![]() CATHETER ASSEMBLY AND METHOD TO OBTAIN CATHETER ASSEMBLY
专利摘要:
removable flash chamber the present invention relates to a needle connector and catheter assembly. the needle connector includes an introducer needle provided with a lumen extended in its length. a needle connector is attached to a proximal end of the introducer needle. a flash camera is removably attached to the needle connector or the introducer needle. the interior of the flash chamber is in fluid communication with the lumen of the introducer needle when the flash chamber is coupled to the needle connector or the introducer needle. in this way, the flash chamber can collect a blood sample that can be accessed when the flash chamber is removed. in some cases, blood can also be dispensed from the flash chamber to a test strip or other testing device. 公开号:BR112013001028B1 申请号:R112013001028-2 申请日:2011-07-13 公开日:2020-12-15 发明作者:Jonathan Karl Burkholz;Minh Quang Hoang 申请人:Becton, Dickinson And Company; IPC主号:
专利说明:
BACKGROUND [001] The present description refers to air ventilation and blood sampling with vascular access devices. Blood sampling is a common procedure in health treatments involving the withdrawal of at least one drop of blood from a patient . Blood samples are commonly obtained from hospitalized patients, in domestic treatment and emergency rooms by finger puncture, plantar puncture, or venipuncture. Once collected, blood samples are analyzed for one or more blood test levels. [002] Blood tests determine the patient's physiological and biochemical states, such as mineral content, drug efficacy, and organic function. Blood tests can be performed in the laboratory, away from the patient's location, or performed at the treatment site, close to the patient's location. An example of blood analysis at the treatment site is the routine testing of a patient's blood glucose level. This involves the extraction of blood by puncture of the digital pulp and the mechanical collection of blood in a diagnostic cartridge. After that, the diagnostic cartridge analyzes the blood sample and provides the clinician with a reading of the patient's blood glucose level. Other devices are available that analyze blood gas electrolyte levels, lithium levels, ionized calcium levels. In addition, some devices at the treatment site identify markers for acute coronary syndrome (CHA) and deep vein thrombosis / pulmonary embolism (DVT / PE). [003] Blood analysis is often necessary before surgery or other medical procedures. For example, there are indications that dia-betes contribute to increase the risk of Surgical Site Infection (SSI). Therefore, some guidelines suggest that diabetes is a characteristic that can influence the development of SSI. In this condition, preoperative blood glucose control is considered a possible measure for reducing the risk of SSI. Testing the estimated glomerular filtration rate based on creatine (GFR) can also be useful before some medical procedures. In February 2002, The National Kidney Foundation published that GFR is the best overall indicator of kidney function. Demonstrating normal kidney function can be important before a patient gets a contrast-enhanced CR scan, which can have a significant impact on the kidneys. Despite such needs, blood diagnosis is typically performed in remote laboratories, which does not produce immediate results. [004] Furthermore, despite the rapid advances in diagnoses and tests in the treatment site, blood sampling techniques have remained relatively unchanged. Blood samples are often drawn with hypodermic needles or vacuum tubes attached to a proximal end of a needle or catheter assembly. In some circumstances, clinicians collect blood from a catheter assembly using a needle and syringe that is inserted into the catheter to draw a patient's blood through the inserted catheter. These procedures use needles and vacuum tubes as intermediary devices from which the blood sample collected is typically taken before testing. These processes, therefore are intensive for the device, use multiple devices in the process of obtaining, preparing and testing blood samples. Furthermore, each required device adds time and cost to the testing process. Therefore, there is a need blood sampling and more efficient testing devices and methods. SUMMARY [005] The present invention was developed in response to problems and needs in the art not yet fully solved by the currently available blood sampling devices and methods. Therefore, these devices and methods were developed to efficiently collect a blood sample from a flash chamber that is removably attached to the proximal end of an introducer needle. Since blood has already been collected in this chamber, the use of this blood can avoid the need for separate blood sampling devices and procedures, which can reduce the cost and time of blood diagnosis. Once removed, blood can be dispensed from the flash chamber to a diagnostic device at the treatment site for immediate test results, which can allow time-sensitive health information, such as the risk of diabetes or impaired kidney function, to be acquired in an easier and faster way. In addition, the flash chamber can be sized to accommodate the desired blood sample. In this condition, the flash camera can be enlarged, which increases the flashback viewing period. [006] In one aspect of the invention, a needle hub comprises: an introducer needle having a lumen extended therethrough; a