Abstract: An insert for joining sheaths for use in a medical device is described. The insert has a first end including a first operative coupling and a second end including a second operative coupling. The first operative coupling is for engaging a first tube at its distal end, and the second operative coupling is for engaging a second tube at its proximal end. The insert also includes a first passageway extending through the insert from the second end to an exit port disposed between the first operative coupling and the second operative coupling. This disclosure also provides a catheter including such an insert, and a method of assembling a catheter.

Abstract: A connector for joining ends of two conduits is described, the connector comprising: a male connector portion and a female connector portion, both portions having conduit connection means for the connection of a conduit to each portion; engagement means to hold the male and female connector portions in fluid flow establishing connection when connected together and valve means associated with said female portion.

Abstract: A connector (10) for connecting two conduits having a plurality of lumens therethrough is described, the connector for comprising a male connector portion (12) and a female connector portion (14), the male and female connector portions having mutually engageable retention means, the male and female connector portions defining a plurality of flow passages commensurate with those of the conduits to be connected, the male and female connector portions having co-operating male and female fluid flow passage connecting portions wherein axes of fluid flow passages in a connector portion are offset at an entry point from an exit point in that portion.

Abstract: A catheter device having an elongated tubular member with a proximal end and a distal end, and a needle disposed near the distal end. In one embodiment, the needle has a rigid, penetrating tip coupled to a flexible portion by an overlapping joint. The flexible portion enables the needle to bend to a penetrating angle relative to the distal end of the elongated tubular member and penetrate a body tissue without kinking.

Abstract: A luer connector assembly is provided for enhancing the frictional engagement between medical devices such as syringes and needle assemblies. The assembly needle includes a female luer fitting having a passageway and a relatively soft, resilient member bounding the passageway. The passageway is also bounded by the body of the fitting, which is harder than the soft, resilient member. A male luer fitting inserted into the passageway engages both the soft, resilient member and the body of the female luer fitting. A method of manufacturing such a connector assembly is further provided. A first material is injected into a mold to form the body of a female luer fitting, the fitting including a passageway and a recess extending into the body. A second material is then injected such that it extends into the recess and bounds the passageway. The second material, when cool, is softer than the first material.

Abstract: Low profile adaptor for use with a medical catheter, such as a gastrostomy feeding tube. In a preferred embodiment, the adaptor comprises a body having a lower portion and an upper portion. A first channel is provided in the lower portion, and a second channel is provided in the upper portion, the first and second channels being perpendicular to and in fluid communication with one another. A generally cylindrical stem is coaxially positioned within the second channel, the stem being rotatably mounted about its longitudinal axis. The stem is hollow and has an open front end, a closed rear end and a hole in its side wall, the hole being rotatably alignable with the first channel. To facilitate rotational alignment of the hole with the first channel, a stop is formed on the exterior of the stem, the stop being engageable with a surface positioned within the second channel. The front end of the stem is recessed relative to the front end of the second channel to prevent unwanted rotation of the stem.

Abstract: A soft grip medical connector can include a housing and a flexible member. The housing has a lumen extending through it from an upstream end to the downstream end. The flexible member includes a valve portion integrally formed with a sleeve portion. The valve portion is positioned within a section of the housing and can control a flow of fluid through the housing lumen. The sleeve can be inverted to envelop some or all of the outer surface of the housing. The sleeve can include a gripping portion integrally formed with the valve portion. The connector can also create a positive pressure in the lumen upon removal of a syringe or other medical device from the upstream end of the connector.

Abstract: A fluid connector and method of use is disclosed that includes a male housing with a male proximal end portion adapted to be in fluid communication with a first line and a male distal end portion having a resilient ring. Also included is a female housing with a female proximal end portion adapted to be in fluid communication with a second line and a female distal end portion with a resilient annulus that removably engages the ring. Operationally, the male and the female housings are configured at the annulus and ring engagement to have a high separating resistance axially and a low separating resistance transverse to the axial axis by manually applying a bending moment between the male and female engaged housings by a force transverse to the axial axis. Further included is structure for fluid sealing between the male and female housings when the annulus and ring are engaged.

