JPWO2020219522A5 - - Google Patents

Description

(Cross reference to related applications)
This application was filed on April 23, 2019 and entitled "CATHETER INSERTION DEVICE WITH IMPROVED PUSH TAB AND TIP PROTECTOR ASSEMBLY", the disclosure of which is incorporated herein by reference in its entirety for all purposes. Priority to and benefit from US Provisional Patent Application No. 62/837,648 is claimed.

(field)
FIELD OF THE DISCLOSURE The present disclosure relates generally to medical devices, and more specifically to peripheral intravenous catheters configured for one-handed operation.

Peripheral intravenous (IV) catheters (PIVCs) are one of the most widely used medical devices for hospitalized patients. They are primarily used to provide a port into the patient's cardiovascular system that can be used to administer fluids or to take blood samples. A central feature to the PIVC is a hollow plastic catheter tube that is threaded over the introducer needle in response to the PIVC being in a ready-to-use configuration. Placement of the PIVC into the patient's vasculature involves insertion of an introducer needle into the vessel, insertion of a catheter tube into the vessel, and removal of the introducer needle.

However, such seemingly simple procedures are often fraught with difficulties. For example, an accidental needle stick can occur when the introducer needle is withdrawn. Additionally, medical practitioners are often limited to using only one hand when installing a PIVC. Some PIVCs are not configured to address these and other issues associated with PIVC installation and fixation. Accordingly, there continues to be a need for improvements to address common challenges associated with IV insertion.

In various embodiments, features are configured on the PIVC to better facilitate one-handed installation. Features include a more robust upright tab configuration, a hinged tab, a flexible interface between the catheter hub and the tip protector assembly (TPA), a viewing window in the TPA to provide confirmation of needle protection, and/or color indicators.

In various embodiments, I. V. A tip protector assembly for use in a catheter defines an outer surface, a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and a central axis therethrough. and a needle guard contained within the interior of the tubular housing, the needle being axially slidable through the tubular housing and through the needle guard along a central axis. a needle guard configured to capture the sharp distal tip of the tubular housing; and a push tab connected on the distal end portion of the tubular housing and comprising a distal surface and a proximal surface, the tubular housing and a push tab extending radially from the outer surface of the body and at an angle to the central axis.

In various embodiments, the angle is about 90° such that the distal face of the push tab is coplanar with the distal circumferential opening of the tubular housing.

In various embodiments, the angle is from about 20° to about 90°. As the angle is decreased (i.e., the flattened push tabs are closer parallel to the TPA's tubular housing), the operator will be able to see the proximal position of the push tabs when placing the catheter assembly into the patient. It may engage the edge of the push tab rather than the face. Exemplary angles for the push tabs are illustrated in FIGS. 3A and 3B, and it should be appreciated that the angles marked are relative to the distal circumferential opening of the tubular housing.

In various embodiments, the tip protector assembly further comprises an alignment feature extending distally from the distal circumferential opening of the tubular housing, the alignment feature extending distally from the catheter, as illustrated in FIGS. It may be dimensionally configured to rotationally index the tip protector assembly to the hub. In various embodiments, the tip protector housing may include only alignment features and no push tabs, as illustrated in FIG. 2D. For such configurations, push tabs may instead be provided on the catheter hub.

In various embodiments, the push tab further comprises a rolled edge along an edge of the push tab opposite the tubular housing, the rolled edge being oriented toward the central axis, as illustrated in FIG. 5A. arranged substantially orthogonally to each other.

In various embodiments, the push tab further comprises a curved or angled portion opposite the tubular housing, as illustrated in FIGS. 5B and 5C, wherein the curved or angled portion Extending proximally from the proximal face of the push tab.

In various embodiments, the push tab tapers radially from the tubular housing to the edge opposite the tubular housing, as illustrated in FIG. It is connected to the tubular housing at two locations so as to include an open window between the locations.

In various embodiments, the push tab is connected to the outer surface of the tubular housing and to at least one of the distal or proximal faces of the push tab, as illustrated in FIGS. 4A-4E. It also has one brace.

In various embodiments, the push tab is radially aligned with the tubular housing such that the entire push tab comprises a stepped structure projecting distally beyond the distal circumferential opening of the tubular housing. It further comprises a distally extending portion configured parallel to the outer surface of the tubular housing positioned between the directionally extending push tab. An exemplary embodiment is illustrated in FIG. 5E.

In various embodiments, the push tab further comprises two non-parallel surfaces such that the push tab forms a distally pointing arrow configuration, as illustrated in FIG.

In various embodiments, the tip protector assembly further comprises an aperture configured radially through the tubular housing dimensioned to expose the needle guard to visual inspection from an environment outside the tip protector assembly. there is

In various embodiments, I. V. A catheter hub for use in a catheter includes an outer surface and an interior space defining an axial lumen extending therethrough, a proximal end portion having a proximal fitting at a proximal open end, and a housing. and a distal end portion with a catheter tube extending distally from the distal end portion of the proximal open end and the catheter tube fluidly connected by an axial lumen. and a hinged push tab connected to the outer surface of the housing at the proximal end portion, the proximally extending portion of the hinged push tab being attached to the outer surface of the housing. A hinged push tab with connecting radially projecting portions and a resilient portion disposed on the proximally extending portion and a hinge on the radially projecting portion. and wherein the hinged push tab is rotatable through the hinge between a ready-to-use position and a safe position, and in the ready-to-use position the hinged push tab engages the proximal joint of the housing. A hinged push tab that is rotatable toward and in a safe position is coupled to the proximal joint of the housing to reduce the overall height of the catheter hub.

In various embodiments, the catheter hub may further comprise a sealing element that prevents fluid flow out of the proximal open end. In various embodiments, the sealing element comprises an elastomeric septum that seals after the introducer needle is fully withdrawn therefrom.

In various embodiments, the coupling between the hinged push tab of the housing and the proximal joint is between the resilient portion of the hinged push tab and the proximal joint of the housing in the safe position. It has a liquid tight seal.

In various embodiments, I. V. A tip protector assembly for use in a catheter defines an outer surface, a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and a central axis therethrough. a tubular housing having an interior space that accommodates the proximal end portion and the distal end portion connecting through adjacent coaxially aligned flexible tubing segments; A needle guard contained within the interior of the housing configured to capture the sharp distal tip of a needle that is axially slidable through the tubular housing and through the needle guard along the central axis. and a needle guard, the flexible tubing segment connecting the proximal and distal end portions of the tubular housing when the proximal end portion is fixedly coupled to the proximal fitting of the catheter hub. configured to allow off-axis pivoting between.

In various embodiments, the tip protector assembly is a push tab connected on the distal end portion of the tubular housing and having a distal surface and a proximal surface and extending radially from the outer surface of the tubular housing. It further comprises a push tab extending in the direction and at an angle to the central axis.

In various embodiments, I. V. A tip protector assembly for use in a catheter comprises a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and a central axis therethrough. a tubular sleeve and an inner tubular sleeve nested and axially slidable within the outer tubular sleeve between first and second positions relative to the outer tubular sleeve, the outer surface; an inner tubular sleeve having a proximal end portion having a proximal wall, a distal end portion having a distal circumferential opening, and an inner surface defining an interior space therein; and an interior of the inner tubular sleeve. A needle guard contained within the space to capture the sharp distal tip of a needle axially slidable through the nested inner and outer tubular sleeves and through the needle guard along the central axis. and at least one marking disposed on the outer surface of the inner tubular sleeve, wherein in a first position the marking is hidden by the outer tubular sleeve and in a second position the marking is hidden by the outer tubular sleeve; At, the indicia are not obscured by the outer tubular sleeve and are visible to the observer. Various non-limiting embodiments are illustrated in FIGS. 10A-10B.

In various embodiments, the tip protector assembly is positioned within the outer tubular sleeve such that indicia are visible through the opening when the inner tubular sleeve is in the second position, as illustrated in FIGS. 11A-11B. to the outer surface of the inner tubular sleeve.

In various embodiments, I. V. A catheter hub for use in a catheter includes an outer surface and an interior space defining an axial lumen extending therethrough, a proximal end portion having a proximal fitting at a proximal open end, and a housing. and a distal end portion with a catheter tube extending distally from the distal end portion of the proximal open end and the catheter tube fluidly connected by an axial lumen. and two cylindrical posts extending radially and in opposite directions from a proximal end portion of the housing, the two posts being positioned 180° apart from each other. A removable push tab comprising two cylindrical posts, an upright portion having a proximal surface and a distal surface, and two parallel arms, each arm reversibly attached to each of the two posts. the upright portion comprising a removable push tab spanning and projecting radially from the proximal end portion of the housing, the catheter hub being an arm of the removable push tab; is convertible from an installed configuration in which the arm is engaged on the post to an installed configuration in which the arm of the removable push tab is disengaged from the post.

