MIETHKE Adjusting Instrument

for all adjustable MIETHE valves

M.blue plus®

Instruments

With the M.blue plus Instruments the opening pressure of the adjustable gravitational unit (0-40 cmH2O) of the M.blue as well as the opening pressure of the adjustable differential pressure unit (proGAV 2.0) of the M.blue plus can be determined, changed and controlled. The instruments offer safe and easy usage for the physician and a comfortable adjustment for the patient.

The following are Instruments are available for the M.blue:

M.blue plus
Compass

Weiterlesen
 

  • LOCALIZE
  • CHECK

  • can also be used for proGAV 2.0

 

M.blue plus
Adjustment Ring

Weiterlesen
 

  • ADJUST

  • can also be used for proGAV 2.0

 

M.blue plus
Adjustment Assistant

Weiterlesen
 

  • ADJUST

 

 

M.blue plus
Check-mate

Weiterlesen
 

  • CHECK
  • ADJUST

 

M.blue®

VALVE ADJUSTMENT

It is recommended to first feel the valve and locate the inlet and outlet with your fingers.

Then place the open M.blue plus compass on the valve so that the direction of flow is correctly aligned with the arrow markings on the compass. Now the compass is closed and fine-tuned by very light movements of the instrument. If the float in the center of the compass is centrally aligned within the mark, the instrument is in the correct position for all further steps.

 

 

 

 

Once the float is centered, the currently set opening pressure can be read out from the line mark on the float.

Simply follow the line mark up to one of the two scales: For the opening pressure of the adjustable differential pressure unit (proGAV 2.0), the setting range of 0-20 cmH2O on the outer scale applies, which is highlighted in light grey. For the opening pressure of the gravitational unit of the M.blue the blue marked setting range of 0-40 cmH2O of the inner scale applies.

 

 

 

 

 

To adjust the opening pressure, the compass is opened without leaving its position.

The M.blue plusadjustment ring can now be inserted into the resulting opening in the middle. The marking on the adjustment ring should point to the desired opening pressure of the corresponding M.blue or proGAV 2.0scale. By applying light pressure with the index finger on the valve diaphragm which is located under the skin in the middle of the adjustment ring, the rotor brake is released and the opening pressure of the valve is changed to the desired value.

When adjusting the differential pressure unit of the proGAV 2.0, make sure that the opening pressure is changed by a maximum of 8 cmH2O per adjustment process or by a maximum of 16 cmH2O per adjustment process when adjusting the gravitational unit of the M.blue, otherwise errors may occur. After each adjustment, the set pressure level should be checked as described in steps 1 and 2.

proGAV® 2.0

Instruments

With the innovative proGAV 2.0 instruments, particularly gentle measurement and adjustment can be carried out simply with the finger. Thanks to the tactile feedback mechanism in the proGAV 2.0, it can be felt very precisely when the pressure is sufficient for an adjustment. Stressful X-ray examinations are not necessary. The unique "Active-Lock" mechanism protects the proGAV 2.0 from unwanted adjustment due to the influence of external magnetic fields.

The following instruments are available for the proGAV 2.0:

proGAV 2.0
Compass

Weiterlesen
 

  • LOCALIZE
  • CHECK

 

proGAV 2.0
Adjustment Tool

Weiterlesen
 

  • ADJUST

 

M.blue plus
Compass

Weiterlesen
 

  • LOCALIZE
  • CHECK

can also be used for M.blue

M.blue plus
Adjustment Ring

Weiterlesen
 

  • ADJUST

can also be used for the M.blue

proGAV
Check-mate

Weiterlesen
 

  • CHECK
  • ADJUST

can also be used for the proGAV

proGAV® 2.0

VALVE ADJUSTMENT

The proGAV 2.0 Compass is used to locate and read out the set opening pressure.

The valve can be easily felt with the finger using the integrated template of the opened proGAV 2.0 Compass.

 

 

 

 

 

 

 

Now the proGAV 2.0 Compass is placed on the valve in flow direction and closed again. The proGAV 2.0 Compass will now display the set opening pressure.

 

 

 

 

 

 

 

The desired opening pressure is first selected on the proGAV adjustment instrument.

 

The proGAV adjustment instrument is now positioned on the valve in accordance with the operating instructions. By lightly pressing the release button, the "Active-Lock" mechanical coupling is released and the desired opening pressure is set.

