shunt_train.ppt

* Tantalum is added for radio opaque markings showing flow direction and pressures (L,M,H) Flat Bottom Diaphragm Competitive Matrix Flat Bottom Diaphragm Competitive Matrix Burr Hole Diaphragm Competitive Matrix Neonatal Valve Systems Competitive Matrix Product line strengths Consistency and predictability Broad product line Clnical support History Manufacturing expertise Pricing flexibility * * * * Pudenz * Mishler Dual Chamber * Ultra VS * One Piece * Ommaya Resevoirs * One Piece * * Silicon…….. Single Cavity pressure mold * Body… polysulfone…. Injection molding * Body and Housing made of Polysulfone * Cross linked silicone dome * All parts are glued together by technicians using Self Leveling RTV (room temperature vulcanizer) * Integral connectors made of nylon * Base made up of a Silicone “sandwich” with a Dacron center * Needle Guard is …polypropylene Competitive Matrix Medtronic P.S. Medical Cordis Codman Radionics Sophysa Phoenix Valve Mechanisms Diaphragm valves - a round diaphragm rests on or under a valve seat. Pressure causes the diaphragm to be detracted from the seat allowing CSF to flow Disadvantage: prone to siphoning in some designs flow is not laminar making it prone to obstruction Diaphragm Valves Heyer-Schulte Pudenz (burr hole) LPV II (flat bottom) Novus (flat bottom) PS Medical/Medtronic Delta (Burr hole, flat bottom) Button(flat bottom) Contour (flat bottom) Radionics Contour Flex Equi-flow Burr hole Codman Accu-flo valve Diaphragm Valves Flow regulating mechanisms Maintains same flow rate at any differential pressure by increasing or lowering its resistance to pressure May be achieved by a solid conical cylinder inserted inside a ring attached to a pressure sensitive membrane Valve Mechanisms Inner diameter of ring is greater than larger outer diameter of conical cylinder By reducing surface area, mechanism restricts amount of fluid that can go through Outer cylinder moves to compensate for reduced surface area to maintain flow rate.