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StoneSmartTM Solutions

A connected ecosystem for endourology procedures

StoneSmart™ is Boston Scientific’s connected endourology ecosystem designed to support a more integrated approach to stone procedures across the care pathway.

By connecting devices, procedural data, and clinical workflow insights, StoneSmart helps teams coordinate information throughout the procedure. This connected approach is intended to provide greater visibility during the stone treatment pathway and support more consistent procedural workflows across operating teams.

Through the integration of technology and data, StoneSmart enables hospitals and surgical teams to align devices, procedural steps, and clinical decision points during stone management procedures.

Explore the StoneSmart™ Ecosystem:

Innovation

Make informed decisions with real-time IRP monitoring

Pain

Pain1,2

Renal

Renal damage and pathological changes1,3,4

Infection

Infection1,3,5,9

Fluid absorption

Fluid absorption1,3,6-8

Fever

Fever3,5

Systemic inflammatory response syndrome

Systemic Inflammatory response syndrome

Sepsis

Sepsis1,3,5,9

Pyelovenous backflow

Pyelovenous backflow1,3,6-8

Understanding IRP is a key component of patient safety, yet IRP is not routinely measured during ureteroscopy procedures.

The LithoVue™ Elite System enables real‑time intrarenal pressure monitoring during ureteroscopy, providing insights into pressure dynamics and supporting intraoperative decision‑making.

The LithoVue Elite System builds on the trusted LithoVue™ System and features next-generation innovations.

LithoVue Elite

Discover LithoVue™ Elite – RealTime Intrarenal Pressure Monitoring

Experience the next step in ureteroscopy. LithoVue Elite combines single-use digital ureteroscopy with integrated pressure sensing to help improve procedural safety and decision-making.

Download the brochure

Getting precise real-time insights for immediate treatment adaptation

The holmium laser significantly improved the management of stones in advanced urology procedures such as percutaneous nephrolithotomy (PCNL) and ureteroscopy with laser lithotripsy.10-12

Now, advanced holmium laser technology are designed to further improve stone management when combined with our all-in-one urology platform.

MOSES™ Technology is a groundbreaking, patent-protected innovation that improves energy transmission for more efficient lithotripsy treatments compared to regular holmium pulse.10,11  It provides the effective treatment of different stone compositions through a spectrum of techniques: stone dusting, popcorning and fragmentation.10

The MOSES Technology Allows Optimised Energy Transmission

Transmission is less dependent on fiber-stone distance, aiding physicians to perform the same treatment with greater distance from the stone, and yet with better retropulsion control.1,2

Discover MOSES™ Technology

In a prospective study, MOSES™ Technology demonstrated:​​*10

  • Up to 20% procedure time reduction.
  • 33% more efficient fragmentation.
  • 50% reduction in stone retropulsion.
  • Effective stone ablation for various stone densities, locations and compositions.
Find out more

Key Resources

Access key insights and materials from the StoneSmart™ ecosystem to help you stay at the forefront of kidney stone care.

Learn more about the link between IRP levels and patient risk:

Access the Delphi Panel abstract presented at the European Association of Urology (EAU) Congress in Paris, France, March 2024

Learn more about the link between IRP levels and patient risk:

Access the Delphi Panel abstract presented at the European Association of Urology (EAU) Congress in Paris, France, March 2024. Read more

Consult an infographic summarising the Delphi Panel consensus on high IRP. Read more

Learn more about complications in ureteroscopy

Learn more about complications in ureteroscopy:

Read an expert editorial commentary on how controlling IRP may help reduce complications in ureteroscopy. Read more

Download evidence supporting the need for IPR monitoring in ureteroscopy. Read more

Access a clinical summary of sepsis prevalence and associated hospital admission and mortality in ureteroscopy. Read more

Academic Publications

Academic publications

Explore the latest academic research helping to shape industry best practice and advance stone management.

Expert consensus on high intra-renal pressure during ureteroscopy: A pan-European Delphi panel:

Abstract: Expert consensus on high intrarenal pressure during ureteroscopy: A pan-European Delphi panel Somani B., Davis N., Emiliani E., Gökce M.I., Jung H.U., Keller E.X., Miernik A., Proietti S., Turney B., Wiseman O., Traxer O.  Read more

Sepsis prevalence and associated hospital admission and mortality in ureteroscopy:

Bhojani et al. BJU Int. 2023, Sepsis prevalence and associated hospital admission and mortality after ureteroscopy in employed adults. Read more

In vivo ureteroscopic IRP and clinical outcomes:

Croghan et al. BJU Int. 2023, In vivo ureteroscopic intrarenal pressures and clinical outcomes: a multi-institutional analysis of 120 consecutive patients. Read more

Complete overview of complications of ureteroscopy:

De Coninck et al. World Journal of Urology 2020, Complications of ureteroscopy: a complete overview. Read more

Patient resources

Patient resources

Patient resources StoneSmart™ aims to support effective stone management at every stage of the treatment journey. Visit our dedicated Patient Resources page for clear, accessible tools designed to strengthen patient understanding and engagement.

