Development of US based device for intracranial ventriculostomy

美国开发颅内脑室造口术装置

• 批准号: 2602933
• 金额: --
• 依托单位: University of Glasgow
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2602933
• 关键词: Development; US; based; device; intracranial

The aim of this project is to create an ultrasound-guided drainage tube that is designed specifically for the procedure. Exploratory work has already been carried out in a very short research project and in two MEng projects which provide background and a starting point for the PhD.The envisaged device will not only make the procedure much easier but might facilitate it being done bedside, to make it much more time and economically efficient and easier for the patient. Other usage ideas are in place which can reduce the need for further imaging for those patients with an EVD in place in case the tube is obstructed, which is not uncommon.The ventriculostomy procedure is part of daily neurosurgical practice. According to a UK study, there were nearly 500 EVDs inserted in a specific six-month period. This does not include permanent shunt (drain) insertion, totalling a further 3000 shunts per year, approximately, according to the UK shunt registry. The global EVD market size was valued at USD 5.3 billion in 2019 and is expected to expand at a compound annual growth rate (CAGR) of 7.6% between 2020 and 2027.There is evidence supporting the use of image guidance during tube insertion to improve accuracy and avoid misplaced catheters. However, neurosurgeons might be reluctant to use image guidance to avoid time delays or because of their lack of experience with using ultrasound. Designing an easy-to-use, specific and efficient ultrasound imaging tool with a seamless user experience would therefore be of added value to the neurosurgical practice.Current activity can be divided into image-guided solution providers and tube (shunt) manufacturers. Neuro-navigation manufacturers includes Stealth and Brainlab and ultrasound manufacturers such as BK Medical. Shunt manufacturers are also relevant, if the new design is configures as an ultrasound imaging device integrated with the drainage tube. There are many relevant manufacturers including but not limited to Medtronic and Stryker.

这个项目的目的是创造一种专门为手术设计的超声引导引流管。已经在一个非常短的研究项目和两个孟项目中进行了探索性工作，这两个项目为博士提供了背景和起点。设想中的设备不仅将使程序更容易，而且可能有助于在床边进行，使患者获得更多的时间和经济效率，更容易。还有其他的使用方法，可以在导管阻塞的情况下减少EVD患者的进一步成像需要，这种情况并不少见。脑室造口术是日常神经外科实践的一部分。根据英国的一项研究，在特定的六个月时间里，有近500张EVD被插入。这还不包括永久性分流(引流)插入，根据英国分流登记，每年大约再进行3000次分流。2019年全球EVD市场规模为53亿美元，预计2020至2027年间将以7.6%的复合年增长率(CAGR)增长。有证据支持在导管插入过程中使用图像引导来提高准确性和避免导管错位。然而，神经外科医生可能不愿使用图像指导来避免时间延迟，或者因为他们缺乏使用超声波的经验。因此，设计一种易于使用、特定和高效的超声成像工具，并提供无缝的用户体验，将对神经外科实践具有额外的价值。目前的活动可分为图像引导解决方案提供商和管(分流)管制造商。神经导航制造商包括Stealth和BrainLab，以及BK Medical等超声波制造商。如果新设计被配置为与引流管集成的超声成像设备，分流制造商也是相关的。有许多相关的制造商，包括但不限于美敦力和史赛克。