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NZ761279B2 - Method and apparatus for introducing a needle for catheter placement - Google Patents
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NZ761279B2 - Method and apparatus for introducing a needle for catheter placement - Google Patents

Method and apparatus for introducing a needle for catheter placement

Info

Publication number
NZ761279B2
NZ761279B2 NZ761279A NZ76127918A NZ761279B2 NZ 761279 B2 NZ761279 B2 NZ 761279B2 NZ 761279 A NZ761279 A NZ 761279A NZ 76127918 A NZ76127918 A NZ 76127918A NZ 761279 B2 NZ761279 B2 NZ 761279B2
Authority
NZ
New Zealand
Prior art keywords
pym
bevel
needle
catheter
longitudinal side
Prior art date
Application number
NZ761279A
Other versions
NZ761279A (en
Inventor
Weston Finch Harding
Shawn Ray Isaacson
Bryan Jeffrey O
Ralph Lee Sonderegger
Original Assignee
Becton Dickinson And Company
Filing date
Publication date
Application filed by Becton Dickinson And Company filed Critical Becton Dickinson And Company
Priority to NZ802511A priority Critical patent/NZ802511A/en
Priority claimed from PCT/US2018/045108 external-priority patent/WO2019028317A1/en
Publication of NZ761279A publication Critical patent/NZ761279A/en
Publication of NZ761279B2 publication Critical patent/NZ761279B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3401Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0606"Over-the-needle" catheter assemblies, e.g. I.V. catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0612Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
    • A61M25/0618Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for protecting only the distal tip of the needle, e.g. a needle guard
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0612Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
    • A61M25/0643Devices having a blunt needle tip, e.g. due to an additional inner component
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/065Guide needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0693Flashback chambers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3286Needle tip design, e.g. for improved penetration

Abstract

Catheters are generally used for parenteral nutrition, IV fluid replacement and for administering analgesics and antibiotics. Inserting and properly positioning an IV catheter on the first attempt generally requires a level of skill that that is not possessed by some clinicians. The accurate placement of a catheter and the insertion device in the vein on the first attempt is a great advantage to reduce the incidence of damage to the vein and/or the surrounding tissue. Proper placement of the catheter and the insertion needle is important to minimize the discomfort and pain to the patient as well as reducing damage or injury to the vein. Damage caused to the vein during insertion and placement of the catheter can cause accelerated clotting and thrombosis. A catheter assembly for introducing a needle (10) to position a catheter (28), such as a peripheral TV catheter into a patient includes piercing a vein (26) with a needle that extends from the distal end of the catheter. The catheter assembly comprises a needle having a body with a proximal end, a distal end, a first longitudinal side surface and a second longitudinal side surface opposite the first longitudinal side surface. The distal end having a first bevel surface extending between the first longitudinal side surface and the second longitudinal side surface of define a distal at the second longitudinal side surface. The needle has a distal tip (22) with a configuration that pierces the vein at an angle to penetrate a vein with a reduced incidence of transfixing, injury of the inner surface of the vein or inadvertently passing through side wall of the vein. The second longitudinal side surface having an inwardly curved distal surface extending between the distal tip and an outer peripheral surface, a second reverse bevel and a third reverse bevel converging at the distal tip and forming a cutting edge between the second reverse bevel and the first bevel surface. A cutting edge between the third reverse bevel and the first bevel surface, and an inclined cutting edge between the second reverse bevel and the third reverse bevel. The cutting edges being oriented radially inward relative to the outer peripheral surface. The inwardly curved distal surface extending between the second longitudinal side surface and the inclined cutting edge between the second reverse bevel and the third reverse bevel. The first bevel surface formed at an angle of 16 - 22° with respect to the longitudinal dimension of the needle. The second reverse bevel and third reverse bevel formed at an angle of 75 - 85 with respect to each other to form the inclined cutting edge spaced radially inward with respect to the outer peripheral surface and the inwardly curved distal surface. The second longitudinal side having a notch defining a blood flashback between a lumen of the needle and the catheter. The notch is oriented opposite the first bevel surface. The distal tip of the needle is introduced into the lumen (32) of the vein at an incline where the distal tip is spaced from an inner surface (34) of the vein and a bevel surface (20) of the distal tip faces the inner surface of the vein opposite the entry point of the needle into the vein. The catheter positioned on the needle, where the needle is removable from the catheter. The catheter hub receiving the catheter, the catheter hub having a first longitudinal side surface configured for manipulating the catheter assembly by a user and a second longitudinal side surface for facing the skin of a patient. The bevel surface of the needle faces outwardly with respect to the second longitudinal side surface of the catheter hub. A catheter on the needle is advanced from the distal tip of the needle into the lumen of the vein.

