VASCULAR ACCESS DEVICE NON-ADHERING SURFACES

Abstract
A vascular access device may include a body and a layer of the body that communicates with a pathogenic environment to discourage adhesion of a pathogen to the layer and thus repress pathogenic activity. A method of repressing pathogenic activity in a vascular access device includes providing the device with a body, and coating the body with a layer that discourages adhesion of a pathogen to the layer.
Description

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

In order that the manner in which the above-recited and other features and advantages of the invention are obtained will be readily understood, a more particular description of the invention briefly described above will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. These drawings depict only typical embodiments of the invention and are not therefore to be considered to limit the scope of the invention.



FIG. 1 is a perspective view of an extravascular system connected to the vascular system of a patient.



FIG. 2 is a cross section view of a vascular access device having a layer.



FIG. 3 is a partial cross section view of a vascular access device having a radio frequency layer.



FIG. 4 is a side view of a vascular access device and a radio frequency generator.



FIG. 5 is a partial cross section view of the septum of a vascular access device having a resistive and conductive coating on the septum.



FIG. 6 is a cross section view of a vascular access device with a close-up view of a layer of the vascular access device



FIG. 7 is a close-up cross sectional view of a portion of the surface illustrated in FIG. 6.





DETAILED DESCRIPTION OF THE INVENTION

The presently preferred embodiments of the present invention will be best understood by reference to the drawings, wherein like reference numbers indicate identical or functionally similar elements. It will be readily understood that the components of the present invention, as generally described and illustrated in the figures herein, could be arranged and designed in a wide variety of different configurations. Thus, the following more detailed description, as represented in the figures, is not intended to limit the scope of the invention as claimed, but is merely representative of presently preferred embodiments of the invention.


Referring now to FIG. 1, a vascular access device (also referred to as an extravascular device, intravenous access device, access port, and/or any device attached to or functioning with an extravascular system) 10 is used to introduce a substance via a catheter 12 across the skin 14 and into a blood vessel 16 of a patient 18. The vascular access device 10 includes a body 20 with a lumen and a septum 22 placed within the lumen. The septum 22 has a slit 24 through which a separate extravascular device 26, such as a syringe, may introduce a substance into the vascular access device 10.


The device 10 also includes a layer (discussed with reference to the figures below) integrated or compounded with, in, and/or on the body 20 of the device 10, an extravascular system 28, and/or septum 22. The layer discourages, inhibits, prevents, or otherwise limits a pathogen from adhering to the layer. By discouraging pathogen adhesion, the non-adhering layer on the surface represses the pathogen by preventing or limiting pathogen colonization and proliferation into a biofilm and/or harmful culture. The layer represses at least one pathogen to decrease the incidence of blood stream infections in patients to whom the vascular access device 10 or any other device on the extravascular system 28 is attached.


As described throughout this specification, pathogens include any agent that causes or facilitates a disease, infects, or otherwise harms or has the potential to harm a patient or host if received into the vascular system of that patient or host. A pathogen includes a pathogen, bacterium, parasite, microbe, biofilm, fungus, virus, protein feeding a pathogen, protozoan, and/or other harmful microorganisms and/or agents and products thereof. The layer discourages a pathogen from adhering and/or represses pathogenic activity to prevent the proliferation, growth, or organization of a harmful biofilm by any one or combination of the following actions: removing, dislodging, repelling, resisting, detaching, loosening, unbinding, unfastening, releasing, separating, dividing, disconnecting, and/or freeing a pathogen from a surface of the device 10 and/or any other similar process or action.


A pathogen may enter the device 10 or system 28 in any of a number of ways. For example, a pathogen may reside within the device 10 or system 28 prior to first use. A pathogen may also be introduced into the device 10 from the external surface of the device, the external surface of a separate device 26, and/or the surrounding environment when a structure such as a tip 30 of the separate device 26 is inserted into the device 10 through the slit 24 of the septum 22. A pathogen may be introduced within fluid that is infused into the system from a separate device 26. Finally, a pathogen may be introduced from a blood vessel 16 into the system 28 by entering through the end 32 of the catheter 12 during a blood draw or a period of blood reflux when the device 10 is in use. The layer may thus be integrated, compounded, and/or placed in or on any surface, structure, or body of the entry, junctions, and/or fluid path of the system 28 in order to discourage pathogen adhesion and repress pathogenic activity, as desired.


Referring now to FIG. 2, vascular access device 10 includes a body 20 that includes a septum 22 within the body 20. The body 20 (including the septum 22) includes a layer 34 that communicates with a pathogenic environment and discourages the adhesion of a pathogen to the layer 34 in order to repress pathogenic activity thereon. The layer 34 resides on, in, or with in any surface, structure, or body of the vascular access device 10 and/or system 28 that is likely to come into contact with a pathogen. The layer 34 is preferably exposed to all surfaces that come into contact with neighboring vascular access devices and with fluid that is infused into the vascular access device 10.


