NZ556682A - Safety syringe - Google Patents

Abstract

A syringe system includes a first compartment 211 holding a first substance 212 and a second compartment 213 holding a second substance 214. From the position illustrated at stage 1 the second compartment is pushed toward the first compartment a small distance so that the piercing needle 221 pierces the sliding seal 218 of the first compartment. The plunger 223 is then pushed down to break open a seal 227 at the top of the piercing needle and push the substance 214 in the second compartment into the first compartment through the piercing needle to form a mixed substance 225 in the first compartment (stage 3). Finally the second compartment is pushed into the first compartment (stage 4) acting as a plunger so that the mixed substance is forced out of the first compartment to be ejected from the syringe into an injection needle 216.

Description

556682 WO 2006/066336 PCT/AU2005/001939 SAFETY SYRINGE FIELD OF THE INVENTION The present invention relates to a drug delivery system and apparatus therefore. More particularly, the invention further relates to a single use syringe for delivery of a predetermined dosage of a drug and to a syringe which, in at least some embodiments, 10 may reduce the risk of needle stick injury before and after use.

BACKGROUND OF THE INVENTION There is a perceived need for a syringe adapted for delivery of drugs in such a way 15 that the syringe, when assembled, can only be used once for the delivery of a drug and cannot be refilled for subsequent uses. It is also desirable that the syringe can never be used in a reverse direction or otherwise permit reflux whereby liquids move within the syringe in a reverse direction to the delivery direction. Australian Patent No. 708445 discloses a basic syringe assembly which, in at least some embodiments, can provide this 20 type of functionality. Specifically, this syringe assembly comprises a single sealed reservoir holding a therapeutic substance for administration to a patient and which is non-detachably connected to a needle assembly. The needle assembly incorporates a one-way valve for inhibiting return flow of the substance from the needle assembly to the reservoir during delivery of the substance. Once the syringe has been used, the one-way valve 25 essentially prevents refilling of the reservoir.

A further matter of concern in drug delivery and, particularly, in drug delivery by way of a syringe, is that unauthorised persons may gain access to the drugs together with the syringes. It is perceived as desirable to minimise the possibility of unauthorised access to syringes and the drugs together.

A separate problem concerns the incorrect loading of dosages into syringes even by practitioners skilled in the art. Mistakes can also occur where the correct dosage is loaded into the syringe but not all of the dosage is delivered. This can happen, for example, 556682 2 where over priming of the syringe occurs prior to use of the syringe resulting in an insufficient quantity of drug remaining in the syringe for actual delivery.

Moreover, a problem with at least some forms of substances intended for, for example, delivery into the human or animal body is that the substance has a limited shelf life once the substance has been prepared for use. The preparation of a substance for use can itself be a procedure requiring care and experience, especially where the procedure involves the mixing of predetermined starting substances so as to produce a final substance of predetermined characteristic such as for example having a predetermined concentration of a therapeutically effective substance. Particularly where substances are intended for injection into the human body, the volume of substance for injection and its concentration can be critical to the point where errors can lead to adverse physiological outcomes and in extreme cases, to life threatening consequences.

Yet a further problem with drug delivery syringes lies in the risk of "needle stick injury" from a syringe needle contaminated with infectious material after use. A means of lessening such risk is disclosed in United States Patent No. 4,976,702 wherein a slideable sheath is provided which may be moved from a retracted position substantially coextensive with the barrel of the syringe to an extended position so as to cover the needle. However, this arrangement relies on retention of the sheath in either of its positions on the barrel, and on the engagement of internal protuberances within the sheath with annular grooves around the barrel. Only an axially directed force needs be applied to the sheath to move it between extended and retracted positions. Hence, this arrangement does not effectively lock the sheath in the extended position and cannot prevent the needle from contacting and puncturing the skin if the sheath is accidentally pushed against it with a similar force to that required to operate the sheath.

It is an object of this present invention to (a) overcome or ameliorate disadvantages in known safety syringes or (b) at least provide the public with a useful alternative.

SUMMARY OF THE INVENTION Disclosed herein is a syringe assembly, the syringe assembly comprising: a first self-contained, cylindrical storage means with a sealing element slidably disposed within the storage means; a second self-contained, cylindrical storage means slidably received by the first storage means and having a sealing element slidably disposed in one end region of the 556682 second storage means and a piercing element disposed at an opposite second end region of the second storage means, and a breakable seal sealing an interior storage volume of the second storage means from the piercing element, the piercing element being arranged to pierce the sealing element of the first storage means upon the second storage means 5 being slidably driven along the first storage means; and a slidable actuator for driving the sealing element of the second storage means axially to force contents of the second storage means in the storage volume to breach the breakable seal for discharge of the contents of the second storage means into contents of an interior storage volume of the first storage means to form a mixed substance; 10 wherein the slidable seal of the first storage means is arranged for being urged along the first storage means to effect ejection of the mixed substance therefrom upon the second storage means being further driven axially along the first storage means, and the first storage means is adapted for attachment to delivery means for delivery of the mixed substance.

Typically, the syringe assembly incorporates the delivery means and the delivery means comprises a needle assembly including a needle having a needle tip.

Preferably, the first storage means is adapted to sealingly retain a predetermined amount of a first substance and the second storage means is adapted to sealingly retain a predetermined amount of a second substance, the first and second substances comprising 20 the contents of the first and second storage means.

Preferably, the first storage means comprises a frangible seal for being breached by the needle of the needle assembly when the needle assembly is brought into engagement with the frangible seal.

Preferably, the needle assembly is adapted for the non-releasable attachment to the 25 first storage means.

Preferably, the needle assembly includes an adaptor sleeve for effecting the attachment of the needle assembly to the first storage means, the adaptor sleeve including non-releasable engagement means for non-releasably attaching the adaptor sleeve to the second end region of the first storage means.

