MEDICAL BRANCH TUBE OPENABLE UPON FRACTURE

Abstract: The tube consists of a tube body having an opening. A cover is fitted over the opening. The tube body is made of a hard resin and has a substantially annular thin brittle portion near the opening. The cover is made of a soft resin, closes the opening and is fitted over the tube body in a sealed state. The tube is openable upon fracture.

Description: BACKGROUND OF THE INVENTION Field of the Invention This invention relates to a tube assembly with a breakaway plug means. More particularly, it relates to a tube assembly having a breakaway plug means which is unlikely to be ruptured or contaminated before use, but readily broken away on use. Discussion of Prior Art In some branch tubes such as four-way branch tubes for use in combination with blood collection bags, all the branches are not used at the same time, but they are used one by one in successive steps. To prevent the flow path from being contaminated from a branch which is not in use, the branch not in use should be completely sealed with a plug or a suitable closure. Upon use of the branch which has been sealed with the plug, it is necessary that the plug be readily broken and removed to open the associated branch to allow for connection to another member such as a tube having a puncture needle. Known in the art is a four-way branch tube with a click cap. The click cap is used as the plug that covers the opening of a branch of the branch tube. The branch can be opened simply by breaking or tearing off the click cap. One example of the prior art click caps is illustrated in FIG. 5. A tubular body 1' has an open end 4'. A plug 2' having a frangible portion 15' is mounted on and secured to the open end portion. The plug 2' is covered with a protector 40 if desired. On use, the protector 40 or the plug 2' is manually grasped and twisted to break away or twist off the plug 2' at the frangible portion 15'. Then the tubular body 1' is ready for connection with another tubular member. The plug is generally secured to the tubular body by a blocking bond by utilizing the heat available during autoclave sterilization, and not by an adhesive bond. To this end, the plug is formed of relatively flexible material liable to blocking such as polyvinyl chloride (PVC). The prior art tube assembly has the likelihood that it can be fractured when an external stress is accidentally applied during manufacturing or transportation or even contaminated at the fractured portion. This is particularly true when the plug is not covered with the protector. The plug formed of relatively flexible material has another problem when it is desired to twist off the plug. Click fracture of the plug is difficult because the plug as a whole is softly deformed. Even when the plug 2' is covered with the protector 40 of rigid resin such as polypropylene to prevent accidental rupture by an external stress as shown in FIG. 5, the problem that the plug 2' itself is deformed to prevent click rupture remains unsolved. Since the plug 2' and the protector 40 are separately molded and then engaged, the use of the protector adds to the manufacturing process and makes the process complicated, increasing the cost. Document CH-A-635 245 discloses a connecting tube for use with peritoneal dialysis made of a tubular body having an extension with a proximal portion and a distal portion, the latter being provided with an open end. A substantially frangible portion is provided between the proximal and the distal portions at a predetermined position in proximity to the open end. A plug is inserted in closely sealing fit into the tubular body for closing the open end. The length of the plug is shorter than the distance of the frangible portion from the open end. Thus, the frangible portion is not covered by the plug and no protection is provided against the risk of being subjected to contamination concerning the frangible portion and the remaining portions. A transfusion apparatus according to FR-A-1 280 708 contains a glass pipe enclosing a needle and having a closed portion at one end and a frangible portion covered by a fixed sleeve part made from non-rigid material. A plastic tube made from flexible material and having a closed end is provided for protectively sheaving the glass pipe and thus serving as a cover. After breaking, the plastic tube is taken off together with the glass pipe, which allows use of the needle. The object underlying the invention is to provide a tube assembly having a breakaway plug structure which allows protection of the proximal portion of the tubular assembly against contamination, protection against accidental breaking during manufacture and transport and which provides an easy connection of