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Using the HYPHO Compact Laser for Lithotripsy

doctor with patient

A result of decades of knowledge, experience and excellence in engineering holmium urology lasers, the HYPHO compact laser is specifically designed to optimize both performance and control when performing laser lithotripsy procedures. The HYPHO combines practical, technical, and clinical benefits of high-performance holmium lasers in a more cost-effective, compact device.

Laser Lithotripsy

A universally acknowledged treatment alternative, laser lithotripsy uses surgical lasers to fragment urinary calculi to a passable size or to the point where they can be removed during the procedure.  In this regard, a range of output energy is required to fragment all sizes of stone (hard and soft) in a safe and effective manner. While effective on most urinary calculi, compact systems may experience performance limitations on larger/harder stones. Conversely, larger, higher performance systems which run on 220V power, can be cost prohibitive.

A recent innovation in fragmentation techniques referred to as ‘dusting’ employs specific settings to break apart smaller fragments of urinary calculi, which can eliminate the requirement for basket retrieval and save considerable procedure time. Finally, control; fundamentally referring to inadvertent stone migration, is of paramount importance specifically in the kidney and upper ureter.  

Benefits of Using the HYPHO Laser for Lithotripsy

In addition to being more affordable than comparable holmium lasers, the HYPHO holmium laser has higher available output energy (joules) than any holmium laser available on the market today. This unparalleled performance is delivered in a compact design without the requirement for 220/240V input power.

With the largest range of output energy in its class, the HYPHO laser can also be adjusted to as low as .2 joules for smaller stones to minimize impact on sensitive areas.  Furthermore, the HYPHO is capable of all forms of fragmentation including dusting, and with the longest pulse duration in its class, delivers maximum control over inadvertent stone migration and retropulsion.  For those looking to maximize patient comfort, performance and control when performing laser lithotripsy treatments, without spending too much of their budget, there is no better surgical laser on the market. Contact our team today for more information.

Get Lasting Results with Laser BPH Treatment

male patient consulting with doctorBenign prostatic hyperplasia, or BPH, is an enlarged prostate. During the second growth phase of the prostate, it can grow too large and suppress the urethra, causing bladder issues. BPH is very common in men over the age of 50 and can be treated with a medical laser.

Optimal BPH Treatment with Pathfinder

The Pathfinder is a BPH laser that supports all available laser treatment techniques, making it extremely versatile. A minimally invasive treatment, the laser selectively vaporizes the tissue obstructing the urethra while coagulation the surrounding tissue. The results are immediate and long-lasting.

Benefits of the Pathfinder Laser for BPH

The Pathfinder is an effective treatment for BPH, but it also has other benefits:

  • Supports All Available Treatment Techniques – Pathfinder can be used with a lateral fire (non-contact) or ball tip (contact) fiber, or enucleation (end-cutting fiber).
  • Can Be Utilized in Numerous Ways – The Pathfinder laser can be programmed to work over a wide range of energy settings to enhance its effectiveness on various types of tissue. It can also be set to work in continuous wave and pulsed mode depending on what is needed.
  • Various Options Available for Local Anesthetics for In-Office Procedures – There are many different ways to manage the patient’s comfort during the procedure, including a combination of oral medications, lobe and intra-urethral injections and a peri-prostatic nerve block.

One of the most important benefits of the Pathfinder laser is that it can be used in a doctor’s office, OR, or surgical suite. Contact our team today to learn more about the Pathfinder.

Welcome to the Surgical Lasers Inc. Blog

surgical lasers inc. logoSurgical Lasers Inc. are medical laser manufacturers who provide integrated laser solutions, service, support, and training on an international scale. We are pioneers in the medical laser marketplace, and credit this to our strong focus on clinical efficacy. We work to provide the following with every laser we manufacture:

  • Enhanced Patient Care – Our main goal as medical equipment manufacturers is to help you help your patients. Advancements in patient care improve quality of life for patients and allow doctors to provide more effective solutions for a variety of medical conditions.
  • Value-Based, Cost-Effective, and Practical Solutions – Our surgical lasers are designed to provide you with the most value for the money you spend. Our practical solutions will allow you to access the cutting edge of laser technology without breaking your budget.
  • Comprehensive Education Programs – Our comprehensive education programs ensure that you are using our medical lasers to the fullest. Completely understand the ins and outs of the how they work allows you to provide the most effective

In this blog, we will discuss the lasers we offer and the various ways they can be used. We will also be covering any medical laser-related topic that you may find interesting and informative. If you are looking into purchasing medical laser solutions for your office or hospital, you should subscribe. We will be publishing informative content on a regular basis, so you do not want to miss out.