Preferably, the non-releasable engagement means of the adaptor sleeve incorporates a spiral-action locking means for locking the needle assembly to the first storage means. Most preferably, spiral-action locking means comprises tynes profiled so 556682 WO 2006/066336 PCT/AU2005/001939 _4_ as to permit the attachment of the needle assembly with the first storage means but to resist separation of the needle assembly from the first storage means.

Preferably, the needle assembly includes a one-way valve for inhibiting return flow of the mixed substance from the needle assembly to the first storage means. 5 Preferably, the one-way valve comprises a chamber communicating with the needle, the chamber having a valve ball therein for inhibiting the return flow of the mixed substance.

Preferably, the needle assembly further includes a delivery tube communicating with the chamber, the delivery tube being adapted to pierce the frangible seal of the first 10 storage means. Most preferably, the valve ball is adapted for sealing engagement with the delivery tube.

Preferably, the syringe assembly further comprises sliding actuator means for driving the sealing element of the second storage means axially to force the contents of the second storage means into the first storage means through the piercing element. Most 15 preferably, the actuator comprises a plunger adapted for releasable engagement with the sealing element of the second storage means.

Preferably, the plunger includes a movable barrier which acts to limit actuation of the sealing element of the second storage means by the plunger to a preload movement, whereby movement of the plunger relative to the first storage means is stopped at a 20 preload position. Typically, the preload movement of the plunger primes the needle assembly for use.

Preferably, the plunger is dimensioned to drive the sealing element of the second storage means to the second end region thereof when the movable barrier is set to a non-limiting position.

Preferably, the plunger is detachable from the sealing element of the second storage means in a manner that substantially prevents the plunger from withdrawing the sealing element from the second storage means.

Preferably, the syringe assembly further comprises a safety sheath operable between a first locked extended position so as to shroud the needle tip of the needle 30 assembly and a second locked retracted position so as to expose the needle tip for use, the sheath being prevented from axial movement when in the locked extended position. Typically, the needle assembly is completely received within the sheath when the sheath is locked in the extended position. 556682 Preferably, the first storage means is provided with a longitudinally extending guide channel, the guide channel being provided at first and second ends with transverse extension segments and each of the extension segments respectively extending for a portion of the circumference of the cylindrical storage means, the sheath being slidably mounted on the first storage means and provided with a follower element that projects from an inside surface of the sheath and is received by the guide channel.

Preferably, the sheath is prevented from axial movement relative to the first storage means when the follower is engaged in either one of the transverse extension segments of the channel.

In one aspect of the present invention there is provided a multi-compartment syringe adapted for storage and subsequent ejection of a mixed substance from an exit portion thereof, the multi-compartment syringe comprising: a first compartment adapted for sealed storage of a first substance; a second compartment adapted for sealed storage of a second substance; communication means having a sealed state and a communicating substance state, the communication means comprising a piercing element arranged for piercing a slidable sealing element, the communication means further including a breakable seal for sealing substance flow through the piercing means, whereby, when in the communicating substance state, the slidable seal is pierced by the piercing element and the breakable seal is broken so as to permit the second compartment to be placed in substance communication with the first compartment; communication actuation means adapted to move the communication means from the sealed state to the communicating state; first urging means by which the second substance in at least the second compartment, is urged from the second compartment into the first compartment so as to mix with the first substance thereby to form the mixed substance; and second urging means by which the mixed substance in the first compartment is urged through the exit portion.

Typically, the first and second urging means will comprise a single plunger aligned with a longitudinal axis of the syringe, the plunger in a first range of movement acting as the first urging means, and the plunger in a second range of movement acting as the second urging means. 556682 6 In another aspect of the present invention there is provided a method for operating a multi-compartment syringe, comprising: providing a first cylindrical storage means having a sealing element and a second cylindrical storage means, the second storage means being received by the first storage means and having a piercing element at one end region thereof and a slidable sealing element at an opposite second end region thereof, and a breakable seal sealing the piercing element from an internal storage volume of the second storage means; driving the second storage means axially such that the piercing element pierces the sealing element of the first cylindrical storage means; driving the sealing element of the second cylindrical storage means axially to breach the breakable seal of the second storage means thereby placing the first and second storage means in fluid communication for discharge of contents of the second storage means into the first storage means; discharging the contents of the second storage means into the first storage means to provide a mixed substance; and further driving the second storage means axially to eject the mixed substance from the first storage means.

In another aspect of the present invention there is provided a self contained, cylindrical storage means for a multi-compartment syringe, the storage means comprising: a slideable sealing element disposed at one end region of the storage means and a piercing element disposed at an opposite second end region thereof, the storage means having an internal storage compartment containing a predetermined amount of a substance and the piercing element being sealed from the internal compartment by a breakable seal, the storage means being adapted to be slidably inserted into a syringe housing of the syringe, the syringe housing defining a further self-contained, cylindrical storage means containing a further substance and having a further slidable sealing element disposed within the syringe housing; wherein the piercing element is arranged for piercing the further sealing element to effect fluid communication into the further storage means, and the sealing element of the storage means is arranged for being urged axially along the storage means to effect breaching of the breakable seal and discharge of the substance from the 556682 7 storage means into contact with the further substance in the further storage means to provide a mixed substance, and the storage means being further adapted for slidably driving the sealing element of the further storage means axially within the syringe housing to effect ejection of the mixed substance from the further storage means through an exit portion of the syringe.

Also disclosed herein is a method of preparing a syringe for use, comprising: preparing first and second self-contained, cylindrical storage means, each containing a respective predetermined amount of a substance at a first location, at least one of the cylindrical storage means having a breakable seal adapted to be broken for discharge of the substance from the storage means; transporting the first and second cylindrical storage means from the first location to a second location remote from the first location, for administration of the substances to a patient; and assembling the syringe at the second location whereby the syringe incorporates the first and second storage means and further comprises delivery means for breaking said seal so as to mix said substances in said first and second storage means to create a mixed substance and for delivering the mixed substance to the patient.