In various embodiments, the removable push tab comprises a proximal portion and a distal portion in which the upright portions are movable toward each other to disengage both arms from the two posts. As such, it further comprises a space defined between the proximal and distal surfaces. An exemplary embodiment is illustrated in FIG. 12D.

The present subject matter is particularly pointed out and distinctly claimed in the concluding portion of this specification. However, a more complete understanding can best be obtained by referring to the detailed description and claims when considered in conjunction with the following drawings.

1A-1C illustrate various embodiments of push tab configurations on TPA housings that facilitate one-handed PIVC operation, according to various embodiments.

2A-2D illustrate various embodiments of TPA housing configurations with alignment features used to rotationally index the TPA housing to the catheter hub, according to various embodiments.

3A and 3B illustrate various embodiments of proximally angled push tab configurations on the TPA housing that facilitate one-handed PIVC operation, according to various embodiments. 3A and 3B illustrate various embodiments of proximally angled push tab configurations on the TPA housing that facilitate one-handed PIVC operation, according to various embodiments.

4A-4E illustrate various embodiments of TPA housing configurations, in which a push tab configured on the TPA housing includes TPA on the proximal and/or distal faces of the push tab, according to various embodiments. Structural reinforcement is provided by the presence of at least one brace connecting the bodies of the enclosure. 4A-4E illustrate various embodiments of TPA housing configurations, in which a push tab configured on the TPA housing includes TPA on the proximal and/or distal faces of the push tab, according to various embodiments. Structural reinforcement is provided by the presence of at least one brace connecting the bodies of the enclosure.

5A-5C illustrate various embodiments of push tab feature designs, according to various embodiments.

FIG. 5D illustrates one embodiment of a flared push tab feature design, where the larger portion of the push tab is connected to the TPA housing by two narrower portions, according to various embodiments.

FIG. 5E illustrates an embodiment with a stepped push tab that provides positioning of the push tab over the catheter hub when the PIVC is in a ready-to-use configuration, according to various embodiments.

FIG. 6 is two rotational perspectives of an embodiment of a push tab feature design that provides both directional markings and alignment features for rotationally indexing the TPA to the catheter hub, according to various embodiments; The figure is illustrated.

7A and 7B show a hinged push tab and introducer needle starting in an upright position for threading (FIG. 7A) and flipping downwards when the introducer needle is fully withdrawn from the catheter hub, according to various embodiments. 7B) and its use, ending in the turned position (FIG. 7B). 7A and 7B show a hinged push tab and introducer needle starting in an upright position for threading (FIG. 7A) and flipping downwards when the introducer needle is fully withdrawn from the catheter hub, according to various embodiments. 7B) and its use, ending in the turned position (FIG. 7B).

FIG. 8A illustrates a flexible segmented TPA housing that can pivot on the ends of a catheter hub about a proximal-distal axis, according to various embodiments.

8B-8D illustrate the ability of the flexible TPA housing of FIG. 8A to pivot at an angle relative to the proximal-distal axis extending through the catheter hub, according to various embodiments.

FIG. 9 illustrates a TPA housing further comprising a visual locking indicator in the form of a clear viewing window or open window that allows visualization of the needle guard within the TPA housing, according to various embodiments.

10A and 10B show an embodiment of a TPA housing with axially slidable visual indicia to indicate needle capture by a needle guard configured within the TPA housing, according to various embodiments; is illustrated.

11A and 11B show an embodiment of a TPA housing with axially slidable visual indicia to indicate needle capture by a needle guard configured within the TPA housing, according to various embodiments; is illustrated.

Figures 12A-12D illustrate various embodiments of removable push tabs configured on catheter hubs and their methods of use. Figures 12A-12D illustrate various embodiments of removable push tabs configured on catheter hubs and their methods of use.

The detailed description of various embodiments herein refers to the accompanying drawings, which show various embodiments by way of illustration. Although these various embodiments are described in sufficient detail to enable those skilled in the art to practice the disclosure, other embodiments may be realized without departing from the spirit and scope of the disclosure. and that logical, chemical, mechanical, and structural changes can be made. Accordingly, the detailed description herein is presented for purposes of illustration only and not for purposes of limitation.

(Definitions and Rules)

As used herein, the term "proximal" refers to the portion of the device closest to the user of the device or the location of the edge of the device. As a result, the term "distal" refers to the location of the part or end of the device that is furthest from the user of the device. For example, a hypodermic syringe has a sharp needle tip at its distal end and a plunger at its proximal end. The terms are also associated with direction, movement, and relative positioning, whereby "proximally" generally refers to movement or relative positioning closer to the user, and "distally" ' generally refers to movement or relative positioning further away from the user.

As used herein, the term "catheter assembly" is a catheter hub that includes a fluid center bore therethrough from the proximal end to the distal end and a fluid core distal to the distal end of the catheter hub. a catheter hub having a catheter tube extending into the center bore, a resealable resilient septum positioned within the central bore, and an optional side port in fluid communication with the central bore; and a needle hub. a medical device in which the needle hub has an introducer needle extending distally from a distal end of the needle hub, the introducer needle being coaxially moveable through the septum and inside the catheter tube; An introducer needle provides a fluid cannula from a distal sharp tip into a needle hub, which optionally has a proximal end configured with a flow chamber for observing backflow of blood. A "safety catheter" further comprises a "tip protector assembly" defined below, which captures the sharp distal tip of the introducer needle as the needle is withdrawn out of the catheter tube and catheter hub. is configured as Without the tip protector assembly, the sharp distal tip of the introducer needle would remain completely exposed as the needle tip emerges from the proximal end of the catheter hub upon withdrawal of the needle. A catheter assembly is used to provide a port into the patient's vasculature, a catheter tube provides a fluid connection from the patient's vessel to the catheter hub, and the introducer needle is completely withdrawn from the assembly. . A septum within the catheter hub seals upon withdrawal of the introducer needle, leaving only a side port in the catheter hub for access to the patient's vasculature.

As used herein, a TPA (tip protector assembly) is placed inside the catheter assembly to prevent accidental needle sticks when the introducer needle is fully withdrawn from the catheter assembly at the end of PIVC placement. It is a "safety mechanism" composed of In various embodiments herein, the TPA comprises an outer housing having a tubular shape and a hollow interior. The housing is sized to suitably enclose a mechanical needle guard, the mechanical needle guard having at least one that moves over the sharp tip of the introducer needle as the needle is withdrawn through the TPA. It further comprises a movable arm or another movable element. In various embodiments, the needle guard may provide an audible "click" when the mechanism captures the sharp distal tip of the introducer needle, although the audible signature is often the result of metal-to-metal events within the TPA. rely on existence. The TPA may also be configured to prevent movement of the introducer needle in any direction when the sharp tip is caught by the needle guard portion of the TPA.

A tubular housing portion of the TPA encloses the needle guard mechanism. In various embodiments, the tubular housing of the TPA (“TPA housing”) is used to facilitate one-handed operation of the PIVC and/or for safety during placement of the PIVC within a patient's vasculature. configured with one or more structural features, such as on an exterior surface, to enhance In various embodiments, the TPA housing can be made from molded plastic, and features according to various embodiments can be configured on the exterior surface, e.g., from the exterior surface or through the walls of the tubular structure (TPA housing (such as in the case of a viewing window into the interior space of the ). To aid in orienting and referencing the relative positioning of various features on the TPA housing, the TPA housing is generally shaped as a straight cylinder, the straight cylinder extending from the outer surface and an interior surface defining a hollow interior in which the needle guard mechanism resides. In use, the TPA housing is oriented along the proximal-distal axis in the PIVC, the proximal-distal axis extending through the catheter hub, catheter tube, and introducer needle, the introducer needle of the PIVC: It is arranged on this axis and is axially movable. In various embodiments, the tubular housing is about 10-15 mm long and about 5-7 mm in diameter, although these dimensions are not intended to be limiting. The TPA housing can be generally cylindrical in appearance, but with one or more step changes in its outer diameter and/or inner diameter to accommodate the fitting to the proximal end of the catheter hub or herein Some of the disclosed structural features can be adapted. In a typical embodiment, the distal end of the TPA housing is constructed with a collar portion that provides a larger inner diameter that can be reversibly snapped onto the proximal end of the catheter hub of the PIVC. In various embodiments, certain structural features may be configured on the outer surface of this collar. In various embodiments, certain structural features are incorporated into the TPA enclosure to facilitate viewing into the interior of the TPA enclosure, particularly, for example, the status of guard mechanisms housed therein. It can be configured through the wall thickness of the body.

