Comparison of the mechanical, flow, and optical properties of contemporary flexible ureteroscopes

Kun Yuan Chiu, Yi Cai, Robert Marcovich, Assaad El-Hakim, Arthur D. Smith, Benjamin R. Lee

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objectives. New designs have improved the ability of flexible ureteroscopes to assess the upper urinary tract. However, limitations of tip deflection may interfere with diagnosis and treatment of lower pole renal pathologic features and smaller working channels may impair irrigant flow. Our purpose was to compare the new flexible ureteroscopes with prior models to determine whether engineering advances have overcome these problems. Methods. Two newly released flexible ureteroscopes, the ACMI DUR-8 Elite and the Storz 11278AU, were compared with four other ureteroscopes, the ACMI DUR-8, Storz 11274AAU, Olympus URF-P3, and Wolf 9F. Active tip deflection, irrigation flow rates, and intraluminal pressures with and without various endoscopic tools were assessed. The specifications, purchase prices, and repair costs were obtained from the individual manufacturers. Also, the field of view and screen image size of each scope were compared. Results. The ACMI DUR-8 Elite and Storz 11278AU had improved tip deflection of 79° and 144°, respectively, from previous ureteroscopes. Although the tip deflections of all ureteroscopes were compromised by the insertion of endoscopic tools, new ureteroscopes were less affected. With a 3F basket within the working channel, the ACMI DUR-8 Elite and the Storz 11278AU had a loss of downward deflection of only 0.7% and 2.8% compared with a loss of 9.6% and 5.0% for their older models, respectively. However, the flow rate of these new instruments was decreased. Conclusions. The new flexible ureteroscopes have significantly better active tip deflection than previous models, both with and without endoscopic instrumentation inserted. However, improved flexibility comes at the expense of a decreased flow rate.

Original languageEnglish (US)
Pages (from-to)800-804
Number of pages5
JournalUrology
Volume62
Issue number5
DOIs
StatePublished - Nov 2003
Externally publishedYes

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Ureteroscopes
Urinary Tract
Kidney
Pressure
Costs and Cost Analysis

ASJC Scopus subject areas

  • Urology

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Comparison of the mechanical, flow, and optical properties of contemporary flexible ureteroscopes. / Chiu, Kun Yuan; Cai, Yi; Marcovich, Robert; El-Hakim, Assaad; Smith, Arthur D.; Lee, Benjamin R.

In: Urology, Vol. 62, No. 5, 11.2003, p. 800-804.

Research output: Contribution to journalArticle

Chiu, Kun Yuan ; Cai, Yi ; Marcovich, Robert ; El-Hakim, Assaad ; Smith, Arthur D. ; Lee, Benjamin R. / Comparison of the mechanical, flow, and optical properties of contemporary flexible ureteroscopes. In: Urology. 2003 ; Vol. 62, No. 5. pp. 800-804.
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abstract = "Objectives. New designs have improved the ability of flexible ureteroscopes to assess the upper urinary tract. However, limitations of tip deflection may interfere with diagnosis and treatment of lower pole renal pathologic features and smaller working channels may impair irrigant flow. Our purpose was to compare the new flexible ureteroscopes with prior models to determine whether engineering advances have overcome these problems. Methods. Two newly released flexible ureteroscopes, the ACMI DUR-8 Elite and the Storz 11278AU, were compared with four other ureteroscopes, the ACMI DUR-8, Storz 11274AAU, Olympus URF-P3, and Wolf 9F. Active tip deflection, irrigation flow rates, and intraluminal pressures with and without various endoscopic tools were assessed. The specifications, purchase prices, and repair costs were obtained from the individual manufacturers. Also, the field of view and screen image size of each scope were compared. Results. The ACMI DUR-8 Elite and Storz 11278AU had improved tip deflection of 79° and 144°, respectively, from previous ureteroscopes. Although the tip deflections of all ureteroscopes were compromised by the insertion of endoscopic tools, new ureteroscopes were less affected. With a 3F basket within the working channel, the ACMI DUR-8 Elite and the Storz 11278AU had a loss of downward deflection of only 0.7{\%} and 2.8{\%} compared with a loss of 9.6{\%} and 5.0{\%} for their older models, respectively. However, the flow rate of these new instruments was decreased. Conclusions. The new flexible ureteroscopes have significantly better active tip deflection than previous models, both with and without endoscopic instrumentation inserted. However, improved flexibility comes at the expense of a decreased flow rate.",
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