CSF-Drainage Brochure - Spiegelberg

Spiegelberg: CSF-Drainage Products 

Technology 

for 

Brains 

1

2 

Contents 

Antimicrobial Shunt Catheters 

External Ventricular Drainage Catheters 

Accessories 

Antimicrobial External Ventricular 

Drainage Catheters 

Antimicrobial Lumbar Drainage 

Catheter 

Antimicrobial Subdural Drainage 

Catheters 

External Ventricular Drainage Kit 

External Ventricular Drainage Kit with 

Plate 

External Ventricular Drainage Bag 

EVD-Holders 

Scientific Information about Silverline ® 

Technology 

Catheter Reference Chart 

3 

4 

5 

6 

8 

9 

10 

11 

12 

13 

15 

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Antimicrobial Ventricular Shunt Catheter 

Antimicrobial Peritoneal Shunt Catheter Indication 

Silverline Shunt Catheters are 

indicated to be used in all patients 

with an indication for internal CSFdrainage. 

The trocar is used for 

tunneling the catheter. 

The catheter has 

numbered depth marks. 

The peritoneal catheter 

is made of two layers. 

The antiseptic 

radiopaque inner layer 

prevents colonization 

under the influence of 

CSF in an optimal way. 

The outer layer is made 

of pure silicone. The 

antiseptic effect is 

achieved by diffusion of 

silver ions from the inner 

layer. The pure silicone 

prevents micro fractures 

and calcification. 

Product Description 

Silverline Ventricular Shunt Catheters 

are made of antiseptic radiopaque 

implant grade silicone. They have 

numbered centimeter marks. A stylet 

and a trocar are delivered with the 

catheter. 

Silverline Peritoneal Shunt Catheters 

are made of two layers. The inner 

layer is made of antiseptic radiopaque 

implant grade silicone. The 

outer layer is made of pure silicone. 

By this construction prevention of 

micro- fractures and calcification is 

achieved. 

Silverline Shunt Catheters are 

compatible with all manufacturers´ 

shunt valves. 

Technical Information 

The stylet is used to 

introduce the catheter 

into the ventricle. 

Silverline Antimicrobial Ventricular Shunt Catheter 

REF IVD 30.070.02 

Length 230 mm 

Silverline Antimicrobial Peritoneal Shunt Catheter 

REF IVD 30.080.02 

Length 1200 mm 

Set Consisting of Ventricular and Peritoneal Catheter 

REF IVD 30.401.02 

Outer Diameter 2.5 mm 

Inner Diameter 1.3 mm 

Material Silicone 

Shelf Life 3 Years 

Duration of use Long term implantable 

Compatible with All shunt valves designed for 

silicone catheters 1.3 mm ID 

Shelf Life 3 years 

Duration of use Long term 

implantable 

EO sterile 

Latex free 

3

4 

External Ventricular Drainage Catheters 

Indication 

External Ventricular Drainage 

Catheters are indicated for 

perioperative CSF-drainage, for 

treatment of Subarachnoid 

Hemorrhage (SAH), treatment of 

elevated Intracranial Pressure (ICP), 

and whenever CSF-drainage is 

indicated for up to 30 days. 

Ventricular Catheter 

REF 8F EVD 30.010.01/FV804 



REF 10F EVD 30.030.01 



Material Polyurethane 

Length 270 mm 


Duration of use short term 

up to 30 days 

EO sterile 

Latex free 

Ventricular Catheter with Hollow 

Stylet 8F ‘Heese’ 

The hollow stylet is equipped with holes 

that correspond to the holes in the 

catheter. Flow of CSF out of the stylet 

indicates a correct position in the 

ventricle. A turn of 90 degrees of the 

stylet shuts off the flow of CSF. 

REF EVD 30.012.01 




Length 200 mm 



up to 30 days 

EO sterile 

Latex free 

Short Ventricular Catheter 8F 

The Short Ventricular Catheter is used 

whenever tunneling is not desired. This 

will reduce the time for the procedure 

significantly. 

