Candela AlexTriVantage User manual

Operator’s Manual
PN 8501-00-1800 Revision 05
May 2007
Candela Corporation
Alex TriVantage ™
0123

Copyright and Disclaimer
Copyright © 2007 Candela Corporation. All rights reserved.
Contact Information
(EC Authorized Representative)
Scanlan Group B.V.
Aalsmeerderweg 610
1437 EJ Schiphol-Rozenburg
The Netherlands
Phone: [phone]
Fax: [phone]
Candela Corporation
530 Boston Post Road
Wayland, MA 01778-1886
Telephone [phone]
Toll Free [phone] (Technical Assistance)
Toll Free (800) 73-LASER (Customer Service)
Website: www.candelalaser.com
Trademarks
All brand names and product names used in this manual are trademarks, registered trademarks or trade names of their
respective holders.
Limit of Liability
The publisher has used their best efforts in preparing this manual. Candela Corporation makes no representation or warranty
with respect to the accuracy or completeness of the contents of this manual and specifically disclaims any implied warranties
of merchantability or fitness for any particular purpose and shall in no event be liable for any loss of profit or any other
commercial damage including but not limited to special, incidental, consequential, or other damages.
The information in this manual is subject to change without notice at the discretion of Candela Corporation.
Caution: Use of controls or adjustments or performance of procedures other than those
specified herein may result in hazardous radiation exposure.
Federal (USA) law restricts this device to sale by or on the order of a physician or other
practitioner licensed by the law of the state in which he/she practices to use or order the use
of the device.
Federal law and some international laws also require that this device be utilized under the
direction of a physician. This device should only be used by healthcare professionals
authorized under US state or international law to treat patients. All persons treating patients
with this device should determine whether they are authorized healthcare professionals
under the applicable US state or international law.

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Table of Contents
Copyright and Disclaimer
Preface
Book Conventions ........................................................................................................... vii
Intended Audience .......................................................................................................... vii
General Safety Statements and Guidelines ................................................................... viii
Routine Maintenance ............................................................................................... viii
Definitions of Symbols (Labeling on the Equipment and Location).......................... viii
Using this Manual .......................................................................................................... xiii
Chapter 1: Getting Started
Overview ....................................................................................................................... 1-2
Laser Treatment of Skin Pigmentation Abnormalities ............................................. 1-2
Indications for Use ........................................................................................................ 1-3
Contraindications and Precautions ............................................................................... 1-3
Patient Selection ........................................................................................................... 1-4
Tattoos..................................................................................................................... 1-4
Pigmented Lesions.................................................................................................. 1-4
Warnings, Cautions, and Precautions........................................................................... 1-5
Warnings and Cautions........................................................................................... 1-5
General Hazards ............................................................................................... 1-5
Optical Hazards................................................................................................. 1-7
Electrical and Mechanical Hazards ................................................................... 1-8
Flash Fire Hazards............................................................................................ 1-9
Fire Hazards.................................................................................................... 1-10
Laser Generated Air Contaminants (LGAC) ................................................... 1-10
Electromagnetic Interference .......................................................................... 1-11
Precautions ........................................................................................................... 1-11
General Precautions ....................................................................................... 1-11
Laser Room Precautions................................................................................. 1-11
Optical Precautions ......................................................................................... 1-12
Oxygen (with or without other gases).............................................................. 1-12
Hair.................................................................................................................. 1-12
Gauze, Drapes, and Clothing.......................................................................... 1-13
Masks, Cannula and Airway Materials ............................................................ 1-13
Treatment Area Preparation............................................................................ 1-13
Anesthetics...................................................................................................... 1-13
Instruments ..................................................................................................... 1-13

