Abstract
Useful lessons can often be learned from studying laser accidents. Although most countries require such accidents to be reported to the relevant authority, often such information is not accessible to laser users. Consequently, it was decided to collect detailed accounts of incidents from the British Medical Laser Association’s Internet mailing list. Twelve incidents were reported by e-mail after a request for information sent to the BMLA mailing list in 2003. Although these are of a diverse nature, operator error accounted for 67% of the cases. This factor should be recognized when developing laser safety programs.
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References
The Management of Health and Safety at Work Regulations (1999) HMSO, London
Health and Safety Executive (1999) Five steps to risk assessment. Health and Safety Executive, Sudbury, Suffolk
British Medical Laser Association (2000) Core of knowledge video. Available from University of Dundee, Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK. BMLA, Dundee
Decker DC (1977) Accident victims view. Laser Focus 13:6
Vourc HG, Tannieres M, Freche G (1979) Ignition of tracheal tube during laryngeal laser surgery. Anaesthesia 34:685
Cozine K (1981) Laser-induced endotracheal tube fire. Anaesthesiology 55:583–585
Hirshman CA, Smith J (1980) Indirect ignition of the endotracheal tube during carbon dioxide laser surgery. Arch Otolaryngol 106:639–641
Casey KR, Fairfax WR, Smith SJ, Dixon JA (1983) Intratracheal fire ignited by the NdYAG laser during treatment of tracheal stenosis. Chest 84:295–296
Takanashi S, Hasegawa Y, Ito A, Sato M, Kaji K, Okumura K (2002) Airflow through the auxiliary line of the laser fibre prevents ignition of intra-airway fire during endoscopic laser surgery. Lasers Surg Med 31:211–215
Boldray EE et al (1981) Eye injuries from lasers. Ophthalmologica 88:101
Clark KR, Johnson TE (2003) Trends in laser injury reporting. Lasers Med Sci 18:S64
Acknowledgements
I am grateful to Roland Blackwell, Patrick Brouwer, Mike Dunn, Dick Putney, Mark Tulley, and others who have freely shared their experiences.
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Moseley, H. Operator error is the key factor contributing to medical laser accidents. Lasers Med Sci 19, 105–111 (2004). https://doi.org/10.1007/s10103-004-0309-7
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DOI: https://doi.org/10.1007/s10103-004-0309-7