Dual-type catheter connection system

• US 5,637,102 A
• Filed: 05/24/1995
• Issued: 06/10/1997
• Est. Priority Date: 05/24/1995
• Status: Expired due to Fees

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Gailey, Robert N., Eliasen, Kenneth A., Jones, Donald J., Allman, Robert C., Christian, Kelly J., Tolkoff, M. Joshua
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): VANOVER, PERRY
• Application Number:
  US08/449,210
• Time in Patent Office: 748 Days
• Field of Search: 604/283, 604/285, 604/264, 604/265, 604/49, 285/417, 285/338
• US Class Current: 604/536
• CPC Class Codes: A61M 2039/1027 Quick-acting type connectors
• CPC Class Codes: A61M 2039/1066 having protection means, e.g. sliding sleeve to protect connector itself, shrouds to protect a needle present in the connector, protective housing, isolating sheath
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276
• CPC Class Codes: A61M 39/12 for joining a flexible tube to a rigid attachment
• CPC Class Codes: F16L 33/225 a sleeve being movable axially

Abstract

A catheter connection system is defined by a rigid, tubular stem attached at a proximal end thereof to a medical device. The stem has a plurality of comparably configured engagement barbs encircling and radially, outwardly extending on an exterior surface of the stem. A locking barb also encircles and radially, outwardly extends on the surface of the stem between the medical device and the engagement barbs. A rigid first locking sleeve is provided for inwardly compressing a portion of a body wall of a silicone catheter against the locking barb on the stem when the stem is received in the lumen of the silicone catheter to create a mechanical joinder and liquid-tight seal between the silicone catheter and the stem. In the alternative, a compression sleeve housed within a rigid second locking sleeve is provided for compressing a body wall of a polyurethane catheter against the engagement barbs on the stem to create a mechanical joinder and liquid-tight seal between the polyurethane catheter and the stem.

Claims

1. A catheter connection system for effecting a mechanical joinder between a medical device and a selected catheter chosen from either a first catheter or a second catheter, the first catheter being made from a first material and the second catheter being made from a second material, the second material being less pliant than the first material, the selected catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid stem attached at a proximal end thereof to the medical device, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) attachment means on said exterior surface of said stem for engaging the interior surface of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter, and for enabling locking of the selected catheter on said stem; and

(c) securing means operative when said distal end of said stem is received in the lumen of the selected catheter for radially, inwardly compressing a portion of the body wall of the selected catheter against a portion of said attachment means on said stem, and for interacting with said attachment means to preclude unintentional disengagement of the selected catheter from said stem, said securing means comprising a set of fastening assemblies, individual of said fastening assemblies corresponding to the first catheter and the second catheter.

2. A catheter connection system as defined in claim 1, wherein said set of fastening assemblies comprises a first fastening assembly corresponding to the first catheter, said first fastening assembly comprising:

(a) a first locking sleeve having a proximal end, a distal end, and an interior surface defining a passageway longitudinally extending through said first locking sleeve, said interior surface of said first locking sleeve radially, inwardly compressing a portion of the body wall of the first catheter against said portion of said attachment means on said stem when said stem is received in the lumen of the first catheter and the first catheter with said stem received therein is positioned within said passageway of said first locking sleeve; and

(b) an annular compression ring extending inwardly from said interior surface of said first locking sleeve.

3. A catheter connection system as defined in claim 2, wherein said annular compression ring is positioned at said proximal end of said first locking sleeve.

4. A catheter connection system as defined in claim 2, wherein said interior surface of said first locking sleeve further comprises a proximal shoulder sloping radially outward from said compression ring to said proximal end of said first locking sleeve to form an enlarged receiving mouth.

5. A catheter connection system as defined in claim 1, wherein the first material of the first catheter is silicone.

6. A catheter connection system as defined in claim 1, wherein the second material of the second catheter is polyurethane.

