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Innovative Technology
Designed to Address
Proximal Shunt Occlusion

For PatientsFor Clinicians
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Innovative
Transformative
Compatible

The Only FDA Cleared Technology to Noninvasively Keep Shunts Flowing.

The ReFlow Mini Flusher is the only technology developed to noninvasively restore, increase or maintain CSF flow in a ventricular shunt catheter post-operatively.

Designed with purpose. Focused on patient outcomes.

Guardians of the Headwaters.
Smiling mother and father in black with daughter in white floral dress sitting in front of them.
Transforming CSF Management.
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Guarding Life At The Source.
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Transforming CSF Management.
Smiling family of six posing together against a light gray backdrop.
Guarding Life At The Source.
Smiling parents lifting their young son by his hands outdoors on a bright day.
Transforming CSF Management.
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Guarding Life At The Source.
Smiling family of six posing together against a light gray backdrop.
Transforming CSF Management.
Smiling mother and father in black with daughter in white floral dress sitting in front of them.
The Clinical Challenge

Shunt Failure Remains
a Clinical Reality.

Ventricular catheter occlusion — blockage of the catheter's flow holes — continues to be the leading cause of shunt malfunction.¹ Revision surgeries increase risk, burden families, and impact clinical workflow.

Addressing proximal obstruction post-operatively, noninvasively at home represents a meaningful advancement in hydrocephalus management.

Up to 50%
of all shunts fail within 2 years of placement.²
$35,816
is the average cost of a shunt-related hospital admission.³
Up to 85%
of patients require revision within 15 years of placement.⁴
$2,000,000,000
per year hospital charges for hydrocephalus in the US.⁵
Over 50%
of shunt failures are proximal occlusion in peds.⁶

1 Ferguson et al. Neurosurg Focus 22(4):E7, 2007.

2 Hydrocephalus Association. Complications of Shunt Systems. hydroassoc.org/complications-of-shunt-systems/

3 Patwardhan RV, Nanda A. Neurosurgery. 2005;1:139–144.

4 Stone JJ, et al. J Neurosurg Pediatr. 11 (2013) 15–19.

5 Koschnitzky et al. J Neurosurg. 139:502–511, 2023.

6 Hanak et al. Pediatr Neurosurg. 52(6):381–400, 2017.

How ReFlow Works

Engineered to Work With all Shunt Systems.

The ReFlow® Mini Flusher integrates into existing shunt systems. When pressed, it occludes distal flow and delivers a controlled flush toward the ventricular catheter to help address proximal obstruction.

Find Out More
Find Out More
14 → 1

proximal failure reduction in early study before and after revision including ReFlow

9

Patients in early study showing proximal shunt failure reduction1

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4+ Years

of clinical follow-up data

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The ReFlow design provides a noninvasive method to attempt restoration, increase or maintenance of CSF flow in the ventricular catheter.

FDA Cleared

Commercially available in US

180+ patients implanted
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1 Vinzani et al. Pediatr Neurosurg. 2023;58:136–141.

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our Services

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Long-Term Reduction in {orange:Proximal Shunt Revisions}

Multicenter Case Series: {orange:First Clinical Experiences with the ReFlow System}

In Situ Clearance of a {orange:Proximal Shunt Malfunction}

For Patients - elderly woman with child

For Patients

For Clinicians - medical professional

For Clinicians

Clinical Evidence

Published Research on ReFlow® Technology.

View All Studies
View All Studies

Long-Term Reduction in Proximal Shunt Revisions

A 9-patient case series peer-reviewed in Pediatric Neurosurgery

Multicenter Case Series: First Clinical Experiences with the ReFlow System

Peer-reviewed in Cureus, the first 25 patients

In Situ Clearance of a Proximal Shunt Malfunction

A case report peer-reviewed in Surgical Neurology International, with the first intraoperative evidence of noninvasive proximal shunt clearance.

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ReFlow Mini Flusher device
Stories

Real Experiences.
Real Care.

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See More
patient stories

7-year-old Boy Managing His Hydrocephalus with ReFlow® Ventricular System

With his hydrocephalus being managed and the ReFlow® device, Sutton's parents feel a sense of comfort. For his mom, Miranda, that means knowing that there is a routine that requires 20 seconds to flush Sutton's device, allowing her to focus on his social, emotional and other important aspects of life, like school, faith, and fun.

Miranda, Sutton's Mother

Hydrocephalus Patient Family

10-year-old Boy with Hydrocephalus Travels the Globe with ReFlow® Ventricular System

Since having the ReFlow® device implanted, Zachary's family has embraced life with new confidence. With a simple 30-second flush as part of his bedtime routine, his parents can help manage his hydrocephalus at home. Zachary and his dad even traveled to Egypt — an adventure that would never have been possible before ReFlow®.

Sherry, Zachary's Mother

Hydrocephalus Patient Family

Pediatric Neurosurgeon on the Impact of ReFlow® in Reducing Shunt Revisions

In a published study, patients went from 14 shunt revisions in the two years before ReFlow® to just 1 revision in the years following implantation. Dr. Ramin Eskandari, pediatric neurosurgeon at the Medical University of South Carolina, noted that "surgeons have never before been able to non-invasively address an occluded catheter."

Dr. Ramin Eskandari, MD

Pediatric Neurosurgeon, MUSC
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Stories

Real Experiences. Real Care.

person
58

Sophia m.

Patient

As a first-time patient, I was impressed with how friendly and attentive the staff were. My dermatology treatment went perfectly.

Ophthalmology
Feb 3
person
38

Emily Davis

Patient

The pediatrics department made my child feel completely at ease. Their gentle approach and expert care were beyond my expectations.

Pediatrics
March 28
person
29

James Miller

Patient

The cardiology team was incredibly supportive and explained everything clearly. I felt safe and cared for throughout my treatment.

Cardiology
Jan 23
person
33

Olivia Martinez

Patient

The gynecology service was exceptional. I appreciated the clear communication, respect at every step of the process.

Gynecology
April 15

7-year-old Boy Managing His Hydrocephalus with ReFlow® Ventricular System

With his hydrocephalus being managed and the ReFlow® device, Sutton's parents feel a sense of comfort. For his mom, Miranda, that means knowing that there is a routine that requires 20 seconds to flush Sutton's device, allowing her to focus on his social, emotional and other important aspects of life, like school, faith, and fun.

Miranda, Sutton's Mother

Hydrocephalus Patient Family