Blood Draw Device with Catheter Length Adjustable Advancement Stop and Tube Position Indicator
20230329605 · 2023-10-19
Inventors
- Jonathan Karl Burkholz (Salt Lake City, UT, US)
- Megan S. Scherich (Salt Lake City, UT, US)
- Weston F. Harding (Lehi, UT)
- Yiping Ma (Layton, UT, US)
- Ralph L. Sonderegger (Farmington, UT, US)
Cpc classification
A61B5/15019
HUMAN NECESSITIES
International classification
Abstract
A blood draw device for delivery of a probe into a patient's vascular system, the blood draw device including an introducer body having a proximal end and a distal end, and an actuator. The actuator is displaceable along at least a portion of the introducer body, and the actuator is operably coupled to the probe to advance and retract the probe based on direction of displacement of the actuator. The blood draw device also includes an advancement stop member, wherein the advancement stop member is displaceable along at least a portion of the introducer body and is configured to selectively limit travel of the actuator along the introducer body.
Claims
1. A blood draw device for delivery of a probe into a patient's vascular system, the blood draw device comprising: an introducer body having a proximal end and a distal end; an actuator, wherein the actuator is displaceable along at least a portion of the introducer body, and wherein the actuator is operably coupled to the probe to advance and retract the probe based on direction of displacement of the actuator; and an advancement stop member, wherein the advancement stop member is displaceable along at least a portion of the introducer body and is configured to selectively limit travel of the actuator along the introducer body.
2. The blood draw device of claim 1, wherein the advancement stop member comprises a distal interface portion and a probe position indicator portion, wherein the probe position indicator portion is coupled to and extends proximally from the distal interface portion.
3. The blood draw device of claim 2, wherein the probe position indicator portion extends along at least one sidewall of the introducer body.
4. The blood draw device of claim 2, wherein the probe position indicator portion extends along two opposing sides of the introducer body.
5. The blood draw device of claim 2, wherein the probe position indicator portion comprises a plurality of probe position indicators, wherein each of the probe position indicators relate to a position of a distal tip of the probe relative to a distal tip of an indwelling catheter to which the blood draw device is coupled.
6. The blood draw device of claim 5, wherein the plurality of probe position indicators comprise visual indicators.
7. The blood draw device of claim 6, wherein the visual indicators comprise indications of when the distal tip of the probe is a) at the distal tip of the indwelling catheter, b) 1 cm beyond the distal tip of the indwelling catheter, c) 2 cm beyond the distal tip of the indwelling catheter, and d) 3 cm beyond the distal tip of the indwelling catheter.
8. The blood draw device of claim 5, wherein the plurality of probe position indicators are configured to provide tactile feedback to the user.
9. The blood draw device of claim 1, wherein the introducer body comprises a plurality of catheter length indicators formed on a distal end portion thereof.
10. The blood draw device of claim 9, wherein each of the catheter length indicators corresponds to a length of a catheter to which the blood draw device is coupled.
11. The blood draw device of claim 9, wherein the advancement stop member is configured to selectively engage with the catheter length indicators so as to provide discrete stop positions for the advancement stop member along the introducer body.
12. The blood draw device of claim 9, wherein each of the catheter length indicators comprise one of a projection or a detent.
13. The blood draw device of claim 9, wherein each of the catheter length indicators comprise visual indicia pertaining to a catheter length.
14. The blood draw device of claim 1, further comprising a connector and a blunt introducer extending from the distal end of the introducer body.
15. A blood draw device for delivery of a probe into a patient's vascular system, the blood draw device comprising: an introducer body having a proximal end and a distal end; an actuator, wherein the actuator is displaceable along at least a portion of the introducer body, and wherein the actuator is operably coupled to the probe to advance and retract the probe based on direction of displacement of the actuator; and an advancement stop member, wherein the advancement stop member is rotatable about the introducer body and is configured to selectively limit travel of the actuator along the introducer body.
16. The blood draw device of claim 15, wherein the advancement stop member comprises a proximally-directed stepped portion configured to extend into the introducer body.
17. A method of blood collection from a vascular access device, the method comprising: providing a catheter assembly having a catheter of known length; providing a blood draw device, the blood draw device comprising: an introducer body having a proximal end and a distal end, an actuator, wherein the actuator is displaceable along at least a portion of the introducer body, and wherein the actuator is operably coupled to a flexible probe to advance and retract the probe based on direction of displacement of the actuator, and an advancement stop member, wherein the advancement stop member is displaceable along at least a portion of the introducer body and is configured to selectively limit travel of the actuator along the introducer body; adjusting the advancement stop member to a position on the introducer body based on the known length of the catheter; coupling the blood draw device to the catheter assembly; advancing the actuator to correspondingly advance the probe from the blood draw device and beyond a distal tip of the catheter; and collecting a blood sample via the blood draw device.
