Vascular Access Kits and Methods

• US 20070084742A1
• Filed: 04/26/2006
• Published: 04/19/2007
• Est. Priority Date: 05/31/2002
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences II LLC
• Original Assignee: Vidacare LLC (Teleflex Incorporated)
• Inventors: Miller, Larry, Titkemeyer, Robert, Bolleter, David, Schwimmer, Charles
• Granted Patent: US 9,072,543 B2
• Time in Patent Office: Days
• US Class Current: 206/438
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 50/20 Holders specially adapted for surgical or diagnostic appliances or instruments drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02
• CPC Class Codes: A61B 50/31 Carrying cases or bags, e.g. doctors' bags
• CPC Class Codes: A61M 2005/1581 Right-angle needle-type devices
• CPC Class Codes: A61M 2005/1585 Needle inserters
• CPC Class Codes: A61M 2210/02 Bones
• 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

Kits carrying various components and devices are provided for use in obtaining access to a patient'"'"'s vascular system. Various methods and procedures may be used to treat both emergency and more routine conditions using the contents of such kits. For example, such kits may contain various types of intraosseous (IO) devices including, but not limited to, drivers, penetrator assemblies, IO needles and other related components. Intravenous (IV) devices such as syringes, needles, IV bags, tubing and other related components for use in obtaining access to portions of a patient'"'"'s vascular system may be included. Various types of connectors for communicating fluids with and/or monitoring a patient'"'"'s vascular system may be provided. Such kits may contain medications, drugs and fluids used to treat a wide variety of both acute and chronic diseases and conditions.

Claims

1. A vascular access kit comprising:

components for accessing a peripheral vein; and

components for accessing bone marrow at a selected intraosseous site.

2. The kit of claim 1 wherein the components for accessing the bone marrow further comprise a powered driver and an intraosseous needle set.

3. The kit of claim 1 wherein the components for accessing the bone marrow further comprise a manual driver and an intraosseous needle set.

4. The kit of claim 1 further comprising:

a cradle with a driver releasably disposed therein; and

the driver operable to insert an intraosseous device at the selected intraosseous site.

5. The kit of claim 1 further comprising multiple sections operable to releasably hold in an organized sequence an intravenous access device and an intraosseous access device.

6. The kit of claim 1 wherein the bag further comprises at least one divider operable to releasably hold in an organized sequence an intravenous access device and an intraosseous access device.

7. A kit for accessing the vascular system of a patient comprising:

an intravenous (IV) access device and an intraosseous (IO) access device;

a securing device attached to an interior surface of the kit; and

the securing device sized to releasably engage a powered driver used to provide intraosseous access to the vascular system of a patient.

8. A kit according to claim 7, further comprising the securing device presenting the powered driver to a user in an easy to see manner.

9. A kit according to claim 8, further comprising:

the securing device allowing a user to easily pick up the powered driver;

a divider disposed in the kit with an IO device releasably engaged with one surface of the divider; and

the IO device operable to be releasably engaged with the powered driver.

10. A kit according to claim 9, further comprising the securing device allowing a user to easily and intuitively replace the powered driver into the kit for subsequent use.

11. A kit for accessing the vascular system of a patient comprising:

an intravenous (IV) access device and an intraosseous (IO) access device;

a securing device attached to an interior surface of the kit;

the cradle sized to releasably engage a manual driver used to provide intraosseous access to the vascular system of a patient.

12. A kit according to claim 11, further comprising the securing device presenting the manual driver to a user in an easy to see manner.

13. A kit according to claim 12, further comprising:

the securing device allowing a user to easily pick up the manual driver;

a divider disposed in the kit with an IO device releasably engaged with one surface of the divider; and

the IO device operable to be releasably engaged with the manual driver.

14. A kit according to claim 13, further comprising the securing device allowing a user to easily and intuitively replace the manual driver into the kit for subsequent use.

