Energist UltraPlus VPL System User Manual
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Energist UltraPlus VPL System User Manual

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Energist UltraPlus VPL™ System
CONTENTS ...................................................................................................... 1
SECTION 1: INTRODUCTION ......................................................................... 5
1.1 Safety Warning .................................................................................................................................... 5
1.2 Product Overview ................................................................................................................................ 6
1.3 Intended Use / Indications .................................................................................................................. 7
1.4 Warnings ............................................................................................................................................... 7
1.5 Precautions ........................................................................................................................................... 7
1.6 Individualisation of Treatment .......................................................................................................... 7
1.7 What is supplied ................................................................................................................................... 8
1.8 Technical Specification........................................................................................................................ 9
1.9 Space Requirements .......................................................................................................................... 10
1.10 Electromagnetic Compatibility ...................................................................................................... 10
1.11 Transport and Storage .................................................................................................................... 10
1.12 Manufacturer ................................................................................................................................... 10
SECTION 2: IMPORTANT SAFETY INFORMATION ................................... 11
2.1 Symbol Glossary ................................................................................................................................ 11
2.2 Introduction to Safety ....................................................................................................................... 13
2.3 Definitions ........................................................................................................................................... 13
2.4 Restrictions on Use ............................................................................................................................ 13
2.5 Electrical Safety ................................................................................................................................. 14
2.5.1 MAINS INPUT ............................................................................................................................. 14
2.5.2 DERIVED SUPPLIES .................................................................................................................. 14
2.5.3 FIRE HAZARDS .......................................................................................................................... 14
2.6 Mechanical Safety .............................................................................................................................. 15
2.6.1 WEIGHT/MOVEMENT .............................................................................................................. 15
2.6.2 CABLES ....................................................................................................................................... 15
2.6.3 HANDPIECE ................................................................................................................................ 15
2.6.4 MOVING PARTS ........................................................................................................................ 16
2.7 Optical Safety ..................................................................................................................................... 16
2.7.1 Recommended Eyewear ............................................................................................................... 16
2.8 Administrative & Procedure Control .............................................................................................. 17
SD1-43 Issue 3 (CCF 296)

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  • Page 1: Table Of Contents

    Energist UltraPlus VPL™ System User Manual Contents CONTENTS ...................... 1   SECTION 1: INTRODUCTION ................. 5     1.1 Safety Warning ............................ 5   1.2 Product Overview ..........................6   1.3 Intended Use / Indications ........................7   1.4 Warnings ............................... 7  ...
  • Page 2   3.1 General Cleaning ..........................18   3.2 Cleaning the Handpiece ........................18   3.3 Maintenance ............................18 SECTION 4: USING THE ENERGIST ULTRAPLUS SYSTEM ....19     4.1 Introduction ............................19   4.2 Attaching the applicator ........................19  ...
  • Page 3 Energist UltraPlus VPL™ System User Manual   6.5 How does VPL™ WORK? ....................... 43   6.6 Effect of melanin in the skin ......................44   6.7 Definitions of hair & skin types......................44   6.8 Treatment Procedure ........................45  ...
  • Page 4 Energist UltraPlus VPL™ System User Manual   8.5 Client Management – Hair Removal ....................61   8.6 Client Management – Skin Therapies ..................... 62   8.7 Client Management – Adverse Reactions ..................63 SECTION 9: TREATMENT SETTING GUIDELINES ........65  ...

  • Page 5: Section 1: Introduction

    Energist UltraPlus VPL™ System User Manual SECTION 1: Introduction 1.1 Safety Warning CAUTION No attempt should be made to operate this pulsed light system until the User Manual has been read and fully understood. In addition, a clear understanding of the biological effects of the interaction of light with tissue should be prerequisite to the use of this pulsed light system.

  • Page 6: Product Overview

    The system has been designed to be versatile and safe, with an in-built safety feature that will identify which handpiece has been attached. The output of the Energist UltraPlus system is delivered to the skin, via optical coupling gel, from an ergonomically designed handpiece. Pre-set treatment parameters are included that have been determined through extensive clinical experience.

  • Page 7: Intended Use / Indications

    • Always wear the supplied eyewear when operating the system. 1.6 Individualisation of Treatment The Energist UltraPlus system has the ability to be set up to provide the correct treatment parameters for each individual client. The client must undergo a thorough health history consultation and understand any side- effects associated with the treatment.

  • Page 8: What Is Supplied

    Energist UltraPlus VPL™ System User Manual 1.7 What is supplied The Energist UltraPlus system package comprises of the following: Quantity Item Part Number Energist UltraPlus System 800-001 530nm Applicator 800-073 610nm Applicator 800-074 415/630 Applicator 800-075 Protective Eyewear – F3 600-012 Protective Eyewear –...