18. The method of claim 17, wherein the advancement stop member comprises a distal interface portion and a probe position indicator portion, and wherein the probe position indicator portion is coupled to and extends proximally from the distal interface portion.
19. The method of claim 18, wherein the step of advancing the actuator on the blood draw device comprises using the probe position indicator portion as a guide to determine desired travel of the probe beyond the distal tip of the catheter.
20. The method of claim 17, further comprising: retracting the probe from the catheter after collection of the blood sample using the actuator; and decoupling the blood draw device from the catheter assembly.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DESCRIPTION OF PREFERRED EMBODIMENTS
[0051] The following description is provided to enable those skilled in the art to make and use the described aspects contemplated for carrying out the invention. Various modifications, equivalents, variations, and alternatives, however, will remain readily apparent to those skilled in the art. Any and all such modifications, variations, equivalents, and alternatives are intended to fall within the spirit and scope of the present disclosure.
[0052] For the purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof shall relate to the invention as it is oriented in the drawings. However, it is to be understood that the invention may assume various alternative variations, except where expressly specified to the contrary. It is also to be understood that the specific devices illustrated in the attached drawings, and described in the following specification, are simply exemplary aspects of the invention. Hence, specific dimensions and other physical characteristics related to the aspects disclosed herein are not to be considered as limiting.
[0053] In the present disclosure, the distal end of a component or of a device means the end furthest away from the hand of the user and the proximal end means the end closest to the hand of the user, when the component or device is in the use position, i.e., when the user is holding a fluid transfer device in preparation for or during use. Similarly, in this application, the terms “in the distal direction” and “distally” mean in the direction toward the connector portion of the fluid transfer device, and the terms “in the proximal direction” and “proximally” mean in the direction opposite the direction of the connector.
[0054] While not shown or described herein, it is to be understood that the blood draw devices described below may be utilized for blood draw from any suitable vascular access device such as, e.g., the BD NEXIVA™ Closed IV Catheter system, the BD CATHENA™ Catheter system, the BD VENFLON™ Pro Safely Shielded IV Catheter system, the BD NEOFLON™ IV Cannula system, the BD INSYTE™ AUTOGUARD™ BC Shielded IV Catheter system, or another suitable vascular access device.
[0055] Embodiments of the present disclosure will primarily be described in the context of blood draw devices for use with PIVCs. However, embodiments of the present disclosure equally extend to use with other catheter devices.
[0056] Referring to
[0057] While not shown, the blood draw device 20 includes an elongated tube or probe (e.g., a nickel titanium wire, guidewire, instrument, obturator, rod, wire with fluid path and/or sensor, etc.) that can be selectively advanced in a distal direction through the adapter 14, the catheter adapter 10, and beyond the distal tip of the catheter 12, with the probe providing a fluid channel to allow for blood draw into a blood collection device coupled to the blood draw device 20. In the embodiment shown in
[0058] Prior to deployment of the probe, the blood draw device 20 is coupled to the adapter 14, with the blunt introducer 26 being inserted through a septum in the needleless access connector 16. Upon sufficient distal insertion of the blunt introducer 26 within the needleless access connector 16, the releasable proximal clip portions 25A, 25B of distal connector 24 are configured to clip onto the adapter 14 to secure the blood draw device 20 in place. Once secured, the probe may be advanced from the blood draw device by way of linear displacement of the actuator 28.
[0059] As noted above, the indwelling catheter 12 may have various lengths and/or gauges, with the specific length and/or gauge being selected based on, e.g., patient anatomy, application, location, etc. For example, the catheter 12 may have lengths of 0.5 inches, 0.75 inches, 1.0 inch, 1.25 inches, 1.5 inches, or 1.75 inches. However, it is to be understood that these lengths are not limiting, and the catheter 12 may be longer or shorter. Additionally, catheter 12 may have varying gauges such as, e.g., 18 G, 20 G, 22 G, or 24 G. However, as with catheter length, the catheter 12 may have any appropriate gauge and is not limited to the above examples.
[0060] Referring still to
[0061] In some embodiments, the advancement stop member 32 includes a distal interface portion 34, which provides the user with an interface for selectively advancing or retracting the advancement stop member 32. In some embodiments, an upper surface of the distal interface portion 34 may include ribs or other textured surface features so as to improve the user's ability to manipulate the advancement stop member 32 along the introducer body 22.
