Quazar S
DL15
-C
Keep th
is m
anual in
a c
onvenie
nt p
lace fo
r quic
k a
nd e
asy
refe
rence a
t all tim
es.
The product n
ames in
this g
uidebook are tra
demarks o
r regis-
tered tra
de m
arks o
f each sp
ecific m
anufactu
rer. In
the in
terest
of p
roviding su
perio
r equipment, Q
uazar In
dustrie
s reserves th
e
right to
modify
or a
mend equipment sp
ecifica
tions w
ithout n
otice
or o
blig
atio
n.
Quic
k S
etu
p G
uid
e
Read th
is g
uid
ebook firs
t to s
et u
p y
our
equip
ment fo
r use.
Instru
ctio
n M
ate
rial fo
r Quazar S
DL15
Instru
ctio
n M
ate
rial fo
r Quazar S
DL15
Instru
ctio
n M
ate
rial fo
r Quazar S
DL15
Instru
ctio
n M
ate
rial fo
r Quazar S
DL15
-- -- CC CC
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
and D
river U
nit
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
and D
river U
nit
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
and D
river U
nit
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
and D
river U
nit
Q
uazar
Dio
de M
odule
and D
river
Replacement P
arts
Laser Eyewear
Eyewear #
D-213-4600 Each $99.95
Laser Handpiece Replacement
Laser M
odule # D-213-6700 Each $699.95
Carbon Dye 200ml
Carbon Dye # P-213-2500 Each $99.95
Laser Tatto
o Post T
reatm
ent G
el
Stock # P-216-2500 Each $49.99
Laser Capilla
ry Post T
reatm
ent G
el
Stock # P-216-2600 Each $49.99
Laser Post T
reatm
ent A
loe
Stock # P-216-2700 Each $29.99
DermalCool P
re Treatm
ent G
el
Stock # P-216-2606 Each $29.99
DermalPlast T
opical D
esensitiz
ing Spray
Stock # P-216-2606 Each $29.99
Price
s are su
bject to
change with
out n
otifica
tion. T
o order o
n-lin
e, g
o to
http
://www.centre-biotechnique-avance.com
For te
chnica
l assista
nce beyond what th
is manual p
rovides, p
lease e-m
ail
Please allow 24 hours fo
r processin
g.
Quazar SDL15 produces laser ra
diatio
n which can be harm
ful to
the eyes. A
lways wear p
rotectiv
e eyewear w
hile
operatin
g this equipment. Laser radiatio
n has the capability
to burn the skin if the technician does not closely
observe th
e patie
nt’s re
actio
n to
the procedure. L
aser e
lectro
lysis re
sults in
full d
estru
ctio
n of th
e hair fo
llicle and
is irreversible. A
lways plan ahead before underta
king detail w
ork such as eyebrow shaping or h
airlin
e contour-
ing. P
atch te
st a
small a
rea (n
o la
rger th
an 1X1 in
ch square) b
efore fu
ll applicatio
n. A
llow 24 hours to
determ
ine
the patie
nt’s re
actio
n before applying fu
ll treatm
ent.
ESD Handling Precautio
ns: The la
ser m
odule is e
xtre
mely se
nsitiv
e to
electro
static (E
SD) d
is-charge. T
he fo
llowing ste
ps sh
ould be ta
ken to
reduce th
e risk
of d
amage to
the diode.
1.
Secure th
e la
ser a
ccesso
ry to
the power sy
stem by tig
htening th
e exterio
r shroud (sp
anner
nut) clo
ckwise
until it sto
ps. If it is le
ft unsecured, in
term
ittent co
ntact w
ith th
e le
ads m
ay
produce a damaging power su
rge.
Always tra
nsport (o
r store) th
e la
ser in
an ESD protecte
d pouch. S
tatic d
ischarges fro
m th
e
hands ca
n destro
y th
e diode which
would not b
e co
vered by warra
nty.
UL
85
29
00
1
Prin
ted in
UK
SDL15-C Laser Instrument
The DMD1000 co
mes w
ith a high output 5
4jcm
2 adjusta
ble pulse
frequency (fix
ed pulse
duratio
n)
instru
ment fo
r superio
r operator co
ntro
l. To prolong th
e life
of y
our d
iode la
ser e
mitte
rs it is ad-
visa
ble to
activ
ate th
e m
odule in
short b
ursts la
sting no m
ore th
an 1 se
cond, w
hile allowing an
equal sp
an of tim
e of co
oling betw
een pulse
s. This w
ill prevent o
verheatin
g and potentia
l damage
to th
e la
ser cry
stals. T
he galliu
m arse
nide la
ser d
iodes (e
mitte
rs) are lo
cated in
side th
e hand
piece. D
ropping or b
umping th
e in
strument m
ay re
sult in
irreversib
le damage to
the in
ternal
components a
nd would not b
e co
vered by warra
nty. .
WARNING: Do not operate the laser in CW mode on full power (settin
g 5) for more
than 1 second at a
time. T
he diode w
ill overheat a
nd m
ay burn out. F
ailu
re to
comply
will v
oid warranty.
Trouble Shootin
g
Should you encounter te
chnical p
roblems w
ith your Q
uazar D
MD1000 La
ser sy
stem, refe
r to th
e follo
wing guide fo
r poten
tial problems
and th
eir solutio
ns.
—Unit is
plugged into th
e wall, a
ll accessories are correctly
inserted into th
e unit b
ut n
o laser output is
being registered.
++Check all c
onnectio
ns. P
lug and unplug each one being sure all c
ontacts are sound.
++Check all c
ords. D
ue to
contin
ual b
ending and fa
tigue, w
ires m
ay fra
y or b
reak re
sultin
g is fu
ll loss of p
ower.
++Check Fuse: T
he Quazar u
nit h
as a fa
st-a
ctin
g fu
se m
ounted on th
e to
p panel o
f your u
nit to
protect th
e delicate la
ser d
iode fro
m
volta
ge spikes, o
n-lin
e power s
urges and electro
-static discharge (E
SD damage). R
eplace w
ith 5 amp fa
st a
ctin
g ty
pe only. F
ailure to
comply with
these specific
atio
ns m
ay re
sult in
serio
us damage to
your la
ser a
nd will v
oid all w
arra
ntie
s.
—Unit h
ums or makes noises.
++Unit n
eeds servicing.
—Laser output is
weak.
++Emitte
r output n
odules are blocked with
carbonized debris (burnt hair etc.).
Clean thoroughly with
a cotto
n tip
ped applicator and
alcohol. If th
e perfo
rmance of th
e laser d
oes not im
prove afte
r cleaning th
e head your u
nit n
eeds servicing by a qualifie
d agent. C
ontact
technical support fo
r assistance.
—No output fr
om th
e laser is registered afte
r all tr
ouble-shootin
g suggestio
ns lis
ted above have been checked.
++Probable diode fa
ilure. U
nit n
eeds servicing.
—Output M
eter Jumps Up and Down.
++Pulse fre
quency is set too high for the digita
l meter to accurately gauge the draw
curre
nt. T
his has no serio
us re
percussions fo
r the perfo
rmance of th
e system and should
be ig
nored. F
or a
ccurate digita
l perfo
rmance th
e system m
ust b
e set o
n single pulse or c
w
mode.
Digita
l LED Emission Meter
The m
eter m
ay n
eed re
-calibratio
n by adjustin
g th
e on
-board potentiom
eter. T
wo re
sistors,
Ra and Rb m
ay be used in
order to
alte
r the fu
ll scale re
ading (F.S
.R.) o
f the m
eter.