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Extinguishing Fires.......................................................................................... 1-13
Safety Features........................................................................................................... 1-14
On/Off Keylock Switch .................................................................................... 1-14
Emergency Laser Stop Button ........................................................................ 1-14
Screen Lock Button......................................................................................... 1-14
Lasing Beep Sound Alert ................................................................................ 1-14
Ready Indicator ............................................................................................... 1-14
Delivery System Cable Indicator..................................................................... 1-15
Standby and Ready Operating Modes ............................................................ 1-15
Remote Interlock ............................................................................................. 1-15
Chapter 2: Understanding the Laser
Introduction ................................................................................................................... 2-3
The Laser System......................................................................................................... 2-3
System Description ................................................................................................. 2-3
Front Panel ................................................................................................................... 2-5
Touch Screen/Display Panel ................................................................................... 2-5
Controls and Connections....................................................................................... 2-6
Ready Indicator ................................................................................................. 2-6
Emergency Laser Stop...................................................................................... 2-7
On/Off Keylock Switch ...................................................................................... 2-8
Calibration Port ................................................................................................. 2-9
Delivery System Receptacle ............................................................................. 2-9
Locking Wheels....................................................................................................... 2-9
Rear Panel .................................................................................................................. 2-10
Main Power Switch and Power Cord ..................................................................... 2-11
Remote Interlock.................................................................................................... 2-11
Water Receptacle................................................................................................... 2-11
Footswitch Connector ............................................................................................ 2-11
USB Port ................................................................................................................ 2-11
Handle.................................................................................................................... 2-11
Delivery System .......................................................................................................... 2-12
Delivery System Cable.......................................................................................... 2-13
Handpieces ........................................................................................................... 2-14
Distance Gauge .................................................................................................... 2-15
Footswitch............................................................................................................. 2-15
Fiber Pole.............................................................................................................. 2-16
Cabling........................................................................................................................ 2-17
Connecting the Handpiece to the Delivery System Cable .................................... 2-17
Connecting the Delivery System Cable ................................................................ 2-18
Touch Screen/Display Panel....................................................................................... 2-19
Applications Menu................................................................................................. 2-20
Candela Clinical Treatment Guidelines........................................................... 2-22
System Status Messages...................................................................................... 2-22
Calibration Button ................................................................................................. 2-23
Standby/Ready Button and Status Area................................................................ 2-23
Standby/Ready Button .................................................................................... 2-23
Status Area ..................................................................................................... 2-25
Fluence Controls and Indicators ........................................................................... 2-26
Pulse Duration Control.......................................................................................... 2-26
Spot Size Identifier Bar ......................................................................................... 2-27

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Pulse Rate Control ................................................................................................ 2-27
Pulse Count and Pulse Count Reset Button ......................................................... 2-27
Treatment Summary Button .................................................................................. 2-28
System Configuration and Maintenance Mode Button.......................................... 2-28
Setting the System Configuration.................................................................... 2-29
Setting Maintenance Mode ............................................................................. 2-31
Screen Lock Button............................................................................................... 2-31
Dialog Boxes ......................................................................................................... 2-33
Chapter 3: Using the Laser
Introduction ................................................................................................................... 3-2
Performing a Laser Treatment ...................................................................................... 3-2
Before You Begin .................................................................................................... 3-2
Treatment Procedure .............................................................................................. 3-3
Chapter 4: Maintaining the Laser
General Information ...................................................................................................... 4-2
Cleaning and Disinfecting ............................................................................................. 4-3
Cleaning the Exterior of the Laser System.............................................................. 4-3
Cleaning the Handpieces, Distance Gauge, and Lens ........................................... 4-3
Cleaning the Touch Screen/Display Panel .............................................................. 4-4
Maintaining the Fiber Optic Delivery System ................................................................ 4-5
Maintaining the Water Cooling System......................................................................... 4-5
Calibration Procedure ................................................................................................... 4-6
System Calibration Requirements........................................................................... 4-6
Initiating a Calibration........................................................................................ 4-6
Calibration Procedure ....................................................................................... 4-6
Chapter 5: Troubleshooting the Laser
Introduction ................................................................................................................... 5-2
Troubleshooting ............................................................................................................ 5-2
Fault Messages............................................................................................................. 5-3
Chapter 6: Specifications
System Specifications................................................................................................... 6-2
Electrical Requirements .......................................................................................... 6-4
Ground Continuity Tests ................................................................................... 6-5
Environmental Requirements.................................................................................. 6-5
Space ................................................................................................................ 6-5
Air Quality.......................................................................................................... 6-5
Humidity ............................................................................................................ 6-5
Ambient Temperature ....................................................................................... 6-6
Relocation ......................................................................................................... 6-6
Mobile Use ........................................................................................................ 6-6
Transport and Storage ...................................................................................... 6-6
Internal Cooling Water Requirements ..................................................................... 6-6
Chapter 7: Laser System Packing Lists, Accessories, and Replacement Parts
Laser Parts and Accessory Kit...................................................................................... 7-2
Chapter 8: Service Internal Calibration Procedure

