Energist UltraPlus VPL System User manual

Energist UltraPlus VPL™ System User Manual
SD1-43 Issue 3 (CCF 296) 1
Contents
CONTENTS ...................................................................................................... 1
SECTION 1: INTRODUCTION......................................................................... 5
1.1 Safety Warning ....................................................................................................................................5
1.2 Product Overview................................................................................................................................6
1.3 Intended Use / Indications ..................................................................................................................7
1.4 Warnings...............................................................................................................................................7
1.5 Precautions...........................................................................................................................................7
1.6 Individualisation of Treatment..........................................................................................................7
1.7 What is supplied...................................................................................................................................8
1.8 Technical Specification........................................................................................................................9
1.9 Space Requirements..........................................................................................................................10
1.10 Electromagnetic Compatibility......................................................................................................10
1.11 Transport and Storage....................................................................................................................10
1.12 Manufacturer...................................................................................................................................10
SECTION 2: IMPORTANT SAFETY INFORMATION................................... 11
2.1 Symbol Glossary ................................................................................................................................11
2.2 Introduction to Safety .......................................................................................................................13
2.3 Definitions...........................................................................................................................................13
2.4 Restrictions on Use ............................................................................................................................13
2.5 Electrical Safety.................................................................................................................................14
2.5.1 MAINS INPUT.............................................................................................................................14
2.5.2 DERIVED SUPPLIES..................................................................................................................14
2.5.3 FIRE HAZARDS..........................................................................................................................14
2.6 Mechanical Safety..............................................................................................................................15
2.6.1 WEIGHT/MOVEMENT ..............................................................................................................15
2.6.2 CABLES .......................................................................................................................................15
2.6.3 HANDPIECE................................................................................................................................15
2.6.4 MOVING PARTS ........................................................................................................................16
2.7 Optical Safety.....................................................................................................................................16
2.7.1 Recommended Eyewear ...............................................................................................................16
2.8 Administrative & Procedure Control..............................................................................................17

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SECTION 3: CLEANING AND MAINTENANCE........................................... 18
3.1 General Cleaning...............................................................................................................................18
3.2 Cleaning the Handpiece ....................................................................................................................18
3.3 Maintenance.......................................................................................................................................18
SECTION 4: USING THE ENERGIST ULTRAPLUS SYSTEM .................... 19
4.1 Introduction........................................................................................................................................19
4.2 Attaching the applicator ...................................................................................................................19
4.3 Removing the Applicator..................................................................................................................19
4.4 Changing the Applicator...................................................................................................................20
4.5 To Turn On the system .....................................................................................................................21
4.6 To Shut Down the System.................................................................................................................21
4.7 User Interface.....................................................................................................................................22
4.8 Logging On.........................................................................................................................................23
4.9 Logging Off.........................................................................................................................................24
4.10 Main Menu .......................................................................................................................................24
4.11 Hair Removal Treatment................................................................................................................26
4.13 Thread Vein Treatment..................................................................................................................28
4.14 Acne Vulgaris...................................................................................................................................29
4.15 Pigmented Lesions...........................................................................................................................30
4.16 Increase/Decrease Energy (J/cm2) .................................................................................................30
4.17 Advanced Modes..............................................................................................................................32
SECTION 5: TROUBLESHOOTING.............................................................. 34
5.1 System will not power up..................................................................................................................35
5.2 Error Messages ..................................................................................................................................36
SECTION 6: INTRODUCTION TO HAIR REDUCTION ................................ 40
6.1 Introduction........................................................................................................................................40
6.2 Hair Structure....................................................................................................................................40
6.3 Hair Growth Cycle ............................................................................................................................41
6.4 Hair Growth Data..............................................................................................................................43