REF EVD 30.011.01 




Length 100 mm 



up to 30 days 

EO sterile 

Latex free 


The catheters are made of radiopaque 

polyurethane. Their round tip 

is closed. They have numbered 

centimeter marks. Stylet, trocar, 

Luer-Lock connector, and suturing 

wing are delivered with the catheter. 

The catheter is outfitted 

with lettered marks. 


tunneling. 

The Luer-Lock 

connector for the 

connection with the 

EVD-Kit is attached to 

the catheter. 

The slitted suturing wing 

is used for fixation to the 

skin. 

CSF is released through 

the hollow stylet when 

the ventricle is 

punctured. 

The Luer-Lock connector 

is connected to the 

external ventricular 

drainage kit. 

The stylet is used for 

stiffening during 

insertion.

External Ventricular Drainage 

Catheter with Cranial Bolt 

The ventricular catheter is fixed in 

the bone by means of a bolt. After 

making a burr hole and opening the 

dura the probe is placed in the 

ventricle with the bolt in place in the 

upper region of the catheter. 

The catheter has two 

sets of numbered depth 

marks. The first set is 

related to the tip of the 

catheter. 

The drill bit has an 

adjustable stop. 

The Allen wrench ist 

used to adjust the stop. 

The dura opener is used 

to perforate the dura 

mater. 

Accessories 

With the clamping nut 

the probe is fixed in the 

bolt. 

Then the bolt is slid down to the 

burr hole and screwed into the 

bone. Finally the probe is fixed in the 

bolt with the clamping nut. The 

Luer-Lock connector is placed in the 

drainage tube and connected to a 

drainage kit. 

The second set of depth 

marks is related to the 

upper edge of the bolt. 

Manometer Tube 

The manometer tube is used to 

determine the opening pressure. It is 

connected to the hollow stylet of a 

Heese-Catheter. Opening pressure can 

then be observed from the liquid level. The manometer tube is 

outfitted with lettered 

marks. 





adapts the catheter to 

the EVD-Kit. 

REF 8F EVD 30.014.01 



REF 10F EVD 30.034.01 




Length 270 mm 



up to 30 days 

EO sterile 

Latex free 

REF EVD 30.013.01 




Length 420 mm 


Duration of use transient, up to 

60 minutes 

EO sterile 

Latex free 

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Antimicrobial External Ventricular Drainage Catheters 

Indication 

Silverline External Ventricular Drainage 

Catheters are indicated for 

perioperative CSF-drainage, for 

treatment of Subarachnoid 

Hemorrhage (SAH), treatment of 

elevated Intracranial Pressure (ICP), 

and whenever CSF-drainage is 


Silverline 

Antimicrobial Ventricular Catheter 

REF Polyurethane 6F EVD 30.020.02 

Outside Diameter 2 mm 

Inside Diameter 1 mm 


REF Silicone 8F EVD 30.050.02 

Outside Diameter 2.7 mm 

Inside Diameter 1.5 mm 




Length 270 mm 



up to 30 days 

EO sterile 

Latex free 

Silverline 

Antimicrobial 

Ventricular Catheter with 

Hollow Stylet ‘Heese’ 

REF 8F EVD 30.012.02 



REF 10F EVD 30.032.02 




Length 200 mm 



up to 30 days 

EO sterile 

Latex free 


The catheters have a closed round 

tip. They have numbered centimeter 

marks. Stylet, trocar, Luer-Lock 

connector, and suturing wing are 

delivered with the catheter. 

The catheters are available either 

made of radiopaque antiseptic 

polyurethane, or of radiopaque 

antiseptic silicone. 






is used for the fixation to 

the skin. 



the EVD-Kit. 




CSF is released through 

the hollow stylet when 

the ventricle is 

punctured.

Silverline 

Antimicrobial 

Short Ventricular Catheter 8F 

Silverline Antimicrobial 

Ventricular Catheter with 

Cranial Bolt 

The ventricular catheter is fixed in 

the bone by means of a bolt. After 

making a burr hole and opening the 

dura the catheter is placed in the 

ventricle with the bolt in place in the 

The catheter has two 

sets of numbered depth 

marks. The first set is 

related to the tip of the 

catheter. 

