Cerebral spinal fluid flow sensing device

• US 20060020239A1
• Filed: 10/28/2004
• Published: 01/26/2006
• Est. Priority Date: 07/20/2004
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Speckman, Lori C., Geiger, Mark A.
• Application Number:
  US10/976,163
• Publication Number:
  US 20060020239A1
• Time in Patent Office: Days
• US Class Current: 604/9
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/032 Spinal fluid pressure
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves

Abstract

The disclosure is directed to an implantable device for sensing CSF flow through an implantable ventricular shunt. The sensing device is implanted with the CSF shunt, and includes a flow sensor to sense flow rate or shunt blockage. The sensing device is either placed within or adjacent to the fluid path through the shunt. The sensing device transmits the sensed flow rate to an external monitoring device by wireless telemetry. The sensing device may be integrally formed as part of the shunt, or clamped onto a portion of the shunt, in which case the sensing device may be resusable. An external monitor receives the transmitted flow signal and presents information based on the flow signal. The sensing device may be inductively powered or include its own power supply.

Claims

1. :

A cerebral spinal fluid (CSF) shunt system comprising;

a ventricular catheter;

a drainage catheter;

a flow control valve coupled between the ventricular catheter and the drainage catheter, wherein the ventricular catheter, the flow control valve and the drainage catheter define a CSF flow path; and

a CSF flow sensor positioned to sense flow within the CSF flow path, the CSF flow sensor having a tube in fluid communication with an output of the ventricular catheter and an input of the flow control valve, and an optical sensor that senses CSF flow within the tube.

2. :

The system of claim 1, wherein the optical sensor includes an optical emitter that emits light into the tube and an optical receiver that receives light from the tube, the optical sensor sensing CSF flow based on the received light, and wherein the tube is at least partially transmissive to the light emitted by the emitter.

3. :

The system of claim 2, further comprising a reflector mounted on a side of the tube opposite the emitter to reflect the light emitted by the emitter.

4. :

The system of claim 1, wherein the CSF flow sensor is a laser Doppler sensor, wherein the laser Doppler sensor includes an optical emitter that emits light into the CSF flow path, an optical receiver that receives light from the CSF flow path, and processing circuitry to sense CSF flow based on a difference in frequency between the light emitted by the optical emitter and light received by the optical receiver.

6. :

The system of claim 1, wherein the CSF flow sensor includes a wireless telemetry interface to transmit information based on the sensed CSF flow to an external monitor.

7. :

The system of claim 1, wherein the CSF flow sensor includes an inductive power interface to receive power from an external device.

8. :

The system of claim 1, further comprising an external monitor to receive CSF flow information transmitted by the CSF flow sensor.

9. :

The system of claim 8, wherein the external monitor includes an inductive power interface to power the CSF flow sensor.

5. (canceled)

10. :

A cerebral spinal fluid (CSF) shunt system comprising;

a ventricular catheter;

a drainage catheter;

a flow control valve coupled between the ventricular catheter and the drainage catheter, wherein the ventricular catheter, the flow control valve and the drainage catheter define a CSF flow path; and

a CSF flow sensor configured to attach to a portion of the CSF flow path to sense flow within the CSF flow path.

11. :

The system of claim 10, wherein the CSF flow sensor is an optical sensor, and the portion of the CSF flow path is at least partially transmissive to light.

12. :

The system of claim 11, wherein the CSF flow sensor is a laser Doppler sensor, wherein the laser Doppler sensor includes an optical emitter that emits light into the CSF flow path, an optical receiver that receives light from the CSF flow path, and processing circuitry to sense CSF flow based on a difference in frequency between the light emitted by the optical emitter and light received by the optical receiver.

14. :

The system of claim 10, wherein the CSF flow sensor has a clam-shell configuration defining first and second portions that are pivotable about a hinge point to clamp onto the flow path.

15. :

The system of claim 14, further comprising a snap-fit engagement to couple the first and second portions of the clam-shell configuration.

16. :

The system of claim 10, wherein the CSF flow sensor is attached to a portion of the ventricular catheter.