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6.5 How does VPL™ WORK? ...............................................................................................................43
6.6 Effect of melanin in the skin.............................................................................................................44
6.7 Definitions of hair & skin types........................................................................................................44
6.8 Treatment Procedure ........................................................................................................................45
6.9 Contraindications to treatment........................................................................................................45
6.10 Test Patches......................................................................................................................................45
6.11 Number of shots for each treatment area.....................................................................................46
6.12 Number of treatment sessions required........................................................................................47
6.13 Period between successive treatments...........................................................................................47
6.14 After Care.........................................................................................................................................48
6.15 What to expect following treatment ..............................................................................................48
SECTION 7: INTRODUCTION TO SKIN THERAPIES ................................. 49
7.1 Introduction........................................................................................................................................49
7.2 Photo-Damaged Skin.........................................................................................................................50
7.3 Acne Vulgaris.....................................................................................................................................50
7.4 Laser Techniques for Skin Rejuvenation........................................................................................51
7.5 Classifications.....................................................................................................................................52
7.6 Treatment Process.............................................................................................................................53
7.7 Treatment Test Patches.....................................................................................................................54
7.8 Contraindications ..............................................................................................................................54
7.9 Treatment Procedure ........................................................................................................................55
7.10 Number of treatment sessions required........................................................................................55
7.11 Period between treatments .............................................................................................................55
7.12 Aftercare...........................................................................................................................................56
7.12.1 What to Expect Following Treatment ........................................................................................56
SECTION 8: CLINIC & CLIENT MANAGEMENT ......................................... 58
8.1 Introduction........................................................................................................................................58
8.2 First Impressions ...............................................................................................................................58
8.3 Client’s First Contact........................................................................................................................59
8.4 Preparing the Client..........................................................................................................................59

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8.5 Client Management – Hair Removal...............................................................................................61
8.6 Client Management – Skin Therapies.............................................................................................62
8.7 Client Management – Adverse Reactions.......................................................................................63
SECTION 9: TREATMENT SETTING GUIDELINES .................................... 65
9.1 Introduction........................................................................................................................................65
9.2 Hair Reduction...................................................................................................................................66
9.3 Skin Therapies....................................................................................................................................68
SECTION 10: INFORMATION ON DRUG INDUCED PHOTOSENSITIVITY72
SECTION 11: CLINICAL RESEARCH SYNOPSES ..................................... 74
11.1 Introduction......................................................................................................................................74
SECTION 12: GLOSSARY OF TERMS......................................................... 78
APPENDIX A.................................................................................................. 91
Generic Consultation Forms ..................................................................................................................91
APPENDIX B................................................................................................ 110
Hair Removal Data Sheets....................................................................................................................110
APPENDIX C................................................................................................ 122
Guidance and manufacturers declaration – EMC Topics................................................................122

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SECTION 1: Introduction
1.1 Safety Warning CAUTION
No attempt should be made to operate this pulsed light
system until the User Manual has been read and fully
understood. In addition, a clear understanding of the
biological effects of the interaction of light with tissue should
be prerequisite to the use of this pulsed light system.
This device is intended solely for the purpose of cosmetic
treatments. Any information supplied herein is meant as a
reference and should not be used to replace any treatment
protocols that have been implemented by an expert medical
practitioner.
When not in use, this equipment should be protected from
unqualified use by removal of the key from the keyswitch.
ALL OPERATORS OF THIS PULSED LIGHT SYSTEM MUST
ATTEND THE SUPPLIER’S APPROVED TRAINING COURSE
PRIOR TO USE OF THIS SYSTEM.
IEC 60601-2-57 determines this device is classified as
Risk Group 2

