Drainage system for cerebrospinal fluid

• US 9,717,890 B2
• Filed: 11/11/2013
• Issued: 08/01/2017
• Est. Priority Date: 08/02/2005
• Status: Active Grant

• Current Assignee: Moller Medical GmbH (CENTROTEC SE)
• Original Assignee: Moller Medical GmbH (CENTROTEC SE)
• Inventors: Traxler, Christoph, Holper, Manfred, Schroter, Werner, Martens, Daniela, Holper, Bernd M
• Primary Examiner(s): Anderson, Lynne
• Application Number:
  US14/076,543
• Publication Number:
  US 20140066903A1
• Time in Patent Office: 1,359 Days
• Field of Search: 604 9, 604317, 604318
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61M 1/73 comprising sensors or indicators for physical values
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves
• CPC Class Codes: F04B 2205/01 Pressure before the pump inlet
• CPC Class Codes: F04B 43/1253 by using two or more rollers as squeezing elements, the rollers moving on an arc of a circle during squeezing

Abstract

The object of providing a cerebrospinal fluid drainage system 1 which reacts precisely to changes in pressure in the cerebrospinal fluid, with ease of operation, is achieved by the present invention in that a pump 5 is used for draining the cerebrospinal fluid (liquor), wherein operating measured values supplied by sensors act as controlled variable for the operation of the pump. The pressure in the liquor line currently measured by a pressure sensor 10, the liquor pressure in the intracranial cavity being treated, measured intracorporeally by a pressure sensor, and/or the volume of liquor already pumped out, as operating measured value, can, for example, serve as the basis for operational control of the pump of the liquor drainage system. The liquor drainage system according to the invention has the advantage that the liquor is drained not only simply on the basis of the excess pressure in the intracranial cavity being treated, but is actively pumped out of the intracranial cavity in a controlled manner, in particular with constant measurement of the liquor pressure. In this way the pumping capacity can be regulated depending on requirement and the drainage pressure or the liquor pressure kept reliably within a specific pressure range.

Claims

1. A drainage system for the drainage of cerebrospinal fluid (CSF), comprising

a CSF feed line,

a pressure sensor, wherein the pressure sensor is operable to determine pressure in the CSF feed line, or CSF pressure intracorporeally,

a pump that automatically pumps out the cerebrospinal fluid during drainage as a function of one or more preset operating parameters and one or more measured operating values,

and a detection means operable to detect the flow or volume of CSF pumped out, wherein the one or more measured operating values comprises at least the pressure determined in the CSF feed line or the CSF pressure determined intracorporeally, wherein the preset operating parameters and the measured operating values allow for an automated control of the drainage process.

2. A system according to claim 1, wherein the one or more preset operating parameters or measured operating values comprises the pressure measured in the CSF feed line or the volume of liquor pumped out.

3. A system according to claim 1, wherein the one or more preset operating parameters or measured operating values comprises the CSF pressure measured intracorporeally in an intracranial cavity being treated.

4. A system according to claim 1, wherein the pump is constructed as a hose pump.

5. A system according to claim 1, wherein the CSF drainage system comprises an intracorporeal pressure sensor operable to determine the CSF pressure directly in an intracranial cavity being treated.

6. A system according to claim 5, wherein the intracorporeal pressure sensor is constructed as an electronic pressure sensor which converts changes in the CSF pressure in the intracranial cavity being treated into electric pulses.

7. A system according to claim 6, wherein the intracorporeal pressure sensor is constructed as piezoresistive pressure sensor which converts changes in the liquor pressure in the intracranial cavity being treated into electric pulses.

8. A system according to claim 5, wherein the pressure sensor is connected, attached, or mounted to or onto an adhesive pad or ECG adhesive electrode which is arranged on the patient'"'"'s temple.

9. A system according to claim 5, wherein the pressure sensor is connected, attached, or mounted to or onto an adhesive pad or ECG adhesive electrode which is arranged behind the patient'"'"'s ear.

10. A system according to claim 1, wherein the pressure sensor operable to determine the pressure in the CSF feed line (8) is constructed as a piezoresistive pressure sensor.

11. A system according to claim 10, wherein the pressure sensor is arranged near the patient.

12. A system according to claim 10, wherein the pressure sensor is arranged on the CSF feed line (8) substantially at the same height as the geometric center of the intracranial cavity.

13. A system according to claim 10, wherein the pressure sensor is provided with fastening means.

14. A system according to claim 13, wherein the pressure sensor is provided with fastening means which enable the pressure sensor to be arranged on the patient'"'"'s ear.

15. A system according to claim 10, wherein several pressure sensors are provided.

16. A system according to claim 10, wherein the pressure sensor is constructed as an electronic pressure sensor, which converts changes in pressure in the CSF feed line into electric pulses.

17. A system according to claim 16, wherein the electronic pressure sensor is a piezoresistive pressure sensor.

18. A system according to claim 1, wherein the detection means monitors the volume of CSF pumped out and the pressure sensor monitors the pressure in the CSF feed line continuously or at intervals.

19. A system according to claim 1 wherein the detection means is an electronic control unit that performs calculations required for the pump to operate on the basis of the preset operating parameters and the measured operating values.

