Liquid drug transfer devices employing manual rotation for dual flow communication step actuations

1. A liquid drug transfer device for dual flow communication step actuation for establishing flow communication between a liquid container and a drug vial, the liquid container containing liquid contents, the drug vial having a drug vial bottle, a drug vial interior containing a medicament, a drug vial stopper, an uppermost drug vial surface, and a drug vial closure,

the liquid drug transfer device having a longitudinal device axis and comprising:

(a) a liquid container adapter for attachment to the liquid container;

(b) a dual ended liquid transfer member having a leading liquid transfer member end for flow communication with the liquid container, and a trailing liquid transfer member end in flow communication with said leading liquid transfer member end and terminating in a puncturing tip for puncturing the drug vial stopper for flow communication with the drug vial interior; and

(c) a drug vial adapter having a transverse vial adapter top wall with an inner top wall rim defining a throughgoing top wall aperture along the longitudinal device axis, a downward depending vial adapter skirt for telescopic clamping on the drug vial closure such that said throughgoing top wall aperture overlies the uppermost drug vial surface, and an axial directed upright tubular drug vial adapter stem encircling said throughgoing top wall aperture and opposite said downward depending vial adapter skirt and engaging said dual ended liquid transfer member in a pre-actuated state of the liquid drug transfer device,

the arrangement being such that in the pre-actuated state of the liquid drug transfer device having a pre-actuated height H 1 , said liquid transfer member is disposed in said drug vial adapter stem such that said puncturing tip overlies the uppermost drug vial surface, whereby a manual rotation of said drug vial adapter relative to said liquid container adapter about said longitudinal device axis compacts the liquid drug transfer device therealong to a post-actuated height H 2 where H 2 <H 1 and executes the following two flow communication steps:

i) a drug vial flow communication step for urging said puncturing tip along a linear displacement to puncture through the drug vial stopper for flow communication with the drug vial interior, and

ii) a liquid container flow communication step for establishing flow communication between said leading liquid transfer member end and the liquid container.

2. The device according to claim 1 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end engages said access port adapter and said trailing liquid transfer member end engages said drug vial adapter, and

said leading liquid transfer member end includes an access port flow member for insertion into the access port during said manual rotation for execution of the dual flow communication step actuation.

3. The device according to claim 1 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end engages said access port adapter and said trailing liquid transfer member end engages said drug vial adapter,

said access port adapter includes an access port flow member for insertion into the access port on attaching the access port adapter to the infusion liquid container, and

said leading liquid transfer member end includes an infusion liquid container stopcock arrangement for selective closing and opening flow communication with said access port flow member.

4. The device according to claim 1 , wherein said liquid container adapter includes an axial directed upright tubular liquid container adapter stem for engaging said drug vial adapter stem and said liquid transfer member is slidingly disposed in said drug vial adapter stem.

5. The device according to claim 4 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end includes an access port flow member for sliding insertion into the access port during said manual rotation of said drug vial adapter relative to said liquid container adapter.

6. The device according to claim 4 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said access port adapter includes an access port flow member for insertion into the access port on attaching the access port adapter to the infusion liquid container, and

said leading liquid transfer member end includes an infusion liquid container stopcock arrangement for selective closing and opening flow communication with said access port flow member.

7. The device according to claim 4 , wherein the liquid container is constituted by a liquid vial containing liquid contents, the liquid vial having a liquid vial bottle, a liquid vial interior containing liquid contents, a liquid vial stopper, an uppermost liquid vial surface, and a liquid vial closure,

said liquid container adapter is constituted by a liquid vial adapter having a transverse vial adapter top wall with an inner top wall rim defining a throughgoing top wall aperture, a downward depending vial adapter skirt for telescopic clamping on the liquid vial closure such that said throughgoing top wall aperture overlies the uppermost liquid vial surface, and said axial directed upright tubular liquid container stem encircling said throughgoing top wall aperture and opposite said downward depending vial adapter skirt,

said liquid vial adapter being detachable from said drug vial adapter for providing access for syringe aspiration of liquid contents from the drug vial.

8. The device according to claim 7 , wherein said liquid transfer member has a dual component construction including a drug vial component and a liquid vial component in detachable initially sealed connection with said drug vial component in said pre-actuated state, said drug vial component remaining attached to said drug vial adapter and said liquid vial component remaining attached to said liquid vial adapter on said detachment of said liquid vial adapter from said drug vial adapter, and said drug vial component having an exposed connector for providing said syringe aspiration of liquid drug contents from the drug vial.

9. The device according to claim 7 , wherein the drug vial is under negative pressure and said manual rotation executes an initial liquid container flow communication step and a subsequent drug vial flow communication step thereby enabling said negative pressure to draw liquid contents from the liquid vial into the drug vial.

10. The device according to claim 1 , for providing a user indication for indicating establishment of flow communication between the liquid container and the drug vial.

