U.S. patent number 3,825,001 [Application Number 05/312,426] was granted by the patent office on 1974-07-23 for catheter placement unit.
This patent grant is currently assigned to Johnson & Johnson. Invention is credited to Stanford M. Bennet, William Smith, Joseph J. Thomas.
United States Patent |
3,825,001 |
Bennet , et al. |
July 23, 1974 |
CATHETER PLACEMENT UNIT
Abstract
A catheter placement unit primarily useful with equipment for
monitoring central venous pressure comprises a length of flexible
hollow tubing having a female fitting at one end for attachment to
the equipment and a male fitting adjacent the other end for
attachment to the hub of a flexible intravenous plastic catheter
that has been introduced into the vein of a patient. The male
fitting has an axial opening through which the tubing passes and
across the opening is positioned an elastomeric diaphragm having a
slit which tightly engages the outer periphery of the tubing to
form a seal between the male fitting and the tubing and to
yieldingly resist the movement of the tubing relative to the male
fitting. A stylet is preferably provided within the lumen of the
tubing and a flexible plastic sheath preferably covers the tubing
to provide a sterile procedure for feeding the tubing through the
male fitting and plastic catheter.
Inventors: |
Bennet; Stanford M. (Milltown,
NJ), Smith; William (Califon, NJ), Thomas; Joseph J.
(Somerville, NJ) |
Assignee: |
Johnson & Johnson (New
Brunswick, NJ)
|
Family
ID: |
23211385 |
Appl.
No.: |
05/312,426 |
Filed: |
December 5, 1972 |
Current U.S.
Class: |
604/170.02;
604/163; 604/171 |
Current CPC
Class: |
A61M
25/0111 (20130101) |
Current International
Class: |
A61M
25/01 (20060101); A61m 025/02 () |
Field of
Search: |
;128/214.4,349R,DIG.16,218NV,221 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Claims
We claim:
1. A catheter placement unit for use with an intravenous catheter
having a hub with an internal tapered surface and a terminal
flange, an elongated flexible length of hollow tubing; a first
fitting secured to the proximal end of said tubing; and a second
fitting slidably mounted adjacent the distal end of said tubing,
said second fitting having an axial opening therethrough and an
elastomeric diaphragm secured across said opening and having an
aperture for the passage of said tubing, defining a means to cause
said diaphragm to tightly engage the outer periphery of said
tubing, said second fitting further having a tapered male connector
extending axially from its distal end for mating with the internal
tapered surface of the intravenous catheter hub and a threaded
locking element encompassing said tapered connector defining a
means for coacting with said terminal flange on said catheter hub
to securely lock said second fitting to said catheter hub.
2. The catheter assembly of claim 1 wherein said aperture is a slit
formed in said diaphragm.
3. The catheter assembly of claim 1 further comprising a flexible
plastic sheath secured to said second fitting and being of
sufficient length to enclose the entire length of said tubing and
said first fitting.
4. The catheter assembly of claim 3 wherein said sheath has a
frangible connection to said second fitting.
5. The catheter assembly of claim 4 further comprising a stylet
completely filling the lumen of said tubing.
Description
This invention relates to catheters and, more particularly, to a
unique catheter placement unit which minimizes the trauma to the
veins and other body tissue and also minimizes the leakage of blood
from the patient during the period the catheter is in use.
Many prior devices and procedures have heretofore been used to
introduce relatively long flexible catheters, such as, catheters
useful in combination with equipment for measuring and monitoring
central venous pressure, into the venous system of a patient.
These prior systems have usually required the use of a metal
introducer needle which was inserted into a vein and provided a
passage for the catheter into the venous system. Because the needle
was substantially larger in outside diameter than the catheter, it
was impossible to remove the needle without causing a leakage of
blood between the skin and the outer surface of the catheter.
Therefore, the needle has usually been permitted to remain in the
vein during the period of use of the catheter, thus, creating a
twofold hazard in that the extremely sharp point on the needle
could cause tissue damage and also sever the catheter and render it
useless.
