IV catheter abstract
A universal passive protector for an IV catheter is provided. The
protector comprises an over-the-needle catheter including a proximal
hub. The hub is secured within a hub trap comprising first and second
interlocking arms. The hub trap is secured to a distal end of a
tubular sheath. A slider is disposed about the sheath, and connected
to a proximal end of the needle through a slit in the sheath. When
the slider is in a distal position, the needle maintains the arms
in a closed configuration wherein the hub is secured to the hub
trap. When the slider is moved to a proximal position, the needle
moves to a proximal position wherein the needle no longer maintains
the arms in a closed position. The arms snap to an open position,
releasing the hub and trapping the sharp distal tip of the needle
within the sheath. Medical technicians are thus protected against
accidental needle sticks.
IV catheter claims
What is claimed is:
1. A universal passive protector for an IV catheter, comprising:
a hypodermic needle; an over-the-needle catheter, including a hub,
disposed about the needle; a hub trap comprising first and second
arms; an elongate sheath; and a slider connected to a proximal end
of the needle, the slider being movable along the sheath from a
distal position to a proximal position; wherein when the slider
is in the distal position, the needle extends through a locking
structure of the hub trap and retains the first and second arms
in a closed position wherein the hub is trapped between the first
and second arms; and when the slider is in the proximal position,
a distal tip of the needle is proximal of the locking structure
and the first and second arms are in an open position wherein the
hub is released from the hub trap.
2. The protector of claim 1 wherein the hub is released only when
the slider is in the proximal position, and remains trapped within
the hub trap when the slider is in the distal position or in any
position intermediate the distal position and the proximal position.
3. The protector of claim 1 wherein when the slider is in the
distal position or in any position intermediate the distal position
and the proximal position, the needle contacts the arms and provides
a force counteracting a spring force biasing the arms toward the
open position.
4. The protector of claim 1 wherein when the arms are in the open
position, interlocking fingers of the first and second arms block
the needle and prevent it from reemerging from the sheath.
5. The protector of claim 1 wherein a stop is positioned at a
proximal end of the sheath and prevents the slider from disengaging
the sheath via the proximal end.
6. The protector of claim 1 wherein the arms are pivotable about
an axis substantially perpendicular to a longitudinal axis of the
protector.
7. The protector of claim 1 wherein the slider comprises a hollow
interior chamber in fluid communication with a central lumen of
the needle.
8. The protector of claim 7 wherein a portion of the slider is
transparent and allows viewing of the interior chamber.
9. The protector of claim 1 wherein the sheath comprises a first
substantially cylindrical member.
10. The protector of claim 9 wherein the sheath further comprises
a second substantially cylindrical member slidably disposed about
the first member, such that the first and second members are telescoping.
11. The protector of claim 1 wherein the hub further comprises
a substantially flat fin defining a plane substantially perpendicular
to a longitudinal axis of the protector.
IV catheter description
BACKGROUND OF THE INVENTION
[0001] 1. Field of the Invention
[0002] The present invention relates to medical devices. More particularly,
the present universal passive protector for an IV catheter relates
to intravenous catheters designed to protect medical personnel from
accidental impalement and possible infection.
[0003] 2. Description of the Related Art
[0004] Medical professionals commonly use intravenous needles to
insert and withdraw fluid from patients. However, when introducing
or withdrawing large amounts of fluid, such that the intravenous
device is disposed within the vein for an extended period of time,
metal needles are disadvantageous because their rigid structure
and sharp distal tip can cause trauma to the patient's vein. Thus,
medical professionals commonly use a catheter for such applications.
[0005] A catheter typically comprises a flexible tube having a
soft tip. Catheters are generally inserted into the patient's vein
using a catheter introduction device. A first type of introduction
device comprises a through-the needle catheter, which is inserted
into an anatomical passage through the use of a cannula. The cannula
itself typically comprises an elongate, metal needle which punctures
the skin, tissue and vein wall to provide a path for placement of
the catheter in the vein. When the needle pierces the vein, blood
will "flashback" through the needle and into a flashback
chamber typically located at the proximal end of the needle. Thus,
once the medical technician observes this "flashback"
of blood, the medical technician will know that the needle has been
inserted into the vein. The catheter is then advanced through the
interior of the needle and into the passage. Once the catheter is
properly inserted into the passage, the needle is withdrawn from
the patient and the catheter can be advanced further into the vein.
