safe and effective for medical applications and improved method and apparatus is provided. In a preferred embodiment, the unique benefits of the laser diode on the basis of the use of (e. G., Reliable, efficient power generation from a miniaturized solid-state device), a plasma and high-energy steam to the occurrence of processing and serious damage area medical instructions for medical applications it is produced at a sufficient power level and power density to avoid. Another transmitting means of the other configuration is used to achieve a high power density, in which the plasma tip and the high-energy steam can cause. If no spark-plasma and high-energy steam bubbles are formed, it has been found that addition to a wavelength often caused it will be absorbed by the other wavelength. As a result, a different wavelength than the effectively generated by a diode or diode pumped laser, may be added to the beam in order to improve the treatment efficiency. For example, with a wavelength of 980nm 1470nm wavelength to generate a tissue evaporation and good hemostatic effect it can be used to produce a bubble-free plasma spark. And plasma or high-energy vapor when placed, the radiation to determine a tissue effect from this zone. In another embodiment, the high-peak pulse radiation is used. 1470nm, 1940nm or 1550nm wavelength is preferred. Additionally, it can be applied with a medium having a different wavelength absorption in water, such as 980 nm. In another embodiment, in use the centralized double-core optical fiber, wherein the ignition radiation is guided to the adjacent single-mode, sustain pulse, and the inner core and the radiation is used to enhance the surrounding derived first to an external core.안전하고 효과적인 의학적 응용을 위해 개선된 방법 및 장치가 제공된다. 바람직한 실시예에서, 레이저 다이오드의 고유 이익(가령, 신뢰성 있고 소형화된 고체 상태 디바이스로부터의 효과적인 전력 발생)의 이용에 근거하여, 플라스마 및 고 에너지 증기가 의학적 지시사항을 처리하고 심각한 손상 영역의 발생을 피하기에 충분한 전력 레벨 및 전력 밀도로 의학적 응용을 위해 생성된다. 서로 다른 구성의 송신 수단은 고 전력 밀도를 얻는 데 사용되고, 이는 팁에서 플라스마 및 고-에너지
