All-in-one midline catheter system with stabilization and in-patient access port for blood aspiration, infusion, and digital probe
The integrated midline catheter system addresses the lack of access structure in conventional systems by incorporating a catheter adapter with stabilization and a near-patient access port, enabling compatibility with blood aspiration and intravenous digital measurement devices and enhancing the system's functionality.
Patent Information
- Application Number
- JP2024565050
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2022-05-05
- Filing Date
- 2023-05-04
- Publication Date
- 2025-05-26
AI Technical Summary
Conventional midline catheter systems lack the necessary access structure for compatibility with blood aspiration and intravenous digital measurement devices, limiting their functionality compared to vascular access devices like PIVCs.
An integrated midline catheter system is developed, featuring a catheter adapter with stabilization, a near-patient access port for peripheral probe devices, and a catheter insertion device that allows distal movement of the catheter for positioning within a patient's vasculature.
The system enables compatibility with blood aspiration and intravenous digital measurement devices, enhancing the functionality of midline catheters to match that of PIVCs, while maintaining the advantages of midline catheters such as reduced infection risk and extended implant period.
Smart Images

Figure 2025516050000001_ABST
Abstract
Description
Technical Field
[0001] Cross - Reference to Related Applications This application claims the benefit of U.S. Provisional Application Serial No. 63 / 338,684, filed May 5, 2022, entitled "All - in - One Mid - line Catheter System with Stabilization and In - Patient Access Port for Blood Aspiration, Infusion, and Digital Probe," the entire disclosure of which is hereby incorporated by reference.
Background Art
[0002] Background of the Invention Field of the Invention The present disclosure generally relates to an all - in - one mid - line catheter system. More particularly, an all - in - one mid - line catheter system may include catheter adapter stabilization and an in - patient access port configured for blood aspiration, infusion, and / or insertion of a digital probe into a patient's vasculature via an indwelling mid - line catheter.
[0003] Description of the Related Art Mid - line catheters are generally used for parenteral nutrition, IV fluid replacement, and / or administration of analgesics and antibiotics. Mid - line catheters are inserted using aseptic techniques at the bedside and can be left in place for several weeks. Insertion (venipuncture) is performed above and below the anterior axillary fold of the cephalic, basilic, or median cubital veins. Catheters are available in various lengths and gauges, and the tip of the catheter terminates below the axilla and proximal to the central vein.
[0004] Potential advantages of mid - line catheters are a reduction in the frequency of repeated venipuncture for testing / restart, a reduction in the incidence of catheter - related infections, an extension of the implant / indwelling period, an improvement in clinical outcomes, patient satisfaction, and cost savings. Placing the catheter tip in a larger - diameter vein compared to a smaller - diameter vein in the upper arm improves drug delivery therapy and hemodilution therapy. Mid - line catheters can also be used for injection of contrast agents at high flow rates, which are typically performed with other catheters such as peripheral intravenous catheters (PIVCs).
[0005] However, the advantage of vascular access devices such as PIVC over midline catheters is that a system has recently been developed to assist in direct blood aspiration and / or intravenous digital measurement from the indwelling catheter of the vascular access device. For example, a blood aspiration device known as PIVO (trademark) of Becton, Dickinson and Company is configured as a single-use device that is temporarily attached to a PIVC to aspirate a blood sample. Using an existing peripheral venous line as a conduit into the vascular system, the PIVO (trademark) device advances a flexible internal probe or flow tube through the PIVC to the catheter tip (or beyond the catheter tip) to collect a blood sample. This flow tube is designed to extend to a venous location with optimal blood flow for aspiration, bypassing suboptimal aspiration conditions around the indwelling line. Once blood aspiration is complete, the flow tube is retracted and the device is removed from the PIVC and discarded. An example of such a blood aspiration device is shown and described in U.S. Patent No. 10,300,247, which is hereby incorporated by reference in its entirety. Similarly, devices have been developed for intravenous digital measurement that are configured to pass a probe, wire, fiber, guide wire, sensor, etc. directly through the PIVC into the patient's vascular system. On the other hand, conventional midline catheter systems lack the access structure necessary for compatibility with such blood aspiration and / or intravenous digital measurement devices. SUMMARY OF THE INVENTION
[0006] Accordingly, the present disclosure generally relates to an integrated midline catheter system. According to one aspect of the present disclosure, the system includes a catheter adapter having a catheter extending therefrom, a stabilization platform, a proximal connector portion fluidly coupled to the catheter, and a side branch fluidly coupled to the catheter. The system also includes a near-patient access port coupled to the side branch of the catheter adapter, the near-patient access port including a connector portion connectable to a peripheral probe device. The system further includes a catheter insertion device configured to enable distal movement of the catheter adapter and the catheter to position the catheter within a patient's vasculature.
