1. Field of the Invention: The present invention relates to liquid delivery devices such as medicine dispensers. More particularly it relates to liquid delivery devices having an adapter that permits a substance in a vial or other separate container to be transferred to such delivery device. 2. Description of the Prior Art:

There are a number of types of liquid delivery devices or dispensers that are intended to provide for the delivery of a liquid medication to a patient under controlled conditions. One is shown in U.S. Patent No. 5,080,652 to G.E. Sancoff, et al . All such delivery devices utilize mechanisms to cause a liquid contained therein (often a solution containing one or more medications) to be dispensed either continually or intermittently from the container, normally through a conduit which terminates at its distal end with an attachment for intravenous, subcutaneous, or intraparenternal administration to a patient.

Such devices may be stored in an empty condition and then filled with the liquid medication shortly before or at the time of administration of the medication to the patient. Alternatively, containers can be stored in a sealed condition but filled with a liquid medication or liquid medium, and at the time of administration the device is opened and the medication dispensed to the. patient as indicated above. In many instances it is desirable to incorporate additional or different medioa-tions into the liquid medication already present in the device. In other instances where the device is filled with a neutral liquid medium, it is necessary to add the medication to that medium prior to dispensing to the patient. The latter commonly occurs when the particular medication to be delivered has a short shelf life or where it is effective only for a short period after being dispersed in the liquid medium.

In both of these cases, it is necessary to establish some sort of fluid connection between the device and the container holding the additional or separate medicine. With many devices this is either difficult or impossible to do, thus normally requiring a second administration of the additional or other medicine to the patient.

A primary failing of the prior art vial adapters has been the failure to provide a resealable attachment. Therefore, when a vial is ^' disposed on the diluent source it cannot be removed without the loss of diluent or medication. Moreover, removal of the vial is preferable so as to minimize the volume of diluent and medicament lost in line.

Accordingly, a need exists for a vial adapter and an infusion pump with a vial adapter associated therewith that allow for the efficient and expeditious transfer of a medication into an infusion pump and that further allow the vial or other container with the medication to be removed, and the pump put on line to the patient.

SUMMARY OF THE INVENTION The present invention provides several embodiments of adapters that can be used for the introduction of a medicament from a drug vial, for example, into an infusion pump or IV bag followed by the delivery of the medicament in a diluent to a patient. A profound feature of the present invention is that, in a preferred embodiment, it provides a mechanism to allow for the introduction of the drug or medicament to the pump and the delivery from the pump through a single port. In a preferred embodiment, this is achieved through the use of a resealable valve in a lumen in the vial adapter. This aspect of the present invention stands in stark contrast to the prior art. In the prior art, many complicated structures were used to achieve the objective of the present invention.

In accordance with a first aspect of the present invention, there is provided a liquid dispensing device comprising a container for fluid having an interior, an exterior, and an opening which provides fluid communication

between the interior and the exterior, a vial having an interior, a neck with a groove therein and a piercable seal, a connector attached to the container and surrounding the opening, the connector having a hollow channel disposed therein in fluid communication with the opening in the container, and the channel having a reclosable valve disposed therein, the valve being normally closed, and a vial adaptor having an open proximal end, a closed distal end, a wall disposed between the distal and proximal ends, the wall further comprising a flange which releasably engages the groove on the neck of the vial, and a hollow conduit passing through the closed end and having a distal end extending beyond the closed end and sized to fit within the hollow channel of said connector, and a sharp proximal end adapted to pierce the seal on the vial, wherein the vial fits within the open proximal end of the vial adaptor and the flange engages the groove to hold the vial in the adaptor, and the connector and adaptor slidably attach such that the distal end of the hollow conduit in the vial adaptor slides within the hollow channel in the connector and contacts the valve causing it to open, and the proximal end of the conduit pierces the seal on the vial, thereby establishing fluid communication between the interior of the container and the interior of the vial.

