Moses™ D/F/L Family of Delivery Fibers
Instruction Guide
Indications for Use
Lumenis Moses fibers are intended for use with the
compatible laser systems in surgical procedures involving
open, laparoscopic, and endoscopic ablation, vaporization,
excision, incision, coagulation of soft tissue and for
lithotripsy. For the safe use of the fibers, read and
comprehend these instructions and the appropriate laser
system operator’s manual1 before use.
Compatible Systems
The Lumenis Moses family of fibers is compatible with the
Lumenis Pulse™ 120H laser system.
Fiber Description
All Lumenis Moses fibers are supplied EO sterilized in dou-
ble-sealed pouches. The fiber consists of a laser connector and
a glass fiber. The Moses 200 D/F/L also consists of a distal
ball tip to support fiber insertion into flexible endoscopes.
The laser connector secures the fiber to the laser system. The
Moses family consists of the following fiber types:
Uses Connector
Fiber name
(fiber jacket color) Color
Moses 200 D/F/L Single-Use (green jacket) Green (SIS)2
Moses 365 D/F/L Single-Use (green jacket) Green (SIS)
Moses 550 D/F/L Single-Use (green jacket) Green (SIS)
• SIS - fibers that are specifically recognized by the
system's Secure Identification System.
• Single Use - fibers intended for single use only.
In the USA:
Rx ONLY CAUTION - US Federal law restricts this device
to sale by or on the order of a physician.
Warnings and Precautions
Never inspect the fiber while it is connected to the laser.
Accidental laser exposure can cause severe eye damage.
1. Lumenis Pulse 120H
2. SIS - Secure Identification System
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To avoid damage to the fiber
• Do not pull on the fiber when it is connected to the laser.
• Avoid clamping or clipping any devices such as a hemostat
on to the fiber.
• Avoid any contact of metallic instruments with the fiber
tip.
• Ensure that the scope port is open prior to inserting the
fiber into the scope.
• Ensure laser calibration maintenance was performed
according to Lumenis’ recommendations, and that it
supports all types of Moses fibers. An uncalibrated
system may lead to fiber damage.
To avoid damage to accessory devices:
• Avoid direct laser beam contact with accessories.
Baskets, guide wire, and other ureteroscopic accessories
may be damaged.
• Avoid bending the fiber above the maximum bending
radius (refer to Specifications section), as it may lead to
energy loss and damage to the endoscope.
NOTE - Fiber usage must not exceed its specifications as
detailed in the specifications table in this guide.
Pre-Operative Instructions
Use the following technique to ensure sterility and safe use
of the fiber.
Circulating nurse:
1. Before using the EO-sterilized Moses fiber, visually check
the sterile packaging for any signs of damage and the EO
sterility indicator.
WARNING - Do not use the fiber if the sterile packaging
! is opened or damaged. Do not use if labeling is
incomplete or illegible. If necessary, return the fiber to
the supplier for replacement.
2. Open the outer pouch.
Scrub nurse:
3. Take the sterile inner pouch, and place it inside the sterile
field.
4. Open the sterile pouch, and carefully remove the fiber by
lifting the nest flaps upwards.
CAUTION - Careful handling of the fiber during setup
! is important to prevent fiber damage. Fiber damage
may impact fiber performance.
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5. Inspect the fiber for kinks, punctures, fractures, or other
damage. If the fiber appears damaged, do not use the
fiber; return it to the supplier for replacement. For the
Moses 200 D/F/L fiber, verify that the ball tip is complete
and not damaged.
WARNING - A damaged fiber may cause accidental
! laser exposure or injury to the treatment room
personnel or patient, and/or fire in the treatment room.
WARNING - Ensure the fiber is properly handled so that
it is not damaged by being stepped on, pulled, left lying
in a vulnerable position, kinked or tightly coiled.
WARNING - Do not clamp the fiber with a hemostat or
other instruments.
WARNING - If sterile tape is used to secure the fiber,
always remove the tape before lifting the fiber.
6. Hand the laser connector to the circulating nurse.
7. Secure the distal portion of the fiber in the sterile field
until ready for use.
Circulating nurse:
8. Hold the laser connector and remove the protective cap.
Do not hold the rubber strain relief or the fiber.
Protective
Cap
CAUTION - Do not touch the tip of the fiber
! connector.
WARNING - When removing the protective cap hold the
! laser connector, not the strain relief or fiber-optic cable.
Pulling on the strain relief or fiber-optic cable may
damage the fiber and result in unintended laser
exposure.
WARNING - Do not remove the protective cap from the
laser connector in the sterile field. Removing the
protective cap in the sterile field may compromise
sterility.
9. Insert the laser connector into the fiber receptacle on the
front of the laser console, and finger-tighten.
10. Turn on the laser, and set the aiming beam to high
intensity, as instructed in the laser operator’s manual.
Scrub nurse:
11. Hold the fiber tip to a nonreflective surface, and ensure
that a circular green spot appears. If the spot is not circular,
re-cleave the fiber (see “Fiber tip renewal during operation”
for details). If the spot is weak or not visible, discard the
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fiber or return it to the supplier for replacement. In the first
use of the Moses 200 D/F/L fiber, the spot may be a bit dif-
ferent due to the ball shape of the tip.
Circulating nurse:
12. Set the laser treatment parameters, as instructed in the
laser operator’s manual.
At any energy setting, the repetition rate should be
! adjusted so as not to exceed the power specification
listed in the specifications table. The maximum allowed
energy for the Moses 200 D/F/L fiber is 2J.
Intra-Operative Instructions
1. Position the aiming beam on the target tissue or
calculi.
2. Ensure that the fiber tip is visible through the operating
scope. Verify that the fiber tip was not damaged during
the insertion of the fiber through the scope.
3. Place the laser in ready mode.
4. Press the footswitch to deliver the treatment beam.
NOTE - With the Moses 200 D/F/L fiber, the ball tip will fall
after initial emission of the laser.
WARNING - Improper use of the fiber or use of a
! damaged fiber may result in severe eye or tissue
damage, fire in the treatment room, or accidental laser
exposure to the treatment room personnel or patient.
Refer to the appropriate laser operator manual for
detailed safety information.
Fiber tip renewal during operation
For the Moses 200 D/F/L fiber, only the cleaving
instructions in this section are relevant.
Strip the fiber using the stripper
1. Insert the fiber into the stripper so that the tip extends
two centimeters past the blades.
2. Squeeze the stripper handles with one hand while
gripping the fiber with the other hand.
3. Rotate the stripper 90°, and quickly pull the fiber
from the strippers.
Cut the fiber using scissors
1. Position the fiber tip between the scissor blades so that
the tip is perpendicular to and extending
approximately one centimeter past the blades.
2. Quickly cut the fiber.
 OR:
Cleave the fiber tip
1. Position the fiber tip between the thumb and forefinger.
2. Gently score the fiber once, one centimeter from the
stripped fiber tip.
3. Pull the tip straight away from the fiber. Do not break
with a sideways motion.
Inspect the quality of the renewed optical fiber
After stripping and cleaving the optical fiber, inspect the
quality of the cleave by directing the aiming beam onto a
piece of non-reflective material, such as a tongue depressor.
Hold the tip of the fiber perpendicular to and approximately
1.0 centimeter from the surface, and examine the output
pattern of the laser spot. A well-defined circular pattern
indicates an ideal cleave. An ill-defined pattern indicates an
unacceptable cleave.
Ideal Acceptable Unacceptable
Typical aiming beam images from a stripped
and cleaved optical fiber
Poor cleaves are often the result of too much pressure
applied when scoring ("nicking") the fiber; bearing the fiber
with a sideways - instead of longitudinal - pull; or cutting
the tip at an angle other than 90°.
Post-Operative Instructions
The fiber must be disposed of according to local regulations
applying to hazardous biological substances due to danger of
contamination through contagious germs.
WARNING - The fiber must not be reprocessed and/or
! re-used. Invisible debris may remain on the fiber that
can heat up during use, causing possible destruction of
the fiber or injury to the patient.
WARNING - Resterilization and use of the fiber more
than once can lead to degradation of the fiber’s
performance envelope, creating a possible injury hazard
to the patient.
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Storage and Usage Conditions
Store at room temperature under dry and clean conditions.
Do not expose to organic solvents, ionizing radiation or
ultraviolet light. Rotate inventory so that fibers are used
prior to the expiration date on the package label.
Laser Safety Eyewear
The Laser Safety Officer at your facility should determine
the need for safety eyewear based on the optical parameters
outlined in the appropriate laser operator’s manual. For
detailed laser safety eyewear information, carefully read the
laser system operator’s manual before use.
Decontamination of Returned Equipment
In order to comply with postal and transportation laws,
equipment shipped to the supplier’s offices for return or
repair must first be decontaminated. To communicate that
the returned equipment has been properly decontaminated,
a signed Decontamination Certificate (obtained from
Customer Service) must be enclosed in the shipping
package. Failure to enclose the Decontamination Certificate
will cause the supplier to assume the product is
contaminated. The supplier will assess the customer with
cleaning costs. Any decontamination inquiries should be
directed to Customer Service.
NOTE - When returning products to the supplier, please
include the manufacturing lot number located on the fiber.
Warranty Information
Lumenis warrants this fiber to be free from defects in
materials and workmanship, and to perform in the manner
and under the conditions specified in this instruction guide.
The customer is entitled to a replacement or credit for a
fiber that is defective upon initial inspection of the sterile
packaging or upon first use when properly connected to the
laser. The defective fiber must be returned to the company
from which it was purchased.
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Regulatory Symbols Specifications
As required by national and international regulatory
Moses Family of Delivery Fibers Holmium
agencies, appropriate warning labels are located on the outer
Specifications Air Water
packaging.
Compatible Wavelengths  
Symbol Glossary Moses 200 D/F/L fiber: 2.0 J
Maximum Input
Moses 365 D/F/L fiber:
Energy 6.0 J
Symbol Description Moses 550 D/F/L fiber:
Manufactured for Moses 200 D/F/L fiber: 60 W
Manufactured for Lumenis, Energy to Maximum Input
Moses 365 D/F/L fiber:
Healthcare Power 120 W
Moses 550 D/F/L fiber:

Legal Manufacturer
NOTE - The actual maximum specifications are subject to
the laser system’s limitations. The specifications above
detail the maximum allowed energy and power.
CE compliance
0483
Fiber Specifications 200 365 550

YYYY-MM-DD Use by date YYYY-MM-DD 230 365 550

Core Diameter, µm

Maximum Outer Diameter, µm 390 580 780

Batch code
Minimum Working Channel
3.6 3.6 6.5
Diameter, Fr

Catalog number (Part number) Fiber Bending Radius, mm 6.0 14 20

Length in cm 300 +10/-0 250 ±25 250 ±25

Sterilized using ethylene oxide
Ball tip outer diameter, µm 450 N/A N/A

Authorized representative in the European

Community

2
STERILIZE
Do not re-sterilize
Do not re-sterilize

Do not use if package is damaged

Do not use if
package is damaged

2 Do not re-use
Do not re-use

Consult instructions for use

CAUTION - In the USA: Federal law

! restricts this device to sale by or on the
Rx ONLY order of a physician.
Qty Quantity

Unique Device Identifier (UDI) code,

type GS1

4 UM-20061740EN, Revision C
 0483

Lumenis Ltd.
Yokneam Industrial Park
Hakidma Street 6
P.O.Box # 240
Yokneam 2069204, Israel
Tel: + 972.4.959.9000
Authorized Representative in the European Community:
Lumenis (Germany) GmbH
Heinrich-Hertz-Strasse 3
D-63303 Dreieich-Dreieichenhain
Germany
Tel: + 49.6103.8335.0
Copyright ©2017, Lumenis Ltd.
UM-20061740EN, Revision C
July 2017
This instruction guide is copyrighted with all rights reserved.
Under the copyright laws, this manual may not be copied in whole
or in part or reproduced in any other media without the express
written permission of Lumenis. Permitted copies must carry the
same proprietary and copyright notices as were affixed to the
original. Under the law, copying includes translation into another
language.
Please note that while every effort has been made to ensure that
the data given in this document is accurate, the information,
figures, illustrations, tables, specifications and schematics
contained herein are subject to change without notice.
Lumenis, the Lumenis logo, VersaPulse, PowerSuite and Moses are
trademarks or registered trademarks of Lumenis.

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