Dr. Roger Sur

then aspirate or irrigate full force and then engage the uh the lever and i get full uh very high volume aspiration all the larger pieces and come flying through the seven front channel i wish i had a picture for you here but i hope that makes sense no i intentionally didn't look it up so i could try to explain it without having or you know talk about it without having preconceptions

Yeah. So the overall is a 12 French or 11. It's a little under 12 French. It's 11.9. It's not tiny. And this, I would say, is one of the disadvantages of the CVAC is it requires a 1214 French access sheet. And not every patient is going to accommodate a 1214 French, right? I'm sure you put up a 1214 like it's not going to go. Well, in that case, you can't put the CVAC through.

Yeah. So the overall is a 12 French or 11. It's a little under 12 French. It's 11.9. It's not tiny. And this, I would say, is one of the disadvantages of the CVAC is it requires a 1214 French access sheet. And not every patient is going to accommodate a 1214 French, right? I'm sure you put up a 1214 like it's not going to go. Well, in that case, you can't put the CVAC through.

Yeah. So the overall is a 12 French or 11. It's a little under 12 French. It's 11.9. It's not tiny. And this, I would say, is one of the disadvantages of the CVAC is it requires a 1214 French access sheet. And not every patient is going to accommodate a 1214 French, right? I'm sure you put up a 1214 like it's not going to go. Well, in that case, you can't put the CVAC through.

Now they do have a get around for that. If the 1214 doesn't work, they have a, you can just use the scope by itself. It has an obturator kind of like its own access sheet. It has an obturator that goes through the seven fringe working channel and you literally pass over a wire, the entire CVAC with the obturator over a wire into the kidney.

Now they do have a get around for that. If the 1214 doesn't work, they have a, you can just use the scope by itself. It has an obturator kind of like its own access sheet. It has an obturator that goes through the seven fringe working channel and you literally pass over a wire, the entire CVAC with the obturator over a wire into the kidney.

Now they do have a get around for that. If the 1214 doesn't work, they have a, you can just use the scope by itself. It has an obturator kind of like its own access sheet. It has an obturator that goes through the seven fringe working channel and you literally pass over a wire, the entire CVAC with the obturator over a wire into the kidney.

But again, if you have a really tight ureter, it's not going to work. You have to pre-stent the patient or just do standard ureoscopy with your normal ureoscope. But an 11-13 wouldn't work. Oh, 11-13 would not work with the CVAC, yeah. And you could say that's an advantage of the fans is that you don't need a 12-14. They have 10-12. They have different sizes. You can use your own ureter scope.

But again, if you have a really tight ureter, it's not going to work. You have to pre-stent the patient or just do standard ureoscopy with your normal ureoscope. But an 11-13 wouldn't work. Oh, 11-13 would not work with the CVAC, yeah. And you could say that's an advantage of the fans is that you don't need a 12-14. They have 10-12. They have different sizes. You can use your own ureter scope.

But again, if you have a really tight ureter, it's not going to work. You have to pre-stent the patient or just do standard ureoscopy with your normal ureoscope. But an 11-13 wouldn't work. Oh, 11-13 would not work with the CVAC, yeah. And you could say that's an advantage of the fans is that you don't need a 12-14. They have 10-12. They have different sizes. You can use your own ureter scope.

I will say with fans, one of the disadvantages potentially is think about the wear and tear on the tip of that ureter scope. You're going back and forth, back and forth. You can imagine, you know, a lot of these reusable scopes, they last, what, 10, 12, 14, 20 times, and then they break down, and you send them off for repair.

I will say with fans, one of the disadvantages potentially is think about the wear and tear on the tip of that ureter scope. You're going back and forth, back and forth. You can imagine, you know, a lot of these reusable scopes, they last, what, 10, 12, 14, 20 times, and then they break down, and you send them off for repair.

I will say with fans, one of the disadvantages potentially is think about the wear and tear on the tip of that ureter scope. You're going back and forth, back and forth. You can imagine, you know, a lot of these reusable scopes, they last, what, 10, 12, 14, 20 times, and then they break down, and you send them off for repair.

So you might want to consider using a single-use scope if you're going to use the fans to avoid the wear and tear on your standard reusable scope.

So you might want to consider using a single-use scope if you're going to use the fans to avoid the wear and tear on your standard reusable scope.

So you might want to consider using a single-use scope if you're going to use the fans to avoid the wear and tear on your standard reusable scope.

Yeah, these are all the different... As far as cost goes, I think what you're alluding to is what's the price and what am I getting for it, right? And each of the devices has its advantages and potential disadvantages. CVAC, you're not using your scope. It's a single-use scope, so you're not using your...

Yeah, these are all the different... As far as cost goes, I think what you're alluding to is what's the price and what am I getting for it, right? And each of the devices has its advantages and potential disadvantages. CVAC, you're not using your scope. It's a single-use scope, so you're not using your...

Yeah, these are all the different... As far as cost goes, I think what you're alluding to is what's the price and what am I getting for it, right? And each of the devices has its advantages and potential disadvantages. CVAC, you're not using your scope. It's a single-use scope, so you're not using your...

standard wolf or your olympus or carl stortz flexible ureterscope it's its own single use scope it's one and done um so there's no wear and tear on your scope and then with fans you could use a reusable scope but you probably want to consider using a single use scope so you're not wearing tearing on that and then this you've got to use your reusable scope with their attachment