INJECTION NEEDLE

Abstract: An injection needle is so designed that the length of the injection part of the needle extending from the suspension of the needle in a needle hub to a skin piercing pointed end of the needle lies in the interval 4 - 6 mm.

Description: INJECTION NEEDLE The invention relates to injection needles having an injection part with a skin piercing obliquely cut end and being fastened in a needle hub for mounting on a syringe. Such needles are often shaped as double pointed needles which in excess of the skin piercing point has at the other end of the needle a point which pierces a rubber membrane which closes an ampoule containing the liquid to be injected. Needles of the above kind are used for injection of liquids which have to be injected subcoutaneously, i.e. in the subcutis lying between the cutis and a muscle mem¬ brane which cover the underlying muscles, e.g. insulin. If insulin is injected into the muscle it will be absorbed in the body too quickly and an unwanted drop in the blood sugar level may be the result. On the other hand insulin injected in the cutis will not be absorbed at all or in an unpredictable way. To be sure that intramuscular injection is avoided an injection technique may be used by which the skin is gripped by one hand between the thumb and the side of the index finger so that a fold of the skin is formed and thereafter the needle insertion and the injection are performed with the injection device held in the other hand. The technique described makes the injection a two hand operation, and even a third hand could be useful for drawing and keeping away clothes normally covering the injection zone. It is an object of the invention to provide a needle suited for use by subcoutaneous injections which needle may mainly be inserted without making it necessary to form a fold ofthe skin and by which the injection consequently occupies only one hand. Allthough the injection of insulin is described as an example, the needle is useful for all kinds of subcoutaneus injections, e.g. for injecton of growth hormon. US 5462 535 mentions the provision of needles the injection part of which has an overall length of 8 - 12 mm. This length will seen in relation to the often used 16 mm needles reduce the risk for performing intramuscular injections, but by slim males the sum of the thicknesses of the cutis and the subcutis may even be smaller than 8 mm and the risk for intramuscular injection will still be unacceptable. From US 5 015235 it is known to reduce the effective length of a 12,5 mm long needle by mounting on the needle hub a skirt surrounding the needle coaxially in a distance from said needle. The skirt only leaves a minor length ofthe needle free for injection. Skirts of different lengths may be used to leave 4 or 8 mm of the needle free for penetration of the skin. The effective length of the needle is only well defined by insertion peφendicular to the skin whereas the effective length is further reduced in a not well defined way if the needle is inserted at an oblique angle. Needles having lengths between 3 mm and 4 mm have been discussed but being that short a needle will hardly be able to penetrate the cutis, especially not when the needle is inserted at an oblique angle. The risk of making intramuscular injections or injections in cutis is heavily reduced when a needle is used, by which according to the invention the overall length of the injection part of the needle extending from its fastening in the needle hub to its skin piercing end lies in the interval 4 - 6 mm. The shorter overall length of the injection part of the needle counted from its support in the hub to the skin piercing point enables use of thin and thin walled needles with reduced risk for cracking. This reduced risk is not obtained by needles the effective length of which are reduced by surrounding a part of the needle with a sleeve which does not support the needle. As it is possible to administer insulin through needles as thin as G30, administration will also be possible through a thin walled needle having a bore larger than 0,133 mm. which corresponds to the smallest bore of a G30 needle. If the outer diameter is set as the largest diameter allowed for a G30 needle, thin walls will allow a larger bore than known from a normal GO needle. According to an embodiment of the invention the outer diameter of the needle and the diameter of the bore of the needle may comply with one of the conditions: with one ofthe conditions: a) the outer diameter is smaller than 0,320 mm and the diameter of the bore is largerthan 0,165 mm, or b) the outer diameter is smaller than 0,298 mm and the diameter of the bore is larger than 0,133 mm. In the following the invention is described in more details with reference to the drawing, wherein the figure