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NANS I3 Technology Gaps in Intrathecal Drug Delivery Systems

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

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  1. 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

  2. Desired improvements in IT Drug Delivery? • Reliable pumping mechanism. • Long battery life. • Troubleshooting tools. • Enhanced safety features. • Simple programming. • Dependable catheter.

  3. 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

  4. 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.

  5. 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.

  6. 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.

  7. 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

  8. 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.

  9. Easy and Fast.

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

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

  12. SureStream™ kink resistant catheter. • Kink Resistant • The titanium coil design ensures flow of medication without occlusion. Silicone SURESTREAM Kinking No Kinking Look Inside

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

  14. Thank You

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