This book
contains some Academic Credentials for Lithotripters sold by us. Suggestions, recommendations',
Abstracts have been submitted at the
Urological society of India congresses or at CME's. There have been satisfied
users of our Lithotripters and some of them have floated papers and written
down recommendations for others to know. We have uploaded this material to this
site. So please browse through the content and see if it interests you. Teramed have been selling and
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have been carried out on our systems till date. Our machines are working and
treating patients in this populated country with very high efficiency and efficacy
some of the machines are 22 years old and are still in service. If you need to buy a
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Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA II Generator
Dr. Prakash Gune
Dr. Umesh Bhadre, Dr. Vishwanath Magdum
Kolhapur Kidney Stone Care Pvt. Ltd., Kolhapur
TITLE: "Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA III Generator."
Aim and Objective:
To compare the efficacy of Vega II Generator (Electro-hydraulic) with other sources of energy
Materials and Methods: Inclusion Criteria
1. Initial 100 cases of Pelvic, Calyceal and Ureteric Calculi were selected for study
2. Patients between age group of 15 to 80 year are included
3. Stone size varied between 0.8 to2.5cm
4. Basic work-up included Haemogram, Urine routine and culture, coagulation, IVP and USG examination
5. ESWL treatment was done on OPD basis without any anesthesia or analgesia with fluoroscopic localization
Results:
1. Pain and local side effects (e.g. Echymosis) during treatment in not observed
2. Post treatment haematuria was mild lasting only for a day
3. Analgesia or anesthesia was not required for nay cases
4. Post treatment Colic or Steinstrasse was not seen in any cases
5. Size of fragment passed was fine silt
Discussion:
1. VEGA II Generator Lithotripsy is painless
2. That patient's acceptance is good as procedure can be done on OPD basis as anesthesia not required as side effects minimum
3. As particle size is fine, ancillary procedure like DJ stenting is not required, also occurrence of colic and Steinstrasse not there
DR. PRAKASH GUNE
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Memberships Medical Council
i) Indian Medical council :Full (Life) Member No.217730 ii)General Medical Council, England :Full Member No.1427183 (On overseas List) Retention Fee due Dec.1996
Membership of the Academic Association:
i) Indian Medical Association- Full Member ii) British Association Of Urological Surgeons- Full Member iii) Urological Society of India- Full (life) Member iv) Urolithiasis Association of Indian- Full (life) Member v) West Zone Urological Association- Full (life) Member and council Member vi) Surgeon General Club, Kolhapur- Full Member vii) S.I.U.- Full Member
Other Attachment:
i) CHAIRMAN: Dr. A. B. Gune Charitable Trust ii)MANAGING DIRECTOR: Kolhapur, Kidney Stone Care Centre iii)DIRECTOR: Insight Diagnostic & Oncological Research Centre
Names of the Referees:
i) Mr. W. F. Hendry Consultant Urologist, 149, Harley Street, London WIN IDD Phone 636 7426
ii)Mr. Ron Parker Consultant Surgeon, Walgrave Hospital, Coventry, CV 2 2DX
_____________________________________________________________________________________________________
ESWL FOR IN SITU URETERIC CALCULI
Gune Prakash, Bhadre Umesh, Magdum Vishwanath Break Stone Lithotripsy Clinic, Kolhapur, India
INTRODUCTION & OBJECTIVE:
With the advent of Endo Urology and ESWL there have been various treatment options for treating Ureteric calculi. This paper is to study merits and demerits of treating ureteric calculi in situ.
MATERIAL & METHOD:
300 patients of symptomatic ureteric calculi presented at this centre, since Stone Medical International's Vega I Lithotripter machine was installed in April 1995. After evaluating these patients and seeing their IVU 166 patients were selected for in situ ESWL. Stenting was performed only in grossly obstructed system. The localization of the stone was done either in Prone, Supine or Lithotomy positions. All patients were given 2500 shocks at one sitting with KV from 15 to 20. Some of them who required multiple sittings were called at the interval of 2 weeks.
RESULTS:
In 150 patients the results of in situ ESWL have been successful. Only in 16 patients stones could not be fragmented and URS had to be performed. 10 out of 166 patients needed DJ stenting prior to ESWL as they had marked obstruction secondary to ureteric calculi while as lower ureteric calculi take more sittings to fragment. COCLUSION:
In Situ ESWL for ureteric calculi is an effective, noninvasive procedure and should be considered as the first line treatment in most of the symptomatic Ureter Calculi
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SOOD MEDICAL SERVICES Pvt. Ltd.
