Medicament container closure with recessed integral spike access means

Abstract: A disposable closure assembly/container combination for delivering medial fluid to a patient by needleless access means. The closure assembly comprises an elastomeric stopper for sealing the container at its open end and a spike access means equipped with a luer connector. The target area in the elastomeric stopper and the spike access means are recessed thereby forming a low profile closure assembly for the container.

Description: BACKGROUND OF THE INVENTTON 1. Field of the Invention This invention relates to a low profile closure used in conjunction with containers such as bottles, vials and bags containing pharmaceutical products. for parenteral administration. More particularly, the invention relates to an elastomeric stopper for hermetically sealing a parenteral container, bottle, vial or bag the contents of which is accessed by the use of a recessed spike integral with the stopper. 2. Reported Developments Stopper systems for vials, bottles and the like are made of materials that are resistant to chemicals and pharmaceuticals such as corrosive materials, reagents, parenteral solutions and solid formulations reconstitutable with a solvent prior to use. The most commonly used stopper/vial system for such products has been glass or plastic bottles and vials equipped with rubber stoppers made of elastomeric materials. The system provides for good hermetical seal, safe storage and easy access to the content through the elastomeric stopper via the use of an infusion spike or a syringe when withdrawal of the content is desired. The elastomeric stopper used generally comprises an elastomeric base, such as natural or synthetic rubber and an inert coating covering at least some portions of the stopper. The coating used includes chlorobutyl rubber, polymeric fluorocarbon resins such as polytetrafluoroethylene and various thermoplastic films. The coating is intended to insulate the elastomeric stopper base from the contents of the container in order to prevent contact and possible chemical reactions therebetween. Generally, the elastomeric stopper is of cylindrical shape and has a flange head portion overlying the open top end of the container. Integral with the head portion is a body portion which extends into the open end and seated in the neck portion of the container, the diameter of the body portion being somewhat larger than the inside diameter of the container so that a tight seal is created between the body portion and the wall of the container. The lower end of the body portion is beveled towards the central, longitudinal axis of the body portion to facilitate the insertion of the body portion into the container. The circular bottom surface that faces the contents of the container is substantially planar and is imperforate, having no recess therein. The head portion of the stopper is provided with a central recess extending downwardly from the top thereof a substantial distance into the body portion so that the central recess and the circular bottom surface define a diaphragm. The walls forming the recess are generally cylindrical but may be provided with one or more circular protuberances extending inwardly to terminate just short of the center line of the stopper. The circular protuberances serve to press against and hold the needle of a syringe when the needle is inserted through the recess to penetrate the diaphragm for removal of the contents of the container. The elastomeric stopper is held in position by a metal ring or cap usually constructed of aluminum. The metal ring or cap has a removable center opening for allowing insertion of the syringe needle into the container. Another type of the prior art stoppers has the needle penetrable diaphragm on the top portion of the stopper. Various stopper and access systems exist in the prior art to hold and remove the contents of containers which are illustrated hereunder. U.S. Patent Nos. 2,289,677 and 2,326,490 disclose a rubber stopper for use in vials comprising: an outer wall which serves a seal between the vial and the stopper; and an inner wall forming a chamber in the center of the stopper, the bottom portion of the inner wall serving as a diaphragm. A hollow needle, having a sharp end for piercing the diaphragm, and an outer end exposed for connection with a syringe, is carried by the outer wall. A syringe connected to the outer end of the needle and pushed inwardly effects piercing of the diaphragm thereby permitting aspiration of the contents of the vial. U.S. Patent No. 2,342,215 discloses a dispensing and sealing stopper for a vial comprising: a stopper body having a hollow needle therein, one end of said hollow needle is in constant communication with the contents of the vial, and the other end is sealed by a penetrable, thin membrane. When withdrawal of the contents of the vial is desired, a syringe is inserted into the stopper to penetrate the thin membrane and to engage the other end of the hollow needle. When the syringe is removed, the thin membrane self-closes to maintain the hollow needle and the contents of the vial sterile. U.S. Patent No. 5,232,109 discloses an elastomeric stopper for a bottle, said bottle includes an annular protuberance which forms a second seal with the shaft of a spike inserted in the stopper to prevent leakage, blow-out and introduction of particulate matter into the fluid-containing bottle. U.S. Patent No. 5,364,386 relates