Methods and devices for protecting catheter tips and stereotactic fixtures for microcatheters
Methods and devices are disclosed herein that generally provide protection for devices (e.g., microcatheters) having small tips. Methods and devices are also disclosed herein that generally facilitate use of commercially-available stereotactic systems with devices (e.g., microcatheters) having small tips.
1. A method of inserting a catheter into a patient, comprising:
registering a stereotactic system to the patient;
inserting the catheter having a tip protection device disposed over a distal tip thereof into a working channel of the stereotactic system until a depth stop on the tip protection device prevents further insertion, the tip protection device comprising an elongate body having a central lumen extending longitudinally therethrough configured to slidably receive the catheter, the tip protection device further including a locking mechanism comprising a set screw configured to intersect the central lumen, wherein the locking mechanism of the tip protection device is engaged with a portion of the catheter in the central lumen during insertion to hold the catheter in a fixed longitudinal position with respect to the tip protection device and, thereby, to prevent the catheter from advancing longitudinally any of distally and proximally in the tip protection device;
releasing the locking mechanism of the tip protection and advancing the catheter distally into the patient; and
engaging a locking mechanism of the stereotactic system with the tip protection device by tightening a set screw of the stereotactic system such that the set screw contacts an outer surface of the body of the tip protection device while the catheter is located within the central lumen of the tip protection device, thereby engaging the tip protection device onto the catheter to maintain a fixed longitudinal position between the catheter and the stereotactic system.
2. The method of claim 1 , further comprising delivering a therapeutic agent through the catheter using convection-enhanced delivery.
3. The method of claim 1 , further comprising, before said releasing and engaging, piercing a dura of the patient with a sharpened distal tip of the tip protection device, removing the tip protection device from the stereotactic system, snapping off the sharpened distal tip of the tip protection device, and reinserting the tip protection device through the stereotactic system.
4. The method of claim 1 , further comprising inserting the tip protection device through a central lumen of a guide tube mounted in the stereotactic system such that a distal end of the tip protection device is received within a proximal portion of the central lumen of the guide tube.
5. The method of claim 4 , wherein advancing the catheter comprises advancing a distal tip of the catheter through a distal portion of the central lumen of the guide tube, the distal portion of the central lumen of the guide tube having a diameter that is less than a diameter of the proximal portion of the central lumen of the guide tube, such that at least a portion of the catheter is disposed within the distal portion of the central lumen of the guide tube.
6. The method of claim 4 , further comprising inserting the guide tube through a guide stop adapter and a guide block adapter mounted in the stereotactic system.
7. The method of claim 1 , further comprising, before said releasing and engaging, piercing a tissue of the patient with a sharpened distal tip of the tip protection device, and subsequently separating the sharpened distal tip from the tip protection device at a perforated snap portion.
8. A method of inserting a catheter into a patient, comprising:
registering a stereotactic system to the patient;
inserting the catheter having a tip protection device disposed over a distal tip thereof into a working channel of the stereotactic system until a depth stop on the tip protection device prevents further insertion;
releasing a locking mechanism of the tip protection device that prevents the catheter from moving longitudinally any of distally and proximally within the tip protection device, where the releasing step includes releasing the locking mechanism by loosening a set screw of the tip protection device thereby laterally withdrawing the set screw from a central lumen of the tip protection device in which the catheter is disposed such that the catheter is free to move longitudinally with respect to the tip protection device and the working channel, and advancing the catheter distally into the patient; and
engaging a locking mechanism of the stereotactic system over the tip protection device, thereby tightening the tip protection device onto the catheter to fix a longitudinal position between the catheter, the tip protection device, and the stereotactic system.
9. The method of claim 8 , further comprising delivering a therapeutic agent through the catheter using convection-enhanced delivery.
10. The method of claim 8 , further comprising, before said releasing and engaging, piercing a dura of the patient with a sharpened distal tip of the tip protection device, removing the tip protection device from the stereotactic system, snapping off the sharpened distal tip of the tip protection device, and reinserting the tip protection device through the stereotactic system.
11. The method of claim 8 , further comprising inserting the tip protection device through a central lumen of a guide tube mounted in the stereotactic system such that a distal end of the tip protection device is received within a proximal portion of the central lumen of the guide tube.
12. The method of claim 11 , wherein advancing the catheter comprises advancing a distal tip of the catheter through a distal portion of the central lumen of the guide tube, the distal portion of the central lumen of the guide tube having a diameter that is less than a diameter of the proximal portion of the central lumen of the guide tube, such that at least a portion of the catheter is disposed within the distal portion of the central lumen of the guide tube.
13. The method of claim 11 , further comprising inserting the guide tube through a guide stop adapter and a guide block adapter mounted in the stereotactic system.
14. The method of claim 8 , wherein the tip protection device comprises an elongate body having a central lumen extending longitudinally therethrough configured to slidably receive the catheter, wherein the locking mechanism of the tip protection device is engaged with a portion of the catheter in the central lumen during insertion of the catheter into the stereotactic system to hold the catheter in a fixed longitudinal position with respect to the tip protection device.
15. The method of claim 8 , further comprising, before said releasing and engaging, piercing a tissue of the patient with a sharpened distal tip of the tip protection device, and subsequently separating the sharpened distal tip from the tip protection device at a perforated snap portion.
16. A method of inserting a catheter into a patient, comprising:
registering a stereotactic system to the patient;
inserting the catheter having a tip protection device disposed over a distal tip thereof into a working channel of the stereotactic system until a depth stop on the tip protection device prevents further insertion, the tip protection device comprising an elongate body having a central lumen extending longitudinally therethrough configured to slidably receive the catheter, the tip protection device further including a locking mechanism comprising a set screw configured to intersect the central lumen, wherein the locking mechanism of the tip protection device is engaged with a portion of the catheter in the central lumen during insertion to hold the catheter in a fixed longitudinal position with respect to the tip protection device;
piercing a dura of the patient with a sharpened distal tip of the tip protection device;
removing the tip protection device from the stereotactic system and snapping off the sharpened distal tip of the tip protection device at a perforated snap portion;
reinserting the tip protection device through the stereotactic system;
releasing the locking mechanism of the tip protection device and advancing the catheter distally into the patient; and
engaging a locking mechanism of the stereotactic system with the tip protection device by tightening a set screw of the stereotactic system such that the set screw contacts an outer surface of the body of the tip protection device while the catheter is located within the central lumen of the tip protection device, thereby engaging the tip protection device onto the catheter to maintain a fixed longitudinal position between the catheter and the stereotactic system.