent to each blister such that a user or administrator may easily write, or otherwise record, information (e.g., when the contents were used, a patient&#39;s blood pressure or temperature, etc.). Furthermore, opening directions may be printed on other areas of the paperboard to allow a user to easily learn how to open the package. In addition to printed instructions, fold lines may be used to segregate the contents into sections.  
           [0044]    Segregation of the blister contents, either by printing or folding, allows different medications to be packaged in a single blister card package while allowing the user to easily distinguish them. Additionally, the sections may be chronologically arranged. For example, each section may include blister contents that are to be removed on the same day. Alternatively, each section may represent a specific week, month, etc. Fold lines may also be used to separate the opening instructions from the blister contents. For example, when the blister card package is unfolded, the instructions describing the push-peel-push method of accessing the blister content may appear to the left side of the fold line and the blister contents may be packaged to the right side of the fold line.  
           [0045]    For all of the aforementioned reasons, the blister card package of the present invention is particularly suited to distribution of pharmaceutical drugs for clinical trials, which require the participants to take specific drugs at specified times and to record the effects of the drugs. Additionally, the present invention allows the drugs contained within the blisters to be labeled such that each drug remains unknown to the participant unless the blister card packaging is torn apart. Since the blister card packaging is returned to the administrator of the clinical trial, the anonymity of the blister card drugs can be verified. Consequently, the integrity of double-blind testing procedures can be maintained while permitting access to drug information in emergency situations.  
           [0046]    It is an object of the present invention to provide packaging that is extremely difficult for young children and mentally impaired adults to open.  
           [0047]    Additionally, it is an object of the present invention to provide packaging that is easily accessible to competent adults and senior citizens including those with impaired physical abilities.  
           [0048]    It is also an object of the present invention to provide child-resistant and senior-friendly packaging that passes federally mandated guidelines.  
           [0049]    Also, it is an object of the present invention to provide packaging that is easily and inexpensively manufactured.  
           [0050]    Further, it is an object of the present invention to provide blister card packaging that allows an individual blister&#39;s contents to be easily and cleanly removed without damage to the blister card package, individual blister contents, or adjacent blister backings.  
           [0051]    Additionally, it is an object of the present invention to provide blister card packaging that allows a blister&#39;s contents to be easily and cleanly removed without degrading the child resistance rating of the packaging of the remaining blisters.  
           [0052]    In addition, it is an object of the present invention to provide blister card packaging that allows instructions to be printed directly on the packaging.  
           [0053]    It is yet another object of the present invention to provide blister card packaging that provides information to the user such as the content of an individual blister.  
           [0054]    Moreover, it is an object of the present invention to provide blister card packaging that organizes the blister contents chronologically, chemically, functionally, etc.  
           [0055]    Furthermore, it is an object of the present invention to prevent a tear in the packaging and to halt the propagation of a tear if it occurs.  
           [0056]    Other objects, features, and characteristics of the present invention, as well as the methods of operation and functions of the related elements of the structure, and the combination of parts and economies of manufacture, will become more apparent upon consideration of the following detailed description with reference to the accompanying drawings, all of which form a part of this specification. 
       
    
    
     SUMMARY OF THE DRAWINGS  
       [0057]    A further understanding of the present invention can be obtained by reference to a preferred embodiment, along with some alternative embodiments, set forth in the illustrations of the accompanying drawings. Although the illustrated embodiments are merely exemplary of systems for carrying out the present invention, both the organization and method of operation of the invention, in general, together with further objectives and advantages thereof, may be more easily understood by reference to the drawings and the following description. The drawings are not intended to limit the scope of this invention, which is set forth with particularity in the claims as appended of as subsequently amended, but merely to clarify and exemplify the invention.  
         [0058]    For a more complete understanding of the present invention, reference is now made to the following drawings in which:  
         [0059]    [0059]FIG. 1A depicts a front plan view of a blister strip for use with the preferred embodiment of the present invention;  
         [0060]    [0060]FIG. 1B depicts a rear plan view of the blister strip of FIG. 1A for use with the preferred embodiment of the present invention;  
         [0061]    [0061]FIG. 1C depicts a side cross-sectional view of the blister strip of FIG. 1A for use with the preferred embodiment of the present invention;  
         [0062]    [0062]FIG. 2A depicts a front plan view of the front card of the blister card package of the preferred embodiment of the present invention;  
         [0063]    [0063]FIG. 2B depicts a rear plan view of the front card of the blister card package of the preferred embodiment of the present invention.  
