|Publication number||US3550591 A|
|Publication date||Dec 29, 1970|
|Filing date||Aug 19, 1968|
|Priority date||Aug 19, 1968|
|Publication number||US 3550591 A, US 3550591A, US-A-3550591, US3550591 A, US3550591A|
|Original Assignee||George Kessler|
|Export Citation||BiBTeX, EndNote, RefMan|
|Referenced by (65), Classifications (5)|
|External Links: USPTO, USPTO Assignment, Espacenet|
United States Patent  Inventor Douglas MacGregor Salt Lake City, Utah  App]. No. 753,587  Filed Aug. 19, 1968  Patented Dec. 29, 1970  INTRAVENOUS CATHETER UNIT 3 Claims, 15 Drawing Figs.
 US. Cl 128/214.4, 128/221  Int. Cl A6lm 5/00  Field of Search 128/214L4, 221, 347, (LC. Digest)  References Cited UNITED STATES PATENTS 3.185,l52 5/1965 Ring 128/214.4 3,262,448 7/1966 Ring et a1 128/214.4 I 3,297,030 1/1967 Czorny et al 128/214.4
Primary Examiner-Dalton L. Truluck Attorney-Julius L. Rubinstein ABSTRACT: Catheters are flexible plastic tubes which extend through a hollow metal needle for the long term infusion of liquids into the vein of a patient. This invention relates to a hollow metal needle through which the catheter extends. The hollow needle is provided with a slit which extends along its entire length. In addition, the needle is provided with means of causing the needle to hinge open to widen the slit enough to pass the catheter through. In this way the needle may be separated from the catheter after the catheter is placed inside the vein. This arrangement protects the catheter from damage caused by the sharp point of the needle.
SHEET 1 UF 3 INVENTOR DOUGLAS MACGREGOR MWM ATTORNEY PATENTEU [H5829 I976 SHEET 2 BF 3.
INVENTOR DOUGLAS HAOGREGOR ATTORNEY PATENTEU0E029|570 3.550.591
saw 3 0F 3 INVENTOR DOUGLAS HACGREGOR ATTORNEY INTRAVENOUS CATHETER. UNIT BRIEF SUMMARY is moved through the hollow needle into the vein and left there while the needle is removed from the vein. The other end of the catheter is connected to the liquid supply.
Heretofore, the needle was taped against the skin of the pa- ,tientwhile the catheter remained inside the vein. However,
v,niovements of the patients body sometimes caused the sharp point of the needle to tear or break the catheter. On occasions when the catheter was broken, the flow of the blood carried the portion of the catheter bins inside the vein through the "body untilit finally lodged in a vital artery in the heart of or *braihbz'xusing death or serious injury.
What-sis needed, therefore, and comprises an important object of this invention, is to provide a needle which can be separated from the catheter after the end of the catheter is positioned inside the vein, to prevent the needle from tearing or damaging the catheter. i
This and other objects of this invention will become more apparent when better understood in the light of the accompanying specifications and drawings wherein:
FIG. I is a plan view of the catheter assembly with the catheter needle protected by a plastic shielding tube.
FIG. 2 discloses the catheter needle assembly with the protective shielding tube removed.
FIG. 3 discloses the needle of the catheter assembly inserted inside the vein of an arm, but before the catheter is moved inside the vein.
FIG. 4 disclosed discloses the needle of the catheter assembly inserted inside the vein but with the end of the catheter advanced into the vein.
FIG. 5 discloses the catheter assembly with the catheter shown projecting through the end of the hollow needle.
FIG. 6 discloses the catheter needle constructed according to the principles of this invention and showing the catheter extending through the fixed and movable hubs of the needle.
FIG. 7 shows the catheter needle without the catheter extending therethrough. I
FIG. 8 shows the catheter needle after it has been split open by the movement of the movable hub.
FIG. 9 is a sectional vie view taken on the line 9-9 of FIG. 7 showing an end view of the movable hub.
FIG. l'is a sectional view taken on the line 10-10 of FIG. 7 showing an end view of the fixed hub.
FIG. II is a sectional view taken on the line 11-11 of FIG. 7 showing a crosssectional view of the hollow needle.
FIG. 12 shows a perspective view of the catheter needle constructed according to the principles of this invention.
