Abstract:
Rotary seal valve/container assembly allowing withdrawal of a medical fluid contained in the container by the use of a device such as a syringe or IV set having a luer connector. The rotary seal valve includes: an elastomeric stopper having a cavity; a rotary seal bottom insert positioned in the bottom portion of the cavity; a rotary seal top insert, equipped with threads and serving as a male luer connector, rotatably engaging the bottom insert. One or more holes are provided in the bottom inset and top insert which holes are alignable with each other, by rotating the top insert, forming one or more channels through which the medical fluid is accessed. Upon rotating the top insert in opposite direction the rotary valve can be closed. A removable cap positioned over the rotary seal valve maintains the rotary seal valve in aseptic condition.

Description:
BACKGROUND OF THE INVENTION 
     1. Field of the Invention 
     The present invention is directed to a rotary seal stopper used in association with a container, such as a bottle or vial, for the containment and delivery of parenteral solutions, such as diagnostic contrast media and drug formulations. More particularly, the invention relates to a needleless access means having a rotatable seal therein for opening and closing the container for delivery of the parenteral solution to a site through luer connections. 
     2. Report Developments 
     There is an increasing worldwide demand for medical safety devices including safety syringes and other transfer devices. Needle stick injuries number about one million per year in the U.S. alone, resulting in thousands of hepatitis C infections. 
     The prior art has developed numerous devices to prevent accidental needle strike injuries to practitioners and patients. Such injuries are known to spread infectious diseases including hepatitis and AIDS. One of the main features of these devices is the lack of exposed sharp needles. The closures or stoppers have built-in access means to the content of the containers, such as vials, cartridges and bottles. The closures or stoppers in these devices serve the dual function of hermetically sealing the container while allowing safe access to the content therethrough. 
     Stopper systems for containers such as vials and bottles 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/container system for such products has been glass or plastic bottles and vials equipped with 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. 
     Various stopper and access systems exist in the prior art to hold and remove the contents of containers which are illustrated hereunder. 
     U.S. Pat. Nos. 2,289,677 and 2,326,490 disclose a rubber stopper for use in vials comprising: an outer wall which serves as 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. Pat. 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. Pat. No. 5,232,109 discloses an elastomeric stopper for a bottle, said stopper 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. Pat. 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 discharged through an outlet at the lower end of the large container for infusion into a patient. 
     U.S. Pat. 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 content of the vial. The content 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 content into a patient. 
     U.S. Pat. No. 5,433,330 relates to a needleless access stopper used on containers with a cannula having a blunt, stopper penetrating tip. 
     U.S. Pat. No. 5,921,419 discloses a closure assembly having an elastomeric membrane capable of being ruptured by a luer connector. 
     U.S. Pat. No. 5,971,181 discloses a multiple use universal stopper having an M-shaped clastomeric membrane capable of being ruptured by a luer connector, wherein the M-shaped elastomeric membrane reseals itself after being punctured by the luer connector. 
     The present invention provides sealing and access means for containers, such as bottles or vials made of glass or plastic containing medical fluids, such as x-ray contrast media and parenteral liquids. The access means provides for hermatic sealing, safe handling, sterilization and storing. The sealing means are designed for multiple use so that the medical fluid can be accessed repeatedly. After each withdrawal of the desired amount of the medical fluid, the access means is closed thereby preventing contamination of the medical fluid by air-born particles, such as dust and bacteria. 
     SUMMARY OF THE INVENTION 
