Energy-Laser L500 PRO User manual

User Manual
ENERGY-LASER™ PRO
Model: L500 PRO – 500 mW / 808 nm
Model: L800 PRO – 4 x 200 mW / 660 nm
Model: L2000 PRO – 4 x 500 mW / 808 nm
Low Level Laser Therapy – LLLT
PhotoBioModulation – PBM
English
NOTE: Please read this User Manual thoroughly before use. For further assistance & advice
please contact Akeda Sp. z o.o. or your local dealer direct

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Table of Contents
Dear customer 3
Energy for Life – Supportive Laser therapy for wounds and pain. 4
Certifications 5
Laser Light for Therapeutic use 6
Treatment Using Laser light 7
LLLT/PBM is Approved as a Medical Treatment 10
Warnings & Precautions 10
Contraindications- Contraindications – General Precautions 11
General Safety Warnings LLLT/PBM laser treatment 14
Safety in General 16
Treatment ENERGY-LASER™ PRO dosage schedule 18
Treatment guidelines 18
Therapeutic dose: 19
Device Description ENERGY-LASER™ PRO 20
Error Messages 21
Selection of program by ENERGY-LASER™ Tablet (Bluetooth) 21
Battery and charger 23
Service and maintenance of your ENERGY-LASER™ PRO 25
ENERGY-LASER
TM
PRO - Label symbol information 28
Technical data ENERGY-LASER™ PRO 30
Warranty 32
Accessories for ENERGY-LASER™ PRO 33
EC Declaration of Conformity 34
This manual applies only to the laser model, as it is delivered with!
This manual is subject to change by Akeda Sp. z o.o. as and when required!
All Rights Reserved 2021
User Manual ENERGY-LASER
TM
PRO - ver. 10.0 date: 30.07.2021- ENG

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Dear customer
Congratulations on your excellent choice to acquire the owerful
ENERGY-LASER™ PRO
Before operating your ENERGY-LASER™ PRO - please read the user manual.
Familiarization with the operating instructions is equivalent to training in the use of the medical device.
ENERGY-LASER™ PRO is the latest generation of powerful LLLT / PBM lasers with the latest technology, for
the benefit of both therapist and patient.
ENERGY-LASER™ PRO is developed and designed for the professional users.
ENERGY-LASER™ PRO provides a painless treatment and quick results.
ENERGY-LASER™ PRO is designed for battery operation, with Li-Ion battery technology, which has a large
capacity of energy, up to 1½ hours of treatment per fully charged battery.
ENERGY-LASER™ PRO is with electronic control for overheating.
ENERGY-LASER™ PRO has a built-in Light guide with red LED light (650 nm) so you can clearly see the
treatment area.
ENERGY-LASER™ PRO is easy to operate and the processing time and laser power setting is easily and
quickly done via an ENERGY-LASER Tablet, (Bluetooth).

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Energy for Life – Supportive Laser therapy for wounds and pain
Indications for laser treatment includes:
Lasers with 660 nm beam (visible/red light, 1-2 cm penetration):
•Model: PERSONAL-LASER™L200 – 200 mW / 660 nm [LLLT/PBM
•Model: ENERGY-LASER™ L800 PRO – 4 x 200 mW / 660 nm [LLLT/PBM
Intended use for laser treatment with use lasers diode 660 nm includes:
oRecurrent aphthous stomatitis (pain and wound healing)
Lasers with 808 nm beam (invisible/infrared light, 3-4 cm penetration):
•Model: PERSONAL-LASER™ L400 – 400 mW / 808 nm [LLLT/PBM
•Model: ENERGY-LASER™ L500 PRO – 500 mW / 808 nm [LLLT/PBM
•Model: ENERGY-LASER™ L2000 PRO – 4 x 500 mW / 808 nm [LLLT/PBM
Intended use for laser treatment includes with laser diode 808 nm includes:
oChronic nonspecific low back pain (pain reduction),
oKnee osteoarthritis (pain reduction).
Therapy to support standard treatment methods.
DID YOU KNOW?
The word “LASER” is an acronym for “Light Amplification by Stimulated Emission of Radiation.”
Lasers for therapeutic use are called Low Level Laser Therapy (LLLT) or PhotoBioModulation (PBM).