         [0064]    [0064]FIG. 3A depicts a front plan view of the rear card of the blister card package of the preferred embodiment of the present invention;  
         [0065]    [0065]FIG. 3B depicts a rear plan view of the rear card of the blister card package of the preferred embodiment of the present invention;  
         [0066]    [0066]FIG. 3C depicts a magnified view of the die-cut portal, cut-score, and release coating of the rear card of FIG. 3A.  
         [0067]    [0067]FIG. 4 depicts an exploded side view of the front card and rear card of the blister card package of the preferred embodiment of the present invention and the blister strip prior to assembly in accordance with the preferred embodiment of the present invention;  
         [0068]    [0068]FIG. 5 depicts a side view of the assembled front card, rear card, and blister strip to create a blister card package in accordance with the preferred embodiment of the present invention;  
         [0069]    [0069]FIG. 6A depicts a front plan view of a single sheet of foldable paperboard used to create a blister card package in accordance with the present invention;  
         [0070]    [0070]FIG. 6B depicts a rear plan view of a single sheet of foldable paperboard used to create a blister card package in accordance with the present invention;  
         [0071]    [0071]FIG. 7 depicts a front plan view of the assembled blister card package of FIGS. 5-6B in accordance with the present invention;  
         [0072]    [0072]FIG. 8 depicts a magnified, cross-sectional view of the blister card package of the present invention showing the formation of a pull-tab;  
         [0073]    [0073]FIG. 9 depicts a front plan view of an unfolded blister card package of the preferred embodiment of the present invention having a foldable front cover comprising printed instructions, dosage information, and contents information;  
         [0074]    [0074]FIG. 10 depicts a front plan view of a solid form blister for use with the preferred embodiment of the present invention;  
         [0075]    [0075]FIG. 11 depicts a front plan view of yet another alternative solid form blister for use with the preferred embodiment of the present invention;  
         [0076]    [0076]FIG. 12A depicts a front plan view of an opening tool for use with the preferred embodiment of the present invention; and  
         [0077]    [0077]FIG. 12B depicts a side plan view of an opening tool for use with the preferred embodiment of the present invention. 
     
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS  
       [0078]    As required, detailed illustrative embodiments of the present invention are disclosed herein. However, techniques, systems and operating structures in accordance with the present invention may be embodied in a wide variety of forms and modes, some of which may be quite different from those in the disclosed embodiments. Consequently, the specific structural and functional details disclosed herein are merely representative, yet in that regard, they are deemed to afford the best embodiments for purposes of disclosure and to provide a basis for the claims herein which define the scope of the present invention. The following presents a detailed description of a preferred embodiment (as well as some alternative embodiments) of the present invention.  
         [0079]    [0079]FIG. 1A depicts a front plan view of a blister strip for use with the preferred embodiment of the present invention. Blister strip  100  comprises base  101 , which is preferably constructed from a flexible, semi-rigid plastic. However, base  101  may be constructed from various other materials including, for example, injected mold plastics, thick foil, etc. Blister strip  100  comprises blisters  102 . Blisters  102  are bubble-type portions that are typically manufactured of the same material as base  101 . Blisters  102  protrude from the top of base  101  forming a cavity wherein a product may be stored. FIG. 1A illustrates blisters  102  containing capsules  103 . However, capsules are shown for exemplary purposes only and other types of structures may be utilized in accordance with the present invention including tablets or pills of any shape or size. The blisters  102  of the preferred embodiment of the present invention may contain other forms of pharmaceutical drugs such as pills or tablets, or may contain non-pharmaceutical products such as machinery parts, toy cars, sewing kits, or any other product that may be stored within a blister. Furthermore, blisters  102  may hold a plurality of capsules or other such products.  
