MEDICAL DEVICE HAVING NON-FILTERED CSF WITHDRAWAL PATHWAY

1 . An implantable medical device for withdrawing cerebrospinal fluid (CSF) from a CSF-containing space of a subject and for infusing fluid into the subject, the device comprising:

a first inlet configured to be accessed by a needle of an aspiration device;

a first outlet;

a first fluid pathway extending from the first inlet to the first outlet;

a second inlet;

a second outlet;

a second fluid pathway extending from the second inlet to the second outlet; and

one or more CSF catheters comprising a first lumen, a first distal opening in fluid communication with the first lumen, a second lumen and a second distal opening in fluid communication with the second lumen,

wherein the first lumen is in fluid communication with, or is configured to be placed in fluid communication with the first fluid pathway,

wherein the second lumen is in fluid communication with, or is configured to be placed in fluid communication with the second fluid pathway,

wherein the first distal opening is configured to be placed in the CSF-containing space of the subject, and

wherein the first fluid pathway is free of a filter configured to prevent passage of a microbe.

2 . The implantable medical device of claim 1 , wherein the second fluid pathway comprises a filter configured to allow passage of a therapeutic fluid and configured to prevent passage of a microbe.

3 . The implantable medical device of claim 2 , wherein the second distal opening is configured to be placed in the CSF-containing space.

4 . The implantable medical device of claim 3 , comprising a self-sealing septum, wherein the septum is positioned across the first inlet.

5 . The implantable medical device of claim 4 , wherein the device comprises a top surface, and wherein the top surface comprises the first inlet.

6 . The implantable medical device of claim 5 , wherein the device comprises a side surface, wherein the side surface comprises the second inlet.

7 . The implantable medical device of claim 6 , wherein the second inlet is configured to be coupled to an accessory device catheter.

8 . The implantable medical device of claim 7 , wherein the first and second inlets are configured to be positioned in proximity to a skull.

9 . The implantable medical device of claim 8 , wherein at least a portion of the device is configured to be positioned in or around a burr hole in a skull.

10 . The implantable medical device of claim 1 , wherein the second distal opening is configured to be placed in the CSF-containing space.

11 . The implantable medical device of claim 1 , comprising a self-sealing septum, wherein the septum is positioned across the first inlet.

12 . The implantable medical device of claim 1 , wherein the device comprises a top surface, and wherein the top surface comprises the first inlet.

13 . The implantable medical device of claim 1 , wherein the device comprises a side surface, wherein the side surface comprises the second inlet.

14 . The implantable medical device of claim 1 , wherein the second inlet is configured to be coupled to an accessory device catheter.

15 . The implantable medical device of claim 1 , wherein the first and second inlets are configured to be positioned in proximity to a skull.

16 . The implantable medical device of claim 1 , wherein at least a portion of the device is configured to be positioned in or around a burr hole in a skull.

17 . A method comprising:

implanting the device of claim, 1 in the subject;

aspirating CSF from the subject through the first distal opening, the first lumen, and the first fluid pathway; and

infusing a therapeutic fluid to the subject through the second fluid pathway, the second lumen, and the second distal opening.