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Certifications
ENERGY-LASER™ PRO is approved as a medical laser device used for LLLT/PBM treatment.
The laser system complies with the rules in the EU Directive 93/42/.
ENERGY-LASER™ PRO is Medical CE certified – CE 2274.
GMDN – Classification (Global Medical Device Nomenclature)
Code 60409 - Musculoskeletal/physical therapy laser, professional
Definition
An electrically powered diode laser intended to provide non-surgical laser therapy [e.g., infrared phototherapy,
low-level laser therapy (LLLT)] for localized treatment. Improving blood circulation in the treated areas to facilitate
healing. It typically consists of a control unit which may be mounted on a mobile trolley, a footswitch, and a
connected applicator/ beam guide designed for internal (e.g., intravaginal) or transcutaneous delivery of visible
red/infrared laser light energy/heat. It is intended to be operated by a healthcare professional exclusively in a
clinical setting.
ENERGY-LASER™ PRO is designed and manufactured in accordance with all current standards:
PN-EN ISO 13485:2016 Quality Management Systems
PN-EN ISO 14971:2012 Risk Management Medical Equipment
PN-EN 60601-1:2011 Safety of Medical Electrical Equipment
PN-EN 60601-1-2:2015-11 Safety of Medical Electrical Equipment (EMC)
PN-EN 60601-2-22:2013-07 Medical electrical equipment - Specific requirements for laser equipment
PN-EN 60825-1:2014-11 Laser Safety
PN-EN 62133-2:2017-08 Li-Ion battery
PN-EN ISO 15223-1:2017-02 Symbols and labeling of medical devices (Graphical symbols)
© All rights reserved. No part of this manual may be reproduced, distributed, or transmitted in any form by
electronical, mechanical or any other means without the prior written permission of Akeda Sp. z o.o.
Akeda Sp. z o.o. products are continuously in development and thus reserves the right to make changes and/or
improvements to the products described in this manual without prior notice. We also reserve the right to revise or
recall this document at any time without prior notice.
Akeda Sp. z o.o. products are covered by the liabilities and warranties stated by EU law.

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Laser Light for Therapeutic use
For more than 40 years lasers have been used to treat various ailments. This has now led to what is known today
as Low Level Laser Therapy (LLLT) or PhotoBioModulation (PBM). The mechanism behind LLLT is the laser’s
ability to transfer energy to the cells without the risk of overheating the tissue which may result in tissue damage
or injury. Today, the most commonly used lasers for this purpose use energy levels at 500 mW.
Laser Light versus Visible Light
The electromagnetic spectrum is way of categorizing electromagnetic energy by their physical properties:
frequency, wavelength, or photon energy. Electromagnetic energy in general can be described as photons moving
in waves. The spectrum includes, but is not limited to, the visible and invisible laser light, which will be discussed
more detail below.
The distance between two wave peaks is denoted as the wavelength (nm). This property determines if and how
the human eye perceives it i.e., what color the light is viewed as. The visible part of the spectrum ranges from 380
nm to 670 nm. The same principle regarding wavelength applies to laser light: The wavelength of the light emitted
from the laser is measured in nm (nanometers) whilst the energy is measured in Joules or Watts (1 W = 1 J/s).
Lasers for therapeutic operate within what is known as the biological window which includes both the invisible and
visible part of the spectrum. Laser energy with a wavelength above 670 nm is invisible to the human, whilst lasers
with a wavelength below this threshold is seen as red light. The laser works like a light gun that fires energy in the
form of ‘photons’ at a very specific wavelength. This is then amplified numerous times and projected through an
optical lens that focuses the beam of light. This enables a large amount of energy to be delivered to a small and
specific area.
The crucial difference between laser light and other types of light is that the light emitted by the laser is coherent.
In other words, the light emitted is limited to a very narrow spectrum e.g., a single wavelength like 808nm. This
contrasts with other types of light that are ‘incoherent’ and they are released as heat, while energy from laser light
will not be released until it contacts a surface where energy can then be absorbed.
Laser Class
Lasers in class 3B, if used according to the instructions provided in the user manual, are completely harmless and
safe to use in the trained hands of a clinician.