REGD.OFFICE
A-7 AVANTIKA PART II
RAMGHAT ROAD
Ph. 0571-405013
From,
Dr. Rajeev Sood
M.S., D.M.R.D.
CLINCAL EXPERIENCE WITH VULCN TORRO LITHOTRIPTER
Within a span of six months time, out of 73 cases we have done, 43 are Renal-stones, 9 upper Ureteric, 6 middle-Ureteric and 15 lower Ureteric stones. The sizes of the stones we have treated range from 0.7cm to 4.5cm.The strength of shock-waves used varies from 10 KV to 17 KV. Numbers of shock-waves were from 600 to 3000 shocks per sitting. It shows that we have been able to treat 6 stones in only 600 to 1000 shocks. These stones were 0.7cm to 1.2 cm in size. Stenting requirement was surprisingly low (3 cases only). Stents were used in the stones bigger than 3cm. In only one case we were not able to treat because of excessive obesity. She had a stone in the lower Ureter and it was not possible to bring that stone to F2.
Only 3 patients required more than 4 sittings (5 to 8) and all of them had stones bigger than 2.5cm. There has been no case of stone impaction in Ureter (Steinstrasse). This is probably because of very small fragmentation size we are able to achieve with this machine as this starts giving shock-waves from 7 KV which determines the fragment size.
ADVANTAGES WITH VULCAN Torro COMPARED WITH OTHER EHL MACHINES AVAILABLE-
"CALCULI OBSTRUCTIVE UROPATHY, A UROLOGICAL CHALLENGE"
Introduction
The cases of Obstructive Uropathy vary from childhood to adulthood to geriatric age group, but calculus disease remains one of the commonest causes in all.
One centre being a kidney stone centre caters to various stone diseases. Selection of the modality of treatment depends upon the severity, size and degree of obstruction. But Percutaneous nephrostomy remains the first line of treatment in almost all cases.
Material and Methods
We have encountered 9 cases of calculus obstructive Uropathy in nearly 2 years. Non-calculus diseases are not included in this study. 3 patients (33%) out of 9presented with B/L ureteric stones, 2 cases (22%) had B/L renal calculus with echogenic, hydronepurotic kidneys, 2 cases (22%) had solitary kidney with lower ureteric stone. U.S.G. guided P.C.N. (per cut nephrostomy) remained the 1st modality of treatment. Push and D.J. stenting was done in upper ureteric stone, later treated by ESWL clearance. PCNL was done for removal of renal and upper ureteric stone with (previous) same PCN tract in obstructed system. U.R.S. and removal was done in lower ureteric stone.
Result
Kidney reverted to normal function in 80% cases, reverted to near normal in rest 20% cases. Haemodialysis was only required in one case with severe Acidosis before PCN.
Discussion
Percutaneous Nephrostomy is the least invasive, life saving procedure which provides a mature tract for PCNL. Open surgery is obviated in all so that hospital stay and post operative morbidity is less. Patients resume work faster.
Dr. Ravindra Kumar Sah
Sah Urological & Kidney Stone Centre
Sah Nursing Home, Bulanala, Varanasi (U.P.) 221001
Effects of ESWL on kidney/ureter and the surrounding tissues had been observed in 10 cases of failed ESWL on an indigenous lithotripter.
Between February '96 and August '97; a total of 550 cases underwent ESWL at this centre on an indigenously built lithotripter Vulcan VL-10. Six cases of stag horn renal calculi and 4 cases of ureteric stones had to be later explored for non-fragmentation and complications. Each of these patients had received a minimum of 6000 shock-waves (electro-hydraulic) in two sittings at 19-21KV settings.
Two cases underwent extended pyelolithotomy and two had lower pole partial nephrectomy along with. The capsule shelled off easily because of surface oedema and the underlying parenchyma was a little more fiery and friable. The procedures were uneventful. One case of perinephric haematoma needed blood transfusion and had nephrectomy six months later for non-resolving mass and low grade fever. Another patient with a JJ stent in-situ had perinephric 'Urinoma' resulting from gross steinstrasse and blockage of all openings in the stent and had to be explored and drained and became alright. The steinstrasse was cleared by basketting and reintroduction of JJ stent. The four ureteric stones on exploration did not show signs of fragmentation as they were impacted. No significant changes were noticed in the periureteric tissues. These cases were explored after a minimum of 15 days after the last ESWL sitting.