[0006] A second type of introduction device comprises an over-the-needle
catheter system. In such over-the-needle catheter systems, a thin
catheter having a hub attached to its proximal end is advanced over
a rigid cannula, such as a needle, with the cannula and catheter
being simultaneously inserted into a desired anatomical passage
of a patient. Once the cannula and accompanying catheter have been
introduced into the passage, which is typically indicated by a flashback
chamber filling with blood, the cannula is withdrawn from within
the catheter interior, thus leaving the catheter operatively disposed
within the passage. Thereafter, a hub mounted to the proximal end
of the catheter may be used to fluidly connect the same to an infusion
line or device.
[0007] However, once the catheter has been inserted into the anatomical
passage, the cannula can typically only be removed from therewithin
by retracting the same upwardly along the catheter, thereby undesirably
exposing both the patient and the attendant medical personnel to
accidental contact with the cannula, and more particularly the piercing
tip of the needle. In recent years, concern over such accidental
needlesticks has become more pronounced because of the advent of
currently incurable and fatal diseases, such as Acquired Immune
Deficiency Syndrome ("AIDS"), which can be transmitted
by the exchange of bodily fluids from an infected person to another
person. A needle that has been used to place a catheter in the vein
of an AIDS infected person is a vehicle for transmission of the
disease. Thus, it is advantageous to cover a needle immediately
after use to avoid needlesticks.
[0008] A number of protective devices have been developed recently
to help reduce the incidence of disease transmission through needlesticks.
Some of these devices comprise an elongate sheath into which the
needle advances as it is withdrawn from the patient. When the needle
is completely withdrawn, its sharp distal tip is safely enclosed
within a wider tube, which is usually made of plastic. Generally,
a locking mechanism prevents the needle from exiting the sheath.
[0009] U.S. Pat. Nos. 4762516 and 4950252 disclose examples
of typical protective devices for use with an over-the-needle catheter.
The devices described in these patents each comprise a hub attached
to the proximal end of the catheter. A proximal end of the hub is
in turn connected to a distal end of an elongate sheath via a friction
fit. The sheath is a tube, usually plastic, having a rectangular
cross-section and a hollow cavity enclosed by sidewalls. Other similar
devices may have different cross-sections, such as round or octagonal.
A slider disposed about the outside of the sheath is attached to
the proximal end of the needle. The slider may be attached to the
needle through a hole in a proximal end of the sheath, or through
a longitudinal slit in a sidewall of the sheath. A proximal portion
of the sheath includes a pair of oppositely-disposed outwardly-biased
tabs. A distal portion of an inside surface of the slider includes
a pair of indentations configured to matingly receive the tabs.
[0010] With the slider positioned about the distal end of the sheath,
the sharp distal tip of the needle protrudes from the distal end
of the catheter. After insertion of the needle into the patient's
vein, the slider is moved toward the proximal end of the sheath,
thereby drawing the needle out of the patient's vein and leaving
the catheter disposed within the vein. As the slider nears the proximal
end of the sheath, and the distal tip of the needle nears the distal
end of the sheath, the inside surface of the slider maintains the
tabs inwardly of the slider. As the distal tip of the needle enters
the distal end of the sheath, the indentations on the inside surface
of the slider reach the outwardly biased tabs on the sheath. The
tabs snap into the indentations, locking the relative positions
of the slider and sheath. The sharp distal tip of the needle is
thus safely locked within the sheath. When the needle is safely
stowed, the hub is removed from the sheath, and is ready to receive
an injection/aspiration device.
[0011] Device like those described in the '516 and '252 patents,
however, are prone to leaving the sharp distal tip of the needle
exposed. The friction fit between the hub and the distal end of
the sheath is unreliable. During catheter emplacement with one of
these devices, the hub frequently disengages the sheath before the
needle is completely retracted within the sheath. Of course, when
the sharp needle tip exits the protective catheter before it enters
the protective sheath, it could stick the operator or the patient.
[0012] Another type of protective device for use with an over-the-needle
catheter is disclosed in U.S. Pat. Nos. 4790828 4978344 4994041
and 5312371. Devices of the type described in these patents comprise
a needle assembly including a body or handle and an elongate needle
extending from a distal end of the body. A cap, through which the
needle passes, is secured to a distal end of the body, usually by
a friction fit. A catheter hub is friction fit over the cap, and
the catheter extends from a distal end of the hub and envelops the
needle.
[0013] Upon inserting a distal tip of the catheter into a patient's
vein, a medical professional grasps the catheter assembly and dislodges
the friction fit between the cap and the body while withdrawing
the needle from the catheter. The catheter hub and cap, which are
friction fit together, thus move toward the distal tip of the needle.
The cap pulls a capping mechanism, such as a tether cord or accordian-style
sheath, along with it. When the cap reaches the distal tip of the
needle, the capping mechanism becomes taut. Further withdrawal of
the needle from the cap/catheter releases the friction fit between
the cap and catheter hub. The cap thus covers the needle distal
tip and the catheter is positioned in the patient's vein for use.
