IV CATHETER WITH A TIP PROTECTOR
20230347112 · 2023-11-02
Inventors
- Eric Jason Krause (Big Lake, MN, US)
- Daniel Casey Johnson (Minneapolis, MN, US)
- David J. Goral (Brookfield, CT, US)
- Jay T. Breindel (Branford, CT, US)
Cpc classification
A61M25/0625
HUMAN NECESSITIES
International classification
Abstract
A passive safety catheter assembly configured to inhibit access to the distal tip of a needle cannula prior to release of a catheter insertion assembly from a catheter hub. The passive safety catheter assembly includes a safety clip assembly configured to transition between a first position in which the safety clip assembly selectively couples the catheter insertion assembly to the catheter hub, and a second position in which the safety clip assembly traps the sharp distal tip of the needle cannula within the safety clip assembly prior to release of the coupling between the catheter insertion assembly and the catheter hub.
Claims
1. A passive safety catheter assembly, comprising: a catheter hub and a catheter tube extending distally thereof; a catheter insertion device including— a needle cannula having a proximal portion, an elongate body and a sharp distal tip; a handle operably coupled to the proximal portion of the needle cannula; and a safety clip assembly including a housing and a safety clip, the safety clip including a first guard arm and a second guard arm, the first guard arm including a first retention tab and the second guard arm including a second retention tab, the first guard arm defining a first aperture, the second guard arm defining a second aperture, the first aperture and the second aperture configured to enable passage of the elongate body and sharp distal tip of the needle cannula therethrough, the first guard arm comprising a first hook feature, the second guard arm comprising a second hook feature, the first hook feature and the second hook feature each having a distal portion angled radially inward relative to the catheter hub, wherein the distal portion of the first hook feature and the second hook feature are each configured to selectively grip the catheter hub, the safety clip further including a third retention tab positioned opposite to a fourth retention tab, the third retention tab and the fourth retention tab both extending from a proximal wall of the safety clip, wherein the third retention tab and the fourth retention tab are configured to deflect when inserting the safety clip within a chamber of the housing, thereby enabling the safety clip to slide into position at least partially within the housing, wherein distal movement of the safety clip out of the housing is inhibited by an interference fit between the third retention tab and the fourth retention tab interfering with one or more walls defining the chamber of the housing which effectively locks the safety clip within the housing, wherein the safety clip assembly is configured to transition between— a first position in which the first guard arm and the second guard arm are restrained against their natural bias by the passage of the needle cannula through an alignment of the first aperture and the second apertures, such that the first hook feature and the second hook feature are in gripping contact with the catheter hub, and a second position in which the needle cannula is proximally withdrawn through the first aperture and the second aperture to enable the first guard arm and the second guard arm to be naturally biased apart, such that the first aperture and the second apertures become unaligned to trap the sharp distal tip of the needle cannula within the safety clip, and the first hook feature and the second hook feature release gripping contact with the catheter hub.
2. The passive safety catheter assembly of claim 1, wherein the safety clip is constructed of a resilient thin web of metal.
3. The passive safety catheter assembly of claim 1, wherein the first hook feature and the second hook feature are shaped and sized to closely conform to an outer diameter and extending ridge and/or external ears of the catheter hub.
4. The passive safety catheter assembly of claim 1, wherein the first guard arm and the second guard arm are operably coupled to the proximal wall.
5. The passive safety catheter assembly of claim 4, wherein the proximal wall includes an aperture sized to enable the elongate body of the needle cannula to pass therethrough, but inhibits passage of a needle feature of the needle cannula therethrough.
6. The passive safety catheter assembly of claim 5, wherein in the second position, proximal movement of the sharp distal tip relative to the safety clip is inhibited by interference between the needle feature and the aperture of the proximal wall, and distal movement of the sharp distal tip relative to the safety clip is inhibited by unalignment of the first aperture and the second aperture.
7. (canceled)
8. The passive safety catheter assembly of claim 1, wherein the first retention tab and the second retention tab are constructed of a resilient material and extend from the proximal wall at an oblique angle.
9. The passive safety catheter assembly of claim 1, wherein the first retention tab and the second retention tab extend from the proximal wall at an orthogonal angle, the first retention tab and the second retention tab each configured to flex to enable the safety clip to be inserted into the chamber of the housing, and inhibit removal of the safety clip from the chamber of the housing once inserted.
