Device for obtaining blood sample

Abstract

To provide a device having a capacity of lancet excising and compressing a finger, collecting a sample, stabilizing the sample, and then distributing the sample, in a controlled method.SOLUTION: Provided is a device for obtaining a blood sample. The device includes a holder for receiving a sample source, having: a finger receiving part defining a first opening; a port defining a second opening which is in a fluid communication with the first opening; a pair of contact members attached to the finger receiving part and configured to move from a first position to a second position to apply pressure to the sample source; and a pair of facing wings which are extending from respective one of the pair of contact members, the pair of facing wings being configured to enable a movement of the pair of contact members from the first position to the second position by a user compressing the pair of facing wings.SELECTED DRAWING: Figure 8

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims priority to U.S. Provisional Application No. 62 / 378,971, filed August 24, 2016, entitled "Finger-Based Capillary Blood Collection Device," the entire disclosure of which is incorporated herein by reference. [Background technology]

[0002] 2. Background of the Invention 1. Field of disclosure The present disclosure relates generally to devices for obtaining biological samples. More specifically, the present disclosure relates to an integrated finger-based capillary blood collection device with the ability to lance and squeeze a finger, collect, stabilize and distribute a blood sample in a controlled manner.

[0003] 2. Description of Related Technology Devices for obtaining and collecting biological samples, such as blood samples, are commonly used in the medical industry. One type of blood collection commonly performed in the medical industry is capillary blood collection, which is often performed to collect blood samples for testing. Certain diseases, such as diabetes, require that a patient's blood be tested periodically, for example to monitor the patient's blood glucose levels. Additionally, test kits, such as cholesterol test kits, often require a blood sample for analysis. Blood collection procedures typically involve pricking a finger or other suitable body part to obtain a blood sample. Typically, the amount of blood required for such tests is relatively small, and a small puncture wound or incision usually provides a sufficient amount of blood for these tests. Various types of lancet devices have been developed that are used to puncture the patient's skin to obtain a capillary blood sample from the patient.

[0004] Many different kinds of lancet devices are commercially available to hospitals, clinics, doctors' offices, and the like, as well as to individual consumers. Such devices typically include a sharply pointed member, such as a needle, or a sharply edged member, such as a blade, that is used to make a rapid puncture wound or incision in a patient's skin to provide a small outflow of blood. Pricking one's own finger with a hand-held needle or blade is physiologically and psychologically difficult for many people. As a result, lancet devices have evolved into automatic devices that puncture or cut the patient's skin upon activation of a trigger mechanism. In some devices, the needle or blade is held in a standby position until it is triggered by a user, who may be the patient, or a medical professional responsible for drawing blood from the patient themselves. When the trigger is pulled, the needle or blade punctures or incises the patient's skin, for example on a finger. Often, a spring is incorporated into the device to provide the "automatic" force necessary to puncture or cut the patient's skin.

[0005] One type of contact-activated lancet device featuring automatic ejection and retraction of a puncturing or cutting element from and into the device is U.S. Pat. No. 9,380,975, owned by Becton, Dickinson and Company, the assignee of the present application. The lancet device includes a housing and a lancet structure having a puncturing element. The lancet structure is disposed within the housing and adapted for movement between a retained or pre-actuated position in which the puncturing element is retained within the housing and a puncturing position in which the puncturing element extends through a front end of the housing. The lancet device includes a drive spring disposed within the housing for biasing the lancet structure toward the puncturing position and a retention hub for retaining the lancet structure in a retracted position against the bias of the drive spring. The retention hub includes a pivoting lever that is in interference engagement with the lancet structure. An actuator within the housing pivots the lever, thereby moving the lancet structure toward a rear end of the housing to at least partially compress the drive spring and release the lever from interference engagement with the lancet structure. The received blood sample is then collected and / or tested, which can be performed by a point-of-care (POC) testing device or can be collected and transported to a testing facility.

[0006] Currently, capillary blood collection workflow is a complex, multi-step process that requires a high level of skill. The multi-step nature of this process introduces several variabilities that can cause sample quality issues such as hemolysis, insufficient sample stabilization, and microclots. The use of a lancet device to collect blood samples introduces several variabilities that affect the collection of capillary blood samples, including but not limited to holding the lancet during testing, collecting sufficient blood flow from the puncture site, properly collecting blood, preventing clotting, etc. Some of the most common sources of process variability are: (1) improper lancing site cleaning and removal of the initial droplet can result in contaminated samples; (2) poor lancing location and depth can potentially result in insufficient sample volume and a large proportion of interstitial fluid; (3) inconsistent squeezing techniques and excessive pressure near the lancing site can facilitate blood extraction (e.g., blood milking), potentially resulting in hemolyzed samples; (4) variable transfer interfaces and collection techniques can potentially result in hemolyzed or contaminated samples; and (5) insufficient sample mixing with anticoagulant, which can potentially result in microclots.

[0007] Therefore, there is a need in the art for a device that has the ability to lance and squeeze a finger, collect a sample, stabilize the sample, and then dispense the sample in a controlled manner.There is also a need in the art for a device that simplifies and streamlines capillary blood collection by eliminating the workflow variability typically associated with poor sample quality, including hemolysis and microclots.There is a further need in the art for a closed system of collection and transfer that eliminates blood exposure and device reuse. There is a further need in the art for a device that (1) introduces flexibility in accommodating different capillary blood collection and transport containers, (2) has the ability to produce high quality, uniformly mixed / stabilized capillary blood samples, (3) has the ability to generate in-device plasma from capillary plasma samples, (4) has the ability to collect large volume capillary blood samples (>50-500 μL) with reduced pain, (5) includes a unique sample identifier that is paired with patient information at the time of collection, (6) has the ability to collect capillary blood and perform on-device diagnostics, and (7) has multiple collection ports for collecting blood samples into different containers with the same or different anticoagulants. [Prior art documents] [Patent documents]

[0008] [Patent Document 1] U.S. Patent No. 9,380,975 [Patent Document 2] US Patent Application Publication No. 2006 / 0052809 Summary of the Invention

[0009] Summary of the Invention The present disclosure is directed to a device for collecting biological samples, such as a capillary blood collection device, that meets the above-mentioned needs and has the ability to lance and squeeze a finger, collect a sample, stabilize the sample, and subsequently dispense the sample in a controlled manner. The device also simplifies and streamlines capillary blood collection by eliminating the workflow variability typically associated with poor sample quality, including hemolysis and microclots.

