WO2007035605A2 - Medical tubing securement assembly and methods of use - Google Patents

Medical tubing securement assembly and methods of use Download PDF

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Publication number
WO2007035605A2
WO2007035605A2 PCT/US2006/036235 US2006036235W WO2007035605A2 WO 2007035605 A2 WO2007035605 A2 WO 2007035605A2 US 2006036235 W US2006036235 W US 2006036235W WO 2007035605 A2 WO2007035605 A2 WO 2007035605A2
Authority
WO
WIPO (PCT)
Prior art keywords
adapter
opening
securement device
medical tubing
medical
Prior art date
Application number
PCT/US2006/036235
Other languages
French (fr)
Other versions
WO2007035605A3 (en
Inventor
Clifford A. Wright
Original Assignee
Medical Device Group, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medical Device Group, Inc. filed Critical Medical Device Group, Inc.
Priority to EP06803762A priority Critical patent/EP1988961A4/en
Priority to CA2653651A priority patent/CA2653651C/en
Publication of WO2007035605A2 publication Critical patent/WO2007035605A2/en
Publication of WO2007035605A3 publication Critical patent/WO2007035605A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/024Holding devices, e.g. on the body having a clip or clamp system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0266Holding devices, e.g. on the body using pads, patches, tapes or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/028Holding devices, e.g. on the body having a mainly rigid support structure

