Pulsed Thulium:YAG - Different by Design
Operating at 2013 nm and delivering up to 3,700 W peak power, Thulio empowers urologists to confidently treat stones, BPH, and soft tissue applications with one versatile system that excels across all major endourological applications.
Stone
Fragmentation
Stone
Dusting
Stone
Retropulsion
Tissue
Enucleation
Tissue
Coagulation
All STRENGTH IN ONE LASER
Dornier Thulio – pulsed Tm:YAG
Highly efficient
in stone ablation1
Excellent
fine dusting comparable to TFL2
Low
retropulsion compared to Ho:YAG3
Highly efficient
smooth plane development4
Excellent
Often the best coagulation profile5
Ho:YAG
TFL
Ho:YAG
Strong
Ideal for very hard stones6
Inferior
to pulsed Tm:YAG7
High
compared to pulsed Tm:YAG7
Highly efficient
most mature laser technology4
OK5
Ho:YAG
TFL
Thulium Fiber (TFL)
Less efficient
in dense stone compositions8
Excellent
Produces fine dust particles9
Minimal9
Expanding
clinical evidence base10
Very good
hemostatic performance11
Clinical Confidence. Procedural Versatility. Strong Evidence.
Dornier Thulio® combines effective lithriopsy, precise tissue performance, and broad clinical versatility on a single pulsed Tm:YAG platform —supported by a rapidly expanding body of prospective, comparative, multicenter, and systematic-review evidence.
Kidney Stones
Kidney Stones
High stone-free rates across procedures
(flex. URS, ECIRS & PCNL)12 reproducible results across different clinical settings.13
Effective dusting across stone compositions providing flexibility for everyday stone treatments.14
55% reduced retropulsion for enhanced control3
Supporting procedural efficiency3
16% shorter lasing time using FANS
Compared to TFL15
Proven performance for large and complex stones.13
BPH
BPH
96.1% patient satisfaction post-EEP16
Strong hemostatic control
Clinical reviews consistently report excellent coagulation characteristics, helping surgeons maintain visualization and procedural flow throughout treatment.17
Pulsed ThuLEP with Thulio delivers proven results over HoLEP16
- 3.23 min shorter total surgery time
- 4.36 min shorter enucleation time
- 81.6% lower maximum pain score
UTUC
UTUC
80% tumor-free rate
Ablation performance on par with TFL outshining Ho:YAG18
REFERENCES:
- Robesti, D., La Rezza, S., Traxer, O., Kartalas Goumas, I., & Ventimiglia, E. (2026). All about pulsed thulium:YAG laser: a systematic review from YAU Endourology and EAU Endourology. Curr Opin Urol, 36(1), 57–65. https://doi.org/10.1097/mou.0000000000001351
- Kraft, L., Yilmaz, M., Petzold, R., et al. (2022)Dusting efficiency of a novel pulsed Thulium: Yttrium Aluminum Garnet laser vs a Thulium fiber laser. J Endourol, 36(2):259-265, https://doi.org/10.1089/end.2021.0441
- Petzold, R., Miernik, A. & Suarez-Ibarrola, R. (2021). Retropulasion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol 39(9), 3651–3656. https://doi.org/10.1007/s00345-021-03668-8
- Allaeys, C., Cornette, J., Lambert, E., De Naeyer, G., & Schatteman, P. (2026). Prospective single-center study comparing RealPulse(®) Thulium:YAG and Holmium:YAG laser enucleation of the prostate. World J Urol, 44(1), 80. https://doi.org/10.1007/s00345-025-06156-5
- Castellani, D., Fong, K. Y., Goumas, I. K., Tan, K.,Biligere, S., Yuen, S. K., Zawadzki, M., Bozzini, G., Hota, T., & Gauhar,V. (2026). Does pulse modulation technology improve endoscopic enucleation ofthe prostate? Real-world comparison of three contemporary laser platforms in447 patients. World J Urol, 44(1), 128. https:// doi.org/10.1007/s00345-026-06228-0
- Salvadó, J. A., Villena, J. M., Urrea, F., Marchant, P., Larrañaga, M., Cabello, J. M., & Marchetti, P. (2026). High-power holmium laser versus pulsed thulium laser for ureteroscopic lithotripsy: Results of a randomized prospective study. Cent European J Urol, 79(1), 30–35. https://doi.org/10.5173/ceju.2025.0044
- Petzold R, Miernik A, Suarez-Ibarrola R. In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol. 2021;35:221-225
- Panthier F, Sierra A, Keller EX, et al. Comparison of p-Tm:YAG, TFL and Ho:YAG’s in vitro ablation rates on synthetic and human stones. BJUI Compass. 2025;6(8):e70067. DOI: 10.1002/bco2.70067
- Tang, X., Wu, S., Li, Z., Wang, D., Lei, C., Liu, T., Wang, X., & Li, S. (2024). Comparison of Thulium Fiber Laser versus Holmium laser in ureteroscopic lithotripsy: a Meta-analysis and systematic review. BMC Urol, 24(1), 44. https://doi.org/10.1186/s12894-024-01419-6
- Kallidonis P, et al. Pulsed Thulium:YAG laser for the management of urolithiasis. World J Urol. 2025;43:118.