         [0080]    Again for exemplary purposes, blister strip  100  is shown as a strip of five individual blisters  102 . However, any number of blisters  102  including blisters capable of holding multiple capsules, etc., in blister strip  100  may be used with the present invention. Moreover, blisters  102  may be arranged in a two-dimensional matrix, commonly referred to as a “solid form blister”, as depicted in FIGS. 9 and 10. Furthermore, the blisters may be independently or irregularly arranged. Also, information regarding the contents of the blisters may be printed on blister strip  100  at any location to ensure subsequent identification. However, when blister strips are used to distribute pharmaceutical drugs for clinical trials, the identity of the blister contents may be withheld from the clinical trial participant, therefore, any identification information must be printed on blister strip  100  in a location that will be concealed when the blister strip  100  is placed within a blister card package. Also, the present invention may utilize cold-form blisters, or blisters that are formed from two sheets of foil such that a first sheet forms one or more blisters and a second sheet forms the seals.  
         [0081]    Turning to FIG. 1B, depicted is a rear plan view of blister strip  100 , which illustrates backing  105 , portions of which act as seals  104  for sealing the openings of corresponding blisters  102 . Backing  105  is preferably constructed from aluminum foil. However, other types of foil or other materials such as paper and plastic may be used. Additionally, backing  105  may comprise perforations or cut-scores surrounding the portion of the backing that coincides with the perimeter of the blister opening, i.e., seal  104 . The perforations or cut-scores may be designed to assist the user in penetrating the portion of backing  105  that acts as seals  104 .  
         [0082]    [0082]FIG. 1C depicts a side view of blister strip  100 . A user can easily remove any capsule  103  from its corresponding blister  102  by pushing downward (with respect to the horizontal plane) on blister  102  such that capsule  103  ruptures or displaces corresponding seal  104 . Preferably, seals  104  of blister strip  100  are frangible to prevent damage to capsule  103  or other content of blister  102  when the content is pushed through the frangible layer. Blisters  102  are preferably constructed from a tear and puncture resistant, durable, flexible, semi-rigid material, thus allowing the user to push on blister  102  forcing capsule  103  through seal  104  while preventing breakage of capsule  103 . Further, blisters  102  may be formed as indentations in base  101  or may be constructed from a different material that is adhered to base  101 .  
         [0083]    As shown in FIGS. 2A, 2B,  3 A, and  3 B, the blister card package of the preferred embodiment of the present invention is constructed from front card  201  and rear card  301 .  
         [0084]    Front card  201  of FIG. 2A comprises a series of oval apertures  202 . Oval apertures  202  are configured to match the size of blisters  102  (FIG. 1A), which are placed through oval apertures  202 .  
         [0085]    In the preferred embodiment of the present invention, the paperboard used to create front card  201  has one side that is laminated and pre-coated with a heat-activated adhesive. Purchasing paperboard with pre-applied adhesive reduces the cost of manufacturing. The paperboard of front card  201  is configured such that the rear of front card  201  is coated with the adhesive. Although the preferred embodiment of the present invention uses an adhesive activated by heat, an adhesive activated by some other means may also be used. Alternatively, front card  201  can be fabricated without adhesive, whereupon adhesive is applied during the assembly process, or a method other than adhesion may be utilized to assemble the blister card package.  
         [0086]    For exemplary purposes, front card  201  comprises 15 oval apertures  202  forming a matrix comprising 3 columns and 5 rows. However, any configuration is possible without departing from the spirit of the present invention. In fact, the present invention may utilize irregular arrangements. Individual panels  203  are shown to the left of each oval aperture  202  and, preferably, panels  203  have a semicircular shape formed by perforated cuts. Alternatively a semicircular aperture may be cut into front card  201 , but perforated cuts are generally preferred because the need to remove the “cut-out” material is eliminated. Nevertheless, the shape and position may vary without departing from the spirit of the present invention.  
         [0087]    An exposed rear view of front card  201  is depicted in FIG. 2B. In the preferred embodiment, the rear side of front card  201  is laminated with a biaxial tear resistant plastic film  204 , such as polyester, which is commonly used in paperboard manufacturing. However, any type of tear-resistant material such as polyethylene or polypropylene may be used to create a biaxial film. Alternatively, either side of the paperboard may be all or partially laminated. The laminated material increases the level of child resistance by making the paperboard highly resistant to tears. Furthermore, a clean partial perforation is cut approximately one quarter inch inside all of the cut edges of the card forming stop-point cut  205 . The clean-cut fully penetrates the thickness of biaxial tear resistant film  204  but does not fully penetrate through the paperboard. Therefore, if a tear is initiated from the outer edge of the sealed card, the tear will not readily continue and run through stop-point cut  205 . As shown, stop-point cut  205  is applied to all perimeters of the card. The stop-point cut may be placed at any distance from the outer edge of the paperboard.  
