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Journals & Clinical Evidence

Explore the evidence.
Strengthen the discussion.

Curated research to understand technology benefits, comparisons, and limitations, prioritizing studies that identify devices or brands in our portfolio.

12 publications

Models in the portfolio2024 · Jin L et al.

LHP vs rubber band ligation

Laser hemorrhoidoplasty vs. rubber band ligation: a randomized trial comparing 2 mini-invasive treatment for grade II hemorrhoids
BMC surgery

Randomised trial · 70 patients · Grade II haemorrhoids · Single centre

Findings: LHP resulted in less pain, bleeding, and discomfort during the first two weeks, with an earlier return to normal activities.

Points to consider: Recurrence at one year did not differ significantly. These grade II results do not establish superiority for all types of haemorrhoids.

Device & relevance: LEONARDO DUAL 45 (biolitec), 980 + 1470 nm, explicitly named in the methods.

DOI: 10.1186/s12893-024-02425-z

Brands in our portfolio2023 · Tantrakul V et al.

CPAP in high-risk pregnancy with OSA

Treatment of obstructive sleep apnea in high risk pregnancy: a multicenter randomized controlled trial
Respiratory research

Open-label randomised trial · Three hospitals · 310 participants in the primary analysis

Findings: Diastolic blood pressure decreased by an average of 2.2 mmHg. Preeclampsia occurred in 13.1% of the CPAP group vs 22.3% with usual care.

Points to consider: 96.5% were recruited in the first trimester; this was not a trial of starting CPAP specifically in trimester III. Mean adherence was 2.5 hours/night. Findings apply to the high-risk OSA population studied.

Device & relevance: Philips Respironics REMstar Auto M / DreamStation named in the methods; the currently offered model needs to be matched.

DOI: 10.1186/s12931-023-02445-y

Procedure evidence2020 · Poskus T et al.

LHP, mucopexy, and excisional haemorrhoidectomy

Results of the double-blind randomized controlled trial comparing laser hemorrhoidoplasty with sutured mucopexy and excisional hemorrhoidectomy
International journal of colorectal disease

Randomised trial · 121 patients · Grade II–III haemorrhoids · Single centre

Findings: LHP was less painful than excision. Return to activity: 15 days after LHP, 22 after mucopexy, and 30 after excision.

Points to consider: Recurrence requiring treatment at one year: LHP 10%, mucopexy 22%, excision 0%. Recovery comfort should be considered alongside durability of results.

Device & relevance: 1470 nm diode laser; this summary does not assume equivalence across all biolitec models.

DOI: 10.1007/s00384-019-03460-6

Procedure evidence2025 · Ng CPY et al.

TULA for recurrent NMIBC: long-term outcomes

Long-term outcome of transurethral laser ablation for recurrent non-muscle invasive bladder cancer: An EORTC risk-matched study
BJUI compass

Retrospective cohort · 319 patients · 1,186 procedures · Median follow-up 4.4 years

Findings: The study reported a 4% complication rate in a predominantly older population with comorbidities. Progression and recurrence risks were assessed by EORTC group.

Points to consider: Five-year recurrence remained high. A single-center study without randomized comparison; it does not establish TULA as a replacement for TURBT in all patients. One author received biolitec educational funding.

Device & relevance: Dual 1470/980 nm diode laser; no model name stated in the methods reviewed.

DOI: 10.1002/bco2.70052

Procedure evidence2017 · Brouwer PA et al.

PLDD vs microdiscectomy: two-year evaluation

Percutaneous laser disc decompression versus conventional microdiscectomy for patients with sciatica: Two-year results of a randomised controlled trial
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

Multicentre randomised trial · Surgical candidates with contained disc herniation

Findings: A PLDD strategy with surgery when needed had non-inferior two-year outcomes compared with a microdiscectomy strategy. 48% of the PLDD group avoided surgery.

Points to consider: Reintervention was higher after PLDD: 52% versus 21%. Results apply to selected patients with herniation occupying less than one-third of the spinal canal.

Device & relevance: PLDD procedure research; a match to current biolitec device models has not been verified.

DOI: 10.1177/1591019917699981

General clinical evidence2020 · Garza JR et al.

SVF in knee osteoarthritis: placebo-controlled trial

Clinical Efficacy of Intra-articular Mesenchymal Stromal Cells for the Treatment of Knee Osteoarthritis: A Double-Blinded Prospective Randomized Controlled Clinical Trial
The American journal of sports medicine

Double-blind randomised trial · 39 patients · Two SVF doses vs placebo

Findings: WOMAC symptom scores improved more in the SVF groups than with placebo through 12 months.

Points to consider: Small sample; MRI showed no change in cartilage thickness. Read alongside the larger MILES trial, which used different methods and comparators.

