NZ756616B2 - Intravenous catheter assembly with cannula safety mechanism - Google Patents

Abstract

A catheter assembly (10) includes a catheter adapter (12) that includes a distal end (14), a proximal end (12), and an inner surface (18) forming a lumen. The lumen (18) extends between the proximal end (12) and the distal end (14). The catheter assembly (10) includes a cannula (36) and a cannula hub (20). The cannula hub (20) may include an outer portion (24) disposed outside of the catheter adapter (20) and an inner portion (22) disposed within the catheter adapter (20). The cannula extends distally from the inner portion (22). In response to the outer portion (24) sliding proximally along an outer surface of the catheter adapter (20), the cannula may be withdrawn proximally into the catheter adapter (20). The outer portion (24) is configured to slide proximally to a locked position in which the cannula hub (20) is locked with respect to the catheter adapter (24), and a distal tip of the cannula is disposed within the catheter adapter (20). The novel and inventive feature is the winged element which prevents the cannula hub from sliding distally beyond the winged element (and also improves comfort of a patient when the catheter is inserted into the blood vessel of the patient - see also [0014] & [0028]). This device reduces the risk of accidental needle stick injuries when the health professional is operating the device.

Description

INTRAVENOUS ER ASSEMBLY WITH CANNULA SAFETY MECHANISM BACKGROUND OF THE INVENTION Intravenous (IV) catheter assemblies are among the various types of vascular access devices. Over—the—needle peripheral IV catheters are a common IV catheter configuration.

As its name implies, an over—the—needle catheter may be mounted over an introducer needle having a sharp distal tip. The introducer needle may be a hypodermic needle coupled to a needle assembly to help guide the needle and to facilitate its cooperation with the catheter. At least the inner surface of the distal portion of the catheter tightly may engage an outer surface of the ucer needle to prevent peelback of the er and, y, facilitate insertion of the er into the blood vessel. The catheter and the introducer needle may be assembled so that the distal tip of the introducer needle extends beyond the distal tip of the catheter. Moreover, the catheter and the introducer needle may be assembled so that, during insertion, the bevel of the introducer needle faces up, away from skin of a patient. The catheter and ucer needle may be inserted at a shallow angle through the skin into a blood vessel.

In order to verify proper placement of the introducer needle and/or catheter in the blood vessel, the user may confirm that there is "flashback" of blood into a flashback chamber associated with the needle assembly. ack generally entails the appearance of a small amount of blood, which is visible within the needle assembly or between the introducer needle and the catheter. Once proper placement of the distal tip of the er into the blood vessel is confirmed, the user may apply pressure to the blood vessel by pressing down on the skin over the blood vessel, distal to the introducer needle and the catheter. This finger pressure may [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs momentarily occlude the vessel, reducing further blood flow through the introducer needle and the catheter.

The user may then withdraw the introducer needle from the catheter. The introducer needle may be withdrawn into a needle tip cover or needle cover that extends over the distal tip and prevents accidental needle sticks. In general, a needle tip cover may include a casing, sleeve, or other similar device that is designed to trap or capture the distal tip when the introducer needle is awn from the catheter and the patient. After the introducer needle is withdrawn, the catheter may be left in place to provide intravenous access to the patient.

The separation of the introducer needle assembly from catheter portions of the er assembly presents numerous potential hazards to the users and others in the area. As indicated above, there is a risk of accidental needle sticks if the distal tip is not secured properly.

Additionally, e the ucer needle has been in contact with blood in vasculature of the patient, blood may be present on an exterior of the introducer needle as well as inside a lumen of the introducer needle. As the introducer needle is withdrawn from the catheter, there is a risk that the blood will drip from the distal tip or come into contact with other surfaces to expose people and equipment to blood. onally, it has been observed that awing the introducer needle from a er assembly may impart energy to parts of the needle assembly. For instance, during awal of the introducer, bending forces can be applied (either unintentionally or intentionally) to the introducer needle. The bending forces on the introducer needle may cause blood to er or spray from the introducer needle when the needle vibrates and shakes as it becomes free from the catheter assembly and releases stored energy. Accordingly, there is a need [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs in the art for s, systems, and methods that provide catheter assemblies with increased needle safety.

