Ultrasonic Lithotripter
Ultrasonic lithotrite · Ultrasound lithotripter · Combined ultrasonic and pneumatic lithotripter · Dual-modality lithotripter · Swiss LithoClast Trilogy · CyberWand
A console with a handpiece, hollow metal probes that screw onto the handpiece, suction tubing to a collection canister, and a foot pedal. Combined units add a ballistic (pneumatic) action in the same handpiece and probe.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
The main stone breaker in standard PCNL. The probe goes through the rigid nephroscope and touches the stone; the vibrating tip cracks the stone while suction pulls the pieces out through the hollow probe. In combined units the ballistic action breaks hard stones and the ultrasound action suctions the debris.
Lengths and variants
Probes come in several diameters, including small ones that fit a mini-nephroscope. The pictured Swiss LithoClast Trilogy (EMS, Boston Scientific) is a combined unit that uses one probe.
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
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8 sources
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 219-220
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 223
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 228-230
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 24 (Genitourinary Surgery), p. 602
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 24 (Genitourinary Surgery), p. 604
- Goldman MA. Pocket Guide to the Operating Room. 3rd ed. Chapter 19 (Genitourinary Surgery), p. 421-422
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 15 (Genitourinary Surgery), p. 516
- bostonscientific.com
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