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KARL STORZ Comprehensive Stone Management Solution
KARL STORZ Comprehensive Stone Management Solution
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Leave no stone behind
More patients are presenting with stones in the urinary tract than ever before.1 KARL STORZ addresses the growing needs of stone patients with the most comprehensive stone management portfolio in the U.S.
Designed with the intent to improve patient outcomes, the KARL STORZ portfolio enables urologists to optimize stone free rates in the operating room and outpatient setting.
With best-in-class products like:
• Top-rated ureteroscopes • Laser fibers • Urological workstation • Innovative Mini PCNL system • Elevated service agreements • Flexible financing options
KARL STORZ offers a comprehensive solution to match all your stone management needs.
Invest in the best
Bring value to your practice and your patients by investing in clinically proven, superior flexible ureteroscopes.
Protect your investment
Laser fibers and service programs extend the life of your device and reduce the total cost of ownership. You don’t have to compromise on quality and performance with KARL STORZ.
Bring value to your practice
Extend the lifeof your device
PROTECT YOUR INVESTM
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KARL STORZ offers a comprehensive stone management solution
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Standardize
KARL STORZ offers a broad portfolio of devices and accessories for stone removal. Maximize savings and efficiencies with the KARL STORZ comprehensive stone management portfolio.
Evolve your practiceExpand your practice with unique, minimally invasive, and cost effective treatment options to improve patient outcomes and patient satisfaction.
Maximize savings and efficiencies
Expand your practice and improve patient outcomes
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Reach more stonesIn approximately ten percent of cases, stones are found in difficult-to-reach locations such as an acutely angled lower pole. The FLEX-X series scopes may allow surgeons to effectively complete procedures they might not be able to with other ureteroscopes. The inability to reach stones often leads to extended procedure times, a second ureteroscopy, or a more invasive surgery. The KARL STORZ FLEX-X series gives patients their best chance of being rendered stone free without the need for a second or more invasive procedure.
A recent study on flexible ureteroscopes’ deflection and access capabilities found:2
• The FLEX-XC was the only digital ureteroscope to reach the difficult angled calyx.• The FLEX-X2 had the best deflection of all ureteroscopes.
COMPETITORSDigital flexible ureteroscope
KARL STORZ FLEX-XC
Digital flexible ureteroscope
KARL STORZ vs competitor ureteroscopes
FLEX-X series offers unparalleled access and maneuverability as a result of its:
Small diameter 8.5 Fr. tip on Flex XC and 7.5 Fr. tip on Flex X²
270° bilateral deflection Short distal tip length which allows for a tight turning radius
INVEST in the best with the clinically proven FLEX–X Series
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Top rated image quality FLEX-XC is proven to offer the best image quality compared to other leading endoscopes in the market. FLEX-XC with CLARA + CHROMA modes enhance the surgeon’s ability to identify pathology, allowing for better patient outcomes. In a recent study, the FLEX-XC was rated with the highest image quality out of all evaluated ureteroscopes.3
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STANDARD HD CLARA + CHROMA(Brightens dark areas and enhances vascularization)
CLARA and CHROMA modes improve visualization through unique and proprietary technology only available with the IMAGE1 S™ video platform.
Total Image Quality Score
“I was able to visualize a tumor that I am very
positive I wouldn‘t have seen without the FLEX-XC
digital ureteroscope.”– Dr. C. Shawn West
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PROTECT your investment
Treat stones while protecting your flexible ureteroscopeFLEX-G Protection: FLEX-G Laser Fiber and Sheath System
Treat stones while protecting your flexible ureteroscope with the FLEX-G. Unique in design, this laser fiber and sheath system can help extend the life of your flexible ureteroscopes by safeguarding the working channel from mechanical and thermal damage—two causes of significant scope repairs. Reduced endoscope damage can mean reduced repair expenses and increased savings for the hospital. The proprietary design of the FLEX-G facilitates multiple passes through a deflected scope, simplifying and streamlining the procedure.4
FPO
Flex-G Benefits
• Reduced thermal damage
• Reduced mechanical damage
• Reduced repair costs
• Enables multiple safe passes through a deflected ureteroscope
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The KARL STORZ E-Class® exchange program was built on the philosophy that physicians deserve flexible endoscopes that perform as reliably as brand new endoscopes after every service. Our E-Class endoscopes are built to brand new endoscope quality standards, so you and your patients get best-in-class optics, illumination, and deflection every time. E-class
exchange service eliminates the hassle and cost of loaners, provides little to no downtime with quick turnaround on exchanges, and lowers long-term costs and total cost of ownership.
