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EP0608985A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Catheter/needle assembly, kit and method for administering therapeutic agents to the subarachnoid space

Assignee: Becton Dickinson and Co
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Filing: 1994-01-13
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Granted: —
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Expires: 2014-01-13
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Abstract

Abstract The invention is a catheter/needle assembly (10) for delivery of a medicament to the subarachnoid space of a patient which includes an elongate flexible tube portion (12) sized to fit within the bore of an epidural needle. The flexible tube portion (12) includes a proximal end (18), a distal end (20), and a hollow bore (22) therethrough. The assembly (10) further includes an elongate needle portion (24) having a distal point (26) and a passageway (28) therethrough. The needle portion (24) is fit within, fixedly attached to and fluidly sealed to the bore (22) of the tube (12). The needle point (26) projects distally a distance beyond the distal end (20) of the tube (12) so that the distal end of the tube forms a shoulder (30) projecting radially outwardly at the needle portion (24). The invention also includes a method of using the instantly invented assembly to deliver a medicament into the subarachnoid space of a patient. The invention further includes a kit for practicing the instantly invented method of introducing a medicament into the subarachnoid space of a patient using the instantly invented assembly described hereinabove. The kit includes an epidural needle (16) and the assembly (10) described hereinabove. The kit may further include stylets, adapters and other accessories to allow introduction of the epidural needle, the instantly invented assembly and to facilitate attachment of a delivery device to the assembly for delivery of a medicament into the subarachnoid space of a patient.

Inventors

  • 👤 Richard L. Griffith Iii
  • 👤 Joseph John Gregg
  • 👤 George Yurekewych

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-01 22:56
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/34; A61B17/3401; A61M; A61M25/00; A61M25/0021; A61M2025/0042

Claims Analysis

Total Claims: 10
Claim 1
Independent Claim 138 words
A catheter/needle assembly for introducing an injectable medicament into the subarachnoid space of a patient comprising: an epidural needle having a proximal end, a distal end and a bore therethrough; an elongate flexible tube portion sized to fit within the bore of said epidural needle, said tube having a proximal end, a distal end and a hollow bore therethrough; and an elongate needle portion, said needle portion having a distal point and a passageway therethrough, said needle portion being fit within, fixedly attached and fluidity sealed to said bore of said flexible tube, said point projecting distally a distance beyond said distal end of said tube, said passageway of said needle portion fluidity communicative with said bore of said tube portion, and said distal end of said tube forming a shoulder projecting radially outwardly from said needle portion.
Claim 2
Dependent Claim 23 words
The assembly of claim 1 wherein said distance said point projects beyond said tube is within the range of 9 to 13 mm.
Claim 3
Dependent Claim 44 words
The assembly of claim 1 wherein said tube is sized to fit within an epidural needle sized from 16 to 25 gauge and has an overall length from said tube portion proximal end to said needle portion distal point of about 50 to 100cm.
Claim 4
Dependent Claim 76 words
The assembly of claim 1 wherein said distal point of said needle portion has a pencil-point type tip, includes at least one side port opening, is 25 to 30 gauge and about 15 to 25mm long and is fixedly attached to said bore of said flexible tube portion by a method selected from the group consisting of adhesive bonding, crimping, and crimping including at least one external ring adjacent said distal end of said tube portion.
Claim 5
Independent Claim 236 words
A method for introducing an injectable medicament into the subarachnoid space of a patient comprising: providing an epidural needle having a proximal hub, a distal point and a bore therethrough; providing a catheter/needle assembly comprising an elongate flexible tube portion sized to fit within said bore of said epidural needle, said tube portion having a proximal end, a distal end and a hollow bore therethrough, and an elongate needle portion having a distal point and a passageway therethrough, said needle portion being fit within, fixedly attached and fluidity sealing said bore of said flexible tube, said point distally projecting a distance from said distal end of said tube, said passageway fluidity communicative with said bore of said flexible tube, and said distal end of said tube forming a shoulder projecting radially outwardly from said needle portion; introducing said epidural needle into the epidural space of the patient until said distal point of said epidural needle is in close approximation to the dural membrane; advancing said assembly within said bore of said epidural needle until said needle portion of said assembly penetrates the dural membrane and said bore of said assembly is in fluid communication with the subarachnoid space, said shoulder at said distal end of said flexible tube substantially preventing further penetration of said assembly into said dural membrane; and introducing the medicament into the subarachnoid space of the patient through the bore of the assembly.
Claim 6
Dependent Claim 28 words
The method of claim 5 further including aspirating cerebrospinal fluid through said assembly prior to said medicament introducing step to confirm that the dural membrane has been penetrated.
Claim 7
Dependent Claim 50 words
The method of claim 5 wherein said distal point of said needle portion is 25 to 30 gauge and about 15 to 25mm. long, has a pencil-point type tip with at least one side port and projects beyond said tube a distance within the range of about 9 to 13mm.
Claim 8
Dependent Claim 140 words
A kit for the practice of the method of introducing an injectable medicament into the subarachnoid space of a patient comprising: an epidural needle having a distal tip and a hollow bore therethrough; and a catheter /needle assembly comprising an elongate flexible tube portion sized to fit within said bore of said epidural needle, said tube having a proximal end, a distal end and hollow bore therethrough, and an elongate needle portion having a distal point and a passageway therethrough being fit within, fixedly attached to and fluidity sealing said bore of said flexible tube, said point projecting distally a distance beyond said distal end of said flexible tube, said passageway of said needle portion fluidity communicative with said bore of said tube, and said distal end of said tube forming a shoulder projecting radially outwardly at said needle portion.
Claim 9
Dependent Claim 23 words
The kit of claim 8 further including a stylet for occluding said distal tip of said epidural needle and a removable guidewire stylet.
Claim 10
Dependent Claim 32 words
The kit of claim 8 further including means for fluidly tightly attaching a delivery device for injectable medicaments to said proximal end of said assembly and filter means for the injectable medicament..

References Cited (Backward Citations)

US3081770A Cited
DE2405918A1 Cited
WO1991008785A1 Cited
EP0497285A1 Cited

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