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1.2 Product Overview
This manual contains operation and maintenance information for the Energist
UltraPlus Variable Pulsed Light (VPL™) System. Servicing of the system
forms the subject matter of a separate Service Manual.
The Energist ULTRAPLUS is intended to be used for hair removal/reduction
of unwanted hair, hypertrichosis or hirsutism, cosmetic skin rejuvenation and
active acne. It emits a high energy pulse of non-ionising radiation in the region
of 405nm to 950nm of the electromagnetic spectrum. The maximum energy
density from the system is 51 J/cm2.
The system has been designed to be versatile and safe, with an in-built safety
feature that will identify which handpiece has been attached. The output of the
Energist UltraPlus system is delivered to the skin, via optical coupling gel,
from an ergonomically designed handpiece. Pre-set treatment parameters are
included that have been determined through extensive clinical experience.
This system offers significant advantages over other systems:
•Aesthetic & ergonomic design
•Increased variable pulse type range
•Large spot size
•Flexible, menu driven, user friendly software
•Colour touchscreen interface
•Automatic identification of handpiece
•Full self-diagnostics
•Applicator Usage Inhibitor
•Pre-set starting treatment parameters
•User save & load functionality
•Multi-language interface capability

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1.3 Intended Use / Indications
The intended use for the Energist UltraPlus VPL™ System is in the cosmetic
field of hair reduction/removal for unwanted hair, benign cutaneous vascular
lesions, benign pigmented lesions & skin rejuvenation. Cosmetic skin
rejuvenation includes improvements in the visible signs of aging and sun
damage.
The medical indications for the Energist UltraPlus VPL™ System include
treatment for hypertrichosis or hirsutism, the treatment of mild to moderate
inflammatory acne vulgaris and as the illumination source for Photodynamic
Therapy.
1.4 Warnings
The Energist UltraPlus system should not be used on subjects with breached
skin (abraided skin) or open sores in any area that comes into contact with the
system. Doing so may increase the risk of transmission of infection between
patients.
The Energist UltraPlus system requires proper cleaning and disinfecting
procedures between each client use. Doing so can help prevent transmission
of infection between patients. Refer to Section 3 for cleaning and disinfection
instructions.
Any electrical outlet to which the Energist UltraPlus system is connected
MUST incorporate an effective earth (GROUND) connection.
The Energist UltraPlus system is NOT designed for use in explosive, oxygen-
enriched or nitrous oxide atmospheres.
Please return any unwanted systems to the manufacturer for safe disposal.
The initial installation, repairs and maintenance of the Energist UltraPlus
system must be performed by an Energist Limited authorised service
representative. Unauthorised repairs or modifications will VOID all
warranties.
1.5 Precautions
•The Energist UltraPlus system is not protected against the ingress of
liquids and should be used only in a clean, dry environment.
•Energist Optical Coupler Gel is for external use only.
•Always wear the supplied eyewear when operating the system.
1.6 Individualisation of Treatment
The Energist UltraPlus system has the ability to be set up to provide the
correct treatment parameters for each individual client. The client must
undergo a thorough health history consultation and understand any side-
effects associated with the treatment. They must then sign an Informed
Consent Form before any treatment is undertaken.

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1.7 What is supplied
The Energist UltraPlus system package comprises of the following:
Quantity Item Part Number
1 Energist UltraPlus System 800-001
1 530nm Applicator 800-073
1 610nm Applicator 800-074
1 415/630 Applicator 800-075
1 Protective Eyewear – F3 600-012
1 Protective Eyewear – F5 600-013
6 Energist Optical Coupling Gel (250ml) 600-004
2 Protective Eyewear Case 600-011
2 Ultra Applicator Case 600-002
1 Starter Pack Accessory Case 600-001
1 User Manual - English 700-044
2 System Key 300-172
1 User Manual – CD Version 700-045

