Dornier Thulio Horizontal Colored

INFINITE VERSATILITY

One Laser For Your
Stone and BPH Treatments

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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 provides a more powerful fragmentation7 and anatomical enucleation8, putting it in a class of it's own.

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Peak power (max.) [W]

Power
(max.) [W]

Wavelength [nm]

Laser active
gain medium

Thulio Crystal@2x 1024x867(edited) 2

3,700

100

2013

Thulium doped YAG crystal (Yttrium-Aluminium-Garnet)

Thulium Silica

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.

Redefining Benchmarks, Surpassing 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

Thulio® In Action

Witness the infinite versatility of Thulio®, our 100W high-power pulsed Thulium:YAG laser, in action. Trusted by clinicians worldwide and backed by a proven track record, Thulio® offers exceptional performance and reliable care, empowering you to provide the quality treatment your patients deserve.

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“
With the Thulio Laser, I feel confident that I am delivering the best to my patients. The Thulio Laser gives me great security during surgery.
Dr. Gino Pigatto Filho​

Dr. Gino Pigatto Filho

Hospital Marcelino Champagnat

Curitiba,

Brazil

“
With the Thulio Laser, I feel confident that I am delivering the best to my patients. The Thulio Laser gives me great security during surgery.
Dr. Gino Pigatto Filho​

Dr. Gino Pigatto Filho

Hospital Marcelino Champagnat

Curitiba,

Brazil

“
The Thulio is truly a Smart Laser; the unit is small, compact and quiet and very easy to use thanks to its easy-to-use interface. Clinically I do love the Thulio especially for EEP since it provides equal enucleation capabilities than a Ho:YAG but better coagulation and hemostasis.
Dr. Geert De Naeyer​

Dr. Geert De Naeyer

OLV Hospital

Aalst,

Belgium

“
The Thulio is truly a Smart Laser; the unit is small, compact and quiet and very easy to use thanks to its easy-to-use interface. Clinically I do love the Thulio especially for EEP since it provides equal enucleation capabilities than a Ho:YAG but better coagulation and hemostasis.
Dr. Geert De Naeyer​

Dr. Geert De Naeyer

OLV Hospital

Aalst,

Belgium

“
The Thulio truly combines the best of both worlds of Thulium and Holmium: improved energy transfer and adequate peak power. In my opinion, it is a very versatile laser: excellent for enucleation & coagulation in EEP procedures and impressive stone dusting in stone cases.
Dr. Schatteman

Dr. Peter Schatteman

OLV Hospital

Aalst,

Belgium

“
The Thulio truly combines the best of both worlds of Thulium and Holmium: improved energy transfer and adequate peak power. In my opinion, it is a very versatile laser: excellent for enucleation & coagulation in EEP procedures and impressive stone dusting in stone cases.
Dr. Schatteman

Dr. Peter Schatteman

OLV Hospital

Aalst,

Belgium

“
The Thulio is the perfect combination and balance during enucleations. Its distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.
Mariano Photo

Dr. Mariano Gonzalez

Italian Hospital of buenos Aires

Buenos Aires,

Argentina

“
The Thulio is the perfect combination and balance during enucleations. Its distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.
Mariano Photo

Dr. Mariano Gonzalez

Italian Hospital of buenos Aires

Buenos Aires,

Argentina

“
For the past 2.5 years, the Dornier Thulio has been part of the daily routine of Prof. Arkadiusz Miernik from the Division for Urotechnology at the University of Freiburg Medical Center. He and his colleagues have experienced positive results with it for BPH and stone procedures. During enucleation, they found that the Thulio displayed excellent thermal and photoacoustic properties for blunt dissection and cutting.
Prof Miernik 1

Prof. Arkadiusz Miernik

University of Freiburg - Medical Center

Freiburg,

Germany

“
For the past 2.5 years, the Dornier Thulio has been part of the daily routine of Prof. Arkadiusz Miernik from the Division for Urotechnology at the University of Freiburg Medical Center. He and his colleagues have experienced positive results with it for BPH and stone procedures. During enucleation, they found that the Thulio displayed excellent thermal and photoacoustic properties for blunt dissection and cutting.
Prof Miernik 1

Prof. Arkadiusz Miernik

University of Freiburg - Medical Center

Freiburg,

Germany

“
The Dornier Thulio is by far the most exciting endourology product to have recently entered the market. The Thulio performs exceptionally well and certainly does it all - dusting, fragmenting, tissue incision, tissue ablation and enucleation. Just try it.
Dr Tailly

Prof. Thomas Tailly

University Hospital Ghent

Ghent,

Belgium

“
The Dornier Thulio is by far the most exciting endourology product to have recently entered the market. The Thulio performs exceptionally well and certainly does it all - dusting, fragmenting, tissue incision, tissue ablation and enucleation. Just try it.
Dr Tailly

Prof. Thomas Tailly

University Hospital Ghent

Ghent,

Belgium

“
Dornier's Thulio laser has been my laser of choice since it hit the market. As the first US based urologist to have used it, I feel very connected to this laser! It is outstanding when it comes to dusting, and the Captive mode noticeably reduces retropulsion making for smoother procedures and higher stone free rates.