The drill bit has an 

adjustable stop. 

The Allen wrench is used 

to adjust the stop. 

The dura opener is used 

to perforate the dura 

mater. 

With the clamping nut 

the probe is fixed in the 

bolt. 

The Luer-Lock 

connector for the 

connection with the 

EVD-Kit is attached to 

the catheter. 

upper region of the probe. 

Then the bolt is slid down to the 

burr hole and screwed into the 

bone. Finally the catheter is fixed in 

the bolt with the clamping nut. The 

Luer-Lock connector is placed in the 

drainage tube and connected to a 

drainage kit. 

The second set of depth 

marks is related to the 

upper edge of the bolt. 

REF EVD 30.011.02 




Length 100 mm 



up to 30 days 

EO sterile 

Latex free 

REF 8F EVD 30.014.02 



REF 10F EVD 30.034.02 




Length 270 mm 



up to 30 days 

EO sterile 

Latex free 



the EVD-Kit. 




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Antimicrobial Lumbar Drainage Catheter 

Indication 

Silverline Lumbar Drainage Catheters 

are indicated for perioperative CSFdrainage, 

for diagnosis of Normal 

Pressure Hydrocephalus (NPH), and 

whenever lumbar CSF-drainage is 




antiseptic polyurethane. Their 

round tip is closed. They have 

numbered centimeter marks. Tuohy 

Needle, Luer-Lock connector, and 

suturing wing are delivered with the 

catheter. 

The catheter has labelled 

depth marks. 

The catheter is 

introduced by means of 

the Tuohy Needle. 

The butterfly suturing 

wing is used to fix the 

catheter to the skin. 

Scientific Information 

A prospective study of the University 

of Frankfurt shows a lower rate of 

vasospasm with lumbar drainage 

applied in patients with 

Subarachnoid Hemorrhage (SAH). 

Reference 

Tizi, K.; E. Güresir ; J. Beck; A. Raabe; 

V. Seifert ; H. Vatter: The effect of 

lumbar drainage on cerebral 

vasospasm and infarction after 

subarachnoid haemorrhage. DGNC 

Annual Meeting 2009 Abstracts, 

German Medical Science GMS 

Publishing House; 2009., http:// 

www.egms.de/en/meetings/ 

dgnc2009/09dgnc141.shtml 

The connector is used 

for connection with the 

drainage kit. It is secured 

with a clamping nut. 

Silverline 

Antimicrobial 

Lumbar Drainage 

Catheter 

REF ELD 33.010.02 




Length 800 mm 



up to 30 days 

EO sterile 

Latex free

Antimicrobial Subdural Drainage Catheters 

Indication 

Silverline Subdural Drainage 

Catheters are indicated for drainage 

after evacuation of Chronic Subdural 

Hematoma (CSH). 



antiseptic polyurethane. They 

are available in two different 

diameters. The catheters have a 6 cm 

perforation zone close to the tip. Stylet, 

trocar, Luer-Lock connector, and 

suturing wing are delivered with the 

catheter. 



Scientific Information 

A prospective randomized study 

shows a lower recurrence rate, lower 

mortality, and better outcome with 

drainage applied for 48 hours after 

surgical evacuation of the CSD. 




is used for the fixation to 

the skin. 

Reference 

Santarius, T.; Kirkpatrick, P.; 

Ganesan, D.; Chia, H.; Jalloh, I.; 

Marcus, H.; Smielewski, P.; Price, S.; 

Kirollos, R.; Hutchinson, P.: 

Randomised controlled trial of the 

use of drains versus no drains after 

burr hole evacuation of chronic 

subdural haematoma. Neurosurgery: 

August 2009 - Volume 65 - Issue 2 - 

p 401, doi: 10.1227 

01.neu.0000358671.05488.a2 

Silverline 

Antimicrobial Subdural 

Drainage Catheter 



the EVD-Kit. 


introduce the catheter. 