needle hub coupled to a proximal end of the introducer needle; and a flash chamber removably coupled to the needle hub, the interior of the flash chamber being in fluid communication with the lumen of the introducing needle when the flash chamber is coupled to the needle hub. [007] The deployment may include one or more of the following features. A portion of the flash chamber can be compressible. The flash camera can comprise: a camera body that defines an internal cavity; and an air-permeable membrane attached to the chamber body and in fluid communication with the internal cavity. The internal cavity of the camera body of the flash chamber can have an internal volume between about 0.1 ml and about 10 ml. The flash chamber can be snapped onto the needle hub or introducer needle. The flash chamber can be threaded to the needle hub. The flash chamber can be selectively coupled to the needle hub or the introducer needle via a keyed connection. The flash chamber can be selectively attached to the needle hub or the introducer needle via a breakable connection. The flash chamber can be a breakable ampoule. [008] In another aspect of the invention, a catheter assembly comprises: an introducer needle having a lumen extended through it; a needle hub coupled to a proximal end of the introducer needle; a flash chamber selectively coupled to the needle hub or introducer needle, the interior of the flash chamber being in fluid communication with the lumen of the introducer needle when the flash chamber is coupled to the needle hub, the flash chamber having an air-permeable membrane and a distal connector portion; the chamber body defined an internal cavity, the chamber body having at least one compressible portion which reduces the internal volume of the internal cavity when compressed; the air-permeable membrane coupled to the chamber body and in fluid communication with the internal cavity; and the distal connector portion of the camera body to be selectively coupled to the needle hub. [009] The deployment may include one or more of the following features. At least a portion of the flash chamber can be compressible. The flash chamber can have an internal volume between about 0.1 ml and about 10 ml. The flash chamber can be snapped onto the needle hub or introducer needle. The flash chamber can be threaded to the needle hub. The flash chamber can be selectively coupled to the needle hub or introducer needle by means of a breakable connection, the breakable connection including at least one splined thread and a fatigue generator. The flash chamber is a breakable ampoule. [010] In another aspect of the invention, a method for providing a removable flash chamber from a catheter assembly, the method comprising: providing a catheter assembly provided with a needle hub, the needle hub having an introducer needle coupled to the same; providing an introducer needle coupled to the needle hub, the introducer needle having a lumen extended in its length; and providing a flash chamber removably attached to the needle hub, the interior of the flash chamber being in fluid communication with the lumen of the introducing needle when the flash chamber is attached to the needle hub. [011] The deployment may include one or more of the following features. The method may further comprise providing at least a single compressible portion of the flash chamber to selectively eject blood into the flash chamber from there. The method may further comprise providing an internal cavity within a body of the flash chamber having an internal volume of about 0.1 ml to 10 ml. The flash chamber may have a distal connector portion, the distal connector portion having at least one between a snap-in connector, threads, a keyed connection, and a breakable connection. [012] These and other features and advantages of the present invention can be incorporated into certain embodiments of the invention and will be more fully evidenced from the following description and the attached claims, or can be learned from the practice of the invention as stated henceforth. The present invention does not require that all advantageous features and all the advantages described herein be incorporated into each embodiment of the invention. BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS [013] In order to readily understand the way in which the resources and advantages of the invention are obtained, a more particular description of the invention will be provided briefly described above with reference to its specific modalities, which are illustrated in the attached drawings. These drawings represent only typical modalities of the invention and, therefore, should not be considered as a limitation on their scope. [014] Figure 1 illustrates a perspective view of a catheter assembly with a removable flash camera, according to some modalities. [015] Figure 2 illustrates a cross-sectional view of a catheter assembly of Figure 1 obtained along line 2-2, according to some modalities. [016] Figure 3 illustrates a cross-sectional view of a catheter assembly with a removable flash chamber after the introducing needle has been removed from the catheter, according to some modalities. [017] Figure 4 illustrates a perspective view of a catheter assembly with a removable flash camera that has been removed from it, according to some modalities. [018] Figure 5 illustrates a perspective view of a removable flash camera dispensing a blood sample on a blood