New Medco Paper June 2010

Here is a text version of the latest Medco Paper,

REVOLIX™ 2 MICRON – THE REVOLUTION CONTINUES

Advanced Laser Technology from LISA Laser USA

In the mid 1970's laser technology was introduced for surgical applications. Since then , many new applications and procedures have been identified for this technology. LISA Laser USA (Pleasanton, CA) has been a leader in this revolution, presenting cutting edge technology with wide range of novel applications of the RevoLix™ 2 micron laser. This device is a major advance over other laser systems, providing efficient vaporization, better hemostasis, in a very cost effective way. It offers a wide variety of applications in urology, and most of the procedures can be safely performed in hospital, surgery center or office. The various applications are summarized in the diagram, and include lithotripsy as an additional procedure for which the RevoLix DUO can be used.

The Challenge and The Solution

The challenge met by LISA laser was to combine the best features of previously existing technologies, which resulted in their continuous wave laser with a wavelength of λ=2013 and target chromophore of water. It is a full contact laser and employs a forward firing fiber for precise delivery of the laser energy. Unlike the pulsed energy of the Holmium laser, the RevoLix delivers a continuous flow of energy allowing tissue to be easily vaporized while providing excellent hemostasis.

Cost Effective

Cost is an important consideration. Other BPH lasers use single use fibers that cost around $1000 and occasionally use multiple fibers for one patient. The RevoLix 2 micron laser employs reusable fibers which offers considerable savings and brings the costs down to lower than $200 per procedure. The RevoLix can also be used for vaporesection. This procedure provides not only tissue for histology but also a higher professional reimbursement.

These benefits are further extended by the flexible financial arrangements offered by LISA Laser USA who make units available for purchase, lease or rental.

Practical Experience

To date over 10,000 BPH procedures have been performed in the United States with excellent clinical outcomes. There are many applications in urology for the RevoLix™ and most can be performed in the physician’s office.

Brian Parker, MD, Urology Consultants of Tennessee, Knoxville, TN has used the RevoLix™ and confirms the many advantages to this technology. He prefers the end-firing capability and the precision afforded for the resection of tissue. “This wavelength generates little to no necrotic tissue. Because there is very little necrotic tissue, you can see the target

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