[0014] Like the devices described in the '516 and '252 patents,
devices of the type described in the '828 '344 '041 and '371 patents
cause needle sticks when the friction fit between the cap and catheter
hub comes loose before the cap reaches the needle distal tip. These
devices demonstrate that relying on a friction fit to prevent needle
sticks is very risky. If the friction fit it too loose, the likelihood
of a needle stick is high. If the friction fit is too tight, the
device is difficult for a medical professional to manipulate.
[0015] U.S. Pat. Nos. 4747831 and 6090078 disclose examples
of another type of protective device for use with an over-the-needle
catheter. This type of device comprises a catheter having a hub
attached to its proximal end. The needle is mounted at its proximal
end to a piston. The piston is in turn mounted within a cylinder,
which is a hollow plastic tube that is open at a distal end. The
piston is biased toward a proximal end of the cylinder by a spring.
In a pre-emplacement configuration, however, the piston is secured
at the distal end of the cylinder by a latch attached to an external
button. The needle thus protrudes from the distal end of the catheter.
[0016] After inserting the catheter into a patient's vein, a medical
professional presses the button, releasing the spring and causing
the needle to retract within the cylinder. The sharp distal tip
of the needle is thus safely enclosed within the rigid plastic sheath.
Depressing the button also releases the hub from the cylinder. The
hub is thus ready to receive an injection/aspiration device.
[0017] Disadvantageously, devices of the type described in the
'831 and '078 patents often malfunction. The button used to retract
the needle is very sensitive. Thus, the medical professional often
depresses the button accidentally before the catheter is properly
emplaced. Such accidental activation is unlikely to result in a
needle stick, but it usually causes the catheter to become contaminated.
When the hub is released without the distal end of the catheter
safely inserted into the patient's vein, the catheter is unrestrained
and usually falls to the floor. Upon contact with the floor or other
non-sterile surface, the catheter must be discarded. The operator
must then perform the procedure again using a new device. Thus,
these devices generate a great deal of waste, both of material and
of time. Further, if the operator pierces the patient's skin before
accidentally activating the device, the patient must endure multiple
needle sticks in order to have a catheter emplaced in his or her
vein.
[0018] U.S. Pat. No. 5718688 describes still another type of
protective device for use with an over-the-needle catheter. The
device comprises a catheter having an axial bore, a catheter hub
at one end of the catheter, an introducing needle having a sharp
distal tip, and a needle hub on the needle remote from the distal
tip. Instead of an elongate plastic tube enclosing the entire needle,
this device includes only a needle tip protector on the needle for
shielding the needle tip when the needle has been withdrawn from
the catheter bore. The needle tip protector includes a locking device
which is initially in an unlocked position, permitting withdrawal
of the needle from the catheter bore. Upon withdrawal of the needle
from the catheter bore, the protector springs into a locked position,
in which the locking device engages the outer surface of the needle
and shields the sharp distal tip. The locking device retains the
catheter hub on the needle when the locking device is in the unlocked
position and releases the catheter hub from the needle when the
locking device is in the locked position. Separation of the catheter
from the needle is therefore prevented until the needle has been
withdrawn from the catheter bore to trigger shielding of the needle
tip.
[0019] Devices like the one described in the '688 patent, however,
suffer from a number of drawbacks. First, these devices cover only
the needle tip, and not the entire needle. During catheter insertion,
however, portions of the needle other than the tip may become coated
with blood. When exposed to medical personnel, this blood presents
a safety hazard.
[0020] Second, these devices rely on friction to be effective.
When the protector springs to the open position, locking cams engage
the needle. The locking cams pinch the needle to secure the protector
from being pulled off the distal end of the needle. The frictional
force generated by the pinching locking cams, however, is relatively
weak. Thus, the protector is rather easily pulled off the needle
distal end, leaving the contaminated needle exposed.
[0021] Third, the protectors of these devices are very complex,
and involve delicate moving parts. Consequently, they are difficult
and expensive to manufacture, and prone to sudden failure. The embodiment
of FIGS. 1 and 2 for instance, comprises a locking cam that is
connected to one of the locking parts by a flexible hinge portion
that is nothing more than a razor thin segment of plastic. A minor
manufacturing defect in this critical portion of the protector could
easily lead to failure and consequent exposure of medical personnel
to a contaminated needle.
[0022] Thus, a passive protector for an IV catheter that is simply
and cheaply constructed, completely encloses a used needle, and
prevents needle sticks in a virtually foolproof manner without generating
a large amount of waste, would be of great benefit to the healthcare
profession.