10
Specific
atio
n
Min
Typ.
Max.
Unit
Reading
Settin
gs
Accu
racy
0.05
0.1
%(+
1 co
unt)
Linearity
+1
count
Sample ra
te
3
Samples/se
c
Op. te
mp
0
50
˚C
Temp. S
tbl.
150
Ppm/˚C
Jcm2
228
.9
Laser Hair Removal
There are cu
rrently
two sta
ndard varia
tions fo
r the perm
anent re
moval o
f unwanted hair b
y w
ay of
laser ra
diatio
n. T
he first o
f which
being re
ferre
d to
as la
ser ’sh
aving’. T
he se
cond is ‘d
eep tissu
e
traumatiza
tion’ w
hich
targets liv
ing m
elanocytes o
r carbon dye in
the fo
llicle organ.
Laser sh
aving has th
e distin
ct advantage of sh
owing im
mediate co
smetic im
provement. A
new
patie
nt m
ay w
alk in
to a la
ser h
air re
moval o
ffice co
vered w
ith unwanted hair th
en le
ave hairle
ss and sm
ooth a fe
w hours la
ter. U
nfortu
nately fo
r the patie
nt (w
ho m
ay have sp
ent $
5,000 or m
ore
for th
e visit) 9
5% of th
eir h
air w
ill return in
about 6
weeks. P
rogressiv
e perm
anency has b
een
esta
blish
ed at a
bout 5
% per tre
atm
ent w
ith th
e m
arginally in
efficie
nt ‘la
ser sh
aving’ m
ethod. T
he
average in
vestm
ent o
f treatm
ents (q
uantita
tively) is 1
0-12 applica
tions b
efore hair g
rowth is p
er-
manently
halte
d (p
roviding th
ey are a good ca
ndidate fo
r the procedure, se
e below).
The lim
itatio
ns fo
r achieving perm
anent re
sults in
a prompt a
nd expedient m
anner b
y w
ay of la
ser
shaving are m
any. M
ost o
f the la
ser ra
diatio
n is a
bsorbed and blocked by th
e
hair a
bove th
e sk
in. T
he fra
ction le
ft over w
ill be re
flecte
d and absorbed by
the sk
in itse
lf (especia
lly in
cases w
here th
e patie
nt h
as h
igh le
vels o
f pigment
in th
e derm
is). As little
as 1
0% of th
e orig
inal p
hoton output re
aches th
e
papilla
matrix
to produce th
erm
al d
amage to
the live
hair fo
llicle itse
lf. Laser sh
aving procedures a
re co
vered in
this in
structio
n booklet a
nd m
ay be
used fo
r those patie
nts w
ho prefer th
at p
articu
lar m
ethod; h
owever, fo
r the
purpose of e
fficacy and sp
eed fo
r perm
anent re
sults th
is manual w
ill focus
prim
arily
on th
e deep tissu
e tra
umatiza
tion m
ethod.
With
the deep tissu
e m
ethod, a
full 9
8% of th
e la
ser e
nergy is p
asse
d th
rough
the epiderm
is (no re
actio
n ta
kes p
lace on or a
bove th
e su
rface of th
e sk
in).
Only 2-5% lo
ss of e
nergy per m
m of tissu
e depth occu
rs, which
leaves v
ery
high le
vels o
f laser ra
diatio
n at th
e precise
areas to
create th
erm
al d
amage to
the fo
llicle. T
he deep tissu
e m
ethod re
quire
s that th
e hair b
e sh
aved prio
r to
treatm
ent. T
he hair b
elow th
e sk
in w
ill remain as a
target fo
r the la
ser e
n-
ergy.
A varia
tion to
this p
rocedure re
quire
s the fo
llicle organ to
be re
moved fro
m th
e sk
in by tw
eezin
g or
waxing. T
he empty fo
llicle is th
en tre
ated with
a ca
rbon based dye. T
he advantages o
f this ‘ca
rbon
dye’ p
rotocol a
re su
bsta
ntia
l. Melanin in
human hair is n
ot a
n efficie
nt re
ceptor fo
r laser e
nergy.
Even black hair h
as o
nly a 20-40% efficie
ncy ra
ting fo
r the co
nversio
n of p
hoton energy to
heat.
Carbon dye has a
99.997% heat e
xchange co
nversio
n ra
tio. T
his p
roduces fa
r greater th
erm
al
damage to
the fo
llicle itse
lf. The next a
dvantage to
the ca
rbon dye m
ethod is th
at n
o hair d
ebris
(carbonize
d hair) is le
ft in th
e sk
in. T
he ’b
urnt h
air’ is v
isible th
rough th
e sk
in as a
dark sp
ot a
nd is
poorly
absorbed by th
e im
mune sy
stem (so
metim
es ta
king m
onths to
disa
ppear). T
his ca
n cre
ate
pim
ple-lik
e protru
sions a
nd, in
some ca
ses, in
fectio
ns. T
he th
ird advantage to
usin
g th
e empty
follicle
shaft/ca
rbon dye protocol is th
at la
ser ra
diatio
n w
ill not re
act w
ith blond, re
d or g
rey hair
growth. T
here sim
ply is n
ot e
nough pigment to
create heat. B
y usin
g ca
rbon dye, th
e entire
proc-
ess b
ecomes co
ntro
lled, h
ighly efficie
nt, a
nd predicta
ble.
Client P
re-Qualific
atio
ns
The best ca
ndidate fo
r laser h
air removal h
as fair skin
with
dark te
rminal h
airs. Skin
typing fo
r exposure to
ultra
vio-let lig
ht ca
n be ca
tegorize
d by th
e Fitzp
atrick
classifica
tion, d
evelo
ped by Dr. T
homas Fitzp
atrick
of H
arvard M
edical
School.
Skin Type I: N
ever ta
ns, always burns (extremely fa
ir skin, b
londe hair, b
lue/green eyes)
Skin Type II: O
ccasionally ta
ns, u
sually burns (fair skin, sandy to
brown hair, g
reen/brown eyes)
Skin Type III: O
ften ta
ns, sometim
es burns (medium skin, b
rown hair, b
rown eyes)
Skin Type IV: A
lways ta
n, n
ever burns (olive skin, b
rown/black hair, d
ark brown/black eyes)
Skin Type V: N
ever burns (dark brown skin, b
lack hair, b
lack eyes)
Skin Type VI: (
black skin, b
lack hair, b
lack eyes)
Types 1
through 4 are outsta
nding ca
ndidates. T
ype 5 will h
ave e
xcelle
nt re
sults a
s well, b
ut ca
re m
ust b
e taken to
assu
re th
at th
e la
ser w
ill not b
urn th
e skin
. Type 6 sh
ould not u
ndergo la
ser h
air re
moval u
nless u
sed in
conjunc-
tion with
skin bleaching due to th
e high risk o
f burning an
d hypo/hyper p
igmentatio
n issu
es.
References
1. B
jerrin
g P, C
ramers M, E
gekvist H
, Christiansen K, T
roiliu
s A. H
air re
ductio
n using a new intense pulsed lig
ht irra
diator a
nd a norm
al
mode ru
by laser. J C
utan Laser T
her 2
000; 2
: 63-71.
2. K
auvar A
N. T
reatm
ent o
f pseudofollic
ulitis
with
a pulsed infra
red laser. A
rch Derm
atol 2000; 1
36:1343-6.
3. E
remia S, L
i C, N
ewman N. L
aser h
air re
moval w
ith alexandrite
versus diode laser u
sing fo
ur tre
atm
ent s
essions: 1
-year re
sults. D
erm
a-
tol S
urg 2
001; 2
7: 9
25-9.
