Dr. Roger Sur

If you don't have enough irrigation, the whole eclecticism collapses down onto the device, much like you're doing an e-lick and you have not put in enough irrigation into the bladder, right? You don't get anything back. It just collapses down onto your scope. So that's really the problem that we've discovered. Got to have a balance. Yeah.

And that's why having constant irrigation and constant aspiration is really, I believe, a game changer. Because it's kind of like having a continuous resectoscope. And imagine you had a resectoscope, but suddenly someone introduces, how about a continuous flow resectoscope? Not just...

And that's why having constant irrigation and constant aspiration is really, I believe, a game changer. Because it's kind of like having a continuous resectoscope. And imagine you had a resectoscope, but suddenly someone introduces, how about a continuous flow resectoscope? Not just...

And that's why having constant irrigation and constant aspiration is really, I believe, a game changer. Because it's kind of like having a continuous resectoscope. And imagine you had a resectoscope, but suddenly someone introduces, how about a continuous flow resectoscope? Not just...

A resectoscope where you have to kind of, you know, when you want to aspirate, you have to take apart the scope, which was the old scopes, right? Like, wow, yeah, we'll do both at the same time. And then we'll attach a little suction to the outflow so you really get some aspiration. So that's kind of the best analogy in my mind is what the CVAC device is like.

A resectoscope where you have to kind of, you know, when you want to aspirate, you have to take apart the scope, which was the old scopes, right? Like, wow, yeah, we'll do both at the same time. And then we'll attach a little suction to the outflow so you really get some aspiration. So that's kind of the best analogy in my mind is what the CVAC device is like.

A resectoscope where you have to kind of, you know, when you want to aspirate, you have to take apart the scope, which was the old scopes, right? Like, wow, yeah, we'll do both at the same time. And then we'll attach a little suction to the outflow so you really get some aspiration. So that's kind of the best analogy in my mind is what the CVAC device is like.

It's like a resectoscope, so to speak, in the ureter.

It's like a resectoscope, so to speak, in the ureter.

It's like a resectoscope, so to speak, in the ureter.

I would say currently on the market, there are three predominant devices that exist. The CVAC system, which uses the steerable uroscopic renal evacuation. We call it SURE. That's the name of the procedure, the CPT code that's associated with it. It's not just ureteroscopy. It's actually called steerable uroscopic renal evacuation. That's the code you use when you use the CVAC.

I would say currently on the market, there are three predominant devices that exist. The CVAC system, which uses the steerable uroscopic renal evacuation. We call it SURE. That's the name of the procedure, the CPT code that's associated with it. It's not just ureteroscopy. It's actually called steerable uroscopic renal evacuation. That's the code you use when you use the CVAC.

I would say currently on the market, there are three predominant devices that exist. The CVAC system, which uses the steerable uroscopic renal evacuation. We call it SURE. That's the name of the procedure, the CPT code that's associated with it. It's not just ureteroscopy. It's actually called steerable uroscopic renal evacuation. That's the code you use when you use the CVAC.

Now, there's two other devices that don't use that coating. There's the FANS, which is Flexible and Navigable Sheath, which uses basically, it's like ClearPetra is the big maker in the United States. It's actually a Chinese company, but that's probably the most common device that's used here in the United States. And then there's Direct In Suction Scope, DISC.

Now, there's two other devices that don't use that coating. There's the FANS, which is Flexible and Navigable Sheath, which uses basically, it's like ClearPetra is the big maker in the United States. It's actually a Chinese company, but that's probably the most common device that's used here in the United States. And then there's Direct In Suction Scope, DISC.

Now, there's two other devices that don't use that coating. There's the FANS, which is Flexible and Navigable Sheath, which uses basically, it's like ClearPetra is the big maker in the United States. It's actually a Chinese company, but that's probably the most common device that's used here in the United States. And then there's Direct In Suction Scope, DISC.

So those are the two other devices that exist right now that you can consider if you're not going to use a CVAC. And what fans is basically, it's an axis sheath, but it has a side port where they're actively aspirating. And you can actually regulate the amount of, not aspirating, but you're vacuuming. They attach a suction tubing to the side port. It's kind of like a Y coming off the axis sheath.

So those are the two other devices that exist right now that you can consider if you're not going to use a CVAC. And what fans is basically, it's an axis sheath, but it has a side port where they're actively aspirating. And you can actually regulate the amount of, not aspirating, but you're vacuuming. They attach a suction tubing to the side port. It's kind of like a Y coming off the axis sheath.

So those are the two other devices that exist right now that you can consider if you're not going to use a CVAC. And what fans is basically, it's an axis sheath, but it has a side port where they're actively aspirating. And you can actually regulate the amount of, not aspirating, but you're vacuuming. They attach a suction tubing to the side port. It's kind of like a Y coming off the axis sheath.

And you attach it to a suction tubing, which goes to the wall. And you can actually regulate the amount of suction. And the beauty of this device is axis sheaths are 10 French in inner diameter or 12 French, depending on how big of an axis sheath. So you can really remove large fragments. What you have to do is you break up the stone.