  • Page 9: Technical Specification

    Energist UltraPlus VPL™ System User Manual 1.8 Technical Specification Light Source: Single Flashlamp, Reflective Cavity, Filter Wavelength Range: 530nm Handpiece: 530nm – 950nm 610nm Handpiece: 610nm – 950nm Acne Handpiece: 405/630-950nm Handpiece Waveguide: BK7 Glass waveguide Handpiece Filter: 530nm/610nm - Cut-on Absorption filter...

  • Page 10: Space Requirements

    Energist UltraPlus VPL™ System User Manual 1.9 Space Requirements Sufficient floor space is required for the Energist UltraPlus system. The dimensions for the system are 950mm x 440mm x 400mm. A distance of approximately 50cm should be left clear around both sides and the rear of the system to allow for adequate ventilation.

  • Page 11: Section 2: Important Safety Information

    Energist UltraPlus VPL™ System User Manual Section 2: Important Safety Information 2.1 Symbol Glossary Symbols located on the Energist UltraPlus system. OFF (Partially) Note: Only the user interface has power supplied to it ON (Standby) Note: Touchscreen user interface is used to place system into...
  • Page 12 Energist UltraPlus VPL™ System User Manual Mains Input Plate Label (on the rear of the Energist UltraPlus system.) Supply Voltage Range Supply Current Range ~ Alternating Current (AC) supply Supply Phase – 0120 Manufacturer declares that system meets EEC directives & has...

  • Page 13: Introduction To Safety

    Energist UltraPlus system at any time. • Do not use the Energist UltraPlus system if you are not competent to do so! • Do not eat or drink while using the Energist UltraPlus system! •...

  • Page 14: Electrical Safety

    To avoid any possibility of electric shock the mains cable must only be plugged into a suitably wired mains point. Do not plug the Energist UltraPlus system in via a multi-plug or extension block. The metal case is then earth bonded to further protect users in the event of an electrical fault.

  • Page 15: Mechanical Safety

    The Energist UltraPlus system is on castors for ease of movement, however, it is heavy and once moving will not stop immediately. Take care when moving the Energist UltraPlus system as it will not stop immediately and may cause damage to personnel, clinic fittings and internal components.

  • Page 16: Moving Parts

    • Do not push fingers into fan vents 2.7 Optical Safety WARNING The Energist UltraPlus system emits a high intensity flash of light that has the potential to damage unprotected eyes. Both Operator and Patient must wear the recommended protective eyewear before commencing treatment.

  • Page 17: Administrative & Procedure Control

    Every Energist UltraPlus system is to have a set of simple operational rules which govern its use. A generic set of rules that may be adapted for each individual clinic is included in this manual.

  • Page 18: Section 3: Cleaning And Maintenance

    • DO NOT USE any abrasive cleaners. 3.3 Maintenance Caution: There are no user serviceable parts within the Energist UltraPlus system. Maintenance and servicing should only be carried out by Energist Ltd qualified engineers. Any maintenance or servicing should be carried out in an access-restricted area.

  • Page 19: Section 4: Using The Energist Ultraplus System

    SECTION 4: Using the Energist UltraPlus System 4.1 Introduction The aim of this section is to introduce the features of the Energist UltraPlus and how to operate it safely and effectively. Simple step-by-step instructions and graphics will guide you through the set-up and use of the system.

  • Page 20: Changing The Applicator

    Energist UltraPlus VPL™ System User Manual 1. Open side panel (middle right) where handpiece connections are located 2. Remove main cable from holder 3. Depress water connector tab and gently remove. Shake to dispel excess water 4. Pull on outer sheath of power/communications cable connector to release lock and pull firmly out 4.4 Changing the Applicator...

  • Page 21: To Turn On The System

    Energist UltraPlus VPL™ System User Manual 7. Once the applicator has been changed, tap OK to continue Please note: If the applicator attached to the system is not suitable for the prescribed treatment a Warning box will appear. To accept to carry on using the applicator tap OK to continue.

  • Page 22: User Interface

    4.7 User Interface As you will see, the Energist UltraPlus system has been designed with the user in mind. The touchscreen technology provides an intuitive and enhanced user interface which allows the user to quickly and easily select the required parameters to provide safe and successful treatments.

  • Page 23: Logging On

    Energist UltraPlus VPL™ System User Manual 4.8 Logging On Once the system has been started up it is required that the operator logs on to the system with the appropriate User Id and Password. The default User ID for the system is USER2.

  • Page 24: Logging Off

    Energist UltraPlus VPL™ System User Manual 4.9 Logging Off After you have finished the treatment session it is advisable to log off from the system. This disables the main menu and does not allow unauthorised users to operate the system.
  • Page 25 Energist UltraPlus VPL™ System User Manual Thread Veins Use for treatment of Thread veins on the trunk or Body legs. Thread Veins Use for the treatment of facial thread veins Face Acne Vulgaris Allows for treatment of mild to moderate active acne...

