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JAIPUR NATIONAL UNIVERSITY
SCHOOL PHARMACEUTICAL SCIENCES
Laser
(Light Amplification by Stimulated Emission of
Radiation)
vineeGupta
M.Pharma 2ndsem
Pharmecutics
JNU, jaipur
The LASER beam was invented by the
physicist MAIMAN in 1960
 One of the most influential
technological achievements of the 20th
century
Lasers are basically excited light
waves
STIMULATED EMISSION (2)
Incident
photon Incident
photon
Emitted
photon
Excited
electron
Unexcited
electron
Before emission After emission
CHARACTERISTICS OF LASER LIGHT
MONOCHROMATIC
DIRECTIONAL
COHERENT
The combination of these three properties makes laser
light focus 100 times better than ordinary light
INVERTED POPULATION
When a sizable population of electrons resides in upper levels, this
condition is called a "population inversion“
In order to obtain the coherent light from stimulated
emission, two conditions must be satisfied:
1. The atoms must be excited to the higher state. That is, an
inverted population is needed, one in which more atoms
are in the upper state than in the lower one, so that
emission of photons will dominate over absorption.
Unexcited system
1E
2E
3E
Excited system
1E
2E
3E
METASTABLE STATE
2. The higher state must be a metastable state – a state in
which the electrons remain longer than usual so that the
transition to the lower state occurs by stimulated emission
rather than spontaneously.
Metastable state
Photon of energy 12 EE 
1E
2E
3E
Metastable system
1E
2E
3E
Stimulated emission
Incident photon
Emitted photon
7
INCANDESCENT VS. LASER LIGHT
1. Many wavelengths
2. Multidirectional
3. Incoherent
1. Monochromatic
2. Directional
3. Coherent
Radio
Long WavelengthShort Wavelength
Gamma Ray X-ray Ultraviolet Infrared Microwaves
Visible
ELECTROMAGNETIC SPECTRUM
Lasers operate in the ultraviolet, visible, and infrared.
Radio
LASER SPECTRUM
10-13 10-12 10-11 10-10 10-9 10-8 10-7 10-6 10-5 10-4 10-3 10-2 10-1 1 10 102
LASERS
200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 10600
Ultraviolet Visible Near Infrared Far Infrared
Gamma Rays X-Rays Ultra- Visible Infrared Micro- Radar TV Radio
violet waves waves waves waves
Wavelength (m)
Wavelength (nm)
Nd:YAG
1064
GaAs
905
HeNe
633
Ar
488/515
CO2
10600
XeCl
308
KrF
248
2w
Nd:YAG
532
Retinal Hazard Region
ArF
193
Communication
Diode
1550
Ruby
694
Laser-Professionals.com
Alexandrite
755
10
LASER OUTPUT
Continuous Output (CW) Pulsed Output (P)
watt (W) - Unit of power or radiant flux (1 watt = 1 joule per second).
Joule (J) - A unit of energy
Energy (Q) The capacity for doing work. Energy content is commonly used to characterize the
output from pulsed lasers and is generally expressed in Joules (J).
Irradiance (E) - Power per unit area, expressed in watts per square centimeter.
Energy(Watts)
Time
Energy(Joules)
Time
 LASER can be considered to be a form of light
amplifier,
 behave according to the basic laws of light,
characteristics:
- travels in straight lines with a constant velocity in space;
- it can be located inside the electromagnetic spectrum acc. to its
wavelength or frequency;
- it present a particular chromatic purity;
- can be transmitted;
- can be reflected;
- can be refracted;
- can be absorbed;
- it has the capacity of transmitting energy without loss through the
air
- the LASER can be used both as unitary impulses and under
continuous form.
LASER COMPONENTS
ACTIVE MEDIUM
Solid (Crystal)
Gas
Semiconductor (Diode)
Liquid (Dye)
EXCITATION
MECHANISM
Optical
Electrical
Chemical
OPTICAL
RESONATOR
HR Mirror and
Output Coupler
The Active Medium contains atoms which can emit
light by stimulated emission.
