DIODE LASER HAIR REMOVAL SYSTEM T8

DIODE LASER HAIR REMOVAL SYSTEM

T8

USER MANUAL

+8610 5721 2057

[email protected]

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Content

Chapter 1 Brief Introduction.........................................................................................................................................5

1.1 Maintenance...................................................................................................................................................5
1.2 System Reform...............................................................................................................................................5
1.3 Resale Test.....................................................................................................................................................5
2.1 Summarize......................................................................................................................................................6
2.2. System Safety Test........................................................................................................................................6
2.2.1. Electrical Safety.................................................................................................................................6
2.2.2 Laser Safety........................................................................................................................................6
2.2.3 Treatment Room.................................................................................................................................7
2.2.4 Prevention...........................................................................................................................................7
2.2.5 Caution................................................................................................................................................7
2.3 Relative Caution about Laser Emission.........................................................................................................7
2.3.1 Burn Hazard........................................................................................................................................7
2.3.2 Eye Injury by Radiation......................................................................................................................8
2.3.3 Safety Glasses.....................................................................................................................................8
2.3.4 Explosion and Fire Danger.................................................................................................................8
2.3.5 High Voltage Hazard..........................................................................................................................8
2.3.6 System Grounding..............................................................................................................................8
2.3.7 System Safety.....................................................................................................................................8
2.3.8 Emergency Shut-Off Knob.................................................................................................................9
2.3.9 Laser Emission sound signal...............................................................................................................9
2.3.10 Double-tiered Laser Emission Security............................................................................................9
2.3.11 Foot switch........................................................................................................................................9
2.3.12 Cooling System.................................................................................................................................9
2.4 Handpiece.......................................................................................................................................................9
2.5 System Classification...................................................................................................................................10
2.6 System Classification according to IEC 60601-1.........................................................................................10
Chapter 3 Installation and Operation..........................................................................................................................11
3.1 Equipment Requirements.............................................................................................................................11
3.1.1 Space and Location...........................................................................................................................11
3.1.2 Electrical Requirements....................................................................................................................11
3.1.3 Environmental Requirements............................................................................................................12
3.2 Handpiece Stand Connection.......................................................................................................................12
3.2.1 Handpiece Connection......................................................................................................................13
3.3 Foot switch Connection................................................................................................................................13
3.4 Fill Water.....................................................................................................................................................13
3.5 Cooling System Drains Water......................................................................................................................14
Chapter 4 System description.....................................................................................................................................15
4.1 Introduction..................................................................................................................................................15

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4.2 Application...................................................................................................................................................15
4.3 Components.................................................................................................................................................15
4.4 System..........................................................................................................................................................16
4.4.1 Power Supply Module......................................................................................................................16
4.4.2 Error Detection..................................................................................................................................16
4.4.3 Control panel.....................................................................................................................................16
4.4.4 Cooling System.................................................................................................................................17
4.4.5 Water Cooling...................................................................................................................................17
4.4.6 Fan....................................................................................................................................................17
4.4.7 Isolation Transformer........................................................................................................................17
4.4.8 Diode Laser Handpiece.....................................................................................................................17
4.5 Foot switch...................................................................................................................................................18
4.6 Application Mode.........................................................................................................................................18
4.7 Selective Operation Parameters...................................................................................................................18
4.8 Pause............................................................................................................................................................18
4.9 Device Specifications...................................................................................................................................18
Chapter 5 Control.......................................................................................................................................................19
5.1 Emergency Shut-off Knob...........................................................................................................................19
5.2 Key Switch...................................................................................................................................................19
5.3 Main Breaker................................................................................................................................................19
Chapter 6 Operation Guide.........................................................................................................................................20
6.1 Error Detection.............................................................................................................................................20
6.2 System Operation Preparation......................................................................................................................20
6.3 System Operation.........................................................................................................................................20
6.3.1 Start System.......................................................................................................................................21
6.4 Setting..........................................................................................................................................................23
6.4 Pause............................................................................................................................................................23
6.5 Turn off Equipment......................................................................................................................................23
Chapter 7 System Maintenance..................................................................................................................................24
7.1 Regular Maintenance...................................................................................................................................24
7.2 Normal Maintenance....................................................................................................................................24
7.2.1 Clean and Disinfection......................................................................................................................24
7.2.2 Clean Handpiece...............................................................................................................................25
7.2.3 Change Filter.....................................................................................................................................25
Chapter 8 Troubleshooting.........................................................................................................................................25
8.1 Warranty......................................................................................................................................................25
8.2 Troubleshooting...........................................................................................................................................26
Chapter 9 Clinical Guide............................................................................................................................................26
9.1. Introduction..................................................................................................................................................26
9.2 Applications and Indications........................................................................................................................27
9.3 Contraindications.........................................................................................................................................27
9.4. Other Effect after Treatment........................................................................................................................27
9.5 Other Possible Effect during Treatment.......................................................................................................28
9.6 Eye Protection..............................................................................................................................................28
9.7 Vision Safety................................................................................................................................................28
9.8 Fire Safety....................................................................................................................................................28
9.9 Pulse width...................................................................................................................................................29
9.10 Fluence.......................................................................................................................................................29

