There is a wide array of endoscopic lithotriptors presently available. Each of these has its own advantages and disadvantages. No single lithotriptor is suitable for all applications and none can meet the goal of fragmenting all calculi while remaining harmless to tissue.
Grasso, M. (1999). Ureteroscopic lithotripsy. Current Opinion in Urology. https://doi.org/10.1097/00042307-199907000-00010