4. G
orgu M, A
slan G, A
koz T, E
rdogan B. C
omparison of a
lexandrite
laser a
nd electro
lysis fo
r hair re
moval. D
erm
atol S
urg 2
000; 2
6:37-41.
5. B
encini PL, Luci A
, Galim
berti M
, Ferra
nti G
. Long-te
rm epilatio
n with
long-pulsed neodimium:YAG laser. D
erm
atol S
urg 1
999; 2
5:175-8.
6. L
loyd JR
, Mirk
ov M. Long-te
rm evaluatio
n of th
e long-pulsed alexandrite
laser fo
r the re
moval of b
ikini h
air a
t shorte
ned tre
atm
ent
intervals. D
erm
atol S
urg 2
000; 2
6:633-7
1
Warning: La
ser ra
diatio
n is e
mitte
d fro
m th
is apertu
re. U
nprotecte
d ey
e exposure m
ay ca
use se
rious
injury re
sultin
g in
loss o
f vision or b
lindness. A
lways u
se la
ser e
yewear.
Trig
ger S
witch
Laser E
mission
Ball O
ptics
Coolin
g Fa
n
Coolin
g Vents
Laser Startup Procedure
Put o
n your laser eyewear before powering up your system. W
ear th
e eye protectio
n
throughout th
e entire procedure.
1.
Turn th
e key lo
ckout sw
itch fro
m sy
stem sta
tus g
reen (n
eutra
l) to sy
s-tem sta
tus re
d (e
nabled). A
t this tim
e your d
igita
l power re
adout w
ill show th
e available power fo
r the operatio
n of th
e la
ser. T
he emissio
n
indica
tor will
need to be converte
d to joules per centim
eter squared/
seconds b
y usin
g th
e ta
ble on th
e la
st page of th
is pamphlet.
2.
Activ
ate th
e la
ser p
ulse
(turn to
’enabled’). T
he re
d LE
D w
ill begin to
fla
sh which
indica
ted th
at y
our laser is ’liv
e’. B
y pressin
g th
e th
umb
switch
on th
e hand piece you w
ill be deliverin
g pulse
s of la
ser ra
diatio
n.
Adjust th
e pulse
frequency to
the desire
d le
vel.
3.
Set p
ower le
vel fo
r treatm
ent. It is re
commended to
start o
ut o
n se
tting
3 or 4
. Settin
g 0 is o
ff. Settin
g 5 is m
axim
um.
Calibratio
n and Measuring Laser Output F
luence
The la
ser h
and piece has tw
o se
ttings, p
ulse
and cw
(consta
nt w
ave) m
odes.
While in pulse
mode, the digita
l meter may not give accu
rate readings of
power o
utput (th
e pulse
s can be to
o fa
st to m
easure). Y
ou sh
ould sw
itch to
cw
mode and press th
e th
umb sw
itch to
gauge th
e output co
rrectly
(the la
ser
must b
e emittin
g ra
diatio
n fo
r measurement). If th
e available power b
efore
pressin
g th
e th
umb sw
itch sh
ows 2
65, it w
ill drop to
a lo
wer n
umber w
hen
measurin
g actu
al p
ower d
raw (sa
y 235). In
this m
ode you m
ay adjust th
e
desire
d power (u
se ta
ble on la
st page of th
is pamphlet). Y
ou m
ay sw
itch back
to pulse
mode fo
r treatm
ent a
fter co
mpletio
n w
ith fu
ll knowledge of p
ower
level. D
o not o
perate in
CW m
ode fo
r more th
an 1 se
cond.
Testin
g th
e Laser
With
the power se
tting on 4 or 5
, place th
e la
ser h
ead on th
e black te
st sheet
inclu
ded with
your instru
ction materia
l. Press
the trig
ger sw
itch in pulse
mode fo
r a brie
f duratio
n (1
second or le
ss). A se
ries o
f brillia
nt la
ser fla
shes
will b
e evident w
hich
will ig
nite
the te
st pad producin
g vapor a
nd sm
oke. If
no re
actio
n occu
rs, check power se
tting.
CW Mode and Diode Overheatin
g
While usin
g th
is laser in
pulse
mode on se
ttings 1
-4, th
ere is little
chance of
overheatin
g (w
hich
could le
ad to
diode fa
ilure). H
owever; u
sing high power
settin
gs (#
5) in
eith
er C
W or LP
mode m
ay le
ad to
excessiv
e heat b
uild up.
Short b
ursts o
f 1 se
cond w
ith a 1 se
cond w
ait b
efore th
e next e
missio
n are
best o
n se
tting 5. P
ushing th
e la
ser b
eyond th
e lim
its of p
erfo
rmance w
ill damage th
e galliu
m arse
nide cry
stals, re
sultin
g in
loss o
f intensity
, perfo
rm-
ance, life
expecta
ncy of th
e la
ser w
hich
would not b
e co
vered by warra
nty.
Laser Head Maintenance
Clean the laser
head and optics
fre-
quently
. For lig
ht m
aintenance use ace-
tone or a
lcohol o
n a co
tton tip
applica
tor.
For
more aggressiv
e cle
aning use an
‘Exacto
’ to scra
pe any ca
rbonize
d m
ateria
l fro
m th
e la
ser h
ead.
Carbonize
d debris (re
sidue fro
m vaporize
d
hair) ca
n obstru
ct the la
ser tre
atm
ent b
y
occlu
ding th
e optics (le
ns) a
s well a
s the
articu
latin
g arm
bracket.
3
Always use cautio
n when tu
rning on and/or operatin
g th
is system. T
he
laser is very powerful and can cause serious eye or skin injury
if used in
correctly
.
Laser Resurfacing
Laser re
surfa
cing is p
erfo
rmed usin
g a beam of la
ser e
nergy w
hich
vaporize
s the upper la
yers o
f damaged sk
in at sp
ecific a
nd co
ntro
lled le
vels o
f penetra
tion. T
he proce-
dure offe
rs many advantages
which
others
do not have. Unlike Mi-
croderm
abrasion, th
e la
ser p
enetra
tes d
eeply in
to th
e derm
is where pro-
motio
n of co
llagen proteins can be stim
ulated. C
hemica
l peels ca
n be
very unpredicta
ble and dangerous w
hile la
sers ca
n be dialed in
to deliver
precise
ly th
e rig
ht a
mount o
f radiatio
n to
produce sa
fe and effe
ctive re
-sults.
All re
surfa
cing tre
atm
ents w
ork esse
ntia
lly th
e sa
me w
ay. F
irst, the outer
layers o
f damaged sk
in are strip
ped away. T
hen, a
s new ce
lls form
durin
g
the healing process,
a sm
oother,
tighter,
younger-lo
oking skin surfa
ce
appears.
For su
perficia
l or m
edium re
surfa
cing, th
e la
ser ca
n be lim
ited to
the epi-
derm
is and papilla
ry derm
is. For d
eeper re
surfa
cing, th
e upper le
vels o
f the re
ticulas d
erm
is can also
be re
moved. V
arie
d penetra
tion allows tre
at-
ment o
f specific sp
ots o
r wrin
kles.