The Excitation Mechanism is a source of energy to
excite the atoms to the proper energy state.
The Optical Resonator reflects the laser beam through
the active medium for amplification.
High Reflectance
Mirror (HR)
Output Coupler
Mirror (OC)
Active
Medium
Output
Beam
Excitation
Mechanism
Optical Resonator
 the beam of light is reflected back and forth along
the central tube, until the waves of light become
coherent.
MECHANISM OF LASER EMISSION
ABSORPTION
E1
E2
SPONTANEOUS EMISSION
STIMULATED EMISSION
CLASSIFICATION OF LASER ACC. TO
PRODUCTION TECHNIQUE
1. Optically Pumped Solid-State Lasers
I. Ruby Laser
II. Rare Earth Ion Lasers
III. Nd: YAG Lasers.
IV. Nd: Glass Lasers
V. Tunable Solid-State lasers
2 Liquid (Dye) Lasers
3 Gas Lasers
4 Semiconductor Lasers
5 Free Electron Lasers
6 X-ray Lasers, and
7 Chemical Lasers
TYPES OF MEDICAL LASERS, ACCORDING
THE INTENSITY OF EMISSION
a) Power LASER –
 has a strong emission
 only used in surgery; used to cut, coagulate and
evaporate tissues
 they can replace the scalpel of the surgeon
 this are ,,Hot laser’’, it deliver power up to thousands of
watts, for removal of unhealthy tissue without damaging the
healthy tissue that surrounds it.
b) Mild LASER –
 medium emission
 is used for treatment of deeper tissues
c) Soft LASER –
 weak emission
 acts only at the surface (dermathology)
LASER HAZARD CLASSES
Lasers are classified according to the level of laser
radiation that is accessible during normal operation.
CLASS 1 • Safe during normal use
• Incapable of causing injury
• Low power or enclosed beam
CLASS I Laser Product
Label not required
May be higher class during
maintenance or service
Nd:YAG Laser Marker
CLASS 2
CLASS II LASER PRODUCT
Laser Radiation
Do Not Stare Into Beam
Helium Neon Laser
1 milliwatt max/cw
• Staring into beam is eye hazard
• Eye protected by aversion response
• Visible lasers only
• CW maximum power 1 mW
Laser Scanners
CLASS 3R (Formerly 3a)
Small Beam
Expanded Beam
CLASS IIIa Laser Product
LASER RADIATION-
AVOID DIRECT EYE EXPOSURE
ND:YAG 532nm
5 milliwatts max/CW
• Aversion response may not provide
adequate eye protection
• CDRH(Center for Devices and Radiological Health )
includes visible lasers only
• ANSI includes invisible lasers
• CW maximum power (visible) 5 mW
Laser Pointers
CLASS IIIa LASER PRODUCT
Laser Radiation-
Do Not Stare Into Beam or View
Directly With Optical Instruments
Helium Neon Laser
5 milliwatt max/cw
CLASS 3B
• Direct exposure to beam is eye hazard
• Visible or invisible
• CW maximum power 500 mW
CLASS IIIb Laser Product
LASER RADIATION-
AVOID DIRECT EXPOSURE TO BEAM
2w ND:YAG Wavelength: 532 nm
Output Power 80 mW
DPSS Laser with cover removed
CLASS 4
CLASS IV Laser Product
VISIBLE LASER RADIATION-
AVOID EYE OR SKIN EXPOSURE TO
DIRECT OR SCATTERED RADIATION
2w Nd:YAG
Wavelength: 532 nm
Output Power 20 W
• Exposure to direct beam and scattered
light is eye and skin hazard
• Visible or invisible
• CW power >0.5 W
• Fire hazard
Laser-Professionals.com
M is for magnification.
A class 1M laser is class 1 unless magnifying optics are used.
A class 2M laser is class 2 unless magnifying optics are used.
M classes usually apply to expanded or diverging beams.
