Cutera Excel HR User manual

Operator Manual

ii
This manual is copyrighted with all rights reserved. Under copyright laws, this manual may not
be copied in whole or in part or reproduced in any other media without the express written per-
mission of Cutera, Inc. Permitted copies must carry the same proprietary and copyright notices
as were affixed to the original. Under the law, copying includes translations into another lan-
guage.
Please note that while every effort has been made to ensure that the data given in this docu-
ment is accurate, the information, figures, illustrations, tables, specifications, and schematics
contained herein are subject to change without notice.
Cutera is the registered trademark of Cutera, Inc.
©December 2016 Cutera, Inc.
Published in USA
D1796
Revision D
Cutera, Inc.
3240 Bayshore Boulevard
Brisbane, CA 94005 USA
MDSS GmbH
Schiffgraben 41, D-30175
Hannover, Germany

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Contents
OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Characteristics of the 755 nm Alexandrite Laser Beam . . . . . . . . . . . . . . . . . 1
Characteristics of the 1064 nm Nd:YAG Laser Beam. . . . . . . . . . . . . . . . . . . 2
System Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Verifying the Integrity of the Delivery System . . . . . . . . . . . . . . . . . . . . . . . . . 2
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Remote Interlock Plug. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Connecting the System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Connecting the Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Inserting the Remote Interlock Plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Connecting the Main Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
System Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Turning On the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Restarting the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Turning Off the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Emergency Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Disconnecting the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Moving the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Display Screens and Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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Select Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Treatment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Information & Adjustment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
System Status: STANDBY and READY Modes . . . . . . . . . . . . . . . . . . . . . . 14
Aiming Beam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Memory Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Displays and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Audible Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Pop-up Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
User-selectable Treatment Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Selecting the Laser Wavelength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Selecting the Fluence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Selecting the Pulse Width (1064 nm only) . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Selecting the Repetition Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Selecting the Spot Size. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Selecting the Temperature of the Sapphire Cooling Window . . . . . . . . . . . . 25
Cleaning the Handpiece During Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Treatments without gel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Treatments with gel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Error Code Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Annual System Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
System Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Routine User Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Cleaning the External Surfaces of the System Console . . . . . . . . . . . . . . . . 34
Cleaning the System Touchscreen Display. . . . . . . . . . . . . . . . . . . . . . . . . . 34
Inspecting and Cleaning the Heat Exchanger Intake . . . . . . . . . . . . . . . . . . 35
Filling the Coolant Reservoir. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Inspecting and Cleaning the Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Inspecting and Cleaning the Handpiece Holster. . . . . . . . . . . . . . . . . . . . . . 42
Remote Interlock Pin Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Electrical Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Treatment Beam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Physical Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

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Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Maximum Allowable Temperature of Accessible Parts . . . . . . . . . . . . . . . . . 45
Classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Eyewear Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
755 nm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
1064 nm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Calibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Calibration Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
End of Life Disposal - Environmental Information . . . . . . . . . . . . . . . . . . . . . . . . 48
SAFETY AND REGULATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Optical Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Additional Ocular Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Additional Safety Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Protecting Non-Target Tissues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Electrical Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Fire Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Operational Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Operational Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Location of Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Key Lock Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Emergency Off Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Laser Emission Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Remote Interlock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Protective Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Laser Safety Shutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Audible Emission Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Manual Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Electronic Fault Detection Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Location of Regulatory Compliance Labels . . . . . . . . . . . . . . . . . . . . . . . . . 59
Regulatory Compliance Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

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Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
CLINICAL APPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
1064 nm Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
755 nm Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Expected Transient Events and Possible Adverse Effects . . . . . . . . . . . . . . . . . 69
Treatment Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Hair Removal Treatment Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Hair Removal Technique and Endpoints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Vascular Lesion Treatment Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Vascular Lesion Technique and Endpoints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Benign Pigmented Lesion Treatment Guidelines - 755 nm Only . . . . . . . . . . . . . 76
Benign Pigmented Lesion Technique and Endpoints. . . . . . . . . . . . . . . . . . . . . . 76
Wrinkle Treatment Guidelines - 1064 nm Only . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
APPENDIX A - LASER WARNING SIGN
APPENDIX B - SYMBOLS
APPENDIX C - CUTERA DIRECT OFFICE LOCATIONS