It's also
importa
nt to
consid
er th
e le
ngth of re
covery w
hen ch
oosin
g among th
e sk
in-re
surfa
cing
alte
rnativ
es. In
general, th
e m
ore aggressiv
e th
e re
surfa
cing procedure is, th
e m
ore prolonged th
e
recovery is lik
ely to
be. "Lig
ht" re
surfa
cing procedures, su
ch as su
perficia
l chemica
l peels o
r super-
ficial la
ser re
surfa
cing, o
ffer sh
orte
r recovery tim
es. H
owever, th
ese lig
hter p
rocedures m
ay need to
be re
peated m
ultip
le tim
es to
achieve re
sults co
mparable to
those achieved w
ith m
ore aggressiv
e
techniques.
General D
ermatology
Treatm
ent o
f additio
nal sk
in afflictio
ns su
ch as R
osacea, F
ine W
rinkles, S
un D
amaged Skin, A
cne
Scars, S
cars fro
m CO2-la
ser re
surfa
cing, A
ge Spots, La
rge Pores, A
cne Prone Skin.
As th
e la
ser g
oes o
ver th
e derm
is, vascu
lar sp
aces w
ith hemoglobin in
them absorb
the la
ser e
nergy th
ereby heatin
g th
e su
rrounding tissu
e and stim
ulatin
g th
e fib
ro-
blasts to
produce ty
pe 1 co
llagen and derm
al p
roteins. T
he tre
atm
ent re
arra
nges
and/or re
places th
e so
lar e
lasto
sis in th
e upper d
erm
is, resultin
g in
NEW co
llagen
form
atio
n.
What u
sed to
be lo
ose, irre
gular co
llagen in
the derm
is is now tig
hter, re
freshed and
rejuvenated.
The benefits o
f each Diode La
ser tre
atm
ent o
ver a
ll other sk
in re
juvena-
tion procedures in
clude: Lo
w downtim
e, n
on-su
rgica
l, little pain and
disco
mfort,
immediate re
sults a
fter 1
- 2 tre
atm
ents, a
ffordable, en-
hances y
our o
wn co
llagen growth, p
roduces m
ore derm
al p
roteins a
nd
treats a
ll types o
f skin.
Treatm
ent P
rocedure: R
esurfacing and W
rinkle
Reductio
n
Deliver 1
second pulse
s (approxim
ately 120 jo
ules) to
each area of 1
cm
square. B
e very sy
stematic a
nd th
orough, b
ut re
sist the te
mptatio
n
to over tre
at. A
pplying m
ore th
an 180 jo
ules p
er cm
2 m
ay se
verely
burn th
e sk
in.
Figure 1 shows norm
al
sagging and wrin
kling of
the skin which
can be expecte
d as humans age.
Figure 2 sh
ows e
xcellent im
provement o
n a 47 year
old fe
male afte
r 6 tre
atm
ents.
Apply ‘La
ser P
ost T
reatm
ent Fa
cial G
el’ (se
e back
page of p
amphlet fo
r orderin
g in
form
atio
n). T
his
form
ula co
ntains b
enzocaine, a
loe and glycolic a
cid, w
hich
produces a
very m
ild ch
emica
l peel. C
all
your p
atie
nt b
ack in
for a
follow up in
48 hours. A
dditio
nal tre
atm
ents m
ay be applied in
2-4 weeks
depending on th
e le
vel o
f derm
al tra
uma th
e patie
nt e
xperie
nce and th
eir ra
te of h
ealing.
8
Red ‘Enabled’
Pulse
requen
cy
Pulse
Frequency
Intensity
Settin
g
Draw Power
Pulse Switch
Available Power
Key Lock Switch
Correct H
and Positio
n fo
r
Treatm
ents.
Clean Optics
Frequently
For Optim
al
Performance
DMD1000 Control Locatio
ns/Feature Descriptio
ns
A.
Key Lockout:
This fe
ature is re
quire
d by la
w on all h
igh-power la
ser d
evice
s. The first
step in
the co
rrect se
quence to
power-u
p your la
ser is to
turn th
is lock clo
ckwise
usin
g th
e
specia
l key in
cluded in
your k
it. The lig
ht (ce
nter LE
D la
mp) w
ill be green w
hen th
e
power sy
stem is o
ff and re
d when th
e power sy
stem is o
n.
B.
System Status LED: This lig
ht w
ill indica
te sy
stem sta
tus (n
eutra
l or liv
e). G
reen is
neutra
l and re
d is liv
e.
C.
Pulse Control: T
his a
llows th
e operator to
set th
e number o
f laser p
ulse
s per se
cond.
D.
Laser Jack: A
n eight-p
rong co
axial p
ower ja
ck fo
r the diode la
ser h
and piece.
E.
Power Cord: Rated fo
r 60Hz, 1
20-240 V
, 10 A
mp w
ith co
rresponding plug-sty
le fo
r country
of d
estin
atio
n.
F. Laser Instrument: A
54jcm
2 high in
tensity
pulse
d la
ser w
ith th
umb sw
itch.
G.
Eyewear: This is a
n esse
ntia
l part o
f the tre
atm
ent p
rocess. D
irect o
r refle
ctive la
ser
radiatio
n ca
n se
riously
injure th
e eye. B
oth th
e te
chnicia
n and th
e patie
nt m
ust u
se th
e
protectiv
e eyewear w
hile th
e la
ser is e
nabled or a
ctivated. E
yewear is in
tended fo
r acci-
dental e
xposure only. N
ever sta
re dire
ctly in
to a la
ser b
eam.
H.
Carbon Dye: This is a
n ‘a
tomize
d’ fo
rm of m
olecular ca
rbon w
hich
easily
penetra
tes
deeply in
to th
e fo
llicle sh
aft. T
he dye adds p
igment w
hich
gives a
receptor fo
r the pho-
ton/heat e
xchange re
actio
n. T
he ca
rbon atoms w
ill capture th
e la
ser e
nergy and co
nvert
it into heat fo
r the ra
pid and efficie
nt ca
uteriza
tion of tissu
e fo
r the perm
anent d
estru
ction
of th
e hair fo
llicle organ.
I. High-Precision Tweezers: Apparatus fo
r the extra
ction of fo
llicle prio
r to ca
rbon dye
applica
tion.
J. Intensity
Dial: Contro
l feature fo
r the re
gulated output o
f the la
ser m
odule. S
ettin
gs
range fro
m 0-5.
K.
Emission Indicator: Panel-m
ount d
igita
l disp
lay sh
owing available cu
rrent. R
efer to
the
last p
age of th
is pamphlet fo
r conversio
n to
Jcm2.
2
Equipment W
arranty
We w
arra
nt to
the orig
inal p
urch
aser th
e eq
uipment m
anufactu
red by u
s to be fre
e from defects in
material an
d w
ork-
manship under n
orm
al u
se and se
rvice
. Our o
bligatio
n under th
is warra
nty sh
all be lim
ited to
the re
pair o
r exch
ange of
any part o
r parts w
hich
may prove defe
ctive under n
orm
al u
se an
d se
rvice with
in 12 ca
lendar m
onths fro
m th
e date of
shipmen
t and which
our e
xam
inatio
n sh
all d
isclose to
our sa
tisfactio
n to
be th
us d
efective
. When
necessa
ry, p
urch
aser
shall a
pply fo
r a Retu
rn M
ateria
ls Authorizatio
n and in
structio
ns o
n proper re
turn procedures fro
m th
eir orig
inal sale
s asso
ciate. T
he lase
r diode (h
ead) re
quire
s specia
l operatin
g precautio
ns w
hich
, if defie
d, m
ay vo
id warran
ty.
