Catheter securement devices

Abstract

A secondary catheter securement device (100) is configured to hold a catheter or catheter extension line adjacent to a primary catheter securement device, such that a primary catheter securement device can be removed and replaced and a site cleaning can be performed during dressing change without increasing the risk of catheter movement. The catheter securement device (100) comprises a base (110) configured to be removably secured to the skin of a patient; and a clip (120) coupled to the base (110), wherein the clip (120) is configured to grasp and hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site.

Description

CATHETER SECUREMENT DEVICESRELATED APPLICATION

[0001] This application claims the benefit of and priority to Indian Provisional Patent Application No. 202341061291 filed September 12, 2023, and Indian Provisional Patent Application No. 202441028019 filed April 4, 2024. the disclosures of which are incorporated herein by reference as if set forth in their entireties.FIELD OF THE INVENTION

[0002] The present invention relates to medical devices, and in particular, devices for catheter securement.BACKGROUND OF THE INVENTION

[0003] Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Catheters are manufactured for specific applications, such as cardiovascular, urological, gastrointestinal, neurovascular and ophthalmic procedures. In most uses, a catheter is a thin, flexible tube (soft catheter) though catheters are available in varying levels of stiffness depending on the application. Catheters can be inserted into a body cavity, duct, vessel, brain, skin or adipose tissue. Functionally, they allow drainage, administration of fluids or gases, access by surgical instruments, and also perform a wide variety of other tasks depending on the type of catheter.

[0004] Referring to FIGS. 1-4E, when a catheter 12 is left in place in a patient longterm, often a securement technique is employed to secure the catheter 12 in its location. This is particularly true for central venous catheters (CVCs), which are often inserted into the superior vena cava via the patient's neck. Solutions to secure a catheter include sutures 11 (FIG. 1) and catheter securement devices 20, such as the STATLOCK™ securement device (FIG. 3), available from Becton, Dickinson and Company (1 Becton Drive, Franklin Lakes, New Jersey). With either of these techniques, typically a dressing 25 associated with the insertion site IS of the catheter 12 requires changing. As can be seen in FIGS. 2A-2C, cleaning around a catheter 12 that is secured by sutures 11 may result in incomplete (and therefore inadequate) cleaning (e.g.,an area A of the patient's skin S below the catheter hub 14 that has not been cleaned), which in turn can increase the risk of central line-associated bloodstream infection (CLABSI).

[0005] When a catheter is secured with a securement device 20 (FIG. 3), typically the securement device 20 is changed at the same time as the dressing. During changing of the dressing, replacement of the securement device 20 and cleaning around the insertion site, for example, with a disinfecting applicator 30 (FIG. 2A), a caretaker should avoid undue movement of the catheter (for example, tip migration, dislodgement or “pistoning” of the catheter in the insertion site may occur, which may result in the catheter shifting to the extent that the catheter is no longer correctly positioned within the vein or other structure into which it is inserted). This is particularly important for certain catheters and insertion sites, such as CVCs.

[0006] Different techniques for changing the dressing around the catheter are currently used. In one technique illustrated in FIG. 4A, a caretaker may attempt to use a finger F to hold a catheter 12 in place; however, this may require a second caretaker to clean the site while the first caretaker maintains the catheter 12 in position with one hand while removing the securement device 20 with the other hand. Also, this technique is not aligned with Antiseptic Non-Touch Technique (ANTT) protocol. In an alternative technique illustrated in FIG. 4B, a rolled-up dressing 25 may be used to temporarily hold a catheter 12 as a securement device 20 is replaced. However, the use of the rolled-up dressing 25 may present inconsistency (e.g., how much dressing to use). In a third technique illustrated in FIGS. 4C-4E, a secondary securement component, such as an adhesive strip 15, may be used to temporarily hold a catheter 12 in position during removal and replacement of the securement device 20. This technique requires that a caretaker have the knowledge to do this and the adherence to protocol to use the adhesive strip 15. Experience has shown that this protocol is often ignored. Also, removal of the adhesive strip 15 may be difficult and / or may cause movement to the catheter 12, and in some instances the adhesive strip 15 leaves a residue on the catheter lumen after removal that can attract contaminants.

[0007] It may be desirable to provide techniques for improving adherence to protocols, which may in turn improve patient outcomes.SI.JMMARY OF THE INVENTION

[0008] According to some embodiments of the present inventive concept, a catheter securement device includes a base configured to be removably secured to the skin of a patient, and a clip coupled to the base. The clip is configured to grasp and firmly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site. The clip includes a body having a pair of opposing elastic jaws that define a catheter receiving channel that extends from a proximal end of the body to a distal end of the body. First and second arms extend outwardly from the clip body in adjacent spaced apart relationship. The first and second arms, when squeezed toward one another by a user (e.g., a healthcare provider / technician, caretaker, etc.), are configured to urge the jaws open such that the catheter can be positioned within the catheter receiving channel. The base includes first and second legs, wherein the first leg extends from a first side of the clip body and the second leg extends from an opposite second side of the clip body. The first and second legs each have an adhesive portion configured for attachment to the skin of the patient.

[0009] In some embodiments, the first and second arms are each movable to a respective non-operative position such that the catheter securement device has a reduced profile. The first arm and second arm each have a respective hinge (e.g., a living hinge) that is configured such that the first arm and second arm are movable to their respective non-operative positions. In some embodiments, the first arm substantially overlies the first leg when in its non-operative position, and the second arm substantially overlies the second leg when in its non-operative position.

[0010] In some embodiments, an inner wall of the catheter receiving channel includes one or more features configured to firmly grip an outer surface of a catheter positioned within the catheter receiving channel and prevent any forward or backward movement of the catheter within the catheter receiving channel. In some embodiments, an outer surface of each of the first and second arms includes one or more tactile grip features to facilitate user operation of the securement device, particularly in the presence of liquids and other foreign substances.

[0011] According to some embodiments of the present inventive concept, a catheter securement device includes an adhesive base configured to be removably secured to the skin of a patient, and a clip coupled to the base. The clip is configured to grasp and hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertionsite. A body of the clip includes a pair of opposing elastic jaws that define a tapered catheter receiving channel that extends from a proximal end of the body to a distal end of the body. First and second arms extend outwardly from the body in adjacent spaced apart relationship. The first and second arms, when squeezed toward one another by a user, urge the jaws open such that the catheter can be positioned within the catheter receiving channel.

[0012] In some embodiments, the body is formed from an elastomeric material. In some embodiments, an inner wall of the tapered catheter receiving channel includes one or more features configured to firmly grip an outer surface of a catheter positioned within the catheter receiving channel and prevent any forward or backward movement of the catheter within the catheter receiving channel.

