Apparatus and methods to communicate fluids and/or support intraosseous devices

• US 8,974,410 B2
• Filed: 01/03/2007
• Issued: 03/10/2015
• Est. Priority Date: 10/30/2006
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences II LLC
• Original Assignee: Vidacare LLC (Teleflex Incorporated)
• Inventors: Miller, Larry J., Bolleter, David S., Titkemeyer, Robert W., Manno, Joseph J., Harmon, Matthew T., Richardson, Bruce J., Hart, Gary Emerson
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): CHANDER, DIVA KAKAR
• Application Number:
  US11/619,390
• Publication Number:
  US 20080140014A1
• Time in Patent Office: 2,988 Days
• Field of Search: 604/513, 604/174, 604/175, 604/180, 604/257, 604/262, 604/533, 604/534, 604/535, 604/537, 604/539
• US Class Current: 604/116
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61M 2005/1581 Right-angle needle-type devices
• CPC Class Codes: A61M 2005/1585 Needle inserters
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2039/0273 for introducing catheters into the body
• CPC Class Codes: A61M 2039/0276 for introducing or removing fluids into or out of the body
• CPC Class Codes: A61M 2210/02 Bones
• CPC Class Codes: A61M 39/02 Access sites
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/26 Valves closing automatically on disconnecting the line and opening on reconnection thereof check valves A61M39/24
• 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

Fluid communication devices and supporting structures may be provided for use with intraosseous devices. Apparatus and methods may also be provided to communicate fluids with an intraosseous device.

Claims

1. An apparatus for supporting an intraosseous device disposed at a target site in a patient comprising:

a supporting structure having an opening formed therethrough;

the opening having a configuration and interior dimensions compatible with exterior portions of the intraosseous device;

the structure configured to at least partially enclose the intraosseous device after the intraosseous device has been disposed at the target site and inserted into a bone of the patient;

the supporting structure having an extended surface with an adhesive layer disposed thereon;

the adhesive layer operable to releasably engage the apparatus to a patient proximate the target site after the intraosseous device has been inserted in the bone of the patient;

the adhesive layer extending over at least a portion of the extended surface; and

the apparatus configured such that the intraosseous device can be inserted into the bone of the patient while not coupled to the apparatus.

2. The apparatus of claim 1 wherein the apparatus further comprises:

a backing proximate the adhesive layer; and

the backing covering the adhesive layer prior to installing the apparatus at the target site.

3. The apparatus of claim 2 wherein the backing comprises a release liner.

4. The apparatus of claim 1 wherein the apparatus further comprises the extended surface generally flexible for adapting to contours of a patient'"'"'s body near the target site.

5. The apparatus of claim 1 wherein the extended surface further comprises a plurality of tabs extending outwardly from the supporting structure.

6. The apparatus of claim 1 wherein the extended surface further comprises at least three tabs extending outwardly from the supporting structure.

7. The apparatus of claim 1 wherein the supporting structure further comprises tubing clips operable to restrain a tubing which may be attached to the intraosseous device.

8. The apparatus of claim 1 wherein the supporting structure further comprises:

a generally hollow, cylindrical portion; and

an inner diameter of the cylindrical portion sized to receive a portion of the intraosseous device therein.

9. The apparatus of claim 1 wherein the supporting structure further comprises:

a generally hollow, cylindrical portion; and

an inner diameter of the cylindrical portion including at least one pawl operable to mate with one or more features on one or more exterior portions of the intraosseous device.

16. A method of providing vascular access in a patient comprising:

inserting an intraosseous device into bone marrow at a target site in patient'"'"'s limb; and

using the apparatus of claim 1 to support the intraosseous device.

10. An apparatus for supporting an intraosseous device disposed at a target site in a patient comprising:

a generally hollow, cylindrical inner collar, having a configuration and interior dimensions compatible with exterior portions of the intraosseous device;

an outer collar having an opening formed therein;

the outer collar opening having a configuration and interior dimensions compatible with exterior portions of the cylindrical inner collar;

an extended surface associated with the outer collar such that at least a portion of the extended surface is in fixed relation to the outer collar;

an adhesive layer operable to releasably engage the apparatus to a patient proximate the target site; and

the adhesive layer extending over at least a portion of the extended surface.

11. The apparatus of claim 10 wherein the inner collar further comprises at least one pawl, configured to mate with the interior of the outer collar.

17. A method of providing vascular access in a patient comprising:

inserting an intraosseous device into bone marrow at a target site in patient'"'"'s limb; and

using the apparatus of claim 10 to support the intraosseous device.

12. An apparatus for supporting an intraosseous device disposed at a target area in a patient comprising:

a supporting structure having an opening formed therethrough;

the opening having a configuration and interior dimensions compatible with exterior portions of the intraosseous device;

the supporting structure operable to releasably engage the apparatus to a patient proximate the target site after the intraosseous device has been inserted in a bone of the patient;

the structure configured to at least partially enclose the intraosseous device after the intraosseous device and been disposed at the target site and inserted into a bone of the patient;

a connector assembly attached to the intraosseous device;

the connector assembly including a one-way valve operable to connect the intraosseous device with a fluid source; and

the apparatus configured such that the intraosseous device can be inserted into the bone of the patient while not coupled to the apparatus.

13. The apparatus of claim 12 wherein the fluid source further comprises a conduit operable to receive fluid from a sterile bag of fluids.

14. apparatus of claim 12 wherein the fluid source further comprises a conduit operable to receive fluid from an ampule.

15. The apparatus of claim 12 wherein the fluid source further comprises a conduit operable to receive fluid from a hypodermic needle operable to penetrate portions of the one-way valve.

18. An apparatus for supporting a medical device disposed at a target site in a patient comprising:

a supporting structure having an opening formed therethrough;

the opening having a configuration and interior dimensions compatible with exterior portions of the medical device;

the supporting structure configured to at least partially enclose the medical device after the medical device has been disposed at the target site and inserted into a bone of the patient;

the supporting structure having an extended surface with an adhesive layer disposed thereon;

the adhesive layer operable to releasably engage the apparatus to a patient proximate the target site after the medical device has been inserted in the bone of the patient;

the adhesive layer extending over at least a portion of the extended surface;

a connector assembly in fluid communication with the medical device;

the connector assembly including a one-way valve operable to connect the medical device with a conduit; and

the apparatus configured such that the medical device can be inserted into the bone of the patient while not coupled to the apparatus.

19. The apparatus of claim 18 further comprising the medical device selected from the group consisting of an intravenous device, an intraosseous device, a central line cannula, an endotracheal tube, an orotracheal tube, a nasotracheal tube, or a peritoneal dialysis catheter.