The objective of this abstract was to compare the manufacturing and in vitro performance characteristics of two single use flexible ureteroscopes with a permanent optical flexible ureteroscope.
Two single-use flexible ureteroscopes, LithoVue (Boston Scientific, USA) and Pusen (1rs.
generation; Zhuhai Pusen Medical Technology Company Limited, China) were tested and compared with a permanent Flex-X2 ureteroscope (Karl Storz, Germany) in terms of technical characteristics, optics, deflection mechanism and additional parameters which could potentially affect surgical technique.
Pusen was the lightest ureteroscope while the LithoVue had the longest working length. LithoVue had a higher resolution power than the other two ureteroscopes at all distances tested (p<0.001). Pusen showed higher resolution than Flex-X2 (p<0.01). Field of view was wider for LithoVue (87O), followed by Flex-X2 (85O) and Pusen (75O). Color representation was superior for Flex-X2 than LithoVue and then Pusen. LithoVue outperformed Pusen and Flex-X2 for all settings with instruments in terms of deflection loss (p<0.01). Pusen had the highest irrigation flow (52ml/min) with an empty working channel (p<0.01). LithoVue and Pusen showed similar flow rates with a 200μm (21ml/min), 365μm laser fiber (7ml/min), and 1.3F basket (18ml/min), being superior to Flex-X2 (p<0.01). With the 1.9F basket, LithoVue had superior flow rate (7ml/min) than Pusen (3.5ml/min) and Flex-X2 (4ml/min;p=0.01).
LithoVue outperformed the other ureteroscopes in terms of optical resolution, field of view, deflection capacity, and irrigation flow with larger instruments. Pusen is the lighter scope and showed better results in terms of irrigation when no instruments are in place. Flex-X2 was superior in terms of color representation.
Journal of endourology. 2017 Dec 14 [Epub ahead of print]
Giovanni Scala Marchini, Carlos Alfredo Batagello, Manoj Monga, Fabio Cesar Miranda Torricelli, Fabio Carvalho Vicentini, Alexandre Danilovic, Miguel Srougi, William Carlos Nahas, Eduardo Mazzucchi
University of Sao Paulo Medical School, Urology , Av Dr Enéas Carvalho de Aguiar, 255 , Sao Paulo, Sao Paulo, Brazil , 05403-000 ; ., Hospital das Clínicas, University of São Paulo, School of Medicine, Urology , Eneas de Carvalho Aguiar, 255 , Sao Paulo, Sao Paulo, Brazil , 05403000 ; ., Cleveland Clinic, Urology, Cleveand, Ohio, United States ; ., Cleveland Clinic, Urology , 9500 Euclid Avenue / Q10 , Cleveland, Ohio, United States , 44195 ; ., university of sao paulo medical school, Urology , R. Dr. Eneas de Carvalho Aguiar 255 , 7th Floor , sao paulo, Brazil , 05400000 ; ., University of Sao Paulo Medical School, Sao Paulo, Brazil, Section of Endourology, Division of Urology São Paulo, São Paulo, São Paulo, Brazil ; ., University of Sao Paulo Medical School, Urology, Sao Paulo, Sao Paulo, Brazil ; ., Sao Paulo, Brazil ; ., Faculdade de Medicina da Universidade de Sao Paulo, Urologia, SÃO PAULO, Sao Paulo, Brazil ; .