[0013] According to some embodiments of the present inventive concept, a catheter securement device includes an elongate base having opposite end portions and an arcuate central portion between the opposite end portions. A bottom surface of each of the end portions includes an adhesive portion configured to removably secure the base to the skin of a patient. A catheter receiving channel is transversely secured to a bottom surface of the central portion such that the catheter receiving channel extends from a first side of the base to an opposite second side of the base. The catheter receiving channel is configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at an insertion site.

[0014] According to some embodiments of the present inventive concept, a catheter securement device includes a hemostatic bandage configured to be positioned at a catheter insertion site of a patient, and an elongate base secured to the hemostatic bandage in adjacent, spaced apart relationship by at least one member. The base includes opposite end portions and an arcuate central portion between the opposite end portions. A bottom surface of each of the end portions includes an adhesive portion that is configured to removably secure the base to the skin of the patient. A catheter receiving channel is transversely secured to a bottom surface of the central portion such that the catheter receiving channel extends from a first side of the base to an opposite second side of the base. The catheter receiving channel is configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at the insertion site. The at least one member is tearable such that the hemostatic bandage can be removed from the patient without removing the base. In some embodiments, the at least one member is a plurality of members.

[0015] According to some embodiments of the present inventive concept, a catheter hub securement device includes a base configured to be secured to the skin of a patient, and a catheter hub supporting member overlying the base and movably secured to the base. The catheter hub supporting member is movable between a lowered position and a raised position. The base and the catheter hub supporting member are in close, adjacent relationship when the catheter hub supporting member is in the lowered position, and the base and the catheter hub supporting member are in spaced apart relationship when the catheter hub supporting member is in the raised position. The catheter hub supporting member includes a holder configured to receive and secure a catheter hub of a catheter that has been inserted into the patient.

[0016] The catheter hub supporting member is movably secured to the base by at least one collapsible member. In some embodiments the base includes opposite first and second end portions, and the catheter hub supporting member includes opposite first and second end portions. The at least one collapsible member includes a first collapsible member and a second collapsible member, wherein the first collapsible member is secured to the base first end portion and the catheter hub supporting member first end portion, and wherein the second collapsible member is secured to the base second end portion and the catheter hub supporting member second end portion. In some embodiments, the catheter hub securement device includes at least one member configured to limit a distance the catheter hub supporting member can be raised relative to the base.

[0017] According to some embodiments of the present inventive concept, a catheter securement device includes a base configured to be removably secured to the skin of a patient, and a catheter supporting member movably coupled to the base. The catheter supporting member includes at least one catheter receiving channel configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site. In some embodiments, the at least one catheter receiving channel includes a plurality of catheter receiving channels in adjacent spaced apart relationship.

[0018] The catheter supporting member is movable relative to the base between a first (i.e., lowered) position and a second (i.e., raised) position, for example by a hinge. The catheter supporting member is in face-to-face contacting relationship with the base when in the lowered position, and the catheter supporting member is in spaced apart relationship with the base when in the raised position. The catheter securement device also includes at least one locking memberconfigured to removably secure the catheter supporting member to the base in the raised position. In some embodiments, the at least one locking member is a tab that is configured to be releasably secured within a recessed portion of the base to maintain the catheter supporting member in the raised position.

[0019] In some embodiments, the at least one locking member includes a first locking member movably secured to a first end portion of the catheter supporting member, and a second locking member movably secured to an opposite second end portion of the catheter supporting member.

[0020] According to some embodiments of the present inventive concept, a catheter securement device includes a base configured to be secured to the skin of a patient, and a catheter supporting member overlying the base and movably secured to the base between a lowered position and a raised position. The base and the catheter supporting member are in close, adjacent relationship when the catheter supporting member is in the lowered position, and the base and the catheter supporting member are in extended, spaced apart relationship when the catheter supporting member is in the raised position. The catheter supporting member includes a holder configured to snugly hold at least one catheter therein and prevent inadvertent movement of the at least one catheter.

[0021] The catheter supporting member is movably secured to the base by at least one collapsible member. In some embodiments the base includes opposite first and second end portions, and the catheter supporting member includes opposite first and second end portions. The at least one collapsible member includes a first collapsible member and a second collapsible member, wherein the first collapsible member is secured to the base first end portion and the catheter supporting member first end portion, and wherein the second collapsible member is secured to the base second end portion and the catheter supporting member second end portion. In some embodiments, the catheter hub securement device includes at least one member configured to limit a distance the catheter supporting member can be raised relative to the base.

[0022] It is noted that aspects of the invention described with respect to one embodiment may be incorporated in a different embodiment although not specifically described relative thereto. That is, all embodiments and / or features of any embodiment can be combined in any way and / or combination. Embodiments of the present inventive concept may also be used for “in-device” sample preparation for a subsequent analytical procedure. Applicant reserves theright to change any originally filed claim or file any new claim accordingly, including the right to be able to amend any originally filed claim to depend from and / or incorporate any feature of any other claim although not originally claimed in that manner. These and other objects and / or aspects of the present invention are explained in detail below7.BRIEF DESCRIPTION OF THE DRAWINGS

[0023] The accompanying drawings, which form a part of the specification, illustrate various embodiments of the present inventive concept. The drawings and description together serve to fully explain embodiments of the present inventive concept.

[0024] FIG. 1 illustrates using sutures to secure a central venous catheter line on a patient.

[0025] FIGS. 2A-2C illustrate inadequate site-cleaning when sutures are used to secure a central venous catheter line as shown in FIG. 1.

[0026] FIG. 3 illustrates a known primary catheter securement device.

[0027] FIGS. 4A-4E illustrate current techniques used to temporarily secure a catheter during a dressing change.

[0028] FIGS. 5A-5B are top perspective views of a secondary catheter securement device, according to some embodiments of the present inventive concept. FIG. 5A illustrates the secondary catheter securement device with the arms in an operative, upright position, and FIG. 5B illustrates the secondary catheter securement device with the arms in a non-operative, folded down position to reduce the profile of the secondary catheter securement device.

[0029] FIG. 6A illustrates the secondary catheter securement device of FIG. 5 A in use and positioned between a catheter insertion site and a proximal end of a primary catheter securement device.

[0030] FIG. 6B illustrates the secondary catheter securement device of FIG. 6A with the arms moved to the non-operative position to provide a reduced profile.

[0031] FIGS. 7A-7F schematically illustrate steps for changing the dressing for a catheter using the secondary catheter securement device of FIGS. 5A-5B, according to some embodiments.

[0032] FIG. 8 is a top perspective view of an alternative embodiment for the secondary catheter securement device of FIGS. 5A-5B.

[0033] FIG. 9 illustrates the secondary catheter securement device of FIG. 6B with adhesive bridges connecting the secondary catheter securement device with the primary catheter securement device, according to some embodiments.

[0034] FIG. 10A is a top perspective view of a secondary catheter securement device according to some embodiments of the present inventive concept.

[0035] FIG. 10B is an elevation of the secondary catheter securement device of FIG.10A illustrating the tapered catheter receiving channel.

[0036] FIG. 10C is a cross-sectional view of the secondary catheter securement device of FIG. 10B taken along line 10B-10B.

[0037] FIG. 10D is a top perspective view of the secondary catheter securement device of FIG. 10A with an adhesive base for securing the secondary catheter securement device to the skin of a patient.

[0038] FIG. 11 illustrates the secondary catheter securement device of FIG. 10D in use and positioned between a catheter insertion site and a distal end of a primary catheter securement device.

[0039] FIGS. 12A-12D schematically illustrate steps for changing the dressing for a catheter using the secondary catheter securement device of FIGS. 10A-10D and 11, according to some embodiments.

[0040] FIG. 13 is an exploded perspective view of a secondary catheter securement device and a primary catheter securement device, according to some embodiments of the present inventive concept.

[0041] FIG. 14A is a top perspective view of the secondary catheter securement device of FIG. 13.

[0042] FIG. 14B is a bottom perspective view of the secondary catheter securement device of FIG. 13.

[0043] FIGS. 15A-15G schematically illustrate steps for changing the dressing for a catheter using the secondary catheter securement device of FIGS. 14A-14B, according to some embodiments.

[0044] FIG. 16 is an exploded perspective view of a secondary catheter securement device and a primary catheter hub securement device, according to some embodiments of the present inventive concept.

[0045] FIG. 17 is top plan view of a secondary catheter securement device, according to some embodiments of the present inventive concept.

[0046] FIGS. 18A-18C are top perspective views of a secondary catheter securement device, according to some embodiments of the present inventive concept. FIG. 18A illustrates the secondary catheter securement device with the catheter support member in a collapsed or lowered position. FIG. 18B illustrates the secondary catheter securement device of FIG. 18A with the catheter support member in a raised position. FIG. 18C illustrates the secondary catheter securement device of FIG. 18B with locking members in the operative position to maintain the catheter support member in the raised position.

[0047] FIGS. 19A-19M schematically illustrate steps for changing the dressing for a catheter using the secondary catheter securement device of FIGS. 18A-18C, according to some embodiments.

[0048] FIGS. 20A-20C are top perspective views of a secondary catheter securement device, according to some embodiments of the present inventive concept. FIG. 20A illustrates the catheter support member of the secondary catheter securement device in a collapsed position. FIG. 20B illustrates the catheter support member of the secondary catheter securement device of FIG. 20A in a raised position. FIG. 20C illustrates the catheter securement device of FIG. 20A in use and positioned adjacent the distal end of a primary catheter securement device.

[0049] FIGS. 21A-21G schematically illustrate steps for changing the dressing for a catheter using the catheter securement device of FIGS. 20A-20C, according to some embodiments.DETAIL ED DE SCRIPTION

[0050] Embodiments of the present inventive concept are directed to catheter securement solutions that help minimize catheter migration and dislodgement during the dressing change of a catheter, while also not elevating other clinical burden, for example, microbial growth, patient pain, and significant workflow impact. Embodiments of the present inventive concept provide secondary catheter securement devices that are configured to hold a catheter or catheter hub nearthe insertion site of the catheter in a patient’s skin. The secondary catheter devices allow for 360° site cleaning without increasing the risk of catheter movement during dressing change of the catheter, such as long-dwelling IV catheters, for example, a peripherally inserted central catheter (PICC) line and a central venous catheter (CVC) line. Embodiments of the present inventive concept will now be described in further detail below with reference to the drawings .

[0051] Referring to FIGS. 5A-5B, a secondary catheter securement device 100 according to some embodiments of the present inventive concept is illustrated. The secondary catheter securement device 100 includes a base 110 that is configured to be removably secured to the skin of a patient, and a clip 120 coupled to the base 110. The clip 120 is configured to grasp and hold a catheter 12 (FIGS. 6A-6B) inserted through the skin S of the patient and prevent inadvertent movement of the catheter 12 at a catheter insertion site IS. The illustrated clip 120 includes a body 130 having a pair of opposing elastic jaws 132, 134 that define a catheter receiving channel 130c that extends from a proximal end 130a of the clip body to a distal end 130b of the clip body 130. The catheter receiving channel 130c is configured to accommodate most commercially available sizes (i.e., diameters) of catheters. First and second arms 122, 124 extend outwardly from the clip body 130 in adjacent spaced apart relationship and are configured to be gripped between the fingers of a user, e.g., a healthcare provider, technician, caretaker, etc. The first and second arms 122, 124, when squeezed toward one another by a user, are configured to urge the jaws 132, 134 open such that a catheter 12 (FIG. 6A) can be positioned within the catheter receiving channel 130c. The illustrated base 110 includes first and second legs 142, 144. The first leg 142 extends from a first side of the clip body and the second leg 144 extends from an opposite second side of the clip body, as illustrated. The first and second legs 142, 144 each have an adhesive portion (not shown) on a bottom surface 142a, 144a that is configured to removably secure the secondary catheter securement device 100 to the skin S of the patient.

[0052] The first and second arms 122, 124 are each movable to a respective nonoperative position such that the device 100 has a reduced profile, as illustrated in FIG. 5B. For example, the first arm 122 and second arm 124 each have a respective hinge (e.g., a living hinge) 122h, 124h that is configured such that the first arm 122 and second arm 124 can be movable to their respective non-operative positions (Fig. 5B). In the illustrated embodiment, the first arm 122 substantially overlies and aligns with the first leg 142 when the first arm 122 is in its nonoperative position when viewed in plan view (FIG. 6B). Similarly, the second arm 124substantially overlies and aligns with the second leg 144 when the second arm 124 in its nonoperative position, when viewed in plan view (FIG. 6B). However, the first and second arms 122, 124 can be configured in other embodiments not to substantially overlie the first and second legs 142, 144 when the first and second arms 122, 124 are moved to their respective nonoperative positions.

[0053] In the illustrated embodiment, an inner wall 130cw of the catheter receiving channel 130c includes one or more features 13 Of that are configured to firmly grip an outer surface of a catheter 12 positioned within the catheter receiving channel 130. These features 130f can prevent forward and backward movement (i.e., pistoning) of the catheter 12 within the catheter receiving channel 130c and at the catheter insertion site IS, especially when the catheter hub 14 is not secured by a primary securement device 20 during dressing change and / or when the catheter hub 14 is being manipulated for site cleaning by a user.

[0054] In the illustrated embodiment, an outer surface 122a, 124a of each of the first and second arms 122, 124 includes one or more tactile grip features 126. The grip features 126 help provide better user interaction with the securement device 100, especially in the presence of liquids and other materials that can provide a slippery surface. In some embodiments, the secondary catheter securement device 100 is formed from an elastomeric material to facilitate gripping by a user, as well as to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 130c. In other embodiments, the catheter receiving channel 130c may include an elastomeric sleeve to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 130c. The securement device 100 may be formed from various materials including, but not limited to, all types of plastic materials, ceramic materials, metals, elastomeric materials, or combinations thereof.

