Circulatory system access preservation system

• US 8,029,471 B1
• Filed: 08/19/2005
• Issued: 10/04/2011
• Est. Priority Date: 02/09/2005
• Status: Active Grant

• Current Assignee: Southern Oklahoma Kidney Center, Inc.
• Original Assignee: Southern Oklahoma Kidney Center, Inc.
• Inventors: Sheffield, Donald H., Khan-Sahibzada, Abdul N., Fulbright, Thomas G.
• Primary Examiner(s): Stigell; Theodore
• Assistant Examiner(s): Hall; Deanna K
• Application Number:
  US11/208,318
• Time in Patent Office: 2,237 Days
• Field of Search: 604/167.06, 604/170.01, 604/170.02, 604/164.01
• US Class Current: 604/164.01
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3655 Arterio-venous shunts or fistulae
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 2005/1416 placed on the body of the patient
• CPC Class Codes: A61M 2039/0258 for vascular access, e.g. blood stream access
• CPC Class Codes: A61M 2039/0273 for introducing catheters into the body
• CPC Class Codes: A61M 25/0637 Butterfly or winged devices, e.g. for facilitating handling or for attachment to the skin
• CPC Class Codes: A61M 25/065 Guide needles
• CPC Class Codes: A61M 39/1011 Locking means for securing connection; Additional tamper safeties A61M39/16 takes precedence
• CPC Class Codes: A61M 5/3287 Accessories for bringing the needle into the body; Automatic needle insertion A61M5/20, A61M5/31525 take precedence

Abstract

An access device is disclosed that comprises two main assemblies. The first assembly is the cylindrical cannulation assembly. This is the needle-point-bearing assembly which facilitates cannulation (i.e., insertion of the assembly into the arm of the patient). The cylindrical cannulation assembly comprises a cannulation cylinder which has an insertion point (i.e., the needle puncture point) at a first end. The second main assembly of the invention is the cylindrical conduit assembly. This is the assembly that facilitates fluid flow during treatment free of the worry that the very needle which facilitated access will internally lacerate the blood vessel. The cylindrical conduit assembly comprises a cylindrical conduit which is telescopically positioned within the cannulation cylinder. The cannulation cylinder and cylindrical conduit longitudinally move relative to one another.

Claims

1. An access device comprising:

(a) a cylindrical cannulation assembly, said cylindrical cannulation assembly comprising a cannulation cylinder comprising an insertion point at a first end;

(b) a cylindrical conduit assembly, said cylindrical conduit assembly comprising a cylindrical conduit and at least one alignment sleeve section to facilitate alignment of said cylindrical conduit within said cannulation cylinder and the easy sliding engagement of said cylindrical conduit within said cannulation cylinder, wherein at least one of said at least one alignment sleeve sections comprises an alignment sleeve section vent to vent air trapped in enclosed spaces between said cylindrical conduit assembly and cylindrical cannulation assembly, said cylindrical conduit telescopically positioned within said cannulation cylinder such that,

(1) at a first position (to be used before and during cannulation), a first end of said cylindrical conduit, said first end being a substantially smooth right circular cylinder, is positioned a rearward distance from said insertion point to facilitate cannulation, and,

(2) at a second position (to be used after cannulation), said first end of said cylindrical conduit is positioned within said cannulation cylinder substantially at or forward of said insertion point; and

(c) a locking mechanism to secure the position of said cylindrical conduit relative to said cannulation cylinder at either said first position or said second position.

2. The access device of claim 1 wherein said cylindrical conduit is fitted with a conduit gripping sleeve to facilitate the longitudinal sliding movement of said cylindrical conduit within said cannulation cylinder.

3. The access device of claim 1 wherein said locking mechanism comprises a dimple on at least one of said at least one alignment sleeve sections, and an axially aligned cannulation locking hole, axially aligned steady state locking hole, and axially aligned but rotationally displaced translation slot on an insertion assembly gripping sleeve fitted to said cannulation cylinder, such that, at said first position, said dimple is positioned within said cannulation locking hole, and, at said second position, said dimple is positioned within said steady state locking hole.