The KARL STORZ E-class exchange service provides:• Guaranteed quality • Maximized efficiency• Lowered long-term costs
Quality guaranteedSame warranty as new endoscopes
24 hours service turnaround+
Latest technology upgrades included with every exchange at no additional charge*
Simple inventory management process
WARRANTY
Exchange up: The KARL STORZ service difference
• Continuous access to “like new” equipment at discounted prices • Little to no equipment downtime and case delays • Maximized operational efficiencies and staff productivity • Protected and extended use life of your investment • Lowered long-term costs and total cost of equipment ownership
Elevating the standard repair process
Number of times endoscope is serviced
KARL STORZ Exchange Model
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Dependable Performance Every Time
Non-KARL STORZ Repair Model
Number of times endoscope is serviced
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Declining Performance: Needs Replacement
With the KARL STORZ exchange model, every scope is built to brand new specifications. This means your scopes will maintain high quality over a longer period of time.
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Urological Diagnosis and Therapy
• KUB
• Urography (IVP, IVU)
• Retrograde urography
• Ureterenoscopy (URS)
• Percutaneous nephrolithotomy (PCNL)
• Transurethral resections (TURP, TURB)
• Cystoscopy
• Placing and removing stents
• Extracorporeal shock wave lithotripsy (SWL)
The first and only dedicated urological workstation: THE MODULITH® SLX-F2
The Modulith SLX-F2 can be used for the following procedures:
STANDARDIZE to maximize savings and efficiencies
One room. All procedures. Optimized workflow.
New opportunities for efficiencies in endourology are now available with the Modulith SLX-F2, which allows health care centers to carry out many urological interventions using just one system.
One multifunctional unit provides everything you need to treat all stone patients using non-invasive to minimally invasive methods.
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Ultra thin. 6.5 Fr. at the rounded tip
Large working channel with 7 Fr. tip for up to 4 Fr. instruments
Dual channel. Straight eyepiece with 7 Fr. tip
Large working channel with 8 Fr. tip for up to 5 Fr. instruments
Single channel. Straight eyepiece with 7 Fr. tip. Large working channel for up to 4 Fr. instruments.
Single channel. Straight eyepiece with 7 Fr. tip. Large working channel for up to 4 Fr. instruments.
Semi-rigid ureteroscopes: Where control meets comfortComplete your stone management toolbox with specialized semi-rigid ureteroscopes from KARL STORZ. Offset and straight eyepieces, ultra-thin tips and robust working channels make up the many semi-rigid ureteroscope options available to meet your technique preferences and the treatment needs of your patients.
KARL STORZ offers multi-faceted approaches to stone removal from non-invasive to minimally invasive devices and accessories.
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Minimally Invasive PCNL (MIP) System Set components The KARL STORZ comprehensive stone management portfolio includes a minimally invasive percutaneous nephrolithotomy set for larger stones or for when ECIRS (Endoscopic Combined IntraRenal Surgery) is needed.
The MIP system is a unique set of reusable PCNL instruments for the treatment of kidney stones. MIP offers versatility in its size options and a unique vacuum effect that draws out stone debris without the need for a basket.
Additionally, the MIP system enables a simple and cost effective transition to perform tubeless PCNLs in the outpatient setting.
EVOLVE your practice with MIP
Each component represents a simplestreamlined procedural step. The simple protocol is efficient, cost effective, and ideal for use in an outpatient setting.9
Operating sheath
Single step dilator16.5/17.5 Fr.
Nephroscope
Sealant applicator
Incision can be closed and covered with a small bandage.
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A unique Minimally Invasive PCNL System, enabling cost effective, tubeless, outpatient percutaneous nephrolithotomy.