CLASS 1M & 2M
Condition 2
Diverging Beam
Condition 1
Expanded Beam
Class 1 Incapable of causing injury during normal operation
Class 1M Incapable of causing injury during normal operation
unless collecting optics are used
Class 2 Visible lasers incapable of causing injury in 0.25 s.
Class 2M Visible lasers incapable of causing injury in 0.25 s
unless collecting optics are used
Class 3R Marginally unsafe for intrabeam viewing; up to 5 times the
class 2 limit for visible lasers or 5 times the class 1 limit
for invisible lasers
Class 3B Eye hazard for intrabeam viewing, usually not an eye
hazard for diffuse viewing
Class 4 Eye and skin hazard for both direct and scattered exposure
LASER CLASSIFICATION SUMMARY
Laser-Professionals.com
 The Federal Laser Product Performance Standard (FLPPS)
of the Center for Devices and Radiological Health (CDRH)
This is federal law and applies to the manufacture of lasers.
 The American National Standard for Safe Use of Lasers (ANSI
Z136.1) This is a VOLUNTARY Standard that applies to the use of
lasers.
“recognized by” :
The Occupational Safety and Health Administration (OSHA)
 IEC 60825 International Standard
LASER SAFETY STANDARDS
MORE RECENTLY HAVE BEEN ADOPTED
THE TERMS OF:
Low Level Laser Therapy (LLLT),
Low Intensity Laser Therapy (LILT).
LLLT devices are typically delivering
10mW -200mW (0.2  0.01 Watts).
LLLT WHEN APPLIED
TO THE BODY TISSUES
The generation of heat perturb local
electron orbits  and the result/
mechanisms on the cell membrane
Initiate chemical change,
Disrupt molecular bonds and
Produce free radicals.
TRATAMENT BY LLLT
 LLLT offer superior healing and pain relieving effects
, especially in the early stages of acute injuries, and for
chronic problems.
 LLLT is a universal method of treating muscle, tendon,
ligament, connective tissue, bone and skin tissue with
one simple piece of equipment, however, the best
results are achieved when it is used to complement
other treatment modalities!
 Importantly for athletes, LLLT is a non-invasive,
drug-free modality that can be applied on competition
day without risking disqualification by drug testing!
HOW DOES LASER WORK?
 The LASER effect at the cellular level, in vivo
situation, is not complete and it is not very well know
,
 studies are conducted for the research of all this
effects, and it is far away to be completed.
DOSE CALCULATIONS
 Energy Density is measured in units of Joules
per square centimeter (J/cm2).
 a lot of apparatus offer '’on board'’ calculations
of this dose
 operator to make some simple calculations
based on several considerations:
 output power (Watts)
 irradiation area (cm2)
 time (seconds)
GENERALITY
 Most authorities suggest that the ENERGY DENSITY per
TREATMENT SESSION should generally reduce in the
range of 0.1 - 12.0 J/cm2 despite the fact that there
are some recommendations which go up to 30 J/cm2.
 maximal dose of 4 J/cm2 should not be
exceeded.
 Lower doses should be applied to the more acute
lesions which would appear to be more energy
sensitive.
 Treatment time between 4 and 12 minutes.
FEDERAL SAFETY REQUIREMENTS FOR CLASS 1 LASER
SYSTEMS WITH ENCLOSED CLASS 3b AND 4 LASERS
Protective Housing
prevents access to laser radiation above safe level.
Safety Interlocks
terminate laser beam if protective housing in opened.
Only authorized personnel may operate laser with interlocks defeated.
Warning Labels
alert personnel if opening the housing might expose a laser
hazard.
Viewing Windows and Optics
limit laser and collateral radiation to safe levels.
DEFINITION OF MPE
Maximum
Permissible
Exposure
The level of laser light to which a person
may be exposed without risk of injury.