     In accordance with one aspect of the present invention, a rotary seal stopper/container assembly is provided to allow access to a medical fluid contained in the container by the use of any external device that is equipped with a luer connector, such as syringe or cartridge barrels and IV sets. 
     In another aspect, the present invention provides a method for repeatedly accessing a medical fluid contained in a container equipped with the rotary seal stopper and closing the container after each use by rotating the rotary seal in order to prevent contamination of the medical fluid by air-born particles in the environment, such as dust and bacteria. The rotary seal stopper contains no “sharps”, such as sharp or blunt needle cannulas or spikes and, therefore, the use thereof does not have the risk of accidental injuries and transmittance of contagious diseases. 
     The rotary seal stopper/container assembly comprises: 
     a) a container, such as a vial, bottle, or a bag equipped with a rigid or semi-rigid exit port having an appropriate size sufficiently large to connectably receive the rotary seal stopper; 
     b) a rotary seal stopper assembled to the container; and 
     c) a removable cap covering the rotary seal stopper and the neck portion of the container or the neck portion of the rigid or semi-rigid exit port of a bag to maintain the rotary seal stopper in an aseptic condition prior to use. 
     The container used in conjunction with the present invention is made of glass or a polymeric material known in the art. When the container is made of glass it is in the shape of a vial or bottle. 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 the configurations the container is provided with a neck portion which is sufficiently rigid and is capable of retaining its dimensions when the rotary seal stopper is inserted thereinto. The container has a neck portion terminating in an open end to receive the rotary seal stopper which is inserted in the open end to seal the content therein and to maintain it in sterile condition. 
     The rotary seal stopper comprises: 
     an elastomeric stopper; 
     a thermoplastic rotary valve top insert; and 
     a thermoplastic rotary valve bottom insert, the rotary valve top and bottom inserts constituting the rotary valve. The rotary valve top insert is equipped with threads and thereby also serves as a male luer connector. The rotary valve is positioned into the elastomeric stopper such as by snapping the rotary valve into the elastomeric stopper. Alternatively, the rotary valve bottom insert may be shot molded into the elastomeric stopper followed by snapping the rotary valve top insert into the rotary valve bottom insert. 
     The elastomeric stopper having a head portion and a skirt portion is made of an elastomeric base, such as a natural or synthetic rubber preferably having an inert, polymeric coating thereon covering at least the medical fluid contacting portions of the stopper. Examples of elastomeric materials from which the stopper can be made include butyl rubber, isoprene rubber, silicone rubber, halogenated rubber and ethylene propylene therpolymer. Specific examples of a synthetic elastomeric rubber include: the CH 2 CF 2 —C 3 F 6 (C 3 F 5 H) and the C 2 F 4 —C 2 F 3 OCF 3  series of elastomers made by DuPont under the tradenames of VITON® and CARLEZ®; the fluoro-silicon rubbers, such as made by Dow Corning under the tradename 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 and other suitable elastomers may be made into the desired stopper configuration by known methods. Such methods typically 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 coating covering the elastomeric stopper may be of chlorobutyl rubber, polymeric fluorocarbon resins and thermoplastic films. The stopper is of cylindrical shape and has a flange head portion overlying the open top end of the container. Integral with the flange head portion is a skirt portion which extends into the open end and seated in the neck portion of the container. The inside diameter of the neck portion of the container is somewhat smaller than the outside diameter of the skirt portion so that a tight seal is created between the skirt portion and inside wall of the neck portion of the container. In the center portion of the stopper there is a cylindrical opening extending through the head and skirt portions of the stopper. The cylindrical opening is adapted to receive the rotary valve. 
     The rotary valve is made of thermoplastic materials such as polyethylene, polypropylene, polystyrene, polycarbonate, polymethylpentene, cyclic olefin polymers, acrylic polymers and methacrylic polymers. 
