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Related Experiment Videos

[Extracorporeal lithotripsy using the Lithoring multi-one, a third generation lithotripter].

P Puppo1, P Bottino, F Germinale

  • 1Clinica Urologica, Università di Genova.

Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|March 1, 1990
PubMed
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The Lithoring multi-one lithotripter effectively treats urinary stones with a 97.9% disintegration rate and 83.3% stone-free rate after 3 months, even without anesthesia. This new technology shows comparable side effects to existing spark gap lithotripters.

Area of Science:

  • Urology
  • Medical Devices
  • Nephrology

Context:

  • The Lithoring multi-one is a novel spark gap lithotripter developed in Italy.
  • It features a tunable power generator, integrated fluoroscopy and ultrasound localization, and an isocentric shock wave window.
  • The device is designed for treating both urinary and biliary stones.

Purpose:

  • To evaluate the experimental and clinical efficacy of the Lithoring multi-one lithotripter.
  • To assess the device's performance in vitro, in vivo (pigs), and in clinical trials for urinary stone treatment.

Summary:

  • Experimental studies included in vitro analysis and in vivo trials on pigs, showing favorable side effect rates compared to other spark gap lithotripters.
  • Clinical experience with 50 patients treated for urinary stones (including large, ureteral, and staghorn calculi) demonstrated a 97.9% disintegration rate.

Related Experiment Videos

  • Patients received an average of 1700 shock waves at 19.2 Kv without anesthesia, achieving an 83.3% stone-free rate at 3 months with no complications.

    • Impact:

    • The Lithoring multi-one offers a promising alternative for urinary stone management, potentially reducing the need for anesthesia.
    • Its high disintegration and stone-free rates suggest significant clinical utility.
    • The comparable side effect profile indicates a favorable safety margin for this new lithotripter.