7. A catheter connection system as defined in claim 1, wherein said set of fastening assemblies comprises a second fastening assembly corresponding to the second catheter made from the second material being less pliant than the first material, said second fastening assembly comprising:

(a) a second locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway extending therebetween;

(b) a pliable compression sleeve longitudinally disposed within said passageway of said second locking sleeve and having a distal end, a proximal end, and an interior surface defining a passageway longitudinally extending therethrough, said interior surface of said compression sleeve radially, inwardly compressing a portion of the body wall of the second catheter against said portion of said attachment means on said stem when said stem is received in the lumen of the second catheter and the second catheter with said stem received therein is positioned within said passageway of said compression sleeve; and

(c) an opposing set of radially displacable, resilient C-shaped clamps positioned at said proximal end of said second locking sleeve.

8. A catheter connection system as defined in claim 7, wherein said passageway of said compression sleeve has an inner diameter, the second catheter has a outer diameter, and said inner diameter of said passageway of said compression sleeve is at least as large as the outer diameter of the second catheter.

9. A catheter connection system as defined in claim 4, wherein said second locking sleeve further comprises an annular bracing ring extending inwardly from said interior surface of said second locking sleeve.

10. A catheter connection system as defined in claim 7, wherein said bracing ring is positioned at said distal end of said second locking sleeve.

11. A catheter connection system as defined in claim 9, wherein said compression sleeve further comprises:

(a) a head portion having an exterior surface and a first outer diameter; and

(b) a tail portion having a second outer diameter smaller than said first outer diameter of said head portion.

12. A catheter connection system as defined in claim 11, wherein said exterior surface of said head portion of said compression sleeve is biased against said interior surface of said locking sleeve between said C-shaped clamps and said bracing ring.

13. A catheter connection system as defined in claim 11, wherein a portion of said tail portion of said compression sleeve projects beyond said distal end of said second locking sleeve.

14. A catheter connection system as defined in claim 1, wherein said attachment means comprises:

(a) an engagement barb radially, outwardly extending on said exterior surface of said stem and encircling said stem; and

(b) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barb and the medical device.

15. A catheter connection system as defined in claim 14, wherein said engagement barb has a maximum outer diameter, said locking barb as a maximum outer diameter, and said maximum outer diameter of said locking barb is larger than said maximum outer diameter of said engagement barb.

16. A catheter connection system as defined in claim 14, wherein said attachment means further comprises a plurality of engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

17. A catheter connection system as defined in claim 14, wherein said locking barb further comprises:

a) an annular distal side wall encircling said stem and radially extending outward therefrom to a first outside corner having an outer diameter,

(b) a proximal side wall encircling said stem and radially extending outward therefrom to a second outside corner having an outer diameter larger than said outer diameter of said first outside corner, and

(c) a frustoconical top surface encircling said stem and extending between said first outside corner and said second outside corner.

18. A catheter connection system as defined in claim 17, wherein said proximal side wall extends from said exterior surface of said stem to said second outside corner at an angle greater than 90°

as measured between said proximal side wall and the longitudinal axis of said stem proximal of said proximal side wall.

19. A catheter connection system as defined in claim 1, wherein the medical device is an implantable port.

20. A catheter connection system as defined in claim 19, wherein said implantable port includes an access port with a septum.

21. A catheter connection system as defined in claim 19, wherein said implantable port includes a leaflet valve.

22. A catheter connection system as defined in claim 1, wherein the medical device is a catheter termination hub.

23. A catheter connection system as defined in claim 1, wherein the medical device is a catheter repair and extension assembly.

24. A catheter connection system as defined in claim 1, wherein the medical device is a medical tunneling instrument.

25. A catheter connection system for effecting a fluid tight coupling and a mechanical joinder between a medical device that accommodates a fluid flow and a selected catheter chosen from either a first catheter or a second catheter, the first catheter being made from a first material and the second catheter being made from a second material, the second material being less pliant than the first material, the selected catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid, tubular stem attached at a proximal end thereof in fluid communication to the medical device, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) attachment means on said exterior surface of said stem for engaging the interior surface of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter, and for enabling locking of the selected catheter on said stem, said attachment means comprising;

(i) an engagement barb radially, outwardly extending on said exterior surface of said stem and encircling said stem, said engagement barb having a maximum outer diameter so sized as to fit within the lumen of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter; and

(ii) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barb and the medical device, said locking barb having a maximum outer diameter that is larger than said maximum outer diameter of said engagement barb; and

(c) securing means operative when said distal end of said stem is received in the lumen of the selected catheter for radially, inwardly compressing a portion of the body wall of the selected catheter against a portion of said attachment means on said stem, and for interacting with said attachment means to preclude unintentional disengagement of the selected catheter from said stem.