 

 

 

 

proGAV®

Instruments

The patented adjustment and verification instruments allow easy, fast and uncomplicated treatment at any location, without having to expose the patient to X-ray radiation. The unique "Active-Lock" mechanism protects the proGAV against accidental re-adjustment by external magnetic fields.

Due to the wide range of opening pressures 0-20 cmH2O (0-20 cmH2O) available on the proGAV, there are numerous possible treatment options.

Furthermore the range of angular rotation for adjustment is 300°, ensuring excellent adjusting precision.


The following instruments are available for the proGAV:

proGAV
Verification Tool

Weiterlesen

  • LOCALIZE
  • CHECK

 

proGAV
Adjustment Tool

Weiterlesen

  • ADJUST

 

 

proGAV
Compass

Weiterlesen

  • LOCALIZE
  • CHECK

 

proGAV
Adjustment Disc

Weiterlesen

  • ADJUST

 

proGAV
Masterdisc

Weiterlesen

    CHECK

    proGAV
    Check-mate

    Weiterlesen

    • CHECK

    • ADJUST


    • auch für proGAV 2.0 verwendbar

     

     

    VALVE ADJUSTMENT

    First, locate the proGAV by palpation. The proGAV VERIFICATION COMPASS is an auxiliary instrument for locating the proGAV.
    As the proGAV VERIFICATION COMPASS is held above the valve, the floating disc aligns over the adjustable unit of the proGAV. The current opening pressure setting can be read from the compass scale.

     

     

     

     

    Position the proGAV VERIFICATION TOOL central on the valve. The marking and the readout display on the proGAV VERIFICATION TOOL must be in line with the proximal (ventricular) catheter. Press the trigger button to see the actual opening pressure setting displayed on the readout.

     

     

     

     

    Select the appropriate opening pressure on the proGAV ADJUSTMENT TOOL.

    Position the proGAV ADJUSTMENT TOOL centrally over the valve. The marking and the readout display of the proGAV ADJUSTMENT TOOL must be in line with the proximal (ventricular) catheter. Unlock the rotor ("Active-Lock") by applying mild pressure on the trigger button and then check the setting with the proGAV VERIFICATION TOOL.

     

     

     

    proSA®

    Instruments

    The patented adjustment and verification instruments allow easy, fast and uncomplicated treatment at any location, without having to expose the patient to X-ray radiation. The unique "Active-Lock" mechanism protects the proSA against accidental re-adjustment by external magnetic fields.

    Due to the wide range of opening pressures (0-40 cmH₂O) available on the proSA, there are numerous possible treatment options.

    Furthermore the range of angular rotation for adjustment is 300°, ensuring excellent adjusting precision.

    The following instruments are available for the proSA:

    proSA
    Verification Tool

    Weiterlesen

    • CHECK

    proSA
    Adjustment Too

    Weiterlesen

    • ADJUST

    proSA
    Masterdisk

    Weiterlesen

    • LOCALIZE
    • CHECK

    proSA
    Compass

    Weiterlesen

    • ADJUST

    proSA
    Adjustment Disc

    Weiterlesen

    • ADJUST

    proSA
    Check-mate

    Weiterlesen

    • LOCALIZE
    • CHECK

    proSA®

    VALVE ADJUSTMENT

    First, locate the proSA palpation. The proSA VERIFICATION COMPASS is an auxiliary instrument for locating the proSA.

    As the proSA VERIFICATION COMPASS is held above the valve, the floating disc aligns over the adjustable unit of the proSA. The current opening pressure setting can be read from the compass scale.

     

     

     

     

     

    Position the proSA VERIFICATION TOOL central on the valve. The marking and the readout display on the proSA VERIFICATION TOOL must be in line with the proximal (ventricular) catheter. Press the trigger button to see the actual opening pressure setting displayed on the readout.

     

     

     

     

    Select the appropriate opening pressure on the proSA VERIFICATION TOOL.

    Position the proSA VERIFICATION TOOL centrally over the valve. The marking and the readout display of the proSA VERIFICATION TOOL must be in line with the proximal (ventricular) catheter. Unlock the rotor ("Active-Lock") by applying mild pressure on the trigger button and then check the setting with the proSA VERIFICATION TOOL.

     

     

     

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    Product Management

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    Product Management

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    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