title: A study of the surgical scenario in endourology. The Campos instrument.
abstract: OBJECTIVE
  A new concept for endoscopy is presented in the form of a ureteroscope and cystoscope that efficiently adapts to the needs and situation of the surgical scenario, both in patient's health benefit and better results, and also physician's wellbeing.
  
  
  METHODS
  The concept of the instrument, in the neutral position, gives response to the urinary tract anatomy in supine decubitus: horizontally form side to side. The instrument has a handle with a rotor to control the distal active flexible segment of the shaft. It has a unique new shaft with at least three different elastic properties with a proximal firm first segment, followed by a second passive flexible and a third distal active flexible segment. Two pending US patents and another patent endorse the invention.
  
  
  RESULTS
  A perceptive instrument from first contact has been developed. The horizontal response reduces rotation requirements, X-ray needs down to 30 seconds at the most, and operating time to a third. It may be introduced and maneuvered with one hand only, avoiding the need for an assistant and it has the ad vantage that it may be used sitting.
  
  
  CONCLUSIONS
  Current operating room scenario generates a demanding situation, affecting even surgeon's own general health. The Campos Instrument has exclusive features for operating room ergonomic fusion, making procedures more dynamic. It simulta-neously procures patient and physician's health. Allows a predictable navigation and provides the stability of a firm endoscope with the diagnostic and therapeutic capabilities of the flexible.
authors.affiliation: Departamento de Urologia. Hospital Angeles de Las Lomas. Huixquilucan. Mexico.
authors.forename: Jorge Alberto
authors.initials: JA
authors.lastname: Campos Castellanos
mesh_terms: D006801:Humans; D066231:Surgeons; D013525:Surgical Instruments; D020709:Ureteroscopes; D018666:Ureteroscopy / Q000379:methods*; D014551:Urinary Tract / Q000033:anatomy & histology; D013520:Urologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*