the open end after breaking. This object is solved by a tube assembly having the features of claim 1. Advantageous further embodiments of the tube assembly according to the invention are subject of the dependent claims. Accordingly, a tube assembly according to the invention comprises a tubular body having an extension with a proximal portion and a distal portion, the latter being provided with an open end. A substantially annular frangible portion is provided between the proximal and the distal portions at a predetermined position in proximity to the open end. Further, a plug means having a closed end is mounted in closely sealing fit on the tubular body for closing the open end. As claimed, the tubular body is made of a rigid brittle resin material, while the plug means is made of a flexible resin material. The plug means has a wall portion covering the distal, the frangible and the proximal portions of the extension of the tubular body, the plug means being sealingly and snugly fitted on the extension. Thereby, after twisting the distal portion of the extension is torn off together with the plug means at the frangible portion leaving the protruding open end of the proximal portion of the tubular body exposed and visible for easy and accurate connection. The tube assembly according to the invention allows avoiding contamination of a person, after the frangible portion has been broken. This is realized by protecting the proximal portion, which is also covered by the plug means. Further, this structure also enables protection against accidental breaking during manufacture and transport. In addition, after the breaking operation the open end of the tubular body can be easily and accurately connected. Advantageously, the plug means can have a grip portion of non-circular cross-section near its closed end. Thereby it is easy to grasp. A further embodiment of the tube assembly according to the invention has a grip portion which includes a mesa portion defining an annular channel between the mesa portion and the inner wall of the plug. The channel providing a perfect sealing labyrinth is adapted to receive the distal end of the extension of the tubular body. An excellent sealing fit and ease of handling during the breaking operation are realized. Preferrably the material of the tubular body and the plug is such that a blocking bond can be achieved between them by heat application. The above and other objects, features, and advantages of the invention will be better understood by reading the following description taken in conjunction with the accompanying drawings, in which: FIG. 1 is a partially cross-sectional plane view of a tube assembly with a breakaway plug structure according to one embodiment of the present invention; FIG. 2a is an exploded cross-sectional view of the tube assembly of the present invention showing a tube branch and a plug in a disassembled state; FIG. 2b is a cross-sectional view of the tube assembly showing the tube branch and the plug in an assembled state; FIGS. 3a and 3b are cross-sectional views of the plug taken along lines A-A and B-B in FIG. 2a, respectively; FIGS. 4a and 4b illustrate a plasmapheresis system having the tube assembly of the invention incorporated therein; and FIG. 5 is a cross-sectional view of a prior art tube assembly. The tube assembly of the present invention includes a tubular body having an open end. Any tubular body having opposed open ends between which a flow path extends may be employed. Although a commonly used four-way branch tube is referred to as a typical example in the following description, the present invention is not limited to the four-way branch tube. FIG. 1 illustrates a four-way branch tube 10 as one embodiment of the tube assembly of the present invention. It will be understood that FIG. 1 is an enlarged view corresponding to a circled portion in the system of FIG. 4a. The four-way branch tube illustrated at 10 in FIG. 1 has four openings, that is, a first opening 11 to be connected to a puncture needle 24 for blood collection, a second opening 12 to be connected to a first blood bag 20, a third opening 13 to be connected to a second blood bag 21, and a fourth opening 14 having a plug 2 mounted thereon (see FIG. 4a). For brevity of description, a flow path communicating between the first and third openings 11 and 13 is designated a main flow path. With respect to the main flow path, the first opening 11 to be connected to the needle 24 is designated a proximal end and the second, third and fourth openings 12, 13 and 14 are designated distal ends. The feature of the present invention resides in a combination of the branch 4 having the fourth opening 14 and the plug 2 mounted on the branch 4. FIG. 2a is a