Title of Invention	"ORIENTED MEDICAL TUBING"
Abstract	An  oriented  medical  tubing  having  an  initial  diameter and suitable for connecting to rigid housing comprising: a sidewall defining a fluid pathway and having a longitudinal axis,  the sidewall being of an  ultra-low density polyethylene material and an additive håving greater than 5 carbon atoms and electron-negative functional groups; and wherein the tulling has been oriented along its longitudinal axis to decrease its diameter to define an oriented diameter.

Title of Invention

"ORIENTED MEDICAL TUBING"

Abstract

An  oriented  medical  tubing  having  an  initial  diameter and suitable for connecting to rigid housing comprising: a sidewall defining a fluid pathway and having a longitudinal axis,  the sidewall being of an  ultra-low density polyethylene material and an additive håving greater than 5 carbon atoms and electron-negative functional groups; and wherein the tulling has been oriented along its longitudinal axis to decrease its diameter to define an oriented diameter.

Full Text	Description Technical Field This invention relates to a method for fabricating medical tubing and more particularly to a process for orienting the tubing along a longitudinal axis of the tubing. Background Art In the medical field, where beneficial agents are collected, processed and stored in containers, transported and ultimately delivered through tubes by infusion to patients, there has been a recent trend toward developing materials useful for fabricating such containers and tubing without the disadvantages of currently used materials such as polyvinyl chloride. These new materials for tubings must have a unique combination of properties, so that the tubing may be used in fluid administration sets and with medical infusion pumps. Among these properties are the materials must be optically clear, environmentally compatible, have sufficient yield strength and flexibility, have a minimum quantity of low molecular weight additives, and be compatible with medical solutions. It is desirable for medical tubing to be optically transparent to allow for visual inspection of fluids in the tubing. Ultrasonic waves must also be capable of passing through the tubing because sensors associated with an infusion pump typically use ultrasonic waves to detect abnormal conditions such as air bubbles in the tubing. It is also a requirement that the tubing be environmentally compatible as a great deal of medical tubing is disposed of in landfills and through incineration. For tubing disposed of in landfills, it is desirable to use as little material as possible to fabricate the tubing. Further benefits are realized by using a material which is thermoplastically recyclable so that scrap generated during manufacturing may be incorporated into virgin material and refabricated into other useful articles. For tubing that is disposed of by incineration, it is necessary to use a material that does not generate or minimizes the formation of by-products such as inorganic acids which may be environmentally harmful, irritating, and corrosive. For example, PVC may generate objec-tionable amounts of hydrogen chloride (or hydrochloric acid when contacted with water) upon incineration, causing corrosion of the incinerator and possible pollution to the environment. To be compatible with medical Solutions, it is desirable that the tubing material be free from or have a minimal content of low molecular weight additives such as plasticizers, stabilizers and the like. These components could be extracted by the therapeutic Solutions that come into contact with the material. The additives may react with the therapeutic agents or otherwise render the solution ineffective. This is especially troublesome in bio-tech drug formulations where the concentration of the drug is measured in parts per million (ppm), rather than in weight or volume percentages. Even minuscule losses of the bio-tech drug can render the formulation unusable. Because bio-tech formulations can cost several thousand dollars per dose, it is imperative that the dosage not be changed. Polyvinyl chloride ("PVC") has been widely used to fabricate medical tubings as it meets most of these requirements. PVC tubing is optically clear to allow for visual inspection of the fluid flowing through it. PVC tubing has proven to work well in pump administration sets. PVC medical tubing also has desirable stress-strain characteristics so that the material may be oriented along a longitudinal axis of the tubing without causing a reduction in the diameter of the tubing. In other words, PVC tubing resists necking. PVC medical tubing also has favorable surface characteristics to allow for controlling the flow rate of fluid through the tubing using slide clamps which operate by crimping the sidewall of the tubing to stop or reduce the flow of fluid through the tubing. The slide damp may be used without causing scoring or cutting of the tubing. Because PVC by itself is a rigid polymer, low molecular weight components known as plasticizers must be added to render PVC flexible. As set forth above, these plasticizers may be extracted out of the tubing by the fluid. For this reason, and because of the difficulties encountered in incinerating PVC, there is a need to replace PVC medical tubing. Polyolefins and polyolefin alloys have been developed which meet many of the requirements of medical containers and tubing, without the disadvantages associated with PVC. Polyolefins typically are compatible with medical applications because they have minimal extractability to fluids. Most polyolefins are environmentally sound as they do not generate harmful degradants upon incineration, and in most cases are capable of being thermoplastically recycled. Many polyolefins are cost effective materials that may provide an economic alternative to PVC. However, there are many hurdles to overcome to replace all the favorable attributes of PVC with a polyolefin. For example, problems have been encountered in using polyolefins, such as an ultra-low density polyethylene (ULDPE), to fabricate medical tubing. Such tubing has been found to have poor surface characteristics so that it is readily susceptible to cutting, shredding or scoring when clamping the tubing using a slide clamp. ULDPE tubing also presents difficulties during use in pump pressurized administration sets where the pump controls the flow rate of fluid through the tubing by consecutively impinging upon the sidewalls of the tubing to deliver a precise amount of fluid over a given time period. Pumps that are used to infuse beneficial agents to patients typically have various sensors to detect such conditions as back pressure of fluid in the tubing, and air bubbles in the fluid stream. The sensors deactivate the pump upon detecting an unacceptable back pressure or an air bubble. The sensors usually have a sensor body in which a segment of the tubing of the administration set is secured in place. It has been found that there is a tendency for the polyolefin tubing to deform when placed in the sensor body due to resistance with side walls of the sensor housing. This deformation in some cases leads the detectors to indicate an abnormal condition and to inappropriately deactivate the infusion pump. Further, polyolefin tubing has been found to have low yield strength and thus are readily susceptible to a phenomenon which is referred to as necking. Necking is a localized reduction in the diameter of the tubing that occurs upon stretching the tubing under moderate strain along the longitudinal axis of the tubing. Necking can cause a reduction or complete restriction in the flow of fluid through the tubing thereby rendering the tubing ineffective. Because there is a linear relationship between yield strength and modulus, it is possible to increase the modulus of the material to increase the yield strength. However, to get a sufficient yield strength for medical applications, the resulting tubing has too high a modulus to function in pumps. The Applicants have found that it is possible to increase the tubings' resistance to necking by pre-orienting the tubing along the longitudinal axis of the tubing. However, the orientation process may lead to dimensional instability. In particular, oriented polyolefin tubing experiences a phenomenon known as heat recovery, which is sometimes referred as the "tnemory effect." Heat recovery is a complicated phenomenon that occurs when oriented tubing is heated above the temperature reached during the orientation process. When this occurs the tubing loses its orientation causing shrinking and dimensional changes of the tubing. Polyolefin tubings have also been shown to have poor thermal stability during storage, transportation, and end applications. The poor thermal stability is thought to be due in part to polyolefins' low melting or crystallization temperatures, low glass transition temperatures, and due to the orientation process referred to above. The poor thermal stability of polyolefin tubings can lead to changes in the desired dimensions and also lead to coiling of the tubing during shipping or use. These dimensional and shape changes can in turn lead to functional problems such as accuracy, pump compatibility, and cause other cosmetic defects. Disclosure of Invention The present invention provides a method for fabricating flexible medical tubings comprising the steps of providing a polymeric tubing having a longitudinal axis and an initial diameter, orienting the tubing along the longitudinal axis of the tubing to reduce the diameter of the tubing to define an oriented diameter, and applying heat to the oriented tubing to heat set the tubing to maintain dimensional stability of the tubing. Preferably the initial diameter is 10%-300% greater than the oriented diameter. Preferably the step of orienting the tubing can be done in a wet or a dry process. Each orienting process shares the steps of extending the tubing between a first puller and a second puller spaced apart by a distance and controlling the relative speeds of the first puller and the second puller so that the rate of pulling of the second puller is greater than that of the first puller to orient the tubing therebetween. In the wet orientation process, the tubing is passed through an aqueous bath during the orientation step and in the dry process the tubing is not. The present invention further provides for heat setting of the tubing to overcome the memory effect discussed above. The heat setting process includes the step of exposing the tubing to a temperature higher than that which the tubing will normally be exposed during shipping, storage, and use, but below the temperature at which the tubing is fully melted. By exposing the tubing to temperatures above the application temperature; less ordered, lower melting crystals are melted leaving higher melting crystals which will be thermally stable over the application temperature range. Part of the highly oriented macro-molecule chains will also be relaxed at heat setting temperatures resulting in a tubing with good thermal stability. The heat setting step includes the steps of heating the tubing after the orienting step in a heated aqueous bath. Preferably, the tubing is not oriented during the heating step but is held under sufficient tension to prevent the tubing from sagging. It is also possible to allow the tubing a little slack so the tubing may sag slightly. It is also preferable that the tubing be supported with a structure to prevent or minimize further orienting of the tubing, Finally, it is desirable to position a plurality of spaced rollers in the heating bath. The tubing is trained about the rollers to define a serpentine pattern so that the tubing makes several lengthwise passes through the heating bath. It may be desirable to motorize these rollers. Accordingly the present invention relates to a polymeric tubing having an initial diameter and suitable for connecting to rigid housing comprising: a sidewall defining a fluid pathway and having a longitudinal axis, the sidewall being of an ultra-low density polyethylene material and an additive having greater than 5 carbon atoms and electron-negative functional groups,' and wherein the tubing has been oriented along its longitudinal axis to decrease its diameter to define an oriented diameter. Brief Description of Accompanying Drawings Fig. l is an enlarged cross-sectional view of a medical tubing fabricated from a monolayer polymer blend of the present invention; Fig. 2 is an enlarged cross-sectional view of a multi-layered tubing of the invention; Fig. 3 is a schematic representation of a method for forming, orienting and heat setting medical tubing; Fig. 3a is a plan view of a serpentine pattern that tubing may follow through a heating or cooling bath of the process shown in Figure 3 ,- Fig. 3b is a schematic representation of a method for forming, dry orienting and heat setting medical tubing; Fig. 4 is a plan view of a gravity pressurized fluid administration set; Fig. 4a is a plan view of a slide damp; Fig. 5 is a plan view of a pump pressurized fluid administration set; Fig. 6 is pump sensor housing clamping a segment of medical tubing; Fig. 7 is a side elevation view in section of a tubing and a housing prior to insertion of the tubing into the housing; Fig. 8 is a side elevation view in section of a tubing and housing assembly with the tubing inserted into the housing; Fig. 9 is an end view of a housing sleeve; and, Fig. 10 is an end view of a housing sleeve with a tubing inserted therein. Best Mode for Carrying Out the Invention While the invention is susceptible of embodiment in many