Thulium fiber lasers (TFL) are being developed as alternatives to conventional holmium:YAG lasers for lithotripsy. TFLs emit at two primary infrared (IR) wavelengths, 1908 or 1940 nm, closely matching high (70°C) and low (22°C) temperature water absorption peaks in tissue, respectively. Water, which is present in the pores of kidney stones and fluid environment of the urinary tract as well as delivered through the working channel of the ureteroscope during lithotripsy, is a primary absorber of IR laser radiation. The water absorption peak shifts from 1940 to 1920 nm with increasing water temperature during laser ablation. At high water temperatures (70°C), the absorption coefficient is 150 cm − 1 at 1908 nm and 135 cm − 1 at 1940 nm. The goal of this study was to determine whether this 10% difference translates into a measurable difference in kidney stone ablation rates. Two TFLs (1908 and 1940 nm) were tested at similar laser parameters of 35 mJ energy/pulse, 500-μs pulse duration, 300-Hz pulse rate, and 10.5-W average power, using 200-μm-core silica optical fibers. The handheld fiber was maintained in contact with 6- to 9-mm diameter uric acid (UA) stones, immersed in a saline bath with saline flow (
View contact details