Urology Holmium Laser

Skip to these sections:

Lumenis MOSES Pulse™ 120H

MOSES Pulse™120H
All in One Laser Urology Platform

MOSES is a groundbreaking, patent-protected pulse delivery technology, that remarkably improves energy transmission, resulting in more efficient lithotripsy and BPH treatments compared to the regular Holmium pulse¹.

360 Urology Innovation
Energy transmission vs. working distance

With shorter lithotripsy procedures and fragmentation times, reduced retropulsion, and more efficient enucleation and vaporization procedures, the MOSES technology sets a new level of innovation for your urology practice.

Innovating Holmium laser lithotripsy

20% Reduction in procedure time
As shown in a randomized clinical trial, the MOSES Technology reduces procedure time by 20%, making your treatments faster and more efficent.¹²
60% reduction in retropulsion
With 60% less retropulsion, you can minimize the incidents of ureteral stone migration into the kidney. You may also avoid chasing the stones in the bladder or kidney.¹²³
25% reduction in fragmentation time
MOSES optimized energy transmission makes every shot count, thus reducing your fragmentation time by 25%.¹²

Flexible Laser Ureteroscopy

Stone Dusting
Simply dust it away
Lumenis Pulse 120H ultra-speed dusting of up to 80Hz allows you to pulverize the stone, reducing the need to retrieval devices or ureteral access sheaths.⁴
Stone Fragmentation
Achieve robust fragmentation when you need it the most⁵
Apply high energy levels of up to 6J to quickly and efficiently fragment stones.

Graph showing crater volume as function of joules
The higher the energy the larger the crater
*Bench study results may not be indicative of clinical performance

Focus on what matters during PCNL

Suction hand-piece allows simultaneous lithotripsy and aspiration of stone fragments.⁶⁷

MoLEP – The New Generation of HoLEP
MOSES LASER Enucleation of the Prostate

Remove prostates of any size
Join the growing wave of urologists adopting HoLEP – the new gold standard for BPH.⁸

Improved enucleation efficiency
Leverage the power of the MOSES P120H for a more efficient tissue removal and 20% increase in enucleation rate (gr/min). Enjoy the advantages of improved intraoperative vision and cleaner dissection of the capsular plane.⁹

Better hemostasis
The unique pulse reshaping results in improved hemostasis, providing you with higher visibility during the procedure and bleeding control.¹⁰ ¹¹

Vaporization
Acceleration in hand

The MOSES technology shows superior vaporization rate and efficiency compared to regular pulse, indicating potential reduction in procedure time.¹¹

Easy
Innovative GUI and intuitive dual pedal operation
Versatile
Wide performance envelope in multiple energy & frequency settings
Validated
Proprietary fibers designed for durability, flexibility and versatility in urological procedures

References
1. Elhilali et al. Moses technology in a stone simulator.Can Urol Assoc J. 2018 Apr;12(4):127-130. doi: 10.5489/ cuaj.4797. Epub 2017 Dec 22

2.Andonian et al. Double-blinded Prospective Randomized Clinical Trial Comparing Moses and Regular Modes of Holmium Laser Lithotripsy: Preliminary Results. Podium presentation at EAU 2018

3. Elhilali M., Badaan S., Ibrahim A., Andonian S. Use of Moses Pulse Modulation Technology to Improve Holmium Laser Lithotripsy Outcomes: A preclinical study. Journal of Endourology (June, 2017)

4. Influence of high energy holmium laser parameters and applied fiber diameter on calculi phantom ablation. Haim Epshtein, Idan Sthzeglowski and Arkady Khachaturov. WCE poster 2014

5. Dusting utilizing suction technique (DUST) for percutaneous nephrolithotomy: Use of a dedicated laser handpiece to treat a staghorn stone. Ghani K.R., Roberts W.W. EAU poster 2017

6. A Usability Comparison of Laser Suction Handpieces for Percutaneous Nephrolithotomy. Dauw CA, Borofsky MS, York N, Lingeman JE. J Endourol. 2016 Nov;30(11):1165-1168

7. John Michalak, David Tzou, Joel Funk: HoLEP: the gold standard for the surgical management of BPH in the 21st Century Am J Clin Exp Urol 2015;3(1):36-42