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Treatment Using Laser light
When using lasers therapeutically, the energy delivered to 1 cm
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skin should never exceed 500 mW. If this
threshold is exceeded the laser energy will be converted into heat in the tissue being treated.
The energy will be deposited in the tissues containing pigment, for example in the skin, hair and blood vessels,
possibly resulting in tissue damage.
Lasers delivering energy levels greater than 500 mW per 1 cm
2
should always be used in conjunction with specific
lens optics that diverges the energy evenly.
An example of this could be a laser with an energy rating of 5000 mW. The laser beam would have to be spread
over an area of approximately 10 cm
2
so as to avoid unwanted damage to the skin and underlying tissue. If a large
amount of energy is required for the treatment it is possible to use multiple lasers. By using multiple lasers to treat
different areas it is possible to deliver a large amount of energy whilst adhering to the safety precautions.
An alternative solution is an integrated laser system built to treat a large area all at once. The system can consist
of multiple laser all working together, but each laser treats its own separate area. None of the lasers should exceed
an energy rating of 500 mW so to avoid overheating and damaging the tissue.
The Biological Window

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Laser light ranging from around 600 nm (visible spectrum) to 1000 nm (infrared, invisible spectrum) is referred to
as the “Biological Window”.
Laser light in this particular range is able to penetrate the skin and permeate underlying tissue, thereby reach and
treat the cells. The depth the laser energy is able to reach is dependent on the wavelength. Lasers with a
wavelength of 600-700 nm affect more shallow targets (1-2 cm). Lasers with a wavelength of 800-900 nm treat
deeper tissue (3-4 cm) and are used primarily for pain and tissue therapy.
Laser light with a wavelength below 600 nm or above 1000 nm are unable to penetrate the skin, and such
wavelengths cannot be used. This is because these wavelengths will be blocked by natural pigment found in skin,
hair, blood and water molecules instead of reaching the intended target.
The Unique Properties of Laser Energy
What Makes Laser Energy Special?
Laser energy is a part of the electromagnetic spectrum which is the spectrum on which all types of light exist, and
we can categorize it. This makes laser energy related to other electromedical devices and therapy forms using
waves in the form of light and sound e.g., x-rays (light waves) and ultrasound scans (sound waves).
Laser energy is electromagnetic and thus can be thought of as energy in the form of invisible light. The laser light
has the unique ability to affect cells both structurally and functionally which is a noteworthy property to be able to
harness.
Transfer of energy
Treatment with laser works through the delivery of energy to the cells in the tissue requiring treatment. The energy
emitted by the laser penetrates the skin and triggers cell activity. This increased activity improves cell function,
strengthens the immune system, and increases blood circulation. The positive effects of laser treatment on the
body’s immune system, as well as its ability to accelerate the healing process, makes it an incredibly therapeutic
tool. The mechanism and science supporting ‘laser therapy efficacy’ makes it a valuable treatment tool in all clinical
areas.
The Biological Effect of Laser Light
The photons deposited through laser light have the ability to accelerate cell proliferation and the healing processes.
The following is a basic explanation of cellular respiration and how lasers affect this process. In this process dietary
sugars are transformed into ATP (Adenosine Tri Phosphate) which is a molecule in our Mitochondria, that the cells
can use to produce energy. The laser energy also stimulates the surrounding substances, such as flavins and
cytochromes, which all play an important part in cellular respiration. The energy generated is converted to free
oxygen which induces cellular respiration and thus increases ATP production in the Mitochondria. The ATP
production then activates the formation of DNA and RNA. Many other steps are included in this process, but the
end result is an increase in cell division. The effect of LLLT/PBM in essence is that the energy deposited is used
directly in the cells. This allows the cells to start cellular respiration.

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Effects of laser light
There are numerous positive effects associated with laser light. The tissue treated with the laser will have an
increased blood flow through the treated and dilated blood vessels, increased oxygenation of the surrounding
tissue, increased synthesis of fibroblasts, accelerated synthesis of collagen connective tissue as well as formation
of granulated tissue in deep wounds. This ultimately results in a reduction of inflammation as well as the production
of new skin and tissue.
Treatment with LLLT/PBM lasers has positive effects on the body’s lymphatic drainage system. Laser treatment
can also stimulate the immune systems macrophages and thus reduces the risk of acquiring infection in the area
treated. This is an important factor in improving the healing process for patients.
Benefits of Laser Light
The following is a list of the most notable improvements seen due to laser light treatment:
•Cell activity
•Cell metabolism
•ATP-production
•Improved local concentration of lymphocytes, leucocytes and macrophages
•Increased blood flow
•Collagen production
•Improved uptake of oxygen in the cells
•Na-K-pump is normalized
•Cell membrane potential is normalized
Positive Effects of Laser Light
Anti-inflammatory
Laser light stimulates the cells that control the inflammatory process. The effects manifests in the form of reduced
swelling, redness, and local tenderness.
Pain inhibitory effect
When treating nerves with laser light there is an increased release of natural endorphins which have an anti-
inflammatory effect. Endorphins reduce the release of compounds that increase the sensitivity of pain receptors.
The analgesic effect is achieved by the stimulation of nerve points.
Increased release of various “building materials” from the cells
Collagen which is produced by the fibroblasts is the most significant ‘material. Collagen in integral to almost all
tissue - especially in the lower layers of the skin. The increase in collagen synthesis induced by the laser light is
an essential factor towards the improved healing of wounds furthermore the increased production of collagen
ensures the formation of scar tissue is minimized.
Release of waste products from the cells
This effect is of paramount importance during the treatment of tissue injuries and bruising.

