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| Name | Class |
|---|---|
| Boston Scientific Corporation | INDUSTRY |
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Most flexible ureteroscopes that are used to treat kidney stones have been reusable. Recently, advances in technology have resulted in single-use (disposable) ureteroscopes to become available. The investigators are interested in determining if the performance of the two types of scopes are equivalent. This will help guide institutions in the future to purchase the best scopes for their patients.
Ureteroscopy is commonly used in the treatment of kidney stones. Flexible ureteroscopes are costly to purchase and repair. Issues with flexible ureteroscopes include loss of deflection and visual performance (fiberoptic pixels) with use and the high repair costs. Reprocessing and sterilization of reusable ureteroscopes also requires staff who are specially trained and dedicated in this area. Inadequate sterilization could also lead to transmissible infections between patients. A single-use flexible digital ureteroscope has recently become commercially available (LithoVue, Boston Scientific, Marlborough, MA). Pre-clinical testing show the accessibility to the ureter and all areas of the kidney to be equivalent to current flexible ureteroscopes. However, clinical data comparing this single-use ureteroscope to a current state of the art reusable ureteroscope is lacking. Establishing at least equivalence in performance between the new single use ureteroscope and a reusable digital ureteroscope will help surgeons and operating room managers/administrators help determine how to most efficiently equip their operating rooms with endoscopic equipment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reusable Ureteroscope | Active Comparator | Standard ureteroscope. |
|
| single-use flexible digital ureteroscope (LithoVue) | Experimental | Disposable ureteroscope being tested. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| single-use flexible digital ureteroscope | Device | Device being tested. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Stone-free status | Overall kidney stone burden that remains post ureteroscopy (if any) | 6-10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Case completion with one scope | Was the operation able to be completed with a single scope (did the scope break and/or did another one have to be used) | Day of procedure |
| Scope optics (visual quality of the image provided by the scope) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ben H Chew, MD | University of British Columbia, Associate Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eye and Ear Institute - Department of Urology | Columbus | Ohio | 43212 | United States | ||
| University of British Columbia |
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| ID | Term |
|---|---|
| D007669 | Kidney Calculi |
| D053040 | Nephrolithiasis |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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This will be a prospective, randomized clinical trial. Patients will be randomized 1:1 in randomization blocks of 4 to undergo the procedure with either the LithoVue single use flexible ureteroscope or the digital reusable flexible ureteroscope. Ureteroscopy will be performed using a standardized technique.
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| Reusable Ureteroscope | Device | Comparative device. |
|
At the start and end of each procedure the surgeon will take a video clip of the intrarenal collecting system - these clips will then be evaluated and scored by blinded urologists.They will use a 5 point Likert scale that will evaluate the quality of the image in multiple categories from poor (1) to excellent (5) in multiple categories. Categories include: Focus/Sharpness, Exposure, Color Accuracy, and Overall Image Quality.
| Day of procedure |
| Maintenance and Repair | number of cases until repair (reusable scope), | Through study completion, an average of 8 months |
| Secondary procedures and/or unanticipated clinical events | Includes adjuvant procedures and unscheduled hospital visits | 4-6 weeks post operatively |
| Vancouver |
| British Columbia |
| V5Z 1M9 |
| Canada |
| D000091642 | Urogenital Diseases |
| D052878 | Urolithiasis |
| D014545 | Urinary Calculi |
| D052801 | Male Urogenital Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |