Candela Vbeam Perfecta, Manual

Page 1: ...0920 23 0842 Revision A VBeam Family Patient consultation management of expectations Vascular Lesions Pigmented Lesions Photorejuvenation...

Page 2: ...t Invented by Candela in 1988 First Introduced to Treat Port Wine Stains in Children Pulsed Dye Laser The GOLD Standard Hundreds of Thousands of Treatments in the last 20 years 300 Published Clinical...

Page 3: ...ion A Largest Variety of Treatments Wrinkles Port Wine Stains Hemangiomas Angiomas Venous Lakes Stretch Marks Acne Bacteria Acne Redness Vulvodynia Facial Vessels Leg vessels Rosacea Poiklioderma Scar...

Page 4: ...0920 23 0842 Revision A How is the new VBeam different from the old VBeam...

Page 5: ...n 8 micro pulse sequence More pulses to distribute the total energy Uniform distribution across entire pulse Consistency Enables Higher Purpura Threshold Total energy divided over 8 pulses Original Vb...

Page 6: ...es Eight equal energy pulses Closely mimics one continuous pulse Closely mimics one continuous pulse Still Delivers Required Vessel Coagulation Fluence Still Delivers Required Vessel Coagulation Fluen...

Page 7: ...0920 23 0842 Revision A Patient Consultation...

Page 8: ...nsultation Today s patient is better educated than ever thanks to the internet Before any treatment ALWAYS review the entire process They should know exactly what is expected of them They should know...

Page 9: ...erate Browning Dark Hair Dark Eyes Dark Olive to Brown Skin 4 Moderate Burns Usually Tans Medium Hair Medium to Dark Eyes Medium to Olive Skin 3 Usually Burns Seldom Tans Light to Medium Hair Light to...

Page 10: ...nm wavelength works best on skin types I IV Treatment on darker skin types should be preceded with a test spot to assess tissue response All patients should avoid sun exposure tanning beds and sunless...

Page 11: ...e use should be suspended for 6 months prior to treatment Photo sensitizing drugs should be analyzed No Pregnancy Liability issues Permanent Make up or Tattoos Active or Open Lesions No sun exposure o...

Page 12: ...m wavelength targets oxy hemoglobin in the blood vessels By varying the pulse duration treatments can be performed purpurically bruising by rupturing the blood vessel or sub purpurically by slowly hea...

Page 13: ...he VBeam family has 45ms 1 5ms 3ms 6ms 10ms 20ms 30ms 40ms pulsed durations The shorter the pulse duration the more destructive the energy becomes The longer the pulse duration the more gentle the ene...

Page 14: ...0920 23 0842 Revision A Vascular Treatments...

Page 15: ...ergy being delivered very quickly Grape Jelly or Eggplant colored Purpura can last for several days to weeks Purpura must be achieved when treating warts port wine stains angiomas scars straie and can...

Page 16: ...0920 23 0842 Revision A Purpura vs No Purpura The older pulsed dye laser side effect VBeam allows treatment without purpura...

Page 17: ...0920 23 0842 Revision A Purpura vs No Purpura...

Page 18: ...s Using a pulse duration of 3ms or shorter After the laser pulse is delivered a bruise will begin to appear over a matter of seconds and can last 10 14 days Patient may experience edema for a couple o...

Page 19: ...ing diffuse redness or roseacea a vascular spasm may be noticed and will disappear over a matter of seconds When treateing linear vessels the structure may darken and resolve over a matter of seconds...

Page 20: ...eatment Instructions Avoid sun exposure Cease aspirin advil vitamin E and fish oil supplements as they may increase the likelihood of bruising purpura Cease Retin A as it may cause excessive redness A...

Page 21: ...one has appropriate eyewear Patient with tanning bed style eyewear Operator with 595nm designated glasses goggles Keep laser in stand by until ready to use Keep handpiece flush and perpendicular durin...

Page 22: ...and mild edema Apply cool aloe vera gel or cool packs Avoid Aspirin Ibuprofen Vitamin E and fish oil supplements 1 week Avoid strenuous activities hot showers baths sauna or steamrooms 1 week No Alcoh...

Page 23: ...0920 23 0842 Revision A Pigmented Lesions...

Page 24: ...n at 595nm How it Works Compression Optic Flattens Skin Vessels Moves Blood laterally In combination with 8 micro pulse sequence higher fluences can be used Better efficacy without undesirable purpura...

Page 25: ...0920 23 0842 Revision A 595 nm strongly absorbed by melanin ABSORPTION 500 600 700 400 800 WAVELENGTH nm Oxyhemoglobin Oxyhemoglobin Melanin Melanin Vbeam 595 nm Why It Works...

