Recent studies indicate that cavitation may play a vital role in laser lithotripsy. However, the underlying bubble dynamics and associated damage mechanisms are largely unknown. In this study, we use ultra-high-speed shadowgraph imaging, hydrophone measurements, three-dimensional passive cavitation mapping (3D-PCM), and phantom test to investigate the transient dynamics of vapor bubbles induced by a holmium:yttrium aluminum garnet laser and their correlation with solid damage. We vary the standoff distance (SD) between the fiber tip and solid boundary under parallel fiber alignment and observe several distinctive features in bubble dynamics. First, long pulsed laser irradiation and solid boundary interaction create an elongated “pear-shaped” bubble that collapses asymmetrically and forms multiple jets in sequence. Second, unlike nanosecond laser-induced cavitation bubbles, jet impact on solid boundary generates negligible pressure transients and causes no direct damage. A non-circular toroidal bubble forms, particularly following the primary and secondary bubble collapses at SD = 1.0 and 3.0 mm, respectively. We observe three intensified bubble collapses with strong shock wave emissions: the intensified bubble collapse by shock wave, the ensuing reflected shock wave from the solid boundary, and self-intensified collapse of an inverted “triangle-shaped” or “horseshoe-shaped” bubble. Third, high-speed shadowgraph imaging and 3D-PCM confirm that the shock origins from the distinctive bubble collapse form either two discrete spots or a “smiling-face” shape. The spatial collapse pattern is consistent with the similar BegoStone surface damage, suggesting that the shockwave emissions during the intensified asymmetric collapse of the pear-shaped bubble are decisive for the solid damage.

This paper is associated with a video winner of a 2021 American Physical Society's Division of Fluid Dynamics (DFD) Milton van Dyke Award for work presented at the DFD Gallery of Fluid Motion. The original video is available online at the Gallery of Fluid Motion, https://doi.org/10.1103/APS.DFD.2021.GFM.V0038.

The non-spherical collapse of a cavitation bubble near a rigid wall generates a high-speed liquid jet directed toward the surface, which has significant implications for fluid–solid interactions. The jet's direction can be controlled by introducing an in-phase bubble above the near-wall bubble. In this study, numerical simulations are employed with the compressibleInterFoam solver within the OpenFOAM framework to investigate the parametric conditions and formation mechanisms of transferred jets of near-wall bubbles that are directed away from the rigid wall. Transferred jets are classified as thin jets or regular jets based on the presence or absence of neck formation during near-wall bubble contraction. Thin jets, which develop a neck through curvature reversal at the bubble equator, exhibit significantly higher velocities owing to the high-pressure region generated by flow focusing. In contrast, regular jets, which do not form a neck, demonstrate relatively low jet velocities. Furthermore, we investigate the time integral of the forces acting on the surface of the near-wall bubble during its formation and collapse, i.e., the Kelvin impulse. By applying the momentum theorem, we establish a correlation between the Kelvin impulse and the transferred jet velocity, deriving a scaling law: Ujet*∼η/ζ, where ζ(ζ=(Rc/Rmax)3) is the dimensionless volume and η(η=1/γ22−1/(2γ1)2−1/(2γ1+γ2)2) is the distance factor. This scaling law is verified using numerical simulations. This study's findings enhance our understanding of the dynamics of non-spherical cavitation bubbles under the combined influence of multiple factors, which is of great importance.

Objective: To optimize thulium fiber laser (TFL) settings for effective stone fragmentation although minimizing thermal injury in confined ureteral spaces using a three-dimensional ureter model. Materials and Methods: A hydrogel-based ureter model was maintained at 37.2 ± 0.5°C, with a cylindrical BegoStone (10 × 10 mm, 1.00 ± 0.07 gm) occluding the ureter. Ureteroscopy was performed using a 150 µm TFL fiber for 3 minutes with room temperature irrigation and differing rates (0, 20, 40 mL/min) and power settings (6.4 to 20 W). Maximum sustained temperature (MST) and cumulative thermal dose (cumulative equivalent minutes at 43°C) were assessed against a 120-minute safety threshold. We also evaluated the effects of ureter volume and irrigation temperature. Stone mass treated was calculated by subtracting the mass of residual fragments >3 mm from the initial mass. Results: At 6.4 and 10 W, MSTs were below body temperature, and thermal doses were under 1 minute, indicating minimal thermal risk. At 20 W with 20 mL/min irrigation, MST exceeded 43°C within seconds, and thermal doses surpassed 120 minutes. Treatment efficiency was highest at 20 W (1.58 mg/s), followed by 10 W (1.15 mg/s) and 6.4 W (0.78 mg/s). Among 10 W settings, 1.0 J/10 Hz was more efficient than 2.0 J/5 Hz and 3.0 J/3 Hz. Safe settings produced 95.5% fine dust, whereas high-energy pulses 2–3 J produced significantly more fragments (1–3 mm) compared with settings with pulse energy 0.5–1.0 J. Increasing irrigation to 40 mL/min or using 15°C irrigation effectively reduced MST and improved efficiency, particularly at 20 W. Conclusion: Our study demonstrates the risk of thermal injury with 20 W TFL treatment. Conversely, 10 W settings at 2.0 J/5 Hz are safe and effective for fragmentation. Future research will focus on validating these optimal settings for human stone treatment.