Nyob rau xyoo 1960, cov kws tshaj lij los ntawm West German (Federal Republic of Germany) aviation tuam txhab D ö nnier nrhiav tau tias thaum lub dav hlau hla dhau los nag huab cua ntawm kev kub ceev, ib qho kev poob siab tuaj yeem tsim tawm uas tuaj yeem ua rau cov khoom hauv lub dav hlau puas, thaum lub plhaub sab nraud ntawm lub dav hlau tseem nyob tsis zoo. Qhov tshwm sim no tau ntxim nyiam cov kws kho mob, thiab xyoo 1963, lub tuam txhab tau tsim lub chaw soj ntsuam kev poob siab. Xyoo 1966, tus kws ua haujlwm hauv chav tshawb fawb tau yuam kev tuaj rau hauv kev sib cuag nrog lub hom phiaj ua haujlwm poob siab, thiab nws lub cev zoo li hluav taws xob poob siab. Tus kws tshaj lij paub tam sim ntawd pom tau hais tias qhov no yog qhov cuam tshuam ntawm kev poob siab yoj nkag mus rau tib neeg lub cev. Eisenberg (Xib Fwb ntawm Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob ntawm University of Munich) tau ua haujlwm ze nrog pab pawg tshawb fawb txog kev poob siab ntawm Downer&Company thaum kawg ua pov thawj hauv xyoo 1972 tias kev poob siab tsis dhau los ntawm dej tuaj yeem tsoo cov pob zeb hauv lub raum. Qhov kev vam meej no yog ib qho tseem ceeb hauv keeb kwm ntawm extracorporeal shock yoj lithotripsy thiab qhib lub sijhawm tshiab hauv kev kho cov pob zeb tso zis. Xyoo 1980, Joss et al. los ntawm Department of Urology ntawm Ludwigo Maximilian University hauv Munich, West Germany, thawj zaug siv lub tshuab no rau kev kho mob ntawm cov neeg mob raum pob zeb. Xyoo 1985, Tuam Tshoj tau ua tiav lub pob zeb crusher.