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Calibration Schedule..................................................................................................... 8-2
Introduction ............................................................................................................. 8-2
Parts List ................................................................................................................. 8-2
Internal Calibration........................................................................................................ 8-4
Starting the Circuit Calibration Procedure............................................................... 8-4
Laser Energy Circuit CAL ...................................................................................... 8-4
Final Verification of User Calibration Energy .......................................................... 8-5
Appendix A: Pre-Treatment Visit
General ......................................................................................................................... A-1
Counseling .................................................................................................................... A-1
Photographs.................................................................................................................. A-2
Appendix B: Treating the Patient
Training Requirements.................................................................................................. B-1
Determining the Therapeutic Energy Level................................................................... B-1
Treatment...................................................................................................................... B-2
Tattoos .................................................................................................................... B-2
Pigmented Lesions ................................................................................................. B-3
Determining the End of Treatment................................................................................ B-3
Adverse Effects............................................................................................................. B-3
Appendix C: Post-Treatment Care
General ......................................................................................................................... C-1
Makeup ......................................................................................................................... C-1
Other Recommendations .............................................................................................. C-1
Appendix D: Electromagnetic Compatibility
Regulatory Classifications....................................................................................... D-2
Index

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Preface
Welcome to the Candela Corporation’s AlexTriVantage Operator’s Manual.
Book Conventions
This guide contains the following information highlights and cross-references:
Cross references indicate the location of additional information regarding the chosen
topic. References may include either headings on specific pages or entire chapters.
Intended Audience
This guide is intended for use by physicians.
Warning: Warns the user regarding actions that may result in physical
damage to the system or personal injury.
Caution: Cautions the user regarding actions that may result in operational
issues or data loss.
Note: Identifies important points, helpful hints, special circumstances, or alternative
methods.

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General Safety Statements and Guidelines
Routine Maintenance
Only qualified personnel who are fully informed of the system’s safety hazards should
operate, maintain, and troubleshoot this equipment.
Definitions of Symbols (Labeling on the Equipment and Location)
This section details the meaning, intent, and location of the labels (containing symbols) that
appear on the AlexTriVantage Laser System.
Label Description
Label 1: Keylock Switch - OFF position. When the switch is in
the OFF position, all circuits, except the Keylock Switch circuit,
have been de-energized.
Label 1: Keylock Switch - ON position. When the switch is in
the ON position, all circuits are energized and the laser system
is fully functional.
Label 1: Keylock Switch - START position. This is a spring-
loaded keylock switch used to start system operation. This
position does not start the release of energy.
Label 2: Emergency Laser Stop. Pushing the Laser Stop
button will stop the laser immediately.
Label 3 and 19: Indicates laser radiation is being emitted from
this device.
Label 4: This label indicates that the protective panel encloses
a Class 4 laser radiation.
Label 5: Identification Label indicates manufacturer's
information, date of manufacture and power requirements of
the device.

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Label Description
Label 6: Indicates laser emission characteristics and
classification per the IEC/EN standards.
Label 7: Indicates U.S. patents that may be covered on this
laser system.
Label 8: Indicates that selected requirements under CDRH 21
CFR 1040.10 & 1040.11 were waived for comparable IEC
requirements as allowed by Laser Notice 50.
Label 9: This label indicates that a tip hazard may exist while
transporting the laser system. To avoid a tip hazard, move the
laser at a normal to slow pace, do not make sudden turns, and
use caution when traversing the system across slopes or
ramps.
OLabel 10: Main Power Switch - OFF position.
| Label 10: Main Power Switch - ON position.
Label 11: Remote interlock circuit for door switch. Indicates the
location of the remote interlock circuit that can be connected to
a door switch to shut down the laser if the door is opened
during laser emission. The symbol illustrates that an open
connection will inhibit the lasing function.
Label 12: Warning - Main Power Switch. This label draws
attention to the main power switch. The switch should be
placed in the OFF position when the system is not being used.
When the system is being used, the switch should be placed in
the ON position.
Label 13: IEC Type B Applied Part symbol. Provides delivery
system information. The icon of a man indicates that the
delivery system is equipped with a “Type B” applied part.
Label 14: Waste Electrical and Electronic Equipment symbol.
Indicates that the AlexTriVantage laser system and its
components cannot be disposed of as regular trash. Contact
Candela for disposal information.

