LITHO3PTER

LITHOARC

Advanced Medical Systems

E X T R A C O R P O R E A L S H O C K W A V E L I T H O T R I P S Y S Y S T E M

For those customers preferring to have

localization made through an independent X-ray

unit, the LITHO3PTER is available without the

integrated U-arm. PCK can then meet this

fluoroscopy requirement by means of their

Polaris C-arm or Lithovision U-arm X-rays.

PCK has built a solid worldwide reputation as a leading lithotripsy manufacturer by uniquely offering

high-tech, high quality systems at reasonable prices. The fifth addition to the popular Stonelith family

is the extremely versatile LITHO3PTER Extracorporeal Shock Wave Lithotripter. The “3” in the name

symbolizes the combining of the ESWL main unit, the patient treatment table, and an X-ray

fluoroscopy U-arm into one integrated system.

All of the LITHO3PTER models include motorized control of the treatment table in the vertical,

longitudinal and transverse directions. These movements- as well as other control features- are made

from the LITHO3PTER’s mobile console, which can be placed next to the machine, behind a radiation

barrier or even in an adjacent room, according to the requirements of the customer. The treatment

table is X-ray transparent, allowing for other radiological procedures.

The standard model of the LITHO3PTER includes an integrated U-arm X-ray with motorized

oblique movements (manual control, optional). The operation of the U-arm is also made

from the console’s soft-touch control panel. A major advantage of the stable X-ray is that,

unlike non-attached systems, the second focal point (F2) does not need to be checked

prior to the treatment procedure, saving the operator time in the

preparation process. The system can also be provided with an

integrated C-arm replacing the U-arm, thereby providing an added

orbital movement, and a convenient infrared remote controller.

An optional feature of the LITHO3PTER is the PCK spherical ultrasound attachment. The doctor simply locates the

position of the stone and then places the probe into the device’s holder. Adjustment can be made as required. A major

advantage of the attachment is it allows for both fluoroscopic and ultrasonic localization of the stone simultaneously.

The LITHO3PTER’s versatility is made

evident by being able to meet the

lithotripsy needs of medical

establishments requiring more

technically-advanced features. The PCK

smART is a system control/database

program functioning from a personal

computer, allowing for more operating

flexibility and data management tools.

The LITHO3PTER + smART package can

be further upgraded to include automatic

stone localization. This includes locating

the stone by use of fluoroscopy (X-lith),

ultrasonography (Ultralith) or both types

of imaging (Autolith).

The LITHO3PTER’s user-friendly soft-touch panel places many special features

at the operator’s fingertips. It is divided into three main sections:

The ESWL Section (right side of panel)

Alphanumeric LCD Screen (describing current operating condition)

Ellipsoid Fill/Drain

Shock Counter Set/Clear

Adjustable Shock Power

Adjustable Frequency Control

Choice of Single, Double or Triple Shocks

Choice of Automatic, Remote, ECG or Respiratory Modes

Start/Stop

Arc Movement (optional)

The Treatment Table Section (middle of panel)

Vertical Adjustment

Longitudinal Adjustment

Transverse Adjustment

The X-ray Section (left side of panel)

LED Displays (indicating levels of kV, mA and minutes of use)

Icon Buttons Controlling kV, mA and Timer

Motorized Oblique Movement (manual control, optional)

Manual and Automatic Mode Selection

Image Control Buttons (providing normal view, horizontal flip, and vertical flip)

System Warning Indicators

smART Program

The optional smART software is a PCK-developed control program for the

ESWL that works on a Pentium PC under Windows 95 and higher versions.

With smART, all of the functions necessary for advanced stone treatment are

conveniently at the command of the operator, including: ESWL controls,

table movements, and X-ray and/or ultrasound operations. The real time

fluoroscopy on the Stonelith SMART’s PC-integrated control environment

(ICE) monitor allows for easy viewing and manipulation of the image.

Besides image manipulation and processing, smART also includes other

special utilities, such as: remote diagnostics through a modem, ESWL shock

counters for the treatments and generator, and permitting control of more

than one function simultaneously. The software allows for easy installation

of the system while minimizing downtime and service calls.

