Related Manuals for A.R.C. Laser C-LAS
Summary of Contents for A.R.C. Laser C-LAS
- Page 1 ENT, Surgery, Aesthetics Application manual for the C-LAS laser wavelength 10,600 nm...
- Page 2 Bessemerstr. 14 90411 Nürnberg phone: +49.911.21779-0 fax: +49.911.21779-99 info@arclaser.de www.arclaser.de WARNING For your own safety follow all guidelines for handling the equipment and follow the safety instructions in this manual. © 2 0 1 0 A .R.C . Las er GmbH all rights res erved. N ames other here named c arrier c ompanies or produc ts are trademarks theirs res pec tive holder of rights .
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Page 3: Table Of Contents
CONTENT 1) Laser safety..............4 Safety instructions............5 2) Basics of laser application..........6 3) Application..............8 Indications / Contraindications........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... -
Page 4: Laser Safety
The C-LAS laser is classified in the laser class IV. This means that the radi - ation can cause damage when it is directly applied to any tissue and also if the radiation is scattered or reflected. -
Page 5: Safety Instructions
To avoid any injuries it is important to follow the laser safety instructions: 1. Any user of the C-LAS laser system has to be trained by A.R.C. Laser au- thorized personal or by someone trained by A.R.C. Laser authorized per- sonal. -
Page 6: Basics Of Laser Application
The intended effect of the laser application is based on the interaction of the radiation with the tissue components. The laser radiation is absorbed, scattered or reflected by the tissue. Air has only little influence on the C-LAS radiation and therefore the interaction between air and the C-LAS radiation can be neglected. - Page 7 To avoid extended collateral damage (carbonisation and coagulation) at the cutting edges 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.
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Page 8: Application
· excision of tissue (e. g. tumors) 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. -
Page 9: Alternative Application In Aesthetics And Ent
Alternative application in aesthetics and ENT The C-LAS laser is available with two different delivery systems, 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. -
Page 10: Waveguide System
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 application is possible via a radiation and small hand piece. -
Page 11: Assembling
This means, that the user has to make sure that after the sterilization pro- cess there is enough time for the parts to dry out or actively dry the material. In case of water inside the insert, which may also result from water in the UHP while positioning the insert, the CO laser radiation may be blocked. -
Page 12: Pre-Treatment Tests
Pre-treatment tests The C-LAS laser does an automatic internal testing on the power output be- fore the device can be used. Keep an eye on the system components. Espe- cially take a look on the waveguide (waveguide version) and hand pieces: the spot shown by the aiming beam should always be round and defined, no scat- tering should occur (waveguide version only with focusing hand piece). -
Page 13: Behavior In Case Of A System Error
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. -
Page 14: Treatment Parameters
Treatment parameters Treatment parameters shown in this manual can only be an advice. The data is based on average values generated by our multiple C-Las users. Continuous mode causes more haemostasis and more extended collateral damage (higher effective power, faster, more efficient cutting), pulsed mode reduces collateral damage (less effective power, slower, less efficient cutting). - Page 15 Articulated arm (AA) Hand piece [HP] / Power Frequency Treatment [Hz] Micromanipulator Fokussier-HS 2 - 30 In focus: cut defocus: coagulation Fokussier-HS 4 - 30 In focus: cut defocus: coagulation (better: cw mode!) In focus: cut Micromanipulator 2 - 15 defocus: coagulation In focus: cut Micromanipulator...
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Page 16: Applications
Applications ENT: Cutting and removal/ Vaporization: Laser settings for ENT Power Frequency Delivery system Treatment [Hz] + hand piece Program-Nr. Laser mode Cut with spot beam and WG + Scanner 5, P1 SCAN max. 14 seconds Removal / vaporizing, dura- WG + Scanner 13, P10 SCAN... - Page 17 Gynecology: Articulated arm + colposcope: Laser settings for gynaecology Power Frequency Hand piece Treatment (Watt) (Hz) In focus: cut colposcope 8 - 30 defocus: coagulation Page 17 of 20...
- Page 18 Aesthetic/ skin treatments: Articulated arm (AA) or waveguide (WG) + scanner: Laser settings for aesthetic/ skin treatments Power Frequency Delivery system Treatment [Hz] + hand piece Program-Nr. Lasermode Lesions removal, AA + Scanner 25, P1 SCAN Fast removal Lesions removal, AA + Scanner 25, P2 SCAN...
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