Infusion and blood collection devices and methods
An infusion and blood collection device allows clean blood collections into a collection tube via a previously installed angiocatheter without interrupting the administration of intravenous therapies after initial installation. The device optionally includes passive control of the blood collection flow rate to prevent contamination of the collected blood draw with the IV therapy fluid being simultaneously infused through the angiocatheter. A blood collection method uses an infusion and blood collection device to draw a clean blood sample from a patient and into a collection tube via a previously installed angiocatheter without interrupting the administration of intravenous therapies.
1. An apparatus for use with a venous catheter and a fluid collection device, comprising:
a valve housing having a contiguous external surface;
an outlet defined by the valve housing and for fluidly connecting to the venous catheter for fluidly coupling the outlet with a blood vessel;
a blood draw port coupled with the valve housing and configured for connection to the fluid collection device;
an IV fluid inlet defined by the valve housing and configured for connection to a source of a first fluid;
a valve housed in a cavity defined by the valve housing and fluidly connected to the outlet, the blood draw port and the IV fluid inlet, the valve defining:
a first valve position permitting the first fluid to flow from the IV fluid inlet to the outlet, and
a second valve position inhibiting the first fluid from flowing from the IV fluid inlet to the outlet and permitting a second fluid to flow from the outlet to the blood draw port; and
an infusion channel defined by the valve housing and continuously fluidly connected to the IV fluid inlet; and
an IV infusion lumen fluidly connected to the infusion channel and configured to deliver the first fluid to the blood vessel, wherein the first fluid is permitted to flow from the IV fluid inlet to the IV infusion lumen and the blood vessel when the valve is in the first valve position, and the first fluid is permitted to flow from the IV fluid inlet to the IV infusion lumen and the blood vessel when the valve is in the second valve position.
2. The apparatus of claim 1 , wherein the IV infusion lumen is configured to enter the blood vessel along with the venous catheter through a single insertion site.
3. The apparatus of claim 1 , further comprising the venous catheter, wherein the IV infusion lumen is configured to be extended coaxially through the venous catheter, thereby defining a fluid channel in a space between an outer surface of the IV infusion lumen and an interior surface of the venous catheter, the fluid channel fluidly couplable to the outlet.
4. The apparatus of claim 1 , comprising:
means for inhibiting the first fluid exiting into the blood vessel from the IV infusion lumen from entering the venous catheter when the venous catheter is fluidly coupled to the outlet and the venous catheter and IV infusion lumen are inserted into the blood vessel and the blood draw port is connected to a vacuum source.
5. The apparatus of claim 1 , comprising:
means for limiting a flow rate of the second fluid drawn through the outlet to prevent the first fluid exiting into the blood vessel from the IV infusion lumen from entering the venous catheter when the venous catheter is fluidly coupled to the outlet and the venous catheter and IV infusion lumen are inserted into the blood vessel and the blood draw port is connected to a vacuum source.
6. The apparatus of claim 1 , comprising:
a passive restriction device fluidly connected to the outlet and sized to limit a flow rate of the second fluid drawn through the outlet to prevent the first fluid exiting into the blood vessel from the IV infusion lumen from entering the venous catheter when the venous catheter is fluidly coupled to the outlet and the venous catheter and IV infusion lumen are inserted into the blood vessel and the blood draw port is connected to a vacuum source.
7. An apparatus for use with a venous catheter and a fluid collection device, comprising:
a valve housing;
an outlet defined by the valve housing and for fluidly connecting to the venous catheter for fluidly coupling the outlet with a blood vessel;
a blood draw port coupled with the valve housing and configured for connection to the fluid collection device;
an IV fluid inlet defined by the valve housing and configured for connection to a source of a first fluid;
a valve housed in a cavity defined by the valve housing and fluidly connected to the outlet, the blood draw port and the IV fluid inlet, the valve defining: a first valve position permitting the first fluid to flow from the IV fluid inlet to the outlet, and a second valve position inhibiting the first fluid from flowing from the IV fluid inlet to the outlet and permitting a second fluid to flow from the outlet to the blood draw port; and
an infusion channel defined by the valve housing and continuously fluidly connected to the IV fluid inlet; and
an IV infusion lumen fluidly connected to the infusion channel and configured to deliver the first fluid to the blood vessel,
wherein the first fluid is permitted to flow from the IV fluid inlet to the IV infusion lumen and the blood vessel when the valve is in the first valve position, and the first fluid is permitted to flow from the IV fluid inlet to the IV infusion lumen and the blood vessel when the valve is in the second valve position, and
wherein: the valve includes a fluid passageway; and the blood draw port is configured to: permit a draw needle connected to the fluid collection device to enter the fluid passageway in the second valve position; and inhibit the draw needle connected to the fluid collection device from entering the fluid passageway in the first valve position.