The BML lithotripter is a three-layer device consisting of a strong four-wire basket within a Teflon sheath and an overlying metal sheath. The larger lithotripsy basket or BML-3Q equivalent (BML-201) has a slightly thicker metal sheath and requires a scope with a 4.2 mm working channel.

nephrolithotomy (PCNL/PNL) using a lithotripter has become standard procedure in stone management. 15798 15806 This setup guide is a summary of the ShockPulse-SE instructions for use (IFU). For detailed operating instructions, be sure to follow the instruction manual that was included with your device when purchased. QUICK REFERENCE GUIDE

Purpose: To analyze the efficiency and cost-utility profile of ureteroscopy versus shock wave lithotripsy for treatment of reno-ureteral stones smaller than 2 cm. Methods: Patients treated for urinary stones smaller than 2 cm were included in this study (n = 750) and divided into two groups based on technique of treatment. To assess the cost-utility profile a sample of 48 patients

It has been shown that cavitation bubbles produced by a lithotripter shock pulse can play a role in stone breakage and tissue damage (reviewed in [1]). Recent publications suggest that

The shock waves, which are generated by a machine called a lithotripter, are focused by x-ray onto the kidney stone. The shock waves travel into the body, through skin and tissue, reaching the stone where they break it into small fragments. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to

1. Introduction. It has been shown that cavitation bubbles produced by a lithotripter shock pulse can play a role in stone breakage and tissue damage (reviewed in []).Recent publications suggest that cavitation can also affect the propagation of the acoustic pulse in vitro [2,3] and in vivo [].Experiments in [] demonstrated that waveforms recorded in the focus of a piezoelectric transducer

ShockPulse-SE Integrating ultrasound and mechanical energies simultaneously from a single probe enables rapid fragmentation of all types of stones. Percutaneous nephrolithotomy (PCNL/PNL) using a lithotripter has become standard procedure in stone management. Assembling Step 1: Screw probe onto the transducer until loosely connected.

Time to remove the targeted stone burden is measured at time the lithotripter unit starts fragmenting the stone to time all fragments are removed from the kidney based on visual inspection. This is prior to final visual inspection of the kidney with a flexible nephroscope. Prior shock wave lithotripsy within 3 months of study procedure

Conclusions: Passage through the body wall has minimal effect on the characteristics of lithotripter SWs. Other than reducing pulse amplitude and having the potential to affect the symmetry of the focused wave, the body wall has little influence on the acoustic field.

the lithotripter shock pulse or the subsequent collapse of , cavitation bubbles excited by the pulse. Erosion results , particularly when bubbles collapse against a surface. Individual , bubbles and bubble clusters create jets as shown in Fig. 2. The , shock wave transmitted into the stone when the jet impinges on ,

The ShockPulse-SE is a dual action lithotripsy system for efficient stone fragmentation. The large lumen and intuitive single-handed control make kidney, ureter, and bladder stone management