Head to head

Hybrid vs SmartXide Tetra PRO (2026)

Compare purchase costs, running costs and the evidence behind each device.

Read the comparison overview

Purchase cost: The catalog lists $90k–$125k for SmartXide Tetra PRO. No new-price range is on file for Hybrid. Check the source notes and request current quotes.
Practice fit: Both are listed under CO2 fractional/ablative. Check each model’s US regulatory status and labeled indications for your intended use.

Device A

CO2 Fractional/Ablative

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Device B

CO2 Fractional/Ablative

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Price comparison

Price comparison: Alma Hybrid vs DEKA SmartXide Tetra PRO (CoolPeel)
Attribute	Alma Hybrid	DEKA SmartXide Tetra PRO (CoolPeel)
New price range	Not published	$90k–$125kSource not documented
Used price reference	$70k–$100kSource not documented	$45k–$70kSource not documented
Payback calculator	View ROI calculator	View ROI calculator
Next step

New price range

Alma Hybrid: Not published
DEKA SmartXide Tetra PRO (CoolPeel): $90k–$125kSource not documented

Used price reference

Alma Hybrid: $70k–$100kSource not documented
DEKA SmartXide Tetra PRO (CoolPeel): $45k–$70kSource not documented

Payback calculator

Alma Hybrid: View ROI calculator
DEKA SmartXide Tetra PRO (CoolPeel): View ROI calculator

Next step

Alma Hybrid

DEKA SmartXide Tetra PRO (CoolPeel)

Supplies & running costs

Supplies & running costs: Alma Hybrid vs DEKA SmartXide Tetra PRO (CoolPeel)
Attribute	Alma Hybrid	DEKA SmartXide Tetra PRO (CoolPeel)
Supplies & restrictions	Supply pricing is not documented with a dated source yet. Request an itemized supply quote. View running-cost details	Read supply costs & requirements Cartessa’s US store displayed $440 on October 7, 2026 for a TetraPro smoke-evacuation pack containing 10 adapters (3/8 to 7/8 inch) and 10 spiral hoses. This is a package reference, not a per-session supply cost. The seller notes that its latest smoke-evacuator model no longer uses the green secondary filter; confirm the exact evacuator version before ordering. The listing does not establish replacement frequency, a complete supply budget or warranty/service costs. Do not interpret the absence of a treatment-tip charge as zero operating cost. Authorized-distributor public pricing · Oct 7, 2026 View running-cost details

Supplies & restrictions

Alma Hybrid: Supply pricing is not documented with a dated source yet. Request an itemized supply quote.
View running-cost details
DEKA SmartXide Tetra PRO (CoolPeel): Read supply costs & requirements
Cartessa’s US store displayed $440 on October 7, 2026 for a TetraPro smoke-evacuation pack containing 10 adapters (3/8 to 7/8 inch) and 10 spiral hoses. This is a package reference, not a per-session supply cost. The seller notes that its latest smoke-evacuator model no longer uses the green secondary filter; confirm the exact evacuator version before ordering. The listing does not establish replacement frequency, a complete supply budget or warranty/service costs. Do not interpret the absence of a treatment-tip charge as zero operating cost.
Authorized-distributor public pricing · Oct 7, 2026
View running-cost details

FDA status & indications

FDA status & indications: Alma Hybrid vs DEKA SmartXide Tetra PRO (CoolPeel)
Attribute	Alma Hybrid	DEKA SmartXide Tetra PRO (CoolPeel)
FDA status & indication	FDA record cited — see scopeK203441, K251230 Record scope: 510(k): K203441 and K251230. Checked 4 Sep 2026. Read FDA indication wording “The Alma Hybrid Laser System, Delivery Devices, Applicators and Accessories are intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery). HyLight-CO2: The Alma Hybrid CO2 non-fractional applicator, with wavelength of 10600 nm is cleared for use for the particular indications as follows: Dermatology & Plastic Surgery — The ablation, vaporization, excision, incision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of: • laser skin resurfacing • laser derm-abrasion • laser burn debridement. Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts. Pixel: The Alma Hybrid Pixel CO2 fractional applicator, with wavelength of 10600 nm is indicated for: The ablation, vaporization, and coagulation of soft tissue in dermatology and plastic surgery in the performance of skin resurfacing. ProScan: The Alma Hybrid ProScan CO2 fractional applicator, with wavelength of 10600 nm is indicated for: • Laser skin resurfacing (ablation and/or vaporization) of soft tissue. The Alma Hybrid ProScan 1570nm fractional applicator, with wavelength of 1570 nm, is indicated for: • Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue. The Alma Hybrid ProScan CO2 & 1570nm fractional applicator, with wavelengths of 10600 nm & 1570nm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.”	FDA record cited — see scopeK240497, K172362 Record scope: K240497 explicitly names SMARTXIDE TETRA PRO. CoolPeel is a marketed treatment mode, not a separate indication established by this record. Outcomes and recovery depend on the selected settings and patient. Read FDA indication wording “Incision, excision, ablation, vaporization, and coagulation of body soft tissue including intraoral tissue, in medical specialities including aesthetic (dermatology and plastic surgery), otolaryngology (ENT), gynaecology, neurosurgery, dental and oral surgery and genitourinary surgery. The use with the scanning unit is indicated for ablative skin resurfacing.”

