U.S. patent number 3,592,192 [Application Number 04/645,655] was granted by the patent office on 1971-07-13 for intravenous catheter apparatus with catheter telescoped on outside of puncturing cannula.
This patent grant is currently assigned to American Hospital Supply Corporation. Invention is credited to Andrew Harautuneian.
United States Patent |
3,592,192 |
Harautuneian |
July 13, 1971 |
INTRAVENOUS CATHETER APPARATUS WITH CATHETER TELESCOPED ON OUTSIDE
OF PUNCTURING CANNULA
Abstract
An intravenous catheter assembly in which a separable gripping
hub integrates a rigid cannula and flexible catheter for retaining
them against relative movement during a venipuncture and permitting
relative longitudinal movement after the flexible catheter has been
in place and the cannula is to be withdrawn; the gripping hub
including hinged jaws and a circumferential pressure band; a base
plate and separate clamp parts; and a transverse clamp plate; the
latter gripping heads including means for gripping a flexible
protective sheath; the cannula being connected at its rear end to a
flexible, withdrawing wire, and a protective rigid housing into
which the cannula is withdrawable while the flexible sleeve
protects against contamination of blood etc.
Inventors: |
Harautuneian; Andrew (Gardena,
CA) |
Assignee: |
American Hospital Supply
Corporation (N/A)
|
Family
ID: |
24589910 |
Appl.
No.: |
04/645,655 |
Filed: |
June 13, 1967 |
Current U.S.
Class: |
604/165.01 |
Current CPC
Class: |
A61M
25/02 (20130101); A61M 25/0606 (20130101); A61M
2025/0246 (20130101) |
Current International
Class: |
A61M
25/06 (20060101); A61M 25/02 (20060101); A61m
005/00 () |
Field of
Search: |
;128/214.4,221,348,349 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. Intravenous catheter apparatus comprising:
a rigid puncturing cannula;
a flexible catheter telescoped on an outside surface of said
cannula;
a removable hub circumposed about said catheter and including a
separate, displacable mechanical griping means on said hub for
urging the hub and catheter to a fixed relation to at least a
portion of the cannula and circumferentially squeezing the catheter
against the cannula to continuously prevent relative longitudinal
movement therebetween, said hub having opposed separable gripping
surfaces displacable from each other upon displacement of the
mechanical gripping means and release of the circumferential
squeezing by said mechanical gripping means to permit relative
longitudinal separation of the catheter and cannula; and a flexible
sheath attached to said hub for protecting the catheter portion
which extends rearwardly beyond said hub.
2. Intravenous catheter apparatus as set forth in claim 1, wherein
the hub includes a pair of hinged jaws having gripping surfaces in
opposed longitudinal grooves in the jaws.
3. Intravenous catheter apparatus as set forth in claim 2, wherein
the hub is of polypropylene and has an integral polypropylene hinge
between the jaws.
4. Intravenous catheter apparatus as set forth in claim 1 wherein
the hub includes a sheath-receiving portion which has an opening
extending therethrough for passage of the catheter, said
sheath-receiving portion having a bottom jaw of the hub rigidly
attached thereto and said hub having a top jaw hingedly attached
thereto on a transverse, chordally-disposed integral hinge portion,
said top and bottom jaws having gripping surfaces in longitudinal
opposed grooves in the jaws for transmitting said circumferential
squeezing and integrating simultaneous movement of said cannula and
catheter when a venipuncture is being made.
5. Intravenous catheter apparatus as set forth in claim 4 wherein
said separate, removable, mechanical gripping means comprises a
rigid band releasably surrounding the jaws and normally radially
urging them in gripping relationship with said catheter, said rigid
band being removable from the jaws so the jaws can swing open for
removal of the hub from the catheter.
6. Intravenous catheter apparatus as set forth in claim 1 wherein
the hub includes a base wall with upstanding arms on opposite sides
of said catheter, a lid pivotally connected to these arms and
adapted to swing longitudinally along the catheter toward said base
wall to grip said catheter between said lid and said base wall.
7. Intravenous catheter apparatus as set forth in claim 6 wherein
the base wall has a second set of upstanding arms on opposite sides
of said catheter, and said means is a cam member removably
connected to said second set of upstanding arms, said cam member
forcing said lid to squeeze said catheter against said base
wall.
8. Intravenous catheter apparatus as set forth in claim 6 wherein
the flexible sheath is gripped between said lid and base wall.
9. Intravenous catheter apparatus as set forth in claim 8 wherein
the flexible sheath is gripped on opposite sides of the catheter by
a lug and cavity construction in the lid and base wall.