  • Page 26: Hair Removal Treatment

    Energist UltraPlus VPL™ System User Manual 4.11 Hair Removal Treatment To help ensure a successful hair removal treatment, follow the guidelines as supplied in Clinic & Client Management and Treatment Guide. To set up the system: 1. Ensure the 610nm (red) applicator is attached 2.
  • Page 27 Energist UltraPlus VPL™ System User Manual 4.12 Skin Therapies Treatment To help ensure a successful skin rejuvenation treatment, follow the guidelines as supplied in Clinic & Client Management and Treatment Guide. To set up the system: 1. Ensure the 530 nm (yellow) applicator is attached 2.

  • Page 28: Thread Vein Treatment

    Energist UltraPlus VPL™ System User Manual 4.13 Thread Vein Treatment To help ensure a successful thread vein treatment follow the guidelines as supplied in Clinic & Client Management and Treatment Guide. To set up the system: 1. Ensure the 530 nm applicator is attached 2.

  • Page 29: Acne Vulgaris

    Energist UltraPlus VPL™ System User Manual 4.14 Acne Vulgaris To help ensure a successful treatment follow the guidelines as supplied in Clinic & Client Management and Treatment Guide. To set-up the system: 1. Ensure the Acne handpiece is attached 2. Turn on the system and Log-in 3.

  • Page 30: Pigmented Lesions

    Energist UltraPlus VPL™ System User Manual 4.15 Pigmented Lesions To help ensure a successful treatment follow the guidelines as supplied in Clinic & Client Management and Treatment Guide. To set-up the system: 1. Ensure the 530nm (yellow) handpiece is attached 2.
  • Page 31 Energist UltraPlus VPL™ System User Manual 2. Ensure system is placed back into standby mode by tapping Standby: 3. The system will go into Standby mode 4. The energy density (or Fluence) can now be increased or decreased as desired by dragging the bar on the scale or by tapping the up down keys as show below: 5.

  • Page 32: Advanced Modes

    Energist UltraPlus VPL™ System User Manual 4.17 Advanced Modes Advanced mode allows the user to alter the pulse types as required while logged in as USER3. Pulses To alter the pulse settings from the pre-set values tap the Change button.
  • Page 33 Energist UltraPlus VPL™ System User Manual Load To load the preferred program setting: • Tap the Load icon • Select the Program number where you have save the required configuration (PROGRAM 1, 2, 3, 4, 5, 6, 7 or 8) •...

  • Page 34: Section 5: Troubleshooting

    User Manual Section 5: Troubleshooting This section will help diagnose faults that may be experienced on the Energist UltraPlus system. If a fault is encountered that cannot be easily rectified, please contact your local distributor or Energist Ltd on (+44)1792 798768.

  • Page 35: System Will Not Power Up

    Energist UltraPlus VPL™ System User Manual 5.1 System will not power up If the system will not power up after approximately 5 seconds please work through the following flowchart to help resolve the problem. SD1-43 Issue 3 (CCF 296)

  • Page 36: Error Messages

    5.2 Error Messages The following is a list of error messages that may be encountered whilst using the Energist UltraPlus system. These are displayed on the screen using standard Windows dialog boxes. Each error message will appear in the same format as below: The following list explains the error and what action is necessary.
  • Page 37 “9 – Applicator Encryption Fault” Action: Switch off the system. Check connectors are properly inserted. Restart system. If the fault persists, replace with a different Energist applicator. If this does not work call your distributor. “10 – Serial Communications Fault” Message: Action: Switch off the system.
  • Page 38 Energist UltraPlus VPL™ System User Manual “16 – Please Release Trigger Button” Message: Action: Release trigger button and re-try. Attach a different applicator and restart system. If the fault persists, contact your distributor. Message: “17 – Invalid ADC Please Consult Dealer”...
  • Page 39 Energist UltraPlus VPL™ System User Manual distributor. Message: “28 – Self Test : Discharge Fault Detected, Please Reset Machine” Action: Switch off the system and restart. If the fault persists, call your distributor. Message: “29 – Self Test : Flow Fault Detected, Please Reset Machine”...

  • Page 40: Section 6: Introduction To Hair Reduction

    This guide provides the Operator with the necessary introduction to the physiology of hair growth and removal, followed by an explanation as to how the Energist UltraPlus system can achieve good results on Clients. Key to performing successful treatment is a clear understanding of each Client’s skin type and careful selection of the most appropriate system setting to achieve the desired results.