[0055] FIGS. 6A-6B illustrate the catheter securement device 100 in use with a primary catheter securement device 20. FIG. 6A illustrates the catheter securement device 100 with the clip arms 122, 124 in the upright, operative position, and FIG 6B illustrates the catheter securement device 100 with the clip arms 122, 124 in their respective collapsed position.

[0056] In FIGS. 6A-6B, the secondary catheter securement device 100 is positioned between the catheter insertion site IS and the proximal side of the primary catheter securement device 20. The secondary catheter securement device 100 is secured to the catheter 12 near the catheter insertion site IS after placement of the primary catheter securement device 20 and beforedressing. As such, during a dressing change cycle, the hemostatic bandage 25a and primary catheter securement device 20 can be removed to allow for 360° site cleaning without increasing risk of catheter movement during catheter manipulation. Once the primary securement device 20 is removed, the secondary catheter securement device 100 allows the catheter to be lifted for site cleaning without risking any movement of the catheter 12 at the insertion site IS.

[0057] FIGS. 7A-7F schematically illustrate steps for changing the dressing 25 for a catheter using the secondary catheter securement device 100 of FIGS. 5A-5B, according to some embodiments. In FIG. 7A, a hemostatic bandage 25a is placed at the catheter insertion site IS and a transparent adhesive bandage 25b covers the catheter insertion site IS, the hemostatic bandage 25a, the secondary catheter securement device 100 and catheter 12, and the primary catheter securement device 20. During dressing change, the transparent dressing 25b, the primary catheter securement device 20, and the hemostatic bandage 25a are removed, leaving the secondary catheter securement device 100 securing the catheter 12 to the patient (FIG. 7B).

[0058] The catheter 12 can be lifted, as illustrated in FIG. 7C, and the area around the catheter insertion site IS and where the primary catheter securement device 20 had previously been located can be cleaned, for example with an antiseptic cleaning applicator CA. The catheter 12, catheter hub 14, and catheter extension lines 12e can be cleaned at this time, as well.

[0059] In FIG. 7D, the catheter hub 14 is attached to a new primary catheter securement device 20, and the primary catheter securement device 20 is secured (e.g., adhesively secured) to the skin of the patient. Next, the arms 122, 124 of the secondary securement device 20 clip are moved to their upright position and a user squeezes the arms 122, 124 together to remove the secondary securement device 100 from the catheter. The site where the secondary catheter securement device 100 was located can be cleaned, including the catheter 12 at the insertion site IS (FIG. 7E). A new hemostatic bandage 25a is provided at the insertion site IS, and a new secondary catheter securement device 100 is then used to secure the catheter 12 to the skin of the patient between the insertion site IS and the proximal side of the primary catheter securement device 20 (FIG. 7F). The arms 122, 124 of the secondary catheter securement device 100 are moved to their collapsed position to provide a lower profile for the secondary catheter securement device 100, and a transparent bandage 25b can be applied to the patient to cover the insertion site IS and hemostatic bandage 25a, the secondary catheter securement device 100, and the primary catheter securement device 20, as illustrated in FIG. 7A.

[0060] FIG. 8 illustrates an alternative embodiment for the secondary catheter securement device 100 of FIGS. 5A-5B. The illustrated device 100’ is similar in design and function as the device 100 of FIGS 5A-5B; however, the legs 142, 144 of the base 110 have been modified to allow for less restricted movement of the jaws 132, 134. Specifically, the legs 142, 144 extend further out from the clip body 130 than in the embodiment illustrated in FIGS. 5A- 5B. This allows the adhesive portion of each leg 142, 144 to be positioned further away from the clip body 130, which allows for less restriction of movement of the jaws 132, 134. In addition, the arms 122, 124 of the device 100’ are longer than the arms 122, 124 of the device 100 illustrated n FIGS. 5A-5B, and provide additional leverage in opening the jaws 132, 134 so that a catheter can be inserted within the receiving channel 130c. In some embodiments, the secondary catheter securement device 100’ is formed from an elastomeric material to facilitate gripping by a user, as well as to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 130c. In other embodiments, the catheter receiving channel 130c may include an elastomeric sleeve to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 130c.

[0061] FIG. 9 illustrates the secondary catheter securement device of FIG. 6B with adhesive bridges 150 connecting the secondary catheter securement device 100 to the primary catheter securement device 20, according to some embodiments. During a dressing change cycle, the bridges 150 between the secondary catheter securement device 100 and the primary catheter securement device 20 can be peeled off and the primary catheter securement device 20 can be removed while the secondary catheter securement device 100 remains in place to secure the catheter 12 during dressing change workflow steps.

[0062] Referring to FIGS. 10A-10D and Fig. 11, a secondary catheter securement device 200 according to some embodiments of the present inventive concept is illustrated. The secondary catheter securement device 200 includes an adhesive base 210 (FIG. 10D) configured to be removably secured to the skin S of a patient, and a clip 220 coupled to the base 210. The clip 220 is configured to grasp and hold a catheter that has been inserted into the patient and prevent inadvertent movement of the catheter at the catheter insertion site. The clip 220 includes a body 230 having a pair of opposing elastic jaws 232, 234 that define a funnel-shaped or tapered catheter receiving channel 230c that extends from a proximal end 230a of the body 230 to a distal end 230b of the body 230. First and second arms 222, 224 extend outwardly from thebody in adjacent spaced apart relationship and are configured to be gripped between the fingers of a user, e.g., a healthcare provider, technician, caretaker, etc. The first and second arms 222, 224, when squeezed toward one another by the user are configured to urge the jaws 232, 234 open such that the catheter 12 can be positioned within the catheter receiving channel 230c. The catheter receiving channel 230c is configured to accommodate most commercially available sizes (i.e., diameters) of catheters.

[0063] In the illustrated embodiment, an inner wall 230cw of the catheter receiving channel 130c includes one or more features 23 Of that are configured to firmly grip an outer surface of a catheter 12 positioned within the catheter receiving channel 230c and prevent any forward and backward movement (i.e., pistoning) of the catheter 12 within the catheter receiving channel 230c and at a catheter insertion site, especially when a catheter hub is not secured by a primary securement device during dressing change and / or when a catheter hub is being manipulated for site cleaning by the user. In some embodiments, the secondary catheter securement device 200 is formed from an elastomeric material to facilitate gripping by a user, as well as to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 230c. In other embodiments, the catheter receiving channel 230c may include an elastomeric sleeve to facilitate the gripping of an outer surface of a catheter 12 positioned within the catheter receiving channel 230c.

