Candela Vbeam Perfecta Manual
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Candela Vbeam Perfecta Manual

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VBeam Family
0920-23-0842 Revision A
• Patient consultation &
management of
expectations
• Vascular Lesions
• Pigmented Lesions
• Photorejuvenation

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Summary of Contents for Candela Vbeam Perfecta

  • Page 1 VBeam Family • Patient consultation & management of expectations • Vascular Lesions • Pigmented Lesions • Photorejuvenation 0920-23-0842 Revision A...
  • Page 2 History of the Pulsed Dye Laser First Invented by Candela in 1988. First Introduced to Treat Port Wine Stains in Children. Pulsed Dye Laser - The GOLD Standard. Hundreds of Thousands of Treatments in the last 20 years. 300+ Published Clinical Papers.
  • Page 3 Largest Variety of Treatments Wrinkles Port Wine Stains Hemangiomas Angiomas Venous Lakes Stretch Marks Acne Bacteria Acne Redness Vulvodynia Facial Vessels Leg vessels Rosacea Poiklioderma Scars Warts Psoriasis 0920-23-0842 Revision A...
  • Page 4 How is the new VBeam different from the old VBeam? 0920-23-0842 Revision A...
  • Page 5 New Technology Micro-Pulse Design 8 micro-pulse sequence More pulses to distribute the total energy Uniform distribution across entire pulse Consistency Enables Higher Purpura Threshold Total energy divided over 8 pulses Original Vbeam = 4 micro-pulses Lower energy density per micro pulse 0920-23-0842 Revision A...
  • Page 6 NEW Micropulse Technology - Why 8 Pulses Are Better Eight equal energy pulses Eight equal energy pulses Closely mimics one continuous pulse Closely mimics one continuous pulse Still Delivers Required Vessel Coagulation Fluence Still Delivers Required Vessel Coagulation Fluence Classic PDL Technology Purpura Threshold 4 pulses, dissimilar distribution NEW PDL Technology...
  • Page 7 Patient Consultation 0920-23-0842 Revision A...
  • Page 8 Patient Consultation Today’s patient is better educated than ever thanks to the internet. Before any treatment, ALWAYS review the entire process. They should know exactly what is expected of them. They should know what to expect as far as outcomes. 0920-23-0842 Revision A...
  • Page 9 Fitzpatrick Skin Types Type Skin Typical Skin Type Definition Skin Reaction on over exposure to UV light Red-blonde Hair Always Burns Blue-green Eyes Never Tans Very light Skin Light to Medium Hair Usually Burns Light to Medium Eyes Seldom Tans Light to Medium Skin Medium Hair Moderate Burns...
  • Page 10 Patient Selection • The 595nm wavelength works best on skin types I- • Treatment on darker skin types should be preceded with a test spot to assess tissue response • All patients should avoid sun exposure, tanning beds, and sunless tanning products for 1 month prior to treatment 0920-23-0842 Revision A...
  • Page 11 Contraindications • Accutane use should be suspended for 6 months prior to treatment • Photo-sensitizing drugs should be analyzed • No Pregnancy – Liability issues • Permanent Make-up or Tattoos • Active or Open Lesions • No sun exposure or self tanning agents •...
  • Page 12 How Does the Laser Work? • The 595nm wavelength targets oxy-hemoglobin in the blood vessels • By varying the pulse duration, treatments can be performed purpurically (bruising) by rupturing the blood vessel, or sub-purpurically by slowly heating the vessel causing coagulation of the blood vessel 0920-23-0842 Revision A...
  • Page 13 Pulse Duration The VBeam family has .45ms, 1.5ms, 3ms, 6ms, 10ms, 20ms, 30ms & 40ms pulsed durations The shorter the pulse duration the more destructive the energy becomes The longer the pulse duration the more gentle the energy is delivered thus “cooking”...
  • Page 14 Vascular Treatments 0920-23-0842 Revision A...
