Trial Outcomes & Findings for Utilizing Holmium Laser for FURS Renal Stone Lithotripsy Comparing Stone Breaking vs. Stone Dusting Settings (NCT NCT02683993)

NCT ID: NCT02683993

Last Updated: 2025-11-10

Results Overview

stone clearance will be confirmed by CT or X-Ray at 1 month follow up.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

Stone clearance based on 1 month follow-up imaging data

Results posted on

2025-11-10

Participant Flow

Participant milestones

Participant milestones
Measure
Stone Breaking
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
62.2 years
STANDARD_DEVIATION 11.2 • n=10 Participants
60.9 years
STANDARD_DEVIATION 15.4 • n=10 Participants
61.6 years
STANDARD_DEVIATION 13.2 • n=20 Participants
Sex: Female, Male
Female
2 Participants
n=10 Participants
5 Participants
n=10 Participants
7 Participants
n=20 Participants
Sex: Female, Male
Male
8 Participants
n=10 Participants
5 Participants
n=10 Participants
13 Participants
n=20 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
10 participants
n=10 Participants
20 participants
n=20 Participants

PRIMARY outcome

Timeframe: Stone clearance based on 1 month follow-up imaging data

stone clearance will be confirmed by CT or X-Ray at 1 month follow up.

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Clearance
Complete clearance
6 Participants
6 Participants
Stone Clearance
Evidence of fragments not requiring intervention
3 Participants
4 Participants
Stone Clearance
Evidence of fragments requiring an additional intervention
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Post-procedure through hospital discharge; typically discharge occurs on the same day or 1 day post procedure

Post-procedure catheterization by group

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Post-procedure Catheterization
Ureteric catheter not placed at the end of procedure
9 Participants
9 Participants
Post-procedure Catheterization
Ureteric catheter placed at the end of procedure and not removed at hospital discharge
1 Participants
0 Participants
Post-procedure Catheterization
Ureteric catheter placed at the end of procedure; removal at hospital discharge unknown
0 Participants
1 Participants

PRIMARY outcome

Timeframe: during the procedure

Duration (in minutes) of the procedure as an indicator for treatment efficiency.

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Procedure Time
46.3 Minutes
Standard Deviation 24.8
36.1 Minutes
Standard Deviation 16.5

PRIMARY outcome

Timeframe: as measured during the procedure

The need of the surgeon to use baskets, forceps or saline flushing to achieve complete stone clearance. This outcome can influence both procedure time and further complication.

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Usage of Alternative Stone Extracting Devices
Any alternate stone extracting devices used
0 Participants
1 Participants
Usage of Alternative Stone Extracting Devices
No alternate stone extracting devices used
10 Participants
9 Participants

PRIMARY outcome

Timeframe: Procedure through hospital discharge

Hospital duration was measured to evaluate treatment efficiency

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Hospital Stay
Same day hospital discharge
10 Participants
8 Participants
Hospital Stay
Next day hospital discharge
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Intraoperative

Number of participants with complications that occur during the procedure.

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Number of Participants With Intraoperative Complications
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Intraprocedural

Visibility during procedure by group, rating categories: Poor, Fair, Good, Very Good or Excellent

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Visibility During Procedure
Poor
0 Participants
0 Participants
Visibility During Procedure
Fair
0 Participants
0 Participants
Visibility During Procedure
Good
0 Participants
1 Participants
Visibility During Procedure
Very Good
7 Participants
6 Participants
Visibility During Procedure
Excellent
3 Participants
3 Participants

SECONDARY outcome

Timeframe: Intraoperative

Occurrence of retropulsion by group

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Number of Participants With Occurrence of Retropulsion
Did not occur
8 Participants
10 Participants
Number of Participants With Occurrence of Retropulsion
Occurred several times but could be controlled
2 Participants
0 Participants
Number of Participants With Occurrence of Retropulsion
Occurred several times and was difficult to control
0 Participants
0 Participants
Number of Participants With Occurrence of Retropulsion
Stone lost to retropulsion
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Intraoperative

Performance rating of ability to reach stone fragments by group

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Ability to Reach Stone Fragments
Easily performed
6 Participants
9 Participants
Ability to Reach Stone Fragments
Performed well
4 Participants
1 Participants
Ability to Reach Stone Fragments
Performed with difficulty
0 Participants
0 Participants
Ability to Reach Stone Fragments
Impossible to perform
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Intraoperative

Damage to scope or fiber by group

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Damage to Scope or Fiber
Scope damage · Yes
0 Participants
0 Participants
Damage to Scope or Fiber
Scope damage · No
10 Participants
10 Participants
Damage to Scope or Fiber
Fiber damage · Yes
0 Participants
0 Participants
Damage to Scope or Fiber
Fiber damage · No
10 Participants
10 Participants

SECONDARY outcome

Timeframe: Intraoperative

Fiber transmission (preserving energy transmission during lasing) by group

Outcome measures

Outcome measures
Measure
Stone Breaking
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 Participants
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Fiber Transmission
Easily performed
8 Participants
9 Participants
Fiber Transmission
Performed well
2 Participants
1 Participants
Fiber Transmission
Performed with difficulty
0 Participants
0 Participants
Fiber Transmission
Impossible to perform
0 Participants
0 Participants

Adverse Events

Stone Breaking

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Stone Dusting

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Stone Breaking
n=10 participants at risk
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Stone Dusting
n=10 participants at risk
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters. Lumenis Pulse 120H holmium laser system and 200 DFL ball tip fiber: The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
Renal and urinary disorders
Bleeding
0.00%
0/10 • Intra-operative to 1 month post-procedure
Adverse event information was collected via assessments at follow-up visits.
10.0%
1/10 • Number of events 1 • Intra-operative to 1 month post-procedure
Adverse event information was collected via assessments at follow-up visits.
General disorders
Other
0.00%
0/10 • Intra-operative to 1 month post-procedure
Adverse event information was collected via assessments at follow-up visits.
10.0%
1/10 • Number of events 1 • Intra-operative to 1 month post-procedure
Adverse event information was collected via assessments at follow-up visits.

Additional Information

Teri Bird

Boston Scientific

Phone: 6123221189

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place