Dr. Faisal Ahmed

Advanced Urology

Los Angeles ,

USA

“
Dornier's Thulio laser has been my laser of choice since it hit the market. As the first US based urologist to have used it, I feel very connected to this laser! It is outstanding when it comes to dusting, and the Captive mode noticeably reduces retropulsion making for smoother procedures and higher stone free rates.

Dr. Faisal Ahmed

Advanced Urology

Los Angeles ,

USA

“
Dornier's Thulio offers excellent versatility in stone treatment, capable of supporting the precise cutting, shaping, dusting mode, and fragmentation of stones. The Captive Fragmenting Mode enables focused stone fragmentation with no visible retropulsion, and the dusting mode creates minimal dust fragments even while working at exceptional speeds. The Thulio is highly compact and effective. With its peak power, the Thulio knows no limits - regardless of stone size or hardness, I can treat stones as I see fit.
Pd Michael Chaloupka​

PD Michael Chaloupka

Ludwig-Maximilians-University Munich

Munich,

Germany

“
Dornier's Thulio offers excellent versatility in stone treatment, capable of supporting the precise cutting, shaping, dusting mode, and fragmentation of stones. The Captive Fragmenting Mode enables focused stone fragmentation with no visible retropulsion, and the dusting mode creates minimal dust fragments even while working at exceptional speeds. The Thulio is highly compact and effective. With its peak power, the Thulio knows no limits - regardless of stone size or hardness, I can treat stones as I see fit.
Pd Michael Chaloupka​

PD Michael Chaloupka

Ludwig-Maximilians-University Munich

Munich,

Germany

“
I am highly satisfied with the Dornier Thulium laser for prostate enucleation surgeries. Its precision allows for controlled tissue removal, minimal bleeding, and faster recovery times, making it an essential tool in my practice with consistently excellent results.
Dr. Marcelo Schneider Goulart​

Dr. Marcelo Schneider Goulart

Uromed

Palhoça,

Brazil

“
I am highly satisfied with the Dornier Thulium laser for prostate enucleation surgeries. Its precision allows for controlled tissue removal, minimal bleeding, and faster recovery times, making it an essential tool in my practice with consistently excellent results.
Dr. Marcelo Schneider Goulart​

Dr. Marcelo Schneider Goulart

Uromed

Palhoça,

Brazil

“
I have been using the Thulio p-Tm:YAG laser for more than a year, enjoying its ability to treat all kinds of human stones, mostly during flexible ureteroscopy. The laser starting guide helps to know where to start (and stop).
Dr. Frederic Panthier​

Dr. Frederic Panthier

Tenon Hospital

Paris,

France

“
I have been using the Thulio p-Tm:YAG laser for more than a year, enjoying its ability to treat all kinds of human stones, mostly during flexible ureteroscopy. The laser starting guide helps to know where to start (and stop).
Dr. Frederic Panthier​

Dr. Frederic Panthier

Tenon Hospital

Paris,

France

“
After carefully considering all lasers on the market, our hospital purchased the Dornier Thulio laser. Having been trained on the Moses/2.0 for enucleation, I was pleasantly surprised to find that the Thulio matches it in enucleation performance and hemostasis, with the added benefit of being more cost-effective. We've seen outstanding clinical results for treating BPH and kidney stones, confirming that this was the right choice for us.
Dr. Ghiraldi

Dr. Eric Ghiraldi

Fox Chase Medical Center

Philadelphia,

USA

“
After carefully considering all lasers on the market, our hospital purchased the Dornier Thulio laser. Having been trained on the Moses/2.0 for enucleation, I was pleasantly surprised to find that the Thulio matches it in enucleation performance and hemostasis, with the added benefit of being more cost-effective. We've seen outstanding clinical results for treating BPH and kidney stones, confirming that this was the right choice for us.
Dr. Ghiraldi

Dr. Eric Ghiraldi

Fox Chase Medical Center

Philadelphia,

USA

“
The Dornier Thulio pulsed Tm:YAG laser is the new challenger to high powered Ho:YAG. I initially trained on holmium, but more recently I am evaluating the new pulsed Thulium for my BPH procedures because of its precise cutting capabilities and excellent hemostasis effect.