cross-sectional view of the branch 4 and the plug 2 in an exploded state. A full assembly of these components is shown in FIG. 2b. The branch 4 of the four-way branch tube having the fourth opening 14, which is considered a tubular body, includes an extension 5, sometimes referred to as an open end portion, having a reduced outer diameter as compared with the remaining of the branch for mounting the plug 2 thereon. The extension 5 thus forms a step 30 with the remaining branch on the outer wall. The extension 5 is provided with a substantially annular frangible portion 15 at a predetermined position on its outer surface. The frangible portion 15 is between a proximal portion 5b and a distal portion 5a of the extension 5 and enables breaking-away of the distal portion 5a. The term "substantially annular" means that the frangible portion may be an annular notch making a complete turn around the outer wall of the extension 5 or a series of disconnected notches circumferentially arranged on the outer wall of the extension 5 as long as the distal portion 5a can be readily broken away from the proximal portion 5b of the extension 5 and hence, the tubular body. The plug 2 is a generally tubular member including a wall portion having an open end 7 at one end and a grip portion having a closed end 8 at the other end. The wall portion of the plug 2 provides an inner wall 9 which extends from the open end 7 toward the closed end 8 and is adapted to be in sealing fit over the extension 5 of the branch. The inner wall 9 has substantially the same inner diameter as the outer diameter of the extension 5. The grip portion of the plug 2 near the closed end 8 is substantially solid and includes a mesa portion 32 on a base. The annular channel 31 defines with the inner diameter of the inner wall 9 and the outer diameter of the the mesa portion 32 having substantially the inner diameter of the distal end 5a. The channel 31 is adapted to receive the distal end 5a of the extension 5. The grip portion of the plug 2 near the closed end 8 preferably has a cross-sectional shape other than a true circle. FIGS. 3a and 3b are the cross sections taken along lines A-A and B-B in FIG. 2a. The wall portion of the plug 2 adapted to fit over the extension 5 of the branch 4 has a substantially true circular cross section which is concentric with the extension 5 as shown in FIG. 3a. On the other hand, the grip portion of the plug 2 near the closed end 8 has a non-circular cross section. In the embodiment illustrated in FIG. 3b, the grip portion of the plug 2 has a square cross section. The grip portion of the plug 2 may be of any desired non-circular cross-section including rectangular and ellipsoidal shapes as long as it is easy to grasp. Reference is now made to FIG. 2b where the plug 2 is mounted on the branch 4 defining the fourth opening to complete a tube assembly. In the assembled state, the distal portion 5a of the extension 5 of the branch is received in the channel 31, and the extension 5 is received in the wall portion of the plug 2 in a sealing engagement with the inner wall surface. The step 30 abuts the open end 7 of the plug 2 when the plug 2 is fully fitted over the extension 5 of the branch. The plug 2 must be fitted over the extension 5 of the branch 4 in close sealing contact so that the plug 2 may fully protect the extension 5 against an external stress, and no sliding motion occurs between the plug 2 and the extension 5 when the plug is grasped and twisted to tear off the distal portion 5a at the frangible portion 15. Engagement of the plug 2 over the extension 5 in a sealing fit prevents the flow path of the branch, that is, tubular body from being contaminated before breakage of the extension and removal of the plug. The fourth opening 14 is closed by the plug 2 mounted on the extension 5 when the associated flow path is not used. When it is desired to connect another tubular member to the fourth opening 14, the distal portion 5a is twisted or broken away at the frangible portion 15 by grasping and turning the plug 2. Then the fourth opening 14 is ready for fluid communication with the other tubular member. The engagement between the extension 5 of the tubular body and the plug 2 is not particularly limited as long as the engagement forms a seal and allows the distal portion 5a to be twisted off without any sliding motion between the extension 5 and the plug 2. In general, medical tubings are made of polycarbonate and flexible vinyl chloride resin. When a plug is secured to such a tube, it is desired not to use an adhesive at the connection between the plug and the tube in order to avoid contamination to fluid being passed therethrough, typically blood. If a tube and a plug are made of compatible