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9.11 Before Treatment.......................................................................................................................................29
9.12 Cooling Technology...................................................................................................................................29
9.13 Take Photo.................................................................................................................................................29
9.14 Surface Anesthesia.....................................................................................................................................30
9.15 Explanation before Treatment....................................................................................................................30
9.15.1 Preface.............................................................................................................................................30
9.15.2 Consolation Service........................................................................................................................30
9.16 Treatment...................................................................................................................................................30
9.17 Post-Operative Care...................................................................................................................................31
9.18 Follow-up...................................................................................................................................................31
9.19 Finish Treatment........................................................................................................................................32

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 DIODE LASER HAIR REMOVAL SYSTEM

Chapter 1 Brief Introduction

This equipment is designed to conform to international standard. The operator has to be trained with correct
operation procedure.
Before operating on this equipment, please read this user manual carefully.
If you have any questions about this user manual, please contact with our company.

Caution!

The other controlling, adjustment or operation procedure of this equipment beyond scope of this user manual may result in dange
Before operation, the operator shall be familiar with the safety requirement and operation procedures of this equipment.
This user manual shall always accompany with this system and all the operators shall know where this user manual is.

1.1 Maintenance

This equipment needs periodic test and maintenance. And the procedure can be done only by professional
technical member.
If you failed in sealing for help from our company because of unclear of warranty period, please contact with our
company.

1.2 System Reform

Any system reform unauthorized by our company will lead to warranty failure.
Besides our company has no responsibility for any reformed system.

1.3 Resale Test

This equipment is sophisticated medical equipment.

If your system is not purchased from the authorized representative office, we company will send technicians to test
your system. We company will ensure that your system can work under the conditions required by manufacturers.

NOTE: The following is wrong behavior and may cause bad consequences. We company has no responsibility for
it:
You purchase system from unauthorized representative office and you use the system without our

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company’s test.

Chapter 2 Operation Safety

2.1 Summarize

This chapter describes safety of diode laser system, mainly optical and electrical safety.

Caution!

When press down emergency switch, dangerous voltage is broken!

This equipment has adopted special design to minimize possible accident danger and radiation danger.

2.2. System Safety Test

T8 is designed to maximize safety of doctor and patient.

2.2.1. Electrical Safety

1. On the maintenance panel, there is an electricity breaker.

 When overload happens, the electricity breaker will protect system
 Turn on the equipment again, uplift the electricity breaker
2. Software protection contains.
 After starting the equipment, the system tests all the relative safety hardware
 Monitor system goes on working during treatment
 When error happens, system would show error message for operator to stop any operation
3. After starting the equipment, the connected handpiece will do self-test.
4. After starting the equipment, electrical circuit will do self-test. This test will go on during treatment.

2.2.2 Laser Safety

1. Closed light conductor will lead light to skin area to be treated with. The light emits from the front part of
the light conductor.
2. When emergency switch is pressed down, the system would stop running.
3. Only when press foot switch and press switch on handpiece at the same time, the laser can be emitted.
This will avoid misusing.
4. After starting the equipment, water circulation will cool the handpiece’s laser source.
5. Test the temperature of water to avoid handpiece’s laser source being too hot; If water stops running,
or water temperature is more than 33 degrees, the laser can’t emit.
6. This equipment equips with medical foot switch for convenient using. It will avoid any short-circuit

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and increase the durability.

2.2.3 Treatment Room

The treatment room must post a laser dangerous mark.

1. The treatment room shall not place any reflective objects, including mirror.
2. Only allow people well trained to enter treatment room.
3. Make sure that operator is familiar with using of this equipment and turn off system in the
emergency.

2.2.4 Prevention

1. Read this user manual carefully before using this equipment;

2. Always keep the light conductor of any handpiece clean. Remember to wipe the cooling gel after each
patient using;
3. Be careful to move the equipment and avoid human injury. Do not pull handpiece to move
equipment.

2.2.5 Caution

1. Technical staff is qualified to maintain the system, including: adjust inner power, cooling system;
2. Make sure that the voltage is coincident with your country (110V or 220V);
3. During maintenance, system shall be off and unplug power. Since turned on system may damage
operator or system;
4. Turn off the equipment if you don’t use this equipment;
5. Shall not let system stay at ready condition;
6. Person who isn’t trained can’t operate this equipment;
7. During maintenance, the system could not be turned on, opened or no person’s attention.