different forms, there is shown in the drawings and will herein be described in detail preferred embodiments of the invention with the understanding that the present disclosure is to be considered as an exemplification of the principles of the invention and is not intended to limit the broad aspect of the invention to the embodi¬ments illustrated. I. Polymer Blends The polymer blends of the present invention may be embodied in monolayer polymer structures or may be adhered to other substrates such as polymers to form multi-layered structures. The polymer blends of the present invention include a polymeric material and an additive. The polymer blends are capable of being fabricated into medical tubing and attached to rigid polymers. The polymeric material may be selected from the group consisting of polyolefins and their copolymers, ethylene-propylene rubber, ethylene vinyl acetate copolymers, ethylene methyl acrylate copolymers, styrene and hydrocarbon block copolymers such as styrene-butadiene-styrene or styrene-isoprene-styrene copolymers and their hydrogenated derivatives, thermoplastic elastomers such as polyurethanes, polyamide and polyester copolymers such as those sold under the tradename PEBAX, and copolyesters such as those sold under the tradename HYTREL, polybutadiene, polyisoprene, polyisobutylene, styrene butadiene rubbers, and other cross-linked elastomers. Suitable polyolefins include botn homo and copolymers of polyethylene. Suitable comonomers may be selected from the group consisting of aliphatic olefins, methyl acrylate and vinyl acetate. Preferably, the polyolefin is an ethylene copolymerized with alpha-olefins including butene-1, octene-1 (collectively referred to as ultra low density polyethylene ("ULDPE")), methyl acrylate (with less than 33% methyl acrylate comonomer), vinyl acetate (with less than 33% methyl acrylate comonomer). ULDPE generally has a density within the range of about 0.8 g/cm3 to about .95 g/cm3. The additive should be a polymer or an aliphatic or aromatic hydrocarbon having greater than 5 carbon atoms in the backbone and further having electron negative groups selected from the group of amines; amides; hydroxyls; acids; acetate, ammonium salts; organometallic compounds such as metal alcoholates, metal carboxylates, and metal complexes of numerous 1,3 dicarbonyl compounds; phenyl phosphines; pyridines; pyrrolidones; imidazoline, and oxazolines. The blends should have the polymeric component in an amount by weight within the range of 90%-99.999%, more preferably 98.0%-99.99%. The additive should be in an araount by weight within the range of 0.001%-10%, and more preferably 0.01%-2%. II. Method of Blending The components of the polymer blends should be blended through molten mixing, physical blending such as tumble blending, or other means such as reactive extrusion. III. Method of Fabricating Medical Tubing Figure l shows medical tubing 10 of the present invention fabricated from one of the blends of the present invention. The tubing 10 should have an inner diameter dimension within the range of 0.003-0.4 inches, and an outer diameter dimension within the range of 0.12-0.5 inches. More particularly, medical tubing for use in the administration of fluid using a medical infusion pump, such as Baxter infusion pump sold under the tradename FLO-GARD®, and COLLEAGUE®, have an inner diameter within the range of 0.099-0.105 inches, an outer diameter within the range of 0.134-0.145 inches, and a wall thickness within the range of 0.018-0.021 inches. The tubing should be flexible having a modulus of elasticity of less than 50,000 psi, and more preferably less than 40,000 psi. Figure 2 shows a multilayered tubing 20 having a first layer 22, which is a solution contact layer, a second layer 24 and a tie layer 26 therebetween. The first layer 22 may be selected from the same group of polymers set forth above for the polymeric component. The first layer 22, however, will not have the additive. The second layer 24 will be of the blends specified above having a polymeric material and an additive selected from the groups and amounts specified above. In many cases the first layer 22 will be sufficiently compatible with the second layer 24 to do without the tie layer 26. The first layer 22 of the tube 20 should have a thickness as a percentage of the total wall thickness within the range of 98%-50%, the second layer 24 should have a thickness within the range of 2-50%, and the tie layer 26 should have a thickness within the range of 0-10%. IV. Method of Heat Setting and Orienting the Tubing It is also desirable for the tubings 10,20 to be oriented along their longitudinal axes. This orientation step increases the yield strength of the tubing in the longitudinal direction thereby reducing the tendency for the tubing to neck during use. In effect, pre-orienting of the tubing increases the resistance to further necking. Preferably, the tubing 10,20 should be oriented so that the initial inner and outer diameters of the tubing are anywhere from 10%-300% greater than the diameter of the tubing 10,20 after orienting and more preferably from 20%-120% and most preferably from 30%-70% higher. These ranges further include all combinations and subcombinations therein. The ratio of the beginning diameter to the diameter after orienting shall be referred to as the orientation ratio. The orientation process may be a wet orientation process or a dry one as set forth below. Figure 3 shows a schematic representation 30 of the method of orienting the tubing in a wet orientation process. The method of wet orienting includes the steps of providing a tubing 32 from a polymeric blend, and orienting the tubing 32 along its longitudinal axis so that the tubing 32 has a desired inner and outer diameter, as specified above in Section III, and orientation ratio. The orienting step orients the molecules of the tubing along the longitudinal axis to increase the resistance to necking upon subsequent longitudinal stressings. The tubing 32 is then heat set to reduce shrinkage of the tubing and to fix the tubing in the oriented dimension. The tubing 32 (which may be a single layered tubing 10 or a multilayered tubing 20) is pulled in a direction indicated by arrows 34 along a continuous path that may be referred to as a line. The terra "up-line" shall refer to locations along the line in a direction opposite the direction to the flow of the tubing 32. Conversely, the term "down-line" shall refer to locations in the direction of the flow of the tubing. By using the terra "line" it should not be thought that the method raust be carried out in a straight line, rather it should be taken to mean that the method is carried out in a sequence of consecutive steps. As shown in Figure 3, tubing 32 is formed with an extruder 36. The tubing 32 exiting the extruder 36 preferably has an outer diameter dimension that will be from 10%-300% greater than after orienting and more preferably from 20%-120%, and most preferably from 30%-70% greater. The diameter of the tubing exiting the extruder 36 shall be referred to as the initial diameter. The tubing 32 is pulled from the extruder 36 with a first puller 37, a second puller 38, a third puller 39, and a fourth puller 40. The pullers 37, 38, 39 and 40 may have a silicone or rubber coating to increase the coefficient of friction with the tubing 32. The second and third pullers 38 and 39 may have a plurality of axially spaced and circumferentially extending grooves to accommodate more than one set of tubing 32 on a surface of the pullers 38 and 39 at a time. After exiting the extruder 36, the tubing 32 passes through a first cooling bath 41 where the tubing 32 is cooled with air or a liquid. Preferably, the first cooling bath 41 is a water bath at a temperature within the range of 4°C-45°C. After exiting the first cooling bath 41 the tubing 32 extends between the first and second pullers 37 and 38 where the tubing 32 is oriented by operating the second puller 38 at a greater rate of speed than the first puller 37 to achieve the desired orientation ratio. This section of the line will be referred to as the orienting section 42. Preferably the second puller 38 is operated at a rate within the range of about 4-10 times faster than the first puller 37. By controlling the relative speeds of the first and second pullers 37 and 38 one can control the final inner and outer diameters of the tubing 32 and achieve the desired orientation ratio. In the orienting section 42 the tubing 32 is passed through a second cooling bath 43 where the tubing 32 is cooled with air or a liquid. Preferably, the second cooling bath 43, as the first cooling bath 41, is an aqueous bath at a temperature within the range of 4°C-45°C. To overcome the memory effect of the oriented tubing 32, it is necessary to heat the tubing to a temperature above that which it will normally be exposed during shipping, storage and use, but below the temperature at which the tubing is fully melted. By exposing the tubing to temperatures above the application temperature, less ordered lower melting crystals are melted leaving higher melting crystals which will be thermally stable over the application temperature range. Part of the highly oriented macro-molecule chains will be relaxed to provide a tubing with enhanced thermal stability. Toward this end, after exiting the second cooling bath 43, the tubing 32 trains about the second puller 38 and extends between the second puller 38 and the third puller 39. The tubing 32 proceeds in a direction back toward the extruder 36 and through a heating bath 44 where the tubing is heat set. Preferably, the heat bath 44 is positioned above the second cooling bath 43 to save floor space. However, this positioning is optional. This portion of the process will be referred to as the heat setting section or step 45. Preferably, the heat setting step 45 is done on-line after the orienting section 42, but could be done off-line in a batch mode process. During the heat setting step 45, the tubing 32 is passed through a heating bath 44 where the tubing 32 is heated with a medium such as heated air or liquid. The heating bath 44 preferably is an aqueous solution of water at a temperature of between about 50-99°C. Additives such as salt may be added to the aqueous solution. It is desirable that the tubing 32 not be oriented during the heat setting step 45. For this reason the tubing 32 should be kept under minimum tension to keep the tubing taught or the tubing should be allowed to sag an amount, between the second and third pullers 38 and 39, to prevent or control the shrinkage. Thus, the second and third pullers 38 and 39 should be operated at similar speeds or puller 39 could be operated at a slightly slower speed than puller 38 to accommodate some shrinkage. To further prevent orienting of the tubing 32 in the heat setting section 45, it may also be desirable to support the tubing 32 while being pulled through the heating bath 44 with a supporting structure 47. However, providing the supporting structure 47 is optional. Suitable supporting structures 47 include a conveyor that moves at the same rate of speed as the tubing 32 through the heating setting section 45. Another supporting structure 47 is a plastic or metal conduit having a diameter greater than that of the tubing wherein the tubing 32 is supported by the interior surface of the conduit. After exiting the heating bath 44, the tubing 32 extends between the third puller 39 and the fourth puller 40. Puller 40 should be operated at a similar speed of puller 39 or slightly slower than 39 to prevent further orientation. The tubing 32 is passed again through the second cooling bath 43. Of course it is possible to provide for a separate cooling bath, but this arrangement saves floor space. It may also be desirable to provide for the tubing 32 to make several lengthwise passes through the cooling bath 43 or heating bath 44 as shown in Figure 3a to provide for maximutn cooling or heating of the tubing in a minimal amount of space. This may be accomplished by providing a plurality of spaced rollers 49 to define a serpentine pattern through the heating bath 44 or cooling bath 43. To prevent any further orientation of the tubing 32, it may be necessary to operate the fourth puller 40 at a similar speed or slightly slower rate of speed than the third puller 39. After passing the fourth puller 40, the tubing has an oriented diameter and passes through a cutter or spool 48 where the tubing 32 is cut to the appropriate length or wrapped about the spool for storage or shipment. Figure 3b shows a dry orientation process 30'. The dry orientation process is same in most respects to the wet orientation process with the major exception that the tubing 32 is oriented in section 42' between pullers 37 and 37a. Puller 37a is operated at a speed greater than puller 37. During the dry orientation step 42', the tubing 32 is not submerged in the aqueous bath 43 as is the case in the wet orientation step 42. In the dry orientation process, pullers 38, 39, and 40 will be run at a rate similar to or slower than puller 37a. V. Method of Using the Tubing The medical tubing 32 of the present invention may be used in various medical applications such as in administering fluid to a patient using an administration set 60 (Figure 4) where fluids are infused from a fluid container such as an I.V. bag 62 to a patient's vascular system. The fluid flow rate may be controlled with fluid control devices such as a damp 63 which has a slot 64 that tapers along its length. By positioning the tubing at various positions within the slot 64, the walls of the slot can impinge upon