The present disclosure generally relates to fluid transfer devices and related assemblies, systems, and methods for use in blood collection via an existing vascular access device (VAD) such as, e.g., a peripheral intravenous catheter (PIVC). Specifically, the fluid transfer devices of the present disclosure are configured to prevent premature retraction and/or removal of the device.
Catheters are commonly used for a variety of infusion therapies. For example, catheters may be used for infusing fluids, such as normal saline solution, various medicaments, and total parenteral nutrition, into a patient. Catheters may also be used for withdrawing blood from the patient.
A common type of catheter is an over-the-needle peripheral intravenous (“IV”) catheter (“PIVC”). The over-the-needle catheter may be mounted over an introducer needle having a sharp distal tip. The catheter and the introducer needle may be assembled so that the distal tip of the introducer needle extends beyond the distal tip of the catheter with the bevel of the needle facing up away from a skin surface of the patient. The catheter and introducer needle are generally inserted at a shallow angle through the skin into the vasculature of the patient. In order to verify proper placement of the introducer needle and/or the catheter in the blood vessel, a clinician generally confirms that there is “flashback” of blood in a flashback chamber of the catheter assembly. Once placement of the needle has been confirmed, the clinician may temporarily occlude flow in the vasculature and remove the needle, leaving the catheter in place for future blood withdrawal or fluid infusion.
Blood withdrawal using a peripheral IV catheter may be difficult for several reasons, particularly when an indwelling time of the catheter is more than one day. For example, when the catheter is left inserted in the patient for a prolonged period of time, the catheter or vein may be more susceptible to narrowing, collapse, kinking, blockage by debris (e.g., fibrin or platelet clots), and adhering of a tip of the catheter to the vasculature. Due to this, catheters may often be used for acquiring a blood sample at a time of catheter placement but are much less frequently used for acquiring a blood sample during the catheter dwell period.
Accordingly, fluid transfer devices have been developed to collect blood samples through an existing PIVC. Such “line draw” fluid transfer devices attach to the PIVC and include a flexible probe that is advanced through the PIVC, beyond the catheter tip, and into a vessel to collect a blood sample. After blood collection, the fluid transfer device is removed from the PIVC and discarded. One example of such a fluid transfer device is known as PIVO™ from Velano Vascular, Inc. Furthermore, U.S. Pat. No. 11,090,461, which is hereby incorporated by reference in its entirety, also discloses such a device.
A user may manipulate the fluid transfer device 200 to couple the connector member 240 to, e.g., the catheter adapter of an integrated intravenous catheter. For example, the user can exert a force sufficient to pivot the first and second clip arms of the connector member 240 such that a portion of the catheter adapter can be inserted into the space defined between the arms of the connector member 240 and a distal introducer portion 242 extending distally from the introducer 210. The user can then linearly displace the actuator 270 distally along the introducer 210 in order to advance the flexible probe through the distal introducer portion 242. The user may also linearly displace the actuator 270 proximally along the introducer to retract the flexible probe.
Typically, the flexible probe is retracted into the fluid transfer device 200 after blood collection, at which point the connector member 240 may be decoupled from the catheter adapter by pinching proximal clip portions to release the “alligator clip” distal connection of connector member 240 from the adapter. However, in some instances, the user may decouple the connector member 240 from the catheter adapter and retract the distal introducer portion 242 while the probe is still in its advanced state beyond the distal introducer portion 242 and within at least the catheter adapter. Such premature retraction and/or removal of the fluid transfer device 200 from the catheter adapter may result in undesirable exposure to blood or other bodily fluids, and/or may result in damage to the probe.
The subject matter claimed herein is not limited to embodiments that solve any disadvantages or that operate only in environments such as those described above. Rather, this background is only provided to illustrate one example technology area where some implementations described herein may be practiced.
In accordance with an aspect of the present disclosure, a fluid transfer device for delivery of a probe to a patient's vascular system is provided. The fluid transfer device includes an introducer body, a distal introducer portion positioned at a distal end portion of the introducer body and configured to penetrate an access connector of a vascular access device, and an actuator, wherein the actuator is linearly 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 through the distal introducer portion based on direction of displacement of the actuator. The fluid transfer device also includes a connector member positioned proximate the distal introducer portion and configured for releasable connection to at least one surface of the access connector, wherein the connector member includes a pair of opposing distal clip portions and a pair of opposing proximal clip portions. Additionally, the fluid transfer device includes a locking member, wherein the locking member is linearly displaceable along at least a portion of the introducer body and is configured to prevent actuation of at least one of the pair of opposing proximal clip portions when the actuator is displaced at least partially toward first position and to allow actuation of at least one of the pair of opposing proximal clip portions when the actuator is displaced at least partially toward a second position.