SUGGESTED SOP FORMAT
1. Introduction – Description of laser
Type and wavelength; Intended application & Location
Average power or energy per pulse
Pulse duration and repetition rate for pulsed lasers
2. Hazards – List all hazards associated with laser
Eye and skin hazards from direct and diffuse exposures
Electrical hazards
Laser generated air contaminants
Other recognized hazards
3. Control Measures – List control measures for each hazard
Eyewear requirement, include wavelength and OD
Description of controlled area and entry controls
Reference to equipment manual
Alignment procedures (or guidelines)
4. Authorized Personnel
5. Emergency Procedures
CONTRAINDICATIONS OF LASER
THERAPY ARE
 Pregnancy  treatment over the pregnant uterus
could affect rapidly dividing cells,
 Patients with chronic pain have reported increased
tiredness for a brief period, and long-standing pain 
conditions may transiently increase.
 Areas of impaired sensation.
 Infections  increase the risk of spreading the
infection,
 Hemophilia,
39
CONTROL MEASURES
Engineering Controls
 Interlocks
 Enclosed beam
Administrative Controls
 Standard Operating Procedures (SOPs)
 Training
Personnel Protective Equipment (PPE)
 Eye protection
CDRH CLASS WARNING LABELS
CLASS II LASER PRODUCT
Laser Radiation
Do Not Stare Into Beam
Helium Neon Laser
1 milliwatt max/cw
CLASS IV Laser Product
VISIBLE LASER RADIATION-
AVOID EYE OR SKIN EXPOSURE TO
DIRECT OR SCATTERED RADIATION
Argon Ion
Wavelength: 488/514 nm
Output Power 5 W
Class II
Class IIIa with expanded beam
Class IIIa with small beam
Class IIIb
Class IV
INTERNATIONAL LASER
WARNING LABELS
Symbol and Border: Black
Background: Yellow
Legend and Border: Black
Background: Yellow
INVISIBLE LASER RADIATION
AVOID EYE OR SKIN EXPOSURE
TO DIRECT OR SCATTERED RADIATION
CLASS 4 LASER PRODUCT
WAVELENGTH 10,600 nm
MAX LASER POWER 200 W
EN60825-1 1998
USES
 In medicine
 to break up gallstones and kidney stones,
 to weld broken tissue (e.g. detached retina)
 to destroy cancerous and precancerous cells; at the same time,
the heat seal off capillaries,
 to remove plaque clogging human arteries.
 used to measure blood cell diameter
 fibre-optic laser catheter is in the treatment of bleeding
ulcers.
 can photocoagulate blood
 can also be used for dental treatment
In industry
 to drill tiny holes in hard materials,
 for welding and machining,
 for lining up equipment precisely, especially in inaccessible
places
 In everyday life
 to be used as bar-code readers,
 to be used in compact disc players,
 to produce short pulses of light used in digital
communications,
 to produce holograms.
HOLOGRAPHY
 Holography is the production of holograms by the use of
laser.
 A hologram is a 3D image recorded in a special
photographic plate.
 The image appears to float in space and to move when
the viewer moves.
RESEARCH
 used to measure the speed of light in a laboratory
CLASS 4 LASER
ND:YAG 1064 nm
100 Watts Max. Average Power
VISIBLE and/ or INVISIBLE LASER
RADIATION-AVOID EYE OR SKIN
EXPOSURE TO DIRECT OR
SCATTERED RADIATION.
Controlled Area Warning Sign
LABORATORY DOOR INTERLOCK
ENTRYWAY WARNING LIGHTS
Photos courtesy of
LASER PROTECTIVE BARRIERS
CURBS ON OPTICAL TABLE
BEAM CONTROL
LASER SAFETY EYEWEAR
EYEWEAR LABELS
All eyewear must be labeled with wavelength and optical density.
The person operating the laser
always has the primary
responsibility for all hazards
associated with laser use.
WHO HAS PRIMARY RESPONSIBLITY
FOR LASER SAFETY ANY TIME A CLASS
3B OR CLASS 4 LASER IS OPERATED?
CONCLUSION
 Laser communication in space has long been a goal for
NASA because it would enable data transmission rates
that are 10 to 1,000 times higher than traditional radio
waves.
 While lasers and radio transmissions both travel at light-
speed, lasers can pack more data. It's similar to moving
from a dial-up Internet connection to broadband.
