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| Operating Instructions Manual | Operating Instructions Manual
INSTRUCTIONS FOR USE
Step 1: Place wireless foot control on the floor.
Step 2: To operate the wireless foot control, apply pressure to
enclosed foot switch with your foot. The green LED Indicator light
glows to indicate that the foot switch is operating when you step
on the pedal to fire laser (Figure 3).
FIGURE 3
DANGER: DO NOT USE IN THE PRESENCE OF FLAMMABLE ANESTHETIC MIXTURE WITH AIR,
OXYGEN, OR NITROUS OXIDE.
DO NOT RE-USE DISPOSABLE OR SINGLE-USE ITEMS. FAILURE TO COMPLY MAY RESULT IN
REINFECTION OR CROSS-INFECTION AND IS A HAZARD TO THE PATIENT.
DO NOT USE THIS UNIT IF YOU SUSPECT IT IS FUNCTIONING IMPROPERLY OR OTHER THAN
DESCRIBED HEREIN.
Eyewear
Post appropriate warnings in operatories where the lasers are to be used, so that appropriate eyewear
can be donned before the entry into the operatory. The doctor, patient, assistant, and any other persons
in the operatory during laser procedures must wear the appropriate laser eyewear protection for the
diode laser wavelength of 810 ± 10 nm with an optical density (OD) of at least +5. Class IV laser radiation
is hazardous to the eye from the direct beam and diffuse reflections. It also represents a significant skin
and fire hazard. Safety eyewear not designed to this specification is not suitable for use with Picasso
lasers. Laser protective eyewear is available from your AMD Lasers representative.
Anesthesia
If anesthesia is required for treatment, closely monitor patients for signs of pain or discomfort. If such
signs are present, adjust settings, apply anesthesia, or cease treatment, if necessary.
Adjacent Structures
Picasso Plus and Picasso Lite Plus are designed to remove soft tissue. Therefore, always be aware of
adjacent structures and substructures during treatment and monitor them closely. Be extremely careful
not to penetrate or ablate underlying or adjacent tissues. Do not direct laser energy toward hard tissues,
such as tooth or bone. Directing laser toward amalgam, gold, metallic surfaces or reflective surfaces can
result in laser beam reflection and/or scattered radiation.
WIRELESS FOOT CONTROL
WARNINGS
Suction
Use high-speed suction as required to maintain a clear field of vision during treatment. Do not use
Picasso Plus and Picasso Lite Plus if you cannot clearly see the treatment site. It is recommended that a
smoke evacuator or in-line filter be used to capture the plume during the treatment of herpetic lesions,
oral papillomas, and whenever possible. It is recommended that personnel wear a half face
respirator/clinical mask with proper HEPA™ filtration. The plume should be regarded as a source of
active biological material as it may contain viable tissue particulates.
Training
Only licensed professionals who are certified in Class 4 laser use and have read and understood this
Operating Instructions Manual shall use this device. AMD Lasers assumes no responsibility for
parameters, techniques, methods, treatments, or results. Clinicians and/or operators must use their
own clinical judgment and professionalism in determining all aspects of treatment, technique, proper
power settings, interval, duration, etc. A six hour laser training course is available from AMD Lasers
prior to use.
Heat Generation
The end of the fiber optic cable, disposable tips, and non-disposable tips, cannulas, and the handpieces
may become hot during use. The metal cannula could reach a maximum temperature of 60°C (140°F).
Avoid unnecessary contact with tissue.
Disposable Tips
The disposable tips are designed and labeled for SINGLE USE only. These tips are not meant to be bent
more than one time, and bent no more than 90°. They are designed to be bent once to the preferred
angle, used on a single patient, and then disposed of properly. Bending the disposable tip more than
once in an unintended manner is a risk to the fiber optic cable inside the cannula leading to potentially
lowered power output. When the handpiece is not in use, place protective cap over the tip to prevent
dust or contamination.
Additionally, bending the metal cannula in the Disposable Tip in an unintended manner can lead to a
breakage resulting in a potential sharp point which could puncture the skin of the patient or office
personnel. Care should be taken to not bend the metal cannula multiple times.
CAUTION: ALWAYS CHECK FOR PRESENCE OF THE AIMING BEAM BY SHINING THE TIP ONTO A
NONREFLECTIVE SURFACE BEFORE FIRING THE LASER. IF THE AIMING BEAM SETTING ON THE DEVICE
IS NOT “OFF” AND YOU DO NOT SEE THE AIMING BEAM, DO NOT USE THE TIP. IT MAY BE BROKEN WHICH
COULD RESULT IN HEATING OF THE METAL CANNULA POTENTIALLY CAUSING AN ACCIDENTAL BURN TO
THE PATIENT. THE METAL CANNULA COULD REACH A MAXIMUM TEMPERATURE OF 60°C (140°F).
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