In some embodiments, the locking member includes a single locking arm member, and the single locking arm member is configured to block actuation of a single one of the pair of opposing proximal clip portions of the connector member.
In some embodiments, the single locking arm member extends distally from a base portion, and the base portion is configured to be slidable along at least a portion of the introducer body.
In some embodiments, the locking member includes a pair of opposing arm members, and the pair of opposing arm members are configured to block actuation of the pair of opposing proximal clip portions of the connector member.
In some embodiments, the pair of opposing arm members extend distally from a base portion, and the base portion is configured to be slidable along at least a portion of the introducer body.
In some embodiments, the actuator is releasably engagable with the base portion.
In some embodiments, the locking member includes a biasing member configured to bias the locking member in one direction.
In some embodiments, the fluid transfer device further includes a holding tab, wherein the holding tab is configured to hold the locking member proximally away from the connector member.
In some embodiments, the holding tab is configured to be displaced by the actuator upon contact with the actuator, and displacement of the holding tab causes distal displacement of the locking member toward the second position under force of the biasing member.
In some embodiments, the locking member includes at least one arm member and an elongated tether portion extending proximally from the at least one arm member, wherein the at least one arm member is configured to block actuation of at least one of the pair of opposing proximal clip portions of the connector member.
In some embodiments, the actuator is configured for releasable engagement with at least a portion of the elongated tether portion.
In some embodiments, the locking member is manually displaceable by a user.
According to another aspect of the present disclosure, a fluid transfer device for needle-free delivery of a probe to a patient's vascular system is disclosed. The fluid transfer device includes an introducer body having a distal end portion and a proximal end portion, and an actuator, wherein the actuator is linearly 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. The fluid transfer device also includes a connector member positioned proximate the distal end portion of the introducer body and configured for releasable connection to at least one surface of an access connector, and a locking member, wherein the locking member is configured to prevent disconnection of the connector member from the access connector when the actuator is advanced to a first position along the introducer body and to allow disconnection of the connector member when the actuator is retracted to a second position along the introducer body.
In some embodiments, the locking member includes a single locking arm member, and the single locking arm member is configured to block actuation of the connector member.
In some embodiments, the locking member includes a pair of opposing arm members, and the pair of opposing arm members are configured to block actuation of the connector member.
In some embodiments, the locking member includes at least one arm member and an elongated tether portion extending proximally from the at least one arm member, wherein the at least one arm member is configured to block actuation of the connector member.
In some embodiments, the actuator is configured for releasable engagement with at least a portion of the elongated tether portion.
Accordingly to another aspect of the present disclosure, a fluid transfer device for needle-free delivery of a probe to a patient's vascular system is disclosed. The fluid transfer device includes an introducer body having a distal end portion and a proximal end portion, and an actuator, wherein the actuator is linearly 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. The fluid transfer device also includes a connector member positioned proximate the distal end portion of the introducer body and configured for releasable connection to at least one surface of an access connector, and a locking member, wherein the locking member includes at least one arm member and an elongated tether portion extending proximally from the at least one arm member, wherein the at least one arm member is configured to selectively block actuation of the connector member based upon the position of the actuator along the introducer body.
In some embodiments, the actuator is configured for releasable engagement with at least a portion of the elongated tether portion.
In some embodiments, the connector member includes a pair of opposing distal clip portions and a pair of opposing proximal clip portions, and the at least one arm member of the locking member is configured to block actuation of at least one of the pair of opposing proximal clip portions.
It is to be understood that both the foregoing general description and the following detailed description are examples and explanatory and are not restrictive of the invention, as claimed. It should be understood that the various embodiments are not limited to the arrangements and instrumentality shown in the drawings. It should also be understood that the embodiments may be combined, or that other embodiments may be utilized and that structural changes, unless so claimed, may be made without departing from the scope of the various embodiments of the present invention. The following detailed description is, therefore, not to be taken in a limiting sense.
Example embodiments will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
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.
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.
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.
While not shown or described herein, it is to be understood that the fluid transfer 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.
Referring to
In some embodiments, the probe 26 is configured as a guidewire (e.g., a nickel titanium wire). However, in other embodiments, probe 26 may be configured as any flexible member or instrument capable of being advanced through a catheter such as, e.g., tubing, a secondary catheter, one or more sensors, obturators, or any combination thereof. Furthermore, in some embodiments, the distal introducer portion 24 is configured as a blunt plastic cannula usable with a needle-free connector of a vascular access device. However, in other embodiments, distal introducer portion 24 may be configured as a male luer connector and/or a needle or cannula capable of accessing a needle-free connector (NFC), a needle access connector (PRN), a luer access port (or female luer), or a septum such as, e.g., a BD NEXIVA™ needle septum.
