KARL STORZ

Comprehensive Stone Management Solution

Leave no stone behind
More patients are presenting with stones in the urinary tract than ever before.1
KARL STORZ addresses the growing needs of stone patients with the most
comprehensive stone management portfolio in the U.S.

Designed with the intent to improve patient outcomes, the KARL STORZ
portfolio enables urologists to optimize stone free rates in the operating
room and outpatient setting.

With best-in-class products like:

UR INV
• Top-rated ureteroscopes
CT YO ES
• Laser fibers TE T

O
• Urological workstation

M
PR

EN
• Innovative Mini PCNL system

T
• Elevated service agreements
T
• Flexible financing options
E BES
KARL STORZ offers TH Extend the life
IN

of your device
a comprehensive solution
INVEST

to match all your stone

management needs.

Bring value to
your practice

Invest in the best Protect your investment

Bring value to your practice and your patients Laser fibers and service programs extend the
by investing in clinically proven, superior life of your device and reduce the total cost of
flexible ureteroscopes. ownership. You don’t have to compromise on
quality and performance with KARL STORZ.

2
 KARL STORZ offers a
comprehensive stone
management solution

EVOLVE
TO

TH
EN
EXT LEVE
ZE TO
ARDI ON
ND E Expand your practice and
improve patient outcomes
A

PO
ST

L
RTF
OLIO

Maximize savings
and efficiencies

Standardize Evolve your practice

KARL STORZ offers a broad portfolio of devices Expand your practice with unique, minimally
and accessories for stone removal. Maximize invasive, and cost effective treatment options to
savings and efficiencies with the KARL STORZ improve patient outcomes and patient satisfaction.
comprehensive stone management portfolio.

3
 INVEST in the best with the clinically proven FLEX–X Series

Reach more stones

In approximately ten percent of cases, stones are found in difficult-to-reach locations such as an acutely
angled lower pole. The FLEX-X series scopes may allow surgeons to effectively complete procedures
they might not be able to with other ureteroscopes. The inability to reach stones often leads to extended
procedure times, a second ureteroscopy, or a more invasive surgery. The KARL STORZ FLEX-X series
gives patients their best chance of being rendered stone free without the need for a second or more
invasive procedure.

A recent study on flexible ureteroscopes’ deflection and access capabilities found:2

• The FLEX-XC was the only digital ureteroscope to reach the difficult angled calyx.
• The FLEX-X2 had the best deflection of all ureteroscopes.

KARL STORZ vs competitor ureteroscopes

KARL STORZ FLEX-XC COMPETITORS

Digital flexible ureteroscope Digital flexible ureteroscope

FLEX-X series offers unparalleled access and maneuverability as

a result of its:

Small diameter 8.5 Fr. tip on Flex XC 270° bilateral deflection Short distal tip length which allows
and 7.5 Fr. tip on Flex X² for a tight turning radius

4
Top rated image quality
FLEX-XC is proven to offer the best image quality compared to other leading endoscopes in the market.
FLEX-XC with CLARA + CHROMA modes enhance the surgeon’s ability to identify pathology, allowing for
better patient outcomes. In a recent study, the FLEX-XC was rated with the highest image quality out of all
evaluated ureteroscopes.3

Total Image Quality Score

Top rated
5
Very Good

4.5

3.5
Image Quality

3
2.5

2
1.5

1
Very Bad

0.5
0
Cobra Lithovue Olympus Olympus Olympus FLEX-XC FLEX-XC
Vision P6 V V2 with with
White Light Clara +
mode Chroma
mode

CLARA and CHROMA modes improve visualization through unique and proprietary
technology only available with the IMAGE1 S™ video platform.

“I was able to visualize

a tumor that I am very
positive I wouldn‘t have
seen without the FLEX-XC
digital ureteroscope.”
– Dr. C. Shawn West
STANDARD HD CLARA + CHROMA
(Brightens dark areas and
enhances vascularization)

5
 PROTECT your investment

Treat stones while

protecting your flexible
ureteroscope
FLEX-G Protection: FLEX-G Laser
Fiber and Sheath System
Treat stones while protecting your flexible
ureteroscope with the FLEX-G. Unique
in design, this laser fiber and sheath
system can help extend the life of your
flexible ureteroscopes by safeguarding
the working channel from mechanical
and thermal damage—two causes of
significant scope repairs. Reduced
endoscope damage can mean reduced
repair expenses and increased savings
for the hospital. The proprietary design
of the FLEX-G facilitates multiple passes

O
through a deflected scope, simplifying

P
and streamlining the procedure.4

F
Flex-G Benefits
• Reduced thermal damage
• Reduced mechanical damage
• Reduced repair costs
• Enables multiple safe passes
through a deflected ureteroscope

6
 Elevating the standard repair process
The KARL STORZ E-Class® exchange program exchange service eliminates the hassle and cost of
was built on the philosophy that physicians loaners, provides little to no downtime with quick
deserve flexible endoscopes that perform as turnaround on exchanges, and lowers long-term
reliably as brand new endoscopes after every costs and total cost of ownership.
service. Our E-Class endoscopes are built to
The KARL STORZ E-class exchange service provides:
brand new endoscope quality standards, so
• Guaranteed quality
you and your patients get best-in-class optics,
illumination, and deflection every time. E-class • Maximized efficiency
• Lowered long-term costs

With the KARL STORZ exchange model, every scope is built to brand new specifications. This
means your scopes will maintain high quality over a longer period of time.

