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INFINITE VERSATILITY
One Laser For Your Stones and BPH Treatments
Thulio® is Not a Thulium Fiber Laser
While Thulio's dusting performance rivals the TFL’s6, the Thulio's 3,700 W of Maximum Peak Power provide a more powerful fragmentation7 and anatomical enucleation8, putting it in a class of its own.
Peak power (max.) [W]
Power
(max.) [W]
Wavelength [nm]
Laser active
gain medium
3,700
100
2013
Thulium doped YAG crystal (Yttrium-Aluminium-Garnet)
5004
604
19404
Thulium doped silica fiber4
Schematic illustrations of laser cavities.
Illustrations adopted from Traxer, O., Keller, E.X. Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser. World J Urol 38, 1883–1894 (2020). https://doi.org/10.1007/s00345-019-02654-5.
Setting New Standards, Outperforming Ho:YAG
Maximum Performance...
Fine and faster dusting capabilities9
55% less retropulsion5
Superior coagulation3
... in a Smaller Package
Only requires a standard power outlet
60% less floor space required10
50% reduced noise level10
Compared to Ho:YAG
REFERENCES:
1. Keller, E.X., De Coninck, V., Doizi, S. et al. (2021). Thulium fiber laser: ready to dust all urinary stone composition types? World J Urol 39, 1693–1698. https://doi.org/10.1007/s00345-020-03217-9
2. Kwok, J.L., Ventimiglia, E., De Coninck, V. et al. (2023). Pulsed thulium:YAG laser—ready to dust all urinary stone composition types? Results from a PEARLS analysis. World J Urol 41, 2823–2831. https://doi.org/10.1007/s00345-023-04549-y
3. Yilmaz, M., Esser, J., Kraft, L. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol 40, 601–606. https://doi.org/10.1007/s00345-021-03825-z
4. Ventimiglia, E., Robesti, D., Bevilacqua, L. et al. (2023). What to expect from the novel pulsed thulium:YAG laser? A systematic review of endourological applications. World J Urol 41, 3301–3308. https://doi.org/10.1007/s00345-023-04580-z
5. Petzold, R., Miernik, A. & Suarez-Ibarrola, R. (2021). Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol 39(9), 3651–3656. https://doi.org/10.1007/s00345-021-03668-8
6. Kraft, L., Yilmaz, M., Petzold, R., et al. (2022). Dusting efficiency of a novel, pulsed Thulium: YAG laser versus a Thulium fiber laser, J Endourol., 36(2):259-265.
https://doi.org/10.1089/end.2021.0441
7. Kraft, L., Petzold, R., Suarez-Ibarrola, R. et al. (2022). In vitro fragmentation performance of a novel, pulsed Thulium solid-state laser compared to a Thulium fibre laser and standard Ho:YAG laser. Lasers Med Sci 37, 2071–2078 https://doi.org/10.1007/s10103-021-03495-8
8. von Bargen, M.F., Glienke, M., Tonyali, S. et al. (2024). Real-world experience with the new pulsed solid-state Thulium: YAG laser (Thulio) for endoscopic
enucleation of the prostate. World J Urol 42, 467. https://doi.org/10.1007/s00345-024-05141-8
9. Petzold, R., Miernik, A., & Suarez-Ibarrola, R. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol, 35(2), 221-225. https://doi.org/10.1089/end.2020.0525
10. Data on file @ Dornier MedTech
*As a result of up to 55% less retropulsion compared to Ho:YAG
Clinical Experiences
Latest Videos
Versatile By Design
Thulio offers a wide range of application modes, adapting to your needs and enabling smoother procedures.
Dusting mode
Fragmenting mode
Captive Fragmenting mode
Enucleation mode
Soft Tissue mode
Flexible Short Pulse mode
Flexible Long Pulse mode
Dusting mode
Low pulse energy, long pulse duration and high frequency provides fine and fast dusting capabilities that disintegrate particles in 125 μm and smaller.1
Fragmenting mode
High pulse energy, short pulse duration and low frequency for breaking larger or hard stones.
Captive® Fragmenting mode
High pulse energy, long pulse duration and low frequency for breaking larger or hard stones.
Scientifically proven to provide up to 55% reduced retropulsion*2 during fragmentation. The Dornier
Captive mode was developed to decrease the stone
movement during application – potentially reducing
correlating lithotripsy time.
* compared to Ho:YAG
Enucleation mode
High pulse energy, short pulse duration and high frequency. Thulio’s RealPulse® technology enables anatomical endoscopic enucleation of the prostate.
Soft Tissue mode
Long pulse duration and a variety of different pulse energies and frequencies. Achieves highest ranked coagulation performance**3 thanks to Tm:YAG specific water absorption.