[0007] In some embodiments, the near-patient access port further includes a secondary port, the secondary port being coupled to an integrated extension set.
[0008] In some embodiments, the system further includes a proximal access port coupled to the proximal end portion of the integrated extension set.
[0009] In some embodiments, the proximal access port is color-coded to provide a flow indication.
[0010] In some embodiments, the proximal access port is provided with an indicator indicating at least one of the catheter length and the catheter gauge.
[0011] In some embodiments, the connector portion of the near-patient access port is a needleless connector.
[0012] In some embodiments, the needleless connector is a split septum needleless connector.
[0013] In some embodiments, the near-patient access port further includes a high-pressure injection port.
[0014] In some embodiments, the high-pressure injection port is color-coded to provide a flow indication.
[0015] In some embodiments, the high-pressure injection port includes an indicator indicative of at least one of catheter length and catheter gauge.
[0016] In some embodiments, the stabilization platform includes a pair of stabilization wings.
[0017] In some embodiments, each of the stabilization wings includes a gripping surface for providing a catheter adapter along the catheter insertion device and a gripping portion for distal movement of the catheter.
[0018] In some embodiments, the system includes a pair of catheter advancement tabs configured to extend from the catheter adapter and provide a catheter adapter along the catheter insertion device and a gripping portion for distal movement of the catheter.
[0019] In some embodiments, the catheter advancement tab is detachable from the catheter adapter.
[0020] In some embodiments, the catheter insertion device includes a housing, an introducer needle extending distally from the housing, and an actuator tab slidable along the housing for selectively advancing a guide wire through the introducer needle, and the catheter is configured to selectively advance over the introducer needle and the guide wire.
[0021] In some embodiments, the catheter insertion device is detachable from the catheter adapter after insertion of the catheter into the patient's vasculature.
[0022] According to another aspect of the present disclosure, an integrated midline catheter system is disclosed. The catheter system includes a catheter adapter having a catheter extending therefrom, a stabilization platform, a proximal connector portion fluidly coupled to the catheter, and a side branch fluidly coupled to the catheter. The system also includes a near-patient access port coupled to the side branch of the catheter adapter, the near-patient access port including a connector portion connectable to a peripheral probe device.
[0023] In some embodiments, the catheter is 8 cm to 10 cm in length.
[0024] In some embodiments, the near-patient access port further includes a secondary port, and the secondary port is coupled to an integrated extension set.
[0025] In some embodiments, the connector portion of the near-patient access port is a needleless connector.
[0026] Further details and advantages of the present invention will become apparent upon reading the following detailed description in conjunction with the accompanying drawings.
Brief Description of the Drawings
[0027]
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
[0028] Description of the Preferred Embodiment The following description is provided to enable any person skilled in the art to make and use the described embodiments contemplated for carrying out the invention. However, various modifications, equivalents, variations, and alternatives will remain readily apparent to those skilled in the art. All such modifications, variations, equivalents, and alternatives are intended to fall within the spirit and scope of the present disclosure.
[0029] For the purposes of the following description, the terms "upper", "lower", "right", "left", "vertical", "horizontal", "top", "bottom", "lateral", "longitudinal", and their derivatives shall relate to the invention as oriented in the drawings. However, it is to be understood that the invention may assume various alternative variations, unless expressly specified to the contrary. Also, it is to be understood that the specific devices illustrated in the accompanying drawings and described in the following specification are merely exemplary embodiments of the invention. Accordingly, the specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered limiting.
[0030] In the present disclosure, the distal end of a component or device means the end that is farthest from the user's hand when the component or device is in the use position, i.e., when the user is holding the catheter insertion device during preparation for use or during use, and the proximal end means the end that is closest to the user's hand. Similarly, in the present application, the terms "distal direction" and "distally" mean the direction towards the distal tip of the needle or catheter of the system, and the terms "proximal direction" and "proximally" mean the direction opposite to the direction of the distal tip of the needle or catheter.
[0031] Embodiments of the present disclosure are mainly described in the context of an apparatus for use with an integrated midline catheter. However, embodiments of the present disclosure equally extend to use with other catheter devices.