Astronomers could use lasers like very accurate rulers to
measure the movement of planets with unprecedented
precision.
With microwaves, we're limited to numbers like a meter
or two in distance, whereas [lasers have] a potential for
getting down into well beyond the centimeter range.
THANK YOU

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Laser

  • 1. JAIPUR NATIONAL UNIVERSITY SCHOOL PHARMACEUTICAL SCIENCES Laser (Light Amplification by Stimulated Emission of Radiation) vineeGupta M.Pharma 2ndsem Pharmecutics JNU, jaipur
  • 2. The LASER beam was invented by the physicist MAIMAN in 1960  One of the most influential technological achievements of the 20th century Lasers are basically excited light waves
  • 3. STIMULATED EMISSION (2) Incident photon Incident photon Emitted photon Excited electron Unexcited electron Before emission After emission
  • 4. CHARACTERISTICS OF LASER LIGHT MONOCHROMATIC DIRECTIONAL COHERENT The combination of these three properties makes laser light focus 100 times better than ordinary light
  • 5. INVERTED POPULATION When a sizable population of electrons resides in upper levels, this condition is called a "population inversion“ In order to obtain the coherent light from stimulated emission, two conditions must be satisfied: 1. The atoms must be excited to the higher state. That is, an inverted population is needed, one in which more atoms are in the upper state than in the lower one, so that emission of photons will dominate over absorption. Unexcited system 1E 2E 3E Excited system 1E 2E 3E
  • 6. METASTABLE STATE 2. The higher state must be a metastable state – a state in which the electrons remain longer than usual so that the transition to the lower state occurs by stimulated emission rather than spontaneously. Metastable state Photon of energy 12 EE  1E 2E 3E Metastable system 1E 2E 3E Stimulated emission Incident photon Emitted photon
  • 7. 7 INCANDESCENT VS. LASER LIGHT 1. Many wavelengths 2. Multidirectional 3. Incoherent 1. Monochromatic 2. Directional 3. Coherent
  • 8. Radio Long WavelengthShort Wavelength Gamma Ray X-ray Ultraviolet Infrared Microwaves Visible ELECTROMAGNETIC SPECTRUM Lasers operate in the ultraviolet, visible, and infrared. Radio
  • 9. LASER SPECTRUM 10-13 10-12 10-11 10-10 10-9 10-8 10-7 10-6 10-5 10-4 10-3 10-2 10-1 1 10 102 LASERS 200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 10600 Ultraviolet Visible Near Infrared Far Infrared Gamma Rays X-Rays Ultra- Visible Infrared Micro- Radar TV Radio violet waves waves waves waves Wavelength (m) Wavelength (nm) Nd:YAG 1064 GaAs 905 HeNe 633 Ar 488/515 CO2 10600 XeCl 308 KrF 248 2w Nd:YAG 532 Retinal Hazard Region ArF 193 Communication Diode 1550 Ruby 694 Laser-Professionals.com Alexandrite 755
  • 10. 10 LASER OUTPUT Continuous Output (CW) Pulsed Output (P) watt (W) - Unit of power or radiant flux (1 watt = 1 joule per second). Joule (J) - A unit of energy Energy (Q) The capacity for doing work. Energy content is commonly used to characterize the output from pulsed lasers and is generally expressed in Joules (J). Irradiance (E) - Power per unit area, expressed in watts per square centimeter. Energy(Watts) Time Energy(Joules) Time
  • 11.  LASER can be considered to be a form of light amplifier,  behave according to the basic laws of light, characteristics: - travels in straight lines with a constant velocity in space; - it can be located inside the electromagnetic spectrum acc. to its wavelength or frequency; - it present a particular chromatic purity; - can be transmitted; - can be reflected; - can be refracted; - can be absorbed; - it has the capacity of transmitting energy without loss through the air - the LASER can be used both as unitary impulses and under continuous form.