FIG. 13 shows the catheter assembly after the needle has been withdrawn from the vein leaving the end of the catheter inside the vein.
FIG. I4 shows the forward movement of the movable hub of the needle splitting the needle so that the catheter needle can be removed from the catheter.
FIG. I shows the catheter secured inside the arm of the patient with the catheter needle entirely removed.
Referring now to FIG. I of the drawing, a catheter assembly indicated generally by the reference numeral comprises a catheter l2 enclosed in a plastic guard sleeve 14. A flowcontrol plug I6 and an adapter 18 are secured to the inner end of the catheter in a manner well-known in the art.
The catheter assembly includes a catheter needle indicated generally by the reference numeral 20. The needle is typically a hollow tube with a pointed end. (See FIG. 2) In the disclosed embodiment the needle is either slit or rolled from sheet metal and provided with a slit 22. (See FIG. 6) The slit 22 extends completely through the wall of the tube. (See FIG. 11) In addition, the tube or needle has at least one generally straight groove 24 formed on the inner surface of the walls of the tube opposite the axially extending slit 22. This groove, as will be described below, forms a line of weakness in the tube and serves as a hinge. (See FIGS. 1, 2, 6, 7 and 11) The groove 24 should be somewhere between one-quarter and three-quarters of the thickness of the needle wall depending on the metal used to form the needle in order for the groove to function satisfactorily as a hinge or break line, as described below. In any event, the groove must be deep enough so that when the slit is widened there is not sufficient spring in the metal to close the slit in the needle again.
The needle is formed so that the rear portion 26 is flared causing the facing edges of the slit 22, which are in abutting relationship from the point of the tube or needle to a region adjacent the rear end of the tube, to diverge at 28. (See FIGS. 6 and 7) The flared portion of the needle produces a gap in the slit which may be closed or covered by a piece of plastic or other means.
The needle is also provided with movable and fixed generally channel shaped hubs. These are hubs 32 and 30 respectively. (See FIGS. 6, 7 and 8) The flared rear portion 26 of the tube is rigidlysecured to fixed hub 30. (See FIG. 10) However, the flared rear portion of the needle lies between and is embraced by the walls 34 and 36 of the movable hub 32. (See FIG. 9) These walls terminate in inwardly projecting beads 38 and 40 which ride over the edges of the slit as will be described below and provide the necessary cam action.
The inner end of the plastic guard sleeve 14 may be removably secured to the fixed hub 30, prior to use, by friction or some adhesive or other suitable means. Also, prior to use, the needle may be protected by means of the removable plastic cover 42. (See FIG. 1)
In operation, the plastic guard sleeve 42 is first removed. Then the needle is inserted into a vein of the patient. (See FIG. 3) Next the catheter 12 is forced forward from the position shown in FIG. 2 to the position shown in FIGS. 3 and 5. When this happens the end of the catheter extends out of the needle into the vein. (See FIG. 4)
Next, the needle 20 is withdrawn from the vein leaving the catheter inside the vein. (See FIG. 13) After that the movable hub 32, riding on the diverging edges of the slit, is forced forward toward the tip 46 of the needle 20. (See FIG. 14) When this happens the cam action exerted by the walls 34 and 36 and beads 38 and 40 on the edges of the diverging part of the slit exerts pressure on the sidesof the slit splitting the needle by causing it to hinge open on groove 24, as shown in FIG. 8.
When this happens the catheter can be lifted out of the needle 20 and the channel shaped fixed and movable hubs. When this happens the catheter needle is completely separated from the catheter removing all source of danger. Thereafter, all that remains secured to the patient is one end of the catheter in the vein of the patient in FIG. 15, while the opposite end of the catheter is connected to a supply of liquid, usually food or blood.
It is noted in the embodiment shown, that the groove 24 does not extend completely to the end 46 of the needle. This is to prevent the needle from breaking into two halves. However, under some circumstances splitting the needle entirely may be desirable and to do this it is only necessary to extend the groove 21 completely to the sharp point of the needle.
If there should be a reason why the movable hub 32 should not be removed from the needle it may be prevented by placing a set back 48 in slit 2 of the needle 20. Of course, the hub 32 would also be provided with a suitable set back to prevent hub 32 from being moved beyond the edge of the needle. Safety reasons would require the set back 48 to be placed in such a position that the moveable hub 32 covers the point 46 of the needle to prevent damage to the catheter or injury to personnel handling the needle.
