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Lumenis®
MOSES Pulse120H

All in One
Laser Urology Platform

Lumenis Pulse 120H - Laser Urology Platform



MOSES
TECHNOLOGY  |  Reframing the Laws of Physics

Energy transmission vs. working distance - bench test3. A representative case

Experience optimized energy transmission

Groundbreaking pulse delivery technology remarkably improves energy transmission, overcoming energy reduction in working distances3

Minimum retropulsion - maximum control

Moses technology significantly reduces retropulsion during lithotripsy and minimizes stone migration, resulting in better physician control1,5 Pre-clinical experience suggests that minimzed retropulsion may also lead to shorter procedure time1,5


Flexible Laser Ureteroscopy

Stone Dusting

Simply dust it away
Lumenis Pulse 120H ultra-speed dusting of up to 80Hz allows you to pulverize the stone, reducing the need for retrieval devices or ureteral access sheaths10.

Stone Fragmentation

Achieve robust fragmentation when you need it the most13
Apply high energy levels of up to 6J to quickly and efficiently fragment stones.

Graph showing crater volume as function of joules

The higher the energy the larger the crater

*Bench study results may not be indicative of clinical performance


PCNL

Focus on what matters during PCNL

Suction hand-piece allows simultaneous lithotripsy and aspiration of stone fragments11,12


Vaporization

Achieve effective and powerful vaporization results3

Keep full contact with the tissue using the Xpeeda™ D/S/L unique side firing fiber, designed to deliver increased energy and remove more tissue in a set time14.

Control hemostasis with the advanced pulse reshaping technology3,4 and customized dual pedal.

Dual Pedal

HoLEP

Remove prostates of any size with HoLEP6

Join the growing wave of urologists adopting HoLEP – the new gold standard for BPH5,6. Minimize reoccurrence rates by completely removing excessive prostate tissue7. Leverage the Lumenis Pulse 120H high watt capabilities to offer faster and more efficient procedures8.

Do it your own way with a combined approach

You know what works best for you. The versatile capabilities of the Lumenis Pulse 120H allow you to switch between different working modalities to reach your desired outcome.


  Easy

Innovative GUI and intuitive dual pedal operation

  Versatile

Wide performance envelope in multiple energy & frequency settings

  Validated

Proprietary fibers designed for durability, flexibility and versatility in urological procedures

References


  1. Carrier S., Andonian S., Elhilali M. Evaluation of the New Moses Technology of Holmium Laser Lithotripsy: Initial Clinical Experience. Abstract presentation at EAU 2017
  2. Bader MJ, Eisner B, Porpiglia F, et al. Contemporary management of ureteral stones. Eur Urol. 2012;61(4):764-772
  3. Beaghler M, Leo M, Gass J, March J, Sandoval S, et al. (2017) Initial Experience with New High Powered 120 W Holmium for Vaporization of the Prostate. Urol Nephrol Open Access J 4(2): 00119. DOI: 10.15406/unoaj.2017.04.00119
  4. Perfused bladder model for simulation of hemostasis control using holmium laser. Yehudit Kraizer, Shadie Badaan, Moshe Elazar, Haim Epshtein, Uri Shpolansky. WCE poster 2014
  5. Ehab A. Elzayat, Enmar I. Habib, and Mostafa M. Elhilali: Holmium laser enucleation of the prostate: a size-independent new “gold standard” urology 66 (Supplement 5A), November 2005
  6. John Michalak, David Tzou, Joel Funk: HoLEP: the gold standard for the surgical management of BPH in the 21st Century Am J Clin Exp Urol 2015;3(1):36-42
  7. Holmium Laser Enucleation of the Prostate; Results at 6 Years, Gilling PJ, Aho, TF, Frampton CM, et al. Eur Urol 2008 Apr:53(4):744-9
  8. Mark Cynk, Holmium Laser Enucleation of the Prostate is More Efficient with More Laser Power, abstract #MP7-01, Moderated Poster Session 7: BPH/LUTS, WCE 2016
  9. Dusting vs Fragmentation for Renal Stones - Prospective Study Using Different Laser Settings in One System Platform. Ivan Colon, Brent Yanke, Edward Zoltan and Ivan Grunberger. WCE poster 2016
  10. Stone dusting: Outcomes of ureteroscopic lithotripsy using a multi-cavity high-power holmium laser James Tracey*, Galina Gagin, Duncan Morhardt, John Hollingsworth, Khurshid Ghani, Ann Arbor, MI AUA 2016 Abstract
  11. Dusting utilizing suction technique (DUST) for percutaneous nephrolithotomy: Use of a dedicated laser handpiece to treat a staghorn stone. Ghani K.R., Roberts W.W. EAU poster 2017
  12. A Usability Comparison of Laser Suction Handpieces for Percutaneous Nephrolithotomy. Dauw CA, Borofsky MS, York N, Lingeman JE. J Endourol. 2016 Nov;30(11):1165-1168
  13. Influence of high energy holmium laser parameters and applied fiber diameter on calculi phantom ablation. Haim Epshtein, Idan Sthzeglowski and Arkady Khachaturov. WCE poster 2014
  14. Bench test results may not necessarily be indicative of clinical performance


PB-2007617 Rev A

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