This application is based upon and claims priority to German Patent Application 20 2011 103 176.8 filed on Jul. 14, 2011.
1. Field of Invention
The invention relates to a peripheral venous catheter, which includes a vein indwelling section and a cannula. The vein indwelling section includes a connection section and a tube connected to the connection section, in particular, in a firmly bonded manner, and the cannula is inserted into the vein indwelling section before the venous catheter is inserted into a vein.
2. Description of Related Art
Peripheral venous catheters are used daily in the field of health care, especially in hospitals. In particular, they have become an integral when applying entries in the veins of a patient. When applying an entry of this type, the skin of the patient is pierced by the tip of the cannula of the peripheral venous catheter. The cannula is then inserted in the vein together with the tube of the vein indwelling section. After the tube has been inserted, the cannula can be removed. However, certain problems arise for the medical staff upon cannula removal. When extracting the cannula from the vein indwelling section, a spraying or discharge of blood from the vein indwelling section is frequently unavoidable. In particular, due to the danger of infections with dangerous diseases (for example, AIDS), the nursing staff must proceed very cautiously; at this point, the wearing of gloves is frequently required. Nevertheless, after removal of the cannula and prior to the insertion of an infusion tube or a syringe into the vein indwelling section, patients (in particular, other patients) may find the discharge of blood from the vein indwelling section to be unpleasant because they fear an infection by a disease. Further, the discharge of blood from the vein indwelling section leads to an increased material consumption in the hospitals, because the blood must be absorbed with cotton, gauze, or other sterile materials.
A catheter configuration is known, for example, from US 2011/0319825 A1, wherein the configuration includes a catheter flange or connection section, respectively, and a tube. A sealing element is provided in the catheter flange, which is mounted in a displacable manner on an actuator. The sealing element can be displaced axially in relation to the actuator. In a closed position, the catheter flange is fully separated from the tube. In an open position, the sealing element is slid over the actuator in such a manner that the catheter flange is connected to the tube. When inserting a Luer-lock type Luer taper, the sealing element is slid axially from the Luer taper over the actuator. Flaps of a membrane in the sealing element create an aperture, such that fluid can flow through the tube in the catheter flange, or connection section, respectively. However, the catheter configuration known in the art is comparatively complicated in its construction such that there are high costs associated with production. Further, high costs are particularly unacceptable with mass-produced articles such as venous catheters.
The present invention addresses the objective of providing a peripheral venous catheter, with which an immediate discharge of blood can be prevented after removal of the cannula from the vein indwelling section, and wherein the venous catheter can be produced in a simple and cost-effective manner. Thus, a wall is provided in the connection section, running substantially perpendicular to the longitudinal extension, which includes a plurality of circular ring-type wall segments, and having a central passage for the cannula in the middle thereof, such that the wall segments form a boundary for a chamber provided in the connection section on the side facing the tube after the cannula has been removed, for receiving blood exiting the tube.
The venous catheter of the present invention, like the catheter known in the art, can also be inserted into the veins, which are pierced by the tip of the cannula, which is inserted in the tube of the vein indwelling section. Thus, the cannula and the tube can be inserted in the vein. After insertion of the catheter, the stiff cannula can then be extracted, in order to ensure greater comfort for the patient while wearing the catheter. Following the extraction of the cannula, the wall segments form a chamber in the vein indwelling section.
The venous catheter of the present invention has the advantage that a chamber can accommodate the blood exiting the tube. Thus, a spraying or discharge of blood immediately after the extraction of the cannula can be prevented, such that a syringe or similar item can be connected to the vein indwelling section, while the blood exiting the tube can be substantially accommodated in the chamber, until the chamber is full. The wall (or, the wall segments) is provided directly in the connection section. Thus, additional sealing elements and actuators known in the prior art are no longer needed. Further, the venous catheter of the present invention can be constructed in a simple and cost-effective manner.
The provision of the central passage in the wall is advantageous, because the cannula can thus be readily inserted in the vein indwelling section by the manufacturer during the initial assembly of the peripheral venous catheter; the cannula need simply be inserted through the central passage of the wall and can then be pushed through the tube. The size of the central passage is preferably selected such that the cannula can be inserted into the vein indwelling section without difficulty, and a discharge of blood through the opening in the middle of the wall can be prevented after removal of the cannula, to the greatest possible extent by the surface tension at the opening. The cannula can be a steel cannula and the tube can be a Teflon tube.