In still another aspect there is provided a kit for a syringe assembly embodied by the present invention, the kit incorporating one or more components of the syringe assembly.

Accordingly, in a further aspect of the present invention there is provided a kit for assembly of a multi-compartment syringe, the kit comprising: a first self contained, cylindrical storage means containing a predetermined amount of a first substance and having a sealing element slidably disposed within the storage means; and a second self contained, cylindrical storage means containing a predetermined amount of a second substance, and having a sealing element slidably disposed in one end region of the second storage means and a piercing element disposed at an opposite second end region of the second storage means, and a breakable seal sealing an interior storage volume containing the second substance from the piercing element; 556682 PCT/AU2005/001939 Received 5 February 2007 -8. wherein the second storage means is adapted to be slidably received by the first storage means and the piercing element is arranged to pierce the sealing element of the first storage means for discharge of the second substance into the first storage means to provide a mixed substance for subsequent delivery of the mixed substance, when the 5 second storage means is received by the fust storage means.

Typically, the piercing element of a syringe or syringe assembly embodied by the invention will comprise a hollow needle.

Typically, in multi-compartment syringes embodied by the invention, the contents of the first storage means will be different to the contents of the second storage means. 1 o Most preferably, the contents of the first storage means will comprise a powder and the contents of the second storage means will comprise a liquid for forming a solution with the powder. By providing the substances in the first and second storage means separately from one another until use, the shelf life of one or both of the substances may be increased compared to the resulting mixture of the substances when combined together.

A syringe or syringe assembly embodied by the invention will generally comprise a single use syringe adapted for a single delivery of the mixed substance. The mixed substance may comprise one or more therapeutic agents. The agent(s) may, for instance, be selected from the group consisting of drugs, vitamins, nutrients, other substance for providing a therapeutic outcome, and mixtures of the foregoing.

Amended Sheet IPEA/AU 556682 WO 2006/066336 PCT/AU2005/001939 In a related embodiment there is provided a needle assembly suitable for use with a syringe embodied by the present invention.

In a further related embodiment there is provided a one-way valve system for use with a syringe embodied by the invention.

In another related embodiment there is provided an adaptor sleeve for connecting the needle assembly of a syringe embodied by the present invention to a cylindrical storage means as described above.

In yet another related embodiment there is provided a single use syringe, the syringe comprising self-contained storage means adapted to sealingly retain a 10 predetermined dosage of a therapeutic substance, the storage means being adapted to engage an actuator at a first end thereof and delivery means at an opposite end region thereof.

In a still further related embodiment there is provided a system for the safe delivery of a drug or drugs from storage means adapted for independent storage from 15 delivery means used for the delivery of the drug or drugs. Preferably, the delivery means is provided separately to the user.

Most preferably, each component part of the syringe including the cylindrical storage means is unusable for drug administration in its own right unless and until assembled together to form a syringe of the present invention by a conscious act. 20 All publications mentioned in this specification are herein incorporated by reference. Any discussion of documents, acts, materials, devices, articles or the like which has been included in this specification is solely for the purpose of providing a context for the present invention. It is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the 25 field relevant to the present invention as it existed in Australia or elsewhere before the priority date of this application.

Throughout this specification the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of 30 any other element, integer or step, or group of elements, integers or steps.

The features and advantages of the present invention will become further apparent from the following detailed description of preferred embodiments together with the accompanying drawings. 556682 WO 2006/066336 PCT/AU2005/001939 BRIEF DESCRIPTION OF THE ACCOMPANYING DRAWINGS Figure 1 is an exploded side exploded schematic view of a single use syringe assembly; Figures 2A-2I illustrate steps for the assembly and use of the syringe assembly of Fig. 1 for drug delivery; Figures 3A-3L illustrate further steps in the assembly and use of the syringe assembly of Fig. 1; Figure 4 is a block diagram of a drug delivery system; Figure 5 is a schematic view of a kit for a syringe suitable for use in the drug delivery system illustrated by Fig. 4; Figure 6 shows side sectional views of a multi-compartment syringe embodied by the invention at four separate stages of use; Figure 7 shows front views of a safety sheath of a syringe assembly in extended 15 and retracted positions when fitted to a syringe according to Fig. 1 to Fig. 3L; Figure 8 is a partial side sectional view of the syringe of Fig. 7 showing a safety sheath locking arrangement with the sheath in an extended position; Figure 9 is a perspective view of the syringe and safety sheath of Fig. 7 and Fig. 8; Figure 10 shows front views of a further embodiment of the safety sheath of Figs. 7 to 9.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS OF THE INVENTION In the description that follows, the term "liquid" includes any fluid substances stored in or ultimately delivered by the syringe assembly. It is to be understood that the term encompasses, for example, single fluids, emulsions, suspensions, an admixture of a fluid and a solid suspension, an admixture of a plurality of liquids, and combinations of 30 the foregoing. 556682 First Embodiment Fig. 1 is a schematic of a single use syringe assembly 10. In this instance the syringe assembly 10 includes a single self-contained, cylindrical storage means in the 5 form of a barrel-shaped container 11 having a storage volume 12 defined therein. The precise volume of the storage volume 12 is determined by a seal 13 sealingly and slidably moveable along longitudinal axis 14 of container 11 and, which at all times during movement, retains sealing contact with inner wall 15 of container 11. First end 16 of container 11 is adapted to slidingly receive therein an elongate plunger 17. The plunger 10 17 is adapted to be aligned along its longitudinal axis with axis 14 of container 11 and to be advanced into first end 16 of container 11 such that seal connector 18 at a leading edge thereof, seats releasably within plunger connector seat 19 located in rear surface 20 of moveable seal 13. The plunger connector seat 19 is in the form of a cavity adapted to releasably receive seal connector 18 in the form of a boss or dowel pin. The seating of 15 the non-retaining seal connector 18 within the plunger connector seat 19 is such that the plunger 17 can be withdrawn from its engagement with the moveable seal 13 simply by reversing the movement of plunger 17 so that it moves out of container 11 and away from first end 16 along longitudinal axis 14 and leaving the moveable seal 13 retained within container 11 at the position it had assumed when the direction of movement of plunger 17 20 was reversed.

