NEW INSTRUMENTS & DEVICES

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1 NEW INSTRUMENTS & DEVICES Dalela Triple J Stent The commonly used Double J Stent causes a certain amount of dysuria and other storage LUTS because of trigonal irritation by lower coil of D J Stent. I have added another J in memory of lower part of shaft of stent, which tilts the lower coil away from the trigone and keep it towards the dome, thus minimizing trigonal irritation and dysuria. India. This stent is being manufactured by Blue Neem Company, Bangalore, A presentation on this device has been made by me in SD Bapat best Innovation section of 51 st Annual Conference of USI held at Jaipur, Jan 18 th -21 st * Indian patent no , International patent number PCTIN 2017/050205

2 DALELA ONE STAGE CO-AXIAL URETHRAL DILATOR (DOSCUD)* Currently, Urethral Strictures are dilated either by repeated passage of metallic dilators or plastic dilators which serially increase the caliber of stricture. Thus, on operating table multiple dilators are to be kept. I have devised a single dilator which acts as a substitute for many dilators. This dilator has a diameter of 6 F close to its tip and gradually widen upto 16 F or 18 F. This dilator thus dilates the stricture is one go only. The availability of an additional separate channel allows injection of contrast to simultaneously visualize the stricture or false passages. A presentation of this device has been made in Annual Conference of Urological Society of India at Kolkatta, Jan 24 th 26 th, 2011 in INNOVATION section. This dilator has proven to be more economical and less traumatic. This is being manufactured by Blue Neem Company, Bangalore. * Indian patent application No

3 Radio-Opaque-Ringed (ROR) Sheath: A new cost effective sheath for PCNL * Currently, a radio opaque sheath is used to provide a passage from skin to kidney collecting system during percutaneous renal surgery. This sheath being totally opaque to x-rays, many times hides stone fragments behind it and therefore I innovated a special sheath which is predominantly radiolucent but has only a ring of radio opaque material. This small ring makes it visible during C-arm imaging and serves the purpose of operator without obscuring stone fragments. Since the radio opaque material required to manufacture this sheath is very little, the cost of product goes down drastically thus making it specially useful for us. I have won following award for this sheathdr. S D Bapat Best Innovation Award 2010 for innovating a Radioopaque-ringed sheath: A cost effective sheath for PCNL held at USICON rd Annual Conference of Urological Society of India, held at Hotel Jaypee Palace & International Convention Centre, Agra on 04th 07th Feb * Patient Process Pending

4 Dalela Female Urethral Dilator (DILACATH) In Clinical urological practice, a number of females are required to dilate their urethra or drain their bladder at regular/periodic intervals. Currently available devices are not user friendly. Some of the deficiencies observed are Difficulty in holding the dilator/catheter in the hand, Harder tip generating fear in the mind of patient of self creation of urethral or bladder injury, Need to hold the catheter shaft directly, thus risking transmission of contaminants, No mechanism to clean the drainage channel, Limited reusability, adding cost to patient, Our new device is free of above shortcomings. The device is intended to be used by patient herself or one of her attendants A. as Dilator & B. as Drainage Catheter Acceptance of Innovation: A poster on this instrument had been presented in World Congress of endourology at London on 2nd October The Dilacath is being manufactured by Blue Neem Company, Banglore, India. * Indian patent application No

5 SINGLE STAGE DILATOR FOR PERCUTANEOUS RENAL SURGERY * While doing percutaneous renal surgery, one needs to develop a tract from skin to renal collecting system by using serial dilators made of either Teflon coated plastic or stainless steel. They are multiple in number and apart from being expensive, occupy more space on operation table and also prolong operation time. I have designed a special metallic screw dilator which dilates the tract in one stage thus saving operating time, cost and adding to convenience. This dilator has been manufactured by Goopeenath Dutta and Sons from Kolkata and I have won following competitive awards for this innovation- 1. University Gold Medal for Best Innovations in the field of medicine of CSM medical university, 2007, Awarded by Honorable Governor of UP 2. Innovation Award for innovating a Pencil tip one stage metallic dilator for PCNL in Annual Conference of the Urological Society of India held at Chennai, Jan 2008 * Patient Process Pending

6 DALELA URETHROTOMY GUIDE [DUG] * While doing the operations of Endoscopic Urethrotomy in cases of traumatic urethral stricture, it is some times extremely difficult to locate the proximal urethral end. We developed this instrument which is passed suprapubically and through a channel located inside this instrument either a Guidewire or colored dye can be passed to assist the visualization of proximal urethral end. This instrument was developed by me to facilitate the performance of Internal Urethrotom. The instrument is already being marketed by a company Wilson & Wilson from Chennai, INDIA. * Patient Process Pending

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