Assessing Cost-Effectiveness of New Technologies in Stone Management.

Diagnosis, treatment, and follow-up are all influential in determining the overall cost to the health care system for kidney stones. New innovations in the field of nephrolithiasis have been abundant, including disposable ureteroscopes, ultrasound-guided approaches to percutaneous nephrolithotomy, and advanced laser lithotripters. Identifying cost-effective treatment strategies encourages practitioners to be thoughtful about providing value-based high-quality care and remains on important principle in the treatment of urinary stone disease.

Surface plasmon resonance based fiber optic detection of chlorine utilizing polyvinylpyrolidone supported zinc oxide thin films.

A highly sensitive chlorine sensor for an aqueous medium is fabricated using an optical fiber surface plasmon resonance (OFSPR) system. An OFSPR-based chlorine sensor is designed with a multilayer-type platform by zinc oxide (ZnO) and polyvinylpyrollidone (PVP) film morphology manipulations. Among all the methodologies of transduction reported in the field of solid state chemical and biochemical sensing, our attention is focused on the Kretschmann configuration optical fiber sensing technique using the mechanism of surface plasmon resonance. The optical fiber surface plasmon resonance (SPR) chlorine sensor is developed using a multimode optical fiber with the PVP-supported ZnO film deposited over a silver-coated unclad core of the fiber. A spectral interrogation mode of operation is used to characterize the sensor. In an Ag/ZnO/PVP multilayer system, the absorption of chlorine in the vicinity of the sensing region is performed by the PVP layer and the zinc oxide layer enhances the shift in resonance wavelength. It is, experimentally, demonstrated that the SPR wavelength shifts nonlinearly towards the red side of the visible region with an increase in the chlorine concentration in an aqueous medium while the sensitivity of the sensor decreases linearly with an increase in the chlorine concentration. As the proposed sensor utilizes an optical fiber, it possesses the additional advantages of fiber such as less signal degradation, less susceptibility to electromagnetic interference, possibility of remote sensing, probe miniaturization, probe re-usability, online monitoring, small size, light weight and low cost.

A simple small size and low cost sensor based on surface plasmon resonance for selective detection of Fe(III).

A simple, small size, and low cost sensor based on a Deferoxamine Self Assembled Monolayer (DFO-SAM) and Surface Plasmon Resonance (SPR) transduction, in connection with a Plastic Optical Fiber (POF), has been developed for the selective detection of Fe(III). DFO-SAM sensors based on appropriate electrochemical techniques can be frequently found in the scientific literature. In this work, we present the first example of a DFO-SAM sensor based on SPR in an optical fiber. The SPR sensing platform was realized by removing the cladding of a plastic optical fiber along half the circumference, spin coating a buffer of Microposit S1813 photoresist on the exposed core, and finally sputtering a thin gold film. The hydroxamate siderophore deferoxamine (DFO), having high binding affinity for Fe(III), is then used in its immobilized form, as self-assembled monolayer on the gold layer surface of the POF sensor. The results showed that the DFO-SAM-POF-sensor was able to sense the formation of the Fe(III)/DFO complex in the range of concentrations between 1 µm and 50 µm with a linearity range from 0 to 30 µm of Fe(III). The selectivity of the sensor was also proved by interference tests.

Design and deployment of low-cost plastic optical fiber sensors for gas monitoring.

This paper describes an approach to develop and deploy low-cost plastic optical fiber sensors suitable for measuring low concentrations of pollutants in the atmosphere. The sensors are designed by depositing onto the exposed core of a plastic fiber thin films of sensitive compounds via either plasma sputtering or via plasma-enhanced chemical vapor deposition (PECVD). The interaction between the deposited layer and the gas alters the fiber's capability to transmit the light, so that the sensor can simply be realized with a few centimeters of fiber, an LED and a photodiode. Sensors arranged in this way exhibit several advantages in comparison to electrochemical and optical conventional sensors; in particular, they have an extremely low cost and can be easily designed to have an integral, i.e., cumulative, response. The paper describes the sensor design, the preparation procedure and two examples of sensor prototypes that exploit a cumulative response. One sensor is designed for monitoring indoor atmospheres for cultural heritage applications and the other for detecting the presence of particular gas species inside the RPC (resistive plate chamber) muon detector of the Compact Muon Solenoid (CMS) experiment at CERN in Geneva.