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1.8 Technical Specification
Light Source:
Single Flashlamp, Reflective Cavity, Filter
Wavelength Range:
530nm Handpiece: 530nm – 950nm
610nm Handpiece: 610nm – 950nm
Acne Handpiece: 405/630-950nm
Handpiece Waveguide:
BK7 Glass waveguide
Handpiece Filter:
530nm/610nm - Cut-on Absorption filter
Acne - Dichroic filter
Max. Pulse Energy:
255 Joules
Pulse Duration:
3*ms, 5*ms and 7*ms
Pulse Sequencing:
2 – 15 pulses
Pulse Delays:
1*ms – 20*ms
Pulse Train Times:
7*ms – 385*ms
Repetition Rate:
Up to 0.5 Hz
Treatment area:
5 cm
2
(5cm x 1cm)
Energy Density:
530nm Handpiece: up to 51 J/cm
2
610nm Handpiece: up to 45 J/cm2
Acne Handpiece: up to 25 J/cm2
(Energy densities accurate to ±20%)
Interface Control Panel:
Full Colour LCD display with Touchscreen.
Windows XP
Electrical:
100V (6.5A) to 240V (3.0A), 60/50 Hz.
Continuous mode of operation.
Cooling:
Self contained, de-ionised water cooled
Environmental:
10
O
C to 30
O
C Non-condensing humidities below
75% RH. NOT to be used in explosive, oxygen-
enriched or nitrous oxide atmospheres.
Dimensions:
950mm x 430mm x 420mm (H x W x D)
Weight:
Approximately 54kg
Classification: Electrical Class I, Type BF, Mobile Equipment.
Class 2b Rule 9 – 93/42/EEC. Risk Group 2.
Ingress Rating: IPX0. The system is not protected against the
ingress of liquids and should be used only in a
clean, dry environment.
*Pulse timing is microprocessor controlled to ± 2% accuracy

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1.9 Space Requirements
Sufficient floor space is required for the Energist UltraPlus system. The
dimensions for the system are 950mm x 440mm x 400mm.
A distance of approximately 50cm should be left clear around both sides and
the rear of the system to allow for adequate ventilation.
The floor surface should not be a piled carpet; this will ensure adequate
ventilation from the underside of the system.
Ambient room temperatures should not exceed 30OC.
1.10 Electromagnetic Compatibility
This product has been tested by an independent, accredited testing laboratory
and found to meet the requirements of:
•BS EN 60601-1-2:2002
These limits are designed to provide reasonable protection against harmful
interference when the equipment is operated in a commercial environment.
This system, like all similar equipment, generates, uses and can radiate radio
frequency energy which, if not installed and used in accordance with the User
Manual, may cause interference to other equipment. (See Appendix C)
1.11 Transport and Storage
The storage and transport conditions for the Energist ULTRAPLUS™ were
determined from specifications set by the manufacturers of critical
components as follows:-
Temperature +5
O
C to +40
O
C
Relative Humidity Not to exceed 75% Non-condensing
Operating Altitude 0 -10,000 feet (1060 – 700 kPa)
1.12 Manufacturer
This system is manufactured by:
Energist Limited
2 Park Pavilions
Clos Llyn Cwm
Enterprise Park
Swansea
UK
SA6 8QY
Tel: +44 1792 798768
Fax: +44 1792 762099
www.energistgroup.com

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Section 2: Important Safety Information
2.1 Symbol Glossary
Symbols located on the Energist UltraPlus system.
OFF (Partially)
Note: Only the user interface has power supplied to it
ON (Standby)
Note: Touchscreen user interface is used to place system into
Treat (charged) mode
Emergency Stop Button
Note: A sharp strike on the face of the button will cause the
system to go into a safe mode, i.e. the HV unit and cooler will
be immediately switched off and any energy stored will be
safely discharged.
Rotate buttons in the direction indicated to release.
Caution
Indicates that the User manual should be read thoroughly
before attempting to operate the system
Earth (Ground)
Found adjacent to all earth connections on or within the
system
Protective Earth (Ground)
Found adjacent to all protective earth connections on or
within the system
l Mains Input Switch - ON
Indicates mains input power is on
0 Mains Input Switch – OFF
Indicates mains input power is off
Safety Information Label
CAUTION!
Intense Pulsed Light Source
OUTPUT PARAMETERS
Wavelength: 415nm – 950nm
Max. Output Energy: 51 J/cm2

