The New Standard in Laser Surgery

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1 The New Standard in Laser Surgery

2 Perform at a Higher Level Alma Lasers' CO 2 is a high powered surgical laser that brings unparalleled precision and innovation to the surgical field. Supporting a wide variety of rollers, surgical tools and adaptable to all existing operating colposcopes, Alma CO 2 improves treatment results and opens the door to new possibilities in surgical care. With over a decade of proven leadership in laser technology, Alma Lasers' CO 2 surgical laser is dictating the new standard in precision and innovation. + Control of depth of penetration + Layer-by-layer ablation + Adjustable treatment patterns + Precision + Safety + User friendly interface + Minimum invasiveness + Multiple applications: ENT, gynecology, dermatology

3 Introduction Innovation Control Precision Ear, Nose & Throat Gynecology Dermatology Smart Device Specifications About Alma Lasers

4 New Standard for Precision, Versatility and Ease-of-Use In a science where the slightest advantage can provide countless therapeutic benefits, Alma Lasers' CO 2 raises the standard of care with a higher level of precision and treatment control. Control laser dwell time, shape patterns and power density in every point of the treatment area, while performing layer-by-layer char-free ablation, vaporization and excision. + Easier and faster treatment + Greater patient comfort + Suitable for multiple surgical applications + Less complications for the surgeon and fewer side effects for the patient + Innovative smart micromanipulator with built-in scanner: You no longer need to remove eyes from the microscope ocular + Char-free tissue ablation + Velocity setup capabilities + Pre-programmed parameters and patterns + Suitable for a wide range of surgical applications ENT, gynecology and dermatology

5 We redefine the meaning of laser precision

6 High-tech for Surgeons The non-charring Alma CO 2 laser minimizes risks and side effects while maximizing clinical efficacy + Clinically proven + Up to 70W peak power + RF excited Coherent tube + Supports widest array of surgical tools + Greater treatment control and precision + Reduces patient discomfort and quickens healing process

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8 Laser Precision, Ultimate Control RoboScan When your patient s wellbeing is at stake, and absolute concentration is of the essence, RoboScan allows you to perform new surgical maneuvers without ever having to lose sight of the treatment area. RoboScan is the world s first micromanipulator and built-in scanner that comes with an electronic joystick. The highly accurate and intuitive joystick connects to nearly all colposcopes and microscopes, and controls all treatment parameters. Choose your scanning patterns

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10 Cut & Coagulate Simultaneously for Perfect Control Operate at a higher level with dual cutting & coagulation pulse Alma CO 2 is the world s first surgical laser to combine cutting and coagulation into a single pulse setting. With this added control and versatility, it is now possible to obtain optimal results for char-free tissue abaltion, vaporization, excision, incision and tissue hemostasis.

11 W New Blended Cut & Coagulate Mode Power Time T Coagulate Pulse Cut Pulse

12 Next Generation Laser Precision LiteScan LiteScan is a handheld CO2 scanner that offers char-free tissue ablation with multiple scanning patterns. + Vaporization layer-by-layer + Ease-of-use + Versatility + Precision + Control + Performance Scanning Patterns Depth Control & Precision

13 CO2 Surgical Applicators 50 mm focal distance handpiece; delivers a spot size of mm diameter. 100 mm focal distance handpiece; delivers a spot size of 0.20 mm diameter. 200 mm focal distance handpiece; delivers a spot size of 0.30 mm diameter.

14 Ear, Nose & Throat Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal and/or treatment of: Applications Ear surgery: + Myringotomy/Tympanostomy (tympanic membrane fenestration) + Stapedotomy and stapedectomy Nose and paranasal sinus surgery: + Turbinectomy and turbinate reduction/ablation + Removal or reduction of polyps + Removal of papillomas Laryngeal surgery: + Treatment for recurrent laryngeal papillomatosis + Resection or evaporation of Leukoplakia + Phonosurgery for vocal cord polyps, nodules and cysts + Resection of benign and malignant tumors from the larynx + Cordectomy or cordotomy Laser Nasal Probe Nasal Applicator 200 mm

15 Pharyngeal surgery + Tonsillectomy & Tonsillotomy + Uvulopalatoplasty (LAUP, laser UPPP) + Resection or evaporation of Leukoplakia + Resection of benign or malignant tumors Other applications + Removal of Lymphangioma + Removal of lesions from trachea and bronchial tree Nasal Kit