[0032] Referring to FIG. 1, an integrated midline catheter system 10 according to one aspect of the present disclosure is illustrated. In a first configuration, the system 10 includes a catheter insertion device 11 having a housing 12. An introducer needle 14 extends from the distal end portion of the housing 12, and the introducer needle 14 has a distal tip 15. Due to the length of the introducer needle 14, the distal end portion of the housing 12 may include features or surfaces for at least partially supporting the intermediate portion of the introducer needle 14 during insertion, thereby reducing the flexibility of the introducer needle 14 during insertion.
[0033] An actuator tab 16 is disposed on the surface of the housing 12 and is configured to move substantially linearly along a slot 17 formed in the housing 12. Although not shown in FIG. 1, the actuator tab 16 may be operably coupled to a guide wire that is sized and configured to selectively pass through (and beyond) the introducer needle 14 when the actuator tab 16 is advanced distally along the slot 17, and conversely, to retract through the introducer needle 14 when the actuator tab 16 is retracted proximally by an operator. The guide wire may include a blunt atraumatic tip to substantially prevent vascular injury. In some embodiments, a polymer rod or tube having an atraumatic tip may replace the guide wire.
[0034] Referring still to FIG. 1 and further to FIG. 2, the system 10 further includes a catheter adapter 18 having a stabilization platform formed by opposing stabilizing wings 20A, 20B. In the first configuration shown in FIG. 1, the catheter adapter 18 is at least partially disposed within the housing 12 such that the stabilizing wings 20A, 20B extend externally from opposite sides of the housing 12. The catheter adapter 18 is configured to move linearly in the distal direction along the housing 12 such that a catheter 21 (shown in FIG. 2) is selectively advanced beyond the introducer needle 14 and into the patient's vasculature. The catheter 21 may be of any suitable length and gauge for use as a midline catheter. For example, the catheter 21 may have a length of 8 cm to 10 cm and may be one of 16GA, 18GA, 20GA, or 22GA. However, it should be understood that the catheter 21 is not limited to the above lengths and / or gauges. Further, the catheter 21 may be formed of any suitable material, such as polyurethane, for example. The catheter 21 may have a reinforced tip 25, which may be configured to substantially prevent the catheter tip from collapsing and / or assist in the deployment and positioning of the catheter 21.
[0035] The placement of catheter 21 into a patient's vasculature using system 10 will now be described in accordance with an embodiment of the present disclosure. First, the operator identifies a suitable insertion site and prepares the insertion site by cleaning it in accordance with the facility's protocol. Next, the operator grasps and advances the entire catheter insertion device 11 and inserts the introducer needle 14 into a suitable vein or other vascular access location of the patient. Although not shown, the system may include magnetic needle guidance to ensure proper insertion of the introducer needle 14. The magnetic needle guidance may be used, for example, with an ultrasonic placement system and method such as the Cue (trademark) needle tracking system from Becton, Dickinson and Co. With the introducer needle 14 in place, the operator then advances the actuator tab 16 distally along the slot 17 such that a guide wire (not currently shown) operably coupled to the actuator tab 16 simultaneously advances through the introducer needle 14 and may thereby provide an expanded guide path for deployment of the catheter 21.
[0036] Next, with the guide wire in the advanced position, the operator advances the catheter adapter 18 distally along the housing 12, thereby also advancing the catheter 21 over the introducer needle 14 and the guide wire and moving the catheter 21 to a desired location within the patient's vasculature. To advance the catheter adapter 18 distally, the operator may grasp or otherwise manipulate one or both of the stabilizing wings 20A, 20B. Additionally and / or alternatively, the operator may utilize the branch 22 extending from the catheter adapter 18 to assist in advancing the catheter adapter 18 and the catheter 21.
[0037] With the catheter 21 and the catheter adapter 18 in the desired positions, the operator may separate the catheter insertion device 11 from the catheter adapter 18. In some embodiments, the housing 12 of the catheter insertion device 11 may be at least partially split after the placement of the catheter 21 to enable the housing 12 to separate from the catheter adapter 18. In so doing, the introducer needle 14 and the guide wire (not shown) are also withdrawn from the catheter 21 and through the self-sealing proximal connector portion 19 of the catheter adapter 18. Thus, even with the catheter insertion device 11 removed, the catheter adapter 18 remains in place at the insertion site in the second configuration shown in FIG. 2, and the stabilizing wings 20A, 20B are configured to stabilize the catheter adapter 18. In some embodiments, a strain relief feature 23 may be provided between the catheter adapter 18 and the catheter 21.