20. A system according to claim 19, wherein the electronic control unit is programmable in such a way that specific operating cycles can be carried out.

21. A system according to claim 19, wherein the electronic control unit comprises alarm functions which are activated if there is a deviation of a measured operating measured value from the corresponding preset operating parameter.

22. A system according to claim 19, wherein the electronic control unit comprises at least one interface, via which measured operating values or operating parameters can be transmitted to an external monitoring system, an external display device or a patient monitor.

23. A system according to claim 22, wherein the at least one interface is a cable, infrared or radio connection or a removable memory card/chip.

24. A system according to claim 19 wherein the electronic control unit comprises electronic memory means in which preset operating cycles of the CSF drainage system or chronological documentation of the operation of the CSF drainage system can be stored.

25. A system according to claim 19 further comprising an input means via which operating parameters can be input into the electronic control unit.

26. A system according to claim 25, wherein the operating parameters are selected from the group consisting of preset pressure limit values of the liquor pressure in the liquor feed line or preset pressure limit values of the liquor pressure in the intracranial cavity being treated.

27. A system according to claim 1 further comprising one or more operating elements via which the operation of the pump can be directly controlled or an alarm function can be manually activated.

28. A system according to claim 1 further comprising an optical display, via which set operating parameters and/or current operating measured values can be displayed.

29. A system according to claim 1 further comprising a store for electric energy or an accumulator for mains-independent power supply.

30. A system according to claim 1, further comprising a closed hose system with closed hose connections for connecting the fluid-carrying components.

31. A system according to claim 30, wherein the closed hose system comprises means which ensure that the hose connections can be used once only.

32. A system according to claim 31, wherein the pressure sensor is integrated into one of the connecting elements.

33. A system according to claim 31, wherein the means are connecting elements.

34. A system according to claim 30, wherein the hose system is equipped with at least one electronic memory medium in which use of the hose system and/or relevant hose connections is electronically stored, so that previous use of the hose connections can be established and repeated use ruled out, in order to guarantee sterility.

35. A system according to claim 1 further comprising a drainage bag for collecting drained cerebrospinal fluid.

36. A system according to claim 1 wherein the preset operating parameters comprise a specific lower limit value of the pressure in the CSF feed line or a specific lower limit value of the intracorporeal cerebrospinal fluid pressure, and wherein operation of the pump is automatically set as the pressure in the CSF feed line or the intracorporeal CSF pressure reaches or drops below said specific lower limit value.

37. A system according to claim 1, wherein the preset operating parameters comprise a specific upper limit value of the pressure in the CSF feed line or a specific upper limit value of the intracorporeal cerebrospinal fluid pressure, and wherein operation of the pump is activated as the pressure in the CSF feed line or the intracorporeal CSF pressure rises above the upper limit value.

38. A system according to claim 1, wherein the detection means is an electronic control unit.

39. Method for operating a drainage system according to claim 1, comprising the following steps:

determining a specific operating measured value comparing the determined operating measured value with a preset operating parameter specifically operating the pump as a function of the result of the comparison between the determined operating measured value and the preset operating parameter.

40. Method according to claim 39, wherein the preset operating parameters comprise one or more limit values or a range for the pressure measured in the liquor feed line.

41. Method according to claim 39, wherein the preset operating parameters comprise one or more limit values or a range for the liquor pressure measured intracorporeally in the intracranial cavity being treated.

42. Method according to o claim 39, wherein the preset operating parameters comprise one or more limit values for the volume of liquor pumped out.

43. Method according to claim 39, wherein the operation of the pump is controlled as a function of the pressure measured in the liquor feed line.

44. Method according to claim 39, wherein the operation of the pump is controlled as a function of the liquor pressure measured intracorporeally in the intracranial cavity being treated.

45. Method according to claim 39, wherein the operation of the pump is controlled as a function of the volume of liquor pumped out.

46. Method according to claim 39, comprising the additional step:

selecting a specific operating mode of the pump from a selection of operating modes as a function of the result of the comparison between the determined operating measured value and the preset operating parameter and selectively operating the pump.

47. Method according to claim 46, wherein the selection of operating modes of the pump is made from a group of the following operating modes:

pump at standstill;

starting the pump when a preset upper limit value for the pressure in the liquor feed line has been reached;

operation of the pump for a specific period of time;

operation of the pump until a specific pumping volume has been delivered or operation of the pump until a preset lower limit value for the pressure in the liquor feed line has been reached.

48. Method according to claim 39, wherein the pump is activated if the pressure in the liquor feed line rises above a defined upper value and the pump is deactivated if the desired pressure has ensued in the liquor feed line or a specific volume of liquor has been pumped out.

49. Method according to claim 39, wherein the pump is activated if the liquor pressure in the intracranial cavity being treated rises above a defined upper value and the pump is deactivated if the desired liquor pressure has ensued in the intracranial cavity being treated or a specific volume of liquor has been pumped out.

50. Method according to claim 39, wherein the operation or the operating mode of the pump can be changed or controlled on the basis of manual control via the manual input means.