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 catheter (“PIVC”). As its name implies, the over-the-needle PIVC may be mounted over an introducer needle having a sharp distal tip. The PIVC and the introducer needle may be assembled so that the distal tip of the introducer needle extends beyond the distal tip of the PIVC with the bevel of the needle facing up away from skin of the patient. The PIVC and introducer needle are generally inserted at a shallow angle through the skin into vasculature of the patient.
In order to verify proper placement of the introducer needle and/or the PIVC in the blood vessel, a clinician generally confirms that there is “flashback” of blood in a flashback chamber of a PIVC assembly. Once placement of the needle has been confirmed, the clinician may temporarily occlude flow in the vasculature and remove the introducer needle, leaving the PIVC in place for future blood withdrawal and/or fluid infusion. The PIVC assembly may be coupled with an extension set, which may allow coupling of an infusion or blood withdrawal device at a location removed from an insertion site of the PIVC.
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.
The present disclosure relates generally to devices, systems, and methods for facilitating delivery of an instrument and/or fluid through a catheter, which may include a peripheral intravenous catheter (PIVC). The devices, systems, and methods of the present disclosure may also be used for blood withdrawal, according to some embodiments. In some embodiments, the instrument may include an additional catheter for fluid infusion or blood draw, a guidewire, a probe with a sensor, or a light tube for disinfection.
In some embodiments, a catheter assembly may include a catheter adapter. In some embodiments, the catheter adapter may include a proximal end, a distal end, a lumen extending through the proximal end and the distal end, and a side port. In some embodiments, the catheter assembly may include a catheter, such as, for example, a PIVC, which may extend distally from the catheter adapter.
In some embodiments, the catheter assembly may include a first extension tube, which may include a proximal end and a distal end. In some embodiments, the first extension tube may extend from the side port. In some embodiments, the catheter assembly may include a first connector coupled to the proximal end of the first extension tube. In some embodiments, the first connector may include a first port and/or a second port.
In some embodiments, the catheter assembly may include a second extension tube, which may include a proximal end and a distal end. In some embodiments, the distal end of the second extension tube may be coupled to the first port. In some embodiments, the second extension tube may be longer than the first extension tube. In some embodiments, the catheter assembly may include a second connector coupled to the proximal end of the second extension tube. In some embodiments, a clamp may be disposed on the first extension tube and/or the second extension tube.
In some embodiments, the first port may direct the second extension tube distally. In some embodiments, the first port may be disposed at an angle of less than 90° with respect to the second port. In some embodiments, the second port may be aligned with a longitudinal axis of the first connector. In some embodiments, the first port may be disposed at an angle between 45° and 90° with respect to the second port. In some embodiments, the first port may be perpendicular to the second port.
In some embodiments, the first connector may include a Y-shape or a T-shape. In some embodiments, the first port and the second port may form arms of the Y-shape or the T-shape. In some embodiments, the first connector may include a third port, which may form a trunk of the Y-shape or the T-shape. In some embodiments, the third port may extend proximally, and the first port and the second port may extend distally. In some embodiments, the first port may direct the second extension tube across a longitudinal axis of the catheter adapter.
In some embodiments, the first connector may not include any catch points for fluid or the instrument moving through the first connector in a distal direction to enter the catheter adapter. In some embodiments, the second connector may not include any catch points for fluid or the instrument moving through the second connector in the distal direction.
In some embodiments, the first connector may be selectively coupled to the first extension tube. Alternatively, in some embodiments, the first connector may be permanently or non-removably coupled to the first extension tube. In some embodiments, the proximal end of the first extension tube may be fixed within the first connector. In some embodiments, the first connector may be coupled to the proximal end of the first extension tube via a snap fit.
In some embodiments, the catheter adapter may include multiple side ports. In some embodiments, the side port may be a first side port, and the catheter adapter may include a second side port. In some embodiments, the second side port may oppose the first side port or extend from a top of the catheter adapter. In some embodiments, the catheter assembly may include one or more of the following: a third extension tube, a third connector, a fourth extension tube, and a fourth connector.
In some embodiments, the third extension tube may include a proximal end and a distal end. In some embodiments, the third extension tube may extend from the second side port. In some embodiments, the third connector may be coupled to the proximal end of the third extension tube. In some embodiments, the third connector may include a third port and a fourth port. In some embodiments, the fourth extension tube may include a proximal end and a distal end.