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Label Description
Label 15: Footswitch Connection. Indicates the location of the
Footswitch connection on the rear of the laser system.
Label 16: USB Software Upgrade Port. Indicates the location
of the USB port on the rear of the laser system.
Contact Candela Clinical Sales or Service for the latest
software upgrades.
Label 17: CAUTION: Risk of electrical shock if laser covers are
removed or serviced by unauthorized persons. There are lethal
voltages inside the system enclosure.
Label 18: Water reservoir. Indicates that the reservoir should
be filled with deionized or distilled water. The reservoir should
be filled approximately once a week.
Label 20: Refer to the Operator’s Manual for the safe use of
this device.
Label 21: Provides delivery system information. The icon of a
man indicates that the delivery system is equipped with a
“Type B” applied part in accordance with IEC/EN 60601-1
Laser aperture is at the end of the fiber applicator.
Label 22: CAUTION: Remove the distance gauge before
inserting the Handpiece into the Calibration port.

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Label 3
Label 2
Ready State Symbol
and Indicator Light
Label 1
Front Panel Labels
Label 22

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Label 16
Label 5
Label 4
Label 9
Rear Panel Labels
Labels 6, 7, 8
Label 10
Labels 11, 12
Label 13
Label 14
Label 18
Label 19
Label 17
Label 20
Label 15
Label 21

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Using this Manual
This manual is divided into the following sections:
 Chapter 1: Getting Started
This chapter provides warnings and cautions, adverse events descriptions, indications
for use, and contraindications.
 Chapter 2: Understanding the Laser
This chapter provides a brief description of all system components and functionality.
 Chapter 3: Using the Laser
The instructions in this section describe how to perform a laser treatment.
 Chapter 4: Maintaining the Laser
This chapter describes how to clean and maintain the laser system.
 Chapter 5: Troubleshooting the Laser
This chapter describes how to troubleshoot the laser, if necessary.
 Chapter 6: Specifications
This chapter provides general system specifications.
 Chapter 7: Laser System Packing Lists, Accessories, and Replacement Parts
This chapter details Accessories and provides a packing list.
 Chapter 8: Service Internal Calibration Procedure
This chapter details the internal calibration process.
 Appendix A: Pre-Treatment Visit
This section provides pre-treatment visit guidelines.
 Appendix B: Treating the Patient
This section provides guidelines on treating the patient.
 Appendix C: Post-Treatment Care
This section provides post treatment information.
 Appendix D: Electromagnetic Compatibility
This section describes the EMC compliance.
 Index
The Index will help you locate sections in the manual.

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8501-00-1800, Revision 05 Confidential 1-1
Chapter 1:
Candela CorporationAlexTriVantage Laser System
Getting Started
1
Topics described in this chapter include:
Overview page 1-2
Laser Treatment of Skin Pigmentation Abnormalities page 1-2
Indications for Use page 1-3
Contraindications and Precautions page 1-3
Patient Selection page 1-4
Tattoos page 1-4
Pigmented Lesions page 1-4
Warnings, Cautions, and Precautions page 1-5
Warnings and Cautions page 1-5
Precautions page 1-11
Safety Features page 1-14

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Overview
This chapter provides a a brief introduction to the Candela AlexTriVantage Laser system.
This chapter provides information on the application for which the system was designed, and
a brief description of the laser system's major components and their function.
Laser Treatment of Skin Pigmentation Abnormalities
The Candela AlexTriVantage Laser system is a flashlamp excited, Q-switched Alexandrite
laser designed for the treatment of tattoos, benign cutaneous pigmented lesions, Nevus of
Ota and lesions like Nevus of Ota. Blue, green and black pigments respond best to treatment,
whereas other pigments show more variable response and test spots are recommended.
With the 755 nm nominal wavelength, laser irradiation is selectively absorbed by the targeted
pigment with minimal effect on the surrounding tissue. This is accomplished by careful
selection of the wavelength that yields maximum absorption by the target and minimum
absorption by surrounding skin structures. In addition, the laser pulse duration is controlled to
be equal to or shorter than the thermal relaxation time of the target, to minimize heat transfer
to surrounding tissues. This principle was first described by Anderson and Parrish.
Tattoo pigments vary in composition depending on the color of the tattoo and its origin
(amateur, professional, or traumatic). Ideally, the wavelength selected for eradication of the
tattoo should be highly absorbed by the tattoo pigment and only minimally absorbed by other
chromophores in the skin. Absorption of radiation by most pigments in amateur and
professional tattoos is strong in the near-infrared region of the spectrum. Melanin has a very
broad absorption band throughout the ultra-violet, visible, and near-infrared regions of the
spectrum, with absorption of light greatest in the ultraviolet, and least in the near-infrared.
Other chromophores in the skin, such as hemoglobin and oxyhemoglobin, have little to no
absorption of light within the selected wavelength.
The 755 nm nominal wavelength of the AlexTriVantage Laser has been carefully selected to
utilize the difference in absorption for the treatment of dark tattoo pigments. Treatment of
tattoos can therefore be performed with minimal adverse effects on normal skin structures.
The laser pulse duration should be shorter than the thermal relaxation time of the target
absorbing the laser radiation to confine the thermal damage and spare surrounding skin
structures. The relaxation time of a target is determined by its size. In the case of tattoos, the
targets are the solid pigment particles of the tattoo inks or dyes. The thermal relaxation time
of these micron size absorbers is approximately one microsecond (Margolis, et al), and,
according to selective photothermolysis theory, pulse durations as long as several hundred
nanoseconds should be effective. However, experiments show that a greater effect is
obtained by fragmenting the absorber into smaller particles so that phagocytes can more
effectively dispose of the fragmented particulates after laser exposure. This fragmentation is
accomplished by using pulse durations shorter than the upper limit predicted by selective
photothermolysis theory. The shorter pulses instantaneously raise the temperature of
pigmented structures to a very high level and cause fragmentation and further
decomposition, a desirable effect in the treatment of tattoos.

