ENT, Surgery,
Aesthetics
Application manual for the C-LAS laser
wavelength 10,600 nm
Page 1: ...ENT Surgery Aesthetics Application manual for the C LAS laser wavelength 10 600 nm ...
Page 2: ... named carrier companies or products are trademarks theirs respective holder of rights Every endeavour has been made at guarantee that all performed informations are accurate in this manual A R C Laser assume yet no warranty for the trueness of the content in this handbook July 2010 Bessemerstr 14 90411 Nürnberg phone 49 911 21779 0 fax 49 911 21779 99 info arclaser de www arclaser de ...
Page 3: ...ons 8 Technique 8 Alternative application in aesthetics and ENT 9 Waveguide system 10 Assembling 11 Pre treatment tests 12 Post treatment care 12 Methods in case of unwanted effects 12 Behavior in case of a system error 13 Treatment related issues 13 Treatment parameters 13 Delivery system 14 Applications 16 Page 3 of 20 ...
Page 4: ...or the eye It penetrates through the aqueous cornea the anterior chamber the lens and the posterior chamber and reaches the retina with only little or nearly no absorption Laser radiation in the wavelength range between 400 and 1400 nm is most dangerous for the eye The cornea as well as the anterior chamber the lens and the vitreous body of the eye contain mainly water The other tissue com ponents...
Page 5: ...d and defined no scat tering should occur You may test this by using a radiation paper and hold ing a bare fiber end in a distance of about 5 cm you have to put the laser on Ready mode laser safety goggles 4 Whenever the laser is on Ready mode yellow radiation on every person within the area where radiation from the laser can occur laser treatment area laser room has to wear a laser safety goggle ...
Page 6: ... higher the power is set the warmer it gets There is a limit when the tissue does no longer tolerate the heating tissue proteins denatur ate coagulation occurs The next limit is achieved when tissue water intra and extracellular water suddenly evaporates 300 C Tissue is fragmented and destroyed Cutting evaporation is achieved Temperature effect Temperature Effect 40 C 45 65 C 65 C 100 C 150 C 300 ...
Page 7: ... the application mode of the laser can be modified to a pulsed mode which causes less damage In continuous mode the laser permanently emits radiation In pulse mode the tissue can cool down between each laser pulse and therefore the side effects of the heating can be reduced Page 7 of 20 ...
Page 8: ... neurosurgery Technique The C LAS laser is available with two different de livery systems the articulated arm and the flex ible waveguide For the articulated arm two differ ent hand pieces are available with 3 and 5 inch focal distance The most common use in ENT is with a microma nipulator on the microscope The micromanipulat or is mounted underneath the microscope and guides the beam to the desir...
Page 9: ...the articu lated arm and the flexible waveguide Furthermore there is a scanner available that can be combined with the waveguide optics for ENT applications and is delivered with the articulated arm for dermatology and aesthetics applications If the scanner is set out in front of the micromanipulator in the beam and dir ects the beam in accordance with its programming on the treatment area in the ...
Page 10: ...a res ult of this the absorption will rise immedi ately at the damaged area and this leads to a destruction of the fiber delivery IMPORTANT The waveguide does not transmit red aiming beam radiation With the UHP hand piece no aiming beam is available To use the C Las with waveguide either hand pieces or an adapter or scanner hand piece are necessary to be connected to the waveguide optic Direct app...
Page 11: ...e the insert into the UHP up to the end position where it stops After assembling the UHP it can be connected to the waveguide of the laser by the SMA connector An alternative to the UHP is the focusing hand piece BG01249 which can be dir ectly connected to the waveguide This hand piece acts in the same way as the focusing hand pieces with the articu lated arm It focuses the laser beam to a small s...
Page 12: ...ery have to stay longer than in case of conventional surgery without laser The haemostasis effect of the laser treatment sradiationly prolongs the wound healing and therefore su tures have to be removed 3 5 days later than normal Methods in case of unwanted effects The application of laser radiation can cause vaporization of the tissue which results in tissue fragmentation cutting the depth of a c...
Page 13: ...use of the laser and contact his local A R C Laser representative When he checks the laser a restart results in a new check of the system at the beginning When the laser measures to low or to high power the system does not start Any error message displayed by the system can be checked in the manual In case of any insecurity or questions please contact your local A R C Laser representative Treatmen...
Page 14: ...e mode the effective power is half of the power in continuous mode 50 50 ratio on off The smaller the beam diameter is the faster the cutting and the deeper the cut will be Delivery system Waveguide optics WG Hand piece HP Micromanipulator Power W Frequency Hz Treatment UHP 3 12 cw cut UHP 4 15 500 cut Focusing HP 2 10 cw In focus cut defocus coagulation Focusing HP 4 12 500 In focus cut defocus c...
Page 15: ...atment Fokussier HS 2 30 cw In focus cut defocus coagulation Fokussier HS 4 30 500 In focus cut defocus coagulation better cw mode Micromanipulator 2 15 cw In focus cut defocus coagulation Micromanipulator 3 20 500 In focus cut defocus coagulation better cw mode Page 15 of 20 ...
Page 16: ...ng dura tion 2 2 seconds Stapedotomy waveguides Optics Scanner Laser settings for stapedotomy Delivery system hand piece Power Program Nr Frequency Hz Lasermode Treatment WG Scanner 20 P2 SCAN Stapedotomy 0 3 mm WG Scanner 20 P3 SCAN Stapedotomy 0 4 mm WG Scanner 20 P4 SCAN Stapedotomy 0 5 mm WG Scanner 20 P5 SCAN Stapedotomy 0 6 mm WG Scanner 20 P6 SCAN Stapedotomy 0 7 mm WG Scanner 20 P7 SCAN St...
Page 17: ...Gynecology Articulated arm colposcope Laser settings for gynaecology Hand piece Power Watt Frequency Hz Treatment colposcope 8 30 CW In focus cut defocus coagulation Page 17 of 20 ...
Page 18: ...N Lesions removal Fast removal AA Scanner 25 P3 SCAN Small Hypertrophic Grain re moval AA Scanner 15 P4 SCAN Hypertrophic grain removal with more Haemostasis heat AA Scanner 20 P5 SCAN Wrinkles of eyelids AA Scanner 25 P6 SCAN Skin Resurfacing Facial AA Scanner 20 P7 SCAN Grain removal Facial AA Scanner 20 P8 SCAN Perioral wrinkle smoothing AA Scanner 25 P9 SCAN Fraxel weak AA Scanner 25 P10 SCAN ...
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