Urethrotome

The Mooreville Urethrotome

The Otis Urethrotome simplified

The new urethrotome allows for easy and safe non-visual internal urethrotomy by passage over a guidewire, no moving parts and cutting of only fibrous scar. The flat blade protects normal urethra, which is pushed gently away during passage.

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Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Easy to use in multiple settings. Improved reimbursement.

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Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.

Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.
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Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Both the instrument and the handle are autoclavable

The main Set

2 different sizes, 8 – 14 F and 10 – 20 F

graded in centimeters

“CM” markings on the stem of the instrument to help assess the depth of the stricture. “Double” markings at 5, 10 and 15 cm

More Control

Flexible stem with tactile feedback characteristics.

Conical head

Central hole for passage over a guidewire

Blade Height

Height of blade does not exceed circumference of the cone

Pricing

$1,599 for full set (2)

Shipping: $50

SKU # 4401

Patent # 10,500,379

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

references

Suprapubic tract dilation using the Otis urethrotome. Thrasher JB, Kreder KJ. Urology. 1993 Mar; 41(3):247-8.
https://www.ncbi.nlm.nih.gov/pubmed/8442308

Percutaneous nephrostomy tract incision using a modified Otis urethrotome. Ireton RC. Urology Clinics of North Am. 1990 Feb; 17(1):195-8
https://www.ncbi.nlm.nih.gov/pubmed/2305529

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Corpus Ruler

Corpus Ruler

“This new measuring rod is indispensable for obtaining an accurate length of malleable penile implants when placed through the subcoronal incision. Its completely smooth surface is an improvement over the previous model whose indentations prevented a smooth passage to the ischial tuberosity and may have harbored bacteria.”

 

Steven K. Wilson, MD, FACS, FRCS
Former Professor Urology: University of AR for Medical Sciences (UAMS)

2007 Wilson Chair of Prosthetic Urology, UAMS
2010 St. Paul’s Medal: British Association Urologic Surgeons
2013 F Brantley Scott Award of Excellence
2017 Living Legend Award: Society Urologic Prosthetic Surgeons
760 342 6657
79440 Corporate Center Dr. Suite 102
La Quinta, CA 92253

HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Smooth surface. No indents to collect bacteria.

Features Overview

High Quality Material

Surgical Stainless Steel

Sterilizable, reusable

Corpus Ruler Features

27 cm long by 11 mm diameter

Pricing

$579 for one

$899 for two

SKU # 9902

Patent Pending

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URAMIX Easy-Jet Irrigator

URAMIX Easy-jet Irrigator

The URAMIX Easy-Jet Irrigator (UEJI) is an easy to use irrigation system for endoscopic automatic stone irrigation, which takes advantage of current equipment and provides both gravity and pump assisted irrigation, controlled by a foot pedal and precluding the requirement of an assistant. The device is compact, attaches to an IV pole and uses regular irrigation tubing. Irrigation fluid can flow freely through gravity or can be amplified by the pump for pulsatile flow to remove stone fragments, improve visualization and dislodge impacted stones.
HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Helps remove stone fragments during endoscopic lithotripsy and manipulation.

Method of Use

The regular irrigation tubing is fed through device, the pump is turned on and it is ready to use. The user manual is available here and see demo video below.

Pump is foot controlled and is calibrated to 150 rpm. This approximates a flow of a 112 ml/min through a 3F port. 

Comparison List of Flow Rates

These numbers are approximate and may vary slightly based on the instruments used.

Method of Use

The regular irrigation tubing is fed through device, the pump is turned on and it is ready to use. The user manual is available here and see demo video below.

Pump is foot controlled and is calibrated to 150 rpm. This approximates a flow of a 112 ml/min through a 3F port. 

Features Overview

Compact

Easy to use, uses existing supplies

Foot Controlled

Pump is foot controlled

RPMs

Calibrated to 150 rpms. This approximates a flow of a 112 ml/min through a 3F port

UramixWaterJetStoneIrrigatorWJSI

Pricing

$3,899 for one

1 year warranty

SKU # 3304

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Stent Removing Snare

stent removing snare

The new stent removing snare is designed to streamline indwelling ureteral stent removal in the office, with new access, increased convenience and minimal anesthesia. The design’s goal is ease of use and minimizing set-up time and patient discomfort by eliminating the cystoscopy. The 18 F snare is designed to work best in the male urethraThe snare should not be advanced beyond the bulbous urethra. The snare is also available in a smaller size 16 F, which works better removing a stent from the female bladder, as it may require more manipulation.

HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

The Stent Removing Snare allows for the non-visual removal of indwelling ureteral stents, without the use of cystoscopy. The instrument is designed to be passed over a guide wire if clinically needed.

Method of Use

Men (18F Snare should be used) – When the ureteral stent is inserted, the attached string should be left connected to the stent and a 2 cm diameter loop should be created in the string at the point where the string exits the urethra (see figure 1). The loop can be locked in place by placing several knots.

This loop will self-retract into the urethra, with a slight tug on the genitalia, where it comes to rest in the bulbous urethra or anterior urethra and it is not symptomatic. At time of removal, after the instillation of 5-10 cc of an an anesthetic lubricant, the snare is passed into a man’s urethra until the bulbous portion (see figure 2). Rotating the snare as it is slowly withdrawn will hook the loop at the end of the string and pull it out (see figure 3). Occasionally more than one pass is required. If multiple passes, usually 3, do not successfully engage the string loop, it is possible that that the loop could have retracted into the bladder and cystoscopic removal is required. In men the snare should not be passed beyond the bulbous urethra.

Women (16F Snare recommended, but 18F can also be used. If unsure of the angle of the course of the urethra, passage over a guide wire is recommended) – In women the loop is not in a confined space and engaging it may require more manipulation. It is suggested that more than one loop be made in the string to increase the chance of hooking one of the loops. The loop does not self-retract, but has to be pushed into the bladder with the scope or a well-lubricated hemostat.

The snare enters the bladder and is directed towards the side of the stent. A finger in the vagina can help with localization of the snare and the stent itself. The snare may grab the stent itself or one of the string loops. If the stent itself is engaged, a proprioceptive feedback tug will be felt. If the snare misses, repeat passes can be made. Cystoscopic removal is the fallback option.

Method of Use

Men (18F Snare should be used) – When the ureteral stent is inserted, the attached string should be left connected to the stent and a 2 cm diameter loop should be created in the string at the point where the string exits the urethra (see figure 1). The loop can be locked in place by placing several knots.

This loop will self-retract into the urethra, with a slight tug on the genitalia, where it comes to rest in the bulbous urethra or anterior urethra and it is not symptomatic. At time of removal, after the instillation of 5-10 cc of an an anesthetic lubricant, the snare is passed into a man’s urethra until the bulbous portion (see figure 2). Rotating the snare as it is slowly withdrawn will hook the loop at the end of the string and pull it out (see figure 3). Occasionally more than one pass is required. If multiple passes, usually 3, do not successfully engage the string loop, it is possible that that the loop could have retracted into the bladder and cystoscopic removal is required. In men the snare should not be passed beyond the bulbous urethra.

Women (16F Snare recommended, but 18F can also be used. If unsure of the angle of the course of the urethra, passage over a guide wire is recommended) – In women the loop is not in a confined space and engaging it may require more manipulation. It is suggested that more than one loop be made in the string to increase the chance of hooking one of the loops. The loop does not self-retract, but has to be pushed into the bladder with the scope or a well-lubricated hemostat.

The snare enters the bladder and is directed towards the side of the stent. A finger in the vagina can help with localization of the snare and the stent itself. The snare may grab the stent itself or one of the string loops. If the stent itself is engaged, a proprioceptive feedback tug will be felt. If the snare misses, repeat passes can be made. Cystoscopic removal is the fallback option.

Features Overview

High Quality Material

Top grade surgical steel

Both the instrument and the handle are autoclavable

The snare

Conical with increasing size between 16 -18 F.

Base of Cone

3 mm wide

Smooth

No sharp edges on the snare to minimize discomfort during passage.

Stent Removing Snare
Stent Removing Snare
Central Hole

For passage over a guide wire

Dual Purpose

This conical configuration also allows this instrument to be used as a dilator

Flexible

Flexible stem for tactile feedback

Includes

EVA cases, combining the protection of a hard case with the versatility and portability of a soft case

Pricing

$1,579 for full set (18F and 16F)

$879 per snare

Shipping: $50

SKU # 3301

Patent # 10,028,853

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

REMOVING A STENT​

Removing a stent with a stent removing snare.

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How to create a loop

How To Create A “Loop” In The String Attached To The Stent To Facilitate Stent Removal

How to create a loop

How To Create A “Loop” In The String Attached To The Stent To Facilitate Stent Removal

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PATIENT HAVING STENT REMOVED

Patient Having Stent Removed With A Stent Removing Snare

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