Stone Retrieval Basket
Stone basket · Basket stone forceps · Nitinol stone basket · Ureteral stone basket · Stone retrieval device · Zero Tip
A single-use device with a thin sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry and a sliding handle. Moving the handle pushes a small cage of wires out of the sheath tip, where it opens, and pulls it back to close. The wires are nitinol or stainless steel; tipless nitinol baskets have a flat end with no tip.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Passed closed through the working channel of the ureteroscope or nephroscope to the stone, opened beside or past it, and closed around the stone or a fragment so it can be pulled out. It is also used to move a stone into a calyx where it is easier to laser.
Lengths and variants
About 1.5 to 5 Fr. Alexander's lists 3 to 5 Fr ureterYOOR-uh-terOne of the two tubes that carry urine from the kidneys down to the bladder.Full entry baskets in several styles; Hinman uses 1.5 Fr or 3 Fr baskets through a flexible scope in PCNL. The pictured Boston Scientific Zero Tip comes in 1.9, 2.4 and 3.0 Fr.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
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- 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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9 sources
- AST. Surgical Technology for the Surgical Technologist. 4th ed. Chapter 20 (Genitourinary Surgery), Procedure 20-5 (Ureteroscopy), p. 841
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 24 (Genitourinary Surgery), p. 595
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 15 (Genitourinary Surgery), p. 469
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 15 (Genitourinary Surgery), p. 516
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 36 (Ureteroscopic Instrumentation), p. 319
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 37A (Ureteroscopic Management of Ureteral Calculi), p. 323
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 37B (Ureteroscopic Management of Renal Calculi), p. 327
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 228-229
- bostonscientific.com
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