Cutera Excel V+ User manual

I
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 permission 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 language.
Please note that while every effort has been made to ensure that the data given in this document 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.
©February 2019 Cutera, Inc.
Published in USA
D2325
Revision A
Cutera, Inc.
3240 Bayshore Boulevard
Brisbane, CA 94005 USA
MDSS GmbH
Schiffgraben 41, D-30175
Hannover, Germany
Australian Sponsor
Cutera Australia, Pty. Ltd.
PO Box 774
Maroubra, NSW 2035

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EXCEL V+ OPERATOR MANUAL
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Contents
CONTENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III
OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Characteristics of the 532 nm Laser Beam . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Characteristics of the 1064 nm Laser Beam . . . . . . . . . . . . . . . . . . . . . . . . . . 2
System Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
excel V+ System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Handpieces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Remote Interlock Plug. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Connecting the System Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Connecting the Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Inserting the Remote Interlock Plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Connecting the Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Connecting the Handpiece Dummy Plug. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Connecting the Main Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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System Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Turning On the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Restarting the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Turning Off the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Emergency Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Disconnecting the Handpiece Fiber Connector. . . . . . . . . . . . . . . . . . . . . . . 12
Disconnecting the Handpiece Connector or Dummy Plug . . . . . . . . . . . . . . 12
Disconnecting the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Moving the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
General System Functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CoolView Handpiece User Interface Modes . . . . . . . . . . . . . . . . . . . . . . . . . 15
CoolView Select Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CoolView Treatment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Genesis V Treatment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Dermastat Treatment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
System Status: STANDBY and READY Modes . . . . . . . . . . . . . . . . . . . . . . 21
Memory Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Information & Adjustment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Aiming Beam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Audible Tones and Voice Prompts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Displays and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
User-selectable Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
CoolView Handpiece Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Selecting Treatment Parameters in Navigation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Exiting Navigation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Selecting Treatment Parameters in Expert Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Selecting the Laser Wavelength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Selecting the Laser Spot Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Selecting the Fluence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Selecting the Pulse Duration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Selecting the Repetition Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Adjusting the Temperature of the Sapphire Cooling Window . . . . . . . . . . . . . . . . . . . . . .45

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Genesis V Handpiece Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Selecting the Laser Wavelength. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Selecting the Fluence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Selecting the Pulse Duration (532 nm only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Selecting the Repetition Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Dermastat Handpiece Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Selecting the Fluence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Selecting the Pulse Duration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Selecting the Repetition Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Troubleshooting Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Error Code Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Annual System Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
System Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Routine User Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Cleaning the External Surfaces of the System Console . . . . . . . . . . . . . . . . 57
Cleaning the System Touchscreen Display. . . . . . . . . . . . . . . . . . . . . . . . . . 57
Inspecting and Cleaning the Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Inspecting and Cleaning the External Surfaces of the Handpiece . . . . . . . . . . . . . . . . . . 59
Inspecting and Cleaning the Handpiece Lens(es) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Inspecting and Cleaning the CoolView Handpiece Window. . . . . . . . . . . . . . . . . . . . . . . 62
Inspecting and Cleaning the Heat Exchanger Intake . . . . . . . . . . . . . . . . . . 64
Filling the Coolant Reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Remote Interlock Pin Assignments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Electrical Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Systems Designed for Use Outside of Europe . . . . . . . . . . . . . . . . . . . . . . . 67
Systems Designed for Use in European Communities Under MDD . . . . . . . 67
Removable or Lockable Wall Socket and Plug Configurations . . . . . . . . . . . 67
Systems Designed for Use in European Communities Under MDD. . . . . . . . . . . . . . . . . 67
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Treatment Beam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

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Physical Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Maximum Allowable Temperature of Accessible Parts . . . . . . . . . . . . . . . . . 69
Classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Eye Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Calibration Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Calibration Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
End of Life Disposal - Environmental Information . . . . . . . . . . . . . . . . . . . . . . . . 72
Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
SAFETY AND REGULATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Optical Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Additional Ocular Protection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Additional Safety Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Protecting Non-Target Tissues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Electrical Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Fire Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Operational Training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Operational Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Location of Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Key Lock Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Emergency Off Push-Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Laser Emission Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Remote Interlock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Protective Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Laser Safety Shutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Audible Emission Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

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Manual Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Electronic Fault Detection Circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Regulatory Compliance Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
System Console Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Handpiece Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
CLINICAL APPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
General Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
532 nm Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
1064 nm Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Expected Transient Events and Possible Adverse Effects. . . . . . . . . . . . . . . . . . 93
Treatment Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Treatment Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
APPENDIX A - LASER WARNING SIGN
APPENDIX B - SYMBOLS
APPENDIX C - BIBLIOGRAPHY
APPENDIX D - CUTERA DIRECT OFFICE LOCATIONS

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Operation
Introduction
The Cutera excel V+ is a dual-wavelength (532 and 1064 nm) laser system that treats a wide range of
dermatologic conditions. Various laser pulse fluence, spot size, and pulse duration parameter
combinations can be used to treat unwanted veins, benign vascular lesions and birthmarks, and benign
pigmented lesions.
The excel V+ is a precision medical instrument. It has undergone extensive testing and with proper
handling is a useful and reliable clinical instrument. If you have any questions regarding your system,
contact your local Cutera representative.
WARNING
Any laser device can generate highly concentrated light which may
cause injury if improperly used. To protect patients and operating
personnel, the entire system operator manual, including the Safety
and Regulatory sections, should be carefully read and
comprehended before operation.