  • 12. LASER COMPONENTS ACTIVE MEDIUM Solid (Crystal) Gas Semiconductor (Diode) Liquid (Dye) EXCITATION MECHANISM Optical Electrical Chemical OPTICAL RESONATOR HR Mirror and Output Coupler The Active Medium contains atoms which can emit light by stimulated emission. The Excitation Mechanism is a source of energy to excite the atoms to the proper energy state. The Optical Resonator reflects the laser beam through the active medium for amplification. High Reflectance Mirror (HR) Output Coupler Mirror (OC) Active Medium Output Beam Excitation Mechanism Optical Resonator
  • 13.  the beam of light is reflected back and forth along the central tube, until the waves of light become coherent.
  • 14. MECHANISM OF LASER EMISSION ABSORPTION E1 E2
  • 17. CLASSIFICATION OF LASER ACC. TO PRODUCTION TECHNIQUE 1. Optically Pumped Solid-State Lasers I. Ruby Laser II. Rare Earth Ion Lasers III. Nd: YAG Lasers. IV. Nd: Glass Lasers V. Tunable Solid-State lasers
  • 18. 2 Liquid (Dye) Lasers 3 Gas Lasers 4 Semiconductor Lasers 5 Free Electron Lasers 6 X-ray Lasers, and 7 Chemical Lasers
  • 19. TYPES OF MEDICAL LASERS, ACCORDING THE INTENSITY OF EMISSION a) Power LASER –  has a strong emission  only used in surgery; used to cut, coagulate and evaporate tissues  they can replace the scalpel of the surgeon  this are ,,Hot laser’’, it deliver power up to thousands of watts, for removal of unhealthy tissue without damaging the healthy tissue that surrounds it. b) Mild LASER –  medium emission  is used for treatment of deeper tissues c) Soft LASER –  weak emission  acts only at the surface (dermathology)
  • 20. LASER HAZARD CLASSES Lasers are classified according to the level of laser radiation that is accessible during normal operation.
  • 21. CLASS 1 • Safe during normal use • Incapable of causing injury • Low power or enclosed beam CLASS I Laser Product Label not required May be higher class during maintenance or service Nd:YAG Laser Marker
  • 22. CLASS 2 CLASS II LASER PRODUCT Laser Radiation Do Not Stare Into Beam Helium Neon Laser 1 milliwatt max/cw • Staring into beam is eye hazard • Eye protected by aversion response • Visible lasers only • CW maximum power 1 mW Laser Scanners
  • 23. CLASS 3R (Formerly 3a) Small Beam Expanded Beam CLASS IIIa Laser Product LASER RADIATION- AVOID DIRECT EYE EXPOSURE ND:YAG 532nm 5 milliwatts max/CW • Aversion response may not provide adequate eye protection • CDRH(Center for Devices and Radiological Health ) includes visible lasers only • ANSI includes invisible lasers • CW maximum power (visible) 5 mW Laser Pointers CLASS IIIa LASER PRODUCT Laser Radiation- Do Not Stare Into Beam or View Directly With Optical Instruments Helium Neon Laser 5 milliwatt max/cw
  • 24. CLASS 3B • Direct exposure to beam is eye hazard • Visible or invisible • CW maximum power 500 mW CLASS IIIb Laser Product LASER RADIATION- AVOID DIRECT EXPOSURE TO BEAM 2w ND:YAG Wavelength: 532 nm Output Power 80 mW DPSS Laser with cover removed
  • 25. CLASS 4 CLASS IV Laser Product VISIBLE LASER RADIATION- AVOID EYE OR SKIN EXPOSURE TO DIRECT OR SCATTERED RADIATION 2w Nd:YAG Wavelength: 532 nm Output Power 20 W • Exposure to direct beam and scattered light is eye and skin hazard • Visible or invisible • CW power >0.5 W • Fire hazard
  • 26. Laser-Professionals.com M is for magnification. A class 1M laser is class 1 unless magnifying optics are used. A class 2M laser is class 2 unless magnifying optics are used. M classes usually apply to expanded or diverging beams. CLASS 1M & 2M Condition 2 Diverging Beam Condition 1 Expanded Beam