BRIEF SUMMARY OF THE INVENTION The present disclosure relates generally to an intravenous catheter assembly and associated devices, systems, and s. In some embodiments, the catheter assembly may be used for infusion and/or blood collection. In some embodiments, the catheter assembly may include a catheter adapter, which may include a distal end, a al end, and an inner surface forming a lumen. In some embodiments, the lumen may extend between the proximal end and the distal end of the catheter r.

In some ments, the catheter assembly may e a a hub, which may be configured to slide with respect to the catheter adapter from a distal, unlocked position to a proximal, locked position. In some embodiments, the cannula hub may include an inner portion and/or an outer portion. In some embodiments, the outer portion may at least partially nd the inner portion. In some embodiments, the inner portion may be disposed within the lumen of the catheter adapter.

In some embodiments, the inner portion may include a first interlock portion, and an inner surface of the catheter adapter may include a second interlock n. In some embodiments, when the a hub is in the locked position, the first interlock portion and the second interlock portion may interlock or be coupled together, which may t movement of the cannula hub with respect to the catheter adapter. In some embodiments, when the cannula hub is in the unlocked position, the first interlock portion and the second interlock portion may be uncoupled, which may allow movement of the cannula hub with t to the catheter adapter in a direction aligned with a longitudinal axis of the catheter adapter.

[Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs In some embodiments, the first interlock portion may include a receiving portion and the second interlock portion may include an engaging portion. Alternatively, in some embodiments, the first interlock portion may include the engaging portion and the second ock portion may include the receiving portion. In some ments, the receiving portion may include one or more grooves, and the engaging portion may include one or more corresponding protrusions. In some embodiments, the engaging portion and the receiving portion may interlock or be coupled together when the cannula hub is in the locked position. In some embodiments, the cannula may be entirely disposed within the catheter adapter when the cannula hub is in the locked position.

In some embodiments, the catheter ly may include a cannula, which may include a distal tip. In some embodiments, the cannula may include an elongated tubular shaft and an inner lumen formed by the ted tubular shaft. In some embodiments, the tubular shaft may include a notch, which may improve first stick success and allow observation of blood flashback. In some embodiments, the cannula may extend distally from the a hub. In further detail, in some embodiments, the cannula may extend ly from the inner n of the cannula hub.

In some embodiments, the outer portion of the cannula hub may be generally cylindrical and/or ed outside of the catheter adapter. In some embodiments, the outer portion may be configured to slide proximally along an outer surface of the er r until the cannula hub reaches the locked position. In some embodiments, in response to the outer portion of the cannula hub sliding proximally along the outer surface of the catheter adapter, the cannula may be withdrawn proximally into the catheter adapter. In some ments, the outer portion of the cannula hub may be configured to slide ally to the locked position in which ation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs ation] jvs Unmarked set by jvs the a hub may be locked with respect to the catheter adapter, preventing removal of the cannula from the catheter assembly, reducing a risk of needle stick injury, and discouraging reuse of the catheter assembly. In some embodiments, when the cannula hub is in the locked position, the distal tip may be disposed within the catheter adapter, also reducing the risk of needle stick injury. In some embodiments, the outer portion of the cannula hub may include a grip, which may be configured to be d by a user when the catheter assembly is inserted into a blood vessel of a patient. In some embodiments, the cannula hub may be slid to the locked position as the user grips the grip and slides the outer portion of the cannula hub to the locked position.

In some embodiments, the catheter assembly may include a wedge, which may be funnel—shaped. In some embodiments, the wedge may be constructed of metal. In some embodiments, a catheter tube of the catheter assembly may be connected to the wedge. In some embodiments, the wedge may be configured to couple the catheter tube to the catheter r. In some embodiments, the wedge may be disposed in a distal portion of the lumen. In some embodiments, the wedge may be frictionally wedged into the distal portion of the lumen. In some embodiments, when the cannula hub is in the locked position, the distal tip of the cannula may be disposed within the wedge, which may prevent g of the er tube by the distal tip.