11. The device according to claim 1 , and including a pre-attached initially intact drug vial.

12. A liquid drug transfer device for dual flow communication step actuation for establishing flow communication between a liquid container and a drug vial for reconstituting or mixing a powdered medicament contained in the drug vial, the liquid container containing liquid contents, the drug vial having a drug vial bottle, a drug vial interior containing a the medicament, a drug vial stopper, an uppermost drug vial surface, and a drug vial closure,

the liquid drug transfer device having a longitudinal device axis and comprising:

(a) a liquid container adapter for attachment to the liquid container;

(b) a dual ended liquid transfer member having a leading liquid transfer member end for flow communication with the liquid container, and a trailing liquid transfer member end in flow communication with said leading liquid transfer member end and terminating in a puncturing tip for puncturing the drug vial stopper for flow communication with the drug vial interior; and

(c) a drug vial adapter having a transverse vial adapter top wall with an inner top wall rim defining a throughgoing top wall aperture along the longitudinal device axis, a downward depending vial adapter skirt for telescopic clamping on the drug vial closure such that said throughgoing top wall aperture overlies the uppermost drug vial surface, and an axial directed upright tubular drug vial adapter stem encircling said throughgoing top wall aperture and opposite said downward depending vial adapter skirt and engaging said dual ended liquid transfer member in a pre-actuated state of the liquid drug transfer device,

the arrangement being such that in the pre-actuated state of the liquid drug transfer device having a pre-actuated height H 1 , said liquid transfer member is disposed in said drug vial adapter stem such that said puncturing tip overlies the uppermost drug vial surface, and being arranged to convert a manual rotation of said drug vial adapter relative to said liquid container adapter about said longitudinal device axis into a linear displacement that compacts the liquid drug transfer device therealong to a post-actuated height H 2 where H 2 <H 1 and executes the following two flow communication steps to cause liquid contents to flow from the liquid container into the drug vial:

i) a drug vial flow communication step for urging said puncturing tip along a linear displacement to puncture through the drug vial stopper for flow communication with the drug vial interior, and

ii) a liquid container flow communication step for establishing flow communication between said leading liquid transfer member end and the liquid container.

13. The device according to claim 12 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end engages said access port adapter and said trailing liquid transfer member end engages said drug vial adapter, and

said leading liquid transfer member end includes an access port flow member for insertion into the access port during said manual rotation for execution of the dual flow communication step actuation.

14. The device according to claim 12 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end engages said access port adapter and said trailing liquid transfer member end engages said drug vial adapter,

said access port adapter includes an access port flow member for insertion into the access port on attaching the access port adapter to the infusion liquid container, and

said leading liquid transfer member end includes an infusion liquid container stopcock arrangement for selective closing and opening flow communication with said access port flow member.

15. The device according to claim 12 , wherein said liquid container adapter includes an axial directed upright tubular liquid container adapter stem for engaging said drug vial adapter stem and said liquid transfer member is slidingly disposed in said drug vial adapter stem.

16. The device according to claim 15 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said leading liquid transfer member end includes an access port flow member for sliding insertion into the access port during said manual rotation of said drug vial adapter relative to said liquid container adapter.

17. The device according to claim 15 , wherein the liquid container is an infusion liquid container having an access port, said liquid container adapter is constituted by an access port adapter for attachment to the access port,

said access port adapter includes an access port flow member for insertion into the access port on attaching the access port adapter to the infusion liquid container, and

said leading liquid transfer member end includes an infusion liquid container stopcock arrangement for selective closing and opening flow communication with said access port flow member.

18. The device according to claim 15 , wherein the liquid container is constituted by a liquid vial containing liquid contents, the liquid vial having a liquid vial bottle, a liquid vial interior containing liquid contents, a liquid vial stopper, an uppermost liquid vial surface, and a liquid vial closure,

said liquid container adapter is constituted by a liquid vial adapter having a transverse vial adapter top wall with an inner top wall rim defining a throughgoing top wall aperture, a downward depending vial adapter skirt for telescopic clamping on the liquid vial closure such that said throughgoing top wall aperture overlies the uppermost liquid vial surface, and said axial directed upright tubular liquid container stem encircling said throughgoing top wall aperture and opposite said downward depending vial adapter skirt,

said liquid vial adapter being detachable from said drug vial adapter for providing access for syringe aspiration of liquid contents from the drug vial.

19. The device according to claim 18 , wherein said liquid transfer member has a dual component construction including a drug vial component and a liquid vial component in detachable initially sealed connection with said drug vial component in said pre-actuated state, said drug vial component remaining attached to said drug vial adapter and said liquid vial component remaining attached to said liquid vial adapter on said detachment of said liquid vial adapter from said drug vial adapter, and said drug vial component having an exposed connector for providing said syringe aspiration of liquid drug contents from the drug vial.

20. The device according to claim 18 , wherein the drug vial is under negative pressure and said manual rotation executes an initial liquid container flow communication step and a subsequent drug vial flow communication step thereby enabling said negative pressure to draw liquid contents from the liquid vial into the drug vial.

21. The device according to claim 12 , for providing a user indication for indicating establishment of flow communication between the liquid container and the drug vial.

22. The device according to claim 12 , and including a pre-attached initially intact drug vial.