SUMMARY OF THE INVENTION
[0023] The preferred embodiments of the universal passive protector
for an IV catheter have several features, no single one of which
is solely responsible for their desirable attributes. Without limiting
the scope of this universal passive protector for an IV catheter
as expressed by the claims that follow, its more prominent features
will now be discussed briefly. After considering this discussion,
and particularly after reading the section entitled "Detailed
Description of the Preferred Embodiments," one will understand
how the features of the preferred embodiments provide advantages,
which include compatibility with any catheter hub, protection against
needle sticks without the need to exercise extreme caution, and
ease of operation for consistent proper catheter emplacement.
[0024] A preferred embodiment of the universal passive protector
for an IV catheter comprises an over-the-needle catheter including
a hub. The hub is retained within a hub trap comprising first and
second arms. A slider connected to a proximal end of the needle
is movable along a sheath from a distal position to a proximal position.
When the slider is in the distal position, the needle extends through
a locking structure of the hub trap, thereby retaining the first
and second arms in a closed position wherein the hub is trapped
between the first and second arms. When the slider is in the distal
position, a distal tip of the needle is proximal of the locking
structure and the first and second arms are in an open position
wherein the hub is released from the hub trap. Further, when the
arms are in the open position, the needle is blocked from reemerging
from the sheath by interlocking fingers of the first and second
arms. The protector thus ensures that the sharp tip of the needle
is safely stowed before releasing the hub.
BRIEF DESCRIPTION OF THE DRAWINGS
[0025] The preferred embodiments of the universal passive protector
for an IV catheter, illustrating its features, will now be discussed
in detail. These embodiments depict the novel and non-obvious universal
passive protector for an IV catheter shown in the accompanying drawings,
which are for illustrative purposes only. These drawings include
the following figures, in which like numerals indicate like parts:
[0026] FIG. 1A is a perspective view of a preferred embodiment
of the universal passive protector for an IV catheter according
to the present invention, illustrating the arms in the closed position;
[0027] FIG. 1B is a perspective view of another preferred embodiment
of the universal passive protector for an IV catheter, illustrating
the arms in the closed position;
[0028] FIG. 1C is a perspective view of another preferred embodiment
of the universal passive protector for an IV catheter, illustrating
the arms in the closed position;
[0029] FIG. 1D is a perspective view of the universal passive protector
for an IV catheter of FIG. 1C, illustrating the arms in the open
position;
[0030] FIG. 2A is a front elevation view of the slide/hub trap/hub
portion of the universal passive protector for an IV catheter of
FIG. 1B;
[0031] FIG. 2B is a top plan view of the slide/hub trap/hub portion
of the universal passive protector for an IV catheter of FIG. 1B;
[0032] FIG. 2C is a bottom plan view of the slide/hub trap/hub
portion of the universal passive protector for an IV catheter of
FIG. 1B;
[0033] FIG. 3 is a side perspective section view of the slide/hub
trap/hub portion of the universal passive protector for an IV catheter
of FIG. 1B;
[0034] FIG. 4A is a perspective view of the sheath/hub trap of
the universal passive protector for an IV catheter of FIG. 1A;
[0035] FIG. 4B is a perspective view of the sheath/hub trap of
the universal passive protector for an IV catheter of FIG. 1B;
[0036] FIG. 4C is a perspective view of the sheath/hub trap of
the universal passive protector for an IV catheter of FIG. 1C;
[0037] FIG. 5A is a bottom perspective section view of the slide/hub
trap/hub portion of an alternative embodiment of the universal passive
protector for an IV catheter including a telescoping sheath, illustrating
the arms in the closed position;
[0038] FIG. 5B is a bottom perspective section view of the slide/hub
trap/hub portion of the universal passive protector for an IV catheter
of FIG. 5A, illustrating the arms in the open position;
[0039] FIG. 6 is a bottom plan view of the arms of the universal
passive protector for an IV catheter of FIG. 1B, illustrating the
arms in the open position; and
[0040] FIG. 7 is a top plan view of the arms of the universal passive
protector for an IV catheter of FIG. 1B, illustrating the arms in
the open position.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0041] As FIGS. 1A, 1B and 1C illustrate, preferred embodiments
of the present universal passive protector 20 for an IV catheter
comprise an over-the-needle catheter 22 including a hub 24 attached
at a proximal end 26 of the catheter 22. A proximal end 28 (FIG.