As used herein, the term "push tab" refers to an upstanding feature configured on either the TPA housing or the catheter hub to facilitate single-handed PIVC operation. Push tabs can be of various sizes and shapes, for example, to fit the size and shape of a practitioner's thumb or fingers, and upright push tabs can be hinged or fixed according to various embodiments. , may be permanently attached or removable, or have other functional attributes. Generally, the push tabs are configured to project radially outward from either the TPA housing or the catheter hub, where the push tabs are orthogonal to the proximal-distal axis of the PIVC. It will have a substantially planar portion.

The terms "insertion," "placement," and "threading" refer to the steps involved in connecting a catheter to a patient's vasculature. "Insertion" generally refers to tapping a patient's blood vessel with the introducer needle portion of the catheter assembly, while the term "installation" is used generally to refer to the entire procedure of connecting the catheter to the patient. "Threading" refers to the insertion of a catheter tube into a patient's vessel while the introducer needle is being used to locate and tap the vessel. The term "threading" is used by the relative movement of the introducer needle and the catheter tube, where the introducer needle and the catheter tube are axially nested as described, and the introducer needle is threaded inside the catheter tube. is "threaded" in Generally, "threading" refers to a combination of distal movement of the catheter tube into the vessel and proximal movement of the introducer needle out of the vessel, i.e., axially threading the catheter tube and introducer needle relative to each other. exchange of one for the other with a shift in direction. It is the catheter hub that is pushed by the operator to move the catheter tube distally. Because the catheter tube is fixed to the distal end of the catheter hub, the two do not move apart from each other. Additionally, it is usually the needle hub that is grasped and withdrawn proximally to move the introducer needle proximally. This is because the introducer needle and needle hub are fixed together and cannot move independently. Ideally, "threading" is a two-handed procedure, but that is often not the case for various practical reasons such as practitioners using one hand in tourniquet procedures.

The embodiments described herein, for example, address three major challenges associated with IV catheters and their placement within a patient's vasculature:

1. Facilitating a one-handed technique during catheter insertion and threading.

2. To improve the usefulness and reliability of TPA's safety mechanisms in noisy and/or stressful environments where audible markings are impractical or not configured.

3. Minimize the height of the catheter hub to prevent straining or tearing of the dressing material that may be used over the assembly, such as to adhere the catheter hub to the patient.

Various embodiments may provide functional design options for safety catheters that may be made without latches or locking mechanisms to release the catheter hub, which reduces cost and complexity. Various embodiments maximize ease of use by providing large push-tabs at the point of insertion and threading, but a large push-tab after installation to facilitate dressing and prevent damage to the dressing. minimizing the catheter height of the dressing and dead space under the dressing that can lead to contamination. Various embodiments employ a relative positioning between the sharp tip of the introducer needle and the TPA's internal safety features to improve product safety and clinician confidence in which safety features of the TPA are involved. Visual cues associated with are also described.

Although the various embodiments described herein are directed to closed system catheters, any IV catheter that includes a catheter hub that interacts with a needle stick safety mechanism, also referred to as a tip protector assembly (TPA). It can apply. Various embodiments can be divided into five categories: (1) TPA push-tab functional design, (2) hinged push-tab, (3) segmented TPA, (4) various visual effects. TPA with stop indicator and (5) removable push tab.

According to various embodiments, the tip protector assembly (TPA) further comprises a needle guard, the TPA radially extending to close over the sharp tip of the needle as the tip of the needle is drawn into the TPA. an arm that moves to the As mentioned, the TPA includes a housing that may further include an elongated circumferential alignment feature, or collar, configured to extend over the proximal end of the catheter hub. This feature maintains axial alignment between the catheter hub and the TPA during insertion, resists flexing or flexing at the interface between the TPA and catheter hub, and prevents the catheter hub from flexing due to off-axis loading. prevent premature release of the TPA assembly from the A TPA with a collar that snaps over or into the proximal end of the catheter hub maximizes the strength of the interface between the hub and TPA without requiring a dedicated locking mechanism. , thereby reducing the manufacturing cost of the PIVC. The collar may include flat reliefs or other keying features to provide rotational alignment with the catheter hub.

1-6 provide top perspective views of embodiments of TPA housings with various push-tab feature designs. Such embodiments with upright push tabs generally optimize PIVC handling and ease of use. In these examples, the upstanding tab portion is configured on the exterior surface of the TPA housing and radiates orthogonally from the tubular housing from the distal collar portion of the TPA housing.

In each of the illustrated embodiments, the top circular opening in which the push tab may reside is the distal opening of the TPA housing (i.e., the female portion of the snap-fit arrangement described above), which is the PIVC is configured to fit over the proximal end (ie, male portion) of the catheter hub of the . In various embodiments, the distal female end of the TPA housing has a larger diameter than the remainder of the tubular housing and can include a collar portion adapted to fit over the catheter hub, although some In embodiments, the outer diameter of the TPA housing may be constant. In various embodiments, the parts are inverted so that the proximal end of the catheter hub can comprise the female connecting portion and the distal end of the TPA housing can comprise the male portion.

1A-1C, each of TPA housings 100a, 100b, and 100c radially extends from TPA housings 102a, 102b, 102c, specifically distal collars 106a, 106b, respectively. , 106c.

FIG. 1A illustrates an embodiment of TPA housing 100a, with push tab 101a located on distal collar 106a and positioned directly against the distal edge of TPA housing 102a, thereby providing push tab 101a. The distal face of 101a is flush and coplanar with distal circumferential opening 109a of TPA housing 102a. In various embodiments, the upright push tabs 101a can be at any radial position around the circumference of the TPA housing 102a, and the TPA housing 100a indexing to the catheter hub using various tab and notch configurations. It will be appreciated that it can be locked in a particular rotational fit and prevented from rotating on the proximal end of the catheter hub. The push tab 101a may be positioned at the 12 o'clock position or may be positioned off-center, eg, at 9-3 o'clock or 10-2 o'clock on the watch face to facilitate various hand positions of the user. These clockwise orientations can be viewed with reference to the planar surface typically defined by wings radiating in opposite directions from the catheter hub, which, after placement, clasp the PIVC to the patient's arm. can be used for Thus, the "12 o'clock position" refers to being orthogonal to the plane defined by the wings of the catheter hub, so that in use the push tab at 12 o'clock is perpendicular to the plane defined by the wings. would stand upright on In various embodiments, the push tab 101a can be narrow or wide compared to the outer diameter of the TPA housing. Additionally, there may be more than one push tab 101a positioned radially around the circumference of the TPA housing. One or more push tabs may be positioned on collar 106a or on a narrower diameter portion of TPA housing 102a, such as that shown.

1B and 1C, push tabs 101b and 101c, respectively, can be spaced proximally from the distal circumferential opening of the TPA housing rather than being flush with the opening. FIG. 1B illustrates embodiment 100b in which push tab 101b is proximally removed from distal circumferential opening 109b of TPA housing 102b (but still attached to collar 106b portion of housing 102b). 1C illustrates example 100c, push tab 101c extends further from distal circumferential opening 109c of TPA housing 102c, such as to the proximal end of collar 106c of TPA housing 102c, as shown. In various embodiments, the push tab can be attached to the exterior of the TPA housing at any location along the axial direction (rather than on the proximal half). , on the distal half of the housing length, etc.).

Figures 2A-2D illustrate four functional design embodiments, TPA housings 202a, 202b, 202c, and 202d may further include alignment features. Alignment features are indicated as 203a, 203b, 203c, and 203d, respectively, each of these alignment features being molded as adjacent portions of collar portions 206a, 206b, 206c, and 206d of the TPA housing. shown. The alignment feature provides additional resistance to off-axis loads during insertion and threading, provides rotational alignment with the catheter hub, and reduces bending at the interface between the catheter hub and TPA housing. As shown, the first three functional designs 200a, 200b, and 200c further include radially extending push tabs 201a, 201b, and 201c, respectively. In various embodiments, alignment features such as 203a, 203b, 203c, and 203d can be dimensionally configured to fit within complementary notches configured in the proximal end of the catheter hub. In this manner, the alignment features can be docked into cutouts in the catheter hub. Alignment features such as those illustrated in FIGS. 2A-2D are in addition to the same type of tab/notch configuration that can be used to index the distal end of the needle hub within the proximal end of the catheter hub. , can be provided on the TPA housing. In other words, the indexing of the TPA housing to the catheter hub can be independent of the indexing of the needle hub to the catheter hub, and in various embodiments both the needle hub and the TPA housing are indexed to the catheter hub. It should be appreciated that a portion of the needle hub may completely cover the TPA housing when docked on the proximal end.

