EP1198262A4 - Catheter with check valve - Google Patents

Catheter with check valve

Info

Publication number
EP1198262A4
EP1198262A4 EP20000952210 EP00952210A EP1198262A4 EP 1198262 A4 EP1198262 A4 EP 1198262A4 EP 20000952210 EP20000952210 EP 20000952210 EP 00952210 A EP00952210 A EP 00952210A EP 1198262 A4 EP1198262 A4 EP 1198262A4
Authority
EP
Grant status
Application
Patent type
Prior art keywords
catheter
check valve
end
valve
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP20000952210
Other languages
German (de)
French (fr)
Other versions
EP1198262A1 (en )
Inventor
Thomas L Spinks
Kevin H Pike
Michael Kassel
Mark Godfrey
Scott Wells
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Vadus Inc
Original Assignee
Vadus Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/26Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/06Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M39/0693Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof including means for seal penetration

Abstract

A catheter (10, 29) and check valve (19) combination is disclosed. In an embodiment, the catheter (10) comprises a PICC line having a first end for introduction into a body and a second end having a valve housing (11). The valve housing (11) includes an end wall (21) defining an opening, and a check valve (19) is disposed within the housing (11) and normally biased against the end wall (21) to seal the opening. The check valve (19) prevents blood loss from the patient when the catheter (10) is introduced into the body of a patient, which is particularly important for lines that connect with the vascular system of the body near the heart. In an embodiment, the catheter comprises an introducer catheter (29) and the check valve (19) prevents blood loss when the introducer catheter is inserted into the patient, as well as preventing the introduction of air or other fluid into the patient through the introducer catheter (29). In other embodiments, the introducer catheter (29) may include a guide wire (31) and/or a needle (33) that are retractable through a check valve (19) disposed in the valve housing (11).

Description

Catheter With Check Valve

This application claims the benefit of U.S. Provisional Application No.

60/146,045, filed 27 July 1999.

Field of the Invention

This invention relates to peripherally inserted central and/or midline catheters

lines and, more specifically, to a catheter device fitted with a simple, very reliable and

effective check valves. The check valve prevents hazardous blood spills when a

peripherally inserted central catheter line has reached the vascular areas near the heart.

Background of the Invention

Intravenous catheters for the infusion of fluids into the veins of a patient are

typically one of two general types. One type is the "through-the-needle" catheter

wherein the catheter is threaded through the needle and into the vein of a patient. In the

through-the-needle type catheter, the needle is not withdrawn from the patient upon

placement of the catheter. The second type of catheters is the "over-the-needle" type.

Upon insertion of the introducer catheter into a patient, the insertion needle is withdrawn

leaving the catheter in the body.

Traditionally, PICC lines are open-ended, requiring hurried and potentially

dangerous manipulations by healthcare workers (HCW) to contain and/or minimize

blood spills during their insertion and use. There is no protection from life threatening

loss of blood other than the HCW technique during insertion and some devices on the

market offer no protection from patient "bleed out" (life threatening loss of blood). Short peripheral catheters are distinguishable from peripherally inserted central

catheter ("PICC") lines in that PICC lines are inserted into the vascular system of the

patient whereas short peripheral catheters are inserted into a vein of the patient. Not

surprisingly, these different applications require different catheter structures and

correspondingly different restrictions to the use of a needle guard on the introducer

catheter.

Current PICC lines suffer any of several disadvantages due to the pressure of the

peripheral venous system and the time required to place a typical PICC line, which can

result in a significant blood spill. Contact with human blood can result in exposure to

blood-borne pathogens. The effort to contain the blood flow prior to connection to or

changing out an IV bag or other device is difficult and can result in damage to the

catheter or the insertion site. Significant blood loss can also occur should the arterial

line become accidentally disconnected, and entrapment of air is a problem if the line is

left open for a prolonged period of time. The loss of blood can be life threatening for

the patient. Finally, the cost associated with the clean-up and disposal of soiled

materials can be significant.

In the use of a PICC line, a flexible catheter is introduced into the vascular

system of a patient and subsequently manipulated to move the catheter through the

vascular system of a patient to a desired location. Because the catheter must be moved

upwardly through the vascular system, the catheter must be formed from a soft,

biocompatible, pliable, and flexible material which is capable of winding through and

extending through substantial lengths of the vascular system. It is not unusual for such

catheters to extend from two to thirty inches or more through the vascular system of a patient. The insertion of the PICC line must also occur without causing trauma to the

vascular system.

