Medical device support device

Abstract

Support devices and / or support blocks are provided that support a medical device, such as an access device, in a desired orientation relative to a patient's body. The support block may include a bottom surface and a top surface, wherein the top surface may be configured to be substantially at an angle (such as 5-30 degrees) relative to the bottom surface. The top surface and / or the bottom surface may have a connection mechanism configured to allow the support block to be connected with at least one additional support block.

Description

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS

[0002] This application claims priority to U.S. Provisional Patent Application No. 63 / 328,642, filed on April 7, 2022, the entire contents of which are incorporated herein by reference. Technical Field

[0003] The present disclosure relates to a support structure for a medical device that can extend outwardly from a patient's body. Background Art

[0004] In a clinical setting, a medical device can be inserted into a patient at an access point via an access device (e.g., an introducer sheath). In some cases, a portion of such a medical device can extend outward from the body. In some cases, this may occur when a patient is receiving medical support for a long period of time, such as 6 hours or more. It is well known that a medical device can be secured to a patient (e.g., via one or more suture pads). Summary of the invention

[0005] In some embodiments, a support block is disclosed. The support block may include a bottom surface and a top surface. The top surface may be configured to be substantially angled (such as 5-50 degrees) relative to the bottom surface. As will be appreciated, the angle of the support block may be configured to match the desired support angle of the medical device and / or access device to be maintained at the entry position. The top surface may be connected to the bottom surface via a front surface, two side surfaces, and a rear surface. The rear surface may have a larger surface area than the front surface. The top surface and / or the bottom surface may have a connection mechanism that is configured to allow the support block to be connected to at least one additional support block. The connection mechanism may be, for example, a protruding element that may be configured to engage with a receiving slot on the at least one additional support block, a receiving slot that may be configured to receive a protruding element from the at least one additional support block, a magnet that may be configured to engage with a magnet or ferromagnetic material on the at least one additional support block, and / or one or more protrusions or recesses that may be configured to form an interference fit with one or more protrusions or recesses on the at least one additional support block.

[0006] In some embodiments, the support block may include silicone or thermoplastic polyurethane. In some embodiments, the support block may include a rigid material. In some embodiments, the support block may be formed of open-cell foam or closed-cell foam. In some embodiments, the support block may include an antimicrobial filler, such as silver.

[0007] In some embodiments, the support block can include an angle matching device coupled to the bottom surface, the angle matching device being configured to be sutured to the patient. In some embodiments, the support block can be configured to be sutured to the patient. In some embodiments, the support block can include an adhesive layer on the bottom surface. In some embodiments, the bottom surface of the block can also be formed of a material (or coating) having a high coefficient of friction (e.g., a "sticky" material) so that once placed by the clinician, the position of the block on the patient will not substantially move.

[0008] In some embodiments, the top surface can be contoured to receive an extracorporeal portion of an access device. In some embodiments, the top surface can include a depression configured to contact and partially surround a portion of an extracorporeal portion of an access device and / or a medical device. In some embodiments, the bottom surface of the support block can be contoured to fit a location on the patient and / or the patient's body type, such as the anterior (e.g., upper anterior) surface of a patient's thigh or an upper chest region (e.g., near the subclavian artery or accessory artery). In some embodiments, the rear surface can include a groove configured to provide access for a fingertip.

[0009] In some embodiments, a support device may be provided that includes a collar portion configured to at least partially surround a hub, catheter, sleeve, and / or stent, and an adjustable portion hingedly coupled to the collar portion.

[0010] In some embodiments, a support device may be provided that includes an angle-matching device configured to be sutured to a patient, and an adjustable arm and hub, catheter, sleeve and / or bracket configured to be coupled to the angle-matching device.

[0011] In some embodiments, a system may be provided. The system may include an access device having an external portion extending away from the patient and one or more support blocks or support devices as disclosed herein. The one or more support blocks and / or support devices may be configured to allow the external portion to maintain a desired orientation relative to the patient. In some embodiments, the access device may be a catheter. In some embodiments, the access device may be a guide sheath. In some embodiments, the system may include 2-5 support blocks.

[0012] In some embodiments, each support block is configured to have a different angle (eg, the angle of the top surface relative to the bottom surface). In some embodiments, each support block is configured to have the same angle.

[0013] In some embodiments, the bottom surface of a support block can be contoured to fit the location on the patient and / or the patient's body shape. In some embodiments, the top surface of a support block can be contoured or can contain depressions.

[0014] In some embodiments, each support block can have a top surface and / or a bottom surface configured to physically interlock with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to magnetically interact with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

[0015] In some embodiments, a kit may be provided. The kit may include an access device and one or more support blocks or support devices as disclosed herein.

