CONTENT 1) Laser safety..............4 Safety instructions............5 2) Basics of laser application..........6 3) Application..............7 Indications / Contraindications........7 Technique..............7 Pre-treatment tests............8 Treatments..............8 Therapy indications............8 Endocoagulation............8 Retina coagulation by indirect ophthalmoscope .....9 Methods in case of unwanted effects......10 Treatment related issues..........10 Behavior in case of a system error.........10 Treatment parameters..........11 Page 3 of 12...
Laser safety Laser radiation emitted by the FOX laser can cause severe damage to the pa- tient as well as to the user and third persons accompanying the laser use. The FOX laser is classified in the laser class IV. This means that the radiation can cause damage when it is directly applied to any tissue and also if the radiation is scattered or reflected.
To avoid any injuries it is important to follow the laser safety instructions: 1. Any user of the Fox laser system has to be trained by A.R.C. Laser autho- rized personal or by someone trained by A.R.C. Laser authorized personal.
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, scat- tered or reflected by the tissue. Air has only little influence on the FOX radia- tion and therefore the interaction between air and the FOX radiation can be neglected.
· coagulation of bleeding retinal sur- face neovascularization The use of the FOX 514 in combination with a Laser indirect Ophthalmoscope (LIO) is possible and offers a very mobile treatment option. The FOX 514 (battery driven!!) and the Keeler LIO (battery driven!!!) are both easily trans-...
Pre-treatment tests The FOX laser does an automatic internal testing on the power output before the device can be used. Keep an eye on the system components. Especially take a look on the fiber delivery: The spot shown by the aiming beam should always be round and defined, no scattering should occur.
hand piece single use LL13006s (23 G, straight) LL13010s (25 G, straight) LL13025s (23 G, curved 30°) LL13015s (25 G, curved 30°) LL11057s (23 G, 0-20°,flexible) Retina coagulation by indirect ophthalmoscope Photocoagulation for the retina with indirect ophthalmoscope can be user for mobile application (LIO and laser work with battery!!) and in very special cas- es also for the Retinopathy of Prematurity (ROP) treatment.
Methods in case of unwanted effects The application of laser radiation can cause vaporization if the energy density is high enough. This may result in unwanted tissue fragmentation (cutting). Tissue fragmentation instead of coagulation can occur if the surgeon applies laser radiation at the same position for a too long time, the same as with too much power.
In case of any insecurity or questions please contact your local A.R.C. Laser representative. Treatment parameters Endocoagulation hand piece power [W] [ms] pulse off [ms] pulse on LL13006s 0,2 – 0,4 200 (150 - 250) LL13009s 0,2 – 0,4...
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