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Mains Input Plate Label (on the rear of the Energist UltraPlus system.)
Supply Voltage Range
Supply Current
Range
~ Alternating
Current (AC)
supply
Su
pp
l
y
Phase
Supply
Frequency
Range
IPX0. The system is
not protected against
the ingress of liquids
and should be used
only in a clean, dry
environment.
Type BF Applied Part
This symbol indicates that when the end-user
wishes to discard this product, it must be sent
to separate collection facilities for recovery
and recycling. It must not be included in your
household waste.
CE0120 –
Manufacturer declares
that system meets
EEC directives & has
been assessed by a
Notified Body

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2.2 Introduction to Safety
This chapter approaches the topic of the potential hazards involved in
systems of this type, and contains information concerning safety warnings and
possible hazards and how to avoid them. The potential hazards may concern
either the Operator or the Patient, but by ensuring that all of the safety factors
included in this manual are adhered to, the possibility of injury is remote.
A full understanding of the operation of this System, and of the treatment
parameters, is essential to guard against any hazards and unwanted side-
effects, and it is essential that all Operators of the Energist UltraPlus system
read this manual and the appropriate Treatment Guides.
2.3 Definitions
Throughout this manual two main terms will be used, WARNING and
CAUTION. These can be defined as:
WARNING Denotes that if the safety procedures as
advised are ignored then the risk to either the
Operator or the Patient is known to be severe,
and potentially fatal.
CAUTION Denotes that if the safety procedures as
advised are not adhered to then a risk may
exist of injury to personnel, or damage to
equipment and property.
2.4 Restrictions on Use
This equipment is intended for use by trained personnel only. There are no
serviceable parts and no unauthorised personnel are to work on the Energist
UltraPlus system at any time.
•Do not use the Energist UltraPlus system if you are not competent to
do so!
•Do not eat or drink while using the Energist UltraPlus system!
•Do not use the Energist UltraPlus system if you know of any faults!
•Do not attempt to operate the Energist UltraPlus system without the
handpiece attached!
•Only use the Energist UltraPlus system in accordance with the
manufacturers’ recommendations!
•Do not operate in oxygen enriched environments!
•Do not remove panels or casings if you are not qualified to do so!

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2.5 Electrical Safety
WARNING
ONLY MANUFACTURER RECOMMENDED COMPONENTS AND
ACCESSORIES ARE TO BE USED WITH THE ENERGIST UltraPlus
SYSTEM.
ANY NON-STANDARD COMPONENTS USED WILL INVALIDATE
THE WARRANTY AND WILL FAIL TO COMPLY WITH ANY LOCAL
REGULATIONS.
ANY UNAUTHORISED SERVICE OR PARTS MAY RESULT IN A
SAFETY HAZARD AND DEGRADATION IN PERFORMANCE.
The manufacturer of the Energist UltraPlus system has made every effort to
ensure the personal safety of all its users by incorporating as many safety
features as possible. However, it is still the responsibility of every user to
safely use the Energist UltraPlus system and follow the guidelines stated.
There are two distinct electrical hazards associated with the Energist
UltraPlus system, namely:
•Mains Inputs
•Derived Supplies
2.5.1 MAINS INPUT
This refers to the main supply of energy from the plug in the wall, and
will either be 110 or 240 Volts. This supply is known as Alternating
Current (AC) and will have a frequency of either 50 or 60 Hertz (Hz). To
protect all users from this supply the Energist UltraPlus system is
earthed through the mains cable. To avoid any possibility of electric
shock the mains cable must only be plugged into a suitably wired mains
point. Do not plug the Energist UltraPlus system in via a multi-plug or
extension block. The metal case is then earth bonded to further protect
users in the event of an electrical fault.
Do not remove panels or casings if you are not qualified to do so!
2.5.2 DERIVED SUPPLIES
Within the Energist UltraPlus system there are a number of components
that store the mains input and convert it to a higher voltage. These
voltages, known as Derived Voltages, can be in the order of 20,000 Volts
(20kV). Even when the mains have been turned off, a residual charge
may still be present and can be potentially very dangerous.
2.5.3 FIRE HAZARDS
Fires can occur within electrical equipment, therefore it is imperative that
you have the appropriate ‘electrical’ fire extinguisher in the room where the
Energist UltraPlus system is being used. More information regarding
appropriate fire extinguishers will be available from your local Fire Officer.
•Do not use water around electrical equipment