Considering the loss of one kidney and one case of Urinoma and no significant tissue changes in this series of 550 patients, the procedure of ESWL on this machine is to taken as very safe.
Effects of ESWL on 10 cases of failed ESWL and two gross complications in a series of 550 cases on this indigenously assembled lithotripter was discussed and observed. The procedure was safe in this machine.
Author: Dr. (Prof.) R.K. Mahanta
M.S., M.Ch. (URO)
USI number-M-004-FL
Chief Consultant Urologist
Central Nursing Home Building, Beltola Basishtha Road
Survey Bus Stop, Guwahati 781 028, Assam (India)
TO WHOM IT MAY CONCERN
I have been using Vulcan Vl-10 lithotripter in my centre since January 1996. Nearly 400 cases had been treated on this machine. The failure rate is only 11 cases till now as these cases were not to be taken up at all. Those were impacted ureter stones of long standing at lower third. One case of matrix stone as turned out later on operative removal, 5 cases of huge stag-horn stones in kidney of calcium oxalate monohydrate type reconfirmed at open procedure later. Cases getting 10,000 shockwaves late at exploration didn't reveal any renal parenchymal and perirenal changes except little capsular friability. No major problem was faced during exploration of these patients and they went home in the scheduled time. Only one case had a perinephric hematoma where multiple stones were lodged in inferior calyx of left kidney and few peripheral mid calyceal stones. It resolved automatically in 6 weeks of time. I am yet to use anesthesia or sedation in any case during ESWL. The best results are obtained on Vega III generator and majority cases become stone free in 2-3 sittings. I used JJ stents in only about 10% cases.
I feel it is a safe lithotripter for wide use.
Dr. R. K. Mahanta
M.B.B.S (Hon.), M.S. (Surg.), M.ch. (Uro)
Consultant Urologist
THE UROLOGICAL SOCIETY OF INDIA
ANNUAL MEETING: USICON 1994
20-23 December
NRS MEDICAL COLLEGE & HOSPITAL
Calcutta, India
Abstract of Presentation
Extracorporeal shock wave lithotripsy has revolutionized the treatment of Renal and Ureteric stones. It permits removal of Renal and Ureteric stones without any direct surgical intervention. This, a lithotripter has become a necessity for every urologist. As most of the lithotripters available are very costly, so we procured an indigenously-developed lithotripter and evaluated its efficacy in treatment of Renal and Ureteric stones in200 cases since January 1993.
Vulcan VL-10 Lithotripter was used for the treatment of Renal and ureteric stones in 200 patients. The stones were of different sizes (8-30 cm) and, either Renal or Ureteric stenting was done if the stone was more than 15 mm. For treatment of Ureteric stones pushback and stenting was done but if the stones could not be pushed back and in mid-ureteric and lower-ureteric stones, shock-waves were given without any stenting or catheterization. Treatment was started with low KV i.e. 12 and KV was gradually increased up to 20. Sedation was not given as a routine. Except in apprehensive patients or when patients complained of pain. Children below 10 years were not accepted for treatment. Cases with recurrent stones were accepted for ESWL. The clearance was aimed within 3 months of starting the lithotripsy.
The patients were followed for the period of 3 months for stone clearance and any complications. Of the 200 cases treated with Vulcan VL-10 Lithotripter 184 were stone free by the end of 3 months. 3 patients did not show fragmentation and were taken for Percutaneous Nephrolitholapaxy. 8 patients required Ureteroscopic Extraction of fragments in lower ureter. Five patients were followed for another three months and were stone-free by the end of six months. 28 Patients had colic due to passage of small fragments and 2 had fever. They were treated conservatively. No other systematic complication was noticed.
As the objective of the study was to assess the efficacy of the Indian Lithotripter in treatment of stones, the stone clearance was taken as the main objective. 184 patients i.e. 92% were stone-free at the end of 3 months and another 5 patients were stone-free by the end of 6 months of commencement of Lithotripsy without any additional procedure i.e. overall rate of clearance was 94.5% in 6 months. 8 patients with Steinstrasse required Ureteroscopic extraction i.e. 4% and three were adjudged to be failures, requiring PCNL for stone removal i.e. 1.5%. These results are comparable to other published studies using Dornier HM-3 Lithotripter. Hans Goran et al in their studies showed 96% stone clearance at 4 weeks and Francisco et al showed 93% clearance using Dornier HM-3 Lithotripter.
