A.R.C. Laser C-LAS Скачать руководство пользователя страница 13 | Manualshive

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A.R.C. Laser C-LAS Скачать руководство пользователя страница 13

Behavior in case of a system error

In case of any failure in the power generation of the laser, the power which is
delivered to the patient decreases. Overpower cannot occur, as the current for
the laser tube is limited. Less power than expected results in less effect.
When this occurs, the user can check for the beam delivery first and then for
the laser. Any damage to the delivery system results in a decrease of the
power. A broken waveguide can show a color change at the outside of the
waveguide as a result of the heat generated by absorption on the inside. A
disalignment in the articulated arm leads to an aiming beam delivery which is
non more centered at the end of the arm (note: already small changes not
clearly visible can lead to a decrease in power). The user should not continue
the 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.

Treatment related issues

Discomfort from the heating which is generated by the laser may occur. To
avoid this, the user should follow the application parameter guidelines and
avoid too long application times. If possible, cooling can reduce patients dis-
comfort after the treatment. All personal, including the patient have to wear
eye protection goggles, this may lead to de-
creased vision regarding contrast and color by
the personal and surgeon.

In case of any eye injury due to disregard of the
eye protection by safety goggles, a clinical cen-
ter specialized on eye care has to be consulted.

Page 13 of 20

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Содержание C-LAS

Страница 1: ...ENT Surgery Aesthetics Application manual for the C LAS laser wavelength 10 600 nm ...

Страница 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 ...

Страница 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 ...

Страница 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...

Страница 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 ...

Страница 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 ...

Страница 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 ...

Страница 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...

Страница 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 ...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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 ...

Страница 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...

Страница 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 ...

Страница 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 ...

Страница 19: ...Page 19 of 20 ...

Страница 20: ......

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