Abstract: Rapidly insertable central catheters (“RICCs”) including catheter assemblies and methods thereof are disclosed. For example, a RICC assembly includes a RICC and an introducer. The RICC includes a catheter tube, a catheter hub, and one or more extension legs coupled in the foregoing order. The catheter tube includes a side aperture that opens into an introducing lumen that extends from at least the side aperture to a distal end of the RICC. The introducer includes a retractable-needle device, a syringe, and a coupling hub that couples the retractable-needle device and the syringe together proximal of the side aperture in a ready-to-deploy state of the RICC assembly. The retractable-needle device includes an introducer needle. A needle tip in a distal-end portion of a shaft of the introducer needle extends beyond the distal end of the RICC when the RICC assembly is in the ready-to-deploy state of the RICC assembly.

Abstract: A catheter containment system configured for securing a proximal portion of a catheter placement system within a sterile field. This relieves the clinician from holding the proximal portion to prevent them for falling outside of the sterile field. Further, the proximal portion can be secured out of the way from the insertion site providing a clear field of view. Embodiments include a body, having a channel configured to releasably engage an extension leg or guidewire, and a securement feature to secure the body to a portion of a drape or similar item of the sterile field. Exemplary securement features can include clips, clasps, pins, magnetic elements, adhesives, twist ties, zip ties, snap fasteners, hook and loop attachments, mechanical grasping devices or adhesive pads. The system can further include anchor tabs that can be adhered to the drape to provide an anchor point.

Abstract: Disclosed herein is an ultrasound system for accessing a vasculature of a patient. The ultrasound system is configured to depict an enhanced ultrasound image of a subcutaneous portion of the patient including an icon surrounding a target vessel depicted on the display. The icon indicates to a clinician the target vessel is within range of a percentage vessel occupancy or vessel purchase length depending on a size of cannula or angle of insertion. The icon can also indicate blood flow strength, vessel type, or vessel deformation. The enhanced image can further include cannula trajectory guidelines and visual alerts for the clinician if the cannula tip can potentially backwall the vessel. Additional icons can indicate obstructions disposed on the cannula trajectory.

Abstract: Constant-torque intraosseous access devices and methods thereof are disclosed. An intraosseous access device can include a constant-torque spring assembly disposed in a housing, a drive shaft extending from the housing, and an intraosseous needle coupled to the drive shaft configured to provide intraosseous access to a medullary cavity of a patient. A method of such an intraosseous access device can include inserting a distal end of the intraosseous needle through skin at an insertion site of a patient; applying force to bone at the insertion site with the distal end of the intraosseous needle, which starts winding a metal ribbon of the constant-torque spring assembly from an output spool onto a storage spool, thereby starting rotation of the intraosseous needle; and drilling through the bone until the intraosseous needle enters a medullary cavity of the patient, thereby achieving intraosseous access with the intraosseous access device.

Abstract: Disclosed herein are wound-healing systems and methods thereof. A wound-healing system can include a wound dressing, a catheter-stabilization device, and an electrical-stimulation means for applying electrical stimulation to heal or protect at least a wound associated with a percutaneous insertion site of a patient. The wound dressing can be configured as an electrode for placement around the wound. The catheter-stabilization device can include an anchor pad and a retainer coupled to the anchor pad. The anchor pad can be configured to adhere to skin of the patient proximate the insertion site. The retainer can be configured to stabilize a catheter assembly while a catheter tube of the catheter assembly is disposed in the insertion site. The electrical-stimulation means can include an electrical power source and an external circuit between the catheter-stabilization device and the wound dressing for applying the electrical stimulation.

Abstract: A probe head-cover applicator and method for applying a probe head-cover to a probe head of an ultrasound probe. A probe head-cover applicator can include a tray including a cavity, an insert of a compressible material suspended over the cavity, and a probe head-cover adhered to the insert. The insert can include a first adhesive on an outward-facing surface of the insert facing away from the cavity. The probe head-cover can be adhered to the insert by the first adhesive. The probe head-cover can include a second adhesive on an outward-facing surface of the probe head-cover facing away from the insert. The second adhesive can be configured to adhere the probe head-cover to a probe head of an ultrasound probe when the probe head is inserted into the cavity.

