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Multifocal laser surgery: cutting enhancement by hydrodynamic interactions between cavitation bubbles.

I Toytman1, A Silbergleit, D Simanovski

  • 1Hansen Experimental Physics Laboratory, Stanford University, 452 Lomita Mall, Stanford, California 94305, USA. itoytman@stanford.edu

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Ultrafast lasers precisely dissect tissues by creating cavitation bubbles. Simultaneous bubble interactions enhance cutting efficiency and rupture zone, improving precision in biological tissue dissection.

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Area of Science:

  • Biomedical Engineering
  • Laser Physics
  • Fluid Dynamics

Background:

  • Ultrafast lasers enable precise dissection of transparent biological tissues via optical breakdown.
  • Current methods involve sequential laser pulses, each generating a single cavitation bubble.
  • Hydrodynamic interactions between multiple cavitation bubbles remain underexplored for enhanced cutting.

Purpose of the Study:

  • To investigate hydrodynamic interactions between simultaneously generated cavitation bubbles.
  • To determine if simultaneous bubble expansion and collapse can improve tissue cutting efficiency.
  • To develop a model for predicting rupture zone dimensions based on bubble interactions.

Main Methods:

  • Analytical modeling of fluid flow induced by multiple cavitation bubbles.
  • Experimental verification of the analytical model using a model tissue.
  • Measurement of threshold strain for material rupture in the model tissue.
  • Computational modeling to predict rupture zone shape and size.

Main Results:

  • Simultaneous cavitation bubbles enhance tissue deformation and rupture zone size.
  • Two simultaneous bubbles create a continuous cut at 1.35x the distance of sequential pulses.
  • Multiple laser foci along the cut line increase this ratio to 1.7.
  • Counterpropagating jets during bubble collapse further extend the cutting zone by ~1.5x.

Conclusions:

  • Simultaneous cavitation bubble interactions offer a significant improvement over sequential pulsing for laser tissue dissection.
  • The developed model accurately predicts rupture zone dimensions, enabling optimized laser cutting parameters.
  • This approach enhances cutting efficiency and precision, with potential applications in microsurgery and tissue engineering.