The fluid transfer device 10 also includes a connector member 20 configured for selectively coupling the fluid transfer device 10 to, e.g., a needleless access connector of an adaptor coupled to the vascular access device. Connector member 20 is configured as an alligator clip-type connector, with opposing distal clip portions 21A, 21B allowing for securement of the fluid device 10 to a surface of the needleless access connector. A pair of proximal clip portions 22A, 22B are sized and configured to be pinched or otherwise manipulated by a user. Manipulation of the proximal clip portions 22A, 22B pivots the distal clip portions 21A, 21B away from one another, thereby resulting in release of the distal clip portions 21A, 21B from engagement with the needleless access connector. In some embodiments, the proximal clip portions 22A, 22B may include a textured surface and/or indicia so as to provide an indication to the user as to the functionality of the connector member 20
The fluid transfer device 10 further includes a locking member 28. As shown in
Referring to
Conversely, referring to
In some embodiments, the actuator 14 and at least the base portion 32 of the locking member 28 may be configured to engage or otherwise couple with one another upon contact between the actuator 14 and the locking member 28. For example, the actuator 14 and locking member 28 may couple by way of mechanical interference, magnetic connectors, or any other appropriate coupling means. In such embodiments, when the actuator 14 is manipulated proximally toward the first position to retract the flexible probe 26, the locking member 28 is simultaneously pulled proximally and away from the connector member 20, as is shown in
In other embodiments, the actuator 14 and the locking member 28 may not be configured to engage or otherwise couple upon contact between the actuator 14 and the locking member 28. In such embodiments, the user may be required to manually retract the locking member 28 in a proximal direction after the actuator 14 is returned to the first (i.e., proximal-most) position to retract the probe 26. Additionally and/or alternatively, in some embodiments, the locking member 28 may be manually displaced toward the connector 20 by the user prior to distal displacement of the actuator 14 to advance the probe 26 from the distal introducer portion 24. In such embodiments, the locking member 28 is configured to prevent premature removal of the fluid transfer device 10 from the needleless access connector as the probe 26 is being advanced.
Next, referring to
The fluid transfer device 40 also includes a connector member 50 configured for selectively coupling the fluid transfer device 40 to, e.g., a needleless access connector of an adaptor coupled to the vascular access device. Connector member 50 is configured as an alligator clip-type connector, with opposing distal clip portions 51A, 51B allowing for securement of the fluid device 40 to a surface of the needleless access connector. A pair of proximal clip portions 52A, 52B are sized and configured to be pinched or otherwise manipulated by a user. Manipulation of the proximal clip portions 52A, 52B pivots the distal clip portions 51A, 51B away from one another, thereby resulting in release of the distal clip portions 51A, 51B from engagement with the needleless access connector.
The fluid transfer device 40 further includes a locking member 58. The locking member 58 is operably coupled to a biasing member 60 (e.g., a spring), with the biasing member 60 configured to selectively bias the locking member 58 in a distal direction.
Referring still to
On the other hand, when the actuator 44 is manually slid toward a second position at or near the distal end portion 46 of the introducer body 42, the probe 56 is advanced through (and distally beyond) the distal introducer portion 54. Additionally, advancement of the actuator 44 also acts to release engagement between the holding tab 62 and the locking member 58. Such a release of the locking member 58 results in the biasing member 60 forcing the locking member 58 in a distal direction toward the connector member 50. Thus, as the actuator 44 is moved toward its distal-most position along the introducer body 42 to advance the probe 56, the locking member 58 and biasing member 60 (annotated as 58′ and 60′, respectively, in
Referring now to
The fluid transfer device 70 includes an introducer body 72 and an actuator 74. The actuator 74 is configured to be linearly displaceable by a user along a track or other feature of the introducer body 72 between a proximal end portion 78 and a distal end portion 76 of the introducer body 72. The actuator 74 is operably coupled to an elongated, flexible probe 86 to advance and retract the probe 86 through a distal introducer portion 84 located near the distal end portion 76 of the introducer body 72. Thus, displacement of the actuator 74 in first direction advances the probe 86 through the distal introducer portion 84 such that the probe 86 can enter the patient's vasculature when fluid transfer device 70 is coupled to a vascular access device. Conversely, displacement of the actuator 74 in a second, opposite direction retracts the probe 86 through the distal introducer portion 84 to remove the probe 86 from the patient's vasculature.
The fluid transfer device 70 includes a connector member 80 configured for selectively coupling the fluid transfer device 70 to, e.g., a needleless access connector of an adaptor coupled to the vascular access device. Connector member 80 is configured as an alligator clip-type connector, with opposing distal clip portions 81A, 81B allowing for securement of the fluid device 70 to a surface of the needleless access connector. A pair of proximal clip portions 82A, 82B are sized and configured to be pinched or otherwise manipulated by a user. Pinching of the proximal clip portions 82A, 82B pivots the distal clip portions 81A, 81B away from one another, thereby resulting in release of the distal clip portions 81A, 81B from engagement with the needleless access connector.