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Operation
Introduction
The Cutera excel HR is a dual-wavelength (755 nm Alexandrite and 1064 nm Nd:YAG) laser system that
treats a wide range of dermatologic conditions requiring selective photothermolysis of target
chromophores. This operator manual describes the use and operation of the excel HR, including the
permanently attached handpiece.
Cutera lasers and handpieces are precision medical instruments. They have undergone extensive
testing and, with proper handling, are useful and reliable clinical instruments. If you have any questions
regarding your laser and/or handpiece(s), contact your local Cutera representative.
Any laser device can generate highly concentrated light, which may
cause injury if improperly used. To protect patients and operating
personnel, read and comprehend this entire operator manual,
including the Safety and Regulatory chapter, before operation.
Characteristics of the 755 nm Alexandrite Laser Beam
The 755 nm laser wavelength falls in the near infrared region of the electromagnetic spectrum. This
wavelength is invisible to the human eye; therefore, a low power, visible aiming beam that is coaxial with
the invisible treatment beam is used to target tissue. The Alexandrite laser light is absorbed by
hemoglobin and melanin in target tissues. This makes the 755 nm laser useful for treating multiple
indications. See the Clinical Applications section for specific Indications for Use for the 755 nm
wavelength.
WARNING

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Characteristics of the 1064 nm Nd:YAG Laser Beam
The 1064 nm laser wavelength falls in the near infrared region of the electromagnetic spectrum. This
wavelength is invisible to the human eye; therefore, a low power, visible aiming beam that is coaxial with
the invisible treatment beam is used to target tissue. The Nd:YAG laser light is a longer penetrating
wavelength that is absorbed by melanin and hemoglobin in target tissues. This makes the Nd:YAG laser
useful for treating multiple indications. See the Clinical Applications section for specific Indications for
Use for the 1064 nm wavelength.
System Preparation
Your laser system is shipped directly from the factory to your site. Your local Cutera representative will
initially uncrate, inspect, set up and install the system to ensure that it is working properly before use. In
Canada, the system should be installed and operated in accordance with CAN/CSA Z386 (2014): Safe
Use of Lasers in Health Care Facilities. In addition, Cutera provides training to ensure that your staff is
experienced with appropriate performance and safety considerations. Thereafter, you or the staff at your
facility will be performing the daily maintenance routines associated with the system, as well as
performing basic system safety checks. These procedures are detailed later in this chapter and in the
Maintenance chapter of this manual.
We recommend that you or your staff inspect and perform a functional system check, including delivery
system verification, prior to scheduled cases. Doing so will ensure adequate time to troubleshoot
problems or contact your service representative with the least amount of disruption to patients and
schedules.
Verifying the Integrity of the Delivery System
The aiming beam is coaxial with the treatment beam and, therefore, provides a good means of verifying
the integrity of the delivery system (i.e., handpiece and umbilical cable). Verify the integrity of the delivery
system daily to ensure that it is not damaged or malfunctioning.
After turning on the system, place it in READY mode, and direct the aiming beam at a non-reflective
surface. If the aiming beam is not present at the distal end of the handpiece, if its intensity is reduced, or
if it looks diffused, then the handpiece and/or cable may be damaged or malfunctioning. Do not use the
handpiece; contact Cutera Service (refer to Appendix C).

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System Components
The excel HR consists of a system console with a boom and handpiece holster, a handpiece and a
footswitch. Other components necessary for operation, such as an external door interlock plug and all
electrical cables, are also included.
System Console
The system console houses the touchscreen control panel, main power keyswitch, emergency off switch,
control electronics, laser source with associated optics and power supply. The touchscreen control panel
allows you to select treatment settings.
Handpiece
The handpiece delivers laser energy from the system console to the treatment site and provides
epidermal cooling. The handpiece is permanently attached to the system console with an umbilical cable.
Footswitch
The footswitch activates the treatment beam.
Remote Interlock Plug
The system is equipped with a remote interlock plug which, when wired to an external door switch, shuts
down the system power if the treatment room door is opened or the interlock plug is removed.