test strip, according to some modalities. [019] Figure 6 illustrates a cross-sectional view of a proximal portion of a catheter assembly with a removable flash chamber, according to some modalities. [020] Figure 7 illustrates a cross-sectional view of a proximal portion of another catheter assembly with a removable flash chamber, according to some modalities. [021] Figure 8 illustrates a perspective view of an embedded connection between a flash camera and a needle hub or safety cylinder, according to some modalities. [022] Figure 9 illustrates a cross-sectional view of a removable flash camera, according to some modalities. DETAILED DESCRIPTION OF THE INVENTION [023] The currently preferred embodiments of the present invention will be better understood by referring to the drawings, in which the same reference numbers indicate identical or functionally similar elements. It will be immediately realized that the components of the present invention, as generally described and illustrated in the present Figures, could be organized and designed in a wide range of different configurations. Therefore, the following more in-depth description, as represented in the Figures, is not intended to limit the scope of the invention as claimed, however, being merely representative of the currently preferred embodiments of the invention. [024] At this point, Figure 1 will be mentioned, which illustrates a catheter assembly 20 that can be used to access a patient's vascular system, such as the BD Insyte (TM) Autoguard (TM) by Beckton, Dickinson and Company, Inc. (as shown), BD Protect IV (TM) also from Beckton, Dickinson and Company, Inc., and Medikit Z5 from Medikit Company Inc. The catheter assembly 20 can include several other configurations. The catheter assembly 20 generally includes a catheter adapter 24 and a needle assembly 22. Catheter adapter 24 is inserted into a patient to establish fluid communication with the patient's vascular system, and can be used to infuse fluids through it. Needle assembly 22 includes an introducer needle 30 which is used to assist in the exact insertion of catheter assembly 24 into the patient's vascular system. After properly positioned catheter assembly 24, needle assembly 22 is removed and uncoupled from catheter assembly 24. [025] Needle assembly 22 includes a generally rigid introducer needle 30 that provides structural support to flexible or semi-flexible catheter 28 of catheter assembly 24. In a pre-use position, introducer needle 30 is inserted through of catheter 28, as shown. During infusion or other such procedures, the introducer needle 30 and catheter 28 are inserted through a patient's skin and advanced into a patient's vascular system. Once catheter 28 is properly positioned, the introducer needle 30 is removed from catheter 28. [026] As shown in Figure 1, catheter adapter 24 includes a catheter connection 26 that is coupled to a catheter 28 that extends distally from the distal end of catheter connection 26. Catheter connection 26 includes a lumen - internal men extending through it and providing fluid communication to an internal lumen of catheter 28. In some configurations, catheter connection 26 also includes a proximal connector 32, such as a threaded luer connector, which can connect to a needle assembly 22 or other vascular access device. [027] Needle assembly 22 includes an introducer needle 30 that extends through catheter assembly 20 in a pre-insertion state. The introducer needle 30 is coupled to a needle hub 36 at its proximal end. In some embodiments, as shown, the needle hub 36 is disposed within a safety cylinder 40 that protects the introducing needle 30 after it is removed from the patient and the catheter adapter 24. In the illustrated embodiment, the introducing needle 30 it is spring-loaded from catheter adapter 24 when a user presses a button 38 on needle assembly 22. Button 38 releases a fastener that holds introducer needle 30 in place, allowing it to be removed proximally through the catheter 28 and the catheter connection 26 to the inside of the safety cylinder 40. [028] Continuing the reference to Figure 1, in some embodiments, a flash camera (also known as a “flashback camera”) 34 is attached to the needle hub 36 or directly to the proximal end of the introducer needle 30. The flash camera 34 can receive blood from the introducing needle 30 itself. In some configurations, the flash chamber 34 is transparent or semi-transparent, so that a user can watch the blood seeping into the flash chamber 34 from the introducing needle 30. [029] In some catheter placement procedures, flashback occurs when blood from a patient's vascular system accesses catheter 28 and / or introducing needle 30 of catheter assembly 20. In some circumstances, catheter 28 is transparent or semi-transparent , so that the clinician can recognize the blood flowing through the catheter 28 after the introducing needle 30 has been inserted into the patient's vascular system. To provide a prolonged flashback period, capable of allowing a clinician to verify that catheter 28 has been inserted and remains properly located. In some embodiments, the catheter connection 26 and / or the needle assembly 22 may include a flash chamber 34. A flash chamber 34 of the needle assembly 22 may be in fluid communication with the introducing needle 30 of so that the blood flowing through the introducing needle 30 penetrates the flash chamber 34. The size of the flash