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The wavelength and pulse duration considerations outlined above indicate that the
AlexTriVantage Laser is appropriate for treatment of tattoos. The wavelength of the
AlexTriVantage Laser is about 755 nm, in the near-infrared region. It produces pulses
approximately 50 nanoseconds in duration. The pulse energies it produces allows delivery of
energies up to 625 mJ. Because the wavelength and pulse duration of the Candela
AlexTriVantage Laser are closely controlled, treatment of tattoos can be achieved with
minimal energy densities, reducing the possibility of adverse effects on adjacent normal skin
structures.
Indications for Use
The Candela AlexTriVantage, Q-Switched Alexandrite Laser, is indicated for the treatment of
tattoos or benign cutaneous pigmented lesions. The decision to treat with laser therapy
should be based upon appropriate diagnostic evaluation and consideration of all patient
factors.
Contraindications and Precautions
 Do not treat recently tanned skin. Blisters and hyper / hypopigmentation may occur.
Allow tan to fade prior to treatment.
 With infected "target" tattoo site or adjacent areas
 With a personal history of skin cancer, such as melanoma.
 Accutane: Wait 6 months after the completion of Accutane therapy
 History of photosensitivity to infra red light..
 Pregnancy: Refer to Candela Corporation policy # 0920-23-0814.
 Seizure disorders :Do not treat patients with a history of light-triggered seizures.
 Medications and Supplements : Daily anticoagulation therapy, iron supplements,
herbal supplements such as ginko, ginseng or garlic and fish oil supplements may
bruise more readily.
 Photosensitizing Medications: Medications that induce photosensitivity or medications
within or above the 755nm wavelength range. Refer to Candela Corporation Drugs
That May Cause Photosensitivity. Stop the medication if possible for 3-5 days prior to
treatment.
 Topical Medications and skin care products: Stop 72 hours pre and post
 HSV 1 & 2: Do not treat if active lesion(s) are present within the intended treatment
area. Patients with a known history of frequent HSV 1&2 lesions should begin
prophylaxis prior to treatment as prescribed by their healthcare provider.
 Poorly controlled Medical Conditions: These patients should be carefully evaluated by
their healthcare provider for medical clearance.
 Active skin infection: Avoid treatment of open wounds and skin that is actively infected.
 Cold sensitivity: Use caution when treating patients with Raynaud's phenomenon.
 Keloid scarring: Perform test spots prior to treating larger areas.
 Implanted medical devices: Pacemakers, cardioverters and other implantable devices
or fillers: consult healthcare provider.

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Patient Selection
Candela's AlexTriVantage, Q-Switched Alexandrite Laser, is intended for the treatment of
tattoos or pigmented lesions.
Tattoos
Blue, green, and black pigments respond best to treatment, whereas other pigments show
more variable response and test spots are recommended. Different color tattoo pigments
may respond at different rates so that some colored areas may require more treatments than
others. In general, darker colors should be expected to respond more than lighter colors.
Also, the denser the concentration of tattoo pigment, the greater the number of treatments
required. Patients with previously treated tattoos can be candidates for selective
photothermolysis therapy with this laser system. Tattoos that have not been effectively
removed by other treatments may respond well to AlexTriVantage laser therapy, providing
prior treatment modalities caused no excessive scarring or skin damage.
Pigmented Lesions
Pigmented lesions to be treated with the Candela Q-Switched Alexandrite Laser include, but
are not limited to the following:
 Solar or Senile Lentigines
 Freckles (Ephelides)
 Café au lait
 Nevus of Ota, Ito
 Beckers Nevus
Epidermal lesions will usually respond in 1 to 2 treatments whereas dermal lesions will
require multiple treatments. Patients with skin types 3 to 4 may experience hypopigmentation
or hyperpigmentation initially after treatment but this is usually transient.
Note: Safety and efficacy of treating a tattoo located in the facial area with the
AlexTriVantage Q-switched Alexandrite Laser has not yet been determined by FDA
review. Therefore, the AlexTriVantage laser system is not to be used in treating a tattoo
located in the facial area.