1D) of the hub 24 is captured between two retractable arms 30 comprising
a hub trap 32. The hub trap 32 is in turn connected at a proximal
end to a distal end of a sheath 34. In the embodiment of FIG. 1A,
the sheath 34 has a substantially square cross-section, while in
the embodiments of FIGS. 1B and 1C, the sheath 34 has a substantially
round cross-section. One of skill in the art will appreciate that
the sheath 34 may have a variety of alternative cross-sectional
shapes without departing from the spirit of the protector 20.
[0042] The sheath 34 includes a longitudinal slit 36 extending
from a distal end to a proximal end. A slider 38 is disposed about
the outside of the sheath 34. The slider 38 is connected through
the slit 36 to a proximal end of a needle 40 (FIG. 3). In preferred
embodiments, the slider 38 includes an attached flashback chamber
42 the function of which is described below.
[0043] In FIGS. 1A, 1B and 1C, the slider 38 is positioned at a
distal end of the sheath 34. In this configuration, the needle 40
extends through the hub trap 32 through the hub 24 and through
the catheter 22. A sharp distal tip 44 of the needle 40 protrudes
from a distal end of the catheter 22. First and second arms 30 of
the hub trap 32 abut one another, defining a closed position in
which the hub 24 is held securely between the arms 30. The arms
30 are biased toward an open position. The needle 40 however, retains
the arms 30 in the closed position in a manner described below.
[0044] The slider 38 is movable along the sheath 34 to a proximal
position, shown in FIG. 1D. A stop 46 at the proximal end of the
sheath 34 prevents the slider 38 from detaching from the sheath
34. In the embodiment of FIG. 1A, the stop 46 comprises a substantially
square boss on each of oppositely facing outer surfaces of the sheath
34. In the embodiments of FIGS. 1B and 1C, the stop 46 comprises
a ring disposed within an interior of the sheath 34. One of skill
in the art will appreciate that a variety of alternative stops may
be equally effective.
[0045] In the configuration illustrated in FIG. 1D, the needle
40 which translates with the slider 38 is disposed within the
sheath 34. The arms 30 are pivoted outward, defining an open position
of the hub trap 32. In the open position the arms 30 prevent the
reemergence of the sharp needle tip 44 from the sheath 34 in a manner
described below. Healthcare personnel are thus protected from accidental
needle sticks that an exposed needle 40 could cause after the catheter
22 is inserted. Because the arms 30 do not abut one another in the
open position, the hub 24 is released from the hub trap 32 and
is capable of receiving connecting devices, such as an IV.
[0046] The hub 24 comprises a generally cylindrical tube having
a first radial protrusion 48 (FIG. 1D) and a second, opposite, radial
protrusion (not shown) at a proximal end 28. The protrusions 48
enable the hub trap 32 to securely hold the hub 24 as explained
below. The protrusions 48 also enable a luer lock to be securely
fastened to the hub 24 after the catheter 22 is emplaced within
a patient's vein.
[0047] In the pictured embodiment, the hub 24 includes a medial
fin 50 defining a plane perpendicular to a longitudinal axis of
the hub 24. The fin 50 provides a convenient surface for a healthcare
technician to grasp when inserting the catheter 22 as explained
below. However, one of skill in the art will understand that the
fin 50 is not vital to achieving the advantages of the protector
20 and embodiments not including the fin 50 do not depart from
the spirit of the protector 20.
[0048] In the embodiment of FIG. 1A, an upwardly projecting tab
51 is provided on the hub trap 32. The tab 51 provides a push-off
point against which a healthcare technician places his or her index
finger when operating the protector, as further explained below.
One of skill in the art will understand that the tab 51 may also
be provided on either of the embodiments pictured in FIG. 1B or
1C. One of skill in the art will also understand that the tab 51
is not vital to achieving the advantages of the protector 20 and
embodiments not including the tab 51 do not depart from the spirit
of the protector 20.
[0049] A typical catheter 22 comprising a flexible tube with a
blunt distal tip, is attached to the distal end of the hub 24. A
central lumen 52 (FIG. 5A) passes through the hub 24 and the catheter
22. After insertion, the distal tip of the catheter 22 is disposed
within a patient's vein, thereby providing a path for intravenous
injection or aspiration of the patient. The first and second radial
protrusions 48 on the proximal end of the hub 24 enable injection/aspiration
devices to be attached to the hub 24 via a threaded luer lock.
[0050] One preferred embodiment of the arms 30 is illustrated in
FIG. 4A. Preferably the arms 30 are molded as a unitary piece including
a base plate 54. The arms are thus simple and cheap to manufacture,
because no complicated assembly is involved. The arms may, for example,
be manufactured from a thermoplastic using an injection molding
technique. A narrow, flexible portion 56 connects each arm 30 to
the base plate 54 such that the arms 30 are pivotable about the
base plate 54.