     A removable cap encloses the rotary seal stopper and the neck portion of the container. The cap is made of plastic, or a 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 followed by removal of the cap revealing the male luer connector with locking threads thereon. A female luer connector is then attached and the contents of the container is delivered to the patient via a tubing and catheter. 
     The method of accessing a medical fluid contained in a container equipped with the rotary seal stopper of the present invention comprises the steps of: 
     a) providing the rotary seal stopper/container assembly as described herein; 
     b) removing the tear strip and the removable cap thereby exposing the male luer connector in the rotary seal stopper; 
     c) attaching an external access means having a female luer connector to the male luer connector of the rotary seal stopper; 
     d) turning the rotary seal top insert in the rotary seal stopper to the open position; and 
     e) delivering the medical fluid contained in the container to a patient. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     With reference to the annexed drawings illustrating the invention: 
     FIG. 1 is a perspective view of a container, a rotary seal stopper, and a cap; 
     FIG. 2 is a cross-sectional view of the container, the rotary seal stopper, and the cap taken along the line  2 — 2  of FIG. 1; 
     FIG. 3 is a cross-sectional view of the elastomeric stopper; 
     FIG. 4 is a top plan view of the elastomeric stopper; 
     FIG. 5 is a bottom plan view of the elastomeric stopper; 
     FIG. 6 is a cross-sectional of the elastomeric stopper/rotary seal assembly showing the top insert and bottom insert of the rotary seal; 
     FIG. 7 is a top plan view of the elastomeric stopper/rotary seal assembly showing the rotary seal in the open position; 
     FIG. 8 is a top plan view of the elastomeric stopper/rotary seal assembly showing the rotary seal in the closed position; 
     FIG. 9 is a bottom plan view of the elastomeric stopper/rotary seal assembly showing the rotary seal in the closed position; 
     FIG. 10 is a cross-sectional view of the bottom insert of the rotary seal; 
     FIG. 11 is a top plan view of the bottom insert of the rotary seal; 
     FIG. 12 is a bottom plan view of the bottom insert of the rotary seal; 
     FIG. 13 is a cross-sectional view of the rotary seal top insert; 
     FIG. 14 is a top plan view of the rotary seal top insert in the open position; 
     FIG. 15 is a top plan view of the rotary seal top insert in the closed position; 
     FIG. 16 is a top plan view and a partial side elevational view of the threads on the rotary seal top insert adapted to receive an external female luer connector; 
     FIG. 17 is a cross-sectional view of an elastomeric stopper constituting another embodiment of the present invention; 
     FIG. 18 is a cross-sectional view of the elastomeric stopper/rotary seal assembly showing the top insert and bottom insert of the rotary seal positioned in the elastomeric stopper of FIG. 17; 
     FIG. 19 is a top plan view of the elastomeric stopper/rotary seal assembly shown in FIG. 18, showing the rotary seal in the open position; 
     FIG. 20 is a top plan view of the elastomeric stopper/rotary seal assembly shown in FIG. 18, showing the rotary seal in the closed position; 
     FIG. 21 is a bottom plan view of the elastomeric stopper/rotary seal assembly shown in FIG. 18, showing the rotary seal in the closed position; and 
     FIG. 22 shows a cross-section of a typical female luer connector with screw threads attachable to the male luer connector embodied in the present invention. 
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     Reference is now made to the drawings of FIGS. 1-22 illustrating the present invention. 
     FIG. 1 is a perspective view of a typical cylindrical container generally designated by the numeral  10  and a removable cap generally designated at  18  covering the open end of the container. The container comprises: a neck portion  12 , a side portion  14 , and a bottom portion  16 . Removable cap  18  comprises: a flat top surface  20  and a side portion  24  which terminates in bottom rim portion  22 . 
     FIG. 2 is a sectional view of the container  10 , the removable cap  18 , the elastomeric stopper generally designated at  26 , and the rotary seal generally designated at  28  which is positioned in the elastomeric stopper. The container has medical liquids  30  therein, such as diagnostic media or drug formulations. 
