分流系统Codman详解.pptVIP

Codman Valves for Hydrocephalus The Hakim Valve mechanism Technology developed to provide long-term accuracy and reliability in valve performance. Hakim阀能保持长期的精确性 和稳定性 Original Valve最初的阀门 Long valve sometimes a “pain in the neck” MicroValve显微阀门 MicroValve + Rickham Hakim shunt housing development Hakim Valve Is available as Valve only单一阀门 System (with separate catheters) 系统（带单独的导管） Unitised system合成系统 Valve with pre-attached distal catheter and separate ventricular catheter带预置装置的远端导管与阀门，以及独立的脑室导管 Hakim Valve Lets talk about the valve mechanism 让我们讨论阀门机械装置 MicroValve显微阀门 MicroValve显微阀门 Ruby ball and collar红宝石球 Flat spring弹簧片 Spring pillar弹簧柱 Micro adjustable fulcrum显微调节支点 Hakim precision Flow through design Hakim valve construction Anti reflux mechanism防逆流装置 No longer required不再需要 MicroValve微型阀门 Accurate to +/- 1mm H2O 精确度+/-1mm水柱 Quoted and independently verified to +/-10mm H2O Flat pressure / flow curve水平压力/流量曲线 Pressure definition压力定义 Flow definition流量定义 Flow in a shunt is controlled by the pressure differential分流管内的流量是由压力差控制的 Opening pressures开放压力 Opening pressures开放压力 Means what it says So a wide band means you are not sure at what pressure that valve will open给定的是一压力范围意味着你不能确定阀门究竟在哪个压力下开放 Customers feel it is an operating band顾客感觉是一压力带 But there is no top and bottom没有上下限 Only a bottom只有基线 This helps customers know what they are implanting - if performance is reliable Opening pressures Maybe But the thrust of our argument is that they should think about it more争论的焦点将是医生必须考虑更多 Their decisions affect the quality of the whole of a child’s life医生的决定影响一个孩子一生的生命质量 Is a 50% revision rate good enough? 50％的翻修率够好吗？ Next logical step in this argument is Programmability下一个讨论焦点是阀门的可调性 Opening pressures Pressure responsive or Flow responsive? Some of our competitors confuse the doctors by suggesting one mechanism is superior to the other.我们的竞争对手常误导医生，为了证明其阀门优于其它 “Ah but yours is not a flow responsive system” “他们不是流量响应系统” The truth is a