26. A catheter connection system as defined in claim 25, wherein said stem is rigid.

27. A catheter connection system as defined in claim 25, wherein said stem, engagement barb, and locking barb are each made of metal.

28. A catheter connection system as defined in claim 25, wherein said stem, engagement barb, and locking barb are each made of plastic.

29. A catheter connection system as defined in claim 25, wherein said attachment means further comprises a plurality of comparably sized engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

30. A catheter connection system as defined in claim 25, wherein said attachment means further comprises two comparably sized engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

31. A catheter connection system as defined in claim 25, wherein said attachment means further comprises three comparably sized engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

32. A catheter connection system as defined in claim 25, wherein said engagement barb is positioned at said distal end of said stem.

33. A catheter connection system as defined in claim 25, wherein said engagement barb is positioned on said stem at a distance from said distal end of said stem.

34. A catheter connection system as defined in claim 25, wherein the first material of the first catheter is silicone.

35. A catheter connection system as defined in claim 25, wherein the second material of the second catheter is polyurethane.

36. A catheter connection system as defined in claim 25, wherein a portion of said stem extends between said locking barb and said medical device.

37. A catheter connection system as defined in claim 25, wherein a portion of said stem extends between said locking barb and said engagement barb.

38. A catheter connection system as defined in claim 25, wherein said locking barb further comprises:

(a) a proximal side wall encircling said stem and radially extending outward therefrom to an outside corner; and

(b) a frustoconical top surface encircling said stem and extending at a slope from said outside corner of said proximal side wall to said exterior surface of said stem.

39. A catheter connection system as defined in claim 25, wherein said locking barb further comprises:

(a) an annular distal side wall encircling said stem and radially extending outward therefrom to a first outside corner having an outer diameter;

(b) a proximal side wall encircling said stem and radially extending outward therefrom to a second outside corner having an outer diameter larger than said outer diameter of said first outside corner; and

(c) a frustoconical top surface encircling said stem and extending between said first outside corner and said second outside corner.

40. A catheter connection system as defined in claim 39, wherein said proximal side wall extends from said exterior surface of said stem to said second outside corner at an angle greater than 90°

as measured between said proximal side wall and the longitudinal axis of said stem proximal of said proximal side wall.

41. A catheter connection system as defined in claim 25, wherein the medical device is an access port.

42. A catheter connection system as defined in claim 25, wherein the medical device is a leaflet port.

43. A catheter connection system as defined in claim 25, wherein the medical device is a catheter termination hub.

44. A catheter connection system as defined in claim 25, wherein the medical device is a catheter repair and extension stent.

45. A catheter connection system as defined in claim 25, wherein said securing means comprises a set of fastening assemblies, individual of said fastening assemblies corresponding to the first catheter and the second catheter.

46. A catheter connection system as defined in claim 45, wherein said set of fastening assemblies comprises a first fastening assembly corresponding to the first catheter, said first fastening assembly comprising:

(a) a first locking sleeve having a proximal end, a distal end, and an interior surface defining a passageway longitudinally extending through said first locking sleeve, said interior surface of said first locking sleeve radially, inwardly compressing a portion of the body wall of the first catheter against said portion of said attachment means on said stem when said stem is received in the lumen of the first catheter and the first catheter with said stem received therein is positioned within said passageway of said first locking sleeve; and

(b) an annular compression ring extending inwardly from said interior surface of said first locking sleeve.

