| CPC A61B 18/26 (2013.01) [A61B 2018/00202 (2013.01); A61B 2018/00511 (2013.01); A61B 2018/00535 (2013.01); A61B 2218/002 (2013.01); A61B 2218/007 (2013.01)] | 12 Claims |

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1. A calculi fracture device comprising:
an acoustic transducer for transferring acoustic energy via a primary fragmentation probe to fracture a calculi mass into calculi fragments;
an evacuation tube connecting the probe to a pressure source, wherein an evacuation pathway extends through the primary fragmentation probe and the evacuation tube;
a secondary fragmentation device located in the evacuation pathway to further break up the calculi fragments to inhibit clogging at a more proximal location in the evacuation pathway,
the secondary fragmentation device comprising a rotating blade including at least one ring or disk structure.
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