Minerals and Salts Ureter Calcium Oxalate Uric Acid Bladder - PowerPoint PPT Presentation

Kidney Minerals and Salts Ureter Calcium Oxalate Uric Acid Bladder Urethra

Kidney Ureter Bladder Ureter

Kidney Stone Basket Laser Ureter Basket Light Bladder Camera Urethra Ureteroscope

Lasers Shockwave Stone fragmentation Stone fragmentation Laser Shockwave delivered through skin Ureteroscope

Basket Ureter Stone Extraction Tools 5-10mm Stones with diameters of 5 to 10mm are extracted using a basket Bladder Ureteroscope Urethra

10mm 1mm 3mm 4mm 2mm

Basket Ureteroscop e

Population Problem Outcome ■ Only extract one stone ■ Extract multiple stones ■ Urologists at a time at once ■ Stones < 5mm are left ■ Surgically remove ■ Patients for patients to pass stones < 5mm naturally ■ Decrease recovery ■ 1 week recovery time time

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Kidney Ureter Bladder

Kidney Ureter Bladder

Kidney Ureter Bladder

Validation Test Result Entrapping 5-10mm ✔ stones via the basket Maneuvering around ✔ multiple stones within the ureter Inflating balloon to ✔ extract multiple stones at once Ergonomic survey of PureRemoval = 4.6/5 handle on scale of 1-5 Current Devices = 2.6/5

Company Stone Size Variety Recovery Time PureRemoval Cook Medical/ Boston Scientific

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Angioplasty Gallstone Removal

Ureteral Access Sheath Ureteroscope Introducer Entry point ■ Conduit for ureteroscope ■ Remains in body during procedure

2002 1957 1994 2019