Dialysis catheter and methods of insertion
First Claim
1. A method of inserting a dialysis catheter into a right atrium of a patient comprising:
- providing a dialysis catheter having a first lumen for blood flow and a second lumen for blood flow, a terminal end of the first and second lumens being axially spaced;
providing a first guidewire having a proximal end portion and a distal tip;
inserting the first guidewire into the inferior vena cava of the patient so the distal tip remains in the vena cava and a proximal end portion extends out of the patient;
passing the guidewire through a subcutaneous tissue tunnel by passing an exposed proximal end portion of the guidewire through the tunnel in a proximal direction;
inserting a stiffening member through the first lumen in the catheter to advance the catheter over the guidewire;
advancing the dialysis catheter and stiffening member over the guidewire into the vein and into the right atrium of the patient; and
removing the guidewire leaving the dialysis catheter in place for a period of time.
14 Assignments
0 Petitions
Accused Products
Abstract
A method of inserting a dialysis catheter into a patient comprising the steps of inserting a guidewire into the jugular vein of the patient through the superior vena cava and into the inferior vena cava, providing a trocar having a lumen and a dissecting tip, inserting the trocar to enter an incision in the patient and to create a subcutaneous tissue tunnel, threading the guidewire through the lumen of the trocar so the guidewire extends through the incision, providing a dialysis catheter having first and second lumens, removing the trocar, and inserting the dialysis catheter over the guidewire through the incision and through the jugular vein and superior vena cava into the right atrium.
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Citations
21 Claims
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1. A method of inserting a dialysis catheter into a right atrium of a patient comprising:
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providing a dialysis catheter having a first lumen for blood flow and a second lumen for blood flow, a terminal end of the first and second lumens being axially spaced; providing a first guidewire having a proximal end portion and a distal tip; inserting the first guidewire into the inferior vena cava of the patient so the distal tip remains in the vena cava and a proximal end portion extends out of the patient; passing the guidewire through a subcutaneous tissue tunnel by passing an exposed proximal end portion of the guidewire through the tunnel in a proximal direction; inserting a stiffening member through the first lumen in the catheter to advance the catheter over the guidewire; advancing the dialysis catheter and stiffening member over the guidewire into the vein and into the right atrium of the patient; and removing the guidewire leaving the dialysis catheter in place for a period of time. - View Dependent Claims (2, 3, 4)
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5. A method of inserting a catheter into a patient comprising:
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creating a subcutaneous tissue tunnel; providing a guide member having a proximal end portion and a distal tip; inserting a guide member so the distal tip extends into and is positioned unexposed in the vein of the patient and an exposed proximal end portion extends outside of the patient; providing a catheter having a first lumen for blood delivery and a second lumen for blood withdrawal; after the step of inserting the guide member, passing the guide member in a proximal direction so the proximal end portion extends through the subcutaneous tissue tunnel; and inserting the catheter into the vein of the patient over the guide member in a direction toward the distal tip of the guide member with the distal tip remaining unexposed in the vein during insertion. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12, 13)
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14. A method of inserting a catheter into a patient without the use of a tear away sheath comprising:
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providing a catheter; inserting a guide member through the incision into the vein of a patient so a distal tip of the guide member extends into and is positioned unexposed in the vein of the patient and an exposed proximal end portion extends outside of the patient; creating a subcutaneous tissue tunnel; providing an insert member; inserting the insert member into the catheter; passing an exposed portion of the guide member through the subcutaneous tissue tunnel; inserting, without the use of a tear away sheath, the insert member and catheter into the vein of the patient over the guide member in a direction toward the distal tip of the guide member as the guide member extends through an opening in the insert member and the distal tip remains unexposed in the vein during insertion; and securing the catheter to the patient. - View Dependent Claims (15, 16)
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17. A method of inserting a catheter into a vein of a patient comprising:
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inserting a guidewire into the vein of a patient, the guidewire extending out of and incision to form a loop outside the patient; creating a subcutaneous tissue tunnel; inserting a catheter through a first end of the subcutaneous tissue tunnel to exit a second end of the tunnel; inserting the catheter over the loop in the guidewire and into the vein of the patient, the step of inserting including the step of providing a stiffening member within the catheter having an opening to pass over the guidewire as it is advanced into the vein with the catheter; and securing the catheter to the patient. - View Dependent Claims (18, 19, 20, 21)
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Specification