CYBER TM family
As a pioneer in global laser manufacturers, Quanta System has undergone more than ten years of deep cultivation in surgical laser surgery, and has obtained certifications from major countries (such as ISO13485, CE, FDA, and MDD certificate, etc.). It is equivalent to quality assurance and is applicable to the clinical and research of laser surgery in various surgeries has become the most credible and reliable partner of doctors.
The Cyber TM allows for two surgical techniques that most lasers do not. The Cyber TM can both vaporize tissue as well as vapo-resect tissue. A surgeon may want to resect tissue if he feels that examination of a tissue sample by a pathologist might be in order to check for the presence of cancer. A surgeon may also prefer to resect tissue if the prostate gland is very large which, otherwise, would take an excessive amount of time to vaporize. Minimizing the time spent under anesthesia reduces risk to the patient and shortens the post-op recovery period.
· The Cyber TM allows for the maintenance of a very clear operative field by not creating floating tissue fragments, blood or excessive bubbles. Visualization is further improved since the surgeon is not required to wear color distorting protective eyewear. Furthermore, the invisible beam of the Cyber TM does not create glare like some other visible wavelength lasers. When taken together, these three factors significantly improve the surgeon’s ability to see what he is doing and helps him not make mistakes that might result from poor visualization.
· The 2 micron wavelength of the Cyber TM is highly absorbed by water. This means that in the aqueous surgical field associated with prostate surgery, the laser beam travels only 2 millimeters beyond the tip of the fiber before the energy is absorbed by the surrounding water. Some other laser wavelengths travel far enough in water to create the risk that some or all of the beam may over-shoot the targeted tissue and damage more distant tissue not intended for treatment.
· The Cyber TM allows the use of forward-firing fiber-optic laser fibers which allows the surgeon to know, at all times, where the laser energy is being directed. Inadvertent damage to tissue resulting from lack of awareness of the orientation of side-firing laser fibers is a risk that is avoided with the forward-firing laser fibers that can be used with the Cyber TM.
· Because the Cyber TM removes the unwanted tissue during the procedure rather than relying of later slough or reabsorption, the beneficial effects of the procedure are realized shortly after the procedure. Once the catheter is removed (usually after one or two days), patients notice as significant improvement in symptoms. Some other BPH treatments have much longer catheterization periods and require weeks before the patient realizes the full benefits of the therapy.
Quanta System was born in 1985. It is an independent brand derived from CISE, the world's largest laser and optical research center. Since its establishment, it has followed the traditional virtues of Italy and pursues "excellence and innovation" as the company's business philosophy. It is proud to "benefit the crowd", and its business map covers industrial, medical and environmental protection monitoring systems and other products.
As a pioneer in global laser manufacturers, Quanta System has undergone more than ten years of deep cultivation in surgical laser surgery, and has obtained certifications from major countries (such as ISO13485, CE, FDA, and MDD certificate, etc.). It is equivalent to quality assurance and is applicable to The clinical and research of laser surgery in various surgeries has become the most credible and reliable partner of doctors.
High-energy THULIUM laser system (Cyber Tm Family）It is the QUANTA Italian company that has developed a new trans-epoch prostate laser for vaporization, coagulation, incision, and cutting of the affected soft tissue. The principle is that the water contained in the tissue is heated to vaporization, and many tiny bubbles are transformed into each other; the soft tissue is then gradually vaporized, or cut into pieces that can be moved, and the cut soft tissue can be used as a laboratory specimen for further analysis and Diagnosed, clinically the best first choice for the treatment of prostate.
The QUANTA high-energy THULIUM laser system and its equipment are mainly used to treat benign prostate hypertrophy (BPH). When combined with a urethral cystoscope, it can safely and effectively remove excess prostate hypertrophy and immediately relieve the patient’s symptoms of dysuria.
In addition to the high-energy THULIUM laser system (Cyber Tm Family) used for the treatment of prostatic hypertrophy, its high-energy laser can achieve precise and effective cutting, for incision of urethral and ureteral stricture, bladder tumor removal and Partial renal tumor resection has good results. In addition to being widely used in urology, it can also be used in thoracic surgery, obstetrics and gynecology, otolaryngology and general surgery.
