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Proceedings Paper

Laser tissue melding: use of 1.32-um computerized Nd:YAG laser, results of leak/burst strength studies in microsurgical procedures
Author(s): Dallas W. Anderson; Tung Mei Hsu D.V.M.; Steven J. Halpern; Arnold Honaker
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Paper Abstract

The ProClosureTM System (PCS) consists of a low power 1.32micrometers Nd:YAG laser coupled to a handheld disposable fiber optic device. The system has been designed to perform a wide range of tissue welding applications such as cosmetic skin closure,vascular surgery, and minimally invasive surgical procedures normally performed with sutures and staples. Utilizing a wavelength for tissue fusion that is least distracted by medium in the surgical field coupled with a computerized delivery system allows for a more precise application (+/- 5%) of laser energy to the tissue. The study design involved the micro-surgical anastomosis of twenty Sprague-Dawley rats (vas deferens) and twenty-one Sprague-Dawley rats (femoral arteries). Each rat is its own contralateral control. Laser repair time is approximately one-third that of conventional suturing. Postoperative dissection and burst strength testing was conducted at day 0, 1, 7, and 14. At each postoperative interval, the mean leak/burst strength for laser-assisted closure v. control, was markedly higher. The precise application of energy fluence resulting from ProClosure's computerized system yields an initial strength and a fluid static seal that is superior to conventional suture closure.

Paper Details

Date Published: 1 July 1993
PDF: 1 pages
Proc. SPIE 1876, Lasers in Otolaryngology, Dermatology, and Tissue Welding, (1 July 1993); doi: 10.1117/12.147023
Show Author Affiliations
Dallas W. Anderson, Proclosure Inc. (United States)
Tung Mei Hsu D.V.M., Proclosure Inc. (United States)
Steven J. Halpern, Proclosure Inc. (United States)
Arnold Honaker, Rollins College (United States)

Published in SPIE Proceedings Vol. 1876:
Lasers in Otolaryngology, Dermatology, and Tissue Welding
R. Rox Anderson M.D.; Lawrence S. Bass M.D.; Stanley M. Shapshay M.D.; John V. White M.D.; Rodney A. White, Editor(s)

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