The plunger 17 is of sufficient length that it may be utilised to urge moveable seal 13 along longitudinal axis 14 all the way to an end position 21 within container 11 which, in so doing, forces the contents in storage volume 12 in the direction of container outlet 22. The container 11 includes a frangible seal in the form of a membrane 23 which, for 25 transport of container 11, seals container outlet 22 thereby to prevent egress, during transport, of liquid within storage volume 12.

Second end 24 (the delivery end) of container 11 also incorporates delivery means engagement means in the form of first engagement tyne 25 and second engagement tyne 26, both mounted on substantially cylindrical tyne support unit 27 which itself extends 30 from second end 24 of container 11.

With reference to Figs. 3C and 3D, the tyne support unit 27 includes opposed slots 28 therein which are of sufficient width to allow at least limited flexing inwardly of tynes 25, 26 for the purpose of assisting the engagement of the tynes 25, 26 with the delivery 556682 WO 2006/066336 PCT/AU2005/001939 means as described further below. The delivery means comprises an adapter sleeve 29 that receives at a first or delivery end 30 thereof a delivery device such as a needle assembly 31 or an infusion connector 32 for connection to another delivery system as can be performed for example by a Luer-type fitting. The adapter sleeve 29 at a second end 5 or receiving end 33 thereof is adapted to non-releasably engage with the delivery means engagement means of the container 11 which, in this instance, comprises the engagement tynes 25, 26 and the container outlet 22.

The tynes 25, 26 engage in a spiral shaped channel 34 located on or in the inside wall 35 of adapter sleeve 29 and progress along the channel as and when the container 11 10 is twisted relative to the sleeve 29 until they encounter first tyne barriers 36. At this point, further engagement of the container 11 with the adapter sleeve 29 is achieved by a forward urging of container 11 along longitudinal axis 14 in the direction of sleeve 29 whereby the tynes 25, 26 ride up and over inclined surfaces 37 (see Fig. 1 and Fig. 2A) of barriers 36 to permit continued travel of the tynes 25,26 in channel 34 upon continued 15 twisting movement of container 11 relative to sleeve 29, the spiral channel 34 and the tyne barriers 36, comprising spiral-action locking means. In this embodiment, second tyne barriers 38 forming a second stage of the spiral-action locking means are disposed further along channel 34 from the first tyne barriers 36, which barriers must also be surmounted by tynes 25, 26 in the manner described above in relation to the first tyne 20 barriers 36 before final and complete, sealing and non-releasable engagement of container 11 is achieved with adapter sleeve 29.

The delivery means includes, in addition to the sleeve 29, the needle assembly 31 engaged within the first end or delivery end 30 of the adapter sleeve 29. Specifically, the needle assembly 31 (see Fig. 1 and Fig. 2A) comprises elongate needle 39 having a 25 contoured needle tip 40 at a delivery end thereof adapted for facilitating insertion of the needle into the tissue of a patient.

At a receiving end 41 of the needle 39 is a bulbous chamber 42 receiving valve ball 43 therewithin. The bulbous chamber 42 has sufficient volume compared with the dimensions of the valve ball 43 and is configured such that the ball valve 43 cannot 30 impede forward progress of a liquid through chamber 42 in the direction of elongate delivery channel 44 within needle 39.

Needle housing 45 grips receiving end 41 of needle 39 and includes adapter sleeve engagement tynes 46 which, upon insertion of the receiving end 41 of needle assembly 31 556682 WO 2006/066336 PCT/AU2005/001939 into the delivery end of adapter sleeve 29, mechanically engages with the adapter sleeve 29 so that the receiving end 41 of the needle assembly 31 is retained within adapter sleeve 29 in a manner whereby delivery channel 44 including bulbous chamber 42 are placed in liquid communication with the delivery end of adapter delivery tube 47 which is housed 5 within and forms part of adapter sleeve 29. In addition, the engagement thus described causes the bulbous chamber 42 in conjunction with valve ball 43 to act as a one way valve in that valve ball 43 is sized so as to substantially impede if not entirely exclude reflux of liquid within chamber 42 into adapter delivery tube 47. This action is achieved by mechanical sealing of the surface of valve ball 43 against delivery end 48 of adapter 10 delivery tube 47 as ball 43 is urged by the reverse flow of liquid against delivery end 48. This one-way or anti-reflux function can be assisted by biasing the ball in the direction of delivery end 48, for example by use of biasing means such as a spring.

Receiving end 49 of adapter delivery tube 47 is profiled so as to include a sharp apex 50 adapted to pierce membrane 23 during engagement of adapter sleeve 29 with 15 container 11 to provide a channel of liquid communication from storage volume 12 of container 11 through adapter delivery tube 47, through bulbous chamber 42 and through needle delivery channel 44 in the needle tip 40.

It will be appreciated by those skilled in the art that at least adapter sleeve 29 is rendered difficult to disengage from container 11 by ledges 51 on the delivery side of 20 barriers 36, 38 which are in planar engagement with corresponding ledges 52 on the receiving side of engagement tynes 25,26.

In a particularly preferred form, plunger 17 includes moveable barrier 52 which is pivotally connected to plunger 17 so as to perform the function, in an arresting position, of a pre-load arrestor that prevents sliding movement of plunger 17 into container 11 25 beyond a predetermined insertion limit. The moveable barrier 52 is shown in its arresting position 53 in Figs. 3G and 3H.