chamber 34 can be varied so that the length of time required to fill the chamber provides the clinician with adequate time to position adequately catheter 28. As mentioned, once catheter 28 is properly positioned, the introducer needle 30 can be removed from catheter 28. [030] After the needle assembly 22 is detached from the catheter adapter 24, the blood sample inside the flash chamber 34 can be used for diagnosis. In some embodiments, the flash chamber 34 can be selectively detached from the needle assembly 22 so that the blood contained therein can be accessed and tested. Therefore, in some embodiments, there is a means for drawing blood from the flash chamber 34. That means may include compressing at least a portion of the flash chamber 34 to dispense blood. That means may also include breaking the flash chamber 34, sucking or draining blood from the flash chamber 34, or removing blood from it in some other way. [031] In some embodiments, the flash chamber 34 extends through a proximal opening 60 in the safety cylinder 40 after the needle is removed from the catheter adapter 24. Therefore, the flash chamber 34 can be larger, with a increased internal volume, than it would be without a proximal opening 60. In some configurations, the flash chamber 34 has an internal volume between about 0.1 ml to 10 ml. In other configurations, the flash chamber 34 has an internal volume between about 0.5 ml to 7 ml. In other configurations, the flash chamber 34 has an internal volume between about 1 ml to 3 ml. In other configurations, the flash camera 34 has an internal volume greater or less than the volumes listed. The larger internal volume of the flash chamber 34 can provide longer periods of flashback indication. As such, a clinician may have more time to position and ensure correct placement of the catheter 28. [032] At this point, Figure 2 will be mentioned, which depicts a cross section of the catheter assembly 20 of Figure 1 obtained along line 2-2. This figure depicts at least some of the internal components of the catheter adapter 24 and the needle assembly 22. For simplicity, the catheter connection 26 is represented with some features or components. However, it will be appreciated that the catheter connection 26 may include several known components and features, such as a valve, blood control valve, internal grooves, or other known elements. [033] As shown in Figure 2, in some embodiments, needle assembly 22 includes a needle hub 36 coupled to an introducer needle 30, a spring 58, and a removable flash chamber 34. These components may be at least partially arranged inside a safety cylinder 40 that prevents the exposure of the blood and the needle after the introducing needle 30 is taken to the safety cylinder 40. A cross section of the button 38 and its related components show how the button 38, when compressed, disengages the needle hub 36, which is then moved proximally 62 under the force of the spring 58. The spring 58 is positioned between the safety cylinder 40 and the needle hub 36, so that when button 38 is compressed, it releases its mechanical energy, decompresses, and forces needle hub 36 proximally 62. In some circumstances, spring 58 is a compression spring that stored energy when compressed. In some configurations, the flash chamber 34 is arranged at the proximal end of the needle hub 36, and the flash chamber 34 extends at least partially outside a proximal opening 60 in the safety cylinder 40 while moves to the proximal end of the safety cylinder 40. The tip of the introducing needle 30 can be pulled into the safety cylinder 40 while the needle hub 36 is forced proximally 63. This movement leads to the introducing needle 30 and its tip to a protected position, within the cover and containment of the safety cylinder 40, which can serve as protection between the introducing needle 30 and the clinician to prevent injuries by needle puncture and blood contamination. [034] In some circumstances, in the protected position as shown in Figure 3, the introducer needle 30 is securely contained within the safety cylinder 40 while the flash chamber 34 extends at least partially out of a proximal opening 60 of the safety cylinder 40. In some embodiments, the proximal opening 60 is shaped and dimensioned to fit very closely to the external geometry of the flash chamber 34 and to minimize any spacing between them that may in any way provide space for blood flow of blood inside the safety cylinder 40. In the protected position, a proximal portion of the flash chamber 34 can be accessed by a clinician and selectively uncoupled from the needle hub 36. Depending on the type of coupling between the flash chamber 34 and the hub needle 36 or introducer needle 30, the clinician will pull and / or twist, or otherwise manipulate the flash chamber 34 to uncouple it from the needle hub 36. In some configurations, the flash chamber 34 is directly attached to the needle hub 36 and the introducer needle 30, as shown in Figure 2. In some configurations, the flash chamber 34 is indirectly attached to the needle hub 36 and directly attached to the introducer needle 30, which is directly attached to the needle hub 36. In other configurations, the flash chamber 34 is indirectly attached to the needle 30 and directly attached to the needle hub 36, which is directly attached to the introducer needle 30, as shown in Figure 6. [035] Again with reference to Figure 2, in some embodiments, the flash