to an infusion unit which comprises: a flexible, large container, a small medicine vial and a pipe which serves to communicate between the large, flexible container and the small medicine vial. The large container is adapted to hold a solvent or diluent, while the medicine vial contains a powdery medicine which is to be mixed and dissolved in the solvent or diluent contained in the large, flexible container. Upon dissolution, the mixed medicine is discharge through an outlet at the lower end of the large container for infusion into a patient. U.S. Patent No. 5,429,256 pertains to a drug withdrawal system for a vial. The withdrawal system comprises: a vial containing a medicament therein and closed with a rubber gasket; and an apparatus which snap fits on top of the vial. The apparatus comprises: a chassis and a cap which is attached to the cap by a living hinge. The chassis is cylindrical and has vertical grooves on the external sides to facilitate handling. The top of the chassis has a central opening. The chassis includes a male luer lock adapter having external threads thereon, and a ferrule structure the lower end of which has a hollow sharpened lance. The apparatus is used with a syringe having a female luer lock connector which snap fits with the male luer lock adapter. In use, the cap cover is opened, and a syringe is screwed onto the outer end of the adapter. The syringe is then tightened on the adapter which moves the lance downward and the lance penetrates the gasket on the vial thereby establishing flow communication with the contents in the vial. The contents of the vial is withdrawn by pulling back on the plunger of the syringe. The syringe is then removed with the content therein ready to receive a needle assembly for injecting the contents into a patient. U.S. Patent No. 5,433,330 relates to a needleless access stopper used on containers with a cannula having a blunt stopper penetrating tip. U.S. Patent No. 5,817,082 is the closest prior art and relates to sealing and access means for containers comprising the features of the preamble of claim 1, such as bottles or vials made of glass or plastic, said access means provides for a higher cap profile. The present invention provides containers with sealing and recessed access means, such as bottles or vials made of glass or plastic, and bottles and bags made of plastic containing medical fluids, such as x-ray contrast media and parenteral liquids. The recessed access means provides for a lower cap profile, facilitates handling, sterilization and storing of the container. For convenience the invention will be described in combination with containers. It is to be understood that the invention includes sealing and access means for containers in general which comprise rigid or semi rigid access ports and are capable of receiving such sealing and access means. SUMMARY OF THE INVENTION In accordance with the present invention, a closure assembly and container combination is provided, said container having a medical fluid therein, and said closure assembly having a spike access means allowing withdrawal of said medical fluid from said container by the use of an intravenous tubing attached to said spike access means, said disposable closure and container combination comprising: a) a container containing a medical fluid therein and having a neck portion terminating in an open end; b) a closure assembly comprising: b1) an elastomeric stopper for hermetically sealing the container at its open end; b2) a cylindrical collar to hold the elastomeric stopper in the container and to receive a spike access means; and b3) a spike access means slidably positioned over the cylindrical collar and designed to penetrate the elastomeric stopper and allow withdrawal of the medical fluid from the container; c) a cap for enclosing the spike access means onto the neck of the container to maintain the closure assembly free from contamination; said elastomeric stopper characterised by an annular groove on said spike access means, a recessed target area at the center thereof which comprises an external ring projecting towards the center of the stopper designed to engage an annular groove on said spike access means, and a diaphragm located below said external ring designed to be pierced by the spike; said spike access means having a recessed male luer connector. The elastomeric stopper used in the closure assembly of the present invention should be a fluid impervious, resilient, and inert without leachable additives therein in order to prevent any alteration of the product contained in the container. It may be of a single component or a blend of components. Examples of materials include synthetic or natural rubber, such as butyl rubber, isoprene rubber, silicone rubber, halogenated rubber, ethylene propylene therpolymer and the like. Specific examples of a synthetic elastomeric rubber include the CH2CF2-C3F6(C3F5H) and the C2F4-C2F3OCF3 series of elastomers made by DuPont under the trade names of VITON® and CARLE2®; the fluoro-silicone rubbers, such as those made by Dow Corning under the trade name of SILASTIC®; and polyisobutylenes, such as VISTANEX MML-100 and MML-140; and halogenated butyl rubber, such as CHLOROBUTYL 1066, made by Exxon Chemical Company. These or other suitable elastomers may be made into the desired stopper configuration by known methods. Such methods conventionally include the use of a curing agent, a stabilizer and a filler and comprise a primary and