  • 27. Class 1 Incapable of causing injury during normal operation Class 1M Incapable of causing injury during normal operation unless collecting optics are used Class 2 Visible lasers incapable of causing injury in 0.25 s. Class 2M Visible lasers incapable of causing injury in 0.25 s unless collecting optics are used Class 3R Marginally unsafe for intrabeam viewing; up to 5 times the class 2 limit for visible lasers or 5 times the class 1 limit for invisible lasers Class 3B Eye hazard for intrabeam viewing, usually not an eye hazard for diffuse viewing Class 4 Eye and skin hazard for both direct and scattered exposure LASER CLASSIFICATION SUMMARY Laser-Professionals.com
  • 28.  The Federal Laser Product Performance Standard (FLPPS) of the Center for Devices and Radiological Health (CDRH) This is federal law and applies to the manufacture of lasers.  The American National Standard for Safe Use of Lasers (ANSI Z136.1) This is a VOLUNTARY Standard that applies to the use of lasers. “recognized by” : The Occupational Safety and Health Administration (OSHA)  IEC 60825 International Standard LASER SAFETY STANDARDS
  • 29. MORE RECENTLY HAVE BEEN ADOPTED THE TERMS OF: Low Level Laser Therapy (LLLT), Low Intensity Laser Therapy (LILT). LLLT devices are typically delivering 10mW -200mW (0.2  0.01 Watts).
  • 30. LLLT WHEN APPLIED TO THE BODY TISSUES The generation of heat perturb local electron orbits  and the result/ mechanisms on the cell membrane Initiate chemical change, Disrupt molecular bonds and Produce free radicals.
  • 31. TRATAMENT BY LLLT  LLLT offer superior healing and pain relieving effects , especially in the early stages of acute injuries, and for chronic problems.  LLLT is a universal method of treating muscle, tendon, ligament, connective tissue, bone and skin tissue with one simple piece of equipment, however, the best results are achieved when it is used to complement other treatment modalities!  Importantly for athletes, LLLT is a non-invasive, drug-free modality that can be applied on competition day without risking disqualification by drug testing!
  • 32. HOW DOES LASER WORK?  The LASER effect at the cellular level, in vivo situation, is not complete and it is not very well know ,  studies are conducted for the research of all this effects, and it is far away to be completed.
  • 33. DOSE CALCULATIONS  Energy Density is measured in units of Joules per square centimeter (J/cm2).  a lot of apparatus offer '’on board'’ calculations of this dose  operator to make some simple calculations based on several considerations:  output power (Watts)  irradiation area (cm2)  time (seconds)
  • 34. GENERALITY  Most authorities suggest that the ENERGY DENSITY per TREATMENT SESSION should generally reduce in the range of 0.1 - 12.0 J/cm2 despite the fact that there are some recommendations which go up to 30 J/cm2.  maximal dose of 4 J/cm2 should not be exceeded.  Lower doses should be applied to the more acute lesions which would appear to be more energy sensitive.  Treatment time between 4 and 12 minutes.
  • 35. FEDERAL SAFETY REQUIREMENTS FOR CLASS 1 LASER SYSTEMS WITH ENCLOSED CLASS 3b AND 4 LASERS Protective Housing prevents access to laser radiation above safe level. Safety Interlocks terminate laser beam if protective housing in opened. Only authorized personnel may operate laser with interlocks defeated. Warning Labels alert personnel if opening the housing might expose a laser hazard. Viewing Windows and Optics limit laser and collateral radiation to safe levels.
  • 36. DEFINITION OF MPE Maximum Permissible Exposure The level of laser light to which a person may be exposed without risk of injury.
