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PubMed1997

Controlled temperature tissue fusion: argon laser welding of rat intestine in vivo. Part one.

BACKGROUND AND OBJECTIVE: Thermal denaturation of proteins is recognized as a rate process governed by the local temperature-time response. Since rate processes are exponential with temperature, laser-assisted tissue welding was performed with and without temperature feedback control (TFC) to investigate the efficacy of temperature feedback in enhancing the photothermal welding process in vivo. STUDY DESIGN/MATERIALS AND METHODS: An automated system was developed for temperature feedback controlled laser irradiation. An experimental device incorporating co-aligned laser delivery and temperature detection was used to perform argon laser welded (with and without TFC) enterotomies. The weld strength and histology of laser welded and control sutured enterotomies were compared in an in vivo rat model. Animals (n = 41) were sacrificed at 1, 3, 7, and 21 days postoperatively, and the anastomotic site was removed for bursting/leaking pressure measurements and histological examination. RESULTS: Laser-welded (with and without TFC) and control sutured anastomoses in surviving animals healed comparably. Some laser-welded anastomoses without TFC ruptured spontaneously (4 out of 15) leading to the animals' death within the first 24-36 hours postoperatively. None of the animals in the other groups had this problem (control suture 0/6; laser with TFC 1 leak/8). The bursting/leaking pressures of the laser welded anastomoses were not significantly different than those of the sutured controls. CONCLUSION: TFC improves the quality of laser-welded rat intestinal anastomoses in vivo in the critical first postoperative 36 hours.

Anastomosis, Surgical↗

PubMed1992

Dye-enhanced laser welding for skin closure.

The use of a laser to weld tissue in combination with a topical photosensitizing dye permits selective delivery of energy to the target tissue. A combination of indocyanine green (IG), absorption peak 780 nm, and the near-infrared (IR) alexandrite laser was studied with albino guinea pig skin. IG was shown to bind to the outer 25 microns of guinea pig dermis and appeared to be bound to collagen. The optical transmittance of full-thickness guinea pig skin in the near IR was 40% indicating that the alexandrite laser should provide adequate tissue penetration. Laser "welding" of skin in vivo was achieved at various concentrations of IG from 0.03 to 3 mg/cc using the alexandrite at 780 nm, 250-microseconds pulse duration, 8 Hz, and a 4-mm spot size. A spectrum of welds was obtained from 1- to 20-W/cm2 average irradiance. Weak welds occurred with no thermal damage obtained at lower irradiances: stronger welds with thermal damage confined to the weld site occurred at higher irradiances. At still higher irradiances, local vaporization occurred with failure to "weld." Thus, there was an optimal range of irradiances for "welding," which varied inversely with dye concentration. Histology confirmed the thermal damage results that were evident clinically. IG dye-enhanced laser welding is possible in skin and with further optimization may have practical application.

Animals↗

PubMed2006

Closure of skin incisions by 980-nm diode laser welding.

A 980-nm diode laser is proposed to be an alternative welding laser in dermatology due to its optimal penetration in tissue. An in vivo predosimetry study was done to estimate the optimal laser energy delivery conditions (6 W, 400 ms). Next, in vivo experiments were comparatively performed to examine healing of wounds closed either with suture or laser welding. One-centimeter-long, full-thickness incisions were done on the dorsal side of Wistar rats. Wounds were surgically removed at 1, 4, 7, 14, and 21 days postoperatively. Macroscopic examinations showed that welding had minimal scarring and a fine quality healing. According to histological (hematoxylin and eosin staining) results, change of epidermal thickness and granulation tissue formation through 21 days of healing period showed similarities in both methods. Epidermal thickness of welded wounds decreased from 62.46+/-6.87 microm (first day) to 36.49+/-0.92 microm (21st day) and that of sutured wounds decreased from 62.94+/-13.53 microm (first day) to 37.88+/-7.41 microm (21st day). At day 14, epidermal thickness of sutured wounds (61.20+/-6.60 microm) were higher than welded wounds (49.69+/-6.31 microm) (p<0.05). Besides, granulation values were greater for the sutured wounds but the difference was statistically significant (p<0.05) only for the seventh day (197,190.29+/-.89,554.96 microm(2) for sutured wounds, 138,433.1+/-51,077.17 microm(2) for welded wounds). Those differences indicate a faster recovery with laser welding. It is concluded that tissue welding with a 980-nm diode laser can be a good candidate for tissue welding applications with accelerated and improved healing, but further investigations are in progress for clinical use.