a secondary curing step at elevated temperatures. The container used in conjunction with the present invention may be of glass or polymeric material, i.e., plastic, which are well known in the pharmaceutical industry. When the container is made of glass, it is in the shape of a vial or bottle. Polymeric materials are preferred for reasons of economy and safety. The plastic containers may be in the shape of a vial, bottle or bag. The vial or bottle is of rigid or semi-flexible polymeric material, while the bag is of a pliable polymeric material. In all shapes the container is provided with a neck portion which is rigid and retains its configuration so that it is capable of being hermetically sealed by the closure assembly of the present invention. The container comprises a neck portion having an interior surface, an interior radial surface, and a transverse end surface. The interior radial surface and the transverse end surface form the opening or mouth of the container. The neck portion further comprises an exterior surface which, being adjacent to the transverse end surface, forms an exterior radial ring. The exterior radial ring facilitates the holding of the closure assembly of the present invention. The container may have a volume capacity of from 5 ml to 1000 ml or more. The mouth of the container is to receive the elastomeric stopper. The external diameter of the stopper is slightly larger than the internal diameter of the neck of the container so that on insertion of the stopper into the mouth of the container, a tight, hermetic seal is achieved. After insertion of the stopper into the mouth of the container a cylindrical collar is positioned over the radial ring of the container and the stopper to securely hold the stopper in place. The cylindrical collar comprises: a flat top portion having a central opening therein so that the recessed target, pierceable area of the stopper remains exposed; a bottom portion; and a cylindrical side portion having an inner wall and an outer wall. The inner wall incorporates an inwardly projecting ring which, upon assembly, is positioned below the exterior radial ring of the neck portion of the container so as to securely hold the elastomeric stopper in the container. The outer wall of the cylindrical side portion of the cylindrical collar incorporates an annular groove and, spaced from the annular groove, an annular protuberance at the bottom portion of the cylindrical collar projecting outwardly. The annular groove is to receive the spike access means when the spike access means is in its stationary or inactivated position, and the annular protuberance serves as a stop means to the spike access means after its activation. The cylindrical collar may be made of rigid polymeric material so that it retains its configuration or metal such as aluminum. The spike access means has an inverted, essentially U-shape configuration having a top portion, side portion and a bottom portion. The top portion at its center incorporates a recessed spike which comprises: a cylindrical shaft having a channel therein terminating in a sharp tip at one end thereof; and a male luer connector at the other end thereof to engage a corresponding female luer lock at the end of an intravenous tubing which delivers the medical fluid into a patient. The shaft of the spike has an annular groove therin to engage the external ring of the elastomeric stopper when the spike access means is activated. The bottom portion of the spike access means incorporates an annular protuberance projecting inwardly towards the container, which fits into the annular groove of the cylindrical collar. The spike access means is positioned over the annular cylindrical collar by fitting the annular protuberance into the annular groove. In this initial position, the spike access means is in an inactivated stage because the sharp tip of the spike is just very slightly above the recessed center, pierceable target area of the elastomeric stopper. The spike access means is made of a rigid but slightly flexible polymeric material so that, when activation of the same is desired, the sides of the annular collar flex outwardly as a result of manual force exerted on the top portion of the spike access means. The exerted manual force will dislodge the annular protuberance from the annular groove and slides the spike access means downward so that the sharp tip of the spike penetrates the recessed center target area of the elastomeric stopper thereby providing access to the medical fluid contained in the container. The spike access means, in its sliding downward motion, will be stopped when the annular protuberance of the spike access means reaches the annular protuberance on the bottom of the cylindrical collar. A cap member completely encloses the spike access means along with the elastomeric stopper and the neck portion of the container. The cap is made of plastic, or metal such as aluminum. The cap at its bottom portion is sealed to the neck of the container by a tear strip. At the point of use, the tear strip is removed. This allows the cap to be pushed axially toward the container. During the axial movement the spike penetrates the recessed target area thereby establishing fluid communication with the contents of the container. Upon activation the cap is removed revealing the male luer connector with locking threads thereon. A female luer connector is then attached and the contents is delivered to the patient via a tubing and