In some embodiments, the catheter assembly may include a septum, which may be disposed within the lumen of the catheter adapter. In some embodiments, the septum may be proximate and/or proximal to the wedge. In some embodiments, when the cannula is withdrawn and the cannula hub is in the locked position, the notch may be ed within the septum, [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs which may prevent fluid from leaking out of the notch and/or into the lumen of the catheter adapter.

In some embodiments, the catheter ly may include a safety winged blood collection set. In these and other embodiments, the catheter assembly may include a winged element, which may be coupled to the catheter adapter. In some embodiments, the winged element may include one or more wings, which may extend outwardly from the catheter adapter and may be secured to skin of a patient. In some embodiments, when the cannula hub is in the unlocked position, a distal end of the a hub may be disposed proximate or abutting the winged element. In some embodiments, the winged element may act as a stop for the cannula hub, contacting the cannula hub and preventing the cannula hub from sliding beyond the winged element. In some embodiments, the catheter tube may improve comfort of a patient when the catheter assembly having the winged element is inserted into the blood vessel of the patient.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE FIGURES In order that the manner in which the above—recited and other features and advantages of the invention will be readily understood, a more particular description of the catheter assembly with cannula safety ism briefly described above will be rendered by nce to specific ments thereof, which are illustrated in the ed s. tanding that these s depict only typical embodiments and are not, therefore, to be considered to be limiting of its scope, the invention will be described and explained with additional specificity and detail through the use of the accompanying Figures in which: Figures 1 is an upper perspective view of an example catheter assembly, illustrating a cannula hub in an unlocked on, according to some embodiments; [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs Figure 2 is a cross—sectional view of the catheter assembly of Figure 1, illustrating the cannula hub in the unlocked position, according to some embodiments; Figure 3 is an upper perspective view of the catheter assembly of Figure 1, illustrating the cannula hub in a locked position, according to some ments; Figure 4 is a cross—sectional view of the catheter assembly of Figure 1, illustrating the cannula hub in the locked position, according to some embodiments; and Figure 5 is an ed cross—sectional view of a portion of the catheter assembly of Figure 1, illustrating the a hub in the locked position, according to some ments.

DETAILED DESCRIPTION OF THE INVENTION The presently preferred embodiments of the described invention will be best understood by reference to Figures l—5, wherein like parts are designated by like numerals throughout. It will be readily tood that the components of the present invention, as generally described and illustrated in Figures l—5 in the present disclosure, could be arranged and ed in a wide variety of different urations. Thus, the following more detailed description of the embodiments of the catheter assembly, and associated devices, systems, and methods, is not intended to limit the scope of the ion, as claimed, but is merely representative of some ments of the invention.

The present disclosure relates generally to a catheter assembly and associated devices, systems, and methods. ing now to Figures l—2, in some embodiments, the catheter assembly 10 may include a catheter adapter 12, which may include a distal end 14, a proximal end 16, and an inner surface 18 forming a lumen. In some embodiments, the lumen may extend between the proximal end 16 and the distal end 18 of the catheter adapter 12.

[Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs In some embodiments, the catheter assembly 10 may include a a hub 20, which may be ured to slide with respect to the catheter adapter 12 from a distal, unlocked position, illustrated in Figures 1—2, to a al, locked position, illustrated in Figures 3—5. In some embodiments, the cannula hub 20 may include an inner portion 22 and/or an outer portion 24. In some embodiments, the inner portion 22 may be at least partially disposed within the lumen of the er adapter 12.

In some embodiments, the inner portion 22 of the a hub 20 may include a first interlock portion, and the inner surface 18 of the catheter adapter 12 may include a second interlock portion. In some embodiments, when the cannula hub 20 is in the unlocked position, the first interlock portion and the second interlock portion may be uncoupled, which may allow movement of the cannula hub 20 with respect to the er adapter 12 in a ion aligned with a longitudinal axis 30 of the catheter adapter 12. In some embodiments, the first interlock portion may include one or more grooves 26, and the second interlock portion may include one or more ponding protrusions 28. Additionally or alternatively, in some embodiments, the first interlock n may include one or more protrusions 28 and the second interlock portion may include one or more grooves 26.

