Votiva Operator Manual DO607094B 40
• Confirm the patient's suitability for treatment:
o For skin type I – III wait 10-15 minutes before assessing the skin response.
o For skin types V-VI wait 2-3 days if energy level <30 is used and 7-10
days if energy level >.30 is used.
• Establish and confirm treatment parameters: if the desired end-point of erythema
and edema – in a tip-shaped pattern – has not been achieved within 10-15 minutes,
increase the RF energy. If the response is excessive, decrease the parameters.
• Tolerance of patient to the treatment: low energy levels of 10-25 may be tolerated
after topical anesthesia application. Energy levels of 25-40 may require nerve
block or tumescent and high energy levels of 40-62 may call for tumescent or IV
sedation.
Treatment Recommendations
1. Apply the necessary means of anesthesia. If topical, make sure that it is cleaned
off the face before treatment and the skin is dried with alcohol 70%.
2. Ensure that skin is clean and dried with alcohol 70%.
3. Take a clean and dry tip and connect it to the Handpiece in the groove.
4. Follow Device Start-Up Procedure from System Operation section.
5. Set treatment parameters according to test spot and training materials.
6. Use significantly low energy for treatment overborne area as forehead, jaw line
and check bones. Avoid treatment area where full contact of side electrode cannot
be insured.
7. 60 pin tip energy is limited to 30 and repetition rate of 1 pps in auto pulse mode.
Use it only for superficial problems.
8. Use 24-pin tip for deeper lesions treatment.
9. Always start with a low energy level, test and observe the skin's response before
increasing the energy.
10. The deeper the lesion, the higher the energy. However, this consideration is
limited according to patient tolerance and safety considerations, the anesthetic
method used, and the affordable down time.
11. On sensitive thin skin area, such as lower eyelid, apply lower parameters with
more passes, rather than higher parameters in one pass. It is also applicable to any
facial area for new users. Use lower energy (~20%) for thin skin like neck or bony
area like forehead. When working on thin skin over bone, such as hand dorsum or
chest, further reduce energy (~20%).
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