Snap-valve cerebral shunt design for intracranial pressure operation and ultrasound visualization.

Clicks: 265
ID: 54673
2019
Cerebral spinal fluid (CSF) shunts are the main treatment for hydrocephalus. They divert excess CSF from the ventricular system to the abdominal, pleural, or intravascular space where it is absorbed. The shunt valve regulates flow based on intracranial pressure (ICP) to maintain a physiologically stable and safe ICP. Shunt malfunction is difficult to detect, life-threatening and common. The present study demonstrates that snap-though buckling (STB) shells can be transformed into pressure-relief valves that act in the normal physiological range of ICP. Three different shell designs in this preliminary experiment were found to have opening and closing pressures that fall within the physiologically normal range of ICP of 6 to 25 cm HO. Furthermore, these STB shells demonstrate a valve actuation that is visible by ultrasound and have an implantable form-factor that is similar to currently available shunt valves. The unique characteristics of STB shell valves have potential clinical applications for shunt monitoring using ultrasound imaging and can be fabricated from antibiotic-impregnated materials to mitigate shunt infection. These characteristics make STB valves attractive for future use in cerebral shunt systems.
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mitchell2019snapvalvemedical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mitchell, S C;Grangard, G;Kahouli, W;Dalldorf, C;Crain, A;Lee, E;Hamlin, A;Feeney, L;Johnstone, H;Luke, G P;Diamond, S G;Bauer, D F;
Journal medical engineering & physics
Year 2019
DOI S1350-4533(19)30021-9
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