Holmium Laser Fiber
Laser fiber · Ho:YAG laser fiber · Holmium fiber · Laser lithotripsy fiber · Flexiva
A long, thin, flexible quartz glass fiber in a colored jacket. One end has a metal connector that plugs into the laser console; the other end is a polished bare tip.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Carries the holmium laser energy from the console down the working channel of the ureteroscope or nephroscope to the stone. Fibers are usually left unopened until the surgeon decides to laser.
Lengths and variants
Core sizes run from about 100 to 500 microns. About 200 microns is common in flexible ureteroscopes and 365 microns in mini-PCNL; larger fibers are used with semirigid scopes. The pictured Boston Scientific Flexiva fibers are single-use (200 and 365 shown).
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
- After the case
Care and reprocessing
How it is cleaned, checked and sent back to sterile.Pro
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8 sources
- AST. Surgical Technology for the Surgical Technologist. 4th ed. Chapter 20 (Genitourinary Surgery), Procedure 20-5 (Ureteroscopy), p. 841
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 15 (Energy Sources in Surgery), p. 306
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 36 (Ureteroscopic Instrumentation), p. 318-319
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 37B (Ureteroscopic Management of Renal Calculi), p. 327
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 219
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 230
- bostonscientific.com
- bostonscientific.com
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