the sidewalls of the tubing 32 and thereby alter the rate of fluid flowing through the tubing. The tubing 32 may also be used in pump pressurized system 65 (Figure 5) where fluids are infused to a patient through the tubing 32 using a medical infusion pump 66. Such medical pumps 66 include a linear peristaltic pump, a rotary peristaltic pump and other pumps that effect fluid flow through the tubing by successively impinging upon the sidewalls of the tubing 32. In a linear peristaltic pump, a plurality of pump fingers are spaced along a segment of tubing and are operated to impinge upon the tubing sidewalls in a step-wise fashion along the line of fluid flow to move fluid through the tubing. A rotary peristaltic pump has a circular drum that is mounted for rotational movement. The tubing 32 is positioned proximate a point along the drum. The drum has a plurality of circumferentially spaced elements that successively operatively engage the tubing sidewalls as the drum rotates to pump fluid through the tubing 32. Other pumps such as the one described in_U.S. Patent No^ 5,151,019 moves fluid through tubing in a controlled fashion by deforming the tubing out of round in a non-occlusive fashion. That is to say that in the most extreme deformation, the opposite internal surfaces of the tubing which approach each other, do not make contact. Applicants hereby incorporate by reference U.S. Patent No. 5,151,019 and in particular those portions of the text describing the general principles of operation of such a pump namely the text located at Col. 4, line 63-Col. 5, line 25; and Col. 7, line 6-Col. 8, line 9. Each of these pumps 66 may have various built-in sensors that help control the pump. For example, medical pumps 66 typically have air bubble sensors to prevent air from being pumped into the vascular system of a patient. Back pressure sensors are provided to detect an increased resistance to fluid flow which result from a patient crimping the tubing or from the tubing being otherwise kinked. As shown in Figure 6, the sensors usually have a sensor housing 67 in which a segment of the tubing 32 of the administration set is secured in place. Air bubbles may be sensed by passing light through the tubing to detect air bubbles. Fluid back pressure may be sensed by detecting changes in the diameter of the tubing 32. VI. Rigid Medical Housings The administration set 60 in Figures 4 and 5 include tubing 32 connected to and in fluid communication with various rigid plastic housings such as Y-type injection sites 74. The tubing 32 connects to a housing sleeve 76 on each of these housings 72 and 74. The housings 72 and 74 and their housing sleeves 76 are preferably constructed of a rigid polymer such as polycarbonates, copolyesters, ABS, acrylics, nylon, polystyrene, polypropylene, high density polyethylene, polysulfone, and polyimide. The term "Rigid polymers" are those having a modulus of elasticity of greater than 50,000 psi and preferably greater than 100,000 psi. Typically, the housing 14 is constructed using injection molding techniques. As shown in Figures 7 and 8, it is preferred that housing sleeve 76 have a generally elongate cylindrical body 80 having an opening 82 at its distal end. The opening 82 leads to a chamber 84 which is dimensioned to receive an end portion of the tubing 32. The housing chamber 84 is connected to an interior fluid flow channel 86. As shown in Figure 4, the interior channel 82 is in fluid communication with a container 88 holding a beneficial agent to be conveyed to a patient. Referring again to Figure 7, the housing sleeve 76 has an inner surface 90 which defines a generally funnel-shaped chamber 84. The chamber 84 has a first area 84a proximate the opening 82 and having a first diameter, and a second area 84b where a plurality of ribs 92 are positioned. The interior flow channel 86 preferably has a second diameter which is less than the first diameter. A taper 94 connects the second area 84b to the interior flow channel 86. The degree a of taper 94 preferably is within the range of 0.25-1.0 degrees as measured from a centerline 96 of the housing sleeve 76. Preferably, the first and second chamber areas 84a and 84b first diameter gently tapers or decreases diameter from the opening 82 to the flow channel 86. This taper is known as the draft angle & as measured from the centerline 96. Because the housing is typically fabricated using an injection molding process, the chamber 84 is formed by a tool whose shape defines the chamber 84. The tool must be removed after fabricating the housing and the draft angle S of the interior surface 90 assists in removing the tool by reducing the frictional interference with the tubing. It is desirable that the second diameter of the flow channel 86 be less than that of the outer diameter of the flexible tubing 32 so that a portion of the taper 94 may serve as a stop 98 to prevent further insertion of the tubing 32 into the housing sleeve 76 and to prevent the migration of adhesive into the fluid path. (See also Figure 8). Also, it is preferable that the tubing 32 fluid passageway 70 be in alignment with the housing sleeve 76 flow channel 86 to minimize the resistance to fluid flow at the juncture. In effect, the taper 94 defines a recess where the tubing fits into to achieve this desirable alignment. As shown in Figures 4, 8 and 9 the housing sleeve 76 also has a plurality of circumferentially spaced ribs 92 positioned in area 84b. As shown in Figure 9, preferably there are at least three ribs 92 spaced apart about 120° and more preferably 5 ribs. Of course the ribs 92 could also be unevenly spaced without departing from the present invention. There may also be any number of ribs 92 greater than three. The ribs 92 extend from the inner diameter surface 90 in the second chamber area 84b and preferably terminate at some point prior to the fluid channel 86. Each of the ribs 92 may be of varying and differing lengths from one another and each may start and stop at various locations within area 84b. Preferably, a portion of the ribs 43 outer surface 50 extends parallel to the housing centerline 96. The ribs 92 have a height measured from the interior surface 90 to a highest point 102 of the rib 92 ranging from about 0.001 inches to about 0.010 inches. The height of the ribs 92 provide the desired circuraferential clearance between an outer surface 104 of the tubing 32 and the outer portions 102 of the ribs 92 to define an adhesive area 106 therebetween. The adhesive area 106 should be large enough to accommodate a sufficient quantity of adhesive to create a secure adhesive bond, but not so large as to risk creating a leak between the tubing 32 and the housing sleeve 76 and a poor bond. The height of the ribs 92, and their position inward of the opening 82 minimizes interference and scraping off of adhesive from the outer surface 104 of the tubing 32 upon insertion of the tubing 32 into the chamber 84. The ribs 92 can have any geometric profile, but are preferably radiused, or slightly rounded, again so that the ribs 92 minimally interfere with the adhesive. If a significant amount of adhesive is removed during insertion of the flexible tubing 32, channels could form between the tubing 32 and the housing sleeve 76, allowing for undesirable leakage of the fluid being transferred through the tubing 32. The ribs 92 also serve as a guiding means that assists in centering the tubing 32 within the housing sleeve 76. Centering the tubing 32 within the housing sleeve 76 is important for providing equal circumferential distribution of the adhesive between the tubing 32 and housing sleeve 76, and providing for a more reliable adhesive bond. Figure 10 shows the housing and tubing assembly 78 in a connected position. Tubing 32 is positioned in the chamber 84 of the housing sleeve 76 such that a tubing end 108 abuts the stop 98. The adhesive area 106 is shown filled with an adhesive. A further aspect of the present invention provides a method of forming a tubing and housing assembly 78 shown in Figure 10 using the tubing 32 and the housing sleeve 76 described above. The method comprises the steps of providing a rigid housing sleeve 76 having an opening 82, leading to a chamber 84 which in turn connects to an interior channel 86. A plurality of circumferentially spaced ribs 92 as described above are positioned in the chamber 84. The method further includes the step of applying a quantity of adhesive to the adhesive area 106, inserting the end portion of the tubing 32 into the sleeve opening 82 until the tubing end 108 contacts the stop 98. More preferably the tubing 32 is inserted into the chamber 84 and the adhesive is then added to the adhesive area 106 and allowed to wick about the circumference of the tubing 32. The ribs 92 guide the end portion 108 of the tubing 32 into a central portion of the housing sleeve 80 thereby defining the boundaries of the adhesive area 106 between the outer surface of the tube 104 and the inner surface 90 of the housing sleeve 80. The method finally includes the step of hardening the adhesive forming a bond in the adhesive area 106 to secure the tube 32 within the housing sleeve 80. The curing step may include the step of applying heat, U.V. energy, pressure or other means to harden the adhesive. Suitable adhesives for use in the above method include cyanoacrylate, hot melt adhesives, U.V. cured adhesives, emulsions, epoxies, and pressure sensitive adhesives. VII. Examples A. Example l The polymer components shown in Table l were tumble blended having 0.23 weight percent of the additive and the remainder the polymeric material. The blend had 0.23 weight percent of the additive and the remainder the Exact 4011. The blend was extruded into tubing having an outer diameter within the range of 0.139-0.145 inches and an inner diameter within the range of 0.101-0.105 inches. The tubing was cut into three inch segments for testing. A cyanoacrylate adhesive sold by Loctite under the product number 4061 was used to connect the tubing segments to an acrylic luer housing. The luer housing has an opening having a diameter of 0.150 inches that leads to a chamber having diametrically inwardly tapering sidewalls to a dimension of 0.142 inches. An end of the tubing is inserted into the opening of the luer to form an interference fit in the luer chamber. A quantity of the cyanoacrylate is added to the luer opening which wicks about the outer circumference of the tubing. The tensile strength of the tubing and housing assemblies were tested using an Ametek apparatus. The tubing and housing assemblies were mounted on an Ametek where a pull test study was conducted. The force required to break either the tubing or the bond is reported below in Table l. The tensile strength data for the polymeric material and additive blends compare favorably with the tensile strength of tubing constructed without any additive as 'shown below. TABLE l (Table Removed) Exact 4011 is an ultra-low density polyethylene Ethomeen 0/15 is polyoxyethylene(5)oleylamine. Ethomeen S/12 is bis(e-hydroxyethyl)soyaamine. Ethomeen 0/12 is bis(e-hydroxyethyl)oleylamine. Ethomeen 18/15 is polyoxyethylene(5)octadecylamine. Ethomid NT/23 is ethoxylated aliphatic amide. E-32052 is an additive. Lankrostat-l04 is a fatty amide additive. B. Example 2 Tubing constructed in accordance with Example l having the additive Ethomeen 0/15 (Akzo Nobel Chemical Company) has been found to be effective in forming secure adhesive bonds with rigid housings even after 6 weeks after blending. For tubing where a primer is sprayed onto the outer surface of the Exact 4011 the on-part life is roughly 24 hours. C. Example 3 An ultra-low density polyethylene sold under the name EXACT 4011 (Exxon Chemical Company) was fabricated into tubing, oriented to various orientation ratios and heat set. The EXACT 4011, in an amount by weight of 99.77%, was tumble blended with an ETHOMEEN 0/15 (Akzo Nobel Chemical Company) in an amount by weight of 0.23%. The tubing was fabricated by extruding in a 1.5 inch extruder (Davis Standard). The extrusion conditions were as follows: die pin outer diameter 0.240 inches, and die bushing inner diameter 0.325 inches. Barrel zone Nos. 1-4 temperatures were in degrees fahrenheit, respectively: 425, 428, 422, 425. Die Zone Nos. 1-3 temperatures were, in degrees fahrenheit, respectively: 425, 425, 426. The tubing exiting the extruder was trained about a series of 5 pullers as schematically set forth in Figure 3b. Pullers 1-5 were operated at the following respective speeds in feet per minute: 17 FPM, 58 FPM, 41 FPM, 32 FPM, and 33 FPM. The tubing was passed through heating and cooling baths as schematically shown in Figure 3b. The heating and cooling bath equipment is a triple pass sizing/cooling system sold by Vulcan under model No. CS60STI. The temperature of the heat setting bath varied as set forth in Table 2 below. The heating bath has a series of rollers as set forth in Figure 3b so that the tubing was in the heating bath for 13 seconds. Tubing made in accordance with the above conditions was subjected to shrinkage tests. The tubing length was measured and recorded for each group of tubings. Tubing samples were then placed in a conditioning oven at 150°F and 50% relative humidity for l hour. Tubing samples were then removed and allowed to cool to ambient temperature. The samples were measured for length and recorded. The percentage change in length was calculated as set forth in Table 2. Tensile strength tests were also conducted on other samples of the tubing. The inner, and outer diameter of the tubing and the tubing wall thickness was measured using a LaserMike 183 Benchtop