Flash detection in an over the needle catheter with a restricted needle bore

• US 4,894,052 A
• Filed: 08/22/1988
• Issued: 01/16/1990
• Est. Priority Date: 08/22/1988
• Status: Expired due to Term

• Current Assignee: Becton, Dickinson & Co
• Original Assignee: Becton, Dickinson & Co
• Inventors: Crawford, Mark A.
• Primary Examiner(s): Pellegrino, Stephen C.
• Application Number:
  US07/234,664
• Time in Patent Office: 512 Days
• Field of Search: 604/168, 604/164, 604/170, 604/53, 604/272
• US Class Current: 604/507
• CPC Class Codes: A61M 25/0693 Flashback chambers

Abstract

A flash cavity is positioned between the inside of a translucent over the needle catheter and a needle for providing flash detection. The needle bore is connected to the cavity by an access port positioned near the location where the tip of the catheter sealably engages the needle. The needle bore is flow restricted between the access port and a hub for manipulating the needle. In one form of the introducer, a guide wire positioned by a syringe plunger carried for movement in a syringe barrel, is used to advance the catheter into the vessel. The syringe barrel restricts passage of liquid blood, but vents gases. In another arrangement of the introducer, a porous vent plug cooperates with the end of the needle and the catheter adapter to restrict blood flow through the needle bore and to prevent escape of blood while permitting escape of gases. A method of using the flash cavity for the early detection of blood provides for the proper placement in a blood vessel of the tip of the needle and catheter carried therewith wherein the needle has a restricted needle bore and a needle hub prevents escape of blood.

Claims

1. A catheter introducer for carrying a coaxially placed over the needle catheter into a blood vessel comprising:

a needle assembly including an elongate hollow tube including a wall defined by an inside and an outside surface with a bore therethrough and a tip at one end of said tube and a hub at the other;

a tubular translucent catheter formed for coaxial placement over said needle tube and to be carried thereby during a penetration procedure for introducing said catheter into a blood vessel and said catheter being elongate with an end positioned just proximal to said needle tip and extending therefrom over and along said tube toward said hub;

a catheter adapter having a body connecting to said catheter at an end near said needle hub and fitted to said catheter in fluid tight relation, and said body including an internal chamber shaped to fit over at least a part of said hub coaxially aligning said catheter relative to said needle tube;

a cavity located between said outside surface of said tube, said catheter extending along said needle tube from said catheter tip end to said hub end;

a port passing through said needle tube from said bore to said cavity for permitting fluid communication from said needle bore near said needle tip to said cavity near said hub;

restriction means associated with said hub for substantially inhibiting flow through said bore within an area in said bore between said port and said hub; and

blood separation and venting means associated with said hub for cooperating with said catheter adapter chamber to allow liquid in said cavity to remain in a portion of said hub which contains liquid blood and vents gas.

2. The catheter introducer of claim 1 wherein said cavity is an annular elongate space between said outside surface of said needle and the inside of said tubular catheter, which space extends from where said catheter adapter is fitted to said catheter to a position on said needle tube distal to said port.

3. The catheter introducer of claim 2 wherein said needle end of said catheter is an interference fit relative to said needle outside surface for forming a sealed connection.

4. The catheter introducer of claim 1 wherein said restriction means associated with said hub and said needle bore resists blood flow through said bore greater than blood flow through said port and said cavity.

5. The catheter introducer of claim 1 wherein said blood separation and venting means includes a syringe barrel having a plunger therein for reciprocal movement of said plunger within said hub.

6. The catheter introducer of claim 1 wherein said blood separation and venting means includes a plug formed of a porous gas permeable and liquid impermeable material, said plug being configured to extend over said needle bore and occupy an area between said adapter and said needle assembly hub for preventing liquid flow from said adapter chamber while permitting gases to pass outwardly through said plug.

7. An early flash detection arrangement for an arterial introducer apparatus having a guide wire to assist in the insertion of an over the needle catheter assembly comprising:

an elongate tubular hollow needle assembly including a bore therethrough, a beveled tip at one end of said needle assembly, a hub at the other end and therebetween a uniformly shaped body having an outside surface;

a thin translucent polymeric catheter tube with a taper at one end and an adapter at the other end, so that said catheter tube, when placed coaxially over said needle assembly body with said taper sealably engaged about said needle body outside surface proximal said beveled needle tip, locates said adapter to coaxial engage and fit over at least a distal part of said hub;

an annular cavity between the inside of said catheter tube and said outside surface of said tubular hollow needle assembly body for extending to where said catheter taper sealably engages said needle assembly body to said hub;