Contact our team today to learn more about our products and services.

Surgical Lasers Inc. Launches the New Pathfinder Portable Laser for Office Based BPH Procedures

New versatile multi-disciplinary portable laser facilitates safe and effective office based BPH treatments

July 15th, 2017 – Newmarket, ON

Surgical Lasers Inc. (SLI), today announced the launch of a unique laser solution for office and surgical center/operating room based BPH surgery; the new Pathfinder, high energy, portable diode laser, and fibers.  As an alternative to other ‘minimally invasive’ office based BPH treatments, this innovative technology offers a practical laser based alternative which targets a similar treatment objective to Trans Urethral Resection of the Prostate (TURP), recognized as the ‘gold standard’ for the surgical treatment of enlarged prostates.

Supported by decades of evidence based clinical research, laser procedures are well established as a credible alternative for enlarged prostate surgery.  The limitation of performing the procedure in surgical suites and private offices has traditionally been the functionality of the devices (efficiency of vaporization and coagulation), the cost of the equipment and consumable and established local anesthetic protocol(s).

The Pathfinder’s maximum available output power of 200 watts facilitates efficient and effective vaporization of the target tissue. This lasers unique wavelength of light sits at a harmonic absorption peak of both water and oxyhemoglobin, making it an ideal wavelength for effective rates of tissue ablation and simultaneous enhanced coagulation[1], hence its popularity across multiple medical disciplines for this purpose. Durable coagulation is the most significant differentiator between this laser and alternative lasers currently used for this procedure in operating rooms and surgery centers today.

From a practical perspective, this innovative device is portable (<30 kg), runs on 115V power and is virtually maintenance free with the exception of an annual calibration verification. It delivers the highest output power in its class and is the only portable laser on the market which supports, contact and side fire fibers for vaporization as well as end fire fibers for enucleation.  At the discretion of the surgeon, procedures can be performed in the operating room, surgical suite and local office under either general or local anesthetic.  The system is multi-disciplinary (FDA 510K Clearances) and cost effective, as are the fibers which are manufactured by SLI.

The fundamental differentiator of this innovative laser solution vs. other ‘minimally invasive’ office based alternatives for BPH, is the ability to remove obstruction associated with lateral lobes, median lobes and high bladder necks without the requirement for implants or ongoing medications.  The high energy 980nm diode laser achieves excellent hemostasis while delivering immediate relief from obstructive voiding symptoms.[2] The portability, functionality, affordability and alternative local anesthetic protocol, facilitates a practical office based laser BPH alternative with measurable benefits for patient and clinician alike.


[1] Wendt-Nordahl G, Huckele S, Honeck P, et al, 980-nm diode laser: a novel laser technology for vaporization of the prostate. Eur Urol. 2007; 52: 1`723 – 1728.

[2] Chien-Hsu Chen, Po Hu Chiang, Yao Chi Chuang, Wei Ching Lee, Yen Ta Chen, Wei Chai Lee, Prostate Diseases and Male Voiding Dysfunction, Preliminary Results in Prostate Treatment of Benign Prostatic Hyperplasia by Using a 200 Watt High Intensity Diode Laser, J.Urology – 2009.09.033 ©2010 Elsevier Inc. All Rights Reserved.

Surgical Lasers Inc. Highlights Versatility of the new Pathfinder Portable Laser for Office Based BPH Procedures

Innovative laser supports contact and lateral (side) fire fibers for vaporization as well as end fire fibers for enucleation

September 8th, 2017 – Newmarket, ON

Surgical Lasers Inc. (SLI), a pioneer in innovative laser technologies with an emphasis on continuous improvement initiatives for legacy systems, announced today the availability of three (3) unique consumable fibers, for its new Pathfinder portable diode laser for BPH treatments. This announcement follows the successful launch of the Pathfinder earlier this year.

A clinically proven alternative for the treatment of enlarged prostates, various laser technologies are being used globally with a variety of optical fibers.  These include contact fibers and lateral (side) fire fibers for vaporization and end fire fibers for enucleation.  The new Pathfinder laser is the only portable laser currently available on the market which supports all three fiber types, hence can be used for either vaporization or enucleation at the discretion of the surgeon.  This enhanced functionality differentiates this unique multidisciplinary laser platform from competitive systems which are limited to working with a single fiber technology.