Abstract: A device is described for fitting and removing a closing means (27, 29) on an end portion (13) of a tubular element (3), comprising: a container (1) defining an internal chamber (18); a rotating platform (19) inside said chamber at the bottom (16) thereof; a receiving housing (26) that is able to receive and hold a first closing means (27) from said end portion of tubular element; and a releasing housing (28) that is able to contain and release a second closing means (29), in said end portion of tubular element; said receiving and releasing housings provided with an opening for passage of the closing means, being fixed on said rotating platform with said opening turned towards said perimeter walls (17) of the container. The device can be used as a connector for peritoneal dialysis and minimizes or eliminates the risks of contamination, also of pathogens, and the risks of peritonitis.

Abstract: The present application describes devices that use various features to prevent the disconnection of connectors used in medical treatments. For example embodiments prevent disconnection of luer connectors that are incompletely mated.

Abstract: A luer connector assembly is provided for enhancing the frictional engagement between medical devices such as syringes and needle assemblies. The assembly needle includes a female luer fitting having a passageway and a relatively soft, resilient member bounding the passageway. The passageway is also bounded by the body of the fitting, which is harder than the soft, resilient member. A male luer fitting inserted into the passageway engages both the soft, resilient member and the body of the female luer fitting. A method of manufacturing such a connector assembly is further provided. A first material is injected into a mold to form the body of a female luer fitting, the fitting including a passageway and a recess extending into the body. A second material is then injected such that it extends into the recess and bounds the passageway. The second material, when cool, is softer than the first material.

Abstract: The invention provides design, material, manufacturing method, and use alternatives for medical devices. An example medical device includes a first elongated member having a proximal end, a distal end, and a lumen extending therebetween and a second elongated member having a proximal end, a distal end, and a lumen extending therebetween. The proximal end of the second elongated member may be disposed adjacent to the distal end of the first elongated member forming an actuatable junction. In some cases, the actuatable junction may be actuatable between a first state and a second state. When in the first state, the first elongated member may be rotatable relative to the second elongated member and, when in the second state, the first elongated member may be fluidly sealed to the second elongated member.

Abstract: An improved tamper evident end cap assembly for a drug loaded syringe which assembly includes a syringe cap to close the discharge port in the nozzle of the syringe and an indicator ring about the nozzle connected by chads or tabs to a tubular shield which chads or tabs are adapted to break freeing the ring from the shield to loosely wobble on the nozzle indicating tampering if an axial force of separation is applied to the syringe cap to remove it from the syringe and a one way drive mechanism engaging both the shield and syringe cap so the shield may be rotated to advance the assembly onto a syringe nozzle but which is not responsive to counter rotation to withdraw the syringe cap to open the discharge port and gain access to the drug.

Abstract: A needleless luer access connector is disclosed having a septum disposed in a housing. The septum has a proximal portion with a cross section, a medial portion with a cross section smaller than the cross section of the proximal portion, and a distal portion. A longitudinal slit extends through the septum from the proximal portion to the distal portion. The septum and housing are designed so that septum will not be rotated or removed from the housing when the connector is accessed by a male luer taper. In addition, the septum and housing are designed to bias the slit at the distal portion closed and so a male luer connector does not have to extend completely through the distal portion to open the slit at the distal portion. Finally, the septum and housing are designed to minimize the amount of dead space in the connector when accessed with a male luer taper.

Abstract: A dialysis system includes a dialysis instrument including at least one pump actuator; a disposable cassette operable with the at least one pump actuator, a plurality of supply lines connected to the disposable cassette, each supply line including a supply line connector and a supply line tip protector; a plurality of dialysis fluid containers, the dialysis fluid containers each including a solution line having a solution line connector and a solution line tip protector; and an auto-connection mechanism including a solution line connector holder, a supply line connector holder, one of the holders fixed, the other of the holders moveable, and a moveable tip protector remover.

Abstract: A connector includes a first structure including a tubular male connector section that has a male-side cavity, and a tubular female connector section having a female-side cavity, which communicates with the male-side cavity and to which another male connector section the same as the male connector section can be connected, and a second structure including an installation section that can be installed on the first structure, a male lock section disposed adjacent to the male connector section in an installed condition in which the second structure is installed on the first structure, so that the direction of connection thereof is parallel to that of the male connector section, and a female lock section to which another male lock section the same as the male lock section can be connected, which is disposed adjacent to the female connector section in the installed condition, so that the direction of connection thereof is parallel to that of the female connector section, wherein the first structure can be used sel