Claims (6)

1. A catheter assembly comprising: a needle having a body with al end, a distal end, a first longitudinal side surface and a second longitudinal side surface opposite said first side surface, said distal end having a first bevel surface extending between said first longitudinal side e and said second longitudinal side surface to define a distal tip at said second longitudinal side surface facing outwardly from said second side surface and said first bevel surface on said first udinal side, said second longitudinal side surface having an ly curved distal surface extending between said distal tip and an outer peripheral surface, a second e bevel and a third reverse bevel converging at said distal tip and forming a cutting edge between said second reverse bevel and said first bevel surface, a cutting edge between said third reverse bevel and said first bevel surface, and an inclined cutting edge between said second reverse bevel and said third reverse bevel, said cutting edges being oriented radially inward relative to the outer peripheral surface, and said inwardly curved distal surface ing between said second longitudinal side surface and said ed cutting edge between said second reverse bevel and said third reverse bevel, said first bevel surface formed at an angle of 16-22° with respect to the longitudinal dimension of said needle, and said second reverse bevel and third reverse bevel formed at an angle of 75-85° with respect to each other to form said inclined cutting edge spaced radially inward with respect to the outer peripheral e and said inwardly curved distal surface said first longitudinal side having a notch defining a blood flashback passage between a lumen of said needle and said er, and where said notch is oriented te said first bevel surface; a catheter positioned on said needle, where said needle is removable from said catheter.
2. A er assembly comprising: a needle having a needle body having a longitudinal dimension with a proximal end and a distal end, a first longitudinal side surface, a second longitudinal side surface opposite said first longitudinal side surface, and a first bevel surface extending between said first longitudinal side surface and said second longitudinal side surface to define a distal tip at said second longitudinal side surface, said first bevel surface facing outwardly with respect to said first longitudinal side None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM surface of said needle, said second longitudinal side surface having an inwardly curved distal e extending n said distal tip and an outer peripheral surface, a second reverse bevel and a third reverse bevel converging at said distal tip and forming a cutting edge between said second reverse bevel and said first bevel surface, a cutting edge between said third e bevel and said first bevel e, and an inclined cutting edge between said second reverse bevel and said third e bevel, said cutting edges being oriented radially inward relative to the outer eral surface, and said inwardly curved distal surface extending between said second longitudinal side surface and said ed cutting edge between said second reverse bevel and said third reverse bevel, said first bevel surface formed at an angle of 16-22° with t to the longitudinal dimension of said needle, and said second reverse bevel and third e bevel formed at an angle of 75-85° with respect to each other to form said inclined cutting edge spaced radially inward with respect to the outer peripheral surface and said ly curved distal surface; a catheter positioned on said needle, where said needle is removable from said catheter; a er hub receiving said catheter, said catheter hub having a first longitudinal side surface configured for manipulating the catheter assembly by a user and a second longitudinal side surface configured for facing the skin of a patient, and where said first bevel surface of said needle faces outwardly with respect to second longitudinal side surface of said catheter hub, where said distal tip of the needle does not t an inner surface of the catheter when the catheter is advanced over the distal end.
3. The catheter assembly of claim 2, wherein said catheter is an IV catheter, and where said needle body has a blood flashback passage in communication with a blood control member, and a guide wire extending through said needle.
4. The catheter assembly of claim 3, wherein said needle body has a blood flashback passage between said needle body and said catheter. None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM
5. The catheter assembly of claim 4, wherein said blood flashback passage is a notch on an outer surface of said needle body in communication with a lumen in said needle body, and where said catheter hub is connected to said blood control member.
6. The catheter assembly of claim 3, wherein said needle body includes a lumen forming said blood flashback passage and where said catheter hub is d to a needle hub connected to said blood control member for ing blood from said needle. None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM “ “ “ ““ ““ “ L“ ‘V “ ‘ .‘ “ “ ‘ ““ ““ “ “‘ VA El None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM ionNone set by PYM Unmarked set by PYM ' I ' I ' I I I I I I A V I I ' I ' I ' I ‘ ' I 'I ' I ' I ' I I I I I I I I I I I H None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM E None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM ionNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM I .I.\: g! .8V\§.I¢~ Aaagg??lj ‘u None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM None set by PYM MigrationNone set by PYM ed set by PYM None set by PYM MigrationNone set by PYM Unmarked set by PYM
NZ761279A 2017-08-04 2018-08-03 Method and apparatus for introducing a needle for catheter placement NZ761279B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
NZ802511A NZ802511A (en) 2017-08-04 2018-08-03 Method and apparatus for introducing a needle for catheter placement

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201762541158P 2017-08-04 2017-08-04
PCT/US2018/045108 WO2019028317A1 (en) 2017-08-04 2018-08-03 Method and apparatus for introducing a needle for catheter placement

Publications (2)

Publication Number Publication Date
NZ761279A NZ761279A (en) 2025-07-25
NZ761279B2 true NZ761279B2 (en) 2025-10-29

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