Handheld, Untethered Catheter Containment System and Method
20230293857 · 2023-09-21
Inventors
- Luke Robbins (Egham, GB)
- Christopher Vincent (London, GB)
- Norihiko Inoue (London, GB)
- Kyle G. Thornley (Farmington, UT, US)
- Glade H. Howell (Draper, UT, US)
- Joe Spataro (Cottonwood Heights, UT, US)
- Eric W. Lindekugel (Salt Lake City, UT, US)
- Lisa I. Bailey (Millcreek, UT, US)
- Jonathan W. Rutledge (Layton, UT, US)
- David Brashares (West Jordan, UT, US)
- Hannah Gracie O'neill (Millcreek, UT, US)
Cpc classification
A61M2025/09116
HUMAN NECESSITIES
International classification
Abstract
A catheter containment device configured to retain a proximal portion of a catheter placement system, such as a catheter, hub, extension leg, luer lock, or guidewire. The device includes a handle configured to engage a digit of the clinician to couple the device and the proximal portion of a catheter placement system thereto. This allows the clinician to retain the proximal portion within the sterile field without reducing dexterity or obstructing the clinician's view of the insertion site or the catheter placement system. Further the device can allow the clinician to manipulate the proximal portion of the catheter system while mitigating dropping or tangling.
Claims
1. A catheter containment device for retaining a portion of a catheter placement system, comprising: a body defining a channel extending longitudinally along a first axis, the channel configured to retain the portion of the catheter placement system, and having an opening extending longitudinally and configured to allow ingress or egress along a second axis extending at an angle to the first axis of the channel; and a handle coupled to the body and configured to be grasped by a digit of a clinician.
2. The catheter containment device according to claim 1, wherein the portion of the catheter placement system includes one of a catheter body, catheter hub, extension leg, luer lock, or guidewire.
3. The catheter containment device according to claim 2, wherein the body includes a first channel configured to retain a first extension leg and a second channel configured to retain a second extension leg.
4. The catheter containment device according to claim 2, wherein the body includes a first channel configured to retain a first extension leg and a second extension leg.
5. The catheter containment device according to claim 1, wherein the body includes a first channel extending along the first axis of the channel, and a second channel extending along a third axis at an angle to the first axis of the channel.
6. The catheter containment device according to claim 1, wherein an inner diameter of the channel is equal to or slightly smaller than an outer diameter of the portion of the catheter placement system.
7. The catheter containment device according to claim 1, wherein a width of the opening of the channel is smaller than an outer diameter of the portion of the catheter placement system.
8. The catheter containment device according to claim 1, wherein one or both of the body and the handle is formed of a substantially rigid, or resilient material selected from a group consisting of a plastic, polymer, metal, alloy, or composite.
9. The catheter containment device according to claim 1, wherein one or both of the body and the handle is formed of a flexible, malleable, or elastically deformable material selected from a group consisting of a plastic, polymer, elastomer, rubber, silicone rubber, metal, alloy, shape memory material, super-elastic material, Nitinol, composite.
10. The catheter containment device according to claim 1, wherein the handle is formed of a first material having a substantially rigid, or resilient, material properties and including a second material disposed thereon having a relatively softer, or more flexible material properties.
11. The catheter containment device according to claim 1, wherein the handle is a ring defining an aperture and configured to receive one or more digits therethrough.
12. The catheter containment device according to claim 1, wherein the handle is hingedly, rotatably or pivotally coupled to the body.
13. The catheter containment device according to claim 1, wherein the handle extends from the body at an angle relative to the first axis of the channel.
14. The catheter containment device according to claim 1, further including a first handle extending from the body in a first direction and a second handle extending from the body in a second direction, opposite the first direction.
15. The catheter containment device according to claim 1, wherein the handle includes one of a plug or a cross bar disposed at an opposite end of the handle from the body.
16. A catheter containment device for retaining a portion of a medical device, comprising: a body defining a disc shape extending over a horizontal plane and defining a top surface and a bottom surface; and a device channel extending along an axis, parallel to one of the top surface or the bottom surface, and including an opening communicating with one of the top surface or the bottom surface, the device channel configured to receive a portion of the medical device therein.
17. The catheter containment device according to claim 16, wherein the body further includes a bi-concave cross-section having one of a first finger channel extending over the top surface and a second finger channel extending over the bottom surface, one of the first finger channel or the second finger channel extending at an angle relative to the device channel.
18. The catheter containment device according to claim 16, wherein the device channel is configured to retain one of a catheter body, catheter hub, extension leg, luer lock, or guidewire.
19. The catheter containment device according to claim 16, wherein the body includes a first device channel configured to retain a first extension leg and a second device channel extending parallel to the first device channel and configured to retain a second extension leg.