[0051] The base plate 54 is substantially flat and rectangular,
defining a plane perpendicular to a longitudinal axis of the protector
20. The sheath 34 is attached to a proximal face of the base plate
54. The sheath 34 is preferably molded as a separate piece, and
attached to the arms 30 via a snap fit secured with interlocking
tabs 55 and slots 57. In lieu of interlocking tabs and slots, the
arms 30 may instead be secured to the sheath 34 via, for example,
a friction fit or an adhesive.
[0052] Another preferred embodiment of the arms 30 is depicted
in FIG. 4B. In this embodiment, the sheath 34 is preferably molded
as a unitary piece together with the base plate 54 and arms 30.
[0053] A through-hole 58 in the center of the base plate 54 is
in fluid communication with the sheath 34. A periphery of each arm
30 resembles an L in plan aspect, comprising a base portion 60 and
a leg portion 62. Each of the base and leg portions comprise a substantially
flat plate. In their natural configuration, as they appear immediately
after manufacture, the leg portions 62 of the arms 30 preferably
define a plane that is parallel to the plane defined by the base
plate 54 as pictured in FIGS. 4A and 4B. Because the arms 30 are
connected to the base plate 54 via narrow, deformable portions 56
or hinges, the arms 30 are pivotable toward the distal end of the
protector 20. The shape memory of the material, however, biases
the arms 30 back toward their natural positions.
[0054] The base portion 60 of each L comprises a distal face 64
including a semicircular cut-out 66. When the arms 30 are in the
closed position, the plane defined by the leg portion 62 of each
arm 30 is substantially parallel to the longitudinal axis of the
protector 20 and the semi-circular cut-outs 66 define a circular
opening 68 (visible only in FIG. 1D, wherein the arms are not actually
in the closed position). Preferably, a diameter of the opening 68
is substantially the same as a diameter of the proximal end 28 of
the hub 24. The radial protrusions 48 on the proximal end 28 of
the hub 24 however, preferably extend beyond the diameter of the
opening 68. With the hub 24 disposed within the opening 68 such
that the radial protrusions 48 are captured on the proximal side
of the opening 68 the radial protrusions 48 prevent the hub 24
from exiting the opening 68 and releasing from the arms 30.
[0055] An inside face 70 of each leg portion 62 of each arm 30
includes a locking structure. The locking structure comprises first
and second branches 72 one branch 72 being disposed on each arm
30. Each branch 72 includes a boss 74 on a first surface, and a
channel 76 in a second, parallel surface. Because each branch 72
is an inverted mirror image of the other, the boss 74 on each branch
72 interconnects with the channel 76 on the opposite branch when
the arms 30 are pivoted from their natural configuration toward
the closed position (FIGS. 2B and 2C). With the branches 72 interconnected
as in FIGS. 1C, 1D and 2B, the movement of the bosses 74 within
the channels 76 guides the relative motion of the arms 30. Because
the bosses 74 and channels 76 interlock in an over-under fashion,
each arm 30 prevents the other from rotating about any axis other
than the hinges 56.
[0056] Each branch 72 includes a semi-circular gap 78 (FIG. 4A).
Each gap 78 is oriented such that when the arms 30 are in the closed
position, the gaps 78 line up to form a substantially circular passageway
that is coaxial with the central through-hole 58 in the base plate
54. A path is thus created through which a central portion of the
needle 40 is disposed (FIG. 5A). The spring force biasing each arm
30 toward its resting position forces a sidewall of each gap 78
to contact the needle 40. Removal of the needle 40 from between
the gaps causes the arms 30 to spring away from one another (FIG.
5B).
[0057] As best seen in FIG. 6 each branch also includes an interlocking
finger 80. In plan aspect, each finger 80 comprises a ledge protruding
from a proximal face of the branch 72. When the branches 72 are
interlocked, such that each boss 74 is disposed within its corresponding
slot 76 the spring forces tending to return the arms 30 to their
resting positions cause the fingers 80 to contact each other, as
in FIG. 6. The fingers 80 thus prevent the arms 30 from springing
back to their natural positions. This configuration, with the fingers
80 in contact, defines the open position of the hub trap 32 as
seen in FIG. 1D.
[0058] In the open position, the circular opening 68 is widened
as compared to the closed position. The hub 24 is thus removable
from the arms 30 because a width of the circular opening 68 (which
is no longer actually circular) is wider than a width of the portion
of the proximal end of the hub 24 including the radial protrusions
48. Further, the interlocked fingers 80 are positioned directly
in front of the central through-hole 58 in the base plate 54. The
fingers 80 thus prevent the needle 40 from emerging from the sheath
34 and protect against accidental needle sticks.
