• [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.

SHUNTASSISTANT® & paediSHUNTASSISTANT®

gravitational assistant

for children and adults

SA
FEATURES
FUNCTIONALITY
PRESSURE LEVEL DETECTION
Downloads
CONTACT

SHUNTASSISTANT® & paediSHUNTASSISTANT®

FEATURES

  • two product variants: for children and adults
  • more protection against overdrainage complications due to position-dependent function
  • MRT compatible up to 3 Tesla
  • compatible for a complementary partnership with other valves
  • slim, cylindrical and small design for a better flow
  • precise precision engineering
  • robust and durable due to the use of titanium

SHUNTASSISTANT® & paediSHUNTASSISTANT®

FUNCTIONALITY

The SHUNTASSISTANT and the paediSHUNTASSISTANT are used to control overdrainage. Their strengths are particularly evident in combination with other valves.

Both valves are separate gravitational valves which automatically adjust their opening pressure to the body position and thus counteract possible overdrainage in the upright body position. Like all position-dependent valves, they should always be implanted parallel to the body axis. Both can be ideally combined with other, conventional valves (e.g. differential pressure valves). It does not matter whether the MIETHKE SHUNTASSISTANT is placed before or after the differential pressure valve. Also the installation height has no influence on the mode of operation.

Horizontal Position

The SHUNTASSISTANT is open in the lying body position and does not pose any resistance. The opening pressure in horizontal body position is determined exclusively by another differential pressure valve to be used.

 

 

 

 

 

 

 

 

 

Vertical Position

When the patient stands up, the SHUNTASSISTANT is activated: The balls inside the housing close the passage of the valve due to the gravitational forces, thus automatically increasing the opening pressure and protecting the patient from overdrainage while standing. Only when the patient's cerebral pressure increases to such an extent that the opening pressure in the valve is reached, the balls are pushed upwards and release the passage until the cerebral pressure has decreased accordingly. In the vertical position of the body, the total opening pressure is the sum of the opening pressure of the gravitational valve and the opening pressure of another differential pressure valve in use.

PRESSURE LEVEL DETECTION IN X-RAY IMAGE

Each preset pressure stage is specially coded and can be recognized postoperatively in imaging. The lower illustrations show the X-ray images of all available pressure stages of the SA (10, 15, 20, 25, 30 and 35 cmH2O):

 

pressure stage 10 cmH2O (paediSA)

 

 

pressure stage 15 cmH2O

 

 

pressure stage 20 cmH2O

 

 

pressure stage 25 cmH2O

 

 

pressure stage 30 cmH2O

 

 

pressure stage 35 cmH2O

 

For detailed information on the optimum pressure stage setting, please refer to our pressure stage recommendation. 

 

 

MIETHKE APP - UNDERSTANDING VALVES EASILY


The MIETHKE App shows clearly and quickly understandable how our valves work:

+ Influence of the body position on the opening pressure: The motion sensor of the smartphone simulates the body position of the patient: upright - inclined - lying.

+ Pressure stage recognition in the X-ray image: Every set or preset pressure stage is shown here and can be easily recognized by means of templates.

+ Simulation of adjustability: Valves can be easily adjusted with the finger and thus help to understand what is happening inside the valve.

+ View into the inside of MIETHKE valves: All valves allow a view of their construction and thus the influence of the cerebrospinal fluid flow on the functioning can be shown in an easily understandable way.

+ free for Apple and Android

 

   

SA®

Product downloads

 

Download Area

 

 

Doctor on rounds

OUR MIETHKE PRODUCT FINDER

The product finder quickly filters the relevant criteria using targeted, short questions.

We consider the individual patient situation, surgical technique and treatment plan. The questions are designed in such a way that the list of results provides a maximum of three product recommendations.

 

FURTHER INFORMATION

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

Press & Public Relations

August von Hardenberg

Management Consultant

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Patientin und Ingenieure sind gemeinsam abgebildet

OUR PARTNERSHIP
WITH B. BRAUN

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