REF 8F EVD 30.015.02 



REF 10F EVD 30.035.02 




Length 270 mm 

Perforation zone 60 mm 



up to 30 days 

EO sterile 

Latex free 

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The External Ventricular Drainage Kit 

drains and collects cerebrospinal fluid 

for external ventricular drainage. 

The kit is comprised of a tube 

connector with a Luer-Lock for 

connection to the Ventricular 

Catheter, a drip chamber, and a 

replaceable drainage bag. The tube 

connector contains an access port. A 

three-way stopcock to connect a proximal 

pressure transducer, a threeway 

stopcock to connect a distal 

pressure transducer, a pump chamber 

and a check valve are provided. 

The drip chamber is aerated with a 

replaceable filter. 

All tube connectors except the ones 

for the filter and drainage bag are 

permanently glued in place. The 

diameters of all connecting components 

and stopcocks are the same 

as that of the ventricular catheter, 

thereby avoiding narrowing that can 

cause clogging. 

A special version for use with the 

Spiegelberg Compliance-Monitor is 

available. In it the tube from the distal 

three-way stopcock to the drip 

chamber is made of compressible 

silicone. 


connects the kit to a 

ventricular catheter or to 

an intraventricular 

Spiegelberg ICP-probe. 

The proximal three-way 

stopcock is used to 

connect to a pressure 

transducer. 

REF 

External Ventricular 

Drainage Kit EVD 30.001.01/FV800 


Drainage Kit 

for Compliance EVD 30.002.01/FV801 

Bag EVD 30.101.02 

Filter EVD 30.102.01/FV803 


Volume Drip 

Chamber 100 ml 

Volume 

Drainage Bag 700 ml 



up to 30 days 

EO sterile 

Latex free 

A check valve prevents 

reflux. 

A pump chamber is used 

to transport CSF 

The distal three-way 



transducer. 

The on-off ratchet clamp 

is closed during patient 

transport. 

The drip chamber is 

aerated with a 

replaceable filter 


outfitted with velcro 

straps that are used for 

fixation to an IV pole or 

the EVD holder. 

Cerebrospinal fluid 

accumulates in the drip 

chamber and the 

quantity is determined in 

it. 


is used to close off the 

discharge tube during 

collection. 

The large inner 

diameters of the 

discharge tube and the 

connector allow for 

rapid discharge. 

The replaceable bag is 

used to collect CSF. It is 

aerated with a filter.


with Plate 

The External Ventricular Drainage Kit 


for external ventricular drainage. 

The kit is comprised of a tube 

connector with a Luer-Lock for 

connection to the Ventricular 

Catheter, a drip chamber, and a 

replaceable drainage bag. The tube 

connector contains an access port. A 

three-way stopcock to connect a proximal 

pressure transducer, a threeway 

stopcock to connect a distal 

pressure transducer, a pump chamber 

and a check valve are provided. 

The drip chamber is aerated with a 


The drip chamber is mounted on a 

plate that has scales in mmHg and 

cmH 2 O allowing exact positioning 

above the patient´s foramen of Monro 

level. 


connects the kit to a 

ventricular catheter or to 

an intraventricular 

Spiegelberg ICP-probe. 

The kit with clamp can 

be fixed to an IV pole by 

means of the integrated 

clamp. 


is closed during patient 

transport. 

The proximal three-way 



transducer. 

All tube connectors except the ones 

for the filter and drainage bag are 

permanently glued in place. The 

diameters of all connecting components 

and stopcocks are the same 

as that of the ventricular catheter, 

thereby avoiding narrowing that can 

cause clogging. 

A check valve prevents 

reflux. 

A pump chamber is used 

to transport CSF 

The distal three-way 



transducer. 


aerated with a 



mounted on a plate that 

is hung to an IV pole. 

The plate has pressure 

scales in mmHg and 

cmH 2 O. 

Cerebrospinal fluid 

accumulates in the drip 

chamber and the 

quantity is determined in 

it. 


is used to close off the 

discharge tube during 

collection. 

The large inner 

diameters of the 

discharge tube and the 

connector allow for 

rapid discharge. 