Definitions

  • the present invention relates in general to a device for securing medical tubing, such as a Foley catheter, to a patient.
  • urinary catheters CVCs, hemodialysis catheters, suprapubic catheters, surgical drainage tubes, feeding tubes, chest tubes, nasogastric tubes, scopes, as well as electrical wires or cables connected to external or implanted electronic devices or sensors, are some of the various types of medical tubing that are employed by medical practitioners.
  • urinary catheters some of the more common types include Foley catheters, Coude catheters, and Pezzer or mushroom catheters.
  • catheterization often involves inserting a tube (urinary catheter) through the urethra into the bladder to remove urine.
  • the bladder is sterile, so surgical asepsis must be used when performing this procedure.
  • a urinary catheter is generally indicated when a person is unable to void naturally due to injury or a disease process, has had abdominal surgery, or is voiding overflow.
  • a Coude catheter has a tapered tip that is designed for easy insertion when enlargement of the prostate is suspected.
  • a Foley catheter has a balloon in its tip that is inflated after insertion so that it remains in the bladder.
  • a Pezzer or Mushroom catheter has a triangular or knot-like tip and is used to drain urine from the renal pelvis; it can also be used for a suprapubic catheterization.
  • Simple urethral catheters are designed for in-and-out procedures.
  • a three-way indwelling catheter has a balloon in its tip that is inflated after it is inserted and also has another tube or lumen that can be used for continuous bladder irrigation.
  • a suprapubic catheter is surgically inserted through the abdominal wall above the symphysis and into the bladder to divert urine from the urethra.
  • Foley catheters typically include a soft, thin rubber tube with a balloon on one end. The catheter is threaded through the urinary duct (urethra) and into the bladder to drain urine from the bladder.
  • a Foley catheter is typically used when normal urination is disrupted by an infection, a swollen prostate gland, bladder stones, or, sometimes, an injury. In very sick people, a catheter may be used to keep track of urine production.
  • a typical Foley catheter has a drainage lumen, and an inflation lumen for inflating and deflating the balloon.
  • the balloon is normally deflated until properly positioned in a patient's bladder by inserting the catheter through the urinary tract of the patient and advancing the catheter until the tip of the catheter reaches the patient's bladder.
  • the catheter usually includes a siliconized outer coating, as provided by the manufacturer, healthcare providers often apply further lubricant, such as a water-based jelly.
  • the inflation lumen delivers fluid (e.g., saline solution) to inflate the balloon.
  • a valve which is located at the inflation port, inhibits the flow of fluid from the inflation lumen and the balloon to keep the balloon inflated.
  • the inflated balloon prevents the catheter from unintentionally dislodging from the bladder.
  • the healthcare provider then connects the distal end of the drainage lumen (i.e., its effluent port) to a drainage tube leading to a collection container.
  • the part of the tubing that is on the outside of the patient is typically secured to the patient's body using medical tape. This is done to reduce the risk of accidentally pulling or dislodging the tubing by inadvertently wrapping it around a limb or bedrail or knocking it out of position.
  • the healthcare provider commonly places long pieces of tape across the distal end of the catheter in a crisscross pattern to secure the catheter distal end to the inner thigh of the patient.
  • Medical tape has proven to be an unsatisfactory and crude means of securing medical tubing to a patient.
  • medical tape can crush the tubing and impede fluid flow.
  • medical tape does not provide any freedom of movement to the tubing with respect to the patient's body. Consequently, any movement in the tubing caused by the patient's movements may cause the tape to twist and peel away from the skin and to generally fail.
  • medical tape often collects contaminants and dirt. Standard protocol therefore typically requires periodic tape changes in order to inhibit bacteria and germ growth at the securement site.
  • Frequent tape changes may, however, lead to another problem: excoriation of the patient's skin.
  • a medical tubing securement assembly includes a base having a disc, and a retaining adapter removably and rotatably attached to the disc.
  • the retaining adapter includes a longitudinal passage for receiving a locking adapter.
  • the locking adapter includes a longitudinal passage for receiving a medical tube. Once the tube is inserted into the locking adapter, the locking adapter may be rotated within the retaining adapter, around the tube, to secure the tube within the securement assembly.
  • FIG. 1 is a perspective view of a medical tubing securement assembly securing a Foley catheter.
  • FIG. 2 is a perspective view of the medical tubing securement assembly depicted in FIG. 1 with the base pad and the Foley catheter removed.
  • FIG. 3 is a perspective view of the base plate depicted in FIGS. 1 and 2.
  • FIGS. 4A and 5A are alternate perspective views of the retaining adapter of the medical tubing securement assembly depicted in FIG. 1.
  • FIGS. 4B and 5B are alternate perspective views of the locking adapter of the medical tubing securement assembly depicted in FIG. 1.
  • the present embodiments of the medical tubing securement assembly will be described in the context of securing an exemplary Foley catheter.
  • the principles of the present invention are not limited to Foley catheters. Indeed, it will be understood by one of skill in the art, in view of the present disclosure, that the medical tubing securement assembly disclosed herein can also be used to secure other types of medical tubing, including tubes for fluid communication and electrical wires.
  • FIG. 1 illustrates a medical tubing securement assembly 10 in which an exemplary Foley catheter 400 is secured.
  • the Foley catheter 400 includes a primary tube 405 and a secondary tube or inflation lumen 410.
  • the medical tubing securement assembly 10 secures the Foley catheter 400 firmly in place against a patient's skin, via a base pad 100.
  • the base pad 100 may be secured to the patient's thigh.
  • the securement assembly 10 includes the base pad 100, a base plate 200, a retaining adapter 300, and a locking adapter 370 or catheter fitting mount.
  • the retaining adapter 300 is preferably rotatable about a disc 220 on the base plate 200.
  • the retaining adapter 300 may be fixedly secured to the disc 220, and the disc 220 may be rotatable about the base plate 200.
  • Removable wax backing strips are optionally included on a bottom surface of the base pad 100.
  • the top surface of the base pad 100 may be secured to the bottom surface of the base plate 200 with a non-skin irritating adhesive.
  • the bottom surface of the base plate 200 or the top surface of the base pad 100 may be coated with the non-skin irritating adhesive.
  • the securement assembly 10 may then be secured to the patient's skin by removing the wax paper strips and adhering the bottom surface of the base pad 100 to the skin, or in any other suitable manner.
  • the bottom surface of the base pad 100 may be secured to the top surface of the base plate 200, along the edges of the base plate 200, with a non-skin irritating adhesive.
  • the non-skin irritating adhesive may be coated on the bottom surface of the base pad 100 or on the edges of the top surface of the base plate 200.
  • the base pad 100 can therefore sandwich the base plate 200 between the bottom surface of the base pad 100 and the patient's skin.
  • the bottom surface of the base plate 200 can be coated with a non-skin irritating adhesive, and both the bottom surface of the base pad 100 and the bottom surface of the base plate 200 can be adhered to the skin of the patient.
  • the base plate 200 can be sandwiched between the base pad 100 and a layer of double-sided medical tape secured to the bottom surface of the base plate 200.
  • the double-sided medical tape may be coated with a non-skin irritating adhesive to secure the top surface of the tape to the bottom surface of the base plate 200, and the bottom surface of the tape to the patient's skin.
  • the base plate 200 includes a platform 210 with a substantially flat top surface and a substantially flat bottom surface.
  • the edges 212 of the platform 210 may optionally be sloped.
  • the platform 210 may be shaped as a square, a rectangle, a circle, an oval, or may have any other suitable configuration.
  • the platform may include two opposing arms extending in a distal direction toward the patient's site of incision or catheter insertion, as opposed to having a uniform square shape, as described in U.S. Provisional Application Serial No. 60/718,619 filed, September 19, 2005, which is incorporated herein by reference.
  • the platform 210 optionally includes a central opening 215 over which a bridge 230 extends.
  • the disc 220 rests atop the bridge 230.
  • One or more raised pedestals may optionally be included atop the platform to provide additional support to the retaining adapter 300 as it rotates atop the disc 220.
  • the disc 220 may have any suitable diameter, preferably between 0.5 cm to 5.0 cm. In one embodiment, the disc has a diameter of approximately 1.8 cm.
  • the disc 220 preferably has a substantially flat top surface and includes a protuberance 224 at its center, which forms a spindle.
  • the protuberance 224 may be cone-shaped, round or hemispherical, bell-shaped, or have any other suitable configuration.
  • a raised ring 226 optionally forms a lip or snap-ring at an outer rim of the disc 220.
  • the retaining adapter 300 preferably snaps or otherwise fits onto the lip formed by the raised ring 226, as described below.
  • the platform 210, bridge 230, disc 220, protuberance 224, and ring 226 of the base plate 200 may optionally be a unibody construction made from a single mold. Alternatively, one or more of these components may be formed from one or more separate molds and connected to the other components via adhesive, welding, or via any other suitable manner.
  • Each of the components of the medical securement assembly 10 may be made of any suitable material, such as a flexible plastic or elastomeric material.
  • the retaining adapter 300 includes a proximal sleeve 320 forming an upper opening 321 , a distal sleeve 310 forming a lateral opening 319, and a bridge 360 connecting the two.
  • the proximal direction is from the center of the securement assembly 10 toward the proximal sleeve 320
  • the distal direction is from the center of the securement assembly 10 toward the distal sleeve 310.
  • the upper opening 321 is preferably not in longitudinal alignment with the lateral opening 319.
  • the upper opening 321 is preferably shifted by 1 ° to 120°, or 45° to 100°, or 60° to 90°, with respect to the lateral opening 319. In one embodiment, the upper opening 321 is shifted approximately 90° with respect to the lateral opening 319.
  • the distal edge of the distal sleeve 310 optionally forms a substantially backwards "C" shape.
  • the distal edge preferably includes a recessed section 318 defined between a first raised section 312 and a second raised section 313.
  • a protuberance or projection 314 preferably resides within the recessed section 318 for securing the locking adapter 370 into the locked position, as described below.
  • the proximal sleeve 320 optionally includes a recessed section 350 or indentation on an inner surface thereof for accommodating a raised wedge 550 or elevated segment on the locking adapter 370, as described below.
  • the distal sleeve 310 may include one or more directional markers, such as an arrow 315 and a lock indicator 317.
  • the arrow 315 preferably points in the distal direction toward the intended site of incision or insertion of the catheter.
  • the lock indicator 317 indicates the position to which a lever 540 on the locking adapter 370 should be rotated to secure the Foley catheter 400 within the securement assembly 10, as described below.
  • the distal sleeve 310 also preferably includes a retainer tab 316 that extends from the top side of the distal sleeve 310 toward the proximal sleeve 320.
  • the distal sleeve 310 and the proximal sleeve 320 are preferably connected at their bottom portions via the bridge 360, leaving the remainder of the sleeves 310 and 320 disjoined. [0036] Accordingly, a gap exists between the proximal sleeve 320 and the distal sleeve 310 that extends substantially perpendicularly to the longitudinal axis of the retaining adapter 300.
  • the gap can accommodate, and provides a passageway for, a side branch of a medical tube, such as the inflation lumen 410 of the Foley catheter 400.
  • the gap in conjunction with the lateral opening 319, also provides an opening into which the Foley catheter may be inserted, as described below.
  • the retaining adapter 300 is secured or attached to the base plate 200 in a manner allowing it to rotate or spin atop the disc 220.
  • the retaining adapter 300 includes a front or distal support 330 with a first connection groove 331 , and a rear or proximal support 335 with a second connection groove 332.
  • the raised ring 226 on the disc 220 may be inserted into the first and second connection grooves 331 and 332 to provide a track on which the distal and proximal supports 330 and 335 slide or run. This connection between the retaining adapter 300 and the disc 220 allows the adapter 300 to rotate atop the disc 220.
  • the retaining adapter 300 may be fixedly secured to the disc 220, and the disc 220 may be rotatable about the bridge 230 or the platform 210 of the base plate 200.
  • the retaining adapter 300 preferably includes a cavity or opening (not shown) on its bottom surface, approximately midway between the distal support 330 and the proximal support 335. The cavity mates with the protuberance 224 on the disc 220.
  • the bottom surface of the retaining adapter 300 is preferably spaced apart from the top surface of the disc 220. The gap provided by this spacing reduces friction between the retaining adapter 300 and the disc 220 when the retaining adapter 300 is rotated, allowing for freer rotation of the retaining adapter 300 atop the disc 220.
  • the retaining adapter 300 is secured to the disc 220 via insertion of the raised ring 226 into the first and second connection grooves 331 and 332.
  • the retaining adapter 300 is preferably removable, it cannot be removed from the disc 220 simply by pulling the retaining adapter 300 in an upward manner; the groove/ring connection prohibits such detachment.
  • the retaining adapter 300 is preferably made of a flexible material that allows the bridge 360 of the retaining adapter 300 to flex or bend.
  • the bridge 360 flexes such that the proximal and distal sleeves 320 and 310 tilt inwardly toward each other, and the proximal and distal supports 335 and 330 are forced upward and away from each other.
  • This upward and outward movement of the proximal and distal supports 335 and 330 frees the ring 226 from the proximal and distal connection grooves 332 and 331 , consequently freeing the retaining adapter 300 from the disc 220.
  • the retaining adapter 300 can be detached from the disc 220 by squeezing the proximal and distal sleeves 320 and 310 toward each other.
  • the adapter 300 can be reattached to the disc 220 by positioning one of the connection grooves 331 and 332 over the ring 226 and snapping or otherwise forcing the other connection groove over the ring 226.
  • the bendable bridge 360 returns to its original substantially level state unless a force causes it to bend out of its level state.
  • the disc 220 is oriented horizontally or parallel to the platform 210 of the base plate 200. In another embodiment (not shown), the disc 220 is attached at an angle in relation to the platform 210.
  • the disc 220 may be at an angle of approximately 1 ° to 30° in relation to the platform 210.
  • the disc 220 is at an angle of approximately 5°, or 10°, or 15°, or 20°, or 25°, or 30°, in relation to the platform 210. This angle of inclination may be accomplished by raising one side of the bridge 230 relative to the other side of the bridge 230.
  • the locking adapter 370 includes a proximal sleeve 520 forming a first opening 521 , a distal sleeve 510 forming a second opening 519, and a substantially arcuate or semi-circular bridge 560 connecting the two.
  • the distal sleeve 510 includes a lever 540 or handle for facilitating manual rotation of the locking adapter 370 when the locking adapter 370 is positioned within the retaining adapter 300, as described below.
  • the proximal sleeve 520 optionally includes a wedge 550 or other elevated segment on an outer surface thereof for providing an interference fit with an inner surface of the proximal sleeve 320 of the retaining adapter 300 (as is best shown in FIG. 2).
  • the wedge 550 is preferably dimensioned to fit within the recessed section 350 in the inner surface of the proximal sleeve 320 of the retaining adapter 300 when the locking adapter 370 is in an unlocked position, such that little or no interference fit occurs in the unlocked position.
  • the proximal sleeve 520 further preferably includes a raised outer rim 570 or edge that abuts a proximally outer surface of the proximal sleeve 320, as shown in FIG. 2, to substantially limit or prevent distal movement of the locking adapter 370 within the retaining adapter 300.
  • the outer dimensions of the distal and proximal sleeves 510 and 520 of the locking adapter 370 are preferably substantially complementary with the inner dimensions of the distal and proximal sleeves 310 and 320 of the retaining adapter 300 so that the locking adapter 370 fits closely within, and is rotatable within, the retaining adapter 300, as described below.
  • the opening 519 in the distal sleeve 510 is preferably wide enough to accommodate a medical tube, such as the Foley catheter 40, when the tube is squeezed through the opening 519 and into the space or tunnel formed by the inner surface of the distal sleeve 510.
  • the opening 519 may be narrower than the medical tube, as long as the locking adapter 370 (and the retaining adapter 300) is made of a material flexible enough to allow the opening 519 to be enlarged by pushing the free opposing surfaces of the distal sleeve 510 away from each other to allow the medical tube to be squeezed through the opening 519. Once the medical tube is squeezed through the opening 519 the distal sleeve 510 returns to its original shape.
  • the opening 521 in the proximal sleeve 520 is preferably wide enough that a medical tube, such as the Foley catheter 400, can be squeezed through the opening 521 and into the space or tunnel formed by the inner surface of the proximal sleeve 520.
  • the opening 521 may be narrower than the medical tube, as long as the locking adapter 370 (and the retaining adapter 300) is made of a material that is flexible enough to allow the opening 521 to be enlarged by pushing the free opposing surfaces of the proximal sleeve 520 away from each other to allow the medical tube to be squeezed through the opening 521.
  • the locking adapter 370 fits closely within the retaining adapter 300 while still being free to rotate therein.
  • the locking adapter 370 may be inserted into the retaining adapter 300 by sliding it in the distal direction through the opening in the proximal end of the proximal sleeve
  • the locking adapter 370 may be rotated (in a counterclockwise direction in FIGS. 1 and 2) until the lever 540 is aligned with the lateral opening 319 in the distal sleeve 310.
  • the locking adapter 370 may then be moved in the distal direction until the raised outer rim 570 abuts against the proximally outer surface of the proximal sleeve 320, which prevents the locking adapter 370 from further distal movement.
  • the lever 540 may then be manually pulled or forced distally beyond the first raised section 312 and rotated (clockwise in FIGS. 1 and 2) across the first raised section 312 until the lever 540 flexes back into its original form and resides in the recessed section 318 of the distal sleeve 310.
  • the lever 540 is preferably made of a material flexible enough to slightly bend or flex, in response to a force applied in the distal direction, so that it may pass over the first raised section 312 and then return to its original form.
  • the first opening 521 and the upper opening 321 preferably have substantially the same dimensions, as do the second opening 519 and the lateral opening 319. Accordingly, when the openings are aligned in the unlocked position, a medical tube, such as the Foley catheter 400, may be inserted through both layers of openings for securement within the securement assembly 10.
  • a mid-region or other region of the primary tube 405 is inserted through the lateral opening 319 of the retaining adapter 300 and the corresponding second opening 519 of the locking adapter 370 (and through the neighboring lateral gap).
  • the proximal end of the primary tube 405 is inserted through the upper opening 321 in the retaining adapter 300 and the corresponding first opening 521 in the locking adapter 370.
  • the primary tube 405 passes through, and is reasonably secured within, the distal sleeve 510 and the proximal sleeve 520 of the locking adapter 370.
  • the inflation tube 410 is rotated (clockwise in FIGS. 1 and 2) until it protrudes through the opening between the proximal sleeves 320 and 520 and distal sleeves 310 and 510 aligned with the lock indicator 317, as shown in FIG. 1.
  • the Foley catheter 400 is in its working position.
  • the locking adapter 370 is rotated (clockwise in FIGS. 1 and 2), via the lever 540, around the medical tube until the lever 540 passes over the projection 314 in the recessed section 318 and abuts the second raised section 313 on the distal sleeve 310.
  • FIGS. 1 and 2 show the securement assembly 10 in the locked position.
  • the projection 314 assists in holding the lever 540 in the locked position.
  • the lever 540 is preferably made of a material flexible enough to slightly bend or flex, in response to a force applied in the distal direction, so that it may pass over the projection 314 and then return to its original form.
  • the wedge 550 on the proximal sleeve 520 of the locking adapter 370 slides underneath the proximal sleeve 320 of the retaining adapter 300 such that an upper surface of the wedge 550 engages in an interference fit with an inner surface of the proximal sleeve 320 to further secure the locking adapter 370 in the locked position.
  • portions of the distal sleeve 510 and the bridge 560 of the locking adapter 370 block the lateral opening 319 and the neighboring lateral gap in the retaining adapter 300 so the Foley catheter 400 cannot slide laterally out of the securement assembly 10.
  • the portion of the proximal sleeve 520 of the locking adapter 370 including the wedge 550 blocks the upper opening 321 in the proximal sleeve 320 of the retaining adapter 370 so the Foley catheter 400 cannot slide out of the upper opening 321.
  • the Foley catheter 400 (or other medical tube) is securely held within the securement assembly 10 when the securement assembly 10 is in the locked position.
  • the medical tubing securement assembly 10 may be packaged as a kit including the base pad 100, the base plate 200 (including the disc 220), the retaining adapter 300, the locking adapter 370, and instructions for use.
  • a separate disc may also be included in a kit that includes a variable angle medical tubing securement assembly, as described in U.S. Provisional Application Serial No. 60/718,619.
  • the kit may be contained in a hermetically sealed package that includes written instructions on the package, inside the package, or separate from the package.
  • the instructions provide a method for using the medical tubing securement assembly 10.
  • the medical tubing such as a Foley catheter
  • a skin preparation solution can then be applied for enhanced adherence and skin protection, after which the base pad 100 is adhered to the patient's skin.
  • the method described above for inserting the medical tubing into the securement assembly 10 is then performed.
  • the retaining adapter 300 may be attached to the disc 220 on the base plate 200 before or after the medical tubing is secured in the securement assembly 10.
  • any securement assembly in which one or more openings in a retaining adapter and a locking adapter are alignable with one another in an unlocked position, and in which one or both of the adapters are rotatable into a locked position wherein one or more of the openings are blocked, is contemplated by the present invention.

Abstract

A medical tubing securement assembly includes a base having a disc, and a retaining adapter removably and rotatably attached to the disc. The retaining adapter includes a longitudinal passage for receiving a locking adapter. The locking adapter includes a longitudinal passage for receiving a medical tube. Once the tube is inserted into the locking adapter, the locking adapter may be rotated within the retaining adapter, around the tube, to secure the tube within the securement assembly.