10. A catheter insertion device configured to inhibit release of a catheter hub of a catheter assembly from the catheter insertion device until a sharp distal tip of a needle cannula utilized to insert the catheter assembly is safely captured in a safety clip assembly, thereby reducing the risk of an inadvertent needle stick, the catheter insertion device comprising: the needle cannula having a proximal end; a handle operably coupled to the proximal end of the needle cannula; and the safety clip assembly including a housing and a safety clip, the safety clip including a first guard arm and a second guard arm, the first guard arm and the second guard arm configured to selectively grip the catheter hub of the catheter assembly, the first guard arm including a first retention tab and the second guard arm including a second retention tab, the first guard arm defining a first aperture, the second guard arm defining a second aperture, the first aperture and the second aperture configured to enable passage of the needle catheter therethrough, the safety clip further including a third retention tab positioned opposite to a fourth retention tab, the third retention tab and the fourth retention tab both extending from a proximal wall of the safety clip, wherein the third retention tab and the fourth retention tab are configured to deflect when inserting the safety clip within a chamber of the housing, thereby enabling the safety clip to slide into position at least partially within the housing, wherein distal movement of the safety clip out of the housing is inhibited by an interference fit between the third retention tab and the fourth retention tab interfering with one or more walls defining the chamber of the housing which effectively locks the safety clip within the housing, wherein the safety clip assembly is configured to transition between— a first position in which the first guard arm and the second guard arm are restrained against their natural bias by the passage of the needle cannula through an alignment of the first aperture and the second apertures, such that a first hook feature on the first guard arm and a second hook feature on the second guard arm are in gripping contact with the catheter hub via a distal portion included with each of the first hook feature and the second hook feature, wherein each distal portion is angled radially inward relative to the catheter hub, and a second position in which the needle cannula is proximally withdrawn through the first aperture and the second aperture to enable the first guard arm and the second guard arm to be naturally biased apart to release gripping contact with the catheter hub, such that the first aperture and the second apertures become unaligned to trap the sharp distal tip of the needle cannula within the safety clip.
11. The catheter insertion device of claim 10, wherein the first guard arm and the second guard arm are shaped and sized to closely conform to an outer diameter and extending ridge and/or external ears of the catheter hub.
12. (canceled)
13. The catheter insertion device of claim 10, wherein the proximal wall includes an aperture sized to enable the elongate body of the needle cannula to pass therethrough, but inhibits passage of a needle feature of the needle cannula therethrough.
14. The catheter insertion device of claim 10, wherein the third retention tab and the fourth retention tab extend from the safety clip orthogonal to the first guard arm and the second guard arm, the third retention tab and the fourth retention tab configured to secure the safety clip at least partially within the housing.
15. The catheter insertion device of claim 14, wherein the third retention tab and the fourth retention tab are constructed of a resilient material and extend from the proximal wall at an oblique angle.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0017] The disclosure can be more completely understood in consideration of the following detailed description of various embodiments of the disclosure, in connection with the accompanying drawings, in which:
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
[0034]
[0035] While embodiments of the disclosure are amenable to various modifications and alternative forms, specifics thereof shown by way of example in the drawings will be described in detail. It should be understood, however, that the intention is not to limit the disclosure to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the subject matter as defined by the claims.
DETAILED DESCRIPTION
[0036] Various example embodiments of catheters are described herein for use in accessing the vein of a subject. It is to be appreciated, however, that the example embodiments described herein can alternatively be used to access the vascular of a subject at locations other than a vein, including but not limited to the artery of a subject. It is additionally to be appreciated that the term “clinician” refers to any individual that can perform a catheter insertion procedure with any of the example embodiments described herein or alternative combinations thereof. Similarly, the term “subject,” as used herein, is to be understood to refer to an individual or object in which the catheter is to be inserted, whether human, animal, or inanimate. Various descriptions are made herein, for the sake of convenience, with respect to the procedures being performed by a clinician to access the vein of a subject, while the disclosure is not limited in this respect.
[0037] It is also to be appreciated that the term “distal,” as used herein, refers to the direction along an axis that lies parallel to a needle cannula of a safety catheter assembly that is closest to the subject during catheter insertion. Conversely, the term “proximal,” as used herein, refers to the direction lying along the axis parallel to the needle cannula that is further away from the subject when the catheter is inserted into the vein of the subject, opposite to the distal direction.