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LLLT/PBM is Approved as a Medical Treatment
Laser treatment with LLLT/PBM is a fully approved treatment. One example among many is that the Norwegian
health authorities approved the use of LLLT/PBM laser treatment as a pain and healing treatment at authorized
practitioners (01.07.2001). The U.S. Food and Drug Administration has approved the use of LLLT/PBM laser
treatment for pain and wound management, but also as a treatment for tenosynovitis (CTS - Carpal Tunnel
Syndrome).
In the EU, laser equipment for LLLT/PBM is CE labeled. This is because it is generally accepted as a medical
treatment for pain and healing treatment and thus given the label “CE 2274 (TÜV NORD)”. This was seen as a
major step towards a full acknowledgement of the positive benefits for laser light treatment.
Many specialists use laser light daily in their treatments. This is due to the fact that an increasing number of health
care providers in all fields are realizing the many possibilities when it comes to laser therapy. This fact combined
with an increased awareness and recognition due to the now more than 6000 articles, scientific studies and clinical
trials worldwide. They have managed to form the scientific foundation that shows the significant effect of treatment
with LLLT/PBM in relation to a variety of issues.
Warnings & Precautions
Laser Classification
Laser classification provides the operator with knowledge about the laser and how they should protect themselves
and others in order to avoid harm or injury. Equipment and devices that emit visible or invisible laser light is
classified according to EU standard EN 60825-1 (Safety of Laser Products) by laser class: 1, 1M, 2, 2M, 3R, 3B
and 4.
The most common laser in use for Laser therapy is class 3B lasers. In some cases, LLLT/PBM systems the laser
is categorized as Class 4, but the actual energy being delivered equates to Class 3B. This is due to the use of
optics to scatter the laser light which spreads the energy over a larger area.
ENERGY-LASER™PRO are all Class 3B lasers!
This laser class exceeds the power of Class 3R (5 mW), but not exceeding 500 mW. If exposed directly to Class
3B the laser beam produced may cause eye damage and, in some cases, cause skin damage. Consequently, eye
protection should always be worn when there is a risk of the eyes being exposed.
It is the responsibility of the manufacturer to comply in accordance with the current rules of EU standards and the
CE directive. Both manufacturers and vendors must ensure that the end user of the laser has received sufficient
and necessary information enabling the safe and proper use of the equipment / device sold or provided.