- Spinos, T., Tatanis, V., Peteinaris, A., Somani, B., Kartalas Goumas, I., Liatsikos, E., & Kallidonis, P. (2024). Thulium fiber laser enucleation of the prostate: a systematic review of the current outcomes. Minerva Urol Nephrol, 76(2), 157–165. https://doi.org/10.23736/S2724-6051.24.05654-4
- Panthier, F., Solano, C., Chicaud, M. et al. (2023). Initial clinical experience with the pulsed solid-state thulium YAG laser from Dornier during RIRS: first 25 cases. World J Urol 41, 2119–2125. https://doi.org/10.1007/s00345-023-04501-0
- Proietti, S., Marchioni, M., Oo, M.M. et al. (2024). Flexible Ureteroscopic Lithotripsy with the Pulsed Thulium:Yttrium Aluminum Garnet Laser Thulio: Preliminary Results from a Prospective Study. Eur Urol Open Sci 67, 77–83. https://doi.org/10.1016/j.euros.2024.07.114
- Kwok, J.L., Ventimiglia, E., De Coninck, V. et al. (2023). Pulsed thulium:YAG laser—ready to dust all urinary stone composition types? Results from a PEARLS analysis. World J Urol 41, 2823–2831. https://doi.org/10.1007/s00345-023-04549-y
- Castellani, D., Fong, K.Y., Traxer, O. et al. (2025). Propensity Score Matched Analysis of Thulium Fiber vs Pulsed Thulium:Yttrium Aluminum Garnet Laser Lithotripsy in Flexible Ureteroscopy for Kidney Stone Disease Using a Flexible and Navigable Suction Ureteral Access Sheath: Results From a Prospective, Multicenter Study of the EAU Section of Endourology. Urology. https://doi.org/10.1016/j.urology.2025.01.065
- von Bargen, M.F., Glienke, M., Tonyali, S. et al. (2024). Real-world experience with the new pulsed solid-state Thulium:YAG laser (Thulio) for endoscopic enucleation of the prostate. World J Urol 42, 467. https://doi.org/10.1007/s00345-024-05141-8
- Yilmaz, M., Esser, J., Kraft, L. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol 40, 601–606. https://doi.org/10.1007/s00345-021-03825-z
- Proietti S, De Leonardis F, Hernandez Gaytan CA, et al. (2025). In-medio stat virtus: Exploring the potential of the pulsed thulium:YAG laser in the endoscopic management of upper urinary tract urothelial carcinoma. Cent European J Urol.; 78: 271–276 https://doi.org/10.1016/j.euf.2025.06.002
Thulio® In Action
Witness the infinite versatility of Thulio®, our 100W high-power pulsed Thulium:YAG laser, in action. Trusted by clinicians worldwide and backed by a proven track record, Thulio® offers exceptional performance and reliable care, empowering you to provide the quality treatment your patients deserve.