[0038] Referring to
[0039] Referring to
[0040] The needle cannula 106 can further include a transition 114 having a different cross-sectional size and are shaped then other portions of the needle 106 positioned proximal to the transition 114. Referring to
[0041] The proximal end 112 of the needle cannula 106 can be operably coupled to the handle 108. The handle 108 can include a gripping portion for manipulation by a clinician. In one embodiment, the catheter insertion device 102 can be constructed to provide a visual indication of flashback when the sharpened distal tip 110 of the needle 106 enters the vein of a subject. In this embodiment, the handle 108 can include a flash chamber 116 (as depicted in
[0042] When the sharp distal tip 110 enters a vein during catheter insertion, blood or bodily fluid enters the needle lumen from the vein and flows proximally through the needle 106 into the flash chamber 116. The flash chamber 116 can be sealed at one end by a flash plug 118. The flash plug 118 can be made out of an air permeable, hydrophilic material that enables the passage of air, but inhibits the passage of liquid. For example, in one embodiment, the flash plug 118 can include a plurality of pores shaped and sized to enable the passage of low-pressure gas, but Inhibits the passage of low-pressure liquid, such that pores of the flash plug 118 become effectively sealed upon contact with the low-pressure liquid. Air that resides in the needle lumen and flash chamber 116 is therefore pushed through the flash plug 118 by the incoming blood, until the blood reaches the flash plug 118 or is otherwise stopped. In some embodiments, the handle 108, or portions thereof, can be constructed of a clear or translucent material configured to enable a clinician to view the presence of blood within the flash chamber 116. In this respect, the clinician can be alerted when the needle has entered the vein of the subject by the presence of blood within the flash chamber 116.
[0043] In one embodiment, features of the catheter insertion device 102, other than a flash chamber 116, can provide an indication that the sharp distal tip 110 has entered the vein of a subject. For example, the needle cannula 106 can include a notch 120. In this embodiment, blood flow enters the needle lumen when the sharpened distal tip 110 enters the vein. As blood flows proximately in the needle lumen, some blood passes through the notch 120 and into an annular space that lies between an exterior of the needle 106 and an interior of the catheter assembly 104. The presence of blood in the annular space can be viewed by a clinician through a clear or translucent portion of the catheter assembly 104, thereby providing an indication that the sharpened distal tip 110 is present in a vein.
[0044] As further depicted, the catheter insertion device 102 can additionally include a safety clip 132 and a safety clip housing 134. In some embodiments, the safety clip housing 134 can include a proximal portion 136 shaped and sized to mate with a distal portion 138 of the handle 108. For example, in one embodiment, the proximal portion 136 can include an extension configured to matingly fit within a corresponding socket defined within the distal portion 138 of the handle 108.
[0045] The safety clip 132 can be selectively retained within a distal portion 140 of the safety clip housing 134. For example, in one embodiment, the distal portion 140 of the safety clip housing 134 can define a safety clip chamber 142 configured to at least partially house the safety clip 132. In some embodiments, the safety clip 132 can include one or more retention tabs 133 configured to create an interference fit with a portion of the safety clip chamber 142, so as to aid in the retention of the safety clip 132 within the safety clip housing 134.
[0046] The catheter assembly 104 can include a catheter hub 122 and a catheter tube 124. In one embodiment, the catheter tube 124 can extend from a tapered distal end to a proximal end, where the catheter tube 124 can be operably coupled to the catheter hub 122. The catheter tube 124 can define a lumen configured to provide a fluid pathway between a vein of a subject and the catheter hub 122. In one embodiment, the catheter tube 124 can include a barium radio opaque line to ease in the identification of the catheter tube 124 during radiology procedures. In some embodiments, the catheter tube 124 can include a necked-down portion 125 configured to provide a two-stage visual indication during catheter insertion into a vein of a patient. One example a necked-down portion on a catheter tube 124 is disclosed in U.S. Provisional App. No. 62/575,045 (filed Oct. 20, 2017), the contents of which are incorporated by reference herein.
[0047] The catheter hub 122 can include a catheter hub body having a distal end, a proximal end and an internal wall defining an interior cavity therebetween. The interior cavity can include a proximal portion extending from the open proximal end, and a distal portion in closer proximity to the distal end. In one embodiment, the distal end of the catheter hub body is operably coupled to the proximal end of the catheter tube 124, such that the lumen of the catheter tube 124 is in fluid communication with the proximal portion of the interior cavity. In some embodiments, the proximal portion of the interior cavity can be shaped according to luer taper standards, so as to matingly receive a luer taper. The proximal end of the catheter hub body can also be provided with external ears, or the like, to secure the luer taper in the catheter hub 122, such as when the luer taper is coupled with a male luer lock collar of an administration set or syringe.
