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• W2022134456 endingPage "3328" @default.
• W2022134456 startingPage "3328" @default.
• W2022134456 abstract "Because of the high absorption of near-infrared laser radiation in biological tissue, erbium lasers and holmium lasers emitting at 3 and 2 µm, respectively, have been proven to have optimal qualities for cutting or welding and coagulating tissue. To combine the advantages of both wavelengths, we realized a multiwavelength laser system by simultaneously guiding erbium and holmium laser radiation by means of a single zirconium fluoride (ZrF(4)) fiber. Laser-induced channel formation in water and poly(acrylamide) gel was investigated by the use of a time-resolved flash-photography setup, while pressure transients were recorded simultaneously with a needle hydrophone. The shapes and depths of vapor channels produced in water and in a submerged gel after single erbium and after combination erbium-holmium radiation delivered by means of a 400-µm ZrF(4) fiber were measured. Transmission measurements were performed to determine the amount of pulse energy available for tissue ablation. The effects of laser wavelength and the delay time between pulses of different wavelengths on the photomechanical and photothermal responses of meniscal tissue were evaluated in vitro by the use of histology. It was observed that the use of a short (200-µs, 100-mJ) holmium laser pulse as a prepulse to generate a vapor bubble through which the ablating erbium laser pulse can be transmitted (delay time, 100 µs) increases the cutting depth in meniscus from 450 to 1120 µm as compared with the depth following a single erbium pulse. The results indicate that a combination of erbium and holmium laser radiation precisely and efficiently cuts tissue under water with 20-50-µm collateral tissue damage." @default.
• W2022134456 created "2016-06-24" @default.
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• W2022134456 date "1996-07-01" @default.
• W2022134456 modified "2023-10-01" @default.
• W2022134456 title "Combination of fiber-guided pulsed erbium and holmium laser radiation for tissue ablation under water" @default.
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• W2022134456 doi "https://doi.org/10.1364/ao.35.003328" @default.
• W2022134456 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21102719" @default.
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