In a preferred embodiment, the vial adaptor can be detached from the connector upon sliding movement of the connector and the adaptor away from each other. In another embodiment, the adaptor further comprises a second wall extending distally past the distal end and having an interior surface having a locking Luer fitting, and the connector further comprises a corresponding locking Luer fitting, such that the adaptor and the connector can be releasably joined by interlocking the Luer fittings. In yet another embodiment, the liquid dispensing device further comprises a removable wall section disposed between the vial adaptor and the connector, which forms a seal between the adaptor and the connector and acts to prevent the adaptor and the connector from sliding toward each other and opening the valve. In

another embodiment, the device further comprises an O-ring disposed between the vial adaptor and the connector, which forms a seal between the vial adaptor and the connector. In still another preferred embodiment of the device, the hollow channel within the connector is the sole outlet port for the interior of the container. In another preferred embodiment, the conduit comprises a needle having a channel disposed longitudinally therein. In yet another embodiment, the conduit comprises a needle having a channel formed in one side.

In accordance with another aspect of the present invention, there is provided a system for connecting a diluent source within a first container to a vial containing a medication, comprising a vial adaptor having an open proximal end, a distal end, and a wall section between the proximal end and said distal end, wherein the wall section further comprises a flange adapted to releasably engage a corresponding groove on the vial, and the vial adaptor further comprises a conduit attached at the distal end of the vial adaptor, the conduit having a distal end and a sharp proximal end adapted to pierce a seal on the vial, the conduit further defining a first lumen that extends from the proximal end of the conduit through the distal end of the vial adaptor. The vial adaptor further comprises a second wall section forming a channel that extends distally past the distal end of the conduit, and a connector having a proximal end, a distal end and a third wall section disposed between the proximal and the distal ends, wherein the proximal end further comprises a recessed wall section sized to fit within the channel formed by the second wall section of the adaptor, the connector having a second lumen extending therethrough and wherein the distal end of the connector is adapted to attach to the container and the connector further comprises a reclosable valve that is ordinarily closed to prevent fluid communication through said second lumen. The vial adaptor and the connector are adapted to releasably and sealingly connect at the distal end of the adaptor and the proximal end of the connector, such

that the recessed wall section slides within the channel formed by the wall section upon sliding movement of the distal end of the adaptor and the proximal end of the connector towards each other such that the conduit contacts the valve causing it to open to allow fluid communication through the valve and the first and second lumen.

In a preferred embodiment, the vial adaptor can be removed from the connector upon sliding movement of the proximal end of the connector and the distal end of the adaptor away from each other. In another embodiment, the adaptor further comprises a locking Luer fitting on its distal end and the connector further comprises a corresponding locking Luer fitting on its proximal end, such that the adaptor and the connector can be releasably ...joined by interlocking the Luer fittings. In yet another embodiment, the device further comprises a removable wall section disposed between the vial adaptor and the connector, which forms a seal between the adaptor and the connector and acts to prevent the adaptor and the connector from moving longitudinally with respect to one another. In still another embodiment, the second lumen_ within the connector, when attached to the container, is the sole outlet port for the diluent source within said first container.

In accordance with yet another aspect of the present invention, there is provided a liquid dispensing device comprising a hollow casing having inner and outer sides, the inner side defining an interior which can contain a fluid, an opening in the casing providing fluid communication between the interior and the exterior of the casing, a hollow sleeve surrounding the opening and extending outwardly from the outer side, a reclosable valve on the interior of the sleeve, the valve being normally closed and being openable only from outside said casing, a flange on the interior of the sleeve for releasably engaging a groove on a neck of a vial which can contain a medicament and having a piercable seal which provides fluid communication between the interior and exterior of the vial, a conduit having a sharp distal end at least

partially within the sleeve which pierces the seal and a proximal end in fluid communication with the interior of the hollow casing, such that when the distal end pierces the seal, fluid communication is established between the interiors of the hollow casing and the vial. The device further comprises a second flange within the sleeve and spaced apart from the first flange, the second flange also engagable with the groove on the vial and spaced apart from the seal a sufficient distance such that when the vial is inserted into the sleeve, the second flange engages the groove on the vial such that the vial and the sleeve are secured together but the conduit does not contact the seal and no fluid communication exists between the interiors of the vial and the hollow casing.

In a preferred embodiment, the conduit comprises a needle having a channel disposed longitudinally therein. In another preferred embodiment, the conduit comprises a needle having a channel formed in one side.