2.3 Relative Caution about Laser Emission

2.3.1 Burn Hazard

T8 emits invisible light with wavelength 808nm, so it can burn eyes with third- degree burns.

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2.3.2 Eye Injury by Radiation

1. In the treatment room, it is important that all the persons (patient and doctor) wear the protective glasses;
2. Even if the patient wears the protective glasses, he shall close eyes during treatment;
3. If the treatment area is very close (such as eyelid), it is needed to wear corneal protector.

2.3.3 Safety Glasses

Scattering from diode can do harm to eyes. All the persons have to wear safety glasses.

2.3.4 Explosion and Fire Danger

1. This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide. Do not operate in the presence of volatile solvents such as alcohol or gasoline;
2. While using this equipment, we advise you to use fire prevention materials and fire prevention clothes;
3. A readily accessible fire extinguisher in the vicinity of the system is also recommended.

2.3.5 High Voltage Hazard

1. Voltage of this system is 110V/220V;

2. T8 generates high voltage in several parts; some parts may still have electricity after unplug the power;
only the technical personnel maintain the system who authorized by our company;
3. Never leave the system turned on or unattended during system maintenance.

2.3.6 System Grounding

The system is grounded through the grounding conductor and grounding pin in the power cable.

2.3.7 System Safety

The system has many safety features. Clinical persons shall be familiar with the position and operation of these
safety devices.

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2.3.8 Emergency Shut-Off Knob

1. The system has emergency shut-off knob for emergency shutdown;

2. When press emergency switch, it immediately disables the power;
3. To continue normal operation, release the emergency shut-off knob. Then restart the system.

2.3.9 Laser Emission sound signal

The system has special laser sound signal before emission

2.3.10 Double-tiered Laser Emission Security

1. Laser beam emission is enabled only when foot switch and handpiece switch are activated at the same
time.
2. These two controlling devices help to reduce laser mistaken emission.

2.3.11 Foot switch

System uses medical foot switch to avoid short circuit and ensure foot switch’s durability.

2.3.12 Cooling System

1. The handpiece tip adopts thermoelectric cooling method to reduce uncomfortable after treatment.
2. During treatment, tip temperature is 0- 3℃.
3. The cooling water and temperature are monitored to ensure no risk of overheating of the diode.

2.4 Handpiece

The handpiece is designed to ensure system safety:

1. Since the handpiece generates laser, it does not need other beam launching system; On the contrary,
handpiece has an optical mixer; the optical mixer concentrates the light of thousands of transmitters
together to produce the beam of monochromatic square; as the laser beam is limited in the handpiece, so
there is no harmful optical radiation in the console or cable.
2. While treatment, make the tip touch skin to reduce light deviation and improve treatment effect

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2.5 System Classification

The system complies with following international standards:

1. Us Federal Performance Standards 21 CFR 1040.10 and 1040.11 for Class IV laser products;
2. IEC60601-1 Medical Electrical Equipment—The first part: The general requirements of security modified in
1988; modified in 1991-11;
3. IEC60601-1-2 (The second edition, 2001) Medical Electrical Equipment—The first part: The general
requirements of security; Electromagnetic compatibility requirements and test (General);
4. IEC60601-2-22 (1995-11) The second edition; Medical Electrical Equipment—The second part: Diagnostic
and therapeutic laser equipment particular requirements for safety;
5. IEC60825-1 (2001-08) Consol.Ed.1.2 (incl.aml+am2) laser product safety—The first part: system
classification, requirements and user guide);

System’s operation and installation complies with CAN/CSA-Z386-01: Laser safety and health measures; In
compliance with these standards, the system is equipped with:
 Laser emission indicators
 Key switch
 LED display
 Emergency shut-off knob
 Handpiece switch
 Labels
In accordance with the regulations, we recommend a routine inspection and maintenance schedule.

2.6 System Classification according to IEC 60601-1

 Classify according to anti-electric shock protection method: system is class-I equipment;

 Classify according to anti-electric shock protection degree: laser tip is B type part
 This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide.

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Chapter 3 Installation and Operation

After purchasing this equipment, make installation and initial system testing.
System transportation and installation are carried out by our company authorized technical person.

Main items are:

 Unpack the equipment and position it in its pre-selected location
 Verify the integrity of this equipment and its components
 Connect handpiece and foot switch
 Connect specified power outlet
 Test cooling water system
 Test measurement and operation function of system parts and software

Caution!

