Kidney Stones Clinical Trial
Official title:
Randomized Controlled Trial Comparing Three Different Modalities of Newer Lithotrites For Intracorporeal Lithotripsy
The investigators plan to compare three different devices that are used to break up large kidney stones during surgery for removal to see if one is faster or more efficient than the others.
Large kidney stones can be removed by a surgical procedure where a small puncture is made
through the back into the kidney (percutaneous nephrolithotomy or PNL) but the stones usually
need to be broken into smaller pieces before they can be removed through the small surgical
incision. There are a number of FDA approved devices commercially available used to break up
the stones including pneumatic, ultrasonic, and a combination of the two. Each technology has
advantages and disadvantages.
In the last few years there have been new, improved versions of these devices introduced.
These improved versions have addressed previous issues of probes clogging or breaking and
cumbersome handpiece design. These include the Cyberwand (Cybersonics, Erie, PA), a dual
probe ultrasonic device, Swiss Lithoclast Select (EMS, Switzerland) combining the pneumatic
and ultrasonic modalities, and a novel device by LMA (Gland, Switzerland) called the
StoneBreakerTM, a portable pneumatic device powered by CO2 cartridges.
We propose to compare each of these devices in a randomized study to see if one is better
than another at removing kidney stones quickly and efficiently.
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