The layer 34 may be constructed of any material capable of discouraging adhesion of a pathogen to the layer 34 in order to repress activity of that pathogen. For example, the layer may include a radio frequency coating that is heated to repress pathogenic activity. The layer 34 may also include a resistive and conductive coating for receiving an electric field. The resistive and conductive coating may be heated by a rapidly oscillating electric field in order to repress pathogenic activity. The resistive and conductive coating may be formed of nickel chrome or a similar alloy or metal. The resistive and conductive coating may be integrated or compounded with any material of the device 10 and/or system 28.


The layer 34 may also include glass, ceramic, small chain polyethylene oxide, polyvinyl alcohol, polylactide, polytretrafluoroethylene, and/or plasma. The layer 34 may also include a glass and/or ceramic that is added to the surface of the device 10 with a plasma energy. The glass and/or ceramic may also be added to the layer 34 and the remainder of the body 20, including the septum 22, such that the glass and/or ceramic is mixed throughout the material of the layer 34, body 20 and septum 22. The layer 34 may also include any substance that is either hydrophobic or hydrophilic and designed to prevent, discourage, or otherwise repress a corresponding pathogen with opposing hydrophilic or hydrophobic properties from forming on the surface of the layer 34. The layer 34 may also include and/or be formed of a microsurface of peaks and valleys that are intentionally spaced to repress pathogenic activity by isolating individual pathogens from contact with other pathogens and pathogen supporting substances. The layer 34 may also include any conventional coating applied to stents that is capable of discouraging adhesion of a pathogen thereto.


Referring now to FIG. 3, a vascular access device 10 may include a radio frequency activated or energized coating 36 of the body 20, including the septum 22 of the device 10. All fluid path surfaces of the device 10 may be coated, integrated, or compounded with any conductive or other material that has a known radio frequency. The material may be metallic or otherwise suited to receive a radio frequency. A radio frequency generator is then used to transfer or transmit energy to the coating 36, causing the coating 36 to heat up and kill, discharge, or otherwise repress any pathogen adhering to the coating 36.


Referring now to FIG. 4, the vascular access device 10 is shown receiving radio frequency waves 38 from a radio frequency generator 40. The RF generator 40 may be used to set up a dipole across the device 10 causing both sides of the device 10 to be alternately charged both positively and negatively. By employing a dipole within the device 10, various types of pathogens which respond adversely to positive and/or negative charges will be repressed or otherwise discouraged from residing on the surface of the coating 36.


Referring now to FIG. 5, a vascular access device 10 may include a septum 22 as part of the body 20 of the device 10. The surface 42 of the septum 22 may be coated with a resistive and conductive coating 44 such as nickel chrome. The resistive and conductive coating 44 is capable of receiving energy from an electric field source 46. The coating or film 44 is heated inductively by a rapidly oscillating electric field originating from the electric field source 46. The electric field source 46 may be powered via a primary or rechargeable battery or may be connected to any other conventional source of electricity. When the resistive and conductive coating 44 is heated to a certain temperature, the heat will repress or otherwise discourage a pathogen from residing on the surface 42. The septum 22 may be made of any flexible or other material capable of withstanding high temperatures, such as silicone rubber.


For any of the embodiments described with reference to FIGS. 2 through 5 that provide heat to discourage or repress a pathogen, the heat or other energy source may be provided to the surface as a constant, maintained temperature across at least the material at the surface that discourages a pathogen from ever adhering to the surface in the first place. Thus, a device with an energy source providing a constant supply of heat to at least the surface of the device 10 will prevent the formation of a harmful biofilm on the surface.


Referring now to FIG. 6, a vascular access device 10 includes a layer 48 that is in contact with or communicates with a pathogenic environment. The layer 48 discourages adhesion of a pathogen to the layer 48 in order to repress pathogenic activity. As shown in FIG. 7, a section of the layer 48 is shown in close-up view to reveal an irregular surface. The irregular surface is a microsurface of peaks 50 and valleys 52 that are strategically spaced in order to repress pathogenic activity. The spacing of the peaks from the valleys is measured depending on the specific type of pathogen 54 that is being repressed.


For example, the space between various peaks 50, or the size of the valleys 52, is large enough to house a pathogen 54 that is one micron in diameter. The valleys 52 provide little more space than one micron in order to isolate each individual pathogen 54 from the other pathogen 54. By isolating pathogens, the peaks 50 and valleys 52 will prevent the communication, organization, proliferation, and development of the pathogens 54 into a harmful biofilm.


