A locally made 5th ventricular drainage system was designed and used in 1999 by the above department. 600 patients who received this set benefited both for elective and emergency interventions. 60% of the indication were Hydrocephalus secondary to obstruction due to intraventricular hemorrhage and 40% were for tumor surgery. The blockage rate was 5% and infection rate 10%. Our catheters with extra large holes are thought to decrease the blockage rate and is especially good for hematomas or tumor debri in the ventricular system. Our EVD is as good as other commercially produced products available.