Optical Micrometer. The samples were then tested with an Instron 4201 tester with a crosshead speed of 20 inches per minute. Stress at 100% elongation was used to represent the Yield of the tubing in psi as reported in Table 2. Exact 4011 was also extruded under similar conditions and formed into tubing without the heat set process. The results set forth in Table 2 show an improved change in dimensional stability and yield with heat set and oriented tubing as compared to non-heat set tubing. The shrinkage is measured as a percentage change from the initial length before being placed in the oven and the final length after being removed from the oven. TABLE 2 (Table Removed) D. Example 4 The procedure for fabricating tubing and testing the tubing as set forth in Example 3 was repeated with slightly different operating conditions to produce a sample of tubing from a blend of ethylene vinyl acetate (EVA) (UE-634, Quantum Chemical Corporation) with Ethomeen 0/15 (0.23% by weight) (Akzo Nobel Chemical Company). Tubing samples were also prepared from pure EVA of the same type in the blend. The barrel zone temperature for zone Nos. 1-4 were respectively as follows in degrees fahrenheit: 374, 375, 378, and 375. Die zone temperature for zone Nos. 1-3 were as follows in degrees fahrenheit: 375, 375, 376. The puller speeds of pullers Nos. 1-5 were respectively as follows in feet per minute: 17, 60, 41, 31, and 31.5. The dimensional stability and Yield strength data are set forth below in Table 3. TABLE 3 (Table Removed) E. Example 5 The procedure for fabricating tubing and testing the tubing as set forth in Example 3 was repeated with slightly different operating conditions to produce a sample of tubing from a blend of an ultra-low density polyethylene (ULDPE) sold by the Dow Chemical Company under the name Dow Affinity VP1770, and Ethomeen 0/15 (0.23% by weight) (Akzo Nobel Chemical Company). Another sample of tubing was formed from Dow Affinity ULDPE alone. The barrel zone temperature for zone Nos. 1-4 were respectively as follows in degrees fahrenheit: 424, 425, 422, and 425. Die zone temperature for zone Nos. 1-3 were as follows in degrees fahrenheit: 425, 425, 425. The puller speeds of pullers Nos. 1-5 were respectively as follows in feet per minute: 17, 60, 41, 31, and 31.5. The dimensional stability and Yield strength data are set forth below in Table 4. TABLE 4 (Table Removed) F. Example 6 Tubing samples were also produced in a similar orientation process set forth above in Examples 1-3. One set of tubing samples was oriented to a 50% orientation ratio. A second sample was not oriented. The tubing was made from the constituents set forth below in Table 5, namely, Exact 4011, EVA, and VP1770. The necking resistance of the tubing was measured by initially measuring the inner and outer diameters, and length of the tubing. One end of the tubing was clamped. A Chatillon gauge was attached to the opposite end of the tubing. The Chatillon gauge exerted a 5 lb. force longitudinally on the tubing for 10 seconds. Afterwards, the tubing was allowed to sit for 5 minutes. The tubing dimensions were measured again and compared with the initial dimension measurements. The percent change in the length dimension is set forth below in Table 5. TABLE 5 (Table Removed) G. Example 7 An ultra-low density polyethylene Exact 4011 was produced into tubing having an outer diameter within the range of 0.139-0.145 inches and an inner diameter within the range of 0.101-0.105 inches. One sample of the tubing was oriented to a 50% orientation ratio and a second sample of the tubing was oriented to a 35% orientation ratio. Samples of the tubing that were oriented to a 50% orientation ratio were separately submerged in a water bath at 65°C, and 70°C for 10 seconds and 85°C for 5 seconds with opposite ends of the tubing clamped to prevent movement or shrinkage of the tubing. After the exposure to the heat the tubing was unclamped and the length of the tubing was measured after cooling in ambient temperature water for 5 minutes. The percent difference in the change of the length of the tubing is reported in Table 6 below. The tubing was then placed into an oven at 57°C for 4 hours. The length after heating was measured and compared to the length before being placed in the oven. The percent difference in length was noted in Table 6 below. The other sample of tubing of 35% orientation was not heat treated in a water bath. The non-heat treated tubing was placed in the oven and the percent difference in the length was noted. The results reported in Table 6 shows that the heat setting step greatly reduces the tendency for the tubing to shrink. TABLE 6 (Table Removed) H. Example 8 Exxon Exact 4011 (ULDPE) was extruded with and without additives. The Exact 4011 was obtained from Exxon Chemical Company and the Ethomeen additives were obtained from Akzo Nobel Chemical Company. Henkel additives were obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Killion, beit pullers model 212-2 and 118 from RDN, vacuum sizer model 2.0 PVS from RDN. The material blends comprised 0.23% additives and 99.77% Exact 4011 resin. 0% additives and 100% Exact 4011 was also extruded as a control. Tubings were extruded by blending the resin and additives and then placing them into a single screw extruder for extrusion into tubing form. The extrusion conditions were as follows: Die Pin outer diameter .120"; Die bushing inner diameter .185"; Temperatures, Barrel Zone (BZ)#1 375°F, BZ#2 375°F, BZ#3 375°F; Die Zone (DZ) #1 374°F, DZ#2 375°F; head Pressure 1600 psi; Motor Amperes 9.5. Line speed was 25 Feet Per Minute. The effectiveness of the additive in improving the tubing compatibility with a pump air was evaluated by filling the tubing with solution (distilled water), placing the tubing in the pump and closing the door, open and close the door two more times, then reading the Air Sensor values present in the pump display. The desirable value range for each sensor is 400-650. Table 7 lists the results for Exxon Exact 4011 with and without additives and indicates an improved computability for ULDPE with the additive. TABLE 7 (Table Removed) I. Example 9 Another indication that the additive is assisting in improving the tubing compatibility with pump air sensors is the improvement gained in how the tubing seats in an air sensor housing. Tubings with the additives maintain their rounded cross-sectional shape when placed in a pump air sensor housing. Without the additive the tubings form a "teardrop" or "pinched" shape which indicates the tubing is not fully seated in the air sensor housing. When the tube was fully seated in the housing the tube took a "square" shape and sensor values were greater. Samples were extruded using a similar extrusion process. Table 8 lists additional test samples that exhibited this phenomenon as well as their air sensor values. TABLE 8 (Table Removed) J. Example 10 Dow Affinity VP1770 ULDPE was extruded with and without oleylimidazoline. The VP1770 was obtained from Dow and the oleylimidazoline was obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Davis Standard, beit pullers model 212-2 and 118 from RDN vacuum sizer model 2.0 PVS from RDN. The material blends comprised 0.20% oleylimidazoline and 99.80% VP1770 resin. 0% oleylimidazoline and 100% VP1770 was also extruded as a control. Tubings were extruded by blending the resin and oleylimidazoline and then placing them into a single screw extruder for extrusion into tubing form. The extrusion conditions were as follows: Die Pin outer diameter .240"; Die bushing inner diameter .325"; Temperatures, Barrel Zone (BZ)#1 425°F, BZ#2 427°F, BZ#3 432°F, BZ#4 440°F; Die Zone (DZ)#1 440°F, Die Zone (DZ)#1 440°F, DZ#2 440°F, DZ#3 440°F; head Pressure 2460 psi; Motor Amperes 1.3. Line speed was 26 Feet Per Minute. Testing was done on the tubing to illustrate the benefits of using the additive in the tubing with the use of a slide clamp. A production released Flo-Gard® slide damp (stock number 03-20-16-490) was used to cycle the clamp 10 times over the same area of the tubing. The tubing was then inspected for any damage. The tubing without the additive shows that 5/5 samples tested showed shredding. The tubing with the additive shows that 5/5 samples tested produced scoring of the tubing. Scoring is more desirable than shredding as is does not produce any lose particulate where shredding does. K. Example 11 Exxon Exact 4011 (ULDPE) was extruded with and without additives. The Exact 4011 was obtained from Exxon Chemical Company and the Ethomeen additives were obtained from Akzo Nobel Chemical Company. The Henkel additives were obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Killion, beit pullers model 212-2 and 118 from RDN, vacuum sizer model 2.0 PVSy y from RDN. The material blends comprised 0.23% Ethomeen additives, and 99.77% Exact 4011 resin. 0% additives and 100% Exact 4011 was also extruded as a control. Tubings were extruded by blending the resin and additives and then placing them into a single screw extruder for extrusion into tubing form. The extrusion conditions were as follows: Die Pin outer diameter 0.120"; Die bushing inner diameter 0.185"; Temperatures, Barrel Zone (BZ)#1 375°F, BZ#2 375°F, BZ#3 375°F; Die Zone (DZ) #1 374°F, DZ#2 375°F; head Pressure 1600 psi; Motor Amperes 9.5. Line speed was 25 Feet Per Minute. Testing was done on the tubing to illustrate the benefits of using the additive in the tubing with the use of a slide damp. A production released Flo-Gard® slide clamp (stock number 03-20-16-490) was used to cycle the clamp 10 times, in the same spot on the tubing. The tubing was then inspected for damage. The tubing without the additive shows that 5/5 samples tested produced shredding of the tubing. The tubing with the additive shows that 5/5 samples tested produced scoring of the tubing. Scoring is more desirable than shredding because it does not produce any lose particulate where shredding does. Table 9 lists the tubes with and without additives and the results from the 10 cycle slide clamp testing. TABLE 9 (Table Removed) While specific embodiments have been illustrated and described, numerous modifications are possible without departing from the spirit of the invention, and the scope of protection is only limited by the scope of the accompanying claims. WE CLAIM: 1. An iriented medical tubing håving an initial diameter and suitable for connecting to rigid housing comprising: a sidewall defining a fluid pathway and håving a longitudinal axis. the sidewall bemg of an ultra-low density polyethylene material and an additive håving grrater than 5 carbon atoms and electron- negative functional groups; and wherein the tubing has been oriented along its longitudinal axis to deerease il s diameter to define an oriented diameter. 2. The tubing as claimed claim I wherein the electron negative groups are selected from the group eonsisting of amines, amides, hydroxyls, aeids, aeeiale, ammonium salts, orga; lometallie compounds sueh as metal alcoholates, metal carboxvlaies, and metaJ complexes of numerous 1,3 dicarbonyl compounds, phenyl phosphines, pyridines, pyrrolidones, imida/oline. and oxazolines. 3.The tubing as claimed in elaim 2, wherein the polymeric material is selected from the group eonsisting of polyolefins and t heir eopolymers, ethylene-popylene rubber, ethylene vinyl aretate eopolymers, ethylene methyl aerxlale eopolymers, sivn ne and hydroearbon block copolvmcr, hydrogenated deri\atives of styrene and hydroearbon block eopolymers, thermoplast ic elastomers, polvuretlianes, polyamide and polyester eopolymers, eopolyesters, polybutadiene, polysoprene, polyisobutylene, sivrene btitadiene rubbers, and ross linked elastomers. 4.The tubing as claimed in claim o, wherein the polvolefin is selected from the group consisting ot" both homo and copolvmers of polyethylene, polvpropvlene, polybutene-1, polyisoprene and polyoctene. 5.The tubing as claimed in claim 3 wherein the comonomers may be srlrctcd from the group consisting of aliphatic olefins, metliaerylic acid and vinyl acetate. 6. The tubing as claimed in claim 3. wherein the- said tubing compnses a second layer of a polvmeric material. 7. The tubing as claimed in claim l wherein the initial diameter of the tubing is within the range of 30%-120% greater than the oriented diameter. 8. The tubing as claimed in claim l wherein the initial diameter of the tubing is within the range of l 0%-300% greater than the oriented diameter. 9. The tubing as claimed in claim l wherein the tubing has been set in the oriented diameter. 10. The lubing as claimed in claim l, wherein the ultra low density polyethylene material is present in an amount by weight within the range of 99.999%-90.0% and the additive- is present in an amount by weight within the range of 0.001% 10%. 11.The tubing as claimed in claim 10 wherein the process of exposing the tubing to heat comprises: heating the tubing after orient ing the tubing; and, cooling the tubing after the heating step. 12. The lubing as claimed in claim l l wherein the process of exposing Ihe tubing to heat meludes the step of raising the tubing to n temperature below which the tubing will be fully melted. 13. The lubing as claimed in claim l l wherein the process of exposing the tubing to heat includes the- step of exposing the tubing to a heated liquid, wherein the heated liquid is water. 14. The lubing as claimed in claim 15 wherein the process of exposing the tubing lo heat includes the step of exposing the tubing to heated air. 15. An oriented medical tubing substanlially as hereinbeibre described with reference to and as illustrated in the accompanying drawings.

Full Text

Description
Technical Field
This invention relates to a method for fabricating medical tubing and more particularly to a process for orienting the tubing along a longitudinal axis of the tubing.
Background Art
In the medical field, where beneficial agents are collected, processed and stored in containers, transported and ultimately delivered through tubes by infusion to patients, there has been a recent trend toward developing materials useful for fabricating such containers and tubing without the disadvantages of currently used materials such as polyvinyl chloride. These new materials for tubings must have a unique combination of properties, so that the tubing may be used in fluid administration sets and with medical infusion pumps. Among these properties are the materials must be optically clear, environmentally compatible, have sufficient yield strength and flexibility, have a minimum quantity of low molecular weight additives, and be compatible with medical solutions.
It is desirable for medical tubing to be optically transparent to allow for visual inspection of fluids in the tubing. Ultrasonic waves must also be capable of passing through the tubing because sensors associated with an infusion pump typically use ultrasonic waves to detect abnormal conditions such as air bubbles in the tubing.
It is also a requirement that the tubing be environmentally compatible as a great deal of medical tubing is disposed of in landfills and through incineration. For tubing disposed of in landfills, it is desirable to use as little material as possible to fabricate the tubing. Further benefits are realized by using a material which is thermoplastically recyclable so that scrap generated during manufacturing may be incorporated into virgin material and refabricated into other useful articles.
For tubing that is disposed of by incineration, it is necessary to use a material that does not generate or minimizes the formation of by-products such as inorganic acids which may be environmentally harmful, irritating, and corrosive. For example, PVC may generate objec-tionable amounts of hydrogen chloride (or hydrochloric acid when contacted with water) upon incineration, causing corrosion of the incinerator and possible pollution to the environment.
To be compatible with medical Solutions, it is desirable that the tubing material be free from or have a minimal content of low molecular weight additives such as plasticizers, stabilizers and the like. These components could be extracted by the therapeutic Solutions that come into contact with the material. The additives may react with the therapeutic agents or otherwise render the solution ineffective. This is especially troublesome in bio-tech drug formulations where the concentration of the drug is measured in parts per million (ppm), rather than in weight or volume percentages. Even minuscule losses of the bio-tech drug can render the formulation unusable. Because bio-tech formulations can cost several thousand dollars per dose, it is imperative that the dosage not be changed.
Polyvinyl chloride ("PVC") has been widely used to fabricate medical tubings as it meets most of these requirements. PVC tubing is optically clear to allow for visual inspection of the fluid flowing through it. PVC tubing has proven to work well in pump administration sets. PVC medical tubing also has desirable stress-strain characteristics so that the material may be oriented along a longitudinal axis of the tubing without causing a reduction in the diameter of the tubing. In other words, PVC tubing resists necking. PVC medical tubing also has favorable surface characteristics to allow for controlling the flow rate of fluid through the tubing using slide clamps which operate by crimping the sidewall of the tubing to stop or reduce the flow of fluid through the tubing. The slide damp may be used without causing scoring or cutting of the tubing.
Because PVC by itself is a rigid polymer, low molecular weight components known as plasticizers must be added to render PVC flexible. As set forth above, these plasticizers may be extracted out of the tubing by the fluid. For this reason, and because of the difficulties encountered in incinerating PVC, there is a need to replace PVC medical tubing.
Polyolefins and polyolefin alloys have been developed which meet many of the requirements of medical containers and tubing, without the disadvantages associated with PVC. Polyolefins typically are compatible with medical applications because they have minimal extractability to fluids. Most polyolefins are environmentally sound as they do not generate harmful degradants upon incineration, and in most cases are capable of being thermoplastically recycled. Many polyolefins are cost effective materials that may provide an economic alternative to PVC. However, there are many
hurdles to overcome to replace all the favorable attributes of PVC with a polyolefin.
For example, problems have been encountered in using polyolefins, such as an ultra-low density polyethylene (ULDPE), to fabricate medical tubing. Such tubing has been found to have poor surface characteristics so that it is readily susceptible to cutting, shredding or scoring when clamping the tubing using a slide clamp. ULDPE tubing also presents difficulties during use in pump pressurized administration sets where the pump controls the flow rate of fluid through the tubing by consecutively impinging upon the sidewalls of the tubing to deliver a precise amount of fluid over a given time period.
Pumps that are used to infuse beneficial agents to patients typically have various sensors to detect such conditions as back pressure of fluid in the tubing, and air bubbles in the fluid stream. The sensors deactivate the pump upon detecting an unacceptable back pressure or an air bubble. The sensors usually have a sensor body in which a segment of the tubing of the administration set is secured in place. It has been found that there is a tendency for the polyolefin tubing to deform when placed in the sensor body due to resistance with side walls of the sensor housing. This deformation in some cases leads the detectors to indicate an abnormal condition and to inappropriately deactivate the infusion pump.
Further, polyolefin tubing has been found to have low yield strength and thus are readily susceptible to a phenomenon which is referred to as necking. Necking is a localized reduction in the diameter of the tubing that occurs upon stretching the tubing under moderate strain along the longitudinal axis of the tubing. Necking can cause a reduction or complete restriction in the flow of
fluid through the tubing thereby rendering the tubing ineffective. Because there is a linear relationship between yield strength and modulus, it is possible to increase the modulus of the material to increase the yield strength. However, to get a sufficient yield strength for medical applications, the resulting tubing has too high a modulus to function in pumps.
The Applicants have found that it is possible to increase the tubings' resistance to necking by pre-orienting the tubing along the longitudinal axis of the tubing. However, the orientation process may lead to dimensional instability. In particular, oriented polyolefin tubing experiences a phenomenon known as heat recovery, which is sometimes referred as the "tnemory effect." Heat recovery is a complicated phenomenon that occurs when oriented tubing is heated above the temperature reached during the orientation process. When this occurs the tubing loses its orientation causing shrinking and dimensional changes of the tubing.
Polyolefin tubings have also been shown to have poor thermal stability during storage, transportation, and end applications. The poor thermal stability is thought to be due in part to polyolefins' low melting or crystallization temperatures, low glass transition temperatures, and due to the orientation process referred to above. The poor thermal stability of polyolefin tubings can lead to changes in the desired dimensions and also lead to coiling of the tubing during shipping or use. These dimensional and shape changes can in turn lead to functional problems such as accuracy, pump compatibility, and cause other cosmetic defects.
Disclosure of Invention
The present invention provides a method for fabricating flexible medical tubings comprising the steps of providing a polymeric tubing having a longitudinal axis and an initial diameter, orienting the tubing along the longitudinal axis of the tubing to reduce the diameter of the tubing to define an oriented diameter, and applying heat to the oriented tubing to heat set the tubing to maintain dimensional stability of the tubing. Preferably the initial diameter is 10%-300% greater than the oriented diameter. Preferably the step of orienting the tubing can be done in a wet or a dry process. Each orienting process shares the steps of extending the tubing between a first puller and a second puller spaced apart by a distance and controlling the relative speeds of the first puller and the second puller so that the rate of pulling of the second puller is greater than that of the first puller to orient the tubing therebetween. In the wet orientation process, the tubing is passed through an aqueous bath during the orientation step and in the dry process the tubing is not.
The present invention further provides for heat setting of the tubing to overcome the memory effect discussed above. The heat setting process includes the step of exposing the tubing to a temperature higher than that which the tubing will normally be exposed during shipping, storage, and use, but below the temperature at which the tubing is fully melted. By exposing the tubing to temperatures above the application temperature; less ordered, lower melting crystals are melted leaving higher melting crystals which will be thermally stable over the application temperature range. Part of the highly oriented macro-molecule chains will also be relaxed at
heat setting temperatures resulting in a tubing with good thermal stability.
The heat setting step includes the steps of heating the tubing after the orienting step in a heated aqueous bath. Preferably, the tubing is not oriented during the heating step but is held under sufficient tension to prevent the tubing from sagging. It is also possible to allow the tubing a little slack so the tubing may sag slightly. It is also preferable that the tubing be supported with a structure to prevent or minimize further orienting of the tubing,
Finally, it is desirable to position a plurality of spaced rollers in the heating bath. The tubing is trained about the rollers to define a serpentine pattern so that the tubing makes several lengthwise passes through the heating bath. It may be desirable to motorize these rollers.
Accordingly the present invention relates to a polymeric tubing having an initial diameter and suitable for connecting to rigid housing comprising:
a sidewall defining a fluid pathway and having a longitudinal axis, the sidewall being of an ultra-low density polyethylene material and an additive having greater than 5 carbon atoms and electron-negative functional groups,' and
wherein the tubing has been oriented along its longitudinal axis to decrease its diameter to define an oriented diameter.
Brief Description of Accompanying Drawings
Fig. l is an enlarged cross-sectional view of a medical tubing fabricated from a monolayer polymer blend of the present invention;
Fig. 2 is an enlarged cross-sectional view of a multi-layered tubing of the invention;
Fig. 3 is a schematic representation of a method for forming, orienting and heat setting medical tubing;
Fig. 3a is a plan view of a serpentine pattern that tubing may follow through a heating or cooling bath of the process shown in Figure 3 ,-
Fig. 3b is a schematic representation of a method for forming, dry orienting and heat setting medical tubing;
Fig. 4 is a plan view of a gravity pressurized fluid administration set;
Fig. 4a is a plan view of a slide damp;
Fig. 5 is a plan view of a pump pressurized fluid administration set;
Fig. 6 is pump sensor housing clamping a segment of medical tubing;
Fig. 7 is a side elevation view in section of a tubing and a housing prior to insertion of the tubing into the housing;
Fig. 8 is a side elevation view in section of a tubing and housing assembly with the tubing inserted into the housing;
Fig. 9 is an end view of a housing sleeve; and,
Fig. 10 is an end view of a housing sleeve with a tubing inserted therein.
Best Mode for Carrying Out the Invention
While the invention is susceptible of embodiment in many different forms, there is shown in the drawings and will herein be described in detail preferred embodiments of the invention with the understanding that the present disclosure is to be considered as an exemplification of the principles of the invention and is not intended to limit the broad aspect of the invention to the embodi¬ments illustrated.
I. Polymer Blends
The polymer blends of the present invention may be embodied in monolayer polymer structures or may be adhered to other substrates such as polymers to form multi-layered structures. The polymer blends of the present invention include a polymeric material and an additive. The polymer blends are capable of being fabricated into medical tubing and attached to rigid polymers.
The polymeric material may be selected from the group consisting of polyolefins and their copolymers, ethylene-propylene rubber, ethylene vinyl acetate
copolymers, ethylene methyl acrylate copolymers, styrene and hydrocarbon block copolymers such as styrene-butadiene-styrene or styrene-isoprene-styrene copolymers and their hydrogenated derivatives, thermoplastic elastomers such as polyurethanes, polyamide and polyester copolymers such as those sold under the tradename PEBAX, and copolyesters such as those sold under the tradename HYTREL, polybutadiene, polyisoprene, polyisobutylene, styrene butadiene rubbers, and other cross-linked elastomers.
Suitable polyolefins include botn homo and copolymers of polyethylene. Suitable comonomers may be selected from the group consisting of aliphatic olefins, methyl acrylate and vinyl acetate.
Preferably, the polyolefin is an ethylene copolymerized with alpha-olefins including butene-1, octene-1 (collectively referred to as ultra low density polyethylene ("ULDPE")), methyl acrylate (with less than 33% methyl acrylate comonomer), vinyl acetate (with less than 33% methyl acrylate comonomer). ULDPE generally has a density within the range of about 0.8 g/cm3 to about .95 g/cm3.
The additive should be a polymer or an aliphatic or aromatic hydrocarbon having greater than 5 carbon atoms in the backbone and further having electron negative groups selected from the group of amines; amides; hydroxyls; acids; acetate, ammonium salts; organometallic compounds such as metal alcoholates, metal carboxylates, and metal complexes of numerous 1,3 dicarbonyl compounds; phenyl phosphines; pyridines; pyrrolidones; imidazoline, and oxazolines.
The blends should have the polymeric component in an amount by weight within the range of 90%-99.999%, more preferably 98.0%-99.99%. The additive should be in an
araount by weight within the range of 0.001%-10%, and more preferably 0.01%-2%.
II. Method of Blending
The components of the polymer blends should be blended through molten mixing, physical blending such as tumble blending, or other means such as reactive extrusion.
III. Method of Fabricating Medical Tubing
Figure l shows medical tubing 10 of the present
invention fabricated from one of the blends of the present invention. The tubing 10 should have an inner diameter dimension within the range of 0.003-0.4 inches, and an outer diameter dimension within the range of 0.12-0.5 inches. More particularly, medical tubing for use in the administration of fluid using a medical infusion pump, such as Baxter infusion pump sold under the tradename FLO-GARD®, and COLLEAGUE®, have an inner diameter within the range of 0.099-0.105 inches, an outer diameter within the range of 0.134-0.145 inches, and a wall thickness within the range of 0.018-0.021 inches. The tubing should be flexible having a modulus of elasticity of less than 50,000 psi, and more preferably less than 40,000 psi.
Figure 2 shows a multilayered tubing 20 having a first layer 22, which is a solution contact layer, a second layer 24 and a tie layer 26 therebetween. The first layer 22 may be selected from the same group of polymers set forth above for the polymeric component. The first layer 22, however, will not have the additive. The second layer 24 will be of the blends specified above having a polymeric material and an additive selected from the groups and amounts specified above. In many cases the first layer 22 will be sufficiently compatible with the second layer 24 to do without the tie layer 26.
The first layer 22 of the tube 20 should have a thickness as a percentage of the total wall thickness within the range of 98%-50%, the second layer 24 should have a thickness within the range of 2-50%, and the tie layer 26 should have a thickness within the range of 0-10%.
IV. Method of Heat Setting and Orienting the Tubing
It is also desirable for the tubings 10,20 to be oriented along their longitudinal axes. This orientation step increases the yield strength of the tubing in the longitudinal direction thereby reducing the tendency for the tubing to neck during use. In effect, pre-orienting of the tubing increases the resistance to further necking. Preferably, the tubing 10,20 should be oriented so that the initial inner and outer diameters of the tubing are anywhere from 10%-300% greater than the diameter of the tubing 10,20 after orienting and more preferably from 20%-120% and most preferably from 30%-70% higher. These ranges further include all combinations and subcombinations therein. The ratio of the beginning diameter to the diameter after orienting shall be referred to as the orientation ratio. The orientation process may be a wet orientation process or a dry one as set forth below.
Figure 3 shows a schematic representation 30 of the method of orienting the tubing in a wet orientation process. The method of wet orienting includes the steps of providing a tubing 32 from a polymeric blend, and orienting the tubing 32 along its longitudinal axis so that the tubing 32 has a desired inner and outer diameter, as specified above in Section III, and orientation ratio. The orienting step orients the molecules of the tubing along the longitudinal axis to increase the resistance to necking upon subsequent