15. A kit with apparatus operable to access the vascular system of a patient comprising:

a first segment defined in part by a base with a plurality of walls extending therefrom;

the base and the associated walls cooperating with each other to form an interior portion of the enclosure;

a second segment defined in part by a cover with a plurality of walls extending therefrom;

the cover and the associated walls cooperating with each other to form an interior portion of a second enclosure;

the second segment releasably engaged with the first enclosure;

at least one divider disposed between the first segment and the second segment;

each divider having a first surface and a second surface with a plurality of pockets and holders disposed on the first surface and the second surface;

the holders and pockets sized to receive components and devices associated with providing intravenous access and intraosseous access to the vascular system of a patient;

a cradle attached to an interior surface of the base; and

the cradle sized to releasably engage a driver used to provide intraosseous access to the vascular system of the patient.

16. The kit of claim 15 further comprising:

an intravenous access catheter; and

an intraosseous access device.

17. The kit of claim 15 further comprising a powered driver releasably secured with the cradle.

18. The kit of claim 15 further comprising a manual driver releasably secured with the cradle.

19. The kit of claim 15 further comprising:

a powered driver having a rechargeable battery;

a battery charger disposed within the cradle and operable to recharge the battery when the powered driver is releasably engaged with the cradle.

20. The kit of claim 15 wherein the cradle further comprises:

a base operable to be engaged with the interior surface of the base; and

a pair of walls extending from the base and sized to releasably engage portions of the driver therebetween.

21. The kit of claim 15 further comprising at least one holder disposed on an interior surface of the cover.

22. A vascular access kit for accessing a patient'"'"'s vascular system comprising:

a driver and a penetrator assembly;

the driver operable to insert a portion of the penetrator assembly into bone marrow of a patient; and

unit doses of medications for treatment of the patient by communicating at least one unit dose of medication with the bone marrow through the portion of the penetrator assembly.

23. The kit of claim 22 wherein the medications comprise epinephrine, atropine, diazepam, amiodarane, and narcan.

24. Apparatus for stabilizing an intraosseous device disposed in bone marrow comprising:

a supporting structure and a strap;

the strap operable to releasably secure the supporting structure at an insertion site for the intraosseous device;

the supporting structure having at least one opening formed therein and sized to receive at least a potion of the intraosseous device; and

the strap and the supporting structure cooperating with each other to minimize movement of the intraosseous device relative to the insertion site when the portion of the intraosseous device is disposed in the supporting structure.

25. The apparatus of claim 24 further comprising:

a sensor attached to the strap; and

the sensor operable to detect parameters associated with providing fluids including medications as required to bone marrow through the intraosseous device.

26. The apparatus of claim 24 further comprising:

the intraosseous device having a tip operable to be disposed in the bone marrow;

a sensor attached with the tip;

the sensor operable to detect intraosseous pressure;

a wire extending from the intraosseous device to a monitor; and

the monitor operable to indicate the intraosseous pressure.

27. The apparatus of claim 24 wherein the at least one opening in the supporting structure comprises a recess sized to receive a penetrator assembly and to guide the penetrator assembly into a selected insertion site.

29. The method of claim 27 further comprising arranging components and devices carried in the kit in a planned sequence.

28. The method of forming a kit for use in providing access to the vascular system of a patient comprising:

forming a first enclosure having a base for the kit;

forming a second closure having a cover for the kit;

releasably engaging the first and second enclosures with each other;

forming at least one divider having a first surface and a second surface;

forming a plurality of pockets and holders on the first surface and the second surface of each divider;

installing each divider in the kit between the first enclosure and the second enclosure; and

installing a securing device operable to releasably engage a driver for an intraosseous device within a portion of the kit.

30. The method of claim 28 further comprising:

placing components and devices used to find a site for vascular access and to clean the site at a first location in the kit;

placing components and devices used to obtain vascular access and to maintain the access at a second location in the kit; and

placing components and devices used to secure an intraosseous device at a selected site and to prepare a patient for movement at a third location in the kit.

31. The method of claim 28 further comprising:

releasably engaging an intraosseous driver with the securing device; and

placing containers of cleaning fluid, intravenous sets, intraosseous sets, intravenous tubing, splints and arm boards at respective locations in the kit.

32. The method of claim 28 further comprising forming the kit from waterproof material.

33. The method of claim 28 further comprising forming a flexible hinge between the first enclosure and the second enclosure to accommodate movement of the enclosures to a first position corresponding with closing the kit and movement of the enclosure to a second position corresponding with opening the kit.