[0062] Upon an upper or external surface of the introducer body 22 near a distal end portion of the blood draw device 20, a plurality of catheter length indicators 40, 42, 44 are provided. The catheter length indicators 40, 42, 44 may be projections or detents formed on or in the introducer body 22 so as to provide discrete stop positions for the advancement stop member 32. In some embodiments, the projections or detents of the catheter length indicators 40, 42, 44 may interact with a downward-projecting tab on the distal interface portion 34 so as to selectively engage the advancement stop member 32, with the user needing to press downward or otherwise manipulate the distal interface portion 34 when movement of the advancement stop member 32 to another catheter length indicator is desired. Each of the catheter length indicators 40, 42, 44 refer to a catheter length usable in conjunction with the blood draw device 20. In the example shown in
[0063] Prior to the user distally advancing the probe from the blood draw device 20 via advancement of the actuator 28, the user first sets the advancement stop member 32 at an appropriate position relative to a known catheter length. For example, in the embodiment shown in
[0064] Referring again to
[0065] In this way, the user is able to verify the advanced position of the probe beyond the distal tip of the indwelling catheter 12, helping to avoid overextension (or underextension) of the probe beyond the distal tip of the indwelling catheter 12. Furthermore, because the probe position indicator portion 38 is coupled to the distal interface portion 34 of the advancement stop member 32, the distal advancement of the probe is able to be accurately determined and monitored, regardless of the length of the catheter 12.
[0066] In some embodiments, the probe position indicators 46A-46D are solely visual indicators, providing the user with a visual confirmation as to the advancement distance of the probe beyond the catheter 12. However, in other embodiments, the probe position indicators 46A-46D may provide tactile and/or audible feedback to the user related to the various distal positions of the probe. Additionally and/or alternatively, while four probe position indicators 46A-46D are shown and described with respect to
[0067] Next, referring to
[0068] The blood draw device 50 includes an elongated tube or probe (not shown) that can be selectively advanced in a distal direction beyond the distal tip of an indwelling catheter to which the blood draw device 50 is coupled. The probe of the blood draw device 50 provides a fluid channel to allow for blood draw into a blood collection device coupled to the blood draw device 50. Advancement of the probe of blood draw device 50 is controlled by an actuator 56 linearly movable along a housing 52, which enables a user to push the actuator 56 in a distal direction to advance the probe and, conversely, in a proximal direction to retract the probe. Prior to deployment of the probe, a connector portion 54 of the blood draw device 50 is coupled to, e.g., an adapter of a catheter system. Once secured, the probe may be advanced from the blood draw device 50 by way of linear displacement of the actuator 56.
[0069] As detailed above, the indwelling catheter of a catheter system may have various lengths and/or gauges, with the specific length and/or gauge being selected based on, e.g., patient anatomy, application, etc. For example, in some embodiments, the catheter may have lengths of 0.5 inches, 0.75 inches, 1.0 inch, 1.25 inches, 1.5 inches, or 1.75 inches, and may have varying gauges such as, e.g., 18 G, 20 G, 22 G, or 24 G.
[0070] The blood draw device 50 also includes an advancement stop member 58. The advancement stop member 58 is linearly displaceable along the housing 52 of blood draw device 50. In some embodiments, the linear displacement of the advancement stop member 58 is limited to a predetermined distal portion of the housing 52. The advancement stop member 58 includes a distal interface portion 59, which provides the user with an interface for selectively advancing or retracting the advancement stop member 58. In some embodiments, an upper surface of the distal interface portion 59 may include ribs or other textured surface features so as to improve the user's ability to manipulate the advancement stop member 58 along the housing 52.
[0071] While not shown in
[0072] Before distally advancing the actuator 56 to correspondingly advance the probe from the blood draw device 50, the user first sets the advancement stop member 58 at an appropriate position relative to a known catheter length. For example, referring to
[0073] Referring still to
[0074] In some embodiments, the probe position indicators 60A-60D are indicators related to the position of the distal tip of the probe beyond a distal tip of the catheter (not shown) based on the position of the actuator 56. For example, as shown in
[0075] Utilizing the advancement stop member 58 and probe position indicators 60A-60D, the user is able to verify the advanced position of the probe beyond the distal tip of the indwelling catheter, helping to avoid overextension (or underextension) of the probe beyond the distal tip of the indwelling catheter. Furthermore, because the probe position indicator portion part of the advancement stop member 58 and provides visual indication to the user from a top surface of the blood draw device 50, the distal advancement of the probe is able to be accurately determined and monitored, regardless of the length of the catheter.