types of material, a blocking bond can be achieved between them by utilizing the heat applied for autoclave sterilization. According to the present invention, the plug is formed of relatively flexible material such as polyvinyl chloride resin whereas the tubular body 1 having the frangible portion 15 is formed of rigid resin such as polycarbonate. The polycarbonate is susceptible to brittle fracture under an abrupt external stress, the tubular body formed thereof can be readily broken away or twisted off at the frangible portion 15. Although the plug 2 is formed of flexible resin such as polyvinyl chloride, the plug 2 itself has no frangible portion as opposed to the prior art plugs, and thus undergoes no troublesome distortion or deformation upon twisting. According to the present invention, the tubular body 1 and the plug 2 are formed of rigid resin and flexible resin, respectively. The rigid and flexible resins used are not limited to the above-illustrated examples. According to the present invention, the frangible portion is provided in the tubular body 1 of rigid resin such as polycarbonate, ensuring easy breakage at the frangible portion. The structure is relatively simple and the number of manufacturing steps is reduced. Operation The operation of the four-way branch tube 10 having a plug 2 mounted on one branch as shown in FIG. 1 is described by referring to a system for plasmapheresis therapy having the branch tube incorporated therein. As shown in FIG. 4a, while clamps 16, 17 and 18 on the lines associated with the Y set 22 are closed, a needle connected to the line with clamp 16 is punctured into the saline bottle 27. Then the clamp 16 is opened and the clamp 18 is released to fill the Y set with saline. The clamp 18 is again closed. During this operation, the extension 5 of the branch 4 of the four-way branch tube is kept normal or unbroken and engaged with the plug 2. The first opening 11 of the branch tube 10 is in fluid communication with the needle 24, and the second opening 12 in fluid communication with the first blood bag 20. The third opening 13 is connected to the second blood bag 21 although the click tip 19 is also kept normal or unbroken so that the flow path to the second blood bag 21 is closed. The next step is to connect a connector at the free end of the Y set trunk 22 to the tubular body 1. The hemostat 29 is fastened on the second section of tubing connected to the first blood bag 20 in order to prevent reverse flow of medical liquid in the first blood bag 20. Then the plug 2 is manually grasped and twisted to break the extension 5 at the frangible portion 15, removing the distal portion 5a to open the associated branch 4. If a prior art plug with a frangible portion is manually twisted, the plug of flexible material tends to be easily deformed and is thus difficult to tear off in a click manner. In contrast, the plug 2 of flexible material is fitted over the tubular body of rigid resin such as polycarbonate having a frangible portion formed therein according to the present invention. When the plug 2 is gripped and twisted, the tubular body 1 snugly fitted in the plug 2 can be readily torn off at the frangible portion 15 without deformation even with a firm grip. After the distal portion 5a is torn off along with the plug 2 at the frangible portion 15 by manually twisting the plug 2, the open end of the branch extension 5 is exposed. Then the connector of the Y set 22 is connected to the open end of the branch extension 5. Since the open end of the branch extension 5 is protruding and visible at this point, connecting operation is very easy and accurate. Contamination is avoided because the connector can be attached to the open end without inadvertent contact with any probably contaminated portion. The next step is to collect blood from the donor 23. The first section of tubing is fastened by the hemostat 28 at a location near the needle 24. The puncture needle is inserted into the vein of the donor 23. After entry of blood into the blood collecting tube is observed, the hemostats 28 and 29 are taken off to communicate an open continuous flow path to the first blood bag 20. Since the flow path to the second blood bag 21 is closed by the click tip 19 at this point, blood flows under gravity from the needle 24 to the first blood bag 20. Blood collection is continued until the first blood bag 20 is filled with a predetermined volume of blood. Then the section of tubing to the first blood bag 20 is sealed with a tube sealer or a pair of aluminum rings (not shown) and cut therebetween to separate the first blood bag 20. The whole blood in the first blood bag now removed is subjected to centrifugal separation. During the step, saline is transfused