  • Page 41: Hair Growth Cycle

    Energist UltraPlus VPL™ System User Manual The walls of the follicle form the outer root sheath of the hair and the lower part of the follicle widens out to form the hair bulb that contains the germinal matrix, the source of hair growth. Dermal tissue projects into the follicle base to form the dermal papilla, and this has a network of capillary blood vessels to supply oxygen, energy and the amino acids needed for growth.
  • Page 42 Energist UltraPlus VPL™ System User Manual grow. This growth phase continues for a time lasting for as little as several weeks (like the moustache area) or lasting as long as several years (like the scalp area). Depending on the area of the body, gender, hormonal and other factors, growth lasts for varying lengths of time.

  • Page 43: Hair Growth Data

    The Energist UltraPlus system when used with the Depilation Applicator produces Variable Pulsed Light of wavelengths from 610nm to 950nm. Using filtered light from this region of the spectrum will ensure that energy passes into the melanin of the hair without causing damage to the skin or blood vessels.

  • Page 44: Effect Of Melanin In The Skin

    6.7 Definitions of hair & skin types The Energist UltraPlus system is designed to be very flexible in its operation, thereby allowing safe treatments to all Clients from Operators with only a basic knowledge of skin and hair types.

  • Page 45: Treatment Procedure

    Energist UltraPlus VPL™ System User Manual 6.8 Treatment Procedure The treatment area should be free from cosmetic make-up with the hairs slightly protruding above the skin. Cooled gel is then applied to the area in order to provide the required optical coupling and to also maintain cooling on the skin being treated.

  • Page 46: Number Of Shots For Each Treatment Area

    Energist UltraPlus VPL™ System User Manual since the results from the test patch will not be relevant. Test patches must always be carried out on darker skinned Clients (Type 3 and above) since there is a possibility of hypo/hyper pigmentation (a change in the colouring of the treated area), or in cases where there is any doubt about the efficacy of the treatment.

  • Page 47: Number Of Treatment Sessions Required

    Energist UltraPlus VPL™ System User Manual For Men Area Range Average Upper Cheeks 10-20 Nose Full Beard 60-100 Front Neck 20-40 Back Neck 20-40 Shoulders 50-120 Lower Back 70-100 Feet / Hands 10-30 Buttocks 80-200 Chest 100-250 Stomach 30-80 Lower Arms...

  • Page 48: After Care

    Energist UltraPlus VPL™ System User Manual 6.14 After Care Immediately following the treatment session, or at regular intervals in the case of treatment of large areas, soothing gel should be applied to the treated area. Recommended gels include Aloe Vera, Tea Tree or Witch Hazel. These gels have the effect of cooling the area and generally include antiseptic properties to protect the damaged follicle against infections.

  • Page 49: Section 7: Introduction To Skin Therapies

    This section provides the Operator with the necessary introduction to skin rejuvenation, followed by an explanation as to how the Energist UltraPlus system can achieve good results on a range of skin types and conditions. Key to performing a successful and safe treatment is having a clear understanding of each Client’s needs, their skin type and then the careful selection of the...

  • Page 50: Photo-Damaged Skin

    Energist UltraPlus VPL™ System User Manual This guide provides information on the various treatment processes, including the range of system settings available to the Operator. From time-to-time recommended system settings are updated as new information becomes available from on-going Clinical Research.

  • Page 51: Laser Techniques For Skin Rejuvenation

    Energist UltraPlus VPL™ System User Manual It has also been hypothesised that light absorption by target cells also induces cell membrane permeability resulting in a proton influx and dissipation of pH gradients across the cell membrane. This effect, coupled with that of the singlet oxygen species induced by PpIX provides a micro-environment unsuitable for P.

  • Page 52: Classifications

    Energist UltraPlus VPL™ System User Manual Blister formation (vesiculation) is caused by thermal damage induced by the laser when excessive fluences are used or the absorption of laser energy is increased due to the presence of an epidermal chromophore (e.g. melanin in a tan).

  • Page 53: Treatment Process

    (score 7 – 9): 7.6 Treatment Process The Energist UltraPlus system is suitable for full face, neck and chest treatment to improve redness and flushing in addition to the visible signs of sun damage and ageing. Treatments using the Energist UltraPlus include the following: •...

  • Page 54: Treatment Test Patches

    Energist UltraPlus VPL™ System User Manual wavelengths covering 415nm & 630 – 950nm (and also the 530nm – 950nm filter). With UltraPlus VPL™ both short (and potentially harmful) UV wavelengths and longer IR wavelengths (which might cause excessive tissue heating) are...

  • Page 55: Treatment Procedure

    Energist UltraPlus VPL™ System User Manual History of light sensitive rashes Recent sun tan Under taking treatment involving contra-indicated medication More information on criteria for safe treatment is included in the consultation forms supplied. 7.9 Treatment Procedure Read and follow all safety warnings and procedures given in this Manual, ensuring that the correct protective eyewear is being used.

