Abstract: A catheter placement system including a removable skin nicking device coupled with a catheter, e.g., a Rapidly Insertable Central Catheter. The skin nicking device includes a handle and a blade extending therefrom. The blade is disposed within a notch extending along a dilation section of the catheter. The blade includes a radially outward directed sharp edge configured to cut the skin adjacent a catheter insertion site. A distal end of the blade is disposed within the notch to prevent a skin bridge during insertion of the catheter. A needle is inserted into an access lumen of the catheter via a needle access port and an access guidewire is disposed within a lumen of the needle. An advancement guidewire is also disposed within the access lumen.

Abstract: A catheter placement system having a catheter and a skin nicking device that includes a blade configured to nick the skin of a patient adjacent a catheter insertion site. The catheter includes a multi-luminal catheter tube coupled with multiple extension legs. The catheter tube includes a diameter transitioning section disposed between two sections of the catheter tube having different diameters. The skin nicking device is disposed within a lumen such that a blade at the distal of the skin nicking device protrudes from an aperture of the lumen. The skin nicking device is positionable and rotatable within lumen and removable from the lumen. The skin nicking device includes an elongate body that may include rigid portions and/or flexible portions.

Abstract: Central catheters, central catheter assemblies, and methods thereof. A central catheter includes a catheter tube coupled with a number of the extension legs, a needle hub coupled with the catheter tube, where the needle hub is configured to receive a needle therethrough so that the needle is disposed within a primary catheter tube lumen. The central catheter includes a manifold hub for coupling the extension legs with the catheter tube. The manifold hub may be integral to the needle hub. The needle hub includes a septum within a needle hub lumen, where the septum is configured to define a fluid tight seal with a needle and to prevent fluid flow through the proximal portion of the needle-hub lumen when the needle is withdrawn from the needle-hub lumen. A method for introducing a central catheter into a blood vessel.

Abstract: A catheter placement system including a catheter, a needle for creating an insertion site, and a skin nicking device for enlarging the insertion site. A catheter placement device includes the skin nicking device slidably coupled with the needle, where the skin nicking device has one or more blades attached to a frame thereof. Distally displacing the skin nicking device along the needle causes the blade to nick the skin to enlarge the insertion site. A shield of the skin nicking device transitions between a safe configuration encapsulating the blade and a use configuration exposing the blade and the shield may be biased toward the safe configuration. A latch secures the shield in the safe configuration and an actuator releases the latch. A sheath of the skin nicking device includes the needle slidably disposed within a lumen thereof and a sharp tip of the blade embedded within a wall thereof.

Abstract: A catheter assembly including a catheter and a stylet disposed within a lumen of the catheter, the lumen having a closed distal end. The stylet includes a sensor at the distal end of the stylet and the sensor is located within a sensor pocket at the closed distal end of the lumen. An aperture extending through a luminal wall between the sensor pocket and the exterior of the catheter defines an electrical pathway between the sensor and the patient vasculature. A tapered distal portion of the catheter extends away from the distal end of the catheter and the sensor pocket is disposed along the tapered distal portion. A fluid opening extending between the lumen and the exterior of the catheter is disposed proximal the sensor pocket. A coated portion of the stylet includes an electrically insulative coating and the coated portion is disposed adjacent the fluid opening.

Abstract: A catheter placement assembly includes a catheter and a skin nicking device having a blade configured to transition between a sheathed configuration and a deployed configuration. The skin nicking device includes a needle defining having a slot extending through the needle wall, where the blade is disposed within the slot. The is hingedly coupled to the needle wall defining a fulcrum. The skin nicking device includes a push rod within the needle lumen, having a distal end operatively engaged with the blade such displacement of the push rod between a proximal position and a distal position transitions the blade between the sheathed configuration and the deployed configuration, respectively.

