Biolase Waterlase iPlus, Руководство пользователя

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9
C linical Application
42
Water l ase iPlus User Manual
Laser Parameters
The settings chosen for a procedure will contribute to its overall success. Waterlase iPlus uses a spray
combining air and water to effectively cut tissue, in conjunction with pulse repetition rate and mode, which
must be balanced appropriately to obtain optimal clinical outcomes and positive patient results.
As examples, a greater percentage of water is good for cooling targeted tissue, but too much water will
reduce the power delivered because the laser radiation is absorbed by the water; more air in the mix will
generate a finer spray, making it easier for the water molecules to penetrate the tissue, facilitating cutting;
a higher pulse repetition rate will allow faster, smoother cutting of hard tissue, but could result in a higher
tissue temperature, possibly making the procedure more painful for the patient, while a longer pulse
(S mode) works well for soft tissue because it increases tissue temperature, reducing bleeding.
If uncertain which parameters are best for a chosen procedure, please refer to the suggested settings on
the device or make the appropriate adjustments based on prior clinical experience. Attend training
courses and experiment on model tissues before using the Waterlase iPlus on patients.
PRESETS FOR SOFT- AND HARD-TISSUE PROCEDURES
About 50 recommended settings for almost all the procedures listed in Section 2 (Indications for Use) have
been pre-programmed in the Waterlase iPlus. These suggested values only and may be modified as
needed to compensate for variations in tissue composition, density and/or thickness; always use clinical
judgment when doing so. A favorite combination of customized values can be saved as a new Preset
(Section 8: Settings/Memory Menu).
Refer to the Appendix E for a list of pre-sets programmed into the Waterlase iPlus.
Note that some procedures do not have pre-programmed settings; recommended laser parameters for
these can be found in Appendix F. Always use clinical judgment when adjusting these individual values; as
noted, preferred settings can be saved as new Presets.