Methods, devices, systems, and/or kits that encompass various components for accessing cerebrospinal fluid (CSF) in a CSF containing space of a subject to drain the CSF into a dural venous sinus (DVS) of the subject via a single cranial hole are disclosed herein. The described methods, devices, systems and/or kits drain the CSF into the DVS to treat hydrocephalus in a manner that does not require penetration into the gray matter of the subject’s brain.

A percutaneous fluid access apparatus includes a percutaneous fluid access device. The percutaneous fluid access device has a base portion including a subcutaneous portion and at least one port for connection to one or more fluid conduits within a body of a patient. A housing has at least one fluid channel and at least one seal for sealing the at least one fluid channel, and the housing is removably attachable to the base portion. The at least one fluid channel is in fluid communication with the at least one port when the housing is attached to the base portion.

Neurosurgical apparatus has a guidance device having a guide tube and a neurosurgical instrument for insertion into the guide tube. The inner surface of the guide tube is arranged, for example profiled, to at least partially engage the outer surface of the neurosurgical instrument when inserted therein. The guide tube thus guides the neurosurgical instrument along a predefined path through the guide tube. At least one of the guidance device and the outer surface of the neurosurgical instrument are configured to provide a fluid return path for carrying any fluid displaced from within the guide tube during insertion of the neurosurgical instrument into the guide tube. A seal may also be provided for sealing the fluid return path.

Bone marrow access apparatus includes a bone penetrating member and a cap. The bone penetrating member includes a tubular insertion portion, and a head portion provided at a proximal end of the tubular insertion portion. A cross-sectional shape of the head portion is wider than a cross-sectional shape of the tubular insertion portion. A recess is provided in the head portion, and an internal channel is provided through the head portion and the tubular insertion portion. The cap accommodates the head portion of the bone penetrating member therein. The cap includes a lower wall which covers at least a part of a distal side of the head portion, and a projection which projects into the recess of the head portion.

A bilateral humeral guide for intraosseous infusion includes a three-dimensional mirror symmetric shell configured to fit on either shoulder of a patient, the shell being symmetric about a plane bisecting an alignment hole configured to aid positioning of the shell on the shoulder by aligning the alignment hole on acromion of the shoulder, and two insertion-site indication holes symmetrically positioned on two opposite sides of the plane, the insertion-site indication holes including a left and a right hole each configured to indicate insertion sites for intraosseous infusion through the shell to a target region of a left or right humerus of the patient when the shell is positioned on the shoulder corresponding to the respective humerus.

Embodiments provide for intracranial delivery of a medicinal solution to the brain. A system includes a bun hole stopple for insertion in a cranial bun hole, a catheter, a connecting member, a connector tube, and a pump. The catheter is advanced through an opening in the stopple to a tissue site in the brain. A proximal portion of the catheter is fixed to an outer groove in the stopple to minimize movement of the catheter in the brain. The catheter, connecting member, connector tube, and pump are fluidically coupled together to create a flow path between the pump and a distal end of the catheter for infusion of the medicinal solution to the tissue site in the brain.

A bilateral humeral guide for intraosseous infusion includes a three-dimensional minor symmetric shell configured to fit on either shoulder of a patient, the shell being symmetric about a plane bisecting an alignment hole configured to aid positioning of the shell on the shoulder by aligning the alignment hole on acromion of the shoulder, and two insertion-site indication holes symmetrically positioned on two opposite sides of the plane, the insertion-site indication holes including a left and a right hole each configured to indicate insertion sites for intraosseous infusion through the shell to a target region of a left or right humerus of the patient when the shell is positioned on the shoulder corresponding to the respective humerus.

An apparatus operable to provide access to a sternal intraosseous space in a first mode of operation and operable to provide access to a peripheral intraosseous space in a second mode of operation. The apparatus includes a manual driver and a stabilizer. The manual driver has a handle, an inner penetrator hub, and an outer penetrator hub. The stabilizer has a housing, an outer sleeve coupled to the housing and configured to move from an extended position to a retracted position in the first mode of operation, and a protective shield coupled to the stabilizer housing and configured to move from an exposed position to a shielded position in the first mode of operation. The manual driver is securely engaged to the stabilizer in the first mode of operation, and the manual driver is detached from the stabilizer in the second mode of operation.

A catheter system includes abase plate having a bottom surface, an outer circumferential wall, a circular flange extending inwardly from the outer circumferential wall, and an inner ring that is spaced apart from the outer circumferential wall, extends upwardly from the bottom surface, and defines a central opening in the base plate. A catheter is placed within the central opening of the base plate. A cover is placed over and secured to the base plate. The cover has a closed upper portion defining an internal chamber of the cover and a lower portion defining an opening in the cover. The lower portion includes a skirt with a flange extending outwardly around a periphery of the skirt to engage the circular flange of the base plate and form a closed reservoir. Methods of accessing cerebrospinal fluid using the catheter systems are also provided.

A system includes a first port comprising a first inlet, a first outlet, a first fluid pathway extending from the first inlet to the first outlet, a second inlet, a second outlet, and a second fluid pathway extending from the second inlet to the second outlet. The system further includes one or more CSF catheters having 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. The one or more CSF catheters are, or are configured to be, operatively coupled with the first implantable device such that the first lumen is in fluid communication with the first fluid pathway and the second lumen is in fluid communication with the second fluid pathway. At least the first distal opening is configured to be placed in the CSF-containing space. The system further includes a second port having a third inlet, a third outlet, and a third fluid pathway extending from the third inlet to the third outlet. The system also includes a port catheter configured to operatively couple the third fluid pathway to the second fluid pathway.