Method involving use of an assembled indwelling assembly

• US 9,511,207 B2
• Filed: 10/07/2015
• Issued: 12/06/2016
• Est. Priority Date: 03/26/2010
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Ishida, Masahiro
• Primary Examiner(s): STIGELL, THEODORE J
• Application Number:
  US14/877,356
• Publication Number:
  US 20160022901A1
• Time in Patent Office: 426 Days
• US Class Current: 1/1
• CPC Class Codes: A61M 2005/1585 Needle inserters
• CPC Class Codes: A61M 2005/1587 suitable for being connected to an infusion line after insertion into a patient
• CPC Class Codes: A61M 25/0606 "Over-the-needle" catheter assemblies, e.g. I.V. catheters
• 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

A method involves positioning an assembled indwelling assembly adjacent a patient, wherein the assembly includes an inner needle, a hub fixed to the inner needle, a hollow outer member in which the inner needle is positioned, a hub fixed to the hollow outer member, and an elongated member axially overlapping an intermediate portion of the hollow outer member. The method also includes moving a distal portion of the assembly to puncture a blood vessel of the patient with the sharp needlepoint while the elongated member contacts the hollow outer member, advancing the hollow outer member in a distal direction along the inner needle to insert a distal portion of the hollow outer member to a target position in the blood vessel, and moving the inner needle hub in a proximal direction such that the inner needle is pulled out from and entirely removed from the hollow outer member.

Claims

1. A method comprising:

positioning an assembled indwelling assembly adjacent a patient, the assembled indwelling assembly comprising;

an inner needle having a sharp needlepoint at a distal end;

an inner needle hub fixed to a proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated member positioned in axial overlapping relation to an intermediate portion of the hollow outer member between a proximal end of the hollow outer member and a distal end of the hollow outer member;

moving a distal portion of the indwelling assembly to puncture a blood vessel of the patient with the sharp needlepoint of the inner needle and to also introduce the distal end of the hollow outer member into the blood vessel while the elongated member is positioned in axial overlapping relation to the intermediate portion of the hollow outer member;

advancing the hollow outer member in a distal direction relative to the inner needle such that a distal portion of the hollow outer member is inserted to a target position in the blood vessel and such that a part of the intermediate portion of the hollow outer member which is in axial overlapping relation to the elongated member during the moving of the distal portion of the indwelling assembly to puncture the blood vessel is positioned in the blood vessel; and

moving the inner needle hub in a proximal direction while simultaneously maintaining the hollow outer member indwelled in the blood vessel such that the inner needle is pulled out from and entirely removed from the hollow outer member.

2. The method according to claim 1, wherein:

the hollow outer member is an outer needle;

the outer member hub is an outer needle hub; and

the elongated member is a pressing member connected to the outer needle hub.

3. The method according to claim 1, wherein the advancing of the hollow outer member in the distal direction along the inner needle is performed while holding the inner needle hub so that a position of the inner needle hub is fixed.

4. The method according to claim 1, wherein the inner needle possesses a distal-most end that extends distally beyond a distal-most end of the hollow outer member when the blood vessel is punctured by the sharp needlepoint of the inner needle, and wherein the advancing of the hollow outer member in the distal direction along the inner needle comprises advancing the hollow outer member in the distal direction while fixing a position of the inner needle so that the distal-most end of the hollow outer member extends distally beyond the distal-most end of the inner needle.

5. The method according to claim 1, wherein the positioning of the assembled indwelling assembly adjacent the patient comprises positioning the assembled indwelling assembly so that the elongated member is positioned vertically above the hollow outer member, and further comprising pressing vertically down on the elongated member so that a portion of the elongated member is brought into contact with the intermediate portion of the hollow outer member.

6. The method according to claim 5, wherein the hollow elongated outer member possesses a distal-most end, a proximal-most end and a middle located halfway between the distal-most end and the proximal-most end, wherein the intermediate portion of the hollow elongated outer member that is contacted by the elongated member is between the distal-most end of the hollow elongated outer member and the middle of the hollow elongated outer member.

7. The method according to claim 1, wherein the elongated member is movable into contact with the hollow elongated outer member and is movable out of contact with the hollow elongated outer member, and wherein the moving of the distal portion of the indwelling assembly to puncture a blood vessel of the patient with the sharp needlepoint of the inner needle is performed while the elongated member is contacting the hollow elongated outer member, and wherein the advancing of the hollow outer member in the distal direction along the inner needle is performed while the elongated member is out of contact with the hollow elongated outer member.