[0010] The present disclosure includes a self-contained and fully integrated finger-based capillary blood collection device capable of lancing, collecting and stabilizing large volume capillary blood samples, for example up to 500 microliters or more. The device simplifies and streamlines large volume capillary blood collection by eliminating workflow steps and variability typically associated with poor sample quality, including hemolysis, microclots, and patient discomfort. The device includes a retractable lancing mechanism capable of lancing the finger and an associated blood flow path that ensures attachment and transfer of capillary blood from the pricked finger site to a collection container. The device also includes a holder that can be periodically squeezed to stimulate or pump blood flow out of the finger, and an anticoagulant to stabilize the collected sample deposited in the flow path or collection container.

[0011] According to one design, the device may include separate components such as a holder, a lancet, and a collection container. According to another design, the lancet and collection container may be integrated into one device that is then used with the holder. According to yet another design, the holder, lancet, and collection container may be integrated into a single system. Any of these designs are envisioned to be used as a standalone disposable device and / or in association with an external power source for pain relief control. The capillary blood collection device can serve as a platform for a variety of capillary blood collection containers, ranging from small tubes to capillary dispensers, as well as an in-device plasma separation module. This capability expands the flexibility of the product for a variety of applications, such as distribution into point-of-care (POC) cartridges or transfer into small collection tubes that can be used in centrifuges or analytical instruments.

[0012] According to one embodiment of the present invention, an apparatus for obtaining a blood sample includes a holder for receiving a sample source, the holder having an actuation portion and a port, a lancet housing secured within the port, the lancet housing having an inlet and an interior, and a container removably connectable to a portion of the lancet housing, the container including a puncturing element movable between a pre-actuation position in which the puncturing element is held therein and a puncturing position in which at least a portion of the puncturing element extends through the inlet, the container defining a collection cavity.

[0013] In one configuration, the actuating portion is transitionable between a first position in which the holder defines a first diameter, such as a first ellipse, and a second position in which the holder defines a second diameter, such as a second ellipse, the second diameter being smaller than the first diameter and the first ellipse being different from the second ellipse. In another configuration, the actuating portion includes a contact member. In yet another configuration, the actuating portion is transitionable between a first position in which the contact member is in a disengaged position and a second position in which the contact member is in an engaged position. In one configuration, the contact member applies pressure to the sample source when the contact member is in the engaged position. In another configuration, the actuating portion includes a pumping member for applying pressure to the sample source. In yet another configuration, the pumping member includes a pair of opposing tabs. In one configuration, the sample source is a finger. In another configuration, the port is in communication with a portion of the finger when the finger is received within the holder. In yet another configuration, the piercing element includes a hollow needle. In one configuration, with the container connected to the lancet housing, the longitudinal axis of the port, the lancet housing, and the container are aligned. In another configuration, the lancet housing includes an outlet. In yet another configuration, with the container connected to the lancet housing, the outlet of the lancet housing is in fluid communication with the collection cavity of the container. In one configuration, with a finger received in the holder and the puncturing element in the puncturing position, the puncturing element lances the finger to draw a blood sample. In another configuration, the blood sample flows through the hollow needle to the outlet to the collection cavity. In yet another configuration, with the container connected to the lancet housing, the longitudinal axis of the lancet housing is at an angle to the longitudinal axis of the container. In one configuration, the device includes a capillary tube. In another configuration, with the container connected to the lancet housing, the capillary tube is in fluid communication with the inlet of the lancet housing and the collection cavity of the container. In yet another configuration, with a finger received in the holder and the puncturing element in the puncturing position, the puncturing element lances the finger to draw a blood sample. In one configuration, the blood sample flows through a capillary bundle tube into a collection cavity.

[0014] According to another embodiment of the invention, an apparatus for obtaining a blood sample includes a holder for receiving a sample source, the holder having an actuating portion and a port, the actuating portion being movable between a first position in which the holder defines a first diameter, such as a first ellipse, and a second position in which the holder defines a second diameter, such as a second ellipse, the second diameter being smaller than the first diameter, and the first ellipse being different from the second ellipse.

[0015] In one configuration, the actuation portion includes a contact member. In another configuration, the actuation portion is transitionable between a first position in which the contact member is in a disengaged position and a second position in which the contact member is in an engaged position. In yet another configuration, when the contact member is in an engaged position, the contact member applies pressure to the sample source. In one configuration, the actuation portion includes a pumping member for applying pressure to the sample source. In another configuration, the pumping member includes a pair of opposing tabs. In yet another configuration, the sample source is a finger. In one configuration, the port is in communication with a portion of the finger when the finger is received in the holder. In another configuration, the holder includes a stabilizing extension portion. In yet another configuration, the device includes a lancet housing removably connectable to the port, the lancet housing having an inlet and an interior, and including a piercing element movable between a pre-actuated position in which the piercing element is retained therein and a piercing position in which at least a portion of the piercing element extends through the inlet. In one configuration, the device includes a container removably connectable to the port, the container defining a collection cavity. In another configuration, the device includes a lancet housing removably connectable to the port, the lancet housing having an entrance and an interior, the lancet housing including a puncturing element movable between a pre-actuation position in which the puncturing element is retained therein and a puncturing position in which at least a portion of the puncturing element extends through the entrance, and a container removably connectable to a portion of the lancet housing, the container defining a collection cavity. [Brief description of the drawings]

