The new grasper-integrated single use flexible cystoscope for double J stent removal: evaluation of image quality, flow and flexibility

Talso, Michele; Emiliani, Esteban; Baghdadi, Mohammed; Orosa, A.; Servián, Pol; Barreiro, Aaron; Proietti, Silvia; Traxer, Olivier

doi:10.1007/s00345-016-1987-z

Cited by 24 publications

(33 citation statements)

References 5 publications

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“…The authors also indicated that the deflection angle of Isiris™ increased when the grasper was outside the device. They concluded that Isiris™ was comparable to other cystoscopes in terms of quality of vision and water flow (5).…”

Section: Discussionmentioning

confidence: 85%

Isiris™: A New Single Use Digital Cystoscope For Double-J Stent Removal

Şener¹,

Talso²,

Emiliani³

et al. 2019

jus

Self Cite

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Isiris™ (Porgès-Coloplast) is a single-use digital flexible cystoscope, with an integrated grasper approved for double-J stent removal with comparable characteristics with other digital cystoscopes in the market. Isiris has its own monitor that can be mounted anywhere; and also with an integrated camera and a grasper system, stent removal can be performed at any place without any time restriction and also without a delay between two procedures. Isiris provides the use of a brand-new device in each procedure without a risk of contamination. The digital image quality and easy maneuverability and the potential cost reduction with a single-use device are the advantages, which all urologists should appreciate.

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Section: Discussionmentioning

confidence: 85%

Isiris™: A New Single Use Digital Cystoscope For Double-J Stent Removal

Şener¹,

Talso²,

Emiliani³

et al. 2019

jus

Self Cite

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“…Olympus ® CYF5, Olympus ® CYF-VH, Storz ® 11272C1, and Vision Science ® CST 5000 EndoSheath in the laboratories. 50 In their study, they found that Isiris α's vision and water flow are comparable to other digital flexible cystoscopes although the field of view is noted to be narrower on Isiris α™. Nevertheless, Talso et al have concluded that Isiris α™ is a viable and good alternative tool to remove ureteric stents.…”

Section: Isiris α™mentioning

confidence: 90%

Cost Analysis and Service Delivery on Using Isiris α™ to Remove Ureteric Stents

Phan¹,

Cobley

Mahmalji

2018

Journal of Endoluminal Endourology

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Introduction Isiris α™ (Coloplast®) is an innovative single-use disposable flexible cystoscope with an integrated ureteric stent grasper designed specifically to remove ureteric stents. It allows clinicians to remove ureteric stents easily on the wards or in clinics without the need of arranging a routine and dedicated flexible cystoscopy appointment for patients. We evaluated Isiris α’s practical use and cost analysis against traditional reusable endoscopes. Method We compared the cost of removing ureteric stents using Isiris α™ in 10 patients prospectively versus traditional flexible cystoscopes in 10 patients retrospectively. The costs of the equipment, medications, reprocess machines, and utility costs were consulted from the relevant departments and companies. As for labour cost, we have sourced British Medical Association (BMA) and Royal College of Nursing (RCN) websites. Results From our study, it costs £260.65 and £123.41 on average to remove a ureteric stent using Isiris α™ and traditional flexible cystoscope respectively (p<0.001). Stent removal in the endoscopy department was delayed in 60% of patients, on average 6.4 days, compared to 0% of patients using Isiris α™ (p = 0.048). Conclusion Although Isiris α™ is shown to be a more expensive option to remove ureteric stents based on our analysis, it still provides clinicians flexibility and ease in removing ureteric stents in the outpatient clinic, reducing the pressure and demand for dedicated flexible cystoscopy slots in the endoscopy department.

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“…A single case of grasper failure has been reported in which the manufacturing company provided a replacement cystoscope [ 14 ]. The image quality of the Isiris system has been deemed to be comparable to other flexible cystoscopes and although there was a narrower field of view, this was adequate for the purpose of stent removal [ 15 ]. In our study, no case of Isiris failure was noted.…”

Section: Discussionmentioning

confidence: 99%

“…Future studies should also consider the environmental impact of using disposable scopes. It is plausible that Isiris scopes can be developed further to overcome the field of view, which could allow diagnostic procedures to be carried out using the second generation of these scopes [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of ureteric stent removal procedures using reusable and single-use flexible cystoscopes following ureteroscopy and lasertripsy: A micro costing analysis

Pietropaolo

Hughes

Tear

et al. 2020

Cent european J Urol

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Introduction Diagnostic pressure on endoscopy suite can lead to delay in flexible cystoscopic stent removal. We compare the cost and organizational impact of reusable flexible cystoscope versus single-use, flexible cystoscope with a built-in stent grasper (Isiris ® ). Material and methods Data for the reusable cystoscopic stent removal performed in endoscopy room, group A (period 1) were compared to Isiris disposable stent removal performed in outpatient clinic, group B (period 2). We chose the same calendar months in successive years for these two different groups (9 months each). A micro cost analysis was performed evaluating the impact on costs, complications and organizational benefit. Results A total of 72 patients (37, group A; 35, group B) were included with no significant differences in age and gender ratio. The mean procedure time was 14.4 and 2.2 minutes, and the mean stent dwell time was 26.8 and 15.4 days in groups A and B respectively (p <0.001). In group A, 5 patients (14%) developed stent encrustation, of which 3 needed a ureteroscopic removal subsequently. No complication occurred in group B. More staff on average were needed for procedures done in group A, than group B (p <0.001). The number of patients who had cancer diagnostic wait of >2 weeks for flexible cystoscopy and the mean number of days they waited, reduced from 16 to 3, and 21 days to 3 days respectively between period 1 to period 2. The cost per procedure between group A and group B was £267.2 and £252.62 (p <0.05) if the cost of managing complications was not considered, and £365.40 and £252.62 (p <0.001) if the cost of managing complications was also considered. Conclusions Isiris significantly reduced stent dwell time, procedural time and staff needed to carry out the stent removals. It also allowed the procedures to be done in the outpatient setting thereby reducing the organizational pressure on endoscopy related diagnostic procedures.

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The new grasper-integrated single use flexible cystoscope for double J stent removal: evaluation of image quality, flow and flexibility

Abstract: In terms of quality of vision and water flow, the FC Isiris α is comparable to the other digital FC tested. Field of view is narrower. The results displayed a valid alternative to the standard procedure for DJ removal.

Cited by 24 publications

References 5 publications

Isiris™: A New Single Use Digital Cystoscope For Double-J Stent Removal

Isiris™: A New Single Use Digital Cystoscope For Double-J Stent Removal

Cost Analysis and Service Delivery on Using Isiris α™ to Remove Ureteric Stents

Comparison of ureteric stent removal procedures using reusable and single-use flexible cystoscopes following ureteroscopy and lasertripsy: A micro costing analysis

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