[0038] Referring further to FIGS. 1 and 2, the system 10 further includes a near-patient access port 26. The near-patient access port 26 is configured to provide catheter access to peripheral devices such as, for example, a blood aspiration device (e.g., PIVO (trademark) from Becton, Dickinson and Company), or a vascular access probe (VAP) for intravascular digital measurements of patient date such as temperature, pH, lactate, and / or other blood-based measurements. In some embodiments, the near-patient access port 26 is connected to the branch 22 of the catheter adapter 18 through the length of the intermediate tube 24. However, it should be understood that in other embodiments, the near-patient access port 26 may be directly connected to the branch 22 or connected via another intermediate member.
[0039] The near-patient access port 26 includes a connector portion 28. In some embodiments, the connector portion 28 is configured to be compatible with peripheral devices such as a blood aspiration device and / or a vascular access probe. The connector portion 28 may include an interface for securely coupling the peripheral device(s) to the connector portion 28. In some embodiments, the connector portion 28 is configured as a needleless connector (NFC) that is configured to receive, for example, the blunt introducer of a blood aspiration device. More specifically, the connector portion 28 may be configured as a split septum NFC having direct probe access, such as, for example, the Q-Syte™ or SmartSite™ NFC of Becton, Dickinson and Co, or any other suitable split septum NFC. Alternatively, in other embodiments, the connector portion 28 may be formed of a non-split septum type NFC. Further, in some embodiments, the near-patient access port 26 may include antimicrobial and / or wash-promoting features. For example, the near-patient access port 26 may include one or more of an offset tube port vortex generation feature, a proximal flow diversion feature, an antimicrobial NFC lubricant, an antimicrobial eluting surface coating(s) or insert(s).
[0040] By fluidly coupling the near-patient access port 26 to the catheter adapter 18 via the side port 22, the system 10 provides probe (or tube) access from a peripheral probe device through the indwelling catheter 21. The catheter 21 is a midline catheter and, for example, is generally longer than a PIVC, such that the length of the probe or tube of the peripheral probe device may be modified and / or optimized for use with the midline catheter, thereby allowing the probe or tube to potentially extend beyond the reinforced tip 25 of the catheter 21 during deployment.
[0041] The near-patient access port 26 further includes a secondary port 30 positioned in the vicinity of its distal end. In some embodiments, the secondary port 30 is connected to an integrated extension set 32, and the integrated extension set 32 is further connected to a proximal portion 36 at its proximal end. A clamp 34 may be provided on the integrated extension set 32, and the clamp 34 is configured to selectively restrict the flow through the integrated extension set 32. In some embodiments, the clamp 34 may be color-coded to indicate the type and / or injection compatibility of the integrated extension set 32.
[0042] In some embodiments, the proximal portion 36 may include a proximal access port 38 and a proximal connector 40. The proximal connector 40 may be removably or non-removably connected to the proximal access port 38, and the proximal connector 40 may be configured to enable fluid injection through the catheter 21 via the near-patient access port 26. In some embodiments, the proximal access port 38 may be color-coded and / or may include indicators indicating catheter length, catheter gauge, high-pressure injection compatibility, etc. In other embodiments, during insertion of the catheter 21 into the patient's vasculature, the proximal connector 40 may be replaced, for example, with a removable vent plug. In some embodiments, the proximal access port 38 may be a non-split septum connector and may include antibacterial and / or washable features. Although only a single proximal access port 38 is shown, it should be understood that the proximal portion 36 may be configured to include more than one access port.
[0043] In the embodiments shown in FIGS. 1 and 2, the secondary port 30 of the near-patient access port 26 is configured as an angled port, and as a result, the near-patient access port 26 is a y-shaped adapter. However, in other embodiments, the secondary port 30 may be configured as a t-shaped adapter such that the secondary port 30 enters the near-patient access port 26 at a substantially 90° angle. Further, although the secondary port 30 is shown as being directed toward the center of the device, it should be understood that the secondary port 30 may be directed away from the device.
[0044] Accordingly, the integrated midline catheter system 10 described above with respect to FIGS. 1 and 2 provides a midline catheter system having a near-patient access port adapted for delivery of devices, probes, and / or tubes to a patient's vasculature via the midline catheter, which is not provided in conventional integrated midline catheter systems.