[0064] In the illustrated embodiment, the distal end portion 222a, 224a of each of the first and second arms 222, 224 has an enlarged configuration with angled side walls 222aw, 224aw (FIG. 10B) that facilitate gripping and manipulating the respective arms 222, 224. The configuration of the distal end portions 222a, 224a helps provide better user interaction with the securement device 200, especially in the presence of liquids and other foreign substances that can provide a slippery surface. In addition, the clip 220, in some embodiments, may be formed from an elastomeric material to further facilitate gripping by a user.

[0065] FIGS. 12A-12D schematically illustrate steps for changing the dressing for a catheter 12 using the catheter securement device 200 of FIGS. 10A-10D and 11, according to some embodiments. As illustrated in FIG. 12A, the dressing includes a first dressing 25a that is a hemostatic bandage that is placed at the catheter insertion site IS and a second dressing 25b which is a transparent adhesive bandage that covers the catheter insertion site IS, the hemostatic bandage 25a, and the primary catheter securement device 20 supporting the catheter 12 and hub14. During dressing change, the hemostatic bandage 25a and the transparent dressing 25b are removed (FIG. 12B). The secondary catheter securement device 200 is then secured to the skin S of the patient and to the catheter 12 at the proximal side of the primary catheter securement device 20 (FIG. 12B). Once the secondary catheter securement device 200 is in place, the catheter 12 can be lifted from the primary catheter securement device 20 and the primary securement device 20 can be removed. The area around the catheter insertion site IS and where the primary catheter securement device 20 had previously been located can be cleaned, for example with an antiseptic cleaning applicator CA (FIG. 12C). In addition, the catheter 12, catheter hub 14, and catheter extension line 12e can be cleaned. A new primary catheter securement device 20 can be secured to the skin S of the patient, the hub 14 can be secured within the new primary catheter securement device 20, a new hemostatic bandage 25a can be applied to the insertion site IS, and a new transparent adhesive bandage 25b can be applied to the patient to cover the insertion site IS and hemostatic bandage 25a, the secondary catheter securement device 200, and the primary catheter securement device 20 (FIG. 12D).

[0066] FIG. 13 illustrates a secondary catheter securement device 300 and a primary catheter securement device 400, according to some embodiments of the present inventive concept. The secondary catheter securement device 300 is illustrated in greater detail in FIGS. 14A-14B. The illustrated secondary catheter securement device 300 includes an elongate base 310 having opposite end portions 310a, 310b and opposite first and second surfaces 310c, 3 lOd. The base 310 further includes an arcuate central portion 312 between the opposite end portions 310a, 310b. The second surface 3 lOd at each of the end portions 310a, 310b includes an adhesive portion 320 that is configured to removably secure the base 310 to the skin S (FIG. 15C) of the patient. A catheter receiving member 330 is transversely secured to the second surface 3 lOd of the base 210 at the arcuate central portion 312 and extends from a first side 3 lOsi of the base 310 to an opposite second side 310s2 of the base 310. The catheter receiving member 330 includes a catheter receiving channel 330c that is configured to snugly hold a catheter therein. The catheter receiving channel 330c is configured to accommodate most commercially available sizes (i.e., diameters) of catheters. In some embodiments, the base 310 is formed from a polymeric material. The base 310 may be formed from various flexible materials including, but not limited to, flexible plastic materials, elastomeric materials, or combinations thereof.

[0067] The illustrated primary catheter securement device 400 in FIG. 13 includes a base 410 configured to be secured to the skin of a patient, and a catheter hub supporting member 420 overlying the base and movably secured to the base 410. The catheter hub supporting member 420 includes a holder 430 configured to removably receive and secure a hub 14 of a catheter 12. The catheter hub supporting member 420 is movable between a lowered position (FIG. 15 A) and a raised position (FIG. 13 and FIG. 15F). The base 410 and the catheter hub supporting member 420 are in close, adjacent relationship when the catheter hub supporting member 420 is in the lowered position, and the base 410 and the catheter hub supporting member 420 are in spaced apart relationship when the catheter hub supporting member 420 is in the raised position. When the catheter hub supporting member 420 is in the raised position, the catheter 12 and hub 14 are elevated relative to the skin S of a patient, which makes it easier to clean the area of the skin S of the patient therebeneath.

[0068] The catheter hub supporting member 420 is movably secured to the base 410 by at least one collapsible member. In the illustrated embodiment, a pair of collapsible members 440i, 4402 are provided. The base 410 includes opposite first and second end portions 410a, 410b, and the catheter hub supporting member 420 includes opposite first and second end portions 420a, 420b. The at least one collapsible member 440 includes a first collapsible member 440i and a second collapsible member 4402. The first collapsible member 440i is secured to the base first end portion 410a and the catheter hub supporting member first end portion 420a, and the second collapsible member 4402 is secured to the base second end portion 410b and the catheter hub supporting member second end portion 420b. The illustrated first and second collapsible members 4401 and 4402 are accordion-style collapsible members. However, various other types of collapsible structures may be utilized.

[0069] The illustrated primary catheter securement device 400 also includes a pair of members 450 that are configured to limit a distance the catheter hub supporting member 420 can be raised relative to the base 410. In the illustrated embodiment, each member 450 is a pin secured to the base 410 and that extends through a respective aperture 422 in the catheter hub supporting member 420. A distal end 454 of each pin 450 has an enlarged configuration that acts as a stop and prevents the catheter hub supporting member 420 from being raised beyond a predetermined height from the base 410. However, various other structures may be utilized to restrict the height that the catheter hub supporting member 420 can be being raised from the base410. In some embodiments, the primary catheter securement device 400 and its components may be formed from polymeric materials. The securement device 400 may be formed from various materials including, but not limited to, all types of plastic materials, ceramic materials, metals, elastomeric materials, or combinations thereof.

[0070] FIGS. 15A-15G schematically illustrate steps for changing the dressing for a catheter 12 using the secondary catheter securement device 300 and primary catheter securement device 400 of FIGS. 13 and 14A-14B, according to some embodiments. As illustrated in FIG. 15A, the dressing includes a first dressing 25a that is a hemostatic bandage that is placed at the catheter insertion site IS and a second dressing 25b which is a transparent adhesive bandage that covers the catheter insertion site IS, the hemostatic bandage 25a, the primary catheter securement device 400, and the catheter 12 and hub 14 supported by the primary catheter securement device 400. During dressing change, the hemostatic bandage 25a and the transparent dressing 25b are removed and the area around the catheter insertion site IS can be cleaned, for example with an antiseptic cleaning applicator CA (FIG. 15B). The catheter 12 is secured within the catheter receiving channel 330c of the secondary catheter securement device 300, and the secondary catheter securement device 300 is then secured to the skin S of the patient at the proximal side of the primary catheter securement device 20 (FIG. 15C). Once the secondary catheter securement device 300 is in place, the catheter 12 and hub 14 can be lifted from the primary catheter securement device 400 and the primary catheter securement device 400 can be removed from the patient, as illustrated in FIG. 15D. The area around where the primary catheter securement device 400 had previously been located can be cleaned, for example with an antiseptic cleaning applicator CA. In addition, the catheter 12 and catheter hub 14 can be cleaned. A new primary catheter securement device 400 can be secured to the skin S of the patient, and the hub 14 can be secured within the new primary catheter securement device 400, as illustrated in FIG. 15E.

