scholarly journals In vitro fragmentation performance of a novel, pulsed Thulium solid-state laser compared to a Thulium fibre laser and standard Ho:YAG laser

Author(s):  
Lea Kraft ◽  
Ralf Petzold ◽  
Rodrigo Suarez-Ibarrola ◽  
Arkadiusz Miernik

Abstract The aim of this work was to compare the fragmentation efficiency of a novel, pulsed Thulium solid-state laser (p-Tm:YAG) to that of a chopped Thulium fibre laser (TFL) and a pulsed Holmium solid-state laser (Ho:YAG). During the fragmentation process, we used a silicone mould to fixate the hemispherical stone models under water in a jar filled with room-temperature water. Each laser device registered the total energy applied to the stone model to determine fragmentation efficiency. Our study examined laser settings with single pulse energies ranging from 0.6 to 6 J and pulse frequencies ranging from 5 to 15 Hz. Similar laser settings were applied to explicitly compare the fragmentation efficiency of all three devices. We experimented with additional laser settings to see which of the three devices would perform best. The fragmentation performance of the three laser devices differed statistically significantly (p < 0.05). The average total energy required to fragment the stone model was 345.96 J for Ho:YAG, 372.43 J for p-Tm:YAG and 483.90 J for TFL. To fragment the stone models, both Ho:YAG and p-Tm:YAG needed similar total energy (p = 0.97). TFL’s fragmentation efficiency is significantly lower than that of Ho:YAG and p-Tm:YAG. Furthermore, we found the novel p-Tm:YAG’s fragmentation efficiency to closely resemble that of Ho:YAG. The fragmentation efficiency is thought to be influenced by the pulse duration. TFL’s shortest possible pulse duration was considerably longer than that of Ho:YAG and p-Tm:YAG, resulting in Ho:YAG and p-Tm:YAG exhibiting better fragmenting efficiency.

Author(s):  
Mehmet Yilmaz ◽  
Julia Esser ◽  
Lea Kraft ◽  
Ralf Petzold ◽  
August Sigle ◽  
...  

Abstract Purpose The aim of this study was to compare the enucleation performances of four different types of laser devices in an ex-vivo experiment: a novel, pulsed Tm:YAG solid-state laser evaluation model (p-Tm:YAG), chopped thulium fibre laser (TFL), low-power Ho:YAG laser (LP-Ho:YAG), and a high-power Ho:YAG laser (HP-Ho:YAG). Methods Our primary aim was to endoscopically separate the fascial layers of a porcine belly using laser fibres within a time period of 60 s. The size of a “tissue pocket” was assessed numerically. The enucleation characteristics reflecting the surgeon’s experience were evaluated via the NASA Task Load Index (TLX) questionnaire and a questionnaire based on Likert scale. Results HP-Ho:YAG achieved with the available laser settings the largest overall “tissue pocket” (31.5 cm2) followed by p-Tm:YAG (15 cm2), TFL (12 cm2), and LP-Ho:YAG (6 cm2). The coagulation performances of p-Tm:YAG and TFL were rated the best. In the performance evaluation by the Likert questionnaire, HP-Ho:YAG (average score of 4.06) was rated highest, followed by p-Tm:YAG (3.94), TFL (3.38), and LP-Ho:YAG (3.25). The evaluation of the NASA-TLX performance questionnaire revealed average scores for HP-Ho:YAG, LP-Ho:YAG, TFL and p-Tm:YAG of 4.38, 4.09, 3.92 and 3.90, respectively. Conclusion We are the first to compare different laser devices and settings in an ex-vivo study. We found that the surgeons were most satisfied with the HP-Ho:YAG laser device, followed by the p-Tm:YAG. These findings could be highly relevant for future research and for the practical utilisation of laser systems in endourology.


2009 ◽  
Vol 76 (4) ◽  
pp. 208
Author(s):  
V. A. Berenberg ◽  
S. V. Doroganov ◽  
A. A. Mirzaeva ◽  
V. A. Rusov ◽  
G. E. Novikov ◽  
...  

Author(s):  
Justinas Pupeikis ◽  
Benjamin Willenberg ◽  
Carolin Bauer ◽  
Christopher R. Phillips ◽  
Ursula Keller

2004 ◽  
Vol 1 (3) ◽  
pp. 458-461 ◽  
Author(s):  
Dario Pisignano ◽  
Luana Persano ◽  
Paolo Visconti ◽  
Giuseppe Gigli ◽  
Roberto Cingolani ◽  
...  

2021 ◽  
Author(s):  
Justinas Pupeikis ◽  
Benjamin Willenberg ◽  
Carolin Bauer ◽  
Christopher R. Phillips ◽  
Ursula Keller

Author(s):  
Giang Manh Khoi ◽  
Do Xuan Tien ◽  
Trinh Dinh Chien

Abstract:  Laser radiation has many unique properties, such as highly focused, beam profile and selectable monochromatic wavelength, that suitable for many application in industry, biology technology as well as environmental processing. National Center for Laser Technology have developed the laser devices with application-oriented in the Industry is one of the key directions of us. With the active support of National Center for Technological Progress, we have successfully studied and mastered the technology to manufacture the laser equipments for industrial applications. In this report, we will introduce the technologies in the industrial laser equipments and the customers are trusting.


2018 ◽  
Vol 97 (3) ◽  
Author(s):  
Carlos Bonazzola ◽  
Alejandro Hnilo ◽  
Marcelo Kovalsky ◽  
Jorge Tredicce

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