  • Page 15 What is Purpura? A “Laser Bruise” is the result of energy being delivered very quickly “Grape Jelly” or Eggplant colored Purpura can last for several days to weeks Purpura must be achieved when treating warts, port wine stains, angiomas, scars, straie and can occur when treating leg veins Will require fewer treatments vs.
  • Page 16 Purpura vs. No Purpura The older pulsed dye laser VBeam allows treatment side effect. without purpura. 0920-23-0842 Revision A...
  • Page 17 Purpura vs. No Purpura 0920-23-0842 Revision A...
  • Page 18 Clinical Endpoints Purpuric Treatments (Using a pulse duration of 3ms or shorter): After the laser pulse is delivered, a bruise will begin to appear over a matter of seconds and can last 10-14 days Patient may experience edema for a couple of days Patient may experience minimal to moderate discomfort 0920-23-0842 Revision A...
  • Page 19 Clinical Endpoints Sub-purpuric Treatments (Using a pulse duration of 6ms or longer): When treating diffuse redness or roseacea, a vascular spasm may be noticed and will disappear over a matter of seconds When treateing linear vessels, the structure may darken and resolve over a matter of seconds Patient may experience edema for a couple of days Patient may experience minimal discomfort, much like...
  • Page 20 Pre-Treatment Instructions Avoid sun exposure Cease aspirin, advil, vitamin E and fish oil supplements as they may increase the likelihood of bruising (purpura) Cease Retin-A as it may cause excessive redness Always treat “Squeaky Clean” skin 0920-23-0842 Revision A...
  • Page 21 Intra-treatment Instructions Make sure everyone has appropriate eyewear Patient with “tanning bed style” eyewear Operator with 595nm designated glasses/goggles Keep laser in stand-by until ready to use Keep handpiece flush and perpendicular during treatment Look for vascular spasm or purpura to determine endpoint 0920-23-0842 Revision A...
  • Page 22 Post-treatment Instructions Patient should have erythema and mild edema Apply cool aloe vera gel or cool packs Avoid Aspirin, Ibuprofen, Vitamin E and fish oil supplements (1 week) Avoid strenuous activities, hot showers, baths, sauna or steamrooms (1 week) No Alcohol (1 week) Apply sunscreen before allowing the patient/client to leave your office 0920-23-0842 Revision A...
  • Page 23 Pigmented Lesions 0920-23-0842 Revision A...
  • Page 24 Pigmented Lesion Handpiece Targets Melanin in Epidermis Good Melanin Absorption at 595nm **Only Available on these models** How it Works… • Compression Optic • Flattens Skin / Vessels • Moves Blood laterally • In combination with 8 micro-pulse sequence, higher fluences can be used •...
  • Page 25 Why It Works Oxyhemoglobin Oxyhemoglobin ABSORPTION Melanin Melanin WAVELENGTH (nm) -595 nm - strongly absorbed by melanin 0920-23-0842 Revision A...
  • Page 26 Pigmented Lesion Handpiece “How it Works” in 4 Steps Pigmented Lesion Handpiece is Compression Evacuates Blood from Lowered on to Skin Vessel so Melanin is Targeted Pigmented Lesion Hand piece included with Pigmented Lesion Hand piece included with Aesthetica Perfecta Aesthetica Perfecta 0920-23-0842 Revision A...
  • Page 27 Pigmented Lesion Handpiece “How it Works” in 4 Steps Utilizing 8 Micro-pulse Handpiece is Lifted, Blood Returns Technology and Compression, the to Vessel, Visible Reduction in Laser Targets Melanin in the Skin Melanin Results Pigmented Lesion Hand piece included with Pigmented Lesion Hand piece included with Aesthetica Perfecta...
  • Page 28 Benign Pigmented Lesions • Solar Lentigines • Dyschromia • Freckles/Ephelides • Cafe-au-lait/Pigmented Birthmarks 0920-23-0842 Revision A...
  • Page 29 Pigmented Lesions Endpoints are: Slight frosting of the lesion Lesion should turn darker in a matter of a few minutes Usually takes 2-3 treatments 0920-23-0842 Revision A...
  • Page 30 Operation & Maintenance 0920-23-0842 Revision A...