8. Mark Cynk, Holmium Laser Enucleation of the Prostate is More Efficient with More Laser Power, abstract #MP7- 01, Moderated Poster Session 7: BPH/LUTS, WCE 2016

9. Beaghler M, Leo M, Gass J, March J, Sandoval S, et al. (2017) Initial Experience with New High Powered 120 W Holmium for Vaporization of the Prostate. Urol Nephrol Open Access J 4(2): 00119. DOI: 10.15406/ unoaj.2017.04.00119

10. Yehudit Kraizer, Shadie Badaan, Moshe Elazar, Haim Epshtein, Uri Shpolansky: Perfused bladder model for simulation of hemostasis control using holmium laser. WCE poster 2014

11. Bench test results may not necessarily be indicative of clinical performance

Click here to download Lumenis Pulse™ 120H Brochure.

Lumenis Pulse™ 100H

Pulse 100H
Powerful Stone Dusting and HoLEP Treatments

Versatile and Powerful
High Efficiency for HoLEP and Stone Treatment

100W of power for effective HoLEP procedures

Accelerated Enucleation Rate1
Over 15 years of clinical evidence have made HoLEP the right choice for Urologists and patients worldwide
HoLEP is recommended by the AUA for BPH2. Among its advantages are a low reoperation rate, and wide patient applicability 2,3. Compared with alternative treatment options for BPH, HoLEP has a major advantage in efficacy and safety 3-7

Stone-Dusting™
Stone-Dusting Lithotripsy is very efficient at pulverizing stones of any size and type. Clinical evidence suggests that stone dusting may reduce the need for basket extraction thereby reduce possible complications associated with the routine use of ureteral access sheaths8. The low energy per pulse applied in dusting typically minimizes retropulsion.

Embedded homeostasis capabilities
Pulse reshaping technology is designed to better address bleeding and retropulsion.

Reliable
Legacy 100W Lumenis holmium technology used in thousands of procedures around the world for over 15 years. Case Saver mode allows the surgeon to complete the procedure in the event of system malfunction.

Ease of Use
An intuitive GUI with a touch screen allows for the tracking of accumulated energy during the procedure and double settings are controlled by the systems’ dual pedals.

Customizable dual pedals
Allow for easy switching between laser settings during procedure. This feature might be applied for having one pedal dedicated for hemostasis in order to address bleeding faster and more efficiently.

Validated with Lumenis® Range of Delivery Devices

SlimLine™ family of fibers: Is designed for durability, flexibility and versatility in urological procedures
SlimLine™ 200 D/F/L ultra-flexible fiber: Is designed for flexible ureteroscopy procedures

A wide range of treatment options, including:

Benign Prostatic Hyperplasia
Kidney stones
Bladder stones
Ureteral stones
Strictures
Bladder tumors
Biliary stones
Gastroenterology procedures
Head & Neck procedures
Orthopedic procedures
Thoracic & Pulmonary procedures
Gynecology procedures
Dermatology and plastic surgery

References
1. Mark Cynk, Holmium Laser Enucleation of the Prostate is More Efficient with More Laser Power, abstract #MP7-01, Moderated Poster Session 7: BPH/LUTS, WCE 2016

2. American Urological Association Guideline: Management of Benign Prostatic Hyperplasia (BPH), 2010

3. John Michalak, David Tzou, Joel Funk: HoLEP: the gold standard for the surgical management of BPH in the 21st Century Am J Clin Exp Urol 2015;3(1):36-42

4. Ehab A. Elzayat, Enmar I. Habib, and Mostafa M. Elhilali: Holmium laser enucleation of the prostate: a size-independent new “gold standard” urology 66 (Supplement 5A), November 2005

5. Gilling PJ et al, Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int 2012; 109(3): 408-11.

6. Elmansy H et al, Holmium Laser Enucleation Versus Photoselective Vaporization for Prostatic Adenoma Greater than 60 Ml: Preliminary Results of a Prospective, Randomized Clinical Trial. J Urol 2012; 188: 216-221.

7. Ahyai S et al, Holmium Laser Enucleation versus Transurethral Resection of the Prostate: 3-Year Follow-Up Results of a Randomized Clinical Trial. Eur Urol 2007; 52(5):1456-63.

