First clinical evaluation of the new single-use flexible and semirigid Pusen ureteroscopes

被引:28
作者
Emiliani, Esteban [1 ]
Mercade, Asier [1 ]
Millan, Felix [1 ]
Sanchez-Martin, Francisco [1 ]
Andres Konstantinidis, Cristian [1 ]
Angerri, Oriol [1 ]
机构
[1] Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Plaza Civ,Campus UAB, E-08193 Barcelona, Spain
关键词
ureteroscopy; urolithiasis; single-use ureteroscope; flexible ureteroscope; semirigid ureteroscope; Pusen;
D O I
10.5173/ceju.2018.1620
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction The purpose of the present study was to clinically evaluate two new single-use Pusen ureteroscopes, one semirigid with a flexible tip (srURS) and one flexible (fURS). Materials and methods During ten consecutive procedures (five srURS and five fURS), we subjectively evaluated on a scale from 0 (poor) to 10 (excellent), the scope's deflection, image quality, and maneuverability prior to, during and after the surgery. Patient demographics, complications with the devices, and troubleshooting were recorded. Results There were a total of ten patients, five of which were female while the other five were male. Mean age was 58.9 years. Seven patients had a single kidney stone with mean size of 9.6 mm (1.6-20 mm). Half of the patients were pre-stented. For the fURS, the preoperative image quality rating was 8.4 (8-10), compared with 6.8 (4-9) during surgery. The preoperative deflection rating was 9.6+ 0.9 (8-10), while during surgery this decreased to 8.0 (6-10) and to 6.0 (4-8) when using a laser fiber. The srURS had a preoperative image quality rating of 9.2 (8-10), which decreased to 7.6 (6-9) while using the scope. The deflection rating decreased from 9.4 (7-10) preoperatively to 7.0 (1-10) postoperatively, and a similar reduction was observed in the maneuverability rating, from 9.6 (8-10) to 7.4 (1-10). Ureteroscopy was considered as a standard in four of the fURS and three of the srURS procedures. The mean overall satisfaction rating was 6. Conclusions The two new single-use ureteroscopes, one flexible and one semirigid, were considered to have allowed standard ureteroscopy in four and three out of the five procedures for each scope, respectively. The image quality, deflection, and maneuverability ratings decreased during the procedure for both scopes.
引用
收藏
页码:208 / 213
页数:6
相关论文
共 18 条
[1]   The PolyScope: A Modular Design, Semidisposable Flexible Ureterorenoscope System [J].
Bader, Markus Juergen ;
Gratzke, Christian ;
Walther, Sebastian ;
Schlenker, Boris ;
Tilki, Derya ;
Hocaoglu, Yasemin ;
Sroka, Ronald ;
Stief, Christian Georg ;
Reich, Oliver .
JOURNAL OF ENDOUROLOGY, 2010, 24 (07) :1061-1066
[2]   Comparison of laser fiber passage in ureteroscopic maximum deflection and their influence on deflection and irrigation: Do we really need the ball tip concept? [J].
Baghdadi, Mohammed ;
Emiliani, Esteban ;
Talso, Michele ;
Servian, Pol ;
Barreiro, Aaron ;
Orosa, Andrea ;
Proietti, Silvia ;
Traxer, Olivier .
WORLD JOURNAL OF UROLOGY, 2017, 35 (02) :313-318
[3]   LithoVue (TM): A new single-use digital flexible ureteroscope [J].
Buttice, Salvatore ;
Sener, Tarik Emre ;
Netsch, Christopher ;
Emiliani, Esteban ;
Pappalardo, Rosa ;
Magno, Carlo .
Central European Journal of Urology, 2016, 69 (03) :302-305
[4]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[5]   First clinical evaluation of a new single-use flexible ureteroscope (LithoVue™): a European prospective multicentric feasibility study [J].
Doizi, Steeve ;
Kamphuis, Guido ;
Giusti, Guido ;
Andreassen, Kim Hovgaard ;
Knoll, Thomas ;
Osther, Palle Jorn ;
Scoffone, Cesare ;
Perez-Fentes, Daniel ;
Proietti, Silvia ;
Wiseman, Oliver ;
la Rosette, Jean de ;
Traxer, Olivier .
WORLD JOURNAL OF UROLOGY, 2017, 35 (05) :809-818
[6]   Single use and disposable flexible ureteroscopes [J].
Emiliani, Esteban ;
Traxer, Olivier .
CURRENT OPINION IN UROLOGY, 2017, 27 (02) :176-181
[7]   Current Standard Technique for Modern Flexible Ureteroscopy: Tips and Tricks [J].
Giusti, Guido ;
Proietti, Silvia ;
Villa, Luca ;
Cloutier, Jonathan ;
Rosso, Marco ;
Gadda, Giulio Maria ;
Doizi, Steeve ;
Suardi, Nazareno ;
Montorsi, Francesco ;
Gaboardi, Franco ;
Traxer, Olivier .
EUROPEAN UROLOGY, 2016, 70 (01) :188-194
[8]  
Gridley CM, 2017, RES REP UROL, V9, P19, DOI 10.2147/RRU.S104229
[9]   Cost Analysis of Flexible Ureteroscope Repairs: Evaluation of 655 Procedures in a Community-Based Practice [J].
Kramolowsky, Eugene ;
McDowell, Zachary ;
Moore, Blake ;
Booth, Brigette ;
Wood, Nada .
JOURNAL OF ENDOUROLOGY, 2016, 30 (03) :254-256
[10]   In Vitro Evaluation of Single-Use Digital Flexible Ureteroscopes: A Practical Comparison for a Patient-Centered Approach [J].
Marchini, Giovanni Scala ;
Batagello, Carlos A. ;
Monga, Manoj ;
Miranda Torricelli, Fabio Cesar ;
Vicentini, Fabio C. ;
Danilovic, Alexandre ;
Srougi, Miguel ;
Nahas, Willian C. ;
Mazzucchi, Eduardo .
JOURNAL OF ENDOUROLOGY, 2018, 32 (03) :184-191