Prof. Pierluigi Bove

Dep. of Surgical Sciences University of Rome Tor Vergata Rome Tor Vergata Hospit

Rome,

Italy

“
The Dornier Thulio pulsed Tm:YAG laser is the new challenger to high powered Ho:YAG. I initially trained on holmium, but more recently I am evaluating the new pulsed Thulium for my BPH procedures because of its precise cutting capabilities and excellent hemostasis effect.

Prof. Pierluigi Bove

Dep. of Surgical Sciences University of Rome Tor Vergata Rome Tor Vergata Hospit

Rome,

Italy

“
Dornier Thulio has filled the existing gap between previous lasers. Now we have the best of fine dusting & hemostasis with a good peak power for stone fragmentation & prostate enucleation.
Dr. Fabio Sepulveda​

Dr. Fabio Sepulveda

Universidade Federal da Bahia

Salvador,

Brazil

“
Dornier Thulio has filled the existing gap between previous lasers. Now we have the best of fine dusting & hemostasis with a good peak power for stone fragmentation & prostate enucleation.
Dr. Fabio Sepulveda​

Dr. Fabio Sepulveda

Universidade Federal da Bahia

Salvador,

Brazil

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.
Dr. Eduardo Pereira De Miranda​

Dr. Eduardo Pereira de Miranda

Clinica URON

Tubarao,

Brazil

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.
Dr. Eduardo Pereira De Miranda​

Dr. Eduardo Pereira de Miranda

Clinica URON

Tubarao,

Brazil

“
I have had the opportunity to use the Thulio pulsed Thulium:YAG laser by Dornier in my clinical practice for stone treatment and anatomical endoscopic enucleation of the prostate. With 3,700 W peak power, 2013 nm wavelength, and versatile settings, it ensures precise dissection, efficient fragmentation, and exceptional dusting truly transformative in endourology.
Dr. Ioannis Kartalas Goumas

Dr. Ioannis Kartalas-Goumas

Istituto Clinico Beato Matteo Gruppo San Donato

Vigevano,

Italy

“
I have had the opportunity to use the Thulio pulsed Thulium:YAG laser by Dornier in my clinical practice for stone treatment and anatomical endoscopic enucleation of the prostate. With 3,700 W peak power, 2013 nm wavelength, and versatile settings, it ensures precise dissection, efficient fragmentation, and exceptional dusting truly transformative in endourology.
Dr. Ioannis Kartalas Goumas

Dr. Ioannis Kartalas-Goumas

Istituto Clinico Beato Matteo Gruppo San Donato

Vigevano,

Italy

“
We have recently acquired the Dornier Thulio and have been achieving outstanding results. The Thulio has demonstrated exceptional performance in lithotripsy, effectively handling stones of varying sizes and hardness. Its durability and ease of use are particularly impressive, making it a reliable and user-friendly tool in our practice.
Prof. Charalampos K. Mamoulakis

Prof. Charalampos K. Mamoulakis

University of Crete, School of Medicine

Heraklion,

Greece

“
We have recently acquired the Dornier Thulio and have been achieving outstanding results. The Thulio has demonstrated exceptional performance in lithotripsy, effectively handling stones of varying sizes and hardness. Its durability and ease of use are particularly impressive, making it a reliable and user-friendly tool in our practice.
Prof. Charalampos K. Mamoulakis

Prof. Charalampos K. Mamoulakis

University of Crete, School of Medicine

Heraklion,

Greece

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization.
Dr. Mehmet Gökce​

Prof. Mehmet Gökce

Ankara Üniversitesi İbni Sina Hastanesi

Ankara,

Turkey

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization.
Dr. Mehmet Gökce​

Prof. Mehmet Gökce

Ankara Üniversitesi İbni Sina Hastanesi

Ankara,

Turkey

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.

Dr. Guido Giusti

Milan,

Italy

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.

Dr. Guido Giusti

Milan,

Italy

“
The p-Tm:YAG laser Thulio is both effective and safe in flexible ureteroscopy (fURS) for treating ureteral and renal stones, with excellent outcomes. Additionally, it excels in the management of upper tract urothelial carcinoma (UTUC), allowing efficient and precise ablation (removal) of urinary tract tumors together with good coagulation features. It combines the ideal qualities of a lithotripsy laser efficacy, safety, cost-effectiveness, and versatility for all stone sizes and compositions and soft tissue applications while integrating seamlessly into the operating room.