[0059] Another preferred embodiment of the arms 30 is depicted
in FIG. 4C. In this embodiment, the arms 30 are not formed as a
unitary member with the base plate 54. Rather, each arm 30 is hingedly
connected to the base plate 54 via a hinge pin 82. The base portion
62 of each arm 30 includes a first hinge member 84 that is shaped
substantially as a half-oval in plan aspect. The first hinge member
84 includes a through-hole (not shown) defining a hinge axis. The
hinge axis is parallel to the planes of the leg portion 62 and base
portion 60. The first hinge member 84 is captured between second
and third hinge members 86 88 that extend from the base plate 54.
The second and third hinge members 86 88 include coaxial through-holes
(not shown) that are also coaxial with the first hinge member through-hole.
A substantially cylindrical hinge pin 82 extends through the through-holes
in the first, second and third hinge members 84 86 88 to pivotably
secure each arm 30 to the base plate 54. One of skill in the art
will appreciate that the illustrated hinge configuration is merely
exemplary. Each arm 30 may include more hinge members, and the base
plate 54 may include more or less hinge members.
[0060] The arms 30 of this embodiment include locking structure
substantially identical to that of the arms 30 illustrated in FIGS.
4A and 4B. The arms 30 of FIG. 4C are not naturally biased toward
the open position, however. Thus a spring (not shown) biases the
arms 30 toward the open position. In the pictured embodiment, each
branch includes a vertical through-hole 90. The spring comprises
a thin wire bent in two locations. Each end portion of the spring
is disposed within one of the through-holes 90. Stored energy in
the spring biases the arms 30 toward the open position.
[0061] In FIGS. 1A, 1B and 1C, a hypodermic needle 40 is disposed
within the catheter 22. The needle 40 comprises a cylindrical tube
with a central lumen 52. A sharp distal tip 44 enables the needle
40 to puncture a patient's skin in order to establish fluid communication
between the patient's vein and the catheter 22. A proximal end of
the needle 40 is connected to the slider 38 (FIG. 3). The slider
38 depicted in FIGS. 1B and 1C comprises a generally rectangular
box-shaped portion 92 with a generally wedge-shaped portion 94 attached
to a top of the box, and a longitudinal slot 96 in an underside
of the box 92. The slot 96 may be open on a bottom surface 98 of
the box 92.
[0062] In the embodiment of FIGS. 1B and 1C, a solid cylindrical
portion 100 is suspended from an upper wall of the slot 96 by a
short rectangular neck 102. In the embodiment of FIG. 1A, An axis
of the cylinder 100 preferably coincides with an axis of the sheath
34. The cylindrical portion 100 is disposed within the sheath 34
with the rectangular neck 102 captured between opposite sides of
the slit 36. Preferably, a diameter of the cylinder 100 is greater
than a width of the slit 36. The cylinder 100 thus helps to stabilize
the slider 38 and prevent it from disengaging the sheath 34. The
slider 38 may include textured side portions 104 (FIG. 2A) to enable
a medical technician to better grip the slider 38. In the pictured
embodiments, the textured portions 104 comprise raised vertical
bars.
[0063] The slider 38 depicted in FIG. 1A is shaped similarly to
the slider 38 depicted in FIGS. 1B and 1C, with a few exceptions
that adapt the slider 38 to fit about the sheath 34 having a substantially
square cross-section. Also, side walls of the slider 38 preferably
flare outwardly from a distal end of the slider 38 toward a proximal
end of the slider 38. The flared portions enhance the ability of
a medical technician to grip the slider 38 when operating the protector
20. Operation of the protector is outlined below.
[0064] As shown in FIG. 3 the slider 38 includes a hollow interior
chamber, or "flashback" chamber 42. The flashback chamber
42 is in fluid communication with the lumen 52 through the cylinder
100. Thus, when the needle 40 punctures the patient's vein, blood
flows from the patient into the flashback chamber 42. At least one
wall of the flashback chamber 42 preferably includes a transparent
portion. The interior of the flashback chamber 42 is thus visible
to a medical technician, who can determine, based on the presence
or absence of blood within the flashback chamber 42 whether the
needle 40 has been properly inserted into the patient's vein.