[0016] The above and other features and advantages of the present disclosure, as well as the manner in which they are accomplished, will become more apparent, and the disclosure itself will be better understood, by reference to the following description of embodiments of the disclosure taken in conjunction with the accompanying drawings, in which:

[0017] [Figure 1] FIG. 1 is a perspective view of a holder according to an embodiment of the present invention. [Diagram 2] FIG. 2 is a perspective view of a holder in a first position according to an embodiment of the present invention. [Diagram 3] FIG. 3 is a perspective view of a holder in a second position according to an embodiment of the invention. [Figure 4A] FIG. 4A is a perspective view of a holder according to another embodiment of the present invention. [Figure 4B] FIG. 4B is a perspective view of a holder according to another embodiment of the present invention. [Diagram 5] FIG. 5 is a perspective view of a holder according to another embodiment of the present invention. [Figure 6A] FIG. 6A is a perspective view of a holder according to another embodiment of the present invention. [Figure 6B] FIG. 6B is a perspective view of a holder according to another embodiment of the present invention. [Figure 7A] FIG. 7A is a perspective view of a holder according to another embodiment of the present invention. [Figure 7B] FIG. 7B is a perspective view of a holder according to another embodiment of the present invention. [Figure 8] FIG. 8 is an exploded perspective view of a device having separate components for obtaining a blood sample, according to an embodiment of the present invention. [Figure 9] FIG. 9 is a perspective view of a holder having a lancet housing secured within a port, according to one embodiment of the present invention. [Figure 10] FIG. 10 is a perspective view of a holder having a container secured within a port, according to one embodiment of the present invention. [Figure 11] FIG. 11 is a perspective view of a semi-integrated device for obtaining angled flow blood samples according to another embodiment of the present invention. [Figure 12] FIG. 12 is a perspective view of a holder having a lancet housing and a container secured within a port according to another embodiment of the present invention. [Figure 13] FIG. 13 is a cross-sectional view of the device of FIG. 12 according to another embodiment of the invention. [Figure 14] FIG. 14 is a perspective view of a semi-integrated device for obtaining straight-through blood samples according to another embodiment of the present invention. [Figure 15] FIG. 15 is a perspective view of a holder with a lancet housing and container secured within a port according to another embodiment of the present invention. [Figure 16] FIG. 16 is a cross-sectional view of the device of FIG. 15, according to another embodiment of the present invention. [Figure 17] FIG. 17 is a perspective view of an integrated device for obtaining blood samples with angled flow according to another embodiment of the present invention. [Figure 18] FIG. 18 is a cross-sectional view of the device of FIG. 17, according to another embodiment of the present invention. [Figure 19] FIG. 19 is a cross-sectional view of the device of FIG. 17 showing blood flow paths, according to another embodiment of the present invention. [Figure 20] FIG. 20 is a perspective view of an integrated device for obtaining straight-through blood samples according to another embodiment of the present invention. [Figure 21] FIG. 21 is a cross-sectional view of the device of FIG. 20, according to another embodiment of the present invention. [Figure 22] FIG. 22 is a cross-sectional view of the device of FIG. 20 showing blood flow paths, according to another embodiment of the present invention. [Diagram 23] FIG. 23 is a perspective view of a first step of using the integrated device of the present disclosure, according to one embodiment of the present invention. [Figure 24] FIG. 24 is a perspective view of a second step of using the integrated device of the present disclosure, according to one embodiment of the present invention. [Diagram 25] FIG. 25 is a perspective view of a third step using the integrated device of the present disclosure according to one embodiment of the present invention. [Figure 26] FIG. 26 is a perspective view of a fourth step of using the integrated device of the present disclosure, according to one embodiment of the present invention. [Figure 27] FIG. 27 is a perspective view of a first step of using an apparatus having individual components of the present disclosure, according to another embodiment of the present invention. [Figure 28] FIG. 28 is a perspective view of a second step of using an apparatus having individual components of the present disclosure, according to another embodiment of the present invention. [Figure 29] FIG. 29 is a perspective view of a third step of using an apparatus having individual components of the present disclosure, according to another embodiment of the present invention. [Diagram 30] FIG. 30 is a perspective view of a fourth step of using an apparatus having individual components of the present disclosure, according to another embodiment of the present invention. [Diagram 31] FIG. 31 is a perspective view of a fifth step of using an apparatus having individual components of the present disclosure, according to another embodiment of the present invention.

[0018] Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications described herein depict exemplary embodiments of the present disclosure, and such exemplifications are not to be construed in any way as limiting the scope of the present disclosure. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0019] The following description is provided to enable those skilled in the art to make and use the described embodiments contemplated for practicing the invention. However, various modifications, equivalents, variations, and alternatives will be readily apparent to those skilled in the art. Any and all such modifications, variations, equivalents, and alternatives are intended to be within the spirit and scope of the present invention.

[0020] For purposes of the following description, the terms "upper", "lower", "right", "left", "vertical", "horizontal", "top", "bottom", "transverse", "vertical", and derivatives thereof, shall refer to the invention as it is oriented in the drawings. It should be understood, however, that the invention may assume alternative variations and step sequences, unless expressly specified otherwise. It should also be understood that the specific devices and steps illustrated in the accompanying drawings and described in the following specification are merely exemplary embodiments of the invention. Hence, specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered as limiting.

[0021] The present disclosure relates to a device for collecting biological samples, such as a capillary blood collection device, that meets the above-mentioned needs and has the ability to lance and squeeze a finger, obtain a sample, stabilize the sample, and subsequently dispense the sample in a controlled manner. The device also simplifies and streamlines capillary blood collection by eliminating the workflow variability typically associated with poor sample quality, including hemolysis and microclots.

