BLOOD SAMPLING SYSTEM WITH LUER ADAPTOR

Abstract: A blood sampling system including a sampling device located in line is provided. The sampling device (26, 70, and 102) provides an access port (40, 76, and 120) that allows undiluted blood to be sampled automatically by insertion of a luer. The sampling device can have a number of different structures, for example, a swing valve (41), a ball valve (88), or a breakable seal (130) for normally closing the sample port until a nozzle (60) of the luer blood collector is forcibly inserted into the sample port.

Description: BLOOD SAMPLING SYSTEM WITH LUER ADAPTOR BACKGROUND OF THE INVENTION The present invention relates to blood collection and sampling systems generally. More specifically, the present invention relates to systems for sampling blood directly from a donor during the collection process. Of course, it is known to collect and use blood for a variety of treatments and therapies, e.g., transfusions. To effectively use collected blood it is necessary to test the blood to determine its type and other characteristics. It is advantageous to sample blood directly from a donor rather than sample blood that is collected in a collection bag. An anticoagulant, or other solutions, are typically added to the blood in the collection bag. By sampling directly from the donor, undiluted blood, e.g., blood with no anticoagulant or other constituent, from the donor can be sampled. A variety of techniques are used for this type of blood sampling. Such techniques are illustrated in Figures 1-4. In one technique illustrated in Figure 1, a tube 10 leading from a donor needle 11 to the primary collection bag (not illustrated) is clamped. Scissors are used to cut the tube on the collection bag side. The open end 12 of the tube 10 is then directed into a test tube 13 while releasing pressure on the clamp 14 to pour blood into the open test tube. Another technique, illustrated in Figure 2, utilizes an in-line intermediate needle 16 that is exposed by removing an in-line cover section 15 of the tube. An evacuated donor sampling tube 17 with a rubber stopper is connected to the needle 16. The needle 16 pierces the rubber stopper and blood flows into the sample tube 17. Figure 3 illustrates another method of sampling blood. After the needle 18 is withdrawn from the donor's arm, the donor needle is used to pierce a rubber stopper of an evacuated test tube 19. A disadvantage of this system is that it does not sample blood from the donor but rather, samples blood, including an anticoagulant from the primary collection bag 21. Figure 4 illustrates a still further method that involves using a Y-shaped branch connector 23 on the donor line 25 between the donor needle 27 and the primary collection bag (not shown) . The outlet 33 of the Y connector include a connection system allowing filling of an evacuated test tube 35 through an adaptor 37. There are a number of disadvantages with the prior art systems. For example, the use of scissors to cut the tubes creates the possibility for contamination of the system. Further, the prior art techniques that require the use of a needle add the potential risk of accidental needle sticks. Still further, some of the prior systems had the potential that sterility of the process could be compromised. There is therefore a need for an improved method for sampling blood directly from the donor. SUMMARY OF THE INVENTION The present invention provides a system which allows one to sample undiluted blood directly from the donor. The system provides an easy technique to access the bloodstream in an aseptic way by the rupture of a frangible membrane, or the opening of a swing or ball valve. The method eliminates the use of scissors to open an end of a donor tube connected to a blood collection bag. The system is designed to provide a sample port which fits with a luer connector, allowing the direct use of an evacuated tube holder system. Sterility of the sample port can be maintained until sampling. Pursuant to the present invention, a collection system is provided for collecting blood at a first collection point from a donor. A sample system is provided for detouring a flow of said blood to a second collection point. The sample system includes an inlet that receives a flow of blood from the donor and a first outlet that delivers the blood flow to the first collection point. A second outlet, that is normally closed, but is openable by insertion of a sampling nozzle thereinto is provided for sampling blood. Various embodiments of the sample member are provided pursuant to the present invention. In one embodiment the second outlet has a breakable seal, openable by insertion of the sample nozzle. In another embodiment, a ball valve is arranged to alternately open or close the first and second outlets. In another embodiment a swing valve is applied to the second outlet to simultaneously open said second outlet and close said first outlet, upon insertion of the sample nozzle. An advantage of the present invention is that it provides an improved system for sampling blood directly from the donor. Furthermore, an advantage of the present invention is that it provides a system that does not require a cutting of the tube to sample the blood. Still further, an advantage of the present invention is that it provides a system for the direct use of an evacuated tube holder system. Moreover, an advantage of the present invention is that it does not use unprotected needles that can cause accidental needle sticks. Additionally, an advantage of the present invention is that it provides for the sterility of a conical fitting until the opening of the sterility barrier closure. Additional features and advantages of the present invention are described in, and will be apparent from, the detailed description of the presently preferred embodiments and from the drawings. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 illustrates a perspective view of a prior art system of sampling blood; Figure 2 illustrates an exploded perspective view of an alternate prior art method of sampling blood; Figure 3 illustrates an exploded perspective view of a further method in the prior art of sampling blood; Figure 4 illustrates an exploded perspective view of still further prior art method of sampling blood; Figure 5 illustrates a schematic elevational view of a blood sampling system of the present invention; Figure 6 illustrates a longitudinal sectional view of a sample device of the present invention; Figure 7 illustrates a perspective view of the blood sampling system of Figure 5 after separation of the collection bag; Figure 8 illustrates an exploded perspective view of the blood sampling system of Figure 7 with associated sampling tube; Figure 9 illustrates a partial sectional view of the fitting and blood sample tube of Figure 8 ; Figure 10a illustrates an exploded perspective view of the blood sampling system of Figure 5 with a different fitting; Figure 10b illustrates a sectional view of the fitting shown in Figure 10a; Figure 10c illustrates a sectional view of the fitting of Figure 10a with a sampling tube installed into the fitting; Figure 11a illustrates a further embodiment of the blood sampling system of Figure 5 wherein a different fitting is utilized; Figure lib illustrates a partial sectional view of the fitting of Figure 11a with a collection tube holder partially engaged; Figure lie illustrates a sectional view of the fitting of Figure lib with the collection tube holder fully inserted. DETAILED DESCRIPTION OF THE PRESENTLY PREFERRED EMBODIMENTS The present invention provides systems for collecting blood and sampling undiluted blood from the patient. Figures 1 through 4 illustrate prior art systems and methods for sampling blood that the present invention improves upon. Referring now to Figure 5, an embodiment of a blood collecting and sampling system 20 constructed pursuant to the present invention is illustrated comprising a collection bag 22, a donor tube 24 flow connected to the collection bag 22, a sample member 26, a sampling tube 28 connected to the sample member 26 and to a donor needle assembly 30. During collection of blood from a donor, blood flows from a donor's arm through a donor needle 32 through a needle connector 34 through the sample tube 28, through the sample member 26, through the donor tube 24 and into the collection bag 22. Figure 6 illustrates the sample member 26 of Figure 5 in more detail. The sample member consists of a T- shaped part having an inlet 36 and a collection outlet 38 as well as a sample outlet 40. The inlet 36 and the collection outlet 38 are flow connected by a channel 41. The sample outlet 40' provides a female luer port 42 conically shaped and having a swing valve 44 arrayed therein. The swing valve can be hinged at a location 45, to the port 42. A sealed closure 48 is provided covering the sample outlet for maintaining the luer port 42 in a sterile condition. The closure 48 provides a tab 50 extending therefrom for peeling the closure 48 off of the sample outlet 40. The closure 48 can be secured to the outlet 40 by an adhesive. Referring to Figure 7, the sample member 26 is in position with a donor before sampling. The donor tube 24 has been cut from the container and clamped off with a clamp 54. Finger gripping wings 55, 56 extend outward from the inlet 36 and outlet 38 and provide a gripping surface for manipulating the sample member. As illustrated in Figure 8, a tube holder 58 having a male luer nozzle 60, a needle 62 proceeding inwardly from the luer nozzle 60, receives a collection test tube 66 inserted into an open end 70 of the tube holder and having a stopper 72 covering an open end thereof. The needle 62 has pierced through the stopper in order to make a flow connection between the luer nozzle 60 and the evacuated sample tube 66. The closure 48 has been removed from the outlet 40. Figure 9 illustrates in sectional view the insertion of the nozzle 60 into the sample port 40 of the sample member 26. The swing valve 44 can initially be sealed in position blocking the sample port 40 and the insertion of the male luer nozzle 60 breaks the seal and opens the swing valve 44. The luer nozzle 60 is inserted into the sample port 40 a sufficient distance to crack open the swing valve 44. The open swing valve then allows blood to flow from the inlet 36 through the sample port 40 through the luer nozzle 60 and into the test tube 66. Referring to