Blood collection devices, systems, and methods

Abstract

An access system can include a connector for coupling with a catheter assembly having a catheter tube that can be positioned in a blood vessel of a patient, a reinforcement member fixedly secured to the connector, and a cannula movable relative to the reinforcement member from a retracted position in which at least a portion of the cannula is within the reinforcement member to an advanced position. The cannula can include a polymeric tube and a support tube that encompasses a portion of the polymeric tube. The support tube defines a distal edge that is within the reinforcement member when the distal tip of the polymeric tube is first positioned distal of and external to the reinforcement member as the cannula is transitioned from the retracted position to the advanced position.

1 . An access system comprising:
 a connector configured to couple with a catheter assembly that comprises a catheter tube configured to be positioned in a blood vessel of a patient;   a reinforcement member fixedly secured to the connector; and   a cannula movable relative to the reinforcement member from a retracted position in which at least a portion of the cannula is within the reinforcement member to an advanced position, the cannula comprising:
 a polymeric tube that defines a distal tip; and 
 a support tube that encompasses a portion of and is stiffer than the polymeric tube, the support tube defining an inner diameter that is marginally larger than an outer diameter of the polymeric tube so as to prevent kinking of the polymeric tube, the support tube being in a fixed relationship with the polymeric tube so as to move in unison therewith, the support tube defining a distal edge that is proximally spaced from the distal tip of the polymeric tube and that is configured to be within the reinforcement member when the distal tip of the polymeric tube is first positioned distal of and external to the reinforcement member as the cannula is transitioned from the retracted position to the advanced position, 
   wherein, when the connector and the catheter assembly are in a coupled state, at least a portion of the polymeric tube that extends distally beyond the distal edge of the support tube is configured to be advanced through at least a portion of the catheter tube as the cannula is transitioned from the retracted position to the advanced position.   
     
     
         2 . The access system of  claim 1 , wherein the inner diameter of the support tube is larger than the outer diameter of the polymeric tube by no greater than 30 percent. 
     
     
         3 . The access system of  claim 1 , wherein, at each stage throughout movement of the cannula from the retracted position to the advanced position, at least some portion of the support tube is positioned within the reinforcement member. 
     
     
         4 . The access system of  claim 1 , wherein, wherein the distal edge of the support tube is configured to extend distally past a distal tip of the reinforcement member when the cannula is in the advanced position. 
     
     
         5 . The access system of  claim 1 , wherein the distal edge of the support tube is within the reinforcement member when the cannula is in the retracted position. 
     
     
         6 . The access system of  claim 1 , wherein the distal edge of the support tube is distal to a distal tip of the reinforcement member when the cannula is in the advanced position. 
     
     
         7 . The access system of  claim 1 , further comprising a sheath coupled to the connector, wherein the cannula extends through at least a portion of the sheath, the cannula being movable relative to the sheath from the retracted position to the advanced position. 
     
     
         8 . The access system of  claim 1 , wherein the catheter assembly comprises a valve. 
     
     
         9 . The access system of  claim 8 , wherein, when the connector is coupled with the catheter assembly, no portion of the reinforcement member extends through the valve. 
     
     
         10 . The access system of  claim 8 , wherein, when the connector is coupled with the catheter assembly, a distal tip of the reinforcement member is at or proximally spaced from a proximal surface of the valve. 
     
     
         11 . The access system of  claim 8 , wherein, when the connector is coupled with the catheter assembly, the reinforcement member aims the cannula toward a sealable opening of the valve such that the distal tip of the polymeric tube is advanced through the sealable opening of the valve as the cannula is moved from the retracted position to the advanced position. 
     
     
         12 . The access system of  claim 11 , wherein the sealable opening is substantially centered relative to the valve, and wherein, when the connector is coupled with the catheter assembly, the reinforcement member is substantially centered so as to be aligned with the sealable opening. 
     
     
         13 . The access system of  claim 1 , wherein the catheter assembly further comprises a removable piercing member that extends through the valve and through the catheter tube to assist in positioning the catheter tube in the blood vessel of the patient, and wherein the piercing member is configured to be removed from the catheter assembly prior to coupling the connector of the access system with the catheter assembly. 
     
     
         14 . The access system of  claim 1 , wherein the catheter assembly is one of a closed intravenous catheter system and an open intravenous catheter system. 
     
     
         15 . The access system of  claim 1 , further comprising a sealing member coupled to each of the reinforcement member and the support tube so as to form a fluid-tight seal to prevent egress of fluid from a space between the support tube and the reinforcement member. 
     
     
         16 . The access system of  claim 1 , wherein the sealing member is fixedly secured to the reinforcement member and the support tube is movable relative to the sealing member. 
     
     
         17 . The access system of  claim 1 , further comprising the catheter assembly. 
     
     
         18 . A kit comprising:
 the access system of  claim 1 ; and   instructions for using the kit, the instructions comprising directions to:
 couple the connector to the catheter assembly while the catheter tube of the catheter assembly is positioned in the blood vessel of the patient; and 
 advance the cannula from the retracted position to the advanced position. 
   
     
     
         19 . The kit of  claim 18 , wherein the instructions for using the kit further comprise directions to:
 couple a fluid transfer device to the cannula; and   draw blood from the blood vessel through the cannula and into the fluid transfer device.   
     
     
         20 . A method of using the access system of  claim 1 , the method comprising:
 coupling the connector to the catheter assembly when the catheter tube of the catheter assembly is positioned in the blood vessel of the patient; and   advancing the cannula from the retracted position to the advanced position.   
     
     
         21 . An access system comprising:
 a connector configured to couple with a closed intravenous catheter system that comprises a valve and a catheter tube that is configured to be positioned in a blood vessel of a patient;   a reinforcement member fixedly secured to the connector so as to be immobile relative thereto and oriented such that when the connector is coupled with the closed intravenous catheter system, a distal tip of the reinforcement member is at or proximally spaced from a proximal surface of the valve; and   a cannula movable relative to the reinforcement member from a retracted position to an advanced position,   wherein, when the connector and the closed intravenous catheter system are in a coupled state, at least a portion of the cannula is configured to be advanced distally through the reinforcement member and then through the valve and subsequently into the catheter tube as the cannula is transitioned from the retracted position to the advanced position.   
     
     
         22 - 58 . (canceled)