longitudinal stressings. The tubing 32 is then heat set to reduce shrinkage of the tubing and to fix the tubing in the oriented dimension.
The tubing 32 (which may be a single layered tubing 10 or a multilayered tubing 20) is pulled in a direction indicated by arrows 34 along a continuous path that may be referred to as a line. The terra "up-line" shall refer to locations along the line in a direction opposite the direction to the flow of the tubing 32. Conversely, the term "down-line" shall refer to locations in the direction of the flow of the tubing. By using the terra "line" it should not be thought that the method raust be carried out in a straight line, rather it should be taken to mean that the method is carried out in a sequence of consecutive steps.
As shown in Figure 3, tubing 32 is formed with an extruder 36. The tubing 32 exiting the extruder 36 preferably has an outer diameter dimension that will be from 10%-300% greater than after orienting and more preferably from 20%-120%, and most preferably from 30%-70% greater. The diameter of the tubing exiting the extruder 36 shall be referred to as the initial diameter.
The tubing 32 is pulled from the extruder 36 with a first puller 37, a second puller 38, a third puller 39, and a fourth puller 40. The pullers 37, 38, 39 and 40 may have a silicone or rubber coating to increase the coefficient of friction with the tubing 32. The second and third pullers 38 and 39 may have a plurality of axially spaced and circumferentially extending grooves to accommodate more than one set of tubing 32 on a surface of the pullers 38 and 39 at a time.
After exiting the extruder 36, the tubing 32 passes through a first cooling bath 41 where the tubing 32 is cooled with air or a liquid. Preferably, the first
cooling bath 41 is a water bath at a temperature within the range of 4°C-45°C.
After exiting the first cooling bath 41 the tubing 32 extends between the first and second pullers 37 and 38 where the tubing 32 is oriented by operating the second puller 38 at a greater rate of speed than the first puller 37 to achieve the desired orientation ratio. This section of the line will be referred to as the orienting section 42. Preferably the second puller 38 is operated at a rate within the range of about 4-10 times faster than the first puller 37. By controlling the relative speeds of the first and second pullers 37 and 38 one can control the final inner and outer diameters of the tubing 32 and achieve the desired orientation ratio.
In the orienting section 42 the tubing 32 is passed through a second cooling bath 43 where the tubing 32 is cooled with air or a liquid. Preferably, the second cooling bath 43, as the first cooling bath 41, is an aqueous bath at a temperature within the range of 4°C-45°C.
To overcome the memory effect of the oriented tubing 32, it is necessary to heat the tubing to a temperature above that which it will normally be exposed during shipping, storage and use, but below the temperature at which the tubing is fully melted. By exposing the tubing to temperatures above the application temperature, less ordered lower melting crystals are melted leaving higher melting crystals which will be thermally stable over the application temperature range. Part of the highly oriented macro-molecule chains will be relaxed to provide a tubing with enhanced thermal stability.
Toward this end, after exiting the second cooling bath 43, the tubing 32 trains about the second puller 38 and extends between the second puller 38 and the third
puller 39. The tubing 32 proceeds in a direction back toward the extruder 36 and through a heating bath 44 where the tubing is heat set. Preferably, the heat bath 44 is positioned above the second cooling bath 43 to save floor space. However, this positioning is optional. This portion of the process will be referred to as the heat setting section or step 45. Preferably, the heat setting step 45 is done on-line after the orienting section 42, but could be done off-line in a batch mode process. During the heat setting step 45, the tubing 32 is passed through a heating bath 44 where the tubing 32 is heated with a medium such as heated air or liquid. The heating bath 44 preferably is an aqueous solution of water at a temperature of between about 50-99°C. Additives such as salt may be added to the aqueous solution.
It is desirable that the tubing 32 not be oriented during the heat setting step 45. For this reason the tubing 32 should be kept under minimum tension to keep the tubing taught or the tubing should be allowed to sag an amount, between the second and third pullers 38 and 39, to prevent or control the shrinkage. Thus, the second and third pullers 38 and 39 should be operated at similar speeds or puller 39 could be operated at a slightly slower speed than puller 38 to accommodate some shrinkage.
To further prevent orienting of the tubing 32 in the heat setting section 45, it may also be desirable to support the tubing 32 while being pulled through the heating bath 44 with a supporting structure 47. However, providing the supporting structure 47 is optional. Suitable supporting structures 47 include a conveyor that moves at the same rate of speed as the tubing 32 through the heating setting section 45. Another supporting
structure 47 is a plastic or metal conduit having a diameter greater than that of the tubing wherein the tubing 32 is supported by the interior surface of the conduit.
After exiting the heating bath 44, the tubing 32 extends between the third puller 39 and the fourth puller 40. Puller 40 should be operated at a similar speed of puller 39 or slightly slower than 39 to prevent further orientation. The tubing 32 is passed again through the second cooling bath 43. Of course it is possible to provide for a separate cooling bath, but this arrangement saves floor space.
It may also be desirable to provide for the tubing 32 to make several lengthwise passes through the cooling bath 43 or heating bath 44 as shown in Figure 3a to provide for maximutn cooling or heating of the tubing in a minimal amount of space. This may be accomplished by providing a plurality of spaced rollers 49 to define a serpentine pattern through the heating bath 44 or cooling bath 43.
To prevent any further orientation of the tubing 32, it may be necessary to operate the fourth puller 40 at a similar speed or slightly slower rate of speed than the third puller 39.
After passing the fourth puller 40, the tubing has an oriented diameter and passes through a cutter or spool 48 where the tubing 32 is cut to the appropriate length or wrapped about the spool for storage or shipment.
Figure 3b shows a dry orientation process 30'. The dry orientation process is same in most respects to the wet orientation process with the major exception that the tubing 32 is oriented in section 42' between pullers 37 and 37a. Puller 37a is operated at a speed greater than puller 37. During the dry orientation step 42', the
tubing 32 is not submerged in the aqueous bath 43 as is the case in the wet orientation step 42. In the dry orientation process, pullers 38, 39, and 40 will be run at a rate similar to or slower than puller 37a.
V. Method of Using the Tubing
The medical tubing 32 of the present invention may be used in various medical applications such as in administering fluid to a patient using an administration set 60 (Figure 4) where fluids are infused from a fluid container such as an I.V. bag 62 to a patient's vascular system. The fluid flow rate may be controlled with fluid control devices such as a damp 63 which has a slot 64 that tapers along its length. By positioning the tubing at various positions within the slot 64, the walls of the slot can impinge upon the sidewalls of the tubing 32 and thereby alter the rate of fluid flowing through the tubing.
The tubing 32 may also be used in pump pressurized system 65 (Figure 5) where fluids are infused to a patient through the tubing 32 using a medical infusion pump 66. Such medical pumps 66 include a linear peristaltic pump, a rotary peristaltic pump and other pumps that effect fluid flow through the tubing by successively impinging upon the sidewalls of the tubing 32.
In a linear peristaltic pump, a plurality of pump fingers are spaced along a segment of tubing and are operated to impinge upon the tubing sidewalls in a step-wise fashion along the line of fluid flow to move fluid through the tubing.
A rotary peristaltic pump has a circular drum that is mounted for rotational movement. The tubing 32 is positioned proximate a point along the drum. The drum has a plurality of circumferentially spaced elements that
successively operatively engage the tubing sidewalls as the drum rotates to pump fluid through the tubing 32.
Other pumps such as the one described in_U.S. Patent No^ 5,151,019 moves fluid through tubing in a controlled fashion by deforming the tubing out of round in a non-occlusive fashion. That is to say that in the most extreme deformation, the opposite internal surfaces of the tubing which approach each other, do not make contact. Applicants hereby incorporate by reference U.S. Patent No. 5,151,019 and in particular those portions of the text describing the general principles of operation of such a pump namely the text located at Col. 4, line 63-Col. 5, line 25; and Col. 7, line 6-Col. 8, line 9.
Each of these pumps 66 may have various built-in sensors that help control the pump. For example, medical pumps 66 typically have air bubble sensors to prevent air from being pumped into the vascular system of a patient. Back pressure sensors are provided to detect an increased resistance to fluid flow which result from a patient crimping the tubing or from the tubing being otherwise kinked. As shown in Figure 6, the sensors usually have a sensor housing 67 in which a segment of the tubing 32 of the administration set is secured in place. Air bubbles may be sensed by passing light through the tubing to detect air bubbles. Fluid back pressure may be sensed by detecting changes in the diameter of the tubing 32.
VI. Rigid Medical Housings
The administration set 60 in Figures 4 and 5 include tubing 32 connected to and in fluid communication with various rigid plastic housings such as Y-type injection sites 74. The tubing 32 connects to a housing sleeve 76 on each of these housings 72 and 74.
The housings 72 and 74 and their housing sleeves 76 are preferably constructed of a rigid polymer such as
polycarbonates, copolyesters, ABS, acrylics, nylon, polystyrene, polypropylene, high density polyethylene, polysulfone, and polyimide. The term "Rigid polymers" are those having a modulus of elasticity of greater than 50,000 psi and preferably greater than 100,000 psi. Typically, the housing 14 is constructed using injection molding techniques.
As shown in Figures 7 and 8, it is preferred that housing sleeve 76 have a generally elongate cylindrical body 80 having an opening 82 at its distal end. The opening 82 leads to a chamber 84 which is dimensioned to receive an end portion of the tubing 32. The housing chamber 84 is connected to an interior fluid flow channel 86. As shown in Figure 4, the interior channel 82 is in fluid communication with a container 88 holding a beneficial agent to be conveyed to a patient.
Referring again to Figure 7, the housing sleeve 76 has an inner surface 90 which defines a generally funnel-shaped chamber 84. The chamber 84 has a first area 84a proximate the opening 82 and having a first diameter, and a second area 84b where a plurality of ribs 92 are positioned. The interior flow channel 86 preferably has a second diameter which is less than the first diameter. A taper 94 connects the second area 84b to the interior flow channel 86. The degree a of taper 94 preferably is within the range of 0.25-1.0 degrees as measured from a centerline 96 of the housing sleeve 76.
Preferably, the first and second chamber areas 84a and 84b first diameter gently tapers or decreases diameter from the opening 82 to the flow channel 86. This taper is known as the draft angle & as measured from the centerline 96. Because the housing is typically fabricated using an injection molding process, the chamber 84 is formed by a tool whose shape defines the
chamber 84. The tool must be removed after fabricating the housing and the draft angle S of the interior surface 90 assists in removing the tool by reducing the frictional interference with the tubing.
It is desirable that the second diameter of the flow channel 86 be less than that of the outer diameter of the flexible tubing 32 so that a portion of the taper 94 may serve as a stop 98 to prevent further insertion of the tubing 32 into the housing sleeve 76 and to prevent the migration of adhesive into the fluid path. (See also Figure 8). Also, it is preferable that the tubing 32 fluid passageway 70 be in alignment with the housing sleeve 76 flow channel 86 to minimize the resistance to fluid flow at the juncture. In effect, the taper 94 defines a recess where the tubing fits into to achieve this desirable alignment.
As shown in Figures 4, 8 and 9 the housing sleeve 76 also has a plurality of circumferentially spaced ribs 92 positioned in area 84b. As shown in Figure 9, preferably there are at least three ribs 92 spaced apart about 120° and more preferably 5 ribs. Of course the ribs 92 could also be unevenly spaced without departing from the present invention. There may also be any number of ribs 92 greater than three. The ribs 92 extend from the inner diameter surface 90 in the second chamber area 84b and preferably terminate at some point prior to the fluid channel 86. Each of the ribs 92 may be of varying and differing lengths from one another and each may start and stop at various locations within area 84b. Preferably, a portion of the ribs 43 outer surface 50 extends parallel to the housing centerline 96.
The ribs 92 have a height measured from the interior surface 90 to a highest point 102 of the rib 92 ranging from about 0.001 inches to about 0.010 inches. The
height of the ribs 92 provide the desired circuraferential clearance between an outer surface 104 of the tubing 32 and the outer portions 102 of the ribs 92 to define an adhesive area 106 therebetween. The adhesive area 106 should be large enough to accommodate a sufficient quantity of adhesive to create a secure adhesive bond, but not so large as to risk creating a leak between the tubing 32 and the housing sleeve 76 and a poor bond.
The height of the ribs 92, and their position inward of the opening 82 minimizes interference and scraping off of adhesive from the outer surface 104 of the tubing 32 upon insertion of the tubing 32 into the chamber 84. The ribs 92 can have any geometric profile, but are preferably radiused, or slightly rounded, again so that the ribs 92 minimally interfere with the adhesive. If a significant amount of adhesive is removed during insertion of the flexible tubing 32, channels could form between the tubing 32 and the housing sleeve 76, allowing for undesirable leakage of the fluid being transferred through the tubing 32.
The ribs 92 also serve as a guiding means that assists in centering the tubing 32 within the housing sleeve 76. Centering the tubing 32 within the housing sleeve 76 is important for providing equal circumferential distribution of the adhesive between the tubing 32 and housing sleeve 76, and providing for a more reliable adhesive bond.
Figure 10 shows the housing and tubing assembly 78 in a connected position. Tubing 32 is positioned in the chamber 84 of the housing sleeve 76 such that a tubing end 108 abuts the stop 98. The adhesive area 106 is shown filled with an adhesive.
A further aspect of the present invention provides a method of forming a tubing and housing assembly 78 shown
in Figure 10 using the tubing 32 and the housing sleeve 76 described above.
The method comprises the steps of providing a rigid housing sleeve 76 having an opening 82, leading to a chamber 84 which in turn connects to an interior channel 86. A plurality of circumferentially spaced ribs 92 as described above are positioned in the chamber 84. The method further includes the step of applying a quantity of adhesive to the adhesive area 106, inserting the end portion of the tubing 32 into the sleeve opening 82 until the tubing end 108 contacts the stop 98. More preferably the tubing 32 is inserted into the chamber 84 and the adhesive is then added to the adhesive area 106 and allowed to wick about the circumference of the tubing 32. The ribs 92 guide the end portion 108 of the tubing 32 into a central portion of the housing sleeve 80 thereby defining the boundaries of the adhesive area 106 between the outer surface of the tube 104 and the inner surface 90 of the housing sleeve 80. The method finally includes the step of hardening the adhesive forming a bond in the adhesive area 106 to secure the tube 32 within the housing sleeve 80. The curing step may include the step of applying heat, U.V. energy, pressure or other means to harden the adhesive.
Suitable adhesives for use in the above method include cyanoacrylate, hot melt adhesives, U.V. cured adhesives, emulsions, epoxies, and pressure sensitive adhesives.
VII. Examples
A. Example l
The polymer components shown in Table l were tumble blended having 0.23 weight percent of the additive and the remainder the polymeric material. The blend had 0.23 weight percent of the additive and the remainder the
Exact 4011. The blend was extruded into tubing having an outer diameter within the range of 0.139-0.145 inches and an inner diameter within the range of 0.101-0.105 inches. The tubing was cut into three inch segments for testing. A cyanoacrylate adhesive sold by Loctite under the product number 4061 was used to connect the tubing segments to an acrylic luer housing.
The luer housing has an opening having a diameter of 0.150 inches that leads to a chamber having diametrically inwardly tapering sidewalls to a dimension of 0.142 inches. An end of the tubing is inserted into the opening of the luer to form an interference fit in the luer chamber. A quantity of the cyanoacrylate is added to the luer opening which wicks about the outer circumference of the tubing.
The tensile strength of the tubing and housing assemblies were tested using an Ametek apparatus. The tubing and housing assemblies were mounted on an Ametek where a pull test study was conducted. The force required to break either the tubing or the bond is reported below in Table l.
The tensile strength data for the polymeric material and additive blends compare favorably with the tensile strength of tubing constructed without any additive as 'shown below.
TABLE l