  • Page 31 General Specifications Wavelength – 595nm Appropriate Eyewear – 595nm @ >5.0 O.D. Electrical – 220 volts @ 30 amps Pulse Control – Fingerswitch & Footswitch Pulse Duration - 0.45ms – 40ms 0920-23-0842 Revision A...
  • Page 32 Spot Size VBeam Perfecta 3mm – Yellow 3 X 10mm - Green 5mm – Black 7PL - Silver 7mm - Blue 10PL - Silver 10mm - Violet 12mm - Red 0920-23-0842 Revision A...
  • Page 33 Spot Size VBeam Platinum 3mm - Yellow The VBeam Platinum 5mm - Black does not come with the 7PL or the 10PL for 7mm - Blue pigmented lesions 10mm - Violet 12mm - Red 3 X 10mm - Green 0920-23-0842 Revision A...
  • Page 34 Spot Size VBeam Aesthetica 7mm – Blue The VBeam Aesthetica 10mm – Violet does not come with the 3mm, 5mm, 12mm or 7PL - Silver the 3 X 10mm spot sizes 10PL - Silver 0920-23-0842 Revision A...
  • Page 35 Spot Size Sliders Each spot size has a fixed Distance Gauge A protective lens prevents dust or other debris from collecting on the focusing lens This lens can be cleaned by wiping with a cotton tipped swab with alcohol, or… By removing the lens as shown to the right and wiped with an alcohol prep...
  • Page 36 User Interface 0920-23-0842 Revision A...
  • Page 37 Main Screen Configuration Lock Calibration Ready/Stand by Menu Fluence Pulse Duration Pulse Count DCD Levels Recognized Spot Size 0920-23-0842 Revision A...
  • Page 38 Drop Down Menu 0920-23-0842 Revision A...
  • Page 39 Indication Selected Press Calibrate 0920-23-0842 Revision A...
  • Page 40 Entering Calibration 0920-23-0842 Revision A...
  • Page 41 Confirm Parameters 0920-23-0842 Revision A...
  • Page 42 Activate Calibration 0920-23-0842 Revision A...
  • Page 43 Calibrating 0920-23-0842 Revision A...
  • Page 44 Release Footswitch 0920-23-0842 Revision A...
  • Page 45 Ready to Treat! 0920-23-0842 Revision A...
  • Page 46 DCD Settings Screen Pulse Count Spray Delay Confirm DCD Purge 0920-23-0842 Revision A...
  • Page 47 System Configuration Fingerswitch vs. Language Footswitch Repeat vs. Single Pulse Engineering Page Aiming Beam Intensity Confirm Settings 0920-23-0842 Revision A...
  • Page 48 Treatment Summary Pulse Count DCD Setting Fluence Pulse Duration Confirm Reset 0920-23-0842 Revision A...
  • Page 49 System Locked Release 0920-23-0842 Revision A...
  • Page 50 Unlock Prompt Password is: 5277 Confirm 0920-23-0842 Revision A...
  • Page 51 Last Few Things… 0920-23-0842 Revision A...
  • Page 52 Operative Checklist Put laser in “ready” • No flammable mode and calibrated to substances in correct energy with operating area proper hand piece • Written post-operative “Squeaky Clean” Skin instructions given to the patient Appropriate Safety eyewear on clinician and patient 0920-23-0842 Revision A...
  • Page 53 Maintenance Refer to section 6 of the operator’s manual User verification tests Policy for the cleaning of distance gauges and lenses. 0920-23-0842 Revision A...
  • Page 54 Laser Safety Checklist Issue Policy Flammability Fire Extinguisher Water and Wet Cloths Non-reflective Instruments No alcohol preparations Keep Laser in “standby” when not in use Ocular Safety Appropriate eyewear without reflective metal Electrical Hazards Dedicated outlets for laser use No extension cords No defects in laser cord No water or other solutions near laser Controlled access to laser suite Warning and Danger signs posted on doors...
  • Page 55 Foot Pedal Safety Prior to performing treatments Ensure that all personnel in the treatment room are safe by locking the front wheels and visually checking that the footswitch air hose is free and clear. If the laser or anything else rolls on the hose while firing the laser, it will continuously pulse non-stop unexpectedly.
  • Page 56 The Candela VBeam The Proven Gold Standard. 0920-23-0842 Revision A...

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Vbeam platinumVbeam aesthetica

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