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100 W High Power Advanced Thulium:YAG Laser with RealPulse® Technology

Why Dornier Thulio®

100 W High Power Advanced Thulium:YAG Laser with RealPulse® Technology

Dusts ALL 7 common human urinary stone compositions1
Excellent fine dusting capabilities2

3.7 kW

peak power
Driving an enhanced fragmenting experience

55%

more control* with Captive® Mode3

Dornier’s fragmenting mode offers virtually no retropulsion

* more control as a result of up to 55% less retropulsion compared to Ho:YAG

Our most compact 100 W laser
for your stone and
BPH treatment needs

Embrace Peak Performance

Asset 9
5@2x

Powerful and compact laser

Offers 100 W with the smallest footprint*.

Engineered lightweight and easy to move, equipped with a standard wall plug

*among urology and stone / BPH treatment lasers 100 W and above

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

Smart, dual footswitch

Switch seamlessly from one pre-defined mode to another

Adjust parameter settings easily with the 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

Thulio Application Modes

Empowering smooth procedures

1
3@2x

Dusting mode

31@2x

Fragmenting mode

32@2x

Captive Fragmenting mode

Enucleation Icon

Enucleation mode

35@2x

Soft Tissue mode

36 1@2x

Flexible Short Pulse mode

38@2x

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.2

4@2x

Fragmenting mode

High pulse energy, short pulse duration and low frequency for breaking larger or hard stones.

Fragmenting Mode@2x

Captive Fragmenting mode

High pulse energy, short pulse duration and low frequency for breaking larger or hard stones.
Scientifically proven to provide up to 55% reduced retropulsion*3 during fragmentation. The Dornier
Captive® mode was developed to decrease the stone
movement during application – potentially reducing
correlating lithotripsy time.

Captive Fragmenting Mode@2x

* 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.

Enucleation Mode@2x

Soft Tissue mode

Long pulse duration and a variety of different pulse energies and frequencies. Achieves highest ranked coagulation performance**4 thanks to Tm:YAG specific water absorption.

Soft Tissue Mode@2x

** compared to Ho:YAG and TFL

Flexible Short Pulse mode

Offers a full range of available settings with short pulses.

Flexible Short Pulse Mode@2x

Flexible Long Pulse mode

Offers a full range of available settings with Long pulses.

Flexible Long Pulse Mode@2x

REFERENCES:

1. 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

2. 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

3. 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

4. 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

©2024 Dornier MedTech. All rights reserved. The contents herein are subject to change without prior notice. Dornier Thulio®, Captive®, RealPulse® are registered trademarks of Dornier MedTech and its use throughout this website is protected. The information contained in this website is for information purposes only and provided "as is". The actual product may vary from the images shown. The product shown is only offered in countries where it may be legally offered. Please check the availability with your local sales representative or customer service.

Advanced Thulium:YAG Laser with RealPulse Technology

22 2@2x

Schematic illustration of a Thulio laser cavity.

Use of
highly efficient diodes

Unique alignment of diodes to guarantee efficient energy conversion

Patented method improves
laser stability and output efficiency

Use of
Thulium:
YAG crystal

1
Small Footprint.png
Powerful 100 W.png
High Peak.png
Reduced Retropulsion.png
Large Range.png
High Power.png
High Power Enucleation.png
Quiet Operation.png
Asdasd@2x

Experience the Best of Both Worlds*

Left@2x
Plus Circle Mid.png
Right 1@2x
Mob@2x

* Holmium:YAG & Thulium Fiber Laser

Where Thulio Stands Among Laser Technologies

SWIPE

Laser active
gain medium

Wavelength

Power
(max.) [W]

Peak power (max.) [W]

Schematic pulse shape

Asset 4@4x.png

Thulium doped YAG crystal (Yttrium-Aluminium-Garnet)

λ = 2013 nm

100

3,700

Graphic 3.png
Asset 4@4x 2.png

Thulium doped
silica fiber

λ = 1940 nm

605

5005

Graphic 2.png
Asset 6@4x.png

Holmium doped YAG crystal (Yttrium-Aluminium-Garnet)

λ = 2100 nm

20 - 1505

1,800 - 14,5005

Graphic 1.png

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.