[0016] The one or more support blocks can be configured to allow the extracorporeal portion of the access device to maintain a desired orientation relative to the patient, each support block comprising a bottom surface and a top surface substantially angled relative to the bottom surface. The kit can include an angle matching device coupled to the bottom surface of one of the one or more support blocks, the angle matching device being configured to be sutured to the patient.

[0017] In some embodiments, the kit can include 2-5 support blocks. In some embodiments, each support block is configured to have the same angle. In some embodiments, each support block is configured to have different angles.

[0018] In some embodiments, the bottom surface of a support block can be contoured to fit the location on the patient and / or the patient's body shape. In some embodiments, the top surface of a support block can be contoured or can contain depressions.

[0019] In some embodiments, each support block can have a top surface and / or a bottom surface configured to physically interlock with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to magnetically interact with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 is a diagrammatic representation of an embodiment of a support block.

[0021] Figure 2 is a diagrammatic representation of an embodiment of a support block.

[0022] Figure 3 is an illustration of an embodiment of a system including a plurality of support blocks.

[0023] Figure 4 is an illustration of an embodiment of a support block having a contoured top surface.

[0024] Figure 5 is an illustration of an embodiment of a support block having a contoured bottom surface.

[0025] Fig. 6A and 6B is a diagrammatic representation of an embodiment of a support block.

[0026] Figure 7 is a diagrammatic representation of an embodiment of a support block.

[0027] Figure 8-10 is a diagrammatic representation of an embodiment of a support device.

[0028] Fig.11 is a flow chart of an embodiment of a method.

[0029] Fig.12 is a side view of an access device according to another embodiment.

[0030] Fig.13 yes Fig.12 A rear view of a portion of the access device.

[0031] Fig.14 is a rear view of a portion of an access device according to another embodiment.

[0032] Fig.15 is a side view of an access device according to another embodiment.

[0033] Fig.16 yes Fig.15 Top view of the access device.

[0034] Fig.17 yes Fig.15 Top view of an access device with the support arm in a first position.

[0035] Fig.18 yes Fig.15 Top view of an access device with the support arm in a second position. DETAILED DESCRIPTION

[0036] As is well known, medical devices can be inserted into a patient at an access point via an access device (e.g., an introducer), and a portion of such medical device can extend outward from the body. In some cases, this may occur when the patient is in a support state for a long time, such as 6 hours or more.

[0037] In some cases, a medical device may have a long rigid length extending away from the body. This may create a lever arm that, when pressed down against the skin or body, may cause lifting or bulging of the vasculature beneath the subcutaneous tissue. Such lifting or bulging of the vasculature may result in bleeding and subsequent discomfort or injury to the patient.

[0038] Existing solutions are often built into the catheter or introducer device itself, for example by trying to ensure that the stiffness of the catheter shaft is low. In some embodiments, if the device shaft is very soft, the rigid hub of the product can be pushed down to the skin without transmitting lift to the subcutaneous vessels. Other solutions may involve the clinician placing folded gauze under the access device to maintain the desired position. The inventors have recognized that such an arrangement does indeed always provide a satisfactory solution.

[0039] Therefore, in view of the above, the inventors have recognized the benefits of a support system that is configured to maintain a desired support angle between a medical device exiting a patient at an access location. As described herein, a support system can be configured to maintain a desired support angle between an access device and a patient. In some embodiments, a support system can include one or more support blocks and / or one or more support arms.

[0040] As described herein, the desired support angle of the medical device can include the natural protrusion angle of the medical device (e.g., the angle at which the medical device exits an access device (such as an introducer or catheter) relative to the patient), thereby stabilizing the system and minimizing or preventing compression of the device down to the skin. Since patients can have different anatomies based on size, weight, height, and general access site, the presented embodiments allow the physician to adjust and adapt the actual angle of a particular medical device (e.g., a catheter) relative to any patient anatomy in a simple manner.

[0041] Once the medical device is placed, and as it protrudes outward from the skin, embodiments of the present disclosure can move between the device and the patient's body to maintain the protrusion angle. For example, in some embodiments, the support system can include one or more support blocks that slide under the device and between the device and the patient's body (e.g., front leg). If the angle is shallow, the system allows the user to "select" or adjust by removing the stackable setting.

[0042] In some embodiments, by ensuring that the device is stabilized at a natural angle, bleeding due to tenting may be minimized or even prevented while the patient is in the ICU for an extended period of time.

[0043] Now turning to the attached figure, Figure 1A support block 100 according to one embodiment of the present disclosure is shown. As shown in this view, the support block may include a bottom surface 110 and a top surface 120. In some embodiments, the support block may include a front surface 130, a rear surface 140, and two side surfaces 150, 151. As will be appreciated, the bottom surface 110 may be configured to be placed against a patient. In such embodiments, a medical device (and / or access device) may be stably placed against at least a portion of the top surface 120 of the block.

