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Overview of bioengineering and hydrocephalus: 50 years in 30 ...

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• Limited options for type <strong>of</strong> control<br />

• Nearly every device is dff differential pressure valve<br />

• Siphon‐control (add‐on or <strong>in</strong>tegrated)<br />

• Adjustable pressure set po<strong>in</strong>t (from all majors)<br />

• A few flow control valves (OSV, Diamond)<br />

• Et Extraord<strong>in</strong>ary failure rates<br />

• 40% by year 1, <strong>50</strong>% by year 2, 98% by year 10<br />

• Obstruction is key cause: proximal (60%), valve (<strong>30</strong>%)<br />

• No sensors, no reliable failure diagnostics, no<br />

monitor<strong>in</strong>g i capability

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