Infusing drug solution directly into brain fluid
An intraventricular access device for infusion of drugs and aspiration of cerebrospinal fluid (CSF). The device includes a container configured to couple to an aspiration lumen through which CSF may be aspirated or through which drugs may be injected. The container is further configured to couple to an infusion lumen and to a drug pump via a catheter. The container thus forms a pathway connectable to the catheter through which a drug from the drug pump may be infused to flow through the infusion lumen into the CSF. The container includes a volume that is accessible by an aspiration needle, for example through a material that reseals upon extraction of the needle. Moreover, the container is configured to prevent cross contamination between a first fluid in the aspiration lumen and a second fluid in the infusion lumen.
1. An intraventricular access device comprising:
a container configured to couple to an aspiration lumen through which cerebrospinal fluid (CSF) may be aspirated or through which drugs may be injected,
wherein the container is further configured to couple to a catheter configured to couple to a drug pump,
the container is further configured to couple to an infusion lumen,
wherein the container comprises:
an infusion pathway connectable to the catheter through which a drug from the drug pump may be infused to flow through the infusion lumen into the CSF;
a portion formed from material that is penetrable by a needle and which substantially reseals upon extraction of the needle, wherein the container is configured such that penetration of the needle through the portion places the needle in fluid communication with a volume within the container that is in fluid communication with the aspiration lumen; and
a barrier configured to inhibit penetration of the needle into the infusion pathway when the needle is in fluid communication with the volume within the container that is in fluid communication with the aspiration lumen,
wherein the container includes a marker that is a distinct structure from the barrier and configured to directly indicate a position of the barrier during and/or after implantation of the container, and
wherein the container is configured to prevent cross contamination between a first fluid in the aspiration lumen and a second fluid in the infusion lumen.
2. The intraventricular access device of claim 1 , further comprising a first side and an opposing second side, wherein the portion formed from the material that is penetrable by the needle is located on the first side of the intraventricular access device, and wherein the intraventricular access device is configured to connect to the aspiration lumen and the infusion lumen on the second side of the device.
3. The intraventricular access device according to claim 1 , wherein the intraventricular access device is configured to connect to the catheter configured to couple to the drug pump on a side of the intraventricular access device.
4. The intraventricular access device of claim 1 , wherein the barrier is composed of a metal or hard plastic.
5. A system comprising:
the intraventricular access device of claim 1 ;
the infusion lumen couplable to the intraventricular access device; and
the aspiration lumen couplable to the intraventricular access device.
6. The system of claim 5 , wherein the infusion lumen is configured to extend from the intraventricular access device, when implanted, to a cerebral ventricle, and wherein the aspiration lumen is configured to extend from the intraventricular access device, when implanted, to the cerebral ventricle.
7. The system of claim 5 , wherein the infusion lumen and the aspiration lumen have different lengths.
8. A system comprising:
the intraventricular access device of claim 1 ; and
the drug pump operably couplable to the intraventricular access device.
9. The system of claim 8 , further comprising the catheter configured to couple the drug pump to the intraventricular access device.
10. The system of claim 8 , further comprising the infusion lumen couplable to the intraventricular access device and the aspiration lumen couplable to the intraventricular access device.
11. The system of claim 10 , wherein the infusion lumen is configured to extend from the intraventricular access device, when implanted, to a cerebral ventricle, and wherein the aspiration lumen is configured to extend from the intraventricular access device, when implanted, to the cerebral ventricle.
12. The system of claim 10 , wherein the infusion lumen and the aspiration lumen have different lengths.