camera 34 is removably or selectively coupled to the needle hub 36. This removable coupling can display various configurations, for example, a snap-fit coupling, a threaded coupling, a keyed connection, a breakable connection, and various other types of removable couplings. As shown, the flash chamber 34 is snapped into an inner hole 62 of the needle hub 36. Also shown is the introducer needle 30 snapped inside the flash chamber 34. In some embodiments, only one of these snap-fit couplings is used, not two. In a snap fit coupling, the internal geometry of the inner hole 62 is approximate and can be roughly equal to or slightly smaller than the outer geometry of the camera body 44 of the flash camera 34. Additionally or alternatively, the surface inner of the inner orifice 62 may include one or more inner projections 54 which are pressed against the outer surface of the chamber body 44 to provide pressure between these components. In other embodiments, the outer surface of the camera body of the flash chamber 34 includes one or more outer projections that are pressed against the inner surface of the inner orifice 62 to provide pressure between these components. [036] In some embodiments, the flash chamber 34 includes a distal connector portion 48 of the camera body 44 to selectively couple to the needle hub 36. As shown in Figure 2, that distal connector portion 48 includes the distal body portion of chamber 44, which has an external geometry that is snapped into the needle hub 36 and above the proximal end of the inlet needle 30. In other embodiments, the distal connector portion 48 includes a threaded member used to thread the flash chamber 34 into the needle hub 36. In some embodiments, the distal connector portion 48 includes a keyed connection that fits into a keyed portion of the needle hub 36, as shown in Figure 8. In some embodiments, the distal connector portion 48 includes a breakable connection that has, for example, a splined line and / or a fatigue generator. [037] In some embodiments, the flash chamber 34 includes a membrane 46 which is permeable to air, through which air passes from the inside of the introducing needle 30. In some embodiments, membrane 46 is hydrophobic, therefore, not allows blood to pass through it. In these embodiments, the blood 50 that penetrates the introducer needle 30 forces air out of the membrane 46 as it enters the introducer needle 30 and fills the introducer needle 30 and the flash chamber 34 to the membrane 46. In that location, the blood 50 stops flowing to the introducing needle 30. [038] In some embodiments, membrane 46 is air permeable and hydrophobic, to allow air, but not blood 50 to pass through it. In other embodiments, the membrane 46 is hydrophilic. The membrane 46 may include various materials and components that provide these properties. For example, in some embodiments, membrane 46 includes glass, polyethylene terephthalate (PET), a microfiber material, and / or other synthetic material made from high density polyethylene fibers, such as DuPont's TYVEK® material . Other materials and components of this nature can also be used as a membrane layer 46 or as the entire membrane 46 to allow membrane 46 to be hydrophobic, hydrophilic, and / or air permeable, according to some configurations. [039] In some embodiments, the flash chamber 34 is configured to retrieve blood 50 while being withdrawn from needle hub 36 to prevent blood spatter and blood contamination. Therefore, in some configurations, a distal opening 56 of the flash chamber 34 is shaped and sized to retain blood 50. The retention of blood within the internal cavity 66 is regulated, at least in part, by the internal perimeter of the distal opening 56, the surface tension of blood 50, and the force on blood 50 to flow out of distal opening 56. Consequently, the inner perimeter of distal opening 56 can be designed so that blood 50 is retained within the cavity internal 66 when the force of blood 50 to flow out of the distal opening 56 is within reach of a certain range, but allows at least part of the blood to leak when the pressure on blood 50 exceeds that range. [040] For example, in some modalities, when the distal opening 56 is circular, an internal perimeter less than or equal to approximately 2.0 mm, and a diameter less than or equal to approximately 0.6 mm, allows the retention of the blood 50 within the internal cavity 66 against approximately the force of gravity. When the force on the blood 50 is greater than the force of gravity, part of the blood 50 can overflow from the distal opening 56. Similarly, a circular distal opening 56 with a diameter of about 0.3 mm can retain the blood 50 against even stronger forces than gravity, such as shaking, shaking, and the movement of the filled flash chamber 34. When the distal opening 56 has a very small internal perimeter, the force required to expel the blood 50 will be quite high. [041] In some embodiments, the distal opening 56 has an internal perimeter greater than or equal to about 0.3 mm, which, when the distal opening 56 is a circular opening, corresponds to a diameter of about 0 , 1 mm. Therefore, in some configurations, the distal opening 56 has an internal perimeter between about 0.3 mm and about 2.0 mm. In some configurations, the distal opening 56 is approximately circular and has a diameter between about 0.1 mm and about 0.6 mm. In other embodiments, the opening of the distal lumen 58 is not