SINGLE-USE DEVICES FOR COLLECTING AND HOLDING BLOOD SAMPLES

Abstract: In a single-use device for collecting and holding blood samples, provision is made for an evacuated tube (10) with a closure (stopper) (11) that can be pierced by the tip of a needle (13), the other tip (14) of which is intended to be inserted into a vein of a patient. Disposed below the said pierceable stopper (11), and in the tube (10), is a diaphragm (16) intended to be passed through by the needle-tip (13) that pierces the stopper (11), so as to form a supplementar barrier between the interior of the tube (10) and the environment when the pierceable stopper (11) is removed.

Description: Various systems are known and used for collecting blood samples intended in particular for subsequent clinical chemistry tests and analyses. The most elementary and conventional of such systems provides for collecting venous blood with a standard syringe and then transferring it to a test tube or other suitable container. The desirability of preventing contamination of the sample by the environment, and also of the operator by the sample, has led to the development of system that aim to eliminate such possible contaminations. A known system, appreciated in point of the minimal risk run by the operator, is the evacuated collection tube. This consists of a glass or plastic tube closed at one end and provided at its mouth with a hermetic rubber closure. A high vacuum (long-lasting in time) is created within the tube and, if required, small amounts of chemical substaces are placed in the tube, these being adapted to act in the desired manner on the blood sample, for example to prevent blood coagulation or to accelerate the process of separation of the serum from cellular components. The evacuated tube is used in combination with a 2-tip hypodermic needle: one tip is used for effecting venipuncture in the patient, and the other is inserted into the stopper of the evacuated tube, piercing it and thus allowing blood to flow into the tube. When the blood sample has been collected and after withdrawing the needle from vein and stopper, the biological sample is contained in the tube in a condition that can be defined as "safe" in respect of whoever has to transport it, centrifuge it, etc., given the substantially hermetic nature of the pack. This system appears wholly satisfactory as regards collection of the blood sample and handling of the stoppered container, but its limitations are apparent when the operator has to remove the runner stopper to be able to have access to the sample contained in the tube. The removal of the stopper is, for example, requisite when the tube is placed in an automated or semi-automated machine for taking off, by means of a tube, measured amounts of blood to be analysed. For, without the stopper, the open mouth of the tube has dimensions equal to its diameter and any handling error causes the content to escape and thus exposes the operator to the risk of contagion or infection. An example of this known system is described in US-A-3 771 965 which discloses a collection tube with a closure member adapted for penetration by a cannula needle for delivery of a fluid sample, through the cannula and closure member, into the tube. According to this Patent a scraping member is movably supported within the tube and can be moved in response to force applied externally of the tube to perform a desired processing function without opening the tube. Thus the scraping member can scrape, sliding toward the bottom of the tube, clotted blood or other solids. The scrape member remains in the bottom of the tube after centrifuging, imposing no obstacle to the withdrawal of the clear serum or other fluid from the upper portion of the sample tube. This system is clearly not useful to avoid leakage when the stopper of the tube is removed. The present invention proposes to obviate the problem recalled above, from which the blood collection system using an evacuated tube and pierceable cap suffer, by substantially limiting the possibility of contamination of the environment by the sample and, to a certain degree, also the same contamination in reverse, even if the operator handles the sample container without special care and attention or if, accidentally, he handles it improperly. For such purpose the invention embodied a single use device for collecting and containing blood samples, comprising a rigid tube closed at one end and having at the other end an airtight stopper which can be pierced by the first tip of a needle, the second tip of which is adapted to be used for venipuncture, wherein in said tube, at a limited distance from the stopper, there is disposed in a stable position, and so as to set up a seal with the inner wall of the tube, a low-thickness diaphragm with a stiffening border, adapted to be forced against the inner wall of the tube, and a small preformed perforation at its centre to place into communication the areas of the tube divided by the said diaphragm, the first tip of the needle being adapted to pass through the diaphragm after piercing the stopper, said