In accordance with still another aspect of the present invention, there is provided an adaptor for releasably joining a vial with a liquid delivery device, comprising a vial adaptor which comprises a front open end sized to receive a neck of the vial, a flange for engaging a corresponding groove on the vial, a back closed end, a wall having an inner and outer surface extending distally from the closed end to form a channel, a hollow needle extending through the back end and into the channel, and a connector comprising an outer wall having a proximal end and a distal end and a recessed wall sized to fit within the channel formed by the wall of the vial adaptor and having an inner and outer surface, the recessed wall extending proximately from the outer wall and forming a lumen to receive the needle such that fluid communication is achieved between the needle and the lumen, and wherein a reclosable valve is located within the lumen, and wherein the outer wall is adapted to be releasably connected to an opening in the liquid delivery device.

In a preferred embodiment, the adaptor further comprises a detachable wall disposed at the proximal end of the outer

wall of the connector, which forms a seal between the vial adaptor and the connector and acts to prevent the vial adaptor and connector from moving slidably with respect to one another. In another embodiment, the recessed wall further comprises threads on the outer surface of the recessed wall and the adaptor further comprises threads on the interior surface of the wall, such that the vial adaptor and the connector may be joined through the interlocking of the threads. In yet another embodiment, the adaptor further comprises an O-ring disposed at the proximal end of the outer wall of the connector, which forms a seal between the vial adaptor and the connector.

BRIEF DESCRIPTION OF THE DRAWINGS FIGURE 1 is a side elevation view, with pgrtions cut away, of one configuration of the dispensing device of the present invention;

FIGURE 2 is a similar view with pressurized infusion in operation;

FIGURE 3 is an enlarged view of the upper portion of FIGURE 2;

FIGURE 4 is a view similar to a portion of FIGURE 2 showing manual compression of the dispensing device;

FIGURE 5 is an enlarged sectional view taken on line 5-5 of FIGURE 1; FIGURE 6 is a sectional view similar to that of FIGURE

5 showing an alternative rim configuration;

FIGURE 7 is a side elevation view, with portions cut away, of an alternative device with a separate adapter to hold the vial; FIGURE 8 is an enlarged view of the upper portion of

FIGURE 7;

FIGURE 9 is a partially cut away view of an alternative adapter arrangement in storage position;

FIGURE 10 is a similar view with the vial in the adapter; and

FIGURE 11 is a side elevation view of a further configuration of the apparatus.

FIGURE 12 is a side cross sectional view of a vial adapter in accordance with the present invention having its frangible strip in place, thereby preventing the two sections of the connector from moving relative to one another, thus maintaining the seal of the one-way valve.

FIGURE 13 is the view in FIGURE 12 with the frangible strip removed.

FIGURE 14 is the view in FIGURE 13 where the two sections of the adapter have been moved longitudinally toward each other thereby actuating the one-way valve and allowing fluid communication through the first and second lumen.

FIGURE 15 is a similar view as in FIGURE 12 in an embodiment where the two sections of the connector have threads. FIGURE 16 is a similar view as in FIGURE 13 in the embodiment shown in FIGURE 15.

FIGURE 17 is a similar view as in FIGURE 14 in the embodiment shown in FIGURES 15 and 16.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention is related to an attachment or an adapter that allows for the addition of a medication from a container holding the medication to a solution contained within a liquid delivery device. It will be understood that often drugs or medications, following their manufacture, are packaged within containers that allow the medication to be kept sterile. Glass vials are frequently used; glass is highly inert, very stable, is readily sterilizable, and can be used with virtually any medication, whether it is a solid or liquid. The vials usually have a rubber septum at their mouths ,that allow for the reconstitution, dilution, and/or simple transfer of the medication from the vial through use of a needle and syringe.

The present invention allows for similar ease of transfer without the need for the use of a needle and syringe. Rather, the invention allows a vial to be essentially attached to a liquid delivery device and the medication contained in the vial transferred to the device easily and without

contamination. This is accomplished in the broadest sense by having a first connector sized to fit around the mouth of a drug vial that has a piercing means to perforate the septum in the vial, a channel extending from the connector that will allow the communication of the medication from the vial to the delivery device, and a second connector that is attached to the device. Preferably, the channel additionally contains means for preventing communication of the medication from the drug vial to the device and/or communication of the diluent from the device to the drug vial.

As discussed above, the medication contained in the drug vial can be a liquid or a solid and the principle of the invention is to move the medication from the vial to the liquid delivery device. When the medication is a_liquid, it will be understood that it will easily flow through the channel into the delivery device. However, when the medication is a solid, it is necessary to reconstitute the solid. This may be accomplished either through adding a solvent to the solid while it is in the vial or a solvent in the device can be communicated through the channel to the vial and the reconstituted medication can be communicated back to the device.