  • Page 56: Aftercare

    Energist UltraPlus VPL™ System User Manual assessed individually, but generally an increase in the amount of melanin in the skin would indicate that a lower energy should be used. 7.12 Aftercare If required, soothing gel may be applied to the treated area. It is...
  • Page 57 Energist UltraPlus VPL™ System User Manual Epidermal Pigmented Lesions Reactions to look for: Protect skin surrounding pigmentation with White card Stinging or heat sensation for client. Erythema around pigmentation should be present Change in colour of pigmentation (speckly and darker) should be present...

  • Page 58: Section 8: Clinic & Client Management

    Energist UltraPlus VPL™ System User Manual Section 8: Clinic & Client Management 8.1 Introduction The Energist UltraPlus system has the capability of a range of effective cosmetic procedures utilising technique known Selective Photothermolysis, or more simply, selective heating through the absorption of light.

  • Page 59: Client's First Contact

    Energist UltraPlus VPL™ System User Manual • Always ensure a prompt & courteous welcome • Always ensure that information on treatments offered and patient information is available • Supply appropriate reading material in the waiting area • Ensure the availability of refreshments •...
  • Page 60 Energist UltraPlus VPL™ System User Manual • Can you show me what it is that bothers you? • When do you expect the results to show? • Did someone originally suggest this procedure to you? • Do you know anyone who has undertaken the procedure? •...

  • Page 61: Client Management - Hair Removal

    Energist UltraPlus VPL™ System User Manual 8.5 Client Management – Hair Removal Hair removal is one of the most basic procedures to perform and will probably provide your clinic with one of the most profitable sources of income. Light based hair removal has been well tested and documented for a number of years by researchers from all over the world.

  • Page 62: Client Management - Skin Therapies

    Energist UltraPlus VPL™ System User Manual • If there is a strong reaction immediately post treatment, cool the area with an ice pack or similar cooling product. (i.e. frozen bag of peas or cold flannel) • If the results are negligible with the 610nm handpiece for fine, blonde or red hairs try using the 530nm handpiece.

  • Page 63: Client Management - Adverse Reactions

    Energist UltraPlus VPL™ System User Manual changes induced may appear minor, and not the dramatic effects that they may have visualised. By reviewing pre- and post-treatment photographs there will be a more noticeable improvement for the client. Treatment Tips: • Ensure skin has no suntan and use of fake tanning products is avoided •...
  • Page 64 Energist UltraPlus VPL™ System User Manual Remove any constrictions Apply a dry sterile dressing Refer to Accident/Emergency unit in local hospital Fill in an adverse incident report including all details Inform manufacturer Anaphylaxis Contact recognised first aid person Seek Emergency Medical Advice immediately...

  • Page 65: Section 9: Treatment Setting Guidelines

    Section 9: Treatment Setting Guidelines 9.1 Introduction The Energist UltraPlus system is designed to be very flexible in its operation, thereby allowing safe treatments to all clients from operators qualified and trained to carry out hair removal or skin therapy treatments. The...

  • Page 66: Hair Reduction

    Once the Patient’s skin type and hair type have been determined, the energy output of the System can be set, ensuring that the Hair Depilation Applicator (610nm) is connected. Whilst the Energist UltraPlus system is capable of a wide range of pulse and pulse delay settings, deviating from the following recommended settings should only be carried out by an experienced Operator and with the consent of the client.
  • Page 67 Energist UltraPlus VPL™ System User Manual Hair Reduction Skin Type Hair Type Pulse Train Energy (J/cm I – One Thin 5.3.1 II – Two Thin 5.3.2 III – Three Thin 5.3.4 IV – Four Thin 5.3.6 V - Five Thin 5.3.8...

  • Page 68: Skin Therapies

    Energist UltraPlus VPL™ System User Manual 9.3 Skin Therapies Using the 530nm Skin Therapy Applicator: The following tables provide the pulse settings for a successful treatment, however, the energies quoted should be used as a guideline and increased or decreased as necessary to gain the required end point.
  • Page 69 Energist UltraPlus VPL™ System User Manual Facial Thread veins Skin Type Vein Type Pulse Train Energy (J/cm I – One Thin 5.3.1 II – Two Thin 5.3.2 III – Three Thin 5.3.3 IV – Four Thin 5.3.4 V - Five Thin 5.3.5...
  • Page 70 Energist UltraPlus VPL™ System User Manual Thread veins on body Skin Type Vein Type Pulse Train Energy (J/cm I – One Thin 5.3.1 II – Two Thin 5.3.2 III – Three Thin 5.3.3 IV – Four Thin 5.3.4 V - Five Thin 5.3.5...
  • Page 71 Energist UltraPlus VPL™ System User Manual Epidermal Pigmented Lesions Skin Type Depth Pulse Train Energy (J/cm I – One Surface 5.3.1 II – Two Surface 5.3.1 III – Three Surface 5.3.1 IV – Four Surface 5.3.4 V - Five Surface 5.3.5...