Animals↗

PubMed2002

Joint strength of laser-welded titanium.

OBJECTIVE: The objective of this study was to examine the joint strength of titanium laser-welding using several levels of laser output energy [current (A)]. METHODS: Cast titanium plates (0.5 x 3.0 x 40 and 1.0 x 3.0 x 40 mm(3)) were prepared and perpendicularly cut at the center of the plate. After the cut halves were fixed in a jig, they were laser-welded using a Nd: YAG laser at several levels of output energy in increments of 30A from 180 to 300A. The penetration depths of laser to titanium were measured under various conditions for output energy, pulse duration, and spot diameter to determine the appropriate conditions for these parameters. Based on the correlation between the results obtained for penetration depth and the size of the specimens (thickness: 0.5 and 1.0 mm, width: 3.0 mm), the pulse duration and spot diameter employed in this study were 10 ms and 1.0 mm, respectively. Three laser pulses (spot diameter: 1.0 mm) were applied from one side to weld the entire joint width (3.0 mm) of the specimens. Uncut specimens served as the non-welded control specimens. Tensile testing was conducted at a crosshead speed of 2 mm/min and a gage length of 10 mm. The breaking force (N) was recorded, and the data (n=5) were statistically analyzed. RESULTS: For the 0.5 mm thick specimens, the breaking force of the specimens laser-welded at currents of 240, 270, and 300A were not statistically (P>0.05) different from the non-welded control specimens. There were no significant differences in breaking force among the 1.0mm thick specimens laser-welded at currents of 270 and 300A, and the non-welded control specimens. SIGNIFICANCE: Under appropriate conditions, joint strengths similar to the strength of the non-welded parent metal were achieved.

Aluminum Silicates↗

PubMed1997

Dye-enhanced protein solders and patches in laser-assisted tissue welding.

OBJECTIVE: This study examines the use of dye-enhanced protein bonding agents in 805 nm diode laser-assisted tissue welding. A comparison of an albumin liquid solder and collagen solid-matrix patches used to repair arteriotomies in an in vitro porcine model is presented. SUMMARY BACKGROUND DATA: Extrinsic bonding media in the form of solders and patches have been used to enhance the practice of laser tissue welding. Preferential absorption of the laser wavelength has been achieved by the incorporation of chromophores. METHODS: Both the solder and the patch included indocyanine green dye (ICG) to absorb the 805 nm continuous-wave diode laser light used to perform the welds. Solder-mediated welds were divided into two groups (high power/short exposure and low power/long exposure), and the patches were divided into three thickness groups ranging from 0.1 to 1.3 mm. The power used to activate the patches was constant, but the exposure time was increased with patch thickness. RESULTS: Burst pressure results indicated that solder-mediated and patched welds yielded similar average burst strengths in most cases, but the patches provided a higher success rate (i.e., more often exceeded 150 mmHg) and were more consistent (i.e., smaller standard deviation) than the solder. The strongest welds were obtained using 1.0-1.3 mm thick patches, while the high power/short exposure solder group was the weakest. CONCLUSIONS: Though the solder and patches yielded similar acute weld strengths, the solid-matrix patches facilitated the welding process and provided consistently strong welds. The material properties of the extrinsic agents influenced their performance.

Albumins↗

PubMed2006

Facial-hypoglossal nerve anastomosis using laser nerve welding.