8. Galina Gagin, Duncan Morhardt, John Hollingsworth and Khurshid Ghani, Stone dusting: Outcomes of ureteroscopic lithotripsy using a multi-cavity high-power holmium laser. Abstract# 16-4424 AUA conference 2016

Lumenis Pulse™ 50H

Pulse 50H
Mid Power Holmium Laser for Efficient Lithrotripsy and Soft Tissue Treatments

Specially designed to effectively address any kind of stone in Lithrotripsy and soft tissue

Over 130 different energy and frequency settings to address any type or size of stone and soft tissue effectively and rapidly
High energy per pulse and high repetition rate (3.5J and 25Hz) enable a rapid fragmentation rate even with hard stones
Pre-programmed Pulse Reshaping Technology designed to better address bleeding and retropulsion
Dual-pedal enables two different working modes operating stimultaneously
Hands-free ready/standby mode for improved ease of use
0.2J of energy per pulse minimizes migration of stones

Embedded Homeostasis Capabilities

Innovative Pulse Reshaping Technology allows physician to quickly switch to a longer pulse to better address bleeding and retropulsion
Holmium is well absorbed in water, penetrates tissue in a clear and controlled manner and prevents charring, necrosis and collateral damage

A Comprehensive Solution
Lumenis Pulse 50H combined the new SlimLineTM 200 D/F/L ball-shaped fiber tip is designed to reduce the risk of damaging the flexible scope during initial fiber insertion.

The combination of different laser parameters allows for a wide range of clinical procedures, including Urology, Arthroscopy, General Surgery, Head & Neck , Gynecology, Gastroenterology and more. The system is validated for the full range of Lumenis fibers to increase the system’s reliability and extend the fiber lifetime.

Ease of use
– Innovative design and GUI
An intuitive GUI with a touch screen allows for the tracking of accumulated energy during the procedure and double settings are controlled by the systems’ dual pedals

– Customizable dual pedals
Allows for easy switching between laser settings during procedure. This feature may be applied by having one pedal dedicated to hemostasis in order to address bleeding.

– Enhanced Visibility
Green aiming beam for enhanced endoscopic visibility.

Validated with Lumenis® Range of Delivery Devices

SlimLine™ family of fibers: Is designed for durability, flexibility and versatility in urological procedures
SlimLine™ 200 D/F/L ultra-flexible fiber: Is designed for flexible ureteroscopy procedures

A wide range of treatment options, including:

Benign Prostatic Hyperplasia
Kidney stones
Bladder stones
Ureteral stones
Strictures
Bladder tumors
Biliary stones
Gastroenterology procedures
Orthopedic procedures
ENT procedures
Thoracic & Pulmonary procedures
Gynecology procedures
Dermatology and plastic surgery

Lumenis Pulse™ 30H

Pulse 30H
High Performance Fragmentation with User Experience in Mind
30W Optical power | 25Hz Repetition rate | 5J Energy per pulse | 7″ High resolution screen; Enhanced user experience

Robust Performance

The Lumenis Pulse 30H is especially designed to address stones of all types and sizes you encounter during a procedure.
High energy per pulse of up to 5J and repetition rate of up to 25Hz.
The system’s competitive performance envelope is designed to better address stone fragmentation and retropulsion.

Ease of Use

7’’ high resolution screen. Intuitive operation with large color graphical user interface.
Space saving system mounted on wheels for smooth relocation to any OR whenever needed.
Green aiming beam with 5 intensity settings for enhanced endoscopic visibility.
Laser setting summary report saves records of the last 10 treatments.

Laser Systems and Fibers

Lumenis Pulse 30H is designed to be perfectly aligned with the Lumenis fiber optical specifications. The alignment between the system and the connected fibers maximizes the fiber’s durability and the energy utilization applied during the procedure, and also prevents potential damage to the system.
Reliable:
• Lumenis Pulse 30H is validated with all Lumenis branded fibers to increase the system’s reliability during the procedure.
• Case saver mode allows the surgeon to complete the procedure in case of system malfunction.
The Lumenis Pulse 30H System is indicated for a wide range of applications including urinary lithotripsy, treatment of bladder tumors and ureteral strictures. It is intended for use during open and endoscopic urological surgeries for ablation, vaporization, incision,excision and coagulation of soft tissue.