8. The method according to claim 1, wherein the elongated member is connected to the inner needle hub.

9. The method according to claim 1, wherein the inner needle hub is positioned in a projecting member that projects distally from the inner needle hub and axially overlaps at least a portion of the inner needle.

10. The method according to claim 9, wherein the hollow outer member possesses a proximal portion, and wherein the projecting member possesses a distal-most end positioned distally beyond the proximal portion of the hollow outer member in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle.

11. The method according to claim 9, wherein the hollow outer member possesses a proximal portion, and wherein the proximal portion of the hollow outer member is positioned in the projecting member in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle.

12. The method according to claim 9, wherein at least a portion of the projecting member is a U-shaped portion in transverse cross-section, a portion of the hollow outer member axially overlapping the U-shaped portion of the projecting member in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle.

13. The method according to claim 9, wherein:

the hollow outer member possesses a proximal portion;

during the moving of the distal portion of the indwelling assembly to puncture a blood vessel of the patient, the outer member hub is positioned in the projecting member; and

in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle, the proximal portion of the hollow outer member is covered by the projecting member and the elongated member.

14. The method according to claim 9, wherein during the advancing of the hollow outer member in the distal direction along the inner needle, the outer member hub is advanced along and relative to the projecting member.

15. The method according to claim 9, wherein:

the projecting member possesses a distal end and the elongated member possesses a distal end; and

during the moving of the distal portion of the indwelling assembly to puncture the blood vessel of the patient with the sharp needlepoint of the inner needle, the hollow outer member and the inner needle are both positioned between the distal end of the projecting member and the distal end of the elongated member.

16. A method comprising:

positioning an assembled indwelling assembly adjacent a patient, the assembled indwelling assembly comprising;

an inner needle having a sharp needlepoint at a distal end;

an inner needle hub fixed to a proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned;

an outer member hub fixed to a proximal portion of the hollow outer member;

an elongated member positioned in axial overlapping relation to an intermediate portion of the hollow outer member between a proximal end of the hollow outer member and a distal end of the hollow outer member; and

a grip member having a proximal portion connected to the inner needle hub, the grip member axially overlapping an intermediate portion of the hollow outer member;

moving a distal portion of the indwelling assembly to puncture a blood vessel of the patient with the sharp needlepoint of the inner needle and to also introduce the distal end of the hollow outer member into the blood vessel while the grip member is axially overlapping the intermediate portion of the hollow outer member;

advancing the hollow outer member in a distal direction along the inner needle such that a distal portion of the hollow outer member is inserted to a target position in the blood vessel; and

moving the grip member, the inner needle hub and the inner needle together in a proximal direction while simultaneously maintaining the hollow outer member indwelled in the blood vessel such that the inner needle is pulled out from and entirely removed from the hollow outer member.

17. The method according to claim 16, wherein the advancing of the hollow outer member in the distal direction along the inner needle is performed while holding the grip member so that a position of the grip member is fixed.

18. The method according to claim 16, wherein the inner needle possesses a distal-most end that extends distally beyond a distal-most end of the hollow outer member when the blood vessel is punctured by the sharp needlepoint of the inner needle, and wherein the advancing of the hollow outer member in the distal direction along the inner needle comprises advancing the hollow outer member in the distal direction while fixing a position of the inner needle so that the distal-most end of the hollow outer member extends distally beyond the distal-most end of the inner needle.

19. The method according to claim 16, wherein the positioning of the assembled indwelling assembly adjacent the patient comprises positioning the assembled indwelling assembly so that the elongated member is positioned vertically above the hollow outer member, and further comprising pressing vertically down on the elongated member so that a portion of the elongated member is brought into contact with the intermediate portion of the hollow outer member.

20. The method according to claim 16, wherein the advancing of the hollow outer member in the distal direction along the inner needle includes advancing the hollow outer member in the distal direction along the inner needle to position a part of the intermediate portion of the hollow outer member which is in axial overlapping relation to the elongated member during the moving of the distal portion of the indwelling assembly to puncture the blood vessel is positioned in the blood vessel.

21. The method according to claim 16, wherein at least a portion of the grip member is a U-shaped portion in transverse cross-section, a portion of the hollow outer member axially overlapping the U-shaped portion of the grip member in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle.