In an effort to overcome these problems, several devices have been disclosed in

the prior art that attempt to provide some means of checking the above-mentioned blood

spills and associated problems.

One such prior art system is disclosed in U.S. Patent No. 5,195,980 to Catlin. A

Y-connector including a hemostatic valve for enabling the introduction of an elongated

member, e.g., a balloon catheter, into the body of a living being while precluding blood

from flowing out of the valve. The Y-connector includes a housing having an interior in

which a pair of resilient valve elements and a plunger mechanism are located. One

valve element, e.g., a disc-like member, has a small diameter opening therein. The other

valve element, e.g., a duck-bill valve elements, includes a normally closed, but

openable, aperture therein. The plunger mechanism includes a tubular member having

an outer diameter, which is smaller than the diameter of the opening in the one valve

element. The tubular member is arranged to be moved into and out of the aperture in the

other valve element. The tubular member has a central passageway arranged to enable

the elongated member to be readily extended therethrough for location at a desired

position within the body of the being. The one valve element is arranged for engaging

the periphery of the elongated member after the elongated member has been extended

through the passageway and after the tubular member is moved out of the opening in the

valve member to preclude blood from flowing through the interface between the valve

member and the elongated member. Another prior art system is disclosed in U.S. Patent No. 5,405,323 to Rogers et

al. A catheter check valve assembly has a valve housing with a wall defining a

generally cylindrical chamber and a transverse wall having an aperture lying on the axis

of such chamber. A duckbill valve and an end cap supporting a catheter are positioned

on one side of the transverse wall. A separator has a major portion positioned in said

cylindrical chamber and an elongated cylindrical probe extending from said major

portion. The separator is axially moveable from a retraced position where the probe is

out of contact with the duckbill valve to a forward position extending through and

opening the duckbill valve. A needle may be extended through the catheter check valve

assembly when the separator is in the forward position.

Thomas et al., U.S. Patent No. 5,409,463, discloses an apparatus for introducing

a catheter percutaneously into the body of a living being. The apparatus comprises a

tubular member having a distal end portion and a proximal end portion. The proximal

end portion is in the form of a hollow housing for a hemostatic valve assembly

comprising a lubricant reservoir and a valve element. The reservoir is formed of a foam

material impregnated with a lubricant liquid, e.g., silicone. The valve element is a disk¬

like member formed of resilient material, e.g., silicone impregnated with

polydimethylsiloxane, located distally of the reservoir and has a openable passageway

extending through it for the catheter to pass. The reservoir applies the lubricating fluid-

in a controlled manner onto the catheter as it is passed through it, to thereby facilitate

the passage of the catheter through the openable passageway in the valve element. The

hollow housing is arranged to produce peripheral pressure on the valve element to

facilitate its closure. Schmidt, et al., U.S. Patent No. 5,613,663, discloses that in a valve device in a

connection piece, it is provided that the valve body is configured as a valve flap (20)

with a closed surface, which valve flap is mounted in the connection piece via an elastic

radial tongue (21) and rests against an annular supporting surface (26) in the closed

position, and that the sliding member pivots the valve flap (20) in opening direction

about the radial tongue (21) by pressure against its closed surface.

Wendell, U.S. Patent No. 5,062,836, discloses a placement device for catheter

and guide wire comprising, a valve assembly having a proximal end, a distal end for

connection to the catheter, an elastic valve member having at least one slit and a slide

member begin slidably received in the valve assembly and being movable between a

first position spaced from the valve member with the valve member being closed, and a

second position engaged against the valve member with the valve member being open,

with the slide member having a bore extending therethrough. The device has a valve

opener having an elongated stem on an end of the opener with an outer diameter

sufficiently small to be received in the bore of the slide member, with the stem having

sufficient length to extend through the slide member and open the valve member with

the valve opener extending through the valve member, and with the stem having a

channel with an inner diameter sufficiently large to receive the guide wire.