47. A catheter connection system as defined in claim 45, wherein said set of fastening assemblies comprises a second fastening assembly corresponding to the second catheter made from the second material being less pliant than the first material, said second fastening assembly comprising:

(a) a second locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway extending therebetween;

(b) a pliable compression sleeve longitudinally disposed within said passageway of said second locking sleeve and having a distal end, a proximal end, and an interior surface defining a passageway longitudinally extending therethrough, said interior surface of said compression sleeve radially, inwardly compressing a portion of the body wall of the second catheter against said portion of said attachment means on said stem when said stem is received in the lumen of the second catheter and the second catheter with said stem received therein is positioned within said passageway of said compression sleeve; and

(c) an opposing set of radially displacable, resilient C-shaped clamps positioned at said proximal end of said second locking sleeve.

48. A catheter connection system for effecting a fluid tight coupling and a mechanical joinder between a medical device that accommodates a fluid flow and a selected catheter chosen from either a silicone catheter or a polyurethane catheter, the selected catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid, tubular stem attached at a proximal end thereof in fluid communication to the medical device, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) attachment means on said exterior surface of said stem for engaging the interior surface of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter, and for enabling locking of the selected catheter on said stem; and

(c) a pair of locking sleeves comprising a first locking sleeve corresponding to the silicone catheter and a second locking sleeve corresponding to the polyurethane catheter, each of said first locking sleeve and said second locking sleeves having a distal end, a proximal end, an interior surface defining a passageway longitudinally extending through said sleeve, and an annular securement ring radially inwardly extending from said interior surface of said locking sleeve, said interior surface of said locking sleeve radially inwardly compressing a portion of the body wall of the selected catheter against a portion of said attachment means on said stem, when said stem is received in the lumen of the selected catheter and the selected catheter with said stem received therein is positioned within said passageway of said locking sleeve.

49. A catheter connection system as defined in claim 48, wherein said first locking sleeve has an exterior surface that is substantially cylindrical.

50. A catheter connection system as defined in claim 48, wherein said exterior surface of said first locking sleeve comprises:

(a) a first cylindrical portion positioned at said distal end and having an outer diameter;

(b) a second cylindrical portion positioned at said proximal end and having an outer diameter larger than said outer diameter of said first cylindrical portion; and

(c) a frustoconical shoulder extending between said first cylindrical portion and said second cylindrical portion.

51. A catheter connection system as defined in claim 48, wherein said interior surface of said first locking sleeve is substantially cylindrical.

52. A catheter connection system as defined in claim 49, wherein said annular securement ring of said first locking sleeve comprises a compression ring positioned at said proximal end of said first locking sleeve.

53. A catheter connection system as defined in claim 52, wherein said interior surface of said first locking sleeve further comprises a proximal shoulder sloping radially outward from said compression ring to said proximal end of said first locking sleeve to form an enlarged receiving mouth.

54. A catheter connection system as defined in claim 49, wherein said first locking sleeve is rigid.

55. A catheter connection system as defined in claim 49, wherein said first locking sleeve is made of plastic.

56. A catheter connection system as defined in claim 49, wherein said first locking sleeve is made of metal.

57. A catheter connection system as defined in claim 49, wherein said second locking sleeve is rigid.

58. A catheter connection system as defined in claim 49, wherein said second locking sleeve is made of plastic.

59. A catheter connection system as defined in claim 49, wherein said second locking sleeve is made of metal.

60. A catheter connection system as defined in claim 49, wherein said second locking sleeve further comprises a pliable compression sleeve longitudinally disposed within said passageway of said second locking sleeve and having an interior surface defining a passageway longitudinally extending therethrough.

61. A catheter connection system as defined in claim 60, wherein said annular securement ring of said second locking sleeve comprises an annular attachment ridge positioned on said interior surface of said second locking sleeve at said proximal end thereof.

62. A catheter connection system as defined in claim 61, wherein said proximal end of said second locking sleeve includes a plurality of slots extending through said proximal end and through said attachment ridge to enable said attachment ridge to radially expand under a radial force.

