Abstract
ObjectiveTo evaluate the efficacy of a novel temperature control flexible ureteroscope system in the precise monitoring and control of intrarenal temperature during ureteroscopy. MethodsWe developed a novel temperature control flexible ureteroscope system (PT-Scope), including a temperature-monitoring ureteroscope and a irrigation-suction platform for temperature regulation. A porcine thermometry model was established to observe temperature changes under varying holmium laser powers (10, 20, 30W) and irrigation rates (0, 20, 50 ml/min), utilizing PCN thermometry and PT-Scope measurements, with subsequent evaluation of temperature variations at different distances from the laser fiber tip. A porcine kidney stone model was established while porcine were randomly assigned to two groups: In the temperature control group, PT-Scope was connected to the irrigation-suction platform with temperature regulation, while in the non-temperature control group without temperature regulation. Comparative analysis was performed to evaluate differences in intrarenal temperature between the two groups. ResultsAcross various laser powers and irrigation rates, the temperature measurement capability of the PT-Scope was precise, demonstrating consistency with PCN temperature measurements. The temperature obtained from the PT-Scope reflect the temperature approximately 0.05 cm away from the fiber tip, whereas temperatures close to fiber tip were significantly higher. The peak temperature of the temperature control group vs non-temperature control group were 31.70±2.609℃and 44.37±3.318℃, respectively (p<0.01). The mean temperature of the temperature control group vs non-temperature control group was 27.40±2.107℃ vs 35.9±1.921℃(p <0.01). ConclusionPT-Scope has demonstrated the capability to precisely monitor and control intrarenal temperature within a safe threshold.
Published Version
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