[0076] In some embodiments, the probe position indicators 60A-60D are solely visual indicators, providing the user with a visual confirmation as to the advancement distance of the probe beyond the catheter. However, in other embodiments, the probe position indicators 60A-60D may provide tactile and/or audible feedback to the user related to the various distal positions of the probe. Additionally and/or alternatively, while four probe position indicators 60A-60D are shown and described with respect to
[0077] Next, referring to
[0078] The blood draw device 70 includes an introducer body 72 having a connector and a blunt introducer (not shown) positioned at a distal end portion. Blood draw device 70 further includes an elongated probe 76 (e.g., a nickel titanium wire, guidewire, instrument, obturator, rod, wire with fluid path and/or sensor, etc.) that can be selectively advanced from the blood draw device in a distal direction, with the probe 76 providing a fluid channel to allow for blood draw into a blood collection device coupled to the blood draw device 70. Advancement of the probe 76 is controlled by an actuator 74, with the probe 76 being operably coupled to an interior portion 75 of the actuator 74 that is linearly slidable along a slot formed in or on the introducer body 72.
[0079] Referring still to
[0080] On a lower surface of the introducer body 72 near a distal end portion of the blood draw device 70, a catheter length indicator portion 80 is provided. The catheter length indicator portion 80 includes a plurality of catheter length indicators 82A-82D. In some embodiments, the catheter length indicators 82A-82D may include projections or detents formed on or in the introducer body 72 so as to provide discrete stop positions for the advancement stop member 78. Each of the catheter length indicators 82A-82D refer to a catheter length usable in conjunction with the blood draw device 70. In the example shown in
[0081] Prior to the user distally advancing the probe 76 from the blood draw device 70 via advancement of the actuator 74, the user first sets the advancement stop member 78 at an appropriate position relative to a known catheter length. For example, in the embodiment shown in
[0082] Referring now to
[0083] The blood draw device 85 includes an introducer body 87 having a connector and a blunt introducer portion 88 positioned at a distal end thereof. Blood draw device 85 further includes an elongated probe (not shown) (e.g., a nickel titanium wire) that can be selectively advanced from the blood draw device 85 in a distal direction, with the probe providing a fluid channel to allow for blood draw into a blood collection device coupled to the blood draw device 85. Advancement of the probe is controlled by an actuator 89, with the probe being operably coupled to actuator 89 that is linearly slidable along a slot 91 formed in or on the introducer body 72.
[0084] Referring still to
[0085] Each of the catheter length indicators and stepped portions of the advancement stop member 92 refer to a catheter length usable in conjunction with the blood draw device 85. In the example shown in
[0086] Before the user distally advances the probe from the blood draw device 85 via advancement of the actuator 89, the user first rotates the advancement stop member 92 to set the advancement stop member 92 at an appropriate position relative to a known catheter length. For example, in the embodiment shown in
[0087] Next, referring to
[0088] Near a distal end portion of the introducer body 122, the blood draw device 120 further includes an advancement stop member 128, with advancement stop member 128 being positioned on a lateral side of introducer body 128. Advancement stop member 128 is configured to be selectively actuated by the user in a direction substantially transverse to the travel direction of the actuator 124. In some embodiments, the advancement stop member 128 may be configured as a click-type, spring-biased button to enable selective activation and deactivation of the advancement stop member 128.
[0089] Prior to the user distally advancing the probe from the blood draw device 120 via advancement of the actuator 124, the user first determines the length of the catheter to which the blood draw device 120 is to be coupled. In some embodiments, when the catheter is a first length (e.g., 1.75 inches), the advancement stop member 128 is not actuated, thereby allowing the actuator 124 unrestricted travel through an interior channel 130 of the introducer body 122, as is shown in
[0090] While
[0091] Referring to
[0092] The blood draw device 140 further includes an advancement stop member 148, with advancement stop member 148 extending from a distal end of the introducer body 142. Advancement stop member 148 is configured to be selectively actuated by the user in a direction substantially parallel to the travel direction of the actuator 144. In some embodiments, the advancement stop member 148 may be configured as a click-type, spring-biased button to enable selective activation and deactivation of the advancement stop member 148.
