Surgical method, device, system and kit for the treatment of hydrocephalus
A modular cerebrospinal fluid (CSF) drain system for treating hydrocephalus without penetration of the gray matter of the brain is disclosed. Modular components of the CSF drain system may include a subarachnoid space (SAS) inlet drain implant, a SAS implant plug, a connector implant, a dural venous sinus (DVS) implant plug, and a DVS outlet drain implant. When implanted, the modular components may be fluidly coupled such that cerebrospinal fluid may flow from a subjects subarachnoid space through the modular components and into the subjects cerebral venous sinuses. A kit including a guide device and the CSF drain system, as well as a method for installing the CSF drain system are also disclosed.
1. A subarachnoid space (SAS) implant plug, comprising: a generally cylindrical body having a top and a bottom, the body comprising an aperture, wherein the cylindrical body is dimensioned to interferingly fit substantially within a burr hole drilled in a subject's skull, and wherein the aperture is defined through a height of the generally cylindrical body from the bottom to the top; wherein the generally cylindrical body is defined by a first portion at the top that corresponds to a first burr hole portion, a second portion that corresponds to a second burr hole portion, and a third portion at the bottom that corresponds to a third burr hole portion, and wherein the third portion had a diameter less than a diameter of the first portion and the second portion tapers between the first portion and the third portion to control an insertion depth of the SAS implant plug; and further comprising cerebrospinal fluid inlet drains at the bottom, the drains being in fluid communication with the aperture.
2. The SAS implant plug of claim 1 , wherein the drains extend beyond the third portion of the cylindrical body.
3. The SAS implant plug of claim 1 , wherein the drains are disposed around a perimeter of the third portion of the cylindrical body.
4. The SAS implant plug according to claim 1 , wherein the aperture comprises a membrane seal.
5. The SAS implant plug according to claim 1 , wherein the aperture is defined by a diameter configured to accommodate a drain implant.
6. The SAS implant plug according to claim 1 , wherein the aperture extends centrally through the generally cylindrical body.
7. The SAS implant plug according to claim 1 , further comprising a generally elongate drain implant having a proximal portion at the generally cylindrical body and extending from the generally cylindrical body to a distal portion so as to form a SAS implant drain plug assembly, the distal portion of the drain implant having a plurality of cerebrospinal fluid inlet drains in fluid communication with the aperture.
8. The SAS implant plug according to claim 7 , wherein the proximal portion of the drain implant plugs into the aperture.
9. The SAS implant plug according to claim 8 , wherein the distal portion comprises a planar surface configured for insertion through a burr hole between the dura and the brain of a subject.
10. The SAS implant plug according to claim 9 , wherein the planar surface is configured to depress the brain a predetermined amount from the dura to permit cerebrospinal fluid to flow into the drains.
11. The SAS implant plug according to claim 9 , wherein the planar surface extends distally a predetermined distance to access cerebrospinal fluid.
12. The SAS implant plug according to claim 1 , wherein the aperture comprises a membrane seal, an implant body having an aperture and distal inlet drain sections.