Catheter insertion device including top-mounted advancement components
An insertion tool for inserting a catheter into a patient's body includes a housing in which at least a portion of the catheter is initially disposed, a hollow needle distally extending from the housing with the catheter pre-disposed over the needle, and a guidewire pre-disposed in the needle. The insertion tool can include a guidewire advancement assembly that can include a first finger pad for selectively advancing the guidewire distally past a distal end of the needle in preparation for distal advancement of the catheter. The insertion tool can further include a catheter advancement assembly that can include a second finger pad for selectively advancing the catheter into the patient. The first and second finger pads can be positioned such that a user can begin to advance the second finger pad after advancing the first finger pad without substantially re-positioning the thumb or finger of the user.
1. An insertion device for inserting a catheter into a body of a patient, comprising:
a housing;
a needle having a distal end extending from a distal end of the housing;
a guidewire advancement assembly including a slide member coupled to a guidewire, the guidewire having a distal end in the needle in a slide member first position, the guidewire moving distal of the distal end of the needle in a slide member second position, the slide member second position being distal of the slide member first position; and
a catheter advancement assembly, comprising:
a handle assembly including a cover portion integrally connecting a first wing to a second wing, the cover portion extending over an outer surface of the housing, the cover portion designed to move over the slide member as the handle assembly is advanced from a handle assembly first position to a handle assembly second position; and
the catheter coaxially disposed over the needle, the catheter having a proximal end in the housing and a distal end extending from the distal end of the housing in the handle assembly first position.
2. The insertion device as defined in claim 1 , wherein the first wing and the second wing are manually graspable to distally advance the catheter from the housing, each of the first wing and the second wing including engagement ridges.
3. The insertion device as defined in claim 1 , wherein a proximal end of the guidewire is secured to the housing, and wherein an intermediate portion of the guidewire includes a U-shaped bend.
4. The insertion device as defined in claim 1 , wherein the cover portion of the handle assembly covers a portion of the slide member of the guidewire advancement assembly when the slide member is in the slide member first position.
5. The insertion device as defined in claim 1 , wherein the cover portion includes a contoured surface.
6. The insertion device as defined in claim 1 , wherein at least one of the guidewire advancement assembly and the handle assembly is configured to prevent advancement of the catheter until distal advancement of the guidewire is complete.
7. The insertion device as defined in claim 1 , wherein the handle assembly includes a head portion and a tail portion removably attached to the catheter, the tail portion designed to engage the guidewire advancement assembly.
8. The insertion device as defined in claim 7 , wherein the head portion and the tail portion of the handle assembly are integrally formed with one another.
9. The insertion device as defined in claim 8 , wherein the catheter includes a catheter hub, the handle assembly removably attached to the catheter hub, wherein a valve is removably included in the catheter hub, wherein a safety housing is removably disposed in the valve, the safety housing configured to be removed in a lateral direction, and wherein the handle assembly and the catheter hub are configured to separate from one another in a vertical direction.
10. The insertion device as defined in claim 8 , wherein the catheter includes a catheter hub, the handle assembly removably attached to the catheter hub, the handle assembly including a living hinge configured to enable the handle assembly to be selectively removed from the catheter hub.
11. The insertion device as defined in claim 10 , wherein the handle assembly includes a valve that is removably disposed in the catheter hub.
12. The insertion device as defined in claim 1 , wherein the guidewire advancement assembly includes a spring arm designed to engage with a pocket in the housing to prevent proximal retraction of the guidewire after full distal advancement of the guidewire.
13. The insertion device as defined in claim 12 , wherein the spring arm is disposed on a guidewire lever attached to the slide member, and wherein the pocket is included in a needle hub in the housing, a proximal end of the needle mounted to the needle hub.
14. The insertion device as defined in claim 13 , wherein the catheter advancement assembly includes a safety housing, a needle safety component disposed within the safety housing, the safety housing disposed adjacent the needle hub in the handle assembly first position, and wherein distal movement of the safety housing enables a free end of the spring arm to seat in the pocket of the needle hub after full distal advancement of the guidewire.
15. The insertion device as defined in claim 14 , wherein the catheter advancement assembly is configured such that proximal movement of the safety housing to a position adjacent the needle hub pushes the free end of the spring arm out of the pocket of the needle hub to enable guidewire advancement and retraction.
16. The insertion device as defined in claim 13 , wherein the guidewire lever includes an actuation block designed to engage a portion of the catheter advancement assembly after full distal advancement of the guidewire, and wherein engagement of the actuation block with the portion of the catheter advancement assembly enables the catheter to be distally advanced.