Abstract: Connection systems and methods for establishing optical and electrical connections through a drape are disclosed. A connection system can include a plug and a receptacle, the plug being configured to insert into the receptacle with the drape therebetween. The plug can include an optical terminal extending from a plug housing and an electrical terminal extending from the plug housing. The electrical terminal can be configured as a piercing element for piercing the drape. The receptacle can include an optical receiver within a receptacle housing and an electrical receiver within the receptacle housing. The optical receiver can be configured to form the optical connection with the optical terminal, and the electrical receiver can be configured to form the electrical connection with the electrical terminal when the plug is inserted into the receptacle with the drape therebetween.

Abstract: A system, apparatus and method directed to detecting malposition of a medical device within a vessel of a patient, such as an Azygos vein. The medical device can include a multi-core optical fiber including a plurality of core fibers, where each of the plurality of core fibers includes a plurality of sensors is configured to reflect a light signal based on received incident light, and change a characteristic of the reflected light signal for use in determining a physical state of the multi-core optical fiber. The system can include a console having non-transitory computer-readable medium storing logic that, when executed, causes operations of providing a broadband incident light signal to the multi-core optical fiber, receiving reflected light signals, processing the reflected light signals, and determining whether the medical device has entered the Azygos vein of the patient based on the reflected light signals.

Abstract: A tether connector configured to form an electrical connection with a sensor connector through a sterile barrier disposed over the sensor connector. The tether connector can include a housing, an electrical lead extending from the housing, and a first piercing element in the housing orthogonally connected to the electrical lead, the first piercing element configured to pierce the sterile barrier to form the electrical connection with the sensor connector.

Abstract: A catheter placement system including a catheter having a catheter tube distally coupled to a catheter hub having one or more extension legs proximally coupled to the catheter hub. The catheter tube defines one or more lumens where each of the one or more lumens is in fluid communication with one of the extension legs. The catheter placement system further includes a skin nicking device configured to transition between a sheathed configuration and a deployed configuration. The skin nicking device includes a needle defining a needle lumen, having a needle wall including one or more slots in fluid communication with an outside surface of the needle, and one or more blades configured to be aligned with the one or more slots, the one or more blades coupled to a distal end of one or more connecting members within the needle lumen.

Abstract: Optical connection systems including electrical-and-optical connection systems and methods thereof are disclosed. An electrical-and-optical connection system can include an extension tube having a plug and a relay module having a receptacle. The plug can be formed of a metal piece around electrical wires, which, in turn, are around optical-fiber cores that extend along a length of the extension tube. The plug can be configured to pierce through at least a sterile barrier. The relay module can include electrical wires and optical-fiber cores within a housing of the relay module, as well as a receptacle disposed in the housing. The receptacle can be configured to simultaneously accept insertion of the plug therein and establish both electrical and optical connections between the plug and the receptacle from a sterile field to a non-sterile field set up by the sterile barrier. Shape-sensing systems including the optical connection systems are also disclosed.

Abstract: A guidewire locking mechanism for a rapidly insertable central catheter (RICC) placement system includes a housing defining a needle lumen and guidewire lumen communicating therewith and extending at an angle therefrom. The needle extends through the needle lumen and a guidewire aperture, disposed in a side wall thereof, and aligns with the guidewire lumen. The guidewire extends through the guidewire lumen, through the guidewire aperture, and into a needle lumen. Once accessed, the guidewire can stabilize the insertion site to the vasculature. A locking mechanism can lock a position of the guidewire and the housing can detach from the needle hub, allowing the needle to be withdrawn therefrom. The guidewire can slide through a needle slot to disengage the needle. In the unlocked position, the guidewire can pass through one of a housing slot or a lock slot to disengage the system.

Abstract: A guidance system for guiding insertion of a needle into a body of a patient utilizes ultrasound imaging or other suitable imaging technology. The guidance system can include an imaging device including a probe for producing an image of the internal body portion target, such as a blood vessel. The imaging device can be configured to provide at least one indication of status via sensory feedback based on a determined position of the needle, for example via a plurality of light-emitting diodes located on the device. One or more sensors can be included with the probe that can sense a magnetic field associated with the needle. The system may include a processor that can receive magnetic field data sensed by the at-least-one sensor to determine the position of the needle. The system can also include a display that depicts the determined position of the needle.

