Laser‐tissue interaction with a continuous wave 3‐μm fibre laser: Preliminary studies with soft tissue

Background and Objective Lasers operating at wavelengths in the mid-infrared region have become increasingly popular for applications in areas of surgery and medicine. Advances in fibre laser technology have introduced a highly efficient, compact, diode-pumped source operating at around the 3-μm wavelength. This study examines the effects of this recently developed laser on soft biological tissue. Study Design/Materials and Methods Chicken breast and liver tissue samples were exposed to 800 mW continuous wave laser power, at a wavelength of 2.71 μm, with incident spot sizes of around 150 μm. Samples were inspected grossly immediately after laser irradiation and also prepared for histologic processing. Results After irradiation, visual assessment of changes at sample surfaces indicated a region of thermally affected tissue surrounding the ablation crater. This region was observed to grow in size to around 1.0 mm in diameter after 3 seconds of laser exposure at 800 mW. An ablation velocity of 0.80 mm.s−1 was determined in chicken breast for the same incident laser parameters. Analysis of samples irradiated at 800 mW and processed for histology revealed minimal damage at hole boundaries and no signs of char formation, providing incident exposure times were restricted to below around 0.5 seconds. Conclusion This fibre laser source has demonstrated its potential to fulfil medical applications, enabling accurate, precise tissue removal to proceed at a rapid ablation rate. The efficiency and small size of the laser are attractive features. Lasers Surg. Med. 26:491–495, 2000. © 2000 Wiley-Liss, Inc.