In this study, it has been found that an indigenously developed Vulcan VL-10 Lithotripter is comparable to other as the stone clearance rate. No doubt our patients required multiple sittings and a longer time for stone clearance, but Indian Lithotripter is advantageous in our socio-economic set-up because of its cost-effectiveness.
Dr.R.S.Chahal
Kidney Hospital, Jalandhar City
GABANI (Urological Hospital and Lithotripsy centre)
Dear Sir,
This is to inform you that Vulcan Eura Lithotripsy Unit was installed on 10-03-2000 and till 07-04-2000 total 15 cases of Renal and upper Ureteric stones were treated of size between 1 to 2cm. Fragmentation were good. 5 patients of 1 to 1.3cm stone were stone-free after first sitting. Mr. Lakhpal Singh has given good co-operation and has done a very god job. I liked his behavior and co-operation.
Thank you
Dr. Ashvin D. Gabani
M.B, M.S., M.ch. (Urology)
Gold Medalist
Consulting Urologist & Andrologist
Visiting Urologist: Mahavir Gen. Hospital
Surat Gen. Hospital
Ashaktashram Hospital
Lokhat Hospital
"CONTENTS FROM THE ABSTRACT IF USICON-99"
OUR EXPERIENCE WITH ESWL AS MONOTHERAPY IN STAGHORN CALCULUS IN INDIA STEP
Dr. Meena Jain, Dr. Tondon J.K.
DEPARTMENT OF UROLOGY ROYALE HOSPITAL & RESEARCH CENTRE, JABALPUR
INTRODUCTION:
ESWL is one of the major advances of medical fraternity of recent times. Since the first ESWL therapy in 1980, it is making rapid advances and has almost replaced open surgery and to a great extent PCNL also. The indications have broadened to include multiple as well as stag-horn calculi due to advancement in the lithotripter machine.
MATERIAL& METHODS:
We are using an Indian made Lithotripter Vulcan VL-10 which incorporates 3rd generation generator. This has better disintegration and clearance because it breaks to almost sand like particles. We present our experience in 36 stag-horn calculi patients. The main advantage of this lithotripter is that it does not require even sedatives. In very apprehensive patients, an injection of Diclofenac sodium suffices and the patient goes home the same day. Many of them even do not need DJ stenting. It was used in 6 cases only. Steinstrasse occurred in01 patient, which cleared after DJ stenting. Number of shocks varied from 1400 to 3500 in one sitting. Later on depending upon the bulk left, shockwaves were used, which never exceeded total of 8000 without any morbidity.
RESULTS:
Out of 36 patients, 32 had completed disintegration, 2 had partially and 2 did not disintegrate.
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ROYALE HOSPITAL AND RESEARCH CENTRE
Dr. J.K. Tondon Dr. Meena Jain
M.B.B.S., M.S., M.ch. (Urology) M.B.B.S., M.S. (Surgery)
We purchased Vulcan VL-10 Lithotripter more than 2 years back mainly because of its price factor. Now we realized that it is not only price but fragmentation of stones is also very good. Even harder and stag-horn stones can be treated if proper selection is made. Now we have a series of 36 cases of Stag-horn calculi treated with this machine with more than 93% clearance rate. The machine is extremely comfortable to patients as well.
NEW ERA HOSPITAL LTD
Subject: VL-10 Lithotripter
Dear Sir,
We are to inform you that your technical expert has installed Vl-10 LITHOTRIPTER machine on last 12th June 1998 in our hospital. Since then we are working on the machine alright. It may be mentioned that the fragmentation of the kidney stones by this machine is excellent and its running trouble free and we are very much satisfied with this machine. Your best co-operation regarding quick technical support any time required for our machine shall highlight the company's image in this field.
With Regards,
Yours faithfully
For New Era Hospital Limited
M. Ashraf Hosain
Managing Director
ULTRASOUND CENTRE & MEHTA NURSING HOME
Dhangu Road, (opp. Power House), PATHANKOT
Dr. (Mrs.) Sudesh Mehta Dr. R. K. Mehta
M.B.B.S., P.C.M.S., -I (Ex) M.S
Sonologist, Obstetrician & Gynecologist General & Laproscopy Surgeon
Ex. Civil Hospital Pathankot
I am grateful to Dr. S. Sidhu (Director) Stone Medical Int. Ltd. for supplying me a masterpiece, "The TORRO-COMPACT" Lithotripter.
I am using this machine since last 2 years, it is giving me good fragmentation and I am totally satisfied with the machine.
