MultiPulse PRO - CO 2 Laser -

Transcription

1 MultiPulse PRO - CO 2 Laser -

2 Specifications Laser: CO 2 RF-PSD, class 4 Wavelength: Power: Pulse duration: Pulse modes: Handpieces: Accessories*: Display: Dimensions: Weight: 10,600 nm Max. 40 W or Max. 60 W s SP, UP, HP, DP, CW Handpieces with different focal lengths and spot sizes of mm Ø available (depending on power and handpiece) HiScan DOT for dermatology HiScan SURG for surgery Micromanipulator EasySpot for surgery EndoScan for surgery 8.4 LCD with Touchscreen 55 cm x 49 cm x 112 cm (W x D x H) without arm approx. 68 kg * optional available MP PRO EN 2

3 Experiences and Features Clinical success In 1998, Asclepion launched its first CO 2 laser system. Asclepion is the only laser manufacturer, who has been offering both Er:YAG and CO 2 lasers in its portfolio since the 90s and is always offering the optimum solution for its customers. More than 20 years experience Features Max. 60 watts of power Numerous treatment modes Various handpieces for DERMA Numerous accessories for surgery Scanner for full and fractional ablation PSD technology for optimal pulse Spring-balanced articulated mirror arm Smoke evacuation system optional available MP PRO EN 3

4 Modern design Elegant, mobile and space-saving spring-balanced articulated mirror arm easy to transport (arm can be folded down) no consumables MP PRO EN 4

5 Easy user interface 8.4 LCD with Touchscreen High brightness and contrast for better visibility Large buttons and icons for easy use One screen for all necessary information User database for individual treatments Indication-based database Database Free Hand menu Scanner menu MP PRO EN 5

6 Handpieces The handpieces with the different optics allow an optimal adaptation to the needs of the doctor. All handpieces can easily be changed, cleaned and sterilised. Focus 1.5 Ø mm* Optics Spacer for 1.5 and 2 Focus 2 Ø mm* Focus 4 Ø mm* Focus 7 Ø mm* Focus Ø 1.5 mm* Ø 2 mm** Handpiece Spacer for 4, 7 and collimated ( ) MP PRO EN * Spot 63% of output power ** Spot 83% of output power 6

7 Handpieces The handpiece with the different tips is tailored to the various disciplines areas. Straight tip with backstop Straight tip 120 Tip 90 Tip with handpiece 5 (spot size Ø mm) MP PRO EN 7

8 HiScan SURG for ENT, gynecology* The scanner HiScan Surgical is used for surgical applications. Simple and intuitive functions guarantee speed of action and perfect compatibility to the majority of colposcopes and microscopes. Max. Scanning Area Dwell Time Ablation Depth Scanning Modes Scanning Shapes Emission Mode 6.3 mm x mm EFL From 0.1 ms to 45 ms (power mode) From 0.2 μm to 2 mm (depth mode) Power mode and depth Mode Point and line Arcs of circles up to full circle Spiral Hexagon (progressive and interlaced) Ellipsoid Continuous Wave (cw) Ultimate Pulse (UP) MP PRO EN * optional for surgical model 8

9 Micromanipulator for ENT, gynecology* The MultiPulse PRO features an innovative micromanipulator EasySpot for microsurgery that combines holographic lenses and mirrors in a unique way - hybrid technology and laser optics at the highest level. Optical Technology Spot Size Operative 400 mm EFL Joystick control Focal Length: from 200 mm to 400 mm Min. 140 μm (200 mm EFL) Max. 4.5 mm (400 mm EFL) Min. 20 x 18 mm Max. 55 x 40 mm Rotation and size of the ablation figure, Scan-ON / Scan-OFF, fine-tune of the centering MP PRO EN * optional for surgical model 9

