Development of Nanosecond Laser Module Built in the Robotic Multifunctional Surgical Complex for Minimally Invasive Therapy of Maxillofacial Area Pathology and Estimation of Its Effects on Blood Plasma

The aim of the investigation was to assess the efficiency of singlet oxygen excitation in blood plasma in vitro using infrared laser radiation with 1260±4 nm wavelength generated by a pulsed laser module, which was designed to be built in the robotic surgical device for minimally invasive maxillofacial surgery.

Materials and Methods. The model of the developed nanosecond laser (1,260±4 nm wavelength) generating pulse signal with 400 ns pulse duration, 500 kHz pulse repetition frequency, and 500 μm optic fiber diameter was used in the investigation. Test tubes with heparin sodium having various centrifuging time served for obtaining blood plasma. Three blood plasma specimens obtained in different centrifuging modes were used in the study. Photochemical measurements were performed in blood plasma diluted with a neutral (pH 7.6) phosphate buffer. The reaction of releasing singlet oxygen was controlled by discoloration with the help of a spectrophotometer under laser radiation of the main band of the trap.

Results. The reduction of optical density at 414 nm spectrophotometer wavelength was significantly noted in all three specimens, the effect amounted to 0.04±0.01 over 30 min of radiation. When buffer diluted blood plasma was exposed to the tested infrared laser during 1.5 h, the significant effect of the trap discoloration was observed in all specimens. Laser radiation in the nanosecond pulse mode provided discoloration 10 times greater than that of the laser working in the continuous mode.

Conclusion. The experiments performed showed that the application of the original nanosecond pulsed laser module provided effective generation of singlet oxygen. Small dimensions and unique characteristics allow the module to be built in the robotic surgical complex.

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Chunikhin A.A., Sahakyan M.Y., Gazhva S.I., Bazikyan E.A. Development of Nanosecond Laser Module Built in the Robotic Multifunctional Surgical Complex for Minimally Invasive Therapy of Maxillofacial Area Pathology and Estimation of Its Effects on Blood Plasma. Sovremennye tehnologii v medicine 2016; 8(4): 30, https://doi.org/10.17691/stm2016.8.4.04