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Proceedings Paper

Evaluation of six holmium:YAG optical fibers for ureteroscopy: What's new in 2009?
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Paper Abstract

The holmium:yttrium aluminum garnet (YAG) laser is the gold standard laser for intracorporeal lithotripsy.1 Optical fibers are utilized to transmit laser energy to the surface of a stone for fragmentation via a predominant photothermal mechanism.2 Previous work has demonstrated that performance characteristics of holmium:YAG optical fibers used for laser lithotripsy varies. Performance may difference not only between fibers made by different manufacturers but also between individual fibers produced by the same manufacturer.3,4 Fiber failure with bending, such as during lower pole ureterorenoscopy, can lead to catastrophic endoscope damage resulting in costly repair. Manufacturers continue to develop new holmium:YAG optical fibers. In this study we evaluate a series of newly commercially available fibers using a previously designed testing protocol. This study was designed to determine the performance and threshold for failure of six newly available holmium:YAG laser fibers from Cook Medical and Fibertech Gmbh. We hypothesize that fiber performance will continue to vary amongst different holmium:YAG optical fibers.

Paper Details

Date Published: 2 March 2010
PDF: 4 pages
Proc. SPIE 7548, Photonic Therapeutics and Diagnostics VI, 75481H (2 March 2010); doi: 10.1117/12.843713
Show Author Affiliations
Bodo E. Knudsen, The Ohio State Univ. (United States)
Joel M. H. Teichman, The Univ. of British Columbia (Canada)

Published in SPIE Proceedings Vol. 7548:
Photonic Therapeutics and Diagnostics VI
Anita Mahadevan-Jansen; Andreas Mandelis; Brian Jet-Fei Wong; Nikiforos Kollias; Henry Hirschberg; Kenton W. Gregory; Reza S. Malek; E. Duco Jansen; Guillermo J. Tearney; Steen J. Madsen; Bernard Choi; Justus F. R. Ilgner; Haishan Zeng; Laura Marcu, Editor(s)

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