[0093] Prior to the user distally advancing the probe from the blood draw device 140 via advancement of the actuator 144, the user first determines the length of the catheter to which the blood draw device 140 is to be coupled. In some embodiments, when the catheter is a first length (e.g., 1.75 inches), the advancement stop member 148 is not actuated, thereby allowing the actuator 144 unrestricted travel through an interior channel 150 of the introducer body 142, as is shown in
[0094] While
[0095] Referring to
[0096] The blood draw device 160 further includes an advancement stop member 168, with advancement stop member 168 being a rotatable, dial-type actuator positioned on a distal end of the introducer body 162. Advancement stop member 168 is configured to be selectively rotated by the user based on a known catheter length. That is, before distally advancing the probe from the blood draw device 160 via advancement of the actuator 164, the user first determines the length of the catheter to which the blood draw device 160 is to be coupled. In some embodiments, when the catheter is a first length (e.g., 1.75 inches), the advancement stop member 168 is rotated to a first position shown in
[0097] However, referring to
[0098] While
[0099] However, if the catheter is determined to be of intermediate length (e.g., 1.25 inches, 1.5 inches, etc.), the advancement stop member 178 may be rotated to a second position, as is shown in
[0100] Referring to
[0101] Referring still to
[0102] Prior to the user distally advancing the probe 189 from the blood draw device 180 via advancement of the actuator, the user first sets the advancement stop member 194 at an appropriate position relative to a known catheter length. For example, in the embodiment shown in
[0103] In some embodiments, the advancement stop member 194 further includes a probe position indicators 195. The probe position indicators 195 are indicators related to the position of the distal tip of the probe 189 beyond the distal tip of the catheter based on the position of the actuator. The probe 189 may be provided with a marker 190, which is visible to the user through, e.g., a window 188 formed in a top surface of the introducer body 182. When laterally aligned with the marker 190, the respective probe position indicators 195 provide an indication as to when the distal tip of the probe 189 is positioned at (or substantially near) the distal tip of the catheter, approximately 1 cm beyond the distal tip of the catheter, approximately 2 cm beyond the distal tip of the catheter, and approximately 3 cm beyond the distal tip of the catheter. It is to be understood that more or fewer probe position indicators may be provided on the advancement stop member 194. In this way, the user is able to verify the advanced position of the probe 189 beyond the distal tip of the indwelling catheter, helping to avoid overextension (or underextension) of the probe 189. Furthermore, because the probe position indicators 195 are part of the advancement stop member 194, the distal advancement of the probe 189 is able to be accurately determined and monitored, regardless of the length of the catheter.
[0104] Next, with reference to
[0105] The blood draw device 200 further includes an advancement stop member 208, with advancement stop member 208 being rotatable about a distal end of the introducer body 202. The rotatable advancement stop member 208 is provided with a plurality of catheter length indicators, which refer to a catheter length usable in conjunction with the blood draw device 200. In the example shown in
[0106] Prior to the user distally advancing the probe 212 from the blood draw device 200 via advancement of the actuator, the user first rotates the advancement stop member 208 to an appropriate setting relative to a known catheter length. For example, in the embodiment shown in
[0107] In some embodiments, the introducer body 202 further includes a plurality of probe position indicators 216. The probe position indicators 216 are indicators related to the position of the distal tip of the probe 212 beyond the distal tip of the catheter based on the position of the actuator. The probe 212 may be provided with a marker 214, which is visible to the user through, e.g., a window 210 formed in a top surface of the introducer body 202. When laterally aligned with the marker 210, the respective probe position indicators 216 provide an indication as to when the distal tip of the probe 212 is positioned at (or substantially near), e.g., the distal tip of the catheter, approximately 1 cm beyond the distal tip of the catheter, approximately 2 cm beyond the distal tip of the catheter, and approximately 3 cm beyond the distal tip of the catheter. However, it is to be understood that more or fewer probe position indicators 216 may be provided on the introducer body 202. In this way, the user is able to verify the advanced position of the probe 212 beyond the distal tip of the indwelling catheter, helping to avoid overextension (or underextension) of the probe 212. Furthermore, because the linear travel of the actuator (and, thus, the probe 212) may be limited by the advancement stop member 208, the distal advancement of the probe 212 is able to be accurately determined and monitored, regardless of the length of the catheter.
[0108] Referring now to
[0109] Once the probe is positioned at a desired location relative to the catheter tip, at 108, a blood sample is collected via that blood draw device. Then, at 110, the probe is retracted from the catheter using the actuator. Finally, at 112, the blood draw device is disconnected from the catheter/catheter adapter. In some embodiments, the blood draw device is a single-use device and may be disposed of in an appropriate container after use.
[0110] While several embodiments of blood draw devices configured for blood draw during catheter indwell were described in the foregoing detailed description, those skilled in the art may make modifications and alterations to these embodiments without departing from the scope and spirit of the invention. Accordingly, the foregoing description is intended to be illustrative rather than restrictive. The invention described hereinabove is defined by the appended claims and all changes to the invention that fall within the meaning and the range of equivalency of the claims are embraced within their scope.