63. A catheter connection system as defined in claim 61, wherein said proximal end of said second locking sleeve includes a slot extending through said proximal end and through said attachment ridge to enable said attachment ridge to radially expand under a radial force.

64. A catheter connection system as defined in claim 61, wherein said second locking sleeve further comprises an annular bracing ring extending inwardly from said interior surface of said second locking sleeve at said distal end thereof.

65. A catheter connection system as defined in claim 64, wherein said compression sleeve comprises:

(a) a head portion having an exterior surface and a first outer diameter; and

(b) a tail portion having a second outer diameter smaller than said first outer diameter of said head portion.

66. A catheter connection system as defined in claim 65, wherein said interior surface of said head portion is biased against said interior surface of said second locking sleeve between said attachment ridge and said bracing ring.

67. A catheter connection system as defined in claim 66, wherein a portion of said tail portion of said compression sleeve projects beyond said distal end of said second locking sleeve.

68. A catheter connection system as defined in claim 65, wherein said exterior surface of said head portion of said compression sleeve is secured by an adhesive to said interior surface of said locking sleeve.

69. A catheter connection system as defined in claim 48, wherein said attachment means comprises:

(a) an engagement barb radially, outwardly extending on said exterior surface of said stem and encircling said stem; and

(b) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barb and the medical device.

70. A catheter connection system as defined in claim 69, wherein said engagement barb has a maximum outer diameter and said locking barb as a maximum outer diameter that is larger than said maximum outer diameter of said engagement barb.

71. A catheter connection system as defined in claim 69, wherein said attachment means further comprises a plurality of engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

72. A catheter connection system for effecting a fluid tight coupling and a mechanical joinder between a medical device that accommodates a fluid flow and a selected catheter chosen from either a silicone catheter or a polyurethane catheter, the selected catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid, tubular stem attached at a proximal end thereof in fluid communication to the medical device, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) a plurality of comparably configured engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem, said engagement barbs having a maximum outer diameter so sized as to fit within the lumen of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter;

(c) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barbs and the medical device, said locking barb having a maximum outer diameter that is larger than said maximum outer diameter of said engagement barbs; and

(d) a set of fastening assemblies, individual of said fastening assemblies corresponding to each one of the polyurethane catheter and the silicone catheter, said set of fastening assemblies comprising;

(i) a first fastening assembly corresponding to the silicone catheter, said first fastening assembly comprising;

(A) a first locking sleeve having a proximal end, a distal end, and an interior surface defining a passageway longitudinally extending through said first locking sleeve, said interior surface of said first locking sleeve radially, inwardly compressing a portion of the body wall of the silicone catheter against said locking barb on said stem when said stem is received in the lumen of the silicone catheter and the silicone catheter with said stem received therein is positioned within said passageway of said first locking sleeve; and

(B) an annular compression ring extending inwardly from said interior surface of said first locking sleeve to interact with said locking barb; and

(ii) a second fastening assembly corresponding to the polyurethane catheter, said second fastening assembly comprising;

(A) a second locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway extending through said second locking sleeve;

(B) a pliable compression sleeve longitudinally disposed within said passageway of said second locking sleeve and having an interior surface defining a passageway longitudinally extending therethrough, said interior surface of said compression sleeve radially, inwardly compressing a portion of the body wall of the polyurethane catheter against said engagement barbs on said stem when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said compression sleeve; and

(C) an opposing set of radially displacable, resilient C-shaped clamps positioned at said proximal end of said second locking sleeve to grasp said locking barb.

73. A catheter connection system as defined in claim 72, wherein said plurality of engagement barbs are adjacently disposed on said distal end of said stem.

74. A catheter connection system as defined in claim 72, wherein a portion of said stem extends between said engagement barbs and said distal end of said stem.

75. A catheter connection system as defined in claim 72, wherein said locking barb further comprises:

(a) an annular distal side wall encircling said stem and radially extending outward therefrom to a first outside corner having an outer diameter;

(b) a proximal side wall encircling said stem and radially extending outward therefrom to a second outside corner having an outer diameter larger than said outer diameter of said first outside corner; and

(c) a frustoconical top surface encircling said stem and extending between said first outside corner and said second outside corner.