[0022] The present disclosure includes a self-contained and fully integrated finger-based capillary blood collection device capable of lancing, collecting and stabilizing large volume capillary blood samples, for example up to 500 microliters or more. The device simplifies and streamlines large volume capillary blood collection by eliminating workflow steps and variability typically associated with poor sample quality, including hemolysis, microclots, and patient discomfort. The device includes a retractable lancing mechanism capable of lancing the finger and an associated blood flow path that ensures attachment and transfer of capillary blood from the punctured finger site to a collection container. The device also includes a holder that can be periodically squeezed to stimulate or pump blood flow out of the finger, and an anticoagulant that is deposited in the flow path or collection container to stabilize the collected sample.

[0023] According to one design, the device can include separate components such as a holder, a lancet, and a collection container. According to another design, the lancet and collection container can be integrated into one device and then used with the holder. According to yet another design, the holder, lancet, and collection container can be integrated into a single system. Any of these designs are envisioned to be used as a standalone disposable device and / or in conjunction with an external power source for pain relief control. The capillary blood collection device can serve as a platform for a variety of capillary blood collection containers, ranging from small tubes to capillary dispensers, as well as an in-device plasma separation module. This functionality expands the flexibility of the product for a variety of applications, such as distribution into point-of-care (POC) cartridges and transfer into small collection tubes that can be used in centrifuges and analytical instruments.

[0024] 8-10, in an exemplary embodiment, a device 10 of the present disclosure includes separate components, such as a holder 12 (as shown in FIGS. 1-7B), a lancet housing or lancet 14, and a collection container 16.

[0025] 11-13, in another exemplary embodiment, a semi-integrated device 300 of the present disclosure has an at-angle flow and includes an integrated lancet housing and collection reservoir that can be connected to a separate holder. Referring to FIGs. 14-16, in another exemplary embodiment, a semi-integrated device 400 of the present disclosure has an in-line flow and includes an integrated lancet housing and collection reservoir that can be connected to a separate holder.

[0026] 17-19, in another exemplary embodiment, an integrated device 100 of the present disclosure has an angled flow and includes an integrated holder, lancet housing, and collection reservoir. Referring to Figures 20-22, in another exemplary embodiment, an integrated device 200 of the present disclosure has a straight flow and includes an integrated holder, lancet housing, and collection reservoir.

[0027] 8-10, in an exemplary embodiment, a device 10 for obtaining a blood sample 18 includes separate components, such as a holder 12, a lancet housing or lancet 14, and a collection container 16. Figures 1-7B illustrate an exemplary embodiment of a holder or finger housing 12 of the present disclosure.

[0028] 1-7B, an exemplary embodiment of a holder 12 of the present disclosure is shown that can receive a sample source, e.g., a finger 19, for providing a biological sample, such as a blood sample 18. The holder 12 of the present disclosure generally includes a finger receiving portion 20 having a first opening 22 (FIG. 5), an actuation portion 24, a port 26 having a second opening 28, and a finger end guard 30. In one embodiment, the finger end guard 30 provides a stop for properly aligning and securing the finger 19 within the holder 12.

[0029] A first opening 22 of the finger receiving portion 20 is configured to receive a sample source, e.g., a finger 19, for providing a biological sample, such as a blood sample 18. It can be understood that the sample source can include other portions of a body that can fit within the first opening 22. A port 26 is in communication with the finger receiving portion 20. For example, with the finger 19 received within the holder 12, the port 26 is in communication with a portion of the finger 19. The holder 12 of the present disclosure can be sized to accommodate all finger sizes.

[0030] The second opening 28 of the port 26 is configured to receive the lancet housing 14 and the collection reservoir 16, as described in more detail below. In one embodiment, the port 26 includes a locking portion 32 for securely receiving the lancet housing 14 and the collection reservoir 16 within the port 26.

[0031] In one embodiment, the actuating portion 24 is transitionable between a first position (FIG. 2) in which the holder 12 defines a first diameter and a second position (FIG. 3) in which the holder 12 defines a second diameter. The second diameter is smaller than the first diameter. In one embodiment, the actuating portion 24 is transitionable between a first position (FIG. 2) in which the holder 12 defines a first ellipse and a second position (FIG. 3) in which the holder 12 defines a second ellipse, the first ellipse being different from the second ellipse. In this manner, with the holder 12 in the second position of smaller diameter, a portion of the holder 12 contacts the sample source and the actuating portion 24 of the holder 12 can pump and / or extract blood 18, as described in more detail below.

[0032] 2 and 3, in one embodiment, the actuation portion 24 includes a contact member 34. With reference to FIG. 2, when the actuation portion 24 is in a first position, the contact member 34 is in a disengaged position, i.e., the contact member 34 is provided in a first position relative to the sample source, e.g., the finger 19, such that the contact member 34 can make slight contact therewith. With reference to FIG. 3, when the actuation portion 24 is in a second position, the contact member 34 is in an engaged position, i.e., the contact member 34 is provided in a second position relative to the sample source, e.g., the finger 19, such that the contact member 34 makes pressure contact with the finger 19 and the actuation portion 24 of the holder 12 can pump and / or extract blood 18. For example, when the contact member 34 is in the engaged position, the contact member 34 applies pressure to the sample source.

[0033] 2 and 3, in one embodiment, actuation portion 24 includes a pumping member 36 for applying pressure to a sample source, such as finger 19. In one embodiment, pumping member 36 includes a pair of opposing tabs or wings 38. In such an embodiment, each tab 38 may include a contact member 34. With reference to FIGS. 1-3, in one embodiment, holder 12 includes a living hinge portion 42. Living hinge portion 42 allows a user to squeeze wings 38 between a first position (FIG. 2) and a second position (FIG. 3).

[0034] Advantageously, the holder 12 of the present disclosure allows a user to repeatedly squeeze and release the wings 38 to pump and / or extract blood 18 from the finger 19 until a desired amount of blood 18 is loaded into the collection container 16.