         [0088]    Front and rear views of rear card  301  are illustrated in FIGS. 3A and 3B, respectively. For the preferred embodiment of the present invention, rear card  301  is fabricated from paperboard purchased with a heat-activated adhesive pre-applied to one side of the paperboard, again, to reduce the cost of manufacturing. The paperboard of rear card  301  is positioned such that the front of rear card  301  contains adhesive and the rear of rear card  301  does not. As described above for front card  201 , an adhesive activated by some means other than heat may also be used. Alternatively, the rear card  301  can be fabricated without adhesive and adhesive may either be applied during the assembly process or a method other than adhesion may be utilized to assemble the blister card package. In the preferred embodiment, the front of rear card  301  is laminated with a biaxial tear resistant plastic film  306  comprised of polyester or other comparable plastics such as polyethylene or polypropylene. After assembly, the front of rear-card  301  will be hidden. Stop-point cut  306  is added to rear card  301  in the manner described with respect to front card  201 . Stop point cut  306  is placed one-quarter inch from the outer edge and is only visible from the front view of rear card  301  depicted in FIG. 3A. Thus, in this embodiment, the clean-cut is not exposed once the package is assembled.  
         [0089]    Rear card  301  comprises perforated cuts  302  forming panels  303  that can be seen from both the front and rear of rear card  301 . However, release coatings  304  and cut-scores  305  may only be seen from the front of rear card  301  as depicted in FIG. 3A. Cut-scores  305  are shown concentrically located within perforated cuts  302 , however, depending on the material of rear card  301  and/or release coatings  304 , implementing perforated cuts  302  concentrically within cut-scores  305  is preferable. Additionally, the same type of cut could be used for both the inner and outer cuts. Any combination or quantity of cut types and locations may be used without departing from the spirit of the invention.  
         [0090]    Cut-scores  305  are only visible from the front of rear card  301  because they do not penetrate the entire thickness of rear card  301 . Rather, cut-scores  305  fully penetrate release coatings  304  and partially penetrate rear card  301 . In contrast, panels  303  are cut throughout rear card  301  such that each panel  303  encircles its corresponding oval aperture  202  and semicircular panel  203  (FIGS. 2A and 2B) when the blister card packaging is fully assembled. The degree of perforation used to cut perforated cuts  302  may be altered to vary the force necessary to remove panel  303 .  
         [0091]    Without release coatings  304  and cut-scores  305 , panels  303  are not likely to tear cleanly. The effect is similar to that observed when trying to tear a paper sticker from a surface. Often the paper separates into layers such that a top layer is torn from the sticker and a bottom layer remains adhered to the surface. Without release coatings  304  and cut-scores  305 , the same result may occur when removing panels  303 . Panels  303  may separate into layers such that one layer is removed and another layer remains attached to rear card  301  or seals  104  (FIG. 3A). This can cause difficulties when a user attempts to push capsules  103  through seals  104  (FIG. 1C). A user may not have sufficient strength to break though the remaining layer of paperboard, or, if the user applies additional force, the force required may damage capsules  103 .  
         [0092]    Release coatings  304  and cut-scores  305  ensure a clean removal of panel  303 . The preferred embodiment of the present invention comprises a release coating  304  formed from a mixture of wax and Teflon®, however, other materials having similar properties may be used including other fluoropolymers such as PTFE, KF Polymer®, Excalibur®, Xylan®, etc. Since the entire front of rear card  301  is coated with adhesive, release coatings  304  are applied to prevent panels  303  from adhering to seals  104  (FIG. 1B) during the adhesion process. Preventing this adhesion allows panels  303  to be cleanly removed while maintaining the low cost of manufacturing by allowing the paperboard to be purchased with pre-coated adhesive. Additionally, release coatings  304  may be colored to clearly indicate their presence or to help users, especially those with poor eyesight, locate semicircular panels  203  (FIGS. 2A and 2B).  
