As part of the medical service agreement, we provide:
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Providing the Sonolith® Praktis lithotripter with additional equipment: a treatment table, ultrasound machine, and optional C-arm X-ray machine for the medical staff of the urology facility to perform ESWL kidney stone crushing procedures, in collaboration with a Medico Systems technician.
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Delivery within specified deadlines and installation of medical devices for ESWL kidney stone crushing in a designated room at the facility.
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Full service of the lithotripter by an electroradiology technician, a Medico Systems employee, during the procedures.
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All equipment consumables and disposables for the ESWL procedure.
We have extensive experience in ESWL, working with numerous urology clinics and departments nationwide, and providing kidney stone crushing services to over 20 hospitals.
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ESWL Treatment for Kidney Stones:
ESWL (extracorporeal shock wave lithotripsy) is a urological procedure involving the fragmentation of stones in the bladder, ureter, or kidney using shock waves generated outside the patient’s body. The therapeutic device is a lithotripter that generates ultrasonic waves, generating a shock wave and fragmenting the stones, fragments of which are excreted in the urine via the urethra. The shock wave is an ultrasonic wave that penetrates aqueous environments without significant loss, such as soft, well-hydrated, and low-density tissues like the kidney. Upon encountering a dense object, such as a kidney stone, the ultrasonic waves will reflect off it. Ultrasonic wave pulses are focused at a so-called focus, a point in space where the ultrasonic wave has the greatest force in disintegrating the stone. The procedure is performed at a frequency of 60-120 pulses per minute, with 1,500-3,000 pulses throughout the entire procedure.
An ultrasound machine or a C-arm X-ray machine is used to position the stone. Thanks to the use of a high-quality video path with a monitored view, ionizing radiation doses are minimized.
Advantages of electroconductive technology:
1. Electroconductive shock wave generation. A uniform, precise electrical discharge creates a nearly identical shock wave pulse (therapeutic wave).
2. A built-in hydrophone inside the reflector measures the shock wave pressure, and a special system corrects the voltage values to match the power set by the lithotripter user.
3. Dual localization and imaging system, i.e., ultrasound and X-ray. Even non-opaque stones can be targeted.
4. The small focus and precise, controlled environment for shock wave generation mean that 90% of patients with a normal pain threshold do not require premedication. This increases patient comfort and reduces hospital costs.
5. Power adjustment from 1-100% power in one-percent increments allows for the procedure to be performed on children, as the physical properties of electroconductive technology allow for a highly flexible treatment protocol.
6. Equal conditions for every patient, ensuring safety. A hydrophone built into the reflector measures and regulates pressure in real time to the required value during each subsequent shot. This process is designed to maintain a constant level of effectiveness and fragmentation during subsequent treatments and ensure greater patient safety.
7. Maximum shock wave pressure at its focus. The shock wave is generated directly at a geometric point with the same intensity with each shot. The shock wave is focused in an ellipsoidal reflector specifically designed to maximize the benefits of electroconductive technology. In the event of a failure lasting longer than 48 hours, Medico Systems will provide a replacement device to ensure smooth service provision.