[0035] Advantageously, with holder 12 placed on finger 19, holder 12 defines the location of lancing and finger squeezing without constricting blood flow. Squeezing tabs or wings 38 provide a predetermined range of squeezing pressure that is consistently applied across finger 19. By doing so, holder 12 provides a gentle, controlled finger massage that stimulates blood extraction and minimizes any potential hemolysis.

[0036] 5, in one embodiment, holder 12 includes a stabilizing extension portion 40, which provides additional support for holder 12 to be securely placed on finger 19. In one embodiment, finger receiving portion 20 forms a generally C-shaped member and includes a plurality of inner gripping members for further gripping and supporting holder 12 to be securely placed on finger 12.

[0037] In one embodiment, finger receiving portion 20 is formed from a flexible material. In some embodiments, finger receiving portion 20 and port 26 are formed from a flexible material.

[0038] 4A-7B show another exemplary embodiment of the holder 12 of the present disclosure. With reference to FIGs. 4A-4B, the holder 12 includes a leaf spring 44. With reference to FIGs. 6A-6B, the holder 12 includes a double leaf spring 46. With reference to FIGs. 7A-7B, the holder 12 includes a triple leaf spring 48.

[0039] The device 10 for obtaining a blood sample 18 of the present disclosure includes a lancet housing or lancet 14 that is removably connectable to the port 26 of the holder 12. With reference to Figures 8, 9, and 13, in one embodiment, the lancet housing 14 includes an entrance or opening 50, an interior 52, a puncturing element 54, an engagement portion 56, a retractable mechanism 58, and a drive spring 60. In one embodiment, the puncturing element 54 is movable between a pre-actuated position in which the puncturing element 54 is retained within the interior 52 of the lancet housing 14 and a puncturing position in which at least a portion of the puncturing element 54 extends through the entrance 50 of the lancet housing 14 to lance a portion of the finger 19.

[0040] In one embodiment, the lancet 14 of the present disclosure is a touch-activated lancet and may be constructed in accordance with the features disclosed in U.S. Patent Application Publication No. 2006 / 0052809, entitled "Touch-Activated Lancet Device," filed May 6, 2005, the entire disclosure of which is expressly incorporated herein by reference.

[0041] With reference to Figures 8-10, in one embodiment, the lancet housing 14 can be a separate component from the holder 12 and the collection reservoir 16. With reference to Figures 11-16, in some embodiments, the collection reservoir 16 and the lancet housing 14 form a single component that is removably connectable to the port 26 of the holder 12. With reference to Figures 17-22, in some embodiments, the collection reservoir 16, lancet housing 14, and holder 12 form a single component.

[0042] 8-10, in one embodiment, when the holder 12 and the lancet housing 14 are separate components, the lancet housing 14 is removably connectable to the port 26 of the holder 12. In such an embodiment, the lancet housing 14 includes an engagement portion 56. With reference to FIG. 9, in one embodiment, the lancet housing 14 is pressed into the port 26 of the holder 12 such that the engagement portion 56 of the lancet housing 14 is locked into the locking portion 32 of the holder 12. In this manner, the lancet housing 14 is securely connected and locked to the holder 12 such that the puncturing element 54 of the lancet housing 14 can be actuated to lance or puncture the sample source, e.g., the finger 19. In some embodiments, the port 26 of the holder 12 includes a plurality of ribs for securing and locking the lancet 14 or the collection container 16 into the port 26.

[0043] To activate the lancet 14, the lancet 14 is pressed against the finger 19 to activate the retraction mechanism 58 of the lancet 14 and lance the finger 19. The lancets 14 of the present disclosure consistently provide a precise lancing depth and a predetermined lancing location, thereby ensuring sufficient sample volume.

[0044] In one embodiment, the lancet 14 includes a drive spring 60 disposed within the interior 52 of the lancet housing 14 to bias the puncturing element 54 toward the puncturing position. After puncturing, the puncturing element 54 is immediately retracted and secured safely within the interior 52 of the lancet housing 14.

[0045] 8-10, in one embodiment, a lancet 14 of the present disclosure is used to lance the skin of a finger 19, after which a blood sample 18 is forced into a collection container 16, as described in more detail below.

[0046] Referring to FIG. 19, in one embodiment, a lancet housing 14 of the present disclosure is used to lance the skin of a finger 19 along a lance path, after which the blood sample 18 flows down a blood flow path that is angled relative to the lance path, as described in more detail below.

[0047] 21 and 22, in one embodiment, the lancet 14 includes a hollow needle 62. In such an embodiment, a lancet housing 14 of the present disclosure is used to lance the skin of a finger 19 along a lance path, and then a blood sample 18 flows along a parallel blood flow path through the hollow needle 62, as described in more detail below.

[0048] The device 10 for obtaining a blood sample 18 of the present disclosure includes a collection container 16 removably connectable to the port 26 of the holder 12. The collection container 16 defines a collection cavity 70 for receiving the blood sample 18, a container engaging portion 72, a blood collection portion 74, and a cap or septum 76. Once a desired amount of blood 18 has been collected within the container 16, the blood collection portion 74 is removed from the collection device 10 for transporting the collected sample 18 to a diagnostic and / or testing instrument. The blood collection portion 74 is sealed via the cap or septum 76 upon removal from the collection device 10 to protectably seal the blood sample 18 within the collection cavity 70.

[0049] With reference to Figures 8-10, in one embodiment, the collection reservoir 16 can be a separate component from the holder 12 and the lancet housing 14. With reference to Figures 11-16, in some embodiments, the collection reservoir 16 and the lancet housing 14 form a single component that is removably connectable to the port 26 of the holder 12. With reference to Figures 17-22, in some embodiments, the collection reservoir 16, the lancet housing 14, and the holder 12 form a single component.