catheter. BRIEF DESCRIPTION OF THE DRAWINGS With reference to the annexed drawings, illustrating the invention: FIG. 1 is a perspective view of a container, a stopper with spike access means, and a cap; FIG. 2 is a top plan view thereof; FIG. 3 is a top plan view thereof without the cap; FIG. 4 is a bottom plan view thereof; FIG. 5 is a section al view of the container, the stopper with the spike access means and the cap taken along the line 4-4 of FIG. 1; FIG. 6 is a sectional view of the neck portion of the container, the stopper with the spike access means and the cap shown in FIG. 1; FIG. 7 is a sectional view of the cap removed form the container shown in FIG. 1; and FIG. 8 is a sectional view of the neck portion of the container, and the stopper with the spike access means having penetrated the recessed target area in the stopper. DESCRIPTION OF THE PREFERRED EMBODIMENT Referring to FIGS. 1, 2, 4, 5 and 7, the container 10 having an open end in which the closure assembly of the present invention is used comprises a neck portion 12, a side portion 14, and a bottom portion 16. The closure assembly is covered with a cylindrical removable cover member 18 having a flat top portion 20, a bottom portion 22 which is sealed to the neck portion 12 of the container 10 by a tear strip 25 and side portion 24. Referring to FIGS. 5, 6 and 8, the container 10 comprises a neck portion 12 having an interior surface 44, and interior radial end surface 46 on the top end portion of the interior surface 44, and transverse end surface 48. The interior radial surface and the transverse end surface form the mouth of container 10. The neck portion 12 further comprises an exterior surface which, adjacent to the transverse end surface 48, evolves into an exterior radial ring 50. The exterior radial ring is adapted to facilitate the holding of the closure assembly, described later. The mouth of the container is to receive an elastomeric stopper 60, as shown in FIGS. 5, 6 and 8. The elastomeric stopper 60 comprises a head 62 and integral therewith a skirt 64. The head 62 comprises: a flange 66 extending laterally outwardly from skirt 64 and is adapted to cover transverse end surface 48 of container 10; an external ring 69 projecting towards the center of the stopper designed to engage an annular groove 113 of the spike; and a recessed target area 68 which is adapted to be pierced by the spike. As best seen in FIGS. 6 and 8 the container 10, after being filled with the desired amount of medical fluid, is sealed with the elastomeric stopper 60. To hold the elastomeric stopper securely in place and to serve as a receiving means for the spike access means, a cylindrical collar 70 is fastened over a portion of the elastomeric stopper 60 and the neck 12 of the container 10. The cylindrical collar 70 comprises: a flat top portion 72 having a central opening therein 74 so that the target area 68 in the elastomeric stopper 60 remains exposed; a circular bottom portion 76; and a cylindrical side portion 78 having an inner wall 80 and an outer wall 82. The inner wall 80 incorporates an inwardly projecting ring 84 which is positioned below the exterior radial ring 50 of the neck portion 12 of container 10 in order to securely hold the elastomeric stopper 60 in container 10. The outer wall 82 of cylindrical side portion 78 of cylindrical collar 70 incorporates: an annular groove 86; and an annular protuberance 88 projecting outwardly at the bottom portion of the cylindrical collar 70. The annular groove 86 is to receive the spike access means when the spike access means is in its stationary or inactivated position, while the annular protuberance 88 serves as a stop means after the activation of the spike access means. The spike access means 100 has an inverted U-shaped configuration in sectional view having: a top portion 102; a side portion 104; and a bottom portion 106. The top portion 102 at its center incorporates a spike 110 which comprises: a cylindrical shaft 112, having a channel therein 114, terminating in a sharp tip 116 at the lower end thereof; and a male luer connector 118 at the other end thereof to engage a corresponding female luer connector at the end of an intravenous tubing (not shown)which delivers the medical fluid contained in the container into a patient. The spike with the male luer connector thereon is recessed into the elastomeric stopper to create a low profile which facilitates handling and storing the container. The bottom portion 106 of spike access means 100 incorporates an annular protuberance 120 projecting inwardly towards the container and engages the annular groove 86 of cylindrical collar 70. During assembly the spike access means 100 is positioned over the annular cylindrical collar 70 by fitting the annular protuberance 120 of the spike access means 100 into the annular groove 86 of the cylindrical collar 70. As shown in FIG. 6, in this initial position the spike access means is in an inactivated stage because the sharp tip of the spike does not penetrate the recessed target area 68 of the elastomeric stopper. The container 10, having the medical fluid therein, is capped with a cap 18 and the cap is sealed to the neck of the container with a tear strip 25. The container is then sterilized, shipped and stored ready to be used. The cap 18 completely encloses the spike access means 100 and the neck portion 12 of the container 10 as shown in FIGS. 1, 5 and 6. When it is desired to deliver medical fluid