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Published on: December 23, 2022
Novel instrumentation in urologic surgery: Shock wave lithotripsy
Michelle J Semins1, Brian R Matlaga
1James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Summary
Extracorporeal shock wave lithotripsy (SWL) has transformed kidney stone treatment since 1980. This review details technological advancements in SWL devices over three decades to improve stone removal and reduce patient morbidity.
Area of Science:
- Urology
- Medical Device Technology
- Nephrology
Background:
- Extracorporeal shock wave lithotripsy (SWL) emerged in 1980, revolutionizing kidney stone management.
- SWL is a preferred non-invasive, outpatient procedure for the majority of stone removal cases.
- Early lithotripters like the Dornier HM3 paved the way for significant technological evolution.
Purpose of the Study:
- To review the historical evolution of extracorporeal shock wave lithotripsy technology.
- To examine the advancements in SWL instrumentation over the past thirty years.
- To understand the modifications made to improve SWL effectiveness and safety.
Main Methods:
- Literature review of SWL technology development.
- Analysis of instrumentation modifications in lithotripters.
- Examination of advancements over the last three decades.
Main Results:
- SWL technology has continuously evolved since its inception.
- Numerous modifications have been made to lithotripters to overcome limitations.
- The goal of these modifications is to enhance treatment efficacy and minimize patient morbidity.
Conclusions:
- Extracorporeal shock wave lithotripsy technology has undergone significant development.
- Ongoing innovation aims to optimize stone treatment and patient outcomes.
- The review highlights the progress in SWL instrumentation over thirty years.
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