The present invention provides a unique structure and procedure
which eliminates the disadvantages heretofore experienced with
prior catheter placement systems. This structure includes the use
of a conventional over-the-needle plastic catheter in combination
with uniquely constructed catheter tubing having a female fitting
at its proximal end for connection to the fitting of an
administration set or pressure monitoring equipment. A second
fitting is slidably mounted on the distal end of the catheter
tubing and provides structure for at least the following three
functions: (1) an attachment between the catheter tubing and the
hub of the conventional plastic catheter; (2) a seal to prevent the
leakage of blood between the catheter tubing and the plastic
catheter; and (3) a component for yieldingly resisting the movement
of the catheter tubing relative to the plastic catheter so that the
catheter tubing cannot be easily withdrawn from the venous system
of the patient by an inadvertant action.
The invention also provides a sterile procedure for introducing the
catheter tubing into the venous system and an optional method for
connecting the catheter tubing to pressure monitoring equipment, or
the like, prior to the introduction of the catheter.
The invention will be particularly described with reference to the
following detailed description of the preferred embodiment of the
invention when considered together with the attached drawing, in
which:
FIG. 1 is a view showing a patient's arm and vein in section with a
conventional plastic catheter introduced into the vein and with the
catheter placement unit of the subject invention in position for
connection to the hub of the plastic catheter;
FIG. 2 is a view similar to FIG. 1 but showing the catheter
placement unit connected to the hub of the plastic catheter and the
catheter tubing of the catheter placement unit being fed through
the plastic catheter into the vein of a patient;
FIG. 3 is a fragmentary cross sectional view showing the connection
between the hub of the plastic catheter and the slidable fitting
mounted adjacent the distal end of the catheter tubing of the
catheter placement unit of the present invention;
FIG. 4 is a fragmentary cross sectional view taken along line 4--4
in FIG. 3 but showing the catheter tubing and stylet illustrated in
FIG. 3 removed from the sealing component within the fitting;
and
FIG. 5 is a fragmentary view illustrating the end of the plastic
bag shown in FIGS. 1 and 2 before it is assembled to the fitting
which is slidably mounted on the distal end of the catheter tubing
of the catheter placement unit of the present invention.
Referring to FIG. 1, the catheter placement unit of the present
invention is shown generally at 10 and comprises as its main
components an elongated flexible length of plastic tubing 11,
having an open lumen extending from one end to the other and having
a female fitting 12 secured to the proximal end thereof and a male
fitting 13 slidably mounted adjacent the distal end thereof.
Catheter placement unit 10 further comprises a transparent flexible
plastic sheath 14 which has a frangible connection 15 with fitting
13. Preferably, a stylet 16 (see FIG. 3) is positioned within the
entire length of the lumen of tubing 11 and has a plug 17 secured
to its proximal end and firmly seated within female fitting 12.
Catheter placement unit 10 is intended to be utilized in
combination with a conventional flexible plastic catheter shown
generally in FIG. 1 at 20. Catheter 20 is preferably of the
over-the-needle type and may be constructed in a manner illustrated
in U.S. Pat. No. 3,094,122. In this patent the manner of
manufacturing such a catheter and of introducing such a catheter
into the vein of a patient is very thoroughly described. In FIG. 1,
the arm A and vein V of a patient is illustrated in cross section
with flexible tubing portion 21 of catheter 20 introduced therein.
Tubing 11 and catheter 21 are preferably made from a bio-compatible
material, such as, polytetrafluroethylene and are preferably very
flexible so that the trauma to the vein and other body tissue of
the patient is greatly minimized. A standard plastic or metal hub
22 is secured to the proximal end of catheter 21 and is adapted to
be connected to the male tapered fitting 24 secured to the end of
fitting 13.
Referring to FIG. 3, the internal construction of fitting 13 and
the manner in which it is connected to fitting 22 are clearly
illustrated. However, in order to best understand the complete
operation of catheter placement unit 10 and its cooperation with
catheter 20, fitting 13 will first be described in detail.
Referring to FIG. 3, fitting 13 comprises an essentially
cylindrical housing 30 which has an axial opening 31 extending
therethrough. In the initial assembly of fitting 13 and catheter
tubing 11, the tubing is passed through the axial opening 31 to a
location adjacent the tip 32 of male fitting 24. Within housing 30
is mounted an elastomeric diaphragm 33 which is securely held
within the proximal end of housing 30 by a metal ferrule 34.
