首页> 外文会议>Design of Medical Devices Conference >MODULAR REDUNDANCY FOR CEREBROSPINAL FLUID SHUNTS: REDUCING INCIDENCE OF FAILURE DUE TO CATHETER OBSTRUCTION
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MODULAR REDUNDANCY FOR CEREBROSPINAL FLUID SHUNTS: REDUCING INCIDENCE OF FAILURE DUE TO CATHETER OBSTRUCTION

机译:脑脊液假体的模块冗余:减少因导管阻塞而导致的故障发生

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Cerebrospinal fluid shunts for the treatment ofhydrocephalus fail at a rate of 40% within the first year. The importance of this problem is supported by one institution's analysis of neurosurgical 30-day readmissions with CSF shunt failure only second to brain tumor readmissions. Hospital shunt related costs have been estimated at $1.4 to $2 billion annually. The majority of these costs are attributable to shunt failures based on the number of revisions out of the total numbers of annual shunt procedures. The technical innovation of this project is a low cost, low risk and easy to implement CSF shunt design change compatible with current protocols. The proposed product is an innovative distal catheter to minimize the need for revision surgery due to obstruction (also referred to as occlusion). This is accomplished with a dual lumen catheter (current distal catheters are single lumen) consisting of a primary lumen and a secondary lumen providing redundant functionality in the event of primary lumen occlusion thereby eliminating the need for surgical shunt revision. 40% of shunts fail within the year after implant and distal catheter obstruction accounts for up to 24% of failures. Though less prevalent than proximal catheter occlusion, incidence of distal catheter occlusion is significant and improved reliability would reduce costs and improve patient outcomes by lowering the number of revisions.
机译:在第一年内,脑脊液分流器治疗脑积水的失败率高达40%。一家机构对脑外科再入院仅次于脑肿瘤的CSF分流失败的30天神经外科手术再入院的分析支持了此问题的重要性。医院分流相关的费用估计每年在1.4到20亿美元之间。这些费用中的大部分可归因于根据年度分流程序总数中的修订次数导致的分流故障。该项目的技术创新是低成本,低风险并且易于实施与当前协议兼容的CSF分流器设计变更。提出的产品是一种创新的远端导管,可最大程度地减少因阻塞(也称为阻塞)而进行翻修手术的需要。这是由双腔导管(当前的远端导管是单腔)完成的,该双腔导管由主腔和次腔组成,在主腔闭塞的情况下提供了冗余功能,从而无需进行手术分流翻修。植入后一年内40%的分流失败,远端导管阻塞占失败的24%。尽管远比近端导管阻塞流行,远端导管阻塞的发生率显着,可靠性的提高将通过减少修订次数来降低成本并改善患者预后。

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