circular. [042] At that moment, Figure 3 will be mentioned, which depicts the needle assembly 22 in the protected position, with the spring 58 released in the decompressed state, which forced the needle hub 36 towards the proximal end of the drying cylinder. security 40 and the flash chamber 34 at least partially out of the proximal opening 60 of the safety cylinder 40. The internal cavity 66 of the flash chamber 34 is at least partially filled with blood 50. In this protected position, the proximal portion of the body from chamber 44 can be selectively held and uncoupled from needle hub 36. In this way, blood sample 50 within flash chamber 34 can be used for diagnostic purposes. [043] As shown in Figure 4, the flash chamber 34 is detached from the needle assembly 22. This flash chamber 34 can now be used as a blood storage vial 50 while being transported to the test facility. In addition, the blood sample 50 inside the flash chamber 34 can be used immediately for diagnostic testing of blood at the treatment site. [044] At that moment, Figure 5 will be mentioned, which shows the flash chamber 34 dispensing blood 50 on a blood test strip 70. The test strip 70 can be used to test glucose, creatine, cystatin C test, or another similar test at the treatment site, at the patient's location. This diagnosis can provide rapid diagnostic results at the treatment site, without the need to draw a blood sample 50 using a syringe, vacuum tube, or other traditional device. In some circumstances, blood 50 may be dispensed in a diagnostic test device that performs diagnostic testing on blood. In other circumstances, blood 50 may be dispensed from the flash chamber 34 into a sterile tube or vial, such as an in vitro test tube that is obtained in the laboratory for testing. [045] The body of the chamber 44 of the flash chamber 34 can have several modalities that can facilitate the dispensing of blood 50 from the flash chamber 34. In some embodiments, at least a portion of the body of the chamber 44 is compressible at least in a reduced degree. When compressed, for example, in the internal direction 72, the internal volume of the internal cavity 66 of the flash chamber 34 is reduced, increasing the internal pressure of the internal cavity 66, and dispensing a blood sample 50 from the distal opening 56. In in some embodiments, the flash chamber 34 is rigid or semi-rigid. In some embodiments, only a portion of the flash chamber 34 is compressible. The compressible portion can be located and designed so as not to compress during normal removal of the flash chamber 34 from the needle hub 36. In other embodiments, the body of the chamber 44 of the flash chamber 34 is a breakable ampoule, which when broken , dispenses the blood 50 it contains. In some embodiments, the distal aperture 56 of the flash chamber 34 is shaped and sized so that a clinician can drain blood 50 from it using a test strip 70 or another device. [046] At this point, Figure 6 will be mentioned, which depicts another mode of connection between the needle hub 36 and the flash chamber 34. As shown, in some embodiments, the needle hub 36 includes a valve 80 that it can prevent blood spatter 50 outside the proximal opening 60 of the inner hole 62 of the needle hub 36 when the flash chamber 34 is removed from it. In some configurations, valve 80 is flexible and opens selectively when that of the flash chamber 34 is inserted into it. In some embodiments, valve 80 is made of an elastomeric material, for example, silicone rubber or similar material. The valve 80 can selectively close and form a seal when the flash chamber 34 is removed from it. The valve 80 can provide a fluid tight connection between the flash chamber 34 and the valve 80 when the flash chamber 34 is inserted into it. As shown, in some embodiments, the flash chamber 34 can be coupled directly to valve 80 with a snap fit connection. As shown further, in some embodiments, the flash chamber 34 is not coupled to, or makes contact with, the introducing needle 30. [047] As shown, in some embodiments, valve 80 includes a connection portion 90 that is coupled to the inner surface of needle hub 36 and a barrier portion 82. Barrier portion 82 comprises a cross section of the orifice inner 62 to seal inner orifice 62 with removal of flash chamber 34. Barrier portion 82 may include an orifice or slot that opens and closes selectively. The slot can be a straight slot, a Y-shaped slot, or a cross-shaped slot. Barrier portion 82 may further include an internal duckbill shape that can at least partially prevent the slit from flapping in response to internal pressure proximally oriented over valve 80. Valve 80 can retain flash chamber 34 within the needle hub 36 until minimal force is applied proximally 63 to the flash chamber. In some modalities, the flash chamber 34 is retained in the needle hub 36 with a breakable connection 92, which is broken when a minimal force is applied proximally 63 on the flash chamber 34. The breakable connection 92 can be made from non-breakable material. Breakable connection 92 may also have a splined line 94 and / or a fatigue generator that facilitates breakage at that point. [048] Still referring to Figure 6, in some embodiments, the needle hub 36 includes a locking member 86 that extends distally from the needle hub 36. Locking member 86 allows the needle hub 36 to be pulled proximally 62 and distally inside the safety cylinder 40 until the pulled lock member 