The aim of this study is to compare laser nerve welding to microsurgical suturing of hypoglossal-facial nerve anastomosis (HFA), and a result of immediate to delayed repair, and to evaluate the effect of laser nerve welding on HFA for reanimation of facial palsy. The first group of five rats underwent immediate HFA by microsurgical suturing and the second group of five rats by CO2 laser welding. The third group of five rats underwent delayed HFA by microsurgical suturing, and the fourth group of five rats by laser nerve welding. The fifth group of five rats served as controls, with intact hypoglossal and facial nerve. In all rats of the four different treatment groups, cholera toxin B subunit (CTb) was injected in the epineurium distal to the anastomosis site on the postoperative 6th week and in the normal hypoglossal nerve in the five rats of the control group. Neurons labeled CTb of hypoglossal nuclei were positive immunohistochemically, and the numbers were counted. In the immediate HFA groups, CTb-positive neurons were 751 +/- 247 in the laser welding group (n = 5) and 888 +/- 60 in the microsurgical suturing group (n = 5). There was no significant difference (P = 0.117). In the delayed HFA groups, CTb-positive neurons were 749 +/- 54 in the laser welding group (n = 5) and 590 +/- 169 in the microsurgical suturing group (n = 5). The difference was not significant (P = 0.116). There was no significant difference between immediate and delayed anastomosis in the laser welding group (P = 0.600), but there was significance between immediate and delayed anastomosis in the microsurgical suturing group (P = 0.009). Injected CTb in intact hypoglossal neurons (n = 5) were labeled 1,003 +/- 52. No dehiscence in the laser welding site of nerve anastomosis was seen at the time of re-exploration for injection of CTb in all 10 rats. This study shows that the regeneration of anastomosed hypoglossal-facial nerve was affected similarly by laser welding and microsurgical suturing, and more effective, especially in delayed repair.

Anastomosis, Surgical↗

PubMed1993

Laser welding of fascial grafts and its potential application in tympanoplasty: an animal model.

This study evaluates the welding effect of argon laser on fascial grafts and its potential application in tympanoplasty. An animal model was designed so that surgically induced perforations of the lumbar fascia of the animals were grafted in an underlay fashion. Each graft was "spot welded" around the circumference of the perforation using a hand-held argon laser. Various lasing parameters were used on different grafts. Control perforations were grafted but not welded. A total of 96 perforations was studied. Weld sites were evaluated both histologically and by tensile strength measurement at the end of surgery, and at 7, 14, and 21 days postoperatively. Comparison with controls showed a higher tensile strength for welded grafts, which was most significant in the early postoperative period (p < 0.001). Histologically, it seems that the basic mechanism of fascial welding involves liquification and denaturation of extravasated proteins at the weld sites. Correlation between the extent of thermal damage on the tissues and the various lasing parameters is described. Based on the well-documented safety of argon laser in otologic surgery, and the successful welding of fascial grafts in this study, argon laser may prove beneficial in welding temporalis fascia grafts in tympanoplasty.

Animals↗

PubMed1999

[The study on mechanical properties of laser welds of titanium in dentistry].

OBJECTIVE: To explore the mechanical properties of laser welds of titanium under different conditions. METHODS: Home-made Nd: YAG laser welding apparatus was used to weld TA2 and Ti-6Al-4V under different laser energy. Instron universal testing machine was adopted to measure the tensile load, 0.2% yield load and absolute elongation. The fractured surface was observed under SEM, Vickers microhardness values at welding area were measured and the mechanical properties after immersion in artificial saliva were detected. RESULTS: The mechanical strength of laser welds were related with material, voltage and the combination of them. At 700V-750V, there was no significant difference between tensile load of TA2 laser welds and that of the original material. For Ti-6Al-4V, At 750V. The mechanical strength of laser welds before and after immersion in artificial saliva made no statistic difference. CONCLUSION: It is suggested that the heat-affected zone of laser welding might be small and the corrosion resistance in artificial saliva might be high. The mechanical strength of titanium laser weld might meet the clinical demands at 19-20J/P.

Corrosion↗

PubMed2003

Pulmonary effects of welding fumes: review of worker and experimental animal studies.

BACKGROUND: Approximately one million workers worldwide perform welding as part of their work duties. Electric arc welding processes produce metal fumes and gases which may be harmful to exposed workers. METHODS: This review summarizes human and animals studies which have examined the effect of welding fume exposure on respiratory health. An extensive search of the scientific and occupational health literature was performed, acquiring published articles which examined the effects of welding on all aspects of worker and laboratory animal health. The databases accessed included PubMed, Ovid, NIOSHTIC, and TOXNET. RESULTS: Pulmonary effects observed in full-time welders have included metal fume fever, airway irritation, lung function changes, susceptibility to pulmonary infection, and a possible increase in the incidence of lung cancer. Although limited in most cases, animal studies have tended to support the findings from epidemiologic studies. CONCLUSIONS: Despite the numerous studies on welding fumes, incomplete information still exists regarding the causality and possible underlying mechanisms associated with welding fume inhalation and pulmonary disease. The use of animal models and the ability to control the welding fume exposure in toxicology studies could be utilized in an attempt to develop a better understanding of how welding fumes affect pulmonary health.

