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Cost-Free Laser Caging in the Operating Room
Ryan A Chandhoke1, Kamaljot S Kaler1, Ralph V Clayman1
1Department of Urology, University of California Irvine , Orange, California.
Journal of Endourology
|September 1, 2016
Summary
A new three-step method simplifies laser fiber preparation for ureteroscopic lithotripsy. This technique ensures precise functional length, improving efficiency and safety during stone removal procedures.
Area of Science:
- Urology
- Surgical Technology
- Medical Devices
Background:
- Ureteroscopic lithotripsy requires precise laser fiber management.
- Current methods for fiber length adjustment can be cumbersome.
Purpose of the Study:
- To present a novel, standardized three-step process for preparing laser fibers.
- To enhance the functional length presetting for ureteroscopic lithotripsy.
Main Methods:
- A three-step procedure was developed using readily available materials.
- Components include sterile adhesive, a guidewire casing with a Luer-Lok™ fitting, and a SureSeal® adapter.
- The method focuses on securing and presetting the laser fiber's functional length.
Main Results:
- The described process offers a reliable way to set laser fiber length.
- It integrates standard ureteroscopy equipment with minimal additions.
- The technique aims for consistent and accurate fiber functional length.
Conclusions:
- This three-step process provides an effective solution for laser fiber preparation in ureteroscopy.
- It simplifies a critical aspect of ureteroscopic lithotripsy, potentially improving outcomes.
- The method is practical and utilizes accessible components for clinical application.

