Description:
Technology: MUSC inventors and surgeons have developed an advanced minimally invasive
subdural evacuating system (MISES™) that addresses many of the challenges of treating subdural hematomas. MISES™ improves on the current standard of care, the subdural evacuating port system, with a number of features that are designed to improve outcomes, decrease surgeon time, and minimize risks.
The first key feature of MISES™ is an indicator rod with a blunt atraumatic end running through the center of the device that permits the determination of the distance between the distal port end of the device and the dura mater. Once this distance is determined, the device features a locking mechanism that limits the movement of an inner cannula to this distance. The inner cannula possesses a piercing end at the distal tip that can then be safely depressed through the distal port end of the device to pierce the dura mater with minimized risk to tissues at greater depths. Once the dura mater is safely punctured, the indicator rod and the inner cannula are removed to allow the device to function similar to a standard port system.
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Figure 1. Two embodiments of MISES™ are shown above. The first embodiment is a larger profile device with an integrated port for insertion through the skull and evacuation of the subdural hematoma (left). The second embodiment (right) is a thinner device that is adaptable to the existing subdural evacuating port system (in pink above)
Overview: Subdural hematomas continue to be a challenging set of pathology for neurosurgeons given today's aging population. Chronic subdural hematomas have the option to be drained in the operating room with small burr holes, a craniotomy, or at the bedside with subdural evacuating port systems. However, one problem associated with these systems is the inability to ascertain whether the dura has been opened or opened enough to allow for the evacuation of chronic subdural blood. For these systems, it is often recommended to use a needle or small knife to open the dura blindly. Commonly, another port system has to be placed at the bedside to fix a failed one. Sometimes, a patient has to go to the operating room for a craniotomy to drain the subdural if the port system fails. Additionally, brain and intracranial blood vessel injuries are known to be caused by the blind passing of needles or scalpels through these existing devices.
Applications: Subdural hematomas
Advantages: Reduction in risk of complications, improved patient outcomes, reduction in surgeon time
Key Words: Subdural hematomas, subdural evacuating port systems, hematoma, port system
Inventors: Stephen Kalhorn MD, FACS, FAANS
Ryan Kellogg, MD
Joe Ruscito
Patent Status: US20210000502A1
MUSC-FRD Technology ID: P1915
Prototypes available!