Abstract: A system for introducing and advancing medical devices into vessels, including an introducer with a first elongated tubular member having a first connection element at a distal end and a guide catheter comprising a second connection element at a proximal end, the first and second elongated tubular members being substantially hollow for receiving and passing through an expandable device for treatment of septal defects, where the first connection element includes a female connection element with an internal continuous annularly shaped protruding rib; and the second connection element comprises a male connection element adapted to be inserted into the first connection element, the second connection element having an external continuous annularly shaped protruding rib, where the internal rib and external rib are configured to interlock and resist relative longitudinal movement while allowing relative rotational movement. Methods of making and using are also described as well as an associated cutting apparatus.

Abstract: A hemodialysis catheter assembly adapted for use in a subcutaneous tunneling procedure incorporates a mechanism for securing the catheter hub member to the elongated catheter, and to provide the requisite fluid communication between fluid passages within the hub and the catheter lumens within the catheter. The catheter hub member may be connected to the elongated catheter after implantation of the catheter via a subcutaneous tunneling procedure.

Abstract: A catheter includes a tubular body having a channel having its ends opening out respectively at the ends of the tubular body, injector element for injecting fluid into the channel, a tubular endpiece having a channel with ends opening out respectively at the ends of the tubular endpiece, and element for connecting the endpiece and the body together so that the end of the channel and the end of the channel are in alignment on an axis, the connection element being constituted essentially by a ring that partially covers the body and the endpiece, and being also arranged in such a manner that the connection can be broken by exerting a force couple of predetermined value respectively on the endpiece and on the body. The invention is applicable to safety catheters for performing endovascular treatments by injecting embolic fluid, for example for treating arteriovenous malfunctions.

Abstract: A locking mechanism for maintaining a position of a catheter on a beaded connector tube of an implantable vascular access device includes first and second lock members. The first lock member comprises an elongated body having a plurality of slots formed along its outer surface. The second lock member comprises an elongated body dimensioned such that at least a slotted portion of the first lock member is receivable in an axial passageway of the second lock member. The second lock member has a plurality of tabs extending radially into the axial passageway such that a tab is receivable in a respective slot to form a locking connection between the first and second lock members.

Abstract: A medical connector for connecting medical tubing to a catheter includes a connector body and a height compensating foot. The connector body has a catheter leg adapted to connect to the catheter, a medical tubing leg adapted to connect to the medical tubing, and an angular bend intermediate the legs. The height compensating foot is attached to the catheter leg and extends outwardly therefrom at an angle to prevent the connector from rocking and tubing from overhanging a patient's knuckles when connected to the catheter inserted in a patient.

Abstract: A low profile adaptor for use with a medical catheter. In one embodiment, the adaptor comprises a lower connector portion, an upper connector portion and a valve. The lower connector portion comprises a tubular portion and an annular portion, the annular portion radially surrounding the tubular portion along an intermediate length thereof. A helical thread is formed on the inside surface of the tubular portion. A circular lip projects upwardly a short distance from the top surface of the annular portion. The upper connector portion comprises a tubular section adapted for insertion into the tubular portion of the lower connector portion. An external helical thread is formed on the tubular section of the upper connector portion for mating engagement with the thread on the interior of the tubular portion of the lower connector portion. The upper connector portion also includes an annular base.

Abstract: An apparatus and method for access to the inside of a body includes a transparent sheath with a radiopaque marking and fastener for securing a guidewire or catheter. The transparent sheath permits objects located within and near the sheath to be visualized with an external imaging system. Objects located near the sheath can also be observed with an imaging device disposed inside the sheath. The radiopaque marker permits accurate positioning of the sheath in the body. The sheath can be inserted into the body over an interventional device. A fastener prevents migration of a guidewire or catheter during the procedure.

Abstract: One or more caps can be used to cover and sterilize one or more separated medical connectors. A pair of caps can be connected to each other and sealed when in a pre-use state. The paired caps can be unsealed so as to permit connection to the medical connectors.

Abstract: A medical valve connector comprising a tubular body having an inlet fitting of the male luer or luer-lock type with an inner tubular element displaceable axially from a retracted position for closing a passage of flow towards an outlet fitting to an advanced position for opening said passage of flow. A tubular body made of elastic material, set between the inlet and outlet fittings, tends to keep the inner tubular element in the retracted position. Also the outlet fitting can rotate and axially translate between a retracted position and an advanced position.

