In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope

Objective: This study compared the mechanical and optical characteristics of the Storz Flex-XC1 single-use ureteroscope and the Storz Flex-XC reusable flexible ureteroscope. The mechanical parameters comprised the upward/downward deflection, loop diameter, and irrigation flow rate. The optical para...

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Main Authors: Chittapanya Leelathanyakit, Ekkarin Chotikawanich, Tawatchai Taweemonkongsap, Kittipong Phinthusophon, Siros Jitpraphai, Patkawat Ramart, Varat Woranisarakul, Thawatchai Mankongsrisuk, Thitipat Hansomwong, Kantima Jongjitaree, Sittiporn Srinualnad
Format: Article
Language:English
Published: Faculty of Medicine Siriraj Hospital 2025-05-01
Series:Siriraj Medical Journal
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author Chittapanya Leelathanyakit
Ekkarin Chotikawanich
Tawatchai Taweemonkongsap
Kittipong Phinthusophon
Siros Jitpraphai
Patkawat Ramart
Varat Woranisarakul
Thawatchai Mankongsrisuk
Thitipat Hansomwong
Kantima Jongjitaree
Sittiporn Srinualnad
author_facet Chittapanya Leelathanyakit
Ekkarin Chotikawanich
Tawatchai Taweemonkongsap
Kittipong Phinthusophon
Siros Jitpraphai
Patkawat Ramart
Varat Woranisarakul
Thawatchai Mankongsrisuk
Thitipat Hansomwong
Kantima Jongjitaree
Sittiporn Srinualnad
author_sort Chittapanya Leelathanyakit
collection DOAJ
description Objective: This study compared the mechanical and optical characteristics of the Storz Flex-XC1 single-use ureteroscope and the Storz Flex-XC reusable flexible ureteroscope. The mechanical parameters comprised the upward/downward deflection, loop diameter, and irrigation flow rate. The optical parameters were image resolution and color representation. Materials and Methods: We conducted an in vitro evaluation of two Karl Storz flexible ureteroscopes. Specifically, we examined the Storz Flex-XC1 single-use and Storz Flex-XC reusable scopes for upward/downward deflection angles, loop diameter, irrigation flow rates, image resolution, and color representation. The Storz Professional Image Enhancement System was also applied. Results: The Storz Flex-XC reusable ureteroscope achieved greater upward/downward deflection angles than did the Storz Flex-XC1 single-use ureteroscope when a 200 μm laser or a 1.9 Fr tipless basket was used, with mean differences of 1.9°‒2.2° and 2.3°‒5.6°, respectively. No clinically significant difference in loop diameter was found. The Storz Flex reusable scope achieved a higher irrigation flow rate with an empty working channel (mean difference of 2.25 ml/min). Both scopes demonstrated identical image resolutions in air and in a normal saline solution, but the Storz Flex single-use device showed superior color representation. Conclusion: The Storz Flex-XC reusable flexible ureteroscope displayed slight advantages in terms of the deflection angle and irrigation flow rate. The Storz Flex-XC1 single-use flexible ureteroscope offered improved color representation and marginally better resolution in saline.
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spelling doaj-art-ae16fa383d8247ffac90e3cd1db94a6b2025-08-20T03:11:36ZengFaculty of Medicine Siriraj HospitalSiriraj Medical Journal2228-80822025-05-0177510.33192/smj.v77i5.272982In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible UreteroscopeChittapanya Leelathanyakit0Ekkarin Chotikawanich1Tawatchai Taweemonkongsap2Kittipong Phinthusophon3Siros Jitpraphai4Patkawat Ramart5Varat Woranisarakul6Thawatchai Mankongsrisuk7Thitipat Hansomwong8Kantima Jongjitaree9Sittiporn Srinualnad10Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Objective: This study compared the mechanical and optical characteristics of the Storz Flex-XC1 single-use ureteroscope and the Storz Flex-XC reusable flexible ureteroscope. The mechanical parameters comprised the upward/downward deflection, loop diameter, and irrigation flow rate. The optical parameters were image resolution and color representation. Materials and Methods: We conducted an in vitro evaluation of two Karl Storz flexible ureteroscopes. Specifically, we examined the Storz Flex-XC1 single-use and Storz Flex-XC reusable scopes for upward/downward deflection angles, loop diameter, irrigation flow rates, image resolution, and color representation. The Storz Professional Image Enhancement System was also applied. Results: The Storz Flex-XC reusable ureteroscope achieved greater upward/downward deflection angles than did the Storz Flex-XC1 single-use ureteroscope when a 200 μm laser or a 1.9 Fr tipless basket was used, with mean differences of 1.9°‒2.2° and 2.3°‒5.6°, respectively. No clinically significant difference in loop diameter was found. The Storz Flex reusable scope achieved a higher irrigation flow rate with an empty working channel (mean difference of 2.25 ml/min). Both scopes demonstrated identical image resolutions in air and in a normal saline solution, but the Storz Flex single-use device showed superior color representation. Conclusion: The Storz Flex-XC reusable flexible ureteroscope displayed slight advantages in terms of the deflection angle and irrigation flow rate. The Storz Flex-XC1 single-use flexible ureteroscope offered improved color representation and marginally better resolution in saline. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/download/260526/www.ijcmph.com/index.php/index/www.ijcmph.com/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/sirirajmedj/article/view/272982Flexible ureteroscopesreusabledeflection angleresolutionsingle use
spellingShingle Chittapanya Leelathanyakit
Ekkarin Chotikawanich
Tawatchai Taweemonkongsap
Kittipong Phinthusophon
Siros Jitpraphai
Patkawat Ramart
Varat Woranisarakul
Thawatchai Mankongsrisuk
Thitipat Hansomwong
Kantima Jongjitaree
Sittiporn Srinualnad
In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
Siriraj Medical Journal
Flexible ureteroscopes
reusable
deflection angle
resolution
single use
title In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
title_full In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
title_fullStr In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
title_full_unstemmed In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
title_short In Vitro Comparison of the Mechanical and Optical Characteristics of the Storz Flex-XC1 Singleuse Ureteroscope and the Storz Flex-XC Reusable Flexible Ureteroscope
title_sort in vitro comparison of the mechanical and optical characteristics of the storz flex xc1 singleuse ureteroscope and the storz flex xc reusable flexible ureteroscope
topic Flexible ureteroscopes
reusable
deflection angle
resolution
single use
url https://he02.tci-thaijo.org/index.php/sirirajmedj/article/download/260526/www.ijcmph.com/index.php/index/www.ijcmph.com/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/MJSSBH/www.tci-thaijo.org/index.php/www.tci-thaijo.org/index.php/MJSSBH/gateway/plugin/WebFeedGatewayPlugin/www.tci-thaijo.org/index.php/sirirajmedj/article/view/272982
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