U.S. patent number 3,766,916 [Application Number 05/269,671] was granted by the patent office on 1973-10-23 for y stylet catheter placement assembly.
This patent grant is currently assigned to Deseret Pharmaceutical Co., Inc.. Invention is credited to Harvey Moorehead, George R. Reading, Silas S. Smith.
United States Patent |
3,766,916 |
Moorehead , et al. |
October 23, 1973 |
Y STYLET CATHETER PLACEMENT ASSEMBLY
Abstract
Catheter placement units wherein the catheter tube is fixed to a
generally Y-shaped transparent central unit. The stylet needle is
provided with a tab to facilitate manual manipulation of the
placement unit and extends through a bore in one arm of the central
unit and through the catheter tue. The needle is formed with an
opening adjacent the proximal end thereof which communicates the
bore of the needle with the bore of the other arm of the central
unit to provide visual indication of blood flashback indicative of
successful venipuncture.
Inventors: |
Moorehead; Harvey (Salt Lake
City, UT), Reading; George R. (Sandy, UT), Smith; Silas
S. (Bountiful, UT) |
Assignee: |
Deseret Pharmaceutical Co.,
Inc. (Sandy, UT)
|
Family
ID: |
23028216 |
Appl.
No.: |
05/269,671 |
Filed: |
July 7, 1972 |
Current U.S.
Class: |
604/165.04 |
Current CPC
Class: |
A61M
39/0613 (20130101); A61M 25/0693 (20130101); A61M
2039/062 (20130101) |
Current International
Class: |
A61M
25/06 (20060101); A61M 39/02 (20060101); A61M
39/06 (20060101); A61m 005/00 () |
Field of
Search: |
;128/214.4,221,347,348,DIG.16 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
We claim:
1. A catheter placement unit comprising:
a hollow catheter tube;
a bifurcated central unit connected to the proximal end of the
catheter tube and having an axial bore extending the full length of
the central unit, the axial bore joining and aligned with the
hollow of the catheter tube, and an angularly disposed branch
having a bore intersecting the axial bore;
a self-sealing end closure closing the proximal end of the axial
bore;
piercing means extending through the end closure, the axial bore
and the hollow of the catheter tube;
venipuncture handle means joining the piercing means proximal of
the end closure, the handle means comprising a pair of oppositely
disposed forwardly projecting spaced fingers, said fingers
converging in a forward direction and which frictionally engage and
bite into the exterior surface of the central unit to resist
rearward displacement of the piercing means and the handle means
during venipuncture while allowing removal of the piercing means
after venipuncture.
2. A catheter placement unit comprising:
a hollow catheter tube;
a bifurcated central unit connected to the proximal end of the
catheter tube and having an axial portion with a central
throughbore and an angularly disposed side arm with a bore
connected to the axial bore, said axial bore communicating with the
interior of said catheter tube;
a self-sealing end closure extending at least in part into and
closing the proximal end of the axial portion of the central
unit;
piercing means extending through the end closure, the bore of said
axial portion and the hollow of the catheter tube, the piercing
means having tab means fixedly secured to the proximal end of the
piercing means outside of the end closure, which tab means comprise
a manually manipulable handle; and
shim means engaging the portion of said end closure within the
axial bore and urging said end closure into self-sealing
relation.
3. The device of claim 2 wherein: said central unit is formed of
transparent material.
4. The device of claim 2 wherein:
said piercing means comprises a needle comprising an opening which
communicates the bore of said needle with the bore of one of the
arms of said central unit when said needle is positioned extending
through the bore of the other arm of said central unit and through
said catheter.
5. The catheter placement unit of claim 2 wherein said tab means
comprises a pair of forwardly projecting fingers which frictionally
engage the exterior of said central unit.
6. The device of claim 2 wherein:
said shim means is disposed within the bore of said one of said
arms and is formed with a pair of jaws closable to engage and
squeeze the portion of said end closure within said one arm.
7. The device of claim 6 wherein:
said jaws are each formed with an exterior ridge adjacent the
proximal end thereof.
8. The device of claim 7 wherein:
said ridge is normally positioned external to the bore of said one
of said arms and is displaceable into said bore to cause said jaws
to force said plug into sealing relation.
Description
BACKGROUND
1. Field of Invention
This invention relates to catheters and is particularly directed to
intravenous catheter placement units.
2. Prior Art
In the modern practice of medicine, it is often necessary or
desirable to be able to introduce fluids, such as blood or saline
solution, directly into the cardiovascular system of a patient.