[0065] FIGS. 5A and 5B illustrate another preferred embodiment
of the protector 20 including a telescoping sheath 106. The telescoping
sheath 106 is substantially a hollow cylinder including a longitudinal
slit 108 in an upper surface. The telescoping sheath 106 is slidably
disposed about the sheath 34 such that the longitudinal slit 108
aligns with the longitudinal slit 36. The slider 38 is slidably
disposed about the telescoping sheath 106 such that the rectangular
neck 102 extends through both the longitudinal slit 108 and the
longitudinal slit 36. One of skill in the art will appreciate that
the sheath 34 including a substantially square cross-section may
also be of a telescoping construction.
Operation
[0066] To insert a catheter 22 into a patient's vein using the
protector 20 a medical technician grasps the protector 20 with
two hands in whatever way is most comfortable. The technician punctures
the patient's skin with the sharp distal tip 44 of the needle 40
and guides the needle 40 into a vein. When the needle 40 has penetrated
a vein, the flashback chamber 42 fills with blood. The technician
inserts the needle 40 into the vein deeply enough so that the distal
end of the catheter 22 traverses a wall of the vein.
[0067] When the catheter 22 has been safely inserted into the vein,
the technician grasps the fin 50 with one hand, and the slider 38
with the other hand. Holding the fin 50 still so as to steady the
catheter 22 the technician draws the slider 38 back, toward the
proximal end of the sheath 34. If the protector includes a tab 51
such as the embodiment of FIG. 1A, the technician uses his or her
index finger, on the same hand that grasps the slider 38 to push
against the tab 51. The needle 40 is thus drawn into the sheath
34 which acts as a barrier between the medical technician and any
bodily fluids present on the needle 40. With the embodiment including
the telescoping sheath 106 the slider 38 the telescoping sheath
106 and the sheath 34 all slide relative to one another. When the
needle 40 is fully encased within the sheaths 34 106 the slider
38 may be disposed about the proximal portion of the telescoping
sheath 106 and the distal portion of the telescoping sheath 106
may be disposed about the proximal portion of the sheath 34 as
in FIG. 5B. Advantageously, the embodiment including the telescoping
sheath 106 is capable of encasing long needles, but does not greatly
increase the overall length of the protector 20 in the unused configuration.
[0068] When the distal needle tip 44 passes to the proximal side
of the gaps 78 (FIG. 5B), the arms 30 are no longer restrained by
the needle 40 and thus spring into the open position. The catheter
22 is thus released from the arms 30 and is ready to receive an
injection or aspiration device. The needle 40 is safely stowed within
the sheath 34. The interlocking fingers 80 block the path of the
needle 40 preventing it from reemerging from the sheath 34. In
contrast to prior art devices that rely on a frictional engagement
between the needle and a locking cam in order to keep the sharp
needle tip safely stowed, the protector 20 provides a sheath 34
that is closed at both ends. In order for the needle distal tip
44 to exit the sheath 34 the arms 30 must be pinched at the same
time the slider 38 is moved toward the distal end of the sheath
34. This combination of events is unlikely to occur accidentally.
The technician is thus well protected against an accidental needle
stick.
[0069] The protector 20 provides a virtually danger-free method
of inserting a catheter 22. Once the distal tip of the catheter
22 penetrates the patient's vein, the sharp needle tip 44 is never
again exposed. As the operator draws the slider 38 back, the needle
40 is disposed first within the catheter 22 then within the hub
24 and finally within the hub trap 32. The hub trap 32 does not
release the hub 24 until the needle tip 44 is safely stowed within
the hub trap 32. Once the needle 40 is safely stowed, the interlocking
fingers 80 prevent its reemergence from the safety of the hub trap
32.
[0070] The easy gliding motion of the slider 38 also contributes
to a virtually needle stick-free protector 20. Because the slider
38 is so easy to manipulate, the operator can withdraw the needle
40 without any uncertain, jerking movements that could cause a needle
stick, or that could cause the catheter 22 to withdraw from the
vein. The protector 20 thus provides a means of emplacing a catheter
22 that is not only safe, but also efficient. An operator seldom
needs to discard the catheter 22 and start again.
Scope of the Invention
[0071] The above presents a description of the best mode contemplated
for the present universal passive protector for an IV catheter,
and of the manner and process of making and using it, in such full,
clear, concise, and exact terms as to enable any person skilled
in the art to which it pertains to make and use this universal passive
protector for an IV catheter. This universal passive protector for
an IV catheter is, however, susceptible to modifications and alternate
constructions from that discussed above which are fully equivalent.
Consequently, it is not the intention to limit this universal passive
protector for an IV catheter to the particular embodiments disclosed.
On the contrary, the intention is to cover all modifications and
alternate constructions coming within the spirit and scope of the
universal passive protector for an IV catheter as generally expressed
by the following claims, which particularly point out and distinctly
claim the subject matter of the universal passive protector for
an IV catheter. |