Figures 3A and 3B illustrate that the push tab or a segment thereof can be extended proximally or angled to improve user control when threading is done with one hand. For example, FIG. 3A illustrates a perspective view and a side plan view of a TPA housing embodiment 300a in which the push tab 301a is not level with this opening, but is in the plane defined by the circumferential distal edge 309a. radiates from collar 306a of TPA housing 302a at an angle of about 35° from. FIG. 3B illustrates perspective and side plan views of TPA housing embodiment 300b, in which push tab 301b is not flush with this opening, but about 45 from the plane defined by circumferential distal edge 309b. radiates from the collar 306b of the TPA housing 302b at an angle of °. In various embodiments, the angle between the push tab and the plane defined by the circumferential distal edge 309 of the TPA housing 302 can be from about 0° to about 70°. Viewed otherwise, the angle between the push tab and the central axis extending through the cylindrical TPA housing can be from about 20° to about 90°. At 90° from the central axis of the cylinder, the push tabs project radially, such as in FIGS. 1-2. At various angles, the user's finger may engage the proximal edge of the angled push tab rather than the proximal face of the push tab. Both embodiments 300a and 300b further include optional alignment features 303a and 303b, respectively, that can be used to index the TPA housing to the catheter hub in a fixed rotational position.

Figures 4A and 4B illustrate that the push tab may further comprise one or more supports or "braces" that contact both the outer surface of the TPA housing or collar portion of the TPA housing and the push tab. . In various embodiments, one or more braces can be configured on either (or both) the proximal and distal surfaces of the push tab. In various embodiments, the braces may take the physical form of a smooth "fillet" or even be configured into more angular triangles, such as braces used in construction. In various embodiments, the brace may abut other surfaces in that the entire TPA housing, including the push tabs and brace structure, may be molded as a single plastic part, such as by injection molding.

FIG. 4A illustrates an embodiment of a TPA housing 400a, in which an upstanding pushtab 401a is supported by a single triangular brace 404a located on the distal face of pushtab 401a, the brace 404a It is approximately centered across the width of tab 401a and contacts both push tab 401a and collar 406a of TPA housing 402a. This particular configuration is not intended to be limiting. For example, brace 404a need not extend distally to terminate distally at distal circumferential edge 409a of TPA housing 402a exactly as shown. FIG. 4B illustrates an embodiment of a TPA housing 400b in which an upstanding pushtab 401b is supported by a single triangular support 404b located on the proximal face of pushtab 401b. In various embodiments, one or more braces on the distal and/or proximal faces of the push tab can serve to stiffen the push tab and prevent the push tab from bending under stress. . In various embodiments, the one or more braces oriented on the proximal face of the push tab are configured such that the braces conform to the shape of a human finger and/or are pulled by the practitioner's thumb or other finger. It may be dimensioned and/or contoured in such a way that it is comfortably pushed. In various embodiments, the brace on the distal face of the push tab can be configured to be more angular, such as to prevent engagement on the distal face of the push tab, while A brace on the positional surface can be configured with a contour that can be engaged by a user's fingers.

4C, 4D, and 4E illustrate variations in the geometry of one or more braces 404. FIG. These functional designs are not intended to be limited by the specific examples shown. One or more supports may be triangular or curved/slanted to provide finger rests. In particular, when placed on the proximal face of the push tab, the brace prevents gripping between the push tab and the user's fingers in a number of situations, whether or not the user is wearing medical gloves. Enhancements may include ridges, grooves, steps, bumps, or textured surfaces. As illustrated in TPA housing embodiment 400c of FIG. 4C, there may be two triangular braces 404c configured on the proximal face of push tab 401c. As illustrated in TPA housing embodiment 400d of FIG. 4D, two contoured braces 404d may be configured on the proximal face of push tab 401d, contoured to conform to a user's finger. offer. As illustrated in TPA housing embodiment 400e of FIG. 4E, brace 404e may include a single wider profile in the shape of a ramp or slide. In FIG. 4E, brace 404e is molded with slats that collectively form a beveled surface connecting the push tab to TPA housing body 402e. In various embodiments, functional designs may be modified to accommodate specific manufacturing methods such as injection molding.

5A-5E illustrate additional push tab configurations, according to various embodiments. For each of these configurations, the attachment of the push tab on the exterior surface of the TPA housing is anywhere along the distal portion of the TPA housing, such as on the distal collar portion of the TPA housing. obtain. As discussed above, the push tab may be coplanar with the plane defined by the distal circumferential opening of the TPA housing, or the push tab may be coplanar with the distal opening of the TPA housing. It may be spaced from the opening so that it is mounted proximally rather than lying on a plane. In general, these and other variations of the push-tab shaped feature design improve traction with the user's fingers and improve control when threading the PIVC.

As illustrated in FIG. 5A, the TPA housing 500a includes a push tab 501a positioned flush with the distal circumferential opening in the distal collar 506a of the TPA housing 502a to facilitate contact with a user's finger. It also includes a rolled edge 517a to improve secure engagement.

FIG. 5B shows a TPA including a push tab 501b disposed flush with the distal circumferential opening in the distal collar 506b of the TPA cylindrical body 502b and further comprising a proximally curved curved portion 517b. A housing 500b is illustrated. A proximal edge of curved feature 517b may be engaged by a user's finger.

FIG. 5C further comprises a proximally extending bent/folded portion 517c located flush with the distal circumferential opening in the distal collar 506c of the TPA cylindrical body 502c. A TPA housing 500c is illustrated that includes a push tab 501c. A proximal edge of bend feature 517c may be engaged by a user's finger.

These push tab configurations aid traction and control during threading. In other embodiments, not shown, features for improving traction and control may comprise ridges, grooves, bumps, or chamfered edges or surfaces, or combinations thereof.

FIG. 5D illustrates both a bottom perspective view and a top view of a push tab 501d that includes a flared shape, the base of the tab being narrower than the top. In this embodiment, push tab 501d comprises a larger flared portion 518d and two smaller portions 519d forming connecting segments that attach push tab 501d to collar 506d of TPA housing 502d. In various embodiments, push tab 501d may be connected to the exterior surface of TPA housing 502d in two or more segments, such as two or three connection segments. In the embodiment illustrated in FIG. 5D, two connecting segments 519d and a larger flared portion 518d of push tab 501d surround and define space 521d. Such a configuration allows for less material in the manufacturing step as well as a way to control the feel of the tab during use. In this particular embodiment, two connecting segments 519d merge into collar 506d flush with distal circumferential opening 509d in collar 506d portion of TPA housing 502d. In other embodiments, the push tab may include a tapered shape where the base of the tab is thinner than the top or vice versa, or may comprise vertical ribs aligned with the long edge of the push tab.

FIG. 5E shows an embodiment of a TPA housing 500e with push tabs 501e configured in a stepped configuration to extend over the catheter hub when the catheter assembly is in a ready-to-use configuration. Illustrate. As shown, push tab 501e includes both a distally extending axial portion 558e and a radially extending portion 538e adjacent and orthogonal to axial portion 558e. there is In use, when the collar portion 506e is attached to the proximal end of the catheter hub, the push tabs are positioned over the proximal end of the catheter hub when the TPA housing is attached to the catheter hub, such as in a ready-to-use configuration. It will cover and partially extend. As shown, push tab 501e may further include fenestrations 521e to adjust flexure and provide comfort. In other embodiments, these features 521e may include texturing to aid in finger engagement.

FIG. 6 illustrates two rotated views of an embodiment of a TPA housing 600 with push tabs 601 having an angled or "V-shape". In various embodiments, the push tab can comprise at least two non-parallel surfaces. In the illustrated embodiment, the shape of the push tab 601 resembles an arrow and can be used as an indication of the direction in which the user should push the catheter hub and connected TPA housing during threading. The V-shape of the push tab 601 provides both a finger rest for pushing against the push tab and an indicia indicating the direction of push for threading the catheter assembly. The shape of the push tab 601 may improve control when threading with one hand. Push tabs 601 may extend over distal alignment features 603 that may be used to rotationally index the TPA housing to the proximal end of the catheter hub, as discussed above. In embodiment 600, the apex of arrow-shaped push tab 601 may extend distally beyond distal circumferential opening 609 in collar portion 606 of the housing. Alignment feature 603 extends distally beyond the opening so as to relate to indexing the tab/notch of the TPA housing to the catheter hub.