This is conventionally accomplished by performing a venipuncture
and inserting a catheter in a vein located, for example, in the
patient's arm. Unfortunately, due to the size and mobility of some
patients' veins, it is often difficult to determine whether the
venipuncture has been successfully performed with the catheter
placement units of the prior art. Moreover, many of the prior art
catheter placement units are difficult to handle both during
placement of the unit and during subsequent withdrawal of the
stylet needle.
These disadvantages of the prior art are overcome with the present
invention and a novel catheter placement unit is provided which is
easy to handle and provides a visual indication when a venipuncture
has been achieved.
BRIEF SUMMARY AND OBJECTS OF THE INVENTION
The advantages of the present invention are preferably attained by
providing a catheter placement unit having a stylet needle
extending therethrough formed with a tab at the proximal end to
facilitate handling and having an opening formed in the stylet
needle communicating with a transparent chamber in the unit to
permit passage of blood through the needle and into the chamber to
visually indicate a successful venipuncture.
Accordingly, it is an object of the present invention to provide an
improved catheter placement unit.
Another objective of the present invention is to provide a catheter
placement unit including means for visually indicating a successful
venipuncture. An additional significant object of the present
invention is to provide structure for squeezing closed a hole made
in an elastomeric end closure of the catheter upon removal of
piercing means from the catheter. Both during placement and during
subsequent withdrawal of the stylet needle.
A specific object of the present invention is to provide a catheter
placement unit including a stylet needle provided with a tab at the
proximal end thereof to facilitate handling and formed with an
opening communicating with a transparent chamber in the unit to
permit passage of blood through the needle and into the chamber to
visually indicate a successful venipuncture.
These and other objects and features of the present invention will
be apparent from the following detailed description taken with
reference to the accompanying drawing.
BRIEF DESCRIPTION OF DRAWINGS
FIG. 1 is a perspective illustration of a catheter placement unit
embodying the present invention;
FIG. 2 is an exploded view of the device of FIG. 1;
FIG. 3 is a transverse section through the device of FIG. 1, taken
on the line 3--3 thereof;
FIG. 4 is an enlarged section through a portion of the device of
FIG. 1, showing the parts in a first position; and
FIG. 5 is a view similar to that of FIG. 4, showing the parts in a
second position.
DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
In that form of the present invention chosen for purposes of
illustration, FIG. 1 shows a catheter placement unit, indicated
generally at 2, having a catheter 4, a central unit 6, and stylet
needle 8.
The catheter tube 4 is preferably formed of a suitable transparent
or translucent radiopaque synthetic resin, such as polyvinyl,
polypropylene, polyethylene, polytetrafluorethylene, etc. The
catheter 4 is centrally hollow and is integrally attached at the
proximal end 10 thereof to the forwardly tapered projection 12
forming the distal end of a sleeve 14 and adapted to press-fit into
the central bore of a conventional needle sheath 15. The sleeve 14
has a cylindrical end portion 16 of greater diameter than the
projection 12 and an intermediate tapered portion 18 joining the
end portion 16 to the projection 12. The sleeve 14 is formed with
an axial bore 20 which has a configuration similar to the exterior
of sleeve 14 and extends completely therethrough.
The central unit 6 has a bifurcated transparent body 22 having
generally cylindrical arms 24 and 26 and is formed at the distal
end 28 with a generally cylindrical male fitting 30 having a
tapered front portion 32. The male fitting 30 and tapered portion
32 have exterior dimensions adapted to mate with the bore 20 of
sleeve 14 and are preferably secured therein by a suitable bonding
agent, such as epoxy. The arm 24 of body 22 extends coaxially with
the male fitting 30 and is formed with a central bore 34 extending
completely through the arm 24 and male fitting 30. The bore 34
communicates with a counter bore 36 of greater diameter adjacent
the proximal end of arm 24 and arm 24 is provided at the proximal
end with a radially outwardly projecting flange 38. The arm 26
intersects arm 24 at an angle to the axis of arm 24 adjacent the
distal end 28 of body 22. The arm 26 is formed with an axial bore
40 which communicates with bore 34 of arm 24 and a pair of radial
flanges 42 project outwardly from opposite sides of arm 26 at the
proximal end thereof. The bore 40 of arm 26 has a diametral
dimension such as to permit press-fit engagement with the male
fitting of a fluid delivery tube, not shown, and may be provided
with a generally cylindrical transparent cap 44. The cap 44 has a
planar end member 46 and an annular skirt 48 dimensioned for
press-fit engagement with flanges 42 of arm 26 and is provided with
an annular base 50 depending from the end member 46 centrally
within the skirt 48 and dimensional to be press-fit within bore 40
of arm 26. The skirt 48 is preferably provided with a plurality of
spaced ribs 52 about the exterior thereof. Finally, a plug 54
formed of self-sealing material, such as latex, is press-fit into
counterbore 36 of arm 24. The plug 54 is formed with a generally
planar end portion 56 and an annular skirt 58 depending from the
end portion 56 and terminating at its free end in a radially
outwardly projecting flange 60 which serves to resiliently grip the
flange 38 of arm 24. In addition, the plug 54 is formed with a
central core 62 which extends forwardly from the end portion 56
slightly beyond the end of the skirt 58. The core 62 is dimensioned
to fit closely within counter bore 36 of arm 24 and is provided
with a central recess 64 communicating with the distal end portion
66 of core 62 and extending axially substantially the entire length
of core 62 so that only self-sealing wall 67 is provided at the
proximal end of core 62. As best seen in FIGS. 2 and 3, a
thin-walled, axially elongated, annular shim 69 is provided, having
an external diameter substantially equal to that of core 62 of plug
54. The shim 69 is formed of plastic or resinous material and has a
pair of opposed recesses 71 formed in the proximal end thereof
which define opposing jaws 73. The shim 69 is disposed in counter
bore 36 with the jaws 73 expanded to extend about and partially
circumscribe core 62 of plug 54, as seen in FIG. 3.