Dr. Silvia Proietti

Milan,

Italy

“
The p-Tm:YAG laser Thulio is both effective and safe in flexible ureteroscopy (fURS) for treating ureteral and renal stones, with excellent outcomes. Additionally, it excels in the management of upper tract urothelial carcinoma (UTUC), allowing efficient and precise ablation (removal) of urinary tract tumors together with good coagulation features. It combines the ideal qualities of a lithotripsy laser efficacy, safety, cost-effectiveness, and versatility for all stone sizes and compositions and soft tissue applications while integrating seamlessly into the operating room.

Dr. Silvia Proietti

Milan,

Italy

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.

Dr. Jean-Baptise Roche

Bordeaux,

France

“
The Thulio is the perfect combination and balance during enucleations. It's distinctive bubble separates the prostate tissue nicely, also providing a very balanced coagulation without any carbonization. Due to its size, quietness, and standard wall plug, the Thulio is the perfect laser for all operating rooms.

Dr. Jean-Baptise Roche

Bordeaux,

France

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Kalpit Patel

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Kalpit Patel

USA

“
Dornier's Thulio is truly outstanding when it comes to power and efficiency. I love the fragmenting power of the Thulio, and the Captive mode reduces retropulsion notably for smoother procedures. I will now be able to provide more efficient treatments for my patients.

Dr. deMarco

Villa Betania

Rome,

Italy

“
Dornier's Thulio is truly outstanding when it comes to power and efficiency. I love the fragmenting power of the Thulio, and the Captive mode reduces retropulsion notably for smoother procedures. I will now be able to provide more efficient treatments for my patients.

Dr. deMarco

Villa Betania

Rome,

Italy

“
The Dornier Thulio is undoubtedly my laser of choice for stone and enucleation procedures. I have yet to encounter a task it cannot handle. During enucleations, it delivers exceptional hemostasis, and in stone procedures, it offers remarkable versatility capable of producing fine dust or fragmenting stones faster than any other laser I've used, even dense calcium oxalate monohydrate stones. Additionally, its compact size and portability make it ideal for operating rooms. The fact that it runs on a standard power outlet allows seamless use in any surgical suite I work in.
Drkohli

Dr. Kohli

St Jude Medical Center

Fullerton, CA,

USA

“
The Dornier Thulio is undoubtedly my laser of choice for stone and enucleation procedures. I have yet to encounter a task it cannot handle. During enucleations, it delivers exceptional hemostasis, and in stone procedures, it offers remarkable versatility capable of producing fine dust or fragmenting stones faster than any other laser I've used, even dense calcium oxalate monohydrate stones. Additionally, its compact size and portability make it ideal for operating rooms. The fact that it runs on a standard power outlet allows seamless use in any surgical suite I work in.
Drkohli

Dr. Kohli

St Jude Medical Center

Fullerton, CA,

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Bechis

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Bechis

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Sur

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Sur

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Large

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Large

USA

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Alejando Escalante

Arequipa,

Peru

“
As a great enthusiast and promoter of the laser endoscopic prostate enucleation technique, I have been performing the procedure since 2019 with different types of energy and laser. And after more than 800 cases, I see the new pulsed Thulio as a great evolution in the technique, as it allows fantastic hemostasis associated with a shock wave similar to Holmium. Without a doubt, it is the most modern and versatile laser available today.

Dr. Alejando Escalante

Arequipa,

Peru

Versatile By Design

Thulio offers a wide range of application modes, adapting to your needs and enabling smoother procedures.

1 Edited
3@2x

Dusting mode

31@2x

Fragmenting mode

Whatsapp Image 2024 09 02 At 3.49fix

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.1

Dusting@2x

Fragmenting mode

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

Fragmenting@2x

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.

Captive@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@2x

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.

Soft Tissue 1@2x

** compared to Ho:YAG and TFL

Flexible Short Pulse mode

Offers a full range of available settings with short pulses.

Flexible@2x

Flexible Long Pulse mode

Offers a full range of available settings with long pulses.

Flexible Long@2x

Our Most Compact 100 W Laser

Asset 9
5@2x

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 Tech@2x

RealPulse Technology is what truly distinguishes Thulio from all other lasers today, featuring:

Asset 4

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), Flexible Short Pulse, Flexible 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)

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.

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

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

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

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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.

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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.

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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).

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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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©2023 Dornier MedTech. All rights reserved. The contents herein and product shown (including its design, specifications and functions) are subject to change without notice. Dornier Thulio® is a registered trademark of Dornier MedTech and its use throughout this website is protected. The information on this website is for information purposes only and provided “as is” without any warranties of any kind, whether expressed or implied, including but not limited to, implied warranties of satisfactory quality, fitness for a particular purpose and/or correctness. The actual product may vary from the images shown.

The product shown is only offered in jurisdictions where it may be legally offered. Please check availability with your local sales representative or customer service.

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