[0044] In some embodiments, the top surface 120 is configured to be substantially angled 160 relative to the bottom surface. In some embodiments, the angle may be between 5 and 60 degrees. In some embodiments, the angle may be between 5 and 30 degrees. The angle may be formed by taking an imaginary plane parallel to the front-most portion 121 of the top surface 120, ignoring any chamfers, bevels, or rounded edges, and measuring the angle at which it intersects an imaginary plane parallel to the front-most portion 111 of the bottom surface 110, ignoring any chamfers, bevels, or rounded edges.

[0045] In some embodiments, the rear surface 140 may have a larger surface area than the front surface 130 .

[0046] As will be appreciated, in some embodiments, the clinician may only need a single block to maintain the desired support angle between the patient and the medical device. In other embodiments, the clinician may need to stack more than one block to achieve the desired support angle. In such embodiments, the first support block can be configured to connect to the second support block (see, e.g., Figure 2 ). For example, Figure 1 As shown, the support block can have one or more connectors 170, 171, 172, which are configured to allow the support block to be connected to at least one additional support block. In some embodiments, the connector can be a magnetic connector 170, which is configured to interact with a magnet or ferromagnetic material 171 that can be on the second support block. In some embodiments, the connector can be a receiving slot 172 (e.g., a channel) configured to receive a corresponding protruding element from the second support block.

[0047] In some embodiments, the support block may have a rear surface 140 that may include a groove 180 configured to provide access for a fingertip.

[0048] refer to Figure 2 , other connectors can be seen. As shown, the system 200 can utilize multiple support blocks 100, 101, 102. In some embodiments, the connector can be a protruding element 173 (here, on support block 101) that is configured to dock with a receiving slot 172 on another support block (here, support block 100).

[0049] In some embodiments, the connector can be one or more protrusions or recesses 174 configured to form an interference fit with one or more protrusions or recesses on the second support block. The connector can also be a hook and loop fastener, an adhesive (e.g., tape), or another suitable connector or fastener.

[0050] As will be appreciated, in some embodiments, each stackable block can have the same configuration (e.g., shape, angle, height, and / or width). In other embodiments, the stackable blocks can have different configurations (e.g., shape, angle, height, and / or width) so that a clinician can customize the blocks to achieve a desired angle for the medical device to exit the patient.

[0051] In some embodiments, the top surface and / or bottom surface of the block can be substantially planar. In other embodiments, the top surface and / or bottom surface can be non-substantially planar. For example, in some embodiments, one or more blocks can be configured to receive at least a portion of a medical device (or access device). In such embodiments, Figure 2 As shown, the top surface can include a recess or channel 125 configured to contact and partially surround a portion of a medical device and / or access device.

[0052] In some embodiments, Figure 3 As shown, the recesses and / or channels need not extend the entire length of the top surface. Figure 3 As shown, the top surface 120 may include a depression 126, wherein the depression contacts and partially surrounds a portion of the external portion of the access device 310. The depression may have a geometric shape. For example, the depression may be circular, hemispherical, triangular, elliptical, other polygonal, or other shapes. The depression may have an irregular shape. Figure 2 As shown, in other embodiments, the channel may extend along the entire length of the block.

[0053] refer to Figure 4 In some embodiments, the top surface 120 of the support block can have a contour that matches the contour of a medical device (e.g., an extracorporeal portion of the medical device 315). Figure 4 As shown, the medical device includes a tubular member 313 coupled to a suture hub 314 and an access device 310 including a hub 312 coupled to a sleeve 311. Here, due to the connection between the tubular member 313 and the hub 312, the support of the tubular member by the support block also supports the access device. Figure 5 As shown, the block can be configured such that a portion of a medical device and / or access device can extend along a portion of the top surface and / or the rear surface.

[0054] In some embodiments, Figure 5 As shown, the bottom surface can also be contoured. For example, in some embodiments, the access device 310 and / or the medical device 315 can utilize the access point 320 of the patient 330, where a flat bottom surface is not ideal. In some embodiments, the bottom surface 110 of the support block can be contoured to fit the location on the patient 330 and / or the body type of the patient 330.

[0055] refer to Fig. 6A In some embodiments, the support block can be configured so that the block can be sutured to the patient. For example, in some embodiments, the support block 100 can include one or more suture pads 190 that are configured to allow a user to suture the block to the patient. In some embodiments, the suture pads can be directly coupled to the support block (e.g., adhered, sutured, welded, etc. to the bottom surface). In some embodiments, the suture pads can be formed as part of the support block.

[0056] As will be appreciated, in some embodiments, the first block may be Fig. 6A As shown, the device is sutured to the patient, wherein one or more blocks may be attached thereto (e.g., Figure 2 shown).

