MultiPulse Tm+1470

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Thulium laser combined with 1,470 nm wavelength designed to improve your patient’s quality of life

About MultiPulse Tm+1470

JenaSurgical introduces MultiPulse Tm+1470 the last generation thulium laser, unmatched in terms of efficiency, accuracy and safety in multiple surgical application fields. MultiPulse Tm+1470 is the only system that combines a 1,940 nm Thulium laser with a 1,470 nm diode laser (maximum power 120 W + 30 W), designed to deliver the best performance in the operating room.

Unmatched in terms of efficiency, accuracy and safety.

The choice of emitting at 1940 nm is not accidental. This wavelength is absorbed by water more than 1st generation Thulium at 2040 or Holmium at 2100 nm.

To have a more significant coagulation effect, MultiPulse Tm +1470 is integrated with a 1,470 nm Raman laser, which can be combined as desired in the same fiber optics.

coefficient-of-assorbtion

When a greater coagulation effect is required, it is sufficient to change from the “cutting-mode” to the “coagulation-mode”, selecting the 1,470nm diode only by pressing a different pedal. The pedal control allows the surgeon to select the required mode without changing the laser fiber and without looking away from the operating field.

The ability to mix or separate these two wavelengths, combined with the innovative technological solutions of MultiPulse Tm+1470, allows optimization of the laser beam interaction with the tissue.

This ensures perfect vaporization and better hemostasis when cutting, using less working power and thus minimizing residual carbonization.

Moreover, in addition to the continuous mode (CW), the MultiPulse Tm+1470 thulium laser system can work with pulsed emission, to operate with maximum precision and delicacy even in those areas that require “colder” action.

MultiPulse Tm+1470 is an extremely versatile and multidisciplinary system recommended for a variety of surgical applications in urology, gynecology and general surgery.

UROLOGY

ThuLEP (Thulium Laser Enucleation of Prostate) is the innovative transurethral thulium laser technique of anatomical enucleation. The advanced technology of MultiPulse Tm +1470 enables work with an excellent view of the operative field, thanks to the perfect hemostasis and the absence of residual material from carbonization.

The mix of its two wavelengths, properly calibrated, enables neat and clean surgical incisions with good execution speed, reduces operating time and allows prostates of any size to be treated.

This procedure achieves the complete removal of adenomatous tissue, with maximum urodynamic effectiveness, minimal side-effects and lack of bleeding complications.

Advantages for the surgeon:

  • Unique combination of two wavelengths:  1,940 nm and 1,470 nm
  • Specific for ablation / cutting & hemostasis / coagulation effect
  • Low residual tissue carbonization for a clean and clearly visible surgical field
  • Pedal control for perfect wavelengths modulation without taking attention away from the surgical field and without changing fiber
  • Ability to always perform the histopathological exam of enucleated tissue samples (it is possible to request the morcellator as a non-integrated  optional accessory)
  • TDFA (Thulium Doped Fiber Amplifier) technology for better beam  uniformity and advanced performance and less maintenance requirements
  • Low-noise system with limited power consumption

 Advantages for the patient:

  • Safety, accuracy and speed of treatments
  • Reduction in side effects (e.g. TUR syndrome, bleeding, etc.).
  • Also recommended for the treatment of patients with coagulation problems (e.g. those being treated with anticoagulants)
  • Also suitable for patients with large prostates (more than 70g), as a minimally invasive alternative to the traditional method of open adenomectomy
  • Shorter treatment time and hospital stay faster functional recovery with a clear improvement in quality of life
  • Greatly reduced time or none for post-operative catheterization
  • Low rate of recurrences

GENERAL SURGERY

MultiPulse Tm +1470 system is a precious ally for surgeons in many procedures, from routine operations through to the more complex, both in endoscopic and open surgeries.

This is a high-performance surgical instrument for the tissue resection, guaranteeing the surgeon precise control over both cutting and ablation through the intuitive regulation of the main operating parameters.

The MultiPulse Tm+1470 system allows to work quickly with an outstanding hemostatic effect, that can be adjusted as required, using a pedal and suitably blending the two wavelengths available.

The laser beam can be directed onto the organ to be operated on using an endoscope. In this way the surgeon can easily perform very precise and accurate procedures and operate on parts of the body that could previously only be reached with traditional open surgery.

In the hands of a specialized surgeon, the use of laser in the theater makes it possible to:

  • cut or remove diseased tissue without damaging the adjacent healthy tissues
  • cauterize (seal) blood vessels to reduce blood loss
  • block nerve terminals to reduce post-surgical pain and discomfort
  • reduce the risk of incision infection
  • seal lymph vessels to minimize swelling and prevent malignant cell diffusion
  • minimize the size of the area involved by the surgery
  • obtain faster wound healing
Thulium:Yag Laser combined with 1,470 nm wavelength Designed to improve your patient’s Quality of life

MultiPulse Tm+1470 applications

UROLOGY

Prostate enucleation (BPH treatment) with ThuLEP procedure | Urethrotomy | Excision of urethra, bladder and ureter tumors | Partial nephrectomy in open, laparoscopic and robotic surgery
Read More >>

GYNECOLOGY

Laparoscopy: Endometriosis | Adhesion | Uterine fibroids | Ovarian fibroids
Hysteroscopy: Myomas | Polyps | Uterine malformations ( septate uterus, uterine synechiae and adhesions)
Read More >>

GENERAL SURGERY

Open, laparoscopic and endoscopic surgery, including incision, excision, resection, ablation, vaporization, coagulation and hemostasis
Read More >>

Clinical Gallery

CLINICAL CASE

ThuLep-for-BPH-Multipulse

THULep for BPH, performed using the MultiPulse Tm+1470 laser system

[Courtesy of Dr. R. Hurle, M.D. - Consultant of the Operating Unit of Urology and Andrology Istituto Clinico Humanitas. Milan -Italy]

JenaSurgical Product Range

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