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Characteristics of the 532 nm Laser Beam
The 532 nm laser wavelength falls in the visible region of the electromagnetic spectrum and produces
green light. The 532 nm laser light is absorbed by hemoglobin and melanin in target tissues. This makes
the 532 nm laser useful for treating multiple indications. See the Clinical Applications section for specific
Indications for Use for the 532 nm wavelength.
Characteristics of the 1064 nm 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 1064 nm laser light is a longer penetrating
wavelength that is absorbed by melanin and hemoglobin in target tissues. This makes the 1064 nm laser
useful for treating multiple indications. See the Clinical Applications section for specific Indications for
Use for the 1064 nm wavelength.
System Preparation
The excel V+ 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
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 section of this manual.
We recommend that you or your staff inspect and perform a functional system check 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.

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excel V+ System Components
The excel V+ consists of a system console with a boom and handpiece holster(s), handpiece(s), and a
footswitch. Other components necessary for operation, such as remote 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.
Handpieces
The laser handpiece delivers laser energy from the system console to the treatment site. Three
ergonomically designed handpieces are available for use with the excel V+: CoolView, Genesis V, and
Dermastat.
The CoolView handpiece features integrated motorized zoom and epidermal cooling. The motorized
zoom feature enables you to adjust the laser spot size. The epidermal cooling feature allows you to
adjust the temperature of the sapphire cooling window to increase safety and efficacy.
The Genesis V handpiece features an integrated temperature sensor and LED temperature indicators,
which enable thermal monitoring of the target tissue. A working distance beam ensures proper
positioning of the handpiece when centered within the aiming beam.
The Dermastat is a pen-like handpiece for treating small areas with the 532 nm wavelength. An optional
standoff tip can be attached to the Dermastat to facilitate proper positioning of the handpiece at the
optimal working distance.
Footswitch
The footswitch activates the laser 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.

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Boom
CoolView Handpiece
Genesis V Handpiece
Footswitch
Remote interlock plu
g
System console
Holsters
Dermastat Handpiece Optional Standoff Tip

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Connecting the System Components
Before connecting the excel V+ 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 section of this operator manual.
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 will be displayed 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.
WARNING
Always turn the system OFF before inspecting the handpiece.
Never look directly into the handpiece even when wearing
protective eyewear. Never look directly into the laser beam or at
scattered light from metallic or other reflective surfaces. The 532 nm
and 1064 nm laser beams can cause permanent eye damage.
NOTE
Do not touch the recessed handpiece window; finger oils may
damage the coating.

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Remote Interlock Plug
Footswitch

7
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
Connecting the Handpiece
Connect the desired handpiece to the system console, as follows:
1. Align the handpiece connector over the handpiece receptacle on the side of the system
console, and press down gently to align the fittings. (CoolView and Genesis V handpieces
only)
2. Once aligned, press down firmly until you hear two audible clicks, indicating that both
locking tabs are engaged. (CoolView and Genesis V handpieces only)
3. Remove the protective cap from the fiber connector.
4. Insert the fiber connector into the fiber receptacle on the side of the system console,
ensuring that the alignment guide on the fiber connector lines up with the alignment guide
above the fiber receptacle.
5. Lock the fiber connector in place by gently pushing the fiber connector into the receptacle
and then turning clockwise toward the icon.
NOTE
It is important to listen for two clicks when installing the CoolView
and Genesis V handpieces. The handpiece is properly connected
only when both locking tabs are engaged.
Handpiece
connector
Fiber receptacle
Fiber connector
Locking tabs

8
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
Connecting the Handpiece Dummy Plug
The excel V+ system console has two handpiece receptacles. If only one handpiece is installed, you
must insert a “dummy plug” into the vacant handpiece receptacle, as follows:
1. Align the dummy plug over the handpiece receptacle on the side of the system console
and press down gently to align the fittings.
2. Once aligned, press down firmly until you hear two audible clicks The clicks indicate that
both locking tabs are engaged.
NOTE
It is important to listen for two clicks when installing the dummy plug.
The dummy plug is properly connected only when both locking tabs
are engaged.

9
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
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 receptacle end of the power cable into the power cable receptacle on the system
and insert the AC plug into the AC wall socket.
3. Insert the mains power cord plug into the appropriate wall socket and turn the main
electrical service ON. Ensure that the main power circuit breaker is in the up (ON) position.
Power cable wrap
Main power circuit breaker
Power cable receptacle

10
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
System Basics
Turning On the System
Insert the key in the keyswitch, turn to the (START) position, hold for a full second, and release. Upon
release, the key automatically springs back to the l (ON) position.
The touchscreen displays the start-up screen, and the system begins a self-test routine.
After approximately two minutes, the system emits an audible tone, and the touchscreen displays the
CoolView Select Screen, the Genesis V Treatment Screen,or the Dermastat Treatment Screen,
depending on which handpiece is connected to the system console. 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 operator manual.
Keyswitch

11
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
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.
Emergency Off
In an emergency, press the red emergency off button to immediately turn off the system.
NOTE
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.
Emergency OFF Button

12
EXCEL V+ OPERATOR MANUAL
D2325, REV A, 2/19
Disconnecting the Handpiece Fiber Connector
To remove the handpiece fiber connector from the fiber receptacle:
1. Unlock the handpiece fiber connector by gently pushing the connector into the fiber
receptacle and then turning counter-clockwise.
2. Remove the fiber connector from the fiber receptacle and replace the protective cap onto
the fiber connector.
Disconnecting the Handpiece Connector or Dummy Plug
To remove the handpiece connector or dummy plug from the handpiece receptacle:
1. Press down on the front locking tab to release the handpiece connector or dummy plug.
2. Press down and hold the rear locking tab, and gently pull up on the handpiece connector
or dummy plug.
Handpiece
connector
Front locking
tab
Rear locking tab