[0057] like Fig. 6A As shown, in some embodiments, the support block can be directly attached to the suture pad. In other embodiments, such as Figure 6B As shown, the angle of the support block relative to the suture pad can be varied. For example, in some embodiments, an angle matching device, such as a micro support block, can also be utilized. Figure 6B , in some embodiments, the angle matching device 350 can be coupled to the bottom surface 110 of the support block. As will be appreciated, the support block can be permanently attachable to the angle matching device, or can be removably attached to the angle matching device (e.g., via one or more connectors as described herein). In some embodiments, the angle matching device can be configured to be sutured to the patient. In such embodiments, the angle matching device can be permanently attached to the support block (e.g., formed integrally with the support block). In some embodiments, the angle matching device can be directly connected to the bottom surface of the support block (e.g., adhered, sutured, welded, etc.). In some embodiments, the angle matching device can be indirectly connected to the bottom surface of the support block.

[0058] As described herein, a desired support angle for a medical device can be achieved by stacking multiple blocks between the medical device and the patient. Figure 7As shown, the desired support angle of the medical device can be achieved via subtractive means rather than additive means. For example, in some embodiments, the support block 100 may include one or more layers 360, 361, 362, each of which is connected to the layer below it (e.g., via an adhesive). In such an embodiment, the desired support angle of the support block 100 can be set by removing one or more layers 360, 361, 362 from the support block to reduce the initial size of the support block. As with other embodiments, each layer can have a top surface 366, which can be configured to be substantially angled (such as 5-30 degrees) relative to the bottom surface 365 of the layer.

[0059] In some embodiments, one or more layers 360, 361, 362 may be adhered together. In other embodiments, the layers may be sewed together, wherein the layers are removed from each other by cutting one or more sutures. In other embodiments, the layers may be formed by creating perforations in a block (e.g., a foam block) so that a layer can be torn off the block.

[0060] In some embodiments, the support block may include an adhesive layer on a bottom surface, for example, for attaching the support block to another support block or to a patient.

[0061] In some embodiments, the top surface of the support block can include an adhesive layer, for example, for attaching a portion of a medical device or access device to the support block.

[0062] In some embodiments, the support block may include silicone or thermoplastic polyurethane. In some embodiments, the support block may include a rigid material. In some embodiments, the support block may include an antimicrobial filler. In some embodiments, the antimicrobial filler may be silver.

[0063] like Figures 8 to 10 and Figures 12 to 18 As shown, the support device may include other structures for achieving a desired support angle between the medical device (or access device) and the patient. For example, in some embodiments, Figure 8 As shown, the support device can include a support arm, such as an adjustable arm 410 configured to maintain a desired support angle for the medical device. As shown in this view, the support arm can engage with the access device. For example, in some embodiments, the adjustable arm can be coupled to the access device at or near the proximal end 415 of the access device. In some embodiments, the adjustable arm can be coupled to a sterile hub. In some embodiments, the adjustable arm can be coupled to a sleeve hub. As will be appreciated, the length of the support arm can be adjusted to establish a desired support angle for the medical device.

[0064] In some embodiments, Figure 8As shown, the support arm can be engaged with the suture pad. In some embodiments, the suture pad can also include an angle matching device and a medical device, such as an access device, such as a hub, a catheter, a sleeve and / or a stent.

[0065] In some embodiments, the adjustable arm 410 may include a lower portion 411 and an upper portion 412. In some embodiments, the upper portion may slide relative to the lower portion to adjust the length of the arm. In some embodiments, the upper portion and the lower portion may be connected via threads. In some embodiments, the upper portion and the lower portion may be connected via a pin button 413.

[0066] In some embodiments, the adjustable arm may be a stretchable material. The stretchable material may be adjusted by the user to a desired position. As will be appreciated, the stretchable material may also be configured to maintain a desired shape once moved into such a configuration.

[0067] In some embodiments, the adjustable arm can be a metal, such as aluminum or stainless steel. In some embodiments, the metal can be annealed. In some embodiments, the metal can be coated with a biocompatible material.

[0068] like Fig. 9 As shown, in some embodiments, the support device 500 may include a support arm that can be attached to the access device via, for example, a collar 510. In some embodiments, the collar can be configured to at least partially surround a hub, catheter, cannula, and / or stent of the access device (see, e.g., Fig. 9 395 in FIG. 39). As will be appreciated, the collar may be permanently attached to the access device. The collar may also be removably attached to the access device. In some embodiments, the collar may also be attached to a portion of the medical device (e.g., to a catheter of a blood pump). Fig. 9 As shown, support arm 520 can be hingedly coupled (eg, via one or more pins 525) to the collar portion. Although shown as having only a single arm connected to the collar, in other embodiments, more than one support arm can be connected to the collar.

[0069] In some embodiments, the collar can be a rigid or semi-rigid material. In some embodiments, the collar can be a flexible material. In some embodiments, the collar can include a hook and loop fastener system. In some embodiments, the collar can be configured to rotate at least partially around the hub, catheter, sleeve and / or bracket 395 of the access device.