REF 

EVD Kit with plate EVD 30.003.01 

EVD Kit with plate 

with clamp EVD 30.004.01 


Volume 

Drip Chamber 100 ml 

Volume 

Drainage Bag 700 ml 



up to 30 days 

EO sterile 

Latex free 

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Ventricular Drainage Bag 

The External Ventricular Drainage Bag 


for external ventricular drainage, 

external subdural drainage and 

external lumbar drainage. It is 

indicated whenever accurate 

measuring of drained fluid and exact 

levelling are not essential. 

The bag has a tube with a Luer-Lock 

connector for connection to the 

catheter. An access port and a check 

valve are provided. The bag is aerated 

with a replaceable filter. 


connects the bag to a 

catheter. 

REF 


Drainage Bag EVD 30.106.01 

Filter EVD 30.102.01 

Volume 700 ml 



up to 30 days 

EO sterile 

Latex free 

The bag is fixed to the 

patient’s bed or to an IV 

pole with a string. 

The bag is aerated with 

a replaceable filter.

EVD-Holders 

Holder for securing the EVD-Kit to 

an infusion stand 

The holder is used to fix the kit securely. 

It is outfitted with a screw clamp for 

attachment to infusion stands, bed 

frames etc. The holder is fixed in such a 

way that the zero mark is located at the 

same height as the patient’s foramen of 

Monro. A swivel joint adjusts the holder 

to a vertical position. 

The Velcro straps are used to fix the 

drip chamber securely at the desired 

height. The height is shown on the 

scale in mmHg or cmH 2 O. A fixture is 

available to attach an external pressure 

transducer at the height of the zero 

mark. Fixtures are available for pressure 

transducers from various suppliers. 

Fixtures for pressure transducers are 

also available with an integrated 

levelling device. 

REF 

EVD-Holder with 

Swivel Joint EVD 30.221.01 

Holder for 

PfM EVD-Kit EVD 30.212.01 

Holder for Pressure Transducer 

PvB EVD 30.231.01 

Medex LogiCal EVD 30.232.01 

Abbott EVD 30.233.01 

Baxter EVD 30.234.01 


with Levelling Rod 

PvB EVD 30.231.02 




Material Stainless steel 

Rod Diameter 25 mm 

Rod Length 600 mm 

The holders for pressure 

transducers are available 

with a levelling device 

which has a spirit level 

for horizontal alignment. 

The drip chamber of the 

set is attached to the 

vertical post of the 

holder. The post is 

outfitted with two 

scales, one showing 

mmHg and the other 

showing cm H 2 O. 

The holder is outfitted 

with a screw clamp for 

attachment to infusion 

stands. 

A hook holds the 

drainage bag securely in 

place. 

The clamp has a swivel 

joint for vertical 

alignment. 

Holders for pressure 

transducers are available 

for different 

manufacturers’ 

transducers. 

13

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EVD-Holder ‘Freiburg’ 

In the holder ‘Freiburg’ the rod is 

fixed to a plate, which is placed unter 

the mattress of the bed. The weight 

of the matress and the weight of the 

patient fix the holder securely in 

place. 

The holder is adjusted such that the 

zero mark is at the elevation of the 

Foramen of Montro of the patient. 

When the elevation of the head-part 

of the bed is changed, the elevation 

of the drip chamber in relation to the 

foramen of Monro remains unchanged. 

A swivel joint adjusts the holder to a 

vertical position. 

The Velcro straps are used to fix the 

drip chamber securely at the desired 

height. The height is shown on the 

scale in mmHg or cmH 2 O. A fixture is 

available to attach an external 

pressure transducer at the height of 

the zero mark. Fixtures are available 

for pressure transducers from various 

suppliers. 

Fixtures for pressure transducers are 

also available with an integrated 

levelling device. 

REF 

EVD-Holder 

Freiburg 

left EVD 30.211.01 

EVD-Holder 

Freiburg 

right EVD 30.211.02 

EVD-Holder 

Freiburg 

left and right EVD 30.211.03 

Holder for 

PfM EVD-Kit EVD 30.212.01 


PvB EVD 30.231.01 





with Levelling Rod 

PvB EVD 30.231.02 




Material Stainless steel, 

Aluminum 

Rod Diameter 25 mm 

Rod Length 600 mm 

Plate Size 400 mm x 400 mm

Scientific Information about Silverline ® Technology 

Can we eliminate CSF-drainage infection? 

