Intravenous catheter and insertion device with reduced blood spatter
A catheter insertion device and method for insertion. The catheter insertion device can include a housing, a needle attached to a needle carrier, a catheter including a catheter shaft attached to a catheter hub, and a guidewire. The guidewire can include a coil tip positioned in a lumen of the needle. The method for insertion can include inserting a distal end of the needle and the catheter shaft into a blood vessel of a patient, advancing the coil tip out of the needle lumen and into the blood vessel, advancing the catheter over the guidewire, and withdrawing the guidewire and the needle from the catheter. The coil tip can include a straightened configuration and a coiled configuration. The coil tip can transition from the straightened configuration in the needle lumen to the coiled configuration in the blood vessel.
1. A method for inserting a catheter into a patient, comprising:
providing a catheter insertion device including:
a housing;
a needle attached to a needle carrier, the needle and the needle carrier designed to move relative to the housing;
a catheter including a catheter shaft attached to a catheter hub, the catheter shaft positioned coaxially over the needle, the catheter hub including a closed proximal chamber separated from a distal chamber by a septum; and
a guidewire having a coil tip including a straightened configuration and a coiled configuration, the coil tip positioned in a lumen of the needle in the straightened configuration, the guidewire designed to move relative to the housing and the needle;
inserting a distal end of the needle and the catheter shaft into a blood vessel of the patient;
advancing the coil tip out of the needle lumen, wherein the coil tip transitions from the straightened configuration to the coiled configuration in the blood vessel;
advancing the catheter shaft over the guidewire; and
withdrawing the guidewire and the needle from the catheter, wherein the coil tip transitions from the coiled configuration to the straightened configuration in the catheter shaft, and from the straightened configuration to the coiled configuration in the closed proximal chamber of the catheter hub.
2. The method according to claim 1 , wherein the withdrawing step comprises releasing a biasing member coupled to the needle carrier to urge the needle carrier toward a proximal end of the housing.
3. The method according to claim 2 , wherein a proximal end of the guidewire is simultaneously urged toward the proximal end of the housing along with the needle carrier.
4. The method according to claim 2 , wherein a proximal end of the guidewire is urged toward the proximal end of the housing after the needle carrier.
5. The method according to claim 4 , wherein the needle carrier and the proximal end of the guidewire are urged toward the proximal end of the housing via a single activation of an actuating member.
6. The method according to claim 4 , wherein the needle carrier and the proximal end of the guidewire are urged toward the proximal end of the housing via two separate activations of an actuating member.
7. The method according to claim 1 , wherein the withdrawing step comprises manually moving the needle carrier and a proximal end of the guidewire toward a proximal end of the housing.
8. The method according to claim 7 , wherein the withdrawing step comprises simultaneously moving the needle carrier and the proximal end of the guidewire toward the proximal end of the housing.
9. The method according to claim 1 , wherein the catheter hub includes a septum and a wiping element positioned proximal to the septum, further comprising moving the coil tip through the septum and the wiping element.
10. The method according to claim 1 , further comprising moving an actuator handle distally to advance the guidewire in a distal direction and moving the actuator handle laterally to initiate the withdrawing step.
11. The method according to claim 1 , wherein the catheter hub includes a wiping element proximal to the septum, wherein the withdrawing step comprises moving the coil tip from the distal chamber to the closed proximal chamber through the septum, and from the closed proximal chamber out of the catheter hub through the wiping element.
12. The method according to claim 11 , wherein following the step of moving the coil tip through the wiping element, the coil tip is distal to a distal end of the housing and visible to a user.
13. The method according to claim 1 , wherein the catheter insertion device further comprises an interlocking member in the housing engaged with a mating interlocking member on the needle carrier, wherein a compression spring is initially in a compressed state and constrained by engagement of the interlocking member with the mating interlocking member, and wherein an actuator mechanism is actuated to disengage the mating interlocking member from the interlocking member, thus releasing the compression spring to urge the needle carrier in a proximal direction.