• [Translate to English:] M.blue Shunt
  • [Translate to English:] MyHCandME App - Patiententagebuch
  • Articles
  • Shunt infection: How it develops and how it can be prevented
    • Shunt therapy is the most common treatment for hydrocephalus, but carries the risk of serious complications such as shunt infections. Find out more about symptoms, causes, treatment options and preventive approaches such as antibiotic-impregnated catheters.
  • LP shunt vs. VP shunt
    • The choice between LP and VP shunt is essential for the successful treatment of hydrocephalus. This article provides a detailed comparison, looking at the indications, benefits and potential risks of both types of implantation - informed insights for better treatment decisions.
  • The measurement of intracranial pressure (ICP)
    • The measurement and interpretation of intracranial pressure (ICP) is a very helpful aid in the diagnosis and treatment of many brain diseases. The article explains the technical requirements for ICP measurements, the interpretation of ICP values in intracranial pressure measurements and their significance for effective treatment planning.
  • The Innovative Leap to Telemetric Pressure Sensors
    • Telemetric pressure sensors are setting new standards in the hydrocephalus shunt therapy. The article analyzes the technical limitations of conventional ICP sensors and presents trend-setting innovations in the field of measurement with telemetric pressure sensors - for more precise and efficient treatments.
  • Over- and underdrainage - the most common “side effects” of shunt systems
    • Shunt systems in hydrocephalus therapy have a long history, but over- and underdrainage are still common complications with their potential consequences, such as slit ventricle syndrome. The article looks at the causes, consequences and therapeutic approaches of both problems and discusses whether gravitational technology offers a possible remedy.
  • Foundations of fluid mechanics, or of beakers, bottles and people
    • The article introduces fluid mechanics and explains how the cerebrospinal fluid works in the human brain. It explains the hydrodynamics in the shunt system and shows why the circulation and pressure of the cerebrospinal fluid are important factors for optimizing shunt therapies.
Ventricular catheter

CATHETER

For Shunting of cerebrospinal fluid

(CSF)

Catheter
Types of catheter
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KONTAKT

MIETHKE Catheter

MIETHKE catheters for the treatment of hydrocephalus are designed for shunting of cerebrospinal fluid (CSF).

Our catheters are made of silicone and also contain barium sulfate. The barium sulfate content allows the catheters to be clearly visible in X-ray images. Magnetic resonance examinations up to a field strength of 3 Tesla or computed tomographic examinations can be performed without interference. All MIETHKE catheters are MR safe; in combination with deflectors, reservoirs and prechambers, they are MRI conditional.

 

 

The ventricular catheter sits with its tip in the cerebral ventricles and drains the liquor (brain water) from the ventricles. The MIETHKE ventricular catheter has a inner diameter of 1.2 mm and an outer diameter of 2.5 mm.

For safe placement of the ventricular catheter, it is provided with markings in the range of 3 to 13 cm, as seen from the tip.

By means of a mandrin that reaches up to the tip of the catheter, all MIETHKE ventricular catheters can be easily and safely advanced into the ventricles without kinking during implantation.

The drainage openings at the catheter tip for the drainage of the cerebral water start already 3 mm from the tip and end after 14 mm.

1. Silicone catheter
2. Introducing stylet / mandrin
3. Burrhole

 

Due to its special design, the THOMALE CATHETER is preferably suitable for use with narrow ventricles. The THOMALE CATHETER has a inner diameter of 1.2 mm and an outer diameter of 2.5 mm.

This special ventricular catheter is characterized by six inflow holes particularly close to the catheter tip.

1. Burrhole

The Lumbar Catheter is used to shunt CSF (cerebrospinal fluid) from the lumbar subarachnoid space. The Lumbar Catheter has a inner diameter of 0.8 mm and an outer diameter of 1.6 mm.

For safe placement, the labeling of the lumbar catheter is matched to the length of the Tuohy cannula. There are number markings on the lumbar catheter after every 5 cm up to a length of 65 cm distance from the exit of the tip of the Tuohy cannula.

The MIETHKE lumbar catheter is available in two versions:

Lumbar Catheter with open tip:


a. Silicone catheter
b. Drainage hole

Lumbar Catheter with closed tip (with enclosed Guide wire):
The closed lumbar catheter can be inserted using the enclosed guide wire. The guide wire enables better maneuvering of the catheter. The guide wire has an outer diameter of 0.46 mm.

a. Silicone catheter
b. Guide wire
c. Drainage hole

The Peritoneal Catheter drains Liquor (CSF) from the valve into the abdominal cavity. The Peritoneal Catheter has a inner diameter of 1.2 mm and an outer diameter of 2.5 mm.

The MIETHKE Peritoneal Catheter is available in lengths of 60 cm, 90 cm, and 120 cm.

 

 

Catheter

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Reservoirs

Our Burrhole Reservoirs for the treatment of hydrocephalus are characterized by a variety of special functionalities and possibilities for Hydrocephalus treatment.

Prechambers

[Translate to English:]

Titanium Connectors

DO YOU HAVE ANY QUESTIONS ABOUT THE PRODUCT?
WE ARE THERE FOR YOU.

+49 331 620 83 0
info@miethke.com

Thoralf Knitter

Director Product Development

Roland Schulz

Director Product Management

Thammo Weise

Product Management

Andreas Bunge

Product Management

Michaela Funk-Neubarth

Head of Marketing

Jan Mügel

Product Management

Josefine Kehl

Deputy Director Marketing

August von Hardenberg

Management Consultant

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Patientin und Ingenieure sind gemeinsam abgebildet

B. Braun and MIETHKE - Together for a better life with hydrocephalus

 

We have a long and intensive partnership with B. Braun in the field of neurosurgery. We are driven by a common vision: to improve the lives of hydrocephalus patients around the world with innovative solutions.

Our partnership is an exciting combination of B. Braun's nearly 180 years of expertise as one of the world's leading medical device and pharmaceutical companies and our agility as an innovative company and technology leader in gravitation-based shunt technology. 

 

Our strong partner in neurosurgery:

www.bbraun.com