     FIG. 3 is a cross-sectional view of the elastomeric stopper  26  having a top surface  32  and a bottom surface  34  and comprises: a head portion  36  and a skirt portion  38 . The head portion comprises a flange  40  extending laterally outwardly from skirt portion  38  and is designed to cover the transverse end surface of the container. A cylindrical inside wall  42  defines a cylindrical opening in the head portion  36  while a cylindrical inside wall  44  defines a cylindrical opening in the skirt portion of the elastomeric stopper. Cylindrical inside wall  44  in the skirt portion is recessed providing space for a rotary seal bottom insert  48  described later in connection with FIGS. 6-12. The bottom surface  34  of the elastomeric stopper contains a funnel-shaped opening  46  therein to facilitate insertion of the elastomeric stopper in a container by compressing the bottom surface toward the opening. 
     FIGS. 4 and 5 are respectively top and bottom plan views of the elastomeric stopper. 
     FIG. 6 is a cross-sectional view of the elastomeric stopper  26 /rotary seal  28  assembly showing the top insert  48  and the bottom insert  50  of the rotary seal. The two inserts are separate components of the rotary seal: the bottom insert is positioned in the cylindrical opening defined by the cylindrical wall  44  in the skirt portion  38  of the elastomeric stopper. Alternatively, the bottom insert may be shot-molded into the cylindrical opening. By either method the bottom insert is securely held in place in the cylindrical opening of the elastomeric stopper. 
     The bottom insert having a cylindrical body is open at its distal end and closed at its proximal end comprises: side wall  52  securely positioned into the cylindrical inside wall  44  of the elastomeric stopper; and a horizontal bottom wall  54  at the proximal end of the cylindrical body, the side and bottom walls enclosing a space designed to receive the top insert  48  of the rotary seal. At the center of the bottom wall of the bottom insert a dome-shaped protuberance  56  extends toward the distal end of the bottom insert. On both sides of the protuberance the bottom wall is provided with holes  58  and  58 ′. 
     Top insert having a cylindrical body, generally designated by the numeral  48 , comprises: side wall  60 ; and horizontal bottom wall  62  extending parallel to the horizontal bottom wall  54  of the bottom insert and has a frictional fit therewith. Horizontal bottom all  62  of top insert  48  is provided with holes  64  and  64 ′. 
     Horizontal bottom wall  62  of top insert  48  is provided with a dome-shaped indentation  66  in its center portion thereof projecting towards the distal end of the top insert. The dome-shaped indentation conforms to the dome-shaped protuberance  56  in the bottom wall of the bottom insert. The dome-shaped indentation and the dome-shaped protuberance have frictional fit between them for relative limited rotation of the top insert with respect to the stationary bottom insert. 
     Side wall  60  of top insert  48  is equipped with thread  68  of from about the mid point to its distal end  70 . The side wall along with the thread thereon constitutes the male luer connector for engagement with an external female luer connector. 
     Holes  58  and  58 ′ in the horizontal bottom wall  54  of the bottom insert  50  are aligned with holes  64  and  64 ′ in the horizontal bottom wall  62  of top insert  48  when the rotary valve is in the open position, thereby opening a channel through which the medical fluid content of the container can be removed. 
     Reference is now made to FIGS. 7-9 wherein FIG. 7 shows a top plan view of the elastomeric stopper  26 /rotary seal assembly  28  (sometimes referred to herein as rotary valve) showing the rotary seal in the open position. As referred to in connection with FIG. 6, holes  64  and  64 ′ in the top insert  48  are aligned with holes  58  and  58 ′ in the bottom insert to allow transfer of the medical liquid through two pairs of holes which match up in this position. (Holes  58  and  58 ′ cannot be seen in FIG. 7 since they are overlapped by holes  64  and  64 ′). 
     FIG. 8 is a top plan view of the elastomeric stopper  26 /rotary seal assembly  28 , showing the rotary seal in its closed position. Holes  64  and  64 ′ in the top insert  48  are disaligned or mismatched with holes  58  and  58 ′ in the bottom insert. In this closed position the rotary valve provides a sealing function to maintain product integrity. 