Figures 7A and 7B illustrate certain embodiments of hinged push tabs and methods of their use, and in various configurations the hinged push tabs provide surfaces for operator engagement when threading the catheter assembly. and features that can be used to fluidly seal, or at least obscure, the proximal opening of the catheter hub once the catheter is installed. In various embodiments, the hinged push tab can rotate through the hinge to two positions on the catheter hub: (1) the hinged push tab is provided on the catheter hub toward a proximal joint; (2) a hinged push tab is coupled to the proximal joint of the catheter hub to provide a safe position that reduces the overall height of the catheter hub;

Referring to configuration (A) of FIG. 7A, hinged push tab 701 is configured on proximal portion 786 of catheter hub 785 rather than on the TPA connected to catheter hub 785 . In the ready-to-use configuration, the catheter assembly further includes needle hub 730 engaged with the proximal end of catheter hub 785, as shown and described above. Catheter hub 785 will typically include a side port, both of which are not shown in FIG. 7A for purposes of clarity, and a septum. As shown in (A), the TPA housing 702 can underlie the outer housing of the needle hub, referred to as a "finger grip" or the like. The introducer needle extending distally from the needle hub is not visible as the needle is positioned axially through the catheter hub and through a catheter tube attached to the distal end of the catheter hub. Hinged push tab 701 includes both an axially extending portion and a proximally extending portion, whereas hinged push tab 701 in configuration (A) is fully radial. (ie, an upright push tab). In this embodiment, the hinged push tab 701 further comprises a hinge 765, which may comprise an integral hinge (thinner portion) or a notch, the integral hinge or notch being the hinged push tab. Provides a boundary at which tab 701 can bend or bend. The hinge 765 can be configured to operate in only one direction, for example, to allow a portion of the hinged push tab 701 to bend proximally and block distal bending. , whereby the user can push over the hinged push tab without unintentionally hinged under pressure. In various embodiments, the hinged push tab 701 may comprise two or more hinges or notches, or may comprise a resilient "rubber-like" portion that is capable of flexing. As shown in configuration (A), the hinged push tab 701 further comprises a resilient portion 723, discussed below.

When the catheter assembly is in the ready-to-use configuration (A) of FIG. 7A, the distal end of TPA housing 702 is attached to fitting 787 provided on proximal end 786 of catheter hub 785 . The shape of some of the catheter hubs 785 may be precise or restrictive as the catheter hub will typically include side ports, wings and other features not shown. not intended to be As discussed above, proximal joint 787 can be one component of a male/female snap joint coupling between TPA housing 702 and catheter hub 785 . As also discussed above, once the introducer needle is placed in the patient's vessel, the needle hub 730 is withdrawn (in the direction of the block arrow shown, typically proximally) while The catheter hub is pushed distally to remove the introducer needle from the vessel and replace it with the catheter tube. For this placement, the user may engage the hinged push tab 701 and press it, such as pressing on the proximal edge while it is in this partially folded position.

Referring now to configuration (B) of FIG. 7A, when the needle hub 730 is fully withdrawn, the sharp distal tip of the introducer needle is captured within the TPA's needle guard mechanism and the entire TPA assembly is fully retracted into the catheter hub. is disengaged from. What remains fluidly attached to the patient's vasculature is the catheter hub 785, shown in both side plan view and proximal perspective view. Positioned inside proximal collar portion 786 of catheter hub 785 is typically a spring (not shown) configured to block blood flow out of proximal joint 787 of catheter hub 785 . It is a typical diaphragm. Access to the patient's vasculature is typically only through a side port fluidically configured within the catheter hub. However, a user may inadvertently attempt to inject or extract fluid through a septum configured within the proximal end of the catheter hub, especially since the septum is likely still somewhat accessible and visible. . Hinging tab 701 now blocks any attempted access through the proximal end of the catheter hub and, in various embodiments, can be used to fluidly seal it.

7A and 7B, and the transition from configuration (B) to configuration (C), hinged tab 701 now fluidly seals proximal end 787 of catheter hub 785 closed. or can be folded to otherwise block or conceal it. In various embodiments, hinged tab 701 can be configured to close automatically rather than manually. To so configure the tabs, a catheter hub 785 with integral hinged push tabs 701 may be molded with the hinged push tabs 701 in the folded position, whereby the plastic is It retains the shape memory of this configuration. For shape memory embodiments, needle hub 730 can be used to bias hinged push tab 701 to an upright position in a ready-to-use configuration (as in FIG. 7A). . When the needle hub and TPA, including the captured needle tip, are fully withdrawn away from the catheter hub, the hinged tab 701 is then pulled out of its mold due to the shape memory properties of the material. Automatically return to position. In various embodiments, the shape memory properties may be sufficient to automatically move the hinged push tab around and at least proximate to the proximal opening 787 of the catheter hub 785, in which case the elastic Final snap-fitting or insertion of target portion 723 can be accomplished at least manually.

In various embodiments, and as illustrated in the configuration transition from (B) to (C), the hinged push tab 701 is manually folded completely around the proximal end of the catheter hub. , is physically snapped therein and facilitated with an integral hinge 765 to guide the bending. In various embodiments, a portion of the push tab can also be resilient to facilitate bending over the process. The curved arrow in view (B) represents how the hinged push tab is moved to cover the proximal opening 787 of the catheter hub 785 . As shown, the hinged push tab 701 fits into the same snap joint 787 previously used to secure the TPA to the catheter hub 785 when the catheter assembly was in its ready-to-use configuration. It has a resilient portion 723 that is dimensioned to do so. In various embodiments, resilient portion 723 may comprise a circular female collar sized to accommodate male fitting 787 of catheter hub 785 . As in the fit between the distal end of the TPA housing and the proximal end of the catheter hub, the male and female components of the snap joint can be reversed, where It would be that between the resilient portion 723 of the hinged push tab and the proximal fitting 787 on the catheter hub. In various embodiments, the resilient portion 723 comprises a silicone rubber or other elastomeric polymer plug sized to fit within the proximal end of the catheter hub, such as cork, and is positioned within the catheter hub. was found to be sufficient to block fluid flow out of the proximal end of the catheter hub, the fit between the resilient portion 723 and the proximal fitting 787 of the catheter hub 785 was found to be sufficient. , it need not be liquid-tight. In various embodiments, the underside of the hinged push tab is marked with an indicia such as a capital “X” to allow the proximal end of the catheter hub blocked by resilient portion 723 to access the patient's vasculature. This may indicate that this is not the proper access route and direct the practitioner to use the side port of the catheter hub.

Referring now to configuration (C) of FIG. 7B, the resilient portion 723 of the hinged push tab 701 is placed in or on a proximal fitting 787 provided on the proximal end 786 of the catheter hub 785. fitted on top. Thus, the proximal end of the catheter hub may be fluidly sealed or it may simply be closed or shielded from view in an arrangement that at least indicates "no access" but may not be liquid tight. can be

The hinged push tab configuration as illustrated in operation in FIGS. 7A and 7B allows the incorporation of large push tabs without adversely affecting the dressing overlying the catheter assembly so installed. In such embodiments, the push tab can be combined with other features when in the closed or down position. In the down position, the tab can be configured to also cover the proximal opening of the catheter hub, which is desirable in closed systems where the proximal opening to the catheter hub should not be accessed. With respect to conventional catheters, the push tab 701 can serve as a plug to selectively occlude or access the lumen of the catheter hub 785, which prevents blood leakage and potential contamination, Ease of use can be improved.

Although a large push tab makes it easier to thread the catheter, it can potentially prevent proper dressing of the catheter. According to various embodiments, and as illustrated by the example of FIGS. 7A and 7B, hinged push tab 701 is attached to catheter hub 785 instead of TPA housing 702 . In this concept, the hinged push tab 701 can be pivoted or hinged about its fixed point (starting in a vertical position but after the needle and TPA have been removed) and the hinged push tab 701 can be The tab 701 can be flipped downward or manually flipped downward and axially aligned with the flow path through the catheter. Thus, the hinged push tab 701 can be large enough to facilitate one-handed threading, but after insertion it can be flipped downward or by being manually flipped downward. , which minimizes the overall height of the catheter assembly and allows for proper dressing over the top.

