Reusable breach loading target pressure activated lancet firing device

• US 4,577,630 A
• Filed: 02/14/1984
• Issued: 03/25/1986
• Est. Priority Date: 02/14/1984
• Status: Expired due to Term

• Current Assignee: Becton, Dickinson & Co
• Original Assignee: Becton, Dickinson & Co
• Inventors: Nitzsche, Raymond P., Geiger, Kenneth E.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/580,056
• Time in Patent Office: 770 Days
• Field of Search: 128/314, 128/315, 128/329 R, 128/330, 128/770, 604/136, 604/137, 604/157
• US Class Current: 606/182
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150412 Pointed piercing elements, e.g. needles, lancets for piercing the skin blade-like piercing elements A61B5/150442
• CPC Class Codes: A61B 5/150748 Having means for aiding positioning of the piercing device at a location where the body is to be pierced means for aiding positioning of devices for bringing media into the body A61M5/427, locating blood vessels A61B5/489
• CPC Class Codes: A61B 5/15109 Fully automatically triggered, i.e. the triggering does not require a deliberate action by the user, e.g. by contact with the patient's skin
• CPC Class Codes: A61B 5/15117 comprising biased elements, resilient elements or a spring, e.g. a helical spring, leaf spring, or elastic strap
• CPC Class Codes: A61B 5/1513 comprising linear sliding guides comprising tooth-shaped elements A61B5/15132
• CPC Class Codes: A61B 5/15186 Devices loaded with a single lancet, i.e. a single lancet with or without a casing is loaded into a reusable drive device and then discarded after use; drive devices reloadable for multiple use
• CPC Class Codes: A61B 5/1519 comprising driving means, e.g. a spring, for propelling the piercing unit
• CPC Class Codes: A61B 5/15194 fully automatically retracted, i.e. the retraction does not require a deliberate action by the user, e.g. by terminating the contact with the patient's skin

Abstract

A reusable breach loading target pressure activated lancet firing device for use with a lancet includes a sled which releasably engages the lancet so that the lancet point may extend outwardly from a distal end of the sled. The sled is substantially contained and movably engaged within a housing having a distal aperture at its distal end and a side aperture defining a breach to allow access to the sled for engaging and disengaging the lancet. A spring is provided for biasing the distal end of the sled toward the distal end of the housing. A cocking mechanism positions and releasably holds the sled in a position in a direction toward the proximal end of the housing so that the spring means is partially deflected. A trigger mechanism for releasing the cocking mechanism and allowing the sled to move toward the distal aperture, also allows the lancet, when engaged in the sled, to project outwardly from the distal aperture. The trigger mechanism is activated by contact pressure between the patient'"'"'s skin and the trigger mechanism.

Claims

1. A reusable breach loading target pressure activated lancet firing device for use with a lancet including a handle portion and a lancet point extending outwardly from a distal end of the handle portion comprising:

a hollow housing including a distal end, a proximal end and a side wall therebetween, said housing having an aperture in said distal end and a side aperture defining a breach in said side wall;

a trigger member movably engaged in said housing having a distal end extending outwardly from said distal aperture;

a sled slidably engaged within said housing adjacent to said trigger member including lancet engagement means for releasably engaging the lancet handle portion in order to permit the lancet point to extend outwardly from a distal end of said sled when the lancet is engaged therein, said sled capable of sliding to a first rest position with said lancet engagement means being accessible from said side aperture, the lancet point being maintained internally of said distal aperture when the lancet handle portion is engaged in said lancet engagement means and said sled is in said first position;

a side hood substantially covering said side aperture, said hood being movably engaged to said housing so that said hood may be opened to expose said lancet engagement means;

spring means positioned in said housing for biasing the distal end of said sled toward the distal end of said housing;

sear means for holding said sled in a second position in a direction toward said proximal end of said housing so that said spring means is partially deflected and cooperating means on said side hood and said sled for facilitating the movement of said sled toward said proximal end of said housing, deflecting said spring means and engaging said sear means; and

trigger means for releasing said sear means and allowing said sled to slide toward said distal aperture to a third position, said sled being closer to said distal end of said housing in said third position than in said first position, the lancet point, when the lancet handle portion is engaged in said lancet engagement means, being positioned outwardly from said distal aperture when said sled is in said third position, the activation of said trigger means being responsive to contact pressure between the patient'"'"'s skin in an area adjacent to the site of the intended skin puncture and said trigger member.