Warranty Extension Certific
atio
n:
Cu
stom
er Nu
mb
er A
uth
orizatio
n N
um
ber
Warran
ty E
xten
sion
( ) y
ears W
arranty
Typ
e: A B
C D
Treatm
ent P
rocedure: R
osacea
Deliver 1
second pulse
s (approxim
ately 120 jo
ules) to
each area of 1
cm sq
uare. B
e very sy
stem-
atic
and thorough but resist
the temptatio
n to over
treat. A
pplying m
ore th
an 180 jo
ules p
er
cm2 m
ay se
verely burn th
e sk
in.
Figure 1 sh
ows se
vere la
te sta
ge Rosacea of a
70
year old female. Figure 2 shows the substa
ntia
l im
provement a
chieved w
ith 16 tre
atm
ents o
ver 1
8
months.
Spider
veins
and enlarged capilla
ries
require
more tre
atm
ents
overall than most
other
laser p
rocedures.
Apply ‘La
ser C
apilla
ry G
el P
ost T
reatm
ent’ (se
e back page of p
amphlet fo
r orderin
g in
form
atio
n).
This fo
rmula co
ntains a
ctivated phylloquinone, w
hich
supports h
ealth
y re
generatio
n of n
ew ca
pilla
r-ies (re
ducin
g th
e re
curre
nce of fu
ture Rosacea) b
y stre
ngthening th
e ca
pilla
ry walls.
Treatm
ent P
rocedure: A
ge Spots
This co
nditio
n is ca
used by m
elanin deposits in
the sk
in w
hich
do not fa
de. N
orm
al m
elanin w
ill darken (p
rolife
rate) w
ith exposure to
sun, b
ut w
ill also
fade over 4
-6 w
eeks w
hen th
e exposure is
stopped. It is m
ost co
mmon in
the elderly
but o
ccurs in
all a
ges. La
ser tre
atm
ents a
re re
markably
effe
ctive fo
r this a
ffliction.
Deliver 1
second pulse
s (approxim
ately 120 jo
ules)
to each area of 1
cm sq
uare. F
ading of th
e age
spots (a
lso known as ’liv
er sp
ots’) w
ill be evident
afte
r 4-6 weeks.
Figure 3 shows moderate age
spot activ
ity on a 67 year old female. Note the
improvement in
figure 4 sh
owing nearly
complete
regressio
n of th
e sk
in diso
rder. T
his p
atie
nt u
nder-
went 6
treatm
ents o
ver 4
months.
Apply th
e ‘La
ser P
ost T
reatm
ent A
loe’ w
hich
contains b
enzocaine. T
his w
ill speed healing and re
-duce any disco
mfort a
ssocia
ted with
the la
ser tre
atm
ent.
Treatm
ent P
rocedure: S
cars and Lesions
This co
nditio
n ca
n be ca
used by any tra
uma to
the sk
in fro
m acne, su
n burn, cu
ts, scrapes a
nd
surgica
l procedures. T
o re
duce th
e appearance of th
e sca
r, it will b
e necessa
ry to
rebuild th
e co
lla-
gen proteins in
the sk
in w
ith la
ser ra
diatio
n. T
his p
rocess is e
xtensiv
e (e
specia
lly in
cases w
here
severe sca
rring exists). It m
ay ta
ke 15-20 tre
atm
ents o
ver 1
2-24 m
onths to
achieve desire
d re
-sults.
Deliver 1
second pulse
s (approxim
ately 120 jo
ules) to
each area of 1
cm sq
uare. R
emember, a
pplying m
ore
than 180 jo
ules p
er cm
2 m
ay se
verely burn th
e sk
in.
Figure 5 sh
ows a
28 year o
ld fe
male w
ith acne sca
r-rin
g which
was le
ft over fro
m te
enage puberty
. There
are very deep pocks, w
hich
are th
e hardest to
improve. In
figure 6, th
e appearance of th
e sca
rs (in
cluding th
e pock) h
as im
proved 90%.
Apply th
e ‘La
ser P
ost T
reatm
ent A
loe’ w
hich
contains b
enzocaine. T
his w
ill speed healing and re
-duce any disco
mfort a
ssocia
ted with
the la
ser tre
atm
ent.
For a
list of la
ser h
air, ta
ttoo, a
ge sp
ot a
nd sca
r removal a
s well a
s general d
erm
atology tre
atm
ent
gel fo
rmulatio
ns w
hich
can aid in
the m
anagement o
f disco
mfort a
ssocia
ted w
ith la
ser tre
atm
ents,
see th
e back page of th
is pamphlet.
Treatm
ent around the eyes must be done with
adequate protectio
n. Exposure to laser
radiatio
n (even th
rough th
e eye lid
) can permanently
injure th
e eyes up to
and in
cluding
blindness.
Photos are fo
r example purposes only and m
ay not in
dicate re
sults which will b
e achieved on every patie
nt. M
edical
laser tre
atm
ents fo
r derm
atology purposes are ra
ted by ‘im
provement’ a
nd not b
y ‘cure’. M
any skin conditio
ns such
as Rosacea m
ay re
turn and re
quire
future tre
atm
ents to
be contro
lled. A
dvise your p
atie
nt to
expect im
provement
but c
autio
n th
em as to
which degree of im
provement th
ey will b
e able to
achieve.
9
A
B
C
D
E
F
G
H
I J
K
Hand
piece m
ay b
e diffe
rent th
an p
ictured
belo
w.
Laser Diode Tatto
o Removal
To begin th
e process it w
ill be necessa
ry fo
r you to
scrub th
e sk
in over th
e ta
ttoo w
ith and abrasiv
e
applica
tor. T
his is w
ill remove th
e outer la
yers o
f the epiderm
is which
will a
llow fo
r greater p
ene-
tratio
n of th
e la
ser ra
diatio
n.
Usin
g a depilatory w
ax or e
pilatio
n paper, re
move all h
air fro
m th
e ta
ttoo area. H
air g
rowth w
ill block so
me of th
e la
ser ra
diatio
n fro
m enterin
g th
e ta
ttoo. Fo
llicles in
the sk
in of th
e ta
ttoo w
ill also
be perm
anently
damaged by th
e ra
diatio
n which
may not b
e desira
ble to
your p
atie
nt.
The Treatm
ent P
rocedure
Carefully power u
p your la
ser (se
e page 4). D
ial in
full in
tensity
on high pulse
frequency. P
lace th
e
emitte
r side down (in
contact w
ith th
e sk
in) o
n to
p of th
e ta
ttoo as sh
own in
figure 4.
Deliver 1/2 to 1 second pulse
s (approxim
ately 90-180 joules)
to each area of 1 cm
square
(depending on co
lor). B
e very sy
stematic a
nd th
orough, b
ut re
sist the te
mptatio
n to
over tre
at.
Applying m
ore th
an 180 jo
ules p
er cm
2 m
ay se
verely burn th
e sk
in. B
lack in
k ca
n be su
ccessfu
lly
treated with
100 jcm
2. B
lue and green norm
ally re
quire
s 120 jcm
2, a
nd re
d re
quire
s up to
180.
The example tatto
o at rig
ht require
d 51
pulse
s of 1 second each for a total of
5,000 jo
ules.
Apply th
e post tre
atm
ent co
oling gel to
the
tatto
o and allow to dry. This
is a very
importa
nt ste
p w
hich
should not b
e omit-
ted. A
lthough th
e gel does contain th
e
desensitizin
g co
mpound benzocaine it w
ill be quite
common for the patie
nt to feel
some burning in the minutes
and hours
following the procedure.
This
is quite
norm
al. If th
e patie
nt re
quests e
xtra
relief, a
pply a co
ld pack as n
eeded.
