7 February 2018 The effect of force on laser fiber burnback during lithotripsy
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Abstract
Optical fibers for lithotripsy are designed to deliver the maximum energy precisely to the treatment site without a decrease in performance and without increasing the risks to patients and users. One of the obstacles to constant energy delivery is burnback of the optical fiber tip. So far, researchers identified mechanical, thermal, and optical factors as mechanisms in burnback phenomena. Among mechanical factors, the force applied by urologists against a stone is expected to play a dominant role in burnback. In this study, we introduce a novel technique to measure accurately the stone depth and volume ablation under varying force. Our results show varying burnback lengths on the optical fibers and varying stone depth and volume ablation depending on the optical fiber core size. For instance, the slope of the burnback as a function of the applied force for 273 μm fibers was more than two times higher than for the 550 μm fibers. The slope of the total volume of stone ablated as function of force for 550 μm fibers was almost twice as much as for the 273 μm fibers. The data suggest urologists can maximize the stone ablation rate and minimize fiber tip burnback by controlling the applied force on the optical fiber during a lithotripsy procedure.
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Ashkan Aryaei, Ray Chia, Steven Peng, "The effect of force on laser fiber burnback during lithotripsy", Proc. SPIE 10468, Therapeutics and Diagnostics in Urology 2018, 104680I (7 February 2018); doi: 10.1117/12.2286285; https://doi.org/10.1117/12.2286285
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