Continuous-wave laser stimulation of the rat prostate cavernous nerves using a compact and inexpensive all single mode optical fiber system.

BACKGROUND AND PURPOSE: Laser stimulation of the rat cavernous nerve (CN) recently has been demonstrated as an alternative to electrical stimulation for potential application in nerve mapping during nerve-sparing radical prostatectomy. Advantages include noncontact stimulation and improved spatial selectivity. Previous studies, however, have used large and/or expensive laser sources for stimulation. This study demonstrates the feasibility of optical stimulation of the rat CN, in vivo, using a compact, inexpensive all-single-mode fiberoptic system. MATERIALS AND METHODS: A 1455-nm wavelength infrared diode laser beam was coupled into a 9-µm-core single-mode fiber for delivery through a 10F laparoscopic probe and used for laser stimulation of the CN in a total of eight rats, in vivo. RESULTS: Laser stimulation of the CN was observed at threshold temperatures of 41°C, with intracavernous pressure response times as short as 4 s, and magnitudes up to 50 mm Hg, compared with baselines of 10 mm Hg. CONCLUSION: This novel, all-single-mode-fiber laser nerve stimulation system introduces several advantages including: (1) lower cost laser; (2) more robust fiberoptic design, eliminating alignment and cleaning of bulk optical components; and (3) improved Gaussian spatial beam profile for simplified alignment of the laser beam with the nerve. With further development, laser nerve stimulation may be useful for identification and preservation of the CN during prostate cancer surgery.

Durability of reusable holmium:YAG laser fibers: a multicenter study.

PURPOSE: Single use and reusable variants of holmium:YAG laser fibers are available to treat calculi during ureteroscopic procedures. In this prospective, multicenter study we evaluated a series of reusable holmium:YAG laser optical fibers. We hypothesized that reusable fibers provide a cost advantage over single use variants. MATERIALS AND METHODS: We prospectively recorded fiber data, including type, size, number of uses, laser pulse energy and frequency, and total energy delivered. All fibers were new and purchased off the shelf by staff at each institution. We performed a cost analysis comparing reusable fibers to single use variants. RESULTS: During 541 procedures a total of 37 holmium:YAG optical laser fibers were used, including 21 Laser Peripherals 270 (Laser Peripherals, Golden Valley, Minnesota), 7 Laser Peripherals 365, 4 Lumenis SlimLine™ 200 and 3 Lumenis SlimLine 365 fibers. After stratifying by core size 365 µm core fibers had significantly more uses than 270 µm core fibers (average 23.5 vs 11.3, p < 0.02). By fiber type the mean ± SE number of uses was 12.8 ± 2.44, 3 ± 0.4, 21.3 ± 7.12 and 28.7 ± 6.69 for the Laser Peripheral 270, Lumenis SlimLine 200, Laser Peripherals 365 and Lumenis SlimLine 365, respectively. The total cost savings for reusable fibers vs single use variants was $64,125. CONCLUSIONS: Reusable holmium:YAG optical laser fibers are a more cost-effective option than single use variants. Fibers with a 365 µm core provide more uses than smaller 270 µm variants.

Simplified radio-over-fiber transport systems with a low-cost multiband light source.

In this Letter, low-cost radio-over-fiber (ROF) transport systems are proposed and experimentally demonstrated. By utilizing a laser diode (LD) and a local oscillator (LO) to generate coherent multiband optical carriers, as well as a self-composed wavelength selector to separate every two carriers for different ROF transport systems, no any other dedicated LD or electrical frequency upconverting circuit/process is needed in the central station (CS). Compared with current ROF systems, the required numbers of LDs, LOs, and mixers in a CS are significantly reduced. Reducing the number of components not only can simplify the network structure but can also reduce the volume and complexity of the relative logistics. To demonstrate the practice of the proposed ROF transport systems, clear eye diagrams and error-free transmission performance are experimentally presented.