AccuFlex™ - Boston Scientific

AccuFlex
Single-Use Holmium Laser Fiber
Reliability
Performance
Flexibility

AccuFlex
Single-Use Holmium Laser Fiber
The AccuFlex Single Use Holmium Laser Fiber is designed to efficiently deliver focused holmium energy and offers the
necessary flexibility to meet the challenging deflection needs of flexible ureteroscopy. The AccuFlex Fiber combines a patented
Black Hole SMA Connector with a specialized fiber construction that is designed to maximize performance and flexibility while
minimizing scope and laser console damage. The AccuFlex Fiber also features a laser-polished distal output tip designed to
prevent energy loss as the laser energy leaves the fiber.
EFFICIENT ENERGY TRANSMISSION
An independent study demonstrated that the AccuFlex 200 Fiber delivered up to
63% more energy than the ACMI/Dornier 200 Brand Fiber at the same power settings.*
Energy output of 200 micron
fibers with 500mJ input*
450
400
350
408
300
FLEXIBILITY
The construction of the AccuFlex Single Use Laser Fiber offers a high degree of flexibility
compared to other fibers. In an independent study the AccuFlex 200 Micron Fiber was
mJ
250
200
150
100
250
shown to deflect up to 272 degrees in a DUR -8 Elite ureteroscope.*
50
0
ACMI/Dornier
200
AccuFlex
200
VARIETY OF SIZES
The AccuFlex Fiber is offered in a wide variety of sizes to meet the needs of different surgical situations. The smaller
AccuFlex Fiber sizes are designed for optimum performance during flexible ureteroscopy, offering a high degree of flexibility
and visibility. The larger sizes are well suited for semi-rigid ureteroscopy, cystoscopy, and percutaneous applications. The
AccuFlex 150 Fiber is the smallest core urology fiber available today.
FIBER TIPS FIBER SIZE MAXIMUM POWER INPUT APPLICATIONS
AccuFlex 150 6 watts Flexible Endoscopes
AccuFlex 200 25 watts Flexible Endoscopes
AccuFlex 273 40 watts Flexible Endoscopes
AccuFlex 365 100 watts Flexible and Rigid Endoscopes
AccuFlex 550 100 watts Flexible and Rigid Endoscopes
AccuFlex 1000 100 watts Rigid Endoscopes
*Source: Comparison of Seven Holmium:YAG Laser Optical Fibers by Bodo Knudsen et al, presented at 2003 AUA.

BLACK HOLE SMA CONNECTOR
The AccuFlex Single Use Laser Fibers use
the Black Hole Proximal SMA Connector. This
SMA connector is designed to diffuse errant
laser energy in the event that a laser console’s
laser beam is not perfectly aligned as it enters
the fiber. This corrective feature is designed
to address a cause of fiber “burn out” in
competitive laser fibers. Fiber “burn out” is a
common cause of scope damage and preventing
“burn out” can save costly repairs. The hermetic
fiber face is designed to prevent damage to
laser optics which can also be costly.
Fiber Core
}
{
Hermetic Silica Ferrule guides overfill
laser energy away from fiber core
{
SMA 905 laser
connector
FLEXIBILITY, IRRIGATION
& VISIBILITY
LASER POLISHED OUTPUT TIP
Conventional, mechanically cleaved fiber tips absorb laser energy in the tip’s imperfections,
resulting in fiber “burn back” where the glass of the tip deteriorates throughout the
procedure. This tip deterioration can result in loss of energy delivery of up to 30%.** The
laser-polished tip of the AccuFlex Fiber is designed to offer efficient energy transmission and
may reduce fiber deterioration. Because the AccuFlex Fiber is single use, every case starts
with a new laser-polished tip for optimum performance.
(Schematic illustration of relative
proportional difference in fiber core
diameters when compared to the
diameter of the working channel of
a flexible ureteroscope.)
AccuFlex 150 Fiber Tip
Competitor’s Fiber Tip
AccuFlex 1000 Micron Fiber
Laser-polished tip designed to
reduce “burn back”
Both fibers
shown at
25x actual
diameter.
Both fibers are
brand new.
ACMI/Dornier Brand
1000 Micron Fiber
All photographs taken by Boston Scientific Corporation. Bench test results may not necessarily be indicative of clinical performance.
**Source: Effect of Lithotripsy on Holmium:YAG Optical Beam Profile, Lee et al, Journal of Endourology, Volume 17, Number 2, March 2003.
The core size of the AccuFlex 150
Fiber is 45% smaller than the core
of the ACMI/Dornier Super 200
Fiber. Smaller devices create less
resistance to steering flexible ureteroscopes
and offer better irrigation and
visibility than larger devices. The
AccuFlex 150 Fiber is the smallest
commercially available fiber for use
with Holmium lasers.