The embodiment in the drawing discloses a needle designed to split open with an axially extending slit extending through the walls of the tube. It is, of course, contemplated that the needle could have other configurations which are designed to permit the catheter to be removed from the needle after the catheter is inserted in the vein. For example, the needle could be a tightly wound spiral of metal shaped something like a spring and after use the needle could be stretched so that the coils are separated enough to permit the catheter to be wound out of the needle. Alternatively, the needle could be formed initially from two generally semicircular parts with one needle nesting inside the other and shaped so that when in a nesting condition they form a tube, but after use the parts of the needle could be separated from each other to permit the catheter to be removed. It is also contemplated that the needle could be formed with a slit wide enough to permit the catheter to be moved therethrough. Prior to use the slit could be covered by some frangible or removable plat plastic. When the time comes to separate the catheter, the plastic could be stripped away by some suitable means to permit the catheter to pass through the slit.
Obviously man modifications and variations of the present invention are possible in the light of the above teachings. It is therefore to be understood that within the scope of the appended claims the invention can be practiced otherwise than as specifically described.
l. A needle for a catheter assembly comprising a hollow tube, said tube having a sharp point at one end, a generally straight axially extending slit extending through the walls of the tube, said slit having generally abutting edges extending from the point of the tube to a region generally adjacent the rear end of said tube, a generally straight groove formed in the inner walls of the tube opposite said slit to serve as a hinge, the edges of said slit adjacent the rear edges of said tube diverging, and cam means embracing said tube and riding on the diverging edges of said slit and movable from the rear end of said tube to the forward end of said tube for exerting pressure on the adjacent abutting edges of said slit to cause the tube to hinge on the groove in said tube to widen said slit enough so the catheter can be moved therethrough whereby the needle can be separated completely from the catheter.
2. A needle for a catheter assembly comprising a hollow tube, said tube having a sharp point at one end, a generally straight axially extending slit extending through the walls of the tube, said tube having generally abutting facing edges from the point of the tube to a region adjacent the rear end of the tube, a generally straight groove formed inthe inner walls of the tube opposite the slit to provide a line of weakness in the walls of the tube whereby the groove functions as a hinge, the said facing edges of the slit adjacent the rear end of the tube diverging, the rear portion of said tube flared and rigidly secured to a generally channel-shaped hub, a movable generally channel-shaped hub, said movable hub having walls portions embracing the sides of the tube, the wall portions terminating in inwardly projecting beads, riding on the diverging edges of the slit and retaining the movable .hub on the tube whereby when the movable hub is forced toward the point of the tube the wall portions and beads riding on the diverging edges of the slit of the tube exert a cam action which exerts pressure on the adjacent edges of the slit to cause the tube walls to hinge on the groove thereby moving the walls of the tube enough to widen said slit so the catheter can be moved therethrough whereby the needle can be completely separated from the catheter.
3. The needle for the catheter assembly described in claim 2 wherein the portion of the slit in the tube adjacent the sharp point is provided with a set back, said movable hub provided with a suitable set back to prevent the movable hub from being removed from the needle, the location of si said set back in the slit such that when the movable hub is moved as far toward the point of the tube as it can go, the movable hub covers the sharp point of the tube for the safety of the persons using the catheter assembly.