10 EndoScan for gynecology, general surgery* The scanner system EndoScan is for ENT, laparoscopic gynaecological surgery and general surgery. Max. Scanning Area Dwell Time Ablation Depth Scanning Shapes Emission Mode 5 mm x mm EFL 6.3 mm x mm EFL From 0.1 ms to 1 ms From 0.2 mm to 2 mm Point (Cut mode), Circle, Clover Continuous Wave (cw) Ultimate Pulse (UP) MP PRO EN * optional for surgical model 10

11 HiScan DOT for dermatology The HiScan DOT is the ideal scanner for dermatological applications and can work full ablative as well as fractional. Scan size Pitch (Spacing) Dwell Time Modes Emission 15 mm x 15 mm 0 2,000 µm, in 50 µm steps 100 2,000 µs, in 100 µs steps Normal, Interlaced, SmartTrack SP, DP, HP, CW MP PRO EN 11

12 HiScan DOT for dermatology The MultiPulse PRO with the Scanner DOT enables a precise selection of all treatment parameters, so that all types of aesthetic and dermatological treatments can be carried out in the most efficient way, which facilitates the postoperative recovery of the patient. Mode ABLATION Pitch (Spacing) = 0 (full ablation) Mode FRACTIONAL Pitch (Spacing) = µm (fractional ablation) MP PRO EN 12

13 Power (kw) Power (kw) Power (kw) HiScan DOT PSD technology Ablation S-pulse D-pulse H-pulse Ablation Ablation Thermal effect Thermal effect Pulse duration (ms) Pulse duration (ms) Pulse duration (µs) The exclusive Pulse Shape Design technology provides maximum flexibility of the pulse shape: S-pulse, D-pulse, H-pulse and the CW mode significantly expand the treatment options of the MultiPulse PRO. This allows for an always perfect adaptation of the ablation and thermal denaturation effects to the needs of the patient. MP PRO EN 13

14 HiScan DOT SmartStack The SmartStack feature guarantees maximum precision in controlling skin penetration and thermal effects by allowing subsequent pulse emissions from 1 to 5 to be varied at the same point (DOT). This makes therapy with the MultiPulse PRO safer and more effective compared to other pulsed lasers. This leads to faster recovery times and increases patient comfort. MP PRO EN 14

15 HiScan DOT Penetration depth 0 µm 100 µm 200 µm HP Erbium SP 300 µm HP Ultrapulse 400 µm DP Single micropulse (Stack 1) The MultiPulse PRO with the HiScan DOT is a high performance CO 2 fractional system that can give consistent ablation channels to over 1 mm in depth. The depth is correlated with peak power and pulse width. MP PRO EN 15

16 HiScan DOT Scanning shapes Ratio 10/10 8/10 6/10 4/10 10/10 8/10 6/10 4/10 Rectangle Triangle Hexagon Parallelogram Line Point Standard Fractional MP PRO EN 16

17 HiScan DOT Scanning modes Normal Interlaced Autofill Start already lasered need to be lasered In Normal mode, the area is treated by scanning the lines from left to right and then from right to left. In Interlaced mode, the odd and even lines are scanned alternately. This mode is advisable for reducing the thermal effects during treatment. In SmartTrack mode, the area is treated, scanning the dots with random order. This minimizes the tissue overheating and then the thermal damage. MP PRO EN 17

18 HiScan DOT Coverage Percentage of treated skin dependent on pitch The scanner offers 38 density levels ranging from 2% to 100% Variable thermal pulse modulation of each single DOT ( ms in 100 µs steps) Personalized parameters tailored to the individual needs of each patient Pitch* Density 1.7% 2.8% 5.3% 8.0% 10.7% 13.3% 17.1% 22.5% 31.8% 100% * Pitch (Spacing) can be varied by 50 µm increments; Pitch = 0 is for full resurfacing only 2000 µm 1500 µm 1000 µm 500 µm MP PRO EN 18

19 Selective absorption Desoxy-Hemoglobin Absorption Coefficient [cm -1 ] Protein Oxy-Hemoglobin Melanin Water Scattering Wavelength [nm] MP PRO EN 19

