Evidence map›Paper›PMID 26521719›Full record

Trial reportThe Journal of urology2016

First in Human Clinical Trial of Ultrasonic Propulsion of Kidney Stones.

Jonathan D Harper, Bryan W Cunitz, Barbrina Dunmire, Franklin C Lee, Mathew D Sorensen, Ryan S Hsi, Jeff Thiel, Hunter Wessells, James E Lingeman, Michael R Bailey

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in The Journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02028559 naactive not recruitingnot on this map

Safety and Effectiveness of the Ultrasonic Propulsion of Kidney Stones

TypeinterventionalSponsorUniversity of WashingtonRan2013 to 2026Enrolled172ConditionsKidney Stones, Nephrolithiasis, UrolithiasisArmsPropulse 1 with C5-2 probe, Propulse 1 with SC-X probe
NCT04796792 narecruitingnot on this mapstarted 2023, after this paper: background citation

Ultrasound Technology to Fragment and Reposition Urinary Stones

TypeinterventionalSponsorUniversity of WashingtonRan2023 to 2028Enrolled140ConditionsUrinary Stone, Urinary CalculiArmsBurst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Impact of Therapeutic Ultrasound on Metabolic Hormone Release From Thyroid Gland.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  6. Article
  7. Overview of Therapeutic Ultrasound Applications and Safety Considerations: 2024 Update.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Journal of endourology · 2020
    Article
  16. Noninvasive acoustic manipulation of objects in a living body.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  17. Pearl-unjammed: the Seattle stone maneuver for ureteropelvic junction urolithiasis.Journal of the American College of Emergency Physicians open · 2020
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jonathan D HarperDepartment of Urology, School of Medicine, Seattle, Washington. Electronic address: jdharper@uw.edu.
Bryan W CunitzCenter for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington.
Barbrina DunmireCenter for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington.
Franklin C LeeDepartment of Urology, School of Medicine, Seattle, Washington.
Mathew D SorensenDepartment of Urology, School of Medicine, Seattle, Washington; Division of Urology, Department of Veteran Affairs Medical Center, Seattle, Washington.
Ryan S HsiDepartment of Urology, School of Medicine, Seattle, Washington.
Jeff ThielDepartment of Radiology, School of Medicine, Seattle, Washington.
Hunter WessellsDepartment of Urology, School of Medicine, Seattle, Washington.
James E LingemanDepartment of Urology, Indiana University School of Medicine, Indianapolis, Indiana.
Michael R BaileyDepartment of Urology, School of Medicine, Seattle, Washington; Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington.
University of Washington · USUniversity of Washington Applied Physics Laboratory · USIndiana University – Purdue University Indianapolis · US

Funding

SWL AND RENAL INJURY AND STONE COMMINUTIONP01DK043881 · NIDDK · UNIVERSITY OF WASHINGTON · PI LIU, ZIYUE · 1994 to 2023
$33.5M
Noninvasive, non-ionizing localization and clearance of kidney stonesR01DK092197 · NIDDK · UNIVERSITY OF WASHINGTON · PI BAILEY, MICHAEL R · 2011 to 2013
$1.6M
NIDDK NIH HHS P01 DK043881NIDDK NIH HHS R01 DK092197
6 · The paper itself

Abstract

purposeUltrasonic propulsion is a new technology using focused ultrasound energy applied transcutaneously to reposition kidney stones. We report what are to our knowledge the findings from the first human investigational trial of ultrasonic propulsion toward the applications of expelling small stones and dislodging large obstructing stones. MATERIALS AND

methodsSubjects underwent ultrasonic propulsion while awake without sedation in clinic, or during ureteroscopy while anesthetized. Ultrasound and a pain questionnaire were completed before, during and after propulsion. The primary outcome was to reposition stones in the collecting system. Secondary outcomes included safety, controllable movement of stones and movement of stones less than 5 mm and 5 mm or greater. Adverse events were assessed weekly for 3 weeks.

resultsKidney stones were repositioned in 14 of 15 subjects. Of the 43 targets 28 (65%) showed some level of movement while 13 (30%) were displaced greater than 3 mm to a new location. Discomfort during the procedure was rare, mild, brief and self-limited. Stones were moved in a controlled direction with more than 30 fragments passed by 4 of the 6 subjects who had previously undergone a lithotripsy procedure. The largest stone moved was 10 mm. One patient experienced pain relief during treatment of a large stone at the ureteropelvic junction. In 4 subjects a seemingly large stone was determined to be a cluster of small passable stones after they were moved.

conclusionsUltrasonic propulsion was able to successfully reposition stones and facilitate the passage of fragments in humans. No adverse events were associated with the investigational procedure.

Indexed as

Ultrasonic TherapyFeasibility StudiesFemaleHumansKidney CalculiMaleMiddle Agedkidney calculilithotripsynephrolithiasistherapies, investigationalultrasonography

Identifiers

PMID26521719
PMCPMC4851928
OpenAlexW1866472409

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.