# US 6,916,310 B2 · Percutaneous access device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 6,916,310 B2 - Document ID: US6916310B2 - Status: Granted - Kind: B2 - Application number: 10/449,179 - Filed: 2003-05-30 - Published: 2004-12-02 - Granted: 2005-07-12 - Earliest claimed: 2003-05-30 - Assignees: Codman & Shurtleff, Inc. - Inventors: Bob Sommerich - Web page: https://patentgrep.com/patent/US6916310B2 ## CPC - A61M 39/0247: {Transcutaneous or percutaneous access sites to the inside of the body} - A61M 2039/025: {through bones or teeth, e.g. through the skull} - A61M 2039/0273: {for introducing catheters into the body} - A61M 2039/0285: {with sterilisation means, e.g. antibacterial coatings, disinfecting pads, UV radiation LEDs or heating means in the port} - 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 A percutaneous access device is provided including a sleeve having an inner lumen extending therethrough that is adapted to slidably receive a catheter, and at least one flange disposed around the sleeve and adapted to be positioned adjacent a tissue surface. In a preferred embodiment, the device includes a first flange disposed around the sleeve and adapted to be positioned adjacent a first tissue surface, and a second flange disposed around the sleeve and spaced apart from the first flange such that the second flange is adapted to be disposed adjacent a second tissue surface opposed to the first tissue surface. In use, the flanges 16, 18 are positioned on opposed sides of tissue so that the device 10 is effective to prevent tissue surrounding the percutaneous access device from coming into contact with the catheter as it is introduced through the sleeve 12. The device also includes an antimicrobial agent that is effective to protect against bacterial colonization on and around the access device, the catheter, and the tissue surface surrounding the access device. ## Claims ### Claim 1 A percutaneous access device, comprising: a sleeve having an inner lumen extending therethrough that is adapted to slidably receive a catheter; and at least one flange slidably formed on the sleeve and adapted to be positioned adjacent a tissue surface; wherein the sleeve and at least one flange both include an antimicrobial agent. ### Claim 2 (depends on 1) The percutaneous access device of claim 1, wherein the sleeve includes a first flange disposed around the sleeve and adapted to be positioned adjacent a first tissue surface, and a second flange disposed around the sleeve and spaced apart from the first flange such that the second flange is adapted to be disposed adjacent a second tissue surface opposed to the first tissue surface. ### Claim 3 (depends on 2) The percutaneous access device of claim 2, wherein the second flange is positioned at a distal end of the sleeve, and the first flange is positioned a distance apart from a proximal end of the sleeve to allow a proximal end of the sleeve to be grasped during use. ### Claim 4 (depends on 2) The percutaneous access device of claim 2, wherein the first and second flanges each have a substantially cylindrical shape. ### Claim 5 (depends on 2) The percutaneous access device of claim 2, wherein the first and second flanges extend in a direction substantially transverse to an axis of the sleeve. ### Claim 6 (depends on 1) The percutaneous access device of claim 1, wherein the sleeve is adapted to slidably and sealingly receive a catheter. ### Claim 7 (depends on 6) The percutaneous access device of claim 6, wherein the catheter is selected from the group consisting of a ventricular catheter, a urethral catheter, a venous catheter, and an arterial catheter. ### Claim 8 (depends on 6) The percutaneous access device of claim 6, wherein the inner lumen of the sleeve includes a seal disposed therein and adapted to provide a fluid-tight seal around a catheter member disposed therein. ### Claim 9 (depends on 8) The percutaneous access device of claim 8, wherein the seal is selected from the group consisting of one of more annular rings, a sheath, a web, a clip, and a bonding agent. ### Claim 10 (depends on 1) The percutaneous access device of claim 1, wherein at least one of the sleeve and the at least one flange is formed from a pliable material. ### Claim 11 (depends on 10) The percutaneous access device of claim 10, wherein at least one of the sleeve and the at least one flange is formed from a material selected