In some embodiments, the distal end of the fourth extension tube may be coupled to the third port of the third connector. In some embodiments, the fourth extension tube may be longer than the third extension tube. In some embodiments, the fourth connector may be coupled to the proximal end of the fourth extension tube. Thus, in some embodiments, the catheter assembly may include multiple extension sets.
In some embodiments, the third extension tube may extend from the distal end of the catheter adapter. In some embodiments, the distal end of the catheter adapter may include a needle port and/or a distal port from which the third extension tube extends. In some embodiments, the needle port and the distal port may be disposed vertically with respect to each other. In some embodiments, the needle port and the distal port may be disposed horizontally with respect to each other.
It is to be understood that both the foregoing general description and the following detailed description are exemplary 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:
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The prior art catheter assembly 10 further includes a needle hub 20 and an introducer needle 22. When the needle hub 20 is coupled to the catheter adapter 12, the introducer needle 22 extends through the catheter adapter 12 and the catheter 14 and beyond a distal end of the catheter 14 to aid in insertion of the catheter 14 into vasculature of a patient.
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In some embodiments, the catheter assembly 30 may include a first extension tube 42, which may include a proximal end 44 and a distal end 46. In some embodiments, the first extension tube 42 may extend from the side port 38. In some embodiments, the catheter assembly 30 may include a first connector 48 coupled to the proximal end 44 of the first extension tube 42. In some embodiments, the first connector 48 may include a first port 50 and a second port 52. In some embodiments, the first connector 48 and/or the second port 52 may be disposed in proximity to the catheter adapter 32 and the catheter 40 to improve access for an instrument, as well as to allow higher viscosity or speed-critical fluid injections and improved flushing. In some embodiments, the instrument may include an additional catheter for fluid infusion or blood draw, a guidewire, a probe with a sensor, or a light tube for disinfection. In some embodiments, a length of the first extension tube 42 may be about 12 millimeters. In some embodiments, the length of the first extension tube 42 may be between about 11 and 13 millimeters. In some embodiments, the length of the first extension tube 42 may be between about 10 and 14 millimeters. In some embodiments, the length of the first extension tube 42 may be greater than 12 millimeters. In some embodiments, the length of the first extension tube 42 may be less than 12 millimeters. The length of the first extension tube 42 may vary, according to some embodiments.
In some embodiments, the catheter assembly 30 may include a second extension tube 54, which may include a proximal end 56 and a distal end 58. In some embodiments, the distal end 58 of the second extension tube 54 may be coupled to the first port 50. In some embodiments, the second extension tube 54 may be longer than the first extension tube 42. In some embodiments, the catheter assembly 30 may include a second connector 60, which may be coupled to the proximal end 56 of the second extension tube 54. In some embodiments, the second port 52 may be aligned with a longitudinal axis of the first connector 48. In some embodiments, a clamp 62, such as, for example, a slide clamp or a pinch clamp, may be disposed on the first extension tube 42 and/or the second extension tube 54.
In some embodiments, the first port 50 may direct the second extension tube 54 distally. In some embodiments, the second extension tube 54 may be disposed away from an area behind the catheter adapter 32 and away from a longitudinal axis 55 of the catheter adapter 32 to prevent interference of the second extension tube 54 with the hand of the clinician as the clinician grips the catheter adapter 32 to insert the catheter 40 into the vasculature of the patient.
In some embodiments, the first port 50 may be disposed at an angle of less than 90° with respect to the second port 52, as illustrated, for example, in
In some embodiments, an extension set may include one or more of the following: the first extension tube 42, the first connector 48, the second extension tube 54, and the second connector 60. In some embodiments, the second extension tube 54 may be shorter than the extension tube 16 of the prior art, which may result in less movement of the extension set and fewer problems in controlling the extension set. However, in some embodiments, the second connector 60 may be disposed about a same distance from the insertion site as the connector 17 of the prior art, which may decrease interference with the catheter 40 at the insertion site. In some embodiments, a length of the second extension tube 54 may be less than about 5.350 inches. In some embodiments, the length of the second extension tube 54 may be between about 4 and 7 inches. In some embodiments, the length of the second extension tube 54 may be less than about 6 inches or less than about 5.350 inches. The length of the second extension tube 54 may vary, according to some embodiments.