The latter process is preferred, since, many medications are less stable in solution and begin to lose their efficacy the longer they are maintained in solution. This is a primary reason that such medications have been packaged and sold as solids in the first place. Therefore, it will be understood that it is highly advantageous to be able to reconstitute solid medications, just prior to administration to the patient.

The connector structure that meets the above-discussed requirements of the present invention will be best understood by reference to the drawings. FIGURES 1, 2, 4 and 11 show overall views of different embodiments of the present device with the connecting structure incorporated therein and showing the connection with the separate container, here illustrated as a vial. In FIGURES 1 and 2, the device shown is that

described and claimed in co-pending U.S Patent Application Serial No. 08/105,327. The details of the operation of that device, including the means for dispensing the contained liquid, may be understood by reference thereto. A device 2 of this invention is commonly formed of two parts 4 and 6 which are joined in a convenient manner, as by mating flanges 8. The device is hollow with an interior 10 shown as filled with a liquid 12. The liquid 12 may be a medication itself, or it may be an inert carrier liquid into which a medication is subsequently incorporated, as will be described below.

It will be understood that the descriptions herein as to "medication" is merely for the purpose of example, and that a variety of other types of fluids and added materials, such as intravenous nutrients, may be mixed and dispensed with the device of this invention. Those skilled in the art will be well aware of the many materials which can be handled by this device, and can readily determine the optimum manner of handling any particular combination of materials. Dispensing of the liquid is by means of motion of membrane 14 by the pressure of gas which is evolved by the reaction of two chemicals which are initially separated but are brought together and allowed to react and evolve the gas. The chemicals are conveniently housed in a well 16 attached to the wall of portion 6 of container 2. One of the chemicals is illustrated in the form of a solid pellet 18 and the other is in the form of liquid 20. The two are separated by membrane 22. When a flexible cap 24 surrounding liquid 20 is flexed, as shown in FIGURE 2, a sharp protuberance 26 on the inside of dome 24 perforates membrane 22, allowing liquid chemical 20 to flow into contact with chemical 18, evolving gas which escapes through openings 28 as indicated by arrows 30, thus pushing membrane 14 forward as indicated in FIGURE 2 and causing the liquid to be dispensed through outlet 32 (visible in FIGURE 11) . Membrane 14 is secured at its periphery by being clamped between the flanges 8 (designated as 8a and 8b in FIGURES 5 and 6) .

If desired, the device 2 can have a skirt 34 surrounding the well 16 to allow the device to be placed on end and to protect the well 16 and dome 24 against accidental activation of the chemicals. Also present may be gas relief valve 36 which serves to control any overpressure from the evolving gas and also to allow the device 2 to be completely depressurized to ambient pressure once all of the liquid 12 has been dispensed.

For the purposes of illustration herein, the liquid 12 will hereafter be referred to simply as the carrier liquid, and it will be assumed that there is no medication initially present in liquid 12. It will of course be understood that this is solely for the purpose of illustration and that as noted above in fact there are many instances in. _.. hich the liquid 12 may itself be a medication. The medicating substance 48 is initially contained in separate container 38, here illustrated as a vial. The medication 48 will be present within interior 40 of vial 38 and may be either in liquid form or in the form of a readily soluble solid material, usually a powder or granulated material. The vial 38 normally has a reduced collar area 42 widening to a lip 44, and is sealed by a membrane or cap 46. The purpose of the structure of the invention herein is to permit the medication 48 to be transferred from the vial 38 to the interior of the device 2 and there be incorporated into the carrier fluid 12.

The concept is best understood by reference to FIGURE 3. At the top of portion 4 is formed a sleeve-like member 50 which surrounds an opening 52 leading from the interior 10 of device 2 to the exterior of the device 2 in the open hollow middle of the sleeve 50. The inside diameter of the sleeve 50 is sufficiently large to be able to accommodate either the entire diameter of vial 38 as shown or at least the upper neck portion including neck 42 and rim 44 (as illustrated in FIGURES 10 and 11) . The opening 52 is closed by any convenient means, either a plug 54 or preferably a one-way valve 56, which will be described in more detail below. Also present will be a fluid communication member, normally in the

form of a needle 58, the structure of which will also be described below.