Patient Database

The smART’s database stores patient information for statistical use and later

recollection. Biographical,

operator, diagnostic, stone and

treatment information are

recorded along with

miscellaneous notes and

comments. All of the data can be

easily stored, searched, recalled,

printed, and deleted. With a click

of the mouse, treatment

information including: date,

biographical details of patient,

operating mode, average kV

applied, average frequency, number of shocks sent, and duration of

treatment can be instantly stored for future reference. Graphics and real time

snap-shot images from the treatment can also be attached to this database

for later use.

The LITHO3PTER + smART

program option can be

upgraded to include the primary feature of what may be referred to as high-

end lithotripsy systems: automatic stone localization. This includes locating

the stone by use of fluoroscopy (X-lith), ultrasonography (Ultralith) or both

types of imaging (Autolith). The X-lith allows the operator to locate the

targeted stones in patients accurately and automatically. The Ultralith (and

the other half of the Autolith) C2SLS options incorporate the PCK-developed

robotic arm, which holds the convex or sector probe in place. The Ultralith’s

robotic arm can work in conjunction with a variety of different ultrasound

X-lith X-ray computer-controlled

stone localization system

Ultralith Ultrasound computer-

controlled stone localization

system

Autolith X-ray & ultrasound

computer-controlled stone

localization system

Like earlier Stonelith versions, the

LITHO3PTER is able to increase

effectiveness while decreasing discomfort

due in part to its unique long-life electrode

system. In comparable machines, the

traditional spark gap electrode is designed so two

thick pieces of metal, that become thin towards the

ends, face each other. After about 1,000 shocks the

distance between the two metal ends gets wider,

resulting in thicker parts of the metal pieces being used to

translate the spark. The spark eventually loses its focus as a result

of having to use the wider pieces of metal while traveling a greater spark distance between the two parts of

the electrode. This degeneration continually increases the pain the patient feels while decreasing the

treatment’s effectiveness.

PCK’s electrode system avoids the problems of the traditional spark gap electrodes. The long-life electrodes

have been designed so that they begin thin and stay thin throughout their lifetime. There is no thick part to

disrupt the focusing efficiency of the spark to the second focal point. Even when the distance is greater, after

approximately 1,000 shocks, the spark maintains its focusing strength much better than the traditional

electrodes.

The other major advantage of the LITHO3PTER’s long-life electrodes is that they are adjustable. Without

disrupting the treatment, the doctor can simply adjust the distance between the electrodes with an equally

slight turn of both electrode handles, making the electrodes “as good as new” even after thousands of shocks

have been administered. Each long-life electrode pair can last approximately 150,000 shocks, or 50 sessions

of 3,000 shocks each. A new option to the well-proven PCK long-life electrodes is automatic motorized adjustment of the electrode pair.

Besides long-life electrodes, another factor that increases effectiveness while decreasing discomfort is PCK’s computer-designed

ellipsoids. The size and shape of these reflectors, made from an especially strong alloy, have been chosen to maximize the amount of

shock waves that reflect off the deep ellipsoid. This helps minimize the percentage of shock waves that are “lost” and not reflected

towards the second focal point. Since “lost” waves contribute to the

pain that patients feel during treatments, the V.5’s exceptionally

large standard ellipsoid reduces unnecessary discomfort caused

by improper mechanical design and use of inferior metal.

PCK’s Long-Life Electrodes:

Last approximately 50 sessions

Are easy to adjust and replace

Increase the effectiveness of the shock waves

Have a very low cost

Another optional feature available with the

LITHO3PTER is inline ultrasound localization.

A combination of inline and

external ultrasound localization is also possible.

The PCK spherical ultrasound attachment can

be adjusted to a variety of different positions.

The spherical ultrasound attachment maintains

a proper F2 focus regardless of its position.

OLD SYSTEM PCK SYSTEM

The standard model of the Stonelith Version 5 ESWL comes complete with a stable

ellipsoid. However, the LITHO3PTER can be provided with a reflector that rotates

inside a C-shaped mechanical device. This major model is known as LITHOARC.