[0050] 8-10, in one embodiment, when the holder 12 and collection container 16 are separate components, the container 16 is removably connectable to the port 26 of the holder 12. In such an embodiment, the container 16 includes a container-engaging portion 72. With reference to FIG. 10, in one embodiment, the container 16 is pressed into the port 26 of the holder 12 such that the container-engaging portion 72 of the container 16 is locked within the locking portion 32 of the holder 12. In this manner, the container 16 is securely connected and locked to the holder 12 such that the blood sample 18 can safely flow from the finger 19 within the holder 12 to the collection cavity 70 of the container 16.

[0051] It should be understood that several types of collection containers 16 may be used with the device 10 of the present disclosure. It should also be understood that the collection containers 16 may be associated with a separate distribution unit or may include an integral distribution portion for distributing the blood 18 to a testing device.

[0052] 8-10 and 27-31, use of the device 10 of the present disclosure having separate components such as holder 12, lancet housing or lancet 14, and collection container 16 will now be described.

[0053] 27, first the desired finger 19 is cleaned and a holder 12 having a size appropriate for the desired finger 19 is selected and securely placed on the finger 19. Next, referring to FIG. 28, the lancet housing 14 is connected to the port 26 of the holder 12. As described above, the lancet housing 14 is pressed into the port 26 of the holder 12 such that the engagement portion 56 of the lancet housing 14 is locked within the locking portion 32 of the holder 12. In this manner, the lancet housing 14 is securely connected and locked to the holder 12 such that the puncturing element 54 (FIG. 13) of the lancet housing 14 can be actuated to lance or puncture the sample source, e.g., the finger 19. With the lancet 14 connected to the port 26 of the holder 12, the lancet is in communication with the finger 19.

[0054] 28, when it is desired to actuate the lancet 14 to lance the skin of the finger 19, the lancet 14 is pressed against the finger 19 to actuate the retraction mechanism 58 (FIG. 13) of the lancet 14 to lance the finger 19. The lancet 14 of the present disclosure consistently provides a precise lancing depth and a predetermined lancing location, thus ensuring sufficient sample volume.

[0055] After the finger 19 has been lanced to produce a flow of blood 18 (FIG. 30) from the finger 19, the lancet 14 is removed from the holder 12 and the collection container 16 is pushed into the port 26 of the holder 12. Referring to FIG. 29, the container 16 is pushed into the port 26 of the holder 12 such that the container engagement portion 72 of the container 16 is locked within the locking portion 32 of the holder 12. In this manner, the container 16 is securely connected and locked to the holder 12 such that the blood sample 18 can safely flow from the finger 19 within the holder 12 to the collection cavity 70 of the container 16.

[0056] 29 and 30, with the container 16 properly secured to the holder 12 for collection of the blood sample 18, the user can repeatedly squeeze and release the wings 38 of the holder 12 to pump and / or extract blood 18 from the finger 19 until a desired amount of blood 18 is loaded into the collection container 16. Advantageously, with the holder 12 placed on the finger 19, the holder 12 defines the location of lancing and finger squeezing without constricting blood flow. The squeeze tabs or wings 38 provide a predetermined range of squeeze pressure that is consistently applied across the finger 19. By doing so, the holder 12 provides a gentle, controlled finger 19 massage that stimulates blood extraction and minimizes any potential hemolysis.

[0057] For example, with reference to Figures 2 and 3, in one embodiment, the actuating portion 24 includes a contact member 34. With reference to Figure 2, when the actuating portion 24 is in a first position, the contact member 34 is in a disengaged position, i.e., the contact member 34 is in a first position relative to a sample source, e.g., a finger 19. With reference to Figure 3, when the actuating portion 24 is in a second position, the contact member 34 is in an engaged position, i.e., the contact member 34 is in a second position and in pressure contact with the sample source, e.g., a finger 19, such that the actuating portion 24 of the holder 12 can pump and / or extract blood 18. For example, when the contact member 34 is in the engaged position, the contact member 34 applies pressure to the sample source.

[0058] 31 , once a desired amount of blood 18 has been collected in the container 16, the blood collection portion 74 is removed from the collector 10 for transport of the collected sample 18 to a diagnostic and / or testing instrument. The blood collector portion 74 is sealed via a cap or septum 76 after being removed from the collector 10 to protectively seal the blood sample 18 within the collection cavity 70.

[0059] The device of the present disclosure is compatible with any known testing device, whether the testing device is off-site or at-the-point testing device. Various point-of-care testing devices are known in the art. Such point-of-care testing devices include test strips, slides, diagnostic cartridges, or other testing devices for testing and analysis. Test strips, slides, and diagnostic cartridges are point-of-care testing devices that receive a blood sample and test the blood for one or more physiological and biochemical conditions. There are many point-of-care devices that use cartridge-based architectures to analyze very small amounts of blood bedside without the need to transport the sample to a laboratory for analysis. This can save time to results in the long run, but creates challenges that tend to be different to a highly conventional laboratory environment. Examples of such testing cartridges include the i-STAT® testing cartridge from the Abbot group of companies. Testing cartridges such as the i-STAT® cartridge can be used to test for a variety of conditions, including the presence of chemicals and electrolytes, hematology, blood gas concentrations, coagulation, or cardiac markers. The results of testing using such cartridges are immediately provided to the clinician.

[0060] The collection container 16 may also include a sample stabilizing agent, such as an anticoagulant, for stabilizing the blood sample and / or components of the blood sample placed therein. The collection container 16 may also include at least one fill line corresponding to a predetermined volume of sample. The collection container may also indicate / meter the volume of blood collected.

[0061] 17-19, in another exemplary embodiment, a device 100 for obtaining a blood sample 18 of the present disclosure has an angled flow and includes an integrated holder 12, lancet housing 14, and collection reservoir 16. In such an embodiment, the user does not need to connect a separate lancet housing 14 to port 26 of holder 12, remove lancet 14 after lancing the skin of finger 19, and then connect collection reservoir 16 to port 26 of holder 12.

