Method for measuring intracranial fluid characteristics

• US 5,117,836 A
• Filed: 10/22/1990
• Issued: 06/02/1992
• Est. Priority Date: 10/22/1990
• Status: Expired due to Term

• Current Assignee: Millar Instruments
• Original Assignee: Millar Instruments
• Inventors: Millar, Huntly D.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Tucker, Guy V.
• Application Number:
  US07/602,152
• Time in Patent Office: 589 Days
• Field of Search: 128/748, 128/774, 128/781, 128/782, 604/158, 604/160, 604/161
• US Class Current: 600/561
• CPC Class Codes: A61B 10/0045 Devices for taking samples of body liquids devices for taking blood samples A61B5/15
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/0102 Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod

Abstract

A method and assembly is provided which allows measurement of intracranial fluid characteristics at the intracranial region of the brain. The invention contemplates a method of implanting a ventricular catheter having one end residing in the ventricular region and the other end exiting the cranial region at a distal location. A grooved needle allows placement of a transducer tipped catheter and rerouting of both the ventricular, in-dwelling catheter and the transducer tipped catheter placed within the in-dwelling catheter. Intracranial fluid characteristics are monitored by an electrically coupled distal monitor. Further, access to the intracranial fluid is also provided to allow either short-term or long-term withdrawal or injection of intracranial fluid.

Claims

1. A method of measuring intracranial fluid characteristics, comprising the steps of:

creating a passage into a cranial cavity containing intracranial fluid;

routing a grooved needle along a subdermal region from said passage to an exit point spaced from said passage;

positioning a transducer tipped catheter from said exit point through said grooved needle and into said passage;

removing said needle;

covering said passage over said transducer tipped catheter; and

,

sensing characteristics of said intracranial fluid transmitted from said transducer tipped catheter.

2. The method as recited in claim 1, further comprising sensing intracranial fluid pressure.

3. The method as recited in claim 1, wherein said creating step comprises:

cutting an opening through scalp and tissue; and

,

boring a hole within said opening through underlying bone and into said cranial cavity along the outer surface of dura matter.

4. The method as recited in claim 1, wherein said creating step comprises:

cutting an opening through scalp and tissue;

boring a hole within said opening and through underlying bone; and

creating an opening through underlying dura matter and into said cranial cavity residing in a ventricular region underneath said dura matter.

5. The method as recited in claim 1, wherein said placing step comprises placing said needle along said subdermal region from a point within said subdermal region immediately adjacent said passage to an exit point substantially spaced from said passage.

6. The method as recited in claim 1, wherein said sensing step comprises electrically connecting an external monitor to said transducer tipped catheter at said exit point.

7. A method of measuring intracranial fluid characteristics, comprising the steps of:

creating a passage into a cranial cavity containing intracranial fluid;

inserting an in-dwelling catheter into said passage with the distal end residing in said cranial cavity and having openings therein;

routing a grooved needle along a subdermal region from said passage to an exit point spaced from said passage;

positioning a transducer tipped catheter from said exit point through said grooved needle and into said in-dwelling catheter;

connecting said in-dwelling catheter to said needle;

drawing said needle and the proximal end of said in-dwelling catheter out said exit point;

removing said needle;

covering said passage over said in-dwelling catheter; and

,

transmitting characteristics of said intracranial fluid form said transducer tipped catheter.

8. The method as recited in claim 7, further comprises sensing intracranial fluid pressure.

9. The method as recited in claim 7, wherein said creating step comprises:

cutting an opening through scalp and tissue; and

,

boring a hole within said opening, through underlying bone and into said cranial cavity along the outer surface of dura matter.

10. The method as recited in claim 7, wherein said creating step comprises:

cutting an opening through scalp and tissue;

boring a hole within said opening and through underlying bone; and

,

creating an opening through underlying dura matter and into said cranial cavity residing in a ventricular region underneath said dura matter.

11. The method as recited in claim 7, wherein said inserting step comprises inserting a radiopaque silicone rubber tubing having a plurality of small openings at the distal end of said tubing into said passage.

12. The method as recited in claim 7, wherein said positioning step comprises placing said transducer tipped catheter and attached wires from said exit point through said groove and into the proximal end of said in-dwelling catheter.

13. The method as recited in claim 7, wherein said routing step comprises routing said needle along said subdermal region from a point within said subdermal region immediately adjacent said passage to an exit point substantially spaced from said passage.

14. The method as recited in claim 8, wherein said transmitting step comprises electrically connecting an external monitor to said transducer tipped catheter at said exit point.

15. A method of positioning a ventricular catheter into a ventricle of the brain having intracranial fluid, comprising the steps of:

creating a passage through scalp, bone and underlying dura matter and into said ventricle;

inserting an in-dwelling catheter into said passage with the distal end of said catheter residing in said ventricle and in fluid communication therewith;

mounting a grooved needle along a subdermal region from a point within said passage immediately underneath said scalp to an exit point;

positioning a transducer tipped catheter and attached wires from said exit point, through said groove and into the distal end of said in-dwelling catheter;

connecting the proximal end of said in-dwelling catheter to the proximal end of said needle;

drawing said needle and connected proximal end of said in-dwelling catheter from said passage and out said exit point along the subdermal path created by said needle;

removing said needle from said in-dwelling catheter and from said transducer tipped catheter; and

,

suturing said scalp over said passage external to said in-dwelling catheter to substantially prevent infection from entering said passage.