Non-KARL STORZ Repair Model KARL STORZ Exchange Model

Scope Quality

Scope Quality

Declining Performance: Dependable Performance

Needs Replacement Every Time

Number of times endoscope is serviced Number of times endoscope is serviced

Exchange up:
The KARL STORZ service difference

• Continuous access to “like new” equipment at discounted prices

• Little to no equipment downtime and case delays
• Maximized operational efficiencies and staff productivity
• Protected and extended use life of your investment
• Lowered long-term costs and total cost of equipment ownership

Quality guaranteed 24 hours

WARRANTY Same warranty as new service turnaround+
endoscopes

Latest technology Simple inventory

upgrades included with management process
every exchange at no
additional charge*

7
 STANDARDIZE to maximize savings and efficiencies

The first and only dedicated urological workstation:

THE MODULITH® SLX-F2

One room. All procedures.

Optimized workflow.

New opportunities for efficiencies in

endourology are now available with
the Modulith SLX-F2, which allows
health care centers to carry out many
urological interventions using just
one system.
One multifunctional unit provides
everything you need to treat all
stone patients using non-invasive to
minimally invasive methods.

The Modulith SLX-F2 can be used for the following procedures:

Urological Diagnosis and Therapy

• KUB • Transurethral resections (TURP, TURB)

• Urography (IVP, IVU) • Cystoscopy
• Retrograde urography • Placing and removing stents
• Ureterenoscopy (URS) • Extracorporeal shock wave lithotripsy (SWL)
• Percutaneous nephrolithotomy (PCNL)

8
 KARL STORZ offers multi-faceted approaches
to stone removal from non-invasive to minimally
invasive devices and accessories.

Semi-rigid ureteroscopes: Where control meets comfort

Complete your stone management toolbox with specialized semi-rigid ureteroscopes from
KARL STORZ. Offset and straight eyepieces, ultra-thin tips and robust working channels make
up the many semi-rigid ureteroscope options available to meet your technique preferences
and the treatment needs of your patients.

Large working channel

Ultra thin. 6.5 Fr. at the
with 7 Fr. tip for up to 4 Fr.
rounded tip
instruments

Large working channel

Dual channel. Straight
with 8 Fr. tip for up to 5 Fr.
eyepiece with 7 Fr. tip
instruments

Single channel. Straight Single channel. Straight

eyepiece with 7 Fr. tip. eyepiece with 7 Fr. tip. Large
Large working channel for working channel for up to
up to 4 Fr. instruments. 4 Fr. instruments.

9
 EVOLVE your practice with MIP

Minimally Invasive PCNL (MIP) System Set components

The KARL STORZ comprehensive stone management portfolio includes a minimally invasive
percutaneous nephrolithotomy set for larger stones or for when ECIRS (Endoscopic Combined
IntraRenal Surgery) is needed.
The MIP system is a unique set of reusable PCNL instruments for the treatment of kidney stones.
MIP offers versatility in its size options and a unique vacuum effect that draws out stone debris
without the need for a basket.
Additionally, the MIP system enables a simple and cost effective transition to perform tubeless
PCNLs in the outpatient setting.

Single step dilator

16.5/17.5 Fr.

Operating sheath

Each component represents a simple

streamlined procedural step. The
simple protocol is efficient, cost
effective, and ideal for use in an
outpatient setting.9

Nephroscope

Sealant applicator

Incision can be closed

and covered with a
small bandage.

10
A unique Minimally Invasive
PCNL System, enabling
cost effective, tubeless,
outpatient percutaneous
nephrolithotomy.

The KARL STORZ Evolution – Minimally Invasive PCNL (MIP)

1. Save Time
MIP provides comparable stone free rates to standard PCNL but with a less invasive
approach resulting in:
• Lower rate of transfusion6
• Faster recovery time6,7,8
2. Increase Patient Satisfaction
MIP contributes to improved patient satisfaction through its minimally invasive and outpatient
approach resulting in:
• Less blood loss5,6
• Less tissue damage7
• Less pain and faster recovery time8,9,10
• Less discomfort and equivalent outcomes without a nephrostomy tube11
• Procedure can be done in an outpatient setting, enabling the patient to go home on the same day9
3. Lower Cost
Eliminate the need for costly disposables - The reusable MIP system saves several hundred
dollars of disposable costs per case:
• Reusable single step dilators eliminate disposable balloon dilators or Amplatz sets
• The system’s vacuum cleaner effect also potentially eliminates the need for disposable baskets
• Applicator for delivery of a gelatin thrombin matrix for tract
• Shorter length of stay6
• Performing MIP as an outpatient procedure can offer significant savings to the hospital by
freeing up hospital bed space

