Ultraviolet disinfection probe for indwelling catheters
Provided herein is a catheter system that includes an intravenous catheter assembly including a catheter defining a lumen extending between a distal end and a proximal end of the catheter and an access connector configured to provide access to the lumen of the catheter. The catheter system also includes a disinfecting probe coupleable to the access connector, with the disinfecting probe including a housing having a proximal end and a distal end, a lighting system disposed at least partially within the housing and configured to emit a disinfecting ultraviolet light, and an advancement member configured to advance a portion of the lighting system beyond the distal end of the housing and into the catheter, responsive to movement of the advancement member with respect to the housing, wherein the disinfecting ultraviolet light disinfects the lumen of the catheter upon being advanced therein by the advancement member.
1 . A catheter system, comprising:
an intravenous catheter assembly comprising:
a catheter comprising a distal end and a proximal end, the catheter defining a lumen extending between the distal end and the proximal end; and
an access connector configured to provide access to the lumen of the catheter; and
a disinfecting probe coupleable to the access connector, the disinfecting probe comprising:
a housing having a proximal end and a distal end;
a lighting system disposed at least partially within the housing and configured to emit a disinfecting ultraviolet light, the lighting system comprising:
an optical fiber extending distally through at least a portion of the housing and configured to transmit the disinfecting ultraviolet light along a length of the optical fiber; and
an advancement member configured to selectively move the optical fiber from a first position to a second position, wherein:
a distal end of the optical fiber is disposed within the housing when the optical fiber is in the first position,
the distal end of the optical fiber extends beyond the distal end of the housing and into the catheter when the optical fiber is in the second position, responsive to movement of the advancement member with respect to the housing, and
the disinfecting ultraviolet light disinfects the lumen of the catheter upon being advanced therein by the advancement member.
2 . The system of claim 1 , wherein the access connector comprises a needleless access connector, and wherein the disinfecting probe comprises a blunt cannula at the distal end of the housing that is reversibly coupleable to the needleless access connector; and
wherein the advancement member is configured to advance a portion of the lighting system through the blunt cannula and the needleless access connector, into the lumen of the catheter.
3 . The system of claim 1 , wherein the lighting system comprises:
an ultraviolet light source positioned adjacent the proximal end of the housing and configured to emit the disinfecting ultraviolet light; wherein:
the optical fiber extends out distally from the ultraviolet light source.
4 . The system of claim 3 , wherein the lighting system comprises a cladding covering a portion of the optical fiber and that is configured to block transmission of the disinfecting ultraviolet light.
5 . The system of claim 1 , wherein the cladding covers a full length of the optical fiber except for a tip at the distal end of the optical fiber, such that the disinfecting ultraviolet light is emitted only from the tip.
6 . The system of claim 4 , wherein the cladding covers a length of the optical fiber and includes openings formed therein at locations spaced apart along the length of the optical fiber, such that the disinfecting ultraviolet light is emitted from the optical fiber only at the locations.
7 . The system of claim 1 , wherein the lighting system comprises:
a guide wire; and
a light strip mounted on the guide wire, the light strip comprising a plurality of ultraviolet light emitting diodes (LEDs) configured to emit the disinfecting ultraviolet light;
wherein the advancement member is configured to advance a portion of the guide wire and the light strip beyond the distal end of the housing.
8 . The system of claim 7 , wherein the plurality of ultraviolet LEDs are equally spaced along a length of the light strip.
9 . The system of claim 1 , wherein the advancement member is configured to move along an outer surface of the housing, and wherein the advancement member engages the lighting system to advance the portion of the lighting system beyond the distal end of the housing and into the catheter.
10 . The system of claim 1 , wherein the lighting system comprises a control system configured to selectively control emission of the disinfecting ultraviolet light, the control system comprising one or more of an on/off switch, a timer, and a communication device.
11 . The system of claim 1 , wherein the lighting system is configured to emit UV-C light.
12 . The system of claim 1 , wherein the advancement member comprises a wheel member positioned on the housing and rotatable relative to the housing, wherein the wheel member is operably coupled to a lighting component of the lighting system, to advance and retract the lighting component out of and back into the housing when the wheel member is rotated.
13 . A disinfecting probe for disinfecting a catheter of an intravenous catheter assembly, the disinfecting probe comprising:
a housing having a proximal end and a distal end;
a lighting system disposed at least partially within the housing and configured to emit a disinfecting ultraviolet light, the lighting system comprising:
an optical fiber extending distally through at least a portion of the housing and configured to transmit the disinfecting ultraviolet light along a length of the optical fiber; and
an advancement member configured to selectively move the optical fiber from a first position to a second position, wherein:
a distal end of the optical fiber is disposed within the housing when the optical fiber is in the first position,
the distal end of the optical fiber extends beyond the distal end of the housing and into the catheter when the optical fiber is in the second position, responsive to movement of the advancement member with respect to the housing, and
the disinfecting ultraviolet light disinfects a lumen of the catheter upon being advanced therein by the advancement member.
14 . The disinfecting probe of claim 13 , further comprising a blunt cannula positioned at the distal end of the housing, the blunt cannula reversibly coupleable to a needleless access connector of the intravenous catheter assembly;
wherein the advancement member is configured to advance a portion of the lighting system through the blunt cannula and the needleless access connector, into the lumen of the catheter.
15 . The disinfecting probe of claim 13 , wherein the lighting system comprises:
an ultraviolet light source positioned adjacent the proximal end of the housing and configured to emit the disinfecting ultraviolet light, wherein:
the optical fiber extends out distally from the ultraviolet light source.
16 . The disinfecting probe of claim 15 , wherein the lighting system comprises a cladding covering a portion of the optical fiber and that is configured to block transmission of the disinfecting ultraviolet light.
17 . The disinfecting probe of claim 16 , wherein the cladding covers a full length of the optical fiber except for a tip at the distal end of the optical fiber, such that the disinfecting ultraviolet light is emitted only from the tip.
18 . The disinfecting probe of claim 16 , wherein the cladding covers a length of the optical fiber and includes openings formed therein at locations spaced apart along the length of the optical fiber, such that the disinfecting ultraviolet light is emitted from the optical fiber only at the locations.
19 . The disinfecting probe of claim 13 , wherein the lighting system comprises:
a guide wire; and
a light strip mounted on the guide wire, the light strip comprising a plurality of ultraviolet light emitting diodes (LEDs) configured to emit the disinfecting ultraviolet light;
wherein the advancement member is configured to advance a portion of the guide wire and the light strip beyond the distal end of the housing.
20 . The disinfecting probe of claim 19 , wherein the plurality of ultraviolet LEDs are equally spaced along a length of the light strip.
21 . The disinfecting probe of claim 13 , wherein the advancement member is configured to move along an outer surface of the housing, and wherein the advancement member engages the lighting system to advance a portion of the lighting system beyond the distal end of the housing and into the catheter.