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Versatilidad por diseño
El Dornier Thulio ofrece una amplia gama de modos de aplicación, que se adaptan a sus necesidades y permiten unos procedimientos más sencillos
Modo Dusting
Modo Fragmenting
Modo Captive® Fragmenting
Modo de enucleación
Modo Soft Tissue
Modo Pulso corto flexible
Modo Pulso largo flexible
Modo Dusting
La baja energía de pulso, la larga duración del pulso y la alta frecuencia ofrecen una excelente capacidad de dusting fino y rápido para desintegrar partículas en 125 μm y más pequeñas.1
Modo Fragmenting
Alta energía de pulso, corta duración del pulso y baja frecuencia de pulso para romper cálculos más grandes o duros.
Modo Captive® Fragmenting
Alta energía de pulso, larga duración del pulso y baja frecuencia de pulso para romper cálculos más grandes o duros.
Está científicamente probado que ofrece hasta un 55 % de reducción de la retropulsión*2 durante la fragmentación. El modo Dornier Captive® ha sido diseñado para reducir el movimiento del cálculo durante el uso, reduciendo potencialmente el tiempo de litotricia correspondiente.
* en comparación con Ho:YAG
Modo de enucleación
Alta energía de pulso, corta duración del pulso y alta frecuencia. La tecnología RealPulse® del Dornier Thulio permite la enucleación endoscópica anatómica de la próstata.
Modo Soft Tissue
Larga duración del pulso y diferentes y variadas energías y frecuencias del pulso. Alcanza el mayor rendimiento de coagulación**3 gracias a la absorción de agua específica de Tm:YAG.
** en comparación con Ho:YAG y TFL
Modo Pulso corto flexible
Ofrece una gama completa de ajustes disponibles con pulsos cortos.
Modo Pulso largo flexible
Ofrece una gama completa de ajustes disponibles con pulsos largos.
Nuestro láser más compacto de 100 W
Pantalla ergonómica y fácil de usar
Láser potente y
compacto
- Espacio reducido
(42 x 62 cm) - Funcionamiento silencioso
(máx. 65 dB) - Toma de alimentación estándar
Control de pedal inteligente y dual
1
Pantalla ergonómica y fácil de usar
Interact with easy-to-navigate interface supported by the large rotatable touchscreen
Toggle between pre-selected settings effortlessly with dual footswitch and splitscreen function
2
Láser potente y compacto
Offer 100 W with the smallest footprint
Engineered lightweight and easy to move, with a standard wall plug
3
Control de pedal inteligente y dual
Switch seamlessly from one pre-defined mode to another
Adjust parameter settings easily with the footswitch
Tecnología RealPulse® - Aumenta el rendimiento del Thulio
La tecnología RealPulse® es lo que realmente distingue a Dornier Thulio del resto de los láseres actuales, ya que cuenta con lo siguiente:
El uso de diodos alineados óptimamente proporciona una conversión energética altamente eficiente
Un método patentado mejora la estabilidad y la eficacia de salida del láser
Uso de Thulio:YAG cristal
Desarrollado internamente con ingeniería alemana , el Dornier Thulio proporciona un rendimiento láser por pulsos tan diferenciador que hay que experimentarlo de primera mano.
Especificaciones técnicas
Tipo de láser
Tulio (Tm:YAG) pulsado de estado sólido
Longitud de onda
2013 nm
Salida (máx.)
100 W
Potencia (máx.)
3.7 kW
Frecuencia de pulso
5-300 Hz
Application modes
Dusting, Captive Fragmenting, Standard Fragmenting, enucleación, Tejidos blandos (coagulación), Pulso corto flexible, Pulso largo flexible
Peso
97 kg (dispositivo láser)
105 kg (incluyendo la carga útil)
Dimensiones
Incluyendo el monitor:
(ancho) 42 x (alto) 139 x (fondo) 62 cm
Excluyendo el monitor:
(ancho) 42 x (alto) 112 x (fondo) 62 cm
Emisión de ruido (máx.)