[0048] In some embodiments, the catheter assembly can comprise a closed system catheter assembly 104′. Referring to
[0049] In some embodiments, the catheter assembly 104 can further include a blood control feature configured to inhibit blood from escaping after withdrawal of the needle cannula 106, thereby reducing the risk of exposure of blood or other bodily fluids to clinicians, particularly a consideration of sensitivity where blood-borne diseases may be present. Referring to
[0050] A seal member 162, alternatively referred to as a blood control valve, can also be secured within the interior cavity of the catheter hub 122 with the aid of the actuator 160, such that the seal member 162 is axially shiftable relative to the actuator 160 between a closed or sealed position in which flow of bodily fluid from the catheter tube 124 into the interior cavity of the catheter hub 122 is inhibited or restricted, and an open or actuated position, in which the seal member 162 is shifted relative to the actuator 160 thereby enabling the flow of bodily fluid from the catheter tube 124 into a proximal portion of the interior cavity of the catheter hub 122. Thus, the actuator 160 functions to both secure the catheter tube 124 to the catheter hub 122, and to support the seal member 162. One example of such a blood control feature is disclosed in U.S. Pat. No. 9,545,495, the contents of which are incorporated by reference herein.
[0051] In some embodiments, the catheter assembly 104 can include a side port. Referring to
[0052] The side port 164 can be selectively sealed by a flexible sealing membrane 166 positioned within the interior cavity of the catheter hub 122. The sealing membrane 166 can be configured to deform when a sufficient fluid pressure is applied to the side port 164 from outside of the catheter hub 122, thereby enabling a flow of fluid into the interior cavity of the catheter hub 122. A septum or valve 168 can be positioned proximal to the sealing member 166 to inhibit fluid entering the interior cavity of the catheter hub 122 from the side port 164 from escaping out of the proximal end of the catheter hub 122. An example of such a septum or valve 168 is disclosed in U.S. Patent Publ. No. 2017/0239443, the contents of which are incorporated by reference herein.
[0053] As depicted in
[0054] To insert the catheter into the vein of a subject, a clinician first removes the safety catheter assembly 100 from the packaging. A needle sheath 144 covering the needle cannula 106 can be removed to expose the sharp distal tip 110 of the needle cannula 106. The clinician then punctures an identified site on the patient or subject with the sharp distal tip 110 and urges the needle cannula 106 forward until the sharp distal tip 110 and a portion of the catheter tube 124 enters the vein of the subject.
[0055] The catheter assembly 104 can then be moved distally over the needle 106, threading the catheter assembly 104 into the vein of the subject as the catheter insertion device 102 is held stationary. With the catheter assembly 104 positioned as desired, the clinician can withdraw the needle cannula 106 from the patient's vein by pulling the catheter insertion device 102 proximally away from the subject while holding the catheter assembly 104 generally stationary with respect to the subject. The catheter insertion device 102 is pulled proximally until the needle cannula 106 is separated from the catheter assembly 104.
[0056] As depicted in
[0057] Referring to
[0058] The safety clip 134 can be configured to actually slide along the needle cannula 106 between a first or ready for use position (as depicted in
[0059] Referring to
[0060] In one embodiment, the safety clip 128 can include a proximal wall 146 and one or more guard arms 148. The proximal wall 146 can define an aperture 150 configured to be positioned around or over the needle cannula 106. In some embodiments, the proximal wall 146 and the aperture 150 can be configured to engage the needle transition 114 to inhibit distal advancements of the safety clip 134 off of the sharp distal tip 110 of the needle cannula 106. In one embodiment, the surface of the proximal wall 146 can be substantially orthogonal to the longitudinal axis of the needle cannula 106. In other embodiments, the surface can be positioned at an oblique or acute angle with respect to the longitudinal axis of the needle cannula 106.
[0061] The one or more guard arms 148 can extend distally from the proximal wall 146. In one embodiment, the safety clip 132 can include a pair of guard arms 148A/B. In one embodiment, the guard arms 148A/B can further define a retention tab 152A/B and a hook feature 154A/B. Each retention tab 152 can further define an aperture 156A/B configured to be positioned around or over the needle cannula 106.
