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Cutera Excel V User Manual

Cutera Excel V
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D1091 Rev.M August. 2016
1
Clinical Training Guide
Cutera Inc. World Headquarters
3240 Bayshore Boulevard, Brisbane, CA 94005 USA
Tel: +1 415 657 5500
Fax: +1 415 330 2444
www.cutera.com

Table of Contents

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Cutera Excel V Specifications

General IconGeneral
Cooling SystemIntegrated contact cooling
Power Requirements110-240 VAC, 50/60 Hz
Laser TypeNd:YAG
Wavelengths532 nm, 1064 nm
Spot Sizes2 - 16 mm
FluenceUp to 300 J/cm²
ApplicationsVascular lesions, pigmented lesions, skin rejuvenation
DisplayTouchscreen

Summary

Mechanism of Action

CoolView Handpiece Treatment Mechanism

Laser light targets hemoglobin and melanin for lesion treatment.

Genesis V Handpiece Treatment Mechanism

Heats dermis for wrinkle/redness treatment via 1064 nm.

Treatment Guidelines and Safety

Guidelines and Indications for Use

Parameter guidance, approved indications for excel V treatments.

Contraindications and Warnings

Patient conditions and situations to avoid during treatment.

Important Safety Precautions

Key notes on Accutane, anticoagulants, herpes, keloids, skin irritants.

Patient Assessment and Preparation

Pre-Treatment Patient Assessment

Obtain medical history, consent, and determine skin type.

Avoiding Complications and Pre-Treatment

Complication Avoidance Strategies

Safety measures near eye, sun exposure, gel use, window care.

Pre-Treatment Preparation Steps

Cleaning skin, shaving, photography, anesthetic, anti-fog drops.

Excel V User Interface and Controls

Interface Controls Explained

Explains controls like Fluence, Pulse Duration, Repetition Rate, Temperature.

Vascular Treatments Overview

Vascular Treatment Process

Laser targets hemoglobin in veins, causing photocoagulation.

Types of Veins for Treatment

Describes telangiectasia, reticular veins, varicose veins.

Selecting Vascular Treatment Parameters

Vascular Parameter Selection Guide

Sequence for choosing wavelength, spot size, fluence, pulse duration, temp, cooling.

532 nm Vascular Treatment Parameters

Facial Telangiectasia Parameters

Settings for treating facial spider veins with 532 nm.

Leg Veins and Matting Parameters

Settings for leg spider veins, matting on face/nose/rosacea.

Treatment Technique - 532 nm Vascular

532 nm Vascular Technique

Handpiece contact, gel, pulse delivery, observation of epidermis.

Diffuse Redness Treatment Technique

Techniques for diffuse redness, including spot size and passes.

Post Treatment Care - Vascular Lesions

Vascular Post-Treatment Care

Cold compresses, blister care, sun avoidance, skin irritant avoidance.

532 nm Other Treatment Parameters

Red Scar Treatment Parameters

Settings for treating red scars with 532 nm.

Bruising Treatment Parameters

Settings for treating bruising with 532 nm.

1064 nm Vascular Treatment Parameters

Facial Telangiectasia Parameters

Settings for facial telangiectasias using 1064 nm.

Leg Vein Treatment Parameters

Settings for leg veins like red spider veins, reticular veins.

Treatment Technique - 1064 nm Vascular

1064 nm Vascular Technique

Laser application, pulse delivery, observing tissue response.

Leg Vein vs. Facial Vein Technique

Differences in treatment approach for leg vs. facial veins.

Post Treatment Care - Leg Veins

Leg Vein Treatment Expectations & Care

Expectations, compression stockings, activity restrictions for leg veins.

Port Wine Stain Treatments

Port Wine Stain Parameters

Treatment parameters for pink/red PWS (532nm) and purple/nodular PWS (1064nm).

Treatment Technique - Port Wine Stains

Port Wine Stain Technique

Technique for PWS, test pulses, skin response, overlap, cooling.

Wart Treatments

Wart Treatment Parameters

Parameters for smaller/flatter warts and larger/thick-skinned warts.

Treatment Technique - Warts

Wart Treatment Technique

Smoke evacuator, debridement, gel use, handpiece position, pulse spacing.

Individual Wart Technique

Pulsing, cooling, spacing, and overlap for individual warts.

Mosaic Warts and Endpoints

Mosaic Wart Treatment

Technique for mosaic warts, avoiding overlap, repeat treatments.

Wart Treatment Endpoint Guidance

Desired endpoints and adjustments for wart treatment.

Benign Pigmented Lesion Treatments

Pigmented Lesion Treatment Process

Laser absorption by melanin, denaturation, and flaking.

Pigmented Lesion Parameter Selection

Guidelines for wavelength, fluence, pulse duration, temp, repetition rate.

532 nm Pigmented Lesion Parameters

Lentigines Treatment Parameters

Settings for light and medium lentigines on face and body.

Dyschromia & Poikiloderma Parameters

Settings for brown/red dyschromia and poikiloderma.

Treatment Technique - 532 nm Pigmented Lesions

532 nm Pigmented Lesion Technique

Handpiece contact, test pulses, fluence adjustments, pressure, gel use.

Pigmented Lesion Endpoint & Care

Desired pigment darkening, erythema, post-treatment care.

Acne Treatments

Acne Treatment Parameters

Parameters for mild to moderate inflammatory acne on the face.

Post Treatment Care for Acne

Acne Post-Treatment Care

Sun exposure, heat, skin irritants avoidance, blister care.

Hair Removal Treatments

Hair Removal Process & Targets

Laser targets hair follicle melanin for permanent reduction.

Recommended Treatment Intervals

Intervals between hair removal treatments based on body area.

Selecting Hair Removal Parameters

Skin Type & Hair Characteristics

Adjustments for skin type, hair color, thickness, and density.

Actinic Bronzing Patient Precautions

Precautions for patients with actinic bronzing (sun damage).

Patient Preparation for Hair Removal

Hair Removal Patient Preparation

Cleaning, shaving, photos, safety eyewear, anesthetic.

Hair Removal Parameter Selection

Test spots, gradual adjustments, endpoints, repetition rate.

Hair Removal Treatment Steps

Handpiece and Area Preparation

Inspecting handpiece, marking area, gel application, anti-fog.

Pulse Delivery and Skin Observation

Pulse spacing, overlap, precooling, observing skin response.

Hair Removal Post-Treatment Care

Post-Treatment Care for Hair Removal

Sun exposure, heat, skin irritants, waxing/plucking, redness, bruising.

Genesis V Treatment Overview

Genesis V Treatment Process

Gentle heating of dermis for scars, redness, lines, wrinkles.

Genesis V Treatment Parameters

Parameters for large area, small area, and scars.

Treatment Technique - Genesis V

Genesis V Technique and Area Division

Patient feedback, low fluence start, dividing face, treating scars.

Genesis V Post-Treatment Care

Sun exposure, blister care, heat, skin irritants avoidance.

Skin Type Classification

Skin Type Questionnaire and Scoring

Questionnaire to classify skin types I-VI based on responses.

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