[0070] In some embodiments, the adjustable arm may include one or more openings 530 to allow the adjustable arm to be sutured to the patient's body.

[0071] In some embodiments, the adjustable arm can be configured so that the side surface 521 of the support arm 520 can contact the patient's body. In some embodiments, the support arm can be configured so that the end 522 (e.g., the end of the arm farthest from the collar) contacts the patient's body.

[0072] In some embodiments, the adjustable arm may be removably attached from the collar.

[0073] like Fig.12 and Fig.13 As shown, in some embodiments, the support arm can extend from the rear or a portion of the access device (e.g., the rear of the access hub). In such embodiments, the support arm 520 can be stored in a bag 523 at the rear of the access device. As will be understood, such a position can include a storage position for the support arm. As will be further understood, the support arm can be moved to a support position to maintain a desired angle of the access device and / or medical device. In some embodiments, the support arm can be hingedly attached (e.g., via one or more pins) to the access device, wherein the support arm can pivot relative to the access device to achieve a desired support angle. As described above, the support arm can include an end 522 that can contact the patient's body. In other embodiments, the support arm can be formed of a flexible material, wherein the support arm can be moved (e.g., bent) relative to the access device to achieve a desired support angle.

[0074] Although shown as having a single support arm, it should be understood that the support device may include more than one support arm. Fig.14 As shown, in some embodiments, the support device may include three support arms 520a, 520b, 520c, which are movable relative to the access device. As will be appreciated, the support arms may pivot relative to the access device to achieve a desired support angle. The support arms may also bend relative to the access device to achieve a desired support angle. As will be appreciated, the support arms may move in different directions relative to each other and the access device to achieve a desired support angle.

[0075] like Figures 15 to 18 As shown, the support arms may also extend outwardly from one or more sides of the access device. Fig.16 As shown, the first arm 520a and the second arm 520b can be parallel to each other. Fig.16 As shown, the arm can be moved (e.g., bent) relative to the access device to establish a desired support angle. Fig.17 and Fig.18As shown, the arms can move in different arrangements relative to the access device. As will be further understood, the arms can move in different directions and / or different positions relative to each other to establish a desired support angle. In some embodiments, the support arm can be flexible (e.g., bendable). The support arm can also pivot relative to the access device (e.g., if the support arm is attached to the access device via a hinge).

[0076] As shown herein, in some embodiments, the support device may include only one or more support blocks or only one or more support arms. In other embodiments, the support device 500 may include both the support block 100 and the support arm 520. In some embodiments, the support block may be placed on the support arm 520 of the support device, and a medical device such as the access device 310 may be positioned on the support block.

[0077] Reference again Figure 5 , in some embodiments, a system 600 can be provided. In some embodiments, the system can include an access device 310 having an extracorporeal portion 305 extending away from a patient 330 (e.g., extending from an access point 320). In some embodiments, the system can include one or more support blocks and / or one or more support arms, each of which can be implemented as disclosed herein (support block 100 is shown here). One or more support blocks and / or support arms can be configured to allow the extracorporeal portion 305 to maintain a desired orientation relative to the patient. In some embodiments, the access device can include a catheter. In some embodiments, the access device can be an introducer sheath. In some embodiments, the system can include 2-5 support blocks.

[0078] In some embodiments, each support block is configured to have a different angle (eg, the angle of the top surface relative to the bottom surface). In some embodiments, each support block is configured to have the same angle.

[0079] In some embodiments, the bottom surface of a support block can be contoured to fit the location on the patient and / or the patient's body shape. In some embodiments, the top surface of a support block can be contoured or can include depressions.

[0080] In some embodiments, each support block can have a top surface and / or a bottom surface configured to physically interlock with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to magnetically interact with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

[0081] In some embodiments, a kit is provided. The kit may include one or more support blocks, each of which is independently an embodiment of a support block as disclosed herein. One or more support blocks may be configured to allow the extracorporeal portion of the access device (and therefore the medical device) to maintain a desired orientation relative to the patient, each support block comprising a bottom surface and a top surface substantially angled relative to the bottom surface. The kit may include a suture pad (with or without an angle matching device), the suture pad being coupled to the bottom surface of one of the one or more support blocks, the angle matching device being configured to be sutured to the patient. In some embodiments, the kit may also include an access device (e.g., a catheter or an introducer sheath).

[0082] In some embodiments, the kit can include 2-5 support blocks. In some embodiments, each support block is configured to have the same angle. In some embodiments, each support block is configured to have different angles.

[0083] In some embodiments, the bottom surface of a support block can be contoured to fit the location on the patient and / or the patient's body shape. In some embodiments, the top surface of a support block can be contoured or can include depressions.