Another prior art system is disclosed in U.S. Patent No. 5,156,596 Balbierz, et

al. A catheter assembly is provided. An attachment structure has a proximal end

portion of an outer cannula attached to it. A needle is insertable through the outer

cannula and the attachment structure. An inner cannula is attached to an inner cannula

attachment region of the attachment structure. The inner cannula is insertable axially through the attachment structure. The attachment structure can comprise two, hubs, one

for the outer cannula and the other for the inner cannula, the two hubs being attachable

to one another to form the overall attachment structure. A valve structure is associated

with the attachment structure, suitably with the outer cannula hub. The valve structure

normally closes communication between an access passage in the attachment structure,

e.g., in the outer cannula hub, and the outer cannula lumen. The valve structure opens

sufficiently for the inner cannula to pass through it and to open communication between

the access passage and the outer cannula lumen when the inner cannula is inserted

through another passage in the attachment structure and through the outer cannula

lumen. The assembly allows the removal of the inner cannula and the insertion of a

replacement inner cannula, if desired, without removing the outer cannula from the

blood vessel. Use of a relatively small diameter needle for a desired diameter outer

cannula can also be provided if the material of the outer cannula is such that it will swell

in place.

Palestrant, U.S. Patent No. 5,336,192, discloses a self-sealing valve device for an

angiographic catheter includes a housing having a first end adapted to form a luer lock

connection with the proximal end of the angiographic catheter. A central bore extends

between the first end of the housing and an opposing second end, and a deformable

elastomeric slit seal is supported across the central bore to selectively seal the proximal

end of the catheter. The slit seal is adapted to permit a guidewire to be passed

therethrough and advanced into the catheter while sealingly engaging the walls of the

guidewire to prevent blood loss through the catheter. The second end of the housing is

provided with a female luer lock connection fitting for receiving the conical tip of a syringe, stopcock, or the like, and forming a pressure-tight connection therebetween.

The insertion of the conical tip of the syringe into the second end of the housing

automatically deforms the slit seal for allowing fluid to pass freely therethrough, while

again sealing the proximal end of the catheter when the conical tip of the syringe is

removed.

Wolbring, U.S. Patent No. 5,456,675, discloses a main cannula arrangement (10)

with a metal cannula (12) and a connecting piece (14), featuring a valve (46), which is

closed in the disconnected state and open in the connected state.

C.R. Bard also sells a PICC line having a valve type structure in the distal end of

the PICC line which is inserted into the patient. This valve at the distal end or tip of the

PICC line is known as a Groshong valve.

However, these prior art devices all suffer from one or more disadvantages due

to complex design. These include undesirable delicacy in handling and use,

undependable operation over time, component wear, difficulty in flushing completely,

and difficult, expensive manufacture. The prior art also does not provide a PICC line

that provides a positive shut off to the flow of blood out of the body or fluid and/or air

into the body.

Summary of the Invention

The present invention provides a catheter and check valve system or combination

that advantageously seals the catheter after insertion into the body of a patient. The

check valve prevents fluids from flowing out of the patient, which is particularly

advantageous when the catheter extends into the vascular system near the heart where

there is increased blood pressure. Without the check valve, this increased blood pressure could cause blood to flow back through the catheter and result in heavy blood

loss to the patient. The check valve also prevents the introduction of air, fluids or other

contaminants through the catheter into the patient.

In an embodiment, the catheter and check valve combination include a catheter

having a distal end for insertion into a body and a proximal end. The combination

further includes a valve housing having an internal cavity in fluid communication with

the proximal end of the catheter. A check valve is disposed within the internal cavity of

the valve housing. The check valve is movable between a first position sealing the

proximal end of the catheter to a second position permitting the flow of liquid through

the proximal end of the catheter.

In an embodiment, the valve housing has an end wall defining an opening and

the check valve is normally biased against the end wall to seal the opening. The check

valve is movable to the second position away from the end wall, which opens the

opening in the end wall so that liquid can flow through the valve housing to the catheter.

In an embodiment, the proximal end of the catheter includes a connector for

securing the catheter to a suitable attachment, such as a drug introduction device, an IV

system, or other like systems. The attachment includes a projection adapted for

insertion into the proximal end of the catheter in order to move the check valve from the

first position to the second position, which permits the flow of liquid through the

proximal end of the catheter.