  • Page 72: Section 10: Information On Drug Induced Photosensitivity

    Energist UltraPlus VPL™ System User Manual Section 10: Information on Drug Induced Photosensitivity There are many forms of medication and products available that can cause the skin to become sensitive to light. These drugs can be taken by mouth or applied to the skin, therefore it is important to ascertain whether the client is currently using these products or undergoing a course of medication.
  • Page 73 Energist UltraPlus VPL™ System User Manual COMMON DRUGS THAT CAUSE PHOTOSENSITIVE REACTIONS LESS OFTEN Drug Name (Common Trade Names) Drug Name ( Common Trade Names) Alprazolam (Xanax) Nifedipine (Procardia, Adalat) Amitriptyline (Elavil, Endep, plus others) Norfloxacin (Noroxin) Benzocaine (Sensorcaine and other numbing...

  • Page 74: Section 11: Clinical Research Synopses

    Published: Journal of the European Academy of Dermatology & Venerology, Vol 22, Issue 3, start page 311, 2008 Professor Knobler has been working with Energist since 2001. He provided the early data on the safety and efficacy of Energist systems for hair removal on 46 patients. He selected patients who were clinically diagnosed with hypertrichosis.
  • Page 75 Study design/material and methods: The Variable Pulsed Light (VPL™) system (Energist Limited, UK) was used with indications on multiple body sites ranging from face, chest, extremities to other locations in 102 otherwise healthy volunteers. The minimum follow up time after the last treatment was 9 months.
  • Page 76 (with 90% of the patients under 1h) which was an expected side-effect. Conclusion: The Energist Ultra VPL™ system is an outstanding method for the treatment of acne vulgaris at every level of severity. Since there is no contraindication, with a few exceptions, this opens up a broad application field for this therapy.
  • Page 77 Conclusions: The use of the Energist Ultra VPL™ system (variable pulsed light) is thus an efficient and useful alternative in the photodynamic treatment of AK where otherwise pain development can be a limiting factor for the performance of PDT.

  • Page 78: Section 12: Glossary Of Terms

    Energist UltraPlus VPL™ System User Manual Section 12: Glossary of Terms This glossary of terms is meant as a reference for some of the most commonly used terminology in the cosmetic surgery field. Abdomen: the soft area between the rib cage and the pubic area. A common area for excess hair, often in a line from the belly button to the pubic hair.
  • Page 79 Energist UltraPlus VPL™ System User Manual Ammonium Thioglycolate: a common ingredient in chemical depilatories. Ampere: a measurement of electrical current. Anagen: the active stage in a hair growth cycle. Analgesic: a substance used to relieve pain. Anaphoresis: the forcing of liquids into skin from the negative to the positive pole.
  • Page 80 Energist UltraPlus VPL™ System User Manual Axilla: the medical term for armpit, a common place for gonadal hair after puberty. Armpit hair is referred to medically as axillary hair. Bacteria: an organism responsible for infection. Barba: medical term for beard.
  • Page 81 Energist UltraPlus VPL™ System User Manual Bruise: a discoloration of skin from blood, sometimes caused by electrolysis, plucking, or waxing. Also known as Purpura. Calamine: a pink ointment sometimes used to treat skin irritation. Calcium Thioglycolate: the active dissolving ingredient in many cream depilatories.
  • Page 82 Energist UltraPlus VPL™ System User Manual Coherent Light: Light that stays focused, a property of lasers. Collagen: a protein that holds all connective tissue together under the skin. Collagen is sometimes damaged by plucking or electrolysis, which can lead to dimpling on the skin.
  • Page 83 Energist UltraPlus VPL™ System User Manual Cuticle: the hard outer part of a hair. Cyst: A closed sac or capsule usually filled with fluid or semisolid material. Danazol: a drug sometimes linked to excess hair growth. Depilation: the temporary removal of hair.
  • Page 84 Energist UltraPlus VPL™ System User Manual Direct Current: also called DC, it is a type of electrical energy that travels in one direction. The other type is alternating current (AC). Direct current is used in the galvanic electrolysis method to cause a chemical reaction in the hair follicle.
  • Page 85 Energist UltraPlus VPL™ System User Manual Electrology: the practice of hair removal through the use of electrified needles, invented in the 1870’s. Electrologist - a practitioner of electrology. Electrolysis: in hair removal, the practice of epilation with electrified needles. Electrolysis was originally the name for hair removal with direct current only (also called galvanic), although the term is generally applied to all three modalities of epilation with an electrified needle.
  • Page 86 Visual impairment and airway obstruction may cause significant problems. Small, proliferate lesions may be successfully treated with the Energist ULTRA™. The system may arrest proliferation, induce involution and assist in healing ulcerated areas. Large haemangiomas may require surgical and pharmaceutical intervention.
  • Page 87 Energist UltraPlus VPL™ System User Manual Joule: A unit of energy. Describes energy output for pulsed light based systems. J/cm : Joules per square centimetre Keloids: a type of raised darkened scar, more common with dark skin. Due to a defect in the healing process.
  • Page 88 Energist UltraPlus VPL™ System User Manual Open Pores: Age and sun damage can aggravate open pores on the face. The Energist UltraPlus system can help improve the skin’s texture. Outer Root Sheath: a soft thin layer surrounding the lower two-thirds of a hair.
  • Page 89 Ulcer: An area of tissue erosion. They are always depressed and are due to irritation. They may become infected and inflamed as they grow. VPL™: Variable Pulsed Light, trademark of Energist Ltd, and describes the output from their range of systems, in terms of a precisely controlled sequence of pulses of light.
  • Page 90 Energist UltraPlus VPL™ System User Manual Verruca (warts): Benign tumours of epidermal cells induced by the human papillomavirus. They occur in about 10% of adults and children. Vesiculation: Blister formation caused by thermal damage. Wrinkles: Due to decreased amounts and alteration of dermal collagen.