The moveable barrier 52 can be rotated about hinge line 54 so that its leading (arresting) edge 55 lies within slot 56 of plunger body 57 in a non-arresting position where it no longer engages with first end 16 of container 11, permitting plunger body 57 30 to progress into container 11 so as to cause moveable seal 13 to shrink storage volume 12 and urge liquid contained therein through container outlet 22, adapter delivery tube 47, bulbous chamber 42, delivery channel 44 and out of tip 40 of needle 39. 556682 Second Embodiment With reference to Fig. 4 there is illustrated a drug delivery system 100 based on the first embodiment of the syringe described above. The system 100 is adapted for 5 transmission of a predetermined quantity of a drug from a first location 102 to a second location 103.

At the first location 102 the drug dosage is compiled into a discrete quantity suitable for delivery as a single dosage, for example by way of injection into a mammalian body. This predetermined quantity is then loaded into a self contained 10 storage means in the form of a barrel shaped container 104. The barrel shaped container has actuator engagement means in the form of a moveable seal 105 at a first end thereof and, further, delivery means engagement means in the form of sealed, frangible outlet 106 at a second end thereof.

When it is required to deliver the predetermined quantity 107 of drug or other 15 substance for example to a patient 108 by way of injection at second location 103, the container 104 is transported to the second location where it is attached to it an appropriate actuator means in the form of needle assembly 109 and an appropriate actuation means in the form of plunger 109 A. After priming of the completed syringe assembly 109B injection of the predetermined quantity 107 of drug into patient 108 takes place. After 20 use the syringe assembly 109B can be deactivated and made safe by, for example, inserting at least the needle portion of needle assembly 109 into a receiving aperture 109C in plunger 109A as illustrated in Fig. 5.

Again with reference to Fig. 5, the delivery system thus described can be provided in one form as a kit 160, in this instance a sealable plastic bag 161 into which container 25 104, plunger 109A and needle assembly 109 are inserted. For safety, needle assembly 109 could be stored in aperture 109C of plunger 109 A as shown in the insert of Fig. 5.

Upon transport to a location where it is desired to inject the predetermined quantity 107 of drug from the container 104, a user first removes the needle assembly 109 from within aperture 109C of plunger 109A, then assembles the syringe assembly in the 30 manner previously described and injects the contents of container 104 in the manner previously described, for example in detail with reference to Figs. 3 and 4. The user then disassembles the syringe assembly and can render safe the sharps portion of the needle 556682 WO 2006/066336 PCT/AU2005/001939 assembly 109 by insertion of the needle portion of the needle assembly 109 into aperture 109C of plunger 109 A.

Where the single use syringe assembly of 109B as described above is utilised, it will be appreciated that an increased level of safety is achieved by virtue of the features of 5 the syringe assembly, either alone or in combination, which render the container 111 that embodiment difficult if not impossible to re-use.

Third Embodiment With reference to Fig. 6, there is illustrated a multi-compartment syringe 210 which, with particular reference to Stage 1 as illustrated at the left of the diagram, is shown in a pre-use or storage position and comprises at least a first self contained, cylindrical priming storage means comprising a first compartment 211 having a first substance 212 sealingly stored therein and a second self contained, cylindrical storage 15 means comprising compartment 213 having a second substance 214 sealingly stored therein. First compartment 211 is substantially formed by a barrel portion of the syringe housing as described above, and is sealed at exit portion 216 by frangible barrier 217 and further defined and sealed at a second end by sliding seal 218 so as to provide between them a predefined volume containing a predetermined amount of a first substance 212. 20 Also as described above, sliding seal 218 is slidingly moveable along the longitudinal axis 219 of the first compartment 211 whilst maintaining a sealing relationship between it and the interior walls of the compartment 211.

In this instance, second compartment 213, in effect replaces the plunger of the above described embodiments, and is substantially defined by an inner barrel 220 which 25 is slidable within the barrel of first compartment 211 along longitudinal axis 219 thereof. Inner barrel 220 fits snuggly but slidingly within the syringe housing so as to be supported by and guided by the walls 215 of the syringe housing.

In the pre-use or storage position illustrated in Stage 1 of Fig. 6, second substance 214 is sealed within second compartment 213 at a first end by communication means 30 which, in this instance, comprises a piercing needle 221 housed within first compartment 211 and at a second end by a plunger seal 222 mounted for sliding, sealing movement along longitudinal axis 219 within inner barrel 220. A breakable seal in the form of friable membrane 227 seals the inner end of hollow needle 221. 556682 WO 2006/066336 PCT/AU2005/001939 Plunger seal 222 may be attached to a working end of actuator means in the form of plunger 223, but may in at least one preferred form of the invention releasably engage with plunger seal 222 as described in the first and second embodiments above rendering the syringe single use only. Plunger 223 is adapted for sliding movement along 5 longitudinal axis 219 within inner barrel 220. In turn, inner barrel 220 is adapted for sliding movement along longitudinal axis 219 within first compartment 211 as above described.

In this instance, the communication means of inner barrel 220 includes hollow needle 221 having a sealed state by means of a breakable seal in the form of friable 10 membrane 227 as illustrated in Stage 1 of the pre-use or storage position of the multicompartment syringe 210. The sealed state is assisted by the tip of the projecting piercing needle 221 being disposed in an intermediate volume 224 defined between sliding seal 218 and the first or leading end of the second compartment 213.

The hollow needle 221 is adapted to be moved along longitudinal axis 219 to a 15 communicating substance state wherein it pierces sliding seal 218 entirely therethrough so as to form a conduit from second compartment 213 through to first compartment 211.