The high-energy THULIUM laser system (Cyber Tm Family) has the best treatment wavelength, higher operating efficiency, smaller instrument volume, higher beam quality, more precise tissue cutting and better hemostatic effects. In addition, Cyber Tm Family can generate high-efficiency energy, with accurate and effective fiber optic equipment, safely and quickly cut and vaporize excess prostate tissue, achieving the goal of perfect treatment. It has the dual-effect function of prostate cutting and vaporization at the same time. It is a low-invasive and extremely safe operation. Not only is the laser cutting function better than others, the efficiency of vaporization is also ideal, and it is the only cutting A laser system with both vaporization and excellent clinical effects.
BPH treatment
Very shallow thermal damage depth (0.1-0.2mm)
Effective hemostatic effect
Excellent cutting and ablation
Soft tissue surgery
Good versatility
Short recovery period from surgery
ENUCLEATION (THuLEP)
The enucleation technique involves the “detachment” of the prostatic obstructive lobes using the endoscopic instrument for the mechanical action, the laser beam to cut/ablate the resistant tissue components or for a quick hemostatic action.
VAPO-ENUCLEATION (THuVEP)
The Vapo-Enucleation technique uses mainly the laser cutting/vaporization effect instead of the mechanical action. The use of this technique decreases the irritative phenomena and gives advantages in patients with coagulative problems. This technique has a shorter learning curve.
VAPO-ENUCLEATION (THuVEP)
The Vapo-Enucleation technique uses mainly the laser cutting/vaporization effect instead of the mechanical action. The use of this technique decreases the irritative phenomena and gives advantages in patients with coagulative problems. This technique has a shorter learning curve.
VAPO-RESECTION (THuVARP)
This technique involves the reduction of obstructive lobes into small pieces (removable endoscopically without the aid of a Morcellator) via laser resection.
VAPORIZATION (THuVAP)
This procedure involves the reduction of prostate lobes by laser vaporization of obstructive tissue. Thanks to the characteristics of laser vaporization, with Cyber TM you can use optical fibers with side firing or with frontal emission (reusable). Acting on the water component contained in the tissue, vaporization remains constant throughout the procedure, allowing an homogeneous low-depth coagulation (also when using the 200W), a key factor for the reduction of dysuria and other postoperative problems.
1. It should be used with caution for patients who have had difficulties with previous endoscopic surgery.
2. It should be used with caution for patients who have recently received radiotherapy.
3. When the patient has any cardiopulmonary problems, laser treatment should be stopped immediately.
| Compare items | Holmium Laser / Thulium Laser | Green laser | Red laser |
| Surgical approach | Cut, vaporize and stop bleeding at the same time | Vaporization and hemostasis | Cutting, hemostasis |
| Laser | Shallow layer 0.2～0.3mm | Deep 0.4～mm | 0.8～1mm deep |
| Thermal damage depth | Trace | A small amount | A lot |
| Intraoperative blood loss | short | long |
long |
| operation time | will not | will not |
will |
| Chance of water poisoning | Lower | Lower | Higher |
| Surgical risk | Yes, obtained during surgery, | Nonwoven specimen | Yes, obtained during surgery, Post-operative examination |
| Pathological section | Post-operative examination | Unable to send for inspection | 4-5 days |
| Hospital stay | 2-3 days | 2-3 days | 1-2 days |
| after surgery | 1-2 days | 1-2 days | low |
| Urinary catheter removal time | Extremely low | low | less |
PRECISION:
You will be able to see what you are treating and observe the effect of your work in real time. Observable surgical effects - “what you see is what you get”- with no occurrence of unseen deep tissue effects.
VERSATILITY:
The ability to vaporize, resect or ablate tissue as needed. These features in the treatment of BPH allow to choose the surgical technique (enucleation, resection or vaporization) best suited to the size and morphology of the treated prostate.
HIGH SAFETY LEVEL:
By allowing the visualization of the treatment area and precise control of the laser delivery, along with a great hemostasis, Cyber TM provides a high level of safety. The high coefficient of absorption in water and the limited coagulation depth reduce the chance of unexpected tissue damage.
CLEAR SURGICAL FIELD:
The consistent power delivery of the Cyber TM’s continuous wave mode creates even and clean vaporization or cutting effect which keeps the surgical field clear of bubbles, blood or debris that can impair the surgeon’s vision.