According to various embodiments, hinged push tab 701 is secured to catheter hub 785 and configured to pivot between an up position and a down position. Various embodiments may include an integral hinge, pin, fastener, or flexible material at the base of push tab 701 near catheter hub 785 that allows push tab 201 to rotate to a position. do. In various embodiments, the push tab 701 is held upright, such as in a configuration whereby the needle hub is pushed up against the hinged push tab 701 when the device is assembled. In various embodiments, the starting position, or finger grip, of the needle assembly holds the hinged push tab 701 in the vertical position illustrated in FIGS. 7A and 7B.

In various embodiments, hinged push tab 701 does not include resilient portion 723 . After threading the catheter and removing the needle from the catheter hub 785 , the hinged push tab 701 can simply be flipped downward so that it lies flat against the catheter hub 785 . In these embodiments, when oriented downward, the push tabs 701 move out of the way, improving the ability to dress the catheter.

According to various embodiments, the hinged push tab 701 may be bent or curved, such as to improve control when threading, but the angled shape is such that (i) the push tab 701 cover the proximal end of the catheter hub and seal the internal septum when inverted downward; and/or (ii) push tab 701 includes a plug or boss to occlude catheter hub 785; can make it even more possible. In this regard, various embodiments may (i) prevent access through the lumen of catheter hub 785 for closed system catheters and/or (ii) in systems without blood control catheters. blood leakage can be prevented.

In the installation of the PIVC, the catheter hub 305 and the TPA are connected when inserting the present device, threading the catheter, withdrawing the needle into the TPA, and pulling the TPA out of the catheter hub by continued withdrawal over the needle hub. There may be off-axis torque in the abutment connection (eg, snap fit) between. This off-axis torque can lead to difficulties in threading, accidental premature release of the TPA from the catheter hub, and awkward angles when removing the needle. Premature or "pre-release" of the TPA from the catheter hub is very dangerous because the sharp distal tip of the needle has not yet been captured within the needle guard mechanism inside the TPA housing. To overcome these and other challenges, a TPA with a segmented, flexible, and pivoting design allows the TPA to flex and bend relative to the catheter hub without pulling the TPA from the hub. enable. A segmented flexible TPA allows for angled disconnection when the TPA is pulled from the catheter hub.

FIG. 8A illustrates a flexible TPA housing 800 that is segmented. The TPA housing 800 comprises a distal collar portion 806 attached to the smaller diameter cylindrical body 802 through a flexible "accordion-like" portion 890 so that the three portions are coaxially aligned. , may comprise a single molded plastic part. The flexible portion 890 of the housing is thinner walled in a ribbed, wavy structure such as that that can be found in plumbing connections and air vent structures (e.g., what is referred to as "accordion tubing"). of plastic or metal segments. Such a flexible housing, as illustrated in FIG. 8A, can reduce torque on the interface with the catheter, which eliminates the need for more expensive locking/latch interfaces. can help.

TPA housing collar 806 and TPA cylindrical body portion 802 can flex and bend relative to each other. The TPA collar 806 is still removed from the proximal end of the catheter hub by pulling back over the finger grip/catheter hub and removing the needle with the TPA, but the segmented portion 890 allows for bending and Allows pre-release of the TPA due to off-axis loading.

8B-8D illustrate the bending and flexibility between the TPA housing and catheter hub provided by flexible segmented portion 890. FIG. 8B-8D illustrate that the interface 890 configured between the TPA collar 806 and the cylindrical body 802 is flexible, allowing the TPA proximal fitting 802 to pivot and move off-axis. While allowing, the distal collar portion 806 is shown to remain securely mounted and positionally stable on the proximal end of the catheter hub 885 . FIG. 8B illustrates the axial alignment between the proximal portion 802 of the TPA housing and the catheter hub 885. FIG. Figures 8C and 8D illustrate how flexible interface 890 accommodates off-axis needle removal and isolates off-axis loads from the catheter hub/TPA interface. Additionally, a flexible TPA housing can reduce needle resistance when removing the needle at high angles. Additionally, such a flexible TPA housing can ensure that the TPA is removed due to axial pulling forces only and not due to off-axis loads. Still further, a flexible TPA housing may improve ease of use at various angles of insertion.

In some situations, a PIVC will be placed within a patient in a noisy environment where it may be difficult to hear the audible signals that various components of the PIVC may emit when moved. The following embodiments, illustrated in FIGS. 9-11, are for confirming that the needle guard portion of the TPA is properly engaged over the sharp needle tip prior to removing the TPA from the catheter hub. A TPA with a visual lock indicator to provide visual cues is described.

In various embodiments, the TPA includes one or more indicia that provide confirmation that the needle guard portion of the TPA captures and secures the sharp distal tip of the introducer needle. In various embodiments, the indicium comprises a viewing portal (e.g., a clear plastic "see through" portion or an open window) through which the user can view the needle guard inside the TPA housing from the needle sharpness. It can be seen if it is secured around the tip, which tells the user that it is safe to disengage the TPA from the catheter hub. In other embodiments, the TPA comprises axially nested portions that are slidable relative to each other, and the pulling of the needle guard with the needle tip captured therein causes the indicia (e.g., letters and/or or color) into the user's field of view and convey to the user that it is safe to continue pulling to disengage the TPA from the catheter hub.

Referring now specifically to FIG. 9, TPA housing 902 includes openings 927 as marking elements. The entire TPA housing 902 or only a portion thereof can be made of clear plastic, or the TPA housing 902 can include a clear plastic window, or the proximal retention insert Can be lengthened and cleared. In other embodiments, marking feature 927 may be an open window or aperture. As needle 950 is withdrawn, protrusion 952 on the needle shaft engages back wall 952 of clip 936 and pulls it proximally into view through window 927 . In other embodiments, capture of needle tip 951 by the action of distal flanges 939a and 939b of the clip adjacent in front of sharp tip 951 causes the clip to change shape. In various embodiments, changes in the shape of clip 936, particularly movement of the crossed arms and/or closure of the clip, change the shape of the clip in a visually observable manner. A clear portion or opening 927 indicates to the user that a safety mechanism has been activated or closure of the clip is changing the shape and visibility of the clip 936 or elements of the clip through the window 936. as an indicator to see the location of clip 936 . Alternatively, the clip 936, or a portion thereof, can be brightly colored or configured with a brightly colored indicator such that the location of the clip 936 within the TPA housing 902 is readily visible to the user. can. In various embodiments, the TPA housing 902 can be proximally elongated and the TPA, segments of the TPA body, or TPA windows can be clear. The locking action can change the clip position or shape of the clip, which can be visible through the TPA retainer. Embodiments may include color or secondary visibility elements on the locking clip to improve visibility through the retainer window.

10A and 10B, one embodiment of a TPA housing configured with slidable indicia is illustrated. In various embodiments, the TPA comprises an outer tubular sleeve and an inner tubular sleeve (also referred to as a TPA retainer or needle guard retainer) that is slidable within the outer tubular sleeve along the same central axis. there is That is, the outer tubular sleeve and the inner tubular sleeve are nested. A clip-retaining housing 1007 of the TPA assembly can be configured as the proximal portion of the TPA slidably disposed inside the stationary outer sleeve 1002 . The length and undercut of the TPA retainer 1007 can be lengthened to accommodate the slidable length and markings. The TPA retainer 1007 can be clear or opaque, with at least one visual marking 1094 at discrete longitudinal locations. The elongated section may include multiple undercuts of varying depths, or elongated slots, that retain force. As the needle 1050 is removed, a protrusion 1052 configured on the needle shaft engages the back wall 1038 of the clip 1036 causing the clip 1036 to pull up against the proximal wall of the TPA retainer 1007. . The TPA retainer 1007 can be partially pulled out of the outer TPA housing 1002 to reveal the INDICIA 1094 in FIG. indicates that the The TPA retainer 1007, ie, the inner sleeve portion, may still remain partially nested within the TPA outer housing 1002 due to the secondary undercut provided. The undercut prevents the TPA housing from being fully pulled out of the entire TPA and allows the user to disengage the TPA from the catheter housing with continued pulling.