20. The catheter containment device according to claim 16, wherein the first device channel is configured to retain a first extension leg and a second extension leg.
21. The catheter containment device according to claim 16, wherein an inner diameter of the device channel is equal to or slightly smaller than an outer diameter of the portion of the medical device.
22. The catheter containment device according to claim 16, wherein a width of the opening of the device channel is smaller than an outer diameter of the portion of the medical device.
23. The catheter containment device according to claim 16, wherein the body is formed of a substantially rigid, or resilient material selected from a group consisting of a plastic, polymer, metal, alloy, or composite.
24. The catheter containment device according to claim 16, wherein the body is formed of a flexible, malleable, or elastically deformable material selected from a group consisting of a plastic, polymer, elastomer, rubber, silicone rubber, metal, alloy, shape memory material, super-elastic material, Nitinol, composite.
25. The catheter containment device according to claim 16, wherein the body is formed of a first material having a substantially rigid, or resilient, material properties and including a second material disposed thereon having a relatively softer, or more flexible material properties.
26-37. (canceled)
Description
DRAWINGS
[0042] A more particular description of the present disclosure will be rendered by reference to specific embodiments thereof that are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. Example embodiments of the invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
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DESCRIPTION
[0059] Before some particular embodiments are disclosed in greater detail, it should be understood that the particular embodiments disclosed herein do not limit the scope of the concepts provided herein. It should also be understood that a particular embodiment disclosed herein can have features that can be readily separated from the particular embodiment and optionally combined with or substituted for features of any of a number of other embodiments disclosed herein.
[0060] Regarding terms used herein, it should also be understood the terms are for the purpose of describing some particular embodiments, and the terms do not limit the scope of the concepts provided herein. Ordinal numbers (e.g., first, second, third, etc.) are generally used to distinguish or identify different features or steps in a group of features or steps, and do not supply a serial or numerical limitation. For example, “first,” “second,” and “third” features or steps need not necessarily appear in that order, and the particular embodiments including such features or steps need not necessarily be limited to the three features or steps. Labels such as “left,” “right,” “top,” “bottom,” “front,” “back,” and the like are used for convenience and are not intended to imply, for example, any particular fixed location, orientation, or direction. Instead, such labels are used to reflect, for example, relative location, orientation, or directions. Singular forms of “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise.
[0061] In the following description, the terms “or” and “and/or” as used herein are to be interpreted as inclusive or meaning any one or any combination. As an example, “A, B or C” or “A, B and/or C” mean “any of the following, A, B, C, A and B, A and C, B and C, A, B and C.” An exception to this definition will occur only when a combination of elements, components, functions, steps or acts are in some way inherently mutually exclusive.
[0062] With respect to “proximal,” a “proximal portion” or a “proximal end portion” of, for example, a catheter disclosed herein includes a portion of the catheter intended to be near a clinician when the catheter is used on a patient. Likewise, a “proximal length” of, for example, the catheter includes a length of the catheter intended to be near the clinician when the catheter is used on the patient. A “proximal end” of, for example, the catheter includes an end of the catheter intended to be near the clinician when the catheter is used on the patient. The proximal portion, the proximal end portion, or the proximal length of the catheter can include the proximal end of the catheter; however, the proximal portion, the proximal end portion, or the proximal length of the catheter need not include the proximal end of the catheter. That is, unless context suggests otherwise, the proximal portion, the proximal end portion, or the proximal length of the catheter is not a terminal portion or terminal length of the catheter.
[0063] With respect to “distal,” a “distal portion” or a “distal end portion” of, for example, a catheter disclosed herein includes a portion of the catheter intended to be near or in a patient when the catheter is used on the patient. Likewise, a “distal length” of, for example, the catheter includes a length of the catheter intended to be near or in the patient when the catheter is used on the patient. A “distal end” of, for example, the catheter includes an end of the catheter intended to be near or in the patient when the catheter is used on the patient. The distal portion, the distal end portion, or the distal length of the catheter can include the distal end of the catheter; however, the distal portion, the distal end portion, or the distal length of the catheter need not include the distal end of the catheter. That is, unless context suggests otherwise, the distal portion, the distal end portion, or the distal length of the catheter is not a terminal portion or terminal length of the catheter.
[0064] To assist in the description of embodiments described herein, as shown in
[0065] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art.