     A detent button  70  is incorporated in the top insert to give the user a positive indication that the device has reached the open or closed position. In the embodiment shown in the drawings, rotation of the device in a clockwise direction results in the open position while rotation 90° in a counter-clockwise direction results in the closed position. Obvious alternative to rotation includes reversing the orientation of the opening and closing action to counter-clockwise to open, and clockwise to close the rotary valve. In addition, a single hole can be incorporated in the rotary valve that requires a rotation of 180° from open to closed position. More than two holes may also be incorporated in the rotary valve and the degree of rotation is adjusted based on the number of holes incorporated. The size of the holes may also be varied to provide for the desired rate of flow of the liquid medicament. Preferably, the area of the hole or holes provided in the rotary valve should equal the area of the pathway in the male luer connector, which is integral with the rotary valve, to provide for a smooth even flow of the liquid medicament from the container into the male luer connector portion of the device and out into the external female luer connector. 
     FIG. 9 is a bottom plan view of the elastomeric stopper  26 /rotary seal assembly, showing the rotary seal in the closed position. 
     FIGS. 10-16 show in detail the top insert  48  and bottom insert  50  of the rotary seal wherein: 
     FIG. 10 is a cross-sectional view of the bottom insert  50 ; 
     FIG. 11 is a top plan view of the bottom insert  50 ; 
     FIG. 12 is a bottom plan view of the bottom insert  50 ; 
     FIG. 13 is a cross-sectional view of the rotary seal top insert  48 ; 
     FIG. 14 is a top plan view of the rotary seal top insert  48  in the open position; 
     FIG. 15 is a top plan view of the rotary seal top insert  48  in the closed position; and 
     FIG. 16 is a top plan view and a partial side elevational view of the threads  68  on the rotary seal to insert  48 . 
     The above-described invention, illustrated by FIGS. 1-16, is designed for large container/rotary seal assemblies, such as the 28 mm or larger stopper designs used in bottles or vials of 100 ml or more capacities. 
     Another embodiment of the present invention, illustrated by FIGS. 17-21, is intended for small container/rotary seal assemblies, such as the 20 mm or smaller stopper designs used in bottles or vials having less than 100 ml capacities. The size of the component parts of the rotary seal stopper is accordingly reduced. In FIGS. 17-21 the numerals  10 - 56 ,  60 - 62  and  66 - 70  with superscript-′ refer to similar elements shown in FIGS. 1-16 by the numerals  10 - 56 ,  60 - 62  and  66 - 70  without superscript. The numerals  58 ″,  58 ′″,  64 ″ and  64 ′″ in FIGS. 17-21 refer to similar elements shown in FIGS. 1-16 denoted by the numerals  58 ,  58 ′,  64  and  64 ′. The function of the elements shown in FIGS. 17-21 is identical with the function of the elements described and shown in the drawings of FIGS. 1-16. Based on the reduction of size of the elements in the embodiment shown in FIGS. 17-21, certain differences will be pointed out hereunder. 
     FIG. 17 is a cross-sectional view of the elastomeric stopper  26 ′ having a top surface  32 ′ and a bottom surface  34 ′ and comprises: a head portion  36 ′ and a skirt portion  38 ′. The head portion comprises a flange  40 ′ extending laterally outwardly form skirt portion  38 ′ and is designed to cover the transverse end surface of the container. A cylindrical inside wall  42 ′ defines a cylindrical opening in the head portion  36 ′ while a cylindrical inside wall  44 ′ defines a cylindrical opening in the skirt portion of the elastomeric stopper. Cylindrical inside wall  44 ′ in the skirt potion is recessed providing space for the rotary seal bottom insert  48 ′. The bottom surface  34 ′ of the elastomeric stopper contains a funnel-shaped opening  46 ′ therein to facilitate insertion of the elastomeric stopper into a container by compressing the bottom surface toward the opening. It is to be noted that in this embodiment of the present invention, typified by a 20 mm rotary seal stopper, the various parts of the stopper are reduced in size. Most apparent of the reduction of size is the skirt portion of the elastomeric stopper where the wall thickness of the skirt portion is greatly reduced in order to accommodate the bottom insert of the rotary seal. The following dimensions illustrate the reduction in size of this embodiment of the device of the present invention to that described in the embodiment shown in FIGS. 1-16. 
     