11A and 11B, examples of distal and/or proximal moving markings visible through one or more apertures are illustrated. Outer TPA tubular sleeve 1102 or a portion thereof can be clear or translucent. As illustrated in FIG. 11A, a proximal opening 1127a and/or a distal opening 1127b may be provided in the outer tubular sleeve 1102 of the TPA. The TPA is composed of an axially nested inner tubular sleeve and an outer tubular sleeve portion, with the inner portion, TPA retainer 1107, sliding inside a TPA housing 1102 configured with a larger diameter. possibly engaged. The configuration of the inner sleeve and outer sleeve can be substantially similar to the arrangement illustrated in Figures 10A-10B. Internal indicia 1199a and/or 1199b, such as "check marks" or colors, are moved proximally in to be seen through windows 1127a and/or 1127b. In various embodiments, internal markings 1199a and/or 1199b can be retracted in action to lock out the safety clip, as described above in the context of FIGS. 10A-10B. Movement of the indicia can be visible through one or more windows to provide some contrast vision. In various embodiments, the marking may visually start out as red, and as the TPA retainer is pulled back, a green marking may become visible. In various embodiments, the indicia may be green and start out of the field of view (eg, as illustrated in the examples of FIGS. 11A-11B), then green segments (eg, “checkmarks”). is pulled through the window, showing a green mark, and the signal causes the sharp distal tip of the needle to be safely captured within the TPA's needle guard.

In various embodiments, a large push tab configured on the catheter hub can be pulled out and discarded once the PIVC is placed in the patient's vasculature. As illustrated in FIGS. 12B-12D, removable push tab 1201 can be a removable portion of a catheter hub that is not permanently secured to TPA 1202 or catheter hub 1285. FIG. In various embodiments, these posts and catheter hubs with removable tabs with connecting arms are removable from a "installed" configuration in which the arms of the removable push tabs are engaged on the posts. The arms of the push tab can be converted to an "installed" configuration disengaged from the post, and the tab is completely removed from the catheter hub, substantially reducing its height.

As shown in FIG. 12A, removable push tab 1201 comprises an upright portion having proximal and distal faces and two parallel arms depending therefrom. Each arm includes forked ends 1281a and 1281b configured to reversibly engage each of the two posts of the catheter hub. As illustrated in FIG. 12B, removable push tabs 1201 are snapped over posts 1279 configured on both sides (180° apart) on proximal portion 1286 of catheter hub 1285 (1 Only one post is visible in this side plan view). Forked portions 1281a and 1281b are configured to snap fit over cylindrical posts provided on the catheter hub through circular cutout portions. In this installed configuration, removable push tab 1201 straddles catheter hub 1285 and provides a surface for pushing catheter hub 1285 distally for threading/advancing the catheter.

As illustrated in FIG. 12C, removable push tab 1201 can then be removed from post 1279 simply by pulling radially upward to change the catheter hub to the installed configuration. With the removable push tab 1201 thus removed, the height of the catheter hub 1285 is substantially reduced to allow dressing over the deployed catheter. In various embodiments, removable push tab 1201 can be removed and discarded before or after removing the needle from catheter hub 1285 and removing TPA 1202 . An advantage of this embodiment is that it provides a large push tab 1201 for easy threading, but minimizes the profile of the catheter hub 1285 to allow for easy dressing/fixation.

In various embodiments, removable push tab 1201 may further include operable features that provide "assisted removal" of the tab from the post, such as that illustrated in FIG. 12D. In various embodiments, the upstanding tab portion (1201 in FIG. 12A) of the removable tab has proximal and distal surfaces such that the upstanding tab portion is divided into distal portion 1211 and proximal portion 1212. is modified using the space between The fork-like structure at the end of each arm is lengthened so that the removable tab with assisted removal features includes an H-shaped cross-section. In general, the assisted removal feature operates by squeezing together the distal portion 1211 and proximal portion 1212 of the upstanding tab portion, simultaneously opening each of the forked structures. That is, 1281a moves away from 1281b while at the same time 1281c moves away from 1281d. Pinch together movable distal portion 1211 and proximal portion 1212 at the top of the tab is provided at the bottom of the arm of removable push tab 1201, similar to the action of a clothespin. will open the structure. In various embodiments, the removable push tab of FIG. 12D is an extruded part such that it is made using more than one material. For example, the thinner elastomeric portion 1213 pivots much like a clothespin spring such that squeezing the portions 1211 and 1212 together releases the forked structures 1281a/1281b and 1281c/1281d. provide points. In various embodiments, stiffening rods are embedded within the long portion of the H structure so that translation of movement through hinge portion 1213 is more efficient. In various embodiments, a metal rod component is overmolded with a plastic or elastomeric polymer. In various embodiments, thinner hinge portion 1213 is configured to bend easily when comprising a soft elastomeric polymer or the like. A dissimilar plastic can be used to ensure bending at the hinge portion 1213, such as by extrusion similar to the tipped tubing process.

In the detailed description, references to "various embodiments," "one embodiment," "an embodiment," "exemplary embodiment," etc. mean that the described embodiments may have specific features, structures, or It indicates that although a feature may be included, not all embodiments may necessarily include that particular feature, structure, or property. Moreover, such phrases are not necessarily referring to the same embodiment. Further, when a particular feature, structure, or characteristic is described in relation to one embodiment, such feature, structure, or property is described in relation to other embodiments, whether or not explicitly described. , or to affect properties, provided that it is within the knowledge of the person skilled in the art. After perusing the description, it will become apparent to one skilled in the art how to implement the present disclosure in alternative embodiments.

The steps recited in either the method or process descriptions may be performed in any order and are not necessarily limited to the order presented. Further, any reference to one embodiment includes multiple embodiments and any reference to more than one component or step may include one embodiment or step. Also, any reference to “attached,” “fixed,” “connected,” “coupled,” etc., is a permanent (e.g., integral) ), removable, temporary, partial, complete, and/or any other possible ancillary options. Any of the components may be coupled together via friction, snaps, sleeves, brackets, clips, or other means now known in the art or later developed. Additionally, any reference to "without contact" (or similar phrases) may include reduced or minimal contact.

Benefits, other advantages, and solutions to problems are described herein with regard to specific embodiments. However, benefits, advantages, solutions to problems, and any element that may cause any benefit, advantage, or solution to arise or render them more prominent, are important, required, or or should not be construed as an essential feature or element. The scope of the present disclosure, therefore, is not to be limited in any way other than by the appended claims, and references to elements in the singular read "one and only" unless so expressly stated. It is not intended to mean, but rather meant to mean "one or more." Also, when phrases similar to "at least one of A, B, and C" or "at least one of A, B, or C" are used in the claims or specification, the phrase but A may be present alone in an embodiment, B may be present alone in an embodiment, C may be present alone in an embodiment, or the combination of elements A, B, and C It is intended to be interpreted to mean that any combination, such as A and B, A and C, B and C, or A and B and C, can be present within a single embodiment.