16 Gynecology Vaporization, incision, excision, ablation, or photocoagulation of soft tissue in endoscopic and laparoscopic surgery, including GYN laparoscopy, for treatment of: Applications + Ovarian fibromas and follicle cysts + Uterosacral ligament ablation + Uterosacral ligament ablation + Hysterectomy + Endlometrial lesions, including ablation of endometriosis + Excision/lysis of adhesion + Salpingostomy + Oophorectomy / ovariectomy + Metroplasty + Microsurgery (tubal) + Myomas and fibroids Laser incision, excision, ablation and/or vaporization of soft tissue in for the treatment of: + Conization of the cervix, includin~g cervical intraepithelial neoplasia (CIN), vulvar and vaginal intraepithelial neoplasia (VIN, VAIN) + Condiloma acuminate, including cervical, genital, vulvar, perineal, and Bowen s disease, (Erythroplasia of Queyrat) and Bowenoid papulosa (BP) lesions

17 + Leukoplakia (vulvar dystrophies) + Incision and drainage (I&D) of Bartholin s and nubuthian cysts + Herpes vaporization + Urethral caruncle vaporization + Cervical dysplasia + Benign and malignant + Hemangiomas

18 Dermatology Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal and/or treatment of: Applications + Cutaneous horns + Solar/actinie elastosis + Keratoses, including actinic and seborrheic keratosis, seborrhoecae vulgares, seborrheic wart, and verruca seborrheica + Acne scars + Surgical scars + Vermillionectomy of the lip + Lentigines, including lentigo rnaligna or Hutchinson s malignant freckle 7*1 Roller Applicator 7*7 Applicators 9*9 Applicators

19 + Hemangiomas (including Buccal, port wine and pyogenic granulomas/granuloma) + Removal of small skin tumors, including periungual (Koenen) and subungual fibromas Skin Diagram + Rhinophyma reduction + Cutaneous papilloma (skin tags* FDA cleared indication)

20 LiteScan Handheld CO 2 scanner that offers char-free tissue ablation with multiple scanning patterns. RoboScan RoboScan is a micromanipulator with an integrated high accuracy avionic scanner. Combined with a high powered CO 2 laser system, it includes a user interface with pre-set pattern recommendations giving the surgeon many more flexible pattern abilities. Applicators 7*7 handle 9*9 handle 50mm, 100mm, 200mm

21 Technical Specifications + Power: 30W, 40W, 70W + Velocity: Char-free ablation setup + Scanning modes: Perimeter, grid, spiral + Density: Determines the interval between grids + Scanning Shapes: Point, line, circular curves, square, spiral + Spot Size: Min. 200 μm + Working distance (CVD): 280mm, 330mm, 390mm, 440mm + Scanner size, rotation and location: controlled by digital joystick + Adaptable to most surgical microscopes and colposcopes

22 The user-friendly graphic display provides step-by-step operating instructions, and shows the correct accessories and operating patterns Smart User Interface

23 The user-friendly graphic display provides step-by-step operating instructions, and shows the correct accessories and operating patterns Smart User Interface

24 Alma CO 2 System Description Output Delivery System Scanners Laser Type Sealed-off, RF-excited CO2 laser Beam Delivery System Lightweight, carbon fiber, 7-joint, spring-balanced articulated arm LiteScan Scanner hand piece Laser Type 10,600 nm, infrared RoboScan Digital electronic joystick control Micro manipulator Working distance (CVD) 280mm, 330mm, 390mm, 440mm CW (Continuous Wave) Mode Pixel Hand pieces Operation & Control Laser Output Power Up to 30 Watts (30W model system) 7 x 7 Pixel hand piece System Control Fully computerized, microprocessor based Up to 40 Watts (40W model system) 9 x 9 Pixel hand piece User Interface High-resolution, color LCD display with touch-screen technology Up to 70 Watts (70W model system) Focusing lens splits laser beam, creating controlled pattern Modes of Operation Surgical Focusing Hand pieces Electrical Requirements Continuous, pulse, repeat and super pulse mode Focal Distances 50 / 100 / 200 mm VAC, 15A, 50/60 Hz, single phase Spot Size 125 µm (0.125 mm) to 200 µm (0.25 mm) VAC, 8A, 50/60 Hz, single phase

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26 About Alma Lasers Alma Lasers develops the widest range of high performance laser, light-based, dieelectric heating and ultrasound platforms for surgical, dermatologic and aesthetic applications. For over a quarter of a century, surgeons and medical practitioners worldwide have been relying on the ingenuity and thought leadership of the scientists at Alma Lasers. Our global success is based on our hands on experience in lasers and light-based medical technology, our laser-like focus on R&D and product innovation, our rapid response to evolving industry demand, and the partnerships we build with the surgeons and medical practitioners who use our products. Please contact us for more information: contact@almasurgical.com

27 US Headquarters 485 Half Day Road Suite 100 Buffalo Grove, IL Tel Fax International Headquarters 14 Halamish Street Caesarea Industrial Park Caesarea, Israel Tel Fax Alma Lasers, Ltd. All rights reserved. Alma Lasers Ltd., its logo, logo, RoboScan and LiteScan are trademarks or registered trademarks of Alma Lasers, Ltd. Product specifications are subject to change without notice.

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