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The new generation of adjustable gravitational valves

The MIETHKE proSA® Shunt System represents a new generation of adjustable valves.
It is the only valve available that enables a post-operative adjustment according to the individual patient’s needs for the upright body position.
Individual characteristics of the patient, e.g. the Body Mass Index, adiposity, pregnancy, growth of pediatric patients, etc. can be easily allowed for by adjusting the gravitational unit.
The MIETHKE proSA® valve offers extended options and possibilities for all fields of hydrocephalus treatment, beyond the limitations of conventional adjustable shunt systems. The pressure setting range of 0 to 40 cmH2O allows individual adjustment for each patient.
The patented adjustment and verification instruments allow easy, fast and uncomplicated treatment, without having to expose the patient to x-ray.


  • 3-tesla MR safe and compatible
  • Pressure levels for continuous adjustment between 0 and 40 cmH2O
  • X-ray-free verification of the pressure level setting


The MIETHKE proSA® is available as a single valve or as a shunt system with different components.


  • Treatment of Hydrocephalus