IN VITRO COMPARISON OF MAXIMUM PRESSURE DEVELOPED BY IRRIGATION SYSTEMS IN A KIDNEY MODEL

To evaluate in vitro the maximum pressure generated in an artificial kidney model when people of different levels of strengths used various irrigation systems. Fifteen people were enrolled and divided in 3 groups based on their strengths. Individual strength was evaluated according to the maximum pressure each participant was able to achieve using an Encore™ Inflator. The irrigation systems evaluated were: T-FlowTM Dual Port, HilineTM, continuous flow single action pumping system (SAPSTM) with the system close and open, Irri-flo IITM, a simple 60-ml syringe and PeditrolTM . Each irrigation system was connected to URF-V2 ureteroscope, which was inserted into an artificial kidney model. Each participant was asked to produce the maximum pressure possible with every irrigation device. Pressure was measured with the working channel (WC) empty, with a laser fiber and a basket inside. The highest pressure was achieved with the 60 ml-syringe system and the lowest with SAPS continuous version system (with continuous irrigation open), compared to the other irrigation devices (p< 0.0001). Irrespective of the irrigation system, there was a significant difference in the pressure between the WC empty and when occupied with the laser fiber or the basket inside it (p