News — AccuTrac
The Devitrification Cascade -- Blast Shield Disease & Contagion
2100nm AccuFlex Accumax AccuTrac ACMI laser fiber calculase dornier Duotome EndoBeam Flexiva Holmium Fiber Holmium Laser holmium laser fiber karl storz laser fiber Laser Lithotripsy Lasersafe litho laser Lumenis medilase medilase H20 OmniPulse Optifiber ProFlex ProFlex LLF quanta laser richard wolf scope safe Scopesafe Slimline stonelight SureFlex Thulium thulium laser thulium laser fiber TracTip Trimedyne yellowstone
Initiation, Progression and Transmission of Holmium Laser Blast Shield Failures My business partner has repeatedly told me not to assume that others know what I know – “Get the information out there, Stephen. Much that you take for granted is new and valuable to others.” It’s hard to know what these nuggets of value are. I am usually enlightened by a customer question, complaint or concern. That is the case for this blog post examining blast shield and fiber failures as an outbreak of disease. While the outbreak described progressed rapidly due to sharing reusable fibers between laser generators, small outbreaks may also...
All Holmium Laser Fibers are the Same, Right? Part 8: Moses and the Stones
2100nm AccuFlex AccuTrac ACMI laser fiber calculase dornier EndoBeam Flexiva Holmium Fiber Holmium Laser holmium laser fiber karl storz laser fiber Laser Lithotripsy Lasersafe litho laser Lumenis medilase medilase H20 OmniPulse Optifiber ProFlex ProFlex LLF ProGlide richard wolf Scopesafe Slimline stonelight SureFlex Thulium thulium laser thulium laser fiber Trimedyne yellowstone
Losses due to boiling water in surgery can be much larger than most surgeons appreciate and, in some cases these losses approach the total pulse energy, rendering laser surgery ineffective. It is important to know the variables affecting boiling losses and how to negotiate around these losses to optimize efficacy in laser lithotripsy.
All Holmium Laser Fibers are the Same, Right? Part 7: Cladding Modes
AccuTrac ACMI laser fiber calculase EndoBeam Flexiva Holmium Fiber Holmium Laser holmium laser fiber karl storz laser fiber Laser Lithotripsy Lasersafe litho laser Lumenis medilase medilase H20 Optifiber ProFlex ProFlex LLF ProGlide quanta laser richard wolf Scopesafe SideLite Single Use LLF IFU stonelight SureFlex Thulium thulium laser thulium laser fiber Trimedyne yellowstone
All Holmium Laser Fibers are the Same, Right? Part 7: Cladding Modes Ignorance of reality yields solutions that function solely as fantasy. What are ‘Cladding Modes’? ‘Cladding modes’ are almost universally misunderstood as being light rays or modes of propagation that are contained solely within the fiber cladding. https://www.youtube.com/watch?v=I6yjDPo4AHg Snell’s law precludes the containment described in this video (Figure 1 is adapted from the video), a video that is representative of the majority of descriptions one finds for ‘cladding modes’ in the literature. Figure 1: Classic example of oversimplified and erroneous depiction of ‘cladding modes’ While it is possible to...
“All Holmium Laser Fibers are the Same, Right?” Part 5: Beyond Air Well Terminations
AccuFlex AccuTrac ACMI laser fiber calculase EndoBeam Flexiva Holmium Fiber Holmium Laser holmium laser fiber karl storz Laser Lithotripsy Lasersafe litho laser OmniPulse Optifiber ProFlex ProFlex LLF quanta laser richard wolf Scopesafe Slimline stonelight SureFlex Thulium thulium laser fiber Trimedyne yellowstone
FIGURE 1: Trimedyne Holmium Fiber Connector (1991 to Present) Another common termination had its genesis (for holmium laser fibers) at Trimedyne right around 1990 (U. S. Patent No. 5,179,610, Milburn, et al., Figure 1). Trimedyne’s solution is elegant; if a bit over the top for 80W. Knowing that the OmniPulse™ holmium laser presented a laser focal spot that is too large to couple to smaller fibers, and knowing that the laser focus tended to bloom and drift due to localized thermal gradients within the laser rod(s), Trimedyne’s engineers decided to capture and reroute the energy that overfilled the Fiber Aperture....
All Holmium Laser Fibers are the Same, Right? Pt.4 -- Fiber Design Evolution
AccuFlex AccuTrac ACMI laser fiber dornier EndoBeam Flexiva Holmium Fiber Holmium Laser holmium laser fiber laser fiber Laser Lithotripsy Lasersafe litho laser Lumenis medilase medilase H20 OmniPulse Optifiber ProFlex ProFlex LLF quanta laser richard wolf Scopesafe Slimline stonelight SureFlex thulium laser fiber Trimedyne yellowstone
Part 4: Fiber Design Evolution -- the early days as reflected in today's products First and foremost, for differentiation among holmium laser fibers, is the issue of fiber dimensions. Frankly, I am astonished at the lack of clarity or standardization in identifying fiber sizes within this industry. Almost all “200 micron” fibers are actually much larger than 200 microns; not as egregiously large as described in some of the urological literature, where total fiber diameters are reported as opposed to the fiber core diameters used by manufacturers, but definitely misleading to the point where incredulity dominates. I’ll have more on fiber sizes in...