In pictu
re number 5
, you ca
n se
e so
me of th
e re
dness, sw
ellin
g and sca
bbing w
hich
may sh
ow up
1-3 days fo
llowing tre
atm
ent. In
pictu
re number 6
and 7, y
ou ca
n se
e so
me fa
ding of th
e ta
ttoo,
but a
lso a m
ild fo
rm of h
ypo pigmentatio
n (lo
ss of th
e patie
nt’s n
atural sk
in co
lor). T
his co
nditio
n
is temporary and will su
bsid
e as th
e m
elanin re
generates w
ith natural h
ealing.
In pictu
re number 7
, you ca
n se
e th
at th
e ta
ttoo has fa
ded to
a point w
here it is n
ot re
cogniza
ble.
This p
articu
lar ta
ttoo re
quire
d 6 tre
atm
ents o
ver 7
months. It is a
lways a
good id
ea to
take pic-
tures o
f your p
atie
nt’s tre
atm
ent a
reas to
show th
em th
e ste
ady im
provement. T
his w
ill help th
em
to sta
y co
mmitte
d and m
otiv
ated as th
e process re
quire
s a su
bsta
ntia
l investm
ent o
f time.
7
Pa
tien
t
Gro
up
Tre
atm
en
t
Are
a
Ta
ttoo
Cle
ara
nce
(Avera
ge)
No
tes
2 P
atie
nts
Bla
ck In
k O
nly
Arm
s 9
0%
afte
r
3 m
os.
5 trea
tmen
t avera
ge
5 P
atie
nts
Blu
e an
d B
lack
Ink
To
rso
90%
afte
r
3 - 1
2 m
os.
8 trea
tmen
t avera
ge
1
2
3
4
5
6
7
8
9
10
1
1
1
2
13
1
4
15
1
6
17
1
8
19
2
0
21
2
2
23
2
4
25
2
6
27
2
8
29
3
0
31
3
2
33
3
4
35
3
6
3
7
38
3
9
40
4
1
42
4
3
44
4
5
4
6
47
4
8
49
5
0
5
1
Pre-Treatm
ent
Before applying tre
atm
ent, re
move all h
air fro
m th
e area by tw
eezin
g or w
axing. La
ser h
air re
-moval is m
ost e
ffectiv
e w
hen applied to
an empty fo
llicle sh
aft. H
uman hair sim
ply does n
ot h
ave
enough pigment to
allow fo
r sufficie
nt h
eat e
xchange to
cauterize
, desicca
te and necro
tize th
e ce
lls which
produce hair. T
o co
mpensate fo
r this la
ck of ‘q
uantita
tive’ a
nd ‘q
ualita
tive’ p
hoton ta
rgets, it
will b
e necessa
ry to
place a high-density
carbon dye in
side th
e fo
llicle prio
r to tre
atm
ent.
Isolate the hairs
to perm
a-
nently
destro
y. It w
ill be nec-
essa
ry to remove them by
swiftly
plucking (o
r waxing) in
the dire
ction of g
rowth. P
ullin
g
slowly generally le
aves m
ost o
f the follicle
tissu
e insid
e the
pore which
will b
lock th
e dye.
Photo-Reactiv
e Dye Applicatio
n
Usin
g a co
tton-tip
ped applica
tor, co
mpletely co
ver th
e tre
atm
ent a
rea with
the sp
ecia
l dye in
cluded
in your k
it. Massa
ge th
e dye in
to th
e fo
llicle pore with
a firm
downward circu
lar m
otio
n. R
epeat 2
-3 tim
es to
saturate th
e fo
llicle pore. U
se an ethyl al-
cohol based wipe (iso
propyl alco
hol will
not disso
lve
the dye) to
lightly
clean th
e excess fro
m th
e su
rface of
the sk
in. A
t this p
oint y
ou w
ill have all d
esire
d fo
llicles
visibly highlig
hted with
a dark sp
ot (a
s seen above)
and are re
ady to
power u
p your la
ser fo
r treatm
ent.
Pointer: If
your patient objects to having a depilatory process before the
treatm
ent, you m
ay contin
ue with
out the carbon dye.
This alte
rnate proce-
dure is th
e equivalent o
f ‘laser s
having’ (fo
r which lo
ng-te
rm perm
anency is m
arginal). F
or b
est re
sults, th
e use of a
photo-re
activ
e dye is
highly re
commended.
Dermal Coolant A
pplicatio
n
Place a th
in la
yer o
f laser d
erm
al co
olant sp
ray on th
e tre
atm
ent a
rea prio
r to la
ser a
pplica
tion.
This w
ill protect th
e su
rface of th
e sk
in fro
m burning as w
ell a
s improve th
e tra
nslu
cency of th
e
skin (ra
te at w
hich
light ca
n pass). Fa
ilure to
use th
e derm
al co
olant p
rep m
ay re
sult in
unneces-
sary d
iscomfort fo
r the patie
nt d
urin
g tre
atm
ent a
nd in
crease th
e lik
elihood of a
surfa
ce burn.
Should th
e liq
uid become dry, it w
ill be necessa
ry to
re-apply fre
quently
. The use of a
humidifie
r in dry clim
ates w
ill substa
ntia
lly prolong th
e duratio
n fo
r which
the derm
al p
rep w
ill retain its co
ol-
ing propertie
s.
The Treatm
ent P
rocedure
Shine th
e re
d dot o
n th
e highlighted hair fo
llicle. A
djust th
e dista
nce of th
e la
ser
head fro
m th
e tissu
e to
create a pin-point o
f focus (o
r if usin
g a fo
cal a
rm sim
ply
place th
e tip
at th
e lo
catio
n fo
r treatm
ent). T
he optim
al b
eam diameter fo
r maxi-
mum in
tensity
is roughly 2 m
m. T
he fo
llicle will b
egin to
flash as th
e photon energy
reacts w
ith th
e ca
rbon dye. It is a
lso norm
al to
see so
me gaseous e
missio
ns (v
apor
and sm
oke).
Use sh
ort 1
/2 to 1 se
cond photon bursts to
destro
y th
e fo
llicle. It w
ill norm
ally ta
ke
2-3 re
petitio
ns to
completely ca
uterize
the tissu
e. D
o not o
ver tre
at. A
pplying la
ser
radiatio
n fo
r more th
an 2 se
conds m
ay damage th
e sk
in. A
pplying to
o m
any photon
‘bursts’ m
ay also
damage th
e derm
is. Start o
ut w
ith le
ss, then in
crease as n
eeded.
Move on to
the next fo
llicle and re
peat. S
ome patie
nts m
ay fin
d th
e la
ser tre
atm
ent
uncomforta
ble. In
these ca
ses th
e use of a
topica
l anesth
etic su
ch as lid
ocaine w
ill reduce disco
mfort. A
mild cry
ogenic (n
itrogen-based) to
pica
l spray will a
lso m
inim
ize any pain.
Treatm
ent Around or Near the Eyes: Great ca
re m
ust b
e exercise
d w
hen
workin
g near th
e eyes. T
he la
ser
emissio
n is p
owerfu
l enough to a
ctually p
enetra
te the e
yelid
and perm
anen
tly damage th
e eye. H
avin
g th
e patie
nt
close th
eir eyes is n
ot sa
tisfacto
ry protectio
n. T
he u
se of a d
ark-colo
red damp wash clo
th which
is folded over fo
ur
times w
ill defle
ct the h
arm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotectiv
e eyew
ear is re
commended.