an access port passing radially through said elongate tubular hollow needle assembly body from said bore to said outside surface and located proximal to where said catheter taper sealably engages said needle for forming a passageway connecting between said bore and said annular cavity;

a flash chamber in the form of a syringe barrel as a proximal part of said hub which extends from where said adapter fits over said distal part of said hub;

a plunger carried within said syringe barrel for reciprocal movement of said plunger therewithin to and from said distal part of said hub, said plunger including a distal end shaped to coaxially fit within said syringe barrel and a proximal end extending beyond said syringe barrel during manipulation;

a passage extending through said distal part of said hub providing fluid communication between said annular cavity and said syringe barrel; and

a guide wire extending from said distal end of said plunger into said needle bore and mounted for movement through said needle bore in response to plunger motion in said barrel.

8. The introducer apparatus of claim 7 wherein said guide wire reaches to the hub side of said access port when said plunger is fully retracted relative to, but remaining within, said syringe barrel.

9. The introducer apparatus of claim 8 wherein said guide wire is of a length adequate to extend beyond said beveled needle tip and to close said port as said plunger is fully inserted into said syringe barrel while said catheter adapter is coaxially engaged about said hub.

10. The introducer apparatus of claim 9 wherein said plunger includes a stopper associated with said proximal end for closing said syringe barrel when said plunger is fully moved into said barrel.

11. An early flash detection arrangement for a catheter introducer assembly, comprising;

an elongate tubular hollow needle assembly having a bore therethrough;

a beveled tip at one end of said needle assembly;

a hub at the other end of said needle assembly formed of a porous gas permeable and liquid impermeable material, said hub closing said bore of said other end of said needle for restricting flow through at least a portion of said bore;

a polymeric translucent catheter tube with an inside surface, said tube at one end being shaped to sealaby engage an outside surface of said tubular hollow needle assembly proximal to said beveled needle tip for helping in the introduction of said catheter tube in an over the needle technique used to penetrate and carry said catheter into a blood vessel;

an annular cavity catheter tube and said outside surface of said tubular hollow needle assembly for extending from where the outside of said catheter sealably engages said needle assembly to an adapter;

an adapter attached in fluid tight relation to said catheter at an end opposite said one end and having a body with a chamber therein, said adapter being disposed for placement coaxially about said needle assembly, said hub and adapter each being configured to close an area between said adapter and said needle assembly to prevent liquid flow from said annular cavity and within said adapter from escaping while allowing gases to pass from said area; and

an access port axially positioned through said elongate tubular hollow needle assembly an connecting between said bore and said cavity for forming a passageway to said cavity from said bore.

12. The flash arrangement of claim 11 wherein said adapter includes a female luer taper at its proximal end and said hub which coaxially carries said needle assembly is shaped for a press engagement with said luer taper of said adapter when said needle assembly is inserted through said catheter so that said beveled tip end extends beyond said catheter tube end.

13. The flash arrangement of claim 12 wherein said beveled tip is open in a direction generally normal to the elongate extent of said needle assembly and said access port is also open in said direction normal to said needle assembly elongate extent.

14. A method for inserting an over the needle catheter having an adapter at its proximal end and a flash cavity located between the inside of the catheter and the outside of an elongate hollow tubular needle carried coaxially therewithin by a hub and including an access port between the bore of the needle and the cavity and a restriction in the needle bore proximal of the port, the method including the following steps:

orienting the needle bevel so it faces away from the patient'"'"'s skin and is at angle to the skin for insertion into a blood vessel;

inserting the needle tip into the patient'"'"'s blood vessel and urging the needle inwardly until blood flow is observed between the catheter and the needle for indicating when the needle tip is fully inside the vessel;

observing the flash of blood between the catheter and the needle pass through the adapter to the hub;

containing flash blood within the adapter while venting gases through the hub;

removing the needle from the catheter while advancing the catheter into the vessel, and

connecting the catheter by its adapter to a medical accessory.

15. The method of claim 14 including the additional step of restricting a bore through the needle and closing the port with a guide wire which passes through the needle further into the vessel after inserting the needle and over the needle catheter and before removing the needle so the catheter can be advanced over the guide wire into the vessel.

16. The method of claim 15 including the additional step of using a syringe barrel and plunger for controlling the further passage of the guide wire into the vessel when the guide wire is connected to the syringe end of a plunger.

17. The method of claim 14 including the additional step of venting the hub away from the needle end of the hub with a porous vent plug.