Abstract: A connector includes a male connector section having a cavity, a female connector section having a cavity to which another male connector section the same as the male connector section can be connected, a male lock section or a female lock section, disposed adjacent to the male connector section so that the connection direction thereof is parallel to that of the male connector section, a female lock section disposed adjacent to the female connector section so that the connection direction thereof is parallel to that of the female connector section, and to which another male lock section the same as the male lock section can be coupled, or a male lock section disposed adjacent to the female connector section so that the connection direction thereof is parallel to that of the female connector section, and to which another female lock section the same as the female lock section can be coupled, and a seal member formed from an elastic material, for maintaining liquid-tightness of the connection between the other

Abstract: A connector includes a male connector section having a male-side cavity, a female connector section having a female-side cavity to which another male connector section the same as the male connector section can be connected, a seal member formed from an elastic material for maintaining liquid tightness between the connector sections when the other male connector section and the female connector section are connected to each other, and lock mechanisms disposed respectively on the male connector section side and the female connector section side for maintaining the connected condition of the connector sections when the other male connector section and the female connector section are connected to each other.

Abstract: The present invention concerns a housing for supporting the proximal inlet ports of at least two isolated lumens, for use in a patient fluid administration system, wherein each of the lumens further comprises a distal outlet for connecting to at least one patient fluid administration member, and wherein the housing further comprises an integral unit wherein the unit comprises a distal frame layer, a female connector layer, for connecting to at least one of the fluid peripheral elements and at least one intermediate gasket layer for providing sealing between each of the isolated lumens.

Abstract: A catheter connector for a subcutaneously placed catheter. The catheter connector can be configured for a single lumen catheter or a multiple lumen catheter. The connector facilitates precise positioning of both distal and proximal ends of a catheter, providing enhanced functionability and patient comfort.

Abstract: A port system including an implantable first fluid guiding system, an external second fluid guiding system with a connecting head at one end, a percutaneously implantable port for establishing a fluid connection between the fluid guiding systems, the port including a port casing which forms a first connecting element, and a connecting device which includes a second connecting element, wherein the connecting head is fastened to the port casing by a releasable, engagement of the connecting elements, several embodiments of which connecting elements are encompassed.

Abstract: Apparatuses and methods for a connection interface between a reservoir or syringe, infusion set tubing, and an infusion pump are provided. A base is provided which is adapted to receive a reservoir and engage a cap. A piercing member, such as a needle, is disposed in the interior of the cap in such a manner that the needle is separated from the reservoir septum when the base is in a first detent position, and the needle pierces a reservoir septum when the base is in a second detent position. When the reservoir, the base and the cap are connected to form an integrated unit, this unit is then capable of being inserted and secured in the infusion pump housing. In some embodiments, an integral connector couples directly to the reservoir.

Abstract: A connector system for connecting conduits for fluid flow there between comprises a first male connector and a first female connector, the connectors being releasably interengageable to form fluid-tight connection, the first male connector being adapted to connect the first female connector, but not to a standard female locking Luer connector, and the first female connector being adapted to connect to the first male connector and a standard male slip and/or locking Luer connector. The invention further relates to an epidural, intrathecal or intravenous apparatus including the connector system.

Abstract: A connection structure is provided having a female thread formed on the inner peripheral surface of a lock ring in a male connector engaging a male thread on the outer peripheral surface of a female connector when the male connector and the female connector are screwed to each other. Further, protrusion strips are formed on the rear side portion of the male thread on the outer peripheral surface of the female connector, and the notches that can engage with the protrusion strips are set on the tip portion of the lock ring. As a result, when the male thread and the female thread are screwed to each other, the screwed state is appropriate when the protrusion strips and notches are engaged with each other.

Abstract: A warming device for an IV fluid line according to the present invention includes a warmer unit and a wye type fitting with an injection site. The warmer unit includes a tube for intravenous fluid and channels containing a warming fluid to heat the IV tube. One fitting branch is connected to an intravenous fluid source, while the remaining branch houses the injection site. The injection site branch includes an injection safety member that ensures a syringe needle or other instrument is contained within the fitting to prevent rupture of the IV tube. The warming device may include an additional wye type fitting coupled to the initial fitting and including another injection site, where the fittings typically exclude the safety member. A syringe needle is inserted into the additional injection site to prevent rupture of the IV tube. In addition, the warming device may be configured for needleless injections.