In some embodiments, the catheter assembly 10 may include a wedge 32, which may be funnel—shaped. In some embodiments, a catheter tube 34 of the catheter ly 10 may be coupled with the wedge 32. For example, a neck portion of the wedge 32 may be inserted into a proximal end of the catheter tube 34 in a friction or interference fit. In some embodiments, the wedge 32 and the er tube 34 may be integrally formed. In some embodiments, the wedge 32 may be configured to couple the catheter tube 34 to the catheter adapter 12. In some embodiments, the wedge 32 may be frictionally wedged into a distal portion of the lumen.

[Annotation] jvs None set by jvs [Annotation] jvs ionNone set by jvs [Annotation] jvs ed set by jvs In some embodiments, the catheter ly 10 may include a cannula 36, which may be an introducer needle. In some embodiments, the cannula 36 may include a sharp distal tip 38. In some ments, the wedge 32 may be constructed of metal, plastic, or another rigid material to prevent skiVing of the catheter tube 34 by the distal tip 38. In some embodiments, the cannula 36 may include an elongated tubular shaft and an inner lumen formed by the elongated tubular shaft. In some embodiments, the tubular shaft may include a notch 40, which may improve first stick success. In some embodiments, the cannula 36 may extend distally from the cannula hub 20. In further detail, in some embodiments, the cannula 36 may be coupled to and extend distally from the inner portion 22 of the cannula hub 20. In some ments, a fluid pathway of the catheter assembly 10 may extend through the inner portion 22 of the cannula hub and the cannula 36. In some embodiments, the inner portion 22 may be coupled with tubing (not illustrated), which may be part of the fluid pathway.

In some embodiments, the catheter assembly 10 may include a septum 42, which may be disposed within the lumen of the catheter adapter 12. In some embodiments, the septum 42 may be proximal to the wedge 32. In some embodiments, the septum 42 may be proximate to and contacting the wedge 32, which may facilitate ent with the notch 40 when the cannula hub 20 is in the locked position. In some embodiments, the septum 42 may include one or more slits that may be pre—cut, or the septum 42 may be slit—less. In some ments, the septum 42 may be constructed of a resilient material. In some embodiments, the septum 42 may be constructed of silicon and/or trafluoroethylene.

In some embodiments, the catheter assembly 10 may include a winged element 44, which may be d to the catheter adapter 12. In some embodiments, the winged element 44 may extend around an exterior of the catheter r 12. In some embodiments, the winged [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs element 44 may include one or more wings 46, which may extend outwardly from the catheter adapter 12. In some embodiments, when the cannula hub 20 is in the unlocked position, a distal end of the cannula hub 20 may be disposed proximate the winged element 44. In some embodiments, the winged t 44 may act as a stop for the a hub 20, contacting the cannula hub 20 and preventing the cannula hub 20 from sliding distally beyond the winged element 44. Additionally or atively, in some ments, one or more junctions 48 between the inner portion 22 and outer portion 24 may limit distal movement of the cannula hub . In some embodiments, the catheter tube 34 may improve comfort of a patient when the catheter assembly 10 having the winged element 44 is ed into the blood vessel of the patient.

Referring now to Figures 3—5, in some embodiments, when the cannula hub 20 is in the locked on, the first interlock portion and the second interlock portion may interlock or be coupled together, which may prevent movement of the cannula hub 20 with respect to the catheter adapter 12. In some embodiments, the first interlock portion may include a receiving portion and the second interlock n may include an engaging portion. atively, in some embodiments, the first interlock portion may include the engaging portion and the second interlock portion may include the receiving portion. In some embodiments, the receiving portion may e one or more grooves 26, and the engaging portion may include one or more sions 28 corresponding to the grooves 26. In some embodiments, the engaging portion and the receiving portion may interlock or be coupled together when the cannula hub 20 is in the locked position. In some embodiments, the cannula 36 may be entirely ed within the catheter adapter 12 when the cannula hub 20 is in the locked position.

[Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs In some embodiments, when the cannula hub 20 is in the locked on, illustrated in Figures 3—5, the distal tip 38 of the cannula 36 may be disposed within the wedge 32, which may prevent skiving of the catheter tube 34 by the distal tip 38. In some embodiments, when the cannula 36 is withdrawn proximally into the er r 12 such that the cannula hub 20 is in the locked position, the notch 40 may be disposed within the septum 42, which may t fluid from leaking out of the notch 40 and/or into the lumen of the catheter adapter 12. In some embodiments, the notch 40 may be in fluid communication with the fluid pathway such that fluid travelling through the fluid pathway may exit the cannula 36 through the notch 40 if the notch is not sealed or blocked by the septum 42.

In some embodiments, a particular groove 26 may be configured to engage a particular protrusion 28 in the locked on. For example, the particular groove 26 may engage the particular protrusion 28 in a snap or interference fit. As illustrated in Figures 1 and 3, in some embodiments, the particular groove 26 may be formed between two protrusions 50 of the inner portion 22 of the cannula hub 20, which may extend outwardly from an outer surface of the inner portion 22. In some embodiments, the two sions 50 may contact the inner surface 18 of the catheter adapter 12, which may support the inner portion 22 within the lumen. In some embodiments, the particular protrusion 28 may contact the outer surface of the inner portion 22, which may t the inner portion 22 within the lumen. In some embodiments, an inner surface of the outer portion 24 may include the first interlock portion, and an outer surface of the catheter adapter 12 may include the second ock portion.

In some embodiments, the outer portion 24 may at least partially surround the inner portion 22. In some embodiments, the inner portion 22 may be at least partially disposed [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs within the lumen of the catheter adapter 12. In some embodiments, the outer portion 24 of the cannula hub 20 may be generally cylindrical and/or disposed outside of the catheter adapter 12.

In some embodiments, the outer portion 24 may be configured to slide proximally along an outer e of the catheter adapter 12 until the cannula hub 20 reaches the locked position. In some ments, in response to the outer portion 24 of the cannula hub 20 sliding proximally along the outer surface of the catheter adapter 12, the cannula 36 may be withdrawn proximally into the catheter adapter 12. In some embodiments, the outer portion 24 of the cannula hub 20 may be configured to slide proximally to the locked position in which the cannula hub 20 may be locked with respect to the catheter adapter 12, preventing l of the cannula 36 from the catheter assembly 12, ng a risk of needle stick injury, and discouraging reuse of the er assembly 12. In some embodiments, when the cannula hub 20 is in the locked position, the distal tip 38 may be disposed within the catheter adapter 12, also ng the risk of needle stick injury. In some embodiments, the outer portion 24 of the cannula hub 20 may include a grip 52, which may be configured to be gripped by a user when the catheter ly 12 is inserted into a blood vessel of a patient. In some embodiments, the grip 52 may include one or more ribs or other protrusions to facilitate gripping.

In some embodiments, the cannula hub 20 may be slid to the locked position as the user grips the grip and slides the outer portion 24 of the cannula hub 20 to the locked on. In some ments, the locked position may be passively activated. In further detail, in some embodiments, the cannula hub 20 may slide to the locked on in a passive , requiring no additional steps other than those normally used in catheter introduction. In some embodiments, when the cannula hub 20 is in between the unlocked position and the locked position, the cannula hub 20 may freely move proximally or distally along the catheter adapter [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs 12, which may allow adjustment of the distal tip 38 such as, for example, during hooding of the cannula 36.

The present invention may be embodied in other specific forms without departing from its structures, methods, or other essential characteristics as y described herein and claimed hereinafter. For example, it is understood that the catheter assembly 10 may include any number of interlock portions, which may e any variety of mechanisms capable of preventing movement between the catheter adapter 12 and the cannula hub 20. As another example, the cannula hub 20 may include one or more adapters or connectors and/or may be coupled to tubing, which may allow another device to be connected to the catheter ly 10.

