Remote lithotriptor (with ultrasound and X-ray guidance, table)

Mobile shock wave system for extracorporeal shock wave lithotripsy in urology under ultrasound and X-ray control with an electromagnetic shock wave source. The optimal solution for medical clinics, because the system modules (ultrasound, X-ray, table) can be selected based on the specific needs of the customer. Combines advanced achievements in the field of lithotripsy.

Features of the system:

- modular design of the system;

- wide range of configurations and accessories;

Application areas:

- anesthetic-free extracorporeal use of shock waves for the treatment of urolithiasis – extracorporeal shock wave lithotripsy (ESWL)

- cystoscopy, diagnostics and interventions in the ureter, prostate and bladder

- X-ray diagnostics of the genitourinary tract, overview images, contrast images of empty organs and vascular systems

- ultrasound diagnostics

- percutaneous nephrolithotomy

- percutaneous nephrostomy

- ureterorenoscopy

Main technical characteristics:

THERAPY UNIT

An electromagnetic shock wave source with a large dynamic range. Perfectly suited for all known applications today: from low-energy soft tissue therapy to stone therapy using high focal energy.

- shock wave lithotripsy without anesthesia even at the highest level of the dynamic range.

- deep penetration for hard-to-reach stones

- non-wearable acoustic lens for precise focusing

- patient contact via water cushion with adjustable pressure and comfortable temperature

SHOCK WAVE SOURCE

- electromagnetic shock wave source

– max. penetration depth: 150 mm

- 9 adjustable energy levels

- pressure in the therapeutic focus: 8 – 51 MPa

- frequency of shock wave impulses: 60-180 impulses per minute with constant frequency or triggered by ECG

SHOCK WAVE SOURCE POSITIONING

– isocentric bracket with three hinges for positioning during treatment and parking position.

– mechanical fixation with buttons on the hinged joints.

– 36 therapeutic positions.

POWER SUPPLY / INSTALLATION

- Power supply: 115/230 V + 10%, 50/60 Hz, 1.0 kVA

- Footprint area: 940 x 600 mm

- Main unit weight: 170 kg

MANUAL CONTROL

- Shock wave start key

- Indication and adjustment of therapeutic parameters:

- Shock wave counter

- Frequency of shock wave pulses constantly/by ECG

- Shock wave intensity

- Source supply / focal depth

ULTRASONIC LOCALIZATION SYSTEM WITH US-SCANNER

A portable color ultrasound system is an advanced image visualization. The device's new ultrasound platform provides its users with the most effective scanning process due to its improved image processing capabilities and advanced technologies that are as easy to use as possible.

Optimization of the work process is carried out thanks to the accelerated provision of an accurate diagnosis of ultrasound examination.

The built-in high-capacity battery supports 3 hours of continuous scanning.

The ultrasound startup software has a fast loading time.

Wi-Fi and Bluetooth wireless connection is convenient for working with the ultrasound system.

- Specialized software for working with lithotriptor

- LCD monitor (diagonal 15.6 inches)

- Operating frequency from 1 to 16 MHz

- Connectors for sensors: 1, connection through an adapter of three sensors is provided

- Weight with battery 4.5 kg

Scanning modes:

B, M, B / M, B / B, 4B, Fabric harmonica
Modes: two-way and triplex
Color doppler
Pulse-wave Doppler
Continuous-wave Doppler
Energy Doppler
Directed energy doppler
MicroScan speckle noise suppression technology
- Isocentric bracket of the ultrasonic sensor

- Sensor (with adapter for isocentric bracket)

- electronic convex sensor for stone localization and general diagnostics

- multi-frequency sensor (MFI) with 128 elements

- frequency: 1.0 - 7.0 MHz, electronic selection

- convenient to work - light, small in size

- radius of the sensor head (ROC): 50 mm

- viewing angle: 70°

X-RAY LOCALIZATION SYSTEM with 9 "EOP

The mobile X-ray imaging system provides excellent maneuverability and good image quality.

Rotating anode with an X-ray generator with a power of 5.0 kW / 120 kV.

Intended for general urological purposes and localization and monitoring of stones during remote lithotripsy (ESWL).

Includes standard functions of pulsed fluoroscopy, snapshot, motorized iris collimator and parallel blinds.