Description

MEDICAL TUBING SECUREMENTASSEMBLY AND METHODS OF USE
CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application claims the benefit of Unites States Provisional Patent Application No. 60/718,619, filed September 19, 2005, and also claims the benefit of United States Provisional Patent Application No. 60/758,359, filed January 12, 2006. Both of these applications are incorporated herein by reference.
TECHNICAL FIELD [0002] The present invention relates in general to a device for securing medical tubing, such as a Foley catheter, to a patient.
BACKGROUND
[0003] The use of medical tubing in various surgical and therapeutic treatments or during recovery is well known in the art. For example, urinary catheters, CVCs, hemodialysis catheters, suprapubic catheters, surgical drainage tubes, feeding tubes, chest tubes, nasogastric tubes, scopes, as well as electrical wires or cables connected to external or implanted electronic devices or sensors, are some of the various types of medical tubing that are employed by medical practitioners. With respect to urinary catheters, some of the more common types include Foley catheters, Coude catheters, and Pezzer or mushroom catheters.
With respect to urological procedures, catheterization often involves inserting a tube (urinary catheter) through the urethra into the bladder to remove urine. The bladder is sterile, so surgical asepsis must be used when performing this procedure. A urinary catheter is generally indicated when a person is unable to void naturally due to injury or a disease process, has had abdominal surgery, or is voiding overflow.
[0004] There are many different types of urinary catheters and each has a particular purpose. A Coude catheter has a tapered tip that is designed for easy insertion when enlargement of the prostate is suspected. A Foley catheter has a balloon in its tip that is inflated after insertion so that it remains in the bladder. A Pezzer or Mushroom catheter has a triangular or knot-like tip and is used to drain urine from the renal pelvis; it can also be used for a suprapubic catheterization. [0005] Simple urethral catheters are designed for in-and-out procedures. A three-way indwelling catheter has a balloon in its tip that is inflated after it is inserted and also has another tube or lumen that can be used for continuous bladder irrigation. A suprapubic catheter is surgically inserted through the abdominal wall above the symphysis and into the bladder to divert urine from the urethra. [0006] Foley catheters typically include a soft, thin rubber tube with a balloon on one end. The catheter is threaded through the urinary duct (urethra) and into the bladder to drain urine from the bladder. A Foley catheter is typically used when normal urination is disrupted by an infection, a swollen prostate gland, bladder stones, or, sometimes, an injury. In very sick people, a catheter may be used to keep track of urine production.
[0007] A typical Foley catheter has a drainage lumen, and an inflation lumen for inflating and deflating the balloon. The balloon is normally deflated until properly positioned in a patient's bladder by inserting the catheter through the urinary tract of the patient and advancing the catheter until the tip of the catheter reaches the patient's bladder. Although the catheter usually includes a siliconized outer coating, as provided by the manufacturer, healthcare providers often apply further lubricant, such as a water-based jelly. Once the catheter is properly positioned, the inflation lumen delivers fluid (e.g., saline solution) to inflate the balloon. Once-inflated, a valve, which is located at the inflation port, inhibits the flow of fluid from the inflation lumen and the balloon to keep the balloon inflated. The inflated balloon prevents the catheter from unintentionally dislodging from the bladder. The healthcare provider then connects the distal end of the drainage lumen (i.e., its effluent port) to a drainage tube leading to a collection container. [0008] Once a Foley catheter, or other tubing, is inserted into the patient, the part of the tubing that is on the outside of the patient (extracorporeal tubing) is typically secured to the patient's body using medical tape. This is done to reduce the risk of accidentally pulling or dislodging the tubing by inadvertently wrapping it around a limb or bedrail or knocking it out of position. With respect to Foley catheters, the healthcare provider commonly places long pieces of tape across the distal end of the catheter in a crisscross pattern to secure the catheter distal end to the inner thigh of the patient.
[0009] Medical tape has proven to be an unsatisfactory and crude means of securing medical tubing to a patient. One problem is that medical tape can crush the tubing and impede fluid flow. Another problem is that medical tape does not provide any freedom of movement to the tubing with respect to the patient's body. Consequently, any movement in the tubing caused by the patient's movements may cause the tape to twist and peel away from the skin and to generally fail. Yet another problem is that medical tape often collects contaminants and dirt. Standard protocol therefore typically requires periodic tape changes in order to inhibit bacteria and germ growth at the securement site. [0010] Frequent tape changes may, however, lead to another problem: excoriation of the patient's skin. In addition, valuable healthcare provider time is spent applying and reapplying the tape to secure the catheter. And healthcare providers often remove their gloves when taping because most find the taping procedure difficult and cumbersome when wearing gloves. Not only does this further lengthen the procedure, but it also subjects the healthcare provider to possible infection.
[0011] Thus, it is highly desirable to have a new and improved device and method for securing medical tubing to a patient that overcomes the problems associated with medical tape.
SUMMARY
[0012] A medical tubing securement assembly includes a base having a disc, and a retaining adapter removably and rotatably attached to the disc. The retaining adapter includes a longitudinal passage for receiving a locking adapter. The locking adapter includes a longitudinal passage for receiving a medical tube. Once the tube is inserted into the locking adapter, the locking adapter may be rotated within the retaining adapter, around the tube, to secure the tube within the securement assembly. [0013] Other features and advantages of the invention will appear hereinafter. The features of the invention described above can be used separately or together, or in various combinations of one or more of them. The invention resides as well in sub-combinations of the features described. Furthermore, many of the method steps described herein may be performed in a different order than that which is explicitly described. BRIEF DESCRIPTION OF THE DRAWINGS
[0014] In the drawings, wherein the same reference number indicates the same element throughout the several views:
[0015] FIG. 1 is a perspective view of a medical tubing securement assembly securing a Foley catheter.
[0016] FIG. 2 is a perspective view of the medical tubing securement assembly depicted in FIG. 1 with the base pad and the Foley catheter removed. [0017] FIG. 3 is a perspective view of the base plate depicted in FIGS. 1 and 2. [0018] FIGS. 4A and 5A are alternate perspective views of the retaining adapter of the medical tubing securement assembly depicted in FIG. 1. [0019] FIGS. 4B and 5B are alternate perspective views of the locking adapter of the medical tubing securement assembly depicted in FIG. 1.
DETAILED DESCRIPTION [0020] Various embodiments of the invention will now be described. The following description provides specific details for a thorough understanding and enabling description of these embodiments. One skilled in the art will understand, however, that the invention may be practiced without many of these details. Additionally, some well-known structures or functions may not be shown or described in detail so as to avoid unnecessarily obscuring the relevant description of the various embodiments.
[0021] The terminology used in the description presented below is intended to be interpreted in its broadest reasonable manner, even though it is being used in conjunction with a detailed description of certain specific embodiments of the invention. Certain terms may even be emphasized below; however, any terminology intended to be interpreted in any restricted manner will be overtly and specifically defined as such in this detailed description section. [0022] Where the context permits, singular or plural terms may also include the plural or singular term, respectively. Moreover, unless the word "or" is expressly limited to mean only a single item exclusive from the other items in a list of two or more items, then the use of "or" in such a list is to be interpreted as including (a) any single item in the list, (b) all of the items in the list, or (c) any combination of items in the list. [0023] For ease of description, the present embodiments of the medical tubing securement assembly will be described in the context of securing an exemplary Foley catheter. The principles of the present invention, however, are not limited to Foley catheters. Indeed, it will be understood by one of skill in the art, in view of the present disclosure, that the medical tubing securement assembly disclosed herein can also be used to secure other types of medical tubing, including tubes for fluid communication and electrical wires.
[0024] The medical tubing securement assemblies disclosed herein may be adapted to retain other types of urinary catheters, including, but not limited to, CVCs, hemodialysis catheters, suprapubic catheters, surgical drainage tubes, feeding tubes, chest tubes, nasogastric tubes, scopes, as well as electrical wires or cables connected to external or implanted electronic devices or sensors. One skilled in the art may also find additional applications for the devices disclosed herein. Thus, the illustrations and descriptions of securement assemblies disclosed herein in connection with a Foley catheter are merely exemplary of one possible application of the device. [0025] Referring now to the drawings, FIG. 1 illustrates a medical tubing securement assembly 10 in which an exemplary Foley catheter 400 is secured. The Foley catheter 400 includes a primary tube 405 and a secondary tube or inflation lumen 410. The medical tubing securement assembly 10 secures the Foley catheter 400 firmly in place against a patient's skin, via a base pad 100. In the case of the Foley catheter 400, the base pad 100 may be secured to the patient's thigh.
[0026] As illustrated in FIGS. 1 and 2, the securement assembly 10 includes the base pad 100, a base plate 200, a retaining adapter 300, and a locking adapter 370 or catheter fitting mount. The retaining adapter 300 is preferably rotatable about a disc 220 on the base plate 200. Alternatively, the retaining adapter 300 may be fixedly secured to the disc 220, and the disc 220 may be rotatable about the base plate 200. Removable wax backing strips (not shown) are optionally included on a bottom surface of the base pad 100. [0027] In one embodiment, the top surface of the base pad 100 may be secured to the bottom surface of the base plate 200 with a non-skin irritating adhesive. The bottom surface of the base plate 200 or the top surface of the base pad 100 may be coated with the non-skin irritating adhesive. The securement assembly 10 may then be secured to the patient's skin by removing the wax paper strips and adhering the bottom surface of the base pad 100 to the skin, or in any other suitable manner.
[0028] In another embodiment, as shown in FIG. 1 , the bottom surface of the base pad 100 may be secured to the top surface of the base plate 200, along the edges of the base plate 200, with a non-skin irritating adhesive. The non-skin irritating adhesive may be coated on the bottom surface of the base pad 100 or on the edges of the top surface of the base plate 200. The base pad 100 can therefore sandwich the base plate 200 between the bottom surface of the base pad 100 and the patient's skin. In addition, the bottom surface of the base plate 200 can be coated with a non-skin irritating adhesive, and both the bottom surface of the base pad 100 and the bottom surface of the base plate 200 can be adhered to the skin of the patient.
[0029] Alternatively, the base plate 200 can be sandwiched between the base pad 100 and a layer of double-sided medical tape secured to the bottom surface of the base plate 200. The double-sided medical tape may be coated with a non-skin irritating adhesive to secure the top surface of the tape to the bottom surface of the base plate 200, and the bottom surface of the tape to the patient's skin.
[0030] Turning to FIG. 3, in one embodiment, the base plate 200 includes a platform 210 with a substantially flat top surface and a substantially flat bottom surface. The edges 212 of the platform 210 may optionally be sloped. The platform 210 may be shaped as a square, a rectangle, a circle, an oval, or may have any other suitable configuration. For example, the platform may include two opposing arms extending in a distal direction toward the patient's site of incision or catheter insertion, as opposed to having a uniform square shape, as described in U.S. Provisional Application Serial No. 60/718,619 filed, September 19, 2005, which is incorporated herein by reference.
[0031] The platform 210 optionally includes a central opening 215 over which a bridge 230 extends. The disc 220 rests atop the bridge 230. One or more raised pedestals (not shown) may optionally be included atop the platform to provide additional support to the retaining adapter 300 as it rotates atop the disc 220. The disc 220 may have any suitable diameter, preferably between 0.5 cm to 5.0 cm. In one embodiment, the disc has a diameter of approximately 1.8 cm. The disc 220 preferably has a substantially flat top surface and includes a protuberance 224 at its center, which forms a spindle. The protuberance 224 may be cone-shaped, round or hemispherical, bell-shaped, or have any other suitable configuration. A raised ring 226 optionally forms a lip or snap-ring at an outer rim of the disc 220. The retaining adapter 300 preferably snaps or otherwise fits onto the lip formed by the raised ring 226, as described below. [0032] The platform 210, bridge 230, disc 220, protuberance 224, and ring 226 of the base plate 200 may optionally be a unibody construction made from a single mold. Alternatively, one or more of these components may be formed from one or more separate molds and connected to the other components via adhesive, welding, or via any other suitable manner. Each of the components of the medical securement assembly 10 may be made of any suitable material, such as a flexible plastic or elastomeric material.