FDA status & indication

Alma Hybrid: FDA record cited — see scopeK203441, K251230
Record scope: 510(k): K203441 and K251230. Checked 4 Sep 2026.
Read FDA indication wording
“The Alma Hybrid Laser System, Delivery Devices, Applicators and Accessories are intended for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery). HyLight-CO2: The Alma Hybrid CO2 non-fractional applicator, with wavelength of 10600 nm is cleared for use for the particular indications as follows: Dermatology & Plastic Surgery — The ablation, vaporization, excision, incision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of: • laser skin resurfacing • laser derm-abrasion • laser burn debridement. Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, and/or treatment of: warts, acne scars, nevi epidermal, syringoma. Vaporization/coagulation of warts. Pixel: The Alma Hybrid Pixel CO2 fractional applicator, with wavelength of 10600 nm is indicated for: The ablation, vaporization, and coagulation of soft tissue in dermatology and plastic surgery in the performance of skin resurfacing. ProScan: The Alma Hybrid ProScan CO2 fractional applicator, with wavelength of 10600 nm is indicated for: • Laser skin resurfacing (ablation and/or vaporization) of soft tissue. The Alma Hybrid ProScan 1570nm fractional applicator, with wavelength of 1570 nm, is indicated for: • Use in dermatological procedures requiring fractional skin resurfacing and coagulation of soft tissue. The Alma Hybrid ProScan CO2 & 1570nm fractional applicator, with wavelengths of 10600 nm & 1570nm is indicated for laser skin resurfacing (ablation and/or vaporization) of soft tissue.”
DEKA SmartXide Tetra PRO (CoolPeel): FDA record cited — see scopeK240497, K172362
Record scope: K240497 explicitly names SMARTXIDE TETRA PRO. CoolPeel is a marketed treatment mode, not a separate indication established by this record. Outcomes and recovery depend on the selected settings and patient.
Read FDA indication wording
“Incision, excision, ablation, vaporization, and coagulation of body soft tissue including intraoral tissue, in medical specialities including aesthetic (dermatology and plastic surgery), otolaryngology (ENT), gynaecology, neurosurgery, dental and oral surgery and genitourinary surgery. The use with the scanning unit is indicated for ablative skin resurfacing.”

Which chains run each

Which chains run each: Alma Hybrid vs DEKA SmartXide Tetra PRO (CoolPeel)
Attribute	Alma Hybrid	DEKA SmartXide Tetra PRO (CoolPeel)
Chain adoption	0 recorded pairings	0 recorded pairings
Chains using it	—	—
Approved reviews	0	0

Chain adoption

Alma Hybrid: 0 recorded pairings
DEKA SmartXide Tetra PRO (CoolPeel): 0 recorded pairings

Chains using it

Alma Hybrid: —
DEKA SmartXide Tetra PRO (CoolPeel): —

Approved reviews

Alma Hybrid: 0
DEKA SmartXide Tetra PRO (CoolPeel): 0

Specs and platform

Specs and platform: Alma Hybrid vs DEKA SmartXide Tetra PRO (CoolPeel)
Attribute	Alma Hybrid	DEKA SmartXide Tetra PRO (CoolPeel)
Manufacturer	Alma	DEKA
Built by (OEM)	Alma Lasers Ltd.	DEKA M.E.L.A. S.r.l.
Category	CO2 Fractional/Ablative	CO2 Fractional/Ablative
Technology	CO2 10600nm + 1570nm fiber hybrid (CO2 fractional)	10,600 nm CO2 laser with 40 W maximum power and Pulse Shape Design modes including S-Pulse, D-Pulse, H-Pulse and continuous wave; fractional scanning depends on the fitted accessory. (CO2 fractional)
Launch year	2021	2024
Status	Current	Current
Manufacturing relationship evidence	No separate manufacturing-relationship record linked.	No separate manufacturing-relationship record linked.

Manufacturer

Alma Hybrid: Alma
DEKA SmartXide Tetra PRO (CoolPeel): DEKA

Built by (OEM)

Alma Hybrid: Alma Lasers Ltd.
DEKA SmartXide Tetra PRO (CoolPeel): DEKA M.E.L.A. S.r.l.

Current alternatives

Current catalog models in related categories. Confirm availability and configuration with the supplier.

Candela CO2RE

CO2 Fractional/Ablative

New-equipment price not yet documented.

Cynosure Lutronic eCO2 3D

CO2 Fractional/Ablative

New-equipment price not yet documented.

DEKA HELIX

CO2 Fractional/Ablative

New-equipment price not yet documented.

DEKA SmartXide Punto

CO2 Fractional/Ablative

New-equipment price reference

$60k–$90k

Source not documented

Check the profile for configuration and price details.

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