  • 37. SUGGESTED SOP FORMAT 1. Introduction – Description of laser Type and wavelength; Intended application & Location Average power or energy per pulse Pulse duration and repetition rate for pulsed lasers 2. Hazards – List all hazards associated with laser Eye and skin hazards from direct and diffuse exposures Electrical hazards Laser generated air contaminants Other recognized hazards 3. Control Measures – List control measures for each hazard Eyewear requirement, include wavelength and OD Description of controlled area and entry controls Reference to equipment manual Alignment procedures (or guidelines) 4. Authorized Personnel 5. Emergency Procedures
  • 38. CONTRAINDICATIONS OF LASER THERAPY ARE  Pregnancy  treatment over the pregnant uterus could affect rapidly dividing cells,  Patients with chronic pain have reported increased tiredness for a brief period, and long-standing pain  conditions may transiently increase.  Areas of impaired sensation.  Infections  increase the risk of spreading the infection,  Hemophilia,
  • 39. 39 CONTROL MEASURES Engineering Controls  Interlocks  Enclosed beam Administrative Controls  Standard Operating Procedures (SOPs)  Training Personnel Protective Equipment (PPE)  Eye protection
  • 40. CDRH CLASS WARNING LABELS CLASS II LASER PRODUCT Laser Radiation Do Not Stare Into Beam Helium Neon Laser 1 milliwatt max/cw CLASS IV Laser Product VISIBLE LASER RADIATION- AVOID EYE OR SKIN EXPOSURE TO DIRECT OR SCATTERED RADIATION Argon Ion Wavelength: 488/514 nm Output Power 5 W Class II Class IIIa with expanded beam Class IIIa with small beam Class IIIb Class IV
  • 41. INTERNATIONAL LASER WARNING LABELS Symbol and Border: Black Background: Yellow Legend and Border: Black Background: Yellow INVISIBLE LASER RADIATION AVOID EYE OR SKIN EXPOSURE TO DIRECT OR SCATTERED RADIATION CLASS 4 LASER PRODUCT WAVELENGTH 10,600 nm MAX LASER POWER 200 W EN60825-1 1998
  • 42. USES  In medicine  to break up gallstones and kidney stones,  to weld broken tissue (e.g. detached retina)  to destroy cancerous and precancerous cells; at the same time, the heat seal off capillaries,  to remove plaque clogging human arteries.  used to measure blood cell diameter  fibre-optic laser catheter is in the treatment of bleeding ulcers.  can photocoagulate blood  can also be used for dental treatment
  • 43. In industry  to drill tiny holes in hard materials,  for welding and machining,  for lining up equipment precisely, especially in inaccessible places
  • 44.  In everyday life  to be used as bar-code readers,  to be used in compact disc players,  to produce short pulses of light used in digital communications,  to produce holograms.
  • 45. HOLOGRAPHY  Holography is the production of holograms by the use of laser.  A hologram is a 3D image recorded in a special photographic plate.  The image appears to float in space and to move when the viewer moves.
  • 46. RESEARCH  used to measure the speed of light in a laboratory
  • 47. CLASS 4 LASER ND:YAG 1064 nm 100 Watts Max. Average Power VISIBLE and/ or INVISIBLE LASER RADIATION-AVOID EYE OR SKIN EXPOSURE TO DIRECT OR SCATTERED RADIATION. Controlled Area Warning Sign
  • 50. Photos courtesy of LASER PROTECTIVE BARRIERS
  • 54. EYEWEAR LABELS All eyewear must be labeled with wavelength and optical density.
  • 55. The person operating the laser always has the primary responsibility for all hazards associated with laser use. WHO HAS PRIMARY RESPONSIBLITY FOR LASER SAFETY ANY TIME A CLASS 3B OR CLASS 4 LASER IS OPERATED?
  • 56. CONCLUSION  Laser communication in space has long been a goal for NASA because it would enable data transmission rates that are 10 to 1,000 times higher than traditional radio waves.  While lasers and radio transmissions both travel at light- speed, lasers can pack more data. It's similar to moving from a dial-up Internet connection to broadband. Astronomers could use lasers like very accurate rulers to measure the movement of planets with unprecedented precision. With microwaves, we're limited to numbers like a meter or two in distance, whereas [lasers have] a potential for getting down into well beyond the centimeter range.