The Codman Hakim shunt valve is manufactured by Codman Inc. and can be set to 18 different pressure levels ranging from 30 to 200 mmH2O. General information and illustrations for reading the pressure level using the radiographic indicator can be found in the official manufacturer information.
Tabular overview
Adjustable opening pressure | MRI compatibility |
Yes, from 30 to 200 mm H2O | MR conditional. Shunt valve settings must be checked after MRI[^1] |
MRI compatibility
The Codman Hakim shunt valve can be used in MRI systems up to 3 Tesla in accordance with the official manufacturer information without impairing valve function. However, the manufacturer explicitly recommends checking the shunt valve setting after MRI because it may be altered by the magnetic fields in the MRI system[^1]. According to the official manufacturer information, there is no degradation in the valve's adjustability at 1.5-Tesla MRI. At 3-Tesla MRI, reduced adjustability of the shunt valve may occur after 10 MRI examinations.
Reading the pressure level
The currently set pressure level of Codman Hakim shunt valves can be reliably determined by obtaining an X-ray of the shunt valve.
Adjusting the pressure level
Codman Hakim shunt valves are adjusted using a specialized device provided by Codman. According to the manufacturer information, it is recommended not to change the opening pressure by more than 40 mmH20 within 24 hours.