2940 nm Er: YAG
Contour TRL
MicroLaserPeel
(MRL)
Treatment
Starting Parameters
APPLICATION
MicroLaserPeel
INDICATION
Fine lines and wrinkles, minor
lesions, and superficial
hyperpigmentation
ABLATION DEPTH
(ΜM)
Up to 50 microns
% OF OVERLAP
10 - 50%
1.
The Contour Scanner should be held perpendicular
and to within 6 inches of the skin surface at all times
for efficient and uniform ablation. Move patient if
necessary to accomplish a 90 degree angle.
2.
To confirm that laser and accessories are performing
normally, it is useful for the operator to first test on a
nonflammable inanimate object like a wooden
tongue depressor. Treating a test area prior to
beginning treatment will determine the patient’s
response threshold and help them understand the
audible and sensory components of the treatment.
3.
Match the trailing edge of one scan pattern to the
leading edge of the next. There should be no overlap
between scans. Patterns should “line up” right next to
each other. Refer to Section 7.6.6.1. Ablative depth
can be divided into two equal passes to cover
accidental missed or overlapped scans and for
greater patient comfort.
4.
Particulate debris on the optics of the scanner may
result in laser beam scattering and an incorrect setting
for fluence
.
Scanner optics should be cleaned
throughout treatment with a gauze moistened with
water. If alcohol is used, clean with the water gauze
first and then the alcohol and allow to dry completely
before continuing with the treatment.
5.
The desired endpoint is erythema within a
few minutes of laser application. The
redness and healing (often similar in
appearance to varying degrees of sunburn)
will increase with the ablation depth and will
vary by patient.
Post treatment
OBSERVATIONS
Some possible side effects: erythema, localized
edema, urticaria, sun burn sensation, flaking and
tightness of skin.
Side effects after MLP can be observed for 12-48
hours after treatment, depending upon depth of
peel.
INTERVENTION
Cool compresses or ice packs can provide
immediate comfort after treatment.
An occlusive barrier such as Aquaphor will
provide protection and comfort to treated area
and should be used until skin has re-epithelialized.
INTERVAL between 2940 nm Er:YAG Contour TRL
MicroLaserPeel is approximately 4-8 weeks
depending upon depth of peel and the health
and integrity of skin being treated.
Concurrent procedures
Non-invasive light-
based treatments like
hair reduction or
collagen stimulation
may occur prior to a
2940 nm Er:YAG
Contour TRL MLP
Check with manufacturer for guidelines on using
injectables in conjunction with 2940 nm Er:YAG
Contour TRL MicroLaserPeel.
Treatment Basics
1.
Patient should be positioned based on the area to
be treated. The position should be comfortable to
the patient and such that the treatment provider
has good access to area to be treated and the
control panel display screen.
2.
A mild cleanser should be used to remove any dirt,
makeup or moisture from the treatment site. Follow
with an alcohol gauze. Allow alcohol to evaporate
before treatment. Use special care around the
eyes.
3.
If topical anesthetic is to be used, apply as directed
prior to treatment. Before beginning treatment,
ensure that topical has been completely removed
from surface of skin.
4.
Prepare for adequate smoke evacuation.
5.
Attach the Contour Scanner that has previously
been cleaned with an alcohol gauze to the
articulated arm.
6.
Enter settings into the control panel display screen
based on condition and area to be treated.
Verify that scanner preview pattern is
centered prior to treatment. If pattern is not
centered, refer to Section 7.6 for
instructions on how to center the scan
pattern.
Summary of Contents for JOULE
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