A Study of the SonoMotion Break Wave(TM) System for the Comminution of Urinary Tract Stones
SonoMotion
Summary
This is a prospective, open-label, multi-center, single-arm (non-randomized) study to assess the safety and effectiveness of breaking stones in the upper urinary tract using the SonoMotion Break Wave technology. Up to 30 subjects will be included. The procedure will be performed in a hospital surgical environment as an outpatient (without being admitted) or in a non-surgical environment such as a clinic or office procedure room. The procedure will be performed under varying levels of anesthesia ranging from no anesthesia to general anesthesia (fully asleep). Stones will be limited to ≤ 10 mm for lower pole stones and ≤ 20 mm everywhere else. Safety will be measured by the self-reported occurrences of adverse events, unplanned emergency department or clinic visits, and the need for further intervention. Fragmentation will be measured by self-reported stone passage and a comparison of computed tomography (CT) images before and after the procedure.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Individuals presenting with at least one kidney stone apparent on CT. * Stones must be within the upper urinary tract. * Stones are indicated for SWL treatment per the American Urology Association (AUA) 2016 guidelines.8 * Stones must be measured under CT to be within the AUA 2016 SWL guidelines (i.e. ≤ 10 mm for lower pole stones and ≤ 20 mm for non-lower pole stones). Exclusion Criteria: * Acute untreated urinary tract infection or urosepsis. * Uncorrected bleeding disorders or coagulopathies. * Pregnancy. * Uncorrected obstruction distal to the stone. * Patients rec…
Interventions
- DeviceBreak Wave extracorporeal lithotripsy
The Break Wave device will be used to exert a low amplitude burst of ultrasound waves focused at the kidney stone. The primary components of the device include an 85 mm aperture diameter therapy probe driven by a high voltage generator. The therapy probe has a cavity in the middle to accommodate coaxial alignment of an ultrasound imaging probe for treatment guidance.
Locations (6)
- University of California San Diego HealthSan Diego, California
- University of California, San FranciscoSan Francisco, California
- University of Washington Medical CenterSeattle, Washington
- University of Alberta, Division of UrologyEdmonton, Alberta
- Vancouver General Hospital Stone CentreVancouver, British Columbia
- St. Michael's Unity Health TorontoToronto, Ontario