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Application
62
1590 99 002_1 - 21. February 2011
It is important that the test areas are pre- and postcooled again and again by the cooling probe.
After the treatment the laser is to be switched to the
mode.
By performing a test treatment it is also possible to assess the risk of pigment changes, curing and
the risk of subsequent scaring.
Moreover, the patient can get an impression about the way in which the lesion will be treated.
6.5.6 Treatment procedure
The handpiece with integrated skin cooling is placed onto the skin so that the area to be treated first
(already precooled by using the cool packs) is again cooled by the metal probe. The handling is very
easy, because the skin cooling system is adapted to the laser handpiece.
The first area to be treated is pre-cooled for some seconds by using, for example, cool packs. Then,
the first vessel is pre-cooled by the cooling probe as described above.
The first area is lasered with the parameters defined during the test (possibly different for different
vessels) and then the probe is used for post-cooling the treated vessel.
If one area has been completely treated, a cool pack is applied for post-cooling. Then, the next area
is treated in the same way.
It must be ensured that the probe is always kept in contact to the skin (without applying pressure)
and that the handpiece is always moved towards the cooling probe.
After the treatment the laser is to be switched to the
mode.
The total treated area is continuously cooled for at least 10 minutes.
Due to the consequent cooling this procedure leads to a reduced sensation of pain and to a
reduction of the side effects.
6.5.7 Post-treatment
After cooling the skin sufficiently, apply an anti-inflammatory ointment that should not be removed
before next day.
In case of over-treatment a topic antibiotic is indicated and it is absolutely necessary to control the
curing process.
CAUTION
If the treated area is exposed to sun and solar radiation after the treatment, stronger side
effects can develop, pigmentary changes in particular.
Therefore, such a radiation should be avoided for a period of 6 weeks or a sun protection
cream with a protection factor not below 20 should be used at least.
The lased area should not be traumatized either for 2 to 3 days.
Moreover, the patients must do without extreme physical or vessel stress, such as jogging, sports in
the fitness studio, Finish baths, hot baths, etc. for a short time.
6.5.8 Follow-up treatments
If the vessels have not directly faded press your finger along the vessel and see whether blood is
flowing back or not to assess the results.
Depending on the result of the treatment, the individual skin reaction and the interests of the
patient, a further treatment with higher energy density can be scheduled, if required.
The interval between the sessions should not be shorter than 12 weeks. It is reported that even after
some months vessels disappear. Up to this time, some vessels can be darker than before (blood
coagulation). The patients must be informed about these facts.
More than three treatments are not useful for leg veins. As mentioned a success rate of 70% can be
reached.
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Страница 88: ...Disposal 78 1590 99 002_1 21 February 2011 13 EC declaration of conformity...
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