[0062] 17-19, the lancet housing 14 is permanently secured within the port 26 of the holder 12. The lancet housing 14 includes a blood flow channel 120. The collection container 16 is secured to the lancet housing 14 and includes a blood collection portion 74 that is removably connectable to a portion of the lancet housing 14.

[0063] 19, in one embodiment, with the reservoir 16 connected to the lancet housing 14, the longitudinal axis 102 of the lancet housing 14 is angled relative to the longitudinal axis 104 of the reservoir 16. With reference to FIG. 19, in one embodiment, the lancet housing 14 is used to lance the skin of a finger 19 along a lance path 103, and then the blood sample 18 flows down a blood flow path 105 at an angle relative to the lance path 103.

[0064] 17-19, in one embodiment, device 100 includes a capillary tube 110. With reference to FIG. 19, by way of a reservoir 16, i.e., blood acquisition portion 74, connected to lancet housing 14, capillary tube 110 is in fluid communication with inlet or opening 50 of lancet housing 14 and collection cavity 70 of reservoir 16. In one embodiment, a portion of capillary tube 110 extends through a blood flow channel 120 of lancet housing 14.

[0065] 17-19, blood flow pathway 105 of device 100 is described. When finger 19 is received within holder 12 and piercing element 54 is in the piercing position, piercing element 54 lances finger 19 to draw blood sample 18. For example, when it is desired to actuate lancet 14 to lance the skin of finger 19, lancet 14 is pressed against finger 19 to actuate retraction mechanism 58 of lancet 14 to lance finger 19. Lancet 14 of the present disclosure consistently provides a precise lancing depth and a predetermined lancing location, thereby ensuring sufficient sample volume.

[0066] Blood 18 flows from finger 19 into blood flow channel 120 in lancet housing 14. Blood 18 flows through blood flow path 105 at an angle to lance path 103. For example, blood sample 18 flows through capillary tube 110 into collection cavity 70 of container 16.

[0067] 20-22, in another exemplary embodiment, a device 200 for obtaining a blood sample 18 of the present disclosure has a straight-line flow and includes an integrated holder 12, lancet housing 14, and collection container 16. In such an embodiment, the user does not need to connect a separate lancet housing 14 to port 26 of holder 12, remove lancet 14 after lancing the skin of finger 19, and then connect collection container 16 to port 26 of holder 12.

[0068] 20-22, the lancet housing 14 is permanently secured within the port 26 of the holder 12. The lancet housing 14 includes a hollow needle 62. For example, the puncturing element 54 of the lancet 14 includes the hollow needle 62. The collection container 16 is secured to the lancet housing 14 and includes a blood collection portion 74 that is removably connectable to a portion of the lancet housing 14.

[0069] Referring to FIG. 21, in one embodiment, with the reservoir 16 connected to the lancet housing 14, the longitudinal axis 202 of the port 26, the lancet housing 14, and the reservoir 16 are aligned.

[0070] 21 and 22, in one embodiment, the lancet 14 includes a hollow needle 62. In such an embodiment, a lancet housing 14 of the present disclosure is used to lance the skin of a finger 19 along a lance path 203, and then a blood sample 18 flows through the hollow needle 62 along a parallel blood flow path 205.

[0071] 20-22, in one embodiment, the lancet housing 14 includes an outlet 210. When the reservoir 16 is connected to the lancet housing 14, the outlet 210 of the lancet housing 14 is in fluid communication with the collection cavity 70 of the reservoir 16.

[0072] 20-22, blood flow pathway 205 of device 200 will be described. When finger 19 is received within holder 12 and piercing element 54 is in the piercing position, piercing element 54 lances finger 19 to withdraw blood sample 18. For example, when it is desired to actuate lancet 14 to lance the skin of finger 19, lancet 14 is pressed against finger 19 to actuate retraction mechanism 58 of lancet 14 to lance finger 19. Lancet 14 of the present disclosure consistently provides a precise lancing depth and a predetermined lancing location, thereby ensuring sufficient sample volume.

[0073] Blood 18 flows from finger 19, through hollow needle 62, and to outlet 210 of lancet housing 14 into collection cavity 70 of container 16. Blood 18 flows via blood flow pathway 205 in line with lance pathway 203.

[0074] 23-26, the use of a device 200 of the present disclosure having a straight-through flow and including an integrated holder 12, lancet housing 14, and collection reservoir 16 will be described.

[0075] 23, first the desired finger 19 is cleaned and a holder 12 having an appropriate size for the desired finger 19 is selected and placed firmly on the finger 19. In the integrated device 200 of the present disclosure, since the holder 12, lancet housing 14, and collection reservoir 16 are each integrated into a single component, there is no need to select and connect a separate lancet 14 and reservoir 16 to the port 26 of the holder 12.

[0076] 24, when it is desired to actuate the lancet 14 to lance the skin of the finger 19, the lancet 14 is pressed against the finger 19 to actuate the retraction mechanism 58 (FIG. 21) of the lancet 14 to lance the finger 19. The lancet 14 of the present disclosure consistently provides a precise lancing depth and a predetermined lancing location, thereby ensuring sufficient sample volume.

[0077] 25, after the finger 19 has been lanced to create a flow of blood 18 from the finger 19, the user can repeatedly squeeze and release the wings 38 of the holder 12 to pump and / or extract blood 18 from the finger 19 until a desired amount of blood 18 is loaded into the collection container 16. Advantageously, with the holder 12 placed on the finger 19, the holder 12 defines the location of lancing and finger squeezing without constricting the blood flow. The squeeze tabs or wings 38 provide a predetermined range of squeeze pressure that is consistently applied across the finger 19. By doing so, the holder 12 provides a gentle, controlled finger 19 massage that stimulates blood extraction and minimizes any potential hemolysis.