Page 26: ...in 4 Steps Pigmented Lesion Hand piece included with Pigmented Lesion Hand piece included with Aesthetica Aesthetica and and Perfecta Perfecta 1 1 2 2 Pigmented Lesion Handpiece is Lowered on to Skin...

Page 27: ...e included with Aesthetica Aesthetica and and Perfecta Perfecta 3 3 4 4 Utilizing 8 Micro pulse Technology and Compression the Laser Targets Melanin in the Skin Handpiece is Lifted Blood Returns to Ve...

Page 28: ...0920 23 0842 Revision A Benign Pigmented Lesions Solar Lentigines Dyschromia Freckles Ephelides Cafe au lait Pigmented Birthmarks...

Page 29: ...0920 23 0842 Revision A Pigmented Lesions Endpoints are Slight frosting of the lesion Lesion should turn darker in a matter of a few minutes Usually takes 2 3 treatments...

Page 30: ...0920 23 0842 Revision A Operation Maintenance...

Page 31: ...0920 23 0842 Revision A General Specifications Wavelength 595nm Appropriate Eyewear 595nm 5 0 O D Electrical 220 volts 30 amps Pulse Control Fingerswitch Footswitch Pulse Duration 0 45ms 40ms...

Page 32: ...0920 23 0842 Revision A Spot Size VBeam Perfecta 3mm Yellow 5mm Black 7mm Blue 10mm Violet 12mm Red 3 X 10mm Green 7PL Silver 10PL Silver...

Page 33: ...0920 23 0842 Revision A Spot Size VBeam Platinum 3mm Yellow 5mm Black 7mm Blue 10mm Violet 12mm Red 3 X 10mm Green The VBeam Platinum does not come with the 7PL or the 10PL for pigmented lesions...

Page 34: ...0920 23 0842 Revision A Spot Size VBeam Aesthetica 7mm Blue 10mm Violet 7PL Silver 10PL Silver The VBeam Aesthetica does not come with the 3mm 5mm 12mm or the 3 X 10mm spot sizes...

Page 35: ...fixed Distance Gauge A protective lens prevents dust or other debris from collecting on the focusing lens This lens can be cleaned by wiping with a cotton tipped swab with alcohol or By removing the...

Page 36: ...0920 23 0842 Revision A User Interface...

Page 37: ...0920 23 0842 Revision A Main Screen Menu Ready Stand by Pulse Duration Pulse Count DCD Levels Recognized Spot Size Fluence Calibration Lock Configuration...

Page 38: ...0920 23 0842 Revision A Drop Down Menu...

Page 39: ...0920 23 0842 Revision A Indication Selected Press Calibrate...

Page 40: ...0920 23 0842 Revision A Entering Calibration...

Page 41: ...0920 23 0842 Revision A Confirm Parameters...

Page 42: ...0920 23 0842 Revision A Activate Calibration...

Page 43: ...0920 23 0842 Revision A Calibrating...

Page 44: ...0920 23 0842 Revision A Release Footswitch...

Page 45: ...0920 23 0842 Revision A Ready to Treat...

Page 46: ...0920 23 0842 Revision A DCD Settings Screen Spray Delay Purge Pulse Count Confirm DCD...

Page 47: ...0920 23 0842 Revision A System Configuration Language Fingerswitch vs Footswitch Repeat vs Single Pulse Aiming Beam Intensity Confirm Settings Engineering Page...

Page 48: ...0920 23 0842 Revision A Treatment Summary Pulse Count Fluence DCD Setting Pulse Duration Reset Confirm...

Page 49: ...0920 23 0842 Revision A System Locked Release...

Page 50: ...0920 23 0842 Revision A Unlock Prompt Password is 5277 Confirm...

Page 51: ...0920 23 0842 Revision A Last Few Things...

Page 52: ...laser in ready mode and calibrated to correct energy with proper hand piece Squeaky Clean Skin Appropriate Safety eyewear on clinician and patient No flammable substances in operating area Written po...

Page 53: ...0920 23 0842 Revision A Maintenance Refer to section 6 of the operator s manual User verification tests Policy for the cleaning of distance gauges and lenses...

Page 54: ...e Ocular Safety Appropriate eyewear without reflective metal Electrical Hazards Dedicated outlets for laser use No extension cords No defects in laser cord No water or other solutions near laser Contr...

Page 55: ...nt room are safe by locking the front wheels and visually checking that the footswitch air hose is free and clear If the laser or anything else rolls on the hose while firing the laser it will continu...

Page 56: ...0920 23 0842 Revision A The Candela VBeam The Proven Gold Standard...