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3603311 *||Feb 19, 1970||Sep 7, 1971||Illinois Tool Works||Sliding wedge-type removable guide needle|
|US3656479 *||Feb 19, 1970||Apr 18, 1972||Huggins James A||Detachable guide needle|
|US3877429 *||Nov 30, 1973||Apr 15, 1975||Rasumoff David L||Catheter placement device|
|US3878835 *||Feb 22, 1974||Apr 22, 1975||Olympus Optical Co||Chucking attachment for insertion of a fine flexible tube into an endoscope|
|US4306562 *||Jul 31, 1980||Dec 22, 1981||Cook, Inc.||Tear apart cannula|
|US4354491 *||Dec 26, 1979||Oct 19, 1982||Marbry Steven L||Fluid transfer device|
|US4411654 *||Apr 30, 1981||Oct 25, 1983||Baxter Travenol Laboratories, Inc.||Peelable catheter with securing ring and suture sleeve|
|US4412832 *||Apr 30, 1981||Nov 1, 1983||Baxter Travenol Laboratories, Inc.||Peelable catheter introduction device|
|US4568329 *||Oct 1, 1984||Feb 4, 1986||Mahurkar Sakharam D||Double lumen catheter|
|US4583968 *||Aug 15, 1984||Apr 22, 1986||Mahurkar Sakharam D||Smooth bore double lumen catheter|
|US4623327 *||Feb 12, 1985||Nov 18, 1986||Mahurkar Sakharam D||Method and apparatus for using dual-lumen catheters for extracorporeal treatment|
|US4692141 *||Jan 29, 1986||Sep 8, 1987||Mahurkar Sakharam D||Double lumen catheter|
|US4743265 *||Apr 23, 1986||May 10, 1988||Dij Catheter Corp||Articulated catheter placement device|
|US4770652 *||Jul 18, 1986||Sep 13, 1988||Mahurkar Sakharam D||Method and apparatus for using dual-lumen catheters for extracorporeal treatment|
|US4801294 *||Dec 2, 1986||Jan 31, 1989||Sherwood Medical Company||Catheter for nasogastric intubation|
|US4808155 *||Sep 16, 1987||Feb 28, 1989||Mahurkar Sakharam D||Simple double lumen catheter|
|US4988356 *||Apr 25, 1988||Jan 29, 1991||C. R. Bard, Inc.||Catheter and guidewire exchange system|
|US5171222 *||Jul 18, 1990||Dec 15, 1992||Scimed Life Systems, Inc.||Interlocking peel-away dilation catheter|
|US5188605 *||May 8, 1991||Feb 23, 1993||Cordis Corporation||Separable insertion tool|
|US5197951 *||Feb 27, 1986||Mar 30, 1993||Mahurkar Sakharam D||Simple double lumen catheter|
|US5221255 *||Oct 16, 1991||Jun 22, 1993||Mahurkar Sakharam D||Reinforced multiple lumen catheter|
|US5250033 *||Oct 28, 1992||Oct 5, 1993||Interventional Thermodynamics, Inc.||Peel-away introducer sheath having proximal fitting|
|US5263932 *||Apr 9, 1992||Nov 23, 1993||Jang G David||Bailout catheter for fixed wire angioplasty|
|US5320602 *||May 14, 1993||Jun 14, 1994||Wilson-Cook Medical, Inc.||Peel-away endoscopic retrograde cholangio pancreatography catheter and a method for using the same|
|US5342297 *||Jul 10, 1992||Aug 30, 1994||Jang G David||Bailout receptacle for angioplasty catheter|
|US5348536 *||Aug 2, 1993||Sep 20, 1994||Quinton Instrument Company||Coextruded catheter and method of forming|
|US5374245 *||Apr 28, 1993||Dec 20, 1994||Mahurkar; Sakharam D.||Reinforced multiple-lumen catheter and apparatus and method for making the same|
|US5385562 *||Jan 19, 1993||Jan 31, 1995||Scimed Life Systems, Inc.||Guide catheter system for an angioplasty balloon catheter|
|US5395335 *||Jul 30, 1993||Mar 7, 1995||Jang; G. David||Universal mode vascular catheter system|
|US5403291 *||Aug 2, 1993||Apr 4, 1995||Quinton Instrument Company||Catheter with elongated side holes|
|US5409469 *||Nov 4, 1993||Apr 25, 1995||Medtronic, Inc.||Introducer system having kink resistant splittable sheath|
|US5462530 *||Nov 23, 1993||Oct 31, 1995||Jang; G. David||Intravascular catheter with bailout feature|
|US5527292 *||Sep 9, 1994||Jun 18, 1996||Scimed Life Systems, Inc.||Intravascular device for coronary heart treatment|
|US5554118 *||Dec 22, 1993||Sep 10, 1996||Jang; G. David||Universal mode vascular catheter system|
