Miethke

Miethke, a leading German company since 1992, specializes in neurosurgical implants for hydrocephalus, focusing on patient-centered innovation to improve lives. Their adjustable brain shunts offer precision, adaptability, and advanced technology, making them a top choice for neurosurgeons.

Featured Products

Xabo Antibiotic Catheters:

-Infused with clindamycin and rifampicin to reduce infection risks in hydrocephalus management from gram-positive bacteria, most common cause of post-surgical infections
– Sustained antibiotic release for 38 days post-implantation to prevent postoperative infections.
– Durable with a 3-year shelf life and temperature resistance up to 30°C.
Xabo Antibiotic Catheter
M.blue

M.blue & M.blue + :

– Combines adjustable gravitational and differential pressure units for precise CSF regulation.
– M.blue: Gravitational unit (0–40 cmH₂O) and fixed differential pressure unit (0, 5, 10, 15 cmH₂O).
– M.blue Plus: Fully adjustable for complex cases.
– Durable titanium construction for biocompatibility and long-term reliability.
The M.blue series balances effective fluid management with lifestyle flexibility, enabling patients to lead active lives with fewer shunt-related concerns.

M.scio ICP Sensor:

– First implantable intracranial pressure (ICP) sensor with telemetric real-time monitoring.
– Non-invasive, adjustable, and reduces the need for repeat surgeries.
– Improves hydrocephalus diagnosis and therapy outcomes.
M.scio

GAV 2.0 & ProGAV 2.0 Shunts

– Adaptive valves with posture-dependent pressure adjustments to prevent overdrainage.
– MRI-safe up to 3 Tesla with an Active-Lock mechanism for secure settings.
– Made from biocompatible titanium for long-term use. ProGav
Gav 2.0
ProGav 2.0

ProGav Valve/Shunt system :

The proGAV valve system by Miethke offers advanced hydrocephalus management with precise CSF control through innovative features:
– Position-Dependent Functionality: Combines an adjustable differential pressure unit and a gravitational unit to adapt opening pressure based on body position, reducing overdrainage risk.
– Infinitely Adjustable Settings: Provides infinitely adjustable pressure settings (0–20 cmH₂O) for tailored, non-invasive adjustments to meet evolving patient needs.
– MRI Compatibility: Safe up to 3 Tesla, with an ‘Active-Lock’ mechanism to prevent unintended adjustments from magnetic fields.
– Innovative Adjustment Instruments: Soft-Touch’ instruments allow intuitive, safe valve adjustments with tactile feedback, eliminating the need for X-rays.
– Durable Design: Made from robust, biocompatible titanium, ensuring reliability for long-term use in patients of all ages.
ProGav

MiniNav Valve/Shunt System :

– World’s smallest differential pressure valve, designed for premature infants and bedridden patients.
– Compact, durable titanium construction with reliable drainage mechanisms.
Mini Nav

PaediGav :

– Pediatric-specific gravitational valve preventing overdrainage based on body position.
– MRI-safe and compact for retroauricular implantation, supporting growth and development
● Horizontal Position: Differential pressure unit regulates CSF flow, preventing drainage when intraventricular pressure is within safe limits.
● Vertical Position: The gravitational unit activates to prevent overdrainage by increasing the valve’s opening pressure, only allowing drainage when necessary pressures are exceeded.
These features make the paediGAV® an effective solution for managing pediatric hydrocephalus, providing tailored treatment to maintain the child’s physiological needs while ensuring growth and development.
Paedi Gav

Adjustment Tools:

● Adjustment Ring & Compass: Non-invasive tools for precise pressure adjustments.
● Simplifies valve management, reducing the need for imaging or invasive procedures.
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M.blue plus

Compass

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M.blue plus

Adjustment Ring

15 (3)

proGAV 2.0

Compass

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proGAV 2.0

Adjustment Tool

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proGAV

Checkmate

Lumbar and Ventricular Shunts :

Lumbar and ventricular shunts are critical devices for managing hydrocephalus by redirecting excess cerebrospinal fluid (CSF) to areas where it can be absorbed, relieving pressure on the brain and improving quality of life.
Wheel (80)
● Ventricular Shunts: Inserted into brain ventricles to control intracranial pressure. CSF is typically redirected to the abdominal cavity or other sites (e.g., heart or lungs).
● Lumbar Shunts: Placed in the lumbar spine for specific cases like normal pressure hydrocephalus, diverting CSF to the peritoneal cavity to manage lower spinal column pressure.
Wheel (81)

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