Abstract: A method for retaining a first conduit (210) to a second conduit (230) by attaching a clip (100) to the first conduit and the second conduit, the first conduit including a first connector (220) and the second conduit including a second connector (240). The first connector is releasably connected to the second connector. The clip (100) comprises a base portion (110) and a first clip portion (120) extending away from the base portion. The first clip portion (120) has a first opening (140) that is sized to frictionally retain the first connector (220). The clip further comprises a second clip portion (150) disposed on the base portion (110) away from the first clip portion (120). The second clip portion (150) includes a second opening (170) that is sized to frictionally retain the second connector (240).

Abstract: A clip (100) for retaining a first conduit (210) to a second conduit (230), the first conduit including a first connector (220) and the second conduit including a second connector (240). The first connector is releasably connected to the second connector. The clip (100) comprises a base portion (110) and a first clip portion (120) extending away from the base portion. The first clip portion (120) has a first opening (140) that is sized to frictionally retain the first connector (220). The clip further comprises a second clip portion (150) disposed on the base portion (110) away from the first clip portion (120). The second clip portion (150) includes a second opening (170) that is sized to frictionally retain the second connector (240). A method for securing a first conduit (210) to a second conduit (230) by attaching a clip (100) to the first conduit and the second conduit is also provided.

Abstract: Luer assemblies are provided having first and second connectors operatively coupled and securing tails of a proximal end section of a catheter disposed therebetween. A method for cutting a proximal end section of a catheter having distal and proximal ends is provided, a slit in the proximal end section exposing a catheter lumen and forming first and second tails having inner, outer, and peripheral engaging surfaces. Another method secures catheter tails disposed between operatively coupled first and second connectors, the first connector having a distal insert inserted into the exposed catheter lumen and a catheter engaging body about which the catheter tails are disposed, and the second connector having a catheter engaging body disposed about the catheter tails, wherein the connectors are configured to be operatively coupled to each other and to operatively couple the catheter tails disposed between the catheter engaging bodies of the first and second connectors.

Abstract: Medical connector comprising a tubular body with an inlet fitting and an outlet fitting of the female luer-lock type connected to the body in a rotary and axially translatable way between a retracted position and an advanced position. One-directional detent assemblies enable rotation of the outlet fitting in one direction in the retracted position and in the opposite direction in the advanced position.

Abstract: The present disclosure generally relates to an multisegment interconnect device for permanently connecting adjacent elastic tubes, catheter ends, or other fluid transportation conduits where tubes are push-locked over conical outer ends each with a locking lip, the segments are connected at an interface, and the segments are adapted in length or geometry to permanently connect the tubes and hold a different length of tube over the body of the multisegment interconnect device.

Abstract: The invention relates to a male connector for use in a connector system for connecting conduits for fluid flow there between. The system comprises a male connector and a female connector and the connectors are releasably interengageable to form a fluid-tight connection. The male connector is adapted by a barrier (7), e.g. a disc, to connect only to a standard female slip Luer connector. The invention also relates to an infusion set including the male connector.

Abstract: This invention provides a female medical coupling port with an integrated port guide to enable more accurate and precise coupling of a male port coupling (such as the cannula of a syringe) and to prevent port exposure to non-sterile objects. The male and female ports can be arranged according to standard dimensions for male and female luer taper fittings recognized by ANSI and by ISO. This guide-shielded port is usable with the standard ANSI and ISO male cannula widely used in the medical field. In an embodiment the female port is used in medical fluid systems to receive a blunt male cannula, such as those found in the luer lock fitting of needle-less syringes and IV tubing systems to establish a mechanical coupling. Female ports allow coupling of devices (e.g. syringes and IV tubing) to a variety of medical applications including stopcocks, minimum fluid displacement medical couplings, female-to-female adapters, port dead-end caps, IV extension sets, pressure-monitoring devices, etc.

Abstract: The invention relates to a device for injecting liquid, comprising a piece of tubing on which there is situated at least a first liquid occlusion system. According to the invention, a regulation system (4) is situated upstream from the first occlusion system, the two systems defining an intermediate segment in which the pressure, in the absence of injection, is greater than the pressure that exists downstream from the first occlusion system so as to direct any leak of liquid from the first occlusion system downstream. The invention is applicable to a pump used for injecting contrast liquid for medical imaging.

