Apparatus and methods to communicate fluids and/or support intraosseous devices

• US 10,258,783 B2
• Filed: 03/10/2015
• Issued: 04/16/2019
• Est. Priority Date: 10/30/2006
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences II LLC
• Original Assignee: Teleflex Medical Devices, Sarl (Teleflex Incorporated)
• Inventors: Miller, Larry J., Bolleter, David S., Titkemeyer, Robert W., Manno, Joseph J., Harmon, Matthew T., Richardson, Bruce J., Hart, Gary Emerson
• Primary Examiner(s): Stigell, Theodore
• Application Number:
  US14/643,839
• Publication Number:
  US 20150351797A1
• Time in Patent Office: 1,498 Days
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61M 2005/1581 Right-angle needle-type devices
• CPC Class Codes: A61M 2005/1585 Needle inserters
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2039/0273 for introducing catheters into the body
• CPC Class Codes: A61M 2039/0276 for introducing or removing fluids into or out of the body
• CPC Class Codes: A61M 2210/02 Bones
• CPC Class Codes: A61M 39/02 Access sites
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/26 Valves closing automatically on disconnecting the line and opening on reconnection thereof check valves A61M39/24
• 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

Fluid communication devices and supporting structures may be provided for use with intraosseous devices. Apparatus and methods may also be provided to communicate fluids with an intraosseous device.

Claims

1. An apparatus for supporting an intraosseous device disposed at a target site in a patient comprising:

a supporting structure having an opening formed therethrough, an inner portion, and an outer portion movable relative to the inner portion;

the opening having a configuration and interior dimensions compatible with exterior portions of the intraosseous device;

the supporting structure having an extended surface with an adhesive layer disposed thereon;

the extended surface including a bottom face of the supporting structure;

the adhesive layer operable to releasably engage the apparatus to a patient proximate the target site;

the adhesive layer extending over at least a portion of the extended surface; and

the outer portion operable to extend toward the target site and beyond the inner portion to provide stabilization at the target site.

2. The apparatus of claim 1 wherein the apparatus further comprises:

a backing proximate the adhesive layer; and

the backing covering the adhesive layer prior to installing the apparatus at the target site.

3. The apparatus of claim 2 wherein the backing comprises a release liner.

4. The apparatus of claim 1 wherein the apparatus further comprises the extended surface generally flexible for adapting to contours of a patient'"'"'s body near the target site.

5. The apparatus of claim 1 wherein the extended surface further comprises a plurality of tabs extending outwardly from the supporting structure.

6. The apparatus of claim 1 wherein the extended surface further comprises at least three tabs extending outwardly from the supporting structure.

7. The apparatus of claim 1 wherein the supporting structure further comprises:

a proximal end configured to be disposed away from the patient;

at least one stop located adjacent the proximal end; and

the at least one stop projecting into the opening to restrict longitudinal motion of the intraosseous device through the opening.

8. The apparatus of claim 1 wherein the inner portion of the supporting structure further comprises:

a generally hollow, cylindrical portion; and

an inner diameter of the cylindrical portion sized to receive a portion of the intraosseous device therein.

9. The apparatus of claim 1 wherein the inner portion of the supporting structure further comprises:

a generally hollow, cylindrical portion; and

an inner diameter of the cylindrical portion including at least one pawl operable to mate with features on the intraosseous device.

10. The apparatus of claim 9 wherein the supporting structure further comprises a flexible side rib operable to disengage the at least one pawl when flexed.

11. The apparatus of claim 9 wherein the supporting structure further comprises a flexible cylindrical portion operable to disengage the at least one pawl when flexed.

12. An apparatus for supporting an intraosseous device disposed at a target site in a patient comprising:

a generally hollow, cylindrical inner collar, having a configuration and interior dimensions compatible with exterior portions of the intraosseous device, an outer surface of the inner collar defining a groove;

an outer collar having an opening formed therein, an inner surface of the outer collar defining a protrusion extending into the opening;

the outer collar opening having a configuration and interior dimensions compatible with exterior portions of the cylindrical inner collar such that the outer collar is configured to slidably receive at least a portion of the inner collar within the opening and with the protrusion of the outer collar extending into the groove of the inner collar, the protrusion configured to prevent the inner collar from spinning or rotating relative to the outer collar;

an extended surface associated with the outer collar;

an adhesive layer operable to releasably engage the apparatus to a patient proximate the target site; and

the adhesive layer extending over at least a portion of the extended surface.

13. The apparatus of claim 12 wherein the inner collar further comprises at least one pawl, configured to mate with an interior of the outer collar.

14. The apparatus of claim 13 further comprising the at least one pawl configured to extend radially when the intraosseous device is disposed within the inner collar.

15. The apparatus of claim 14 wherein the inner collar further comprises a flexible side rib operable to disengage locking grooves formed on the outer collar when flexed.

16. The apparatus of claim 14 wherein the inner collar further comprises:

a flexible cylindrical portion, the flexible portion having a generally cylindrical configuration; and

the flexible portion operable to disengage locking grooves formed on the outer collar when flexed.

17. An apparatus for supporting a medical device disposed at a target site in a patient comprising:

a supporting structure including a first collar and a second collar, the first collar operable to slide down against the patient at the target site and having an opening formed therethrough, the first collar operable to slide upward away from the target site and configured to limit its longitudinal movement, and wherein the first and second collars are configured to prevent spinning or rotating of the first collar relative to the second collar when sliding the first collar toward the patient and when sliding the first collar away from the patient;

the opening having a configuration and interior dimensions compatible with exterior portions of the medical device;

the supporting structure having an extended surface with an adhesive layer disposed thereon;

the adhesive layer operable to releasably engage the apparatus to a patient proximate the target site;

the adhesive layer extending over at least a portion of the extended surface;

a connector assembly in fluid communication with the medical device; and

the connector assembly including a one-way valve operable to connect the medical device with a conduit.

18. The apparatus of claim 17 further comprising the medical device selected from the group consisting of an intravenous device, an intraosseous device, a central line cannula, an endotracheal tube, an orotracheal tube, a nasotracheal tube, or a peritoneal dialysis catheter.

19. An apparatus for supporting a medical device disposed at a target site in a patient, the apparatus comprising:

a support structure including an extended surface configured to releasably attach to the patient proximate the target site, a first collar configured to releasably receive the medical device, and a second collar configured to slidably receive the first collar;

the extended surface associated with the second collar and having a material configured to adapt to contours of the patient proximate the target site;

the first collar having an opening configured to mate with a portion of the medical device, and the second collar having an opening configured to mate with a portion of the first collar;

wherein the first collar is configured to longitudinally move relative to the second collar without the first collar spinning or rotating relative to the second collar,

wherein the second collar is configured to limit longitudinal movement of the first collar relative to the second collar, and

wherein the second collar is operable to provide stability at the target site when fixed in position relative to the first collar.

20. The apparatus according claim 19, further comprising at least one wing connected to the extended surface and operable to provide support to the second collar.