The Only
THREE IN ONE
ENT Laser Platform
The accuracy of scanner-assisted CO₂ laser and the flexibility of CO₂ and diode lasers, all in a single, comprehensive ENT surgical platform.

Absolute Precision for the Most Advanced Microsurgery
The DEKA SmartXide² TRIO is the only THREE IN ONE CO₂ laser platform, offering the accuracy of a scanner-assisted laser, the flexibility of CO₂ fiber delivery, and an optional high-power diode module in a single comprehensive system.
Built around DEKA's RF-excited CO₂ laser source with exclusive PSD® (Pulse Shape Design) technology, the TRIO generates variable peak pulses optimised for surgical precision, in synergy with the HiScan Surgical scanning system and EasySpot Hybrid micromanipulator.
The result: clean cutting edges with minimal tissue charring, minimal thermal damage (<50 μm), and full control over ablation area, depth, and coagulation. Designed for the full spectrum of ENT microsurgery, from phonosurgery to stapedotomy.
RF-Excited CO₂ + PSD®
Greater energy above the ablation threshold than continuous-supply lasers: U-Pulse delivers massive energy in microseconds for ablation with minimal tissue charring.
EasySpot Hybrid
Scan-assisted microsurgery with holographic lens and high-reflectance mirror optics. Single-ring focus with focal point memory and joystick-controlled beam centering.
HiScan Surgical
Ultra-fast beam scanning in 100 millionths of a second across 6 surgical shapes up to 6.3 mm, for precise, reproducible tissue ablation and cutting.
MicroScan Surgical
Miniaturised scanning for free-hand oropharyngeal procedures. Multi-function key for precise beam centering and scanner activation without leaving the surgical field.
CO₂ Hollow Fiber
Flexible fiber delivery reaches difficult anatomical areas (middle ear, nasal cavity) with rigid or malleable handpieces, spatula/flat tips, and integrated smoke extraction.
Diode Laser Module
Optional 980 nm fiber laser enables the ONE SHOT stapedotomy technique and fiber-optic access to areas unreachable by the articulated arm. Single-use or up to 10× reusable fibers.
Three Delivery Modes. One Platform.
The SmartXide² TRIO combines the accuracy of scanner-assisted CO₂ laser with the flexibility of CO₂ and diode lasers, meeting all surgical needs in the ENT specialty.
CO₂ Laser
CO₂ Laser
Articulated Arm
The gold standard for ENT laser microsurgery. The 7-mirror articulated arm delivers scanner-assisted CO₂ laser with RF-excited precision and PSD® technology for extremely safe and reproducible treatments.
- Electronic scanning systems for precise, reproducible treatments
- High-precision micromanipulators (EasySpot Hybrid)
- Dedicated handpieces with various focal lengths
- Integrated smoke suction channel

Precision at the Pulse Level
The SmartXide² TRIO uses an RF-excited CO₂ laser source with exclusive PSD® (Pulse Shape Design) technology, generating variable peak pulses with different structure, duration, and power output, adapting to the full range of ENT clinical conditions.
U-Pulse delivers massive energy in microseconds for perfect ablation with minimal tissue charring, the ideal mode for ENT microsurgery and phonosurgery. Real CW provides continuous output with no acoustic effect, making it the preferred choice for stapedotomy and precision coagulation.
RF-excited sources produce significantly greater energy above the ablation threshold compared to continuous-supply CO₂ lasers at comparable pulse length, enabling faster, cleaner ablation with less collateral thermal damage.
10.6 μm
CO₂ Wavelength
Up to 60W
Max Power (CW/UP)
< 50 μm
Thermal Damage
5 Modes
CW · SP · DP · HP · UP
PSD® Advantage
RF-excited CO₂ vs Continuous-Supply CO₂
A: Superpulse
Single-pulse continuous-supply laser CO₂
B: Ultrapulse (RF)
RF-excited: greater energy above ablation threshold
RF-excited CO₂ laser sources produce greater energy above the ablation threshold compared to continuous-supply excited lasers at comparable pulse length, enabling more precise, efficient tissue ablation.
EasySpot Hybrid + HiScan Surgical
Safety · Reproducibility · Ease of Use. A complete scan-assisted microsurgery system for open and endoscopic ENT procedures.