[0084] In some embodiments, each support block can have a top surface and / or a bottom surface configured to physically interlock with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to magnetically interact with at least one other support block. In some embodiments, each support block can have a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

[0085] In some embodiments, a kit may include one or more support arms engageable with an access device.

[0086] In some embodiments, a kit may include an access device having one or more support arms. In some embodiments, a kit may include a suture pad (with or without an angle matching device).

[0087] In some embodiments, a method may be provided. Fig.11, the method 700 may include inserting 710 the medical device into the patient, such as via an access device. In such embodiments, the access device and / or the extracorporeal portion of the medical device may extend away from the patient's skin. The method 700 may also include placing 720 one or more support blocks and / or support devices on the patient's skin, beneath the extracorporeal portion, and allowing the extracorporeal portion to at least partially rest on the support blocks and / or devices. The support blocks and / or support devices may each independently be an embodiment of a support block or support device as disclosed herein.

[0088] In some embodiments, the method may include securing 730 the access device to at least one support block and / or support device. This may be accomplished via sutures, adhesive, tape, or other suitable attachment means.

[0089] In some embodiments, the method may include securing 740 at least one support block and / or support device to a surface of the patient.

[0090] In some embodiments, the method may include removably coupling 750 the first support block to the second support block or the first support device. In some embodiments, this is performed before the support block is placed 720 on the surface of the patient. In some embodiments, it can be done at any time. In some embodiments, the method may include coupling 755 an angle matching device to the bottom surface of the support block or the support device, the angle matching device being configured to be sutured to the patient.

[0091] Embodiments of the present disclosure are described in detail with reference to the accompanying drawings, wherein the same reference numerals identify similar or identical elements. It should be understood that the disclosed embodiments are merely examples of the present disclosure, which may be implemented in various forms. Well-known functions or configurations are not described in detail to avoid obscuring the present disclosure with unnecessary details. Therefore, the specific structural and functional details disclosed herein should not be interpreted as restrictive, but only as the basis for the claims, and as a representative basis for teaching those skilled in the art to adopt the present disclosure differently with almost any appropriately detailed structure.

[0092] Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.

Claims

1. A support block, comprising: bottom surface; a top surface, the top surface being substantially at an angle relative to the bottom surface, the angle being between 5 and 50 degrees, the top surface being connected to the bottom surface via a front surface, two side surfaces, and a rear surface, the rear surface having a larger surface area than the front surface; Wherein, the top surface and / or the bottom surface has a connector, the connector is configured to allow the support block to be connected to at least one additional support block, the connector is: a protruding element configured to interface with a receiving slot on the at least one additional support block; a receiving slot configured to receive a protruding element from the at least one additional support block; a magnet configured to interface with a magnet or ferromagnetic material on the at least one additional support block; and / or One or more protrusions or recesses configured to form an interference fit with one or more protrusions or recesses on the at least one additional support block.

2. The support block according to claim 1, wherein: The support block includes silicone, thermoplastic polyurethane and / or foam.

3. The support block according to claim 1, wherein: The one or more support blocks include a rigid material.

4. The support block according to any one of claims 1 to 3, wherein: The one or more support blocks include an antimicrobial filler.

5. The support block according to claim 4, wherein: The antimicrobial filler includes silver or chlorhexidine gluconate (CHG).

6. The support block of any one of claims 1 to 5, further comprising an angle matching device coupled to the bottom surface, the angle matching device being configured to be sutured to the patient.

7. The support block according to any one of claims 1 to 6, wherein: The support block is configured to be sutured to the patient.

8. The support block according to any one of claims 1 to 7, further comprising an adhesive layer on a bottom surface of the support block and / or a sticky surface on the bottom surface of the support block.

9. The support block according to any one of claims 1 to 8, wherein: The top surface is contoured to receive at least a portion of an access device and / or a medical device.

10. The support block according to claim 9, wherein: The top surface includes a recess configured to receive at least a portion of the access device and / or the medical device.

11. The support block according to any one of claims 1 to 10, wherein: The bottom surface of a support block is contoured to suit the location on the patient and / or the patient's body shape.

12. A support block according to any one of claims 1 to 11, wherein: The rear surface includes a recess configured to provide access for a fingertip.

13. An access device, comprising: a hub configured to receive a medical device to be delivered into a patient; One or more support arms configured to move relative to the hub maintain a desired support angle of the access device and / or medical device relative to the patient.

14. The access device according to claim 13, wherein: The one or more support arms engage the hub to maintain the desired support angle of the access device and / or the medical device relative to the patient.

15. The access device according to claim 13, wherein: The one or more support arms are movable relative to the hub.

16. The access device according to claim 13, wherein: The one or more support arms are hingedly attached to the support arm.

17. The access device according to claim 13, wherein: The one or more support arms include a storage position and a support position, wherein the one or more support arms are disposed in a pocket of the hub when in the storage position.

