Epic X User Manual 37
8 Clinical Application
Patients suffering from general neurovascular conditions, such as neurodegeneration associated
with Type II diabetes, may have reduced sensitivity to pain affecting their response to discomfort
during treatment. Refer to Section "Contraindications, Warnings, and Precautions" for additional
information.
PAIN THERAPY – WARNINGS AND PRECAUTIONS
• Scar tissue has been associated with poor circulation and reduced cooling through heat
transport by blood; power settings may have to be reduced to avoid overheating
• Patients with tender or sensitive skin may be hypersensitive to heat; reduce power as
necessary to ensure comfort during treatment
• Patients with swelling and/or inflammation may be sensitive to heat; reduce power as
necessary to ensure comfort during treatment
• Do not treat open wounds
• Muscle tissue closer to the skin surface may experience a higher absorption of heat; carefully
monitor skin temperature and reduce power as necessary
• Excessive fatty tissue is known to transmit heat without much attenuation; reduce power
• Different implant materials will respond differently to laser energy and heat; be aware of any
implants and their location; avoid direct exposure to laser energy or heat at the site of the
implant
• Avoid treatment of sites that have tattoos
• Do not apply ointment, creams, lotions or heating lotion patches at, or in close proximity to,
the treatment area
• Do not apply therapies prior to treatment that could change body temperature, such as
ultrasound, ice/heat pack, electrical stimulation, or heating patches
• Do not apply treatment over articles of clothing
• Do not apply any numbing agents to the affected area as they could reduce the patient's pain
sensitivity and response to any treatment discomfort
RECOMMENDED USE
There are four main variables that impact the safety and effectiveness of pain therapy procedures:
• Power output
• Distance from the skin surface
• Range of movement of the Handpiece
• Patient skin type
Safety and efficacy are described by elevating the skin temperature in the treatment area utilizing the
recommended settings (Figure 8.8). Use personal clinical judgment with consideration of the
Fitzpatrick Skin Type Scale when setting the procedure parameters; monitor the patient and adjust
the settings as necessary for effectiveness and comfort.
NOTE: To avoid potential patient discomfort and/or skin damage, it is advisable to use a test spot
prior to the initial treatment to assess the suitability of the selected settings for the individual patient.
NOTE: This device contains no user-serviceable parts and therefore no servicing instructions are
available other than the regular maintenance procedures described in this manual. Any attempt to
modify or repair the laser by anyone other than an authorized BIOLASE technician may lead to
exposure to laser radiation and collateral radiation.
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