Indwelling assembly

• US 10,188,790 B2
• Filed: 06/07/2017
• Issued: 01/29/2019
• Est. Priority Date: 03/26/2010
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Ishida, Masahiro
• Primary Examiner(s): Stigell, Theodore
• Application Number:
  US15/616,299
• Publication Number:
  US 20170266375A1
• Time in Patent Office: 601 Days
• CPC Class Codes: A61M 2005/1585 Needle inserters
• CPC Class Codes: A61M 2005/1587 suitable for being connected to an infusion line after insertion into a patient
• CPC Class Codes: A61M 25/0606 "Over-the-needle" catheter assemblies, e.g. I.V. catheters
• CPC Class Codes: A61M 5/158 Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body

Abstract

An indwelling assembly includes an inner needle having a sharp needlepoint, an inner needle hub fixed to the inner needle, a hollow elongated outer member in which the inner needle is positioned and movable in a distal direction relative to the inner needle after puncturing the blood vessel to position the elongated outer member at a desired position in the blood vessel, an outer member hub fixed to hollow elongated outer member, a projection removably connected to the outer member hub and configured to be engaged by a finger of the user to apply a force to the projection causing the outer member hub and the hollow elongated outer member to move together with the projection in the distal direction relative to the inner needle and the inner needle hub, and an elongated movable member that is movable relative to the hollow elongated outer member and the outer member hub.

Claims

1. A method comprising:

positioning an assembled indwelling assembly adjacent a patient, the assembled indwelling assembly comprising;

an inner needle possessing a sharp needlepoint at a distal end;

an inner needle hub fixed to a proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated member connected to the outer member hub by a hinge structure allowing the elongated member to rotate relative to the outer member hub about a hinge axis, the elongated member extending in a distal direction from the hinge structure;

puncturing a blood vessel of the patient with the sharp needlepoint of the inner needle while the elongated member extends in the distal direction from the hinge structure;

advancing the hollow outer member in the distal direction along the inner needle such that a distal portion of the hollow outer member is inserted to a target position in the blood vessel, the advancing of the hollow outer member in the distal direction along the inner needle being performed while the elongated member extends in the distal direction from the hinge structure, the advancing of the hollow outer member in the distal direction including advancing the hollow outer member in the distal direction together with the outer member hub and the elongated member,

moving the inner needle hub in a proximal direction while simultaneously maintaining the distal portion of the hollow outer member indwelled in the blood vessel such that the inner needle is pulled out from and entirely removed from the hollow outer member; and

rotating the elongated member about the hinge axis after the inner needle is entirely removed from the hollow outer member so that the elongated member rotates relative to the outer member hub, the rotating of the elongated member about the hinge axis including rotating the elongated member away from the distal end of the hollow member.

2. The method according to claim 1, further comprising detaching the elongated member from the outer member hub after the rotating of the elongated member about the hinge axis.

3. The method according to claim 1, wherein the elongated member axially overlaps at least a portion of the outer member hub during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

4. The method according to claim 1, wherein the advancing of the hollow outer member in the distal direction along the inner needle includes contacting a projection on the elongated member with a finger.

5. The method according to claim 1, wherein the hollow outer member and the outer member hub together constitute an outer combination, and wherein a portion of the elongated member contacts a part of the outer combination located distally of the hinge axis during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

6. A method comprising:

positioning an assembled indwelling assembly adjacent a patient, the assembled indwelling assembly comprising;

an inner needle possessing a sharp needlepoint at a distal end;

an inner needle hub fixed to a proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated member connected to the outer member hub at a hinge axis;

puncturing a blood vessel of the patient with the sharp needlepoint of the inner needle;

advancing the hollow outer member in the distal direction along the inner needle such that a distal portion of the hollow outer member is inserted to a target position in the blood vessel, the advancing of the hollow outer member in the distal direction along the inner needle being performed while a distal portion of the elongated member is positioned distally of the hinge axis, the advancing of the hollow outer member in the distal direction including advancing the hollow outer member in the distal direction together with the outer member hub and the elongated member,

moving the inner needle hub in a proximal direction while simultaneously maintaining the distal portion of the hollow outer member indwelled in the blood vessel; and

rotating the elongated member about the hinge axis after the moving of the inner needle hub in the proximal direction so that the elongated member rotates relative to the outer member hub.

7. The method according to claim 6, further comprising detaching the elongated member from the outer member hub after the rotating of the elongated member about the hinge axis.