Air Pollutants, Occupational↗

PubMed1983

Fibrogenic potential of welding fumes.

A search of 3600 indexed pathology cases has disclosed pulmonary fibrosis in 29 welders. Scanning electron microscopy of biopsy material revealed macrophages laden with inorganic particulates which have characteristics compatible with welding aerosols. In order to establish a possible relationship between fibrotic reaction and welding-fume exposure, the fibrogenic potential fo some 11 different welding fumes and metallic aerosols, considered to be reference standard surrogates for the commonly used welding technologies and applications responsible for 70% of welders exposure, were screened using the Rat Peritoneal Macrophage in vitro bioassay. Only one class of fumes, that from the manual metal arc welding of stainless steel, showed distinct fibrogenic potential. This fume is, however, not common to more than four or five of the heretofore 90 cases of pulmonary fibrosis reported among welders. Thus, although insoluble Cr(VI) is probably the active fibrogen in stainless steel fumes, an etiological factor common to all fibrogenic welding exposures must be sought. It is tentatively proposed to be NO2, a potential experimental in vivo fibrogen copiously produced by certain welding processes and ubiquitous at low concentrations in the welding environment.

Adult↗

PubMed2004

Mechanical strength of laser-welded cobalt-chromium alloy.

The purpose of this study was to investigate the effect of the output energy of laser welding and welding methods on the joint strength of cobalt-chromium (Co-Cr) alloy. Two types of cast Co-Cr plates were prepared, and transverse sections were made at the center of the plate. The cut surfaces were butted against one another, and the joints welded with a laser-welding machine at several levels of output energy with the use of two methods. The fracture force required to break specimens was determined by means of tensile testing. For the 0.5-mm-thick specimens, the force required to break the 0.5-mm laser-welded specimens at currents of 270 and 300 A was not statistically different (p > 0.05) from the results for the nonwelded control specimens. The force required to break the 1.0-mm specimens double-welded at a current of 270 A was the highest value among the 1.0-mm laser-welded specimens. The results suggested that laser welding under the appropriate conditions improved the joint strength of cobalt- chromium alloy.

Biocompatible Materials↗

PubMed2006

Development of an animal model to study the potential neurotoxic effects associated with welding fume inhalation.

Serious questions have been raised regarding a possible causal association between neurological effects in welders and the presence of manganese in welding fume. An experimental model is needed that could examine the potential neurotoxic effect of manganese after pulmonary exposure to welding fume. The National Institute for Occupational Safety and Health (NIOSH) has recently finished construction of a completely automated, computer controlled welding fume generation and inhalation exposure system for laboratory animals. The system is comprised of a programmable six-axis robotic welding arm and a water-cooled arc welding torch. A flexible trunk has been attached to the robotic arm of the welder and is used to collect and transport fume from the vicinity of the arc to the animal exposure chamber. Preliminary fume characterization studies have indicated that particle morphology, size, and chemical composition were comparable to welding fume generated in the workplace. Animal inhalation studies are currently underway. With the development of this novel system, an animal model has been established using controlled welding exposures to investigate the possible mechanisms by which welding fume may affect the central nervous system.

Air Pollutants, Occupational↗

PubMed1993

Development and use of a welding process exposure matrix in a historical prospective study of lung cancer risk in European welders.

A welding process exposure matrix has been developed relating 13 welding process-welded metal combinations to average exposure levels for total welding fumes, total chromium, chromium (VI) and nickel. Quantitative estimates were derived from consultation of literature sources and of some company data. This matrix was applied to the welding histories of 11,092 welders in the framework of an IARC multicentre study. When detailed welding history was not available at the individual level the average company welding practice profile was applied. No dose-response relationship emerged for lung cancer risk with cumulative dose of the carcinogens chromium (VI) and nickel for stainless steel welders. Dilution of the dose-response relationship could result from between-plant and within-plant variability, and exposure in jobs not accounted for in the study, but not from the partial use of company versus individual data. It is also possible that there is no increased risk related to chromium and nickel exposure in this group of workers. Matrix exposure estimates would need to be validated and the matrix possibly refined by comparison with a variety of comprehensive welding exposure data sets.