Footswitch
Remote interlock plug
Holster
System console
Boom
Handpiece
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Connecting the System Components
Before connecting the system components, inspect the individual components, cables and electrical
connections for any dirt, debris or damage. Check all electrical cables to ensure they are not frayed or
split. Inspect the handpiece, as instructed in the Maintenance chapter of this manual.
Always turn off the system before inspecting the handpiece. Never
look directly into the handpiece even when wearing protective
eyewear. Never look directly into the treatment beam or at scattered
light from metallic or other reflective surfaces. Doing so can cause
permanent eye damage.
Connecting the Footswitch
Plug the footswitch cable into the footswitch receptacle on the rear of the system console. If the
footswitch is not properly connected when the system is turned on, a pop-up screen with an animated
illustration displays on the touchscreen and the system cannot be placed into READY mode.
Inserting the Remote Interlock Plug
Insert the remote interlock plug into the interlock receptacle on the rear of the system console. The
remote interlock plug must be inserted into the interlock receptacle at all times, whether or not an
external door switch is used.
When using an external door switch, the system completely shuts down if the treatment room door is
opened or the remote interlock plug is removed. To resume treatment, close the treatment room door or
reinsert the remote interlock plug, and restart the system using the keyswitch.
Footswitch receptacle
Interlock receptacle
WARNING

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Connecting the Main Power Cable
1. Ensure that the system main power circuit breaker is off (down) and that the system
keyswitch is in the O (off) position.
2. Insert the mains power cord plug into the appropriate wall socket, and turn on the main
electrical service.
3. Set the system main power circuit breaker to the on (up) position.
Main power
circuit breaker

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System Basics
Turning On the System
Insert the key in the keyswitch, turn to the (start) position, HOLD FOR FIVE SECONDS, and release.
Upon release, the key automatically springs back to the l (on) position.
Keyswitch
The touchscreen displays the start-up screen, and the system begins a self-test routine. After
approximately 30 seconds, the system emits an audible tone, and the touchscreen displays the Select
screen. If any fault conditions, advisory messages or error codes appear in the pop-up display during
self-test, refer to the Troubleshooting section of this manual.
Restarting the System
To restart the system:
1. Turn the keyswitch to the O (off) position.
2. WAIT 5 SECONDS before turning the keyswitch to the (start) position. Release the
key. The system will go through its normal start-up sequence.
Turning Off the System
Under normal operating conditions, turn the keyswitch to the O (off) position.
When the main power cable is connected to the electrical source,
some internal circuits remain energized. To de-energize all the
internal circuits, turn off the main power circuit breaker and
disconnect the electrical service.
NOTE

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Emergency Off
In an emergency, press the red emergency off button to immediately turn off the system.
Emergency off button
Disconnecting the System
1. Turn the keyswitch to the O (off) position.
2. Set the system main power circuit breaker to the off (down) position.
3. Remove the power plug from the electrical outlet, and wrap the power cable around the
power cable wrap.
4. Place the footswitch on the upper power cable wrap. Coil the footswitch cable and store it
inside the footswitch holder. Do not wrap the footswitch cable around the power cable
wrap.
5. Store the handpiece in the compartment at the front of the console.
When storing the handpiece, do not coil the umbilical too tightly, as
damage to the internal optical fiber will occur.
CAUTION

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D1796, REV. D, 12/16
Moving the System
1. Disconnect the system and store the handpiece as described above.
Always disconnect the system when moving the system any
distance other than within one room. The handpiece may be
dislodged from the holster when the system is moved over
thresholds or uneven surfaces. Damage will occur to the handpiece
if dropped.
2. Replace the vented filler cap with a sealed filler cap to prevent water from leaking.
Water must be drained from the system if the system is stored in
temperatures below freezing. Freezing may result in damage to
critical or delicate components.
3. Unlock the console wheels by disengaging the wheel locks.
4. Move the system console to the desired site. Position the console no less than 20
centimeters (8 inches) from walls, furniture or other equipment. Adequate space around
the system console ensures proper air circulation.
Do not push the console over a threshold or other obstacle greater
than 10 mm in height. Doing so may cause the console to tilt,
resulting in user injury.
Never use the handpiece or umbilical cable to move the system.
Moving the system using the handpiece or umbilical may irreparably
damage the handpiece and/or umbilical.
5. Lock the console wheels by engaging each wheel lock.
CAUTION
WARNING
WARNING
CAUTION