[0071] As illustrated in FIG. 15F, the catheter hub supporting member 420 can be raised, thereby elevating the catheter 12 and hub 14 to permit cleaning therebeneath. The catheter hub supporting member 420 is then lowered, a new hemostatic bandage 25a can be applied to the insertion site IS, and a new transparent adhesive bandage 25b can be applied to the patient to cover the insertion site IS and hemostatic bandage 25a, and the primary catheter securement device 400 (FIG. 15G).

[0072] FIG. 16 illustrates the secondary catheter securement device 300 of FIGS. 14A- 14B in use with the primary catheter hub securement device 20 of FIG. 6A.

[0073] FIG. 17 illustrates a secondary catheter securement device 500 in use with the primary catheter securement device 400 of FIG.13, according to some embodiments of the present inventive concept. The illustrated secondary catheter securement device 500 combines a hemostatic bandage 25a that is configured to be positioned at a catheter insertion site of a patient with the secondary catheter securement device 300 of FIGS. 14Aand 14B. The hemostatic bandage 25a and the elongate base 310 of the secondary catheter securement device 300 are joined together in adjacent, spaced apart relationship by a pair of members 510. In the illustrated embodiment, each member 510 is joined to a respective end portion 310a, 310b of the elongate member 310. Each member 510 is tearable such that the hemostatic bandage 25a can be removed from the patient without removing the elongate base 310, which is securing the catheter 12 to the patient.

[0074] This integrated hemostatic bandage-secondary securement device 500 is intended to secure a catheter 12 during IV-catheter dwell-time. During dressing change, the hemostatic bandage 25a can be removed by tearing each member 510 connecting the hemostatic bandage 25a to the secondary catheter securement device 500. The secondary catheter securement device 500 will restrict movement of the catheter 12 during replacement of the primary catheter securement device 400. After site cleaning and securing the catheter hub 14 to a new primary catheter securement device 400, the secondary catheter securement device 300 may be removed, and the site / catheter may be disinfected. A new integrated hemostatic bandage- secondary securement device 500 may then be secured to the catheter 12 and to the patient between the insertion site IS and the proximal side of the primary catheter securement device 400.

[0075] FIGS. 18A-18C illustrate a secondary catheter securement device 600 according to some embodiments of the present inventive concept. The secondary catheter securement device 600 includes a base 610 configured to be removably secured to the skin S of a patient, and a catheter supporting member 620 movably coupled to the base 610. The catheter supporting member 620 includes one or more catheter receiving channels 630c, each configured to snugly hold a catheter or catheter extension line and prevent inadvertent movement of the catheter / catheter extension line. In the illustrated embodiment, a clamp member 632 is movably secured to the catheter supporting member 620 via a hinge 634 and is configured to movebetween open and closed positions. The clamp member 632 is configured to firmly retain the catheters / catheter extension lines that are placed within the catheter receiving channels 630c and prevent any inadvertent movement thereof. When the clamp member 632 in an open position (FIG. 19E), one or more catheters / catheter extension lines can be placed within one or more of the catheter receiving channels 630c. The clamp member 632 can then be moved to the closed position (FIG. 19F) overlying the catheters / catheter extension lines, thereby securing the catheters / catheter extension lines within the catheter receiving channels 630c.

[0076] The illustrated catheter supporting member 620 includes three catheter receiving channels 630c in adjacent spaced apart relationship. However, embodiments of the present inventive concept are not limited to the illustrated number of catheter receiving channels 630. Various numbers of catheter receiving channels 630c may be utilized, including more than three catheter receiving channels, less than three catheter receiving channels, and even a single catheter receiving channel.

[0077] The catheter supporting member 620 is movable relative to the base 610 via a hinge member 640 between a first (i.e., collapsed) position (FIG. 18A) and a second (i.e., raised) position (FIG. 18B). The catheter supporting member 620 is in face-to-face contacting relationship with the base 610 when in the lowered position, as illustrated in FIG. 18 A. The catheter supporting member 620 is in spaced apart relationship with the base 610 when in the second, raised position, as illustrated in FIG. 18B. The illustrated catheter securement device 600 also includes first and second locking members 652, 654 that are configured to removably secure the catheter supporting member 620 to the base 610 when in the second, raised position. In the illustrated embodiment, a first locking member 652 is movably secured to a first end portion 620a of the catheter supporting member 620 via a hinge member 660a, and a second locking member 654 is movably secured to an opposite second end portion 620b of the catheter supporting member 620 via a hinge member 660b.

[0078] In the illustrated embodiment, each locking member 652, 654 includes a tab (not shown) that is configured to be releasably secured within a recessed portion 670 of the base 610 to maintain the catheter supporting member 620 in the raised position (FIG. 18C). However, other ways of removably securing each locking member 652, 654 to the base 610 may be utilized, and embodiments of the present inventive concept are not limited to the illustrated configuration. Furthermore, in some embodiments, more than two locking members may beutilized, and even a single locking member may be utilized. In some embodiments, the base 610 and catheter supporting member 620 may be formed from polymeric materials. The securement device 600 may be formed from various materials including, but not limited to, all types of plastic materials, ceramic materials, metals, elastomeric materials, or combinations thereof.

[0079] FIGS. 19A-19M schematically illustrate steps for changing the dressing for a catheter 12 using the catheter securement device 600 of FIGS. 18A-18C, according to some embodiments. As illustrated in FIG. 19A, the dressing includes a first dressing 25a that is a hemostatic bandage that is placed at the catheter insertion site IS and a second dressing 25b which is a transparent adhesive bandage that covers the catheter insertion site IS, the hemostatic bandage 25a, the primary catheter securement device 20, and the catheter 12 and hub 14 supported by the primary catheter securement device 20. During dressing change, the transparent adhesive bandage 25b is removed (FIG. 19B) and the hemostatic bandage 25a is removed (FIG. 19C). The area around the catheter insertion site IS can be cleaned, for example with an antiseptic cleaning applicator CA (FIG. 191).

[0080] The secondary catheter securement device 600 is then moved beneath the catheter extension lines 12e on the distal side of the primary catheter securement device 20 (FIG. 19D), the clamp member 632 is opened (FIG. 19E), and the catheter extension lines 12e are placed within the catheter receiving channels 630c and the clamp member 632 is closed, thereby firmly securing the catheter extension lines 12e to the catheter supporting member 620 (FIGS. 19E- 19F). This operation avoids the need for the person installing the secondary catheter securement device 600 to touch the catheter 12 at or near the insertion site IS.