[0033] Turning to FIGS. 4A and 5A, the retaining adapter 300 includes a proximal sleeve 320 forming an upper opening 321 , a distal sleeve 310 forming a lateral opening 319, and a bridge 360 connecting the two. (As used herein, the proximal direction is from the center of the securement assembly 10 toward the proximal sleeve 320, and the distal direction is from the center of the securement assembly 10 toward the distal sleeve 310.) The upper opening 321 is preferably not in longitudinal alignment with the lateral opening 319. The upper opening 321 is preferably shifted by 1 ° to 120°, or 45° to 100°, or 60° to 90°, with respect to the lateral opening 319. In one embodiment, the upper opening 321 is shifted approximately 90° with respect to the lateral opening 319. [0034] The distal edge of the distal sleeve 310 optionally forms a substantially backwards "C" shape. The distal edge preferably includes a recessed section 318 defined between a first raised section 312 and a second raised section 313. A protuberance or projection 314 preferably resides within the recessed section 318 for securing the locking adapter 370 into the locked position, as described below. The proximal sleeve 320 optionally includes a recessed section 350 or indentation on an inner surface thereof for accommodating a raised wedge 550 or elevated segment on the locking adapter 370, as described below. [0035] The distal sleeve 310 may include one or more directional markers, such as an arrow 315 and a lock indicator 317. The arrow 315 preferably points in the distal direction toward the intended site of incision or insertion of the catheter. The lock indicator 317 indicates the position to which a lever 540 on the locking adapter 370 should be rotated to secure the Foley catheter 400 within the securement assembly 10, as described below. The distal sleeve 310 also preferably includes a retainer tab 316 that extends from the top side of the distal sleeve 310 toward the proximal sleeve 320. The distal sleeve 310 and the proximal sleeve 320 are preferably connected at their bottom portions via the bridge 360, leaving the remainder of the sleeves 310 and 320 disjoined. [0036] Accordingly, a gap exists between the proximal sleeve 320 and the distal sleeve 310 that extends substantially perpendicularly to the longitudinal axis of the retaining adapter 300. The gap can accommodate, and provides a passageway for, a side branch of a medical tube, such as the inflation lumen 410 of the Foley catheter 400. The gap, in conjunction with the lateral opening 319, also provides an opening into which the Foley catheter may be inserted, as described below.
[0037] In one embodiment, the retaining adapter 300 is secured or attached to the base plate 200 in a manner allowing it to rotate or spin atop the disc 220. The retaining adapter 300 includes a front or distal support 330 with a first connection groove 331 , and a rear or proximal support 335 with a second connection groove 332. The raised ring 226 on the disc 220 may be inserted into the first and second connection grooves 331 and 332 to provide a track on which the distal and proximal supports 330 and 335 slide or run. This connection between the retaining adapter 300 and the disc 220 allows the adapter 300 to rotate atop the disc 220. Alternatively, the retaining adapter 300 may be fixedly secured to the disc 220, and the disc 220 may be rotatable about the bridge 230 or the platform 210 of the base plate 200. [0038] The retaining adapter 300 preferably includes a cavity or opening (not shown) on its bottom surface, approximately midway between the distal support 330 and the proximal support 335. The cavity mates with the protuberance 224 on the disc 220. The bottom surface of the retaining adapter 300 is preferably spaced apart from the top surface of the disc 220. The gap provided by this spacing reduces friction between the retaining adapter 300 and the disc 220 when the retaining adapter 300 is rotated, allowing for freer rotation of the retaining adapter 300 atop the disc 220.
[0039] The retaining adapter 300 is secured to the disc 220 via insertion of the raised ring 226 into the first and second connection grooves 331 and 332. Although the retaining adapter 300 is preferably removable, it cannot be removed from the disc 220 simply by pulling the retaining adapter 300 in an upward manner; the groove/ring connection prohibits such detachment. The retaining adapter 300, however, is preferably made of a flexible material that allows the bridge 360 of the retaining adapter 300 to flex or bend.
[0040] When the proximal and distal sleeves 320 and 310 of the retaining adapter 300 are squeezed toward each other, the bridge 360 flexes such that the proximal and distal sleeves 320 and 310 tilt inwardly toward each other, and the proximal and distal supports 335 and 330 are forced upward and away from each other. This upward and outward movement of the proximal and distal supports 335 and 330 frees the ring 226 from the proximal and distal connection grooves 332 and 331 , consequently freeing the retaining adapter 300 from the disc 220. Thus, the retaining adapter 300 can be detached from the disc 220 by squeezing the proximal and distal sleeves 320 and 310 toward each other. The adapter 300 can be reattached to the disc 220 by positioning one of the connection grooves 331 and 332 over the ring 226 and snapping or otherwise forcing the other connection groove over the ring 226. The bendable bridge 360 returns to its original substantially level state unless a force causes it to bend out of its level state.
[0041] In one embodiment, as shown in FIGS. 1-3, the disc 220 is oriented horizontally or parallel to the platform 210 of the base plate 200. In another embodiment (not shown), the disc 220 is attached at an angle in relation to the platform 210. For example, the disc 220 may be at an angle of approximately 1 ° to 30° in relation to the platform 210. In one embodiment, the disc 220 is at an angle of approximately 5°, or 10°, or 15°, or 20°, or 25°, or 30°, in relation to the platform 210. This angle of inclination may be accomplished by raising one side of the bridge 230 relative to the other side of the bridge 230. A side of the bridge 230 can be raised by adding a step underneath that side of the bridge 230, or by making one side of the bridge 230 thicker than the other side, or in any other suitable manner. This angled configuration may be used to provide, for example, an angle of inclination for directing the medical tubing toward the patient's skin. [0042] Turning to FIGS. 4B and 5B, the locking adapter 370 includes a proximal sleeve 520 forming a first opening 521 , a distal sleeve 510 forming a second opening 519, and a substantially arcuate or semi-circular bridge 560 connecting the two. The distal sleeve 510 includes a lever 540 or handle for facilitating manual rotation of the locking adapter 370 when the locking adapter 370 is positioned within the retaining adapter 300, as described below.
[0043] The proximal sleeve 520 optionally includes a wedge 550 or other elevated segment on an outer surface thereof for providing an interference fit with an inner surface of the proximal sleeve 320 of the retaining adapter 300 (as is best shown in FIG. 2). The wedge 550 is preferably dimensioned to fit within the recessed section 350 in the inner surface of the proximal sleeve 320 of the retaining adapter 300 when the locking adapter 370 is in an unlocked position, such that little or no interference fit occurs in the unlocked position. [0044] The proximal sleeve 520 further preferably includes a raised outer rim 570 or edge that abuts a proximally outer surface of the proximal sleeve 320, as shown in FIG. 2, to substantially limit or prevent distal movement of the locking adapter 370 within the retaining adapter 300. The outer dimensions of the distal and proximal sleeves 510 and 520 of the locking adapter 370 are preferably substantially complementary with the inner dimensions of the distal and proximal sleeves 310 and 320 of the retaining adapter 300 so that the locking adapter 370 fits closely within, and is rotatable within, the retaining adapter 300, as described below.
[0045] The opening 519 in the distal sleeve 510 is preferably wide enough to accommodate a medical tube, such as the Foley catheter 40, when the tube is squeezed through the opening 519 and into the space or tunnel formed by the inner surface of the distal sleeve 510. Alternatively, the opening 519 may be narrower than the medical tube, as long as the locking adapter 370 (and the retaining adapter 300) is made of a material flexible enough to allow the opening 519 to be enlarged by pushing the free opposing surfaces of the distal sleeve 510 away from each other to allow the medical tube to be squeezed through the opening 519. Once the medical tube is squeezed through the opening 519 the distal sleeve 510 returns to its original shape.
[0046] Similarly, the opening 521 in the proximal sleeve 520 is preferably wide enough that a medical tube, such as the Foley catheter 400, can be squeezed through the opening 521 and into the space or tunnel formed by the inner surface of the proximal sleeve 520. Alternatively, the opening 521 may be narrower than the medical tube, as long as the locking adapter 370 (and the retaining adapter 300) is made of a material that is flexible enough to allow the opening 521 to be enlarged by pushing the free opposing surfaces of the proximal sleeve 520 away from each other to allow the medical tube to be squeezed through the opening 521. Once the medical tube is squeezed through the opening 521 the proximal sleeve 520 returns to its original shape. [0047] As illustrated in FIGS. 1 and 2, the locking adapter 370 fits closely within the retaining adapter 300 while still being free to rotate therein. The locking adapter 370 may be inserted into the retaining adapter 300 by sliding it in the distal direction through the opening in the proximal end of the proximal sleeve
320 with the lever 540 oriented in a substantially upward direction. When (or slightly before) the lever 540 comes into contact with the retainer tab 316 on the distal sleeve 310 the locking adapter 370 may be rotated (in a counterclockwise direction in FIGS. 1 and 2) until the lever 540 is aligned with the lateral opening 319 in the distal sleeve 310.
[0048] The locking adapter 370 may then be moved in the distal direction until the raised outer rim 570 abuts against the proximally outer surface of the proximal sleeve 320, which prevents the locking adapter 370 from further distal movement. The lever 540 may then be manually pulled or forced distally beyond the first raised section 312 and rotated (clockwise in FIGS. 1 and 2) across the first raised section 312 until the lever 540 flexes back into its original form and resides in the recessed section 318 of the distal sleeve 310. The lever 540 is preferably made of a material flexible enough to slightly bend or flex, in response to a force applied in the distal direction, so that it may pass over the first raised section 312 and then return to its original form.
[0049] In this open or unlocked position, a side edge of the lever 540 abuts an inner edge of the first raised section 312, such that the lever 540 is oriented in a substantially upward manner. In this position, the first opening 521 in the locking adapter 370 is substantially or perfectly aligned with the upper opening
321 in the retaining adapter 300, and the second opening 519 in the locking adapter 370 is substantially or perfectly aligned with the lateral opening 319 in the retaining adapter 300. The first opening 521 and the upper opening 321 preferably have substantially the same dimensions, as do the second opening 519 and the lateral opening 319. Accordingly, when the openings are aligned in the unlocked position, a medical tube, such as the Foley catheter 400, may be inserted through both layers of openings for securement within the securement assembly 10.
[0050] To insert the Foley catheter 400 into the securement assembly 10 in the unlocked position, a mid-region or other region of the primary tube 405 is inserted through the lateral opening 319 of the retaining adapter 300 and the corresponding second opening 519 of the locking adapter 370 (and through the neighboring lateral gap). The proximal end of the primary tube 405 is inserted through the upper opening 321 in the retaining adapter 300 and the corresponding first opening 521 in the locking adapter 370. In this position, the primary tube 405 passes through, and is reasonably secured within, the distal sleeve 510 and the proximal sleeve 520 of the locking adapter 370. [0051] If the inflation lumen or tube 410 is not already aligned with the lock indicator 317, the inflation tube 410 is rotated (clockwise in FIGS. 1 and 2) until it protrudes through the opening between the proximal sleeves 320 and 520 and distal sleeves 310 and 510 aligned with the lock indicator 317, as shown in FIG. 1. At this point, the Foley catheter 400 is in its working position. [0052] Once the Foley catheter 400 is in the working position, the locking adapter 370 is rotated (clockwise in FIGS. 1 and 2), via the lever 540, around the medical tube until the lever 540 passes over the projection 314 in the recessed section 318 and abuts the second raised section 313 on the distal sleeve 310. As a result, the Foley catheter 400 is held securely within the securement assembly 10 so that it is prevented from pulling out of the securement assembly 10, as described below. [0053] FIGS. 1 and 2 show the securement assembly 10 in the locked position. The projection 314 assists in holding the lever 540 in the locked position. The lever 540 is preferably made of a material flexible enough to slightly bend or flex, in response to a force applied in the distal direction, so that it may pass over the projection 314 and then return to its original form. If included, the wedge 550 on the proximal sleeve 520 of the locking adapter 370 slides underneath the proximal sleeve 320 of the retaining adapter 300 such that an upper surface of the wedge 550 engages in an interference fit with an inner surface of the proximal sleeve 320 to further secure the locking adapter 370 in the locked position.
[0054] In the locked position, portions of the distal sleeve 510 and the bridge 560 of the locking adapter 370 block the lateral opening 319 and the neighboring lateral gap in the retaining adapter 300 so the Foley catheter 400 cannot slide laterally out of the securement assembly 10. Similarly, the portion of the proximal sleeve 520 of the locking adapter 370 including the wedge 550 blocks the upper opening 321 in the proximal sleeve 320 of the retaining adapter 370 so the Foley catheter 400 cannot slide out of the upper opening 321. As a result, the Foley catheter 400 (or other medical tube) is securely held within the securement assembly 10 when the securement assembly 10 is in the locked position.
[0055] To remove the Foley catheter 400 from the securement assembly
10, the lever 540 is rotated (counterclockwise in FIGS. 1 and 2) until it abuts the first raised section 312 on the distal sleeve 310. In this position, the first and second openings 521 and 519 in the locking adapter 370 are aligned with the upper and lateral openings 321 and 319, respectively, in the proximal sleeve 320. As a result, the Foley catheter 400 may readily be removed from the securement assembly 10 by pulling it out through the aligned openings. [0056] The medical tubing securement assembly 10 may be packaged as a kit including the base pad 100, the base plate 200 (including the disc 220), the retaining adapter 300, the locking adapter 370, and instructions for use. In one embodiment, a separate disc may also be included in a kit that includes a variable angle medical tubing securement assembly, as described in U.S. Provisional Application Serial No. 60/718,619. The kit may be contained in a hermetically sealed package that includes written instructions on the package, inside the package, or separate from the package.
[0057] The instructions provide a method for using the medical tubing securement assembly 10. First, the medical tubing, such as a Foley catheter, is introduced into the patient's body. A skin preparation solution can then be applied for enhanced adherence and skin protection, after which the base pad 100 is adhered to the patient's skin. The method described above for inserting the medical tubing into the securement assembly 10 is then performed. The retaining adapter 300 may be attached to the disc 220 on the base plate 200 before or after the medical tubing is secured in the securement assembly 10. [0058] Specific details and examples of variable angle assemblies, base plates, discs, and so forth are described in U.S. Provisional Application Serial No. 60/718,619. While specific embodiments of a securement assembly 10 have been described herein, any securement assembly in which one or more openings in a retaining adapter and a locking adapter are alignable with one another in an unlocked position, and in which one or both of the adapters are rotatable into a locked position wherein one or more of the openings are blocked, is contemplated by the present invention.
[0059] Thus, while several embodiments have been shown and described, various changes and substitutions may of course be made, without departing from the spirit and scope of the invention. The invention, therefore, should not be limited, except by any claims and their equivalents.