from the group consisting of silicone and polyurethane. ### Claim 12 (depends on 2) The percutaneous access device of claim 2, wherein one of the flanges and the sleeve are of a unitary construction. ### Claim 13 (depends on 1) The percutaneous access device of claim 1, wherein the antimicrobial agent comprises a coating disposed on a surface of the sleeve and at least one flange. ### Claim 14 (depends on 1) The percutaneous access device of claim 1, wherein the antimicrobial agent is impregnated within the sleeve and the at least one flange. ### Claim 15 (depends on 14) The percutaneous access device of claim 14, wherein the antimicrobial agent comprises a mixture of rifampin and clindamycin hydrochloride. ### Claim 16 A catheter kit, comprising: a percutaneous access device comprising a body having a lumen extending therethrough and adapted to receive a catheter, and at least one tissue-protecting member slidably formed on the body and adapted to protect tissue surrounding the percutaneous access device from coming into contact with a catheter, at least one tissue-protecting member and the body of the percutaneous access device both including an antimicrobial agent; and a catheter adapted to be slidably and sealingly disposed through the lumen in the percutaneous access device. ### Claim 17 (depends on 16) The kit of claim 16, wherein the body of the percutaneous access device comprises a sleeve, and the at least one tissue-protecting member comprises at least one flange disposed around the sleeve. ### Claim 18 (depends on 17) The kit of claim 17, wherein percutaneous access device includes a first flange disposed around the sleeve and adapted to be positioned adjacent a first tissue surface, and a second flange disposed around the sleeve and spaced apart from the first flange such that the second flange is adapted to be disposed adjacent a second tissue surface opposed to the first tissue surface. ### Claim 19 (depends on 16) The kit of claim 16, wherein the catheter is a ventricular catheter. ### Claim 20 (depends on 16) The kit of claim 16, wherein the inner lumen of the percutaneous access device includes a seal disposed therein and adapted to provide a fluid-tight seal around the catheter when the catheter is disposed therein. ### Claim 21 (depends on 20) The kit of claim 20, wherein the seal is selected from the group consisting of one of more annular rings, a sheath, a web, a clip, and a bonding agent. ### Claim 22 (depends on 17) The kit of claim 17, wherein at least one of the sleeve and the at least one flange is formed from a pliable material. ### Claim 23 (depends on 17) The kit of claim 17, wherein at least one of the sleeve and the at least one flange is formed from a material selected from the group consisting of silicone and polyurethrane. ### Claim 24 (depends on 18) The kit of claim 18, wherein the body and one of the flanges is of a unitary construction. ### Claim 25 (depends on 16) The kit of claim 16, wherein the antimicrobial agent comprises a coating. ### Claim 26 (depends on 16) The kit of claim 16, wherein the antimicrobial agent is impregnated within at least one tissue-protecting member and the body of the percutaneous access device. ### Claim 27 A percutaneous access device, comprising: a sleeve having an inner lumen extending therethrough that is adapted to slidably receive a catheter; and a first flange disposed around the sleeve and adapted to be positioned adjacent a first tissue surface; and a second flange slidably disposed around the sleeve and spaced apart from the first flange such that the second flange is adapted to be disposed adjacent a second tissue surface opposed to the first tissue surface; wherein both the sleeve and at least one of the flanges includes an antimicrobial agent. ### Claim 28 (depends on 27) The percutaneous access device of claim 27, wherein the first flange is fixedly mated to the sleeve. ### Claim 29 (depends on 27) The percutaneous access device of claim 27, wherein the sleeve and the first flange is of a unitary construction. ### Claim 30 (depends on 27) The percutaneous access device of claim 27, wherein the antimicrobial agent is impregnated within the sleeve and at least one of the first and the second flanges. ### Claim 31 (depends on 27) The percutaneous access device of claim 27, wherein the antimicrobial agent is coated onto the sleeve and at least one of the first and the second flanges.