Before opening the packaging, if you find any packaging damage or system damage, please report to our company and to th

3.1 Equipment Requirements

Before unpacking, make sure the installation location meet the following requirements:

3.1.1 Space and Location

 The working area and system location shall meet equipment’s requirement. To ensure good ventilation,
always ensure that the system left the walls or air obstructions at least 0.5m.
 After determining the location, press the wheel top and pedal to lock the wheel braked. Thus system is fixed.

3.1.2 Electrical Requirements

System requires for an independent line voltage:

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Monophase 110 VAC 10%, 20A, 50/60Hz or 220 VAC +10%, 15A, 50/60Hz The input power should be no
transient current, voltage and current spark, no power vertical and surge. Input power shall have no transient current,
voltage and current spark, no power vertical and surge. So this system shall be separate from other high-power
electric equipment, such as elevator, air conditioning, the giant motor. When connected with external power supply,
system is grounded through the grounding conductor in the power cable. Proper grounding is very important for safe
operation.

Caution!

Ensure that use local correct power line (110 or 220 VAC);
This equipment adopts independent lines and separated circuit fuse. Unless the system use dedicated circuit, our company can’

3.1.3 Environmental Requirements

Air quality:
 The system should work in a non-corrosive atmosphere. Corrosive substances such as acids can damage the
surface of the wires, electronic devices and optical components.
 Dust in the air should be kept to a minimum. The dust particles absorb light and produce thermal effects, while
thermal particles will damage the surface of the optical components. Metal particles will corrode the
electronic equipment.

Water quality:
The system must use deionized water.

Temperature and Humidity:

 Work temperature: 10-30℃ (50-850 F)
 Storage temperature: 10-55℃ (50-1310 F)
 Work relative humidity: Max 80%
 Storage relative humidity: Max 90%
Prolonged use produces heat, it is recommended to install air-conditioning.

3.2 Handpiece Stand Connection

The handpiece stand is located back of the system. Use screws to fix it (following picture)

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3.2.1 Handpiece Connection

 The handpiece is designed to be easily changed and have safety prevention;

 Handpiece is connected the back of device;

3.3 Foot switch Connection

For security, this system is equipped with foot switch; It is

connected with connector on rear panel;

3.4 Fill Water

The cooling water tank must be filled with deionized water. Test water level every three months. Filling water
procedure:

Plug the funnel into the Water In/Out, pour in the deionized water, until the water came out from the water overflow

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SER HAIR REMOVAL SYSTEM T8

Caution!
Don’t fill running water into the water tank, but only fill deionized water.

3.5 Cooling System Drains Water

 If system is placed in environment where temperature is lower than 0 degree, cooling system must drain
deionized water;
 Before moving or transporting the equipment, drain water;

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Chapter 4 System description

4.1 Introduction

This chapter is a detailed description of diode laser system, including main components, controlling parts and each
subsystem.

4.2 Application

1. T9 is a compact system with wavelength 800nm. This system’s output can get to 120J/cm2.
2. The whole system is constituted by console, foot switch and handpiece. Handpiece touches skin, press foot
switch and handpiece switch to supply pulse.
3. The peak of handpiece has been done with cool treatment to lower skin temperature continuously.
4. Control panel of console controls laser specification and other system function.

4.3 Components

Laser system contains a diode laser.

This diode laser can emit near infrared light with wavelength 808nm. The
system contains:

Host Handpiece Handpiece stand Funnel

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Power line Foot switch Eye shield Laser protective

glasses

4.4 System

4.4.1 Power Supply Module

Three power supply modules transmit electricity to various components of the system:
 1500W 12V—Supply MEG-50, diode laser driver;
 150W 220V—Supply electricity to water pump and thermoelectric system;
 70W 12V—Supply electricity to LCD and micro-controller panel

Only after meeting following situations, it can supply electricity to diode laser modules:
 After software test, system doesn’t have functional malfunction
 System is at Ready mode
 Foot switch and handpiece switch are started at the same time

4.4.2 Error Detection

This equipment equips self-detecting device. System is continuously monitored by 6 password lock. Software
continuously detects the error of hardware. If it find error, it will show error information.

4.4.3 Control panel

 Emergency shut-off knob---red, mushroom-shaped button is used for shut off system in the emergency;
 LCD screen---it supplies system’s situation and setting;
 Key switch--- start the system after turning off equipment

Caution!
To avoid overheating and system functional faults, don’t block the air flow in the system

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4.4.4 Cooling System

Cooling system contains:

 Water cooling system
 Thermoelectric cooling system (TEC)
 Fan

4.4.5 Water Cooling

 Closed-loop system operates with deionized water to achieve water cooling. Its purpose is to make
laser cavity have a longer life.
 Cooling system contains heat exchangers, water containers, water pump and particulate filter.
 System has temperature sensor, flow and level switches, protecting system from cooling system function
failure.
 For security, when water temperature gets to 33℃ , laser energy emission function fails.