         [0093]    Although the preferred embodiment of the present invention uses release coatings  304 , it is also possible to construct the blister card package of the present invention without release coatings  304 . Instead, paperboard can be purchased without pre-applied adhesive and the adhesive can be stamped onto the paperboard with a printing press such that adhesive is not applied to the areas slightly larger than the perimeters of panels  303 .  
         [0094]    In the preferred embodiment of the present invention, release coatings  304  operate in conjunction with cut-scores  305 , as depicted in FIG. 3C, to ensure a clean tear of panels  303 . After a user partially removes panels  303  by pressing a tool through semicircular panels  203 , panels  303  can be easily torn because panels  303  do not stick to seals  104  (FIG. 1B) and the tears follow the path of least resistance, i.e., cut-scores  305 . Since release coatings  304  and cut-scores  305  are located internal to the blister card package and are not accessible from the exterior of the package, these two features assist in the clean tear of panels  303  only after panels  303  have been pushed with a tool, thereby maintaining the child-resistance of the blister card package.  
         [0095]    The perforated cuts  302  and cut-scores  305  of the preferred embodiment of the present invention are die-cut. Moreover, perforations  302  and cut-scores  305  can be manufactured in a single step utilizing a combination of special die-cut knives. A first oval-shaped blade of the knife preferably has nicks (or a square saw tooth shaped edge) such that the blade creates perforations when pressed into rear card  301 . A second oval-shaped blade is preferably recessed such that it only cuts partially through rear card  301 , thereby forming cut-scores  305 . Although cut-scores  305  do not extend through rear card  301 , the use of a specially manufactured bi-level die, or positioning two die cutting knives at different levels, allows the rear card to be cut in one step, thereby reducing the cost of manufacturing.  
         [0096]    [0096]FIG. 4 depicts an exploded side view of front card  201 , three blister strips  100 , and rear card  301  prior to assembly. Blisters  102  are aligned with oval panels  203  (FIGS. 2A and 2B) and panels  303  (FIG. 3B) of front card  201  and rear card  301 , respectively.  
         [0097]    Shown in FIG. 5 is a side view of front card  201 , three blister strips  100 , and rear card  301  after assembly. Blisters  102  protrude through oval apertures  202  of front card  201  (FIGS. 2A and 2B) such that they may be seen and manipulated by a user. Front card  201  is juxtaposed against rear card  301  such that bases  101  and seals  104  of blister strips  100  are encased between front card  201  and rear card  301 . To secure the assembly, front card  201  and rear card  301  are preferably sealed to each other via application of heat and pressure. Preferably, portions of front card  201  and rear card  301  adhere to each other between blister strips  100 .  
         [0098]    To ensure proper operability of the blister card package, seals  104  of blister strips  100  (FIG. 1B) are preferably not heat sealed to panels  303  of rear card  301  (FIGS. 3A and 3B). Thus, seals  104  do not tear when panels  303  are removed. Additionally, a portion of panels  303  will not separate and remain attached to seal  104 . Various manufacturing methods may be utilized to prevent adhesion of seals  104  to panels  303 . One method is to avoid application of heat-activated adhesive to panels  303  or seals  104 . For instance, adhesive may be applied only to front card  201  after oval apertures  202  and semicircular panels  203  are cut. Alternatively, the heat-activated adhesive may be applied to the entire front surface of rear card  301 , and a specially designed heat-sealing plate having voids that correspond to panels  303  and seals  104  may be used to activate the adhesive only in desired areas. In the preferred embodiment of the present invention, release coatings  304  are applied to rear card  301  as shown in FIG. 3A and discussed above, thereby preventing adhesion of panels  303  to seals  104 .  
         [0099]    Front card  201  and rear card  301  are of sufficient size to be adhered around blister strips  100  (FIG. 1A) and to ensure child-resistance and durability. Although heat sealing is used for the preferred embodiment of the present invention, various other adhesion techniques may be applied such as pressure sealing, RF sealing, dielectric sealing, ultrasonic sealing, etc. The present invention functions equally well with adhesives that do not require heat or pressure.  
         [0100]    In an alternative embodiment, front card  201  and rear card  301  can be constructed from a single sheet of foldable paperboard. Consequently, the sheet can be folded and blister strips  100  inserted therein to assemble the blister card package. Although paperboard is preferred, various other materials may be used without departing from the scope of the present invention.  
