Method of draining cerebrospinal fluid

• US 9,694,166 B2
• Filed: 02/08/2011
• Issued: 07/04/2017
• Est. Priority Date: 03/26/2002
• Status: Active Grant

• Current Assignee: Medtronic Ps Medical Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Hurt, Robert F.
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): KLEIN, BENJAMIN JACOB
• Application Number:
  US13/022,809
• Publication Number:
  US 20110282264A1
• Time in Patent Office: 2,338 Days
• Field of Search: 604 8, 604 9, 604265, 604540
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves

Abstract

A method of draining cerebrospinal fluid from a human brain. The method includes providing a drainage catheter having a proximal end and a distal end. The drainage catheter has a plurality of openings formed therein. The plurality of openings includes a first opening, a second opening, and a most proximal opening. The second opening is disposed closer to the distal end than the first opening. A cross-sectional area of the first opening is less than a cross-sectional area of the second opening. The distal end of the drainage catheter is inserted into a human brain. Cerebrospinal fluid is drained from the human brain. The cerebrospinal fluid passes into the drainage catheter through the plurality of openings and out of the drainage catheter through the proximal end. A rate at which the cerebrospinal fluid passes through the drainage catheter is controlled to maintain intracranial pressure within a selected range.

Claims

1. A method of draining cerebrospinal fluid from a human brain, the method comprising:

providing a drainage catheter having a proximal end and a distal end, wherein the drainage catheter has a plurality of openings formed therein, wherein the plurality of openings includes a first opening, a second opening, and a most proximal opening, wherein the second opening is disposed closer to the distal end than the first opening and wherein a cross-sectional area of the first opening is less than a cross-sectional area of the second opening;

inserting the distal end of the drainage catheter into a human brain;

diverting excess cerebrospinal fluid from the human brain, wherein the cerebrospinal fluid passes into the drainage catheter through the plurality of openings and out of the drainage catheter through the proximal end; and

distributing the draining of the cerebrospinal fluid between the plurality of openings, wherein the distributed flow of cerebrospinal fluid delays or prevents occlusion of the catheter caused by choroid plexus tissue being drawn into the plurality of openings.

2. The method of claim 1, and further comprising accumulating over time a greater amount of debris deposits in the second opening as compared to the most proximal opening.

3. The method of claim 1, further comprising connecting the proximal end of the catheter to a component to divert the cerebrospinal fluid received by the plurality of openings from the human brain.

4. The method of claim 1, wherein a ratio of total hole area to an internal area of the drainage catheter is 0.0699*exp[0.216*(X−

8)] where X is a longitudinal position along the drainage catheter.

5. The method of claim 1, wherein the plurality of openings are formed at a plurality of inflow positions with at least one opening being formed at each of the inflow positions, wherein each inflow position has a total hole area, wherein the inflow positions include a first inflow position and a second inflow position, the second inflow position being disposed closer to the distal end than the first inflow position, and wherein the total hole area at the first inflow position is less than the total hole area at the second inflow position.

6. The method of claim 5, wherein the total hole area at the plurality of inflow positions increases with distance of the inflow positions from the proximal end.

7. The method of claim 5, wherein the total hole area at the first inflow position is approximately 0.1 square millimeters and the total hole area at the second inflow position is approximately 0.2 square millimeters.

8. The method of claim 1, wherein the drainage catheter has an inner passageway with a uniform inner diameter, wherein the uniform inner diameter is between approximately 1.0 millimeter and approximately 3.0 millimeters.

9. The method of claim 8, wherein the uniform inner diameter is approximately 1.2 millimeters.

10. The method of claim 1, wherein the second opening has a diameter of approximately 0.5 millimeters.

11. The method of claim 1, wherein draining fluid includes allowing substantially equal fluid flow into each of the plurality of openings.

12. The method of claim 1, wherein the cross-sectional areas of the plurality of openings increase with distance from the proximal end.

13. The method of claim 1, wherein inserting the drainage catheter into the human brain comprises inserting the drainage catheter into a ventricle of the human brain.

14. The method of claim 1, wherein the human brain is part of a patient with hydrocephalus.