UltraPulse® Carbon Dioxide Laser Operator Manual for EncoreTM and SurgiTouchTM Models This manual is copyrighted with all rights reserved. Under copyright laws, this manual may not be copied in whole or in part or reproduced in any other media without the express written permission of Lumenis. Permitted copies must carry the same proprietary and copyright notices as were affixed to the original. Under the law, copying includes translation into another language. Please note that while every effort has been made to ensure that the data given in this document is accurate, the information, figures, illustrations, tables, specifications, and schematics contained herein are subject to change without notice. Lumenis, the Lumenis logo, UltraPulse, UltraPulse SurgiTouch, SurgiTouch+, Encore, UltraScan CPG, PigmentFX, ActiveFX, ActiveFX gentle, MaxFX, DeepFX, SCAAR FX, PreciseFX, IncisionFX, BrowFX, CoolScan, CO2 Lite, TrueSpot, ClearSpot, UltraFlex, Lumenis/Nezhat, AcuSpot, OtoScan, OtoLAM, AcuBlade, BeamAlign, MicroSlad, and FiberLase are trademarks or registered trademarks of Lumenis. Retin-A and Renova are registered trademarks of Ortho Pharmaceuticals Corporation, Dermatological Division. Melanex is a registered trademark of Neutrogena Dermatologics. Valtrex is a registered trademark of Glaxo Wellcome, Inc. Famvir is a registered trademark of SmithKline Beecham Pharmaceuticals. Cipro is a registered trademark of Bayer Corporation. Coppertone and Shade are trademarks, distributed by Schering-Plough HealthCare Products, Inc. Vaseline is a registered trademark of Chesebrough-Pond’s USA, Co. Acutane is a registered trademark of Roche Laboratories, Inc. Copyright© Lumenis Ltd. Authorized Representative: May 2012 Lumenis GmbH Germany 0637-129-01 Heinrich-Hertz-Strasse 3 Revision G D-63303 Dreieich-Dreieichenhain Germany Manufactured by Lumenis Ltd. P. O . B . 2 4 0 Yokneam 20692 Israel Directive 2002/96/EC on Waste Electrical and Electronic Equipment (WEEE) In accordance with Directive 2002/96/EC on Waste Electrical and Electronic Equipment (WEEE), any item which is marked with the crossed-out wheelie bin symbol must not be disposed of as unsorted municipal waste, but segregated from other waste types for eventual treatment and recovery at an approved recycling facility. By returning waste electrical and electronic equipment via the correct segregated disposal channel, users can ensure the environmentally sound treatment and disposal of the waste equipment, thereby reducing the potential for any environmental or health risks that could arise as a result of incorrect disposal. Lumenis provides web-based collection, recycling and reporting arrangements to the business end-user for equipment marked with the crossed-out wheelie bin. Please visit www.lumenis.com/recycling to understand what arrangements Lumenis has made in each EU Member State. 3 Contents General Overview. 9 Operation Introduction: The UltraPulse Laser Systems . 11 Characteristics of the carbon dioxide laser beam . 12 Laser Preparation . 13 UltraPulse Components . 14 Laser console . 15 Footswitch . 15 External door interlock plug . 15 Delivery devices. 15 Purge air compressor . 15 Connection Instructions . 16 Connecting the footswitch . 18 Inserting the external door interlock plug . 19 Releasing and orienting the articulated arm . 20 Connecting the delivery device . 22 UltraPulse Delivery Device Connection Diagram . 23 Balancing the articulated arm . 26 Connecting the scanner communication cable . 27 Connecting the main power cable . 29 Laser Console Basics . 31 Turning on the laser . 31 Restarting the laser . 31 Laser beam alignment check . 33 Turning off the laser . 33 Emergency off. 33 Disconnecting the laser . 35 Moving the laser console . 35 UltraPulse 0637-129-01, Revision G 4 . Contents Control Screen Basics. 37 Control screen tabs . 37 Overview of operating modes and treatment screens . 38 Changing the control screen mode: English or icon . 39 Laser status: ready or standby . 41 Advisory messages . 43 Setting the aiming beam characteristics . 45 Adjusting the system volume . 48 Adjusting the Exposure On / Off. 49 Sleep Mode . 50 Replacing the Scanner (Scanner Pause) . 51 Saving and retrieving treatment settings . 52 UltraScan Encore CPG functions . 56 Beam offset . 57 Preoperative Instructions . 58 Intraoperative Instructions . 59 Postoperative Instructions . 60 SurgiTouch+ Overview . 61 Introduction: The SurgiTouch+ User Interface . 63 Selecting a Specialty, Application, and Delivery Device. 64 Recalling the last setup . 67 Setting Treatment Values. 68 Selecting the scan mode: Non-scan or Scan. 68 Adjusting the power . 70 Adjusting the UltraPulse SurgiTouch Scanner settings . 72 Timed exposure and repeat delay in SurgiTouch+ . 75 Setting timed exposure . 76 Setting repeat delay . 77 UltraPulse Overview . 79 Setting Treatment Values. 81 Setting the energy or fluence . 81 Setting the repetition rate or average power . 84 Timed exposure and repeat delay in UltraPulse mode . 86 Setting timed exposure . 87 Setting repeat delay . 88 CW Overview . 89 Setting Treatment Values. 91 Setting the power . 91 Timed exposure and repeat delay in CW mode . 93 Setting timed exposure . 94 Setting repeat delay . 95 UltraPulse 0637-129-01, Revision G Contents . 5 Maintenance Overview. 97 Troubleshooting Guide. 99 User Maintenance . 105 Annual laser maintenance . 106 Laser repair. 106 Clean the external surfaces of the laser console . 106 Clean the laser control screen. 106 Water utilities . ..