Thulium fiber vs. holmium: YAG lasers in urology: insights from the FDA MAUDE database - Takeaways - MDSpire

Thulium fiber vs. holmium: YAG lasers in urology: insights from the FDA MAUDE database

  • By

  • Juanita Velasquez Ospina

  • Etienne Gozlan

  • Adam Williams

  • Aravindh Rathinam

  • Archan Khandekar

  • Jonathan Katz

  • Robert Marcovich

  • Hemendra N. Shah

  • October 4, 2025

  • 0 min

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  • 1

    Thulium fiber lasers (TFL) and holmium: YAG lasers (Ho: YAG) are widely used in urology for various procedures.

  • 2

    The MAUDE database revealed that device malfunctions were more common with Ho: YAG lasers compared to TFLs.

  • 3

    Patient adverse events were significantly higher with Ho: YAG lasers, with 35.3% compared to 13.5% for TFLs.

  • 4

    After the 2021 FDA recall, TFL-related events showed a significant decrease in patient harm and fiber breakages.

  • 5

    Most adverse events for both laser types were classified as minor, but TFLs had a higher proportion of Level I events.

Original Source(s)

Thulium fiber vs. holmium: YAG lasers in urology: insights from the FDA MAUDE database

  • by Juanita Velasquez Ospina, Etienne Gozlan, Adam Williams, Aravindh Rathinam, Archan Khandekar, Jonathan Katz, Robert Marcovich, Hemendra N. Shah

  • October 4, 2025

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