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Proceedings Paper

Interaction of Er:YAG laser radiation with ureter tissue
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Paper Abstract

The aim of the work was to investigate the possibility of the ureter wall perforation by Er:YAG laser radiation and to explore the basic interaction characteristics for ureter surface and its deep structures. For these experiments Er:YAG laser system (wavelength 2.94 μm) working in free-running and Q-switched regime was utilized. Laser radiation was delivered to the investigated tissue by a special waveguide system. The basic part was a cyclic olefin polymer-coated silver hollow glass waveguide (inner/outer diameter 700/850 μm or 320/450 μm). Sealed cap of the waveguide was used for contact treatment. Maximum interaction pulse energy and length for free-running Er:YAG I laser with the 700μm waveguide were 100mJ and 200μs, respectively (corresponding intensity was 130 kW/cm2). Similarly the maximum interaction pulse energy and length for free-running Er:YAG II laser with the 320 μm waveguide were 80 mJ and 200 μs , respectively (corresponding intensity was 500 kW/cm2). Maximum interaction pulse energy and length in Q-switched regime were 17 mJ and 70 ns, respectively (corresponding intensity 63 MW/cm2). The number of pulses needed to perforate the ureter wall tissue (thickness ~1 mm) for using long 200 μs Er:YAG pulses (thermal ablation) and short 70 ns Er:YAG pulses (photoablation) was found. From the histological evaluation it follows that the application of Q-switched Er:YAG laser radiation on ureteral tissue resulted in minimum adjacent tissue alteration (up to 50μm from the surface) without any influence on the deeper layers.

Paper Details

Date Published: 25 October 2005
PDF: 7 pages
Proc. SPIE 5968, Laser Florence 2004: A Window on the Laser Medicine World, 59680A (25 October 2005); doi: 10.1117/12.660045
Show Author Affiliations
Helena Jelínkova, Czech Technical Univ. (Czech Republic)
Petr Koranda, Czech Technical Univ. (Czech Republic)
Michal Němec, Czech Technical Univ. (Czech Republic)
Jan Šulc, Czech Technical Univ. (Czech Republic)
Oto Köhler, Central Military Hospital (Czech Republic)
Pavel Drlík, Central Military Hospital (Czech Republic)
Mitsunobu Miyagi, Tohoku Univ. (Japan)
Yi-Wei Shi, Tohoku Univ. (Japan)
Yuji Matsuura, Tohoku Univ. (Japan)

Published in SPIE Proceedings Vol. 5968:
Laser Florence 2004: A Window on the Laser Medicine World
Leonardo Longo; Khalil A. Khatri; Mihail-Lucian Pascu; Wilhelm R.A. Waidelich, Editor(s)

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