Figure 10a, another embodiment of the sample system including a sample member 70 is illustrated. The tube holder 58 and test tube 66, indicated as a unit 72, is identical to that of Figure 8. The sample member has a sample port 76 arranged at an inclined angle from a main tubular body 78. As illustrated in Figure 10b, the main tubular body includes an inlet 80 and an outlet 82. Located recessed in the outlet 82 is a collar 84. The sample port 76 provides a collar or reduced diameter 86 adjacent its open end. Within the sample port 76 resides a ball valve 88 which, because of its diameter, cannot proceed outwardly of the collar 86 of the sample port 76. Also because of its diameter, the ball valve 88 cannot proceed past the collar 84 out of the outlet 82. Also, an edge 90 of the sample port 76 protruding into the main body 78 restricts the ball 88 from proceeding out of the inlet 80. During donor collection into the collection bag, that is, blood flow out of the outlet 82, the ball valve 88 remains in the position of Figure 10b which blocks blood flow out of the sample port 76. The diameter of the sample port 76 can be made sufficiently small to resiliently hold the ball valve tightly adjacent the collar 86 as shown in Figure 10b. Alternately, the ball valve 88 can be initially sealed against the collar 86. Figure 10c illustrates the orientation of the ball valve 88 during sampling. The male luer nozzle 60 is inserted into the sample port 76 which forces the ball valve 88 downward with respect to Figure 10c causing a blood flow pathway to be opened between the inlet 80 and the sample port 76. Blood flow pressure impacting against the ball forces it further to the right against the collar 84 thus opening the pathway even further from the inlet 80 through the sample port 76 and into the collection tube. As shown with regard to the embodiment of Figure 6 , a sealed closure 48 having a tab 50 can also be applied over the sample port 76 to provide a sterility barrier during normal blood collection procedures into the collection bag or during storage. The cover 48 can be a plastic or other film material adhered to the sample port 76. Referring to Figure 11a, another embodiment of the sampling system 100 of the present invention is illustrated. This system includes the needle assembly 30 and sample tube 28 of the previous described systems with a different sample member 102. During normal collection of the blood into a container (not shown) the donor tube 24 proceeding from the sample member 102 is used. In Figure 11a this tube 24 has been cut and clamped off with a clamp 56. For sampling, a luer assembly 106 is used. The luer comprises a male luer nozzle 108, having a conical lead end 109 and longitudinal ribs 110 at a base end thereof. The luer nozzle 108 is connected to a tube holder 106 which has a needle 114 proceeding inwardly, in flow connection with the male luer nozzle 108. An evacuated collection tube with a penetrable stopper (not shown) is then inserted into the tube holder 106 whereby the needle 114 punctures the stopper. The sample member 102 includes a sample port 120 which receives the male luer nozzle 108 thereinto. Referring to Figure lib, the sample member 102 is illustrated in more detail. The sample member has an outlet port 122 which' is connected to the tube 24 for blood flow to the collection bag. The sample member has an inlet 124 which is shown connected to the sample tube 28. The outlet port 122 is angled off obliquely from the axis of the inlet 124. Arranged in axial alignment with the inlet 124 is the sample port 120. The sample port is normally closed with a recessed seal 130 which directs blood flowing from the inlet 124 to the outlet port 122. When the male luer nozzle 108 is inserted into the sample port 120 a sufficient distance, the seal 130 is broken. As illustrated in Figure lie, the male luer nozzle 108 proceeds sufficiently into the sample member 102 to block off the outlet port 122 and for the ribs 110 to grip into the body of the sample member 102 to hold the tube holder 106 tightly thereto. The elasticity of the plastic material used for the molding of the sample member 102 allows tightness between the sample member and the male luer nozzle 108 with a partial penetration of the luer nozzle. The elasticity of the plastic material used for the molding of the sample system also allows introduction of the luer nozzle 108 a further distance to break the seal 130 and access the blood stream. As shown with regard to the embodiment of Figure 6, a sealed closure 48 having a tab 50 can also be applied over the sample port 120 to provide a sterility barrier during normal blood collection procedures into the collection bag or during storage. The cover 48 can be a plastic or other film material adhered to the sample port 120. It should be understood that various changes and modifications to the presently preferred embodiments described herein will be apparent to those skilled in the art. Such changes and modifications can be made without departing from the spirit and scope of the present invention and without diminishing its attendant advantages. It is therefore intended that such changes and modifications be covered by the appended claims.

