LANCET

Abstract: A disposable lancet assembly is provided, including a housing serving as a lancet-holder guide, a lancet holder body reciprocable in the housing guide, and a flat-bladed lancet mounted in one end of the lancet holder body. Included in the invention are integral strategically positioned abutments which serve dual functions providing snap-action drive for the lancet, together with steps for lancet movement control. The simple coil spring provides damping of the lancet drive in the puncture direction with automatic withdrawal of the lancet into the housing.

Description: This invention relates to the invention described in EP-A-0172324 which is a document falling under Article 54(3)EPC and which is hereby incorporated by reference in its entirety. The present invention relates to a lancet assembly, and more particularly to such an assembly which provides automatic retractable lancet movement, utilizing resilient means incorporated into the assembly having the dual function of damping the lancet drive movement, together with providing the automatic retraction of the lancet once the puncture is made. Sharp-pointed lancets have been employed for many years to make a quick puncture or penetration of a patient's skin in order to provide a small outflow of blood. Various tests may be employed with only a small amount of blood so that the blood flowing from a finger prick is normally sufficient to carry out a substantial number of tests. However, due to the sensitive nerve endings in the fingertip area, this procedure sometimes induces a significant amount of pain in the patient, even though the skin puncture produces minimal cutting. Moreover, as will be understood, many people are freightened by the appearance of a blade or skin puncturing apparatus of any kind wherein the cutting portion is available for them to see prior to the puncture. In order to minimize potential pain, as well as reduce apprehension in a patient, it is desirable to make the thrust of the lancet through the patient's skin rapidly and to provide a rapid withdrawal and shielding of the lancet blade itself. Other problems involved with such procedures include contamination of the technician in the procedures involved in taking the blood sample. That is, the patient may have some disease, and if the lancet blade which has carried out the puncture action should prick the skin of a technician subsequent to the initial puncture, the technician and/or nurse and/or doctor involved may be exposed to contamination. Thus, it is important to have automatic retraction of the blade immediately after puncture so that the blade is not exposed for an accidental puncture of someone else's skin. A lancet assembly having the features of the precharacterizing part of claim 1 is known from GB-A-2 074 453. The known lancet assembly has a hollow lancet body with a channel extending therethrough. The channel has at its proximal end a constriction for cooperating with a ridge surrounding the lancet body that is movable within the channel. When an increased pressure of the operator's thumb acts on the actuating means, the ridge of the lancet body snaps past the constriction of the channel of the housing so that the lancet body is accelerated toward the patient's skin. This motion of the lancet body is stopped by the actuating means abutting against the distal end of the housing. When the lancet assembly has been used once, the blade of the lancet body may still protrude out of the housing so that an accidental puncture of other persons is not securely prohibited. US-A-4 375 815 discloses a lancet assembly wherein a helical spring is provided between the front part of the housing and the head of the lancet body. A movable sleeve is provided on the housing for urging the lancet body towards the patient. The sleeve has resilient feet adapted to snap over the head of the lancet body. When the operator moves the sleeve downwardly toward the distal end of the housing, the spring is compressed while the lancet point pierces into the patient's skin. Thereafter, the feet of the sleeve snap over the point of the lancet body so that the spring is released and the lancet body is thrown by the spring backwardly within the housing. When such a lancet assembly has been used once, the lancet point remains always within the housing. It is the object of the present invention to provide a lancet assembly which is comparatively inexpensive to produce, which is of single use, and which provides a lancet blade withdrawal into the lancet housing so that a contaminated blade is not exposed to contaminate someone's skin in an accidental puncture. This object is solved, according to the invention, with a lancet assembly having the features of claim 1. With this invention, an improved automatic retractable throw-away lancet assembly is provided which is relatively simple of construction and easily moldable into two pieces of plastic material. Nevertheless, this simple construction provides, through the utilization of two annular abutments on a lancet holder body assembly cooperating with a single annular integral abutment on a lancet holder guide, a snap action drive for the lancet to rapidly drive the lancet for the puncture action, with an automatic retraction of the lancet once the puncture has been completed. Moreover, a single, conventional coil spring is utilized which first provides a damping of the lancet drive, once the cooperating abutments provide the snap action, and, secondly, provides automatic retraction of the lancet. In accordance with principles of the present invention, the desired functions are achieved by virtue of a very simplified three-piece structure including a lancet holder guide comprised of a simple elongated piece of semi-rigid material such as a plastic formed into an elongated body having a passage therethrough. Movable in the passage is an elongated lancet holder assembly arranged to have an integral activation handle at one end thereof, and an arrangement for connection of a lancet on the opposite end. The lancet holder body assembly includes two spaced