NIDHI LITH - Intra Corporeal
Pneumatic Lithotripter
 
NIDHI LITH Digi - Intra Corporeal
Pneumatic Lithotripter
Urofowmetry
Endoscopic Accessories
Endo Urology Disposables
"We feel, Nidhi Meditech Systems, Ahmedabad is the concern deserves to be in the
first row of globally approved companies in medical especially urological instrumentation."
- Dr. Janak Desai [Samved Hospital, Ahmedabad, India]
"Products and services offered by Nidhi Meditech Systems are really appreciable."
- Dr. Sanjay Khadgi
[Kathmandu, Nepal]
 
 
- INTRA CORPOREAL PNEUMATIC LITHOTRIPTER  
 
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Operating Instructions
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OPERATING INSTRUCTIONS
 

Prior to the surgical operation, ensure that the Hand Piece and the Probe are duly sterile. Formalin or Cidex sterilization can be preferred. During sterilization, 'sterilization / protection cap' must be placed on the Hand Piece.

Before starting the surgical operation, confirm that the Hand Piece is properly assembled and the system is working. Test the working of the Hand Piece by energizing the control unit by foot-switch for a while. You will receive jolts to your hand ensuring that the system is working. Make sure that the Hand Piece is not in contact with any part of the human body.

 
Selection
 
Probe
  • Ureteric Stone : Probes of 1mm, 1.2mm, 1.4mm are supplied as standard accessories for the use in Ureteroscopy. Probes of 0.8mm, 1.1mm and 1.5mm can be supplied on specific request. Select the probe which can pass through the scope easily reveling the smooth movement and better endoscopic vision. The bigger probe in diameter will help you in better fragmentation and reducing the procedure time.
  • Kidney Stone : Probes of 2.5mm and 3.0mm are supplied as standard accessories for use in Per Cutaneous Nephro Lithotripsy.
  • Bladder Stone :1.5mm for treating bladder stone with cystoscope sheath as an optional accessory.
Frequency
The frequency can be obtained in a single pulse as well as multiple pulses.
 
  • Single Pulse : The control unit is energized for single pulse on the tip of the probe by pressing the foot-switch. This is ideal for ureteroscopy towards better and controlled fragmentation, thereby avoiding migration of the stone from the ureter.
  • Multiple Pulse : The control unit is energized for the multiple pulse, varying from 1 impact per second to 12 impacts per second linearly by rotating selector switch; on the tip of the probe, by pressing the foot-switch. This mode is useful for fast fragmentation of hard as well as large calculi. For fast and controlled fragmentation it is advisable to keep the frequency between 5 impacts per second and 8 impacts per second per second.
Pressure
  • Ureteric stones : The permitted operating pressure is between 1 kg./cm2 and 2.5 Kg./cm2.
  • Kidney Stones : The permitted operating pressure is between 1 kg./cm2 and 4 Kg./cm2.
  • Bladder Stones : The permitted operating pressure is between 1 kg./cm2 and 4 Kg./cm2.
For the fast and controlled fragmentation, the pressure and frequency is to be adjusted according to the hardness of the stone.
 
Routine Maintenance
After every surgical procedure, dismantle the Hand Piece completely, clean all the parts gently applying the spirit by dry cotton and ensure that no foreign particle enters the cylinder. Do not use harsh detergents to clean. The liquid soap / light detergents can be used for cleaning the Hand Piece and its parts.
 
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