Abstract: Laser tissue welding can be achieved using tunable Cr4+ lasers, semiconductor lasers and fiber lasers, where the weld strength follows the absorption spectrum of water. The use of gelatin and esterified gelatin as solders in conjunction with laser inducted tissue welding impart much stronger tensile and torque strengths than albumin solders. Selected NIR wavelength from the above lasers can improve welding and avoid thermal injury to tissue when used alone or with gelatin and esterified gelatin solders. These discoveries can be used to enhance laser tissue welding of tissues such as skin, mucous, bone, blood vessel, nerve, brain, liver, pancreas, spleen, kidney, lung, bronchus, respiratory track, urinary tract, gastrointestinal tract, or gynecologic tract and as a sealant for pulmonary air leaks and fistulas such as intestinal, rectal and urinary fistulas.

Abstract: Laser tissue welding can be achieved using tunable Cr4+ lasers, semiconductor lasers and fiber lasers, where the weld strength follows the absorption spectrum of water. The use of gelatin and esterified gelatin as solders in conjunction with laser inducted tissue welding impart much stronger tensile and torque strengths than albumin solders. Selected NIR wavelength from the above lasers can improve welding and avoid thermal injury to tissue when used alone or with gelatin and esterified gelatin solders. These discoveries can be used to enhance laser tissue welding of tissues such as skin, mucous, bone, blood vessel, nerve, brain, liver, pancreas, spleen, kidney, lung, bronchus, respiratory track, urinary tract, gastrointestinal tract, or gynecologic tract and as a sealant for pulmonary air leaks and fistulas such as intestinal, rectal and urinary fistulas.

Abstract: A system is provided for measuring volume blood flow using non-invasive ultrasonic Doppler techniques. This system includes a probe assembly including a transducer having an inner transducer element and a concentric outer transducer element. A wide beam of ultrasonic energy is transmitted using the transducer and is received by a lumen area. Reflected untrasonic energy is returned to the transducer. Both the outer and inner transducer elements of the transducer are used to generate signals representative of a wide beam and a narrow beam. These generated signals include Doppler information. The signals representative of the wide beam are processed simultaneously with signals representative of the narrow beam to produce Doppler power spectrums associated with the wide and narrow beams. Phase quadrature signals are also generated for use in determining the direction of blood flow at the insonified lumen area.