[0078] 26, once a desired amount of blood 18 has been collected in the container 16, the blood collection portion 74 is removed from the collection device 200 and sealed with a cap or septum 76, and the collected sample 18 is transferred to a diagnostic and / or testing device. As mentioned above, the collection container 16 may also contain a sample stabilizer, such as an anticoagulant, to stabilize the blood and may fill lines to indicate / meter the amount of blood 18 collected.

[0079] With reference to Figures 11-16, we will now describe a device 300 (Figures 11-13) that has an angled flow and includes an integrated lancet housing 14 and collection container 302 that can be connected to a separate holder 12, and a device 400 (Figures 14-16) that has a straight flow and includes an integrated lancet housing 14 and collection container 402 that can be connected to a separate holder 12.

[0080] 11-13, the semi-integrated device 300 is used similarly to the angled flow device 100 including the integrated holder, lancet housing, and collection reservoir described above with reference to FIGS. 17-19. When using the semi-integrated device 300, the user does not need to connect a separate lancet housing 14 to the port 26 of the holder 12, remove the lancet 14 after lancing the skin of the finger 19, and then connect the collection reservoir 16 to the port 26 of the holder 12. In the embodiment shown in FIGS. 11-13, the user only needs to connect the integrated lancet housing and collection reservoir component 302 to the port 26 of the holder 12.

[0081] 14-16, the semi-integrated device 400 has a straight-line flow and is used similarly to the device 200 including the integrated holder, lancet housing, and collection reservoir described above with reference to FIGS. 20-22. When using the semi-integrated device 400, the user does not need to connect a separate lancet housing 14 to the port 26 of the holder 12, remove the lancet 14 after lancing the skin of the finger 19, and then connect the collection reservoir 16 to the port 26 of the holder 12. In the embodiment shown in FIGS. 14-16, the user only needs to connect the integrated lancet housing and collection reservoir component 402 to the port 26 of the holder 12.

[0082] Any of the devices for obtaining blood samples of the present disclosure can be used as a standalone disposable device and / or in combination with an external power source for pain relief control. For example, a portion of the holder 12 can include an embedded electrode, which receives a signal from an external pain control module to provide at least one of heat, vibration, or transcutaneous electrical nerve stimulation (TENS) for pain relief control. The devices for obtaining blood samples of the present disclosure can also include various options for in-device plasma separation. The devices for obtaining blood samples of the present disclosure can also include a unique sample identifier that can be paired with patient information at the time of collection. The devices for obtaining blood samples of the present disclosure can also include in-device diagnostic feedback at the time of collection. The devices for obtaining blood samples of the present disclosure can also allow for dual collection, for example, using multiple collection ports that allow collection of multiple samples from the same source, treating the samples with different sample stabilizers such as anticoagulants, collection of two samples into two separate containers.

[0083] The disclosed device for obtaining blood samples significantly simplifies and reduces the skilled labor required for large volume capillary collection from a finger compared to traditional capillary collection using a lancet and capillary tube. The disclosed device eliminates blood exposure and prevents device reuse.

[0084] The disclosed device for obtaining blood samples simplifies, labor-free, and streamlines the collection process, all accomplished by a self-contained, closed system device that provides lancing, blood extraction, stabilization, and containment functions all in one unit after it is placed on the finger.

[0085] The devices for obtaining blood samples of the present disclosure may be associated with a freestanding unit that provides automatic pumping, controlled finger squeeze, and automatic sample labeling and processing.

[0086] While the present disclosure has been described as having an exemplary design, the present disclosure can be further modified within the spirit and scope of the present disclosure. Accordingly, this application is intended to cover any variations, uses, or adaptations of the present disclosure using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art and fall within the scope of the appended claims.

Claims

1. 1. An apparatus for obtaining a blood sample, said apparatus comprising:

1. A holder for receiving a sample source, said holder comprising: a finger-receiving portion defining a first opening; a port defining a second opening in fluid communication with the first opening; a pair of contact members attached to the finger-receiving portion and configured to transition from a first position to a second position to apply pressure to the sample source; and a pair of opposing wings, each of the pair of opposing wings extending from one of the pair of contact members, the pair of opposing wings configured to allow a user to squeeze the pair of opposing wings to transition the pair of contact members from the first position to the second position; A holder having An apparatus comprising:

2. The device of claim 1 , wherein the pair of opposing wings are disengaged from one another in the first position and the second position.

3. The device of claim 1 , wherein the holder further comprises a finger end guard providing a stop.

4. The apparatus of claim 1 , wherein the holder includes a living hinge portion configured to flex when the pair of contact members transition from the first position to the second position.

5. The apparatus of claim 1 , wherein the holder includes a leaf spring configured to deflect when the pair of contact members transition from the first position to the second position.

6. The device of claim 1 , wherein the holder includes a stabilizing extension aligned with the first opening and extending proximally relative to the pair of contact members.

7. The device of claim 1 , wherein the finger receiving portion is formed of a flexible material.

8. The apparatus of claim 1 , wherein the holder forms a single, integral component.

9. The device of claim 1 , wherein the finger receiving portion generally forms a C-shaped member.

10. The device of claim 1 , wherein the finger-receiving portion includes a plurality of inner gripping members.

11. The device of claim 1 , further comprising a lancet housing connected to the port, the lancet housing including a puncturing element movably coupled thereto.

12. The device of claim 11 , wherein the piercing element comprises a hollow needle.

13. The device of claim 11 , wherein the port includes a locking portion for securely receiving a lancet housing.

14. The device of claim 11 , further comprising a container removably connectable to the lancet housing, the container defining a collection cavity for the blood sample.

15. The apparatus of claim 1 , wherein the holder defines a first ellipse at the first position and a second ellipse at the second position, the second ellipse being different from the first ellipse.

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