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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
Display Screens and Controls
Select Screen
After the console has been turned on and the system self-test has been completed, the Select screen
displays, and the system is automatically placed in STANDBY mode. In STANDBY, the footswitch is
disabled and no treatment energy is available.
Touch the button for the desired wavelength to go to the corresponding Treatment screen.
Touch to select 755 nm
wavelength and go to
corresponding
Treatment screen
Touch to select 1064 nm
wavelength and go to
corresponding
Treatment screen
Select Screen

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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
Treatment Screen
The Treatment screen is accessed by touching the button for the desired wavelength on the Select
screen. The Treatment screen allows you to:
• select the fluence, pulse width (1064 nm only), repetition rate and spot size (refer to the
User-selectable Treatment Parameters topic)
• adjust the temperature of the sapphire cooling window (refer to the User-selectable
Treatment Parameters topic)
• store and recall frequently used treatment parameters (refer to the Memory Storage topic)
• view and reset the pulse counter (refer to the Displays and Indicators topic)
• select the system status (refer to the System Status: STANDBY and READY Modes topic)
• go to the Select screen (refer to the Select Screen topic)
• go to the Information & Adjustment screen (refer to the Information & Adjustment Screen
topic)
Go to Select Screen
Fluence display and
controls
Memory buttons
STANDBY button
Pulse counter and
reset button
Go to Information &
Adjustment screen
Pulse width display
Repetition rate
display and controls
Spot size display
and controls
READY button
Temperature display
and controls
755 nm Treatment Screen (STANDBY mode shown)

Go to Select Screen
Fluence display and
controls
Memory buttons
STANDBY button
Pulse counter and
reset button
Go to Information &
Adjustment screen
Pulse width display
and controls
Repetition rate
display and controls
Spot size display
and controls
READY button
Temperature display
and controls
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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
1064 nm Treatment Screen (STANDBY mode shown)

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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
Information & Adjustment Screen
The Information & Adjustment screen is accessed by touching the tab in the upper right corner of the
Treatment screen while the system is in STANDBY mode. From the Information & Adjustment screen you
can:
• view the total number of pulses ever recorded while using the laser handpiece
• adjust the volume of the emission indicator and other audible tones (refer to the Audible
Tones topic)
• adjust the touchscreen backlighting
• adjust the aiming beam (refer to the Aiming Beam topic)
• view the software version for the system controller, display and handpiece
• go back to the Treatment screen (refer to the Treatment Screen topic)
Go to Treatment
screen
Volume controls Software
versions
Backlighting
controls
Total number of
pulses recorded
Aiming beam
button
Information & Adjustment Screen

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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
System Status: STANDBY and READY Modes
The system automatically goes into STANDBY mode at system start-up. In STANDBY mode:
• the footswitch is disabled
• the internal safety shutter is closed
• the treatment and aiming beams are not available
• the fluence (J/cm2), pulse width (msec) and repetition rate (Hz) fields are outlined in yellow
• the STANDBY button illuminates
755 nm Treatment Screen in STANDBY Mode
Touch the READY button to toggle to READY mode. In READY mode:
• the footswitch is enabled
• the safety shutter is open
• the treatment and aiming beams are available
• the fluence (J/cm2), pulse width (msec) and repetition rate (Hz) fields are outlined in green
• the READY button illuminates
When the system is in READY mode and the footswitch is pressed, treatment energy is discharged from
the handpiece, the system emits an audible tone, and a yellow indicator next to the READY button
illuminates to indicate treatment beam emission.