65 dB
Las fibras Dornier Thulio® Performance
Referencia | Descripción | Código de color | Diámetro de núcleo | N.º de piezas estériles por envase |
|---|---|---|---|---|
K2016360* | 200 μm Fibra láser de Thulio de un solo uso | Azul | 200 µm | 3 pcs |
K2016361 | 270 μm Fibra láser de Thulio de un solo uso | Blanco | 272 µm | 3 pcs |
K2016363 | 400 μm Fibra láser de Thulio de un solo uso | Amarillo | 365 µm | 3 pcs |
K2016365 | 600 μm Fibra láser de Thulio de un solo uso | Verde | 550 µm | 3 pcs |
K2016366 | 1000 μm Fibra láser de Thulio de un solo uso | Rojo | 940 µm | 3 pcs |
Las fibras Performance del Dornier Thulio son compatibles únicamente con el Dornier Thulio K2016000.
*Sólo disponible en países de la UE (Unión Europea).
Referencia | Descripción | Código de color | Diámetro de núcleo | N.º de piezas estériles por envase |
|---|---|---|---|---|
K2016370 | 270 μm Fibra láser de Thulio reutilizable 10 usos | Blanco | 272 µm | 3 pcs |
K2016371 | 400 μm Fibra láser de Thulio reutilizable 10 usos | Amarillo | 365 µm | 3 pcs |
K2016372 | 600 μm Fibra láser de Thulio reutilizable 10 usos | Verde | 550 µm | 3 pcs |
K2016373 | 1000 μm Fibra láser de Thulio reutilizable 10 usos | Rojo | 940 µm | 3 pcs |
Las fibras Performance compatibles con el equipo Dornier Thulio reutilizables están autorizadas para 10 ciclos de uso (usabilidad). Esterilización por vapor a 132 °C (270 °F). Para obtener más información, consulte las instrucciones de uso.
Las fibras Performance del Dornier Thulio son compatibles únicamente con el Dornier Thulio K2016000.
REFERENCIAS:
1. Petzold, R., Miernik, A., & Suarez-Ibarrola, R. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol, 35(2), 221-225. https://doi.org/10.1089/end.2020.0525
2. Petzold, R., Miernik, A., & Suarez-Ibarrola, R. (2021). Retropulsion force in laser lithotripsy-an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9), 3651-3656. https://doi.org/10.1007/s00345-021-03668-8
3. Yilmaz, M., Esser, J., Kraft, L. et al. Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol 40, 601–606 (2022). https://doi.org/10.1007/s00345-021-03825-z
Información clínica
Publicaciones
| AÑO | PUBLICACIÓN | REFERENCIA |
|---|---|---|
| 2022 |
In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy
Petzold, R. et al. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol. 35(2):221-225. https://doi.org/10.1089/end.2020.0525
|
Petzold, R. et al. (2021). In Vitro Dusting Performance of a New Solid State Thulium Laser Compared to Holmium Laser Lithotripsy. J Endourol. 35(2):221-225. https://doi.org/10.1089/end.2020.0525 |
| 2022 |
Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device
Petzold, R. et al. (2021). Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device. J Endourol, 35(7):1051-1057. https://doi.org/10.1089/end.2020.0526
|
Petzold, R. et al. (2021). Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device. J Endourol, 35(7):1051-1057. https://doi.org/10.1089/end.2020.0526 |
| 2022 |
Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser
Petzold, R. et al. (2021). Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9):3651–3656. https://doi.org/10.1007/s00345-021-03668-8
|
Petzold, R. et al. (2021). Retropulsion force in laser lithotripsy—an in vitro study comparing a Holmium device to a novel pulsed solid-state Thulium laser. World J Urol, 39(9):3651–3656. https://doi.org/10.1007/s00345-021-03668-8 |
| 2022 |
Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate
Yilmaz, M. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol, 40(2):601-606. https://doi.org/10.1007/s00345-021-03825-z
|
Yilmaz, M. et al. (2022). Experimental ex-vivo performance study comparing a novel, pulsed thulium solid-state laser, chopped thulium fibre laser, low and high-power holmium:YAG laser for endoscopic enucleation of the prostate. World J Urol, 40(2):601-606. https://doi.org/10.1007/s00345-021-03825-z |
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