Embora o desempenho de pulveriza??o do Thulio? seja semelhante ao da tecnologia TFL6, os 3 700 W de pot¨ºncia de pico m¨¢xima do Thulio proporcionam uma fragmenta??o mais potente7 e uma enuclea??o anat¨®mica8, o que o coloca numa classe ¨¤ parte.
±Ê´Ç³Ù¨º²Ô³¦¾±²¹ de pico (m¨¢x.) (W)
±Ê´Ç³Ù¨º²Ô³¦¾±²¹
(m¨¢x.) (W)
Comprimento de onda (nm)
Meio de ganho
ativo do laser
3.700
100
2013
Cristal de Yag (granada de ¨ªtrio-alum¨ªnio) dopado com t¨²lio
5004
604
19404
Fibra de s¨ªlica dopada com t¨²lio4
Ilustra??es esquem¨¢ticas de cavidades de laser.
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¨C1894 (2020). https://doi.org/10.1007/s00345-019-02654-5.
Desempenho m¨¢ximo...
Capacidades de pulveriza??o mais fina e r¨¢pida9
Reduz a retropuls?o5 em 55%
Coagula??o3 superior
¡ numa embalagem mais pequena
Requer apenas uma tomada el¨¦trica normal
Requer menos 60% de espa?o no solo10
Redu??o do n¨ªvel de ru¨ªdo em 50%10
Em compara??o com a tecnologia Ho:YAG
REFER?NCIAS:
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¨C1698. 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¡ªready to dust all urinary stone composition types? Results from a PEARLS analysis. World J Urol 41, 2823¨C2831. 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¨C606. 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¨C3308. https://doi.org/10.1007/s00345-023-04580-z
5. Petzold, R., Miernik, A. & Suarez-Ibarrola, R. (2021). Retropulsion force in laser lithotripsy¡ªan in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol 39(9), 3651¨C3656. 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¨C2078 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 @ Ë®ÏÉÖ±²¥
*Como resultado de uma redu??o da retropuls?o at¨¦ 55% em compara??o com a tecnologia Ho:YAG
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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Hospital Marcelino Champagnat
Curitiba,
Brazil
Hospital Marcelino Champagnat
Curitiba,
Brazil
OLV Hospital
Aalst,
Belgium
OLV Hospital
Aalst,
Belgium
OLV Hospital
Aalst,
Belgium
OLV Hospital
Aalst,
Belgium
Italian Hospital of buenos Aires
Buenos Aires,
Argentina
Italian Hospital of buenos Aires
Buenos Aires,
Argentina
University of Freiburg - Medical Center
Freiburg,
Germany
University of Freiburg - Medical Center
Freiburg,
Germany
University Hospital Ghent
Ghent,
Belgium
University Hospital Ghent
Ghent,
Belgium
Advanced Urology
Los Angeles ,
USA
Advanced Urology
Los Angeles ,
USA
Ludwig-Maximilians-University Munich
Munich,
Germany
Ludwig-Maximilians-University Munich
Munich,
Germany
Uromed
Palho?a,
Brazil
Uromed
Palho?a,
Brazil
Tenon Hospital
Paris,
France
Tenon Hospital
Paris,
France
Fox Chase Medical Center
Philadelphia,
USA
Fox Chase Medical Center
Philadelphia,
USA
Dep. of Surgical Sciences University of Rome Tor Vergata Rome Tor Vergata Hospit
Rome,
Italy
Dep. of Surgical Sciences University of Rome Tor Vergata Rome Tor Vergata Hospit
Rome,
Italy
Universidade Federal da Bahia
Salvador,
Brazil
Universidade Federal da Bahia
