Nephrostomy Balloon Dilator
Nephrostomy balloon catheter · Balloon dilator · High-pressure balloon dilator · PCNL balloon · Ultraxx
A long catheter with a high-pressure balloon near its tip and a radiopaqueray-dee-oh-PAYKBlocking x-rays, so the material shows up white on an x-ray image.radi/o radiation, x-rayopaque not letting throughFull entry markerMAR-kerSomething that can be measured, such as a substance in the blood, that shows a disease or body process is present.Full entry to place it. It comes with a sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry (Amplatz sheath) that loads over the balloon, and it is filled with diluted contrastKON-trastA dye or other substance given before an imaging test so body parts show up more clearly.Full entry from an inflation syringe with a pressure gauge.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Opens the PCNL tract in one step. It is passed over the working guidewire until its markerMAR-kerSomething that can be measured, such as a substance in the blood, that shows a disease or body process is present.Full entry is just inside the calyx and inflated; the sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry is then pushed over the balloon with a back-and-forth twist and stays in as the working channel for the nephroscope.
Lengths and variants
24 or 30 Fr for standard PCNL, rated to about 20 to 30 atm. Cook Ultraxx balloons are 15 cm long; sets pair the balloon with a matching sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry , for example 18 Fr with a 6 mm balloon or 24 Fr with an 8 mm balloon.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
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- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
- After the case
Care and reprocessing
How it is cleaned, checked and sent back to sterile.Pro
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5 sources
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 219
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 225-228
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 24 (Genitourinary Surgery), p. 604
- cookmedical.com
- ifu.cookmedical.com
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