Referring to FIG. 4, the location of diaphragm 33 relative to
catheter tubing 11 and stylet 16 is shown in cross section. It will
be appreciated that elastomeric diaphragm 33 extends completely
across axial opening 31 extending through housing 30 and, except
for the slit 35 formed in the center of diaphragm 33, the diaphragm
completely seals the axial opening. Slit 35 may be opened
sufficiently to permit the passage of catheter tubing 11
therethrough but retains a close contact with the outer priphery of
the tubing so that any passage of blood or other fluid is
prohibited. Also, the tight fit between slit 35 and the outer
periphery of tubing 11 provides a means for yieldingly resisting
the movement of tubing 11 relative to fitting 13 and catheter 21.
This aspect of the invention will be more thoroughly discussed
herein below.
As stated above, the distal end of fitting 13 is provided with a
tapered connector or fitting 24 which is adapted to be received in
the open end of hub 22 connected to plastic catheter 21. As shown
in FIG. 3, fitting 13 is also provided with a threaded locking
element 36 which is adapted to engage the outwardly extending
flange 23 on the extreme end of hub 22. This engagement securely
locks hub 22 within fitting 13 and prevents accidental separation
of the two parts.
Referring to FIG. 5, a portion of plastic bag 14 is illustrated
prior to its attachment to the proximal end of fitting 13. Bag 14
is formed from a flexible plastic material that may be conveniently
attached to fitting 13 as illustrated in FIG. 3. The open end 40 of
the bag is placed over the proximal end of housing 30 and secured
thereto by a substantially cylindrical elastomeric band 41 which
completely encircles housing 30. The bag is so positioned that the
frangible section 15 is positioned adjacent the extreme end of
housing 30.
The introduction and use of catheter placement unit 10 will now be
described in detail. After catheter 20 has been appropriately
introduced into vein V in a manner similar to that illustrated in
FIGS. 7-9 of U.S. Pat. No. 3,094,122, fitting 13 is connected to
hub 22 by positioning connector 24 within the tapered open end of
hub 22 and turning fitting 13 to securely lock the two components
together as shown in FIG. 3. With the components thus assembled,
the operator may then grasp the plastic bag, as illustrated in FIG.
2, and move catheter tubing 11 forward through axial opening 31
within housing 30 and, thus, through catheter 21 into the venous
system of the patient.
After catheter tubing 11 is appropriately positioned within the
venous system of the patient, plastic bag 14 may be removed from
fitting 13 by merely pulling or "snapping" the bag in a direction
away from the fitting.
In order to connect the appropriate tubing from an administration
set or a pressure monitoring device, it is only necessary to remove
plug 17 and its associated stylet 16 and connect the tubing to hub
12. The catheter placement unit is thus placed in an operable
condition.
If it is desirable to attach the pressure monitoring tubing prior
to the placement of catheter tubing 11 into the venous system of a
patient, the operator may expose fitting 12 by pulling the open end
45 of bag 14 over the fitting and removing plug 17 and stylet 16.
The tubing may then be connected to fitting 12 prior to the
connection of fitting 13 to hub 22 and prior to the feeding of
catheter tubing 11 into the vein. Both of the above described
procedures are effective to provide means for feeding the catheter
tubing into the venous system with a sterile procedure.
It will be apparent from the foregoing description that the present
invention provides a unique catheter placement unit that
accomplishes the desired results of minimizing trauma to the vein
and surrounding tissue of a patient and also minimizes the leakage
of blood and other body fluids during the procedure. This is
accomplished by utilizing a flexible plastic introducer catheter
and a uniquely designed fitting for attaching the catheter tubing
to the hub of the plastic catheter. As stated before, this fitting
serves the functions of preventing the leakage of blood between the
catheters and providing an element for yieldingly resisting the
movement of the catheter tubing relative to the plastic introducer
catheter. This latter advantage greatly minimizes the opportunity
for inadvertent removal of the catheter tubing.
* * * * *