Abstract: A medical system for connecting a multiple lumen medical catheter to associated medical instrumentation includes a connector member defining a longitudinal axis and having a first end for releasable coupling to the medical catheter and a second end for coupling to medical instrumentation. A mounting segment is adjacent the first end of the connector member. The mounting segment includes first and second mounting elements extending in a general longitudinal direction and arranged in spaced relation, and being adapted for reception within respective lumens of the catheter. The first and second mounting elements define inner opposing surfaces. At least one of the opposing surfaces may have an irregular surface portion dimensioned to engage the septum wall of the catheter to facilitate gripping engagement with the septum wall to assist in coupling of the connector member with the catheter.

Abstract: A connector assembly for interconnecting separate sections of tubing, e.g., catheters, and a method for using the same. Connector assemblies in accordance with embodiments of the present invention may be a two-piece construction having a connector pin and a strain relief device. The strain relief device, in addition to providing secure, substantially leak-free coupling of the tubing sections, may also provide strain relief to the tubing interconnection.

Abstract: The present invention is a catheter having a tube and including mechanisms that provide precision control over insertion and retraction of the catheter tube. The catheter is particularly adapted for introduction into the pulmonary system. The catheter includes an insertion depth control mechanism that acts as a stop and provides a tactile indication to the person inserting the catheter tube that a predetermined position has been reached. The catheter also includes an anti-bunching mechanism to prevent bunching of a protective sleeve disposed around the catheter tube, thereby reducing interference from the sleeve during insertion of the catheter tube.

Abstract: Connector for medical use comprising: a body joined to a line or adapted to be connected at one of its ends to a tubing in which a fluid flows, and a male luer lock connection comprising a base mounted rotatingly on the body and cooperating by friction with it, without any possible translational movement. The base is joined to a hollow tubular body, having a threaded inner surface and a male central luer cone. The outer surface of the body and the inner surface of the base of the connection, cooperating by friction, have a spherical then cylindrical shape.

Abstract: Catheter (1) for vascular access comprising a cannula (2) having at least one first lumen (21), at least one first connection tube (3), and a connection molded simultaneously on an end of the cannula (2) and on at least one part of the first connection tube (3) and manufacturing process comprising the following stages: taking a cannula (2) having at least one first lumen (21), taking one first connection tube (3), placing in a mould one end of the cannula (2) and one end of the first connection tube (3), injecting into the mould a molding material to obtain the connection (4) between the end of the first connection tube (3) and the end of the cannula placing the first lumen (21) and at least the first tube (3) in fluid communication and device for implementing the manufacturing process.

Abstract: A catheter assembly and method for constructing same comprises engagement of a proximal tubular member to a distal outer tubular member. At least a portion of the exterior surface of the proximal tubular member comprises at least one thermoplastic polymer. At least a portion of the end region of the distal outer tubular member is engaged to at least a portion of the end region of the proximal tubular member to define an engagement region. The proximal tubular member and the distal outer tubular member define a continuous central lumen therethrough. At least a portion of the proximal tubular member is disposed about an inner support layer. At least a portion of the inner support layer extends distally across the engagement region and into the lumen of the distal outer tubular member.

Abstract: A flow component for medical infusion/transfusion lines includes a tubular body having a side inlet connector, housed in a fluid-tight way in which is an elastic sealing element that can be traversed by a fluid introducer. The elastic sealing element has at least one axial cavity, which defines, for traversal by the fluid introducer, a diaphragm of small thickness.

Abstract: A locking component (100,200,300,400) for locking a catheter proximal end onto a stem (16,56) of a medical device such as a venous access port assembly (10,50). The locking component has upper and lower parts (104,102;204,202) that self-secure to each other, preferably in a first position partially open but still assembled, and a second position, locked fully together. The locking component has a compression surface (106,206) to compress the catheter lumen wall against the stem at a location axially offset from the protuberance(s) along the stem of the medical device. A method is disclosed for mechanically securing a catheter to a medical device by the locking component can involve placing the pre-assembled locking component along the catheter prior to securing the proximal catheter end to the stem of the medical device and then moving the locking component into position around the stem and then pressing it together into its second locked position, compressing the catheter lumen wall against the stem.