The effect of pulse duration, power and energy of fractional Er:YAG laser for transdermal delivery of differently sized FITC dextrans.

We studied fractional Er:YAG laser to enhance transdermal drug delivery of compounds possessing different molecular weights: FITC-dextrans (or FD) with average molecular weights of 4, 10 and 20kDa. Vertical glass Franz diffusion cells were used to study molecular transport through dermatomed porcine skin and histological analysis of laser-treated skin was performed after treatment with different laser pulse protocols. We were comparing different pulse durations at constant or varying pulse energies. We found that the energy of the delivered pulses mostly dictates the size/depth of laser-created microchannels, while the duration of the pulses dictates the extent of thermally altered tissue. That is, tissue ablation threshold is lowered at shorter pulse durations with higher power, which is preferred as it lowers thermal effects on viable skin layers. Especially for smaller molecules, transdermal delivery is increased by increasing laser-created microchannel size, but also by making partitioning into tissue easier when less thermal damage is caused on tissue. For large molecules, molecular transport through the remainder of skin tissue becomes increasingly difficult regardless of laser pulse parameters.

Method for optodynamic source localization during Er:YAG laser ablation.

We present an improved optodynamic (OD) method which enables measurement of the distance between the OD source on the ablated surface and a piezoelectric sensor above it, with a relative error of about 1%. The method is based on the point explosion model and allows determination of the distance to the OD source and the released energy for each detected OD signal. We estimate the distance and released energy on the basis of two measured OD signal characteristics: the time of flight and the duration of the compressive phase. We show that the finite aperture of the sensor needs to be taken into account to improve measurement accuracy. We present experimental validation of the method using an Er:YAG laser and water as a tissue phantom. We observe an excellent agreement between the measured and theoretical OD signals and between the measured and estimated distances. The method opens the way to practicable implementations of on-line OD monitoring of laser ablation in surgery and medicine.

Photocoagulation of dermal blood vessels with multiple laser pulses in an in vivo microvascular model.

BACKGROUND/OBJECTIVES: Current laser therapy of port wine stain (PWS) birthmarks with a single laser pulse (SLP) does not produce complete lesion removal in the majority of patients. To improve PWS therapeutic efficacy, we evaluated the performance of an approach based on multiple laser pulses (MLP) to enhance blood vessel photocoagulation. STUDY DESIGN: The hamster dorsal window chamber model was used. Radiant exposure (RE), pulse repetition rate (f(r)), total number of pulses (n(p)), and length of vessel irradiated were varied. Blood vessels in the window were irradiated with either SLP with RE of 4-7 J/cm(2) or MLP with RE per pulse of 1.4-5.0 J/cm(2), f(r) of 0.5-26.0 Hz, and n(p) of 2-5. The laser wavelength was 532 nm and pulse duration was 1 ms. Either a 2 mm vessel segment or entire vessel branch was irradiated. Digital photographs and laser speckle images of the window were recorded before and at specific time points after laser irradiation to monitor laser-induced blood vessel structural and functional changes, respectively. RESULTS: We found that: (1) for a SLP approach, the RE required to induce blood vessel photocoagulation was 7 J/cm(2) as compared to only 2 J/cm(2) per pulse for the MLP approach; (2) for MLP, two pulses at a repetition rate of 5 Hz and a RE of 3 J/cm(2) can induce photocoagulation of more than 80% of irradiated blood vessel; and (3) irradiation of a longer segment of blood vessel resulted in lower reperfusion rate. CONCLUSIONS: The MLP approach can induce blood vessel photocoagulation at much lower RE per pulse as compared to SLP. The 5 Hz f(r) and the need for two pulses are achievable with modern laser technology, which makes the MLP approach practical in the clinical management of PWS birthmarks.

High-power pulsed diode-pumped Er:ZBLAN fiber laser.

We report on the operation and performance of a gain-switched Er:ZBLAN fiber laser based on an active pulsed diode pump system. The produced laser pulses offer high peak powers while retaining the high average powers and efficiency of the cw regime. The measured pulse duration was about 300 ns and nearly independent of the pump repetition frequency. The maximum obtained 68 W of peak power is the highest reported, to our knowledge, for diode-pumped Er:ZBLAN fiber lasers, and the 2 W of average power at the repetition frequency of 100 kHz is 2 orders of magnitude higher than previously reported average power in a pulsed regime. The obtained slope efficiency was 34%.

Pump absorption and temperature distribution in erbium-doped double-clad fluoride-glass fibers.

We investigate diode pump absorption and temperature distribution in three erbium-doped double-clad fluoride fibers. Absorption is measured via fluorescence intensity and temperature distribution is measured with thermal imaging. Ray-tracing calculations of absorption and heat-equation modeling of temperature distribution are also conducted. We found excellent agreement between measurements and calculations for all fibers. Results indicate that erbium-doped fluoride fiber lasers have already reached maximum output powers allowed under natural convection cooling, with fiber end being the most critical. We propose cooling and fiber design optimizations that may allow an order-of-magnitude further power-scaling.