A patent-protected innovation revolutionizing urology care
Understanding the challenges of laser lithotripsy
While Holmium lithotripsy is well established as the preferred treatment for urinary stones2, some challenges still persist:
Reduced energy transmission
Holmium’s high level of absorption in water results in limited delivery of laser energy.
Unfriendly and costly fiber experience
Burdensome and time consuming process of fiber insertion through a flexible scope is needed to avoid scope damage.
Retropulsion and stone migration
The retropulsion effect created by the Holmium pulse reduces physician’s control and may cause the stone to rotate or slip to difficult locations.
Stones are often located in hard-to-access areas within the kidney, making it difficult to reach and treat them.
Introducing Moses™ technology by Lumenis
A patent-protected combination of systems and fibers – reframing the laws of physics
Experience optimized energy transmission
MOSES is a groundbreaking, patent-protected pulse delivery technology, that remarkably improves energy transmission, resulting in more efficient lithotripsy and BPH treatments compared to the regular Holmium pulse1
MOSES Technology: 360˚ advantages for Holmium Laser Lithotripsy
20% Reduction in procedure time
As shown in a randomized clinical trial, the MOSES Technology reduces
procedure time by 20%, making your treatments faster and more efficient1,2.
60% reduction in retropulsion
With 60% less retropulsion, you can minimize the incidents of ureteral stone migration into the kidney.
You may also avoid chasing the stones in the bladder or kidney1,2,3.
25% reduction in fragmentation time
MOSES optimized energy transmission makes every shot count, thus reducing your fragmentation time by 25% 1,2.
Smooth process – more confidence
Advanced ball-shaped tip enables a smooth initial insertion of the Moses 200 D/F/L through a flexible scope, and designed to minimize potential scope damage.reach difficult-to-access stone locations.
Leave no stone behind
Moses 200 D/F/L flexible fiber is designed to minimize scope deflection loss7, allowing to reach difficult-to-access stone locations.
Deflection loss of flexible scope – bench test7. A representative case
MoLEP – The New Generation of HoLEP MOSESTM Laser Enucleation of the Prostate
Improved enucleation efficiency
Leverage the power of the MOSES P120H for a more efficient tissue removal and 20% increase in enucleation rate (gr/min). Enjoy the advantages of improved intraoperative vision and cleaner dissection of the capsular plane4.
The unique pulse reshaping results in improved hemostasis, providing you with higher visibility during the procedure and bleeding control5,6.
Fiber durability and handling
Initial experiences with the MOSES technology indicate that the proprietary MOSES fibers are durable and show minimal degradation. This may indicate reduced burn back compared to regular mode of operation, resulting in a continuous procedure with minimal interruptions7.
MOSES Vaporization – Acceleration in hand
Higher Vaporization rate and efficiency
The MOSES technology shows superior vaporization rate and efficiency
compared to regular pulse, indicating potential reduction in procedure time7.
Control hemostasis and keep bleeding minimal with the advanced pulse reshaping
and customized dual pedal5,6.
Enhanced fiber control
Xpeeda™ D/S/L side firing fiber is designed to deliver increased energy transmission9 and enables work in full
contact mode without causing deep tissue charring7.
- Elhilali et al. Moses technology in a stone simulator.Can Urol Assoc J. 2018 Apr;12(4):127-130. doi: 10.5489/ cuaj.4797. Epub 2017 Dec 22
- Andonian et al. Double-blinded Prospective Randomized Clinical Trial Comparing Moses and Regular Modes of Holmium Laser Lithotripsy: Preliminary Results. Podium presentation at EAU 2018
- Elhilali M., Badaan S., Ibrahim A., Andonian S. Use of Moses Pulse Modulation Technology to Improve Holmium Laser Lithotripsy Outcomes: A preclinical study. Journal of Endourology (June, 2017)
- 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
- 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
- Yehudit Kraizer, Shadie Badaan, Moshe Elazar, Haim Epshtein, Uri Shpolansky: Perfused bladder model for simulation of hemostasis control using holmium laser. WCE poster 2014
- Bench test results may not necessarily be indicative of clinical performance
PB-2008020 rev A