MOSES™ is a new breakthrough technology that redefines holmium lithotripsy technology as it exists today. The unique Moses technology is designed to significantly reduce retropulsion during lithotripsy, enabling less stone migration and a more efficient procedure.

 

 

 

Introducing MOSES™ Technology by Lumenis

 

Redefining Holmium Lithotripsy Technology

Through a proprietary combination of holmium laser systems and fibers, MOSES™ technology optimizes laser energy transmission to increase stone ablation volume while reducing dependency on the working distance between the fiber and stone. The unique MOSES™ pulse modulation reduces stone retropulsion and, in-turn, stone migration, leading to a more efficient treatment and greater physician control over the procedure.

 

 
 

 

The Challenges of Laser Lithotripsy

While Holmium lithotripsy is well established as the preferred treatment for urinary stones 2, 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.
Limited access
Stones are often located in hard-to-access areas within the kidney, making it difficult to reach and treat them.

 

Reframing the Law of Physics

 

EXPERIENCE OPTIMIZED ENERGY TRANSMISSION

MOSES™ technology delivers groundbreaking pulse technology that remarkably improves energy transmission, overcoming energy reduction in working distances 3.

 

Energy transmission vs. working distance - bench test 3. A representative case.



 

MINIMUM RETROPULSION - MAXIMUM CONTROL

MOSES™ technology significantly reduces retropulsion during lithotripsy and minimizes stone migration, resulting in better physician control 1, 5. Pre-clinical experience suggests that minimized retropulsion may also lead to shorter procedure time 1,5.

 

Stone retropulsion analysis






 

STATE OF THE ART FIBERS

MOSES™ tailored premium fiber range of 200, 365 and 550 D/F/L fibers designed for optimal energy transmission and durability.


 

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 loss 3, allowing to reach difficult-to-access stone locations.

 

Deflection loss of flexible scope - bench test 3. A representative case




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My experience with the Moses technology shows that it is a true breakthrough in Holmium laser lithotripsy, demonstrating enhanced accessibility and significant reduction in retropulsion. I am keen to continue my clinical work and further explore the potential procedural efficiency of the Moses technology.

PROF. MOSTAFA ELHILALI, MCGILL UNIVERSITY HEALTH CENTER, DEPT. OF UROLOGY, MONTREAL, CANADA

 

Moses Technology is available on:


LUMENIS PULSE 120H

 

 

 

 

References

  1. Ibrahim A., Carrier S., Andonian S., Elhilali M. Evaluation of the New Moses Technology of Holmium Laser Lithotripsy: Initial Clinical Experience. Abstract presentation at EAU 2017
  2. American Urological Association (AUA) and European Association of Urology (EAU) Guidelines.
  3. Bench test results may not necessarily be indicative of clinical performance.
  4. Elhilali M., Badaan S., Ibrahim A., Andonian S. Use of Moses Pulse Modulation Technology to Improve Holmium Laser Lithotripsy Outcomes: A preclinical study. Abstract presentation at AUA 2017
  5. Bader MJ, Eisner B, Porpiglia F, et al. Contemporary management of ureteral stones. Eur Urol. 2012;61(4):764-772.