Evidence map›Paper›PMID 40488848›Full record

ArticleWorld journal of urology2025

In vitro evaluation of pulse profile, peak power, and fiber safety of the new diode-pumped RevoLix HTL Tm: YAG laser.

Stefano Moretto, A Madden, A Quarà, F Zorzi, A Bravo-Balado, L M I Jannello, S Kutchukian, J Cabrera, M Corrales, L Candela and 7 more

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Stefano MorettoEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France. stefano.moretto.ch@gmail.com.
A MaddenEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
A QuaràEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
F ZorziEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
A Bravo-BaladoEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
L M I JannelloEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
S KutchukianEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
J CabreraEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
M CorralesEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
L CandelaEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
L BerthePIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151 bd de l'Hôpital, Paris, F-75013, France.
C GornyPIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151 bd de l'Hôpital, Paris, F-75013, France.
F CostePIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151 bd de l'Hôpital, Paris, F-75013, France.
M ChicaudEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
S DoiziEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
O TraxerEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.
F PanthierEndolase Lab, GRC 20-Sorbonne Université and PIMM-Arts et Métiers ParisTech, Paris, 75020, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the pulse characteristics and the risk of fiber fracture (ROF) of the novel hybrid Thulium: Yttrium-Aluminium-Garnet (Tm: YAG) laser generator (RevoLix™ HTL, OmniGuide, USA). MATERIALS AND

methodsThe RevoLix HTL laser was characterized using single-use 200 μm and 272 μm core-diameter fibers. Pulse characteristics (pulse profile, duration, and peak power (PP)), were assessed using the 272 μm fiber, employing a wattmeter and a photodiode. The ROF was evaluated using both 200 μm and 272 μm fibers, after 5 min of continuous laser activation (CLA) at five decreasing fiber bend radii (1, 0.9, 0.75, 0.6, and 0.45 cm). Pulse shape, duration, and PP were studied across three effect settings (50%, 75%, and 100%) with energy levels ranging from 0.5 to 1 J and 5 to 50 Hz frequencies. Each experiment was repeated three times.

resultsThe RevoLix HTL exhibited a near-rectangular pulse profile consistent across all tested settings. At 100% effect, pulse durations ranged from 1,102 µs (30 Hz/0.5 J) to 2,182 µs (10 Hz/1 J), while PP ranged from 381 W (40 Hz/0.5 J) to 565 W (15 Hz/1 J). At 75% and 50% effects, pulse durations ranged from 1,138 µs (30 Hz/0.5 J) to 3,043.67 µs (40 Hz/1 J), while PP ranged from 325 W (29 Hz/0.5 J) to 473 W (40 Hz/0.8 J). Across all conditions, pulse energy remained consistent regardless of the effect value. A total of 39 settings were evaluated, and no fiber fractures were observed, even at a bend radius of 0.45 cm.

conclusionThe RevoLix HTL laser provides a uniform pulse profile, stable PP, and robust fiber safety under various settings. These findings highlight its potential as a reliable and safe tool for lithotripsy. Further clinical studies are warranted to validate these results in vivo.

Indexed as

Lasers, Solid-StateLithotripsy, LaserEquipment DesignEquipment FailureHumansIn Vitro TechniquesOptical FibersFiber safetyLaser lithotripsyPeak powerPulsed thulium:YAG laserPulse profileRevoLix HTL laser

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.