Neurosurgical apparatus and methods
A neurosurgical kit includes a catheter and a guide tub. The catheter includes a distal section of tubing having a distal end with a port or ports for delivering fluid to a target site within the brain. The distal section of tubing has an outer diameter that is smaller than an internal diameter of the guide tube. The catheter and guide tube are arranged such that, when the catheter is inserted into the guide tube to locate the port or ports at the target site, a recess is provided in a distal end section of the guide tube between the guide tube and the distal section of tubing of the catheter.
1. A neurological kit comprising:
a guide tube;
an intermediate tube including a distalmost end and an insertion length configured to be inserted into the guide tube; and
a catheter, the catheter including a distal section of tubing having a distal end with a port for delivering fluid to a target site within the brain, wherein:
the insertion length is shorter than the guide tube such that when the intermediate tube is positioned at a final position, the insertion length is fully contained within the guide tube and the distalmost end of the intermediate tube and a distal section of the guide tube form a recess in the guide tube, the recess having an open distal end and a closed proximal end formed by the distalmost end of the intermediate tube fully contained within the guide tube; and
the catheter is configured to be inserted into and moves axially relative to the intermediate tube when the intermediate tube is located in the guide tube, and the catheter is configured to pass through the recess to locate the port at the target site.
2. A neurological kit according to claim 1 , wherein the recess is dimensioned to retain a volume of brain tissue sufficient to act as a seal against reflux along the guide tube of fluid delivered using the catheter.
3. A neurological kit according to claim 1 , wherein the recess extends at least 0.5 mm into the guide tube.
4. A neurological kit according to claim 3 wherein the recess extends about 3 mm into the guide tube.
5. A neurological kit according to claim 1 , wherein the intermediate tube has an outer diameter greater than the outer diameter of the distal section of the catheter that defines the recess and an internal diameter less than the internal diameter of the guide tube that defines the recess, and the intermediate tube is located or locatable in the guide tube with a distal end of the length of tubing spaced from a distal end of the guide tube.
6. A neurological catheter according to claim 5 , wherein an internal diameter of the guide tube decreases between a distal end section and an intermediate section.
7. A neurological kit according to claim 6 , wherein the decrease in internal diameter is a step between the intermediate section and the distal end section of the guide tube.
8. A neurological kit according to claim 6 , wherein the decrease in diameter is a gradual decrease from a distal end section to the intermediate section of the guide tube.
9. A neurological kit according to claim 1 , wherein the distal section of the catheter comprises a stiff, non-porous tip.
10. The neurological kit as claimed in claim 1 , further comprising a winged stop provided on the catheter, the winged stop including a central tubular section and two wings.
11. A neurological device comprising:
a guide tube;
an intermediate tube including a distalmost end and an insertion length configured to be inserted into the guide tube; and
a catheter that includes a distal section of tubing having a distal end with a port or ports for delivering fluid to a target site within a brain, wherein:
the catheter is received in the guide tube such that the port or ports are located at the target site in the brain;
the insertion length is shorter than the guide tube such that the insertion length is fully contained within the guide tube, and the distalmost end of the intermediate tube and a distal section of the guide tube form a recess in the guide tube, the recess having an open distal end and a closed proximal end formed by the distalmost end of the intermediate fully contained within the guide tube; and
the catheter is configured to move axially relative to the intermediate tube and pass through the recess to locate the port at the target site.
12. A neurological device according to claim 11 , wherein the recess is configured to contain compressed brain tissue.
13. A neurological kit comprising:
a guide tube that can be cut to a required length;
a catheter comprising a distal section of tubing having a distal end with a port or ports for delivering fluid to a target site within the brain, the distal section of tubing including an outer diameter that is smaller than an internal diameter of the guide tube;
an intermediate tube comprising an insertion length configured to be inserted into the guide tube, wherein:
the insertion length is shorter than the guide tube such that upon full insertion of the insertion length into the guide tube, the distalmost end of the intermediate tube and a distal section of the guide tube form a recess in the guide tube, the recess having an open distal end and a closed proximal end formed by the distalmost end of the intermediate tube housed within the guide tube; and
the catheter is configured to be inserted into and moves axially relative to the intermediate tube when the intermediate tube is located in the guide tube, and the catheter is configured to pass through the recess to locate the port at the target site.
14. A neurological kit comprising:
a guide rod;
a guide tube, the guide tube being provided over the guide rod such that a combination of the guide rod and the guide tube for insertion into a brain comprises a longitudinal axis;
a stop located at an end portion of the guide tube;
an intermediate tube that includes a distalmost end and an insertion length configured to be inserted into the guide tube; and
a catheter, wherein:
the stop is configured to restrict movement of the combination such that the combination stops short of full insertion of the guide tube to a final location while being configured to allow movement of the guide tube relative to the guide rod along the longitudinal axis to a final location in the brain;
the guide rod being configured to be withdrawn from the guide tube while the tube is positioned in the final location;
the insertion length is shorter than the guide tube such that when the insertion length of the intermediate tube is wholly inserted into the guide tube, a recess is formed in the guide tube, the recess having an open distal end and a closed proximal end formed by the distalmost end of the intermediate tube housed within the guide tube.
15. A neurological kit according to claim 14 , wherein the guide tube comprises a hub that includes the stop such that a proximal end of the guide tube comprises a narrowing profile for abutting a hole in a skull to define the final location of the guide tube in the brain.
16. A neurological kit according to claim 15 , wherein the narrowing profile is a stepped profile.