[0081] Once the catheter extension lines 12e are secured to the catheter supporting member 620, the catheter supporting member 620 is moved to the raised position via hinge 640 and the locking members 652, 654 are pivoted downwardly and secured to the base 610 (FIGS. 19G-19H). The catheter supporting member 620 is now securely raised above the base 610. The primary catheter securement device 20 is then removed (FIG. 19H) and site cleaning can be performed near the insertion site IS and beneath the catheter 12, hub 14, and catheter extension lines 12e (FIG. 191). In FIG. 191, the locking member 654 is shown in the raised position to better illustrate the hinge 640. However, it is understood that the locking member 654, as well as the locking member 652, would be in the downward position during site cleaning.

[0082] After cleaning, a new primary catheter securement device 20 is secured to the patient and the catheter hub 14 is secured within the primary catheter securement device 20 (FIG.19J). The locking members 652, 654 are released from the base 610, pivoted upwardly, and the catheter supporting member 620 is moved to the lowered position (FIG. 19K). The catheter extension lines are released from the catheter receiving channels 630c and the secondary catheter securement device 600 is removed from beneath the catheter extension lines and from the patient (FIG. 19L). Cleaning may be performed at the site near where the secondary catheter securement device 600 was positioned (FIG. 19L). Finally, a new hemostatic bandage 25a can be applied to the insertion site IS, and a new transparent adhesive bandage 25b can be applied to the patient to cover the insertion site IS and hemostatic bandage 25a, and the primary catheter securement device 20 (FIG. 19M).

[0083] FIGS. 20A-20C illustrate a secondary catheter securement device 700 according to some embodiments of the present inventive concept. The secondary catheter securement device 700 includes a base 710 configured to be removably secured to the skin S of a patient, and a catheter supporting member 720 overlying the base 710 and movably secured to the base 710 between a lowered position (FIG. 20A) and a raised position (FIG. 20B). The base 710 and the catheter supporting member 720 are in close, adjacent relationship when the catheter supporting member 720 is in the lowered position, as illustrated in FIG. 20A, and the base 710 and the catheter supporting member 720 are in extended, spaced apart relationship when the catheter supporting member 720 is in the raised position, as illustrated in FIG. 20B. The catheter supporting member 720 includes a holder 730 that is configured to snugly hold one or more catheters or catheter extension lines (FIG. 20C) therein and prevent inadvertent movement thereof. The illustrated holder 730 has a generally U-shaped configuration with opposing arms 732, 734. The arms 732, 734 are configured to bias inwardly toward each other which helps firmly retain any catheters / catheter extension lines inserted therein.

[0084] The catheter supporting member 720 is movably secured to the base 710 by at least one collapsible member. In the illustrated embodiment, a pair of collapsible members 7401, 7402 are provided. The base 710 includes opposite first and second end portions 710a, 710b, and the catheter hub supporting member 720 includes opposite first and second end portions 720a, 720b. The first collapsible member 7401 is secured to the base first end portion 710a and the catheter hub supporting member first end portion 720a. The second collapsible member 7402 issecured to the base second end portion 710b and the catheter hub supporting member second end portion 720b. The illustrated first and second collapsible members 740i and 7402 are accordionstyle collapsible members. However, various other types of collapsible structures may be utilized. In some embodiments, the secondary catheter securement device 700 may be formed from polymeric materials. The securement device 700 may be formed from various materials including, but not limited to, all types of plastic materials, ceramic materials, metals, elastomeric materials, or combinations thereof.

[0085] FIGS. 21A-21G schematically illustrate steps for changing the dressing for a catheter 12 using the catheter securement device 700 of FIGS. 20A-20C, according to some embodiments. As illustrated in FIG. 21A, the dressing includes a first dressing 25a that is a hemostatic bandage that is placed at the catheter insertion site IS and a second dressing 25b which is a transparent adhesive bandage that covers the catheter insertion site IS, the hemostatic bandage 25a, the primary catheter securement device 20, and the catheter 12 and hub 14 supported by the primary catheter securement device 20. During dressing change, the transparent adhesive bandage 25b and the hemostatic bandage 25a are removed (FIG. 2 IB). The area around the catheter insertion site IS can be cleaned, for example with an antiseptic cleaning applicator CA (FIG. 2 ID).

[0086] The secondary catheter securement device 700 is then moved beneath the catheter extension lines 12e on the distal side of the primary catheter securement device 20, and the catheter extension lines 12e are placed within the holder 730 (FIG. 21C). Once the catheter extension lines 12e are within the holder 730, the primary catheter securement device 20 can be removed. The catheter supporting member 720 is then moved to the raised position and site cleaning can be performed where the primary catheter securement device 20 was located, as well as beneath the catheter 12 and the catheter extension lines 12e (FIG. 21D).

[0087] After cleaning, a new primary catheter securement device 20 is secured to the patient and the catheter hub 14 is secured within the primary catheter securement device 20 (FIG. 2 IE). Cleaning may be performed at the site near where the secondary catheter securement device 700 was positioned (FIG. 21F). Finally, a new hemostatic bandage 25a can be applied to the insertion site IS, and a new transparent adhesive bandage 25b can be applied to the patient to cover the insertion site IS and hemostatic bandage 25a, and the primary catheter securement device 20 (FIG. 21G).

[0088] It will be understood that, although the terms first, second, etc., may be used herein to describe various elements, these elements should not be limited by these terms. These terms are only used to distinguish one element from another. For example, a first element could be termed a second element, and, similarly, a second element could be termed a first element, without departing from the scope of the present invention. As used herein, the term “and / or” includes any and all combinations of one or more of the associated listed items.

[0089] It will be understood that when an element is referred to as being “on” another element, it can be directly on the other element or intervening elements may also be present. In contrast, when an element is referred to as being “directly on” another element, there are no intervening elements present. It will also be understood that when an element is referred to as being “connected” or “coupled” to another element, it can be directly connected or coupled to the other element or intervening elements may be present. In contrast, when an element is referred to as being “directly connected” or “directly coupled” to another element, there are no intervening elements present. Other words used to describe the relationship between elements should be interpreted in a like fashion (i.e., “between” versus “directly between”, “adjacent” versus “directly adjacent”, etc.).

[0090] Relative terms such as “below” or “above” or “upper” or “lower” or “horizontal” or “vertical” may be used herein to describe a relationship of one element, layer or region to another element, layer or region as illustrated in the figures. It will be understood that these terms are intended to encompass different orientations of the device in addition to the orientation depicted in the figures.

[0091] The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprises”, “comprising,” “includes” and / or “including” when used herein, specify the presence of stated features, operations, elements, and / or components, but do not preclude the presence or addition of one or more other features, operations, elements, components, and / or groups thereof.