8. The method according to claim 6, wherein the elongated member axially overlaps at least a portion of the outer member hub during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

9. The method according to claim 6, wherein the hollow outer member and the outer member hub together constitute an outer combination, and wherein a portion of the elongated member contacts a part of the outer combination located distally of the hinge axis during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

10. The method according to claim 6, wherein the advancing of the hollow outer member in the distal direction along the inner needle includes contacting a projection on the elongated member with a finger.

11. The method according to claim 6, wherein the moving of the inner needle hub in the proximal direction includes completely removing the inner needle from the hollow outer member, and the rotating of the elongated member about the hinge axis is performed after the inner needle is completely removed from the hollow outer member.

12. The method according to claim 6, wherein the rotating of the elongated member about the hinge axis comprises rotating the elongated member away from the sharp needlepoint of the inner needle.

13. A method comprising:

positioning an assembled indwelling assembly adjacent a patient, the assembled indwelling assembly comprising;

an inner needle possessing a sharp needlepoint at a distal end;

an inner needle hub fixed to a proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated member connected to the outer member hub at a hinge axis;

puncturing a blood vessel of the patient with the sharp needlepoint of the inner needle;

advancing the hollow outer member in the distal direction along the inner needle such that a distal portion of the hollow outer member is inserted to a target position in the blood vessel, the advancing of the hollow outer member in the distal direction along the inner needle being performed while a distal portion of the elongated member is positioned distally of the hinge axis, the advancing of the hollow outer member in the distal direction including advancing the hollow outer member in the distal direction together with the outer member hub and the elongated member,

moving the inner needle hub in a proximal direction while simultaneously maintaining the distal portion of the hollow outer member indwelled in the blood vessel; and

raising a distal portion of the elongated member relative to an axis of the outer member hub while simultaneously maintaining stationary an other portion of the elongated member relative to the axis of the outer member hub, the other portion of the elongated member being proximal of the distal portion of the elongated member, the raising of the distal portion of the elongated member relative to the axis of the outer member hub being performed after the moving of the inner needle hub in the proximal direction.

14. The method according to claim 13, further comprising detaching the other portion of the elongated member that is proximal of the distal portion of the elongated member from the outer member hub after the raising of the distal portion of the elongated member relative to the axis of the outer member hub, the detaching of the other portion of the elongated member occurring while maintaining the distal portion of the hollow outer member indwelled in the blood vessel.

15. The method according to claim 13, wherein the elongated member axially overlaps at least a portion of the outer member hub during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

16. The method according to claim 13, wherein the hollow outer member and the outer member hub together constitute an outer combination, and wherein a portion of the elongated member contacts a part of the outer combination located distally of the hinge axis during the puncturing of the blood vessel of the patient with the sharp needlepoint of the inner needle.

17. An indwelling assembly comprising:

an inner needle possessing a distal end and a sharp needlepoint at the distal end to puncture a blood vessel of a patient when the indwelling assembly is moved toward the patient, the inner needle possessing a proximal portion;

an inner needle hub fixed to the proximal portion of the inner needle;

a hollow elongated outer member in which the inner needle is positioned, the hollow elongated outer member being movable in a distal direction relative to the inner needle after puncturing the patient'"'"'s blood vessel with the sharp needlepoint to position the hollow elongated outer member at a desired position in the blood vessel, the hollow elongated outer member possessing a proximal portion;

an outer member hub fixed to the proximal portion of the hollow elongated outer member; and

an elongated member connected to the outer member hub at a hinge axis that allows the elongated member to rotate relative to the outer member hub, the elongated member being positioned in a first position in which the elongated member extends in the distal direction from the hinge axis and axially overlies a portion of the outer member hub positioned distal of the hinge axis, the elongated member being rotatable about the hinge axis in a direction away from the sharp needlepoint at the distal end of the inner needle so that the elongated member rotates from the first portion to a second position that is rotationally spaced from the first position.

18. The indwelling assembly according to claim 17, wherein the elongated member possesses a length less than a length of the hollow outer member so that a distal-most end of the hollow outer member is positioned distally beyond a distal-most end of the elongated member when the elongated member is in the first position.

19. The indwelling assembly according to claim 17, wherein the elongated member is detachably connected to the outer member hub so that the elongated member is detachable from the outer member hub.

20. The indwelling assembly according to claim 17, wherein the elongated member includes at least one projection that is engageable by a user'"'"'s finger.