22. The method according to claim 16, wherein:

the hollow outer member possesses a proximal portion;

during the moving of the distal portion of the indwelling assembly to puncture a blood vessel of the patient, the outer member hub is positioned in the grip member; and

in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction along the inner needle, the proximal portion of the hollow outer member is covered by the grip member and the elongated member.

23. A method comprising:

positioning an inner needle of an assembled indwelling assembly adjacent a patient'"'"'s blood vessel that is to be punctured, the inner needle possessing a proximal portion, the assembled indwelling assembly also comprising;

an inner needle hub fixed to the proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned, the hollow outer member possessing a proximal end and a distal end;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated member positioned in axial overlapping relation to the proximal end of the hollow outer member and an intermediate portion of the hollow outer member located between the proximal and distal ends of the hollow outer member;

moving both the inner needle and the hollow outer member to puncture the blood vessel of the patient with the sharp needlepoint of the inner needle and to also introduce the distal end of the hollow outer member into the blood vessel while the elongated member contacts the intermediate portion of the hollow outer member;

following the moving of both the inner needle and the outer member to puncture the blood vessel of the patient, advancing the hollow outer member in a distal direction while fixing the inner needle in position so that the hollow outer member moves relative to the inner needle to position the hollow outer member at a target position in the blood vessel; and

moving the inner needle hub in a proximal direction while simultaneously maintaining the hollow outer member indwelled in the blood vessel such that the inner needle is pulled out from and entirely removed from the hollow outer member.

24. The method according to claim 23, wherein the positioning of the assembled indwelling assembly adjacent the patient comprises positioning the assembled indwelling assembly so that the elongated member is positioned vertically above the hollow outer member, and further comprising pressing vertically down on the elongated member so that a portion of the elongated member is brought into contact with the intermediate portion of the hollow outer member.

25. The method according to claim 23, wherein the advancing of the hollow outer member in the distal direction includes advancing the hollow outer member in the distal direction along the inner needle to position the intermediate portion of the hollow outer member that is contacted by the elongated member inside the blood vessel.

26. The method according to claim 23, wherein the inner needle hub is positioned in a grip member that projects distally from the inner needle hub and axially overlaps at least a portion of the inner needle.

27. The method according to claim 23, wherein at least a portion of the grip member is a U-shaped portion in transverse cross-section, a portion of the hollow outer member axially overlapping the U-shaped portion of the grip member in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction.

28. The method according to claim 23, wherein:

the hollow outer member possesses a proximal portion;

during the moving of the distal portion of the indwelling assembly to puncture a blood vessel of the patient, the outer member hub is positioned in the grip member; and

in an assembled state of the assembled indwelling assembly before advancing the hollow outer member in the distal direction, the proximal portion of the hollow outer member is covered by the grip member and the elongated member.

29. A method comprising:

positioning an inner needle of an assembled indwelling assembly adjacent a patient'"'"'s blood vessel that is to be punctured, the inner needle possessing a proximal portion, the assembled indwelling assembly also comprising;

an inner needle hub fixed to the proximal portion of the inner needle;

a hollow outer member in which the inner needle is positioned, the hollow outer member possessing a proximal end and a distal end;

an outer member hub fixed to a proximal portion of the hollow outer member; and

an elongated underlying member positioned in axial overlapping relation to the proximal end of the hollow outer member and an intermediate portion of the hollow outer member located between the proximal and distal ends of the hollow outer member, the elongated underlying member underlying the hollow outer member and including a portion that is U-shaped in transverse cross-section with an open upper end, the U-shaped portion axially overlapping a portion of the hollow outer member positioned immediately adjacent the outer member hub;

moving both the inner needle and the outer member to puncture the blood vessel of the patient with the sharp needlepoint of the inner needle while the U-shaped portion of the elongated member is axially overlapping the portion of the hollow outer member positioned immediately adjacent the outer member hub;

following the moving of both the inner needle and the outer member to puncture the blood vessel of the patient, advancing the hollow outer member in a distal direction while fixing the inner needle in position so that the hollow outer member moves relative to the inner needle to position the hollow outer member at a target position in the blood vessel; and

moving the inner needle hub in a proximal direction while simultaneously maintaining the hollow outer member indwelled in the blood vessel such that the inner needle is pulled out from and entirely removed from the hollow outer member.