Ventricular catheter assembly

• US 4,903,707 A
• Filed: 04/22/1988
• Issued: 02/27/1990
• Est. Priority Date: 04/22/1988
• Status: Expired due to Term

• Current Assignee: Camino Neurocare, Inc.
• Original Assignee: Camino Laboratories, Inc.
• Inventors: Sato, Stephens, Knute, Wallace L.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Lacyk, J. P.
• Application Number:
  US07/185,173
• Time in Patent Office: 676 Days
• Field of Search: 128/748, 128/303 B, 128/DIG. 6, 604/175, 604/8, 604/9
• US Class Current: 600/561
• CPC Class Codes: A61B 17/1695 Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 2090/036 abutting on tissue or skin
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61M 2039/025 through bones or teeth, e.g. through the skull
• CPC Class Codes: A61M 2039/0273 for introducing catheters into the body
• CPC Class Codes: A61M 2039/0291 method or device for implanting it in the body
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A catheter assembly comprising a catheter having a lumen and characterized by a flexible distal extremity. The assembly further comprises a bolt having a threaded distal extremity for threading into an opening in the skull in sterile relation. The bolt includes an elongated chamber extending between its distal extremity and a threaded proximal extremity of the bolt. The catheter is disposed through the bolt chamber, and includes an opening from the lumen to the exterior of its flexible distal extremity. A clamp is threaded onto the catheter proximal extremity and is operative to forcibly engage the catheter and constrain it against movement relative to the bolt to thereby maintain a predetermined depth of insertion of the catheter into the skull.

Claims

1. A ventricular catheter assembly for monitoring a brain parameter through an opening in a skull of a living patient, the catheter assembly comprising:

bolt means having an elongated chamber therethrough, a proximal extremity, and distal extremity adapted for insertion into an opening in the skull in sterile relation;

a catheter disposed through the chamber in the bolt means, and including a lumen, and a flexible distal extremity for penetrating a ventricle of the brain, the flexible extremity having an opening for the lumen to the exterior of the flexible distal extremity; and

clamping means connected to the proximal extremity of the bolt means and operative to forcibly engage the catheter and constrain the catheter against movement relative to the bolt means such that a predetermined depth of insertion of the catheter into the brain can be maintained.

2. A catheter assembly according to claim 1 and further comprising a removable stylet adapted to fit within the catheter to stiffen the catheter for insertion of the catheter into the brain.

3. A catheter assembly according to claim 1 and further comprising a sterility sleeve enclosing the catheter and the proximal extremity of the bolt means, the sleeve having a first extremity closely fitted to the proximal extremity of the clamping means, and a second extremity closely fitted to the catheter, thereby enclosing the catheter between the extremities in a sterile relation.

4. A catheter assembly according to claim 1 and further comprising a transducer adapted for insertion into the catheter and operative to provide a signal indicative of ventricular fluid pressure within the brain adjacent the opening in the flexible portion of the catheter.

5. A catheter assembly according to claim 4 and further comprising a pressure monitor responsive to the signal to provide a readout of the pressure.

6. A catheter according to claim 4 and further comprising means for draining fluid from the brain through the catheter.

7. A catheter assembly according to claim 6 wherein the means for draining fluid comprises a vessel to receive the fluid, conduit means to carry the fluid to the vessel, and coupling means to couple the conduit means to the catheter.

8. A catheter assembly according to claim 1 wherein the distal extremity of the bolt means is tapered and comprises male threads on an exterior surface of the distal extremity, the threads being operative when the bolt means is tightened into the opening of the skull to provide the sterile relation.

9. A catheter assembly according to claim 1 including an installation apparatus comprising:

a drill for drilling an opening through the skull to receive the bolt means;

a drill stop carried by the drill;

means fixing the drill stop at a desired location on the drill to establish a maximum depth to which the drill can penetrate; and

means for tightening the bolt means into the opening.

10. A ventricular catheter assembly for monitoring a brain parameter through an opening in a skull of a living patient, the catheter assembly comprising:

bolt means having an elongated chamber therethrough, a threaded proximal extremity, and a threaded distal extremity for threading into an opening in the skull in sterile relation;

a catheter disposed through the chamber in the bolt means and including a lumen and flexible distal extremity for penetrating a ventricle of the brain, the flexible distal extremity being apertured for communication between the lumen and any fluid adjacent the catheter, the catheter defining an annular space with a portion of the walls of the chamber;

compressible mans disposed in the annular space;

clamping means threaded onto the proximal extremity of the bolt means and operative to tighten upon the proximal extremity to compress the compressible means against the catheter and constrain the catheter against movement relative to the bolt means such that a predetermined depth of insertion of the catheter into the brain can be maintained.

11. A catheter assembly according to claim 10 and including sealing means in the annular space compressible against the passage of fluids into the chamber from the skull.

12. A catheter assembly according to claim 10 wherein the compressible means comprises a collet.