Abstract
In addition to the widely-used first-generation lithotripter (Dornier HM-3), an increasing number of second-generation devices are now in clinical use. We are currently reporting our initial experience with the Dornier HM-4. The main improvements over the previous device with this model are the coupling of the shock waves by means of a water cushion, a modified shockwave generation with an enlarged ellipsoid and decreased generator energy, and computer-assisted handling. Additionally, a system for respirational triggering is installed. Treatment-related technical data are printed out by a small computer. The modification of shock-wave delivery with less energy through a larger-diameter ellipsoid is believed conducive in decreasing the need for anesthesia. However, an increasing number of secondary treatments are being reported from other centers.
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© 1989 Springer Science+Business Media New York
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Wilbert, D.M., Strohmaier, W.L., Flüchter, S.H., Bichler, KH. (1989). Initial Experience with the Second-Generation Lithotripter, Dornier HM-4. In: Walker, V.R., Sutton, R.A.L., Cameron, E.C.B., Pak, C.Y.C., Robertson, W.G. (eds) Urolithiasis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0873-5_292
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DOI: https://doi.org/10.1007/978-1-4899-0873-5_292
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