Systematic Evaluation of a Novel Foot-Pump Ureteroscopic Irrigation System

Hendlin, Kari; Sarkissian, Carl; Duffey, Branden G.; Monga, Manoj

doi:10.1089/end.2011.0248

Cited by 9 publications

(2 citation statements)

References 5 publications

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“…In an in vitro evaluation of two different active systems (foot and hand pumps), hand pump was found to cause less migration of the fragments with lower maximum irrigation pulse; but both systems were found to be similar in regards of functionality. [32] In a comparison of active and passive systems, active system achieved better vision and control while it was found to be more risky for the migration of stone fragments. [33] Baskets Nitinol baskets are less rigid compared to stainless steel ones; thus restricts only slightly deflection of the flexible ureteroscope.…”

Section: Guidewirementioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 1

Cleynenbreugel

Kılıç

Akand

2017

Turkish Journal of Urology

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The main aim in the treatment of renal stones is to clearance of the stones completely with the least morbidity. Parallel to the improvements in technology during recent years, new flexible ureterorenoscopes and effective lithotripters such as holmium laser have been developed, thus retrograde intrarenal surgery (RIRS) has become an efficient and safe option in the management of urinary system stone disease with a gradually increasing popularity. Therewithal, innovations in auxiliary equipment such as guide-wires, ureteral access sheath and stone baskets have made this procedure more effective. With this modality, nowadays, the vast majority of renal stones can be treated successfully without need of open surgery or percutaneous nephrolithotomy. RIRS can be used as a primary treatment in patients with renal stones smaller than 2 cm, in cases with prior unsuccessful shock wave lithotripsy (SWL), infundibular stenosis, renoureteral malformation, musculoskeletal deformity, bleeding diathesis as well as obese patients. The efficiency of this procedure has been also proved in pediatric patients. In the first part of this detailed review for RIRS, history, indications and contraindications, preoperative preparation, antibiotic prophylaxis, anesthesia, surgical technique related to flexible ureteroscopes and auxiliary equipment being used, postoperative care and complications of this operation are discussed with up-to-date literature.

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Section: Guidewirementioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 1

Cleynenbreugel

Kılıç

Akand

2017

Turkish Journal of Urology

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“…adequate visualization must be carefully balanced against stone migration and pyelovenous backflow. an in vitro comparison between two active delivery systems, the Single-action-pump System (Boston Scientific, Natick, Ma) which is a hand pump and the Flo-assist (NuVista Medical, cincinnati, OH) which is a foot pump, was recently performed [14]. although both devices were similar with regards to labor intensity, the Single-action-pump provided a lower maximum irrigation impulse, which lessens the risk of fragment retropulsion.…”

Section: Irrigationmentioning

confidence: 99%

Disposable devices for RIRS: Where do we stand in 2013? What do we need in the future?

2014

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While rapid advances in technology and knowledge continue, continual improvements are necessary. Disposable equipment needs persistent refinement and possible miniaturization. More efficient fragment retrieval devices are needed. Durability of laser fibers and safety within ureteroscopes needs to be improved. Reducing stent morbidity remains an ongoing challenge. Lastly, costs need to be reduced by the further development of disposable flexible ureteroscopes and in the recyclability of disposable devices to improve availability worldwide.

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Instrumentation for Stone Disease

Knudsen

2019

Minimally Invasive Urology

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Systematic Evaluation of a Novel Foot-Pump Ureteroscopic Irrigation System

Abstract: The hand-pump (SAP) and foot-pump (Flo-Assist) irrigation devices tested require comparable amounts of pumps for similar durations of time to maintain endoscopic visualization. Overall, the SAP device exerts less average maximum force on the stone than the Flo-Assist device.

Cited by 9 publications

References 5 publications

Retrograde intrarenal surgery for renal stones - Part 1

Retrograde intrarenal surgery for renal stones - Part 1

Disposable devices for RIRS: Where do we stand in 2013? What do we need in the future?

Instrumentation for Stone Disease

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