V6-01 ROBOT ASSISTED FLEXIBLE URETEROSCOPIC LASER LITHOTRIPSY, WITH AVICENNA ROBOFLEX (2015)

You have accessJournal of UrologyUrolithiasis1 Apr 2015V6-01 ROBOT ASSISTED FLEXIBLE URETEROSCOPIC LASER LITHOTRIPSY, WITH AVICENNA ROBOFLEX Jens Rassweiler, Remzi Saglam, Olivier Traxer, A. Sinan Kabakci, Zafer Tokatli, Abdurrahim Imamoglu, and Glenn Preminger Jens RassweilerJens Rassweiler More articles by this author , Remzi SaglamRemzi Saglam More articles by this author , Olivier TraxerOlivier Traxer More articles by this author , A. Sinan KabakciA. Sinan Kabakci More articles by this author , Zafer TokatliZafer Tokatli More articles by this author , Abdurrahim ImamogluAbdurrahim Imamoglu More articles by this author , and Glenn PremingerGlenn Preminger More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.466AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES As recently reported in European Urology, the new robot for flexible ureteroscopy “Avicenna Roboflex” produced by Elmed-Turkey is used now in three Urologic Departments (Ankara, Paris, Heilbronn). In this paper we were able to demonstrate the safety and effectivity of the new robotic device for flexible ureteroscopy. Thus, treatment of kidney stones by using Avicenna Roboflex, is no more experimental. Now, we are searching the additional advantages of the Roboflex. METHODS Avicenna Roboflex consists of a console and manipulator. The hand piece of the scope is locked to the robotic arm. The surgeon at the console, to controls two joy-sticks to manipulate the rotation, deflection and in and out movement of the endoscope. It is possible to observe the deflection degree, and when necessary switch the European type to the United States type. A central wheel enables fine tuning of deflection inside the collection system. The surgeon can rotate robotically 440 degrees. This minimizes the torsion risk of the endoscope. Once the tip comes on the stone it is usually decreased to 2mm per second to provide an excellent precision of movement. Laser fiber can be remotely moved in and out which is very helpful to provide suitable distance between stone and the tip of the laser fiber. Software prevents firing of the laser shot when the laser tip is very close to the endoscope to prevent the laser damages. The integrated water pump can be also adjusted remotely. By this way, it is possible to treat the stone with minimal flow rate and to provide low pressure lithotripsy. RESULTS Robotic flexible ureteroscopy, provides better ergonomics, prevents the user from radiation exposure, prevents damages of the device In the meantime more than 150 renal stones have been treated with the device at all three centers including a series of larger stones (n=42) with a mean volume of these stones of 1,6 cm3. CONCLUSIONS Avicenna Roboflex is a new and suitable platform for the flexible ureteroscopy, with free rotatable manipulator, fine movement steerable at console, adjustable to American and European endoscopes, versatile for endoscopes and lasers, the Avicenna Roboflex improves ergonomy by sitting at console with armrest and free control of all functions. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e576-e577 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jens Rassweiler More articles by this author Remzi Saglam More articles by this author Olivier Traxer More articles by this author A. Sinan Kabakci More articles by this author Zafer Tokatli More articles by this author Abdurrahim Imamoglu More articles by this author Glenn Preminger More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...