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Proceedings Paper

Optimal parameters for laser tissue soldering
Author(s): Karen M. McNally-Heintzelman; Brian S. Sorg; Eric K. Chan; Ashley J. Welch; Judith M. Dawes; Earl R. Owen M.D.
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Paper Abstract

Variations in laser irradiance, exposure time, solder composition, chromophore type and concentration have led to inconsistencies in published results of laser-solder repair of tissue. To determine optimal parameters for laser tissue soldering, an in vitro study was performed using an 808-nm diode laser in conjunction with an indocyanine green (ICG)- doped albumin protein solder to weld bovine aorta specimens. Liquid and solid protein solders prepared from 25% and 60% bovine serum albumin (BSA), respectively, were compared. The effects of laser irradiance and exposure time on tensile strength of the weld and temperature rise as well as the effect of hydration on bond stability were investigated. Optimum irradiance and exposure times were identified for each solder type. Increasing the BSA concentration from 25% to 60% greatly increased the tensile strength of the weld. A reduction in dye concentration from 2.5 mg/ml to 0.25 mg/ml was also found to result in an increase in tensile strength. The strongest welds were produced with an irradiance of 6.4 W/cm2 for 50 s using a solid protein solder composed of 60% BSA and 0.25 mg/ml ICG. Steady-state solder surface temperatures were observed to reach 85 plus or minus 5 degrees Celsius with a temperature gradient across the solid protein solder strips of between 15 and 20 degrees Celsius. Finally, tensile strength was observed to decrease significantly (20 to 25%) after the first hour of hydration in phosphate-buffered saline. No appreciable change was observed in the strength of the tissue bonds with further hydration.

Paper Details

Date Published: 1 July 1998
PDF: 12 pages
Proc. SPIE 3245, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VIII, (1 July 1998); doi: 10.1117/12.312299
Show Author Affiliations
Karen M. McNally-Heintzelman, Macquarie Univ. (United States)
Brian S. Sorg, Univ. of Texas/Austin (United States)
Eric K. Chan, Univ. of Texas/Austin (United States)
Ashley J. Welch, Univ. of Texas/Austin (United States)
Judith M. Dawes, Macquarie Univ. (Australia)
Earl R. Owen M.D., Microsearch Foundation of Australia (Australia)


Published in SPIE Proceedings Vol. 3245:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VIII
Graham M. Watson M.D.; Harvey Lui M.D.; Lou Reinisch; Penny J. Smalley R.N.; Kenneth Eugene Bartels D.V.M.; R. Rox Anderson M.D.; Lawrence S. Bass M.D.; Kenneth Eugene Bartels D.V.M.; C. Gaelyn Garrett M.D.; Lloyd P. Tate V.D.M.; Sharon L. Thomsen M.D.; Reza S. Malek M.D.; Aaron P. Perlmutter M.D.; R. Rox Anderson M.D.; Lawrence S. Bass M.D.; C. Gaelyn Garrett M.D.; Kenton W. Gregory M.D.; Harvey Lui M.D.; Reza S. Malek M.D.; Aaron P. Perlmutter M.D.; Lou Reinisch; Penny J. Smalley R.N.; Lloyd P. Tate V.D.M.; Sharon L. Thomsen M.D.; Graham M. Watson M.D., Editor(s)

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