Claims

What is claimed is:
1. A medical tubing securement device, comprising: a base; a retaining adapter rotatably attached to the base; and a locking adapter secured within the retaining adapter, wherein the locking adapter is rotatable between an unlocked position in which it is adapted to receive a medical tube, and a locked position in which it is adapted to secure the medical tube within the retaining adapter.
2. The medical tubing securement device of claim 1 wherein the base includes a disc to which the retaining adapter is rotatably and removably attached.
3. The medical tubing securement device of claim 1 further comprising a disc rotatably attached to the base, wherein the retaining adapter is fixedly attached to the disc.
4. The medical tubing securement device of claim 1 wherein the locking adapter includes a longitudinal passage for receiving the medical tube.
5. The medical tubing securement device of claim 1 wherein the locking adapter comprises a first proximal sleeve, including a first opening, connected to a first distal sleeve, including a second opening.
6. The medical tubing securement device of claim 5 wherein the first opening is not longitudinally aligned with the second opening.
7. The medical tubing securement device of claim 6 wherein the first opening is oriented approximately 90° relative to the second opening.
8. The medical tubing securement device of claim 5 wherein the retaining adapter comprises a second proximal sleeve, including a third opening, connected to a second distal sleeve, including a fourth opening, wherein the first and third openings are alignable with the second and fourth openings, respectively, when the locking adapter is in the unlocked position.
9. The medical tubing securement device of claim 8 further comprising an elevated wedge on an outer surface of the first proximal sleeve for engaging in an interference fit with an inner surface of the second proximal sleeve when the locking adapter is rotated into the locked position.
10. The medical tubing securement device of claim 1 further comprising a lever on the locking adapter for facilitating manual rotation of the locking adapter.
11. The medical tubing securement device of claim 10 further comprising a projection on the retaining adapter over which the lever may be moved to secure the locking adapter into the locked position.
12. The medical tubing securement device of claim 1 further comprising a base pad to which the base is secured, with the base pad including an adhesive surface for securing the base pad to a patient.
13. A medical tubing securement device, comprising: a base plate; a disc attached to the base plate, with the disc including a raised ring at a perimeter of the disc; a retaining adapter including first and second connection grooves, wherein the raised ring is inserted into the first and second connection grooves to provide rotation of the retaining adapter about the disc; and a locking adapter secured within the retaining adapter, wherein the locking adapter is rotatable between an unlocked position in which it is adapted to receive a medical tube, and a locked position in which it is adapted to secure the medical tube within the retaining adapter.
14. The medical tubing securement device of claim 13 wherein the retaining adapter is removably attached to the disc via a snap-fit between the raised ring and the first and second connection grooves.
15. The medical tubing securement device of claim 13 wherein the locking adapter comprises a first proximal sleeve, including a first opening,, connected to a first distal sleeve, including a second opening.
16. The medical tubing securement device of claim 15 wherein the first opening is not longitudinally aligned with the second opening.
17. The medical tubing securement device of claim 16 wherein the first opening is oriented approximately 90° relative to the second opening.
18. The medical tubing securement device of claim 15 wherein the retaining adapter comprises a second proximal sleeve, including a third opening, connected to a second distal sleeve, including a fourth opening, wherein the first and third openings are alignable with the second and fourth openings, respectively, when the locking adapter is in the unlocked position.
19. The medical tubing securement device of claim 13 further comprising a base pad to which the base plate is secured, with the base pad including an adhesive surface for securing the base pad to a patient.
20. A method for securing a medical tube to a patient, comprising: securing a medical tubing securement device, including a locking adapter rotatably secured within a retaining adapter, to the patient; inserting the medical tube through aligned openings in the retaining adapter and the locking adapter; and rotating the locking adapter around the medical tube to move the openings in the locking adapter out of alignment with the openings in the retaining adapter, thereby securing the medical tube within the medical tubing securement device.
PCT/US2006/036235 2005-09-19 2006-09-15 Medical tubing securement assembly and methods of use WO2007035605A2 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11452848B2 (en) 2019-04-17 2022-09-27 Bard Access Systems, Inc. Catheter securement device including extended anchor pad and release liner clasping features
US11648377B2 (en) 2016-05-13 2023-05-16 C. R. Bard, Inc. Catheter securement device including a guiding nose

Families Citing this family (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PL1762259T3 (en) * 2005-09-12 2011-03-31 Unomedical As Inserter for an infusion set with a first and second spring units
US8052649B2 (en) * 2005-09-19 2011-11-08 Venetec International, Inc. Medical tubing securement assembly and methods of use
NZ570115A (en) 2006-02-28 2010-07-30 Unomedical As Inserter for infusion part and infusion part provided with needle protector
CN101489604B (en) 2006-06-09 2012-05-23 优诺医疗有限公司 Mounting pad
CN101500627B (en) * 2006-08-02 2012-03-14 优诺医疗有限公司 Cannula and delivery device
US8323251B2 (en) 2008-01-14 2012-12-04 Fenwal, Inc. Phlebotomy needle assembly and frangible cover
NZ587111A (en) 2008-02-13 2012-03-30 Unomedical As Infusion part including seal between cannula and fluid inlet or outlet
EP2110149B1 (en) * 2008-03-28 2017-05-03 Fenwal, Inc. Winged needle assembly and frangible cover
KR20110127642A (en) * 2008-12-22 2011-11-25 우노메디컬 에이/에스 Medical device comprising adhesive pad
CA2766961A1 (en) 2009-08-07 2011-02-10 Unomedical A/S Delivery device with sensor and one or more cannulas
US8323249B2 (en) 2009-08-14 2012-12-04 The Regents Of The University Of Michigan Integrated vascular delivery system
US9022998B2 (en) * 2010-02-26 2015-05-05 Maquet Cardiovascular Llc Blower instrument, apparatus and methods of using
BR112012024635A2 (en) 2010-03-30 2017-08-08 Unomedical As medical device
US8814833B2 (en) 2010-05-19 2014-08-26 Tangent Medical Technologies Llc Safety needle system operable with a medical device
US8771230B2 (en) 2010-05-19 2014-07-08 Tangent Medical Technologies, Llc Integrated vascular delivery system
EP2433663A1 (en) 2010-09-27 2012-03-28 Unomedical A/S Insertion system
EP2436412A1 (en) 2010-10-04 2012-04-04 Unomedical A/S A sprinkler cannula
CN204364557U (en) 2011-02-09 2015-06-03 贝克顿·迪金森公司 Inject tackling
US8591495B2 (en) 2011-02-23 2013-11-26 Fischell Innovations, Llc Introducer sheath with thin-walled shaft
US8262625B1 (en) * 2011-05-11 2012-09-11 Fischell Innovations, Llc Introducer sheath having a hemostasis valve with an adhesive means for attachment to the skin
US8535294B2 (en) 2011-06-01 2013-09-17 Fischell Innovations Llc Carotid sheath with flexible distal section
US8206359B1 (en) * 2011-06-21 2012-06-26 Fischell Innovations, Inc. Introducer sheath with adhesive attachment means and a rotating side tube
WO2013050277A1 (en) 2011-10-05 2013-04-11 Unomedical A/S Inserter for simultaneous insertion of multiple transcutaneous parts
EP2583715A1 (en) 2011-10-19 2013-04-24 Unomedical A/S Infusion tube system and method for manufacture
US9440051B2 (en) 2011-10-27 2016-09-13 Unomedical A/S Inserter for a multiplicity of subcutaneous parts
US8662684B2 (en) 2011-11-30 2014-03-04 Izi Medical Products Radiopaque core
US8556859B2 (en) 2011-12-21 2013-10-15 Securcath LLC Securement device for medical fixtures
US8747428B2 (en) 2012-01-12 2014-06-10 Fischell Innovations, Llc Carotid sheath with entry and tracking rapid exchange dilators and method of use
US8661573B2 (en) 2012-02-29 2014-03-04 Izi Medical Products Protective cover for medical device having adhesive mechanism
WO2014058828A2 (en) * 2012-10-09 2014-04-17 Lakeshore Medical Innovations, Llc Method and device for interventional site management of sheaths and catheters
US20150217088A1 (en) * 2012-10-09 2015-08-06 Lakeshore Medical Innovations, Llc Method and device for interventional site management of sheaths and catheters
US10471241B2 (en) 2013-08-26 2019-11-12 Merit Medical Systems, Inc. Sheathless guide, rapid exchange dilator and associated methods
US10195399B2 (en) 2013-10-29 2019-02-05 Avent, Inc. Catheter securement device
US9149414B1 (en) * 2013-11-06 2015-10-06 Heather Shaffer Zawahry Nursing assistance device
US20150191301A1 (en) * 2014-01-03 2015-07-09 I-Sin Peng Bucket
AU2015214400B2 (en) 2014-02-04 2019-10-03 Icu Medical, Inc. Self-priming systems and methods
US20160166821A1 (en) * 2014-12-15 2016-06-16 Intermountain Invention Management, Llc Devices for restraining movement of elongated medical implements and related systems and methods
US9907907B1 (en) * 2014-12-17 2018-03-06 Gilberto A. Salazar IV hub lock
US11357966B2 (en) * 2015-04-23 2022-06-14 B. Braun Medical Inc. Compounding device, system, kit, software, and method
CN104857612B (en) * 2015-06-09 2018-01-30 成都美益达医疗科技有限公司 Medical catheter fixing device with regulating member
CN104922779B (en) * 2015-06-09 2018-01-30 成都美益达医疗科技有限公司 Medical catheter with locking mechanism fixes patch
KR101583712B1 (en) * 2015-07-10 2016-01-08 김충환 Catheter holder
US9638354B1 (en) * 2016-01-21 2017-05-02 Vivian Ogueli Cable organizing assembly
EP3261572B1 (en) * 2016-05-20 2018-08-01 Brainlab AG Tracking reference fixation support
GB2552656A (en) * 2016-07-29 2018-02-07 Univ Central Lancashire A tube stabilising device
WO2018033888A1 (en) 2016-08-19 2018-02-22 Olson Sarah L External catheter stabilizer
US10799679B2 (en) 2016-12-05 2020-10-13 Medline Industries, Inc. Securement device and assembly
USD828653S1 (en) 2016-12-14 2018-09-11 Brandon Penland Treatment applicator
US10569069B2 (en) 2016-12-14 2020-02-25 Combat Comb, Llc Applicator for treatments applied to animal skin
US10799312B2 (en) * 2017-04-28 2020-10-13 Edwards Lifesciences Corporation Medical device stabilizing apparatus and method of use
WO2018222671A1 (en) * 2017-05-30 2018-12-06 Velano Vascular, Inc. Stabilization devices for vascular access and methods of using the same
USD890924S1 (en) 2017-06-02 2020-07-21 Medline Industries, Inc. Securement device assembly
CA3082159A1 (en) 2017-11-30 2019-06-06 Velano Vascular, Inc. Stabilizing connector devices for vascular access and methods of using the same
CN109276796B (en) * 2018-09-17 2022-06-03 西安交通大学医学院第一附属医院 Drainage tube with scale and fixing device
EP3856316A1 (en) 2018-09-28 2021-08-04 Velano Vascular, Inc. Devices and methods for phlebotomy through a closed system intravenous catheter
JP7382661B2 (en) 2018-12-21 2023-11-17 レビティ プロダクツ,インク. External catheter stabilization device
CN110179522B (en) * 2019-06-26 2020-10-20 北京市隆福医院 Lateral casing drill and operation method
WO2022047329A1 (en) * 2020-08-31 2022-03-03 Bonaguidi Michael O Jr Medical device stabilization system

