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NANS I3 Technology Gaps in Intrathecal Drug Delivery Systems. Stanley Fisher, M.D. Associate Professor of Neurology Weill Cornell Medical College Co-Director , Movement Disorders and Neurorehabilitation Center Methodist Neurological Institute Houston, Texas.

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nans i3 technology gaps in intrathecal drug delivery systems

NANS I3Technology Gaps in Intrathecal Drug Delivery Systems

Stanley Fisher, M.D.

Associate Professor of Neurology

Weill Cornell Medical College

Co-Director , Movement Disorders and

Neurorehabilitation Center

Methodist Neurological Institute

Houston, Texas

desired improvements in it drug delivery
Desired improvements in IT Drug Delivery?
  • Reliable pumping mechanism.
  • Long battery life.
  • Troubleshooting tools.
  • Enhanced safety features.
  • Simple programming.
  • Dependable catheter.
medstream programmable pump
The system consists of:

Implantable Pump

20mL and 40mL reservoirs

Intrathecal Catheter(s)

SureStream™ Intraspinal

Codman® Silicone Intraspinal

Control Unit

Indicated for:

Intrathecal delivery of baclofen for severe spasticity.

MedStream™ Programmable Pump
slide4

Benefits

  • Simple & durable design.
    • Only one moving part.
    • > 6 million cycles without failure; equivalent to 78 years of service.
  • Accurate dosage within 10% across the entire flow range.
slide5

Benefits

  • Fewer revision surgeries.
  • Higher infusion rates can be used without effecting battery life.
    • Typical peristaltic pump lasts only 5-7 years depending on flow rate.
slide6

Benefits

  • Easily verify drug remaining in pump without emptying it.
  • Confirm that drug has entered reservoir and not pump pocket.
  • Useful diagnostic tool when troubleshooting system.
slide7

Benefits

  • Patients can safely undergo MRI procedures.
  • No binding of gears / rotors.
  • No need to stop flow or empty pump before MRI.
    • Confirm pump status after MRI
slide8

Benefits

  • Raised refill port makes locating easy.
  • Positive pressure provides tactile assurance that you are in the port.
  • Drug Volume Gauge verifies that refill of pump has occurred.

Safe Pump Refills

Prevent pump pocket refill errors.

slide10

Benefits

  • Simple and flexible dosing options.
  • Icon-driven user interface.
  • Backlit full-color screen.
  • Simple roller wheel control.
slide11

Benefits

  • Improves refill procedure efficiency and patient comfort.
  • Rechargeable CU battery
    • Never uses the pump battery for communication extending pump battery life.
slide12

SureStream™ kink resistant catheter.

  • Kink Resistant
  • The titanium coil design ensures flow of medication without occlusion.

Silicone

SURESTREAM

Kinking

No Kinking

Look Inside

future technology needed
Future Technology Needed
  • Dual chamber pump.
  • Catheter flow sensor.
  • Therapy data trending.
  • More drug options.