USER FRIENDLINESS:
The Cyber TM laser is easy to use with a short learning curve. The double footswitch allows one to use two power outputs dedicated to the ablation / vaporization action and to the coagulation effect.
Ai comments
- Can you explain the Vapor Tunnel™ technology in more detail?
- How does Vapor Tunnel™ technology compare to other lithotripsy methods?
- Does Vapor Tunnel reduce the risk of stone fragments moving back?
- Can you explain the pulse modulation mechanism in Vapor Tunnel?
- What are the clinical benefits of using Vapor Tunnel technology?
- What are the potential risks associated with using Vapor Tunnel technology?
The Vapor Tunnel™ technology is an innovative pulse modulation feature used in Quanta Cyber Ho laser systems, specifically designed to enhance the efficiency and effectiveness of lithotripsy procedures. Here’s a detailed explanation of how it works and its benefits:
Working Principle
Vapor Tunnel™ operates by generating a single, specific long pulse during laser emission.
This pulse is modulated in such a way that a portion of the energy is used to create an initial vapor bubble, while the remaining energy is discharged immediately after, passing through the already-formed vapor channel. This process ensures that the energy delivery is optimized, with minimal peak power being used.
Key Benefits
-
- Reduced Stone Retropulsion: By creating a stable vapor channel, Vapor Tunnel™ significantly reduces the movement of stones during ablation. This stability allows for more precise targeting and minimizes the need for repositioning the fiber, saving time and improving procedural efficiency
- Enhanced Energy Delivery: The long vapor bubble created by Vapor Tunnel™ acts as a direct connection between the fiber tip and the stone, ensuring that the energy is delivered more effectively to the target. *This results in faster and more efficient stone ablation, particularly useful in high-frequency dusting techniques
- Lower Energy Requirements: Studies have shown that Vapor Tunnel™ technology requires less total energy and shorter laser emission times compared to traditional long-pulse settings. *This not only reduces the procedural time but also enhances the overall efficacy of lithotripsy
- Versatility in Stone Treatment: Vapor Tunnel™ is particularly effective for treating non-complex kidney stones and can be used in various lithotripsy techniques, including dusting and fragmentation
Clinical Outcomes
Clinical studies have demonstrated that Vapor Tunnel™ technology reduces both fragmentation time and total procedural time without compromising the stone-free rate.
. For example, a study comparing Vapor Tunnel™ with regular settings showed a significant reduction in fragmentation time (16.1 minutes vs. 20.4 minutes) and total procedural time (35.7 minutes vs. 49 minutes).
In summary, Vapor Tunnel™ technology represents a significant advancement in holmium laser lithotripsy, offering enhanced procedural efficiency, reduced retropulsion, and improved energy delivery.
Vapor Tunnel™ technology is an innovative pulse modulation feature of the Quanta Cyber Ho laser system, designed to enhance the efficiency and effectiveness of lithotripsy procedures. Below is a detailed comparison of Vapor Tunnel™ technology with other common lithotripsy methods:
- Vapor Tunnel™ vs. Traditional Holmium Laser Lithotripsy
- Energy Delivery: Vapor Tunnel™ generates a longer vapor bubble that extends further, creating a stable connection channel between the laser fiber and the stone. This enhances energy delivery and reduces stone retropulsion.
- Stone Retropulsion: Traditional holmium laser lithotripsy often results in significant stone retropulsion, especially at higher power settings. In contrast, Vapor Tunnel™ significantly reduces retropulsion, leading to more efficient and precise stone fragmentation.
- Operative Time: Studies have shown that Vapor Tunnel™ technology reduces operative time by providing more efficient fragmentation and less need for repositioning the fiber.
- Vapor Tunnel™ vs. Ballistic Lithotripsy
- Stone Retropulsion: Ballistic lithotripsy relies on direct mechanical impact, which often causes significant stone retropulsion, especially in dilated collecting systems. Vapor Tunnel™, on the other hand, minimizes retropulsion by creating a stable vapor channel.
- Operative Time: High-power holmium laser lithotripsy with Vapor Tunnel™ technology has been shown to reduce operative time compared to ballistic lithotripsy. This is due to the higher energy delivery and faster fragmentation capabilities.
