Course Content
Disclaimer
This course is designed for educational purposes only. It focuses on the concepts and clinical understanding of shockwave lithotripsy. All energy settings, system limits, and device-specific protocols must be followed as per the manufacturer’s recommendations. Lithotripsy Academy does not replace hands-on training or clinical judgment. Users are responsible for applying their own expertise and adhering to local guidelines and safety standards.
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Disclaimer
01:11
Introduction
Learn how to personalise shockwave lithotripsy using structured energy ramping, patient-specific adjustments, and real-world clinical decision-making to improve fragmentation while maintaining safety.
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Introduction
00:47
Concept of Ramping
Understand how stone density, internal structure, and controlled energy escalation work together to achieve effective and safe fragmentation.
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Concept of Ramping
04:02
Stages of SWL
Learn the structured phases of an SWL session and how each stage contributes to safe, controlled, and effective stone fragmentation.
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Stages of SWL
02:22
Personalisation Matrix
Learn how to combine stone and patient variables into a structured matrix to personalise SWL energy, frequency, and treatment strategy.
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Personalisation Matrix
01:47
Lithotripter Energy Steps & Virtual Energy Model
Understand how lithotripter energy levels are structured and how a standardised virtual energy model is used to design and apply personalised SWL protocols.
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Lithotripter Energy Steps & Virtual Energy Model
02:39
Energy Ramping for Kidney Stones
Learn how to safely and effectively ramp energy for kidney stones using a structured, phase-based approach tailored to stone and patient factors.
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Energy Ramping for Small Kidney Stones
04:54
Energy Ramping for Medium-Sized Kidney Stones
04:27
Energy Ramping for Large Kidney Stones
04:27
Energy ramping for Ureteric Stone
Learn how to adapt energy ramping for ureteric stones, focusing on controlled escalation, precise targeting, and protection of surrounding tissues.
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Logic of Ureteric stone ramping
02:59
Energy Ramping for Small Ureteric Stones
00:38
Energy Ramping for Medium sized Ureteric Stones
01:06
Advanced protocol
Learn how to adapt SWL energy ramping protocols for elderly and pediatric patients, ensuring safe, controlled, and patient-specific treatment for both kidney and ureteric stones.
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Advanced Protocols (Elderly & Pediatric Patients)
02:21
Protocol in Elderly and High-Risk Patients
03:27
Protocol in Pediatric Patients
04:25
Defining Safe Energy Boundaries for SWL Ramping
Learn how to identify the safe energy range of your lithotripter and use it effectively to design controlled and personalised ramping protocols.
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Defining Safe Energy Boundaries for SWL Ramping
05:01
Take home message
Thank You for Learning Personalised SWL Protocols
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Thank you
00:55
Personalised Shockwave Lithotripsy Protocols
About Lesson

Shockwave lithotripsy is not a one-size-fits-all treatment. The success of every session depends on how well the operator adapts energy delivery to the patient, the stone, and the clinical scenario.

This course introduces a structured and clinically practical approach to personalised SWL protocols, focusing on how to move beyond generic settings and apply controlled, evidence-informed decision-making during treatment.

You will learn how to design and execute a complete SWL session using defined treatment phases, including renal safety ramping, stone sensing, fragmentation, and optional dusting. The course explains how to safely utilise the full available energy range of your lithotripter and how to adjust parameters based on stone size, density, location, and patient-specific factors such as BMI and age.

Special emphasis is placed on:

  • Understanding safe energy boundaries for pediatric and adult patients
  • Applying gradual and controlled energy ramping strategies
  • Adapting protocols for kidney versus ureteric stones
  • Managing complex scenarios such as high-density stones, obese patients, and high-risk populations
  • Making real-time intra-procedural decisions based on treatment response

This is not a theoretical course. It is designed from a clinical operator’s perspective, translating years of hands-on experience into a structured, reproducible protocol that can be applied in daily practice.

By the end of this course, you will have a clear framework to personalise your SWL treatments, improve fragmentation efficiency, and enhance patient safety.

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