Go to Patient Resources
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Important Safety Information:

The Lumenis Pulse 120H Holmium Laser System with fibers and accessories are intended for use in surgical procedures involving open, laparoscopic and endoscopic ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including, but not limited to, urology and urinary lithotripsy.  It is contraindicated for carcinoma of the prostate and patients who are unable to receive endoscopic treatments or are intolerant to prolonged anesthesia, as well as for resection or excision of large vascularized organs.  Holmium lasers are intended solely for use by physicians trained in the use of the Ho:YAG (2.1 μm) wavelength.  Incorrect treatment settings can cause serious tissue damage.  The laser should be used only on tissues that are fully observable.  Potential adverse events include, but are not limited to, chills, fever, edema, hemorrhage, inflammation, tissue necrosis, infection or scarring.  Review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, and potential adverse events.

References:

  1. Osther PJS, Pedersen KV, Lildal SK, et al. Pathophysiological aspects of ureterorenoscopic management of upper urinary tract calculi. Curr Opin Urol. 2016 Jan;26(1):63-9.
  2. Pedersen KV, Liao D, Osther SS, et al. Distension of the renal pelvis in kidney stone patients: sensory and biomechanical responses. Urol Res. 2012 Aug;40(4):305-16.
  3. Tokas T, Herrmann TRW, Skolarikos A, et al. Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology. World J Urol. 2019 Jan;37(1):125-31.
  4. Schwalb DM, Eshghi M, Davidian M, et al. Morphological and physiological changes in the urinary tract associated with ureteral dilation and ureteropyeloscopy: an experimental study. J Urol. 1993 Jun;149(6):1576–85.
  5. Zhong W, Leto G, Wang L, et al. Systemic inflammatory response syndrome after flexible ureteroscopic lithotripsy: a study of risk factors. J Endourol. 2015 Jan;29(1):25–8.
  6. Twum-Ampofo JK, Eisner BH. The relationship between renal pelvis pressures and pyelovenous backflow during ureterorenoscopy in alive porcine model. AUA Abstract. 2020.
  7. Loftus C, Byrne M, Monga M. High pressure endoscopic irrigation: impact on renal histology. Int Braz J Urol. 2021 Mar-Apr; 47(2):350-6.
  8. Guzelburc V, Balasar M, Colakogullari M, et al. Comparison of absorbed irrigation fluid volumes during retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of kidney stones larger than 2 cm. Springerplus. 2016 Oct 4;5(1):1707.
  9. Gutierrez-Aceves J, Negrete-Pulido O, Avila-Herrera P. Perioperative Antibiotics and Prevention of Sepsis in Genitourinary Surgery. In Smith AD, Badlani GH, Preminger GM, Kavoussi LR (Eds.), Smith’s Textbook of Endourology. New York, NY: Blackwell Publishing Ltd., 2012:38-52.
  10. Ibrahim A, Elhilali MM, Fahmy N, et al. Double-blinded prospective randomized clinical trial comparing regular and Moses modes of holmium laser lithotripsy. J Endourol. 2020 May;34(5):624-8.
  11. Elhilali MM, Badaan S, Ibrahim A, et al. Use of the Moses technology to improve holmium laser lithotripsy outcomes: A preclinical study. J Endourol. 2017 Jun;31(6):598-604.
  12. Leotsakos I, Katafigiotis I, Lorber A, et al. Initial experience in combined ultra-mini percutaneous nephrolithotomy with the use of 120-W laser and the anti-retropulsion “Moses effect”: the future of percutaneous nephrolithotomy? Lasers Med Sci. 2020 Dec;35(9):1961-66.

Disclaimers
When discussing the stone management portfolio, claims apply to one or more products that could meet the needs of the patient and/or provider. Refer to associated references for applicable products.
The testing was performed by or on behalf of BSC. Data on file.
The MOSES™ Technology is inclusive of both MOSES 1.0 and MOSES 2.0 settings and features.

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device or at www.IFU-BSCI.com. Products are shown for INFORMATION purposes only and may not be approved or for sale in certain countries. Rx only.
This material is not intended for use in France. For product availability in your country please check with your local Boston Scientific representative. Kidney stone pictures are for illustrative purposes only. Source: Getty Images and Adobe Stock. 
All other images are the property of Boston Scientific.
All trademarks are the property of their respective owners.
CE 0344  LithoVue Elite™ Single-Use Digital Flexible Ureteroscope.