Surgical Division is global leader in surgical laser technology and medical laser equipment, and considered a pioneer in the field of laser for surgery
Search

 

Urinary Stones: Kidney, Ureter and Bladder

The Holmium laser has significantly improved the management of stones, providing a less invasive and more effective treatment. Holmium lasers and associated fibers effectively fragment stones of any composition or size throughout the urinary tract. They are used in two types of procedures, percutaneous nephrolithotomy (PCNL) and ureteroscopy.


Stone Dusting™

The use of the Lumenis Pulse and VersaPulse® PowerSuite™ high power laser systems enables a novel stone management technique called Stone-Dusting™.  
Using high repetition rates (50 Hertz) at lower energy pulses (0.2-0.5 Joules), the Lumenis Pulse and VersaPulse lasers effectively pulverize stones to fine dust. This reduces the use of baskets and other fragment extraction tools and the overall duration of the procedure.

 

 
 
Get more info

 Lumenis Holmium Laser and Fibers for Optimal Lithotripsy Outcome

Lumenis provides a range of reusable SlimLine™ fibers and disposable SlimLine EZ™ fibers for Laser Lithotripsy with the VersaPulse family of products. The intelligent SIS™ fibers are designed to operate with the VersaPulse P20. These high quality fibers are custom designed to be used with Lumenis lasers for reliable clinical outcome.

During Laser Lithotripsy PCNL procedures, the use of Holmium lasers and fibers enables localized energy delivery without damage to surrounding tissue for a safe and effective procedure. Energy settings can be varied to control fragmentation rate and stone movement (retropulsion).

For flexible Laser Ureteroscopy, the smaller diameter SlimLine 200 D/F/L- the SmoothTip fiber, SlimLine EZ 200 and SlimLine 200 SIS fibers are most suitable. They allow for maximal deflection of the flexible scope and effectively fragment or Dust stones in hard to reach locations.

Benefits of Stone Management with VersaPulse

  • Works well on all stone compositions
  • Disposable and reusable fibers used with either flexible or rigid scopes
  • Enables Stone-Dusting™* to minimize stone movement and reduce procedure time
  • Virtually no bleeding
  • More effective in removing embedded stones
  • >95% success with single treatment 1
* Performed with VersaPulse PowerSuite 100 Watt
1. Journal of Clinical Laser Medicine & Surgery, 1998 Vol. 16, M. Grasso, MD & Y. Chalik, MD,
Principles and Applications of Laser Lithotripsy: Experience with the Holmium Laser Lithotrite
Video
Physicians Experience
Related Articles
Stone-Dusting changes lives, US Dep. of Veterans Affairs

Lumenis Surgical – Urinary Stones Surgical Laser

More Information