Air Pollutants, Occupational↗

PubMed1993

The risk of male subfecundity attributable to welding of metals. Studies of semen quality, infertility, fertility, adverse pregnancy outcome and childhood malignancy.

These studies were initiated by the results of two Danish investigations of infertility clients, which indicated the reduced fecundity of male metal welders. The objective was to refute or corroborate the effects of welding on male reproductive capability and--if there was any effect--to identify the causal exposures. The initial hypothesis postulated reduced spermatogenesis, spontaneous abortion, congenital malformation and childhood malignancy following exposure to hexavalent chromium among stainless steel welders. Subsequently, a hypothesis concerned with the significance of exposure to radiant heat on reduced semen quality was put forward. These studies comprised a case-referent study of infertility, cross-sectional and longitudinal studies of semen quality and historical cohort studies of fertility, pregnancy outcome and cancer in offspring. Exposure to welding was reported with a higher frequency during periods of infertility than prior to conception in the case-referent study (OR 2.0, 95% CI 1.0-4.0). This finding is consistent with the main cross-sectional study showing reduced semen quality in welders [average reduction ranging from 8% (sperm penetration rate in eggwhite) to 28% (total sperm count)] and with the cohort study revealing reduced fertility in relation to welding (OR 0.89, 95% CI 0.83-0.97). However, reduced semen quality and fertility were not attributable to the welding of stainless steel but to the welding of mild steel; and no relationship was found between biological measures of exposure to chromium and parameters of semen quality. If the unexpected association between mild steel welding and reduced fecundity is causal, the biological mechanisms involved are obscure. A separate longitudinal study leaves little doubt that moderate radiant heat exposure may cause reversible deterioration of semen quality, but it is not justified to generalize this observation to the entire population of welders. Male-mediated effects on occurrence of congenital malformation and cancer in offspring from stainless steel welding are not indicated by the studies. Weak indications of an increased risk of spontaneous abortion among partners to stainless steel welders (OR 1.9, 95% CI 1.1-3.2) need to be refuted or corroborated in future studies. Suggested effects of mild steel welding on male fecundity should be corroborated by longitudinal controlled studies of semen quality examined before and during exposure and by prospective studies of fecundability in couples trying to conceive a child. On account of the present knowledge it is not possible to recommend rational preventative measures with the exception of elimination of radiant heat exposure in cases of infertility.(ABSTRACT TRUNCATED AT 400 WORDS)

Cohort Studies↗

PubMed2001

Ultraviolet radiation emitted by CO(2) arc welding.

The arcs associated with arc welding emit high levels of ultraviolet radiation (UVR), and this often causes acute injuries in the workplace, particularly photokeratoconjunctivitis. It is important to know the level of UVR emitted by arc welding under various conditions, as this information will help in evaluating potential UVR hazards in welding workplaces and taking protective measures against it. In this study, the ACGIH effective irradiance for UVR was measured experimentally for CO(2) arc welding in order to evaluate its UVR hazards. A welding robot was used in the experiment in order to realize reproducible and consistent welding operations. The effective irradiance at 1 m from the arc was in the range 0.28-7.85 W/m(2) (28-785 microW/cm(2)) under the study conditions. The corresponding permissible exposure time per day is only 4-100 s, suggesting that UVR from CO(2) arc welding is actually hazardous for the eye and skin. It was found that the effective irradiance is inversely proportional to the square of the distance from the arc, is strongly dependent on the direction of emission from the arc with a maximum at 50-60 degrees from the plate surface, and tends to increase with welding current.

Humans↗

PubMed2000

[Study of accuracy of one-piece casted and laser welded bridges].

