The result? A versatile, all-in-one laser system designed to support flexible use across multiple procedures.
Cook Medical has partnered with Quanta System to offer two high-power holmium laser systems with the option of Quanta Magneto Technology, and early adopters are sharing their experiences to help others learn more about these exciting options.
The introduction of lasers with Quanta Magneto Technology for urology addresses evolving procedural demands while delivering exceptional versatility as a new standard in performance and patient care.
Capable of delivering TFL-like peak power (down to 500 W) in a Ho:YAG system—expanding procedural versatility
Allows you to adjust settings to match your surgical style—improving dusting, reducing retropulsion, and enhancing HoLEP performance
Reduces retropulsion and fragment size for more efficient treatment and easier integration with suction technologies
Enables you to fine-tune performance for lithotripsy, BPH treatment, and soft tissue procedures
Works with all Quanta fibers—no need for dedicated or additional consumables
The Litho 150 Ultra High Power Holmium Laser System and the Litho 100 High Power Holmium Laser System are available with and without Quanta Magneto Technology and come standard with Quanta’s other core technologies: Virtual Basket®, Vapor Tunnel®, and MasterPULSE. These lasers also feature advanced cooling systems for near-silent performance.
Since its introduction, physicians have rapidly adopted Quanta Magneto Technology across procedures—from ureteroscopy and PCNL to HoLEP and soft-tissue applications. Early feedback highlights its flexibility: Physicians can adapt to Quanta Magneto Technology quickly without sacrificing efficiency or precision, since it delivers TFL-like performance while preserving the proven capabilities of holmium lasers in a single platform.
"Honored to be first in the United States to trial the Magneto Laser by @quanta_system. It was the real deal – excellent hemostasis properties allowed for precision control of any bleeding encountered during today’s HoLEPs…Thanks @CookMedical for supporting the case! (via social media)"
"Magneto laser is a powerful and versatile tool in modern urology. It provides excellent outcomes for stone treatment with results comparable with thulium lasers and it’s also highly effective for prostate enucleation."
"[Magneto allows] my HoLEP enucleation to dissect with high efficiency and plane development and quickly switch to the Magneto pedal for hemostasis. Additionally, with stones the dusting capacity of Magneto works great for any stone, and you can also pop dust or fragment stones with an initial holmium setting and then convert into Magneto for the final stage of lithotripsy and vice versa."
There is no alternative to the 50A plug for the Litho Magneto 150 Ultra High Power Holmium Laser System. Electrical requirements increase proportionally with wattage, so the most practical options are to ensure at least one operating room can accommodate the 50A plug or to consider acquiring a laser that is compatible with existing electrical infrastructure. Using a different outlet is only feasible if it meets the required specifications of the laser in question.
Magneto mode provides enhanced coagulation benefits during HoLEP procedures. There is no specific recommended time to deactivate Magneto mode; rather, its use depends on procedural needs. The system is designed with two separate pedals. During HoLEP, one pedal can be used for enucleation while the other can be used for coagulation, allowing the operator to switch to the coagulation pedal when the Magneto effect is desired.
Magneto mode is automatically active when the coagulation preset is selected, even if not explicitly labeled. The primary advantage of Magneto mode over standard holmium laser settings is its extended pulse duration. By delivering the same energy over a longer pulse, Magneto reduces peak power and promotes a more controlled thermal interaction with the tissue, enhancing coagulation and hemostasis.
Magneto mode is designed to approximate the effect of a thulium fiber laser (TFL) while utilizing Ho:YAG laser technology. However, the user experience may be different because Magneto mode and TFL operate on different principles. Adjustments to energy and frequency may be necessary when utilizing Magneto to mimic the effects of a TFL, and optimal performance typically comes with operator experience.
No, there is no difference in energy emission between the two systems when operating in Virtual Basket mode.
As stipulated in our partnership agreement, Cook Medical is only selling Quanta System lasers, fibers, and morcellator system in the United States and the following European countries: Austria, France, Germany, Ireland, Switzerland, and the United Kingdom.
