IM PRIME LITHO-BRIDGE IS REUSABLE AND AUTOCLAVABLE AND IT IS USEFUL FOR PNEUMATIC LITHOTRIPTOR AND CAN BE USE WITH 23.5FR CYSTOSCOPY SHEATH WITH 4MM DIAMETER CYSTOSCOPE. IT COMES WITH AN ERGGONOMIC DESIGN WHICH MAKES MORE HELPFUL TO SURGEON, IT EASY FOR THE SURGEON TO HOLD THE INSTRUMENT PROPERLY IN HIS HAND.