17. :

The system of claim 10, wherein the CSF flow sensor includes a wireless telemetry interface to transmit information based on the sensed CSF flow to an external monitor.

18. :

The system of claim 10, wherein the CSF flow sensor includes an inductive power interface to receive power from an external device.

19. :

The system of claim 10, further comprising an external monitor to receive CSF flow information transmitted by the CSF flow sensor.

20. :

The system of claim 19, wherein the external monitor includes an inductive power interface to power the CSF flow sensor.

13. (canceled)

21. :

A cerebral spinal fluid (CSF) flow sensor for sensing CSF flow within a ventricular shunt, the sensor comprising;

a sensor housing;

a tube within the sensor housing to receive CSF from a flow path within a CSF shunt;

an optical sensor, mounted within the housing, to sense CSF flow within the tube;

a wireless telemetry interface, mounted within the housing, to transmit information based on the sensed CSF flow to an external monitor; and

an inductive power interface, mounted within the housing, to receive power from an external device.

22. :

The sensor of claim 21, wherein the optical sensor includes an optical emitter that emits light into the tube and an optical receiver that receives light from the tube, the optical sensor sensing CSF flow based on the received light, and wherein the tube is at least partially transmissive to the light emitted by the emitter.

23. :

The sensor of claim 22, further comprising a reflector mounted on a side of the tube opposite the emitter to reflect the light emitted by the emitter.

24. :

The sensor of claim 21, wherein the optical sensor is a laser Doppler sensor, wherein the laser Doppler sensor includes an optical emitter that emits light into the CSF flow path, an optical receiver that receives light from the CSF flow path, and processing circuitry to sense CSF flow based on a difference in frequency between the light emitted by the optical emitter and light received by the optical receiver.

26. :

The sensor of claim 21, wherein the tube includes a first end for connection to an output of a ventricular catheter and a second end for connection to an input of a control valve.

25. (canceled)

27. :

A cerebral spinal fluid (CSF) flow sensor for sensing CSF flow within a ventricular shunt, the sensor comprising;

a sensor housing configured to attach to a portion of a CSF flow path within a CSF shunt;

a sensor, mounted within the housing, to sense flow of CSF within the flow path;

a wireless telemetry interface, mounted within the housing, to transmit information based on the sensed CSF flow to an external monitor; and

an inductive power interface, mounted within the housing, to receive power from an external device.

28. :

The sensor of claim 27, wherein the CSF flow sensor is an optical sensor, and the portion of the CSF flow path is at least partially transmissive to light.

29. :

The sensor of claim 28, wherein the optical sensor is a laser Doppler sensor, wherein the laser Doppler sensor includes an optical emitter that emits light into the CSF flow path, an optical receiver that receives light from the CSF flow path, and processing circuitry to sense CSF flow based on a difference in frequency between the light emitted by the optical emitter and light received by the optical receiver.

31. :

The sensor of claim 27, wherein the CSF flow sensor has a clam-shell configuration defining first and second portions that are pivotable about a hinge point to clamp onto the portion of the flow path.

30. (canceled)

32. :

A method for sensing CSF flow in a ventricular shunt system, the method comprising;

attaching a CSF flow sensor to a portion of a CSF flow path defined by a ventricular catheter, flow control valve and drainage catheter, wherein the portion of the flow path is substantially transmissive to light;

telemetrically powering the CSF flow sensor to optically sense CSF flowing through the flow path; and

receiving CSF flow information from the CSF flow sensor via wireless telemetry.

33. :

The method of claim 32, wherein the CSF flow sensor is a laser Doppler sensor, wherein the laser Doppler sensor includes an optical emitter that emits light into the CSF flow path, an optical receiver that receives light from the CSF flow path, and processing circuitry to sense CSF flow based on a difference in frequency between the light emitted by the optical emitter and light received by the optical receiver.

35. :

The method of claim 32, wherein the CSF flow sensor has a clam-shell configuration defining first and second portions that are pivotable about a hinge point, the method further comprising closing the first and second portions to clamp the clam-shell configuration about the portion of the flow path.

34. (canceled)

36-39. -39. (canceled)