TattooStar Family - Q-switched Ruby & Nd:YAG Laser - Technology - PowerPoint PPT Presentation

TattooStar Family - Q-switched Ruby & Nd:YAG Laser -

Technology „Made in Germany“ For more than 35 years, Asclepion has been operating on the medical laser market. As the company is based in Jena, famous through the world as the global center of the optics industry since 1846, the company owes it success to the steady development of new technologies and the active collaboration with researchers from German universities and industries. • More than 35 years experience in the aesthetic laser medicine and surgery • Development, production, service & training center in Jena • TOP100 of the most innovative medium-sized businesses in Germany TS 100 1116 EN 2

The new dimension of Q-switched lasers The first Q-switched laser from Milestones of product introduction of Q-switched laser systems RubyStar Asclepion was launched in 1998. Now we present the latest generation of Q-switched laser for the aesthetic laser medicine, where you can have RubyStar+ up to 4 different wavelengths (532, 585, 694, 1064 nm) in one system: TattooStar Effect COMBO. TattooStar Y TS 100 1116 EN 3

Specifications Laser: Q-switched Nd:YAG laser (Y), class 4 Q-Switched ruby laser (R), class 4 Q-switched ruby and Nd:YAG laser (COMBO), class 4 Wavelength: 694 nm (R) 532, 1064 nm (Y) 585 nm (Dye) Energy: Up to 1.5 J (Y), 1.2 J (R) Pulse duration: Approx. 8 ns (Y), 40 ns (R), 300 µs free running mode (Y) TattooStar R Frequency: Up to 10 Hz (Y), 2 Hz (R) Fluence: 1064 nm: Max. 37 J/cm² (Q-Switch: 20 J/cm²) 694 nm: Max. 20 J/cm² 532 nm: Max. 10 J/cm² 585 nm: Max. 5 J/cm 2 TattooStar Effect R TattooStar Effect Y Spot sizes: 2 – 2,5 – 4 – 5,5 mm (Y), optional 7 mm (free running mode) TattooStar Effect COMBO 2,5 – 4 – 5 mm, TattooStar: optional 6 mm (R) TattooStar Effect: optional 7mm (R) 7x7 mm with MicroSpot handpiece (R) (Fractional, 196 MicroSpots with Ø 300 µm, 30% cover rate) All specifications are subject to change without notice. TS 100 1116 EN 4

Clinical success and USPs Clinical success USPs • 1998: The RubyStar is one of the most • Up to 4 different wavelengths in one system • Microlens array technology successful Q-switched lasers in • Application without gaps due to square shaped spots Germany with over 100 systems in the • MicroSpot technology market. • The hundreds of satisfied customers in • Very homogeneous beam profile • Automatic spot size detection Germany and worldwide and their • Intuitive operation feedbacks had influence in the • Sterilizable distance holder development of the latest generations. • More than 12 years experience. • Reliability TS 100 1116 EN 5

Standard handpiece  state-of-the-art technology Microlens array patented EP1112524  homogeneous spot at every size and fluence  sterilizable distance holder  automatic spot size detection Standard handpiece Microlens array Homogeneous spot Distance holder for different spots (including corresponding optics) TS 100 1116 EN 6

MicroSpot handpiece Handpiece (fractional for ruby laser) with MicroSpot technology  use of highly reliable microlens arrays  flexible adjustment of Fluence and Speed  optimal coverage for the treatment MicroSpot handpiece Spot size 7,1 x 7,1 mm Numbers of spots 196 (14 x 14) MicroSpot Ø 300 µm Gap 200 µm Coverage Approx. 30 % Energy & Fluence  8.0 J/cm 2 Max. Energy 1.13 J Homogeneous spot fractional  2.5 J/cm 2 Min. Energy 0.31 J TS 100 1116 EN 7

Advantages of fractional Q-Switched ruby laser • worldwide first and only Ruby laser with fractional technique • very homogenous spots clearly more mild treatment  very gentle method • • normally no down time, sun cream and make up can be applied • side effects even less compared to ablative fractional laser treatments • therefore: new applications pigment removal of large areas as the whole face • painless treatments without anesthesia • quick treatment procedure for the today‘s busy clients • reliable technology by Microlens array TS 100 1116 EN 8

DYE Handpiece (for Q-switched Nd:YAG) Treatment flexibility  The wavelength of the Q-switched Nd:YAG laser can be set to frequency doubled 532nm (green light).  By means of a special dye this green light can be transferred to yellow light (wavelength of 585nm).  This principle is realized with the Dye handpiece of DYE handpiece the TattooStar Effect Y.  With the yellow light of 585 nm, e.g. sky-blue tattoos can effectively be treated. TS 100 1116 EN 9