86 has proximally passed an internal groove 84. The internal groove 84 can have a steep proximal face 92 which restricts the distal movement of the lock member 86. In this condition, the locking member 86 and the inner groove 84 can prevent the needle hub 34 from advancing the introducing needle 30 out of the safety cylinder 40. The shape and configuration of the locking member 86 and the inner groove can be adjusted, anticipated, and / or changed. In addition, another means of this kind to limit the distal movement of the needle hub 36 can be incorporated into the needle assembly 22. [049] Figure 9 depicts another embodiment of a flash chamber 34 that can be used with valve 80 and needle hub 36 of Figure 6. This flash chamber 34 includes a distal connector portion 48 that includes a projection narrow nose 130. The narrow nose projection 130 can pierce valve 80 and allow effective sealing of valve 80 again after removal of the flash chamber 34. [050] At this point, Figure 7 will be mentioned, which depicts another connection mode between the needle hub 36 and the flash chamber 34. As shown, the flash chamber 34 is removably coupled to the needle hub 36 The distal connector portion 48 of the flash chamber 34 includes an annular flange 102 that extends out of the flash chamber 34. That distal connector portion 48 is positioned within the proximal portion of the inner hole 62 of the needle hub 36. A valve 80 is located inside this proximal portion of the internal orifice 62. Valve 80 includes an internal cavity 108 that receives the distal connector portion 48. The annular flange 102 of the distal connector portion 48 is interlocked within an inner groove 100 of valve 80. Valve 80 is arranged within a distal region 110 of internal cavity 108. Valve 80 and / or flash chamber 34 can longitudinally within this distal region 110. That region distal is terminated in its distal ex-tremity with an inner flange 104 of the needle hub 36. That inner flange 104 prevents the annular flange 102 of the flash chamber 34 from being removed from the needle hub 36 until a minimum force is applied to the flash chamber 34. When a force pull the flash chamber 34, the proximal movement of the annular flange 102 forces the valve 80 and the inner flange 104 to flex outwards until the space 106 between the needle hub 36 and the safety cylinder 40. The characteristics, shapes, dimensions, and properties of the needle hub 36 and valve 80 can be designed to demand a certain minimum force that will allow a user to easily remove the flash chamber 34, while preventing the flash chamber 34 from loosen when slightly shaken, shaken, or to-each. [051] In other embodiments, the flash chamber 34 is threaded to the needle hub 36. As shown, the annular flange 102 can be angled to form one or more male threaded connectors and the inner groove 100 of valve 80 and / or the inner flange 104 of needle hub 36 can form a female threaded connector. Thus configured, the flash chamber 34 can be threaded onto the needle hub 36. To remove the flash chamber 34, it can be unscrewed from the needle hub 36. [052] As shown in Figure 8, in some embodiments, the flash chamber 34 is connected to the needle hub 36 via a keyed connection. The distal connector portion 48 may include one or more keyed connector components 120 that match the keyed connector components 122 in the proximal opening 60 of the safety cylinder 40 and / or needle hub 36. For example, in in some circumstances, the keyed distal connector portion 48 is inserted into the keyed safety cylinder 40 and / or needle hub 36 in a distal direction 124.When fully inserted, the flash chamber 34 can be rotated, for example clockwise 126 , to lock it in place. To remove the flash chamber 34, the clinician rotates the flash chamber 34 counterclockwise and removes the flash chamber 34 in the proximal direction 63. In addition to the connections between the flash chamber 34 and the needle hub 36 described here , another connection means of this type for connecting the flash chamber 34 to the needle hub 36 can be incorporated into the catheter assembly 20. [053] From the above exposure, it can be seen that the present devices and methods efficiently collect a blood sample from a flash chamber that is removably attached to the proximal end of an introducer needle. Since blood is already collected in this chamber, the use of this blood can avoid the need for a separate blood sampling procedure. Once removed, blood can be dispensed from the flash chamber to a diagnostic device at the treatment site, for quick and immediate test results, which can allow time-sensitive health information, such as diabetes risk or function impaired renal function are more quickly and easily acquired. In addition, the flash chamber can be sized to accommodate the required blood sample. In this way, the flash camera can be enlarged, which increases the flashback viewing period. [054] The present invention can be incorporated in other specific forms without abandoning its structures, methods, or other essential characteristics as widely described in this document and claimed below. The described modes should be considered illustrative, and not restrictive, in all its aspects. The scope of the invention, therefore, instead of being indicated by the previous description, is indicated by the appended claims. All changes contained in the meaning and equivalence range of the claims are included in their scope.