Family Cites Families (284)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US256162A (en) 1882-04-11 Calcining-furnace
US375355A (en) 1887-12-27 Hame attachment
US364922A (en) 1887-06-14 Safe-lock
US323390A (en) 1885-08-04 Geoege ceeswell bond and john sadler
US273993A (en) 1883-03-13 Peters
US302304A (en) 1884-07-22 Book-holder
US243477A (en) 1881-06-28 Jesse waleath
US433503A (en) 1890-08-05 Churn
US2402306A (en) 1943-10-07 1946-06-18 Turkel Henry Retaining guard guide for needles
US2525398A (en) 1948-02-02 1950-10-10 Arthur L Collins Hypodermic syringe holder and guide
US2533961A (en) 1949-09-29 1950-12-12 Wilfrid J Rousseau Intravenous needle immobilizer
US2893671A (en) 1951-03-06 1959-07-07 Tinnerman Products Inc Cable mounting
US2707953A (en) * 1952-07-15 1955-05-10 Abbott Lab Transfusion equipment
FR1184139A (en) 1957-10-09 1959-07-17 Porges Sa Fastening cap for tubes used in medicine and surgery
US3064648A (en) 1958-04-16 1962-11-20 Abbott Lab Intravenous needle assembly
US3059645A (en) 1960-11-28 1962-10-23 Paul A Hasbrouck Adjustable clamp
US3245567A (en) * 1962-08-27 1966-04-12 Johnson & Johnson Sterile container
US3167072A (en) * 1962-10-11 1965-01-26 Stone Hester Ellen Intravenous needle and flow tube stabilizing means
US3394954A (en) 1966-05-06 1968-07-30 Sarns Inc Tube coupling for medical appliances
US3482569A (en) 1967-03-15 1969-12-09 Scholl Mfg Co Inc Surgical pads
US3529597A (en) 1968-04-19 1970-09-22 George T Fuzak Fingertip bandage
US3589361A (en) 1968-06-10 1971-06-29 Abbott Lab Intravenous catheter unit with flexible wing support and inserter means
US3602227A (en) 1969-07-18 1971-08-31 Daniel E Andrew Endotracheal tube clamp
US3686896A (en) 1969-09-29 1972-08-29 Smiths Industries Ltd End fittings for flexible drive cables
US3632071A (en) 1969-11-24 1972-01-04 Panduit Tinley Park Mount for receiving and retaining a strap
US3630195A (en) 1970-02-04 1971-12-28 Deseret Pharma Infusion tube holder and method
US3863631A (en) * 1970-06-02 1975-02-04 Affiliated Hospital Prod Method of applying and securing a needle
CA938850A (en) 1970-07-24 1973-12-25 W. Edwards Donald Device for venipuncture
US3677250A (en) 1971-02-11 1972-07-18 Morton I Thomas Tabbed anchoring tape means
US3731684A (en) 1971-04-08 1973-05-08 Cenco Medical Health Supply Co Closed irrigation and urinary drainage system apparatus
US3766915A (en) 1971-12-21 1973-10-23 Illinois Tool Works Plastic needle holder
US3847370A (en) 1972-02-16 1974-11-12 Horizon Ind Ltd Tube servicing device
IT960259B (en) 1972-04-20 1973-11-20 Roma C PASCIO TUBIERO FOR HEAT EXCHANGERS AND MODULAR ELEMENTS CONSTITUTED BY THERMOPLASTIC TUBES AND PROCESS FOR THE CONSTRUCTION OF THE MODULAR ELEMENTS AND TUBE BUNDLES
US3834380A (en) 1972-11-15 1974-09-10 W Boyd Holder for intravenous injection cannula and tubing
US3812851A (en) * 1972-11-21 1974-05-28 P Rodriguez I. v. arm rest and support
DE2305896C3 (en) 1973-02-07 1975-11-20 C.H. Boehringer Sohn, 6507 Ingelheim Indwelling venous catheter with an inner needle
US3896527A (en) 1973-05-23 1975-07-29 Cincinnati Biomedical Inc Unitary clamp
US3973565A (en) 1973-07-20 1976-08-10 Everett Medical Products Limited Winged cannula with skin securing means
US4020835A (en) * 1973-08-16 1977-05-03 Boehringer Ingelheim Gmbh Catheter placement assembly
US3856020A (en) 1973-09-17 1974-12-24 S Kovac Trocar-catheter assembly
US3900026A (en) 1973-11-19 1975-08-19 William H Wagner Device for holding and protecting intravenous injection needles
US3901226A (en) 1974-03-29 1975-08-26 Anthony Scardenzan Protective guard for a hypodermic needle
US3942228A (en) * 1974-07-19 1976-03-09 Buckman Thomas P Tubing clamp
US3993081A (en) 1975-01-23 1976-11-23 Swesco Inc. Endotracheal tube holder
US4004586A (en) * 1975-03-12 1977-01-25 Baxter Travenol Laboratories, Inc. Method and apparatus for sealed, sterile connection
US4037599A (en) 1976-01-26 1977-07-26 Raulerson James D Continuous flow catheter device
CH596843A5 (en) 1976-02-12 1978-03-31 Intermedicat Gmbh
USD243477S (en) * 1976-03-24 1977-02-22 Omnimed, Inc. Intravenous tube anchor
US4059105A (en) 1976-03-24 1977-11-22 Omnimed, Inc. Cannula securing device
US4057066A (en) 1976-09-02 1977-11-08 Taylor Harry E Catheter holder for securing a urethral catheter to a patient
US4082094A (en) * 1976-09-13 1978-04-04 Dailey Calvin L Locking device for intravenous insert
US4079738A (en) * 1976-09-20 1978-03-21 Sorenson Research Co., Inc. Needle restraining apparatus
US4133312A (en) * 1976-10-13 1979-01-09 Cordis Dow Corp. Connector for attachment of blood tubing to external arteriovenous shunts and fistulas
US4114618A (en) 1976-12-15 1978-09-19 Vargas Jorge J Catheter assembly
US4142527A (en) * 1977-02-07 1979-03-06 Garcia Nelson C Endotracheal tube holder
US4316461A (en) * 1977-02-22 1982-02-23 Marais Henri J Intravenous vascular stabilizer
US4129128A (en) 1977-02-23 1978-12-12 Mcfarlane Richard H Securing device for catheter placement assembly
US4116196A (en) 1977-03-17 1978-09-26 Survival Technology, Inc. Additive adapter
US4133307A (en) * 1977-05-09 1979-01-09 Ness Richard A Traction device
US4149539A (en) * 1977-08-03 1979-04-17 The Kendall Company Hemostatic device
US4123091A (en) 1977-11-21 1978-10-31 Renal Systems, Inc. Tube connector
US4170995A (en) * 1977-11-21 1979-10-16 Levine Robert A Catheter clamp
US4170993A (en) 1978-03-13 1979-10-16 Marcial Alvarez Sliding I.V. needle carrier assembly
USD256162S (en) 1978-04-06 1980-07-29 Xomed, Inc. Pad for anchoring an infusion needle and the tubing connected thereto to the skin of a patient
US4193174A (en) 1978-04-11 1980-03-18 Portex, Inc. Lever and fulcrum clamping assembly
US4230109A (en) 1978-08-21 1980-10-28 Alan Geiss Apparatus for securing couplings of intravenous and intra-arterial access systems
US4194504A (en) * 1978-10-12 1980-03-25 Abbott Laboratories Winged catheter placement assembly
GB2035659B (en) * 1978-11-11 1982-11-10 Emi Ltd Reading secure magnetic documents
SE414994B (en) 1978-11-28 1980-09-01 Landstingens Inkopscentral VENKATETERFORBAND
BE887056Q (en) 1979-01-19 1981-05-04 Whitman Med Corp STABILIZATION MOUNT FOR AN INTRAVENOUS CATHETER
US4250880A (en) * 1979-06-08 1981-02-17 Whitman Medical Corporation Stabilizing fitting for an intravenous catheter
US4397647A (en) * 1979-01-19 1983-08-09 Whitman Medical Corporation Catheter stabilization fitting having a snap-over cover
US4362156A (en) 1979-04-18 1982-12-07 Riverain Corporation Intravenous infusion assembly
US4248229A (en) * 1979-05-16 1981-02-03 Miller Roscoe E Enema tip retention apparatus
US4496348A (en) 1979-11-29 1985-01-29 Abbott Laboratories Venipuncture device
US4324236A (en) * 1979-12-03 1982-04-13 Whitman Medical Corp. Fitting for use in performing a vascular puncture
DE2949865C2 (en) 1979-12-12 1985-04-18 B. Braun Melsungen Ag, 3508 Melsungen Hose connection for medical devices
US4314568A (en) * 1980-01-11 1982-02-09 Baxter Travenol Laboratories, Inc. Vascular stabilizer
US4326519A (en) 1980-02-21 1982-04-27 Abbott Laboratories Venipuncture device
US4333468A (en) 1980-08-18 1982-06-08 Geist Robert W Mesentery tube holder apparatus
GB2086466A (en) 1980-10-08 1982-05-12 Wallace Ltd H G Security clamp for surgical device
US4398757A (en) 1981-02-18 1983-08-16 Floyd Larry K Laminar flow connector for blood and sterile solutions
US4392853A (en) 1981-03-16 1983-07-12 Rudolph Muto Sterile assembly for protecting and fastening an indwelling device
DE3117416C2 (en) 1981-05-02 1983-10-06 Reiner Dr. 3320 Salzgitter Nessler Venous catheter
US4405312A (en) 1981-08-31 1983-09-20 Abbott Laboratories Connecting device for medical liquid containers
US4435175A (en) * 1981-09-11 1984-03-06 Friden G Burton Infusion needle carrier
US4449975A (en) * 1981-11-09 1984-05-22 Perry Michael K Intravenous anchor and wound shield
US4453933A (en) 1981-11-24 1984-06-12 Speaker Mark G Intravenous device
US4480639A (en) 1982-01-18 1984-11-06 Peterson Edward D Medical tube retaining device
US4442994A (en) * 1982-02-02 1984-04-17 Logsdon Duane D Pipe hanger capable of totally encircling a pipe
USD273993S (en) * 1982-02-05 1984-05-22 Pudenz-Schulte Med, Research Corp. Catheter clip
US4439193A (en) * 1982-02-19 1984-03-27 Abbott Laboratories Apparatus for connecting medical liquid containers
US4435174A (en) * 1982-04-12 1984-03-06 American Hospital Supply Corporation Catheter guide
US4484913A (en) 1982-09-27 1984-11-27 Swauger Donald A Medical device assembly holder
US4516968A (en) * 1982-09-28 1985-05-14 Marshall Charles A Catheter shield and method of use
US4579120A (en) 1982-09-30 1986-04-01 Cordis Corporation Strain relief for percutaneous lead
US4517971A (en) * 1982-11-22 1985-05-21 Sorbonne Robert L Guard for venipuncture site and catheter retainer
US4752292A (en) 1983-01-24 1988-06-21 Icu Medical, Inc. Medical connector
EP0114677B1 (en) 1983-01-24 1989-05-03 ICU Medical, Inc. Medical connector system
US5344414A (en) 1983-01-24 1994-09-06 Icu Medical Inc. Medical connector
US4470410A (en) 1983-01-24 1984-09-11 Alfred J. Smith, C.M. Protective retaining device and method
US4474559A (en) 1983-03-03 1984-10-02 The Cleveland Clinic Foundation Home parenteral nutrition trainer
US4561857A (en) 1983-03-18 1985-12-31 Sacks Norman L Intravenous filter retainer
US4585444A (en) * 1983-03-22 1986-04-29 Smith And Nephew Associated Companies Limited Intravenous needle assembly