Infections are a serious complication of CSFdrainage 

systems. Even with best surgical 

technique and utmost aseptic handling measures 

infections cannot be avoided completely (1, 2, 

4). 

Impregnating ventricular catheters with a 

combination of Rifampicin and Minocyclin, or 

Rifampicin and Clindamycin reduces the 

likelihood of catheters to become colonized and 

reduces the frequency of positive CSF cultures 

(6). However, prophylactic use of antibiotics 

carries the risk of infection with antibiotic 

resistant organisms including opportunistic 

infection due to organisms such as candida (8). 

Silver as an antimicrobial substance has been 

known for centuries (3). It has been used in 

central venous catheters for some time (Erlangen 

Silver Catheter). 

Method 

Particles of silver and particles of an an insoluble 

silver salt are incorporated in the polyurethane 

or silicone material of Silverline Catheters. 

Silver ions have a strong antiseptic effect with a 

broad spectrum (3, 5). Should a resistancy to 

silver develop under the influence of the the 

silver ions, the antibiotic therapy will still be 

possible. 

The particles have a large specific surface 

resulting in the release of silver ions in antiseptic 

concentration on the surface of the catheter. 

There are two phases to the release of the 

antiseptic agent: In phase one the silver salt 

releases silver ions in antiseptic concentration. 

Phase one starts immediately after placement of 

the catheter and lasts for several hours. In phase 

two silver ions are released from the metallic 

silver. Phase two begins some hours aftert 

catheter placement and it lasts for a very long 

time. 

Silver inactivates the enzyme systems with SHgroups 

of the cell wall that are active in the 

transmembraneous energy metabolism. Silver 

ions block the breathing chain of the bacteria 

(5). 

Results 

Using the roll-culture method Silverline 

catheters were subjected to different suspensions 

of bacteria for various fixed time intervals. After 

that, roll-cultures were done. For control 

purposes non-antimicrobial catheters were 

subjected to the same test (7). 

Silverline catheters demonstrated antimicrobial 

effects on: 

- Staph. aureus, 

- Staph. epidermidis, 

- Methicillin resistant Staphylococcus, 

- E. coli, 

- Pseudomonas aeruginosa, 

- Clostridium difficile, 

- Acinetobacter baumannii, 

- Streptococcus intermedius, 

- Candida albicans, and 

- Candida glabrata. 

The figure shows cultures of the Silverline 

catheter and of a non-antimicrobial control made 

of the same material after subjecting them to a 

suspension of Staph. aureus. The top row shows 

cultures of the Silverline catheter after 16 hours 

and 32 hours. The lower row is the control. 

Continuing growth can be seen clearly on the 

cultures of the control catheters. The cultures of 

Silverline catheters show markedly reduced 

growth after 16 hours and sterility after 32 

hours. 

In clinical studies a marked reduction of the 

infection rate was found (9, 10, 11). 

0 h 16 h 32 h 

Cultures of catheters after subjecting them to a suspension of Staph. aureus 

Upper row: Silverline catheter 

Lower row: Control catheter 

Discussion 

The antimicrobial effect of Silverline Catheters 

could be shown clearly in the in-vitro trial. The 

broad spectrum of efficacy and the two phases of 

release of the antiseptic agent make the product 

efficient and long lasting. 

Because of its broad band effect with no danger 

of resistancies the Silverline catheters are a new 

approach for preventing EVD and shunt 

infection. 

Bibliography 

1. Anneke, A.: Infektiöse Komplikationen von 

Liquoraußendrainagen. Dissertation Universität 

Heidelberg, 1999 

2. Lozier AP, Sciacca RR, Romagnoli MF, 

Connolly ES Ventriculostomy-related 

infections: A critical review of literature. 

