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biolitec biomedical technology GmbH - PowerPoint Presentation

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biolitec biomedical technology GmbH - PPT Presentation

Productportfolio Leonardo DUAL 45 Diode Laser Leonardo an introduction to versatility History of Diode lasers in the biolitec group 20002005 Further wavelengths ID: 644750

laser radial dual leonardo radial laser leonardo dual 1470nm diode elves productportfolio tip procedure fiber absorption 980nm energy elves

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Slide1

biolitec

biomedical technology GmbH

Productportfolio Leonardo DUAL 45 Diode Laser

Leonardo – an introductionto versatilitySlide2

History of Diode lasers in

the biolitec group

2000-2005

Further

wavelengths

like

940

und 980nm*established

1999First use of Lasers @ 810nm for EVLT

2007

1470nm Ceralas E

* Portfolio

biolitec

2013

1470nm+

980nm Leonardo DUAL

Productportfolio

Leonardo DUAL 45 Diode LaserSlide3

Why 1470nm and 980nm ?810-980nm

are absorbed in the first

instance by hemoglobine (HbO2) whereas

longer wavelenth like 1470nm are dominantly absorbed by

intracellular

water

Example

1: Absorption coefficient for 1470nm approximatelly 40 times higher than 980

Example

2: Absorption coefficient for 1470nm approximatelly

400 times higher than 810nm

Better

control

on penetration depth using 1470nm for sensitive

structuresProductportfolio Leonardo DUAL 45 Diode LaserSlide4

Productportfolio

Leonardo DUAL 45 Diode LaserSlide5

Productportfolio

Leonardo DUAL 45 Diode LaserSlide6

Productportfolio

Leonardo DUAL 45 Diode LaserSlide7

Easy „one touch“ controll

using single or mixing both

wavelenths

Productportfolio Leonardo DUAL 45 Diode LaserSlide8

Interdisciplinary

use

for:

Leonardo DUAL 45

1470nm

980nm

 

  

Vessel

surgery

 

Trunk

(GSV,SSV)

X

 

Tributaries

X

 

Perforators

X

 

Recorrences

X

 

 

  Proktologie

 

Hemorrhoids

X

X

Anal

fistula

X

Sinus

Pilonidalis

X

 

Condyloma

 

X

 

HNO

 

 

Larynx

 

X

Endonasal

Otology

 

X

Oro-PharynxX   Dermatology  Spider naeviXTelangiectasesXPort wine stainsxLentigoXXHemangioma XWartsX 

Productportfolio

Leonardo DUAL 45 Diode LaserSlide9

Greater

saphenous veinSmall

saphenous vein

Perforating VeinsReccurences

Venous Ulcer

The

ELVeS

®

Radial procedureSlide10

Radiation pattern ELVeS ® Radial Fiber

for use with 1470nm only

Radial

emitting fiber tip for a unique

and

homogenous energy

delivery directly to the vein wall avoiding perforation and

minimising

complications and side effects

The

ELVeS

® Radial procedureSlide11

Allowing perfect positioning of the laser beam within the anatomy, exactly where you decide to start the closure

Atraumatic

fiber tip, marking lines and highest US visibility for

easy

and

safe

positioning and handling

 

The

ELVeS® Radial procedureSlide12

The ELVeS® Radial procedure

ELVeS

®

Radial

Bare Fiber; 600µm flat tip

homogenous, circular (radial) energy delivery and photo-thermal

demage

with

temperaturs

of

100-120C°

Absorption in blood, energy transfer via cooking blood and hot

fibre tip effect, diffuse thermal damage ~600-800 C°

Why Radial

at all? Slide13

Power: 6 W@1470nm

v=1mm/sLEED: 60 J/cmTmax : 100 °C ± 10 °C

tissue sensations:Protein: Tprot

> 60°CCollagen: Tcoll > 80°CTemperature inside vein @ radial fiber tip

Comment:

Bare Fiber,

Tmax

:

700-800°C ± 10 @ fiber tip (carbonized hot tip)

The ELVeS® Radial procedureSlide14

ELVeS Radial 2ring ™ und

ELVeS Radial Slim ™

The ELVeS

® Radial procedure

Radial

emitting laser

fibre

with energy

subdevided

into two rings:

ELVeS

2ring™ Soft illumination also for biggest vein diameters

ELVeS

Radial Slim™

Highest flexibility with easy access to veins (also for recurrence)Slide15

Enables surgeon to perform minimalinvasive „

Lasercrossectomy“Presentation by Dr. Petar Dragic

The

ELVeS® Radial procedureSlide16

Leonardo Dual 45 in dermatology

A variety of vascular lesions can be treated using the external

handpiece

including spider veins, telangiectasias and hemangiomas found on the legs,

face

, neck

and

chest using 980nm which

has a absorption peak in the near infra red The result of epidermal cooling andhigher laser

fluences increases efficacy, allows deeper laser penetration, and minimizes treatment pain for larger vessels.

Exact position of the individual laser pulse signals (optimal closure rate)Slide17

Leonardo Dual 45 in dermatology

Precise

Targeting

of

Spiders

The light of a 980 nm wavelength ensures precise targeting for spider veins due to its:

Effective penetration depth• Optimal absorption by hemoglobin • Ideal absorption by

water

• Minimal melanin absorption when compared to other lasers The Benefit:

• Safer and more effective treatment• Treatment of darker skin types Slide18

Presentation by Dr. Julio Ferreira„Laser in

dermatology „___________________________________________1)(Combination-therapy

) the laser

treatment can be combined with the classic sclerosation

therapy

. E.g. wider

areas

with heavily braching

lesions can be primary served by sclerosation and therapy resistant

lesions

can be definetelly cured with the pulsed

diode laser. Avoid

side effects like blisters

and scars by

carefull selection of the

energy ands use it only on non tanned patients

.2)Complicated venous or

mixed malformations can be

adressed

by

interstitial

use

of

the

laser

fibre

.

Leonardo Dual 45 in dermatologySlide19

Leonardo Dual 45

Thank

you for your

attention

!