Analysis and classification of secondary sounds from the disintegration of kidney stones with acoustic shock waves.

Secondary sound emission, partly in the audible frequency range, from shock wave disintegration of kidney stones has been recorded during the treatment of two patients. A skilled operator can determine by listening if the stone is hit by the shock-wave or not. Spectral analysis of these recordings show differences between the sounds which can be used to evaluate the fragmenting effect on the stone. Results are presented of a preliminary discriminating method based on parameters in an autoregressive signal model.