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Home Treatment Methods

Stone fragmentation with the latest model lithotripter at the “Kharazanishvili Robotic Center.”

25/03/2025
in Treatment Methods, Urological Hub
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This article is available in: Русский & ქართული
Stone disintegration using an ultra-modern method. The most effective, painless, and comprehensive treatment for urolithiasis is available at Guram Karazanashvili’s Urology Hub!
Automatic stone disintegration is a modern and effective method for treating urolithiasis.
At the “Karazanashvili Robotic Center,” stones are broken down using the latest, most advanced lithotripter model—MODULITH SLX-F2 (stone-breaking device).
MODULITH SLX-F2 is the most sophisticated and expensive device in the world, patented by the Swiss company STORZ MEDICAL, a leader in endoscopic surgery.
Now, with this renowned brand’s (STORZ MEDICAL) latest lithotripter model, stone disintegration is also possible in Georgia!
This advanced technology has been implemented at the country and region’s leading clinic—Guram Karazanashvili’s Urology Hub!
But what makes this device so special, and why is stone disintegration so highly effective with this equipment?
Why is this device special, and why is stone fragmentation with this apparatus so effective?
  • The MODULITH SLX-F2 lithotripter features a cylindrical source for generating shock waves, also known as a generator, which represents the most advanced technology in lithotripsy. STORZ MEDICAL is the only manufacturer in the world that has developed and patented its own cylindrical shock wave generator. The value of this advanced generator lies in its large diameter (30 cm). This means that the generator contacts a larger surface area of the body, generates larger-diameter waves, and transmits them into the body from a broad surface. The larger the diameter of the waves that enter the body and the wider the area over which the shock energy is distributed in the tissues, the less painful and less traumatic the procedure. Thus, the MODULITH SLX-F2 is the most advanced technology among stone-breaking devices!
  • The shock waves of the MODULITH SLX-F2 lithotripter also stand out for their ability to penetrate deep into the body. While other models cannot send waves deeper than 13 cm, the cylindrical source waves of STORZ MEDICAL reach a depth of 18 cm. This is especially important for patients with a large amount of subcutaneous fatty tissue. With this advanced technology, it is possible to precisely focus shock waves on deeply located stones, even in overweight patients, for effective stone fragmentation. The 18 cm depth focus is regarded by experts as a new world record in lithotripsy!
  • The MODULITH SLX-F2 lithotripter, unlike other devices, features a unique membrane created using nanotechnology. One side of the membrane is where the patient lies, while the generator is applied to the other side. One of the indicators of a generator’s efficiency is the lossless transmission of waves. The greatest loss occurs at the point where the waves pass from the generator to the body. To avoid this loss, before traditional lithotripsy procedures, a special gel is usually applied between the patient’s body and the surface of the generator. It is noteworthy that the gel does not always completely fill the space between the body and the generator. Moreover, air bubbles formed in the gel slow down the shock waves, weakening their penetration into the body and ultimately their focus on the stones to be broken.
    In contrast, the STORZ MEDICAL lithotripter is more refined and highly efficient in this regard. Unlike other devices, it has a universal membrane created using nanotechnology, which ensures the lossless transmission of the cylindrical source’s waves into the body. The MODULITH SLX-F2 lithotripter’s membrane only requires the addition of a small amount of water.
    As a reminder, the world’s first lithotripter, created in the 1980s, involved a water bath, meaning patients were submerged in water to break up stones. This system was quite inconvenient and was later replaced. Experts believe that the MODULITH SLX-F2 lithotripter, through nanotechnology and its universal membrane, in a way brings back the old method, but in a much more comfortable and advanced form.
  • The MODULITH SLX-F2 lithotripter, as the most advanced technology, is equipped with universal visualization and targeting systems. In terms of visualization, the STORZ MEDICAL device has made a significant breakthrough and progress, featuring both X-ray and ultrasound components. Unlike other devices, the MODULITH SLX-F2 lithotripter is equipped with a new type of X-ray, the Flat Panel technology, which converts intermediate X-ray beams directly into images. As a result, even radiolucent stones become visible with this technology. In addition to the highest quality visualization, the system also includes an automatic targeting universal mode, which is not dependent on the specialist. This means that shock waves automatically focus on stones of any localization, effectively breaking down concretions that cannot be fragmented by other devices.
  • The MODULITH SLX-F2 lithotripter has an extremely advanced ultrasound visualization component, which plays a crucial role in detecting and breaking down radiolucent stones. With this latest technology from STORZ MEDICAL, children, pregnant women, and individuals for whom X-ray exposure is undesirable can be treated successfully. The device’s ultrasound system is indispensable and essential for intraprocedural monitoring, allowing for complete control over the stone-breaking process and other manipulations. Unlike the MODULITH SLX-F2, other lithotripters do not have this capability!
And finally, the MODULITH SLX-F2 lithotripter is not just a special device for stone fragmentation! It is a universal workstation designed for the multimodal therapy of urolithiasis. A kind of endoscopic operating system, equipped with a wide range of endourological and diagnostic capabilities, fully integrated with manipulative systems in one space. With two large monitors for X-ray and ultrasound imaging, a compact and comfortable manipulative system, where, if necessary, the following procedures can be successfully performed:
  • Transurethral resection;
  • X-ray diagnostics (pyeloureterography, cystography);
  • Ureterorenoscopy with laser lithotripsy;
  • Percutaneous nephrolithotomy;
  • Cystoscopy;
  • Stenting.

At the “Kharazanishvili Robotic Center,” Professor Guram Kharazanishvili’s urological hub treats urolithiasis using the most advanced, cutting-edge model lithotripter in the world!

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Karazanashvili Robotic Center" is the only clinic in Geogia and Caucasus where Robotic Surgery is available
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"Karazanashvili Robotic Center" has five branches located both in Tbilisi and other cities of Georgia - Batumi, Kutaisi, and Zugdidi.
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