         [0101]    [0101]FIG. 6A depicts a front view of a single foldable paperboard sheet used to create a blister card package. When folded, left flap  601  will become the front card and right flap  602  will become the rear card. When folded together, holes  603  will line up with dotted ovals  604 . Once the sheet is folded, blister strips  100  are inserted therein. Instructions or any other printed information or illustrations is applied to the front side of paperboard.  
         [0102]    [0102]FIG. 6B depicts a rear view of a single foldable paperboard sheet used to create a blister card package. The rear view shows biaxial tear resistant film  605  which covers the entire rear side of the paperboard. Additionally, stop-point cut  606  forms a perimeter around the left and right flaps of the paperboard. This clean-cut penetrates the lamination but does not fully penetrate through the paperboard. Thus, stop-point cut  606  is only visible from the rear view. In the preferred embodiment, stop-point cut  606  is located one-quarter inch from the outer edge of the paperboard and extends along the entire perimeter. Biaxial tear resistant film  605  makes the paperboard durable and difficult to tear, break or cut. However, if a tear were to occur, such as during manufacturing, shipping, or customer storage, stop-point cut  606  prevents the tear from continuing to damage the rest of the paperboard. Thus, stop-point cut  606  prevents failure of the child-resistant properties of the packaging. To create the blister card package of the present invention, the sheet of paperboard is folded together along crease  607  and the two sides are heat-sealed together with blister strip  100  placed in between.  
         [0103]    [0103]FIG. 7 depicts a front view of the assembled blister card package illustrated in FIGS. 5A-6B. Blisters  102  protrude through oval apertures  202 . The rear view of this embodiment is identical to the rear view of rear card  301  as depicted in FIG. 3B. Thus, the laminated sides of the paperboard and hence the stop-point cuts are not visible. When the contents of blisters  102  need to be hidden, i.e., in a “double-blind” clinical trial, content information can be printed on base  101  of blister strip  100  of FIG. 1. As illustrated by FIG. 7, the content information printed on base  101  is hidden by front card  201  or rear card  301 . Yet, in emergency situations, content information can be obtained by cutting or tearing apart the blister card package.  
         [0104]    [0104]FIG. 8 depicts a side, cross-sectional view of the area proximal to each individual blister  102 . When a user pushes downward (with respect to the horizontal plane) through semicircular panels  203  against panel  303 , pull-tab  801  is created. The user may then pull pull-tab  801  to remove panel  303  along perforations  302  and expose seal  104 . Once seal  104  is uncovered, flexible blister  102  may be pressed to force capsule  103  through seal  104 . Importantly, the present invention is designed such that capsule  103  cannot be easily pressed through seal  104  and panel  303  when panel  303  is intact with rear card  301 . This aspect of the present invention helps achieve the federally mandated child resistance rating.  
         [0105]    Ultimately, the present invention requires the user to perform a three-step, push-peel-push process that is cognitively challenging to children and mentally impaired adults, yet simple enough for competent individuals to understand, especially after reading the instructions. The steps can be summarized as follows: 1) Push a tool or fingernail through semicircular panels  203  to create pull tab  801 ; 2) Peel panel  303  away using pull tab  801 ; and 3) Push capsule  103  through seal  104 .  
         [0106]    Advantageously, paperboard can be easily printed on. Therefore, instructions and/or dosage information may be printed directly on the packaging. This not only prevents such information from getting lost, but also is convenient, especially for senior citizens who may be suffering from diminished cognitive skills. The method of manufacturing the preferred embodiment of the present invention includes a single step for applying release coatings  304  (of FIG. 3A) and printed information, thus minimizing the cost of manufacturing. In the preferred embodiment, the printing occurs opposite the laminated side of the paperboard. Moreover, front card  201 , rear card  301 , or both, may be extended in one or more directions to provide additional area for printed information. Another advantage of paperboard is that it is easily written on, allowing a blister card package user to record information such as when medication was administered or side effects felt after taking the medication. In an alternative embodiment, one sheet of paperboard may be folded to create a front card, rear card and extended side.  
