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Trial Comparing Three Different Devices for Kidney Stone Removal During Percutaneous Surgery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00952315
Recruitment Status : Completed
First Posted : August 6, 2009
Last Update Posted : February 16, 2017
Information provided by (Responsible Party):
Indiana Kidney Stone Institute

Brief Summary:
The investigators plan to compare three different devices that are used to break up large kidney stones during surgery for removal to see if one is faster or more efficient than the others.

Condition or disease Intervention/treatment Phase
Kidney Stones Device: Cyberwand Device: Stonebreaker Device: Lithoclast Select Not Applicable

Detailed Description:

Large kidney stones can be removed by a surgical procedure where a small puncture is made through the back into the kidney (percutaneous nephrolithotomy or PNL) but the stones usually need to be broken into smaller pieces before they can be removed through the small surgical incision. There are a number of FDA approved devices commercially available used to break up the stones including pneumatic, ultrasonic, and a combination of the two. Each technology has advantages and disadvantages.

In the last few years there have been new, improved versions of these devices introduced. These improved versions have addressed previous issues of probes clogging or breaking and cumbersome handpiece design. These include the Cyberwand (Cybersonics, Erie, PA), a dual probe ultrasonic device, Swiss Lithoclast Select (EMS, Switzerland) combining the pneumatic and ultrasonic modalities, and a novel device by LMA (Gland, Switzerland) called the StoneBreakerTM, a portable pneumatic device powered by CO2 cartridges.

We propose to compare each of these devices in a randomized study to see if one is better than another at removing kidney stones quickly and efficiently.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 270 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Randomized Controlled Trial Comparing Three Different Modalities of Newer Lithotrites For Intracorporeal Lithotripsy
Study Start Date : August 2009
Actual Primary Completion Date : October 2016
Actual Study Completion Date : February 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Stones

Arm Intervention/treatment
Active Comparator: Stonebreaker
Stonebreaker will be used to break up the kidney stone. Duration will be timed and documented.
Device: Stonebreaker
Stonebreaker will be used to break up the kidney stone. Duration will be timed and documented.

Active Comparator: Lithoclast Select
Lithoclast Select will be used to breakup and remove kidney stone. Duration will be timed and documented.
Device: Lithoclast Select
Lithoclast Select will be used to break up and remove the kidney stone. Duration will be timed and documented

Active Comparator: Cyberwand
The dual probe Cyberwand device will be used to fragment and remove the kidney stone. Duration will be timed and documented.
Device: Cyberwand
Dual probe lithotrite Cyberwand will be used to remove kidney stone. Duration will be timed and documented.

Primary Outcome Measures :
  1. Time to removal of a single, targeted kidney stone [ Time Frame: 1 - 3 months ]

Secondary Outcome Measures :
  1. Device complications such as probes clogging or breaking [ Time Frame: 1-3 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Scheduled to undergo percutaneous nephrolithotomy for at least one kidney stone measuring 2 cm or greater
  • Stone easily visible/measurable on plain abdominal imaging (KUB) or CT scan preoperatively
  • Age 18 years or older
  • Able to give informed consent

Exclusion Criteria:

  • Size of single largest stone less than 2 cm
  • Pregnancy
  • Active urinary tract infection
  • Extracorporeal shockwave lithotripsy within the last three months
  • Complex stone anticipating multiple access sites
  • Stones that are not clearly able to be measured on KUB or CT scan
  • Inability to give informed consent
  • Age less than 18 years

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00952315

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United States, Arizona
Mayo Clinic Scottsdale
Phoenix, Arizona, United States, 85054
United States, Illinois
Northwestern University
Chicago, Illinois, United States, 60611
United States, Indiana
IU Health Physicians Urology
Indianapolis, Indiana, United States, 46202
United States, Maryland
Johns Hopkins
Baltimore, Maryland, United States, 21224
United States, Minnesota
Mayo Clinic Rochester
Rochester, Minnesota, United States, 55905
United States, North Carolina
Duke University
Durham, North Carolina, United States, 27710
United States, Tennessee
Vanderbilt University Medical Center
Nashville, Tennessee, United States, 37232
United States, Wisconsin
University of Wisconsin
Madison, Wisconsin, United States, 53792
Canada, British Columbia
University of British Columbia
Vancouver, British Columbia, Canada, V5Z 1M9
Canada, Ontario
The University of Western Ontario
London, Ontario, Canada, N6A 4V2
Sponsors and Collaborators
Indiana Kidney Stone Institute
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Principal Investigator: James E Lingeman, MD IU Health Physicians Urology

Additional Information:
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Responsible Party: Indiana Kidney Stone Institute Identifier: NCT00952315     History of Changes
Other Study ID Numbers: 09-045
First Posted: August 6, 2009    Key Record Dates
Last Update Posted: February 16, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Indiana Kidney Stone Institute:
kidney stones
intracorporeal lithotriptors
kidney stone removal

Additional relevant MeSH terms:
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Kidney Calculi
Kidney Diseases
Urologic Diseases
Urinary Calculi
Pathological Conditions, Anatomical