Thulium Fiber Lasers (TFL) vs. Holmium Lasers: What is the Difference?

Surgical lasers have transformed how surgeries are conducted, providing precise and minimally invasive treatments for many conditions. Two popular laser types that are seeing widespread usage in medicine are thulium fiber and holmium lasers.

Both lasers have unique attributes, including power, frequency, use cases, and more.

Here, we’ll explain the fundamental differences and specific applications of thulium fiber and holmium lasers in surgical settings.

Key differences between holmium lasers vs. thulium fiber lasers

One of the foundational distinctions between these two types of surgical medical lasers is their respective wavelengths. Thulium fiber lasers (TFL) operate within the range of 1920 to 2100 nanometers (nm), which falls within the infrared spectrum. This wavelength range is highly absorbed by water and soft tissues, making TFLs particularly effective for procedures that require precise tissue removal and minimal bleeding.

On the other hand, Holmium lasers have a wavelength of 2100 nm, also within the infrared spectrum but with a stronger absorption peak than thulium fiber lasers. The interaction between laser light and tissues is crucial in determining a laser’s suitability for specific surgical procedures.

TFLs are ideal for cutting, ablating, and coagulating soft tissues. The strongly absorbed energy delivered by TFLs makes them suitable for procedures requiring precise tissue removal and minimal bleeding. The coagulative properties of thulium fiber lasers are especially useful for achieving hemostasis during surgery, which can reduce the risk of excessive bleeding.

In contrast, holmium surgical lasers are versatile instruments with applications across various surgery types. With an exceptional ability to fragment hard materials such as kidney stones or bone, holmium lasers provide excellent cutting and ablation performance.

The following sections highlight specific surgical applications for TFL and holmium surgical lasers.

Thulium fiber laser use cases

Several urology procedures commonly use thulium fiber lasers, including treating urinary tract stones. Thulium fiber lasers can effectively break down urinary tract stones, reducing the need for more invasive procedures.

TFLs are also often used in endoscopic and minimally invasive surgeries across various specialties, including gastroenterology and pulmonology. The ability of these powerful medical devices to cut and coagulate soft tissues with precision proves highly beneficial in minimal-access surgeries.

Holmium laser use cases

Like thulium fiber lasers, holmium lasers are a dependable tool in urology, with applications in procedures such as lithotripsy (fragmentation of kidney stones) and Holmium laser enucleation of the prostate (HoLEP). The efficiency of holmium lasers in breaking down stones and removing excess prostate tissue is a testament to their effectiveness in these procedures.

Also, holmium lasers are widely used in orthopedic procedures involving bone, thanks to the devices’ ability to cut and ablate hard tissues precisely.

Within the field of gastroenterology, surgeons use holmium lasers to treat gastrointestinal conditions, with methods including tissue resection and ablation.

Holmium lasers are also employed in pulmonology to address airway obstructions and other respiratory conditions.

Two different surgical medical lasers with similar outcomes

Both TFL and holmium lasers are renowned for their precision and safety during surgery. Thulium fiber lasers provide exceptional precision, ensuring minimal damage to surrounding tissues. This characteristic proves invaluable in surgeries where tissue preservation is a top priority. Similarly, holmium lasers are celebrated for their precision, enabling surgeons to perform delicate work accurately. This precision is particularly vital in lithotripsy, where the exact targeting of stones is critical.

Lastly, understanding the thermal effects of these lasers is crucial in surgical decision-making. TFLs typically produce less thermal damage in tissues due to the devices’ high absorption in water. This feature is ideal for procedures where minimizing thermal injury is a priority.

Conversely, holmium lasers can generate more heat during surgery, which can be advantageous for cutting and coagulating tissues. However, this increased heat may also elevate the risk of thermal injury in some cases.

Holmium vs. TFL: Which to choose?

The choice between TFL and holmium lasers in surgery depends on the specific requirements of the procedure and the type of tissue(s) being treated. TFLs excel in soft tissue surgeries requiring precision and minimal thermal damage. In contrast, holmium lasers are ideal for soft and hard tissue applications. Surgeons and medical professionals will carefully select their preferred laser type based on their clinical expertise and the desired outcomes of the procedure.

As technology advances, these lasers will continue to play a vital role in improving the safety and efficacy of surgical interventions across various medical specialties.

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With a nationwide network of established medical device sales reps and dealers, we help hospitals, surgical clinics, and others to source and deploy innovative medical technologies.

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