All structural and functional equivalents to the elements of the various embodiments described above that are known to those of skill in the art are expressly incorporated herein by reference and encompassed by the claims. intended to Moreover, the device or components of the device or method in steps of using the device need not be encompassed by the claims to address any and all problems sought to be solved by the present disclosure. Furthermore, any element, component, or method step in the present disclosure is intended to be served by the public, regardless of whether that element, component, or method step is explicitly recited in a claim. do not have. A claim element is governed by 35 U.S.C. unless the element is explicitly recited using the phrase "means for". S. C. 112(F) (35 U.S.C. 112(f)). As used herein, the terms "comprises,""comprising," or any other variation thereof comprise a list of elements, A process, method, article, or apparatus does not include only those elements, but also other elements not expressly recited or essential to such process, method, article, or apparatus. It is intended to cover non-exclusive inclusion, as it may.
(Item 1)
I. V. A tip protector assembly for use in a catheter, said tip protector assembly comprising:
A tubular housing having an outer surface, a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and an interior space, the interior space a tubular housing defining a central axis through
A needle guard contained within the interior of the tubular housing, the needle guard configured to capture a sharp distal tip of a needle, the needle extending through the tubular housing and through the needle guard. a needle guard axially slidable along the central axis through
a push tab connected on the distal end portion of the tubular housing;
A tip protector assembly, wherein the push tab comprises a distal surface and a proximal surface, the push tab extending radially from the outer surface of the tubular housing at an angle to the central axis. .
(Item 2)
The tip protector assembly of item 1, wherein the angle is about 90° and the distal face of the push tab is coplanar with the distal circumferential opening of the tubular housing.
(Item 3)
The tip protector assembly of item 1, wherein the angle is from about 20° to about 90°.
(Item 4)
further comprising an alignment feature extending distally from the distal circumferential opening of the tubular housing, the alignment feature dimensioned to rotationally index the tip protector assembly relative to the catheter hub; The tip protector assembly of item 1, wherein the tip protector assembly is configured to:
(Item 5)
The push tab further comprises a rolled edge along an edge of the push tab opposite the tubular housing, the rolled edge being disposed substantially orthogonal to the central axis. The tip protector assembly of item 1, wherein the tip protector assembly is
(Item 6)
The push tab further comprises a curved or angled portion opposite the tubular housing, the curved or angled portion extending proximally from the proximal face of the push tab. The tip protector assembly of item 1, wherein the tip protector assembly is
(Item 7)
The push tab tapers radially from the tubular housing to an edge opposite the tubular housing, the push tab being connected to the tubular housing at two locations, thereby: The tip protector assembly of item 1, wherein the push tab includes an open window between the two locations.
(Item 8)
The tip protector of paragraph 1, further comprising at least one brace connected to the outer surface of the tubular housing and at least one of the distal or proximal surfaces of the push tab. assembly.
(Item 9)
The push tab further comprises a distally extending portion configured parallel to the outer surface of the tubular housing, the distally extending portion extending radially with the tubular housing. and a push tab extending into the tubular housing, whereby the entirety of said push tab forms a stepped structure projecting distally beyond said distal circumferential opening of said tubular housing. 2. The tip protector assembly of item 1, comprising:
(Item 10)
The tip protector assembly of item 1, wherein the push tab further comprises two non-parallel surfaces such that the push tab forms a distally pointing arrow configuration.
(Item 11)
Item 1, further comprising an aperture configured radially through said tubular housing, said aperture dimensionally arranged to expose said needle guard to visual inspection from an environment outside said tip protector assembly. The tip protector assembly as described in .
(Item 12)
I. V. A catheter hub for use in a catheter, said catheter hub comprising:
a housing, said housing having an outer surface and an interior space, said interior space defining an axial lumen extending therethrough; a proximal end portion comprising a joint and a distal end portion, said distal end portion comprising a catheter tube extending distally from said distal end portion of said housing; a distal end portion, wherein the proximal open end and the catheter tube are fluidly connected by the axial lumen;
a hinged push tab connected to the outer surface of the housing at the proximal end portion;
The hinged push tab comprises a radially projecting portion connecting a proximally extending portion of the hinged push tab to the outer surface of the housing, the hinged push tab comprising: , a resilient portion disposed on the proximally extending portion and a hinge on the radially projecting portion;
the hinged push tab is rotatable through the hinge between a ready-to-use position and a safe position;
in the ready-to-use position, the hinged push tab is rotatable toward the proximal joint of the housing;
In the safe position, the hinged push tab is coupled to the proximal joint of the housing to reduce the overall height of the catheter hub.
(Item 13)
13. The catheter hub of item 12, further comprising a sealing element to prevent fluid flow out of said proximal open end.
(Item 14)
In the safe position, the coupling between the hinged push tab of the housing and the proximal joint is between the resilient portion of the hinged push tab and the proximal joint of the housing. 13. A catheter hub according to item 12, comprising a liquid tight seal therebetween.
(Item 15)
I. V. A tip protector assembly for use in a catheter, said tip protector assembly comprising:
an outer surface, a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and an interior space, said interior space defining a central axis therethrough. a tubular housing having an interior space, wherein said proximal end portion and said distal end portion are connected through adjacent coaxially aligned flexible tubing segments; a housing;
a needle guard contained within the interior of the tubular housing;
the needle guard configured to capture a sharp distal tip of a needle, the needle axially slidable through the tubular housing and through the needle guard along the central axis;
The flexible tubing segment extends between the proximal end portion and the distal end portion of the tubular housing when the proximal end portion is fixedly coupled to a proximal fitting of a catheter hub. A tip protector assembly configured to allow off-axis pivoting at.
(Item 16)
Further comprising a push tab connected on the distal end portion of the tubular housing, the push tab comprising a distal surface and a proximal surface, the push tab extending from the outer surface of the tubular housing. 16. The tip protector assembly of item 15, extending radially from and at an angle to said central axis.
(Item 17)
I. V. A tip protector assembly for use in a catheter, said tip protector assembly comprising:
an outer tubular sleeve comprising a proximal end portion having a proximal circumferential opening, a distal end portion having a distal circumferential opening, and a central axis;
an inner tubular sleeve nested and axially slidable within said outer tubular sleeve between first and second positions relative to said outer tubular sleeve, said inner tubular sleeve comprising: An inner tubular sleeve comprising an outer surface, a proximal end portion having a proximal wall, a distal end portion having a distal circumferential opening, and an inner surface defining an interior space in said inner tubular sleeve. and,
A needle guard contained within the interior space of the inner tubular sleeve, the needle guard configured to capture a sharp distal tip of a needle, the needle extending through the nested inner tubular sleeve. a needle guard axially slidable along the central axis through and through the outer tubular sleeve and through the needle guard;
at least one indicia disposed on the outer surface of the inner tubular sleeve;
In the first position the indicia are obscured by the outer tubular sleeve and in the second position the indicia are not obscured by the outer tubular sleeve and are visible to an observer. , tip protector assembly.
(Item 18)
further comprising an aperture configured in the outer tubular sleeve radially to the outer surface of the inner tubular sleeve, whereby the indicia are visible through the aperture when the inner tubular sleeve is in the second position; 18. Tip protector assembly according to item 17, possible.
(Item 19)
I. V. A catheter hub for use in a catheter, said catheter hub comprising:
a housing, said housing having an outer surface and an interior space, said interior space defining an axial lumen extending therethrough; a proximal end portion comprising a joint and a distal end portion, said distal end portion comprising a catheter tube extending distally from said distal end portion of said housing; a distal end portion, wherein the proximal open end and the catheter tube are fluidly connected by the axial lumen;
Two cylindrical posts extending radially and in opposite directions from the proximal end portion of the housing, the two posts being positioned 180° apart from each other. and,
an upright portion having a proximal surface and a distal surface and a removable push tab having two parallel arms;
each arm reversibly engaged to each of the two posts, the upright portion spanning and projecting radially from the proximal end portion of the housing;
The catheter hub converts from an installed configuration in which the arm of the removable push tab is engaged on the post to an installed configuration in which the arm of the removable push tab is disengaged from the post. Possible, catheter hub.
(Item 20)
The removable push tab further comprises a space defined between the proximal and distal surfaces whereby the upstanding portion disengages both arms from the two posts. 20. A catheter hub according to item 19, comprising a proximal portion and a distal portion movable towards each other.

Claims (11)

I. V. A tip protector assembly for use in a catheter, said tip protector assembly comprising:
A cylindrical housing defining an interior space extending along a central axis , said cylindrical housing having an outer surface, a proximal end portion having a proximal opening , and a proximal portion of the catheter hub. a cylindrical housing having a distal end portion having a collar with a distal circumferential opening adapted to couple to the end ;
A needle guard slidable along the needle within the interior space of the cylindrical housing, the needle guard to capture the sharp distal tip of the needle when the catheter assembly is in the safe position. a needle guard, comprising :
A push tab extending upright from the collar at the distal end portion of the cylindrical housing, the push tab being operable by a user's finger to move the cylindrical housing distally. a push tab having a push surface adapted to be engaged;
a tip protector assembly . The push tab extends upright from the distal end portion at an angle of about 90°, the push tab being flush with the distal opening of the cylindrical housing. 2. The tip protector assembly of claim 1 , comprising : The tip protector assembly of claim 1 , wherein the push tab extends upright from the distal end portion at an angle of about 20° to about 90°. 2. The method of claim 1, further comprising alignment features extending distally from the distal opening of the cylindrical housing to allow the tip protector assembly to be indexed to the catheter hub. A tip protector assembly as described. The tip protector assembly of claim 1 , wherein the push tab includes a rolled edge at its upright end . The tip protector assembly of Claim 1 , wherein the push tab includes a curved or angled portion extending from the tubular housing along the proximal face of the push tab . The push tab tapers radially from the cylindrical housing, the push tab being connected to the tubular housing at two locations and having an open window therebetween . 2. The tip protector assembly of claim 1 , wherein the tip protector assembly comprises: The tip protector assembly of claim 1 , further comprising at least one brace connecting the outer surface of the tubular housing to at least the push or distal surface of the push tab. The push tab has an upright portion, an axial portion extending distally from the upright portion, and a radially extending portion adjacent to and orthogonal to the axial portion. 2. The tip protector assembly of claim 1 , comprising forming a stepped structure projecting distally from the distal opening of the cylindrical housing. The tip protector assembly of claim 1 , wherein the push tab comprises two non-parallel surfaces such that the push tab forms a distally pointing arrow configuration. 2. The tip protector assembly of claim 1, further comprising an opening through the cylindrical housing dimensionally arranged to expose the needle guard to visual inspection from outside the tip protector assembly.