schematically shows a needle inserted in a zone of skin with an underlying muscle. In figure 1 a needle hub 1 carrying an injection needle 2 is mounted on a syringe 3. The injection needle 2 is inserted through a cutis layer 4 into a subcutis layer 5 which is by a muscle membrane 10 separated from a muscle tissue 6 with blood vessels 11. An injected not yet absorbed amount of liquid in the subcutis is designated by the number 7. Where the needle 2 is fastened in the hub 1 this hub has a protrusion 8 which is terminated by a dome 9. By this construction the injection part of the needle may be obliquely inserted in its full length whereas a full insertion is only possible by insertion ofthe needle perpendicularly to the skin if the injection part ofthe needle extends directly from the end surface of the hub. By a number of measurement it is found that the thickness of the cutis and subcutis lies in the intervals described i the following table. The mean values may be seen as the values valid for the preferred injection zones. Females Males min max mean min max mean cutis 1,1 3,6 1,7 1 ,2 4,1 2,3 subcutis 4,5 30,8 12,1 2,3 26,9 7,2 sum 5,6 34,4 13,8 3,5 31,0 9,5 Recognizing that the emission of liquid from the needle due to the oblique cut of the end of this needle takes place in a range in a distance from the point of the needle, e. g. by a G30 needle in the range 0,4 - 1,2 mm from the point of the needle, it is seen that by women even an injection with a 6 mm needle perpendicular to the skin in a zone where the skin thickness is minimum, will not reach the muscle whereas an injection with a 4 mm needle is possible when the zones with the thickest cutis is avoided. Using a 6 mm needle men should avoid injection in the zones where the skin thickness is minimum and such zone are actually not attractive for injections. A 4 mm needle cannot be used in zones where the cutis has its maximum thickness, but also these zones lies beyond the zones normally preferred for injection which are the abdomen and the thighs. If the needle is inserted under an oblique angel the skin may be looked upon as having a thickness which is the thickness in the above table divided by sinus of the angle between the needle and the skin surface. By an angle of 45° this corresponds to a multiplication by 1 ,4. It is seen that women can use a 6 mm needle universally for injections with the needle peφendicular to the skin surface or forming an angle with this surface, whereas a 4 mm needle may not be used without keeping the needle perpendicular to the skin surface when injections are made in zones where the cutis has its maximum thickness. Neither in the zones where the skin has it minimum thickness nor the zones where the skin has its maximum thickness men should use a 6 mm needle even when it is inserted under an oblique angle, in the first mentioned zones the 6 mm needle may reach the muscle and in the last mentioned zones the needle may not reach through the cutis. In the zones where the skin has its minimum thickness a 4 mm needle may be used when it is inserted under an oblique angle to the skin. Whereas the zones wherein the skin has its minimum thickness are mainly not attractive as injection zones, the condition in these zones corresponds to the conditions met in the preferred injection zones by skinny people, especially skinny children. However in the preferred injection zones represented by the mean values for the thicknesses ofthe cutis and subcutis a 4 mm needle as well as a 6 mm needle may be used peφendicularly to the skin surface or forming an oblique angle with that sur¬ face leaving an acceptable margin for variations around the mean value of the thickness of the skin layers.

Claims: CLAIMS 1) Injection needle having an injection part with a skin piercing obliquely cut end and being fastened in a needle hub for mounting on a syringe, characterized in that the 5 overall length of the injection part of the needle extending from its fastening in the needle hub to its skin piercing end lies in the interval 4 - 6 mm. 2) Injection needle according to claim 1, characterized in that the outer diameter of the needle and the diameter of the bore of the needle complies with one of the l o conditions: a) the outer diameter is smaller than 0,320 mm and the diameter of the bore is larger than 0,165 mm, or 15 b) the outer diameter is smaller than 0,298 mm and the diameter of the bore is larger than 0,133 mm.

Inventors: EJLERSEN HENNING MUNK, SMEDEGAARD JOERGEN K, STEENGAARD KIM, EJLERSEN, HENNING, MUNK, SMEDEGAARD, JOERGEN, K., STEENGAARD, KIM
Applicants: EJLERSEN HENNING MUNK, NOVONORDISK AS, SMEDEGAARD JOERGEN K, STEENGAARD KIM, EJLERSEN, HENNING, MUNK, NOVO NORDISK A/S, SMEDEGAARD, JOERGEN, K., STEENGAARD, KIM
Application year: 1996
Main classification: A61M5
IPC codes: A61M5