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Contraindications- Contraindications – General Precautions
LLLT/PBM laser treatment
•Never aim at or attempt to treat the eyes! This can in unfortunate cases result in the lens gathering the
laser light at a single point on the retina resulting serious damage!
•Do not treat the abdominal area if the patient is pregnant!
•Do not treat tumors and/or cancerous tissue!
•Do not treat areas in contact with hormone producing glands such as the Thyroid!
•Do not treat areas in contact with organs – this also applies to transplanted organs!
•Do not treat areas in contact with any kind of metal or plastic implants!
•Do not treat tissues in contact on or near a pacemaker!
•Do not treat patients on medication that increases light sensitivity!
•Do not treat patients with epilepsy!
•Do not treat patients with fever!
•Do not use laser light directly onto freckles, birthmarks and tattoos!
•Dark and tanned skinned patients have a higher risk of overheating and possibly burning-take extra care!
Contraindications and points of attention when using laser therapy
The amount of indications for the use of laser therapy is great, but there are also simple contraindications and
points of attention you as a user of laser therapy should familiarize with. However, the individual contraindications
and points of attention should always, like other types of treatment (therapy and medication) assessed
academically in relation to the patient, so that accidental side effects are avoided.
Old literature on lasers often contains certain alleged contraindications to laser treatment. There is in fact no
absolute contraindication to LLLT/PBM, but some relative contraindications and common-sense warnings.
However, direct illumination of the eye should be stated as an absolute contraindication though.
Old literature on lasers often contains certain alleged contraindications to laser treatment. There is in fact no
absolute contraindication to LLLT/PBM, but some relative contraindications and common-sense warnings.
However, direct illumination of the eye should be stated as an absolute contraindication though.
Eyes:
A laser class tells you how to protect yourself and others against the laser light, so you do not get an eye injury or
a possible skin damage. Lasers whose power exceeds Class 3R (5 mW) and does not exceed 500 mW is referred
to as Class 3B lasers. In case of direct exposure, Class 3B laser radiation may cause eye damage and in certain
cases skin damage. Therefore, eye protection should always be used if there is a risk of direct illumination of the
eye.
The power of an electric bulb (W) indicates it´s total power consumption. A 60W electric bulb emits only 1 – 2W
visible light. This means that the rest of it´s power (58-59 W) turns into warm and invisible infrared light. At 1 meter
distance from an electric bulb, the pupil of the eye will receive approx. 1 millionth of total light energy. A laser
emitting light as a beam (collimated) will hit the eye with 100% of the light energy, even at a very long distance. A
laser emitting the light scattered (divergent) at a distance of 1 meter will hit the eye with approx. 0.1% of light
energy. At a distance of 20 cm, approx. 10% of the light energy hits the eye.

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This means that the risk of eye damage from the laser light depends primarily on the beam’s parallelism and it´s
diameter.
In summary, if one does not look directly at the laser light from a Class 3B laser, you do not need to use eye
protection as practitioner.
The patient should always be protected or wear eye protection when there is the slightest risk of direct exposure
to the eyes.
For lasers in Class 4, always wear goggles!
Pregnancy:
Pregnancy is another alleged contraindication. Large doses above the abdomen should be avoided. It is
completely safe to treat pregnant women, for both mother and child, but should complications arise in connection
with the laser treatment or shortly afterwards, it is easy to blame the laser therapy and the therapist subsequently
has the burden of proof.
Pacemakers, implants, and screws
In people with implanted pacemakers, implants or screws, laser therapy is not contra-indicated. Pacemakers are
electronic and encapsulated in metal and therefore cannot be affected by light. Therefore, it is a misunderstanding
when pacemakers are listed as a contraindication. The misconception is probably because ultrasound or other
mechanical therapy contraindications have been directly transferred to laser therapy.
Epilepsy:
Epileptic seizures can be caused by certain types of light effects (pulsed visible light in the range 5-10 Hz). One
must therefore be careful with instruments with visible flashing lights. There is nothing in the literature that indicates
that invisible pulsating light should cause epileptic seizures. However, from anecdotal evidence it is recommended
to be cautious in laser treatment of patients with epilepsy.
Thyroid gland:
It has not been reported that LLLT / PBM can cause irreversible damage and because the thyroid is sensitive to
light, the gland is an interesting subject for research on hypo- and hyperthyroidism. Laser therapy of the thyroid
gland is often warned against, but no clinical studies or clinical experience support this warning.
Children:
The dose should be adjusted to the weight of the child, but there is no indication in the literature that children,
including babies, should not benefit from laser therapy. Illumination of epiphysis discs in children is also not
contraindicated.
Cancer:
People with cancer or suspected cancer should never be treated by someone who is not a specialist. It is not
because laser therapy will not have a stimulating effect, but because the law, in fairness, only allows specialists
to treat cancer. Cancer patients can therefore not be treated with laser therapy without a written consent and in
collaboration with the doctor responsible for the treatment. As a palliative treatment of patients in the terminal
phase, laser therapy can act as an analgesic and stimulant treatment.
Hemophilia:
Patients with hemophilia and other blood and clotting diseases should not be treated with laser therapy at this
time, as we don´t know enough about the effect it has on coagulation ability. However, it is more a warning than a
real contraindication.
Irradiation of the brain:
It can be postulated that brain damage will not occur when areas of the brain are treated. Targeted therapy with
laser light of the brain is not recommended so far due to inadequate documentation.

