Towards a Procedure Optimised Steerable Microcatheter for Deep Seated Neurosurgery

Abstract: In recent years, the steerable needles have attracted significant interest in Minimally Invasive Surgery (MIS). Amongst these, the flexible Programmable-bevel tip needle (PBN) concept has successfully achieved an in-vivo demonstration to evaluate the feasibility of Convection Enhanced Delivery (CED) of chemotherapeutics within the ovine model, with a 2.5 mm PBN prototype. However, further size reduction is necessary for other diagnostic and therapeutic procedures involving deep-seated tissue structures. Since PBNs have a complex cross-section geometry, standard production methods, such as extrusion, fails as the outer diameter is reduced further. This paper presents our first attempt to demonstrate a new manufacturing method for the PBN that employs thermal drawing technology. Experimental characterisation tests were performed for the 2.5 mm PBN and a new 1.3 mm Thermally Drawn (TD) PBN prototype described here. The results show that thermal drawing presents a significant advantage in miniaturising complex needle structures. However, the steering behaviour is affected due to the choice of material in this first attempt, a limitation which will be addressed in future work.