(Table Removed)
Exact 4011 is an ultra-low density polyethylene Ethomeen 0/15 is polyoxyethylene(5)oleylamine. Ethomeen S/12 is bis(e-hydroxyethyl)soyaamine. Ethomeen 0/12 is bis(e-hydroxyethyl)oleylamine. Ethomeen 18/15 is polyoxyethylene(5)octadecylamine. Ethomid NT/23 is ethoxylated aliphatic amide. E-32052 is an additive. Lankrostat-l04 is a fatty amide additive.
B. Example 2
Tubing constructed in accordance with Example l having the additive Ethomeen 0/15 (Akzo Nobel Chemical Company) has been found to be effective in forming secure adhesive bonds with rigid housings even after 6 weeks after blending. For tubing where a primer is sprayed onto the outer surface of the Exact 4011 the on-part life is roughly 24 hours.
C. Example 3
An ultra-low density polyethylene sold under the name EXACT 4011 (Exxon Chemical Company) was fabricated into tubing, oriented to various orientation ratios and heat set. The EXACT 4011, in an amount by weight of 99.77%, was tumble blended with an ETHOMEEN 0/15 (Akzo
Nobel Chemical Company) in an amount by weight of 0.23%.
The tubing was fabricated by extruding in a 1.5 inch extruder (Davis Standard). The extrusion conditions were as follows: die pin outer diameter 0.240 inches, and die bushing inner diameter 0.325 inches. Barrel zone Nos. 1-4 temperatures were in degrees fahrenheit, respectively: 425, 428, 422, 425. Die Zone Nos. 1-3 temperatures were, in degrees fahrenheit, respectively: 425, 425, 426.
The tubing exiting the extruder was trained about a series of 5 pullers as schematically set forth in Figure 3b. Pullers 1-5 were operated at the following respective speeds in feet per minute: 17 FPM, 58 FPM, 41 FPM, 32 FPM, and 33 FPM.
The tubing was passed through heating and cooling baths as schematically shown in Figure 3b. The heating and cooling bath equipment is a triple pass sizing/cooling system sold by Vulcan under model No. CS60STI. The temperature of the heat setting bath varied as set forth in Table 2 below. The heating bath has a series of rollers as set forth in Figure 3b so that the tubing was in the heating bath for 13 seconds.
Tubing made in accordance with the above conditions was subjected to shrinkage tests. The tubing length was measured and recorded for each group of tubings. Tubing samples were then placed in a conditioning oven at 150°F and 50% relative humidity for l hour. Tubing samples were then removed and allowed to cool to ambient temperature. The samples were measured for length and recorded. The percentage change in length was calculated as set forth in Table 2.
Tensile strength tests were also conducted on other samples of the tubing. The inner, and outer diameter of the tubing and the tubing wall thickness was measured using a LaserMike 183 Benchtop Optical Micrometer. The
samples were then tested with an Instron 4201 tester with a crosshead speed of 20 inches per minute. Stress at 100% elongation was used to represent the Yield of the tubing in psi as reported in Table 2.
Exact 4011 was also extruded under similar conditions and formed into tubing without the heat set process.
The results set forth in Table 2 show an improved change in dimensional stability and yield with heat set and oriented tubing as compared to non-heat set tubing. The shrinkage is measured as a percentage change from the initial length before being placed in the oven and the final length after being removed from the oven.
TABLE 2

(Table Removed)
D. Example 4
The procedure for fabricating tubing and testing the tubing as set forth in Example 3 was repeated with slightly different operating conditions to produce a sample of tubing from a blend of ethylene vinyl acetate (EVA) (UE-634, Quantum Chemical Corporation) with Ethomeen 0/15 (0.23% by weight) (Akzo Nobel Chemical
Company). Tubing samples were also prepared from pure EVA of the same type in the blend.
The barrel zone temperature for zone Nos. 1-4 were respectively as follows in degrees fahrenheit: 374, 375, 378, and 375. Die zone temperature for zone Nos. 1-3 were as follows in degrees fahrenheit: 375, 375, 376. The puller speeds of pullers Nos. 1-5 were respectively as follows in feet per minute: 17, 60, 41, 31, and 31.5.
The dimensional stability and Yield strength data are set forth below in Table 3.
TABLE 3

(Table Removed)
E. Example 5
The procedure for fabricating tubing and testing the tubing as set forth in Example 3 was repeated with slightly different operating conditions to produce a sample of tubing from a blend of an ultra-low density polyethylene (ULDPE) sold by the Dow Chemical Company under the name Dow Affinity VP1770, and Ethomeen 0/15 (0.23% by weight) (Akzo Nobel Chemical Company). Another sample of tubing was formed from Dow Affinity ULDPE alone.
The barrel zone temperature for zone Nos. 1-4 were respectively as follows in degrees fahrenheit: 424, 425,
422, and 425. Die zone temperature for zone Nos. 1-3 were as follows in degrees fahrenheit: 425, 425, 425. The puller speeds of pullers Nos. 1-5 were respectively as follows in feet per minute: 17, 60, 41, 31, and 31.5.
The dimensional stability and Yield strength data are set forth below in Table 4.
TABLE 4

(Table Removed)
F. Example 6
Tubing samples were also produced in a similar orientation process set forth above in Examples 1-3. One set of tubing samples was oriented to a 50% orientation ratio. A second sample was not oriented. The tubing was made from the constituents set forth below in Table 5, namely, Exact 4011, EVA, and VP1770. The necking resistance of the tubing was measured by initially measuring the inner and outer diameters, and length of the tubing. One end of the tubing was clamped. A Chatillon gauge was attached to the opposite end of the tubing. The Chatillon gauge exerted a 5 lb. force
longitudinally on the tubing for 10 seconds. Afterwards, the tubing was allowed to sit for 5 minutes. The tubing dimensions were measured again and compared with the initial dimension measurements. The percent change in the length dimension is set forth below in Table 5.
TABLE 5