to a patient, the tear strip 25 is removed and manual force is exerted onto the cap 18. The force so exerted dislodges annular protuberance 120 on spike access means 100 from annular groove 86 of cylindrical collar 70. As the exertion of force continues, the side portion of spike access means 100 flexes outwardly from the container. At the same time the sharp tip 116 of shaft 112 of spike 110 penetrates the recessed target area 68 of the elastomeric stopper 60. Spike access means 100 travels downward into the container until annular protuberance 120 on the spike access means reaches protuberance 88 of the cylindrical collar 70. At this point, the top portion 102 of the spike access means 100 also reaches the flat top portion 72 of the cylindrical collar 70. The cap 18 is then removed exposing the underlying male luer connector 118 to which an intravenous line, having a female luer connector, is attached. The medical fluid in the container is ready for delivery to the patients by turning the container upside-down. The present invention has been described in connection with the preferred embodiment shown in the drawings, however, various changes and modifications will be apparent to those skilled in the art. PARTS LIST Container 10 Neck portion of container 12 Side portion of container 14 Bottom portion of container 16 Cylindrical cap (of closure assembly) 18 Ribs on cylindrical cap 19 Flat top portion of cap 20 Bottom rim portion of cap 22 Cylindrical side portion of cap 24 Tear strip on the base of the cap 25 Interior surface of the neck portion of container 44 Interior radical end surface of the neck portion of container 46 Transverse end surface of container 48 Exterior radial ring of neck portion of container 50 Elastomeric stopper 60 Head of elastomeric stopper 62 Skirt of elastomeric stopper 64 Flange of head of elastomeric stopper 66 Target area of elastomeric stopper 68 External ring of stopper 69 Cylindrical collar 70 Flat top portion of cylindrical collar 72 Central opening in the flat top portion of the cylindrical collar 74 Circular bottom portion of cylindrical collar 76 Cylindrical side portion of cylindrical collar 78 Inner wall of cylindrical side portion 80 Outer wall of cylindrical side portion 82 Inwardly projecting ring of inner wall 84 Annular groove of cylindrical collar 86 Annular protuberance of cylindrical collar 88 Spike access means 100 Top portion of spike access means 102 Side portion of spike access means 104 Bottom portion of spike access means 106 Spike 110 Cylindrical shaft of spike 112 Annular groove in shaft of spike 113 Channel in shaft 114 Sharp tip of shaft 116 Male luer connector 118 Annular protuberance on spike access means 120

Claims: A disposable closure assembly and container combination, said container (10) having a medical fluid therein, and said closure assembly having a spike access means (100) allowing withdrawal of said medical fluid from said container by the use of an intravenous tubing attached to said spike access means (100), said disposable closure and container combination comprising: a) a container (10) containing a medical fluid therein and having a neck portion (12) terminating in an open end; b) a closure assembly comprising: b1) an elastomeric stopper (60) for hermetically sealing the container (10) at its open end; b2) a cylindrical collar (70) to hold the elastomeric stopper (60) in the container (10) and to receive a spike access means (100); and b3) a spike access means (100) slidably positioned over the cylindrical collar (70) and designed to penetrate the elastomeric stopper (60) and allow withdrawal of the medical fluid from the container (10); c) a cap (18) for enclosing the spike access means (100) onto the neck (12) of the container (10) to maintain the closure assembly free from contamination; said elastomeric stopper (60) characterised by an annular groove (113) on said spike access means, a recessed target area (68) at the center the elastomeric stopper (60), the target area (68) comprises an external ring (69) projecting towards the center of the stopper designed to engage the annular groove (113) on said spike access means (100), and a diaphragm located below said external ring (69) designed to be pierced by the spike (110); said spike access means (100) having a recessed male luer connector (118). The disposable closure assembly and container combination of claim 1 wherein said container (10) is made of glass. The disposable closure assembly and container combination of claim 1 wherein said container (10) is made of a polymeric material. The disposable closure assembly and container combination of claim 1 wherein said container (10) is made of a flexible or pliable polymeric material. The disposable closure assembly and container combination of claim 1 wherein said container (10) is a vial. The disposable closure assembly and container combination of claim 1 wherein said container (10) is a bottle. The disposable closure assembly and container combination of claim 1 wherein said container (10) is a pouch or bag. The disposable closure assembly and container combination of claim 1 wherein said medical fluid contained in said container (10) is an x-ray contrast medium. The disposable closure assembly and container combination of claim 1 wherein said medical fluid contained in said container (10) is a parenteral liquid. The disposable closure assembly and container combination of claim 1 wherein the volume capacity of said