4.4.6 Fan

Fans at the underneath

4.4.7 Isolation Transformer

This equipment has isolation transformer, which reduces the leakage current and meets relative standard requirements of
medical devices.

4.4.8 Diode Laser Handpiece

Laser Array
Semiconductor optical system and cooling system are located in the ergonomic designed handpiece. The diode laser
assembly is divided into three parts: connecting cables, connectors and handpiece.

Laser Handpiece
It contains diode laser array, light crystal, medical protection window, cooling fins and handpiece trigger (mounted in the
handpiece)

Caution!

The handpiece contains precise optical components; Components may suffer serious damage after falling.

Handpiece Connector
Handpiece is dismountable. The connector is located back of device.

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When you insert or pull the handpiece connector, you have to press the two keys of it

Independent-Contact Cooling System

Independent-contact cooling system is installed in the handpiece. It can reduce the patient’s discomfort and
protect epidermis during treatment.
The cooling system is automatically activated during system operation.

4.5 Foot switch

 Foot switch is brake pedal;

 It is connected with connector on rear panel;
 Only when foot switch and handpiece switch are pressed at the same time, laser can emit; These two controlling
devices help to reduce laser mistaken emission;
 Only when system is at Ready mode, foot switch and handpiece switch can be started
 At Standby mode, pressing foot switch will not make laser emission

4.6 Application Mode

 When press foot switch and handpiece switch at the same time, laser emits continuously. This is laser repetition
frequency.
 Laser energy can be adjusted by operator.
 With selected energy density, pulse width is automatically adjusted. Operator can select different repetition
frequency according to software.

4.7 Selective Operation Parameters

The user can select different parameters to control the equipment:

1. Fluence
2. Repetition frequency
3. Pulse Width
Refer to Chapter 9——Clinical Guide

4.8 Pause

For security, if there is no need of immediate laser emission, the equipment shall stay at Standby situation. If
operator leaves treatment room, the equipment shall be turned off.

4.9 Device Specifications

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Wavelength 808±5nm
Energy density Max 120J/cm2
Repetition frequency 1-10Hz
Spot size 12*12mm
Output stability ±10%

Chapter 5 Control

5.1 Emergency Shut-off Knob

In the emergency, press emergency shut-off knob to cut off all the electricity. If go on operating, release the knob
(turn 90 degrees clockwise)

5.2 Key Switch

Key switch is located on control panel. After turning on the equipment, turn the key 90 degrees clockwise to
activate operation menu.
Never leave key switch in the system to avoid unauthorized person using equipment

5.3 Main Breaker

On the maintenance panel, there is electricity breaker.

When overload happens, the electricity breaker will cut off all electricity to protect system. If turn
on the equipment, uplift the interrupter;

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Chapter 6 Operation Guide

This chapter is detailed description of operation method for diode laser system.
 According to local law of each country, only allow authorized person to operate this equipment;
 This system provides laser danger labels;
 Improper operation of the system and the changes will affect the instrument’s warranty.
 Operation not mentioned in the user manual shall be allowed by our company.

6.1 Error Detection

This equipment equips self-detecting device.

 LCD shows error information and system stops;
 The system will make sound tone which lasts longer Under this situation, you shall turn off the equipment and
restart the equipment. If error still exists, refer to Chapter 8---Troubleshooting---More notes

6.2 System Operation Preparation

1. Connect the power line;

2. Make electricity show ON;
3. Insert key and release emergency switch;
4. Connect handpiece with equipment;
5. Connect foot switch with service panel. Make sure that all the persons in theclinic room wear suitable safe
glasses

6.3 System Operation

 Laser emits from handpiece; Make sure that all the persons are well protected from laser of handpiece or
reflected;
 To protect eyes from injury and discomfort, make sure that all the persons in the clinic room wear glasses
recommended by our company. Even wear suitable safe glasses, don’t watch laser of handpiece directly;

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 Never make laser emit to sky.

6.3.1 Start System

 Make sure that emergency switch is not pressed; If it is pressed, clockwise turn it to release it
 Make power switch show ON
 Turn key switch 90 degrees
 Screen shows the logo interface as below

At the same time, system make self-test; Then press the LOGO will go into

Choose the wavelength you need

Select for application you need

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Select the part of body you will treat Face/Oxter /Body /Arm/Leg/Bik

You shall press any treatment area, such as , then enter into the leg treatment surface:

Energy adjusting, 1-120J/cm2

Pulse width adjusting, 1-400ms

Repetition rate adjusting, 1-10Hz/s

Monitoring water flow

Monitoring water Temperature

Cooling Ready for shooting suspendfor shooting

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Select the skin type

Shooting number

6.4 Setting
In this page, please press here for go into setting interface

Update the software

And clean the shooting

Select the language

If need other language Please let us know

6.4 Pause

For security, if there is no need of immediate laser emission, the equipment shall stay at Standby situation. If
operator leaves treatment room, the equipment shall be turned off.