18. The access device according to claim 13, wherein: The one or more support arms are attached to the suture pad.

19. A supporting device, comprising: a collar configured to at least partially surround an access device and / or a medical device; and A support arm is coupled to the collar portion, wherein the support arm is movable relative to the collar to maintain a desired support angle of an access device and / or medical device relative to the patient.

20. The support device according to claim 19, wherein: The collar portion is configured to at least partially surround the hub or sleeve.

21. The support device according to claim 19, wherein: The support arm is hingedly attached to the collar.

22. A system comprising: Medical devices and / or access devices having an extracorporeal portion extending away from a patient; and One or more support devices, the one or more support structures comprising: one or more support blocks configured to allow the extracorporeal portion to maintain a desired support angle relative to the patient, each support block comprising a bottom surface and a top surface substantially angled relative to the bottom surface; and / or One or more support arms.

23. The system of claim 22, wherein: The access device includes a hub.

24. The system of claim 22, wherein: The access device includes an introducer sheath.

25. A system according to any one of claims 22 to 24, wherein: The one or more support blocks include silicone, thermoplastic polyurethane and / or foam.

26. A system according to any one of claims 22 to 24, wherein: The one or more support blocks include a rigid material.

27. A system according to any one of claims 22 to 26, wherein: The one or more support blocks include an antimicrobial filler.

28. The system of claim 27, wherein: The antimicrobial filler includes silver or chlorhexidine gluconate (CHG).

29. The system of any one of claims 22 to 28, further comprising a suture pad coupled to a bottom surface of one of the one or more support blocks, the angle matching device being configured to be sutured to the patient.

30. The system of claim 29, wherein: The suture pad includes an angle matching device.

31. A system according to any one of claims 22 to 28, wherein: At least one of the one or more support blocks is configured to be sutured to the patient.

32. A system according to any one of claims 22 to 31, wherein: At least one of the one or more support blocks includes an adhesive layer on a bottom surface of the support block and / or a sticky surface on the bottom surface of the support block.

33. A system according to any one of claims 22 to 32, wherein: At least one of the one or more support blocks has a top surface contoured to receive at least a portion of an access device and / or a medical device.

34. The system of claim 33, wherein: The top surface includes a recess configured to contact and partially surround a portion of the extracorporeal portion of the access device.

35. The system of any one of claims 22 to 34, wherein each support block has a top surface and / or a bottom surface configured to physically interlock with at least one other support block.

36. The system of any one of claims 22 to 34, wherein each support block has a top surface and / or a bottom surface configured to magnetically interact with at least one other support block.

37. The system of any one of claims 22 to 34, wherein each support block has a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

38. A system according to any one of claims 22 to 37, wherein: The one or more support blocks include 2 to 5 blocks.

39. A system according to any one of claims 22 to 38, wherein: The angle is between 5 degrees and 30 degrees.

40. The system of claim 39, wherein: Each support block is configured to have a different angle.

41. The system of claim 39, wherein: Each support block is configured to have the same angle.

42. A system according to any one of claims 22 to 41, wherein: The bottom surface of a support block is contoured to fit the location on the patient and / or the patient's body shape.

43. A system according to any one of claims 22 to 42, wherein: For each support block, the top surface is connected to the bottom surface via a front surface, two side surfaces, and a rear surface, the rear surface having a surface area greater than that of the front surface, and the rear surface includes a groove configured to provide access for a fingertip.

44. A kit comprising: Access devices and / or medical devices having an extracorporeal portion; and One or more support structures, the one or more support structures comprising: one or more blocks configured to allow the extracorporeal portion to maintain a desired orientation relative to the patient, each support block comprising a bottom surface and a top surface substantially angled relative to the bottom surface; and / or One or more support devices, each support device including an adjustable arm.

45. The kit of claim 44, wherein: The access device is a catheter.

46. ​​The kit of claim 44, wherein: The access device is an introducer sheath.

47. A kit according to any one of claims 44 to 46, wherein The one or more support blocks include silicone, thermoplastic polyurethane and / or foam.

48. A kit according to any one of claims 44 to 46, wherein The one or more support blocks include a rigid material.

49. A kit according to any one of claims 44 to 48, wherein the one or more support blocks comprise an antimicrobial filler.

50. The kit of claim 49, wherein: The antimicrobial filler includes silver or chlorhexidine gluconate (CHG).

51. The kit of any one of claims 44 to 50, further comprising an angle matching device coupled to a bottom surface of one of the one or more support blocks, the angle matching device being configured to be sutured to the patient.

52. A kit according to any one of claims 44 to 50, wherein: At least one of the one or more support blocks is configured to be sutured to the patient.

53. A kit according to any one of claims 44 to 50, wherein: At least one of the one or more support blocks includes an adhesive layer on a bottom surface of the support block and / or a sticky surface on the bottom surface of the support block.

