Cerebrospinal fluid flushing as a means of neuroprotection.

Central nervous system (CNS) injury or disease states are often difficult to treat due to the closed system of the dura mater/blood-brain barrier and the bony skull and vertebrae. The closed system results in at least partial containment of any pro-inflammatory molecules, pathogens, or toxic byproducts in the case of brain or spinal cord lesions, which can result in a destructive feedback loop. Cervical-approach access techniques (lateral C1-C2, suboccipital and lateral atlanto-occipital space punctures) are less-common methods of cerebrospinal fluid (CSF) sampling due to the relative ease and safety of lumbar spinal taps. However, with improved image-guidance, these cervical-level CSF access points are still useful when there are certain contraindications and difficulties when attempting to sample the CSF via the typical lumbar spinal approach. With the advent of microcatheters and minimally invasive techniques, combined with body fluid filtration technology, the question arises: could dual microcatheters be introduced for inflow and outflow of purified or artificial CSF to break the destructive feedback loop and thus diminish CNS damage?. We hypothesize that intrathecal spinal catheters could be placed in 2 positions (e.g., via a cervical route and the typical lumbar spinal route) to allow for both an input and output to more effectively filter or "flush" the CSF. This could have broad implications in the treatment of strokes, traumatic brain or spinal cord injury, infections, autoimmune diseases, and even malignancies within the CNS-in short, any disease with abnormalities detectable in the CSF.

Bio-inspired counter-current multiplier for enrichment of solutes.

Improving the efficiency of gas separation technology is a challenge facing modern industry, since existing methods for gas separation, including hollow-fiber membrane contactors, vacuum swing adsorption, and cryogenic distillation, represents a significant portion of the world's energy consumption. Here, we report an enhancement in the release rate of carbon dioxide and oxygen of a thermal swing gas desorption unit using a counter-current amplification method inspired by fish. Differing from a conventional counter-current extraction system, counter-current amplification makes use of parallel capture fluid channels separated by a semipermeable membrane in addition to the semipermeable membrane separating the capture fluid channel and the gas release channel. The membrane separating the incoming and outgoing fluid channels allows gas that would normally exit the system to remain in the desorption unit. We demonstrate the system using both resistive heating and photothermal heating. With resistive heating, an increase in release rate of 240% was observed compared to an equivalent counter-current extraction system.