We could demonstrate that the LaserJet catheter is not inflammable and also does not sustain fire. However, it is not laser-resistant as to maintaining its texture and shape while under direct exposure to a continuous laser beam, as applied under clinical conditions. Polytetrafluoroethylene deforms and melts at temperatures above 327 degrees C which is usually exceeded by the CO(2)-laser.
Despite the use of non-inflammable materials in endoscopic laser surgery of the upper airway and hypopharynx, the risk of tissue ignition remains due to the inflammable laser smog which is easily ignited in an oxygen-rich environment. Hence to minimise this risk, we recommend using oxygen concentrations lower than 40%, low laser intensities (<6 W) and limiting continuous laser activation to periods shorter than 10 s.
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