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•Do not use flammable substances when using the Energist UltraPlus
system
2.6 Mechanical Safety
CAUTION
The Energist UltraPlus system has been specifically designed to ensure
maximum safety in a clinical setting. However, you must take great care
when using or moving the system. The main mechanical safety issues are:
2.6.1 WEIGHT/MOVEMENT
The Energist UltraPlus system is on castors for ease of movement,
however, it is heavy and once moving will not stop immediately. Take
care when moving the Energist UltraPlus system as it will not stop
immediately and may cause damage to personnel, clinic fittings and
internal components.
•Do not try to lift the Energist UltraPlus system
•Do be careful when moving the system
•Do engage brakes on the front castors when system is stationary
•Do not lean anything against the system
•Do ensure that the system is located on suitably strong and level
flooring
•Do ensure that there is a gap of approximately 50cm (18 inches)
between the Energist UltraPlus system and any wall or major
appliance.
2.6.2 CABLES
There are various cables associated with the Energist UltraPlus system.
Good cable placement will ensure that potential hazards are reduced.
•Do not place a cable in any walkways
•Do not place cables next to any heating appliances
•Do not place cables across doorways
•Do not pull system with power cable or Handpiece cable
•Do not overextend Handpiece cable
•Do not excessively bend Handpiece cable
2.6.3 HANDPIECE
The handpiece is a delicate piece of electro-optical equipment. Please
be careful when using, changing or storing the handpiece. The
handpiece houses a water chamber, please be careful not to
mechanically damage or take apart the external housing. There is the
potential of residual high voltages within the handpiece which may pose
a serious potential hazard if the handpiece is damaged. The waveguide
is made of glass and may chip if damaged. Please ensure before each
treatment that the waveguide is undamaged.
•Do not drop the handpiece
•Do not inflict a sudden impact on the handpiece

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•Do keep the handpiece clean at all times
•Do not immerse the handpiece in any liquid
•Do not use a flammable cleaner on the handpiece immediately
prior to, or post-treatment
•Do not use the handpiece if there are any water leakages
•Do not attempt to take the handpiece apart
•When changing the handpiece please remove the water
connectors first and shake out any excess
•Do ensure that the electrical connectors are always kept dry and
free from any contamination
2.6.4 MOVING PARTS
The Energist UltraPlus system requires fans and pumps internally to
operate effectively.
•Do not poke objects into the system
•Do not push fingers into fan vents
2.7 Optical Safety
WARNING
The Energist UltraPlus system emits a high intensity flash of light that
has the potential to damage unprotected eyes. Both Operator and
Patient must wear the recommended protective eyewear before
commencing treatment. The ocular hazard distance is 1 metre.
2.7.1 Recommended Eyewear
Patient Operator
Type of Eyewear High density
safety glasses Safety glasses
Wavelength
Range: 200 – 1800 nm 200 – 1800 nm
Colour: Dark Green Green
Part Number: D166-F-5 D166-F-3
•Only use eyewear that is supplied, or has been approved, by
Energist Limited. Failure to comply may result in damage to the
operator or client’s vision.
•Never fire the handpiece directly at anyone’s eyes
•Never look directly into the waveguide when the system is armed
•Always ensure that eyewear is worn by any persons in the
treatment room.