An advantageous design of the peripheral venous catheter provides that the wall segments lie flush and tightly aligned to one another at their abutting edges. This is particularly advantageous because no blood can then exit between the individual wall segments. An exiting of blood is only possible at the central passage in the middle of the wall. Furthermore, it is advantageous if the wall segments are designed such that when inserting a connecting element into the connection section, the wall segments are directly pushed against by the connecting element and give way, in the manner of flaps, toward the inner wall of the connection section. This is advantageous because a connecting element (for example, a syringe) can be inserted into the catheter without any blood escaping, because the catheter or the wall/chamber can accommodate blood exiting the tube until a syringe or similar item has been inserted in the catheter, whereby the wall segments are forced outward by the syringe.
A further advantageous design of the venous catheter is that the connection section exhibits recesses for accommodating the wall segments in its interior, wherein the wall segments give way into the recesses when the connecting element is inserted, such that the connection section exhibits a constant inner diameter over its entire longitudinal extension when the connecting element has been inserted. This has the advantage that the wall segments give way in the manner of flaps when a syringe is inserted, such that they can give way into the recesses, and thus the insertion of a syringe in the opening of the connection section is not impaired by the wall segments. Further, it is advantageous if the wall segments are connected to the connection section by film hinges.
Moreover, it is advantageous if the wall segments are designed such that they do not break when a syringe is inserted into the opening of the connection section. By providing the recesses for accommodating the wall segments and by appropriate material properties of the wall segments, the breaking off of parts of the wall segments during the insertion of a syringe can be prevented, which would otherwise thus allow small fragments to end up in the bloodstream. The material properties can preferably be selected such that a breaking of the wall segments can be prevented, even with a high stress concentration. A breaking of the wall segments can also be prevented during insertion of the syringe by recesses in the interior of the connection section, because a shearing of the wall segments is be prevented as a result of a constant inner diameter obtained by the flap-like giving way of the wall segments.
It is also advantageous if the wall segments are disposed in the distal third of the connection section. This is advantageous because if the wall segments are disposed in the first third of the connection section they can be forced into the recesses by the tip of a syringe. Thus, this enables the introduction of medications and infusions or the removal of blood. At the same time, a certain size of the chamber is obtained through the disposing of the wall segments in the distal third of the connection section, such that this chamber can accommodate a certain blood volume before fluid exits the central opening in the wall.
Another advantageous design of the venous catheter is that the wall segments and the connection section are formed such that the venous catheter can be connected to standard syringes used with the Luer-lock system. By maintaining standard sizes for the standard connections, it is thus possible to insert a majority of the syringes and other connecting elements (known in the art and found in medical supply stores) into the connection section.
Furthermore, it can be provided that the wall segments are made of the same material as the connection section. This leads to production advantages because the wall segments can be molded in the connection section during manufacturing.
Preferably, the venous catheter is designed such that the connection section is made of silicone or polyurethane. This results in advantages with respect to the material properties of the wall segments. The wall segments are not made of a textile or nonwoven, as is the case with membranes that, in the prior art, are disposed on the back surface of the peripheral venous catheter. Instead, the wall segments have the same material properties as the connection section. With the appropriate selection of the material properties, it is therefore possible to prevent fragments of the wall segments (or, entire wall segments) from becoming detached when inserting a syringe in the vein indwelling section, and ending up in the bloodstream of the patient. It is also advantageous if the wall and the connection section are an integrated unit. Moreover, it is advantageous if the wall is glued into the connection section, or is welded to the connection section. In this way, molds used prior to this for the production can be retained. Only a procedural step need be added (specifically, the gluing or welding of the wall to the connection section). Furthermore, it is conceivable that the wall, prior to the insertion of a connecting element, forms an angle of 90° to the inner wall of the connection section.
In one embodiment, the venous catheter is designed such that the wall exhibits a hardness in the range of 0-100 Shore, preferably in the range of 30-70 Shore, and more preferably in the range of 40-60 Shore. The hardness is selected such that the wall does not break when a syringe is inserted. Rather, the wall segments remain attached to the inner wall of the connection section by film hinges, and can give way into the recesses provided for this.
Furthermore, it may be provided that the wall exhibits a thickness in the range of 0.0001-3 mm, preferably in the range of 0.001-2 mm, and more preferably in the range of 0.01-1 mm. The thickness of the wall is also selected such that the insertion of a medical instrument (for example, a syringe) does not require a great deal of strength, and the wall is not destroyed when extracting the cannula after the venous catheter has been inserted.
Further advantages and designs of the invention can be derived from the following description, based on which an embodiment example of the invention is described and explained in greater detail.
Number | Date | Country | Kind |
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20 2011 103 176.8 | Jul 2011 | DE | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/EP2012/063885 | 7/16/2012 | WO | 00 | 1/13/2014 |