       
         
               
               
               
             
               
               
               
             
           
               
                   
               
               
                   
                 Previous Embodiment 
                 Present Embodiment 
               
               
                   
                 (28 mm stopper) 
                 (20 mm stopper) 
               
               
                 Total 
                 FIGS. 1-16 
                 FIGS. 17-21 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 Length of stopper 
                 0.729″ 
                 0.658″ 
               
               
                 Length of head portion 
                 0.237″ 
                 0.125″ 
               
               
                 Length of skirt portion 
                 0.492″ 
                 0.406″ 
               
               
                 Radius of each hole 
                 0.0425 
                 0.0213″ 
               
               
                   
               
             
          
         
       
     
     The rotary seal stopper of the present invention is used with a female luer connector when fluid communication is desired with the content of the container stoppered by the rotary seal stopper. A typical female luer connector  72  is shown in FIG.  22  and comprises: a cylindrical outside wall  76 , and a cylindrical inside wall  74  having an opening in their center portion for accommodating a tubing within the inside wall. Cylindrical ring  78  located in the top center portion of cylindrical inside wall  74  tightly holds tubing  80  which has a communication channel  82 . Cylindrical inside wall  74  further comprises integral screw threads  84 ,  86 ,  90  and  92  which upon connecting the female luer connector to the male luer connector, engage the male luer connector on the top insert of the rotary seal  48 . 
     At the point of use the user connects a syringe or IV set equipped with the female luer connector with the male luer connector of the rotary seal stopper. Once connected, the user continues to rotate the female luer connector until the rotative forces are sufficient to overcome the detente of frictional relationship between the top insert  48  and the bottom insert  50 . Rotation is continued clockwise for 90° from the closed position until the rotary seal stopper if fully detented and in the open position causing the pairs of holes in the top insert and the pairs of holes in the bottom insert to align. Portions or all of the liquid medication from the container is then transferred from the container to the syringe or IV set. When the desired amount of the liquid medication is transferred, the syringe or IV set equipped with the female luer connector is rotated counter-clockwise until the rotary valve is moved 90° into its closed position. The rotary seal stopper allows repeated delivery and single and multiple doses of the liquid medication contained in the container to which it is attached. It is autoclavable insuring sterility and product integrity. 
     
       
         
               
             
               
               
             
           
               
                   
               
               
                 PARTS LIST 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 Container, generally designated 
                 10 
               
               
                 Neck portion of container 
                 12 
               
               
                 Side portion of container 
                 14 
               
               
                 Bottom portion of container 
                 16 
               
               
                 Removable cap, generally designated 
                 18 
               
               
                 Flat top surface of cap 
                 20 
               
               
                 Bottom rim portion of cap 
                 22 
               
               
                 Cylindrical side portion of cap 
                 24 
               
               
                 Elastomeric stopper, generally designated 
                 26 
               
               
                 Rotary seal in elastomeric stopper, generally 
                 28 
               
               
                 designated 
               
               
                 Medical liquid in the container, such as diagnostic 
                 30 
               
               
                 contrast media 
               
               
                 Top surface of elastomeric stopper 
                 32 
               
               
                 Bottom surface of elastomeric stopper 
                 34 
               
               
                 Head portion of elastomeric stopper 
                 36 
               
               
                 Skirt portion of elastomeric stopper 
                 38 
               
               
                 Flange of elastomeric stopper 
                 40 
               
               
                 Cylindrical wall defining the cylindrical opening in 
                 42 
               
               
                 head portion of elastomeric stopper 
               
               
                 Cylindrical wall defining the cylindrical opening in 
                 44 
               
               
                 skirt portion of elastomeric stopper 
               
               
                 Funnel shaped opening in skirt portion of 
                 46 
               
               
                 elastomeric stopper 
               
               
                 Top insert of rotary seal, generally designated 
                 48 
               
               
                 Bottom insert of rotary seal, generally designated 
                 50 
               
               
                 Cylindrical side wall of bottom insert 
                 52 
               
               
                 Bottom wall of bottom insert 
                 54 
               
               
                 Dome-shaped protuberance in bottom wall 
                 56 
               
               
                 Holes in the horizontal bottom wall of bottom insert 
                 58, 58′, 58′′, 58′′′ 
               
               
                 Side wall of top insert 
                 60 
               
               
                 Horizontal bottom wall of top insert 
                 62 
               
               
                 Holes in horizontal bottom wall of top insert 
                 64, 64′, 64′′, 64′′′ 
               
               
                 Dome-shaped indentation in the horizontal bottom 
                 66 
               
               
                 wall of top insert 
               
               
                 Threads on top insert 
                 68 
               
               
                 Dented button or point 
                 70 
               
               
                 Female luer connector, generally designated 
                 72 
               
               
                 Cylindrical inside wall of female luer connector 
                 74 
               
               
                 Cylindrical outside wall of female luer connector 
                 76 
               
               
                 Cylindrical ring in female luer connector 
                 78 
               
               
                 Tubing in luer connector 
                 80 
               
               
                 Communication channel in luer connector 
                 82 
               
               
                 Screw threads 
                 84, 86, 90 &amp; 92 
               
               
                   
               
             
          
         
       
     
     Having described the invention, it will be apparent to those skilled in the art that various changes and modifications may be made thereto limited only by the scope of the appended claims.