6.5 Turn off Equipment

1. Go back to Standby mode

2. Turn key switch counterclockwise 90 degrees
3. Electricity breaker shows OFF
4. Unplug power supply
5. Clean handpiece
6. Put handpiece on handpiece stand

Note!

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While emergency, press emergency shut-off knob to cut off electricity; After
emergency, you can release emergency shut-off knob clockwise.

Caution!
Never leave key switch in the system to avoid unauthorized person using equipment

Chapter 7 System Maintenance

 Normal maintenance is carried out by clinical person and authorized technical person carry out
unmentioned maintenance;
 This system is designed reliably and it doesn’t need maintenance;
 For health, keep equipment clean and clean handpiece after each treatment

7.1 Regular Maintenance

Regular maintenance ensures best working condition.

Authorized technical persons make following operation once every 6 months：
 Total system test
 Inner test, including cleaning accumulated dust
 Use energy meter to check laser output power
 Cooling system:
1. Test water level; If needed, add deionized water
2. Clean water tank

Caution!
 Unmentioned, unauthorized maintenance and modify can make radiation to operator.
 Unsuitable using and adjusting this system may lead to warranty agreement invalid.

7.2 Normal Maintenance

Normal maintenance is finished by clinical person.

Caution!
 System causes high voltage and laser radiation after connecting with power;
 Before maintenance, turn off equipment and unplug power plug;
 Inner part and other parts’ maintenance shall be carried out by professional technical persons

7.2.1 Clean and Disinfection

Use cotton with 70% alcohol to clean system cover

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7.2.2 Clean Handpiece

1. Make protective test to handpiece everyday, including test its integrity, crystal;
2. If handpiece is not clean, use wet cotton to clean it;
3. After treating with each customer, use cotton with 70% alcohol to clean crystal

7.2.3 Change Filter

1. Cooling system has deionized water and this will prolong laser tip’s life;
2. To ensure water quality, cooling system is installed ion filer;

Chapter 8 Troubleshooting

1. Diode laser system has self-test software and it will monitor system operation.
2. The error will stop operation and operator has to use key switch and power switch to turn off
equipment.
3. If situation unmentioned in this chapter happens, professional authorized person shall deal with it.
4. Don’t try to disassemble or open system’s cover.

8.1 Warranty

System warranty is one year.

Unsuitable using and adjusting this system may lead to warranty agreement invalid.

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8.2 Troubleshooting

If this form can’t help solve problem, please contact with us.

Alarm Reason Solution

Out of order System trouble Restart/Contact with us
Error noting Test system has trouble Restart/Contact with us
Key switch has trouble and no 1. Emergency switch is pressed 1. Release emergency switch clockwise;
response 2. Electricity breaker is OFF 2. Electricity breaker is ON;
3. No power supply 3. Connect power supply;
4. Display has trouble 4. Contact with us

Equipment is ON, but tip has no 1. Cooling time is not enough; 1. Wait for 1~5 minutes and try again;
cooling 2. Hardware has trouble 2. Contact with us
When press foot switch and 1. System is at standby mode; 1. Press Ready key;
handpiece 2. Foot switch is not connected to rear 2. Connect foot switch ;
switch at the same time, laser panel; 3. Change foot switch
can’t emit

Chapter 9 Clinical Guide

9.1. Introduction

1. This part can provide help to professional person who operates laser diode system. This chapter describes
how to use this equipment, how to prevent danger and warning information.
2. System’s design requires operator to accept relative training and read user manual, including physicians,
nurses, technicians and other professionals.
3. The physician has responsibility for contacting your local licensing agency to clear legal requirements and
clinical certificate.

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9.2 Applications and Indications

1. The laser diode system can be used for body hair removal and body hair permanent reduction. The system is
expected to be used for all types of skin, including sunburned skin.
2. The hair removal process is based on selective photo thermolysis principle. This method is to destroy hair
regeneration. It rises hair follicle temperature high enough to destroy hair generation cells, but it will not
damage the epidermis and surrounding tissue. The hair follicle is composed of hair generation cells. Hair
generation cells’ scraps are swallowed and excreted.
3. The unique cooling technology make laser shoot to hair roots, at the same time, the cooling protects the skin
and surrounding tissue, improves patient’s comfort.
4. Diode with 810nm wavelength is suitable for removing excess hair. The effect is stable, long or permanent
reduction.

