Mechanical Lithotriptor Set

A reusable mechanical lithotripsy set, reprocessed between cases, that breaks the stone by drawing the basket against a metal spiral.

Manufacturer: Medi-Globe / Endo-FlexClass I / Is4 models

This page is intended for healthcare professionals.

Mechanical Lithotriptor Set

Measurements at a glance

Diameter
2.6/4.0 mm
stated for 3 models
Length
100/195 cm
stated for 3 models

Models

Diameter (mm)Length (cm)ComponentModel
2.6195Spiral, Type I120261
2.6195Spiral, Type III120602
4.0100Emergency spiral, Type III120604
Measurements awaitedLithotripsy handle120600
Construction
A 4 m stainless steel traction wire with a proximal stainless steel push tube, a distal multifilament stainless steel basket, and a Teflon tube as the insertion aid for the working channel

The Type I and Type III lines are the handle the spiral fits.

A mechanical lithotripsy device used to fragment large common bile duct stones that cannot be removed intact during ERCP.

In which cases?

  • A large common bile duct stone that will not pass the papilla after sphincterotomy.
  • A basket impacted on a stone, freed by breaking the stone in place.
  • Difficult stone clearance where the alternative is a second session with a stent in between.

What makes it different?

  • The basket is pulled into the metal sheath, so the stone is broken against the edge of the sheath.
  • The set is reprocessed it is autoclaved at 134 degrees Celsius and goes from case to case.
  • The stone is broken against the edge of the sheath, and the fragments are removed with a balloon or a basket.

Frequently asked questions

When is mechanical lithotripsy indicated?

According to the manufacturer mechanical lithotripsy is indicated for stones larger than about 1.5 cm, or in cases with several stones that will not pass the papilla. The purpose is breaking stones in the bile and pancreatic ducts, and the indication is biliary lithotripsy.

What limits the set?

Lithotripsy cannot be guaranteed: if the stone is too hard the basket can break under the force applied to it, and then the stone and the torn basket have to be removed surgically. Lithotripsy is stopped at once when it becomes clear that the stone will not break, and the handle is turned in 360 degree increments with a 5 to 10 second wait between them.

Technical data

Manufacturer
Medi-Globe / Endo-Flex
Class
I / Is
SUT code
None
Continuous use
Designed for continuous use of less than 60 minutes
Reprocessing
Autoclaved at 134 degrees Celsius, under the general care instructions for flexible endoscopic instruments
Breaking the stone
To break the stone the Teflon tube is exchanged for a metal spiral, which is what gives the constant counter-pressure during the break
Handle types
Two, one matched to the Type I spiral and one to the Type III spirals, which is what the model number of the spiral says
Contrast
Through the lateral Luer lock port of the Y adapter on the Teflon tube
Materials
Stainless steel and plastics

Distributing Mechanical Lithotriptor Set in Türkiye

Registration, the first cases and nationwide supply are handled by one team.