Dr. R. K. Mehta
M.B.B.S., M.S.
DEVASYA KIDNEY HOSPITAL-LITHOTRIPSY CENTRE
IMPOTENCY -INFERTILITY CLINIC
Sanjeevani Complex, Nava Vajad Road
Nr. Old Vajad Bus Stop, Ahemdabad-13
This is to inform that I am using Vulcan Torro Lithotripter since last two months and I am very much satisfied with the breaking power of the machines. I have done around 30 patients with 99% stone free results. The machine is also patient and user friendly.
Dr. Dinesh D. Patel
M.B., M.S., (Gen. Surgery)
M.ch. (Urology)
Kidney Surgeon, Endoscopy and Endrology
Dr. Janak D. Desai
M.S., M.ch
Urologist
Samved Hospital,
Near Sopan Flats, Near Ishita Apartments,
Commerce College Road,
Navarangapura, Ahmadabad
Phone: (079) 6420285 (079) 401616
I have used Vulcan Eura form the last 6 months and found the lithotripter very effective. The treatment is relatively painless and does not require any anesthesia. The localization is also easy and can be easily handled by a trained technician. The overall cost of treatment (per patient) is also in the affordable range and therefore this Indian lithotripter should be inspiring the same amount of patriotism as the Indian made Indica car. Since, it matches (or perhaps out performs) the result and efficacy of the other low budget lithotripters I would like to recommend it to fellow urologists who are fellow Indians first and Urologists later.
N.H.C. UROLOGY CENTRE
Subject: VULCAN VL-10 Lithotripter
I have been using your Vulcan VL-10 Lithotripter for the last 3 ½ years. I am quite pleased with its performance.
There are very few points that I would like to highlight about this lithotripter. It works very well for the kidney stones but what I found out is that it is quite pain free, not even 3% of our patients required sedation or analgesia. For upper ureteric stones it has success rate of 85 to 90%.We ad presented a paper in THE USICON'97. More importantly it can be dealt with in situ and does not need either pushback or stenting.
The fragmentation is very fine but it seems to be related to the power used, thus it gets better as the operator gets experience with the machine.
Last but not the least I found this machine to be very robust. Except for minor technical problems with the table we had very little downtime and virtually no loss of working time.
I would recommend this machine to either an individual or an institutional buyer.
Dr. D. R. Thakar
BREAK STONE LITHOTRIPSY CLINIC
A venture of Kolhapur Kidney Care Centre Pvt. Ltd.
Dear Mr. P. S. Sidhu
It was indeed a pleasure to talk to you after a longtime during your visit to our clinic . I have written this letter to let you know my experience with different makes of lithotripters.
As you know we have been using you Vulcan VL-10 lithotripter for the last three and a half years. For initial two years or so we were using Vega I generator and since last fifteen months or so we having using Vega III generator. Recently had been to Saudi Arabia where I worked on a different make of lithotripter. This gave me a good opportunity to compare the performance of your machine with a more sophisticated lithotripter. I would like to share my experience with you through this letter.
In September 1996, I went to Saudi Arabia to work as consultant urologist at King Farhad Hospital, Hofuf, Saudi Arabia and worked with all specialists including super-specialties except cardiothoracic surgery. We had forty bedded Urology Unit with three consultant urologists. The unit also was recognized for specialty training for post-graduate in urology and General Surgery. This was supported by a big and busy Nephrology Unit with about 25 Haemodialysis machines working in two shifts. You may be aware that Middle East has lot of stone disease in its population. We had a 'Dornier Triptor 50' Lithotripsy machine in our department. This machine is one of the most sophisticated machines marked by Dornier in Europe and Middle East and as far as my knowledge goes, it has not been introduced in India. The price paid by the hospital was staggering million Saudi Riyals! (1 Riyal=10 Rupees) This machine had tremendous ease of operation because of totally remote-controlled automatic focusing, automatic inflation of bag of fluid, adjustments for pressure of bag according to patient's size, dedicated C-arm, inbuilt Ultrasound localization, computerized storage of patient data and multiple images etc. In initial stages I was really thrilled to work on this type of machine. But when I did more and more cases on the machine, my opinion changed to a great extent. We were doing about 30 patients per month between over selves. Through the fragmentation rate was acceptable compare to international standards, more than 50 patients needed strong Narcotic Analgesia. The fragments were fairly large causing severe renal Colic in many patients. Hence the ancillary procedures like D. J. stenting needed to be done in many patients including all patients with stone sizes more than 2cm. My experience with your machine has been totally different particularly since we started using Vega III generator. We hardly give any sort of analgesia to the patients as the treatment is almost painless. We have also treated on your machine children between the ages of 10-12 without any analgesia. This was never possible with Dornier Triptor 50. Post ESWL, renal colic is very rare with your machine as the fragments are very small and pass easily most of the time with almost no discomfort. Hence our rate of D. J. stenting is minimal as we stent only when the stone size is 3cm or more. The fragmentation rate is excellent with your machine and is as good as most of the so called sophisticated standard lithotripter in the international market. Though you machine lacks sophisticated gadgets as in Dornier Triptor 50, I think, the performance definitely better and that too at a very low price as compared to that machine. In India what we need is better performances at minimal burden of expenses to the patient.