Salvador,
Brazil
Clinica URON
Tubarao,
Brazil
Clinica URON
Tubarao,
Brazil
Istituto Clinico Beato Matteo Gruppo San Donato
Vigevano,
Italy
Istituto Clinico Beato Matteo Gruppo San Donato
Vigevano,
Italy
University of Crete, School of Medicine
Heraklion,
Greece
University of Crete, School of Medicine
Heraklion,
Greece
Ankara ?niversitesi ?bni Sina Hastanesi
Ankara,
Turkey
Ankara ?niversitesi ?bni Sina Hastanesi
Ankara,
Turkey
Milan,
Italy
Milan,
Italy
USA
USA
Villa Betania
Rome,
Italy
Villa Betania
Rome,
Italy
St Jude Medical Center
Fullerton, CA,
USA
St Jude Medical Center
Fullerton, CA,
USA
Arequipa,
Peru
Arequipa,
Peru
O t¨²lio oferece uma grande variedade de modos de aplica??o, adaptando-se ¨¤s suas necessidades e permitindo procedimentos mais suaves
Modo Dusting
Modo Fragmenting
Modo Captive? Fragmenting
Modo Enucleation
Modo Soft Tissue
Modo Flexible Short Pulse
Modo Flexible Long Pulse
Impulsos de baixa energia, longa dura??o e alta frequ¨ºncia proporcionam uma capacidade de pulveriza??o fina e r¨¢pida que desintegra part¨ªculas de 125 ¦Ìm e mais pequenas.1
Pulsos de alta energia, curta dura??o e baixa frequ¨ºncia para fragmentar ³¦¨¢±ô³¦³Ü±ô´Ç²õ maiores ou duros.
Pulsos de alta energia, longa dura??o e baixa frequ¨ºncia para fragmentar ³¦¨¢±ô³¦³Ü±ô´Ç²õ maiores ou duros.
Est¨¢ cientificamente provado que oferece uma redu??o at¨¦ 55% da retropuls?o*2 durante a fragmenta??o. O modo Captive? da Dornier foi desenvolvido para diminuir o movimento dos ³¦¨¢±ô³¦³Ü±ô´Ç²õ durante a aplica??o, reduzindo potencialmente o respetivo tempo de litotripsia.
*em compara??o com a tecnologia Ho:YAG
A tecnologia RealPulse? da Dornier permite a enuclea??o endosc¨®pica da pr¨®stata.
Pulsos de longa dura??o e uma variedade de diferentes energias e frequ¨ºncias. Obt¨¦m o melhor desempenho de coagula??o**3 gra?as ¨¤ absor??o pela ¨¢gua, caracter¨ªstica espec¨ªfica da tecnologia Tm:YAG.
** em compara??o com as tecnologias Ho:YAG e TFL
Oferece uma gama completa de defini??es dispon¨ªveis com impulsos curtos.
Oferece uma gama completa de defini??es dispon¨ªveis com pulsos longos.
1
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
Offer 100 W with the smallest footprint
Engineered lightweight and easy to move, with a standard wall plug
3
Switch seamlessly from one pre-defined mode to another
Adjust parameter settings easily with the footswitch
A tecnologia RealPulse? ¨¦ o que realmente distingue o Thulio de todos os lasers atuais, com as seguintes caracter¨ªsticas:
A utiliza??o de d¨ªodos perfeitamente alinhados permite a convers?o de energia com alta efici¨ºncia
Um m¨¦todo patenteado melhora a estabilidade do laser e a efici¨ºncia de sa¨ªda
Utiliza??o de cristal de t¨²lio:YAG
Desenvolvido internamente atrav¨¦s da nossa engenharia alem? reconhecida pela ind¨²stria, o Thulio oferece um desempenho de laser pulsado t?o diferenciado que ¨¦ preciso experimentar em primeira m?o.
Tipo de laser
T¨²lio (Tm:YAG) de estado s¨®lido pulsado
Comprimento de onda (nm)
2013 nm
±Ê´Ç³Ù¨º²Ô³¦¾±²¹ (m¨¢x.)