The fluid transfer device 70 further includes a locking member 88. As shown in
Referring to
Conversely, referring to
In some embodiments, the actuator 74 and at least the base portion 92 of the locking member 88 may be configured to engage or otherwise couple with one another upon contact between the actuator 74 and the locking member 88. For example, the actuator 74 and locking member 88 may couple by way of mechanical interference, magnetic connectors, or any other appropriate coupling means. In such embodiments, when the actuator 74 is slid in a proximal direction toward the first position to retract the flexible probe 86, the locking member 88 is simultaneously pulled proximally and away from the connector member 80, as is shown in
Next, referring to
The fluid transfer device 100 also includes a connector member 110 configured for selectively coupling the fluid transfer device 100 to, e.g., a needleless access connector of an adaptor coupled to the vascular access device. Connector member 110 is configured as an alligator clip-type connector, with opposing distal clip portions 111A, 111B allowing for securement of the fluid device 100 to a surface of the needleless access connector. A pair of proximal clip portions 112A, 112B are sized and configured to be pinched by a user. Manipulation of the proximal clip portions 112A, 112B pivots the distal clip portions 111A, 111B away from one another, thereby resulting in release of the distal clip portions 111A, 111B from engagement with the needleless access connector.
Additionally, the fluid transfer device 100 includes a locking member 118. As shown in
The locking member 118 also includes an elongated tether portion 124 and a proximal tether member 126. As will be described in further detail below, the tether portion 124 and proximal tether member 126 act to control the timing of retraction of the locking arm 120 away from the connector member 110 during concurrent retraction of the actuator 104.
Referring to
On the other hand, referring to
When the actuator 104 is in its distal-most position along the introducer body 102, the locking arm 120 of locking member 118 is configured to be positioned substantially below at least one of the proximal clip portions 112A, 112B, with the locking arm 120 being sized and configured to substantially restrict inward motion of at least one of the proximal clip portions 112A, 112B when pinched. By restricting/blocking the inward motion of one or more of the proximal clip portions 112A, 112B, the user is unable to release the distal clip portions 111A, 111B from engagement with the needleless access connector and, thus, is unable to remove the fluid transfer device 100 from the needleless access connector when the flexible probe 116 is in the advanced position shown in
In the embodiment shown in
Referring now to
The fluid transfer device 130 also includes a connector member 140 configured for selectively coupling the fluid transfer device 130 to, e.g., a needleless access connector of an adaptor coupled to the vascular access device. Connector member 140 is configured as an alligator clip-type connector, with opposing distal clip portions 141A, 141B allowing for securement of the fluid device 130 to a surface of the needleless access connector. A pair of proximal clip portions 142A, 142B are sized and configured to be pinched by a user. Such pinching of the proximal clip portions 142A, 142B pivots the distal clip portions 141A, 141B away from one another, thereby resulting in release of the distal clip portions 141A, 141B from engagement with the needleless access connector.
Additionally, the fluid transfer device 130 includes a locking member 148. The locking member 148 includes at least one locking arm 150 extending distally from a base portion 152, wherein the base portion 152 is configured to enable both securement of the locking member 148 to, e.g., a track extending along the introducer body 132 and selective longitudinal movement of the locking member along the introducer body 132. While only a single locking arm 150 is shown in
The locking member 148 also includes an elongated tether portion 154 and a proximal tether member 156. In the embodiment shown in
Referring to
Conversely, referring to
When the actuator 134 is initially moved toward the distal end portion 136 along the introducer body 132, the engagement between the actuator 134 and the locking member 148 causes the locking arm 150 to move to a position substantially below at least one of the proximal clip portions 142A, 142B, with the locking arm 150 being sized and configured to substantially restrict inward motion of at least one of the proximal clip portions 142A, 142B when pinched. By restricting/blocking the inward motion of one or more of the proximal clip portions 142A, 142B, the user is unable to release the distal clip portions 141A, 141B from engagement with the needleless access connector and, thus, is unable to remove the fluid transfer device 130 from the needleless access connector when the flexible probe 146 is advanced through the distal introducer portion 144, as shown in
Referring to
All examples and conditional language recited herein are intended for pedagogical objects to aid the reader in understanding the invention and the concepts contributed by the inventor to furthering the art, and are to be construed as being without limitation to such specifically recited examples and conditions. Although embodiments of the present inventions have been described in detail, it should be understood that the various changes, substitutions, and alterations could be made hereto without departing from the spirit and scope of the invention.
The present application claims priority to U.S. Provisional Application Ser. No. 63/325,987, entitled “Device for Manually Locking an Inserted Line Draw Device to Prevent Premature Retraction”, filed Mar. 31, 2022, the entire disclosure of which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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63325987 | Mar 2022 | US |