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[0067] In an embodiment, the catheter 150 generally includes a catheter body 152 supported at a proximal end by a catheter hub (“hub”) 160. The hub 160 includes one or more extension legs 162 extending proximally therefrom and can include a fluid coupling device, such as a luer lock 164, disposed at a proximal end of one of the one or more extension legs 162. The luer lock 164 is configured to couple the extension leg 162 with a medical fluid line, syringe, or the like. Each extension leg of the one or more extension legs 162 is in fluid communication with a lumen of the catheter body 152. For example, a first extension leg 162A is in fluid communication with a proximal lumen 114A, a second extension leg 162B is in fluid communication with a medial lumen 114B, and a third extension leg 162C is in fluid communication with a distal lumen 114C. The catheter body 152 includes an access section 154 disposed distally, a catheter section 156 disposed proximally, and a dilation section 158 disposed therebetween. The access section 154 defines a single lumen and has a first outer diameter, the catheter section 156 defines two or more lumen and has a second diameter larger than the first diameter. The dilation section 158 disposed between the access section 154 and the catheter section 156 defines a tapered outer profile extending from the first diameter of the access section 154 to the second diameter of the catheter section 156. A guidewire 130 can extend through a lumen of the catheter 150 from a proximal end of an extension leg 162, to a distal tip of the access section 154.
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[0071] Further details and embodiments of such catheter placement systems 100 can be found, for example, in U.S. Pat. Nos. 11,517,719, 10,376,675, U.S. 2019/0255294, U.S. 2021/0069471, U.S. 2021/0113809, U.S. 2021/0113810, U.S. 2021/0121667, U. S. 2021/0121661, U. S. 2021/0228843, U. S. 2021/0283381, U. S. 2021/0322729, U. S. 2021/0361915, U. S. 2021/0330941, U. S. 2021/0330942, U. S. 2021/0402149, U. S. 2022/0001138, U. S. 2021/0402142, U. S. 2022/0032013, U. S. 2021/0402153, U. S. 2021/0379336, U. S. 2021/0283368, U. S. 2022/0062528, U. S. 2022/0032014, U. S. 2022/0126064, U. S. 2022/0193378, U. S. 2022/0176081, U. S. 2022/0193376, U. S. 2022/0193377, U. S. 2022/0152368, U. S. 2022/0176082, U. S. 2022/0193379, U.S. 2022/0296862, U.S. 2022/0323723, U.S. 2022/0370762, U.S. 2022/0362524, U.S. 2023/0043989, U.S. 2023/0041261, U.S. 2023/0039733, U.S. 2023/0042898, each of which is incorporated by reference in its entirety into this application.
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[0073] In an embodiment, as shown in
[0074] Advantageously, the clinician can elastically deform, or plastically deform, the handle 220 to fit over one or more digits 80 and retain the device 200 thereon in a preferred position and remain in position until repositioned. For example, as shown in
[0075] With continued reference to
[0076] In an embodiment, a portion of the catheter placement system 100, e.g., extension leg 162, guidewire 130, etc. can be permanently retained within a channel 214 of the body 210. For example, the body 210 may include a channel 214 that does not have an opening 216 and encircles the extension leg 162, guidewire 130, etc. completely. As such, the body 210 can slidably engage the portion of the catheter placement system 100 but cannot be detached therefrom. Advantageously, this prevents the catheter placement system 100 from accidently disengaging the device 200 and falling outside of the sterile field. Further, the device 200 can function to prevent a guidewire 130, for example, from being accidentally drawn through the catheter lumen and into the vasculature, mitigating complications to the patient.
[0077] In an embodiment, the channel 214 includes an opening 216, extending longitudinally and configured to allow ingress and/or egress of the portion of the extension leg 162 to/from the channel 214. In an embodiment, a width (w1) of the opening 216 is less than a diameter (d1) of the portion of the catheter placement system 100 (e.g., the extension leg 162) to be retained by the channel 214. As such, one or both of the opening 216 and the portion of the extension leg 162 elastically deforms slightly to allow the extension leg 162 to fit through opening 216. Further the opening 216 can abut against the extension leg 162 to retain the extension leg 162 within the channel 214. In an embodiment, a width of the channel 214 can be equal to, or smaller than, an outer diameter of the extension leg 162 and can engage the extension leg 162 in an interference fit, press-fit, or snap fit engagement to releasably retain the extension leg 162 therein.
[0078] In an exemplary method of use, a clinician can couple the device 200 to a portion of the catheter 150. For example, a first extension leg 162A is urged through a first opening 216A and into the first channel 214A, a second extension leg 162B is urged through a second opening 216B and into the first channel 214B, and a third extension leg 162C is urged through a third opening 216C and into the third channel 214C, or combinations thereof. Advantageously, the device 200 can retain the extension leg(s) 162, preventing them becoming tangled and preventing them from falling outside of the sterile field.