integral ridges around the perimeter thereof forming abutments. A simple coil spring is mounted between the lancet holder guide and the lancet holder assembly itself. The abutments cooperate with a single integral abutment around the internal perimeter of the lancet holder guide or housing for holding the two parts together prior to use, for providing the snap action in the drive of the lancet to provide the desired puncture, and for providing a stop in both directions of movement of the lancet holder. ,These two molded pieces together with the spring and the actual lancet blade provide an appropriate and accurate skin puncture for obtaining the desired quantity of blood for carrying out appropriate tests. Moreover, the arrangement Is much that it may be immediately discarded without any danger of contamination by subsequent puncture of those who may handle the used lancet assembly. Nevertheless, even though the structure provides the several desired functions of a modern lancet in use, it is easily manufactured by conventional molding procedures. Other objects and advantages of this Invention will be apparent from the following description, the accompanying drawings and the appended claims. Description of the Drawings Fig. 1 is a longitudinal sectional view of the lancet assembly of the invention in a "prior to use" position; Fig. 2 is a view of the lancet assembly of Fig. 1 in the position at the moment of puncture; Fig. 3 is a partial longitudinal side view of lancet holder of the assembly of Fig. 1; Fig. 4 is a top plan view of the assembly of Fig. 1; and Fig. 5 is a bottom plan view of the lancet holder of Fig. 3. Detailed Description of the Invention Referring to the drawings in which like reference characters refer to like parts throughout the several views thereof, Fig. 1 shows a longitudinal sectional view of the lancet assembly 10 of the invention, and includes lancet holder guide housing 12 and lancet holder body assembly 16 reciprocable therein. Lancet holder guide housing 12 includes an elongated lower portion 13 and a wider handle portion 14. Top 18 of lancet holder body 16 serves as the "push-button" for activating the puncture drive motion of the assembly. Fig. 2 is a view of the assembly of Fig. 1 at the end of the puncture movement. Referring now to Fig. 3, a partial sectional side view of lancet or blade holder 16 is shown. As can be seen in Fig. 3, the elongated lancet holder body assembly 16 includes lancet holder 26 positioned at the opposite end thereof from the integral push-button top 18. Lancet holder 26 holds lancet blade 30 therein. As can be seen from a comparison of Figs. 1 and 3, blade 30 is a flat wedge-shaped blade for providing a comparatively elongated puncture wound. Lancet holder 26 includes a flat end edge 28 (Fig. 1), which extends beyond the end 32 of housing 12, (as shown in Fig. 2) in order to engage the skin surface and flatten it during the puncture motion. Lancet holder body 16 includes, as will be seen in Figs. 1 and 2, spaced integral abutments 36, 38 or ridges around the perimeter thereof. Abutment 36 cooperates with an internally extending integral abutment 40 on housing 12 at the upper end thereof. Abutment 40 defines the upper end of passage 44 in housing 12 through which lancet holder body 16 reciprocates. Included in passage 44 is a wider portion 46 defining an area 52 in which abutments 36, 38 reciprocate. Area 52 defines the area of movement of coil spring 34 as well. Coil spring 34 extends from abutment 36 to ledge 42 defined by the narrow 44 and wide 46 portions of the passage through which blade holder assembly 16 reciprocates. Thus, in the initial assembly of the lancet of the invention, lancet holder body housing 16 is pushed into the elongated passage 44 in housing 12. In doing so, abutment 36 is pressed past abutment 40. With this arrangement, housing 16 is prevented from slipping out of housing 12 because abutment 36 engages abutment or stop 40, and prevents such disassembly. Thus, in the position shown in Fig. 1, the lancet assembly of the invention is in a position prior to the puncture movement. In this position, the lower end of blade 30 is positioned inside opening 32 of housing 12. Also in this position, annular abutment 38 is positioned above (as shown in Fig. 1) cooperating abutment 40. Thus, the user places end 32 of housing 12 in position on the area to be punctured by the lancet. Thereafter, the user pushes the push-button top 18 and forces abutment 38 past abutment 40. This causes a snap action thrust forward which in turn causes blade 32 to engage and puncture the skin surface. During the course of this movement, coil spring 34 is compressed between abutment 36 and ledge 42, as shown in Fig. 2. The effort taken in compressing spring 34 dampens the forward thrust, once the snap action takes place. For this reason, there is no harsh impact of the lower end 28 of lancet holder 26 during the puncture movement. This damping, therefore, minimizes the effect upon a patient during the entire procedure. During forward movement, top 18 engages handle 14 which limits the extent of forward movement of body assembly 16, and which in turn defines and controls the depth of puncture. In Fig. 3, in an end view of assembly 16, the flat configuration of blade 30 is clearly shown, mounted on holder 26. After skin puncture, coil spring 34 reacts from its compressed position as shown in Fig. 2 and moves to a relaxed state, to a position substantially as shown in Fig. 1. However, abutment 38 engages the bottom of abutment 40. In the return direction of movement of body assembly 16 in passage 46, abutment 40 serves as a stop for abutment 38. The relaxing of spring 34 and the return to the position with abutment 38 engaging the bottom surface of abutment 40 also causes, automatically, the retraction of blade 30 through opening 32 to a non-exposed position. Fig. 4 shows a top plan view of the device of Figs. 1 and 2, and the configuration of push button 18 and the cooperating figure grips or handle 14 on housing 12. Fig. 5 shows a bottom plan view of lancet holder