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Locate the valve by palpation. Mark the center of the valve mechanism 
and the inlet and outlet connector barbs.

Select the appropriate 

Locator Tool 

(based on tissue thickness). It should be stable and with the tissue just below the valve cut-out.

Adjustable Height Locator Tool 

Tissue should not protrude through valve cut-out.

Place 

Locator Tool

 atop the 

implanted valve: 
•  black lines are aligned 

with the marked        
center of the hard valve   
mechanism 

•  direction of flow arrow 

aligned with the catheter 
barb marks

Repeat Steps 4 and 5 to confirm  
successful adjustment of the  
performance setting.

 Always confirm the 

desired performance setting of the valve.

If the desired performance setting is not 
achieved, repeat Steps 6 through 8.

It is recommended to record the valve 
setting in the patient’s record and I.D. 
wallet card.

Disinfect the tool kit components.

Position the patient so that the implanted 
valve is horizontal.  

Insert the 

Adjustment Tool

  

into the 

Locator Tool 

with the 

arrow pointing to the 

current 

performance setting

. Holding the 

“petals” of the 

Locator Tool

turn the 

Adjustment Tool

 until 

the arrow points to the 

desired 

performance setting

.

Lift the 

Adjustment Tool

  

from the 

Locator Tool

 straight 

upwards a minimum of 3 
cm (1.25 in.) then move it 
horizontally away to avoid 
inadvertently changing the 
valve setting.

6

8

9

10

11

2

with SiphonGuard

®

 

Anti-Siphon Device

3

4

To determine the current valve setting, fully seat the 

Indicator Tool  

into the 

Locator Tool

 with 

red markings

 aligned.  Remove the  

Indicator Tool.

5

Return all tools to their proper locations in the 

storage case to prevent damage.  Note: place 

the 

Low Profile Locator Tool

 under the elastic 

webbing in the bottom of the storage case and 

fully collapse the 

Adjustable Height Locator Tool.

12

Low Profile Locator Tool 

if thick 

tissue or edema is present (>10 mm 
above the valve).

7

1

or  

Please consult the Instructions for Use for 

more detailed information and appropriate 

use of the devices.

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