[0045] Referring now to FIG. 3, an integrated midline catheter system 50 according to another aspect of the present disclosure is shown. System 50 includes many of the same features as system 10 described above with respect to FIGS. 1 and 2, and thus, like reference numerals are used throughout. However, unlike system 10, which advances the catheter adapter 18 and catheter 21 distally relative to the housing 12 using only the stabilizing wings 20A, 20B and / or branches 22 of the catheter adapter 18, the catheter insertion device 51 shown in FIG. 3 includes a pair of catheter advancement tabs 52A, 52B extending from opposite sides of the housing 12, and the catheter advancement tabs 52A, 52B are separate from the stabilizing wings 20A, 20B of the stabilizing platform.
[0046] The catheter advancement tabs 52A, 52B are operably coupled to a catheter adapter 18 (not shown in FIG. 3) to provide a gripping portion for an operator to advance the catheter adapter 18 and the catheter 21 distally along the housing 12. In some embodiments, after the catheter is positioned at a predetermined location within a patient's vasculature and the operator retracts and disengages the catheter insertion device 51, the catheter advancement tabs 52A, 52B remain in place with the catheter adapter 18. In some embodiments, the catheter advancement tabs 52A, 52B may be separable and removable from the catheter adapter 18 after catheter placement. Additionally and / or alternatively, in some embodiments, the catheter advancement tabs 52A, 52B may be color-coded according to the length and / or gauge of the catheter housed within the catheter insertion device 51. Further, although two catheter advancement tabs 52A, 52B are shown in FIG. 3, it should be understood that only one catheter advancement tab may be provided.
[0047] Next, referring to FIG. 4, an integrated midline catheter system 60 according to another aspect of the present disclosure is shown. Again, the system 60 includes many of the same features as the system 10 described above with respect to FIGS. 1 and 2, and thus, like reference numerals are used throughout. However, unlike the system 50, which utilizes separate catheter advancement tabs 52A, 52B to advance the catheter adapter 18 and the catheter 21 (not shown in FIG. 4) distally relative to the housing 12, the system 60 shown in FIG. 4 includes a pair of stabilizing wings 62A, 62B that extend from opposite sides of the housing 12 to form a stabilization platform for the catheter adapter, and the stabilizing wings 62A, 62B incorporate respective gripping surfaces 64A, 64B thereon. One or both of the gripping surfaces 64A, 64B may be gripped by an operator to advance the catheter adapter 18 and the catheter 21 distally along the housing 12.
[0048] In some embodiments, after the catheter is placed in place within the patient's vasculature and the operator withdraws and detaches the catheter insertion device 61, the stabilization wings 62A, 62B having the gripping surfaces 64A, 64B remain in place together with the catheter adapter 18. The gripping surfaces 64A, 64B are shown as upwardly curved surfaces on the stabilization wings 62A, 62B, but it should be understood that other shapes and / or configurations of the gripping surfaces may be utilized on the stabilization wings 62A, 62B. Further, although two gripping surfaces 64A, 64B are shown in FIG. 4, it should be understood that only one gripping surface may be provided.
[0049] Referring now to FIG. 5, an integrated midline catheter system 70 according to another aspect of the present disclosure is shown. Similar to the systems 50 and 60 described above, the system 70 includes many of the same features as the system 10 described above with respect to FIGS. 1 and 2, and thus, like reference numerals are used throughout. However, the system 70 includes a near-patient access port 72 configured for high-pressure injection. Further, the near-patient access port 72 is configured to provide catheter access to peripheral devices such as, for example, a blood aspiration device (e.g., PIVO (trademark) from Becton, Dickinson and Company), or a vascular access probe (VAP) for in-vivo digital measurements of the patient's date such as temperature, pH, lactate, and / or other blood-based measurements.
[0050] The near-patient access port 72 includes a connector portion 74. In some embodiments, the connector portion 74 is configured to be compatible with peripheral devices such as a blood aspiration device and / or a vascular access probe. The connector portion 74 may include an interface for securely coupling the peripheral device(s) to the connector portion 74. In some embodiments, the connector portion 74 is configured as a needleless connector (NFC) that is configured to receive, for example, the blunt introducer of a blood aspiration device. More specifically, the connector portion 74 may be configured as a split septum NFC having direct probe access, such as, for example, a Q-Syte™ or SmartSite™ NFC from Becton, Dickinson and Co., or any other suitable split septum NFC. Alternatively, in other embodiments, the connector portion 74 may be formed of a non-split septum type NFC. Further, in some embodiments, the near-patient access port 72 may include antimicrobial and / or wash-promoting features. For example, the near-patient access port 72 may include one or more of an offset tube port vortex generation feature, a proximal flow diversion feature, an antimicrobial NFC lubricant, an antimicrobial eluting surface coating(s) or insert(s).