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Radiation treatment:
Patients receiving radiation therapy have previously been considered counter-indicative of laser therapy. It is not
obvious why since the radiation they are exposed to has a different characteristic than LLLT/PBM. Laboratory
studies on animals receiving X-rays have shown that they made greater progress if they received laser therapy
first. Several studies have shown local effects on the immune system. More and more studies on laser treatment
of circulating blood are being published. Changes in blood components in relation to the immune system after
laser treatment can obviously lead to effects in many other parts of the body, such as e.g. increased defence
against cancer. In fact, LLLT/PBM seems to have a radioprotective effect on tissues.
Diabetes:
Diabetes has been suggested as a contraindication. However, there is no evidence that laser therapy can
exacerbate the symptoms. Laser treatment increases blood flow and is effectively for wound healing. Therefore,
laser therapy can be recommended as an extra treatment modality for diabetic foot problems.
Tattoos, moles, and dark skin:
Tattoos, moles, and dark skin (Type 5 and 6 - The Fitzpatrick Chart) contain another pigmentation and even low
energy levels of laser light will be absorbed into these pigments. Depending on the type of pigment, the patient
may experience heat or even pain when a therapeutic laser is used over an area of darker pigment. Therefore, it
is recommended to start treatment remotely. Listen to patient feedback and adjust the laser power (mW) if
necessary. Tattoos, moles and dark skin do not constitute a contraindication, but high intensities will cause high
absorption and may cause a pain reaction.
Sensitivity:
Light sensitivity is often listed as a contraindication for LLLT/PBM. However, there is not much evidence in the
literature that confirms the correlation between LLLT/PBM and light sensitivity. On the contrary, several studies
show that LLLT/PBM before radiation therapy has a preventive effect. On the other hand, it is known that ultraviolet
light can cause photosensitivity. Further research is needed if this alleged contraindication is to be confirmed.

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General Safety Warnings LLLT/PBM laser treatment
WARNING NOTICE!
- Never look directly into the laser light
- The sight may be permanently damaged
- When treating the face with laser light, always use laser safety goggles
WARNING!
Do not point the laser at reflective or polished surfaces (especially mirrors).
If the laser light hits such a surface, the laser light will reflect and would pose a serious threat to safety.
WARNING!
Application part of lasers might rise to 45,6
o
C during treatment! When Patient’s or Operator feel too much heat,
treatment should be stopped immediately!
WARNING!
The lasers are EMC tested according to: PN-EN 60601-1-2:2015-11 Safety of Medical Electrical Equipment (EMC).
Without exclusions. All requirements are applicable.
WARNING!
When the laser device is not connected to the battery, there are no precautions for EMC!
The Laser during work or in standby mode (laser probe with battery in) cannot be placed or used close to (less
than 50 cm) other electrical equipment which emits electromagnetic energy and its cables or electricity
connections. Other electrical equipment which emits electromagnetic energy used in close area might negatively
influence on the laser and might cause a damage of electronics. To avoid any damage of the laser and use it
properly keeping high quality of work and effectivity of the device do not use nearby other electronic equipment
and its cables.

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WARNING!
A Patient’s pain level and general discomfort should be monitored and noted throughout the treatment process.
If discomfort or pain is experienced, treatment should be stopped immediately.
WARNING!
If the lens / laser optics is getting hot, pause of treatment has to be conducted and laser has to be turned off. It will
feel very uncomfortable when the laser is held directly on the skin, and it can be so hot that it can damage the
skin!
The lasers are designed for a treatment time of 5 minutes and max. 2 x 5 minutes.
Every 10 second the position of contact point of lens and patient/operator skin should be changed.
There is a beep every 10 seconds for signalization of changing position.
The person who treats / or is treated, also quickly discover that something is wrong with the laser and stop the
treatment!
WARNING!
If the laser is placed directly upon the skin during treatment the laser energy can sometimes become too
concentrated. The treatment area is in high risk of being overheated and potentially being burned! Especially dark
and tanned skinned patients have a higher risk of overheating and burns!
TIP!
The laser can be moved slowly back and forth over the treatment area to avoid built up of local heat!
WARNING!
Avoid infection!
Always clean the laser and optics before and after use with the recommended disinfection method.