The peaks 50 may also be pointed in order to provide a hostile environment to which pathogens 54 may attach. The sharp tip of each peak may thus serve to penetrate through the wall of a pathogen 54, causing death or damage to the pathogen. The spacing, height, and width of the peaks 50 and valleys 52 may be adjusted as required for a particular medical application in order to repress pathogenic activity for specific species of pathogen.


The present invention may be embodied in other specific forms without departing from its structures, methods, or other essential characteristics as broadly described herein and claimed hereinafter. The described embodiments are to be considered in all respects only as illustrative, and not restrictive. The scope of the invention is, therefore, indicated by the appended claims, rather than by the foregoing description. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.

Claims
  • 1. A medical device, comprising: a vascular access device including a body having a lumen;a septum positioned within the lumen, the septum having a slit;a fluid pathway through the device having a layer wherein the layer communicates with a pathogenic environment; andwherein the layer discourages adhesion of a pathogen to the layer to repress pathogenic activity.
  • 2. The medical device of claim 1, wherein the layer includes a radio frequency coating, and wherein the radio frequency activated coating is heated to repress pathogenic activity.
  • 3. The medical device of claim 1, wherein the layer includes a resistive and conductive coating for receiving an electric field, and wherein the coating is heated by a rapidly oscillating electric field to repress pathogenic activity.
  • 4. The medical device of claim 3, wherein the resistive and conductive coating includes nickel chrome.
  • 5. The medical device of claim 1, wherein the layer includes glass.
  • 6. The medical device of claim 1, wherein the layer includes ceramic.
  • 7. The medical device of claim 1, wherein the layer includes a small chain polyethylene oxide, polyvinyl alcohol, or polylactide.
  • 8. The medical device of claim 1, wherein the layer includes polytetrafluoroethylene.
  • 9. The medical device of claim 1, wherein the layer includes a microsurface of peaks and valleys spaced to repress pathogenic activity.
  • 10. The medical device of claim 1, wherein the layer is coated with plasma.
  • 11. A method of repressing pathogenic activity in a vascular access device, comprising: providing a vascular access device with a body having a lumen, a septum having a slit positioned within the lumen, the septum further comprising a layer; andcoating the layer with a material such that the layer discourages adhesion of a pathogen to the layer.
  • 12. The method of claim 11, further comprising transmitting radio frequency energy to the layer.
  • 13. The method of claim 11, further comprising emitting a rapidly oscillating electric field to the layer, wherein the layer includes nickel chrome.
  • 14. The method of claim 11, wherein the layer includes glass.
  • 15. The method of claim 11, wherein the layer includes ceramic.
  • 16. The method of claim 11, wherein the layer includes a small chain polyethylene oxide, polyvinyl alcohol, or polylactide.
  • 17. The method of claim 11, wherein the layer includes polytetrafluoroethylene.
  • 18. The method of claim 11, wherein coating the body with a layer includes forming a series of microsurface peaks and valleys.
  • 19. The method of claim 11, wherein the layer includes plasma.
  • 20. A medical device, comprising: means for accessing the vascular system of a patient, and means for discouraging adhesion of a pathogen,wherein the pathogen resides near the means for accessing the vascular system of a patient,wherein the means for accessing the vascular system includes a body having a lumen and a split septum having a layer positioned within the lumen; andmeans for discouraging adhesion of a pathogen to the layer.
  • 21. The medical device of claim 20, wherein the layer includes a radio frequency coating, and wherein means for discouraging adhesion of a pathogen comprises heating the radio frequency coating to repress pathogenic activity.
  • 22. The medical device of claim 20, wherein the layer includes a resistive and conductive coating for receiving an electric field, and wherein the means for discouraging adhesion of a pathogen comprises heating the coating by a rapidly oscillating electric field.
  • 23. The medical device of claim 22, wherein the resistive and conductive coating includes nickel chrome.
  • 24. The medical device of claim 20, wherein the layer includes glass.
  • 25. The medical device of claim 20, wherein the layer includes ceramic.
  • 26. The medical device of claim 20, wherein the layer includes a small chain polyethylene oxide, polyvinyl alcohol, or polylactide.
  • 27. The medical device of claim 20, wherein the layer includes polytetrafluoroethylene.
  • 28. The medical device of claim 20, wherein the layer includes a microsurface of peaks and valleys spaced to repress pathogenic activity.
  • 29. The medical device of claim 20, wherein the layer is coated with plasma.
RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional Application No. 60/820,653, filed Jul. 28, 2006, entitled VASCULAR ACCESS DEVICE NON-ADHERING SURFACES, which is incorporated herein by reference.

Provisional Applications (1)
Number Date Country
60820653 Jul 2006 US