Neurosurgery 51, 2002, 170-182 

3. Naegeli, C. v.:Über die oligodynamischen 

Erscheinungen an lebenden Zellen. Neue 

Denkschr. Allg. Schweiz. Ges. Naturwiss. 

33, 1893, 174 - 182 

4. Pfisterer, W.;Mühlbauer, M.; Czech, T.; 

Reinprecht, A.: Early diagnosis of external 

ventricular drainage infection: results of a 

prospective study. J Neurol Neurosurg 

Psychiatry 74, 2003, 929–932 

5. Thurmann, R.B.; Gerba, C.H.P.: The 

molecular mechanisms of copper and silver 

ion disinfection of bacteria and viruses. Crit. 

Rev. Environmental Control, 18, 1989, 295- 

315 

6. Zabramski J.M.; Darouiche, R.O. et al.: 

Efficacy of antimicrobial-impregnated 

external ventricular catheters: a prospective, 

randomized, controlled trial. J Neurosurg, 

98, 2003, 725-730 

7. Zschaler, R.: Testing of the Antimicrobial 

Effect of Catheter Tubing with a Roll 

Culture Method. www.spiegelberg.de/home/ 

documents/Zschaler.pdf 

8. Kojic, E.M.; Darouiche, R.O.: Candida 

infections of medical devices. Clin. 

Microbiol. Rev., 17, 2004, 255-267 

9. Keong, N.C.;D. Bulters, H. Richards, M. 

Farrington, O. Sparrow, J.D. Pickard, P.J. 

Hutchinson, P.J. Kirkpatrick: The SILVER 

(Silver-Impregnated Line Vs EVD 

Randomized) Trial : A Double-blind, 

Prospective, Randomized Controlled Trial of 

an Intervention to Reduce the Rate of 

External Ventricular Drain Infection. 

Neurosurgery, 71(2):394-404, August 2012 

10. Izci, Y.; Secer, H.; Akay, C.; Gonul, E.: Initial 

experience with silver-impregnated 

polyurethane ventricular catheter for 

shunting of cerebrospinal fluid in patients 

with infected hydrocephalus. Neurol. Res. 

2008, online version. 

11. Fichtner, J.; Güresir, E.; Seifert, V.; Raabe, 

A.: Efficacy of silver-bearing external 

ventricular drainage catheters: a retrospective 

analysis. J Neurosurg, September 

18, 2009, DOI: 10.3171/2009.8.JNS091297 

15

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Catheter Reference Chart 

EVD 

Style 

Standard Polyurethane 

Diameter 1.6 mm 6F, 2.0 mm 2.5 mm 8 F, 2.7 mm 10 F, 3.3 mm 

270 mm long EVD 30.010.01 EVD 30.030.01 

w. hollow stylette, 200 mm long EVD 30.012.01 EVD 30.032.01 

short, 100 mm long EVD 30.011.01 

w. bolt fixation EVD 30.014.01 EVD 30.034.01 

Silverline Polyurethane 

ELD External Lumbar Drainage ELD 33.010.02 

EVD 

270 mm long EVD 30.020.02 EVD 30.010.02 EVD 30.030.02 

w. hollow stylette, 200 mm long EVD 30.012.02 EVD 30.032.02 

short, 100 mm long EVD 30.011.02 

w. bolt fixation EVD 30.014.02 EVD 30.034.02 

ESD External Subdural Drainage EVD 30.015.02 EVD 30.035.02 

Silverline Silicone 

EVD 270 mm long EVD 30.050.02 

Shunt Ventricular Shunt Catheter IVD 30.070.02 

Peritoneal Shunt Catheter IVD 30.080.02 

Manufacturer 

Spiegelberg (GmbH & Co.) KG 

Tempowerkring 4 

21079 Hamburg 

Germany 

Phone: +49-40-790-178-0 

Fax: +49-40-790-178-10 

email: info@spiegelberg.de 

http://www.spiegelberg.de 

DIN EN ISO 13 485 certified 

0297 

© by Spiegelberg (GmbH & Co.) KG, 2009 

EVDEng_Deu_Span_Port_2009V31.p65 

2012-08-03

CSF-Drainage Brochure - Spiegelberg

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