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Safety in General
Never use the laser without optics!
•Do not use the laser with, under, or near water, explosive or flammable materials, flammable anesthetics
or oxidizing gases (oxygen, nitrous oxide etc.). Flammable liquids such as propyl alcohol used for
cleaning and disinfection should have completely evaporated before the laser is turned on. See the
environmental conditions described in the specifications section.
•Protect the laser against unauthorized use. Always separate the laser probe and battery after use. The
laser must be placed out of the reach of children.
•Check the laser and its optics thoroughly before beginning treatment! Carry out a "fire" test on the Laser
Test Card. Stop using the laser if any defects are found, the laser does not perform as expected and/or if
there is any doubt about the proper and secure function and contact Akeda Sp. z o.o. or your local
dealer.
•Before beginning treatment ensure sure that the desired settings are programmed to be used.
•The patient must always wear eye protection if there is risk of direct illumination of the eyes! Only the
supplied goggles that came with the laser should be used!
•Periodically check the goggles for any damage. The eye googles should not be worn if they are
damaged. In this case you should obtain a new pair directly from Akeda Sp. z o.o. or your local dealer.
•Never look directly into the beam when it is turned on, nor should you point the laser in the direction of
any shiny or reflective surfaces!
•Do not use or place the laser in direct sunlight. It should also not be stored near strong electromagnetic
fields so that mutual disruptive effects are avoided (thermal and EMC).
•The laser does not include medications, creams, gels, or other substances. It does not emit toxic
substances when used, stored, or transported under the specified conditions.
•Do not attempt to open/disassemble the laser or the battery.
•The warranty is void if it can be proven that the any part of the laser has been tampered with by an
unapproved individual.
•The user is responsible for the use of cleaning products that come in direct contact with the patient's
body. The user must ensure that the products are in accordance with applicable standards. This includes
irritants, allergens, and toxins (ISO 10993-1).
•Only use original accessories provided by Akeda Sp. z o.o. or by your dealer!
•If the laser, batteries, or accessories are to be disposed of they should be returned to the Akeda Sp. z
o.o. or your local dealer!
•In case of the laser being used in a way that is not in accordance with this manual, or for a purpose that
differs from that which is described in this manual, then Akeda Sp. z o.o. cannot be held responsible for
any damage caused by operation of the laser.

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Hygiene
IMPORTANT NOTICE!
To avoid infection, always clean the laser and optics before and after use, with the recommended
disinfection method!
Disinfection of laser probe, battery and optics:
Wipe with isopropyl alcohol or pure (100% ethanol) alcohol and then wipe afterwards with chlorhexidine.
Chlorhexidine is a chemical antiseptic substance and is a strong antibacterial agent.
It is both bactericidal and bacteriostatic.
Disinfection of optics:
The lens should always be disinfected after and before each use!
•The laser robe and the battery must not be boiled or autoclaved!
•Laser and o tics are rovided non-sterile!
TIP!
Clear plastic wrap (cling film) can be used as a protective layer on the laser
and/or optics as to avoid contaminating the laser with biohazardous materials!

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Treatment ENERGY-LASER™ PRO dosage schedule
Laser power delivered vs. time.
Model: Power mW: Joule/ Sec.: Joule/10 Sec.: Joule/min.: Joule/ 5 min.: Joule/10 min.:
L500 PRO 500 0,5 5 30 150 300
L800 PRO 4 x 200 4 x 0,2 = 0,8 4 x 2 = 8 4 x 12 = 48 4 x 60 = 240 4 x 120 = 480
L2000 PRO 4 x 500 4 x 0,5 = 2 4 x 5 = 20 4 x 30 = 120 4 x 150 = 600 4 x 300 = 1200
1 Joule = 1 W per sec. / 1000 mW per sec.
ENERGY-LASER™ PRO gives beep for every 10 / 60 / 300 seconds.
Each point is considered 1 cm ²
Treatment guidelines
General instructions for pain point:
Pain radiating from a small area or point should be treated directly at the pain point until pain relief is achieved!
The laser must have skin contact and you can press hard on the spot!
General instructions for diffuse pain and inflammation in the area:
Diffuse pain and area affected by inflammation, point should be treated outside the area and subsequent point
treatment in the inner area.
The laser must have skin contact, with light pressure!
General instructions for wounds and edema area:
Wounds and edema, point should be treated around the area in the border up to the wound or edema and
subsequently in the inner area with reduced energy. This means that the laser is kept approx. 5 cm above the
wound or edema area and moved point by point.
The laser must have skin contact in the area up to the wound border or edema and in the inner area the laser must
be held over the skin!
•The larger the injury area, the more treatment points must be used!
•When treating the hairline, it may be necessary to keep the laser in motion (back and forth), to
avoid heating in the hair follicle.
Suggested Treatment frequency*:
Daily or 2 - 3 days intervals, to a maximum of one week between each treatment
New damage may conveniently be treated with one day interval.
* Unless otherwise indicated by doctor or therapy protocol.