In an embodiment, the catheter comprises a PICC line. The PICC line may be

integral with the valve housing or the valve housing may have a fitting for being secured

to the PICC line. In an alternate embodiment, the catheter comprises an introducer catheter having

a tube portion for insertion into the body. The valve housing and check valve seal the

introducer catheter, but permit fluid communication through the introducer catheter

when an attachment is secured to the introducer catheter.

In an embodiment, the introducer catheter includes a connector and a cap is fitted

over the connector. A guide wire extends through the introducer catheter and has one

end secured to the cap and the other end extending through the tube portion of the

catheter to guide placement of the introducer catheter within the body of a patient. The

cap and guide wire are removable from the introducer catheter with the guide wire being

retractable through the check valve. The check valve is made of a resilient material that

reseals itself after retraction of the guide wire through the check valve.

In an embodiment, the introducer catheter further includes a needle extending

through the tube portion and having a sharp end that projects outwardly from the tube

portion of the introducer catheter. In use, the sharp end or tip of the needle is inserted

into the body of a patient and the tube portion of the introducer catheter follows the

needle into the patient. After insertion, a needle can be removed from the introducer

catheter by withdrawing it with an attached guide wire through the check valve. The

guide wire may have one end secured to the needle and the other end secured to a cap on

the introducer catheter. When the needle is retracted to the check valve, the check valve

automatically reseals itself due to the resilient nature of the check valve that is made of a

material such as rubber.

Brief Description of the Drawings Fig. 1 is a schematic side view shown in partial cross-section of the catheter and

check valve combination of the present invention.

Fig. 2 is a schematic side view shown in partial cross-section of the catheter and

check valve combination of the present invention.

Fig. 3 is a schematic side view shown in cross-section of the check valve

disposed within the valve housing of the combination of the present invention.

Fig. 4 is a schematic side view shown in cross-section of the check valve

disposed within the valve housing of the combination of the present invention.

Fig. 5 is a schematic side view shown in partial cross-section of an embodiment

of a catheter and check valve combination of the present invention.

Fig. 6 is a schematic side view shown in partial cross-section of an embodiment

of a catheter and check valve combination of the present invention.

Fig. 7 is a schematic side view shown in partial cross-section of an embodiment

of a catheter and check valve combination of the present invention.

Fig. 8 is a schematic side view shown in partial cross-section of an embodiment

of a catheter and check valve combination of the present invention.

Detailed Description of the Preferred Embodiments

Referring to Figs. 1 and 2, the numeral 10 designates a PICC line having a first

end 11 and a second proximal end 12. The proximal end 12 includes a valve housing 13

and a fitting or connector 14 so that various attachments can be connected to the PICC

line 10. In the embodiment show is the drawings, the connector 14 takes the form of a

male luer 15 for connection to a female luer 16 on an attachment 17. However, other

suitable connectors or fittings may be used. It will also be understood that PICC line 10 is shown for purposes of representation, and that the check value of the present

invention could be used with other similar catheter devices. The attachment 17 is also

shown as a generic attachment, which will be understood to represent any one of a

number of various attachments that are commonly connected to PICC lines or other

similar catheters.

The valve housing 13 defines an internal cavity 18 in fluid communication with

the proximal end 12 of PICC line 10. In particular, fluids that are introduced into or

withdrawn from the proximal end 12 of PICC line 10 flow through the internal cavity 18

to or from the PICC line 10. The check valve 18 can thus be used to control fluid flow

to or from the PICC line 10

A check valve 19 is positioned within the internal cavity 18 for sealing or

opening the PICC line 10. In particular, the check valve 19 is designed to seal an

opening 20 in an internal wall 21 of value housing 11. In the normal position, the check

valve 19 is biased against internal wall 21 and seals the opening 20, as shown in Fig. 1.

In this position, the check valve 19 seals the valve housing 11 to prevent, for example,

blood from flowing out of the PICC line 10 and to prevent air or fluids from entering the

PICC line 10. This check valve 19 and PICC line combination 10 is particularly

advantageous when the line is connected to the vascular system near the heart where the

blood is highly pressurized and the blood could otherwise flow back through the PICC

line 10 and cause significant blood loss to the patient.

