Methods and devices to facilitate positioning of a catheter into a vessel. Devices include axially concentric assemblies of a piercing needle and a dilator that guides an outer catheter into a vessel, such as a blood vessel. The assemblies described herein can include retraction mechanisms and/or lock mechanisms to control needle positioning during catheterization processes as well as improved valves that prevent leakage of fluid from the proximal end of the devices. The devices and method include the use of novel valves to prevent undesired leakage of fluids through the proximal end of the catheter.

The invention relates to an indwelling venous cannula (1) for application to a living being, having a venous catheter (2), wherein a puncture needle (3) can be guided in a longitudinally movable manner in the venous catheter (2). The puncture needle (3) is designed as a hollow needle over a portion of its length, wherein at least part of an additional portion of the length of the puncture needle (3) is solid.

A medical puncture needle includes: a metal needle body formed in a tubular shape, the needle body including: a blade surface located at a distal end portion of the needle body, a planar reflection portion located at an inner surface of the needle body and configured to reflect light, and a transmission window located proximal of the blade surface and configured to transmit reflected light reflected by the planar reflection portion.

A catheter enclosure device for locking an intravenous catheter therein with tamper-evident features to deter unauthorized use. The catheter enclosure device may be particularly useful for peripherally inserted central catheters (PICC). The enclosure device comprises an open-top box and a removable lid for covering the box. The open-top box has a compartment for holding the proximal end of an intravenous catheter. The lid comprises a panel for covering the open portion of the open-top box and a folding wing that overhangs the forward end of the box when covering the box. The folding wing further comprises a retaining anchor. When the folding wing is folded down, the retaining anchor inserts into a locking slot on the forward end of the box, thereby preventing the lid from being removed off the box. Also disclosed are methods for using the catheter enclosure device.

A needle insertor for a medicament delivery device is presented having a driver having a first part movably arranged within the case and a second part connected to the base, a needle assembly movably held by the first part in the case, a rotator arranged in the case and configured to engage the first part for moving the driver, an energy accumulation member configured to interact with the rotator for applying a rotational force on the rotator, a movable stop arranged on the base and configured to interact with the rotator for preventing the rotator from rotating. The first part has a first position where the needle assembly is held inside the case, a second position where the needle portion is positioned outside the case after being moved to pass through the injection site end, and a third position where the needle portion is positioned inside the case.

An introducer needle can include a needle shaft, a sheath over the needle shaft, and a needle hub around a proximal portion of each of the needle shaft and the sheath. The needle shaft can include a needle slot extending from the proximal portion of the needle shaft through a distal needle tip, which needle tip can include a bevel having a tip bevel and a heel. The needle shaft can include opposite needle-slot walls that either: a) face each other and are parallel or oblique to each other, or b) face toward or away from a bottom of the needle slot. Additionally or alternatively, opposite needle-shaft walls can be parallel to each other. The sheath over the needle shaft can seal the needle slot thereunder but for a sheath opening in a proximal portion of the sheath.

A method of making a flexible medical article or tube, for example, a sheath for a vascular access device, is provided. The method can include extruding a polymer, for example, a polycarbonate-urethane copolymer, to form a tube and annealing the extruded polymer. The method can further include cutting the extruded tube to a desired length before or after annealing, flaring one end of the annealed tube and over-molding the flared portion onto a hub, and forming the other end of the tube into a tip. A sheath formed by such a method is also provided.

Methods, devices, systems of resuscitating a patient including accessing an arterial vessel positioning a catheter into the arterial vessel advancing the catheter through the arterial vessel to position it below a vessel supplying blood to a heart and a brain expanding an expandable portion of the catheter to prevent blood from flowing past the expanded portion and infusing a substance retrograde into the artery within the arterial section between the heart and the expanded portion of the catheter.

This disclosure relates to methods and exemplary devices for making needle insertion safer and easier (NISE). This NISE device includes at small needle, cannula, and large needle in a nested assembly to provide less trauma to a target vessel during large needle insertion. The small needle is movable relative to a body of the device and within the cannula to a position exterior the cannula. The cannula is movable within the large needle to a position exterior to the large needle. In a preferred assembly, the cannula is provided with a dulled tip and successive cutting edges along a tapered shape from the narrow dulled tip to the cannula body, such that the cannula blunt tip prevents trauma during insertion while the successive cutting edges generally enlarge the opening for placement of the large needle. The device can be provided in a stand alone device or alternately integrated into existing off the shelf and currently available vascular devices.

A catheter system may include a catheter assembly and a catheter delivery device. The catheter assembly may include a catheter adapter, which may include a catheter adapter distal end, a catheter adapter proximal end, and a catheter adapter lumen extending through the catheter adapter distal end and the catheter adapter proximal end. The catheter assembly may include a primary catheter extending from the catheter adapter distal end. The catheter delivery device may include a housing, which may include a housing distal end coupled to the catheter assembly, a housing proximal end, and a housing lumen extending through the housing distal end and the housing proximal end. A secondary catheter may be disposed within the housing. The secondary catheter may be configured to move distally through the catheter assembly in response to a fluid pressure provided by a fluid delivery device coupled to the housing proximal end.