Fluid management catheter and methods of using same

1. A method for managing fluid within a brain of a patient, comprising:

selecting a catheter having an elongated shaft with a distal end and a proximal end, the shaft defining a shaft lumen extending substantially therethrough, the shaft further defining a plurality of drainage holes along a distal portion of the shaft, the shaft further defining a plurality of optically transparent inserts along a distal portion of the shaft, the drainage holes being in fluid communication with the shaft lumen, the catheter further having a substantially transparent tip portion attached to the distal end of the shaft with an outer distal leading surface that is substantially rounded to assist insertion through tissue;

placing a distal end of a fiber-optic shaft into the shaft lumen of the catheter and against the tip portion to view, indirectly and substantially continuously through the Up portion, tissue within a selected ventricle;

inserting the catheter through tissue in the brain to enter the selected ventricle;

directing optical radiation from within the shaft through each of the plurality of optically transparent inserts; and

visualizing through the tip portion of the catheter while positioning the tip portion within the selected ventricle;

wherein the fiber optic shaft includes an irrigation lumen;

irrigating fluid to at least a portion of an outer surface of the tip portion through an opening in the tip portion;

withdrawing fluid from outside of said catheter through said plurality of drainage holes into the shaft lumen.

2. The method of claim 1 wherein the tip portion defines at least one opening in fluid communication with one of (i) the shaft lumen and (ii) the irrigation lumen separate from the shaft lumen.

3. The method of claim 1 further including removing the fiber-optic shaft from the catheter after the tip portion has been positioned at a desired location.

4. The method of claim 1 wherein inserting the catheter includes applying force to the fiber-optic shaft to assist insertion of the distal tip through tissue.

5. The method of claim 1 further including delivering therapeutic optical radiation through at least the tip portion.

6. The method of claim 1 further including the plurality of optically transparent inserts and the plurality of drainage holes being disposed in alternating order.