In order to secure an attachment 17 to PICC line 10 and open the check valve 19,

the connector 16 on attachment 17 includes a projection 22 that is inserted through the second end 12 and into the internal cavity 18 to displace the check valve 19 away from

the internal wall 21. When the check valve 19 is displaced, fluid can flow through the

internal cavity 18 and into or from the PICC line 10. The check valve 19 may take the

form of a variety of different check valves. In preferred embodiments, the check valve

19 would take the form of one of the check valves disclosed in U.S. Patent Nos.

5,954,698 or 5,967,490, which are commonly owned by the assignee of this application,

Vadus, Inc., and which references are hereby incorporated by reference.

To illustrate the operation of the check valve 19, a representative embodiment is

illustrated in Figs. 3 and 4. As shown in Figs. 3 and 4, the check valve 19 normally

seals against wall 21, and projection 22 is used to push check valve 19 inward to unseal

opening 20. The passageway 23 at the other end of the valve housing 13 is always open

due to a valve seat 24 that includes a number of fluid passageways (not shown) that

connect passageway 23 to valve cavity 18. While one particular embodiment has been

shown in Figs. 3 and 4, it will be understood that a wide variety of check valves 19

could be incorporated into the PICC line and check valve combination of the present

invention, including the various check valves disclosed in U.S. Patent Nos. 5,967,490

and 5,954,698, which are hereby incorporated by reference.

Referring to Figure 5, the PICC line 10 and the valve housing 13 may be

separate components that are secured together. As shown in that embodiment, the valve

housing 13 includes a fitting 25 and lock member 26 that are inserted into the PICC line

10 to secure it to the valve housing 13. This embodiment is advantageous because the

PICC line 10 can be introduced into the patient's body in a variety of well known mechanisms, and then the valve housing 13 can be used to cap the open end of the PICC

line 10. The valve housing 13 and check valve 18 thus seal the PICC line 10, while still

permitting various attachments to be easily connected to the PICC line 10.

Referring to Figs. 6 and 7, an alternate embodiment of the present invention is

shown in which an introducer catheter 27 includes a valve housing 28 and a check valve

29. The check valve 29 is disposed in an internal cavity 30 within valve housing 28 and

works in substantially the same way as check valve 19. The introducer catheter 27

includes a tube portion 27a formed of soft, pliable and biocompatible material and is

adapted for insertion into the body of a patient. When the introducer catheter 27 is

inserted into the body of a patient, the check valve 29 and valve housing 28 prevent the

escape of blood from the patient and also prevents the introduction of fluid or air into

the patient through the introducer catheter 27. When it is desired to connect an

attachment 17 (Fig. 2) to the introducer of catheter 27, the attachment 17 can be

connected to the connector 30 on the introducer catheter in the same fashion as it would

be connected to the PICC line 10 in the embodiment in Figs. 1 and 2, wherein the

projection 22 on the attachment 17 engages the check valve 29 in order to permit fluid

flow through the valve housing 28.

In some instances, it is desirable to have a guide wire 31 that passes through an

introducer catheter, PICC line or other similar catheter device in order to guide

placement of the line within the body of a patient. In the embodiment shown in Figs. 6

and 7, such a guide wire 31 extends through the tube portion 27a of the introducer

catheter 27 and also through the valve housing 28. The guide wire 31 has an end 31a

connected to a cap 32. The cap 32 can be connected to connector 30 with the shown male and female luer connectors 30a and 32a or other suitable connecting mechanisms.

After the introducer catheter 27 is inserted into the patient, the cap 32 can be

disconnected from the introducer catheter 27 and the guide wire 31 can be retracted from

the introducer catheter 27 by pulling on the cap 32 as shown in Fig. 7.