Device & relevance: The processing method in this study has not been matched to SONICSTEM; it is not direct evidence for the Cellabsys device.

DOI: 10.1177/0363546519899923

General clinical evidence2023 · Mautner et al.

MILES: cell therapy vs corticosteroids for the knee

Cell-based versus corticosteroid injections for knee pain in osteoarthritis: a randomized phase 3 trial
Nature Medicine

Multicentre randomised trial · 480 participants · Grade II–IV knee osteoarthritis

Findings: At one year, SVF, bone marrow aspirate concentrate, and umbilical cord tissue-derived cells were not superior to corticosteroids for the primary pain outcome.

Points to consider: No significant change in MRI osteoarthritis scores was found. These findings cannot be generalized to all cell preparations or processing methods.

Device & relevance: General cell therapy evidence; not a SONICSTEM clinical trial.

DOI: 10.1038/s41591-023-02632-w

General clinical evidence2023 · Facco FL et al.

PAP in pregnancy: inconsistent findings

A trial of positive airway pressure for the treatment of sleep apnea in pregnancy
American journal of obstetrics & gynecology MFM

Randomised trial · 89 participants with OSA and obesity · Assessment at 28–31 weeks

Findings: There was no significant difference in the primary composite cardiometabolic risk outcome between treatment and control groups.

Points to consider: Treatment adherence was low; the control design changed between phases. Read this study alongside the Tantrakul trial, rather than selecting only positive findings.

Device & relevance: Brand/model match has not been verified.

DOI: 10.1016/j.ajogmf.2022.100840

General clinical evidence2016 · McEvoy RD et al.

CPAP, OSA symptoms, and cardiovascular outcomes

CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
The New England journal of medicine

SAVE · Randomised trial · 2,717 adults with OSA and cardiovascular disease

Findings: CPAP improved snoring, daytime sleepiness, mood, and health-related quality of life.

Points to consider: Major cardiovascular events were not reduced in this population over an average 3.7 years; average use was 3.3 hours/night.

Device & relevance: CPAP evidence in OSA; the identity of the model offered must be assessed separately from the study findings.

DOI: 10.1056/nejmoa1606599

Brand / device family2023 · Barba M et al.

LaEvita / LEONARDO: an early GSM study

Efficacy of a Diode Vaginal Laser in the Treatment of the Genitourinary Syndrome of Menopause
Bioengineering 10(10):1158

Prospective · 26 patients · No comparison group · Assessment one month after three monthly sessions

Findings: 19 of 26 patients (73.1%) reported improvement on PGI-I. Vaginal health and symptom scores improved; no adverse events were reported during this observation.

Points to consider: Small sample, no control or sham group, and short follow-up. It does not establish superiority to standard therapy, benefit for SUI, or long-term safety.

Device & relevance: LEONARDO Dual diode laser, Biolitec Italia, 980 + 1470 nm, named in the methods; the power variant needs to be matched.

DOI: 10.3390/bioengineering10101158

Brand / device family2024 · Vitale SG et al.

LEONARDO for GSM: follow-up to six months

Efficacy and Safety of Non-Ablative Dual Wavelength Diode Laser Therapy for Genitourinary Syndrome of Menopause: A Single-Center Prospective Study
Advances in Therapy 41:4617–4627

Prospective pilot study · 22 postmenopausal women · Single centre · Three sessions · No control group

Findings: At six months, VHIS increased from 12 to 19.27. Vaginal dryness scores fell from 7.72 to 3.72; burning and dyspareunia also improved.

Points to consider: A small study without a comparator. Before–after results cannot separate intervention effects from other factors or establish superiority or long-term safety.

Device & relevance: The abstract names a LEONARDO dual-wavelength diode laser. The offered variant and configuration must be matched to the full publication.

DOI: 10.1007/s12325-024-03004-7

Procedure evidence · Other devices2021 · Bizjak-Ogrinc U, Senčar S

Laser labiaplasty: satisfaction and complications in a series of 80 patients

Sutureless Laser Labiaplasty of Labia Minora
Sexual Medicine 9:100406

Retrospective · 80 patients · No control group · Satisfaction assessed around day 60

Findings: 76 patients were very satisfied and four were satisfied. Seven wound infections, one bleeding event, and one haematoma were recorded.

Points to consider: Retrospective bias, no randomised comparator, and limited follow-up. This does not establish that laser is superior to other techniques.

Device & relevance: Er:YAG 2940 nm SP Dynamis (Fotona), not biolitec. Included as procedural context; it does not establish indications or outcomes for labiaplasty with LEONARDO.

DOI: 10.1016/j.esxm.2021.100406