stopper featuring, proximally to the area intended to be pierced by the needle, a channel-shaped extension terminating substantially close to the central portion of said underlying diaphragm, characterized in that securing means are provided to prevent the diaphragm from sliding in the tube. The characteristics of the invention, and its advantages over the known art, will become more apparent from the following description of an exemplifying form of practical embodiment, referred to the appended drawings, in which: Figure 1 is a general longitudinal section view of a device according to the invention; Figure 2 is a partial view similar to Figure 1, illustrating an embodiment variant; Figure 3 is a partial view of a hermetic container forming part of the device according to the invention, in a further embodiment. With reference to Figure 1, this shows a device for the collection and containment of a blood sample consisting of a test tube 10 closed by a stopper 11 made of rubber or elastomer or other suitable material. The stopper 11 must be able to be fitted into the mouth of the test tube 10 so as to provide a substantially hermetic seal therewith, and it must be pierceable by one of the tips of the needle 12, such tip being indicated by the numeral 13. The other tip 14 of the needle 12 must be suitable for venipuncture, by the usual technique used for collecting blood samples, Figure 1 also illustrates a grip portion 15 able to slide on the outer wall of the tube 10 to guide the needle 12, which is fixed on it, correctly to pierce the stopper 11, as well as serving as a grip for the purpose of venipuncture. What has thus far been described is well known to persons with ordinary skill in the art, as is also the manner of operating the device. Briefly, the tube 10 is closed by its stopper 11 in conditions of considerably high vacuum. As a result of the hermetic nature of the whole, the vacuum persists for a reasonable long period of time, of the order of years. After separation from the tube 10, the needle 12 is used for the venipuncture; thereafter, the container 10 is brought close to the tip 13 of the needle which is pressed to pass through the stopper 11, so that the device overall comes to take on the configuration shown in Figure 1. The vacuum in the tube 10 allows the desired amount of blood to flow into it. It should incidentally be noted that the tip 13 of the needle can carry a provisional protector, rupturable by the insertion of the said tip into the stopper 11 in order to prevent escape of blood from the said tip 13 before it pierces the stopper 11. In accordance with the invention, below the stopper 11 there is force-fitted in the tube-shaped container 10 a thin diaphragm 16. If, as a result of its low thickness, this diaphragm has low resistance to lateral distortion, it will advantageously feature a perimetric reinforcement border 17, more or less diametrically extended, that will provide the required resistance to a forced fitting against the inner wall of the tube 10 sufficing to obtain a satisfactory seal - which the object of the invention call for - and a satisfactory positional stability of the diaphragm. The diaphragm has not to be displaced by the usual stresses to which the tube is subject, in particular by its centrifugation. The longitudinal position of the diaphragm 16 inside the tube 10 should be at a minimal distance from the stopper 11, one reason for this being to prevent any substantial reduction of the useful volume of the tube. The tip 13 of the needle should be sufficiently long to pass through the diaphragm 16 after piercing the stopper 11. It will be apparent that, by adopting the device fitted with the diaphragm 16 in accordance with the invention, after removable of the stopper 11 the tube 10 will remain closed by the diaphragm 16 itself; through this latter may have at its centre a small perforation caused by the needle 12 that passes through it, it will in any case effectively prevent any escape of the blood contained in the tube 10 if this is handled without due care and attention. In these conditions of content-safety the tube 10 can be handled without any substantial risk of escape or leakage and be placed in the blood sample treatment apparatus. The small thickness of the diaphragm permits it to be passed through by the needles used in automated or semi-automated apparatus for quantitatively withdrawing volumes of blood to be sent for analysis. The configuration of the stopper 11 can be modified with respect to the conventional configuration of such stoppers so as better to adapt to the diaphragm provided for by the invention. Figure 2 of the drawings shows the stopper 11 embodied with an internal extension 20 which defines a channel-shaped structure which projects very close to, or even so as to be in contact with, the diaphragm 16. The space between the stopper 11 and the diaphragm 16 is in this way substantially reduced and, in addition, needle-alignment is improved in that the tip 13 of the needle is guided by the extension 20 towards the centre of the diaphragm. This can be