2. The lancet firing device of claim 1 wherein said sear means includes a drive pin projecting inwardly from said side hood and drive pin accepting means on said sled, wherein closure of said side hood causes said drive pin to travel in a path to engage said drive pin accepting means and move said sled toward said proximal end of said housing, deflecting said spring means and engaging said sear means.

3. The lancet firing device of claim 2 wherein said sear means includes a cantilever member projecting outwardly from said trigger member toward said proximal end of said housing pressing against said sled and an engaging recess in said sled positioned so that when said sled is in said second position said cantilever member engages said engaging recess preventing said sled from moving toward said distal end of said housing.

4. The lancet firing device of claim 3 wherein said cantilever member is an integral part of said trigger member.

5. The lancet firing device of claim 3 wherein said trigger means includes a cam surface projecting inwardly from said side wall of said housing, a cam surface follower projecting outwardly from said cantilever member and engaging said cam surface, said cam surface being shaped so that movement of said trigger member toward said proximal end of said housing forces said follower and said cantilever in a direction away from said engaging recess thus disengaging said cantilever from said recess and allowing said spring means to move said sled to said third position.

6. The lancet firing device of claim 2 wherein said drive pin accepting means includes a flexible drive pin accepting member projecting outwardly from said sled and being positioned outside of said path of said drive pin, whereby engagement of the lancet handle portion into said lancet engagement means deflects said drive pin accepting member into said path of said drive pin, said cocking means being operative only where said lancet is engaged in said lancet engagement means.

7. The lancet firing device of claim 1 wherein said spring means includes a compression spring in an uncompressed condition when said sled is in said first position.

8. The lancet firing device of claim 1 further including a recoil means for returning said sled from said third position to said first position.

9. The lancet firing device of claim 8 wherein said recoil means includes a recoil tension spring positioned between said sled and said trigger member and being unstressed when said sled is in said first position, said recoil spring being stressed when said sled is in said third position and possessing enough energy to return said sled to said first position.

10. The lancet firing device of claim 9 wherein said recoil tension spring is an integral part of said sled.

11. The lancet firing device of claim 1 wherein said trigger member, said sled and said hood are made of thermoplastic material.

12. The lancet firing device of claim 11 wherein said thermoplastic material is acetal.

13. The lancet firing device of claim 1 wherein said housing is made of thermoplastic material.

14. A reusable breach loading target pressure activated lancet firing device for use with a lancet including a handle portion and a point comprising:

a sled including means for releasably engaging the lancet so that, upon loading, the lancet point extends outwardly from a distal end of said sled;

a housing including an aperture through a distal end of said housing, said sled being substantially contained within said housing and movably engaged therein, said housing further including a side aperture to allow access to said sled for engaging and disengaging the lancet;

means for biasing the distal end of said sled toward the distal end of said housing;

a side hood substantially covering said side aperture, said hood being movably engaged to said housing so that said hood may be opened to expose said lancet engagement means; and

cocking means for positioning and releasably holding said sled in a position in a direction toward said proximal end of said housing so that said biasing means is energized, said cocking means including cooperating means on said sled and said side hood for facilitating the movement of said sled toward said proximal end of said housing, said cocking means including trigger means for releasing said cocking means and allowing said sled to move toward said distal aperture and allowing the lancet point, when the lancet is engaged in said sled, to project outwardly from said distal aperture, the activation of said trigger means being responsive to contact pressure between the patient'"'"'s skin in an area adjacent to the site of the intended skin puncture and said trigger means.