(Table Removed)
G. Example 7
An ultra-low density polyethylene Exact 4011 was produced into tubing having an outer diameter within the range of 0.139-0.145 inches and an inner diameter within the range of 0.101-0.105 inches. One sample of the tubing was oriented to a 50% orientation ratio and a second sample of the tubing was oriented to a 35% orientation ratio. Samples of the tubing that were oriented to a 50% orientation ratio were separately submerged in a water bath at 65°C, and 70°C for 10 seconds and 85°C for 5 seconds with opposite ends of the tubing clamped to prevent movement or shrinkage of the tubing. After the exposure to the heat the tubing was unclamped and the length of the tubing was measured after cooling in ambient temperature water for 5 minutes. The percent difference in the change of the length of the tubing is reported in Table 6 below.
The tubing was then placed into an oven at 57°C for 4 hours. The length after heating was measured and compared to the length before being placed in the oven. The percent difference in length was noted in Table 6 below.
The other sample of tubing of 35% orientation was not heat treated in a water bath. The non-heat treated tubing was placed in the oven and the percent difference in the length was noted. The results reported in Table 6 shows that the heat setting step greatly reduces the tendency for the tubing to shrink.
TABLE 6

(Table Removed)
H. Example 8
Exxon Exact 4011 (ULDPE) was extruded with and without additives. The Exact 4011 was obtained from Exxon Chemical Company and the Ethomeen additives were obtained from Akzo Nobel Chemical Company. Henkel additives were obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Killion, beit pullers model 212-2 and 118 from RDN, vacuum sizer model 2.0 PVS from RDN. The material blends comprised 0.23% additives and 99.77% Exact 4011 resin. 0% additives and 100% Exact 4011 was also extruded as a control. Tubings were
extruded by blending the resin and additives and then placing them into a single screw extruder for extrusion into tubing form. The extrusion conditions were as follows: Die Pin outer diameter .120"; Die bushing inner diameter .185"; Temperatures, Barrel Zone (BZ)#1 375°F, BZ#2 375°F, BZ#3 375°F; Die Zone (DZ) #1 374°F, DZ#2 375°F; head Pressure 1600 psi; Motor Amperes 9.5. Line speed was 25 Feet Per Minute. The effectiveness of the additive in improving the tubing compatibility with a pump air was evaluated by filling the tubing with solution (distilled water), placing the tubing in the pump and closing the door, open and close the door two more times, then reading the Air Sensor values present in the pump display. The desirable value range for each sensor is 400-650. Table 7 lists the results for Exxon Exact 4011 with and without additives and indicates an improved computability for ULDPE with the additive.
TABLE 7

(Table Removed)
I. Example 9
Another indication that the additive is assisting in improving the tubing compatibility with pump air sensors is the improvement gained in how the tubing seats in an
air sensor housing. Tubings with the additives maintain their rounded cross-sectional shape when placed in a pump air sensor housing. Without the additive the tubings form a "teardrop" or "pinched" shape which indicates the tubing is not fully seated in the air sensor housing. When the tube was fully seated in the housing the tube took a "square" shape and sensor values were greater. Samples were extruded using a similar extrusion process. Table 8 lists additional test samples that exhibited this phenomenon as well as their air sensor values.
TABLE 8

(Table Removed)
J. Example 10
Dow Affinity VP1770 ULDPE was extruded with and without oleylimidazoline. The VP1770 was obtained from Dow and the oleylimidazoline was obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Davis Standard, beit pullers model 212-2 and 118 from RDN vacuum sizer model 2.0 PVS from RDN. The material blends comprised 0.20% oleylimidazoline and 99.80% VP1770 resin. 0% oleylimidazoline and 100% VP1770 was also extruded as a control. Tubings were extruded by blending the resin and oleylimidazoline and then placing them into a single screw extruder for extrusion into tubing form. The
extrusion conditions were as follows: Die Pin outer diameter .240"; Die bushing inner diameter .325"; Temperatures, Barrel Zone (BZ)#1 425°F, BZ#2 427°F, BZ#3 432°F, BZ#4 440°F; Die Zone (DZ)#1 440°F, Die Zone (DZ)#1 440°F, DZ#2 440°F, DZ#3 440°F; head Pressure 2460 psi; Motor Amperes 1.3. Line speed was 26 Feet Per Minute. Testing was done on the tubing to illustrate the benefits of using the additive in the tubing with the use of a slide clamp. A production released Flo-Gard® slide damp (stock number 03-20-16-490) was used to cycle the clamp 10 times over the same area of the tubing. The tubing was then inspected for any damage. The tubing without the additive shows that 5/5 samples tested showed shredding. The tubing with the additive shows that 5/5 samples tested produced scoring of the tubing. Scoring is more desirable than shredding as is does not produce any lose particulate where shredding does. K. Example 11
Exxon Exact 4011 (ULDPE) was extruded with and without additives. The Exact 4011 was obtained from Exxon Chemical Company and the Ethomeen additives were obtained from Akzo Nobel Chemical Company. The Henkel additives were obtained from Henkel Corporation. The extrusion equipment was obtained from several suppliers as noted: 1.5" extruder from Killion, beit pullers model 212-2 and 118 from RDN, vacuum sizer model 2.0 PVSy y from RDN. The material blends comprised 0.23% Ethomeen additives, and 99.77% Exact 4011 resin. 0% additives and 100% Exact 4011 was also extruded as a control. Tubings were extruded by blending the resin and additives and then placing them into a single screw extruder for extrusion into tubing form. The extrusion conditions were as follows: Die Pin outer diameter 0.120"; Die bushing inner diameter 0.185"; Temperatures, Barrel Zone
(BZ)#1 375°F, BZ#2 375°F, BZ#3 375°F; Die Zone (DZ) #1 374°F, DZ#2 375°F; head Pressure 1600 psi; Motor Amperes 9.5. Line speed was 25 Feet Per Minute. Testing was done on the tubing to illustrate the benefits of using the additive in the tubing with the use of a slide damp. A production released Flo-Gard® slide clamp (stock number 03-20-16-490) was used to cycle the clamp 10 times, in the same spot on the tubing. The tubing was then inspected for damage. The tubing without the additive shows that 5/5 samples tested produced shredding of the tubing. The tubing with the additive shows that 5/5 samples tested produced scoring of the tubing. Scoring is more desirable than shredding because it does not produce any lose particulate where shredding does. Table 9 lists the tubes with and without additives and the results from the 10 cycle slide clamp testing.
TABLE 9

(Table Removed)
While specific embodiments have been illustrated and described, numerous modifications are possible without
departing from the spirit of the invention, and the scope of protection is only limited by the scope of the accompanying claims.

WE CLAIM:
1. An iriented medical tubing håving an initial diameter and
suitable for connecting to rigid housing comprising:
a sidewall defining a fluid pathway and håving a longitudinal
axis. the sidewall bemg of an ultra-low density polyethylene
material and an additive håving grrater than 5 carbon atoms
and electron- negative functional groups; and
wherein the tubing has been oriented along its longitudinal axis
to deerease il s diameter to define an oriented diameter.
2. The tubing as claimed claim I wherein the electron negative groups are selected from the group eonsisting of amines, amides, hydroxyls, aeids, aeeiale, ammonium salts, orga; lometallie compounds sueh as metal alcoholates, metal carboxvlaies, and metaJ complexes of numerous 1,3 dicarbonyl compounds, phenyl phosphines, pyridines, pyrrolidones, imida/oline. and oxazolines.
3.The tubing as claimed in elaim 2, wherein the polymeric
material is selected from the group eonsisting of polyolefins and
t heir eopolymers, ethylene-popylene rubber, ethylene vinyl
aretate eopolymers, ethylene methyl aerxlale eopolymers,
sivn ne and hydroearbon block copolvmcr, hydrogenated
deri\atives of styrene and hydroearbon block eopolymers,
thermoplast ic elastomers, polvuretlianes, polyamide and
polyester eopolymers, eopolyesters, polybutadiene,
polysoprene, polyisobutylene, sivrene btitadiene rubbers, and ross linked elastomers.
4.The tubing as claimed in claim o, wherein the polvolefin is
selected from the group consisting ot" both homo and copolvmers of polyethylene, polvpropvlene, polybutene-1, polyisoprene and polyoctene.
5.The tubing as claimed in claim 3 wherein the comonomers may be srlrctcd from the group consisting of aliphatic olefins, metliaerylic acid and vinyl acetate.
6. The tubing as claimed in claim 3. wherein the- said tubing compnses a second layer of a polvmeric material.
7. The tubing as claimed in claim l wherein the initial diameter of the tubing is within the range of 30%-120% greater than the oriented diameter.
8. The tubing as claimed in claim l wherein the initial diameter of the tubing is within the range of l 0%-300% greater than the oriented diameter.
9. The tubing as claimed in claim l wherein the tubing has been set in the oriented diameter.
10. The lubing as claimed in claim l, wherein the ultra low density polyethylene material is present in an amount by weight within the range of 99.999%-90.0% and the additive- is present in an amount by weight within the range of 0.001% 10%.
11.The tubing as claimed in claim 10 wherein the process of
exposing the tubing to heat comprises:
heating the tubing after orient ing the tubing; and,
cooling the tubing after the heating step.
12. The lubing as claimed in claim l l wherein the process of
exposing Ihe tubing to heat meludes the step of raising the
tubing to n temperature below which the tubing will be fully
melted.
13. The lubing as claimed in claim l l wherein the process of
exposing the tubing to heat includes the- step of exposing the
tubing to a heated liquid, wherein the heated liquid is water.
14. The lubing as claimed in claim 15 wherein the process of
exposing the tubing lo heat includes the step of exposing the
tubing to heated air.
15. An oriented medical tubing substanlially as hereinbeibre
described with reference to and as illustrated in the
accompanying drawings.

Documents:

1129-del-1997-abstract.pdf

1129-del-1997-claims.pdf

1129-del-1997-correspondence-others.pdf

1129-del-1997-correspondence-po.pdf

1129-del-1997-description (complete).pdf

1129-DEL-1997-Drawings.pdf

1129-del-1997-form-1.pdf

1129-del-1997-form-13.pdf

1129-del-1997-form-19.pdf

1129-del-1997-form-2.pdf

1129-del-1997-form-3.pdf

1129-del-1997-form-4.pdf

1129-del-1997-form-6.pdf

1129-del-1997-gpa.pdf

1129-del-1997-petition-137.pdf

1129-del-1997-petition-138.pdf

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Patent Number

215122

Indian Patent Application Number

1129/DEL/1997

PG Journal Number

10/2008

Publication Date

07-Mar-2008

Grant Date

21-Feb-2008

Date of Filing

01-May-1997

Name of Patentee

BAXTER INTERNATIONAL INC.

Applicant Address

ONE BAXTER PARKWAY, DEERFIELD, ILLINOIS 60015, UNITED STATES OF AMERICA.

Inventors:

#	Inventor's Name	Inventor's Address
1	PATRICK T. RYAN	968 BOXWOOD DRIVE, CRYSTAL LAKE, IL 60014, U.S.A
2	CHUAN QIN	4938 BOULDERS DRIVE, GURNEE, IL 60031, U.S.A
3	DONNA L. ROSTRON	1628-3 COLUMBIA CIRCLE, BARTLETT, IL 60103, USA.
4	BIRENDA K.LAL	1299 THORNDALE LANE, LAKE ZURICH, IL 60047, USA.
5	YUAN-PANG S. DING	302 RICHMOND LANE, VERNON HILLS, IL 60061, USA.
6	SUSAN R. MIZENER	905 W.WARRIOR DRIVE, ROUND LAKE HEIGHTS, IL 60073, USA.
7	LECON WOO	1013 SHRI LANE, LIBERTYVILLE, IL 60048, USA.
8	MICHAEL T.K. LING	343 CHESTERFIELD LANE, VERNON HILLS, IL 60061, USA.
9	MARTIN F. MILLER	81 HILLTOP DRIVE, LAKE IN THE HILLS, IL 60102, USA.

PCT International Classification Number

B29D 23/00

PCT International Application Number

N/A

PCT International Filing date

PCT Conventions:

#	PCT Application Number	Date of Convention	Priority Country
1	8/642,275	1996-05-03	U.S.A.