The stylet needle 8 comprises a hollow or cannulated tubular steel
needle 68 having a central bore 70 and a sharpened bevel point 72
adapted to penetrate the skin, subcutaneous tissue, and blood
vessels of a patient. The needle 68 has a sufficient length to
extend completely through the catheter 4 and central unit 6 and has
its proximal end 74 seated in a recess 76 formed in the forward
face 78 of a tab member 80. The end 74 of needle 68 is preferably
secured within recess 76 by suitable means, such as epoxy or sonic
bonding. Forward of the proximal end 74, the needle 68 is provided
with an elongated opening 82 communicating the bore 70 with the
exterior of needle 68. The tab member 80 has a generally
rectangular handle portion 84 found on opposite sides thereof with
rectangular recesses 86 of slightly lesser dimensions serving to
provide a peripheral ridge 88 to facilitate manual gripping and
manipulation. A generally cylindrical shell portion 90 is joined to
the distal end of handle portion 84 and projects forwardly
therefrom and is bifurcated adjacent the forward end thereof to
provide a pair of opposingly curved fingers 92 which are
dimensioned to extend about and frictionally engage the exterior of
arm 24 of central unit 6. Alternatively, if desired, the stylet
needle 8 may be replaced by a conventional stylet needle, not
shown, having a blood "flashback" chamber communicating with the
proximal end of the cannula.
In use, the needle 68 is inserted into recess 64 of plug 54,
piercing the self-sealing wall 67, and is pushed through counter
bore 36 and bore 34 of central unit 6 and catheter 4 to the
position shown in FIG. 3. It will be noted that, in this position,
opening 82 of needle 68 serves to communicate bore 70 of needle 68
with the bore 40 of arm 26 of the transparent central unit 6.
Moreover, the fingers 92 of the stylet needle 8 frictionally engage
and grip the sides of the central unit 6 to permit manual
manipulation of the assembled catheter placement unit 2. The
venipuncture is performed in a conventional manner and, upon
penetration of a vein, blood will flow through bore 70 and opening
82 of needle 68 into bore 40 of arm 26 to provide a visual
indication that the venipuncture has been achieved. Thereafter, the
stylet needle 8 may be withdrawn, allowing wall 67 of plug 54 to
seal. As indicated above, the jaws 73 of shim 69 are expanded to
extend about core 62 of plug 54. Consequently, the jaws 73 apply an
inward pressure to the wall of core 62 which tends to close recess
64 and enhances the self-sealing action of wall 67. In the event
that adequate sealing is not obtained, plug 54 may be pressed
forward to force the core 62 to extend more fully into shim 69 and,
thereby, increasing the sealing pressure applied by jaws 73.
Thereafter, cap 44 may be removed from arm 26 of central unit 6 to
permit attachment thereto of a fluid delivery tube.
FIGS. 4 and 5 are enlarged sectional views illustrating the shim
69. As shown, the jaws 73 are, preferably, provided with external
ridges 75 which are normally positioned externally of counter bore
36 adjacent the proximal end thereof, as seen in FIG. 4. In the
event that inadequate sealing of wall 67 occurs, plug 54 is pressed
forward, causing ridges 75 to bear against the end of counter bore
36 and forcing jaws 73 inwardly to clamp core 62 and substantially
close recess 64 thereof, thus, significantly increasing the
self-sealing action of wall 67.
Obviously, numerous variations and modifications may be made
without departing from the present invention. Accordingly, it
should be clearly understood that the form of the present invention
described above and shown in the accompanying drawing is
illustrative only and is not intended to limit the scope of the
invention.
* * * * *