15. A reusable breach loading target pressure activated lancet firing device for use with a lancet including a handle portion and a lancet point extending outwardly from a distal end of the handle portion comprising:

a hollow housing including a distal end, a proximal end and a side wall therebetween, said housing having an aperture in said distal end and a side aperture defining a breach in said side wall;

a trigger member movably engaged in said housing having a distal end extending outwardly from said distal aperture;

a sled slidably engaged within said housing adjacent to said trigger member including lancet engagement means for releasably engaging the lancet handle portion in order to permit the lancet point to extend outwardly from a distal end of said sled when the lancet is engaged therein, said sled capable of sliding to a first rest position with said lancet engagement means being accessible from said side aperture, the lancet point being maintained internally of said distal aperture when the lancet handle portion is engaged in said lancet engagement means and said sled is in said first position;

spring means positioned in said housing for biasing the distal end of said sled toward the distal end of said housing;

sear means for holding said sled in a second position in a direction toward said proximal end of said housing so that said spring means is partially deflected;

a side hood substantially covering said side aperture, said hood being movably engaged to said housing so that said hood may be opened to expose said lancet engagement means;

a drive pin projecting inwardly from said side hood;

means on said sled for accepting said drive pin so that closure of said side hood causes said drive pin to travel in a path to engage said drive pin accepting means and move said sled toward said proximal end of said housing, deflecting said spring means and engaging said sear means; and

trigger means for releasing said sear means and allowing said sled to slide toward said distal aperture to a third position, said sled being closer to said distal end of said housing in said third position than in said first position, the lancet point, when the lancet handle portion is engaged in said lancet engagement means, being positioned outwardly from said distal aperture when said sled is in said third position, the activation of said trigger means being responsive to contact pressure between the patient'"'"'s skin in an area adjacent to the site of the intended skin puncture and said trigger member.

16. The lancet firing device of claim 15 wherein said sear means includes a cantilever member projecting outwardly from said trigger member toward said proximal end of said housing pressing against said sled and an engaging recess in said sled positioned so that when said sled is in said second position said cantilever member engages said recess preventing said sled from moving toward said distal end of said housing.

17. The lancet firing device of claim 16 wherein said trigger means includes a cam surface projecting inwardly from said side wall of said housing, a cam surface follower projecting outwardly from said cantilever member and engaging said cam surface, said cam surface being shaped so that movement of said trigger member toward said proximal end of said housing forces said follower and said cantilever in a direction away from said engaging recess thus disengaging said cantilever from said recess and allowing said spring means to move said sled to said third position.

18. The lancet firing device of claim 15 wherein said spring means includes a compression spring in an uncompressed condition when said sled is in said first position.

19. The lancet firing device of claim 15 further including a recoil means for returning said sled from said third position to said first position.

20. The lancet firing device of claim 19 wherein said recoil means includes a recoil tension spring positioned between said sled and said trigger member and being unstressed when said sled is in said first position.

21. The lancet firing device of claim 15 wherein said drive pin accepting means includes a flexible drive pin accepting member projecting outwardly from said sled being positioned outside of said path of said drive pin, whereby engagement of the lancet into said lancet engagement means deflects said drive pin accepting member into said path of said drive pin, said sear means being engageable only when said lancet is engaged in said lancet engagement means.

22. A reusable lancet firing device comprising:

a lancet including a handle portion and a point;

a sled including means for releasably engaging the lancet so that the lancet point extends outwardly from the distal end of the sled;

a housing including an aperture through a distal end of said housing, said sled being substantially contained within said housing and movably engaged therein, said housing further including a side aperture to allow access to said sled for engaging and disengaging the lancet;

spring means for biasing the distal end of said sled toward the distal end of said housing;

a side hood substantially covering said side aperture, said hood being movably engaged to said housing so that said hood may be opened to expose said lancet engagement means; and

cocking means for positioning and releasably holding said sled in a position in a direction toward said proximal end of said housing so that said spring means is energized, said cocking means including cooperating means on said sled and said side hood for facilitating the movement of said sled toward said proximal end of said housing,

said cocking means including trigger means for releasing said cocking means and allowing said sled to move toward said distal aperture and allowing the lancet point to project outwardly from said distal aperture, the activation of said trigger means being responsive to contact pressure between the patient'"'"'s skin in an area adjacent to the site of the intended skin puncture and said trigger means.