Comparison of Peditrol^® Irrigation Device and Common Methods of Irrigation

Abstract

The Peditrol irrigation device generates superior flow through an F-URS compared with GI or PI, particularly with an instrument in the working port. Intrarenal pressures when used with an F-URS and AS are low. When an AS is not used, the intrarenal pressure is similar to or lower than pressures obtained using an S-URS with different irrigation modalities.

Change in irrigation flow through a flexible ureteroscope with various devices in the working channel: Comparison between an automatic irrigation pump and gravity‐based irrigation

“…Since then, the use of handheld‐activated syringe‐based systems has become more standard to ensure adequate irrigation flow during procedures. A foot‐activated syringe‐based irrigation system called Peditrol (Wismed, Durban, South Africa) is currently available . Furthermore, pressurized irrigation bags and an AIP that place constant pressure on the saline bag have also been introduced for irrigation during procedures.…”

“…Therefore, regardless of the type of instrument in the working channel, it is important to maintain a constant irrigation flow from the tip of the working channel of the fURS that is identical to the irrigation flow in the unoccupied working channel. This will ensure optimal renal pelvic distention and prevent the drastic increases in intrarenal pressure that might occur with handheld‐activated syringe‐based systems . We consider that the use of an AIP might play a role in maintaining an optimal surgical field for easy manipulation of the fURS in the kidney.…”

“…This will ensure optimal renal pelvic distention and prevent the drastic increases in intrarenal pressure that might occur with handheld-activated syringe-based systems. 6 We consider that the use of an AIP might play a role in maintaining an optimal surgical field for easy manipulation of the fURS in the kidney. However, the performance of AIPs during RIRS is still under review.…”

Systematic Evaluation of a Novel Foot-Pump Ureteroscopic Irrigation System

“…2 The type of ureteroscope (rigid, semirigid, flexible), method of lithotripsy (pneumatic, ultrasonic, laser-including laser fiber size), and presence of other instruments (access sheaths, baskets, guidewires) are all important factors that can affect the likelihood of stone migration with the use of irrigation. [1][2][3][4] Previous studies have compared passive gravity/pressuredependent systems to active systems requiring hand or foot compressions, however, as new products become commercially available there is a continual need for independent evaluations of these devices. 1,3 The objective of this study was to evaluate a new foot-pump device, specifically focusing on irrigation parameters that may affect stone migration.…”

“…[1][2][3][4] Previous studies have compared passive gravity/pressuredependent systems to active systems requiring hand or foot compressions, however, as new products become commercially available there is a continual need for independent evaluations of these devices. 1,3 The objective of this study was to evaluate a new foot-pump device, specifically focusing on irrigation parameters that may affect stone migration. By measuring the magnitude and duration of forces on a stone in a simulated model, our objective was to predict which system results in a higher probability of causing stone migration to improve the overall efficiency of endoscopic stone removal procedures.…”