dropwise from the bottle 27 to the donor 23 through the Y set 22, the branch 4 with the plug removed, and the needle 24 as shown in FIG. 4b. The platelet and red cell concentrates thus separated are independently return transfused to the donor 23. More particularly, an outlet 25 of the first blood bag 20 is connected to the second inlet tube of the Y set 22 having the clamp 17. Then the concentrates are returned to the donor 23 through the Y set 22, the four-way branch tube 10, and the needle 24. At the end of return transfusion, the branch tube 1 is held in one hand, and the click tip 19 is manually torn off to open the flow path to the second blood bag 21. Blood is again collected from the donor 23 to the second blood bag 21 through the needle 24 which has been placed in the vein of the donor. Likewise the first blood bag 20, the blood collected in the second blood bag 21 is centrifugally separated and transfused back to the donor. Industrial Applicability The tube assembly of the present invention which includes a tubular body of rigid resin provided with a frangible portion and a plug means of flexible resin mounted in sealing fit on the tubular body has the following advantages. (1) Since the plug means protects the open end portion of the tubular body against an external stress during manufacture and transportation, the open end portion is not fractured and the associated flow path is not contaminated until the time when the tubular body is used. (2) The open end portion of the tubular body can be opened with the plug engaged thereon, eliminating the risk of contamination of the open end portion upon opening. This is particularly advantageous when the open end portion is used as a cell return inlet. (3) The open end portion of the tubular body formed of rigid resin such as polycarbonate is provided with a frangible portion, and is opened by breaking at the frangible portion by bending or twisting. The frangible portion formed of rigid resin facilitates such breaking-away operation, eliminating the risk of deformation or distortion at the frangible portion as frequently occurred with the prior art structures. (4) It suffices to engage and secure the plug over the open end portion of the tubular body, resulting in many benefits including a simplified structure, a reduced number of manufacturing steps, and a reduced manufacturing cost. In the embodiment wherein the frangible portion is formed on the outer wall of the open end portion of the tubular body corresponding to the wall portion of the plug, after the open end portion of the tubular body is broken, the distal portion thereof can be removed along with the plug. When the plug has a grip portion of non-circular cross section, it is convenient to manually grasp the plug to twist it.

Claims: A tube assembly comprising: a tubular body (4) having an extension (5) with a proximal portion (5b) and a distal portion (5a), the latter being provided with an open end, a substantially annular frangible portion (15) being provided between the proximal and the distal portions at a predetermined position in proximity to the open end, a plug means (2) having a closed end mounted in closely sealing fir on the tubular body (4) for closing the open end, characterised in that the tubular body (4) is made of a rigid brittle resin material, while the plug means (2) is made of a flexible resin material; the plug means (2) has a wall portion covering the distal, the frangible and the proximal portions (5a, 15, 5b) of the extension (5) of the tubular body (4), the plug means (2) being sealingly and snugly fitted on the extension (5); whereby after twisting, the distal portion of the extension (5) is torn off together with the plug means (2) at the frangible portion (15) leaving the protruding open end of the proximal portion (5b) of the tubular body exposed and visible for easy and accurate connection. A tube assembly as defined in claim 1, wherein the plug means has a grip portion of non-circular cross-section near its closed end (8). A tube assembly as defined in claim 2, wherein the grip portion includes a mesa portion (32) defining an annular channel (31) between the mesa portion and the inner wall (9) of the plug, the channel (31) being adapted to receive the distal end (5a) of the extension (5) of the tubular body (4). A tube assembly as defined in any of claims 1 to 3, wherein the material of the tubular body and the plug is such that a blocking bond can be achieved between them by heat application.

Inventors: KISO YOSHIKAZU, OHNAKA YUKIHIRO TERUMO KABUSHI, KISO, YOSHIKAZU, OHNAKA, YUKIHIRO TERUMO KABUSHIKI KAISHA
Applicants: TERUMO CORP, TERUMO KABUSHIKI KAISHA
Application year: 1988
Main classification: A61M5
IPC codes: A61M39