Treatm
ent A
round or Near Mucus Membranes: La
ser ra
diatio
n will se
verely
damage th
e tissues in
side th
e nose and ear can
al. Treatm
ent sh
ould be avoid
ed in
these a
reas alto
gether.
Treatm
ent Around or Near the Genita
ls: La
ser h
air removal is sa
fe fo
r applica
tion to
the p
ubic re
gions in
clud-
ing th
e reproductiv
e organs o
f both sex
es. C
are m
ust b
e ta
ken
into co
nsid
eratio
n in
these a
reas d
ue to
the in
-cre
ased le
vel o
f neural se
nsitivity
. The patie
nt m
ay fin
d th
e process u
ncomforta
ble w
ithout a to
pical.
Treatm
ent Around or Near the Areola (nipple): La
ser h
air re
moval is safe
and effe
ctive on hair g
rowth which
occu
rs from th
e areola
of b
oth sex
es.
Post-T
reatm
ent:
The skin
surro
unding the tre
atment area may experie
nce short-te
rm eryth
mia (re
ddening)
which
will su
bsid
e w
ithin 12 hours. S
hould th
e treatm
ent a
rea sh
ow sig
ns of e
xcess sca
bbing you m
ay w
ish to
reduce th
e overall tre
atm
ent tim
e or in
tensity
. The applica
tion of a
post-tre
atm
ent co
oling and healin
g gel (su
ch as
Aloe) is e
ncouraged to
speed healin
g an
d re
duce se
nsitivity
. Instru
ct the p
atien
t to refrain
from applyin
g co
smetics
or su
nbathing fo
r at le
ast 2
4 hours.
4
Treatm
ent E
fficacy
Perm
anent h
air re
moval is a
gradual p
rocess w
hich
takes 9
0 days o
r more fo
r complete destru
ction
of th
e fo
llicle tissu
es. E
ach hair m
ust g
o th
rough its e
ntire
growth cy
cle fo
r it to be effe
ctively
treated. G
enerally, it is o
nly durin
g th
e early anagen phase th
at it is v
ulnerable to
destru
ction.
The fo
llowing ch
art w
ill give you an accu
rate example of what th
e re
ductio
n in growth activ
ity
should lo
ok lik
e fro
m 30, 6
0 , a
nd 90 days o
f treatm
ents.
Important C
onsideratio
ns fo
r Safe Laser Hair Removal Treatm
ent
Treatm
ent Around or Near the Eyes: Great ca
re m
ust b
e exercise
d w
hen w
orkin
g near th
e eyes. T
he la
ser
emissio
n is p
owerfu
l enough to
actu
ally penetra
te the ey
elid an
d perm
anently d
amage th
e eye. H
aving th
e patie
nt
close th
eir eyes is n
ot satisfa
ctory protectio
n. T
he u
se of a d
ark-colo
red damp w
ash clo
th
which
is folded over fo
ur tim
es w
ill defle
ct the h
arm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotec-
tive e
yew
ear is re
commended.
Treatm
ent A
round or Near Mucus Membranes: La
ser ra
diation
will severely d
amage th
e tissu
es in
side th
e nose an
d ear ca
nal. T
reatm
ent sh
ould be a
void
ed in
these areas alto
-gether.
Treatm
ent A
round or Near th
e Genita
ls: La
ser h
air removal is sa
fe for application
to the
pubic re
gions in
cluding th
e re
productive
organs o
f both se
xes. C
are m
ust b
e ta
ken in
to consid
eratio
n in
these a
reas d
ue to th
e incre
ased le
vel o
f neural sen
sitivity. T
he p
atien
t may
find th
e process u
ncomforta
ble w
ithout a
topical d
esen
sitizing sp
ray.
Treatm
ent A
round or Near th
e Areola (nipple): La
ser h
air re
moval is safe an
d effective
on hair g
rowth which
occu
rs from th
e areola o
f both se
xes.
Post-T
reatm
ent:
The
skin surro
unding the
treatm
ent area will
experie
nce short-te
rm
erythmia (re
ddening) w
hich
will su
bsid
e w
ithin 1
2-24 h
ours. S
hould th
e trea
tment a
rea
show sig
ns of ex
cess sca
bbing you m
ay wish
to re
duce th
e overall tre
atm
ent tim
e or in
ten-
sity. T
he a
pplica
tion of a
post-tre
atm
ent co
oling an
d healin
g gel (su
ch as A
loe) is e
ncour-
aged to
speed healin
g an
d re
duce sen
sitivity. In
struct th
e patien
t to refrain
from applyin
g cosm
etics o
r sunbath
ing fo
r at le
ast 2
4 hours.
Over Treatm
ent: Each la
ser p
ulse sen
ds p
hoton ‘b
undles’ d
eep in
to th
e skin
where it d
am-
ages th
e hair follicle tissu
es. T
his la
ser ra
diatio
n also w
ill have m
ild effe
cts on ca
pilla
ries a
nd
skin tissu
e. If to
o m
any la
ser p
ulse
s are administe
red th
e ca
pilla
ry netw
ork w
ill begin to
break down. T
his w
ill create a
bruise w
hich
will tak
e several d
ays to
subsid
e. A
lthough th
e use of la
sers to
destro
y ca
pilla
ries in
the skin
is quite
common (fo
r spider v
eins, p
ort w
ine
stains, b
irth m
arks e
tc), it is not th
e in
tent o
f this tre
atm
ent
as o
utlin
ed fo
r hair re
moval to
damage o
ther tissu
es. Fo
r that re
ason th
e technicia
n sh
ould ca
refully te
st and docu-
ment how man
y laser pulse
s each patie
nt can with
stand
before ca
pilla
ry breakdown (b
ruisin
g) o
ccurs. T
he g
eneral
rule of th
umb is to
patch
test th
e skin with
3 pulse
s (on fu
ll power) th
en se
nd th
e patien
t home. H
ave th
em back in
the
office
in 24 hours to
observe th
e re
actio
n. If th
ere is n
o burning or b
ruisin
g, a
d-
ministe
r the fu
ll treatm
ent. It is n
ot reco
mmended to
deliv
er m
ore th
an 20 pulse
s to one statio
nary area a
t a time. If m
ore th
an 10 pulse
s are deliv
ered th
e techni-
cian sh
ould m
ake a sm
all circular m
otio
n w
ith th
e la
ser h
ead to
avoid
sending all
the en
ergy th
rough th
e exact sa
me e
ntry
poin
ts. This la
ser ca
n ca
use se
rious b
urns to
the skin
. All te
chnicia
ns sh
ould adopt th
e ‘less is m
ore’ p
hilosophy. It is fa
r safer to
have th
e patie
nt co
me back fo
r additio
nal tre
atm
ents th
an to
administe
r too m
uch ra
diation
in one se
ssion re
sultin
g in
tissue tra
uma and bliste
ring.
5
30
da
ys
60 d
ay
s 9
0 d
ay
s
Fluence
180J/c
m2 m
ax
Energy Instability
19% m
aximum
Safety goggles
OD 8.0 @
700-1000nm @
2W CW
(minim
um) s
uggested.
Electrical re
quire
ments 100/120 VAC, 5
0/60 Hz nominal, 1
.0 A
max. 2
20 or 2
40 VAC, 5
0/60 Hz
nominal, 1
.2 A m
ax.