Precision in the Surgeon's Hand
The EasySpot Hybrid micromanipulator combines holographic lens technology with high-reflectance mirrors, giving surgeons complete control over spot dimension, scanning shape, and focal depth without moving their eyes from the microscope.
EasySpot Hybrid Micromanipulator
DEKA Scan-Assisted ENT Laser Microsurgery
- Minimal thermal damage: Less than 50 microns to perilesional tissues
- Minimal tissue charring: Clean cutting edges with cleanliness of cut
- Cutting length & ablation area control: Full control over treatment depth and coagulation (%)
- Two working modalities: "Depth" and "Power" modes for different clinical needs
- Software-guided procedure: Both focusing and laser beam centration guided automatically
Easy Control
4 functions via exclusive microswitch joystick: rotation, dimension adjustment, Scan-ON/OFF, and fine laser beam centering. Operate without moving your eyes from the microscope.
Easy Field
Mechanical control of the working area precisely confines the laser beam within the operating field. Easy and safe.
Easy Focus
Hybrid technology focusing system (holographic lens and high-reflectance mirrors). Single-ring focus/defocus with focal point memory.
Easy Plug
Fast connections and internal wiring for rapid setup.
HiScan Surgical Scanning System
Ultra-Fast Laser Beam Movement
HiScan Surgical delivers laser beam movement in 100 millionths of a second with minimum dwell time, enabling high-precision scanning shapes up to 6.3 mm for tissue cutting and ablation.
100 μs
Min Dwell Time
6.3 mm
Max Scanning Area
0.2–2 mm
Scan Depth Range
6 Shapes
Scanning Patterns
Greatest Range of Scanning Shapes for Surgery:
MicroScan Surgical
Scan-Assisted Surgery
Without the Microscope
MicroScan Surgical is a miniaturised scanning system for free-hand ENT procedures, extending the precision of scan-assisted surgery to oropharyngeal and endoscopic applications outside the microscope field. A single multi-function key handles beam centering, scanning shape control, and activation without interrupting the surgical workflow.
- Free-hand oropharyngeal surgery: Miniaturised scanner for open procedures outside the microscope field
- Multi-function key: Single control for precise beam centering and scanner activation/deactivation
- Compatible with 4"–8" EFL handpieces: Integrates seamlessly with the full handpiece range
- No microscope required: Operates independently for free-hand endoscopic ENT use
Open Procedures
Extends scan-assisted laser precision to oropharyngeal surgery and other free-hand ENT applications.
One-Key Control
Multi-function key manages centering, shape selection, and scanner on/off, with no workflow interruption.
4"–8" EFL Compatibility
Works with the full range of EFL handpieces for flexible focal distance selection.
Rapid Setup
Fast connection and internal wiring allow quick integration into the surgical setup alongside EasySpot Hybrid.
The Technological Solution for All ENT Treatments
The SmartXide² TRIO has demonstrated clinical efficacy across a broad range of ENT and laryngology procedures, with documented outcomes including multi-month follow-ups.
Vocal Cord Polyp
Precise laser ablation with minimal thermal damage to surrounding tissue
Squamous Cell Carcinoma (T1a / T3)
Scan-assisted microsurgery enabling controlled, reproducible resection
Recurrent Respiratory Papillomatosis
Repeatable treatments with clear follow-up documentation capability
Posterior Cordotomy
High-precision laser work in narrow anatomical fields
Bilateral Vocal Cord Paralysis (post-thyroidectomy)
Safe and reproducible laser treatment after total thyroidectomy
Clinical Evidence
Clinical cases documented and shared by leading ENT surgeons across Europe and Latin America, with follow-ups of up to 12 months.
Clinical cases courtesy of Stefano Dallari, M.D. (Ospedale di Fermo, Italy) and Guillermo Campos, M.D. (Fundación Santa Fé University Hospital, Bogotá DC, Colombia).
DEKA SmartXide² TRIO is a Class 4 laser appliance. Intended for use by qualified physicians and surgeons. All clinical applications should be undertaken in accordance with applicable regulations, institutional protocols, and applicable safety standards. Individual results may vary.
Watch DEKA in Action
Explore clinical demonstrations, surgical techniques, and in-depth product training from DEKA's educational library.

ENT
Surgical procedures performed with the CO₂ laser platform across ENT and laryngeal applications.

Gynecology
DEKA CO₂ laser applications in gynecological procedures.

Wound Healing
DEKA laser applications for wound care and tissue regeneration.

Neurosurgery
CO₂ laser surgical applications in neurosurgery with the DEKA platform.
Videos hosted on DEKA's official YouTube channel. Opens in a new tab.
Bring the SmartXide² TRIO to your practice.
Connect with our team to learn more about the DEKA SmartXide² TRIO, schedule a demonstration, or request product information.