|US5690642 *||Jan 18, 1996||Nov 25, 1997||Cook Incorporated||Rapid exchange stent delivery balloon catheter|
|US5693030 *||Jun 28, 1995||Dec 2, 1997||Lee, Lee & Beal, Inc.||Catheter and method of introduction|
|US5843051 *||Mar 21, 1996||Dec 1, 1998||Scimed Life Systems, Inc.||Intravascular device for coronary heart treatment|
|US5876375 *||May 15, 1996||Mar 2, 1999||Scimed Life Systems, Inc.||Guide catheter system for an angioplasty balloon catheter|
|US6685721||May 12, 1992||Feb 3, 2004||Advanced Cardiovascular Systems, Inc.||Catheter system with catheter and guidewire exchange|
|US6692465||Oct 25, 2002||Feb 17, 2004||Advanced Cardiovascular Systems, Inc.||Catheter system with catheter and guidewire exchange|
|US6821287||May 24, 1991||Nov 23, 2004||Advanced Cardiovascular Systems, Inc.||Multi-mode vascular catheter system|
|US6824554||Jun 13, 1991||Nov 30, 2004||Advanced Cardiovascular Systems, Inc.||Convertible mode vascular catheter system|
|US7074231||Oct 28, 2002||Jul 11, 2006||Advanced Cardiovascular Systems, Inc.||Convertible mode vascular catheter system|
|US7208003 *||Sep 20, 2002||Apr 24, 2007||Cordis Neurovascular, Inc.||Reattachable introducer for a medical device deployment system|
|US7229460||Dec 16, 2003||Jun 12, 2007||Advanced Cardiovascular Systems, Inc.||Catheter system with catheter and guidewire exchange|
|US8012127 *||Feb 28, 2007||Sep 6, 2011||Medtronic, Inc.||Systems and methods for gaining access around an implanted medical device|
|US8133252||Feb 28, 2006||Mar 13, 2012||Codman & Shurtleff, Inc.||Reattachable introducer for a medical device deployment system|
|US8313506||Nov 20, 2012||Codman & Shutleff, Inc.||Reattachable introducer for a medical device deployment system|
|US8702720||May 3, 2007||Apr 22, 2014||Cook Medical Technologies Llc||Tassel tip wire guide|
|US9302078||Jul 28, 2011||Apr 5, 2016||Medtronic, Inc.||Systems and methods for gaining access around an implanted medical device|
|US20030078537 *||Oct 28, 2002||Apr 24, 2003||Jang G. David||Convertible mode vascular catheter system|
|US20040059367 *||Sep 20, 2002||Mar 25, 2004||Champ Davis||Reattachable introducer for a medical device deployment system|
|US20040176793 *||Dec 16, 2003||Sep 9, 2004||Advanced Cardiovascular Systems, Inc.||Catheter system with catheter and guidewire exchange|
|US20060212067 *||Feb 28, 2006||Sep 21, 2006||Champ Davis||Reattachable introducer for a medical device deployment system|
|US20070135768 *||Dec 14, 2005||Jun 14, 2007||Carlsen Wayne D||Spinal and epidural regional anesthesia catheter|
|US20070260158 *||May 3, 2007||Nov 8, 2007||Cook Incorporated||Tassel tip wire guide|
|US20080208133 *||Feb 28, 2007||Aug 28, 2008||Lieberman Randy A||Systems and methods for gaining access around an implanted medical device|
|US20100288892 *||Apr 12, 2010||Nov 18, 2010||Fermions, L.L.C.||Wall support|
|US20110224681 *||Sep 15, 2011||Boston Scientific Neuromodulation Corporation||System and method for making and using a splitable lead introducer for an implantable electrical stimulation system|
|USRE31855 *||Nov 22, 1982||Mar 26, 1985||Cook, Inc.||Tear apart cannula|
|USRE36857 *||Dec 13, 1994||Sep 5, 2000||Scimed Life Systems, Inc.||Interlocking peel-away dilation catheter|
|DE2906785A1 *||Feb 22, 1979||Aug 28, 1980||Boehringer Sohn Ingelheim||Hand operated brake preventing slipping back of catheter - has coupling to sheath partly of elastically deformable material|
|WO1982003775A1 *||Apr 23, 1982||Nov 11, 1982||Baxter Travenol Lab||Peelable catheter with heat shrink ring and suture sleeve|
|WO1982003778A1 *||Apr 26, 1982||Nov 11, 1982||Baxter Travenol Lab||Peelable catheter introduction device|
|WO2007070096A1 *||Jun 21, 2006||Jun 21, 2007||Kimberly-Clark Worldwide, Inc.||Spinal and epidural regional anesthesia catheter|
|U.S. Classification||604/161, D24/112|