Laser Safety Program Research Articles

Exposure to “lessons learned”: A tool for laser safety

This article outlines the value and steps to follow for establishing a “lessons learned program”, with specific application to a laser safety program. As a communication tool and preventive measure for laser safety issues, the program is an effective means of turning accident investigation into a proactive rather than a reactive exercise by emphasizing corrective rather than disciplinary (looking for someone to blame) actions.

Laser safety programs in general surgery.

General surgery represents a speciality where, while any procedure can be performed with lasers, there are no procedures for which the laser is the sine quo non. The general surgeon may perform a variety of procedures with a multitude of laser wavelengths and technologies. Laser safety in general surgery requires a multidisciplinary approach. Effective laser safety requires the oversight of the hospital's "laser usage committee" and "laser safety officer" while providing a workable framework for daily laser use in a variety of clinical scenarios simultaneously. This framework must be user-friendly rather than oppressive. This presentation will describe laser safety at the Rochester General Hospital, a tertiary care, community-based teaching hospital. The safety program incorporates the following components: input to physician credentialing and training, education and in-servicing of nursing and technical personnel, equipment purchase and maintenance, quality assurance, and safety monitoring. The University of Rochester general surgery residency training program mandates laser training during the PGY-2 year. This program stresses the safe use of lasers and provides the basis for graded hands-on experience during the surgical residency. The greatest challenge for laser safety in general surgery centers on the burgeoning field of minimally invasive surgery. Safety assurance must be balanced so as to maintain a safe operating-room environment while ensuring patient safety and the ability to permit the surgery to proceed efficiently. Safety measures for laparoscopic procedures must be sensitive to the needs of the surgical team while not providing confusing signals for the "gallery" observers. This task is critical for the safe operation of lasers in general surgery. Effective laser safety in general surgery requires constant vigilance tempered with sensitivity to the needs of the surgeon and the patient as laser technology and its applications continue to evolve.

Transmission of a Gaussian Scanning Beam Through Circular, Square, and Slit Apertures

Energy and power values for Gaussian profile scanning laser beams through circular, square, and slit apertures may be required for hazard analysis in laser safety programs. Equations describing the transmitted power for a Gaussian beam concentric and eccentric with circular, square, and slit apertures are given. Simple expressions of transmitted power and energy with a scanning laser beam across the square and slit apertures are derived. For the circular aperture, the transmitted power and energy can be calculated conveniently by using the correction factors from the graphic values or from the computer programs.

Lasers in medicine and surgery. Council on Scientific Affairs

Clinical applications have been found for lasers in a number of medical and surgical specialties. New applications in current areas of use and extension of laser technology to other medical and surgical specialties will continue to occur as investigational uses are pursued. Lasers produce medical and surgical effects in target tissues by heating them to the point of coagulation or vaporization, by ionizing molecular tissue, and by inducing photochemical effects through a mediating photosensitizer. Increased ability to transmit certain laser beams via fiber optics further extends areas of clinical application. Laser safety programs are essential to safeguard physician operators, ancillary personnel, and patients. Federal regulation, under two laws, deals with the laser radiation safety of devices and controls to ensure that devices reaching the market are reasonably safe and effective for their intended use.