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Cutera Excel V+ User Manual

Cutera Excel V+
112 pages
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Operator Manual

Table of Contents

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Cutera Excel V+ Specifications

General IconGeneral
Wavelengths532 nm, 1064 nm
Cooling SystemIntegrated sapphire contact cooling
Repetition RateUp to 10 Hz
Spot Sizes2 mm to 8 mm
FluenceUp to 600 J/cm²
Indicationspigmented lesions
DisplayTouchscreen
Power Requirements200-240 VAC, 50/60 Hz
Laser TypeNd:YAG
WeightApproximately 100 kg

Summary

OPERATION

Introduction

Overview of the Cutera excel V+ dual-wavelength laser system for treating dermatologic conditions.

Laser Beam Characteristics

Details on the 532 nm and 1064 nm laser wavelengths, their properties, and target tissue absorption.

System Preparation

Information on system installation, setup by Cutera representative, and initial functional checks.

System Components Overview

Description of the excel V+ system, including console, handpieces, footswitch, and accessories.

System Basics and Control

Turning On the System

Procedure for powering on the excel V+ system using the keyswitch and system self-test.

System Power Control

Instructions for restarting, turning off, and emergency shutdown of the excel V+ system.

System Disconnection and Movement

Steps for safely disconnecting the system and procedures for moving the system console.

General System Functions

Overview of general functionalities including user interface modes and system displays.

System Setup and Connectivity

Connecting System Components

Guidance on inspecting and connecting system components, cables, and electrical connections.

Connecting the Footswitch

Procedure for plugging the footswitch cable into the system console's receptacle.

Inserting the Remote Interlock Plug

Instructions for inserting the remote interlock plug into its receptacle for safety.

Connecting the Handpiece and Power

Connecting the Handpiece

Detailed steps for aligning, connecting, and locking the handpiece to the system console.

Connecting the Handpiece Dummy Plug

Procedure for inserting a dummy plug into vacant handpiece receptacles.

Connecting the Main Power Cable

Steps for connecting the system's main power cable to the electrical outlet.

Handpiece Interface and Modes

CoolView Handpiece User Interface Modes

Explanation of Expert and Navigation modes for the CoolView handpiece.

CoolView Select Screen

Description of the CoolView Select Screen display and navigation options.

CoolView Treatment Screen

Overview of the CoolView Treatment Screen display in Expert and Navigation modes.

Genesis V Treatment Screen

Description of the Genesis V Treatment Screen and its functionalities.

Dermastat Treatment Screen

Overview of the Dermastat Treatment Screen and its operational capabilities.

System Status and Indicators

System Status: STANDBY and READY Modes

Explanation of system states, including STANDBY and READY modes and their indicators.

Memory Storage

Functionality for storing and recalling frequently used treatment parameters.

Information & Adjustment Screen

Accessing and using the Information & Adjustment Screen for system settings.

Aiming Beam Control

Adjusting aiming beam functions, intensity, and modes from the Information screen.

Audible Tones and Voice Prompts

Description of audible tones and voice prompts, and how to adjust their volume.

Displays and Indicators

Explanation of various displays and indicators on the system for accurate operation.

Parameter Selection and Adjustment

User-selectable Parameters

Understanding how fluence and pulse duration affect laser-tissue interaction.

CoolView Handpiece Instructions

Guidance on operating the CoolView handpiece in navigation and expert modes.

Navigation Mode Parameter Selection

Steps for selecting treatment parameters using the navigation mode interface.

Expert Mode Parameter Selection

Instructions for manually selecting treatment parameters in expert mode.

Laser Wavelength Selection

How to select between 532 nm and 1064 nm wavelengths on the CoolView screen.

Laser Spot Size Selection

Procedure for adjusting the laser spot size using the controls on the CoolView screen.

Fluence Adjustment

Selecting the desired laser fluence, measured in joules per square centimeter.

Pulse Duration Adjustment

Selecting the laser pulse duration, measured in milliseconds.

Repetition Rate Adjustment

Setting the repetition rate, measured in hertz, for laser pulse delivery.

Sapphire Cooling Window Temperature

Adjusting the temperature of the CoolView handpiece's sapphire cooling window.

Dermastat Handpiece Instructions

Selecting the Fluence

Procedure for selecting the fluence setting on the Dermastat Treatment Screen.

Selecting the Pulse Duration

Setting the pulse duration parameter for the Dermastat handpiece.