OBJECTIVE: To assess whether laser welded bridge be fit for the clinical usage, this study compares the accuracy of laser welded multi-unit bridges with one-piece casted bridges. METHODS: A precise stainless mold which was 20 mm length composed of two abutments (one premolar and one molar) and one pontic (two missed teeth) was made. 5 wax patterns of four-unit FPD frame-works in one-piece casting based on the mold were made. After that, they were invested with inner (Bellavest) and outer investment (phosphate and gypsum). Then they were casted with CW-PA (Ni-Cr-Nb) alloys. The other 5 wax patterns of four-unit FPD frameworks were invested and casted in two halves. Each couple of frameworks were ultra-sonic washed in distilled water and inserted to the standard metal FPD mold accurately. Laser welding machine (DL-2002) was used to weld each couple of frameworks at 305V, 20 ms. Both groups of specimens were tested on their mesiodistal span dimensions and the diameters of alloy crowns. Then they were inserted to their original stainless mold, where the marginal fitness was examined. RESULTS: 1. The one-piece casted fixed multi-unit bridge couldn't be inserted to abutments completely because of distortion, while the laser welded bridge could be inserted to abutments completely. The average marginal opening of laser welded bridges was about 74 microns and conformed to clinical standard of fitness. 2. Mesiodistal dimensions of one-piece casted bridges at the inner, bottom and top margins were 19.5600 +/- 0.3877 mm, 41.2206 +/- 0.4140 mm, 41.0598 +/- 0.3379 mm respectively; while those of laser welded bridges were 20.2950 +/- 0.1191 mm, 41.9625 +/- 0.0788 mm, 42.0584 +/- 0.1089 mm, which were obviously close to metal abutments (P < 0.05). 3. The alloy crowns' diameters of one-piece casted bridges were examined as following, the premolar: phi IJ = 9.8386 +/- 0.0567 mm, phi LK = 9.9596 +/- 0.0548 mm, the molar: phi EF = 11.7948 +/- 0.0252 mm, phi HG = 11.9412 +/- 0.0763 mm; The alloy crowns' diameters of laser bridges were as following, the premolar: phi IJ = 9.7927 +/- 0.0636 mm, phi LK = 9.9438 +/- 0.0726 mm, the molar: phi EF = 11.8287 +/- 0.0863 mm, phi HG = 11.8893 +/- 0.1049 mm. There was no significant difference between the two groups (P < 0.05). CONCLUSION: Laser welding greatly improve the fitness of multi-unit fixed bridges.

Dental Abutments↗

PubMed2003

Spirometric evaluation of lung function (maximal voluntary ventilation) in welding workers.

OBJECTIVE: The present study was designed to study the effects of welding fumes on maximal voluntary ventilation (MVV) and to determine its severity in relation to duration of exposure. Additional objective was to reduce the potential health risks of welding workers by providing them with information concerning the hazards of welding fumes. METHODS: This study was conducted in the Department of Physiology, Basic Medical Sciences Institute, Jinnah Post Graduate Medical Centre, Karachi, Pakistan in 1999. In this study, the MVV was studied in 50 male control subjects and 50 male arc welding workers and all participants were non-smokers with an age range of 20-60 years. The subjects were matched for age, height, weight and socio-economic status. Maximal voluntary ventilation test was performed by using an electronic spirometer and results were compared by a paired t-test. RESULTS: Welding workers showed a significant reduction in MVV relative to controls. CONCLUSION: We conclude that MVV in welding workers is significantly decreased as compared to their matched controls. Stratification of results by years of welding shows a dose-response effect of years of welding on lung function.

Adult↗

PubMed1988

[Evaluation of exposure to fumes arising during welding of non-alloyed and low-alloyed steel by various methods].

Evaluated in the paper is welders' exposure to fumes resulting from welding of nonalloyed and low-alloyed steel, whether pure or coated with protective layers, using two most popular welding techniques for those types of steel, i.e. metal active gas welding (MAG) and manual welding with covered electrode (MMA). Due to different chemical composition of fumes at particular workstations, the proper hygienic evaluation was based on measurements of individual concentrations of fumes in workers' breathing zone. A considerable contribution of the combined exposure was yielded by such fume constituents as manganese, ferrum and zinc (welding of steel coated with zinc protective layers), also chromium (welding of low- and -highalloyed steel), as well as copper (metal gas welding). The highest combined exposure (10-fold allowable value) was that of welders of steel coated with the zinc layer, using the metal active gas welding.

Air Pollutants, Occupational↗