4. The access device of claim 1 wherein said locking mechanism comprises a dimple on at least one of said at least one alignment sleeve sections, and an axially aligned cannulation locking hole, steady state locking hole, and translation slot on an insertion assembly gripping sleeve fitted to said cannulation cylinder, such that, at said first position, said dimple is positioned within said cannulation locking hole, and, at said second position, said dimple is positioned within said steady state locking hole.

5. The access device of claim 1 wherein said locking mechanism comprises a dimple on at least one of said at least one alignment sleeve sections and an axially aligned translation slot on an insertion assembly gripping sleeve fitted to said cannulation cylinder, such that, at said first position, said dimple is positioned at one substantial extremity of said translation slot, and, at said second position, said dimple is positioned at the opposite substantial extremity of said translation slot.

6. The access device of claim 1 wherein said cylindrical cannulation assembly comprises an insertion assembly gripping sleeve to facilitate the longitudinal sliding movement of said cylindrical conduit within said cannulation cylinder.

7. The access device of claim 1 wherein said cylindrical cannulation assembly comprises a cylindrical seal in tight engagement with the outer surface of said cylindrical conduit and in close proximity with the end opposite said first end of said cannulation cylinder so as to prevent continuous fluid communication through the annulus defined between the outer surface of said cylindrical conduit and the inner surface defined of said cannulation cylinder.

8. The access device of claim 7 wherein the rearward face of said cylindrical seal is a frusto-conical surface which facilitates the funneling insertion of said cylindrical conduit within said cannulation cylinder during manufacture of said access device.

9. The access device of claim 7 wherein the longitudinal displacement between the rearward face of said end opposite said first end of said cannulation cylinder and of said cylindrical seal defines a seal cavity which reduces shearing at access device assembly of the material of which said cylindrical seal is made.

10. An access device comprising:

(a) a cylindrical cannulation assembly, said cylindrical cannulation assembly comprising a cannulation cylinder comprising an insertion point at a first end;

(b) a cylindrical conduit assembly, said cylindrical conduit assembly comprising a cylindrical conduit fitted with at least one alignment sleeve section to facilitate alignment of said cylindrical conduit within said cannulation cylinder and the easy sliding engagement of said cylindrical conduit within said cannulation cylinder, said cylindrical conduit telescopically positioned within said cannulation cylinder such that,

(1) at a first position (to be used before and during cannulation), a first end of said cylindrical conduit, said first end being a substantially smooth right circular cylinder, is positioned a rearward distance from said insertion point to facilitate cannulation, and,

(2) at a second position (to be used after cannulation), said first end of said cylindrical conduit is positioned within said cannulation cylinder substantially at or forward of said insertion point; and

(c) a locking mechanism to secure the position of said cylindrical conduit relative to said cannulation cylinder at either said first position or said second position, said locking mechanism comprising a dimple on at least one of said at least one alignment sleeve sections, and an axially aligned cannulation locking hole, axially aligned steady state locking hole, and an axially aligned but rotationally displaced translation slot on an insertion assembly gripping sleeve fitted to said cannulation cylinder, such that, at said first position, said dimple is positioned within said cannulation locking hole, and, at said second position, said dimple is positioned within said steady state locking hole wherein

(d) said cylindrical cannulation assembly comprises a cylindrical seal in tight engagement with the outer surface of said cylindrical conduit and in close proximity with the end opposite said first end of said cannulation cylinder so as to prevent continuous fluid communication through the annulus defined between the outer surface of said cylindrical conduit and the inner surface defined of said cannulation cylinder.

11. The access device of claim 10 wherein the rearward face of said cylindrical seal is a frusto-conical surface which facilitates the funneling insertion of said cylindrical conduit within said cannulation cylinder during manufacture of said access device.

12. The access device of claim 10 wherein the longitudinal displacement between the rearward face of said end opposite said first end of said cannulation cylinder and of said cylindrical seal defines a seal cavity which reduces shearing of the material of which said cylindrical seal is made.