In one form of usage herein the vial 38 is positioned above the opening 60 of sleeve 50 and is pushed downward to make contact with needle 58. Needle 58 penetrates through the cap 46 of vial 38 and also penetrates through the closure 54 so that the opposite ends of needle 58 are positioned respectively in the medication 48 within interior 40 and in the carrier liquid 12 in interior 10. Fluid communication may be either by a hollow axial conduit 62 through needle 58, as shown in FIGURE 10, or through a conduit formed by a groove 64 formed in one side of the needle 58. There is also preferably a second groove or conduit 66 (shown in FIGURE 3) which passes through only a portion of the needle 58 and terminates in a junction with a conduit 68 which in turn extends to an opening 70 in sleeve which provides access to the ambient atmosphere. Thus as the medication 48 is withdrawn from the vial 38, air or other ambient gas can pass into the interior 40 through conduits 66 and 68 and hole 70 so that the formation of a vacuum and subsequently restricted flow of medication 48 is prevented. Typically there will also be a filter 72 present to remove any unwanted material from the ambient air as it passes from hole 70 into conduit 68.

Within sleeve 50, there will be a securing device 74 which contains means (illustrated in FIGURE 3 as flange 76) to engage a corresponding depression or groove 78 in the neck 42 of vial 38. The flange 76, and usually the entire member 74, will have some degree of resiliency so that the vial 38 can be pushed forward so that rim 44 passes the flange or shoulder 76 and allows the grooved area 78 to cooperate with the flange 76 to prevent unwanted disengagement of the vial 38 from securement within the sleeve 50. Other means of securement can be in the form of tabs 80 formed on the outer end of sleeve 50 as shown in FIGURE 10 or as radial structures in the forms of truncated cones 82 and 82' which are engaged by the hooks 84 of an external sleeve 86.

In some embodiments the sleeve will be in the form of a

sleeve assembly which is formed of a sleeve 50 attached to the wall of portion 4 and a male/female coupling member 88 which has a secondary sleeve 50' into which the vial 38 fits. This use of the coupling device 88 permits the entire assembly to be removed from the device 2 so that the sleeve 50 and opening 52 can if desired be subsequently used as an outlet equivalent to outlet 32 once the contents of vial 38 have been incorporated into the fluid 12. In the embodiment shown in FIGURE 1, the needle 58 is initially retained in a sliding plate 90 which is depressed downward by the positioning of vial 38, eventually coming to rest against the bottom 92 of sleeve 50 once the needle 58 has penetrated through the plug 54. The continued movement of vial 38 then causes the needle 58 to penetrate the cap 46 to establish a fluid communication between the vial 38 and the dispensing device 2.

Once the vial is in place and secured, as shown in FIGURE 3, the transfer of the contents 48 of vial 38 is commenced. The contents 48 may initially be under some pressure and therefore be forced through needle 58 into liquid carrier 12. Alternatively, however, it is preferred to have the top portion 4 of the device 2 be somewhat flexible, as illustrated in FIGURE 4 at 94. When the portion 94 is flexed as indicated by arrows 96, the formation of a reduced pressure in interior 10 causes the contents 48 of vial 38 to be rapidly drawn out of the interior 40 and into fluid 12. Mixing is preferably accomplished by moving or pumping the fluid back and forth between the interior 40 and the fluid 12.

It is desirable to have a one-way valve 56 present in the sleeve 50, which valve is activated by contact with needle 58 when the vial 38 is pressed into place. This may be best seen in FIGURES 8 and 9. In this case, valve 56 is in the form of a bottle shaped plug 96, which conforms to a funnel-shaped interior 98 in a plug 100 which is fitted into sleeve 50 with an interference fit so that it is retained by friction on the mating surfaces 102. The plug 98 can be buoyant so that any fluid in container 12 forces it up into the opening 98 and closes the valve by contact between the surfaces 104. Or, in