[0051] The near-patient access port 72 further includes a high-pressure injection port 76 positioned in the vicinity of its distal end. In some embodiments, the high-pressure injection port 76 includes a secondary branch 78 that is coupled to an integrated extension set 32, and the integrated extension set 32 is further coupled to a proximal portion 36 at its proximal end. In this way, the near-patient access port 72 may receive high-pressure injection via the proximal portion 36 and the integrated extension set 32.
[0052] In some embodiments, the high-pressure injection port 76 is configured as a y-adapter. Additionally and / or alternatively, in some embodiments, the high-pressure injection port 76 may include color coding and / or a display indicating, for example, the maximum flow rate, catheter length, maximum rated pressure, etc.
[0053] Furthermore, although not shown in FIG. 5, the catheter of system 70 may include a reinforced catheter tip and / or a cage at the catheter tip. In this way, the catheter can improve gravity and high-pressure flow.
[0054] In the foregoing detailed description, some embodiments of an integrated midline catheter system having a near-patient access port for accessing a peripheral probe device were described. However, those skilled in the art can make modifications and changes to these embodiments without departing from the scope and spirit of the present invention. Accordingly, the foregoing description is intended to be illustrative rather than restrictive. The present invention described herein is defined by the appended claims, and all changes to the present invention that fall within the meaning and scope of equivalence of the claims are included within its scope.
Claims
1. An integrated midline catheter system comprising a catheter adapter having a catheter extending therefrom, a stabilization platform, a proximal connector portion fluidly coupled to the catheter, and a side branch fluidly coupled to the catheter, a patient - proximal access port coupled to the side branch of the catheter adapter, the patient - proximal access port comprising a connector portion connectable to a peripheral probe device, and a catheter insertion device configured to enable distal movement of the catheter adapter and catheter to position the catheter within a patient's vasculature. A system comprising the above.
2. The system of claim 1, wherein the patient - proximal access port further comprises a secondary port, and the secondary port is coupled to an integrated extension set.
3. The system of claim 2, further comprising a proximal access port coupled to a proximal end portion of the integrated extension set.
4. The system of claim 3, wherein the proximal access port is color - coded to provide a flow indication.
5. The system of claim 3, wherein the proximal access port comprises an indicator indicating at least one of catheter length and catheter gauge.
6. The system of claim 1, wherein the connector portion of the patient - proximal access port is a needle - free connector.
7. The system of claim 6, wherein the needle - free connector is a split septum needle - free connector.
8. The system of claim 1, wherein the patient - proximal access port further comprises a high - pressure injection port.
9. The system of claim 8, wherein the high - pressure injection port is color - coded to provide a flow indication.
10. The system of claim 8, wherein the high - pressure injection port comprises an indicator indicating at least one of catheter length and catheter gauge.
11. The system of claim 1, wherein the stabilization platform comprises a pair of stabilization wings.
12. The system of claim 11, wherein each of the stabilization wings comprises a gripping surface to provide a gripping portion for distal movement of the catheter adapter and catheter along the catheter insertion device.
13. The system of claim 1, further comprising a pair of catheter advancement tabs extending from the catheter adapter and configured to provide a gripping portion for advancement of the catheter adapter and the distal end of the catheter along the catheter insertion device.
14. The system of claim 13, wherein the catheter advancement tabs are detachable from the catheter adapter.
15. The system of claim 1, wherein the catheter insertion device further comprises a housing, an introducer needle extending distally from the housing, and an actuator tab slidable along the housing for selectively advancing a guide wire through the introducer needle, and the catheter is configured to selectively advance over the introducer needle and the guide wire.
16. The system of claim 1, wherein the catheter insertion device is detachable from the catheter adapter after insertion of the catheter into the patient's vasculature.
17. An integrated midline catheter system comprising a catheter adapter having a catheter extending therefrom, a stabilization platform, a proximal connector portion fluidly connected to the catheter, and a side branch fluidly connected to the catheter, the catheter adapter, and a near-patient access port connected to the side branch of the catheter adapter, the near-patient access port comprising a connector portion connectable to a peripheral probe device. a system comprising.
18. The system of claim 17, wherein the catheter has a length of 8 cm to 10 cm.
19. The system of claim 17, wherein the near-patient access port further comprises a secondary port, and the secondary port is connected to an integrated extension set.
20. The system of claim 17, wherein the connector portion of the near-patient access port is a needleless connector.