[0092] The term “about,” as used herein when referring to a measurable value such as an amount or concentration and the like, is meant to encompass variations of ± 10%, ± 5%, ± 1%, ± 0.5%, or even ± 0.1% of the specified value as well as the specified value. For example, “aboutX” where X is the measurable value, is meant to include X as well as variations of ± 10%, ± 5%, ± 1%, ± 0.5%, or even ± 0.1% of X. A range provided herein for a measurable value may include any other range and / or individual value therein.

[0093] Aspects and elements of all of the embodiments disclosed above can be combined in any way and / or combination with aspects or elements of other embodiments to provide a plurality of additional embodiments.

Claims

What is Claimed is:

1. A catheter securement device, comprising: a base configured to be removably secured to the skin of a patient; and a clip coupled to the base, wherein the clip is configured to grasp and hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site.

2. The device of Claim 1, wherein the clip comprises: a body comprising a pair of opposing elastic jaws that define a catheter receiving channel that extends from a proximal end of the body to a distal end of the body; and first and second arms extending outwardly from the body in adjacent spaced apart relationship, wherein the first and second arms, when squeezed toward one another, urge the jaws open such that the catheter can be positioned within the catheter receiving channel.

3. The device of Claim 2, wherein the base comprises first and second legs, wherein the first leg extends from a first side of the body and the second leg extends from an opposite second side of the body, and wherein the first and second legs each comprise an adhesive portion configured for attachment to the skin of the patient.

4. The device of Claim 2, wherein the first and second arms are each movable to a respective non-operative position such that the device has a reduced profile.

5. The device of Claim 4, further comprising a first member configured to secure the first arm to a primary catheter securement device, and a second member configured to secure the second arm to the primary catheter securement device.

6. The device of Claim 5, wherein the first member is configured to adhesively secure the first arm to the primary catheter securement device, and the second member is configured to adhesively secure the second arm to the primary catheter securement device.

7. The device of Claim 3, wherein the first arm and second arm each comprise a respective hinge configured such that the first arm and second arm are movable to their respective non-operative positions, wherein the first arm substantially overlies and is aligned with the first leg when in its non-operative position, and wherein the second arm substantially overlies and is aligned with the second leg when in its non-operative position.

8. The device of Claim 2, wherein an inner wall of the catheter receiving channel comprises one or more features configured to firmly grip an outer surface of the catheter positioned within the catheter receiving channel and prevent any forward and backward movement of the catheter within the catheter receiving channel.

9. The device of Claim 2, wherein an outer surface of each of the first and second arms comprises one or more tactile grip features.

10. A catheter securement device, comprising: an adhesive base configured to be removably secured to the skin of a patient; and a clip coupled to the base, wherein the clip is configured to grasp and hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site.

11. The device of Claim 10, wherein the clip comprises: a body comprising a pair of opposing elastic jaws that define a tapered catheter receiving channel that extends from a proximal end of the body to a distal end of the body; and first and second arms extending outwardly from the body in adjacent spaced apart relationship, wherein the first and second arms, when squeezed toward one another, urge the jaws open such that the catheter can be positioned within the catheter receiving channel.

12. The device of Claim 11, wherein the body comprises an elastomeric material.

13. The device of Claim 11, wherein an inner wall of the tapered catheter receiving channel comprises one or more features configured to firmly grip an outer surface of the catheterpositioned within the catheter receiving channel and prevent any forward and backward movement of the catheter within the catheter receiving channel.

14. A catheter securement device, comprising: an elongate base comprising opposite end portions and an arcuate central portion between the opposite end portions, wherein a bottom surface of each of the end portions comprises an adhesive portion configured to removably secure the base to the skin of the patient; and a catheter receiving channel transversely secured to a bottom surface of the central portion such that the catheter receiving channel extends from a first side of the base to an opposite second side of the base, wherein the catheter receiving channel is configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site.

15. A catheter securement device, comprising: a hemostatic bandage configured to be positioned at a catheter insertion site of a patient; an elongate base secured to the hemostatic bandage in adjacent, spaced apart relationship by at least one member, wherein the base comprises opposite end portions and an arcuate central portion between the opposite end portions, wherein a bottom surface of each of the end portions comprises an adhesive portion configured to removably secure the base to the skin of the patient; and a catheter receiving channel transversely secured to a bottom surface of the central portion such that the catheter receiving channel extends from a first side of the base to an opposite second side of the base, wherein the catheter receiving channel is configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at the catheter insertion site.

16. The device of Claim 15, wherein the at least one member is tearable such that the hemostatic bandage can be removed from the patient without removing the base.

17. The device of Clam 15, wherein the at least one member comprises a plurality of members.

18. A catheter securement device, comprising: a base configured to be removably secured to the skin of a patient; and a catheter supporting member movably coupled to the base, wherein the catheter supporting member comprises at least one catheter receiving channel configured to snugly hold a catheter inserted into the patient and prevent inadvertent movement of the catheter at a catheter insertion site, wherein the catheter supporting member is movable relative to the base between a first position and a second position, wherein the catheter supporting member is in face-to-face contacting relationship with the base when in the first position, and wherein the catheter supporting member is in spaced apart relationship with the base when in the second position.

19. The device of Claim 18, further comprising at least one locking member configured to removably secure the catheter supporting member to the base in the second position.

20. The device of Claim 19, wherein the at least one locking member comprises a tab configured to be releasably secured within a recessed portion of the base to maintain the catheter supporting member in the second position.

21. The device of Claim 19, wherein the catheter supporting member is an elongate member with opposite first and second end portions, and wherein the at least one locking member comprises a first locking member movably secured to the first end portion and a second locking member movably secured to the second end portion.

22. The device of Claim 18, wherein the catheter supporting member is movably coupled to the base by a hinge.

23. The device of Claim 18, wherein the at least one catheter receiving channel comprises a plurality of catheter receiving channels in adjacent spaced apart relationship.

24. A catheter securement device, comprising: a base configured to be secured to the skin of a patient; anda catheter supporting member overlying the base and movably secured to the base between a lowered position and a raised position, wherein the base and the catheter supporting member are in close, adjacent relationship when the catheter supporting member is in the lowered position, and wherein the base and the catheter supporting member are in extended, spaced apart relationship when the catheter supporting member is in the raised position, and wherein the catheter supporting member comprises a holder configured to snugly hold at least one catheter therein and prevent inadvertent movement of the at least one catheter.

25. The device of Claim 24, wherein the catheter supporting member is movably secured to the base by at least one collapsible member.

26. The device of Claim 25, wherein the base comprises opposite first and second end portions, wherein the catheter supporting member comprises opposite first and second end portions, wherein the at least one collapsible member comprises a first collapsible member and a second collapsible member, wherein the first collapsible member is secured to the base first end portion and the catheter supporting member first end portion, and wherein the second collapsible member is secured to the base second end portion and the catheter supporting member second end portion.

27. The device of Claim 24, further comprising at least one member configured to limit a distance the catheter supporting member can be raised from the base.

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