- Safety and Complications: Ballistic lithotripsy can cause mucosal damage and bleeding, especially when dealing with impacted stones. Vapor Tunnel™ avoids these issues by using a non-contact approach.
- Vapor Tunnel™ vs. Virtual Basket™
- Retropulsion Control: Both Vapor Tunnel™ and Virtual Basket™ are designed to reduce stone retropulsion. A recent randomized controlled trial showed that both technologies are equally effective in minimizing retropulsion during ureteroscopic lithotripsy.
- Operative Time and Stone-Free Rate: The study also demonstrated that both Vapor Tunnel™ and Virtual Basket™ have comparable operative times and stone-free rates. They are equally effective in preventing ureteral lesions and avoiding stone push-up.
- Vapor Tunnel™ vs. Ultrasonic Lithotripsy
- Fiber Diameter and Flexibility: Vapor Tunnel™ can be used with very thin fibers (e.g., 200-1000 µm), which are compatible with the narrow working channels of miniaturized nephroscopes. Ultrasonic lithotripters, on the other hand, require larger probes (e.g., 1.5-3.3 mm), which limit their use in mini-PNL procedures.
- Efficiency: High-power holmium laser lithotripsy with Vapor Tunnel™ provides faster fragmentation and higher stone-free rates compared to ultrasonic lithotripsy, especially for large or multiple stones.
- Vapor Tunnel™ vs. Electrohydraulic Lithotripsy
- Safety and Precision: Electrohydraulic lithotripsy often causes significant tissue damage and bleeding due to its high-energy pulses. Vapor Tunnel™, with its precise energy delivery and minimal retropulsion, offers a safer alternative.
- Versatility: Vapor Tunnel™ can be adjusted for different stone characteristics and surgical needs, making it more versatile than electrohydraulic lithotripsy.
Conclusion
Vapor Tunnel™ technology represents a significant advancement in lithotripsy, offering enhanced energy delivery, reduced stone retropulsion, and faster operative times compared to traditional methods. It is particularly effective in reducing complications and improving procedural efficiency, making it a preferred choice for modern urological surgeries.
Yes, Vapor Tunnel™ technology is designed to significantly reduce the risk of stone fragments moving back (retropulsion) during lithotripsy procedures. This is achieved through its unique pulse modulation mechanism:
- Longer Vapor Bubble Creation: Vapor Tunnel™ generates a specific long pulse that creates a longer vapor bubble extending further towards the stone. This bubble acts as a stable connection channel between the laser fiber and the stone, enhancing energy delivery and minimizing the movement of stone fragments.
- Reduced Retropulsion: By stabilizing the stone during ablation, Vapor Tunnel™ reduces the risk of stone fragments moving back, which is a common issue with traditional holmium laser lithotripsy. This stability allows for more precise targeting and reduces the need for repositioning the fiber.
- Enhanced Treatment Efficiency: With less retropulsion, the lithotripsy procedure becomes more efficient, as surgeons can maintain a stable target and achieve faster fragmentation.
Overall, Vapor Tunnel™ technology offers a significant improvement in controlling stone retropulsion, making lithotripsy procedures safer and more efficient.
Vapor Tunnel™ technology is a unique pulse modulation mechanism designed to improve the efficiency and safety of lithotripsy procedures by reducing stone retropulsion and enhancing energy delivery. Here’s a detailed explanation of how this technology works:
Pulse Modulation Mechanism of Vapor Tunnel™
- Long Pulse Generation
Vapor Tunnel™ uses a specific long pulse that creates a vapor bubble extending further towards the stone. *This bubble acts as a stable connection channel between the laser fiber and the stone, allowing the laser energy to be delivered more efficiently and with minimal loss. - Reduced Retropulsion
The extended vapor bubble generated by Vapor Tunnel™ helps to hold the stone in place during ablation. *This mechanism significantly reduces the risk of stone fragments moving back (retropulsion), which is a common issue with traditional holmium laser lithotripsy. As a result, the treatment becomes more stable and efficient, with fewer interruptions for repositioning the fiber. - Optimized Energy Delivery
Vapor Tunnel™ is designed to use minimal peak power while still delivering effective energy to the stone. *This approach not only reduces retropulsion but also minimizes tissue damage and fiber tip degradation. The technology ensures that the laser energy is concentrated on the stone, leading to faster fragmentation and a higher stone-free rate.
