News — Slimline
Smooth Passage™ Holmium Fiber Tips on ProFlex™ LLF
2100nm AccuFlex Accumax AccuTrac ACMI laser fiber calculase chips Clean cut cutting fiber dornier Duotome EndoBeam Fiber Flexiva fused silica GreenLight high power fiber optics Holmium Fiber Holmium Laser holmium laser fiber karl storz KTP Laser Laser laser fiber Laser Lithotripsy laser machining Lasersafe litho laser Lumenis medilase medilase H20 micromachining MoXy OmniPulse optical fiber Optifiber ProFlex ProFlex LLF ProGlide ProGuard Prostate Surgery quanta laser richard wolf scope safe Scopesafe SideLite Slimline stonelight SureFlex Thulium thulium laser thulium laser fiber TracTip Trimedyne yellowstone
In the course of studying other manufacturers' holmium laser fibers we sometimes observe surprising differences. In this case, we knew that our tips were different -- heck, we gave them a special name -- but just how much difference they made was the surprise. The two fibers in the photo are "1000 micron", meaning they have either a 910 μm or 940 μm core inside a 1 mm diameter glass cladding. The upper one was made by the manufacturer of the laser upon which the two fibers were used and the lower one is our Smooth Passage™ Tip on ProFlex™ LLF. Both fibers...
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 9
2000nm 2100nm calculase cutting fiber dornier EndoBeam 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 ProGuard quanta laser richard wolf Scopesafe Slimline stonelight SureFlex Thulium thulium laser Trimedyne yellowstone
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 6: Minding the Gap
2100nm ACMI laser fiber calculase EndoBeam Fiber Flexiva Holmium Fiber Holmium Laser holmium laser fiber karl storz Laser laser fiber Laser Lithotripsy Lasersafe litho laser Lumenis medilase medilase H20 OmniPulse Optifiber ProFlex ProFlex LLF quanta laser Scopesafe Slimline stonelight SureFlex Thulium thulium laser thulium laser fiber Trimedyne yellowstone
FIGURE 1: Fiber Sleeved with Quartz Ferrule The gap (FIG. 1) between the fiber and the quartz ferrule is a fundamental problem of quartz sleeved fibers because that gap harbors volatile and non-volatile contaminants from production or cleaning. These contaminants are inevitably vaporized and deposit on the blast shield or focusing optic or both. In extreme cases, thermal expansion of materials within the gap can fracture the fiber or the quartz sleeve. Fusing the fiber within the bore of the quartz ferrule eliminates the gap, but new issues arise from fusion. Centricity is typically worst case after fusion...