US4666434A (en) * 1983-10-21 1987-05-19 Kaufman Jerry M Catheter locating device
US4563177A (en) * 1983-12-22 1986-01-07 Kamen Dean L Catheter stabilization pad
US4583976A (en) 1984-05-31 1986-04-22 E. R. Squibb & Sons, Inc. Catheter support
US4585435A (en) * 1984-05-31 1986-04-29 The Telescope Folding Furniture Co., Inc. Extension set for drug delivery
US4631056A (en) 1984-07-12 1986-12-23 The Kendall Company Tamper discouraging system
GB8418655D0 (en) 1984-07-21 1984-08-22 Wallace H G Prevention of needle retraction in intravascular devices
US4659329A (en) * 1984-07-27 1987-04-21 The Kendall Company Liquid drainage system
US4955864A (en) 1984-08-02 1990-09-11 Hajduch James D Tube holding clamp
US4660555A (en) * 1984-09-21 1987-04-28 Payton Hugh W Oxygen delivery and administration system
US4693710A (en) 1985-03-13 1987-09-15 Sherwood Medical Company Tube and fitting assembly and method of making same
US4650473A (en) * 1985-04-15 1987-03-17 Warner-Lambert Company Suturing saddle
US5037397A (en) 1985-05-03 1991-08-06 Medical Distributors, Inc. Universal clamp
US4838878A (en) 1985-05-03 1989-06-13 Glenda G. Kalt Universal clamp
GB2178811A (en) 1985-08-07 1987-02-18 Bespak Plc Catheter valve retaining device
US4633863A (en) * 1985-09-27 1987-01-06 Filips Chester P Arterial anchor bandage
US4711636A (en) 1985-11-08 1987-12-08 Bierman Steven F Catheterization system
EP0245211A1 (en) * 1986-03-04 1987-11-11 HOECHST ITALIA SUD S.p.A. Kidney-ureter catheter unit particularly adapated to evacuate crumbled calculi
US4838858A (en) 1986-03-11 1989-06-13 Pall Corporation Apparatus and method for administering fluids
US4846807A (en) 1986-04-30 1989-07-11 Safadago Gary J IV tube anchor and shield
US4737143A (en) * 1986-05-12 1988-04-12 Russell David A Catheter coupling and attachment assembly
US4878897A (en) 1986-05-15 1989-11-07 Ideation Enterprises, Inc. Injection site device having a safety shield
FR2598625B3 (en) 1986-05-16 1988-09-02 Collin Joel DEVICE FOR FIXING CATHETERS ON THE ARM OF THE SICK WITHOUT USING TRADITIONAL MEDICAL ADHESIVES
JPS62281965A (en) 1986-05-29 1987-12-07 テルモ株式会社 Catheter and catheter fixing member
US4869465A (en) 1986-06-24 1989-09-26 Mordechai Yirmiyahu Power-operated spreader tool
US4762513A (en) 1986-07-03 1988-08-09 Mattel, Inc. Reconfigurable walking toy with gear mechanism
US4726716A (en) 1986-07-21 1988-02-23 Mcguire Thomas V Fastener for catheter
US4863432A (en) 1986-09-10 1989-09-05 Critikon, Inc. Winged catheter assembly
USD302304S (en) 1986-09-10 1989-07-18 Baxter International Inc. Secondary set lock to secure a secondary intravenous set line to a primary intravenous set line
CH672363A5 (en) 1986-09-29 1989-11-15 Contempo Products
US4723948A (en) * 1986-11-12 1988-02-09 Pharmacia Nu Tech Catheter attachment system
US4742824A (en) * 1986-11-19 1988-05-10 Hugh W. Payton Oxygen tube support patch
US4826486A (en) * 1986-12-10 1989-05-02 Dale Medical Products, Inc. IV connector lock and stabilizer
US4997421A (en) * 1986-12-10 1991-03-05 Dale Medical Products, Inc. IV connector lock and stabilizer
GB8706116D0 (en) 1987-03-14 1987-04-15 Smith & Nephew Ass Adhesive dressings
US4792163A (en) 1987-05-13 1988-12-20 Baxter Travenol Laboratories, Inc. Secondary lock for medical tube coupling
US4743231A (en) * 1987-07-06 1988-05-10 Pharmacia Nutech Drug administration needle unit
US4834716A (en) * 1987-07-17 1989-05-30 Ims, Limited Protected cannula
US4896465A (en) * 1987-08-27 1990-01-30 Robert Rhodes Retainer apparatus
US4795429A (en) * 1987-10-28 1989-01-03 Feldstein Marvin A Method and apparatus for use in the control of intravenous medication introduction
US4830570A (en) 1987-12-15 1989-05-16 Benesh Alvin H Wind turbine system using twin savonius-type rotors
US4808162A (en) * 1988-01-19 1989-02-28 Ruth Oliver Gastrotomy tube stabilizer
US4880412A (en) 1988-02-09 1989-11-14 Sol Weiss Tube insertion apparatus
US4823789A (en) * 1988-02-16 1989-04-25 Genetic Laboratories, Inc. Nose tube anchoring strip
US4934375A (en) 1988-03-04 1990-06-19 Spectramed, Inc. Flush-valve assembly for blood pressure measurement catheter
US4981469A (en) * 1988-04-18 1991-01-01 Dij Catheter Corp. Septum adapter assembly and external needle adapter fitting
US4852844A (en) 1988-04-25 1989-08-01 Villaveces James W Device for aiding in preparation of intravenous therapy
US5098048A (en) * 1988-05-18 1992-03-24 Chiayu Chen Guiding catheter stabilizer
US4932943A (en) * 1988-05-23 1990-06-12 Hollister Incorporated Nasogastric tube holding device
US4952207A (en) 1988-07-11 1990-08-28 Critikon, Inc. I.V. catheter with self-locating needle guard
US4857058A (en) 1988-07-11 1989-08-15 Payton Hugh W Support patch for intravenous catheter
US4919654A (en) * 1988-08-03 1990-04-24 Kalt Medical Corporation IV clamp with membrane
DE8809933U1 (en) 1988-08-04 1988-10-27 Fresenius Ag, 6380 Bad Homburg, De
US5000741A (en) * 1988-08-22 1991-03-19 Kalt Medical Corporation Transparent tracheostomy tube dressing
US4944728A (en) 1988-10-17 1990-07-31 Safe Medical Devices, Inc. Intravenous catheter placement device
CA2001732A1 (en) 1988-10-31 1990-04-30 Lawrence A. Lynn Intravenous line coupling device
US5024665A (en) 1988-11-14 1991-06-18 Hemedix International, Inc. Composite catheter assembly
US4898587A (en) * 1988-11-15 1990-02-06 Mera Csaba L Intravenous line stabilizing device
US4899963A (en) 1989-02-06 1990-02-13 Murphy Patrick J Support saddle for elongate articles and interpositioning device for dissimilar surfaces
US5073166A (en) 1989-02-15 1991-12-17 Medical Innovations Corporation Method and apparatus for emplacement of a gastrostomy catheter
IE62767B1 (en) 1989-03-17 1995-02-22 Baxter Int Pre-slit injection site and tapered cannula
US4897082A (en) * 1989-03-20 1990-01-30 Becton, Dickinson And Company Apparatus for providing a suture tab
US5527293A (en) 1989-04-03 1996-06-18 Kinetic Concepts, Inc. Fastening system and method
US4966582A (en) 1989-06-30 1990-10-30 Sit James K Injection site platform
US5084026A (en) * 1989-07-14 1992-01-28 Shapiro Robert A Intravenous apparatus holder
US5192273A (en) * 1989-07-24 1993-03-09 Steven F. Bierman Catheterization system
US5314411A (en) * 1989-07-24 1994-05-24 Steven F. Bierman, M.D. Catheterization system with universal retention device and method of use
US6290676B1 (en) 1989-07-24 2001-09-18 Venetec International, Inc. Catheter anchoring system
US5354282A (en) 1990-05-04 1994-10-11 Bierman Steven F Catheter anchoring system
US5456671A (en) 1989-07-24 1995-10-10 Bierman; Steven F. Catheter anchoring system
USD323390S (en) * 1989-08-08 1992-01-21 Paine Donald A Security clip for joining a feed line to a cannula
US5112313A (en) * 1989-08-11 1992-05-12 Sallee Patricia L IV cover/protector
US5037398A (en) 1989-11-06 1991-08-06 Buchanan Sharon J Method and apparatus for releasably securing a pressure monitor device
US5100393A (en) * 1989-12-18 1992-03-31 Johnson Melissa C Holder for elongated members
US5195981A (en) * 1989-12-18 1993-03-23 Johnson Melissa C Holder for elongated members
US5037405A (en) 1990-02-06 1991-08-06 Crosby Sue A Intravenous tubing connector lock
US5098399A (en) * 1990-02-07 1992-03-24 Tollini Dennis R Medical securing tape
US4976700A (en) 1990-02-07 1990-12-11 Tollini Dennis R Medical securing tape
US5156641A (en) 1990-03-07 1992-10-20 Mayo Foundation For Medical Education And Research Naso-gastric catheter anchor system
US5137519A (en) 1990-03-12 1992-08-11 Cordis Corporation Catheter retention collar and support
US5484425A (en) * 1990-05-01 1996-01-16 Cathco, Inc. Radiopaque non-kinking thin-walled introducer sheath
US5395344A (en) * 1990-06-08 1995-03-07 Genetic Laboratories Wound Care, Inc. Catheter anchoring device
US5073170A (en) 1990-08-09 1991-12-17 Hollister Incorporated Drainage tube retention device
US5199432A (en) 1990-10-30 1993-04-06 American Home Products Corporation Fetal electrode product for use in monitoring fetal heart rate
US5250041A (en) 1992-01-16 1993-10-05 Fresenius Usa, Inc. Tubing administration set for use in peritoneal dialysis
ATE146362T1 (en) * 1991-01-14 1997-01-15 Precision Dynamics Corp CANNULA PROTECTION
SE470052B (en) * 1991-01-25 1993-11-01 Lic Hygien Ab Venkateterförband
US5105807A (en) * 1991-02-26 1992-04-21 Alternative Medical Products, Inc. Device and methods for securing nasal tubing
US5112312A (en) * 1991-03-14 1992-05-12 Luther Medical Products, Inc. Vascular/venous access device and method of utilizing and forming the same
US5192274A (en) * 1991-05-08 1993-03-09 Bierman Steven F Anchor pad for catheterization system
US5135506A (en) 1991-06-10 1992-08-04 Conmed Corporation Cannula holding device
US5188609A (en) * 1991-07-08 1993-02-23 Bryman Medical Inc. Swivel clip medical tube holder
US5226892A (en) 1991-08-23 1993-07-13 Boswell Thomas A Surgical tubing clamp
US5282463A (en) * 1991-09-13 1994-02-01 Hammer-Plane, Inc. Anti-disconnect apparatus and method, for breathing systems
US5147322B1 (en) 1991-11-26 1996-01-02 Tcnl Tech Inc Medical appliance securing device
US5468228A (en) 1991-11-29 1995-11-21 Gebert; Rowan D. Intravenous cannula connector
US5234185A (en) 1992-02-21 1993-08-10 General Motors Corporation Unitary pipe clamp and assembly
FR2687916B1 (en) 1992-02-28 1994-05-13 Michel Forster DEVICE FOR FIXING A FLEXIBLE PIPE TO A TRANSPORTABLE MATERIAL, PARTICULARLY A DRAIN ON THE SKIN OF A PATIENT.