In some embodiments, the first connector 48 may include a Y-shape or a T-shape. In some embodiments, the first port 50 and the second port 52 may form arms of the Y-shape. In some embodiments, the first connector 48 may include a third port 64, which may form a trunk of the Y-shape.
In some embodiments, the first connector 48 may be selectively coupled to the first extension tube 42 and/or the second extension tube 54. In some embodiments, the first connector 48 may be permanently or non-removably coupled to the first extension tube 42 and/or the second extension tube 54. In some embodiments, the first port 50, the second port 52, and the third port 64 of the first connector 48 may include any suitable type of coupling mechanism.
In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include a luer adapter, such as, for example, a slip or thread male or female luer adapter. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include a non-luer adapter. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include a blunt plastic cannula, such as, for example, the Baxter Interlink IV Access System. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include one or more barbs.
In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may be coupled to a needleless connector, such as, for example, the Becton Dickinson SMARTSITE™ needle-free valve, or another suitable needleless connector. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may be closed by an end cap. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include a vent plug. In some embodiments, one or more of the first port 50, the second port 52, and the third port 64 may include one or more snap elements, examples of which are illustrated in
In some embodiments, the distal end 58 of the second extension tube 54 may include a particular connector having a corresponding coupling mechanism to the first port 50. In some embodiments, the distal end 58 of the second extension tube 54 may be fixed inside the first connector 48. In some embodiments, the proximal end 44 of the first extension tube 42 may include a particular connector having a corresponding coupling mechanism to the third port 64 and/or the first port 50. In some embodiments, the proximal end 44 of the first extension tube 42 may be fixed inside the first connector 48, as illustrated, for example, in
In some embodiments, the catheter assembly 30 may not include the second extension tube 54 and/or the second connector 60. In some embodiments, the first connector 48 may only include the first port 50 and the third port 64, which may be disposed opposite the first port 50. In some embodiments, the first connector 48 may include more than three ports.
In some embodiments, the second connector 60 may be selectively coupled to the second extension tube 54. Alternatively, in some embodiments, the second connector 60 may be permanently or non-removably coupled to the second extension tube 54. In some embodiments, the second connector 60 may include multiple ports, which may each include any suitable type of coupling mechanism. For example, the second connector 60 may include a proximal port 68 and a distal port 70. In some embodiments, the second connector 60 may include a Y-shape or a T-shape.
In some embodiments, one or more of the multiple ports may include a luer adapter, such as, for example, a slip or thread male or female luer adapter. In some embodiments, one or more of the multiple ports may include a non-luer adapter. In some embodiments, one or more of the multiple ports may include a blunt plastic cannula, such as, for example, the Baxter Interlink IV Access System. In some embodiments, one or more of the multiple ports may include one or more barbs. In some embodiments, one or more of the multiple ports may be coupled to a needleless connector, such as, for example, the Becton Dickinson SMARTSITE™ needle-free valve, or another suitable needleless connector. In some embodiments, one or more of the one or more of the multiple ports may be closed by an end cap. In some embodiments, one or more of the multiple ports may include a vent plug. In some embodiments, one or more of the multiple ports may include one or more snap elements, examples of which are illustrated in
In some embodiments, the distal end 46 of the first extension tube 42 may be selectively coupled to the catheter adapter 32. Alternatively, in some embodiments, the distal end 46 of the first extension tube 42 may be permanently or non-removably coupled to the catheter adapter 32. In some embodiments, the distal end 46 of the first extension tube 42 may be fixed within the catheter adapter 32, as illustrated, for example, in
In some embodiments, the first extension tube 42 may be coupled to the catheter adapter 32 and/or the first connector 48 prior to or after insertion of the catheter 40 into the vasculature of the patient and/or removal of an introducer needle from the catheter assembly 30. In some embodiments, the second extension tube 54 may be coupled to the first connector 48 prior to or after insertion of the catheter 40 into the vasculature of the patient and/or removal of an introducer needle from the catheter assembly 30.
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In some embodiments, the connector 72 may not include any catch points for fluid or the instrument 80 moving through the connector 72 in the distal direction. For example, the catch points 24, illustrated in
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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.
This application claims the benefit of U.S. Provisional Application No. 62/729,302, filed Sep. 10, 2018, and entitled PERIPHERAL INTRAVENOUS CATHETER ASSEMBLY HAVING AN EXTENSION SET, which is incorporated herein in its entirety.
Number | Date | Country | |
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62729302 | Sep 2018 | US |