Selecting the Repetition Rate

Adjusting the repetition rate for the Dermastat handpiece.

Genesis V Handpiece Instructions

Selecting the Laser Wavelength

How to select the 532 nm or 1064 nm wavelength on the Genesis V screen.

Selecting the Fluence

Procedure for selecting the fluence setting on the Genesis V Treatment Screen.

Selecting the Pulse Duration

Setting the pulse duration parameter for the Genesis V handpiece (532 nm only).

Selecting the Repetition Rate

Adjusting the repetition rate for the Genesis V handpiece.

Troubleshooting Guide

Troubleshooting Guide

Guide to identify and correct common system operational problems.

Error Code Guide

Error Code Guide

Explanation of system error codes and how they are displayed.

System Maintenance

Annual System Maintenance

Schedule for annual preventive maintenance and calibration checks by a Cutera representative.

System Repair

Information on system repairs, to be performed by a Cutera-certified service engineer.

Routine User Maintenance

Daily, weekly, and as-needed user maintenance tasks for the system.

Handpiece Cleaning and Inspection

Inspecting and Cleaning the Handpiece

General guidance on inspecting and cleaning handpiece optical surfaces.

Inspecting and Cleaning External Handpiece Surfaces

Procedures for cleaning the external surfaces of the handpiece housing.

Inspecting and Cleaning Handpiece Lens(es)

Steps for inspecting and cleaning the recessed handpiece lens(es).

Inspecting and Cleaning CoolView Handpiece Window

Procedure for cleaning the patient contact and proximal surfaces of the cooling window.

Heat Exchanger and Coolant Management

Inspecting and Cleaning the Heat Exchanger Intake

How to keep the heat exchanger intake free of dust and lint to prevent overheating.

Filling the Coolant Reservoir

Instructions for filling the system's coolant reservoir with distilled water.

Remote Interlock and Utilities

Remote Interlock Pin Assignments

Table detailing pin assignments for connecting an external door switch.

Electrical Utilities

Information on electrical configurations and requirements for the excel V+ system.

System Specifications

Treatment Beam Specifications

Technical details of the 532 nm and 1064 nm treatment beams.

Physical Parameters

Specifications regarding system size, weight, and umbilical cable.

Classifications and Eye Safety

Laser classifications, FDA/CDRH classification, and eye safety information.

Calibration Procedure

Calibration Procedure

Requirements and recommendations for periodic laser output calibration.

Equipment Required

List of necessary equipment for performing system calibration.

Calibration Instructions

Step-by-step guide for performing system calibration.

End of Life Disposal

Environmental information and guidelines for proper disposal of the system.

Warranty Information

Details regarding the warranty for the excel V+ system.

SAFETY AND REGULATORY

Introduction

Overview of safe and effective instrument use requiring understanding of system features.

Optical Hazard

Information on laser safety eyewear requirements and optical hazards.

Additional Safety Considerations

Important precautions regarding flammables, modifications, and intended use.

Operational Training

Requirements for trained personnel and recommended training resources.

Operational Safety

Guidelines for safe operation, including plume evacuation and handpiece handling.

Regulatory Compliance

List of standards and directives the excel V+ system complies with.

CLINICAL APPLICATIONS

General Indications for Use

Applications requiring selective photothermolysis of target chromophores.

532 nm Indications

Indications for the 532 nm wavelength in dermatology treatments.

1064 nm Indications

Indications for the 1064 nm wavelength in dermatology treatments.

Contraindications for Use

Conditions or patient types for which the system should not be used.

Warnings and Precautions

Important warnings and precautions related to treatment parameters and patient history.

Expected Transient Events

Potential transient events and adverse effects that may occur after treatment.

Treatment Precautions

Safety precautions for operating personnel and patients during treatment.

Treatment Information

Reference to treatment-specific guidelines and resources.

Patient Information

Importance of patient consultation, medical history, and risk discussion.

APPENDIX A - LASER WARNING SIGN

Laser Warning Sign

Visual representation of the DANGER label for laser radiation.

APPENDIX B - SYMBOLS

System Symbols and Meanings

Description and location of various laser system symbols and their references.

Appendix C - Bibliography

Bibliography

List of cited scientific publications related to laser therapy.

Appendix D - Cutera Direct Office Locations

Cutera Office Locations

Contact information and addresses for Cutera's world headquarters and regional offices.

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