Beam profile and spot shapes TattooStar X Square spot no overlap necessary Homogeneous spot X by Flat Top Profile Other lasers X Round spot no overlap -> gaps Overlap -> more treatment time Non homogeneous Spot X by Gaussian profile Homogeneous, square Spot for a safe and effective treatment! TS 100 1116 EN 10

Comparison beam profile TattooStar traditional Flat Top Pulse Q-Switch Gaussian Pulse q-Switched Nd:YAG Nd:YAG By courtesy of Prof. Dr. D. Cassuto, Milan, Italy TS 100 1116 EN 11

User interface Display TattooStar Effect Display TattooStar R • detachable 12“ high resolution display • easy use by touch screen • pre & post treatment pictures and videos • fluence and speed adjustable directly • patient library and list of indications with • display of energy in the Work Screen treatment parameters • patient library • treatment suggestions and procedure • about Asclepion TS 100 1116 EN 12

Selective absorption HIGH ABSORPTION in the Melanin of 100000 pigmented lesions and in the ink of tattoos . 10000 Pigments are fragmented by the Q-Switch pulse and Desoxy-Hemoglobin 1000 reabsorbed by the lymphatic system. Absorption Coefficient [cm -1 ] Protein Water 100 Ruby laser: Melanin LOW ABSORPTION 10 in blood and water. Side effects in blood 1 vessels and other tissue are marginally. Oxy-Hemoglobin 0.1 Nd:YAG laser: LESS ABSORPTION 0.01 in Melanin. More safe for dark skin. Scattering 0.001 0.0001 100 200 300 400 500 1000 2000 3000 4000 5000 10000 Wavelength [nm] TS 100 1116 EN 13

Indications Indication 694nm 532nm 1064nm 585nm Technology Ruby Nd:YAG Nd:YAG DYE Benign pigmented yes yes yes yes lesions (superficial) (dark and/or deep) (superficial, lighter) Tattoo Black , blue , green Red Black , blue Light blue Permanent make-up Dirt tattoos yes no yes no Melasma/Chloasma* yes (MicroSpot FRx) no no no • ( benign) Lentigines • Epidermal naevi • Naevus Ota/ Ito • Tattoo * besides sun protection before and after treatment, it is always necessary, otherwise recurrent lesions have to be treated once more By courtesy of Dr. Paul Wood, Proderma, Bad Homburg, Germany TS 100 1116 EN 14

Indications | Removal of tattoos Laser treatment is the only, almost bloodless and efficient treatment method. • no scars • fast and painless treatment • usually no anesthesia required • after the treatment the patient can carry on as normal. TS 100 1116 EN 15

Indications | Removal of tattoos composition of professional Tattoo inks (University Regensburg, Dr. Bäumler, Prof. Landthaler, BASF Research) • only 16 main substances • 41 colorants • contain of organic pigments • main component Aluminum • basic substance: car paint • 85% dark colors • substances are toxic TS 100 1116 EN 16

Indications | Removal of tattoos Clinical end point: Immediate reaction: whitening at the skin Caused by: • extremely fast heating of pigments and vaporizing of the tissue water • formation of vacuoles E. Richter et al: In vivo a nalysis of solar Lentigines by reflectance confocal microscopy before and after Q-switched Ruby laser treatment immediately after the treatment, Acta Derm Venerol 2011; 91: 164 – 168 the skin color is typically white-gray By courtesy of Dr. Patricia Steiner, Germany TS 100 1116 EN 17

Indications | Removal of tattoos By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany TS 100 1116 EN 18

Indications | Removal of tattoos after 6 treatments (Ruby Q-switched), red part can not be removed with ruby laser By courtesy of Dr. Patricia Steiner, Germany TS 100 1116 EN 19

Indications | Removal of tattoos after 5 treatments (Nd:YAG Q-switched 1064 nm, 8 J/cm 2 , 2.5 mm spot) By courtesy of Prof. Dr. D. Cassuto, Milan, Italy TS 100 1116 EN 20

Indications | Removal of tattoos before after 4 treatments (Ruby Q-switched) after 8 treatments (Ruby Q-switched): nearly complete repigmentation By courtesy of Dr. Patricia Steiner, Germany TS 100 1116 EN 21

Indications | Removal of tattoos before after 2-3 treatments (Ruby Q-switched) By courtesy of Dr. Patricia Steiner, Germany TS 100 1116 EN 22

Indications | Removal of tattoos before after 14 treatments (Ruby Q-switched) By courtesy of Dr. Patricia Steiner, Germany TS 100 1116 EN 23

Indications | Removal of permanent Make-Up after 1 treatment (Nd:YAG Q-switched 532 nm, 3,5 J/cm 2 , 2 mm spot) ATTENTION: During treatment of tattoos/ permanent make-up color change is possible. Test treatment! By courtesy of Prof. Dr. D. Cassuto, Milan, Italy TS 100 1116 EN 24

Indications | Removal of permanent Make-Up before color change after By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany TS 100 1116 EN 25