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Therapeutic dose:
Dosage for laser treatments using 660 nm diode lasers includes:
Recurrent aphthous stomatitis (pain and wound healing), (acceleration of the healing process):
4 J/cm
2
- 3 or 4 times a week, (every second day) for a week.
1. Start treatment outside the wound in areas with intact skin:
2. The laser must be held directly on the skin so that there is skin contact.
3. The laser is held for 2 x 10 sec. (2 beeps) pr. point (1 cm ²) and is moved point by point around the wound
on the outside surface of skin by approx. 1 cm distance to wound edge.
4. Afterwards, treat the Inside of the wound:
5. The laser is held for 1 x 10 sec. (1 beep) pr. point.
6. This is achieved by holding the laser approx. 2 cm above the wound and moving it every 10 seconds as
shown in Fig. 1
The red mark shows wound, and circles shows laser light.
The dosage for laser treatments with 808 nm laser diode includes:
Chronic non-specific lower back pain (pain reduction): 4 J/ cm
2
- maximum for 20 min.- daily- for 2 weeks.
1. Start treatment around the pain area with intact skin:
2. The laser must be held directly on the skin so that there is skin contact.
3. The laser is held for minimum 1 x 10 sec. (1 beep) pr. point (1 cm ²) and is moved point by point around
the pain area.
4. Afterwards, treat directly in the pain area:
5. The laser is held for minimum 1 x 10 sec. (1 beep) pr. point with directly skin contact.
Knee osteoarthritis (pain reduction): 3 J/cm
2
-3 times a week for 4 weeks.
1. Start treatment around the around the knee:
2. The laser must be held directly on the skin so that there is skin contact!
3. The laser is held for 1 x 10 sec. (1 beep) pr. point (1 cm ²) and is moved point by point around the knee.
4. Afterwards, treat directly in the pain area:
5. The laser is held for minimum 1 x 10 sec. (1 beep) pr. point with directly skin contact.
If reactivity occurs, the dose should be reduced by 30 - 50%. In the absence of a reaction after several procedures,
the dose can be increased by 30 - 50%. After recovery or recovery, the frequency of treatments can be reduced
and gradually terminated.
Note:
Only treat directly on the skin if it is intact!
If the skin is not intact:
Treat by holding the laser approx. 2 cm above the skin and moving it every 10 seconds as shown in fig. 1
Always clean the laser optics and cooling head after use!
When relief or healing is achieved, the course of treatment is stopped!
The above treatment instructions are indicative!

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Laser Guide:
1. Use a fully charged battery (6.) and twist it clockwise onto the laser probe. Keep twisting until the laser
switches on. 3 short beeps will sound followed by 1 long beep before the laser starts up.
 MODE: LASER ON. When the laser is on the LED light is continuously green (4.)
2. The LED light (4.) will be continuously green.
Short beep every: 10 sec. / 60 sec. / 300 sec.
The lasers effect = 100%
The L500 PRO laser is active for 300 sec. (5 min.) / L800 PRO and L2000 PRO laser is active for 600
sec. (10 min.), after which the laser stops automatically while giving off a long beep followed by a high /
low beep. This indicates that the laser has automatically gone into  MODE: STANDBY. The indicator
LED light will change from a continuous green (4.) to flashing a yellow light.
3. To turn the laser off unscrew the battery (6.) in a counter-clockwise direction
 MODE: LASER OFF. If you wish to restart the laser re-attach the battery to the laser  MODE:
LASER ON.
1.
3
4.
6.
5.
2.
Device Description ENERGY-LASER™ PRO
1. Laser Optics
2. Laser cooling piece
3. Laser probe
4. LED DISPLAY (green / yellow / red)
5. Bottom laser section
6. Li-Ion battery
LED DISPLAY:
LASER ON = GREEN
STANDBY = YELLOW
ERROR = RED