20 Epidermis Epidermis CO 2 vs. Er:YAG Ablation (Vaporization) Necrosis Warming CO 2 Er:YAG* Penetration depth in water 20 µm 1 µm Ablation depth per pulse µm 5-50 µm Range of thermal injury µm µm Histological effect Safety of treatment Precision of treatment Thermal effects Coagulation-crater around the ablated area (necrosis, deep thermal effect) Necrosis makes control of ablation depth difficult Treatment is not restricted to the epidermis because of thermal effect Collagen shrinkage because of thermal effect is maintained, cutting without bleeding Precise and safe ablation (limited thermal effect) High visibility of treatment range, ablation depth can easily be controlled Superficial ablation of epidermal lesions Very limited thermal effect Wound healing longer wound healing due to necrosis areas Short healing process Patient comfort High patient impairment Anesthesia indispensable Higher risk of side effects (scarring, hyperpigmentation) * short pulses Low patient impairment Mostly no anesthesia required Low risk of side effects for epidermal treatments MP PRO EN 20

21 Indications Removal of dermal and epidermal lesions Actinic precancers, Cheilitis actinica, epidermal nevi, Seborrheic keratosis, papillom. dermal nevi, (benign) lentigines, Xanthelasma Fractional laser therapy Wrinkles, acne scars MP PRO EN 21

22 Indications Dermablation - Handpiece Fibroma before during treatment 3 weeks after Xanthelasma before immediately after 3 weeks after MP PRO EN By courtesy of Dr. K. Kykalova, Prague, Czech Republic 22

23 Indications Dermablation - Handpiece Naevus Naevocellularis Cave: Histologically confirmed diagnosis; long term follow up necessary! MP PRO EN By courtesy of Dr. K. Kykalova, Prague, Czech Republic 23

24 Indications Dermablation - Handpiece Naevus verrucosus MP PRO EN By courtesy of Dr. K. Kykalova, Prague, Czech Republic 24

25 Indications Dermablation - Handpiece Naevus verrucosus MP PRO EN By courtesy of Dr. K. Kykalova, Prague, Czech Republic 25

26 Indications Dermablation - Handpiece Rhinophyma MP PRO EN By courtesy of Dr. Andreas Ott, Rehau, Germany 26

27 Indications Dermablation - Handpiece Rhinophyma MP PRO EN By courtesy of Dr. Andreas Ott, Rehau, Germany 27

28 Indications Dermablation - Handpiece Naevus sebaceus CO 2 -Laser MP PRO EN By courtesy of PD Dr. Peter Arne Gerber, Dept. of Dermatology, University Hospital Dusseldorf, Germany 28

29 Indications Dermablation - Scanner Cheilitis actinica MP PRO EN By courtesy of PD Dr. Peter Arne Gerber, Dept. of Dermatology, University Hospital Dusseldorf, Germany 29

30 Indications Fractional laser therapy MP PRO EN 30

31 Indications Fractional - Scanner Elastose rejuvenation MP PRO EN By courtesy of Dr. Andreas Britz, Hamburg, Germany 31

32 Indications Fractional - Scanner OP scar MP PRO EN By courtesy of Dr. Andreas Britz, Hamburg, Germany 32

33 Indications Fractional - Scanner Acne scars MP PRO EN By courtesy of Dr. Andreas Ott, Rehau, Germany 33

34 Indications Fractional - Scanner Acne scars MP PRO EN By courtesy of Dr. Andreas Ott, Rehau, Germany 34

35 Indications Fractional - Scanner Accident scar MP PRO EN By courtesy of Dr. Andreas Ott, Rehau, Germany 35

36 Indications Fractional - Scanner Skin rejuvenation MP PRO EN By courtesy of Dr. Wood and Dr. Elvers, Bad Homburg, Germany 36

37 Indications Fractional - Scanner Skin rejuvenation MP PRO EN By courtesy of Dr. Wood and Dr. Elvers, Bad Homburg, Germany 37

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