The described embodiments and es are to be considered in all respects only as illustrative, and not ctive. The scope of the ion is, therefore, indicated by the appended claims, rather than by the foregoing description. All changes that come within the g and range of equivalency of the claims are to be embraced within their scope.

[Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs

Claims (10)

1. A er assembly, comprising: a catheter adapter comprising a distal end, a proximal end, and an inner surface forming a lumen, wherein the lumen extends between the proximal end and the distal end; a cannula hub, wherein the cannula hub is configured to slide with respect to the catheter adapter from a distal, ed position to a proximal, locked position; a winged element coupled with the catheter r that extends around an exterior of the catheter adapter and comprising one or more wings, wherein when the cannula hub is in the unlocked position, a distal end of the cannula hub is disposed proximate the winged element, wherein the winged element ts the cannula hub from sliding distally beyond the winged element; a cannula comprising a distal tip, wherein the cannula extends distally from the cannula hub; and a funnel-shaped wedge configured to couple a catheter tube to the catheter adapter, wherein the wedge is disposed in a distal n of the lumen, wherein when the cannula hub is in the locked position, the distal tip of the cannula is ed within the wedge.

2. The catheter assembly of claim 1, further comprising a septum disposed within the lumen, wherein the cannula further comprises a notch, wherein when the cannula hub is in the locked position, the notch is disposed within the septum thereby preventing fluid from g out of the notch into the lumen.

3. The catheter assembly of claim 2, wherein the septum is disposed proximate to the wedge. [Annotation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs

4. The catheter assembly of any one of the preceding , wherein the cannula hub comprises an inner portion disposed within the lumen, wherein the inner portion comprises a first interlock portion and the inner surface of the catheter r comprises a second interlock portion, wherein the first interlock portion and the second interlock portion are configured to interlock when the a hub is in the locked position to prevent movement of the cannula hub with respect to the catheter adapter.

5. The catheter assembly of any one of the preceding claims, wherein the cannula hub comprises a generally rical outer portion disposed outside of the catheter adapter and configured to slide proximally along an outer surface of the catheter adapter until the cannula hub reaches the locked position.

6. The catheter assembly of claim 1, wherein the cannula comprises an elongated tubular shaft and an inner lumen formed by the tubular shaft, wherein the tubular shaft comprises a notch, and the catheter assembly further comprises a septum disposed within the lumen, wherein when the cannula hub is in the locked on, the notch is ed within the septum y preventing fluid from leaking out of the notch into the lumen.

7. The catheter assembly of any one of claims 1 to 3, wherein the cannula hub comprises an inner portion disposed within the lumen, n the inner portion comprises an engaging portion and the inner surface of the catheter adapter comprises a ing portion, wherein the engaging portion and the receiving portion are coupled er when the cannula hub is in the locked position, wherein when the cannula hub is in the locked position, the distal tip of the a is disposed within the catheter adapter.

8. The catheter assembly of any one of claims 1 to 3, wherein the cannula hub comprises an inner portion disposed within the lumen, n the inner portion comprises a receiving portion ation] jvs None set by jvs [Annotation] jvs MigrationNone set by jvs [Annotation] jvs Unmarked set by jvs and the inner surface of the catheter adapter comprises an ng portion, wherein the engaging portion and the receiving portion are coupled together when the cannula hub is in the locked position, n when the cannula hub is in the locked position, the distal tip of the cannula is ed within the catheter adapter.

9. The catheter assembly of any one of the preceding claims, further comprising a catheter tube connected to the funnel-shaped wedge, wherein the funnel-shaped wedge is frictionally wedged into a distal n of the lumen of the catheter adapter, wherein when the cannula hub is in the locked position, the distal tip of the cannula is disposed within the wedge.

10. The catheter assembly of any one of claims 1 to 4, wherein the cannula hub ses an outer portion disposed outside of the catheter adapter and configured to slide proximally along an outer surface of the catheter adapter until the cannula hub reaches the locked position.