76. A catheter connection system as defined in claim 75, wherein said proximal side wall extends from said exterior surface of said stem to said second outside corner at an angle greater than 90°

as measured between said proximal side wall and the longitudinal axis of said stem proximal of said proximal side wall.

77. A catheter connection system as defined in claim 72, wherein said annular compression ring is positioned at said proximal end of said first locking sleeve.

78. A catheter connection system as defined in claim 72, wherein said annular compression ring of the first locking sleeve is longitudinally positioned within said passageway so as to reside between said locking barb and the medical device when said stem is received in the lumen of the silicone catheter and the silicone catheter with said stem received therein is positioned within said passageway of said first locking sleeve.

79. A catheter connection system as defined in claim 72, wherein said compression ring of said first fastening assembly has an inner diameter that is larger than said maximum outer diameter of said locking barb.

80. A catheter connection system as defined in claim 72, wherein said compression ring of said first fastening assembly has an inner diameter, the silicone catheter has an outer diameter, and said inner diameter of said compression ring is larger than the outer diameter of the silicone catheter.

81. A catheter connection system as defined in claim 72, wherein the lumen of the silicone catheter has an inside diameter that is smaller than said maximum outer diameter of said locking barb.

82. A catheter connection system as defined in claim 72, wherein said interior surface of said first locking sleeve radially, inwardly compresses a portion of the body wall of the silicone catheter against said engagement barbs on said stem when said stem is received in the lumen of the silicone catheter and the silicone catheter with said stem received therein is positioned within said passageway of said first locking sleeve.

83. A catheter connection system as defined in claim 72, wherein said second locking sleeve further comprises an annular bracing ring extending inwardly from said interior surface of said second locking sleeve at said distal end thereof.

84. A catheter connection system as defined in claim 83, wherein said compression sleeve comprises:

(a) a head portion having an exterior surface and a first outer diameter; and

(b) a tail portion having a second outer diameter smaller than said first outer diameter of said head portion.

85. A catheter connection system as defined in claim 84, wherein a portion of said tail portion of said compression sleeve projects beyond said distal end of said second locking sleeve.

86. A catheter connection system as defined in claim 84, wherein said exterior surface of said head portion is biased against said interior surface of said locking sleeve between said C-shaped clamps and said bracing ring.

87. A catheter connection system as defined in claim 72, wherein each of said C-shaped clamps comprises:

(a) an arm longitudinally positioned at said proximal end of said second locking sleeve; and

(b) an attachment ridge radially inwardly extending from said arm.

88. A catheter connection system as defined in claim 87, wherein said attachment ridge of said C-shaped clamp is longitudinally positioned on said arm so as to reside between said locking barb and said medical device when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said second locking sleeve.

89. A catheter connection system as defined in claim 72, wherein said passageway of said compression sleeve has an inner diameter, the polyurethane catheter has a outer diameter, and the inner diameter of the compression sleeve is larger than the outer diameter of the polyurethane catheter.

90. A catheter connection system as defined in claim 72, wherein said C-shaped clamps have an inner diameter that is smaller than said maximum outer diameter of said locking barb.

91. A catheter connection system as defined in claim 72, wherein the lumen of the polyurethane catheter has an inside diameter that is smaller than said maximum outer diameter of said engagement barbs.

92. A catheter connection system as defined in claim 72, wherein said locking barb is longitudinally positioned on said stem so that said C-shaped clamps are positioned between said locking barb and the medical device when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said compression sleeve.

93. A catheter connection system as defined in claim 72, wherein the medical device is an implantable port.

94. A catheter connection system as defined in claim 93, wherein said port includes an access port with a septum.

95. A catheter connection system as defined in claim 93, wherein said port includes a leaflet valve.

96. A catheter connection system as defined in claim 72, wherein the medical device is a catheter termination hub.

97. A catheter connection system as defined in claim 72, wherein the medical device is a catheter repair and extension stent.