9.3 Contraindications

 Cancer, especially skin cancer

 Pregnancy
 Use photosensitive drugs and traditional Chinese medicine
 Disease easy activated by 808nm wavelength
 Sun exposure or tanning 3~4 weeks before treatment
 Skin to be treated with has inflammation
 Scar tumor history
 Diabetes (dependent on insulin injections)
 Sensitive skin
 Endocrine disorders (light irritation)
 Use anticoagulant
 Epilepsy
 Blood coagulation history

9.4. Other Effect after Treatment

Diode system is similar to other laser technical products. Normally it can cause controllable or uncontrollable
injury to tissue:

1. Serious erythema and edema will last for several weeks;

2. In 48 hours after treatment, the treated skin feels allergic, itching, mild burning sensation or pain
symptoms;
3. After treatment, there appear blisters, skin necrosis or surrounding skin appears pigmentation. They exists for
several days or several weeks and they are obvious;
4. During the whole treatment process, all the persons in the clinic room shall wear suitable safe glasses to protect
eyes;
5. It is very important to observe the reaction of skin. Patient is not suitable or energy is too high may cause
injury and other effect

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9.5 Other Possible Effect during Treatment

1. Discomfort---During laser emission, some patient feel discomfort; Some feel like bitted, others feel like
flagellated lightly or burning sensation lasts for one hour after treatment; Most patient can tolerance the
treatment and some patients need facial anesthesia before treatment;
2. Skin texture damage---in some cases, the patients’ skin surface will appear blisters; need to do routine wound
protection;
3. Pigmentation change---pigmentation of treated skin may change. IV and VI skin types may appear
pigmentation or pigmentation reduction; if treated skin isex posed to sun one week before or after treatment,
treated skin will apparent pigmentation. These pigmentations disappear gradually in 3 to 6 months. Only in rare
cases, pigmentation will leave;
4. Scarring---scarring is very rare, such as proliferative hypertrophic scars or keloids. Compliance with this clinic
guide before and after treatment can be effective in reducing the scarring possibility.
5. Excessive edema--- After treatment, nose and cheeks appear temporary edema. Usually edema disappears in
several hours or lasts for several days;
6. Fragile skin--- Treated skin and surrounding skin becomes fragile after treatment. If this happens, don’t make-
up and friction (which may cause skin damage)
7. Bruises---After treatment, purple bruising may appears and lasts for several days. When bruises disappear, the
skin turns red and the color disappears in 3 months.

9.6 Eye Protection

1. It is very important for all persons in the clinic room to wear safe glasses;
2. Eye’s optical density is 5 (0D>5）;
3. The patient has to close eyes during treatment, even if he wears safe glasses;
4. If patient could not wear glasses, he can use eye patch to completely prevent glare into eyes;
5. If treated skin is very close to eyes or eyelids, use corneal board to protect eyes

9.7 Vision Safety

 Avoid glare into eyes;

 Eye shall not straight on emitted laser or reflecting surface, even if it wears safe glasses;
 While operating pause, the system is set to standby mode to prevent laser emission with negligence;
 Only when the light aims at skin to be treated, you press foot switch and handpiece switch.

9.8 Fire Safety

1. The hair of treatment part shall be removed. If it is necessary, place disinfectant soaked gauze near the
treatment area;
2. Ensure that you can get fire extinguishers at any time;
3. Avoid using combustible paper products or ensure that they have been volatile before laser/optical

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radiation;
4. This equipment is not suitable for use in the presence of combustible or anesthetic;
5. The oxygen pipe has to be laser safe

9.9 Pulse width

Each pulse duration (from warm-up to treatment segment) is in milliseconds; The operator set the system pulse
width according to pulse type key via software control;

9.10 Fluence

 In each treatment, the operator set the fluence output (joules/cm2). fluence is: total energy (joules) of selected
pulse type/ spot size (cm2);
 Scattering of a large spot （ 12x12mm ） is minimal. So the result is sustained energy output and deeper
penetration; the greater the energy density, the higher temperature of target hair tissue, surrounding tissue and
epidermis.