Laser Technology – Specification Range5

SWIPE

Max Power

Max Pulse Peak Power

Pulse Duration

Max. Frequency

<<< LOWEST

<<< LOWEST

HIGHEST >>>

HIGHEST >>>

Ho:YAG

(low power)

TFL

Ho:YAG

Ho:YAG

TFL

Hybrid Tm:YAG

THULIO

100 W High Power Advanced Thulium:YAG Laser with RealPulse® Technology

Hybrid Tm:YAG

Ho:YAG

(high power)

Hybrid Tm:YAG

(cw mode)

Ho:YAG

TFL

TFL

Graphical adaptation from 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

REFERENCES:

1. 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

2. Data on file @ Dornier MedTech

3. 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

4. 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

5. 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

©2024 Dornier MedTech. All rights reserved. The contents herein are subject to change without prior notice. Dornier Thulio®, Captive®, RealPulse® are registered trademarks of Dornier MedTech and its use throughout this website is protected. The information contained in this website is for information purposes only and provided "as is". The actual product may vary from the images shown. The product shown is only offered in countries where it may be legally offered. Please check the availability with your local sales representative or customer service.

Clinical Experiences

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Latest Videos

©2024 Dornier MedTech. All rights reserved. The contents herein are subject to change without prior notice. Dornier Thulio®, Captive®, RealPulse® are registered trademarks of Dornier MedTech and its use throughout this website is protected. The information contained in this website is for information purposes only and provided "as is". The actual product may vary from the images shown. The product shown is only offered in countries where it may be legally offered. Please check the availability with your local sales representative or customer service.

Technical Specifications

Laser type

Thulium (Tm:YAG) pulsed solid state

Wavelength

2013 nm

Output (max.)

100 W @ 1000 mJ/100 Hz
(208 - 240 VAC)
22.5 W @ 150 mJ/150 Hz (115 VAC)

Pulse frequency

5 - 300 Hz

Pulse energy

100 – 2,500 mJ

Peak power (max.)

3.7 kW

Pulse duration

150 μs to ≤ 1,200 μs

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

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)

Order Number
Description
Colour Coding
Core Diameter
No. of Sterile Pieces per Packaging
K2016370
270 µm, Slim, 10x Reusable Thulio Laser Fiber
White
272 µm
3 pcs
K2016371
400 µm, 10x Reusable Thulio Laser Fiber
Yellow
365 µm
3 pcs
K2016372
600 µm, 10x Reusable Thulio Laser Fiber
Green
550 µm
3 pcs
K2016373
1000 µm, 10x Reusable Thulio Laser Fiber
Red
940 µm
3 pcs

Reusable Dornier Thulio Performance Fibers are authorized for 10 usage cycles (usability). Steam sterilization at 132°C (270°F). For more details, please refer to the instructions for use.

Dornier Thulio Performance Fibers are compatible with Dornier Thulio K2016000 only.

©2024 Dornier MedTech. All rights reserved. The contents herein are subject to change without prior notice. Dornier Thulio®, Captive®, RealPulse® are registered trademarks of Dornier MedTech and its use throughout this website is protected. The information contained in this website is for information purposes only and provided "as is". The actual product may vary from the images shown. The product shown is only offered in countries where it may be legally offered. Please check the availability with your local sales representative or customer service.

Clinical Insights

Dornier Thulio® in-vivo efficiency & safety for stone lithotripsy

Dornier Thulio® offers effective and safe laser lithotripsy, fulfilling the criteria of an ideal laser.

Download
Dornier Thulio®’s in-vivo efficiency & safety for EEP

Dornier Thulio® offers a safe and effective option for laser enucleation of the prostate with high postoperative patient satisfaction.