[0062] The safety 132 128 can be formed of a generally resilient material, for example medical grade stainless steel, such that guard arms 148A/B have a natural bias towards a free or relaxed state (as depicted in
[0063] In some embodiments, further proximal movement of the sharp distal tip 110 is inhibited by a cross dimension of the needle transition 114 being larger than the aperture 150 in the proximal wall 146 of the safety clip 132. Distal movement of the sharp distal tip 110 is inhibited by the retention tabs 152A/B. In particular, in one embodiment, distal movement of the sharp distal tip 110 is inhibited by the apertures 156A/B becoming unaligned. In one embodiment, at least one of the retention tabs 152A can further include a hook portion 158 configured to inhibit the needle cannula 106 from traversing around an outer edge of the retention tab 152A to pass through aperture 156B.
[0064] In one embodiment, the safety clip 134 operates as a “passive release mechanism” The term passive release mechanism, as used herein, as understood to refer to features of a catheter insertion assembly 100 that inhibit the release of the catheter assembly 104 from the needle insertion device 102 until after the sharp distal tip 110 of the needle cannula 106 has been captured within the safety clip 134. Some or all of the features of the passive release mechanism can be integral with other components of the catheter insertion assembly 100. In this respect, the term passive release mechanism does not necessarily refer to a component that is separate from the catheter insertion device 102 and/or the catheter assembly 104. Rather, it is to be appreciated that various components of the catheter insertion device 102 and/or catheter assembly 104 can form the passive release mechanism.
[0065] In one embodiment, the passive release mechanism can be configured to couple the catheter hub 122 to the catheter insertion device 102 in the first or ready for use position, and release the catheter hub 122 from the catheter insertion device 102 in the second or safe position. Further, the passive release mechanism inhibits release of the catheter hub 122 from the catheter insertion 102 device until after the sharp distal tip 110 of the needle cannula 106 is in a safe position, where access to the sharp distal tip 110 is inhibited. Release of the catheter hub 122 from the catheter insertion device 102 can occur during a catheter insertion procedure without a need to perform additional steps aside from safely retracting the needle cannula 106. In this respect, the catheter can be “passively” released by a clinician to obtain passive safety. By way of example, the catheter can be released when a clinician pulls on a portion of the catheter insertion device 102 as the clinician withdraws the needle 106 from the catheter assembly 104.
[0066] It should be understood that the individual steps used in the methods of the present teachings may be performed in any order and/or simultaneously, as long as the teaching remains operable. Furthermore, it should be understood that the apparatus and methods of the present teachings can include any number, or all, of the described embodiments, as long as the teaching remains operable.
[0067] Persons of ordinary skill in the relevant arts will recognize that embodiments may comprise fewer features than illustrated in any individual embodiment described above. The embodiments described herein are not meant to be an exhaustive presentation of the ways in which the various features may be combined. Accordingly, the embodiments are not mutually exclusive combinations of features; rather, embodiments can comprise a combination of different individual features selected from different individual embodiments, as understood by persons of ordinary skill in the art. Moreover, elements described with respect to one embodiment can be implemented in other embodiments even when not described in such embodiments unless otherwise noted. Although a dependent claim may refer in the claims to a specific combination with one or more other claims, other embodiments can also include a combination of the dependent claim with the subject matter of each other dependent claim or a combination of one or more features with other dependent or independent claims. Such combinations are proposed herein unless it is stated that a specific combination is not intended. Furthermore, it is intended also to include features of a claim in any other independent claim even if this claim is not directly made dependent to the independent claim.
[0068] Moreover, reference in the specification to “one embodiment,” “an embodiment,” or “some embodiments” means that a particular feature, structure, or characteristic, described in connection with the embodiment, is included in at least one embodiment of the teaching. The appearances of the phrase “in one embodiment” in various places in the specification are not necessarily all referring to the same embodiment.
[0069] Any incorporation by reference of documents above is limited such that no subject matter is incorporated that is contrary to the explicit disclosure herein. Any incorporation by reference of documents above is further limited such that no claims included in the documents are incorporated by reference herein. Any incorporation by reference of documents above is yet further limited such that any definitions provided in the documents are not incorporated by reference herein unless expressly included herein.
[0070] For purposes of interpreting the claims, it is expressly intended that the provisions of Section 112, sixth paragraph of 35 U.S.C. are not to be invoked unless the specific terms “means for” or “step for” are recited in a claim.