权利要求:
Claims (11) [0001] 1. Catheter assembly (20) CHARACTERIZED by the fact that it includes: a catheter adapter (24) having a catheter (28); an introducer needle (30) with a lumen extending its length; a needle hub (36) coupled to a proximal end of the introducing needle (30), the needle hub (36) being selectively coupled to the catheter adapter (24); a flash chamber (34) removably coupled to the needle hub (36), the flash chamber (34) comprising a body (44) and an air-permeable membrane (46), an internal cavity (66) of the body (44 ) of the flash chamber (34) being in fluid communication with the lumen of the introducer needle (30) when the flash chamber (34) is coupled to the needle hub (36), and at least a portion of the body (44) of the flash chamber (34) being compressible; and a needle guard (40) within which the flash chamber (34) is contained, in which the needle hub (36) and flash chamber (34) are configured to move closely within the needle guard (40) after the catheter (28) is inserted into a patient's vascular system and then retracts the introducing needle (30) in the needle protector (40), and where the needle protector (40) includes an opening in the proximal end through which a portion of the flash chamber (34) extends after the introducer needle (30) is retracted in the needle guard (40), thus allowing the portion of the flash chamber (34) to be held to remove the flash chamber (34) of the needle hub (36). [0002] 2. Catheter assembly (20), according to claim 1, CHARACTERIZED by the fact that the internal cavity (66) of the body (44) of the flash chamber (34) has an internal volume between 0.1 ml to 10 ml. [0003] 3. Catheter assembly (20), according to claim 1, CHARACTERIZED by the fact that the flash chamber (34) is pressed into the needle hub (36) or introducer needle (30). [0004] 4. Catheter assembly (20), according to claim 1, CHARACTERIZED by the fact that the flash chamber (34) is threaded to the needle hub (36). [0005] 5. Catheter assembly (20) according to claim 1, CHARACTERIZED by the fact that the flash chamber (34) is selectively coupled to the needle hub (36) or to the introducer needle (30) via an en - keyed. [0006] 6. Catheter assembly (20) according to claim 1, CHARACTERIZED by the fact that the flash chamber (34) is selectively coupled to the needle hub (36) or the introducer needle (30) via a connection breakable. [0007] 7. Catheter assembly (20), according to claim 1, CHARACTERIZED by the fact that the flash chamber (34) is a breakable ampoule. [0008] 8. Catheter assembly (20), according to claim 1, CHARACTERIZED by further comprising a valve (80) positioned at the proximal end of the needle hub (36), in which a portion of the distal connector (48) of the flash chamber (34) is inserted at the proximal end of the needle hub (36) and through the valve (80). [0009] 9. Method for obtaining the catheter assembly as defined in claim 1, the method CHARACTERIZED by the fact that it comprises: providing a catheter assembly (20) equipped with a catheter adapter (24) and needle hub (36), the needle hub (36) having an introducer needle (30) coupled to it, the needle hub (36) being selectively coupled to the catheter adapter (24); providing an introducer needle (30) coupled to the needle hub (36), the introducer needle (30) having a lumen extending its length; providing a flash chamber (34) removably coupled to the needle hub (36), the flash chamber (34) comprising a body (44) and an air-permeable membrane (46), an interior of the body (44) of the chamber flash (34) being in fluid communication with the lumen of the introducer needle (30) when the flash chamber (34) is coupled to the needle hub (36); providing at least a single compressible portion of the body (44) of the flash chamber (34) to selectively eject blood from inside the body (44) of the flash chamber (34); provide a needle guard (40) within which the flash chamber (34) is contained so that the needle hub (36) and flash chamber (34) move closely within the needle guard (40) after the catheter (28) is inserted into a patient's vascular system to then retract the introducing needle (30) in the needle protector (40); and providing an opening at the proximal end of the needle guard (40) through which a portion of the flash chamber (34) extends after the introducer needle (30) is retracted in the needle guard (40), thereby allowing the flash chamber (34) is held to remove the flash chamber (34) from the needle hub (36). [0010] 10. Method according to claim 9, CHARACTERIZED by the fact that the inside of the body (44) of the flash chamber (34) has an internal volume of 0.1 ml to 10 ml. [0011] 11. Method according to claim 10, CHARACTERIZED by the fact that the flash chamber (34) has a distal connector portion (48), the distal connector portion (48) having at least one of a plug connector by pressure, threads, a keyed connection, and a breakable connection.
类似技术:
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同族专利:
公开号 | 公开日 CN103068434B|2016-05-18| AU2011279238B2|2014-03-06| WO2012009459A1|2012-01-19| US20120016307A1|2012-01-19| US8597252B2|2013-12-03| CA2805416C|2018-11-06| EP2593169B1|2020-11-11| JP6132765B2|2017-05-24| US20140052021A1|2014-02-20| US9314201B2|2016-04-19| ES2846681T3|2021-07-28| JP2013535249A|2013-09-12| EP2593169A1|2013-05-22| AU2011279238A1|2013-02-07| CN103068434A|2013-04-24| BR112013001028A2|2017-07-11| CA2805416A1|2012-01-19|
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法律状态:
2018-12-26| B06F| Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]| 2019-09-03| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]| 2020-06-09| B07A| Technical examination (opinion): publication of technical examination (opinion) [chapter 7.1 patent gazette]| 2020-09-29| B09A| Decision: intention to grant [chapter 9.1 patent gazette]| 2020-12-15| B16A| Patent or certificate of addition of invention granted|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 13/07/2011, OBSERVADAS AS CONDICOES LEGAIS. |
优先权:
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申请号 | 申请日 | 专利标题 US36453510P| true| 2010-07-15|2010-07-15| US61/364,535|2010-07-15| US13/181,265|2011-07-12| US13/181,265|US8597252B2|2010-07-15|2011-07-12|Removable flash chamber| PCT/US2011/043892|WO2012009459A1|2010-07-15|2011-07-13|A removable flash chamber| 相关专利
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