Evaluation of a Bifocal Reflector on a Clinical Lithotripter
- 1 February 2004
- journal article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 18 (1), 7-16
- https://doi.org/10.1089/089277904322836596
Abstract
To perform in vitro and in vivo tests using a clinical lithotripter in order to determine whether a bifocal reflector is more efficient and produces the same or less tissue damage than a conventional ellipsoidal reflector for electrohydraulic lithotripters. A standard ellipsoidal and a novel bifocal reflector were tested on a Tripter Compact lithotripter (Direx Medical Systems, Petach Tikva, Israel). The bifocal reflector was constructed by joining two sectors of two rotationally symmetrical ellipsoidal reflectors having different distances between their foci. The F1 foci of the sectors coincided, creating a separation between the F2 foci. The fragmentation efficiency of the reflectors was compared using kidney-stone models. Shockwave-induced trauma was evaluated in vivo by treating both kidneys of six healthy dogs. One kidney was exposed to shockwaves generated with the conventional reflector, and the other kidney was treated using the bifocal reflector. Pressure measurements were obtained for both reflectors using needle hydrophones. The new design appeared to be more efficient than the conventional reflector in breaking up kidney-stone models. Tissue damage did not increase when using the bifocal reflector. The use of bifocal, instead of standard ellipsoidal, reflectors should be considered as an alternative to improve extracorporeal shockwave lithotripsy.Keywords
This publication has 35 references indexed in Scilit:
- The mechanisms of stone fragmentation in ESWLJapanese Journal of Clinical Oncology, 2001
- Dynamic photoelastic study of the transient stress field in solids during shock wave lithotripsyThe Journal of the Acoustical Society of America, 2001
- Dynamics of bubble oscillation in constrained media and mechanisms of vessel rupture in swlJapanese Journal of Clinical Oncology, 2001
- Fracture mechanics model of stone comminution in ESWL and implications for tissue damagePhysics in Medicine & Biology, 2000
- Gallstone lithotripsyThe American Journal of Surgery, 1993
- Die therapeutische Wertigkeit der ambulanten extrakorporalen Stoßwellenlithotripsie von Speichelsteinen. Ergebnisse einer prospektiven StudieLaryngo-Rhino-Otologie, 1993
- Renal Injury by Extracorporeal Shock Wave LithotripsyJournal of Endourology, 1991
- EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OF SALIVARY GLAND STONESThe Lancet, 1989
- Current State and Future Developments of Noninvasive Treatment of Human Urinary Stones With Extracorporeal Shock Wave LithotripsyJournal of Urology, 1989
- EXTRACORPOREALLY INDUCED DESTRUCTION OF KIDNEY STONES BY SHOCK WAVESThe Lancet, 1980