AccuFlex
Single-Use Holmium Laser Fiber
DESIGNED TO MINIMIZE SCOPE DAMAGE
Damage to your flexible ureteroscope can be a costly and frustrating outcome of using
inferior laser fibers. The AccuFlex Fiber is designed to minimize the risk of scope
damage caused by thermal breakdown of fibers during use.
Independent tests also observed that the ACMI/Dornier 200 Micron Fibers “fractured
repeatedly at a bend diameter of 2cm” and concluded that “for small fibers, the Dornier
Fiber has the lowest threshold for fracturing and is most likely to damage a flexible
ureteroscope.”***
AccuFlex Fibers are not intended for use with Lumenis lasers and have not been validated to work on
Lumenis lasers. Using any NON-Lumenis laser fibers on Lumenis lasers may void the customer’s
warranty and should not be attempted.
AccuFlex 200 Fiber in a fully
deflected Storz Flex-X ® Scope
ORDERING INFORMATION
ACCUFLEX SINGLE-USE HOLMIUM LASER FIBER
PRODUCT CODE DESCRIPTION SIZE UNITS
M0068408010 AccuFlex 150 Single Use Holmium Laser Fiber 150 Micron Each
M0068408011 AccuFlex 150 Single Use Holmium Laser Fiber 150 Micron Box/5
M0068408020 AccuFlex 200 Single Use Holmium Laser Fiber 200 Micron Each
M0068408021 AccuFlex 200 Single Use Holmium Laser Fiber 200 Micron Box/5
M0068408030 AccuFlex 273 Single Use Holmium Laser Fiber 273 Micron Each
M0068408031 AccuFlex 273 Single Use Holmium Laser Fiber 273 Micron Box/5
M0068408040 AccuFlex 365 Single Use Holmium Laser Fiber 365 Micron Each
M0068408041 AccuFlex 365 Single Use Holmium Laser Fiber 365 Micron Box/5
M0068408050 AccuFlex 550 Single Use Holmium Laser Fiber 550 Micron Each
M0068408051 AccuFlex 550 Single Use Holmium Laser Fiber 550 Micron Box/5
M0068408060 AccuFlex 1000 Single Use Holmium Laser Fiber 1000 Micron Each
M0068408061 AccuFlex 1000 Single Use Holmium Laser Fiber 1000 Micron Box/5
*** “Performance and Safety of Holmium:YAG Laser Optical Fibers” by Bodo E. Knudsen et al, Journal of Urology, Vol. 171, No. 4,
Supplement of Tuesday, May 11, 2004, Page 442, Abstract No. 1671.
Black Hole is a trademark of InnovaQuartz, Inc.
DUR-8 Elite is a trademark of ACMI Corporation
Flex-X is a trademark of Karl Storz Endoscopy - America, Inc.
The AccuFlex Fiber is manufactured by InnovaQuartz, Inc. and distributed in the U.S. exclusively by Boston Scientific Corporation.
Caution: Federal Law (USA) restricts these devices to sale by or on the order of a physician.
Refer to package insert provided with product for complete instructions for use including Indications for Use, Contraindications,
Potential Complications, Warning and Cautions.
Boston Scientific Corporation
One Boston Scientific Place
Natick, MA 01760
www.bostonscientific.com/urology
Ordering Information
1.888.272.1001
© 2006 Boston Scientific Corporation
or its affiliates. All rights reserved.
BVU2250 5M 02/06-02/08