An access device places a medical article within a body space of a patient. The device has a needle that includes an elongated body and a needle hub. The device further includes a dilator disposed on and slideable along the elongated body of the needle and a medical article. The medical article is disposed on and slideable along the dilator. A track extends in a proximal direction from the dilator. The needle hub slides along at least a portion of the track between a first position and a second position. The device further includes a locking mechanism operably disposed between the track and the needle hub so as to inhibit further axial movement of the needle in the proximal direction when the needle hub is in the second position.
1. An access device for placing a medical article within a body space, comprising:
a needle including a needle body having a longitudinal axis with a distal tip and a needle hub from which the needle body extends;
a dilator including a dilator shaft and a dilator hub, the dilator shaft being disposed on and slideable along the needle body with the dilator hub being disposed distal of the needle hub;
a medical article comprising a tubular section and a hub, the tubular section being disposed on and slideable along the dilator with the hub being disposed distal of the dilator hub;
a track extending from the dilator hub in a proximal direction; a first locking mechanism operably disposed between the track and the needle so as to selectively inhibit proximal movement of the needle relative to the dilator; and
a second locking mechanism operating between the needle hub and the dilator hub, wherein the second locking mechanism is unlocked by rotating the needle hub about the longitudinal axis of the needle.
2. The access device of claim 1 , wherein the needle comprises at least one tang engaging the track.
3. The access device of claim 1 , wherein the track is rotatable around the longitudinal axis of the dilator hub.
4. The access device of claim 1 , wherein the first locking mechanism comprises at least one finger element projecting from the track.
5. The access device of claim 1 , wherein a width of the track varies along its longitudinal length.
6. The access device of claim 1 , wherein the needle is configured to slide along at least a portion of the track between a first position and a second position, the second position being on a proximal side of the first position, the first locking mechanism inhibiting further proximal movement of the needle when the needle is in the second position.
7. The access device of claim 6 , wherein a longitudinal length of the dilator is sufficiently long so that the distal tip of the needle body lies within the dilator at least when the needle is in the second position.
8. The access device of claim 6 , wherein the first locking mechanism comprises a slot in the track, the slot being arranged perpendicular to the longitudinal axis and being configured to receive an at least one tang of the needle at least when the needle is in the second position.
9. The access device of claim 6 , wherein a longitudinal length of the dilator is sufficiently long so that the distal tip of the needle body lies within the dilator at least when the needle is in the second position.
10. The access device of claim 6 , wherein the first locking mechanism comprises a slot in the track, the slot being arranged perpendicular to the longitudinal axis and being configured to receive an at least one tang of the needle at least when the needle is in the second position.
11. The access device of claim 1 further comprising a guidewire, the needle body and the guidewire being coaxially disposed with the guidewire slideable through at least a portion of the needle body.
12. The access device of claim 11 , wherein the guidewire comprises a wire and a hub, the hub being configured to engage with the needle hub.
13. The access device of claim 1 , wherein the track is rotatably coupled to the dilator.
14. The access device of claim 1 , wherein the needle body includes a bevel on the distal tip and a tab is located on a side of the needle hub that corresponds with the side of the needle body on which the bevel is formed.
15. The access device of claim 1 , wherein the needle comprises at least one tang engaging the track.
16. The access device of claim 1 , wherein the track is rotatable around the longitudinal axis of the dilator hub.
17. The access device of claim 1 , wherein the first locking mechanism comprises at least one finger element projecting from the track.
18. The access device of claim 1 , wherein the needle is configured to slide along at least a portion of the track between a first position and a second position, the second position being on a proximal side of the first position, the first locking mechanism inhibiting further proximal movement of the needle when the needle is in the second position.
19. The access device of claim 1 , wherein the needle body includes a bevel on the distal tip.