Ambient o
peratin
g
temperature
10°C to
30°C
Ambient storage
temperature
-25°C to
70°C
Emittin
g wavelength
(810 ± 10) n
m
Classific
atio
n: IV
Output p
ower
User-a
djustable 0 to
180 Jo
ules
Designatio
n: O
EM
Generatio
n m
odes
LP/CW
Manufacturer: Q
uazar In
dustrie
s,
UK
Beam characteristic
Semiconductor D
iode
Warra
nty: 1
Year
Pulse duratio
n
Manual A
djust
Emission In
dicator: Y
es
Weight
15 kg m
ax
Key Lock: Y
es
Optics
None
Beam Shutte
r: Yes
Dimensions
170 x 500 x 370 m
m
21CFR 1040, IE
C 825-1:1993: N
o
Patie
nt #
hair counts
12 week clearance
1 fe
males, 2 males
pre
number of tr
eatm
ents
percent
#1: lase
r shave procedure
274
12
97%
#2: d
eep tissu
e with
hair
327
8
94%
#3: d
eep tissu
e with
dye
187
6
99%
post
9
19
2
Over-tre
atm
ent
capilla
ry bruising
minor blistering
before
afte
r
Laser Diode Tatto
o Removal
Nearly
1/2 of a
ll people w
ith ta
ttoos e
ventually w
ant th
em re
moved. U
ntil re
cently
these people
had no viable (a
nd sa
fe) o
ptio
ns a
vailable to
them. In
the m
id 1980’s la
sers h
ad been used experi-
mentally to
remove th
e pigment w
ith encouraging su
ccess ra
tes. B
y th
e 90’s th
ey w
ere producin
g
very co
nsiste
nt a
nd re
liable re
sults. S
urprisin
gly, la
sers d
o not a
ctually burn th
e in
k out; th
ey fra
c-ture it in
to tin
y pieces w
hich
are th
en re
moved fro
m th
e sk
in by your im
mune sy
stem.
On average, p
rofessio
nal ta
ttoos re
quire
5-6 tre
atm
ents, w
hile amateur ta
ttoos m
ay re
quire
3-4
treatm
ents,
spaced approxim
ately 2
-4 weeks a
part. T
he n
umber o
f treatm
ents
depends o
n th
e
amount a
nd ty
pe of in
k used and th
e depth of th
e in
k in
the sk
in. O
ccasio
nally te
chnicia
ns h
ave
needed to
treat a
tatto
o 10-20 tim
es.
What s
hould I charge fo
r th
e procedure? T
he fe
e depends o
n th
e size
of e
ach ta
ttoo, a
nd how
many tre
atm
ents it ta
kes to
lighten or re
move it to
your sa
tisfactio
n. E
ach ta
ttoo tre
atm
ent g
ener-
ally co
sts $135 fo
r the 1st sq
uare in
ch and $25 fo
r each additio
nal in
ch. If m
ore th
an one ta
ttoo is
being tre
ated at th
e sa
me tim
e, y
ou m
ay offe
r pricin
g alte
rnativ
es. A
consulta
tion fe
e of $
40-$60
should be asse
ssed fo
r this q
uote.
What will
the treatm
ent be like? It is le
ss painful to
have a ta
ttoo re
moved th
an gettin
g it p
ut
on. A
numbing cre
am sh
ould be applied an hour o
r two before th
e procedure. A
fter th
e procedure
the tre
ated area m
ay bliste
r, swell, cru
st, scab, o
r bleed slig
htly
. Care fo
r the tre
ated area daily in
order to
prevent in
fectio
n and to
get th
e best p
ossib
le healing re
sults. T
he ta
ttoo w
ill then gradually
fade fo
r 2-4 w
eeks w
hen it ca
n be tre
ated again. Y
ou m
ay se
e additio
nal fa
ding fo
r as lo
ng as se
v-
eral m
onths so
you ca
n sp
ace th
e tre
atm
ents fa
rther a
part b
ut n
ot clo
ser th
an 2 weeks.
Important C
onsideratio
ns fo
r Safe Laser Tatto
o Treatm
ent
Treatm
ent on Skin with
Hair Growth: One of th
e m
ajor sid
e effe
cts of d
iode la
ser ta
ttoo re
-moval is d
estru
ction of h
air fo
llicles. If y
our clie
nt w
ould lik
e a ta
ttoo re
moved fro
m an area in
which
there is w
anted hair g
rowth, m
anually extra
ct all fo
llicles b
efore tre
atm
ent. T
he use of a
n
aggressiv
e depilatory w
ax is b
est. If th
e fo
llicle is re
moved th
ere w
ill be fa
r less d
amage to
the
papilla
cells w
hich
produce growth. T
he hair fo
llicle unit w
ill regenerate in
4-6 weeks.
Treatm
ent A
round or Near th
e Genita
ls: La
ser ta
ttoo re
moval is sa
fe fo
r applica
tion to
the p
ubic
regions in
cluding th
e re
productiv
e organs o
f both se
xes. C
are m
ust b
e ta
ken in
to co
nsid
eratio
n in
these areas d
ue to
the in
creased le
vel o
f neural se
nsitiv
ity. T
he patie
nt m
ay fin
d th
e process u
n-
comforta
ble with
out a
topica
l desensitizin
g sp
ray.
Treatm
ent Around or Near the Eyes: G
reat ca
re m
ust b
e
exercise
d w
hen w
orking near th
e eyes. T
he la
ser e
missio
n is
powerfu
l enough to
actu
ally penetra
te th
e eyelid and perm
a-
nently
damage th
e eye. H
aving th
e patie
nt clo
se th
eir e
yes is
not sa
tisfacto
ry protectio
n. T
he use of a
dark-co
lored damp
wash clo
th which
is
folded over four tim
es will
defle
ct the
harm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotectiv
e eyewear is
recommended.
Post-T
reatm
ent:
The sk
in su
rrounding th
e tre
atm
ent a
rea
will
experie
nce short-te
rm erythmia (re
ddening) which
will
subsid
e w
ithin 12-24 hours. S
hould th
e tre
atm
ent a
rea sh
ow
signs o
f excess sca
bbing you m
ay w
ish to
reduce th
e overall
treatm
ent
time or
intensity
. The applica
tion of
a post-
treatm
ent co
oling and healing gel (su
ch as A
loe) is e
ncour-
aged to speed healing and reduce sensitiv
ity. Instru
ct the
patie
nt to
refra
in fro
m applying co
smetics o
r sunbathing fo
r at le
ast 2
4 hours.
REFERENCES
Nestor, M
ark S., M
D, P
hD, "L
aser H
air R
emoval: C
linical R
esults and Practical A
pplica-
tions of S
electiv
e Phototherm
olysis", S
kin & Aging, Ja
nuary 1998.
Lask, Gary, MD, Elm
an, Monica, MD, Slatkine, Michael, PhD, Waldman, Amir,
PhD,
Rozenberg, Zvi,
PhD, "Laser-A
ssisted Hair
Removal by Selectiv
e Phototherm
olysis:
Prelim
inary Results", th
e American Society fo
r Derm
atology Surgery, 1
997.
6
—Black in
k absorbs all w
avelengths of lig
ht a
nd re
sponds very well to
diode laser tre
atm
ents.
—Green and Blue in
k absorbs 670-890nm lig
ht b
est a
nd re
sponds very well to
diode laser tre
atm
ents.
—Red, O
range, a
nd Purple in
ks absorb 500-700nm lig
ht b
est a
nd will o
nly show m
arginal im
provement w
ith
diode laser tre
atm
ents.
—Turquoise re
sponds varia
bly, d
epending on th
e pigments in
the in
k.
—Yellow te
nds to
reflect lig
ht a
nd does not re
spond well to
diode laser tre
atm
ents.
before
afte
r