Clinical Benefits
- Enhanced Treatment Efficiency: By reducing retropulsion and improving energy delivery, Vapor Tunnel™ allows for faster stone fragmentation and shorter procedural times.
- Improved Safety: The reduced retropulsion and minimal tissue damage make Vapor Tunnel™ a safer option for lithotripsy, especially in complex cases.
- Versatility: Vapor Tunnel™ can be used with a wide range of fiber diameters and types, making it suitable for various surgical techniques and stone compositions.
In summary, Vapor Tunnel™ technology represents a significant advancement in pulse modulation for holmium laser lithotripsy. It enhances procedural efficiency, reduces complications, and provides a more stable and effective treatment experience.
The clinical benefits of using Vapor Tunnel™ technology in lithotripsy procedures are well-documented and include several key advantages:
- Reduced Stone Retropulsion: Vapor Tunnel™ significantly reduces the movement of stone fragments during lithotripsy. This is achieved by creating a stable vapor channel that minimizes retropulsion, making the procedure more efficient and precise.
- Shorter Operative Time: Studies have shown that Vapor Tunnel™ technology reduces both operative time and laser emission time. For example, one study reported a mean operative time of 25.7 minutes with Vapor Tunnel™ compared to 37.2 minutes without it. *. Another study found that total operative time was significantly lower in the Vapor Tunnel™ group (79.5 minutes vs. 95 minutes with traditional long-pulse settings).
- Lower Energy Requirements: Vapor Tunnel™ requires less total energy to achieve effective stone fragmentation. This not only reduces the risk of tissue damage but also enhances procedural efficiency. For instance, the energy used was significantly lower in the Vapor Tunnel™ group (14.5 J vs. 18.2 J with traditional settings).
- Improved Stone-Free Rates: Although stone-free rates are comparable between Vapor Tunnel™ and traditional methods, the technology offers a more efficient pathway to achieving these outcomes. For example, a study reported a stone-free rate of 74.5% with Vapor Tunnel™ compared to 66.1% with traditional long-pulse settings.
- Reduced Complications: Vapor Tunnel™ technology is associated with a lower rate of ureteral lesions and postoperative strictures. This is particularly important in reducing postoperative complications and improving patient outcomes.
- Versatility and Safety: Vapor Tunnel™ is effective across various stone compositions and locations, making it a versatile tool for urologists. It is also safe for use in both renal and ureteral stones.
In summary, Vapor Tunnel™ technology offers significant clinical benefits by reducing stone retropulsion, lowering operative time and energy requirements, and minimizing complications. These advantages make it a valuable tool for improving the efficiency and safety of lithotripsy procedures.
Based on the available clinical data and research, Vapor Tunnel™ technology is generally considered safe and effective for reducing stone retropulsion during lithotripsy procedures. However, like any medical technology, there may be potential risks or limitations. Here are some considerations:
- Learning Curve: Vapor Tunnel™ technology may require a learning curve for clinicians to optimize its use. Proper training is essential to achieve the best outcomes and minimize potential complications.
- Fiber Degradation: While Vapor Tunnel™ aims to reduce fiber tip degradation by using lower peak power, there is still a potential risk of fiber damage if not used correctly. This can affect the efficiency of the procedure.
- Procedure-Specific Risks: Although Vapor Tunnel™ reduces ureteral lesions and strictures compared to traditional methods, there is still a risk of these complications, especially in complex cases or with improper technique.
- Stone Composition and Density: The effectiveness of Vapor Tunnel™ may vary depending on the composition and density of the stones. Some studies suggest that optimal results are achieved with stones of specific densities.
- Postoperative Complications: While Vapor Tunnel™ is associated with a lower rate of postoperative complications, there is still a possibility of complications such as ureteral strictures or infections, although these are generally rare.
- Comparison with Other Technologies: In some studies, Vapor Tunnel™ has been compared with other retropulsion-reducing technologies like Virtual Basket™. Both methods are effective in reducing retropulsion and operative time, but the choice may depend on the specific clinical scenario.
Overall, Vapor Tunnel™ technology is considered a significant advancement in lithotripsy, with benefits that generally outweigh the potential risks. However, careful consideration of patient-specific factors and proper training are essential to maximize safety and efficacy.