10. Intravenous catheter apparatus as set forth in claim 1 wherein
the hub includes a base wall, a pair of upstanding arms on opposite
sides of the catheter, a lid pivotally connected to one arm and
adapted to swing transversely across said catheter and grip said
catheter between the lid and said base wall, and releasable catch
means on the other arm to hold said lid in gripping relationship
with said catheter.
11. Intravenous catheter apparatus as set forth in claim 10 wherein
the flexible sheath is gripped between said lid and base wall.
12. Intravenous catheter apparatus as set forth in claim 11 wherein
the flexible sheath is gripped on opposite sides of the catheter by
a lug and cavity construction in the lid and base wall.
13. Intravenous catheter apparatus as set forth in claim 1 wherein
the catheter is substantially longer than the cannula and wherein
the apparatus has a flexible wire connected at one end to the
cannula, which wire extends outwardly through a bore of the
catheter for pulling the cannula out of the catheter.
14. Intravenous catheter apparatus as set forth in claim 1 wherein
the flexible sheath is removable from the hub.
15. Intravenous catheter apparatus as set forth in claim 1 wherein
the catheter has a hollow adapter on an end of the catheter within
said flexible sheath, and wherein the apparatus includes a
removable closure for said hollow adapter.
16. Intravenous catheter apparatus as set forth in claim 1 in which
said catheter is substantially longer than said cannula and a
pointed end of said cannula of said cannula protrudes from a
forward end of the catheter; a flexible wire with one end attached
to the cannula and extending through a bore of the catheter for
retracting said cannula rearwardly through said catheter, said
catheter-wire-cannula combination being rigid along the cannula
length and flexible rearward of said cannula.
17. Intravenous catheter apparatus as set forth in claim 16 wherein
the hub and flexible sheath are removable from the combination.
18. Intravenous catheter apparatus as set forth in claim 16 wherein
the wire has a handle means attached to an end of the wire opposite
the wire's cannula attached end.
19. Intravenous catheter apparatus as set forth in claim 16 wherein
the catheter has a hollow adapter on an end of the catheter with
said flexible sheath and the apparatus includes a removable closure
for said hollow adapter.
20. Intravenous catheter apparatus comprising: a rigid puncturing
cannula; a flexible catheter telescoped on an outside surface of
the puncturing cannula, said catheter being substantially longer
than said cannula and having a pointed end of said cannula
protruding from a forward end of the catheter; a flexible wire with
one end attached to the cannula and extending through a bore of the
cannula for retracting said cannula through said catheter, said
catheter-wire-cannula combination being rigid along the length of
said cannula but flexible rearward of said cannula; a grasping hub
connected to the rigid portion of the catheter-wire-cannula
combination; a flexible inner sheath connected between the catheter
and the wire and adapted to encase said wire as this wire is pulled
out of the catheter's bore; and a flexible outer sheath encasing
the inner sheath and the flexible portion of the
catheter-wire-cannula combination.
21. Intravenous catheter apparatus as set forth in claim 20 wherein
the apparatus has a cannula housing removably attached to a rear of
the catheter.
22. Intravenous catheter apparatus as set forth in claim 21 wherein
the cannula housing is encased in the inner flexible sheath.
23. Intravenous catheter apparatus as set forth in claim 21 wherein
the cannula housing has a mouth closed off by a closure with said
wire passing through an opening in said closure, said opening being
sufficiently small so the closure can act as a stop against a
shoulder at a rear end of the cannula caused by the cannula having
a larger outside diameter than said wire.
24. Intravenous catheter apparatus as set forth in claim 23 wherein
the closure is a resilient diaphragm through which the wire is
threaded.
Description
My invention relates to an intravenous catheter apparatus for
inserting a flexible venous catheter into a patient's vein. These
flexible venous catheters are often inserted into a patient's vein
so he can move his arm without a rigid cannula gouging into his
vein.
There are basically two types of intravenous catheter apparatus.
One has the flexible catheter on an outside surface of the
puncturing cannula and the other has the flexible catheter fed down
through the cannula's bore. The present invention deals with the
former type while a separate application filed on even date
entitled "Intravenous Catheter Apparatus with Catheter Telescoped
Inside Puncturing Cannula" relates to the latter type.