In use of the multi-compartment syringe 210, the syringe is initially pre-filled at the time of assembly into the pre-use or storage position illustrated in Stage 1 of Fig. 6, with a first substance 212 in first compartment 211 and a second substance 214 in second 20 compartment 213, and with the first and second compartments in the relative positions as shown in Stage 1. Delivery means 225 for piercing the frangible seal 217 and delivery of the contents of the syringe to a patient is otherwise assembled and supplied as a separate item. The first substance 212 and second substance 214 are substances selected so that, when mixed, they will form a mixed substance 225 adapted ultimately for delivery from 25 exit portion 216 of syringe 210.

Typically, although not exclusively, first substance 212 may be stored in a powder state or granular state within first compartment 211 whilst second compartment 213 will contain second substance 214 in the form of a solvent and distribution liquid which, when mixed with the first substance 212 will cause first substance 212 to dissolve within, or 30 mix with, the second substance 214 so as to form a mixed substance. Of course, either one or both of the first and second compartments may contain one or more active agents (eg drugs), respectively. It will be understood that, in this context, the resulting "mixed substance" may include a suspension of one substance within another, a simple mixture of 556682 2006/066336 PCT/AU2005/001939 two substances and, in other instances, a homogenous liquid where one substance dissolves entirely within the other and/or a chemical reaction takes place to form an entirely new substance derived from but having a different chemical composition to that of either of the substances from which it is formed on mixture. In a particularly advantageous although by no means limiting form, the first and second substances in their separated, sealed states will have a longer shelf life than that of the substances once mixed so as to form the mixed substance. The method of use of the multi-compartment syringe will now be described.

Stage 1 When, for example, a medical practitioner wishes to inject the mixed substance into a patient, the practitioner (not shown) takes the multi-compartment syringe 210 whilst still in its pre-use or storage position of Stage 1 and performs the following actions: Stage 2 The practitioner urges inner barrel 220 along longitudinal axis 219 in the direction 15 of first compartment 211 by means of finger grips 226, sufficient to cause the communication means to change state from a sealed state to a communicating substance state by virtue of hollow needle 221 fully piercing sliding seal 218 and, in this instance, reducing the volume of intermediate volume 224 substantially to zero.

Stage 3 Plunger 223 is now driven into second compartment 213, the pressure thus created within the contents of the compartment rupturing the friable membrane 217. Having opened a communication channel between second compartment 213 and first compartment 211, the practitioner can now urge the second substance 214 from second compartment 213 and into the first compartment 211 through hollow needle 221 by urging plunger 223 along longitudinal axis 219 in the direction of first compartment 211 to reduce the volume of second compartment 213 substantially to zero and, in so doing, cause the expulsion of the second substance 214 substantially entirely into first compartment 211. The first substance 212 and second substance 214 thereby intermingle so as to produce the mixed substance.

WO 556682 Stage 4 Finally, and preparatory to expulsion of mixed substance through exit portion 216 the practitioner, if it has not already been done, will now attach delivery means comprising a suitable delivery module 225 to exit portion 216. In this example, the 5 delivery module 225 may be a needle assembly as described in the first preferred embodiment above to pierce the frangible seal 217 so as to form a communicating path from first compartment 211 to the patient. However, as will be understood, any other form of delivery module may also be utilised. For instance, a delivery module may not be provided with a ball valve 43. Moreover, the delivery module may simply be detachably 10 received by the syringe housing in a sliding fit such that the needle of the delivery module pierces the frangible membrane 217. Once the needle portion is inserted into the patient, the practitioner urges plunger 223 further along longitudinal axis 219 in the direction of exit portion 216 whereby the volume of first compartment 211 is reduced substantially to zero resulting in the expulsion of mixed substance 225 through exit portion 216.

Fourth Embodiment Any of the above described embodiments may be provided with a safety sheath arranged so as to prevent inadvertent needle-stick injuries. Thus for example with reference to Fig. 7, the barrel portion 310 of a syringe 300 according to the first preferred embodiment described above, is provided with a guide channel 312 for a retractable 20 safety sheath 314. The guide channel 312 comprises a guide section 316 extending at least sufficiently along the length of the syringe barrel portion 310 for the safety sheath 314 to move between a fully retracted position when the syringe is in use, as may be seen in Fig. 7(A), and an extended position at which the safety sheath 314 extends beyond the point 319 of the needle 318 so as to render the point 319 incapable of contact with the skin of a 25 patient or user, as shown in Fig. 7(B).

The guide channel 312 is further provided with a retracted locking segment 320 and an extended locking segment 322. Both segments are a continuation of the guide section 316 but are disposed transverse to it so as to extend a short distance around the circumference of the barrel portion 310, with the retracted locking segment 320 close to 30 the first end 324 of barrel portion 310. 556682 WO 2006/066336 PCT/AU2005/001939 As may best be seen in the enlarged part sectioned view of the barrel portion 310 in Fig. 8, sheath 314 is provided with a generally cylindrical follower 326. The cylindrical follower protrudes radially from the inside surface 328 of the sheath 314 and is dimensioned to slide in the guide channel 316 and locking segments 320 and 322 of the 5 syringe barrel portion 310. Further, the follower 326 is disposed near the proximal end 330 of the sheath and is arranged so that when the sheath is fully retracted, it may be rotated relative to the barrel so that the follower enters locking segments 320.

As best seen in Fig. 9, when fully extended, the sheath 314 may be rotated to enter the follower 326 into the extended locking segment 322, thereby locking the sheath in the 10 extended position. When the follower 326 is so engaged in the locking segment 322, the sheath 314 is prevented from axial movement relative to the barrel portion 310. The protruding follower 326 and guide and locking segments 320 and 322 of the channel 312 are so sized that, particularly when in the extended position, the sheath cannot be accidentally dislodged by the sort of accidental end impacts encountered when 15 manipulating a syringe in use.

In at least one preferred embodiment of the sheath as shown in Fig. 10, the outer end 332 of the sheath 314 is extended and tapered, narrowing towards its distal end, so that when extended in the safety position, a finger cannot be accidentally inserted into the sheath opening.

