Classifier. Spiral separators, which are also called spiral concentrators, are gravity devices that separate minerals of different specific gravity according to their relative movement in response to gravity, centrifugal force and other forces in the fluidmedium. GetPrice Learn More
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MIP‑M (Karl Storz, Germany) is a device used to remove kidney stones. MIP‑M is a miniaturised version of percutaneous nephrolithotomy (PCNL) and is suitable for people with kidney stones 12 to 24 mm in diameter in any renal calyx or in the renal pelvis. This device can be used on larger stones but this could increase the operative time and chances of complications. The MIP‑M device comprises a 12 Fr nephroscope, a 16.5/17.5 Fr operating nephrostomy or Amplatz sheath, a single-step dilator and grasping forceps
The procedure is done by making a small incision, usually in the patient's back, and a needle is inserted into the renal pelvis. The position of the needle is confirmed by X‑ray or ultrasound. A guide wire is placed through the needle into the renal pelvis. It is then withdrawn, leaving the guide wire in place. A single-step dilator is passed over the guide wire to widen the access channel and a 16.5/17.5 Fr sheath is introduced. A miniaturised 12 Fr nephroscope is then passed inside the sheath; it allows the surgeon to see the kidney stones. The nephroscope has a channel through which grasping forceps are introduced to remove small stones. Bigger stones may have to be broken up using ballistic lithotripsy or laser treatments before removal. Ultrasound and laser instruments are also passed through the nephroscope channel
Irrigation fluid is circulated under controlled pressure to remove stone fragments. This and the design of the sheath help to prevent fluid overload. When removing the instruments under a continuous flow of irrigation fluid, a vortex develops in the lumen of the sheath causing a vacuum effect. This flushes out stone fragments without the need for a stone retrieval basket.
The stone fragmentation equipment must be available and checked to make sure it is compatible with the MIP‑M device before use. MIP‑M may be used with lithotripsy devices as small as 5 Fr in size and ballistic lithotripsy probes up to 2 mm in diameter. The size of the laser fibre used ranges between 200 µm and 600 µm
The instruments in the MIP‑M system are smaller than standard PNCL devices. This aims to reduce procedural morbidity and complications, including blood loss and infection, in order to reduce the length of hospital stay
MIP‑M instruments are designed to allow control (inflow and outflow) of irrigation fluid. This can avoid introducing grasping instruments to remove the stone, which in turn can reduce the procedure length.
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