In the past, intravenous catheter apparatus of the former type
(catheter outside cannula) required a rigid puncturing cannula or
stylet which extended along the entire catheter's bore to an
enlarged handle or hub at a rear of the cannula or stylet. The
nurse or physician made the venipuncture by pushing against this
rear hub or handle. These catheter-cannula combinations were
limited in length to about 3 1/2 inches because a longer cannula or
stylet would bend too easily and was hard to control when making
the venipuncture. This type of apparatus has sometimes been called
an "intravenous needle" because it was basically a standard
hypodermic needle with an intravenous catheter or sleeve telescoped
over the needle.
In my invention, I have provided a flexible catheter that fits over
a rigid puncturing cannula, which catheter can be considerably
longer than the cannula. The cannula has a long flexible wire
connected at its rear end for pulling the cannula out through the
catheter bore after venipuncture. Hence, my catheter can be of any
length desired, for example 8 or 9 inches long. Some doctors prefer
to have a long catheter in a patient's vein because the intravenous
solution flushes into the vein at a considerable distance from the
puncture point and decreases the chance of chemical phlebitis at
the puncture point.
For making the venipuncture, the operator applies axial force to a
grasping hub which squeezes the catheter against the cannula. After
the venipuncture has been made the hub splits apart so it can be
removed from the catheter.
My invention can be better understood with reference to the various
embodiments of my invention shown in the attached drawings, in
which:
FIG. 1 is a side elevational view of the intravenous catheter
apparatus;
FIG. 2 is a side elevational view of the intravenous catheter
apparatus showing the catheter inserted into a patient's vein;
FIG. 3 is an enlarged fragmentary sectional view of the
catheter-wire-cannula combination with the cannula pulled out of
the catheter;
FIG. 4 is an enlarged side elevational view of a first embodiment
of my split hub;
FIG. 5 is an enlarged cross-sectional view of this first embodiment
taken along line 5-5 of FIG. 2;
FIG. 6 is an enlarged cross-sectional view of this first embodiment
taken along line 6-6 of FIG. 2;
FIG. 7 is a top plan view of a second embodiment of my split apart
hub;
FIG. 8 is a side elevational view of this second embodiment showing
a removable cam locking member;
FIG. 9 is a front elevational view of this second embodiment
hub;
FIG. 10 is a top plan view of a third embodiment of my split apart
hub;
FIG. 11 is a side elevational view of this third embodiment hub;
and
FIG. 12 is a front elevational view of the third embodiment
hub.
Referring to these drawings, the intravenous catheter apparatus of
my invention includes a rigid puncturing cannula 1 with a pointed
end protruding slightly from a forward end 3 of a catheter 2
telescoped on an outside surface of this cannula.
The cannula 1 is considerably shorter than the catheter 2 and has a
flexible wire 5 with one end attached to the cannula's rear end.
This wire extends through a bore of the catheter and has a handle 6
on an opposite end. After a venipuncture has been made, the nurse
or physician can pull on wire 5 and remove the cannula from the
catheter leaving only the long flexible catheter in the patient's
vein. As he is pulling out the cannula, a flexible inner sheath 7
connected between the catheter and wire 5 encases the wire which
might have blood on the cannula and protects him from
contamination.
Inside flexible sheath 7 is a cannula housing 18 which is removably
attached to an outside of a hollow adapter 15, which adapter has a
tapered inner surface 16 for attaching to an administration set.
This cannula housing protects the cannula which also might be
covered with blood as it is withdrawn. As the operator pulls out
the wire, a shoulder 25 at a rear of the cannula abuts a closure 20
across the cannula housing's mouth 19. This closure 20 has an
opening 21 that is large enough for wire 5 to pass but not large
enough for cannula 1 to pass. Thus, the operator by pulling on wire
5 can pull the entire cannula housing 18 from hollow adapter 15 so
this adapter can receive an administration set or a plug 17. FIG. 3
shows closure 20 crosshatched in a plastic material with a molded
opening 21. The closure could also be of a rubber material with
wire 5 threaded through it.
In the foregoing description of the catheter-wire-cannula
combination, I have used the term "wire" to describe an elongated
flexible member used to pull out the cannula. While metal is often
associated with the term "wire," I do not use wire in this limited
sense. A metal wire has worked very satisfactorily in my invention
but the wire could also be of a material other than metal. For
instance, it could be of a thermoplastic material with a high
tensile strength. An important thing, however, is that the wire is
flexible. The catheter-wire-cannula combination is rigid along the
length of the cannula but is flexible rearwardly of the cannula.
Hence, if an operator laterally moves the flexible rearward portion
of the catheter-wire-cannula combination while making the
venipuncture, this movement is not transmitted to the rigid
portion. The operator has full control when making the venipuncture
through his grasp on hub 9 which surrounds the rigid portion of the
combination.