• Mobile X-ray C-arm

GENERATOR

-           high-frequency monoblock, power: 5.0 kW, 40-120 kV, 50 mA, 125 mAs

-           supports continuous and pulse fluoroscopy and digital imaging

X-RAY TUBE

- rotating anode with 0.3 mm and 0.6 mm focuses, 3000 rpm

- anode heat capacity 650 kJ (870 kHU)

- full filtration ³ 2.5 mm Al (with DAP 2.8 mm / l)

ELECTRO-OPTICAL CONVERTER (EOP)

-           three sizes 9 "- 6" - 4" (215/160/120 mm)

- resolution in the center of 48/56/64 pairs of lines / cm

TV CAMERA

-           CCD camera format 1k²

-           image matrix 1024 x 1024 x 12 bits

DIGITAL SYSTEM OF STORAGE AND PROCESSING OF IMAGES

-           digital system with 1 high resolution 24" monitor on a cart

-           hard drive for approx. 55,000 images

- real-time image rotation (left-right, up-down), image inversion, magnification, contrast enhancement, digital contrast / brightness adjustment

MONITOR

-           1 flat LCD monitor, 24 ", with high resolution, on a trolley

DIMENSIONS FROM ARC

- focal spot distance - EOP 988 mm

-          free space monoblock - EOP 770 mm

-           distance central beam - C-arc 690 mm

-           orbital motion of C-arc 135 °  (+ 93 / - 42 °)

- C-arc rotation ± 12.5 °

-          vertical movement of C-arc 500 mm

-          horizontal movement of C-arc 210 mm

- C-arc rotation ± 270 °

-           max. width 860 mm

- height 1780 mm

-           weight approx. 3600 N

POWER SUPPLY

-           single-phase current 115/230 V ± 10%, 50/60 Hz, 16 A

UNIVERSAL TABLE FOR ENDOUROLOGY AND LITHOTRIPSY RELAX + Endo

Functional capabilities;

- Transportable, universal electric table for endourology and EUHL

- Interchangeable radiolucent carbon fiber table sections for endourological procedures, for unilateral or bilateral EUHL

- There is no effect of shading the examined organs
- Certified IPX2 protection against moisture

- Certified for use with high frequency electrocoagulators

- Combined performance of auxiliary procedures and EUHL without moving the patient

- Free access to the patient from all sides

- Low table height for laying small patients

- High load capacity, which allows you to use the table in the treatment of large patients

- A large range of movements of the table top, which allows scanning of all urinary tracts

- 2 movement speeds for quick orientation and high-precision positioning

- 3 memorized positions for storing and recalling areas of interest

- height-compensated tilt of the table

- Simple and convenient transportation

- Wide selection of additional accessories

TECHNICAL DATA

Table

- table top, total length 2380 mm

- table top, total width (including side guides) 780 mm

- table height (with a mat) 768 - 1098 mm

- the main section of the table is 710 mm x 780 mm

- insert middle section of the table 650 mm x 680 mm

- leg section (narrow) 1020 mm x 570 mm

- the maximum weight of the patient is 180 kg

- the height adjustment range (along the z axis) is 330 mm

- range of longitudinal movement (along the x axis) 330 mm

- the range of longitudinal movement (along the y axis) is 195 mm

- the table tilt range is symmetrical in both directions (axis k): ± 15 °

- high speed of movement (along x and y axes) 20 mm/sec

- high speed of movement (along the z axis) 10 mm / sec

- tilt speed 0.6 ° / sec

- memory functions 3 positions

- dimensions of the table in the base (L x D): 1030 x 680 mm

- table weight approx. 257 kg

Manual control panel

- keyboard with six LED indicators

- table movement punctures: longitudinal / transversal / vertical / tilt

- the possibility of choosing a special table tilt function

- 3 memory positions

- zero position

- selection of low / high speed

Power supply

- voltage 115-230 V, 50/60 Hz

- power 500 VA maximum

Accessories of the standard configuration:

- the middle section of the table with 1 cut-out for EUHL

- foot section of the table

Delivery set:

- shock module 1 pc.

- ultrasonic scanner 1 pc.

- convex sensor with adapter 1 pc

- isocentric bracket for ultrasonic guidance 1 pc

- X-ray C-arc (rotating anode) 1 pc.

- dosimeter (built-in) 1 pc

- monitor 1 pc

- connection mechanism with C-arc 1 pc

- 1 patient table

- foot pedal for the table 1 pc.

- leg holders 1 pair

- options for endourology (flexible pallet, bags) 1 set.

- hand holder 1 pc

- roller (pillow) 1 pc

- wedge (cushion) 1 pc

- insert for pediatrics 1 pc.