Avtar Dhindsa M.D.

Need for Irrigation in Ureteroscopy

VISUALISATION

DILATION

Present Irrigation System

1) Pressurized Cuff

2) Manual Syringe Irrigation

3) Hand Held Irrigation Pump

4) Foot Pump

5) Electronic Pumps

Pressurized Cuff

ADVANTAGE

High Pressure Good Visualization

DISADVANTAGE

Use of Both Hands, Lack of Precise Control

Manual Syringe Irrigation System

ADVANTAGESlightly Better Control

DISADVANTAGENeed for TWO Assistants

Control In The Assistant’s Hand

Hand Held Irrigation Pumps

ADVANTAGE

Better Control

DISADVANTAGE

Requires Assembly

Use of TWO Hands/ Assistant (PAIN and INJURY)

Bulky, Tubes Kink, Cumbersome

Roller Pumps, Electronic Pumps

ADVANTAGE

Able to Provide Flow at a Constant Rate

DISADVANTAGE

Difficult To Slow Down

Expensive

Need of TWO hands

FOOT PUMP

ADVANTAGE

NONE

DISADVANTAGE

Too many controls with the FOOT

Need an Assistant to slow the Flow

CUMBERSOME

Accidental Firing of Laser

ERGONOMICS

•PRECISION CONTROL BY A SURGEON WITH A SINGLE HAND.

•ONE HAND COMPLETELY FREE FOR PROCEDURES.

•SUPERIOR ERGONOMICS.

•COMPATABLE WITH ALL URETEROSCOPES.

•MULTIFUNCTIONAL.

•ELIMINATES MANY ACESSORIES.

•MANY COST SAVINGS.

Cost Savings are at Multiple Levels

1) TIME SAVINGS

A) INITIAL- Before the procedure.

B) DURING – During the procedure.

2) LESS Equipment.

3) LESS Complications.

4) LESS Need For Personnel.

A) INITIAL BEFORE THE PROCEDURE.

i) All Devices Require ASSEMLY on the Table.

ii) UPIS requires NO ASSEMBLY.

B) DURING THE PROCEDURE.

i) CUMBERSOME DEVICE VS COMPACT DEVICE.

ii) Irrigation Time cut in Half with UPIS.

iii) 3 hands operation.

iv) Hand and Foot operation .

v) Engaging and Disengaging ports.

vi) Comes with a Toughy Bhorst.

LESS EQUIPMENT

•ELIMINATES MANY ACCESSORIES.

CONE TIP CATHETERS

OPEN-ENDED CATHETERS

DUAL-LUMEN CATHETERS

INJECTION CATHETERS

•COMES WITH A TOUGHY BORST.

LESS COMPLICATIONS

•Engaging/Disengaging Ports.

•Injection Port is Multifunctional.

•Stone Migration ESWL.

LESS PERSONNEL

•Fewer Employees

SAVES OR TIME

LESS INVENTORY

SAFER PROCEDURE

FEWER EMPLOYEES

SAVES MONEY

SAVES MONEY

SAVES MONEY

SAVES MONEY

LESS TIME

LESS EQUIPMENT

LESS COMPLICATIONS

LESS PERSONNEL

SAVINGS

BOTTOM LINE

SAVES MONEY

SAVES MONEY

SAVES MONEY

SAVES MONEY

LESS TIME

LESS EQUIPMENT

LESS COMPLICATIONS

LESS PERSONNEL

SAVINGS PROFIT