A Breakthrough in Electromagnetic Lithotripsy

Integra SL integrates a novel Stereotactic SWL technology and a unique X-ray protection shield. The electromagnetic SWL unit is compact, highly portable and is suitable for hospitals as well as for an office setting. The treatment table can be used for urological procedures other than SWL, and an optional ultrasonic imaging module is also incorporated. LithoShield is designed to completely encapsulate the X-ray beam and prevent scattered radiation from escaping to the treatment room.
 

Stereotactic Lithotripsy  (Patent Pending)
          Reduces Damaging Shockwaves Intensity 

Stereotaxy is a method for directing energy beams to a target from multiple orientations. The method is used in other fields (e.g., radiotherapy) but Integra SL is the first to utilize it in SWL. The method allows adding up useful energy from multiple orientations to reach a desired level in the target region, while spreading the damaging energy on a larger volume outside this region. Stereotactic shockwaves are produced by angularly moving the shockwave while keeping the f2 focal point on the stone such that the shockwaves converge on the stone from multiple orientations.

The motion can also be stopped at a desired angle and a non-stereotactic mode can then be applied with a desired shockwave source orientation.

Integrated X-ray Shield  (LithoShield)
          No Need for Personnel and Room Shielding

LithoShield is made possible due to vertical-only orientation of the X-ray imager Vert-X. Using a vertical imager for stone localization via triangulation is another unique feature of Integra SL, designed by the people that introduced C-arm triangulation to SWL.

Modular Architecture

The heart of the system is a vertically positioned Stereotactic shockwave generator (SWAG) with 145 mm focal distance for large patients accommodation. The electromagnetic head utilizes a patented conical membrane and a reflector for waves production and focusing.

The unique Integra SL SWAG unit applies Air Duct Technology which allows continuous high quality x-ray fluoroscopy without having to stop the treatment or inflating air bags.

A general-purpose treatment table is another Integra SL module, used for SWL as well as for other urological procedures. The table incorporates  motorized 3 axis translational movements as well as a tilt (Trendelenburg). Its low-attenuation tabletop allows high quality X-ray imaging.

Controlling Integra SL modules is done at a remote console (U-Con) providing also image processing and reporting functions. Alternatively, each module is controlled by a separate hand-held Remote Control unit.

Imaging Selection

Localization for the Integra SL can be done using a variety of imaging alternatives: the Vert-X fluoroscopy system, a conventional fluoroscopy c-arm and an ultrasound system.

The Vert-X is an advanced digital pulsed fluoroscopy unit. It incorporates a high frequency / high power generator and a digital camera producing high resolution 1k x 1k, 10 bit images. The system can operate at high level fluoroscopy for adequate imaging even with challenging patients.

The image processing incorporates a variety of software functions to improve stone detectability as well as a comprehensive patient record management database.
The Vert-X enables radiation-free treatment environment by use of the unique Lithoshield option.

The Integra SL ultrasound attachment is an online type, allowing continuous control of the stone disintegration process. Orientation of the probe is horizontal, leading to an easy and user friendly localization process.