In the drawings, I have shown three hub embodiments which grip the
catheter and cannula together for the venipuncture. The first
embodiment is shown in FIGS. 4, 5 and 6; the second embodiment in
FIGS. 7, 8 and 9; and the third embodiment in FIGS. 10, 11 and
12.
The first embodiment (FIGS. 4--6) has a sheath receiving portion 10
which has a rigid lower jaw 11 attached thereto and also has a
hinged top jaw 12 attached thereto. These jaws have opposed
gripping surfaces in longitudinal grooves 26 and 27 which squeeze
the catheter against the cannula. A removable rigid band 13 can be
used to hold the jaws in gripping relationship during venipuncture.
After the venipuncture, the hub is opened up as shown in FIG. 4 and
is pulled back over the catheter with the hollow adapter 15 passing
through the large catheter opening 24 in sheath receiving portion
10. The rigid band 13 can likewise be pulled rearwardly off over
the catheter.
The second embodiment (FIGS. 7--9) has a base wall 30 with a pair
of upstanding arms 31 and 32 on opposite sides of catheter 2. A lid
33 pivotally connects to these upstanding arms through pivot shafts
34 and 35 which fit into pivot pockets in these arms. Numeral 36
denotes the pivot pocket in arm 31, and there is a like pivot
pocket in arm 32.
This lid 33 swings longitudinal towards base wall 30 and a portion
37 tightly clamps the catheter and cannula against base wall 30.
Holding the lid 33 and base wall 30 in this gripping relationship
is a cam member 40 which pivot shafts 41 and 42 that removably fit
into pivot pockets in a second set of upstanding arms 38 and 39.
Numeral 43 denotes the pivot pocket in arm 38 and 39 has a like
pivot pocket. To open this embodiment of my hub the operator pulls
up on a handle of cam member 40 to release the cam pressure on lid
33. After removing cam member 40 he then swings open lid 33 and
pulls pivot shafts 34 and 35 out of the pivot pockets in upstanding
arms 31 and 32. This lets the base wall 30 and upstanding arm
portions of the hub slide out from under the catheter.
Another feature of this second embodiment is the way an outer
flexible sheath 8 is held to the hub. On each side of catheter 2
are cavities 44 and 45 in base wall 30 which can extend completely
through the base wall if desired. Cooperating with these cavities
are lugs 46 and 47 on lid 33 which push the flexible outer sheath 8
into the cavities where it is retained. When the lid is removed to
release catheter 2, it simultaneously releases outer sheath 8.
The third and final hub embodiment (FIGS. 10--12) has a base wall
50 also with upstanding arms 53 and 54. Here, however, the lid 55
is hingedly connected to one arm 53 and transversely swings across
the catheter to grip it to base wall 50. An opening 56 in lid 55
receives a catch means 57 on upstanding arm 54 to lock the lid
against the catheter and cannula. As in the second embodiment, lugs
60 and 61 cooperate with cavities 58 and 59 to simultaneously grip
the flexible outer sheath 8.
The three hub versions described above can be made of various
materials. However, the first and third embodiments are preferably
made of polypropylene plastic with an integral polypropylene hinge
between the jaws of the first embodiment and between the lid and
upstanding arm of the third embodiment.
Having explained the structure of the various embodiments of my
invention, we now turn to a brief description of how it is used.
First, the operator takes the intravenous catheter apparatus as
shown in FIG. 1 and makes the venipuncture. Next, he pulls off band
13 (or removes cam member 40, or releases catch 57) and opens up
the hub to release pressure on cannula 1. Then he pulls out wire 5
which retracts cannula 1 and pulls off the cannula housing.
Preferably, wire 5 is pulled back by grasping handle 6 through
flexible outer sheath 8. However, if desired, a perforation 14 can
be provided so a rear portion of flexible outer sheath 8 can be
removed to get a good grip on handle 6. After the cannula 1 has
been retracted, he removes the flexible outer sheath 8 and hub 9
from catheter 2. He can remove them separately by pulling flexible
outer sheath 8 off of hub 9 or he can remove them while the sheath
and hub are still connected together. Finally, all that remains is
an elongated flexible catheter in the patient's vein. There is no
rigid cannula that can cause injury to him.
In the foregoing specification, I have described my invention using
certain specific embodiments. It is understood that persons skilled
in the art can make modifications to these embodiments without
departing from the spirit and scope of this invention.
* * * * *