11
 FLEXIBLE payment options to meet your budgetary needs

Stone Management Financing Programs

Site of Care: Hospital / ASC

Operating (FMV) Lease – The cost effective way to manage your technology
• Lowest monthly payment
• Flexibility to upgrade and replace technology
• One-stop shopping: Bundle service and 3rd party equipment. 12-60 month terms available
Capital Lease – Conservation of capital budget
• Preserve cash and finance over time
• Extended terms up to 84 months are available
• “Soft” costs such as service, software, training, and shipping can also be included in finance payments
• $1 purchase option allows for ownership at end of lease term
Bridge to Budget – Overcome budget or timing constraints
• Option for no payments for up to 6 months
• 12-60 month terms available
Equity Rental (Hospital/ASC only) – Acquire the equipment you need now!
Ideal when capital for purchase is unavailable and leasing is not an option. Customers rent for an initial
term of 12 months and then:
• Buy the equipment for initial price less equity earned
• Continue to rent monthly at same payment
• Transition to a financing agreement
• Return the equipment

Contact your local area finance manager for more information

12
INVEST in Flexible ureteroscopes with
unmatched clinical performance
and bring value to your practice

PROTECT your investment with service and

scope saving laser fibers to extend the life of
your device

STANDARDIZE to one portfolio thereby

maximizing savings and efficiencies

EVOLVE to the next level with our treatment

offerings and expand your practice and improve
patient outcomes

13
References
1. Roudakova k, monga m. The evolving epidemiology of stone disease. Indian journal of urology : iju : journal of the urological
society of india. 2014;30(1):44-48. Doi:10.4103/0970-1591.124206
2. Dragos lb, somani bk, sener et, et al. Which flexible ureteroscopes (digital vs. Fiber-optic) can wasily reach the difficult
lower pole calices and have better end-tip deflection: in vitro study on k-box. A petra evaluation. Journal of endourology
2017;31:630-637.
3. Talso M, Proietti S, Emiliani E, et al. Comparison of Flexible Ureterorenoscope Quality of Vision: An In Vitro Study.Journal of
Endourology. 2018. 32:6.
4. LUSCH, A., et al. In Vitro Evaluation of ScopeSafe Fibers and Scope Guardian Sheath in Prevention of Ureteroscope
Endolumenal Working Damage. J. Endourology. Vol. 27, No. 6; June, 2013.
5. Lange, J., Gutierrez-Aceves, J. Comparative Outcomes of Conventional PCNL and Miniaturized PCNL in the Treatment of
Kidney Stones. Abstract. AUA annual meeting. 2016
6. Abdelhafez MF, Wendt-Nordahl G, Kruck S, Mager R, Stenzl A, Knoll T, Schilling D. Minimally invasive versus conventional
large-bore percutaneous nephrolithotomy in the treatment of large-sized renal calculi: Surgeon’s preference? Scand J Urol.
2016 Jun;50(3):212-215. Epub 2016 Mar 24
7. Abdelhafez MF, Amend B, Bedke J, Kruck S, Nagele U, Stenzl A, Schilling D. Minimally invasive percutaneous nephrolithotomy:
a comparative study of the management of small and large renal stones. Urology. 2013 Feb;81(2):241-5. doi: 10.1016/j.
urology.2012.09.030.
8. Davalos, J., Abbott, J. Ambulatory PCNL: Initial Case Series. Abstract MP51-20. AUA 2016.
9. Kim, H. Multiple Benefits to Minimally Invasive Surgery. Speaking of Health. Mayo Clinic Health Systems website. September
29, 2015. http:// mayoclinichealthsystem.org/hometown-health/speaking-of-health/multiple-benefits-to-minimally-invasive-
surgery
10. Nagele U, Schilling D, Sievert KD, Stenzl A, Kuczyk M. Management of lower-pole stones of 0.8 to 1.5 cm maximal diameter
by the minimally invasive percutaneous approach. J Endourol. 2008 Sep;22(9):1851-3; discussion 1857. doi: 10.1089/
end.2008.9791
11. Nagele, U. et al. A newly designed amplatz sheath decreases intrapelvic Irrigation Pressure During Mini-Percutaneous
Nephrolitholapaxy: An in-vitro Pressure-Measurement and Microscopic Study. Journal of Endourology. Vol. 21, number 9.
September 2007. 1113-1116
Notes
 97131023 URO 2 1.0 us 12/2019/MB-E-US

KARL STORZ SE & Co. KG KARL STORZ Endoscopy-America, Inc.

Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany 2151 East Grand Avenue
Postfach 230, 78503 Tuttlingen/Germany El Segundo, CA 90245-5017, USA
Telefon: +49 7461 708-0 Phone: +1 424 218-8100
Telefax: +49 7461 708-105 Phone toll free: 800 421-0837 (US only)
E-Mail: [email protected] Fax: +1 424 218-8525
www.karlstorz.com Fax toll free: 800 321-1304 (US only)
E-Mail: [email protected]