54. A kit according to any one of claims 44 to 53, wherein At least one of the one or more support blocks has a top surface contoured to receive at least a portion of an access device and / or a medical device.

55. The kit of claim 54, wherein: The top surface includes a recess configured to contact and partially surround a portion of the extracorporeal portion of the access device.

56. A kit according to any one of claims 44 to 55, wherein Each support block has a top surface and / or a bottom surface configured to physically interlock with at least one other support block.

57. A kit according to any one of claims 44 to 55, wherein Each support block has a top surface and / or a bottom surface configured to magnetically interact with at least one other support block.

58. A kit according to any one of claims 44 to 55, wherein Each support block has a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

59. A kit according to any one of claims 44 to 58, wherein The one or more support blocks include 2 to 5 blocks.

60. A kit according to any one of claims 44 to 59, wherein The angle is between 5 degrees and 30 degrees.

61. The kit of claim 60, wherein: Each support block is configured to have the same angle.

62. The kit of claim 60, wherein: Each support block is configured to have a different angle.

63. A kit according to any one of claims 44 to 62, wherein: The bottom surface of a support block is contoured to fit the location on the patient and / or the patient's body shape.

64. A kit according to any one of claims 44 to 63, wherein For each support block, the top surface is connected to the bottom surface via a front surface, two side surfaces, and a rear surface, the rear surface has a larger surface area than the front surface, and the rear surface includes a groove configured to provide access for a fingertip.

65. A method for supporting an access device, comprising: inserting an access device into a patient such that an external portion of the access device extends away from a surface of the patient; and Placing one or more support structures on the surface of the patient below the extracorporeal portion and allowing the extracorporeal portion to at least partially rest on the support structures, the one or more support structures comprising: one or more blocks configured to allow the extracorporeal portion to maintain a desired orientation relative to the patient, each support block comprising a bottom surface and a top surface substantially angled relative to the bottom surface; and / or One or more support devices, each support device including an adjustable arm.

66. The method of claim 65, further comprising securing the access device to at least one of the one or more support blocks.

67. The method of claim 65 or 66, further comprising securing at least one of the one or more support blocks to the surface of the patient.

68. The method of any one of claims 65 to 67, further comprising removably coupling a first support block of the one or more support blocks to a second support block of the one or more support blocks.

69. The method according to any one of claims 65 to 68, wherein: The access device is a catheter.

70. The method according to any one of claims 65 to 68, wherein: The access device is an introducer sheath.

71. The method of any one of claims 65 to 70, wherein: The one or more support blocks include silicone, thermoplastic polyurethane and / or foam.

72. The method of any one of claims 65 to 70, wherein: The one or more support blocks include a rigid material.

73. The method of any one of claims 65 to 72, wherein: The one or more support blocks include an antimicrobial filler.

74. The method of claim 73, wherein: The antimicrobial filler includes silver or chlorhexidine gluconate (CHG).

75. The method of any one of claims 65 to 74, further comprising coupling an angle matching device to a bottom surface of one of the one or more support blocks, the angle matching device being configured to be sutured to the patient.

76. The method of any one of claims 65 to 74, wherein: At least one of the one or more support blocks is configured to be sutured to the patient.

77. The method of any one of claims 65 to 74, wherein: At least one of the one or more support blocks includes an adhesive layer on a bottom surface of the support block and / or a sticky surface on the bottom surface of the support block.

78. The method of any one of claims 65 to 77, wherein: At least one of the one or more support blocks has a top surface contoured to receive at least a portion of an access device and / or a medical device.

79. The method of claim 78, wherein: The top surface includes a recess configured to contact and partially surround a portion of the extracorporeal portion of the access device.

80. The method of any one of claims 65 to 79, wherein: Each support block has a top surface and / or a bottom surface configured to physically interlock with at least one other support block.

81. The method of any one of claims 65 to 79, wherein: Each support block has a top surface and / or a bottom surface configured to magnetically interact with at least one other support block.

82. The method of any one of claims 65 to 79, wherein: Each support block has a top surface and / or a bottom surface configured to connect to at least one other support block via an interference fit.

83. The method of any one of claims 65 to 82, wherein: The one or more support blocks include 2 to 5 blocks.

84. The method of any one of claims 65 to 83, wherein: The angle is between 5 degrees and 50 degrees.

85. The method of claim 84, wherein: Each support block is configured to have the same angle.

86. The method of claim 84, wherein: Each support block is configured to have a different angle.

87. The method of any one of claims 65 to 86, wherein: The bottom surface of a support block is contoured to fit the location on the patient and / or the patient's body shape.

88. The method of any one of claims 65 to 87, wherein: For each support block, the top surface is connected to the bottom surface via a front surface, two side surfaces and a rear surface, the rear surface has a surface area greater than that of the front surface, and the rear surface includes a groove configured to provide access for a fingertip.

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