The basic unit includes a swing-away U-arm along with the integrated treatment

table. However, like the LITHO3PTER, the LITHOARC can also be provided

without the X-ray unit attached, or even have a C-arm replace the U-arm.

The LITHOARC provides for the motorized movement of the ellipsoid

in a semi-circle track. This flexibility provides the user with the ability

to more accurately locate the stone’s position, regardless of where it

is in the urinary tract. By allowing the operator to locate even the

traditionally hard-to-find stones, the doctor is allowed the opportunity

to expand the lithotripsy procedure’s practical applications.

In order to more fully appreciate the versatility of

the LITHOARC, the system must be accompanied

by some type of ultrasound localization. This need

can be met by inline ultrasound or the Ultralith

robotic arm, which is a part of the computer-

controlled stone localization option of the smART.

An important added application of the LITHOARC is for Extracorporeal Shock Wave Therapy, or ESWT. The therapeutic use of

electro-hydraulic shock wave pulses is a rapidly expanding utilization of machines traditionally limited to stone-breaking procedures.

The flexibility of the LITHOARC’s ellipsoid allows for comfortable therapy in a variety of different locations.

ESWL Unit

Energy source Electro-hydraulic spark gap system

Focusing Ellipsoidal

Patient coupling Dry patient coupling, water cushion with automatic pressure stabilization, elastic

and soft hypoallergenic membrane

Localization X-ray fluoroscopy and/or ultrasound system

Operating voltage 7.5 to 24+ kV, adjustable

Ellipsoid aperture ∅ 220 mm ( 8.66“)

Focal distance 130 mm ( 5.11“)

Focal pressure 0 to 1200 bar

Water cushion capacity 10.5 lt ( 2.77 usgallon)

Water tank capacity 13 lt ( 3.43 usgallon)

Height 920 mm ( 36.5“)

Length 1070 mm ( 42.5“)

Width (wheel base) 780 mm ( 31“)

Weight 300 kg ( 661 lbs) with integrated treatment table and U-arm

250 kg ( 551 lbs) with integrated treatment table only

Treatment Table

Patient surface 190 cm x 50 cm ( 75” x 20” )

Height adjustment 30 cm (12”)

Longitudinal adjustment 15 cm (6”) ; 20 cm (8”), optional

Transverse adjustment 15 cm (6”) ; 20 cm (8”), optional

Patient size (max) 160 kg (353 lbs)

Weight 150 kg (331 lbs)

U-arm X-ray

Tube power rating 5 kW @ 110 kVp DC

X-ray generator type Half-wave silicium rectified; high frequency generator, optional

Power rating 6.5 kW @ 110 kVp - 110 mA

kV range 40 - 110 kV

mA range 0 - 3.5 mA

Image Intensifier 6” (17 cm)

Monochrome Monitor 17”; CCIR standard; medical grade; 850+ TV line; infinitely extendable; contrast,

brightness, horizontal and vertical hold adjustments

Power Requirements

Power voltage 220V AC/50 Hz or 110 AC/60 Hz, 3kVA, single phase

Power voltage fluctuation ± 10%

Grounding 100V Ω or less in grounding resistance

Electrical isolation Transformer protection, current leakage interrupter

Safety standard IEC 601.1 class 1, type B

Quality standard ISO 9001

Environmental Conditions

Operating temperature 10°C to 30°C (50°F to 86°F)

Humidity 35% to 85%

Non-operating temperature -15°C to +40°C (5°F to + 104°F)

Space requirement 4 m x 3 m (13’ x 10’)

Due to continued product innovation, specifications may change without notice.

LITHO3PTER Specifications

Turan Günefl Blv., Konrad Adenauer Cad. 59/1 Sancak, Çankaya 06550 Ankara TURKIYEPhone: +90 (312) 491-6010 Fax: +90 (312) 491-6011PCK Factory Division:Ankara Sanayi Odas› 1. Organize Sanayi Bölgesi Orhan Ifl›k Cad. No: 4 Sincan ANKARAPhone: +90 (312) 267-2046 Fax: +90 (312) 267-0609www.pckmed.com intlsales@pckmed.com

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