98. A catheter connection system for mechanically joining a medical tunneling instrument to a selected catheter chosen from either a silicone catheter or a polyurethane catheter, the selected catheter having a body wall with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid, tubular stem attached at a proximal end thereof to the tunneling instrument, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) attachment means on said exterior surface of said stem for engaging the interior surface of the selected catheter when said distal end of said stem is received in the lumen of the selected catheter, and for enabling locking of the selected catheter on said stem; and

(c) securing means operative when said distal end of said stem is received in the lumen of the selected catheter for radially, inwardly compressing a portion of the body wall of the selected catheter against a portion of said attachment means on said stem, and for interacting with said attachment means to preclude unintentional disengagement of the selected catheter from said stem, said securing means comprising a set of fastening assemblies, individual of said fastening assemblies corresponding to the silicone catheter and the polyurethane catheter.

99. A catheter connection system as defined in claim 98, wherein said set of fastening assemblies comprises a second fastening assembly corresponding to the polyurethane catheter, said second fastening assembly comprising:

(a) a second locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway extending therebetween;

(b) a pliable compression sleeve longitudinally disposed within said passageway of said second locking sleeve and having a distal end, a proximal end, and an interior surface defining a passageway longitudinally extending therethrough, said interior surface of said compression sleeve radially, inwardly compressing a portion of the body wall of the polyurethane catheter against a portion of said attachment means on said stem when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said compression sleeve; and

(c) an opposing set of radially displacable, resilient C-shaped clamps positioned at said proximal end of said second locking sleeve.

100. A catheter connection system as defined in claim 98, wherein said set of fastening assemblies comprises a first fastening assembly corresponding to the silicone catheter, said first fastening assembly comprising:

(a) a first locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway longitudinally extending through said first locking sleeve, said interior surface of said first locking sleeve radially, inwardly compressing a portion of the body wall of the silicone catheter against a portion of said attachment means on said stem when said stem is received in the lumen of the silicone catheter and the silicone catheter with said stem received therein is positioned within said passageway of said first locking sleeve; and

(b) an annular compression ring extending inwardly from said interior surface of said first locking sleeve.

101. A catheter connection system as defined in claim 98, wherein said attachment means comprises:

(a) an engagement barb radially, outwardly extending on said exterior surface of said stem and encircling said stem; and

(b) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barb and the medical device.

102. A catheter connection system as defined in claim 101, wherein said engagement barb has a maximum outer diameter, said locking barb as a maximum outer diameter, and said maximum outer diameter of said locking barb is larger than said maximum outer diameter of said engagement barb.

103. A catheter connection system as defined in claim 101, wherein said attachment means further comprises a plurality of engagement barbs radially, outwardly extending on said exterior surface of said stem and encircling said stem.

104. A catheter connection system for effecting a fluid tight coupling and a mechanical joinder between a medical device that accommodates a fluid flow and a polyurethane catheter, the polyurethane catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said connection system comprising:

(a) a rigid, tubular stem attached at a proximal end thereof in fluid communication to the medical device, said stem having a free distal end opposite said proximal end and an exterior surface extending therebetween;

(b) an engagement barb radially, outwardly extending on said exterior surface of said stem and encircling said stem, said engagement barb having a maximum outer diameter so sized as to fit within the lumen of the polyurethane catheter when said distal end of said stem is received in the lumen of the polyurethane catheter;

(c) a locking barb radially, outwardly extending on said exterior surface of said stem and encircling said stem between said engagement barb and the medical device, said locking barb having a maximum outer diameter that is larger than said maximum outer diameter of said engagement barb; and

(d) a fastening assembly comprising;

(i) a locking sleeve having a distal end, a proximal end, and an interior surface defining a passageway extending therebetween;

(ii) a pliable compression sleeve longitudinally disposed within said passageway of said locking sleeve and having an interior surface defining a passageway longitudinally extending therethrough, said interior surface of said compression sleeve radially, inwardly compressing a portion of the body wall of the polyurethane catheter against said engagement barb on said stem when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said compressive sleeve; and

(iii) an opposing set of radially displacable, resilient C-shaped clamps positioned at said proximal end of said second locking sleeve to grasp said locking barb.

