Urinary Stone
Conditions
Keywords
lithotripsy, urinary stone
Brief summary
This is a single arm, multi-center study to assess the safety and efficacy of a form of extracorporeal lithotripsy, called the Enhanced Lithotripsy System, to treat urinary stones.
Detailed description
This is a single arm, multi-center study to assess the safety and efficacy of a form of extracorporeal lithotripsy, called the Enhanced Lithotripsy System, to treat urinary stones. Subjects will be treated up to 2 times with the Enhanced Lithotripsy System and followed for 90 days after the last treatment session.
Interventions
Stone treatment with the Enhanced Lithotripsy System
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female aged ≥ 18 years to ≤ 75 years. * One urinary stone-apparent on a computed tomography (CT) scan within 14 days prior to study enrollment * Stone size, as estimated by pre-procedure CT, with all dimensions 15 mm or less. * Provides written informed consent * Understands and accepts the study requirements
Exclusion criteria
* Age less than 18 years of age or over 75 years of age * Diagnosis of radiolucent stones * Diagnosis of stones in the lower pole of kidney * History of cystinuria * Urine pH below 5.5 * Current untreated urinary tract infection * Pregnancy * Coagulation abnormality or taking prescription anticoagulants. Aspirin usage will be discontinued at least 7 days prior to enrollment at the discretion of the attending physician. * Mobility issues - unable to comfortably lie still for up to 30 minutes or unable to roll from back to side * Known hypersensitivity to conductivity gel * Vulnerable individuals (mentally disabled, physically disabled, prisoner, etc.) * Body mass index greater than 35 * American Society of Anesthesiologists (ASA) score of 3 or greater general anesthesia risk level * Known sensitivity to possible medications used before, during, or after the ELS procedure, including but not limited to the following: sedative agents, general anaesthetics, topical anaesthetics, and opioid analgesics. * Enrollment in another research study or previous participation within 30 days of enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of study participants with Serious Device and/or Serious Procedure-Related Adverse Events (Safety) | 90 days | Incidence of Serious Device and/or Serious Procedure-Related adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stone-free status | 30 days | Proportion of study participants who are successfully treated \[absence of stones or with only clinically-insignificant remaining fragments\] |
Other
| Measure | Time frame | Description |
|---|---|---|
| Pain scoring | 30 days | Patient reported pain scores |
| Pain medication usage | 30 days | Collection of pain concomitant pain medications |
| Time to stone passage | 30 days | Evaluation of stone presence |
Countries
Australia