Systems and methods for reducing or preventing backflow in a delivery system
Systems and methods are disclosed herein that generally involve CED devices with various features for reducing or preventing backflow. In some embodiments, CED devices include a tissue-receiving space disposed proximal to a distal fluid outlet. Tissue can be compressed into or pinched/pinned by the tissue-receiving space as the device is inserted into a target region of a patient, thereby forming a seal that reduces or prevents proximal backflow of fluid ejected from the outlet beyond the tissue-receiving space. In some embodiments, CED devices include a bullet-shaped nose proximal to a distal fluid outlet. The bullet-shaped nose forms a good seal with surrounding tissue and helps reduce or prevent backflow of infused fluid.
1. A convection-enhanced-delivery (CED) device, comprising:
a micro-tip having a proximal portion comprising first and second legs, a central portion, a distal portion, a first fluid channel extending along the first leg of the proximal portion, the central portion, and the distal portions, and a second fluid channel extending along the second leg of the proximal portion, the central portion, and the distal portion, the first and second fluid channels each having an outlet port at a distal end thereof and an inlet port at a proximal end thereof;
a first outer sheath disposed coaxially over the distal portion of the micro-tip such that the distal portion of the micro-tip protrudes from a distal end of the first outer sheath;
a first tissue-receiving space defined between an exterior surface of the micro-tip and an interior surface of the distal end of the first outer sheath;
a catheter body extending proximally from the micro-tip such that the first and second fluid channels of the micro-tip are in fluid communication with respective first and second inner lumens of the catheter body; and
a nose portion disposed over at least the central portion of the micro-tip and extending between the first outer sheath and the catheter body such that the nose portion defines an exterior surface that tapers from a reduced distal diameter corresponding to the outside diameter of the first outer sheath to an enlarged proximal diameter corresponding to the outside diameter of the catheter body.
2. The device of claim 1 , wherein the tissue-receiving space is configured to compress tissue received therein as the device is advanced through the tissue.
3. The device of claim 2 , wherein tissue compressed by the tissue-receiving space forms a seal that reduces proximal backflow of fluid ejected from at least one of the outlet ports beyond the tissue-receiving space.
4. The device of claim 1 , further comprising a second outer sheath disposed over the first outer sheath such that a second tissue-receiving space is defined between an exterior surface of the first outer sheath and an interior surface of a distal end of the second outer sheath.
5. The device of claim 1 , wherein the interior surface of the distal end of the first outer sheath is shaped to compress tissue received therein as the device is advanced through the tissue.
6. The device of claim 5 , wherein the interior surface of the distal end of the first outer sheath is conical.
7. The device of claim 5 , wherein the interior surface of the distal end of the first outer sheath is convex.
8. The device of claim 5 , wherein the interior surface of the distal end of the first outer sheath is concave.
9. The device of claim 1 , wherein an inside diameter of the distal end of the first outer sheath is about 1 μm to about 200 μm greater than an outside diameter of the distal portion of the micro-tip.
10. The device of claim 1 , wherein an inside diameter of the distal end of the first outer sheath is about 10 percent to about 100 percent greater than an outside diameter of the distal portion of the micro-tip.
11. The device of claim 1 , wherein the first outer sheath has a circular outside cross-section.
12. The device of claim 1 , wherein the first and second fluid channels are formed from at least one of a parylene composition, a silastic composition, a polyurethane composition, and a PTFE composition.
13. The device of claim 1 , further comprising a fluid reservoir in fluid communication with at least one of the first and second inner lumens of the catheter body and configured to supply a fluid thereto under positive pressure.
14. The device of claim 1 , wherein the micro-tip is flexible.
15. The device of claim 1 , wherein the micro-tip includes an embedded microsensor.
16. The device of claim 15 , wherein the embedded microsensor comprises at least one of a pressure sensor, a glutamate sensor, a pH sensor, a temperature sensor, an ion concentration sensor, a carbon dioxide sensor, an oxygen sensor, and a lactate sensor.
17. The device of claim 1 , wherein the distal end of the micro-tip has an atraumatic shape configured to penetrate tissue without causing trauma.
18. The device of claim 1 , wherein the micro-tip contains a quantity of a drug, is coated with a drug, or is impregnated with a drug.
19. The device of claim 18 , wherein the drug comprises at least one of an antibacterial agent, an anti-inflammatory agent, a corticosteroid, and dexamethasone.
20. The device of claim 1 , wherein the micro-tip comprises a substrate having the first and second fluid channels formed thereon.
21. The device of claim 20 , wherein the substrate has a rectangular transverse cross-section.
22. The device of claim 1 , wherein the catheter body is formed from a rigid material and the first and second inner lumens of the catheter body are defined by first and second sleeves formed from a flexible material.
23. The device of claim 22 , wherein the catheter body is formed from at least one of ceramic, PEEK, and polyurethane and wherein each sleeve is formed from at least one of polyimide, pebax, PEEK, polyurethane, silicone, and fused silica.
24. The device of claim 1 , wherein the catheter body is formed from a flexible material.
25. The device of claim 1 , wherein the first and second legs of the micro-tip are received within the first and second inner lumens of the catheter body.
26. The device of claim 1 , wherein a proximal end of the nose portion is received within a cylindrical recess defined in a distal end of the catheter body.
27. A method of assembling the device of claim 1 , comprising:
forming the nose portion by molding the nose portion over the first outer sheath;
inserting the micro-tip into a proximal end of the nose portion;
coupling the proximal portion of the micro-tip to the catheter body; and
injecting a flowable material through an inlet port formed in the nose portion to fill the interior of the nose portion and secure the micro-tip and catheter body to the nose portion.