  • Page 91: Generic Consultation Forms

    Energist UltraPlus VPL™ System User Manual APPENDIX A Generic Consultation Forms NOTE Forms: The following are generic examples of the forms that you may require to provide safe and effective treatment procedures. These can be adapted and customised to suit your clinic and provide the basis for a comprehensive client management system.
  • Page 92 Any adverse reactions to test patch …………………. If yes, list …………………. ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… Number of people present ………………….. Names of people present ………………….. ………………….. ………………….. ………………….. ………………….. ………………….. Any skin observations to note Energist Ltd. test-patch consent form SD1-43 Issue 3 (CCF 296)
  • Page 93 Energist UltraPlus VPL™ System User Manual All persons receiving a test-patch are required to fill out the following form – please include date and signature Are you taking medication that may make your skin photosensitive? □ Yes □ No If Yes, what type? A list of the more common medications which may cause photosensitivity is available from the consultant.
  • Page 94 Energist UltraPlus VPL™ System User Manual Health History Form ___________________Clinic Client Number: Address: Client Name: Date of Birth: Tel: Doctors Name: □ □ Sex: Male Female Operators Name: Date: Please answer the following questions: Skin Type □ □ □ □...
  • Page 95 Energist UltraPlus VPL™ System User Manual Are you taking medication that may make your skin photosensitive? □ □ No If Yes, what type? A list of the more common medications which may cause photosensitivity is available from the consultant. If you are on a course of medication, it is advisable to bring along the data sheet enclosed with the medication to be checked for contra-indications prior to treatment.
  • Page 96 Energist UltraPlus VPL™ System User Manual Hair Removal Consultation Form Client Number: Notes: Client Name: Date of Treatment: Operators Name: Date: Please answer the following questions: Natural Hair Colour □ □ □ □ □ Black Brown Dark Blonde Dark Auburn Grey □...
  • Page 97 I understand that the procedure is an elective cosmetic procedure and herby acknowledge the following 1. I understand that the extent of hair removal by the Energist ULTRA VPL™ varies from person to person and therefore the response to treatment can also vary. Although, in the ideal patient the Energist ULTRA VPL™...
  • Page 98 Energist UltraPlus VPL™ System User Manual Skin Rejuvenation Consultation Form Client Number: Notes: Client Name: Date of Treatment: Operators Name: Date: Please answer the following questions: Skin Type □ □ □ □ □ Oily Normal Patchy Sensitive □ □ □...
  • Page 99 I understand that the procedure is an elective cosmetic procedure and herby acknowledge the following:- 1. I understand that the extent of rejuvenation by the Energist ULTRA VPL™ varies from person to person and therefore the response to treatment can also vary.
  • Page 100 Energist UltraPlus VPL™ System User Manual Area Treated: Date: Settings: SD1-43 Issue 3 (CCF 296)
  • Page 101 Energist UltraPlus VPL™ System User Manual Anatomical Location for Hair Removal/Skin Rejuvenation – please delete as applicable Patient name: Area Treated: Date: Settings: SD1-43 Issue 3 (CCF 296)
  • Page 102 Energist UltraPlus VPL™ System User Manual Treatment Record: Treatment Description and Location Patient Name: Consult Date: Treatment Date & Area: SD1-43 Issue 3 (CCF 296)
  • Page 103 Energist UltraPlus VPL™ System User Manual Photo Consent Form I, the undersigned, hereby give the treatment facility and its clients or agents permission for use of photographs taken of me, provided reasonable measures are taken to protect my identity. I understand these photographs may be used for either teaching or publication purposes and may include: 1.
  • Page 104 Energist UltraPlus VPL™ System User Manual Post-Treatment Care Advice The following information is a guideline that will help ensure that the treatment is a success and that the chances of any unwanted side-effects are minimised. Hair Removal 1. The area treated can be red and warm for a few hours after treatment.
  • Page 105 Patient Information Leaflet Energist ULTRA™ Variable Pulsed Light System The Energist UltraPlus system is the most advanced hair removal & skin rejuvenation product available. Utilising state-of-the-art Variable Pulsed Light (VPL™) technology, the ULTRA™ System can be set-up to ensure the optimal parameters to provide a safe, fast and effective treatment for every individual.
  • Page 106 Energist UltraPlus VPL™ System User Manual Treatment Process After a full consultation with a trained therapist, a comprehensive treatment programme can be developed to match your needs and requirements. Depending upon which treatments are to be undertaken the basic procedure will stay the same: the area to be treated will be prepared and the applicator head will be stepped across to ensure complete coverage.
  • Page 107 Energist UltraPlus VPL™ System User Manual Basic Local Rules Local rules for the safe use of the Energist ULTRA™ VPL System 1. A local safety supervisor must be appointed. 2. The keys to the system may only be issued to authorised people.
  • Page 108 Energist UltraPlus VPL™ System User Manual Accident Reporting Form Reference Number: ___________________________________ Date of Accident: __________________________________________ Operator: ____________________________________________ Brief notes on Nature of Accident: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ Action Taken: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ Signed: ____________________________(Safety Supervisor)
  • Page 109 Energist UltraPlus VPL™ System User Manual Duties of the Safety Supervisor 1. To ensure that the system is only used as specified in the local rules and operators manual. 2. To implement any clinic registration requirements as required. 3. To report any adverse incidents to the Clinic Managers.