         [0107]    The preferred embodiment of the present invention is shown in FIG. 9 with the front card  901  extended in the leftward direction. The rear card  303  (FIGS. 3A and 3B) may also be extended in this direction. Fold lines  902  are implemented such that the extended section, left flap  903 , easily folds over front card  901 . Front card  904  appears virtually identical to the embodiment of FIG. 7, except for the addition of printed information  905  and printed lines  906  adjacent to semicircular panels  203 .  
         [0108]    Printed information  905  may indicate dosage number, pill type, or any other relevant information. Alternatively, printed lines  906  may be printed or blank area  907  may be left to allow the user to record information. Left flap  903  comprises printed instructions  908  reading, “1. Push on half circle. 2. Peel back tab to expose foil. 3. Push on blister to dispense.” Additional product information  909  may also be printed on left flap  903 . The embodiment of FIG. 9 may be folded and placed into a casing comprising paperboard, or any other material, to protect the packaging and to prevent accidental and annoying unfolding. In a further alternative embodiment, left flap  903  may also comprise blisters similar to right flap  904 . Left flap  903  and rear card  301  (FIGS. 3A and 3B) may also be extended, folded, printed on, or constructed to hold materials to achieve the desired functionality without departing from the spirit of the invention.  
         [0109]    Although the present invention has been shown encasing blister strips  100 , as illustrated in FIG. 1, solid form blisters  1000 , depicted in FIG. 10, may also be encased. Solid form blister  1000  comprises a two-dimensional matrix of blisters  1002  connected to base  1001  and containing capsules  1004 . Since solid form blister base  1001  may interfere with the formation of a pull-tab (i.e., base  1001  could block a user from pressing through the target area of the front card to create a pull-tab), semicircular apertures  1003  are formed in the solid form blister base  1001  adjacent to blisters  1002 . Semicircular apertures  1003  are located to align with semicircular panels  203  of the front card  201  (FIG. 2). Preferably, semicircular apertures  1003  are die-cut. As with blister strips  100 , the openings of blisters  1002  are enclosed with seals (not shown) similar to seals  104  of FIG. 1B. Therefore, solid form blister  1000  can be encased between a front and rear card in the same manner described in the aforementioned embodiments of the present invention.  
         [0110]    Alternative solid form blister  1100  also prevents interference with formation of a pull-tab. Blisters  1102  and capsules  1103  are similar to those in FIG. 10. However, in lieu of semicircular apertures  1003  (FIG. 10), base  1101  comprises flexible flaps  1104  formed by semicircular cuts  1105 . Thus, a user may push through flap  1104  to create a pull-tab. Semicircular cuts  1105  are preferably die-cut and may be a cut-score or perforated cut that penetrates the entire thickness of base  1103 .  
         [0111]    A solid form blister may be preferable when an entire blister card package will hold a single medication or object. In contrast, blister card packages intended to hold more than one medication or object may be more easily packaged with blister strips because each blister strip can hold a different medication or object. Furthermore, more than one blister strip (each holding a different medication or object) can be fitted into a single row or column of a blister card package.  
         [0112]    Depending on the configuration, the blister card packages of the present invention may be difficult to open by users suffering from diminished physical abilities. In particular, arthritic users may experience difficulties pushing through a blister card to create a pull-tab. Therefore, the blister card packaging may include opening tool  1200  depicted from the front and the side in FIGS. 12A and 12B, respectively. Opening tool  1200  comprises handle  1201  and protruding member  1202 . To prevent misplacement, clip  1203  may be included to attach opening tool  1200  to a blister card package. A user may hold opening tool  1200  by handle  1201  and force protruding member  1202  through a semicircular aperture of a front card to create a pull-tab. Notably, handle  1201  is relatively wide in one dimension for two reasons: 1) to allow easy grasping by arthritic users; and 2) to prevent accidental choking, especially by children. Handle  1201  is thin when viewed from the side, as shown in FIG. 11B. This slim design allows the opening tool  1200  to be compatible with and packaged with a blister card package.  
         [0113]    While the present invention has been described with reference to one or more preferred embodiments, which embodiments have been set forth in considerable detail for the purposes of making a complete disclosure of the invention, such embodiments are merely exemplary and are not intended to be limiting or represent an exhaustive enumeration of all aspects of the invention. The scope of the invention, therefore, shall be defined solely by the following claims. Further, it will be apparent to those of skill in the art that numerous changes may be made in such details without departing from the spirit and the principles of the invention.