A wide range of medical specialties:

Arthroscopy
Urology
Urinary lithotripsy
Head & Neck surgery
Gynecological surgery
General surgery
Gastroenterological surgery

Laser Fibers & Accessories

Laser Fibers – Variety of Delivery Solutions
Variety of Delivery Solutions

SlimLine™ family of fibers
Designed for durability, flexibility and versatility in urological procedures.

Available in 272, 365, 550 and 1000 micron.
SlimLine™ 200 D/F/L the Smooth Tip fiber: Is designed for flexible ureteroscopy procedures. Enabling smooth initial fiber insertion through a deflected scope.
Xpeeda™ D/S/L side-fire fiber: A tailored solution for BPH vaporization delivers maximal energy directly to the tissue while working in full contact.

SlimLine SIS Endo

Suitable for orthopedic, neurology, spine surgery and pulmonary procedures
Single-use, end-fire fibers
Available in 272, 265 and 550 microns

SlimLine SIS GI

Designated for ablation, vaporization, incision, excision, resection, coagulation and homeostasis in GI indications such as biliary/bile duct calculi, benign and malignant neoplasm.
Single-use, end-fire fibers
365 micron
Specialized fiber tip allows for easy passage through a cholangioscope.

Smart Fibers

Lumenis’ fiber line also includes integrated SIS (Smart Identification System) technology which enables system detection of which fiber has been connected. These reusable and single-use fibers are custom designed to work with Lumenis laser systems.

Performance & Reliability
Lumenis fibers are specifically tailored and validated for optimal performance with the Lumenis family of lasers:

Customized optical connection.
Exact match of the optical specifications such as spot size, focal point location and focus angle.

Risks of using non-lumenis fibers
The optical incompatibility of non-Lumenis fibers could result in energy loss due to leakage and decreased energy transmission, possibly affecting safety, clinical effectiveness, and overall laser system quality in the following ways:

Reduced energy transmission may result in delivering less energy to tissue than the laser screen indicates, resulting in reduced and unexpected tissue or lithotripsy effect.
Leaking energy may cause damage to the laser debris shield, delivery device, scope, or laser system Leaking and may burn patient and/or operator.
Leaking energy may cause premature fiber wear, resulting in suboptimal performance or fewer than expected number of uses for reusable fibers.

Click to download Holmium Laser Fiber Line Brochure!

VersaCut™ Morcellator System

VersaCut Morcellator System
The Lumenis VersaCut Tissue Morcellator is a complementary solution for the HoLEP procedure. It enables simultaneous endoscopic tissue procedures and removal of dissected tissue, with controllable morcellation speed and suction power, in one easy to use, integrated solution.

HoLEP stands the test of time

Over 15 years of clinical evidence have made HoLEP the right choice for Urologists and patients worldwide
HoLEP is recommended by the AUA for BPH1. Among its advantages are a low reoperation rate, and wide patient applicability 1,2. Compared to alternative treatment options for BPH, HoLEP has a major advantage in efficacy and safety 2-6.

Ease of Use

Adjustable morcellation and aspiration rates provide high flexibility
Compact size fits all operating room environments
Handpiece ergonomically designed for either right- or left-hand use
Reusable blade set

References
1. American Urological Association Guideline: Management of Benign Prostatic Hyperplasia (BPH), 2010.

2. John Michalak, David Tzou, Joel Funk: HoLEP: the gold standard for the surgical management of BPH in the 21st Century Am J Clin Exp Urol 2015;3(1):36-42.

3. Ehab A. Elzayat, Enmar I. Habib, and Mostafa M. Elhilali: Holmium laser enucleation of the prostate: a size-independent new “gold standard” urology 66 (Supplement 5A), November 2005

4. Gilling PJ et al, Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int 2012; 109(3): 408-11.

5. Elmansy H et al, Holmium Laser Enucleation Versus Photoselective Vaporization for Prostatic Adenoma Greater than 60 Ml: Preliminary Results of a Prospective, Randomized Clinical Trial. J Urol 2012; 188: 216-221.

6. Ahyai S et al, Holmium Laser Enucleation versus Transurethral Resection of the Prostate: 3-Year Follow-Up Results of a Randomized Clinical Trial. Eur Urol 2007; 52(5):1456-63.