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Warnings, Cautions, and Precautions
Observe the following warnings and cautions when using the Candela Corporation
AlexTriVantage Laser system.
Warnings and Cautions
General Hazards
 WARNING! The electrical and laser radiation hazards present during servicing of the
AlexTriVantage Laser can be extremely dangerous if proper safety precautions are not
taken. Consequently, the AlexTriVantage Laser is to be serviced only by those
qualified technicians who have received appropriate training on the AlexTriVantage
Laser from Candela, and who are familiar with the safety considerations discussed in
this section.
 WARNING! The AlexTriVantage Laser system has been designed for the safest
possible operation and maintenance. However, any laser system can cause injury if it
is not properly installed, operated, moved or serviced, and the AlexTriVantage Laser is
no exception. The potential hazards associated with the AlexTriVantage Laser are:
ocular (vision) damage resulting from exposure to direct or reflected laser radiation,
electrical shock from contact with electrical components inside the system, and
physical injury incurred while moving the system.
 WARNING! Invisible and visible laser radiation. Avoid eye or skin exposure to direct or
scattered radiation. Class 4 laser product (Per EN60825-1: 2002-07)
 WARNING! The Preset Treatment Parameters and Clinical Treatment Guidelines do
not take the place of the procedures and instructions found in the Operator’s Guide.
Failure to use the laser in accordance with such procedures and instructions could
result in serious injury to the operator, the patient, and others, as well as damage to the
laser system.
 Follow OSHA and ANSI standards for laser safety. Protective eyewear must be
worn by all persons in the treatment room during laser operation.
 Check the delivery system for any damage (i.e. dropped).
 Discontinue use of your laser delivery system if you suspect a problem.
 WARNING! Always put the laser system into Standby or turn it off before attempting to
check, clean, and/or replace the Delivery System, Handpiece, or Distance Gauge.
 WARNING! Always recalibrate the laser after fixing, cleaning, or replacing the Delivery
System, Handpiece, or Distance Gauge. Failure to initiate a calibration after cleaning/
replacing the Handpiece, Distance Gauge, or Delivery System may result in the
delivery of excessive laser energy.
 WARNING! Ensure that the spot size on the Handpiece matches the Handpiece size
displayed in the Handpiece field on the control panel. Failure to do so can result in the
delivery of improper energy to the patient.
 WARNING! Do not operate the laser if the aiming beam is not present! This may be an
indication of a broken fiber optic. If the aiming beam is not present, replace the Delivery
System. If this does not correct the problem, call Technical Support.
 Caution! Use of controls or adjustments or performance of procedures other than
those specified herein may result in hazardous radiation exposure.
 Caution! Federal (USA) law restricts this device to sale by or on the order of a
physician.

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 Caution! Do not enter the Ready state without a fiber installed and without having the
proper protective eyewear on.
 Caution! Before the laser system is turned on, a Handpiece must be installed on the
end of the optical fiber.
 Caution! Handpiece lens and the tips of the laser fiber may be damaged from
exposure to dust particles or any other foreign particles that may deposit on their
surfaces. Particles on these surfaces will burn and leave a deposit when exposed to
laser energy. This may lead to lower fiber or Handpiece transmission and/or failure of
the assembly. In order to reduce the probability of damage please observe the
following guidelines.
 Caution! To reduce the risk of personal injury and damage to the Delivery System
cable, use the Fiber Pole to support the delivery system at all times. When not in use,
insert the Handpiece in the Calibration Port. This removes excess slack from the
Delivery System cable and reduces the possibility of damage to property and/or
personal injury from stepping on or tripping on the cable or running the wheels over it.
 Caution! When using the Fiber Pole to support the Delivery System, make sure there
are no sharp bends in the Delivery System cable. The laser system can be damaged if
the cable is subjected to excessive bending. To prevent damage, never pulse the laser
system if the Delivery System cable bend radius is less than six inches.