The ability to enucleate with this innovative device also provides a safe, effective and practical alternative to Holmium Laser Enucleation of the Prostate (HOLEP), performed with high energy holmium lasers, which are typically much larger, and require 220/240v power.  By comparison, the Pathfinder diode laser is a portable device (<30kg) which runs on standard 115V power. Over and above the practical advantages of implementing the portable diode laser for enucleation, its enhanced ability to coagulate may improve the efficiency of the procedures by improving visibility.

An integral component of any laser surgery with a fiber based system is the consumable or reusable optical fiber and the availability of all three fibers means urologists can realize the benefits of the new Pathfinder portable diode laser for either laser vaporization or enucleation of the prostate.  Clinical and operational advantages of this innovative device include efficient and effective vaporization with durable coagulation and, in consideration of the technique, and at the discretion of the surgeon, it is possible to perform procedures in the operating room, surgical center and private office under either local or general anesthetic.

Surgical Lasers Inc. Showcases Its New HYPHO Holmium Laser at the American Urological Association (AUA) Annual Meeting

An Evolution in Holmium Laser Engineering optimizing performance and control

May 12th, 2017 – Newmarket, ON

Surgical Lasers Inc. (SLI) further solidified its mission of introducing innovative, practical, clinically effective yet minimally invasive laser technology to the market, with the official launch of the new HYPHO holmium laser technology at the American Urological Association (AUA) 2017 Annual Meeting in Boston, MA.  Proprietary engineering differentiates this compact technological innovation which delivers control and performance specifications consistent with much larger, higher power devices requiring 220/240 VAC power.

The addition of the new HYPHO holmium laser to the SLI product family is consistent with a corporate commitment to continuous improvement initiatives with a focus on introducing the market to practical alternatives to existing legacy systems.  Technological breakthroughs from the HYPHO’s intelligent engineering optimize both performance and control.

The HYPHO is an affordable, compact (<53kg) holmium laser which runs on 115V power and redefines the performance capabilities of a compact holmium laser with the highest output energy (joules) of any holmium laser in its class.  Furthermore, the HYPHO delivers the longest pulse duration of any holmium laser on the market today, which maximizes control and minimizes retropulsion and inadvertent stone migration, of particular importance when working on calculi in the kidney and upper ureter.[1]

The unparalleled (industry’s longest) pulse duration of the new HYPHO laser is also indicated to facilitate the more controlled process of stone ablation referred to as ‘dusting’, with longer pulse durations producing a greater photo-thermal effect on the target tissue.[2]  Also referred to as ‘long fragmentation’, combinations of long pulse duration and variable frequencies facilitates the ability to ablate or ‘dust’ away smaller particles from the perimeter of calculi in the absence of mobility, a key differentiator of this technology vs. other compact < 35 watt holmium lasers.

Traditionally facilitated with higher powered (220/240V) holmium lasers requiring higher frequencies, the ability to deliver similar performance using this innovative compact, 115V, 35 watt laser provides the market with a credible, viable alternative for the most current laser lithotripsy techniques.

Finally, longer pulse durations provide further benefit in improving coagulation in holmium laser soft tissue surgery and maintaining the integrity of the fiber(s), further enhancing performance and protecting the investment in consumables.  The HYPHO holmium laser works with various SLI manufactured fiber sizes ranging from 200 – 1000µm.

In parallel with the US launch of the HYPHO, SLI looks forward to the feedback from scheduled upcoming product evaluations with leading international experts and opinion leaders experienced in the latest innovations in high-performance holmium laser systems for fragmentation as well as stone dusting.

 


[1] Impact of pulse duration on Ho:YAG laser lithotripsy: fragmentation and dusting performance

Markus J. Bader · Thomas Pongratz · Wael Khoder · Christian G. Stief · Thomas Herrmann · Udo Nagele · Ronald Sroka  Received: World J Urol (2015) 33:471–477 DOI 10.1007/s00345-014-1429-8 19 July 2014 / Accepted: 19 October 2014 / Published online: 4 November 2014 © The Author(s) 2014. This article is published with open access at Springerlink.com

[2] Chan KF, Vassar GJ, Pfefer TJ, Teichman JM, Glickman RD, Weintraub ST, et al. Holmium:YAG laser lithotripsy: a dominant photothermal ablative mechanism with chemical decomposition of urinary calculi. Lasers Surg Med (1999) 25(1):22–37. doi:10.1002/(SICI)1096-9101(1999)25:1<22::AID-LSM4>3.3. CO;2-Y