Accordingly, it will be appreciated by persons skilled in the art that numerous variations and/or modifications may be made to the invention without departing from the spirit or scope of the invention as broadly described. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive. 556682

Claims (49)

1. A multi-compartment syringe adapted for storage and subsequent ejection of a mixed substance from an exit portion thereof, the multi-compartment syringe comprising: a first compartment adapted for sealed storage of a first substance; a second compartment adapted for sealed storage of a second substance; communication means having a sealed state and a communicating substance state, the communication means comprising a piercing element arranged for piercing a slidable sealing element, the communication means further including a breakable seal for sealing substance flow through the piercing means, whereby, when in the communicating substance state, the slidable seal is pierced by the piercing element and the breakable seal is broken so as to permit the second compartment to be placed in substance communication with the first compartment; communication actuation means adapted to move the communication means from the sealed state to the communicating state; first urging means by which the second substance in at least the second compartment, is urged from the second compartment into the first compartment so as to mix with the first substance thereby to form the mixed substance; and second urging means by which the mixed substance in the first compartment is urged through the exit portion.

2. A syringe according to claim 1 wherein the first and second urging means comprises a single plunger aligned with a longitudinal axis of the syringe, the plunger in a first range of movement acting as the first urging means, and the plunger in a second range of movement acting as the second urging means.

3. A syringe according to claim 1 or 2 wherein the communication means comprises a hollow needle adapted for piercing interconnection of the first compartment with the second compartment.

4. A syringe according to any one of claims 1 to 3 wherein the first compartment, the second compartment, the communication means, the first urging means and the second urging means are all aligned along the longitudinal axis of the syringe.

5. A syringe according to any one of claims 1 to 4 wherein the first compartment is defined within a syringe housing of the syringe.

6. A syringe according to claim 5 wherein the second compartment is slidably received by the syringe housing. 556682 21

7. A syringe according to any one of claims 1 to 6 wherein the communication means further comprises an intermediate volume that reduces to substantially zero as the communication means moves from the sealed state to the communicating substance state.

8. A syringe according to any one of claims 1 to 7 wherein the first compartment is a first self-contained, cylindrical storage means and wherein the slidable sealing element is disposed within the storage means.

9. A syringe according to claim 8 wherein the second compartment is a second self-contained, cylindrical storage means slidably received by the first storage means and having a sealing element slidably disposed in one end region of the second storage means and wherein the piercing element is disposed at an opposite second end region of the second storage means.

10. A syringe according to claim 9 wherein the breakable seal seals an interior storage volume of the second storage means from the piercing element and wherein the piercing element is arranged to pierce the sealing element of the first storage means upon the second storage means being slidably driven along the first storage means.

11. A syringe according to claim 10 wherein the communication actuation means includes a slidable actuator for driving the sealing element of the second storage means axially to force contents of the second storage means in the storage volume to breach the breakable seal.

12. A syringe according to claim 11 wherein the slidable actuator is operable as said first urging means so as to discharge the contents of the second storage means into contents of an interior storage volume of the first storage means to form a mixed substance.

13. A syringe according to claim 12 wherein the slidable seal of the first storage means is arranged for being urged along the first storage means to effect ejection of the mixed substance therefrom upon the second storage means being further driven axially along the first storage means, and the first storage means is adapted for attachment to delivery means for delivery of the mixed substance.

14. A syringe according to claim 13 wherein the exit portion incorporates the delivery means and wherein the delivery means comprises a needle assembly including a needle having a needle tip.

15. A syringe according to claim 14 wherein the first storage means comprises a frangible seal for being breached by the needle of the needle assembly when the needle assembly is brought into engagement with the frangible seal. 556682 22

16. A syringe according to claim 15 wherein the needle assembly is adapted for non-releasable attachment to the first storage means.

17. A syringe according to claim 16 wherein the needle assembly includes an adaptor sleeve for effecting the attachment of the needle assembly to the first storage means, the adaptor sleeve including non-releasable engagement means for non-releasably attaching the adaptor sleeve to the second end region of the first storage means.

18. A syringe according to claim 17 wherein the non-releasable engagement means of the adaptor sleeve incorporates spiral-action locking means for locking the needle assembly to the first storage means.

19. A syringe according to claim 18 wherein the spiral-action locking means comprises tynes profiled so as to permit the attachment of the needle assembly with the first storage means but to resist separation of the needle assembly from the first storage means.

20. A syringe according to claim 19 wherein the needle assembly includes a one-way valve for inhibiting return flow of the mixed substance from the needle assembly to the first storage means.

21. A syringe according to claim 20 wherein the one-way valve comprises a chamber communicating with the needle, the chamber having a valve ball therein for inhibiting the return flow of the mixed substance.

22. A syringe according to claim 21 wherein the needle assembly further includes a delivery tube communicating with the chamber, the delivery tube being adapted to pierce the frangible seal of the first storage means.

23. A syringe according to any one of claims 15 to 22 further comprising sliding actuator means for driving the sealing element of the second storage means axially to force the contents of the second storage means into the first storage means through the piercing element.

24. A syringe according to claim 23 wherein the actuator comprises a plunger adapted for releasable engagement with the sealing element of the second storage means.

25. A syringe according to claim 24 wherein the plunger includes a movable barrier which acts to limit actuation of the sealing element of the second storage means by the plunger to a preload movement, whereby movement of the plunger relative to the first storage means is stopped at a preload position.

26. A syringe according to claim 25 wherein the preload movement of the plunger primes the needle assembly for use. 556682 23

27. A syringe according to claim 25 or 26 wherein the plunger is dimensioned to drive the sealing element of the second storage means to the second end region thereof when the movable barrier is set to a non-limiting position.