of particular advantage when needle-alignment is not assured by some other guide element of the type illustrated in Figure 1 having the form of a grip 15. A correct positioning of the diaphragm 16 inside the tube 10 can be made easier by forming a seat proximally to the inner wall of the tube 10. Figure 3 of the drawings shows two annular projections 21 and 22 formed on the inner wall of the tube 10, between which the peripheric border 17 of the diaphragm 16 is inserted. A correct positioning can of course also be obtained be leans of any kind of annular seat into which the border 17 of the diaphragm can be placed, and here firmly locked, so as not to be displaced by the usual stresses, for example a tube centrifugation. In particular, Figure 3 shows the diaphragm 16 featuring a small pre-formed perforation 18 at its centre. This perforation, which can be adopted whatever the specific configuration of the device according to the invention, can serve to prevent pressure differences from occuring between the area of the tube demarcated by the diaphragm for the purpose of holding the blood sample and the area of the tube between the diaphragm 16 and stopper 11. The communication represented by the perforation 18 prevents, for example, the possibility of transient pressure differences between the aforesaid two areas of the tube when the stopper 11 is removed, since in this phase the latter acts in the same way as a piston, below which a transient depression occurs on rising. The perforation 18 makes it easier for the tip 13 of the needle to pass through the diaphragm, thus limiting the risk of uncontrolled tearing of the latter. In addition, this perforation will also make it easier for the acicular narrow-gauge tubes - used in analytical apparatus for quantitatively withdrawing blood from the tube for analysis purposes - to pass into the interior of the tube 10. To fulfil its function advantageously the perforation 18 can be of considerably small diameter, for example of the order of half a millimetre. The existence of the perforation does not, therefore, substantially jeopardize the safety of the container, after removal of the stopper 11, against reciprocal contamination of sample and environment. It is noteworthy that, as well as making its handling much safer and thus greatly reducing the risk of accidental spilling or escape of the biological fluid, the diaphragm placed within the tube-contained in accordance with the invention protects the said fluid from any contamination by the environment. The possibility of such contamination is therefore very much reduced and interactions with the ambience such as, typically, evaporation of the water contained in the biological fluid when the tube awaits, after removal of the stopper 11, withdrawal from it of the amount of sample to be sent for analysis, is prevented or substantially retarded. Such evaporation may be fairly appreciable when the container-tube is maintained at a not low temperature in a controlled-temperature environment. Some exemplifying forms of practical embodiment incorporating the innovative principles of the invention have heretofore been described; it will however be clear that persons skilled in the art may introduce further variants of embodiment without going beyond the scope of the present invention.

Claims: Single use device for collecting and containing blood samples, comprising a rigid tube (10) closed at one end and having at the other end an airtight stopper (11) which can be pierced by a first tip (13) of a needle (12), a second tip (14) of which is adapted to be used for venipuncture, wherein in said tube, at a limited distance from the stopper (11), there is disposed in a stable position, and so as to set up a seal with the inner wall of the tube, a low-thickness diaphragm (16) with a stiffening border (17), adapted to be forced against the inner wall of the tube, and a small preformed perforation (18) at its centre to place into communication the areas of the tube (10) divided by the said diaphragm (16), the first tip (13) of the needle (12) being adapted to pass through the diaphragm (16) after piercing the stopper (11), characterized in that securing means are provided to prevent the diaphragm (16) from sliding in the tube (10). Device according to claim 1 characterized in that said securing means is the diaphragm border (17) forced by friction against the inner wall of the tube (10). Device according to claim 1 characterized in that the said tube (10) has, proximally at its inner wall, an annular seat (21,22) for accepting the border (17) of the said diaphragm (16), and to prevent it from sliding in the tube (10). Device according to claim 1, characterized in that the said stopper (11), proximally to the area intended to be pierced by the needle (12), features a channel-shaped extension (20) terminating substantially close to the central portion of the said underlying diaphragm (16).

Inventors: CALZI, CLAUDIO, ZACCAI, GIANFRANCO
Applicants: INSTRUMENTATION LABORATORY S.P.A.
Application year: 1988
Main classification: A61B5
IPC codes: A61B5, A61M5