a preferred embodiment, the plug is restrained under mechanical pressure or is a compression fitting, which is opened by compression or force in a direction opposite the compression. When the needle 58 or needle-like structure 58' is pushed downward by the force of position of vial 38, the bottom 106 of the needle 58 or needle-like structure 58' contacts the top 108 of the plug 96 and forces it downward, thus opening the gap 98 to allow the liquid 12 to flow upward into the vial or the material 48 to flow toward the device 2 either because the material 48 is a liquid initially or because it becomes dissolved in that portion of the liquid 12 which passes into the interior 40 of vial 38. The plug 96 is prevented from falling out of the position by shoulders 110 of plug 100. It is often desirable to be able to have the vial 38 and dispenser device 2 loosely attached together as for shipping and storing, but positioned apart so that the needle 58 or needle-like structure 58' is not penetrating into fluid communication with either of the vessels. The two vessels are positioned so that a simple push on the vial 38 will cause the two to come into operative position and the medication 48 and the carrier material 12 to be properly mixed. This permits, for instance, medications and carrier materials to be shipped and stored together and to be immediately available as in an emergency situation. For instance, storage of medications in a hospital emergency room must be such that the emergency room personnel can immediately obtain the exact medications needed and do not need to look for two or more separate containers which may be stored at different locations or of which one may have simply not been properly replenished. In order to avoid premature activation of the medication system and to preserve the shelf life of the medication for the maximum period, it is necessary however to have the vessels connected but remain sufficiently far apart that neither one becomes inadvertently opened and the contents then exposed and subject to subsequent deterioration.

A structure to accomplish this is shown in FIGURE 9 in

which there are two separate securing conical flanges 82 and 82' which are spaced some distance apart. A second male/female device 88', with a top section similar to that as shown in FIGURE 10 (but without the vial itself being shown) is used for this purpose. In operation, the member 88' is pushed downward only to the point where the tabs 84 engage the flange 82' . In this position, the vial 38 and device 2 are held securely together but are spaced apart far enough that the needle 58 does not penetrate the cap 46 of vial 38. Nor is it pushed downward to engage and open one-way valve 56. Subsequently when it is desired to join the two materials, the member 88' is pushed further down so that the tabs 84 engage the conical flange 82, which causes the needle 58 to be pushed downward to open plug 56 and to also penetrate and open the cap 46 by the downward movement of vial 38, all as- illustrated in FIGURE 10. The tabs 84 on member 88' can, if desired, be fitted with levers 112 which permit one to use thumb or finger pressure to spread the tabs 84 and release the member 88' when the vial 38 is empty. In yet another embodiment, as shown in FIGURES 12 through

17, the vial adapter consists essentially of male and female fittings, such as common Luer type fittings or locking Luers. One of the fittings is connected to the vial connector and one is connected to the delivery device. Further, preferably, one of the fittings contains a check valve, that acts to prevent the flow of liquid from the device. It will be appreciated, that in these constructions, either the male or the female fitting can be connected to the vial connector end or vice versa. Thus, referring now to FIGURE 12, a drug vial adapter 150 is provided with a vial attachment end 151 that is sized and shaped to receive and lock in a drug vial (not shown) . The vial attachment end 151 has an front open end 152 and a back closed end 153. As will be appreciated, drug vials typically have a rim that separates their mouth portion from their neck portion. The vial attachment end 151 of the vial adapter 150 has a vial catch 154 that is formed around the circumference

of the front open end 152 of the vial attachment end 151 which acts to lock a drug vial to the vial adapter 150. In the center of the vial attachment end 151, a spike 155 is positioned. Thus, a drug vial is centered in the front open end 152 of the vial attachment end 151 and pushed longitudinally towards the back closed end 153 of the vial attachment end 151. Such action forces the spike 155 through a septum or a similar sealing means in a drug vial . A rim on a drug vial will catch on the vial catch 154, holding the vial in position with the spike 155 extending therein.

Extending distally from the back closed end 153 of the vial attachment end 151, the vial adapter 150 has a stem wall 156. The stem wall 156 defines a main channel section 157. Within the main channel section 157, a rod 158 ex.tends. The rod 158 is in communication with the spike 155 through a first lumen 159, thus allowing fluid communication between a vial into the main channel section 157.

Distal to the vial attachment end 151 and its stem wall 156 is a connector 160. The connector 160 has a wall 161 and a recessed wall 162. The recessed wall is sized to fit within the main channel section 157 of the vial attachment end 151. Internal to the wall 161 and the recessed wall 162 of the connector 160, a second lumen 163 extends. Within the second lumen 163, there is a valve 164 that is kept in general longitudinal position with circumferential tabs 165 and 166. The valve 164, on its proximal end, has a recessed stem section 167 that extends proximally through the lumen 163 and the proximal most circumferential tab 166.

