Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy?
Objective The Lumenis® High-power Holmium Laser (120H) has a unique modulated pulse mode, Moses™ technology. Moses technology modulates the laser pulse to separate the water (vapor bubble), then deliver the remaining energy through the bubble. Proprietary laser fibers were designed for the Moses te...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rambam Health Care Campus
2017-10-01
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| Series: | Rambam Maimonides Medical Journal |
| Subjects: | |
| Online Access: | https://www.rmmj.org.il/issues/35/765/manuscript |
| _version_ | 1811240193271791616 |
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| author | Michael Mullerad Jonatan R. A. Aguinaga Tareq Aro Alexander Kastin Oleg Goldin Alexander Kravtsov Akram Assadi Shadie Badaan Gilad E. Amiel |
| author_facet | Michael Mullerad Jonatan R. A. Aguinaga Tareq Aro Alexander Kastin Oleg Goldin Alexander Kravtsov Akram Assadi Shadie Badaan Gilad E. Amiel |
| author_sort | Michael Mullerad |
| collection | DOAJ |
| description | Objective
The Lumenis® High-power Holmium Laser (120H) has a unique modulated pulse mode, Moses™ technology. Moses technology modulates the laser pulse to separate the water (vapor bubble), then deliver the remaining energy through the bubble. Proprietary laser fibers were designed for the Moses technology. Our aim was to compare stone lithotripsy with and without the Moses technology.
Methods
We designed a questionnaire for the urologist to fill immediately after each ureteroscopy in which the Lumenis 120H was used. We compared procedures with (n=23) and without (n=11) the use of Moses technology. Surgeons ranked the Moses technology in 23 procedures, in comparison to regular lithotripsy (worse, equivalent, better, much better). Laser working time and energy use were collected from the Lumenis 120H log.
Results
During 4 months, five urologists used the Lumenis 120H in 34 ureteroscopy procedures (19 kidney stones, 15 ureteral stones; 22 procedures with a flexible ureteroscope, and 12 with a semi-rigid ureteroscope). Three urologists ranked Moses technology as much better or better in 17 procedures. In 2 cases, it was ranked equivalent, and in 4 cases ranking was not done. Overall, laser lithotripsy with Moses technology utilized laser energy in less time to achieve a satisfying stone fragmentation rate of 95.8 mm3/min versus 58.1 mm3/min, P=0.19. However, this did not reach statistical significance.
Conclusion
The new Moses laser technology demonstrated good stone fragmentation capabilities when used in everyday clinical practice. |
| first_indexed | 2024-04-12T13:14:47Z |
| format | Article |
| id | doaj.art-00099b25e09149df94018f675377aad7 |
| institution | Directory Open Access Journal |
| issn | 2076-9172 |
| language | English |
| last_indexed | 2024-04-12T13:14:47Z |
| publishDate | 2017-10-01 |
| publisher | Rambam Health Care Campus |
| record_format | Article |
| series | Rambam Maimonides Medical Journal |
| spelling | doaj.art-00099b25e09149df94018f675377aad72022-12-22T03:31:43ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722017-10-0184e003810.5041/RMMJ.10315Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy?Michael Mullerad0Jonatan R. A. Aguinaga1Tareq Aro2Alexander Kastin3Oleg Goldin4Alexander Kravtsov5Akram Assadi6Shadie Badaan7Gilad E. Amiel8Department of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelDepartment of Urology, Rambam Health Care Campus, Haifa, IsraelObjective The Lumenis® High-power Holmium Laser (120H) has a unique modulated pulse mode, Moses™ technology. Moses technology modulates the laser pulse to separate the water (vapor bubble), then deliver the remaining energy through the bubble. Proprietary laser fibers were designed for the Moses technology. Our aim was to compare stone lithotripsy with and without the Moses technology. Methods We designed a questionnaire for the urologist to fill immediately after each ureteroscopy in which the Lumenis 120H was used. We compared procedures with (n=23) and without (n=11) the use of Moses technology. Surgeons ranked the Moses technology in 23 procedures, in comparison to regular lithotripsy (worse, equivalent, better, much better). Laser working time and energy use were collected from the Lumenis 120H log. Results During 4 months, five urologists used the Lumenis 120H in 34 ureteroscopy procedures (19 kidney stones, 15 ureteral stones; 22 procedures with a flexible ureteroscope, and 12 with a semi-rigid ureteroscope). Three urologists ranked Moses technology as much better or better in 17 procedures. In 2 cases, it was ranked equivalent, and in 4 cases ranking was not done. Overall, laser lithotripsy with Moses technology utilized laser energy in less time to achieve a satisfying stone fragmentation rate of 95.8 mm3/min versus 58.1 mm3/min, P=0.19. However, this did not reach statistical significance. Conclusion The new Moses laser technology demonstrated good stone fragmentation capabilities when used in everyday clinical practice.https://www.rmmj.org.il/issues/35/765/manuscriptHolmiumlaserlithotripsystoneureteroscopy |
| spellingShingle | Michael Mullerad Jonatan R. A. Aguinaga Tareq Aro Alexander Kastin Oleg Goldin Alexander Kravtsov Akram Assadi Shadie Badaan Gilad E. Amiel Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? Rambam Maimonides Medical Journal Holmium laser lithotripsy stone ureteroscopy |
| title | Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? |
| title_full | Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? |
| title_fullStr | Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? |
| title_full_unstemmed | Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? |
| title_short | Initial Clinical Experience with a Modulated Holmium Laser Pulse—Moses Technology: Does It Enhance Laser Lithotripsy Efficacy? |
| title_sort | initial clinical experience with a modulated holmium laser pulse moses technology does it enhance laser lithotripsy efficacy |
| topic | Holmium laser lithotripsy stone ureteroscopy |
| url | https://www.rmmj.org.il/issues/35/765/manuscript |
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