** compared to Ho:YAG and TFL
Flexible Short Pulse mode
Offers a full range of available settings with short pulses.
Flexible Long Pulse mode
Offers a full range of available settings with Long pulses.
Our Most Compact 100 W Laser
Ergonomic and user-friendly display
Powerful and
compact laser
- Small footprint
(42 x 62 cm) - Quiet operation (max. 65 dB)
Standard power outlet
Smart, dual footswitch
1
Ergonomic and user-friendly display
Interact with easy-to-navigate interface supported by the large rotatable touchscreen
Toggle between pre-selected settings effortlessly with dual footswitch and splitscreen function
2
Powerful and compact laser
Offer 100 W with the smallest footprint
Engineered lightweight and easy to move, with a standard wall plug
3
Smart, dual footswitch
Switch seamlessly from one pre-defined mode to another
Adjust parameter settings easily with the footswitch
RealPulse® Technology - Supercharging Thulio's Performance
RealPulse Technology is what truly distinguishes Thulio from all other lasers today, featuring:
Use of optimally aligned diodes deliver highly efficient energy conversion
A patented method improves laser stability and output efficiency
Use of Thulium:YAG crystal
Developed in-house with our industry-established German engineering, the Thulio delivers a pulsed laser performance so transformative, it must be experienced firsthand.
Technical Specifications
Laser type
Thulium (Tm:YAG) pulsed solid state
Wavelength
2013 nm
Output (max.)
100 W
Peak power (max.)
3.7 kW
Frequency
5-300 Hz
Application modes
Dusting, Captive Fragmenting, Standard Fragmenting, Enucleation, Soft Tissue (Coagulation), Flex. Short Pulse, Flex. Long Pulse
Weight
97 kg (laser device)
105 kg (including safe working load)
Dimensions
Including monitor:
(W) 42 x (D) 62 x (H) 139 cm
Excluding monitor:
(W) 42 x (D) 62 x (H) 112 cm
Noise emission (max.)
65 dB
Dornier Thulio® Performance Fibers
Order Number | Description | Colour Coding | Core Diameter | No. of Sterile Pieces per Packaging |
|---|---|---|---|---|
K2016360* | 200 µm Single Use Thulio Laser Fiber | Blue | 200 µm | 3 pcs |
K2016361 | 270 µm Slim Single Use Thulio Laser Fiber | White | 272 µm | 3 pcs |
K2016363 | 400 µm Single Use Thulio Laser Fiber | Yellow | 365 µm | 3 pcs |
K2016365 | 600 µm Single Use Thulio Laser Fiber | Green | 550 µm | 3 pcs |
K2016366 | 1000 µm Single Use Thulio Laser Fiber | Red | 940 µm | 3 pcs |
Dornier Thulio Performance Fibers are compatible with Dornier Thulio K2016000 only.
*Only available in EU countries (European Union)
REFERENCES:
1. Petzold, R., Miernik, A., & Suarez-Ibarrola, R. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol, 35(2), 221-225. https://doi.org/10.1089/end.2020.0525
2. Petzold, R., Miernik, A., & Suarez-Ibarrola, R. (2021). Retropulsion force in laser lithotripsy-an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9), 3651-3656. https://doi.org/10.1007/s00345-021-03668-8
3. Yilmaz, M., Esser, J., Kraft, L. et al. Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol 40, 601–606 (2022). https://doi.org/10.1007/s00345-021-03825-z
Clinical Insights
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Publications
| YEAR | PUBLICATION | REFERENCING |
|---|---|---|
| 2022 |
In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy
Petzold, R. et al. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol. 35(2):221-225. https://doi.org/10.1089/end.2020.0525
|
Petzold, R. et al. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol. 35(2):221-225. https://doi.org/10.1089/end.2020.0525 |
| 2022 |
Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device
Petzold, R. et al. (2021). Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device. J Endourol, 35(7):1051-1057. https://doi.org/10.1089/end.2020.0526
|
Petzold, R. et al. (2021). Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device. J Endourol, 35(7):1051-1057. https://doi.org/10.1089/end.2020.0526 |
| 2022 |
Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser
Petzold, R. et al. (2021). Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9):3651–3656. https://doi.org/10.1007/s00345-021-03668-8
|
Petzold, R. et al. (2021). Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9):3651–3656. https://doi.org/10.1007/s00345-021-03668-8 |
| 2022 |
Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate
Yilmaz, M. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol, 40(2):601-606. https://doi.org/10.1007/s00345-021-03825-z
|
Yilmaz, M. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol, 40(2):601-606. https://doi.org/10.1007/s00345-021-03825-z |
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