Abstract: Disclosed herein are intraosseous access devices having various operating mechanisms, as well as methods of the intraosseous access devices. For example, an intraosseous access device includes, in some embodiments, a constant-torque spring assembly, a drive shaft, an intraosseous needle, and an interlock mechanism. The constant-torque spring assembly is disposed in a housing, and the drive shaft extends from the housing. The drive shaft is coupled to the constant-torque spring assembly. The intraosseous needle is coupled to the drive shaft. The intraosseous needle is configured for drilling through bone and providing intraosseous access to a medullary cavity of a patient. The interlock mechanism is configured to prevent rotation of the intraosseous needle and the drilling therewith until the interlock mechanism is disengaged.

Abstract: Disclosed herein is a system, apparatus and method directed to detecting damage to an optical fiber of a medical device. The optical fiber includes core fibers including a plurality of sensors configured to (i) reflect a light signal based on received incident light, and (ii) change a characteristic of the reflected light signal based on experienced strain. The system also includes a console having memory storing logic that, when executed, causes operations of providing receiving reflected light signals of different spectral widths of the broadband incident light by one or more of the plurality of sensors, processing the reflected light signals to detect fluctuations of a portion of the optical fiber, and determining a location of the portion of the optical fiber or a defect affecting a vessel in which the portion is disposed based on the detected fluctuations. The portion may be a distal tip of the optical fiber.

Abstract: Connection systems are disclosed for establishing one or more electrical connections through a drape. An example connection system includes a first connector and a second connector configured to connect to each other. The first connector includes a first-connector housing, an electrical lead extending from the first-connector housing, and at least a first piercing element within the first-connector housing configured to pierce the drape. The first piercing element is orthogonally connected to the electrical lead. The second connector includes a second-connector housing and at least a first receptacle within the second-connector housing. The first receptacle is configured to form at least a first electrical connection of the one or more electrical connections with the first piercing element when the first connector is disposed over the second connector with the drape therebetween. Methods are also disclosed herein for establishing one or more electrical connections through a drape with the connection systems.

Abstract: Disclosed herein is a system, apparatus and method directed to detecting damage to an optical fiber of a medical device. The optical fiber includes one or more core fibers each including a plurality of sensors configured to (i) reflect a light signal based on received incident light, and (ii) alter the reflected light signal for use in determining a physical state of the multi-core optical fiber. The system also includes a console having non-transitory computer-readable medium storing logic that, when executed, causes operations of providing a broadband incident light signal to the multi-core optical fiber, receiving reflected light signals, receiving reflected light signals of different spectral widths of the broadband incident light by one or more of the plurality of sensors, identifying at least one unexpected spectral width or a lack of an expected spectral width, and determining the damage has occurred to the optical fiber based on the identification.

Abstract: Disclosed herein is a system, apparatus and method directed to detecting malposition of a medical device within a vessel of a patient, such as an Azygos vein. The medical device can include a multi-core optical fiber including a plurality of core fibers, where each of the plurality of core fibers includes a plurality of sensors is configured to reflect a light signal based on received incident light, and change a characteristic of the reflected light signal for use in determining a physical state of the multi-core optical fiber. The system can include a console having non-transitory computer-readable medium storing logic that, when executed, causes operations of providing a broadband incident light signal to the multi-core optical fiber, receiving reflected light signals, processing the reflected light signals, and determining whether the medical device has entered the Azygos vein of the patient based on the reflected light signals.

Abstract: Connection systems and methods thereof facilitate establishing electrical connections through a barrier such as a drape without compromising a sterile field established by the barrier. A connection system can include two connectors. A first connector can include a first-connector housing defining a cavity, a slideable end piece coupled to a distal-end portion of the first-connector housing, and at least a first piercing element connected to a first electrical lead. The first piercing element can be configured to enter the cavity and pierce a barrier disposed in the cavity when the slideable end piece is advanced toward a proximal-end portion of the first-connector housing. A second connector can include at least a first receptacle within a second-connector housing connected to a second electrical lead. The first receptacle can be configured to form at least a first electrical connection with the first piercing element after the first piercing element pierces the barrier.

Abstract: Disclosed herein is a magnetic signature imprinting system including an imprinting device and a medical device having ferrous elements. The imprinting device includes an active area configured to receive the medical device. The active area includes one or more electromagnets configured to generate one or more electromagnetic fields to imprint a magnetic signature. The imprinting device further includes one or more sensors or a user input mechanism configured to detect one or more characteristics of the medical device and a console in communication with each of the electromagnets and the sensors.