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2.8 Administrative & Procedure Control
The practical use of high powered optical systems in cosmetic medicine
means that additional administrative controls are necessary to provide safe
working conditions. The extent to which these, and additional procedures,
must be implemented depends on the local registering authority. More
information on the guidelines that are pertinent to your clinic must be obtained
from the relevant authority and implemented as required.
Every Energist UltraPlus system is to have a set of simple operational rules
which govern its use. A generic set of rules that may be adapted for each
individual clinic is included in this manual.

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Section 3: Cleaning and Maintenance
3.1 General Cleaning
Before cleaning maintenance is carried out please ensure that the system is
disconnected from the mains supply. The Energist UltraPlus system cabinet
may be cleaned on a regular basis by simply wiping down with a slightly damp
cloth. Soiled materials should be disposed of in an appropriate manner.
3.2 Cleaning the Handpiece
Cleaning the handpiece between each client is essential as it will reduce any
chances of cross-infection and any residual gel, which may interfere with the
light output.
•Residual gel should be thoroughly wiped from the waveguide using a
disposable tissue or towelling. Repeat if necessary.
•Remove any residue with a clean damp cloth and wipe dry.
•Sterilise the waveguide using a proprietary sterilising fluid or wipe.
•Dispose of tissue or wipe in an appropriate manner.
•DO NOT USE any abrasive cleaners.
3.3 Maintenance
Caution: There are no user serviceable parts within the Energist UltraPlus
system. Maintenance and servicing should only be carried out by Energist Ltd
qualified engineers. Any maintenance or servicing should be carried out in an
access-restricted area.
A regular visual inspection of the system should be carried out before each
use. This should be done to ensure there are no signs of wear, cracks or
breaks in the casing, power cable, waveguide, handpiece and handpiece
cable.
Preventative maintenance for the Energist UltraPlus system should take place
at the end of year 1.
On-going maintenance contracts are available from your Distributor after year
one. Please contact your local distributor for details.

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SECTION 4: Using the Energist UltraPlus System
4.1 Introduction
The aim of this section is to introduce the features of the Energist UltraPlus
and how to operate it safely and effectively. Simple step-by-step instructions
and graphics will guide you through the set-up and use of the system.
This section is not intended to replace hands-on training and no person
should use this system without first undergoing the manufacturers’
recommended training course.
4.2 Attaching the applicator
Before switching on the system it is necessary to attach the required
applicator. The following procedure should be followed:
1. Ensure key switch is set to off (0) and main switch at rear of the system
is off
2. Open side panel (middle right) where handpiece connections are
located
3. Remove required handpiece from case and gently rock the head to and
fro to remove any air bubbles
4. Place handpiece in the cradle
5. Firstly connect the power & communications connector and ensure the
notch on the top lines up with the small screw head
6. Next insert the water connector with the release clip at the top
7. Ensure pressure is evenly applied to water connector housing when
inserting
8. Ensure that the water connector nozzles are securely inserted
9. Secure main cable into holder
10.Secure side panel
11.Ensure Emergency Stop switch is out – rotate clockwise to release.
12.Rotate key switch to the on (I) position
13.Turn on main switch at rear of system
14.The system will now initiate after a short delay into its “soft start”
sequence
4.3 Removing the Applicator
If the system is OFF the applicator may be removed by:

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1. Open side panel (middle right) where handpiece connections are
located
2. Remove main cable from holder
3. Depress water connector tab and gently remove. Shake to dispel
excess water
4. Pull on outer sheath of power/communications cable connector to
release lock and pull firmly out
4.4 Changing the Applicator
If the system is ON, the applicator may be changed by:
1. Select Change below the Applicator information (top right hand side)
2. Tap Yes to confirm
3. Wait for system to confirm it is safe to change the applicator
4. Open side panel (middle right) where handpiece connections are
located
5. Depress water connector tab and gently remove. Shake to dispel
excess water
6. Pull on outer sheath of power/communications cable connector to
release lock and pull firmly out
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