Download
Dornier Thulio dusting ablation efficiency during in vitro lithotripsy of all urinary stone composition types

Dornier Thulio, the new pulsed-Tm:YAG laser, is capable of efficiently dusting all seven common human urinary stone compositions.

Download
Initial single-center clinical experience

Dornier Thulio, the new pulsed-Tm:YAG laser, is a safe and effective source for endocorporeal laser lithotripsy (ELL) during retrograde intrarenal surgery (RIRS).

Download

Publications

YEAR PUBLICATION REFERENCING
2024

Assessment of Holmium:YAG, Pulsed-Thulium:YAG and Thulium Fiber Lasers for Urinary Stone Ablation. In Vitro Study

Sierra Del Rio, A., Panthier, F., Castillo, E., et al. (2024) Assessment of Holmium:YAG, pulsed-Thulium:YAG and Thulium Fiber Lasers for Urinary Stone Ablation. In vitro study. J Endourol. https://doi.org/10.1089/end.2024.0349
Sierra Del Rio, A., Panthier, F., Castillo, E., et al. (2024) Assessment of Holmium:YAG, pulsed-Thulium:YAG and Thulium Fiber Lasers for Urinary Stone Ablation. In vitro study. J Endourol. https://doi.org/10.1089/end.2024.0349
2024

Comparison of holmium:yttrium-aluminium-garnet (YAG), thulium fiber laser, and pulsed thulium:YAG lasers on soft tissue: an ex vivo study

Kutchukian, S., Chicaud, M., Berthe, L., et al. (2024) Comparison of holmium:yttrium-aluminium-garnet (YAG), thulium fiber laser, and pulsed thulium:YAG lasers on soft tissue: an ex vivo study. BJUI International https://doi.org/10.1111/bju.16447
Kutchukian, S., Chicaud, M., Berthe, L., et al. (2024) Comparison of holmium:yttrium-aluminium-garnet (YAG), thulium fiber laser, and pulsed thulium:YAG lasers on soft tissue: an ex vivo study. BJUI International https://doi.org/10.1111/bju.16447
2024

In Vitro Comparison of Pulsed-Thulium:YAG, Holmium:YAG, and Thulium Fiber Laser

Chicaud, M., Kutchukian, S., Berthe, L., et al. (2024) In Vitro Comparison of Pulsed-Thulium:YAG, Holmium:YAG, and Thulium Fiber Laser. J Endourol. Published online October 1, 2024. https://doi.org/10.1089/end.2024.0424
Chicaud, M., Kutchukian, S., Berthe, L., et al. (2024) In Vitro Comparison of Pulsed-Thulium:YAG, Holmium:YAG, and Thulium Fiber Laser. J Endourol. Published online October 1, 2024. https://doi.org/10.1089/end.2024.0424
2024

Flexible Ureteroscopic Lithotripsy with the Pulsed Thulium:Yttrium Aluminum Garnet Laser Thulio: Preliminary Results from a Prospective Study

Proietti, S., Marchioni, M., Oo, MM. (2024) Flexible Ureteroscopic Lithotripsy with the Pulsed Thulium:Yttrium Aluminum Garnet Laser Thulio: Preliminary Results from a Prospective Study. European Urology Open Science. 67:77-83.
Proietti, S., Marchioni, M., Oo, MM. (2024) Flexible Ureteroscopic Lithotripsy with the Pulsed Thulium:Yttrium Aluminum Garnet Laser Thulio: Preliminary Results from a Prospective Study. European Urology Open Science. 67:77-83.

©2024 Dornier MedTech. All rights reserved. The contents herein are subject to change without prior notice. Dornier Thulio®, Captive®, RealPulse® are registered trademarks of Dornier MedTech and its use throughout this website is protected. The information contained in this website is for information purposes only and provided "as is". The actual product may vary from the images shown. The product shown is only offered in countries where it may be legally offered. Please check the availability with your local sales representative or customer service.

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