In embodiment shown in Fig. 8, the introducer catheter 27 is used in

combination with a needle 33 that is disposed in a tube portion 27a of the introducer

catheter 27. The needle 33 has a sharp end or tip 33a that projects outwardly beyond the

end of the tube portion 27a. In use, the sharp tip or end 33a of the needle 33 is first

inserted into the body, and then the tube portion 27a of introducer catheter 27 follows

the needle 33 into the body of the patient. The needle 33 is attached by guide wire 31 to

the cap 32, which has been previously described. The check valve 29 is made of a

resilient resealable material such as rubber, thus the needle 33 and guide wire 31 can

easily be passed through check valve 29, and then check valve 29 automatically reseals

the opening due the resiliency of the material. Thus, after introduction of the introducer

catheter 27 with the needle 33 into a patient, the cap 32 can be removed with the guide

wire 31 and needle 33 being retracted through check valve 29 in a bloodless fashion so

that check valve 39 seals the end of the catheter. Thereafter, the introducer catheter 27

remains in the patient and is sealed against blood loss or introduction of fluids or air into

the patient until it is desired to attach a suitable attachment device to the introducer

catheter 27.

The introducer catheter 27 may also be connected to a needle guard assembly

(not shown). The needle guard assembly may take the form of the needle guard assembly disclosed in U.S. Patent No. 5,954,698, which is hereby incorporated by

reference.

The catheter and check valve combination of the present invention provides a

rugged, dependable system for preventing blood loss and for preventing the introduction

of fluid or air into the catheter. Among other advantages, the check valve eliminates the

various slits, multiple elements, and other complex configurations disclosed in the PICC

prior art.

While this invention has been described with specific embodiments, many

alternatives, modifications and variations will be apparent to those skilled in the art in

light of the foregoing description. Accordingly, it is intended to include all such

alternatives, modifications and variations set forth within the spirit and scope of the

description.

Claims

We claim:
1. A catheter and check valve combination comprising:
a catheter having a distal end for insertion into a body and a proximal end;
a valve housing having an internal cavity in fluid communication with the
proximal end of the catheter; and
a check valve disposed in the internal cavity, the check valve being movable
between a first position sealing the proximal end of the catheter to a second position
permitting the flow of liquid through the proximal end of the catheter.
2. The combination of claim 1 wherein the valve housing has an end wall defining
an opening, and the check valve is normally biased against the end wall to seal the
opening.
3. The combination of claim 2 wherein the check valve is movable to a second
position away from the end wall and the opening of the valve housing so that the
opening is unsealed and liquid can flow through the valve housing to the catheter.
4. The combination of claim 1 in which the proximal end of the catheter includes a
connector.
5. The combination of claim 1 further including an attachment for connection to the
proximal end of the catheter, the attached including a projection adapted for an insertion
into the proximal end of the catheter in order to move the check valve from the first
position to the second position, which permits the flow of liquid through the proximal
end of the catheter.
6. The combination of claim 1 wherein the catheter comprises of PICC line.
7. The combination of claim 1 wherein the catheter comprises a PICC line, and the
valve housing is a separate piece have a fitting that is secured to the PICC line.
8. The combination of claim 1 in which the catheter comprises an introducer
catheter having a tube portion for insertion into the body of a patient.
9. The combination of claim 8 in which the introducer catheter has a connector, a
cap fitted over the connector and a guide wire connected to the cap and extending
through the valve housing, check valve, and tube portion of the introducer catheter, the
cap and guide wire being removable from the introducer catheter with the guide wire
being retracted through the check valve such that the check valve reseals itself after
retraction of the guide wire from the check valve.
10. The combination of claim 9 in which the introducer catheter further includes a
needle extending through the tube portion and having a sharp end that projects
outwardly from the tube portion of the introducer catheter, the needle being connected to
the guide wire and being retractable with the cap and guide wire from the introducer
catheter.
11. A method of placing a catheter in intravenous connection with a living being, the
method comprising the steps of:
providing a catheter having a first end for insertion into the body and a second
end having a valve housing, the valve housing including a check valve normally biased
against an opening in an end wall of the valve housing to seal the proximal end of the
catheter;
inserting the first end of the catheter into the body of a patient; providing an attachment having a connector adapted to connect to a connector on
the proximal end of the catheter, the attachment further including a projection shaped to
project into the opening in the end wall of the valve housing and push the check valve
away from the opening;
connecting the connector on the attachment to the connector on the catheter so
that the check valve is pushed away from the opening in the housing so that fluid
communication is established between the catheter and the attachment.
12. The method of claim 11 wherein the catheter comprises a PICC line.
13. The method of claim 11 wherein the catheter comprises an introducer catheter.
14. The method of claim 11 wherein the check valve is comprised of a resealable
material.
15. The method of claim 11 wherein, prior to insertion of the catheter into the
patient, the catheter further includes an end cap secured to a connector on the catheter
and connected to a guide wire, the guide wire extending through the valve housing,
check valve, and tube portion of the catheter.
16. The method of claim 15 further including the step of, prior to securing the
attachment to the catheter, removing the end cap and guide wire from the catheter.
17. The method of claim 11 wherein the catheter comprises an introducer catheter
and a needle is positioned within the tubular portion of the catheter and has a sharp end
projecting outward from the tube portion of the catheter.
18. The method of claim 17 wherein the step of inserting the catheter into the patient
includes first inserting the sharp end of the needle into the patient, and then having the
tube portion of the catheter follow the needle into the patient.
EP20000952210 1999-07-27 2000-07-26 Catheter with check valve Withdrawn EP1198262A4 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
US14604599 true 1999-07-27 1999-07-27
US146045P 1999-07-27
US62588000 true 2000-07-26 2000-07-26
US625880 2000-07-26
PCT/US2000/020369 WO2001007103A1 (en) 1999-07-27 2000-07-26 Catheter with check valve