28. A syringe according to any one of claims 24 to 27 wherein the plunger is detachable from the sealing element of the second storage means such that the plunger is substantially prevented from withdrawing the sealing element from the second storage means.

29. A syringe according to any one of claims 14 to 28 further comprising a safety sheath operable between a first locked extended position so as to shroud the needle tip of the needle and a second locked retracted position so as to expose the needle tip for use, the sheath being prevented from axial movement when in the locked extended position.

30. A syringe according to claim 29 wherein the first storage means is provided with a longitudinally extending guide channel, the guide channel being provided at first and second ends with transverse extension segments and each of the extension segments respectively extending for a portion of the circumference of the cylindrical storage means, the sheath being slidably mounted on the first storage means and provided with a follower element that projects from an inside surface of the sheath and is received by the guide channel.

31. A syringe according to claim 30 wherein the sheath is prevented from axial movement relative to the first storage means when the follower is engaged in either one of the transverse extension segments of the channel.

32. A syringe according to any one of claims 8 to 31 wherein the piercing element is a hollow needle for passage of the contents of the second storage means into the first storage means.

33. A syringe according to any one of claims 8 to 32 being a single use syringe.

34. A method for operating a multi-compartment syringe, comprising: providing a first cylindrical storage means having a sealing element and a second cylindrical storage means, the second storage means being received by the first storage means and having a piercing element at one end region thereof and a slidable sealing element at an opposite second end region thereof, and a breakable seal sealing the piercing element from an internal storage volume of the second storage means; driving the second storage means axially such that the piercing element pierces the sealing element of the first cylindrical storage means; driving the sealing element of the second cylindrical storage means axially to breach the breakable seal of the second storage means thereby placing the first and second storage 556682 24 means in fluid communication for discharge of contents of the second storage means into the first storage means; discharging the contents of the second storage means into the first storage means to provide a mixed substance; and further driving the second storage means axially to eject the mixed substance from the first storage means.

35. A method according to claim 34 wherein the syringe comprises an actuator for driving the sealing element of the second cylindrical storage means axially to breach the breakable seal of the second storage means, and wherein the contents of the second storage means is discharged into the first storage means by driving the sealing element of the second storage means axially using the actuator.

36. A method according to claim 35 wherein the actuator comprises a plunger adapted for releasable engagement with the sealing element of the second storage means.

37. A method according to claim 36 wherein the plunger is detachable from the sealing element of the second storage means such that the plunger is substantially prevented from withdrawing the sealing element from the second storage means.

38. A method according to claim 36 or 37 wherein the plunger includes a movable barrier which acts to limit actuation of the sealing element of the second storage means by the plunger to a preload movement, whereby movement of the plunger relative to the first storage means is stopped at a preload position.

39. A method according to claim 38 wherein the plunger is dimensioned to drive the sealing element of the second storage means to the second end region thereof for discharge of the contents of the second storage means into the first storage means when the movable barrier is set to a non-limiting position.

40. A method according to any one of claims 34 to 39 wherein the syringe comprises a needle assembly for delivery of the mixed substance from the second storage means and a safety sheath operable between a first locked extended position so as to shroud a needle tip of the needle and a second locked retracted position so as to expose the needle tip for use, the sheath being prevented from axial movement when in the locked extended position.

41. A method according to any one of claims 34 to 39 wherein the piercing element is a hollow needle through which the contents of the second storage means pass into the first storage means.

42. A method according to any one of claims 34 to 41 wherein the first and second storage means are prepared at a first location so as to each contain a respective predetermined amount of a substance and further including the step of transporting the first and second cylindrical storage means from the first location to a second location remote 556682 25 from the first location, for assembling the syringe at the second location so as to administer a mixture of the substances to a patient,

43. A method according to claim 44 wherein the syringe is as defined in any one of claims 1 to 33.

44. A kit for assembly of a multi-compartment syringe, the kit comprising: a first self contained, cylindrical storage means containing a predetermined amount of a first substance and having a sealing element slidably disposed within the storage means; and a second self contained, cylindrical storage means containing a predetermined amount of a second substance, and having a sealing element slidably disposed in one end region of the second storage means and a piercing element disposed at an opposite second end region of the second storage means, and a breakable seal sealing an interior storage volume containing the second substance from the piercing element; wherein the second storage means is adapted to be slidably received by the first storage means and the piercing element is arranged to pierce the sealing element of the first storage means for discharge of the second substance into the first storage means to provide a mixed substance for subsequent delivery of the mixed substance, when the second storage means is received by the first storage means.

45. A self contained, cylindrical storage means for a multi-compartment syringe, the storage means comprising: a slidable sealing element disposed at one end region of the storage means and a piercing element disposed at an opposite second end region thereof, the storage means having an internal storage compartment containing a predetermined amount of a substance and the piercing element being sealed from the internal compartment by a breakable seal, the storage means being adapted to be slidably inserted into a syringe housing of the syringe, the syringe housing defining a further self-contained, cylindrical storage means containing a further substance and having a further slidable sealing element disposed within the syringe housing; wherein the piercing element is arranged for piercing the further sealing element to effect fluid communication into the further storage means, and the sealing element of the storage means is arranged for being urged axially along the storage means to effect breaching of the breakable seal and discharge of the substance from the storage means into contact with the further substance in the further storage means to provide a mixed substance, and the storage means being further adapted for slidably driving the sealing element of the further storage means axially within the syringe housing to effect ejection of the mixed substance from the further storage means through an exit portion of the syringe. 556682 26

46. A multi-compartment syringe substantially as herein described with reference to the embodiment shown in figure 6.

47. The method of claim 34 or 44 and substantially as herein described with reference to the embodiment shown in figure 6.

48. A kit for assembly of a multi-compartment syringe substantially as herein described with reference to the embodiment shown in figure 6.

49. A self contained cylindrical storage means substantially as herein described with reference to the embodiment shown in figure 6.