# US 2025/0082906 A1 · Rapidly Insertable Central Catheters Including Catheter Assemblies and Methods Thereof

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- Number: US 2025/0082906 A1
- Document ID: US20250082906A1
- Status: Published application
- Kind: A1
- Application number: 18/955,600
- Filed: 2024-11-21
- Published: 2025-03-13
- Earliest claimed: 2020-06-29
- Assignees: Bard Access Systems, Inc.
- Applicants: Bard Access Systems, Inc.
- Inventors: Glade H. Howell; Jason R. Stats
- Web page: https://patentgrep.com/patent/US20250082906A1

## CPC

- A61M 25/0606: {"Over-the-needle" catheter assemblies, e.g. I.V. catheters}
- A61M 5/31: Details
- A61M 5/3129: {Syringe barrels (A61M5/3205, A61M5/50 take precedence)}
- A61M 5/31513: {Piston constructions to improve sealing or sliding}
- A61M 5/3293: {characterised by features of the needle hub}
- A61M 25/0026: {Multi-lumen catheters with stationary elements (catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175)}
- A61M 25/0054: {with regions for increasing flexibility}
- A61M 25/0097: {characterised by the hub (tube connectors or tube couplings A61M39/10)}
- A61M 25/0668: {splittable, tear apart}
- A61M 25/0693: {Flashback chambers}
- A61M 25/09: Guide wires
- A61M 25/09041: {Mechanisms for insertion of guide wires}
- A61M 5/3137: {with finger grip means, e.g. for easy manipulation of the syringe rod}
- A61M 5/31505: {Integral with the syringe barrel, i.e. connected to the barrel so as to make up a single complete piece or unit}
- A61M 25/0111: {Aseptic insertion devices}
- A61M 2202/0413: Blood
- A61M 2205/586: Ergonomic details therefor, e.g. specific ergonomics for left or right-handed users
- A61M 2210/125: Heart
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

Rapidly insertable central catheters (“RICCs”) including catheter assemblies and methods thereof are disclosed. A RICC assembly can include a RICC, an introducer, and a coupling system configured to couple the RICC and the introducer together. A catheter tube of the RICC includes a side aperture in a distal-end portion of the catheter tube, which opens into an introducing lumen extending to a distal end of the RICC. The introducer includes an introducer needle extending through the distal end of the RICC when the RICC assembly is in at least a ready-to-deploy state thereof. The introducer is configured to be actuated with a single finger of a hand while holding a distal-end portion of the introducer between a thumb and another finger or fingers of the hand. The coupling system includes a distal coupler slidably attached to the catheter tube proximal of the side aperture.

## Claims

### Claim 1

A syringe, comprising:
a barrel having a syringe tip in a distal-end portion of the barrel;
a plunger disposed in the barrel; and
a syringe housing encircling the barrel, the syringe housing either integral with or coupled to a proximal-end portion of the plunger.

### Claim 2 (depends on 1)

The syringe of claim 1, wherein the plunger is withdrawn from the barrel by proximally sliding the syringe housing relative to the barrel.

### Claim 3 (depends on 1)

The syringe of claim 1, further comprising a push tab proximally extending over the barrel from the distal-end portion of the barrel to which the push tab is coupled.

### Claim 4 (depends on 3)

The syringe of claim 3, the push tab is coupled to the distal-end portion of the barrel by an integrated connector around the syringe tip.

### Claim 5 (depends on 3)

The syringe of claim 3, wherein the push tab is configured for pushing against with a single finger of a hand while holding a distal-end portion of the syringe housing between a thumb and another finger or fingers of the hand to proximally slide the syringe housing relative to the barrel and withdraw the plunger from the barrel.

### Claim 6 (depends on 1)

The syringe of claim 1, wherein the syringe tip in the distal-end portion of the barrel is configured to couple to a needle hub of an introducer needle.

### Claim 7 (depends on 1)

The syringe of claim 1, further comprising an access guidewire disposed in an access-guidewire lumen formed of at least a plunger lumen of the plunger.

### Claim 8 (depends on 7)

The syringe of claim 7, wherein the access guidewire has a length sufficient for extension of the access guidewire through the syringe tip and into a blood-vessel lumen of a patient.

### Claim 9 (depends on 7)

The syringe of claim 7, wherein the plunger includes a sealing mechanism in a distal-end portion of the plunger for sealing off the access-guidewire lumen distal of the sealing mechanism.

### Claim 10 (depends on 9)

The syringe of claim 9, wherein the sealing mechanism is configured to maintain a vacuum for aspirating blood when the plunger is withdrawn from the barrel.

### Claim 11 (depends on 7)

The syringe of claim 7, further comprising a slider distally extending over the barrel from the syringe housing configured for actuating the access guidewire.

### Claim 12 (depends on 11)

The syringe of claim 11, wherein the slider includes an extension extending through a longitudinal slot in each of the barrel and the plunger into the access-guidewire lumen where the extension is coupled to the access guidewire.

### Claim 13 (depends on 11)

The syringe of claim 11, wherein the access guidewire is actuated by sliding the slider over the barrel with a single finger of a hand while holding a distal-end portion of the syringe housing between a thumb and another finger or fingers of the hand.

### Claim 14

A method for establishing access to a blood-vessel lumen of a patient, comprising:
obtaining an introducer including a syringe coupled to an introducer needle, the syringe including:
a barrel having a syringe tip in a distal-end portion of the barrel;
a plunger disposed in the barrel; and
a syringe housing encircling the barrel, the syringe housing either integral with or coupled to a proximal-end portion of the plunger; and
establishing a needle tract from an area of skin to the blood-vessel lumen of the patient with a needle shaft of an introducer needle.

### Claim 15 (depends on 14)

The method of claim 14, further comprising aspirating blood with the syringe to confirm a needle tip of the introducer needle is disposed in the blood-vessel lumen of the patient, the aspirating by proximally sliding the syringe housing relative to the barrel to withdraw the plunger from the barrel.

### Claim 16 (depends on 15)

The method of claim 15, further comprising pushing against a push tab proximally extending over the barrel from the distal-end portion of the barrel to which the push tab is coupled with a single finger of a hand while holding a distal-end portion of the syringe housing between a thumb and another finger or fingers of the hand to proximally slide the syringe housing relative to the barrel and withdraw the plunger from the barrel.

### Claim 17 (depends on 14)

The method of claim 14, further comprising advancing an access guidewire disposed in an access-guidewire lumen formed of at least a plunger lumen of the syringe and a needle lumen of the introducer needle into the blood-vessel lumen of the patient beyond a needle tip of the introducer needle.

### Claim 18 (depends on 17)

The method of claim 17, further comprising sliding a slider distally extending over the barrel from the syringe housing with a single finger of a hand while holding a distal-end portion of the syringe housing between a thumb and another finger or fingers of the hand to advance the access guidewire.

### Claim 19 (depends on 18)

The method of claim 18, wherein the slider includes an extension extending through a longitudinal slot in each of the barrel and the plunger into the access-guidewire lumen where the extension is coupled to the access guidewire.

### Claim 20 (depends on 17)

The method of claim 17, wherein the plunger includes a sealing mechanism in a distal-end portion of the plunger for sealing off the access-guidewire lumen distal of the sealing mechanism, the sealing mechanism configured to maintain a vacuum for aspirating blood when the plunger is withdrawn from the barrel.
