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Updated: Jun 16, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

The adjustable proGAV shunt: a prospective safety and reliability multicenter study.

Christian Sprung¹, Hans-Georg Schlosser, Johannes Lemcke

¹Department of Neurosurgery, Universitätsmedizin Berlin-Charité, Berlin, Germany. christian.sprung@charite.de

|February 23, 2010

Summary

The proGAV shunt system demonstrated reliability in a multicenter study. This gravitation-assisted adjustable device proved safe for managing hydrocephalus across various patient groups.

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Area of Science:

Neurosurgery
Medical Device Technology
Hydrocephalus Management

Background:

Hydrocephalus requires reliable cerebrospinal fluid (CSF) shunting systems.
Adjustable pressure valves are crucial for optimizing CSF diversion.
The proGAV shunt system offers gravitation-assisted pressure regulation.

Purpose of the Study:

To assess the reliability and safety of the proGAV shunt system.
To evaluate the performance of an adjustable, gravitation-assisted shunt in a multicenter setting.
To determine the rate of complications and necessary adjustments for the proGAV system.

Main Methods:

Prospective, multicenter observational study in 10 German hospitals.
165 patients with diverse hydrocephalus types were enrolled.
Follow-up at 3, 6, and 12 months post-implantation.

Main Results:

130 of 144 assessable patients completed 12-month follow-up.
14 patients required device explantation, primarily due to infection.
102 valve readjustments were performed in 65 patients (underdrainage/overdrainage); no unintended readjustments occurred.

Conclusions:

The proGAV shunt system is a safe and reliable device for hydrocephalus treatment.
The adjustable valve mechanism allows for effective pressure management.
The study supports the clinical utility of the proGAV system in managing CSF flow.