container (10) is of from 5 ml to 1000 ml. A disposable closure assembly and container combination, said container (10) having a medical fluid therein, said closure assembly having a needleless access means allowing withdrawal of said medical fluid from said container (10) by use of an intravenous tubing attached to said needleless access means, said disposable closure and container combination comprising: a) the container (10), containing the medical fluid therein, which comprises: a1) a neck portion (12) having an interior radial surface (46) and a transverse end surface (48) forming the mouth of said container (10), a2) an exterior surface which, with said transverse end surface (48), forms a radial ring (50) to receive and hold a cylindrical collar (70), b) the closure assembly consisting of an elastomeric stopper (60), a cylindrical collar (70) and a spike access means (100), b1) said elastomeric stopper (60) comprising: a head portion (62) and a skirt portion (64), said head portion (62) having: a flange (66) extending laterally outwardly form said skirt portion (64) and is designed to cover the mouth of the container (10), and a recessed target area (68) comprising an external ring (69) designed to engage an annular groove (113) on said spike access means (100) and a diaphragm located below said external ring (69) designed to be pierced by said spike access means (400); and said skirt portion (64) projecting into the container (10) sealing the medical fluid contained therein; b2) said cylindrical collar (70) comprising: a flat top portion (72) having a central opening (74) therein superimposed on the target area (68) in the head portion (62) of the elastomeric stopper (60), a cylindrical side portion (78) having an inner wall (80), an outer wall (82), and a bottom portion (76), said inner wall (80) having an inwardly projecting ring (84) positioned below the exterior radial ring (50) on the container (10) to securely hold the elastomeric stopper (60) in the container (10); said outer wall (82) of said cylindrical side portion (78) having: an annular groove (86) to receive and engage the spike access means (100), and an annular protuberance (88) at the bottom portion of said cylindrical collar (70) projecting outwardly to serve as stopping means for said spike access means (100), b3) said spike access means (100) positioned over and enveloping said cylindrical-collar (70), said spike access means (100) comprising: a top portion (102); a side portion (104), and a bottom portion (106), b4) said top portion (102) having an integral spike (110) at the center thereof which comprises a cylindrical shaft (112) having a fluid communicating channel (114) therein and terminating in a sharp tip (116) at one end thereof for piercing the target area (68) in said elastomeric stopper (60), said cylindrical shaft (112) having an annular groove (113) therein to engage said external ring (69) in the elastomeric stopper (60); and a recessed male luer connector (118) at the other end thereof to engage a corresponding female luer connector contained at the end of a fluid delivery tubing; b5) said side portion (104) overlaps the outer wall (82) of said cylindrical collar (70) and is slidable thereon; b6) said bottom portion (106) having an annular protuberance (120) thereon projecting inwardly towards the container (10) and engaging the annular groove (86) in said cylindrical collar (70) thereby providing an initial pre-piercing position for said spike access means (100); said spike access means (100) being capable of axial, slidable movement so that upon vertical pressure said inwardly projecting protuberance (120) is being dislodged from said annular groove (86) and said sharp tip (116) of said cylindrical shaft (112) penetrates said diaphragm of said recessed target area (68) in the elastomeric stopper (60) thereby providing access to the medical fluid contained in the container (10); and c) a removable cover member (18) enclosing the spike access means (100) onto the neck (12) of the container (10) to maintain the closure assembly free from contamination. The disposable closure assembly and container combination of claim 11 wherein said container (10) is made of glass. The disposable closure assembly and container combination of claim 11 wherein said container (10) is made of a polymeric material. The disposable closure assembly and container combination of claim 11 wherein said container (10) is made of a flexible or pliable polymeric material. The disposable closure assembly and container combination of claim 11 wherein said container (10) is a vial. The disposable closure assembly and container combination of claim 11 wherein said container (10) is a bottle. The disposable closure assembly and container combination of claim 11 wherein said container (10) is a pouch or bag. The disposable closure assembly and container combination of claim 11 wherein said medical fluid contained in said container (10) is an x-ray contrast medium. The disposable closure assembly and container combination of claim 11 wherein said medical fluid contained in said container (10) is a parenteral liquid. The disposable closure assembly and container combination of claim 11 wherein the volume capacity of said container (10) is of from 5 ml to 1000 ml.

Inventors: NIEDOSPIAL JOHN J JR, NIEDOSPIAL, JOHN J. JR.
Applicants: BRACCO INT BV, BRACCO INTERNATIONAL B.V.
Application year: 1998
Main classification: A61J1
IPC codes: A61J1, B65D51, B65D39