Tamper-evident enclosure for PICC line
A catheter enclosure device for locking an intravenous catheter therein with tamper-evident features to deter unauthorized use. The catheter enclosure device may be particularly useful for peripherally inserted central catheters (PICC). The enclosure device comprises an open-top box and a removable lid for covering the box. The open-top box has a compartment for holding the proximal end of an intravenous catheter. The lid comprises a panel for covering the open portion of the open-top box and a folding wing that overhangs the forward end of the box when covering the box. The folding wing further comprises a retaining anchor. When the folding wing is folded down, the retaining anchor inserts into a locking slot on the forward end of the box, thereby preventing the lid from being removed off the box. Also disclosed are methods for using the catheter enclosure device.
1. A method of enclosing a catheter port inside a catheter enclosure device, comprising:
providing an intravenous catheter comprising the catheter port at a proximal end thereof and an intravenous line;
providing a catheter enclosure device comprising:
(i) a rectangular shaped open-top box having a compartment, a forward end having a locking slot, a tail end, a longitudinal length along an axis from the forward end to the tail end, and a transverse width; wherein the longitudinal length is greater than the transverse width;
(ii) a removable lid for covering the box, wherein the lid is a separate component from the box and comprises a folding wing that overhangs the forward end of the box when covering the box, wherein folding wing comprises:
(a) a hinge that allows the folding wing to fold down over the forward end of the box;
(b) an upper portion and a lower portion;
(c) one or more bridge segments connecting the upper portion to the lower portion;
(d) a retaining anchor that fits into the locking slot when the folding wing is folded down;
placing the catheter port of the intravenous catheter inside the compartment of the open-top box such that the catheter port points towards the forward end and the intravenous line towards the tail end;
covering the open-top box with the lid such that the folding wing is at the forward end of the box and overhanging the forward end;
(iii) folding the folding wing downward to cause the locking anchor to insert into the locking slot.
2. The method of claim 1 , wherein the open-top box has a depth in the range of 1-3 cm, longitudinal length in the range of 6-10 cm, and transverse width in the range of 1-4 cm.
3. The method of claim 1 , wherein the open-top box further comprises a groove opening at the tail end, and the method further comprises inserting the intravenous line into the groove opening.
4. The method of claim 3 , wherein the groove opening has a tapered V-shape that pinches closed the intravenous line.
5. The method of claim 3 , wherein covering the open-top box with the lid covers over the groove opening and traps the intravenous line within the groove opening.
6. The method of claim 1 , further comprising accessing the catheter port by steps comprising:
detaching the one or more bridge segments to separate the upper portion from the lower portion;
lifting the upper portion of the folding wing;
removing the lid to expose the catheter port.
7. The method of claim 6 , wherein the lid is removed by sliding the lid towards the tail end.
8. The method of claim 6 , further comprising removing the catheter port from the box.
9. The method of claim 6 , wherein the folding wing of the lid further comprises a grasping fin on the upper portion of the folding wing.
10. The method of claim 9 , wherein the step of lifting the upper portion of the folding wing comprises grasping the grasping fin and swinging the upper portion of the folding wing upward.
11. The method of claim 1 , wherein the folding wing has notches on the lateral sides of the hinge.
12. The method of claim 1 , wherein the one or more bridge segments of the folding wing are the sole connection between the upper portion and the lower portion of the folding wing.
13. The method of claim 1 , wherein the hinge is a first hinge, and the folding wing further comprises a second hinge that is located between the first hinge and the base of the retaining anchor.