[0079] The clinician then places a digit 80, e.g., a little finger digit 80D, through the aperture 224 of the handle 220 to retain the device 200 and the extension legs 162, coupled thereto, proximate the clinician's hand and without compromising the dexterity of the clinician. Advantageously, this provides the clinician with increased control of the catheter placement system 100, e.g., the catheter 150 and guidewire 130. The clinician then accesses the vasculature with the needle 120 and the access section 154, confirm correct vascular access using the blood flash system 140, advance the guidewire 130, remove the needle 120, advance the catheter 150 over the guidewire 130, dilate the insertion site, place the distal tip 118 of the catheter 150 at a target location within the vasculature, and remove the guidewire 130, all without dropping the proximal end of the catheter placement system 100, risking contamination. Advantageously, the device 200 retains the proximal portions of the catheter placement system 100 away from the insertion site, providing improved visibility, a simplified presentation, and greater control.
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[0081] As shown in
[0082] In an embodiment, one or both of the first handle 320A and the second handle 320B can include a cross bar 326, for example the first handle 320A includes a first cross bar 326A and the second handle 320B includes a second cross bar 326B. The crossbar 326 extends at an angle relative to an axis of the handle 320, for example, the cross bar 326 extends substantially perpendicular to the lateral axis of the handle 320. As shown, the cross bar 326 extends along a transverse axis, however, it will be appreciated that other angles and other axes are also contemplated. The cross bar 326 can define a linear or a curved shape and can be configured to be grasped by one or more digits 80 of the clinician. In an embodiment, as shown in
[0083] In an embodiment, the handle 320 is formed of a substantially rigid, or resilient material such as a plastic, polymer, metal, alloy, composite, or the like. In an embodiment, the handle 320 is formed of a flexible, malleable, or elastically deformable material such as a plastic, polymer, elastomer, rubber, silicone rubber, metal, alloy, shape memory material, super-elastic material, Nitinol, composite, or the like. In an embodiment, the handle 320 is formed of a first material and includes a second material disposed thereon. For example, the first material includes a substantially rigid material, as described herein and includes a second material disposed thereon, for example a softer material, elastomer, rubber, silicone rubber, or a material displaying a relatively high frictional co-efficient to facilitate grasping the handle 320.
[0084] As shown in
[0085] In an exemplary method of use, a clinician can grasp the device 300 by one or more of the body 310, first handle 320A, the second handle 320B, cross bar 326 and ring(s) 322, or combinations thereof. In an embodiment, the clinician can place one or more digits 80 through a ring 322, as described herein. In an embodiment, the clinician can grasp the device 300 by placing one or more digits 80 between the first cross bar 326A and the second cross bar 326B. In an embodiment, the clinician can grasp the device 300 with the handles 320 extending across a back of the fingers, i.e., a back side of the hand, (
[0086] In an embodiment, as shown in
[0087] In an embodiment, the clinician can grasp the device 300, as described herein, and can place a portion of the catheter placement system 100 into either the first channel 314A to align the portion of the catheter placement system 100 with a longitudinal (first) axis 70, or the second channel 314B to align the portion of the catheter placement system 100 with a transverse (second) axis 72, depending on which position is most ergonomically convenient.
[0088] In an embodiment, one or both of the first channel 314A and the second channel 314B are configured to receive two or more portions of the catheter placement system 100 and retain these portions therein. For example, as shown in
[0089] In an embodiment, as shown in
[0090] In an exemplary method of use, a clinician can grasp the device 400 by one or more of the body 410, the handle 420, the cross bar 426, and the plug 428. In an embodiment, one or more of the handle 420 and the cross bar 426 extends between two or more digits 80. The body 410 can be aligned with either a back of the hand, or front (palm) side of the hand. In an embodiment, one of the plug 428 or the cross bar 426 can abut against a digit 80 and prevent the handle 420 from slipping between the digits 80. The clinician can then secure a portion of the catheter placement system 100 in one of the first channel 414A or the second channel 414B, as described herein.
[0091] In an embodiment, as shown in
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[0093] In an embodiment, the device 500 can be formed of a substantially rigid, or resilient material such as a plastic, polymer, metal, alloy, composite, or the like. In an embodiment, the device 500 can be formed of a flexible, malleable, or elastically deformable material such as a plastic, polymer, elastomer, rubber, silicone rubber, metal, alloy, shape memory material, super-elastic material, Nitinol, composite, or the like. In an embodiment, the device 500 can be formed of a first material and can include a second material disposed thereon. For example, the first material includes a substantially rigid material, as described herein and includes a second material disposed thereon, for example a softer material, elastomer, rubber, silicone rubber, or a material displaying a relatively high frictional co-efficient to facilitate grasping the device 500 or securing a portion of the catheter placement system 100 therewith.
[0094] In use, as shown in
[0095] While some particular embodiments have been disclosed herein, and while the particular embodiments have been disclosed in some detail, it is not the intention for the particular embodiments to limit the scope of the concepts provided herein. Additional adaptations and/or modifications can appear to those of ordinary skill in the art, and, in broader aspects, these adaptations and/or modifications are encompassed as well. Accordingly, departures may be made from the particular embodiments disclosed herein without departing from the scope of the concepts provided herein.