105. A catheter connection system as defined in claim 104, wherein said locking sleeve further comprises an annular bracing ring extending inwardly from said interior surface of said locking sleeve.

106. A catheter connection system as defined in claim 105, wherein said bracing ring is positioned at said distal end of said locking sleeve.

107. A catheter connection system as defined in claim 105, wherein said compression sleeve comprises:

(a) a head portion having an exterior surface and a first outer diameter; and

(b) a tail portion having a second outer diameter smaller than said first outer diameter of said head portion.

108. A catheter connection system as defined in claim 107, wherein said exterior surface of said head portion is biased against said interior surface of said locking sleeve between said C-shaped clamps and said bracing ring.

109. A catheter connection system as defined in claim 107, wherein a portion of said tail portion of said compression sleeve extends beyond said distal end of said second locking sleeve.

110. A catheter connection system as defined in claim 104, wherein said C-shaped clamps having an inner diameter that is smaller than said maximum outer diameter of said locking barb.

111. A catheter connection system as defined in claim 104, wherein said locking barb is longitudinally positioned on said stem so that said C-shaped clamps are positioned between said locking barb and the medical device when said stem is received in the lumen of the polyurethane catheter and the polyurethane catheter with said stem received therein is positioned within said passageway of said compression sleeve.

112. A method for effecting a mechanical joinder between a medical device and a catheter, the method comprising the steps of:

(a) choosing a selected catheter from either a silicone catheter or a polyurethane catheter, said selected catheter having a body wall with an exterior surface and with an interior surface defining a longitudinally extending, fluid flow lumen, said lumen being sized to receive a rigid, tubular stem attached at a proximal end thereof to the medical device;

(b) positioning said tubular stem in said lumen of said selected catheter, said tubular stem having a free distal end opposite said proximal end and an exterior surface extending therebetween, said stem further comprising an attachment means on said exterior surface of said stem for engaging said interior surface of said selected catheter when said distal end of said stem is received in said lumen of said selected catheter, and for enabling locking of said selected catheter on said stem;

(c) picking a selected fastening assembly from a pair of fastening assemblies including a first fastening assembly corresponding to said silicone catheter and a second fastening assembly corresponding to said polyurethane catheter, said selected fastening assembly being chosen to correspond to said selected catheter and comprising a locking sleeve having a distal end, a proximal end, an interior surface defining a passageway longitudinally extending through said sleeve, and an annular securement ring radially inwardly extending from said interior surface of said locking sleeve; and

(d) placing said stem positioned in said lumen of said selected catheter within said passageway of said locking sleeve, said interior surface of said locking sleeve radially, inwardly compressing a portion of said body wall of said selected catheter against a portion of said attachment means on said stem.

113. A method as defined in claim 112, wherein said attachment means comprises:

(a) an engagement barb encircling and radially, outwardly extending on said exterior surface of said stem and having an outer diameter; and

(b) a locking barb encircling and radially, outwardly extending on said exterior surface of said stem and having an outer diameter larger than said outer diameter of said engagement barb.

114. A method as defined in claim 113, wherein said positioning step includes said engagement barb being received within said lumen of said selected catheter.

115. A method as defined in claim 113, wherein said positioning step includes both said engagement barb and said locking barb being received within said lumen of said selected catheter.

116. A method as defined in claim 113, wherein said placing step includes said securement ring being positioned between said locking barb and the medical device.

117. A method as defined in claim 113, wherein said placing step includes positioning said interior surface of said locking sleeve over said locking barb to compress a portion of said body wall of said selected catheter against said locking barb.

118. A method as defined in claim 113, wherein said placing step includes positioning said interior surface of said locking sleeve over said engagement barb to compress a portion of said body wall of said selected catheter against said engagement barb.

119. A method as defined in claim 112, wherein the medical device accommodates a fluid flow and is attached in fluid communication with said stem.