Vascular access device
The device includes a dilator having a valve element configured to at least inhibit fluid flow through the dilator in a distal direction, while not inhibiting the passage of articles (e.g., a guidewire) through the dilator in a proximal direction.
1. An access device for placing a medical article within a body space, the access device comprising:
a dilator comprising:
an elongated dilator body, and
a dilator hub extending from the elongated dilator body, the dilator hub defining an inner cavity having a distal cavity portion and a proximal cavity portion, the dilator hub comprising a dilator sealing surface located on a proximal-facing surface of the dilator hub; and
a valve element having an open position and a closed position, wherein the valve element is disc shaped, the valve element comprising:
an arcuate attachment portion configured to be supported by the dilator hub, and
a sealing portion extending radially inwardly from a side of the inner cavity, the sealing portion comprising a valve sealing surface located, when the valve element is in the closed position, on a distal surface of the sealing portion, the sealing portion being biased toward the closed position with the valve sealing surface positioned against the dilator sealing surface located on the proximal-facing surface of the dilator hub,
wherein the valve element is configured to inhibit fluid flow between the distal cavity portion and the proximal cavity portion when the valve element is in the closed position,
wherein the sealing portion of the valve element flexes in a proximal direction, from the closed position to the open position, when a guidewire abuts against and extends past the sealing portion of the valve element, and
wherein the valve element permits movement of the guidewire through the dilator hub in the proximal direction relative to the dilator.
2. The access device of claim 1 , wherein the valve element is at least partially disposed between the distal portion of the inner cavity and the proximal portion of the inner cavity.
3. The access device of claim 1 , wherein the valve sealing surface is positioned against the dilator sealing surface to substantially seal the distal cavity portion from the proximal cavity portion when the valve element is in the closed position.
4. The access device of claim 3 , wherein at least one of the valve sealing surface and the dilator sealing surface extend around an inner perimeter of the inner cavity.
5. The access device of claim 1 , wherein the sealing portion comprises a raised portion.
6. The access device of claim 5 , wherein the raised portion comprises a substantially dome-like shape.
7. The access device of claim 1 , wherein the valve element comprises a fold line along which the sealing portion and the attachment portion can bend with respect to each other.
8. The access device of claim 1 , wherein the valve element comprises a flexible material with properties that reduce the likelihood of cold-setting when held in a flexed position for extended periods of time.
9. The access device of claim 1 , wherein movement of the guidewire in a proximal direction relative to the dilator is inhibited when the valve element is in the closed position.
10. The access device of claim 1 further comprising a sheath, the sheath being disposed about the dilator.
11. An access device for placing a medical article within a body space, the access device comprising:
a dilator comprising:
a dilator body, and
a dilator hub extending from a proximal end of the dilator body, wherein the dilator hub forms an inner cavity along a longitudinal axis defined by the dilator body and the dilator hub, the dilator hub comprising a dilator sealing surface located on a proximal-facing surface of the dilator hub; and
a sheath coaxially disposed about the dilator; and
a valve element being disc shaped, the valve element comprising:
an arcuate attachment portion being supported within the inner cavity, and
a sealing portion extending into the inner cavity, the sealing portion comprising a valve sealing surface,
wherein the valve sealing surface is biased toward a first position against the dilator sealing surface located on the proximal-facing surface of the dilator hub to substantially seal at least a portion of the inner cavity from the dilator body, and
wherein the sealing portion is movable in a proximal direction from the first position to a second position when at least a guidewire abuts against and extends past the sealing portion of the valve element and is extended through the inner cavity.
12. The access device of claim 11 , wherein the valve element is at least partially disposed between a distal portion of the inner cavity and a proximal portion of the inner cavity.
13. The access device of claim 11 , wherein at least one of the valve sealing surface and the dilator sealing surface extend around an inner perimeter of the inner cavity.
14. The access device of claim 11 , wherein the sealing portion comprises a raised portion.
15. The access device of claim 14 , wherein the raised portion comprises a substantially dome-like shape.
16. The access device of claim 11 , wherein the valve element comprises a fold line along which the sealing portion and the attachment portion can bend with respect to each other.
17. The access device of claim 11 , wherein the valve element comprises a flexible material with properties that reduce the likelihood of cold-setting when held in a flexed position for extended periods of time.
18. The access device of claim 11 , wherein movement of at least one of the needle and the guidewire in a proximal direction relative to the dilator is inhibited when the valve element is in the closed position.
19. The access device of claim 1 , wherein the arcuate attachment portion and the valve element are unitary.
20. The access device of claim 11 , wherein the arcuate attachment portion and the valve element are unitary.