Abstract
Medical lasers, intense pulsed lights (IPLs) and light emitting diodes (LEDs), although classified as non-ionizing energy sources, are required to be designed, distributed to the final users, utilized and properly maintained in order to warrant a minimal grade of risk for the patient, the operator, the assistants, and the environment within and around the operative area.
The safety issues concerning the production requisites of these medical devices as well as the indications for a safe practice in a healthcare setting are expressly regulated based on international standards, which are ordinarily translated into national and local regulations.
Any operator and assistant to the procedure should be aware of the potentially dangerous nature of the laser and IPL beam and should be preliminarily trained to apply a routine safety check before the activation of a laser or intense light source.
These safety requisites are not implicit when buying a laser or IPL platform, but rather entail structural, technologic, and behavioral accomplishments in order to prevent any possible hazard and to avoid any inadvertent injury.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Calderhead RG. Photobiological basics of photomedicine: A work of art still in progress. Med Lasers; Eng Basic Res Clin Appl. 2017;6:45–57.
Jagdeo J, Austin E, Mamalis A, Wong C, Ho D, Siegel DM. Light-emitting diodes in dermatology: A systematic review of randomized controlled trials. Lasers Surg Med. 2018;50:613–28.
IEC 60601: Medical electrical equipment—Part 2–22: Particular requirements for basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser equipment.
Barkana Y, Belkin M. Laser eye injuries. Surv Ophthalmol. 2000;44(6):459–78.
Huang A, Phillips A, Adar T, Hui A. Ocular injury in cosmetic laser treatments of the face. J Clin Aesthet Dermatol. 2018;11(2):15–8.
IEC 60825-1: Safety of laser products—Part 1: Equipment classification, requirements and user’s guide.
Schieke SM, Schroeder P, Krutmann J. Cutaneous effects of infrared radiation: from clinical observations to molecular response mechanisms. Photodermatol Photoimmunol Photomed. 2003;19(5):228–34.
Gao L, Dong F, Chan WM. Traumatic macular hole secondary to Nd:YAG laser. Eye (Lond). 2007;21:571–3.
Lee WW, Murdock J, Albini TA, O’brien TP, Levine ML. Ocular damage secondary to intense pulse light therapy to the face. Ophthal Plast Reconstr Surg. 2011;27:263–5.
Karabela Y, Eliacik M. Anterior uveitis following eyebrow epilation with alexandrite laser. Int Med Case Rep J. 2015;8:177–9.
Lee WW, Murdock J, Albini TA, et al. Ocular damage secondary to intense pulse light therapy to the face. Ophthal Plast Reconstr Surg. 2011;27(4):263–5.
Riley J. Safety considerations in the use of the CO2 laser in facial skin resurfacing. Laser Surg Med. 1997;9(Suppl):61.
UNI EN 207:2017: Personal eye-protection equipment—Filters and eye-protectors against laser radiation (laser eye-protectors). March 2017.
ANSI Z136.1 UCSB Laser Safety Manual. 2014
Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87–92.
Sisler JD, Shaffer J, Soo JC, LeBouf RF, Harper M, Qian Y, et al. In vitro toxicological evaluation of surgical smoke from human tissue. J Occup Med Toxicol. 2018;13:12.
Fletcher JN, DesCoteaux MD, J.G. Dissemination of melanoma cells within electrocautery plume. Am J Surg. 1999;178(1):57–9.
Bargman H. Laser generated airborne contaminants. Laser Safety J Clin Aesth. 2011;4(2):56–7.
UNI EN1822:2010 High efficiency air filters (EPA, HEPA and ULPA)—Part 1: Classification, performance testing, marking.
UNI EN 149:2009: Respiratory protective devices—Filtering half masks to protect against particles—Requirements, testing, marking.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Dal Canton, M. (2020). Laser and Light Sources: Safety and Organization Issues. In: Fimiani, M., Rubegni, P., Cinotti, E. (eds) Technology in Practical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-45351-0_29
Download citation
DOI: https://doi.org/10.1007/978-3-030-45351-0_29
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-45350-3
Online ISBN: 978-3-030-45351-0
eBook Packages: MedicineMedicine (R0)