<p>You are about to enter the B. Braun UK website. If you are from $(countryName), visit the $(nationality) website.</p>

United States - B. Braun Medical Inc.

United Kingdom - B. Braun Medical Ltd

<p>Not all products are registered and approved for sale in all countries or regions. Indications of use may also vary by country and region. Please contact your country representative for product availability and information. Product images are for reference only.</p>

Cancel

You have successfully logged out.

Neurosurgery

Hydrocephalus & ICP management

Gravitational valves improve patient outcomes[6-7]

Hydrocephalus shunts, intraventricular neuroendoscopy and long-term implants for non-invasive telemetric pressure measurement

In the treatment of hydrocephalus, so-called shunt systems are very often implanted in order to drain the excess cerebrospinal fluid (CSF) to other parts of the body. This is done in an attempt to bring the intracranial pressure, which is elevated due to the accumulation of fluid in the brain, back into the normal range in order to prevent damage to the brain.

An alternative procedure to shunt surgery is an endoscopic third ventriculostomy (ETV). Instead of inserting a shunt, the surgeon makes a hole in the floor of third ventricle to allow the trapped cerebrospinal fluid (CSF) to escape to the brain's surface, where it can be absorbed. Aesculap offers various intraventricular neuroendoscopic systems: MINOP®, PaediScope® and MINOP® InVent.

MIETHKE gravitational shunts offer special protection to avoid position-dependent complications such as over- and underdrainage, with positive clinical outcomes for the patient and a significant reduction of overdrainage events.^[1-4]

All MIETHKE valves are manufactured with high precision from titanium and are protected against unintentional reprogramming by magnetic fields of up to 3 Tesla.^[5]

Advances in shunt technology, in particular adjustable and gravitational valves, have improved patient outcomes.^[6-7] Finding the best possible patient-individual pressure setting and assessing shunt function can however be challenging and time-consuming. M.scio® is a telemetric pressure sensor approved for permanent implantation. Valve adjustments following telemetric read-out of the pressure via the M.scio® improve outcomes in most patients and knowledge of the pressure can help to avoid unnecessary hospitalisations, investigations, and radiation exposure.^[6-8]

Hydrocephalus & ICP Management

MIETHKE product finder

Just a few clicks to the right valve configuration.

We understand the gravity of the situation

Your life has been turned upside down, we want to offer you support!

Why do shunts need to be improved?

Learn more about the challenges with conventional hydrocephalus valves.

MIETHKE hydrocephalus shunt technology

Designed to give you confidence.

Interested?

Get in touch with one of our team

[1] Tschan CA, Antes S, Huthmann A, et al. Overcoming CSF overdrainage with the adjustable gravitational valve proSA. Acta Neurochir (Wien). 2014;156(4):767-76; discussion 776.

[2] Suchorska B, Kunz M, Schniepp R, et al. Optimized surgical treatment for normal pressure hydrocephalus: comparison between gravitational and differential pressure valves. Acta Neurochir (Wien). 2015;157(4):703-9.

[3] Lemcke J, Meier U, Muller C, et al. Safety and efficacy of gravitational shunt valves in patients with idiopathic normal pressure hydrocephalus: a pragmatic, randomised, open label, multicentre trial (SVASONA). J Neurol Neurosurg Psychiatry. 2013;84(8):850-7

[4] Sprung C, Schlosser HG, Lemcke J, et al. The adjustable proGAV shunt: a prospective safety and reliability multicenter study. Neurosurgery. 2010;66(3):465-74.

[5] Chari A, Czosnyka M, Richards HK, Pickard JD, Czosnyka ZH. Hydrocephalus shunt technology: 20 years of experience from the Cambridge Shunt Evaluation Laboratory. J Neurosurg. 2014;120(3):697-707.

[6] Antes S, Stadie A, Muller S, et al. Intracranial Pressure-Guided Shunt Valve Adjustments with the Miethke Sensor Reservoir. World Neurosurg. 2018;109:e642-e50.

[7] Freimann FB, Schulz M, Haberl H, et al. Feasibility of telemetric ICP-guided valve adjustments for complex shunt therapy. Childs Nerv Syst. 2014;30(4):689-97.

[8] Thompson S, Thorne L, Toma A, et al. Telemetric monitoring of ICP within a shunt system. A single centre experience including the first in vivo comparison versus conventional intraparenchymal monitoring. Fluids and Barriers of the CNS. 2017;14(Suppl 1):A63.

Stay connected with My B. Braun

Register or login below to access your personalised account, with applications and content tailored specifically to you and your speciality.

person_outline My B. Braun

Hydrocephalus & ICP management