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

minerals and salts
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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


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Minerals and Salts

Kidney Ureter Bladder Urethra Calcium Oxalate Uric Acid

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Ureter Bladder Ureter Kidney

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Basket Laser Light Camera Ureteroscope

Kidney Stone Basket

Ureter Bladder Urethra

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Lasers Shockwave

Ureteroscope Stone fragmentation Laser Stone fragmentation Shockwave delivered through skin

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Stones with diameters of 5 to 10mm are extracted using a basket

Extraction Tools

Ureter Bladder Urethra

Ureteroscope

Stone Basket 5-10mm

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10mm 3mm 4mm 2mm 1mm

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Ureteroscope

Basket

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■ Only extract one stone at a time ■ Stones < 5mm are left for patients to pass naturally ■ 1 week recovery time

Problem

■ Urologists ■ Patients

Population

■ Extract multiple stones at once ■ Surgically remove stones < 5mm ■ Decrease recovery time

Outcome

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Handle

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Ureter Bladder Kidney

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Kidney Ureter Bladder

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Kidney Ureter Bladder

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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 handle on scale of 1-5 PureRemoval = 4.6/5 Current Devices = 2.6/5

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

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Handle

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Angioplasty Gallstone Removal

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■ Conduit for ureteroscope ■ Remains in body during procedure

Ureteral Access Sheath

Entry point Introducer

Ureteroscope

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1957 1994 2002 2019