The KARL STORZ Evolution – Minimally Invasive PCNL (MIP)1. Save Time
MIP provides comparable stone free rates to standard PCNL but with a less invasive approach resulting in:
• Lower rate of transfusion6
• Faster recovery time6,7,8
2. Increase Patient Satisfaction
MIP contributes to improved patient satisfaction through its minimally invasive and outpatient approach resulting in:
• Less blood loss5,6
• Less tissue damage7
• Less pain and faster recovery time8,9,10
• Less discomfort and equivalent outcomes without a nephrostomy tube11
• Procedure can be done in an outpatient setting, enabling the patient to go home on the same day9
3. Lower Cost
Eliminate the need for costly disposables - The reusable MIP system saves several hundred dollars of disposable costs per case:
• Reusable single step dilators eliminate disposable balloon dilators or Amplatz sets• The system’s vacuum cleaner effect also potentially eliminates the need for disposable baskets• Applicator for delivery of a gelatin thrombin matrix for tract• Shorter length of stay6
• Performing MIP as an outpatient procedure can offer significant savings to the hospital by freeing up hospital bed space
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Stone Management Financing ProgramsSite of Care: Hospital / ASC
Operating (FMV) Lease – The cost effective way to manage your technology
• Lowest monthly payment • Flexibility to upgrade and replace technology • One-stop shopping: Bundle service and 3rd party equipment. 12-60 month terms available
Capital Lease – Conservation of capital budget
• Preserve cash and finance over time • Extended terms up to 84 months are available • “Soft” costs such as service, software, training, and shipping can also be included in finance payments • $1 purchase option allows for ownership at end of lease term
Bridge to Budget – Overcome budget or timing constraints
• Option for no payments for up to 6 months • 12-60 month terms available
Equity Rental (Hospital/ASC only) – Acquire the equipment you need now!Ideal when capital for purchase is unavailable and leasing is not an option. Customers rent for an initial term of 12 months and then:
• Buy the equipment for initial price less equity earned• Continue to rent monthly at same payment• Transition to a financing agreement• Return the equipment
Contact your local area finance manager for more information
FLEXIBLE payment options to meet your budgetary needs
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INVEST in Flexible ureteroscopes with unmatched clinical performance and bring value to your practice
PROTECT your investment with service and scope saving laser fibers to extend the life of your device
STANDARDIZE to one portfolio thereby maximizing savings and efficiencies
EVOLVE to the next level with our treatment offerings and expand your practice and improve patient outcomes
1. Roudakova k, monga m. The evolving epidemiology of stone disease. Indian journal of urology : iju : journal of the urological society of india. 2014;30(1):44-48. Doi:10.4103/0970-1591.124206
2. Dragos lb, somani bk, sener et, et al. Which flexible ureteroscopes (digital vs. Fiber-optic) can wasily reach the difficult lower pole calices and have better end-tip deflection: in vitro study on k-box. A petra evaluation. Journal of endourology 2017;31:630-637.
3. Talso M, Proietti S, Emiliani E, et al. Comparison of Flexible Ureterorenoscope Quality of Vision: An In Vitro Study.Journal of Endourology. 2018. 32:6.
4. LUSCH, A., et al. In Vitro Evaluation of ScopeSafe Fibers and Scope Guardian Sheath in Prevention of Ureteroscope Endolumenal Working Damage. J. Endourology. Vol. 27, No. 6; June, 2013.
5. Lange, J., Gutierrez-Aceves, J. Comparative Outcomes of Conventional PCNL and Miniaturized PCNL in the Treatment of Kidney Stones. Abstract. AUA annual meeting. 2016
6. Abdelhafez MF, Wendt-Nordahl G, Kruck S, Mager R, Stenzl A, Knoll T, Schilling D. Minimally invasive versus conventional large-bore percutaneous nephrolithotomy in the treatment of large-sized renal calculi: Surgeon’s preference? Scand J Urol. 2016 Jun;50(3):212-215. Epub 2016 Mar 24
7. Abdelhafez MF, Amend B, Bedke J, Kruck S, Nagele U, Stenzl A, Schilling D. Minimally invasive percutaneous nephrolithotomy: a comparative study of the management of small and large renal stones. Urology. 2013 Feb;81(2):241-5. doi: 10.1016/j.urology.2012.09.030.
8. Davalos, J., Abbott, J. Ambulatory PCNL: Initial Case Series. Abstract MP51-20. AUA 2016.
9. Kim, H. Multiple Benefits to Minimally Invasive Surgery. Speaking of Health. Mayo Clinic Health Systems website. September 29, 2015. http:// mayoclinichealthsystem.org/hometown-health/speaking-of-health/multiple-benefits-to-minimally-invasive-surgery
10. Nagele U, Schilling D, Sievert KD, Stenzl A, Kuczyk M. Management of lower-pole stones of 0.8 to 1.5 cm maximal diameter by the minimally invasive percutaneous approach. J Endourol. 2008 Sep;22(9):1851-3; discussion 1857. doi: 10.1089/end.2008.9791
11. Nagele, U. et al. A newly designed amplatz sheath decreases intrapelvic Irrigation Pressure During Mini-Percutaneous Nephrolitholapaxy: An in-vitro Pressure-Measurement and Microscopic Study. Journal of Endourology. Vol. 21, number 9. September 2007. 1113-1116
References
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KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postfach 230, 78503 Tuttlingen/Germany Telefon: +49 7461 708-0 Telefax: +49 7461 708-105 E-Mail: [email protected]
KARL STORZ Endoscopy-America, Inc. 2151 East Grand Avenue El Segundo, CA 90245-5017, USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1 424 218-8525 Fax toll free: 800 321-1304 (US only) E-Mail: [email protected]
