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Single Use Ureteroscope Comparison
- 1. In the interestof our partner, we prepared this presentation. Fino Chou M: 0086 13809235215 Skype: PUSENFINO Email: fino.chou@pusenmedical.com 2016 Sep 14th, Zhuhai.
- 2. PUSEN established on20th May, 2014 Zhuhai, Guangdong, China
- 3. Overview • Location: Zhuhai, Guangdong,China. • Achievement: 1. 6 Patents within 1 year (so far 8 patents already) 2. CE (TUV) Approved 3. FDA/CFDA in process
- 4. Uscope UE3011 Summary ofcurrent stone treatment solution Solution Indication Price (USD) Advantage Limitation Complication Open Surgery Size>2cm 4000 No limitation on stone size High risk/relapse, long recovery time Movement limited; Per nephric hematoma; Hematuria ESWL Size>2cm 800-1000 Convenient Can’t guarantee the success Ureteral obstruction; Per nephric hematoma PCNL Size>2cm 2000 Low relapse rate Position deviation; Kidney injury, fail to move stone Movement limited; Per nephric hematoma; Hematuria URS Size<2cm 1500 Low relapse rate, minimal invasive High cost, cross-contamination None
- 5. Uscope UE3011 Current obstaclefor URS High Cost: 1 set device over 200000USD (Image system + Endoscope) Endoscope Price: > 20000USD Repair cost: > 6000USD/each time Instrument cost:>700USD/each time Easy fragility: Fiber optical technology: fiber broken Life time:<30-50 times Repair times:<3 times
- 6. Uscope UE3011 Compared withre-useable flexible ureteroscopes Re-usable equipment is very expensive, Olympus will cost above 20,000 USD for each pcs, after using 5-7 times, it will require a maintenance, the maintenance will cost 6000 USD or above, sometimes up to 50% of the equipment, cause laser can easily damage the distal tip, and the scopes can be damaged more often during the sterilization and cleaning process. Conclusion: The whole life for re-usable is about 30-50 times. Equipment plus the maintenance and sterilization cost, the re-usable will cost 1100-1500 USD for each time in Europe.
- 7. Uscope UE3011 What wehave? No Maintenance; No Cross-contamination; Lower Cost; A combination of rigid and fully-flexible, same capability of both advantages Ergonomics; Light Handle; Damping lock Double Bending for distal tip (Double bending means the distal tip can move like a snake for deflection twice, see picture attached) More control on distal tip
- 8. Uscope UE3011 Technical featurescompared with Boston
- 9. Thanks! This isn’t anend. More to be released.
Editor's Notes
- #4 Pusen officially launch the Uscope in January in Dubai, and we get the CE approved in April.
- #7 On average, new digital flexible ureteroscopes require repair after fewer than 12 uses and cost more than $6,000 per repair. Procedural delays are often due to reprocessing and repairs, and on average occur several times per day at a cost of $830 per delay. Hospitals can eliminate many of the steps required to use, maintain and handle a reusable ureteroscope. Above is quoted from Boston Scientific. The whole life for re-usable data is from several KOL surgeons (German, UK, Ireland etc.), 40 times is an average level, so this should be more realistic, not like Olympus said they can use 180 times.
- #8 The damping lock is great, many surgeons mentioned they need to hold the trigger to keep deflection during the surgery, and it’s very tired. No matter Boston or re-usable ones. The light handle is a plus. The double bending can also be used on re-usable scopes, but it will made the distal tip more easily to be damaged, surgeon are very afraid to use this but they will need to use it when necessary. The surgeon now can also use UE3011 to touch and push the stone in the kidney which he is afraid to use with re-usable one in case of damaging the camera. The surgeon can have more control on the distal tip, the tip will move exactly you want once you move the control wheel. And there is no delay on the deflection. Also, it will be much more convenient to turn left and right when it has a deflection with the semi-rigid shaft.
- #9 Both of ours are using CMOS camera, our camera is half a million pixel, and there is no difference between us on the vision in clinical operation. Several surgeon mentioned they need to hold the trigger of Boston’s all the time. Also, the distal tip of Boston, it has some offset when the deflection reaches 270 degree. My guess is as there are two wires inside the handle, to control the deflection, one wire of the Boston has more intense that cause they can’t balance. The monitor of Boston is bigger and not portable, as it has higher resolution it should need more commitment, and normally hospital don’t have enough space for another screen.