Claims: WE CLAIM AS OUR INVENTION; 1. In a collection system for collecting blood from a donor, a sampling device, comprising: an inlet for receiving blood flow from a donor and a first outlet for allowing blood flow to a first collection point; and a second outlet normally closed but openable by insertion of a sampling nozzle thereinto, for allowing blood flow to a second collection point. 2. The sampling device of Claim 1 wherein the second outlet comprises a seal valve breakable by insertion of the nozzle. 3. The sampling device of Claim 1 wherein the second outlet includes a seal cover that is applied thereover. 4. The sampling device of Claim 1 wherein the second outlet includes a valve movable by insertion of the nozzle to open the second outlet the swing valve thereby closing the first outlet. 5. The sampling device of Claim 1 wherein the second outlet includes a ball valve displaceable off a first seat of the second outlet and thereafter locatable over a second seat of the first outlet to close the first outlet and open the second outlet. 6. The sampling device of Claim 1 wherein the first outlet and the second outlet are arranged at one axial end of the member opposite the inlet. 7. The sampling device of Claim 6 wherein the second outlet has a frangible seal thereover breakable by insertion of the nozzle to open the second outlet. 8. The sampling device of Claim l wherein insertion of the sampling nozzle covers the first outlet. 9. The sampling device of Claim 1 wherein the second outlet is made of a resilient plastic to grippingly hold the nozzle therein. 10. A branched flow connector for medical tubing, comprising: a first tubular member have a first port; a second tubular member having a second port in fluid communication with the first' port; a third tubular member having a third port; and valve means within the third tubular member for automatically establishing flow communication between the first port and third port when a luer is inserted into the third port. 11. The connector of Claim 10 wherein the valve means also closes fluid flow from the first port to the second port upon insertion of the luer. 12. The connector of Claim 10 wherein the valve means for flow connecting comprises a two position swing valve arranged to alternately cover the third port and the second port. 13. The connector of Claim 10 wherein the connector is T-shaped with the first and second ports aligned along an axis. 14. The connector of Claim 10 wherein the valve means comprises a ball valve poεitionable either to cover the third port or the second port. 15. The connector of claim 14 wherein the first port and the second port are aligned along an axis and the third port is arranged at an angle to the axis. 16. The connector of Claim 10 wherein the first port and the second port are connected by a straight tubular channel and the third port intersects and extends into the channel at an oblique angle creating a lip within the channel. ' 17. The connector of Claim 10 wherein the valve means for flow connecting comprises a breakable seal covering the third port. 18. The connector of Claim 10 wherein the third port and the second port are arranged having central axes oriented obliquely to each other. 19. A method for sampling blood from a blood donor, comprising the steps of: inserting a needle into the donor; allowing blood to flow from the needle through a tube and a sampling member to a collection bag; providing the sampling member with an inlet port for receiving blood from the donor, an outlet port allowing the blood to flow to the collection bag, and a sample port that is normally closed; and sampling blood by inserting a connector into the sample port. 20. The method of Claim 19 comprising the further steps of: causing the sampling member to prevent blood flow to the collection bag when blood is sampled.

Inventors: BERNES JEAN-CLAUDE, DEBRAUWERE JACK, JOIE MICHEL, MATHIAS JEAN-MARIE, VAN BREEDAM BAUDOUIN, BERNES, JEAN-CLAUDE, DEBRAUWERE, JACK, JOIE, MICHEL, MATHIAS, JEAN-MARIE, VAN BREEDAM, BAUDOUIN
Applicants: BAXTER INT, BAXTER INTERNATIONAL INC.
Application year: 1993
Main classification: A61B5
IPC codes: A61B5, A61M1, A61M39