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Comparison of Ureteroscopy With High-powered Holmium:Yag Laser Lithotripsy With and Without Moses 2.0 Pulse Modulation


Description

The purpose of this study is to compare Moses 2.0 pulse modulation technology and the standard high powered Holmium Laser lithotripsy and how it will affect time in the operating room, time using the laser, laser energy, and stone free rates. Currently Moses 2.0 laser technology is FDA approved and currently used in practice since 2021. No study to this date has compared Moses 2.0 without pulse modulation laser technology to Moses 2.0 with pulse modulation laser technology. The study will be including kidney and ureteral stones (a kidney stone located in the tube between the kidney and the bladder) that are 6mm and greater, but less than 20 mm in size undergoing ureteroscopic treatment. High powered lasers are used for "dusting". Dusting is when a laser is used to break a stone down into tiny fragments that are able to pass through the urine.On the day of surgery, the treatment assigned to the patient will be determined by chance, like flipping a coin. Neither the patient nor the stu

Trial Eligibility

Inclusion Criteria: * Undergoing ureteroscopy and laser lithotripsy * Stone size ≥8 but \< 20 mm in the proximal ureter or kidney. Multiple stones ≤4 are allowed. Bilateral surgeries are allowed * Willing to sign informed consent Exclusion Criteria: * Staged surgery * Nephrocalcinosis * Participant is less than 18 years of age * Inability to provide informed consent * Members of vulnerable patient populations

Study Info

Organization

Northwestern University


Primary Outcome

Operative time


Outcome Timeframe Day of procedure

NCTID NCT06346483

Phases NA

Primary Purpose TREATMENT

Start Date 2023-06-09

Completion Date 2025-06-09

Enrollment Target 150

Interventions

PROCEDURE Dusting without Moses 2.0 Modulation

PROCEDURE Dusting with Moses 2.0 Modulation

OTHER Moses 2.0 Modulation

Locations Recruiting

Northwestern Medicine

United States, Illinois, Chicago


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