Hybrid Lithotripsy System

Two new-generation lithotripters, available in the market, are the Lithoclast Trilogy (EMS Medical) and the ShockPulse-SEÔ (Olympus, Tokyo, Japan) single-probe, dual-energy …

Various intracorporeal lithotripters were invented for ablating the renal stones since the inception of PCNL. These lithotripters differ based on the type of energy source like electro hydraulic, pneumatic and ultrasonic lithotripsy [3, 4].Recently newer generation lithotripters have been developed, which use combination of ballistic and ultrasonic energies for better and …

Shockwave Intravascular Lithotripsy (S-IVL) system offers a novel option for lesion preparation of heavily calcified plaques in coronary and peripheral vessels. S-IVL is based on the fundamental principles of lithotripsy, a technology that has been used to modify renal stones for over 30 years. Pulsatile mechanical energy is used to fragment ...

The Quanta System lithotripsy lasers work efficiently to fragment ureteral and kidney stones. The intuitive Litho and Litho EVO are designed with surgeon workflows in mind, offering features …

Objective: The holmium:yttrium-aluminium-garnet laser (Ho:YAG) has been the gold standard for laser lithotripsy over the last three decades. After demonstrating good in vitro efficacy, the thulium fiber laser (TFL) has been recently released in the market and the initial clinical results are encouraging. This article aims to review the main technology differences between the Ho:YAG …

Washington University urologists at Barnes-Jewish St. Peter's Hospital and Progress West Hospital have started a new hybrid system of single-use and reusable digital ureteroscopes for patients requiring this operation. …

Lithotripsy has long proven to be an effective, less invasive method for breaking up stones in the kidney, bladder, or ureter. The Olympus CyberWand Dual Ultrasonic Lithotriptor System further improves the effectiveness of the procedure by delivering rapid fragmentation and improved procedural efficiency, and the Olympus HLS30W Holmium:YAG 30W Laser offers maximum …

Hybrid lithotripsy, Staghorn renal calculus Abstract. Objective: To present a new approach to treat a large renal calculus. Using a combination of extracorporeal shockwave …

Studies using the hybrid fibers for lithotripsy also resulted in fiber damage thresholds (55–114 mJ) above the stone ablation threshold (15–23 mJ).Conclusions Hybrid germanium/silica fibers ...

Hybrid lithotripsy with endoscopic ultrasound-guided antegrade intervention and balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography for stacked bile duct stones Dig Endosc. 2022 Jul;34(5):e92-e93. doi: 10.1111/den.14296. Epub 2022 Apr 28. Authors ...

Contact laser lithotripsy is the first and often the only step needed to complete urinary stone disintegration. Contact lithotripsy is achieved through two ways: stone fragmentation and removal of pieces with a basket or stone dusting until the formation of tiny particles that will spontaneously pass through the urinary system.

If the lesion is undilatable after RA, a hybrid approach with additional intracoronary lithotripsy (rotatripsy) can be an effective approach that further modifies the calcified plaque and enables ...

An in vivo porcine model with 2 pigs for lithotripsy (after inserting artificial stones into the collecting system) and 2 pigs for submucosal injection of metal particles (provided by the ...

Coronary S-IVL is performed with the CE-marked Shockwave C 2 Medical Rx Lithotripsy System (Shockwave Medical, Inc.; Santa Clara, CA, USA) (Table 1).The CE mark was granted in May 2017, based on initial results of the DISRUPT CAD I Study for the treatment of de novo coronary artery disease in Europe [15].The US Food and Drug Administration has …

Pneumatic and ultrasonic lithotripsy devices have become the backbone of percutaneous nephrolithotomy and subsequent intracorporeal lithotripsy, with newer devices combining multiple energy sources and balancing features with …

The wide dynamic range that is available for EMSE systems, together with the wide choice of aperture angles, provides a unique toolbox for the designer, serving the different …

Litho 100. The Litho 100 gives you the power capabilities (up to 105 W) and frequency (up to 80 Hz) you need from a high-power system, and it features Quanta's core technologies—Virtual Basket, MasterPULSE, and Vapor Tunnel. The Litho 100 operates with an advanced cooling system, giving the machine quiet performance, and it has an intuitive graphic user interface …

The Shockwave intravascular lithotripsy (IVL) system works by creating an acoustic pressure wave that radiates from the delivery catheter with a narrow effective radius of about 3 mm to 7 mm. ... All procedures were performed with the patients under general anesthesia in a hybrid surgical operating room with a cardiac surgeon standing by with ...

Background: Ultrasonic and pneumatic lithotripters are the gold standard for percutaneous nephrolithotripsy. The goal of this chapter is to help the reader become more …

The Shockpulse-SE (Stone Eliminator) is the next generation Cyberwand system from Olympus, offering dual action lithotripsy with proprietary technology to simultaneously produce constant ultrasonic wave energy and intermittent …

The IVL Catheter is a proprietary balloon catheter system designed to deliver a lithotripsy device through the peripheral arterial system of the lower extremities to the site of an otherwise difficult to treat calcified stenosis. Energizing the lithotripsy device will generate pulsatile mechanical energy within the target treatment site ...

If the lesion remains resistant to dilation after RA, a hybrid approach incorporating additional intracoronary lithotripsy can be an effective strategy, ... The Coronary Intravascular Lithotripsy System. Interv. Cardiol. 2019;14:174–181. doi: 10.15420/icr.2019.18.R1.

These semiconductor devices work by converting electrical energy to optical energy, which is then used to excite thulium ions. Laser diodes have several advantages over flash lamps; in particular, there is lower energy loss in the form of heat and, as there are almost no moving parts, a simple air-cooling system is sufficient (Fig. 1). The ...

The Single-use Olympus LithoCrushV Mechanical Lithotriptor is versatile and easy to use and is available in bullet tip and wire-guided designs. A new handle design allows simple and rapid set up, and features basket rotation making retrieval of small or crushed stones easier and more efficient. The LithoCrushV Mechanical Lithotriptor is compatible with both the autoclavable

How Lithotripsy Works. If a kidney stone won't pass naturally and can't be dissolved with medication, Extra Corporeal Shock Wave Lithotripsy (lithotripsy for short) is a relatively non-invasive technique for treating stones in the kidney and ureter. High-energy shock waves are passed through the body and used to break stones into sand-like ...

This comprehensive review updates the advances in extracorporeal lithotripsy, including improvements in external shockwave lithotripsy and innovations in ultrasound based …

lithotripsy was attempted through the fistula but was difficult because there was too little space to grasp the stones. A few days after placement of a metal stent with an antimigration system in the fistula, a digital cholangioscope was inserted and the stones were crushed by electrohy-draulic lithotripsy (Video S1). However, a large number of

One month later, mechanical lithotripsy was attempted through the fistula but was difficult because there was too little space to grasp the stones. A few days after placement of a metal stent with an antimigration system in the fistula, a digital cholangioscope was inserted and the stones were crushed by electrohydraulic lithotripsy (Video S1 ...

Introduction. Severe calcific aortic stenosis (AS) has been treated with transcatheter aortic valve replacement (TAVR) using balloon-expandable valves (BEV) or self-expanding valves. 1, 2 Severe calcification poses challenges to BEV and self-expanding valves of annular rupture during deployment or after dilation as well as increased risk for peri-valve leak …

New laser technologies that offer an alternative to the holmium:yttrium–aluminium–garnet (YAG) laser are discussed and fibre-optic approaches for delivery of the laser energy inside the urinary tract are considered. The flashlamp-pumped, solid-state holmium:yttrium–aluminium–garnet (YAG) laser has been the laser of choice for use in …