The distal end 168 of the rod 158 is sized to fit within the distal end 169 of the second lumen 163, thus allowing fluid communication between the first lumen 159 and the second lumen 163. However, the valve 164 acts to stop fluid flow from the proximal end 170 to the distal end 169 of the connector 160 because pressure exerted against the distal end 171 of the valve 164 forces the proximal edge 172 of the valve 164 against the proximal most circumferential tab 166.

The vial attachment end 151 of the vial adapter 150 is

attached to the connector 160 through detachable wall section 173. The detachable wall section 173 acts to provide mechanical stability to the vial adapter as well as maintaining the channel section aseptic and sterile. In a preferred embodiment, the detachable wall section forms a seal between the vial attachment end 151 of the vial adapter 150 and the connector 160 of the vial adapter 150. There are other structures that would achieve similar results as the detachable wall section 173. For example, a resilient or flexible seal between the vial attachment end 151 of the vial adapter 150 and the connector 160 of the vial adapter 150 would be equivalent. Some reduction in structural rigidity would be observed. However, such a sleeve would serve to seal the connection. Similarly, an o-ring or other similar structure could be provided on the sleeve. Such structure would provide an adequate seal, however, there would also be seen a reduced mechanical strengthening.

Alternatively, it will be understood that, instead of utilizing the detachable wall section, the device can be fitted with one or more detents on the connector and a detent release lever on the vial attachment end, along with threading. This configuration would provide similar mechanical strength properties as the detachable wall section and could be easily adapted to provide for aseptic or sterile closure. Moreover, such an arrangement can be completely removed from the connector 160, providing a similar advantage as the detachable wall section 173.

In the preferred embodiment, however, the detachable wall section 173 has means, such as frangible strips 174 and pull tab 175 that allow the removal of the detachable wall section 173 from the vial adapter 150. This is advantageous, since the entire vial attachment end 151 can be removed, if desired, from the vial adapter 150, leaving only the connector 160. This allows the connector 160 to be used for attachment to another connector, such as a connector on an IV set.

In FIGURE 13, the detachable wall section 173 has been removed leaving a void section 176 in the vial adapter 150.

This void section 176, as will be seen in FIGURE 14, allows the vial attachment end 151 to move distally toward the connector 160, with the stem wall 156 sliding over the recessed wall area 162 on the connector 160. This distal movement operates to move the distal end 168 of the rod 158 toward the distal end 177 of the valve 164, forcing the proximal edge 172 of the valve _. 164 away from the proximal most circumferential tab 166 and allowing fluid to flow from the second lumen 163 in the connector 160 into the first lumen 159 and out the distal end 178 of the spike 155.

As will be understood, in the above-discussed design in FIGURES 15 through 17, as easily as the vial attachment end 151 of the vial adapter 150 will slide distally toward the connector 160, it can slide proximally, falling apart. Therefore, in a preferred embodiment, the inside wall 178 of the stem wall 156 and the outside wall 179 of the recessed wall section are threaded, or are otherwise constructed so as to protect against detachment. Moreover, these designs tend to simplify the depression of the valve 164 in order to allow communication of fluid through the second and first lumens.. FIGURES 15 through 17 show a model having threads 181 on the stem wall and threads 180 on the recessed wall section 162. The detachable wall section 173 is removed by pulling on pull tab 175 in the direction of arrow A. The detachable wall section will separate along frangible wall sections 174. Thereafter, in FIGURE 16, the vial attachment end 151 is turned in the direction of arrow B, which turns the stem wall 156 around the recessed wall section 162 and the threads 180 and 181 will draw the stem wall 156 distally on the connector. This action, as will be seen in FIGURE 17, will reduce the size of the void space 176 and also allow fluid communication between the first and second lumens 159 and 163, respectively, as discussed in more detail in connection with FIGURE 14.

It will be appreciated that there are valves and valve systems that can be opened without the longitudinal motion of the vial attachment end and the connector in relation to one another. For example, there are a variety of bayonet type

valve actuators. In bayonet style actuators, upon the axial twisting of one of the ends relative to the other, structure similar to the rod 158 can be caused to extend and depress the distal end of the valve. In addition, a variety of axial pressure valves are made that, when pressure is exerted external to the valve, will deform the shape of the lumen surrounding the valve closure and all fluid flow therethrough.