9.11 Before Treatment

The parameters are depended on skin type, treated hair’s color, type, density and depth. Once treatment parameters are
chosen, shave, clean treated skin, remove any hair and scrap that may affect treatment;

9.12 Cooling Technology

The cooling technique reduces the initial skin temperature before, during and after treatment. This can reduce
patient’s discomfort. The most important is that cooling can increase treatment energy to the highest without
increasing adverse effects;
Dense hair (30-40 hairs /cm2) produces higher temperature because each cm2 has more melanin; Surrounding tissue
produces excessive heat and hurt tissue; so the greater the hair density, lower energy;

9.13 Take Photo

We recommend taking photos before and after treatment to keep record of treatment process. Taking photo provides
an objective basis to prove efficacy, because some patients can’t objectively judge the treatment course according to
the gradual effect;
Patient shall adopt the same photograph conditions, camera exposure and focal length. This
consistency helps photos of different time to be comparable;

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9.14 Surface Anesthesia

The system incorporates dual cooling technology. So the treatment doesn’t need anesthetic; While some patients still
use anesthetic (such as EMLA) to avoid any feeling; The anesthetic is usually coated in the preoperative period of
time (1 hour); Remove all narcotic residue before treatment;

9.15 Explanation before Treatment

9.15.1 Preface

Consult physician for the first time:

1. Bring detailed medical record, including previous treatment method and check whether the skin is
appropriate to accept the system treatment;
2. The patient who accepts prolonged sun exposure or artificial sunbathing within48 hours before
treatment can’t accept treatment;
3. Patient who will accept prolonged exposure to sunlight can’t receive treatment;
4. If skin to be treated has herpes simplex history, the patient needs preventive drug treatment before
treatment;
5. Identify patients’ surgical intensions and expectations;
6. Discuss with patient about treatment goals

9.15.2 Consolation Service

The physician shall tell patient following at the first consolation:

 Understand why the patient seek treatment and his or her expectations;
 Discuss with patient about :
1. Laser treatment needs multiple treatments, a few months time;
2. May be some discomfort or pain during treatment;
3. May appear temporary erythema and edema;
4. Skin gradual recovery may last for several months;
5. Have a very small possibility of adverse effects, such as skin color changingis usually
temporary;

9.16 Treatment

Start after selecting treatment parameters

Caution!
Extensive heat transmission may hurt skin and cause skin hypertrophy, atrophy or abnormal pigment and other
symptoms
1. Ensure that the patient comfortably lie on the operating table and wear safe goggles; All personnel have to
wear safe glasses; Operator can easily touch treated area;

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2. Clean perfume, make-up residue and sunscreen of skin;
3. Select appropriate settings and save selected parameters. The operator can treat with patient who has the
same situation, using the same parameters;
4. Check the handpeice and make sure that it is cold;
5. Make handpiece perpendicular to skin and touch skin; Gently press the end of handpiece on skin to make full
touch;
6. After starting treatment, check skin at any time to observe its response;
7. Carefully diagnostic test results;
8. If get desired effect, continue treatment with the same parameters;
9. Press foot switch and handpiece switch to start treatment;
10. From time to time to view the color and hair follicle morphology of treated skin (erythema and edema); You
can also smell hair burning even if parameters set is appropriate;
11. If adverse effect (such as excessive redness) happens before good response of hair follicle, you adjust treatment
parameters to reduce hurt; Reduce damage by decreasing 5-10% energy or adjust pulse type to a larger value;
12. If skin has no adverse reaction or morphological changes, you increase energy5-10% to get expected effect;

Caution!
Laser can lead to serious eye damage or blindness. In order to improve safety, the patients need to wear metal safe
goggles during facial treatment;
Cool treated skin at once after treatment
Note: Do not treat with hair whose color is lighter than surrounding skin

9.17 Post-Operative Care

After treatment, put cool (not frozen) water bag on treated skin to reduce edema and discomfort; you can also use
cooled soaked through gauze;
Pay attention to prevention of injury in 4 hours to 5 days after treatment; non-hot bath, aerobics and massage;
1. Sun exposure---Patients need to smear a high index of sunscreen (the SPF30) ; to avoid treated area to direct
sunlight; At least treated area avoid direct sunlight in one month after treatment; Postoperative exposure can
cause pigment regeneration, resulting in pigmentation;
2. Make-up—could make up during the day after treatment, unless the blisters or induration; During this period,
skin is sensitive, avoid hurt to skin and infection when you make-up;
3. Patient shall avoid strenuous exercise or similar activities within a few days until recover completely

9.18 Follow-up

The following is follow-up suggestions and the patient can test his own situation according to these:

1. Usually, the patient can accept more treatments in 6-8 weeks after treatment; The time is different according
to different treatment result and hair growth cycle;
2. If no need of more treatments, the patient shall accept checking again in 3-4 months after treatment;

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If no need of more treatments, the patient shall accept checking when hair growth in treated area;
3. If parts of hair is removed, patient shall accept checking again in 6-8 weeks after treatment;
4. If you observe no changing, change treatment parameters, more treatments, increase interval time to let new
hair grow in different parts (growth cycle) and different individuals (sex, hormones);
5. Recommend patients to avoid sunlight during treatment process

9.19 Finish Treatment

The professional person judge when finish treatment or decide according to patient’s satisfaction of treatment goal.

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