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: A rapidly insertable central catheter (“RICC”) insertion assembly can include a RICC, an introducer needle, a coupler coupling the RICC and the introducer needle together, and a sheath-splitting means for splitting a sheath body of the introducer needle away from an access guidewire. The sheath-splitting means allows the access guidewire to escape from the sheath body and remain in a needle tract established with the introduce needle. The splitting of the sheath body by the sheath-splitting means can be initiated by withdrawing the sheath body by a pair of finger tabs extending from a sheath hub around the proximal portion of the sheath body, twisting the introducer needle or a needle hub around the proximal portion of the needle shaft, triggering one or more triggers disposed in the coupler housing, or pushing a catheter tip of the RICC into the sheath body.

Abstract: A Rapidly Insertable Central Catheter (“RICC”) includes an access section formed of a first material, a catheter body section formed of a second material, and a dilator section disposed therebetween. The first material has a first durometer and the second material has a second, lesser durometer. The dilator section is formed of the first material, the second material, or a third material having a third durometer. The catheter body defines a primary lumen communicating with a primary lumen aperture disposed in a distal tip of the access section, a secondary lumen communicating with a secondary lumen aperture and a tertiary lumen communicating with a tertiary lumen aperture. The secondary lumen aperture and the tertiary lumen aperture can be disposed at an equal longitudinal length from the primary lumen aperture. The RICC can include intricate tip structures formed from different materials and can define a smooth abluminal surface.

Abstract: Scalpel blades, scalpels, scalpel assemblies, and methods thereof can be configured to reduce or even eliminate occurrences of skin bridges from skin-nicking such as when expanding insertion sites for catheters. For example, a scalpel blade can include a blade edge and a back edge, which back edge can include a pair of guidewire clips configured to clip onto a guidewire. The blade edge can terminate with a blade tip at a distal end of the scalpel blade. The pair of guidewire clips can be configured to clip onto the guidewire with sufficient clearance for slidably guiding the scalpel blade along the guidewire when skin-nicking a patient's skin and fascia around an insertion site established by a percutaneous puncture. The scalpels and scalpel assemblies can include the example scalpel blade. The methods can include methods of using any of the scalpel blades, scalpels, or scalpel assemblies disclosed herein.

Abstract: Reinforced catheter tips, catheters including rapidly insertable central catheters (“RICCs”), and methods thereof reduce the number of steps and medical devices involved in introducing catheters into patients. In an example of a catheter, a RICC can include a catheter tube, a catheter hub coupled to a proximal portion of the catheter tube, and a plurality of extension legs extending from the catheter hub. The catheter tube can include a first section in a distal portion of the catheter tube and a second section proximal of the first section. The first section of the catheter tube can distally terminate with a catheter tip reinforced with a reinforcement band therein. The plurality of extension legs that extend from the catheter hub can be equal in number to a plurality of lumens extending through the RICC. In another example, a method can include a method of making the foregoing RICC.

Abstract: An introducer needle can include a needle shaft, a sheath over the needle shaft, and a needle hub around a proximal portion of each of the needle shaft and the sheath. The needle shaft can include a needle slot extending from the proximal portion of the needle shaft through a distal needle tip, which needle tip can include a bevel having a tip bevel and a heel. The needle shaft can include opposite needle-slot walls that either: a) face each other and are parallel or oblique to each other, or b) face toward or away from a bottom of the needle slot. Additionally or alternatively, opposite needle-shaft walls can be parallel to each other. The sheath over the needle shaft can seal the needle slot thereunder but for a sheath opening in a proximal portion of the sheath.

Abstract: Introducer needles can be used with rapidly insertable central catheters (“RICCs”) or even other central venous catheters (“CVCs”). An introducer needle can include a needle shaft, a sheath, and a needle hub. The needle shaft can include a needle slot extending from a proximal portion of the needle shaft through a distal needle tip. The sheath can be disposed over the needle shaft and fixed in location thereon. The sheath can seal the needle slot under the sheath but for a sheath opening in a proximal portion of the sheath. The needle hub can be around at least the proximal portion of the needle shaft. The introducer needle can be made by creating the needle slot in the needle shaft such as by cutting or grinding the needle slot therein, disposing the sheath over the needle shaft, and fixing the sheath on the needle shaft.