US5273533A (en) * 1992-03-11 1993-12-28 Care Medical Products, Inc. Medical valve
US5336195A (en) 1992-03-19 1994-08-09 Yousef Daneshvar Special wraps, dilators and foley catheters
US5382239A (en) * 1992-04-24 1995-01-17 Becton, Dickinson And Company Repositional catheter fixation device
US5342317A (en) 1992-05-22 1994-08-30 Claywell Harry M Intravenous needle anchors
US5267967A (en) 1992-06-08 1993-12-07 Hollister Incorporated Retention device
US5484420A (en) * 1992-07-09 1996-01-16 Wilson-Cook Medical Inc. Retention bolsters for percutaneous catheters
US5380301A (en) * 1992-07-10 1995-01-10 Sherwood Medical Company Catheter/hub strain relief and method of manufacture thereof
US5322514A (en) 1992-08-19 1994-06-21 Sherwood Medical Company Needle assembly with detachable wing
US5263943A (en) 1992-08-24 1993-11-23 Vanderbrook Bernard E Valved intravenous needle assembly
US5248306A (en) 1992-08-25 1993-09-28 Abbott Laboratories Axial retainer for flow connectors
US5368575A (en) 1992-10-21 1994-11-29 Chang; Hau H. Urethral catheter holder
US5304146A (en) * 1992-10-23 1994-04-19 Johnson Melissa C Medical appliance securing device
US5334186A (en) 1992-11-09 1994-08-02 Alexander Stephen M Medical tubing and implement organizer
US5266401A (en) 1992-11-25 1993-11-30 Tollini Dennis R Securing tape
US5292312A (en) * 1993-01-08 1994-03-08 Struckmeyer Corporation Universal tube lumen catheter holder
GB2274783B (en) * 1993-02-03 1996-12-11 Graham Cameron Grant Intravenous infusion set with needle protection
DK25793A (en) 1993-03-09 1994-09-10 Pharma Plast Int As Infusion set for intermittent or continuous administration of a therapeutic agent
US6786892B2 (en) 1993-03-19 2004-09-07 Venetec International, Inc. Catheter anchoring system
US6837875B1 (en) * 1993-03-19 2005-01-04 Venetec International, Inc. Catheter anchoring system
US6827705B2 (en) 1993-03-19 2004-12-07 Venetec International, Inc. Catheter anchoring system
DE69422911T2 (en) 1993-04-16 2000-08-17 Childrens Medical Center NARCOSE DOCKING STATION
US5443460A (en) 1993-06-10 1995-08-22 Miklusek; John M. Non-kinking tubing adaptor for intravenous catheter and associated flexible tubing
US5338308A (en) 1993-06-30 1994-08-16 Wilk Peter J Method and apparatus for inhibiting catheter sepsis
US5352211A (en) 1993-07-11 1994-10-04 Louisville Laboratories External stability device
US5697907A (en) 1993-07-20 1997-12-16 Graphic Controls Corporation Safety catheter
US5398679A (en) 1993-09-13 1995-03-21 Freed; M. Simon Hinged endotracheal tube holder having both a safety clamp and a securing clamp
US5330438A (en) 1993-10-08 1994-07-19 Gollobin Peter J Protective sheath for butterfly needles and IV infusion set and sheath assembly
US5344406A (en) 1993-10-13 1994-09-06 Spooner James J Method and apparatus for protectively stabilizing and securing an intravenous device
IL107411A0 (en) 1993-10-27 1994-01-25 Wolman Michael Infusion administering catheter holder
US5354283A (en) 1994-01-07 1994-10-11 Little Rapids Corporation Trocar retention apparatus
US5468231A (en) 1994-03-10 1995-11-21 Minnesota Mining And Manufacturing Company Refastenable tube and cable restraint for surgical use
US5389082A (en) * 1994-03-14 1995-02-14 Baugues; Mary C. Intravenous line separator system
GB2288538A (en) 1994-04-19 1995-10-25 Alan David Mogg Catheter retainer
US5403285A (en) * 1994-04-29 1995-04-04 Roberts; Sandra L. Apparatus for securing a catheter tube to a body
USD364922S (en) 1994-05-06 1995-12-05 Bierman Steven F Anchor pad
US5685859A (en) 1994-06-02 1997-11-11 Nikomed Aps Device for fixating a drainage tube and a drainage tube assembly
US5413562A (en) * 1994-06-17 1995-05-09 Swauger; Jonathan L. Stabilizing fitting for an intravenous catheter or syringe
US5496283A (en) 1994-07-28 1996-03-05 Medisys Technologies, Inc. Apparatus for securing intravenous or intracavity medical tubing
US5499976A (en) * 1994-10-05 1996-03-19 Dalton; Michael J. Catheter retainer
US5449349A (en) 1994-10-14 1995-09-12 Sallee; Wayne A. Intravenous needle cover/protector
US5738660A (en) * 1994-10-27 1998-04-14 Luther Medical Products, Inc. Percutaneous port catheter assembly and method of use
US5496282A (en) * 1994-12-12 1996-03-05 Militzer; George G. Apparatus and method to stabilize a peritoneal dialysis catheter
US5531695A (en) 1994-12-22 1996-07-02 Sherwood Medical Company Tamper evident sleeve
US5643217A (en) 1995-01-05 1997-07-01 Dobkin; William R. Surgical attachment device
CA2166428A1 (en) 1995-01-05 1996-07-06 William R. Dobkin Surgical attachment device
US5507535A (en) * 1995-01-09 1996-04-16 Mckamey; Floyd Conduit swivel connector
US5626565A (en) * 1995-01-25 1997-05-06 Ackrad Laboratories, Inc. Medical tube holder and support structure
USD375355S (en) 1995-03-14 1996-11-05 Venetec International, Inc. Anchor pad with release layer
US5520656A (en) * 1995-03-29 1996-05-28 Byrd; Timothy N. Medical tube/wire holding device and associated tube/wire holding method
US5637098A (en) 1995-08-07 1997-06-10 Venetec International, Inc. Catheter securement device
US5722959A (en) 1995-10-24 1998-03-03 Venetec International, Inc. Catheter securement device
US5690617A (en) 1995-11-08 1997-11-25 Wright; Charles R. Adjusting catheter holding device
US5944696A (en) * 1996-06-03 1999-08-31 Bayless; William Brian Swivel clip medical tube holder
US5755225A (en) * 1996-09-30 1998-05-26 Hutson & Associates, Inc. Medical tube-retaining device
US5672159A (en) 1996-09-30 1997-09-30 Warrick; Nancy J. Medical tubing support
US5795335A (en) 1997-02-26 1998-08-18 Zinreich; Eva S. Intravenous tube restraint and cover device
US6228064B1 (en) * 1997-03-21 2001-05-08 The Johns Hopkins University Intravenous anchor system (IVFAS)
US6213979B1 (en) 1997-05-29 2001-04-10 Venetec International, Inc. Medical line anchoring system
US6027480A (en) * 1997-08-11 2000-02-22 Becton Dickinson And Company Catheter introducer
GB2328995A (en) 1997-09-02 1999-03-10 Justin Collen A kink inhibiting device
US6361523B1 (en) 1998-03-27 2002-03-26 Venetec International, Inc. Anchoring system for a medical article
US6132398A (en) 1997-10-17 2000-10-17 Venetec International, Inc. Medical tubing securement system
US6283945B1 (en) 1997-10-17 2001-09-04 Venetec International, Inc. Anchoring system for a medical article
DE29720182U1 (en) * 1997-11-14 1999-03-25 Braun Melsungen Ag Device for supplying liquids to a patient
US6224571B1 (en) 1997-11-14 2001-05-01 Venetec International, Inc. Medical line securement device
GB2333234B (en) 1998-01-14 2002-08-21 Smiths Industries Plc Catheter clamps and assemblies
US6332874B1 (en) 1998-08-28 2001-12-25 C.R. Bard, Inc. Coupling and stabilization system for proximal end of catheter
USD433503S (en) 1999-04-02 2000-11-07 C. R. Bard, Inc. Proximal end catheter coupling hub
US6113577A (en) 1999-04-23 2000-09-05 Canox International, Ltd. Intravascular access device positioning system
US6585703B1 (en) 1999-07-28 2003-07-01 Span-America Medical Systems, Inc. Dividable introducer catheter and positive-lock needle guard combination
CA2281457A1 (en) 1999-08-26 2001-02-26 Alfred Ernest Bassett Securing device for intraveneous cannula or catheter
US6500154B1 (en) 2000-01-11 2002-12-31 Canox International Ltd. Intravascular access device positioning system
EP1257313B1 (en) * 2000-02-24 2004-05-12 Venetec International, Inc. Universal catheter anchoring system
US6572588B1 (en) 2000-03-10 2003-06-03 Venetec International, Inc. Medical anchoring system
US6458104B2 (en) 2000-03-13 2002-10-01 William E. Gautsche, Jr. IV administration lines fastening and identification device
USD453503S1 (en) * 2000-06-16 2002-02-12 Vulcan Northwest, Inc. Electronic control device
NL1015663C2 (en) 2000-07-10 2002-01-15 Gerardus Willem Akkerhuis Fixing device for securing e.g. cannula or catheter to human body comprising orientation devices on foot plate for fixing cannula or catheter clamping part into position
US6413240B1 (en) * 2000-08-03 2002-07-02 Venetec International, Inc. Dialysis catheter anchoring system
US6872194B2 (en) * 2002-01-31 2005-03-29 Safety Syringes, Inc. Disposable self-shielding syringe guard
ATE408757T1 (en) 2002-09-10 2008-10-15 Lg Electronics Inc HERMETIC COMPRESSOR
GB2393393B (en) 2002-09-24 2005-06-15 Bioquell Uk Ltd A pre-sterilisation ante-chamber for a processing enclosure
US6984145B1 (en) * 2004-04-16 2006-01-10 Pacesetter, Inc. Implantable medical device connector assembly with side-actuated lead body affixation
US8052649B2 (en) * 2005-09-19 2011-11-08 Venetec International, Inc. Medical tubing securement assembly and methods of use

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of EP1988961A4 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11648377B2 (en) 2016-05-13 2023-05-16 C. R. Bard, Inc. Catheter securement device including a guiding nose
US11452848B2 (en) 2019-04-17 2022-09-27 Bard Access Systems, Inc. Catheter securement device including extended anchor pad and release liner clasping features

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EP1988961A2 (en) 2008-11-12
US20120316505A1 (en) 2012-12-13
US8052649B2 (en) 2011-11-08
CA2653651A1 (en) 2007-03-29
US20110295210A1 (en) 2011-12-01
WO2007035605A3 (en) 2007-06-14
CA2653651C (en) 2014-03-25
EP1988961A4 (en) 2011-07-27
US8177756B2 (en) 2012-05-15
US20070066958A1 (en) 2007-03-22
US8679067B2 (en) 2014-03-25

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