  • Page 110: Hair Removal Data Sheets

    INDEMNITY: The information given below is designed purely as a guide for people using an Energist system for Hair Removal. It is always advised that initial test patch/treatment shot should be carried out prior to treatment. The pulse types, energies and number of shots given below are purely a guide to the setting ranges that are commonly used for each area –...
  • Page 111 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Abdomen Area to be treated 0.3mm per day Typical growth rate 16 weeks Typical Anagen duration 14 weeks Typical Telogen duration Typical % of hairs in Anagen...
  • Page 112 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Underarms (Armpits - Axilla) Area to be treated 0.3mm per day Typical growth rate 16 weeks Typical Anagen duration 12 weeks Typical Telogen duration...
  • Page 113 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Back Area to be treated 0.3mm per day Typical growth rate 16 weeks Typical Anagen duration 14 weeks Typical Telogen duration Typical % of hairs in Anagen...
  • Page 114 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Area to be treated Beard (male) Typical growth rate 0.42mm per day Typical Anagen duration 52 weeks Typical Telogen duration 10 weeks...
  • Page 115 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Bikini Area to be treated 0.3mm per day Typical growth rate 10 weeks Typical Anagen duration 12 weeks Typical Telogen duration Typical % of hairs in Anagen...
  • Page 116 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Breast (female) Area to be treated 0.3mm per day Typical growth rate 16 weeks Typical Anagen duration 12 weeks Typical Telogen duration...
  • Page 117 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Chest (male) Area to be treated 0.3mm per day Typical growth rate 16 weeks Typical Anagen duration 14 weeks Typical Telogen duration...
  • Page 118 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Forearms (female) Area to be treated 0.22mm per day Typical growth rate 8 weeks Typical Anagen duration 18 weeks Typical Telogen duration...
  • Page 119 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Lower Leg Area to be treated 0.23mm per day Typical growth rate 16 weeks Typical Anagen duration 24 weeks Typical Telogen duration...
  • Page 120 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Top lip/chin (female) Area to be treated 0.4mm per day Typical growth rate 16 weeks Typical Anagen duration 6 weeks Typical Telogen duration...
  • Page 121 Energist UltraPlus VPL™ System User Manual Energist Limited Hair Reduction Data Sheet – Use with Energist Products Only Upper Leg Area to be treated 0.22mm per day Typical growth rate 16 weeks Typical Anagen duration 24 weeks Typical Telogen duration...
  • Page 122 Energist UltraPlus VPL™ System User Manual Appendix C Guidance and manufacturers declaration – EMC Topics Guidance and manufacturer’s declaration – electromagnetic emissions UltraPlus is intended for use in the electromagnetic environment specified below. The customer or the user of the system should assure that it is used in such an environment.
  • Page 123 Energist UltraPlus VPL™ System User Manual Guidance and manufacturer’s declaration – electromagnetic immunity UltraPlus is intended for use in the electromagnetic environment specified below. The customer or the user of the system should assure that it is used in such an environment.
  • Page 124 Energist UltraPlus VPL™ System User Manual Recommended separation distances between portable and mobile RF communications equipment and the UltraPlus system The UltraPlus is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the UltraPlus system can help...

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