Abstract: An introducer assembly can include an introducer and an access guidewire disposed therein. An introducer needle of the introducer can include a needle shaft having a needle slot extending from a proximal portion of the needle shaft through a distal needle tip. An introducer sheath of the introducer can include a sheath body over the needle shaft sealing the needle slot thereunder but for a sheath-body opening in a proximal portion thereof. The access guidewire can include a distal-end portion disposed in the introducer having an outer diameter greater than a proximal-end portion of the needle slot such that the proximal-end portion of the needle slot catches the distal-end portion of the access guidewire preventing proximal withdrawal of the access guidewire from the needle shaft. A method can include inserting a rapidly insertable central catheter into a blood-vessel lumen of a patient with the introducer assembly.

Abstract: A scalpel guide configured to be coupled with a scalpel blade. The scalpel guide engages a guidewire during use to constrain lateral displacement of the scalpel blade with respect to the guidewire. The scalpel guide includes laterally extending walls between which the guidewire is placed during use. The guide may be attached to the scalpel blade or formed integral to the scalpel blade.

Abstract: An antimicrobial medical device for use during the placement of a catheter. The antimicrobial medical device includes a tubular body configured to receive the catheter through a lumen of the tubular body during an intravascular procedure and wall of the tubular body forms a liner between catheter and the patient's skin. The device further includes an antimicrobial material coupled with the tubular body so that in use the antimicrobial material inhibits microbe growth at the insertion site.

Abstract: A rapidly insertable central catheter (“RICC”) insertion assembly having a sealing module can include a RICC, an introducer needle, an access guidewire, and a coupler coupling the RICC and the introducer needle together. A proximal portion of the access guidewire is disposed in a primary lumen of the RICC. A distal portion of the access guidewire is disposed in a needle shaft of the introducer needle through a needle slot thereof. A coupler housing of the coupler includes a sealing-module cavity of the sealing module. An elastomeric sealing-module insert of the sealing module is inserted into the sealing-module cavity. The sealing-module insert is configured to separately seal around a proximal portion of the introducer needle and the distal portion of the access guidewire when the sealing-module insert is compressed in the sealing-module cavity. A method can include inserting the foregoing RICC into a blood-vessel lumen of a patient.

Abstract: A securement device configured to secure an external portion of a medical device to the skin surface of a patient after an internal portion of the device has been placed in the patient is disclosed. The securement device includes a retainer that is employed to securely retain the external portion of the medical device in place. The retainer is attached to a base, such as an adhesive pad that adhesively attaches to the skin surface. In one embodiment, therefore, a retainer comprises a body defining a channel configured to receive therein a portion of the medical device, and at least one foot extending from the body that is configured to stabilize the retainer with respect to a skin surface. The retainer body further includes a nose that is configured to deflect a portion of the external portion of the medical device toward the skin insertion site.

Abstract: With smaller gauge catheters, forming distal tip structures, termed “tipping,” can be increasingly challenging. The thin wall-thicknesses of these small gauge catheters provide a reduced cross-sectional surface area with which to couple the distal tip structure to. This increases the risk of failure of the device either during manufacture or during use. To address the foregoing, embodiments include forming and placing a spiral plug within a lumen of a proximal section of the catheter. The spiral plug co-operates with the catheter to provide an increased wall thickness and an increased cross-sectional surface area with which to couple a distal tip structure thereto. Further the spiral plug can align the lumen of the catheter body with a lumen of the distal tip structure. The spiral plug can be sacrificial and provide increased material across the joint, mitigating joint failure.

Abstract: A guidewire stabilization mechanism for a catheter placement system can include an actuator button that can be actuated by the user to grip the guidewire in a locked position. With the guidewire locked relative to a housing of the stabilization mechanism a user can detach a needle hub from the housing and withdraw the needle proximally. A portion of the guidewire can pass through a needle slot to disengage the needle from the guidewire. The stabilization mechanism can prevent the guidewire from being dislodged from the vasculature as the needle is withdrawn. The stabilization mechanism can be biased towards the unlocked position, towards the locked position, can be bistable in both the locked and unlocked positions, or can be activated by the removal of the needle.