100 W
±Ê´Ç³Ù¨º²Ô³¦¾±²¹ de pico (m¨¢x.) (W)
3.7 kW
Frequ¨ºncia do pulso
5-300 Hz
Modos de aplica??o
Dusting (pulveriza??o), Captive Fragmenting (fragmenta??o cativa), Standard Fragmenting (fragmenta??o normal), Enucleation (enuclea??o), Soft Tissue (Tecidos moles e coagula??o), Flexible Short Pulse (pulso curto flex¨ªvel), Flexible Long Pulse (pulso longo flex¨ªvel)
Peso
97 kg (dispositivo laser)
/ 105 kg (incluindo peso dos sistemas de seguran?a)
Dimens?es
Incluindo ecr?:
(L) 42 x (A) 139 x (P) 62 cm
Excluindo ecr?:
(L) 42 x (A) 112 x (P) 62 cm
Emiss?o de ru¨ªdo (m¨¢x.)
65 dB
N¨²mero de encomenda | Descri??o | C¨®digo de cor | Di?metro do n¨²cleo | N.? de unidades esterilizadas por embalagem |
---|---|---|---|---|
K2016360* | Fibra laser para Thulio de 200 ¦Ìm, descart¨¢vel | Azul | 200 ?m | 3 pcs |
K2016361 | Fibra laser para Thulio 270 ¦Ìm slim, descart¨¢vel
| Branco | 272 ?m | 3 pcs |
K2016363 | Fibra laser para Thulio de 400 ¦Ìm, descart¨¢vel | Amarelo | 365 ?m | 3 pcs |
K2016365 | Fibra laser para Thulio de 600 ¦Ìm, descart¨¢vel | Verde | 550 ?m | 3 pcs |
K2016366 | Fibra laser para Thulio de 1000 ¦Ìm, descart¨¢vel | Vermelho | 940 ?m | 3 pcs |
As fibras Dornier Thulio Performance s?o compat¨ªveis apenas com o Dornier Thulio K2016000.
* Apenas dispon¨ªvel em pa¨ªses da UE (Uni?o Europeia).
N¨²mero de encomenda | Descri??o | C¨®digo de cor | Di?metro do n¨²cleo | N.? de unidades esterilizadas por embalagem |
---|---|---|---|---|
K2016370 | Fibra laser para Thulio 270 ¦Ìm slim, reutiliz¨¢vel 10x | Branco | 272 ?m | 3 pcs |
K2016371 | Fibra laser para Thulio de 400 ¦Ìm, reutiliz¨¢vel 10x | Amarelo | 365 ?m | 3 pcs |
K2016372 | Fibra laser para Thulio de 600 ¦Ìm, reutiliz¨¢vel 10x | Verde | 550 ?m | 3 pcs |
K2016373 | Fibra laser para Thulio de 1000 ¦Ìm, reutiliz¨¢vel 10x | Vermelho | 940 ?m | 3 pcs |
As Dornier Thulio Performance Fibras reutiliz¨¢veis est?o autorizadas para 10 ciclos de utiliza??o (usabilidade). Esteriliza??o a vapor a 132¡ãC (270¡ãF). Para mais pormenores, consultar as instru??es de utiliza??o.
As fibras Dornier Thulio Performance s?o compat¨ªveis apenas com o Dornier Thulio K2016000.
REFER?NCIAS:
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¡ªan in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol 39(9), 3651¨C3656. 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¨C606 (2022). https://doi.org/10.1007/s00345-021-03825-z
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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ANO | PUBLICA??O | REFER?NCIAS |
---|---|---|
2024 |
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 |
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 |
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 |
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 Ë®ÏÉÖ±²¥. Todos os direitos reservados. O conte¨²do aqui inclu¨ªdo est¨¢ sujeito a altera??es sem aviso pr¨¦vio. Dornier Thulio?, Captive?, RealPulse? s?o marcas registradas da Ë®ÏÉÖ±²¥ e o seu uso neste site ¨¦ protegido. As informa??es contidas neste site s?o apenas para fins informativos e fornecidas "como est?o". O produto real pode variar das imagens mostradas. O produto mostrado ¨¦ oferecido apenas em pa¨ªses onde pode ser legalmente oferecido. Verifique a disponibilidade com o seu representante local de vendas ou servi?o ao cliente.
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