assembly 16, flat blade 30 and lancet holder 26. As can be seen in Figs. 4 and 5, the flat side of blade 30 is oriented with and in alignment with the rectangular orientation of top or push-button 18. That is, the plane of the long side of push-button 18 is parallel to the plane in which blade 30 is positioned. This allows the user to place the device so that the blade is properly oriented during the puncture movement. Thus, as will be appreciated from the above, there is provided in accordance with this invention, a retractable throw away lancet assembly which is relatively inexpensive and uncomplicated in its construction, but which, nevertheless, provides a structure for imparting a precise drive and puncture with a precise withdrawal of the lancet in one rapid operation of the assembly. The assembly is comprised of two moldable parts which can be mass produced, as will be understood, from a variety of materials including, for example, polyethylene and polypropylene. Materials should be selected which will provide a degree of resiliency for the purpose of providing cooperative movement relative to the cooperating abutments of the assembly. While the forms of apparatus herein described constitute preferred embodiments of the invention, it is to be understood that the invention is not limited to these precise forms of apparatus, and that changes may be made therein without departing from the scope of the invention which is defined in the appended claims. For example, whereas one form of spring arrangement is shown for the multi-purpose resiliency required in the arrangement herein, it should be understood that other configurations of integral spring or resilient force may be utilized. Moreover, as stated above, the assembly may be arranged to have a different configuration in cross section. The assembly may be, for example, square or rectangular.

Claims: A lancet assembly comprising, an elongated housing (12); a passage (44) extending through said housing with a lancet opening (32) at one end thereof; an elongated lancet body (16) reciprocable in said passage; a lancet blade (30) positioned in said lancet body (16) at one end thereof; actuating means (18) on said lancet body (16) at the end thereof opposite said lancet blade (30); a first integral abutment means (40) on said housing (12) and extending into said passage (44); a second integral abutment means (38) on said body for cooperating with said first abutment means (40); whereby pushing said actuating means (18) causes said lancet body (16) to move through said passage (44) in a first direction causing said second abutment means (38) to move past said first abutment means (40) causing a snap-action in a puncture direction and in turn causing said lancet blade (30) to move through said lancet opening (32); said first movement being stopped by cooperation of said actuating means (18) with said housing (12); characterized in that , a resilient means (34) extends between said lancet body (16) and said housing, another first abutment means (42) is provided within said housing for supporting said resilient means (34), another second abutment means (36) is provided on said lancet body (16) for engagement with said resilient means (34) and for cooperating with said first abutment means (40) for preventing the lancet body (16) from slipping out of said housing (12) prior to the use of said lancet assembly, said resilient means (34) being axially compressed between said other first abutment means (42) and said other second abutment means (36) when said second abutment means (38) snaps past said first abutment means (40) during said first movement, so that said resilient means (34) dampens said snap action, and release of said actuating means (18) causing relaxation of said resilient means (34) and movement of said body (16) in said passage (44) in a non-puncture direction until engagement of said second abutment means (38) with said first abutment means (40). The lancet assembly of claim 1, further characterized by said first abutment means (40) comprising an abutment extending into said passage (44) around the perimeter thereof and at the end of said passage opposite said lancet opening (32); and said other first abutment means (42) comprising a ledge formed by the intersection of said passage (44) with an enlarged portion (46) thereof, said ledge extending around the perimeter of said passage (44); and said second and said other second spaced abutments (36,38) being integral with said elongated lancet body (16) and extending around the perimeter thereof. The lancet assembly of claim 1 or 2, further characterized by said resilient means (34) being a coil spring extending around said body (16) between one (40) of said first abutment means and one (36) of said second abutment means. The lancet assembly of one of claims 1-3, further characterized by a lancet blade holder (26) integral with said lancet body (16) on the end of said lancet body opposite said actuating means (18); and said lancet blade holder being adapted for mounting said lancet blade (30). The lancet assembly of one of claims 1-4, further characterized by said housing (12) and body (16) being circular in cross section. The lancet assembly of one of claims 1-5, further characterized by said housing (12) and said body (16) being comprised of a resilient plastic material. The lancet assembly of one of claims 1-6, further characterized by said lancet blade (30) is a flat wedge-shaped blade; said actuating means (18) is a rectangular shaped push-button; and the long side of said push-button is positioned in a plane parallel to the plane in which said wedge-shaped blade (30) is positioned. The lancet assembly of one of claims 1-7, characterized in that said resilient means (34) and said other second abutment means (36) are comprised in a wider portion (46) of said passage (44), said wider portion being comprised in said housing (12) adjacent said first abutment means (40).

Inventors: BURNS, JAMES A.
Applicants: BECTON, DICKINSON AND COMPANY
Application year: 1986
Main classification: A61B5
IPC codes: A61B5