Publications (2)

Publication Number Publication Date
EP1198262A1 true EP1198262A1 (en) 2002-04-24
EP1198262A4 true true EP1198262A4 (en) 2003-02-12

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP20000952210 Withdrawn EP1198262A4 (en) 1999-07-27 2000-07-26 Catheter with check valve

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EP (1) EP1198262A4 (en)
WO (1) WO2001007103A1 (en)

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DE20210394U1 (en) 2002-07-04 2002-10-17 Braun Melsungen Ag catheter introducer
US20040073171A1 (en) * 2002-10-10 2004-04-15 Rogers Bobby E. Needle-free valve and catheter assembly
EP2272432B1 (en) 2007-05-07 2012-03-14 Vascular Pathways Inc. Intravenous catheter insertion and blood sample devices
US9950139B2 (en) 2010-05-14 2018-04-24 C. R. Bard, Inc. Catheter placement device including guidewire and catheter control elements
US9872971B2 (en) 2010-05-14 2018-01-23 C. R. Bard, Inc. Guidewire extension system for a catheter placement device
US8932258B2 (en) 2010-05-14 2015-01-13 C. R. Bard, Inc. Catheter placement device and method
US8690833B2 (en) 2011-01-31 2014-04-08 Vascular Pathways, Inc. Intravenous catheter and insertion device with reduced blood spatter
EP2678065A4 (en) 2011-02-25 2016-01-27 Bard Inc C R Medical component insertion device including a retractable needle
NL2009448C (en) * 2012-09-11 2014-03-12 Clinical Devices B V Catheter connector.
US9522254B2 (en) 2013-01-30 2016-12-20 Vascular Pathways, Inc. Systems and methods for venipuncture and catheter placement

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US4177809A (en) * 1977-09-15 1979-12-11 Warner-Lambert Company Intravenous catheter apparatus and method
EP0471547A1 (en) * 1990-08-15 1992-02-19 Becton Dickinson and Company Apparatus and method for a catheter adapter with valve
US5535785A (en) * 1994-09-08 1996-07-16 Nypro, Inc. Luer-activated check valve

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US5357961A (en) * 1993-05-12 1994-10-25 Hdc Corporation Catheter guidewire and flushing apparatus and method of insertion
DE4442352C1 (en) * 1994-11-29 1995-12-21 Braun Melsungen Ag Valve arrangement provided in connector for use e.g. with cannula
US5967490A (en) * 1997-01-08 1999-10-19 Vadus, Inc. Catheter hubs having a valve

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US4177809A (en) * 1977-09-15 1979-12-11 Warner-Lambert Company Intravenous catheter apparatus and method
EP0471547A1 (en) * 1990-08-15 1992-02-19 Becton Dickinson and Company Apparatus and method for a catheter adapter with valve
US5535785A (en) * 1994-09-08 1996-07-16 Nypro, Inc. Luer-activated check valve

Non-Patent Citations (1)

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Title
See also references of WO0107103A1 *

Also Published As

Publication number Publication date Type
EP1198262A1 (en) 2002-04-24 application
WO2001007103A1 (en) 2001-02-01 application

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