I take this opportunity to congratulate you and Dr. S. Sidhu for producing an excellent lithotripter suitable for Indian conditions. I gather that you have manufactured a new shock-wave generator. I am sure it would give even better performance than Vega III generator. I wish you best of luck in marketing your machine with new generator.
We all at Break-Stone Lithotripter Clinic are fine and the machine is performing well.
Hoping to see you and Dr. S. Sidhu soon
Yours Sincerely
Dr. U. P. Bhadre
With the advent of ESWL the treatment of genitourinary stones is revolutionized. Most of these stones are now totally and safely treatable avoiding major surgical options. We have presented our work form Varanasi which caters to the whole of Eastern UP, neighbouring Bihar and MP.
Material & Method
120 cases of different varieties of kidney and ureteric stones have been treated by ESWL and analyzed. Treatment by PCNL, URS and open surgery are not included.
Auxiliary procedure like DJ stenting was used in 23 cases (27%) in an obstructed system. Large size stone over 3 cm or patients coming from faraway places
Result
Stone size measured from 8cm to 3.5cm which could be multiple partial stag horn or impacted stones. Total clearance was achieved in (97%) cases except in 4 cases (3%), stones fragmented in 1st sitting also but average 4 sittings were required. 20 KV pressure and 12,000 shocks. Radio dense large stones and ureteric stones required more number of sittings.
Discussion
ESWL is a safe, completely non-surgical treatment with good success rate and with good acceptable.
Dr. Ravindra Kumar Sah
M.S. (Surgery) D.N.B. (URO)
Sah Urological and Kidney stone centre
Sah Nursing Home, Balanala, Varanasi-221001
Meenakshi Mission Hospital and Research Centre
(Run by S.R. Trust)
TO WHOMSOEVER IT MAY CONCERN
This is to certify that the lithotripter Machine supplied by STONE MEDICAL E.I. is working well for the past one year without any major problems. We are very happy about the machine and it is quite effective
a) In terms of stone breaking
b) The hospital service is also very good
c) Heamaturia is also minimum in this machine
In short we are one of the satisfied users among the customers of this machine. As a person interested in giving High Medical Care to the people at a lowest cost possible. I feel this machine going to be 'WORK HORSE' for stone treatment in Indian set up.
Dr. N. Sethuraman
M.S, M.ch. (Urology), MNAMS (Urology) FICS
Founder Chairman
Dr. P. S. Bakhshi
M.B.B.S., M.S.
Specialist in treatment of Calculus Diseases
We have installed the Vulcan VL-10, Extracorporeal Shock Wave Lithotripter at our above mentioned clinic. We have found this system to be efficient and effective.
We are happy with the performance of this system, since the day of installment, the 21st October 1994.
Dr. P. S. Bakhshi is a well acclaimed and internationally known doctor in management of stone Diseases and therefore we are competent to evaluate the system efficiency.
KIDNEY STONE CLINIC
BALAJI KIDNEY STONE CENTRE
C/o Maddineni Hospital,
Old Club Road, Kothapet,
GUNTUR-522 001
TO WHOM SO EVER IT MAY CONCERN
We, a group of 5 urologists, purchased VULCAN EURA lithotripter, after evaluating many other available lithotripters in India. We thought that it is cheap and effective. We are happy with its performance. We have done about 25 cases in 3 weeks. Fragmentation is good. It is almost painless.
It is 60% effective in one sitting and about 80-90% effective after 2nd sitting (stone free status); 1-2cm stones. Auxiliary procedures like stenting are infrequent.
Their service is good. Their engineer stayed with us for 3 weeks to give training. He is very nice.
We can strongly recommend for any urologist to purchase this VULCAN EURA.