LUMENIS UltraPulse User manual

®
UltraPulse
Carbon Dioxide Laser
Operator Manual
for Encore
TM
and SurgiTouch
TM
Models

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 Lumenis. Permitted
copies must carry the same proprietary and copyright notices as were affixed to the original. Under the law,
copying includes translation 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.
Lumenis, the Lumenis logo, UltraPulse, UltraPulse SurgiTouch, SurgiTouch+, Encore, UltraScan CPG,
PigmentFX, ActiveFX, ActiveFX gentle, MaxFX, DeepFX, SCAAR FX, PreciseFX, IncisionFX, BrowFX,
CoolScan, CO2Lite, TrueSpot, ClearSpot, UltraFlex, Lumenis/Nezhat, AcuSpot, OtoScan, OtoLAM, AcuBlade,
BeamAlign, MicroSlad, and FiberLase are trademarks or registered trademarks of Lumenis.
Retin-A and Renova are registered trademarks of Ortho Pharmaceuticals Corporation, Dermatological Division.
Melanex is a registered trademark of Neutrogena Dermatologics. Valtrex is a registered trademark of Glaxo
Wellcome, Inc. Famvir is a registered trademark of SmithKline Beecham Pharmaceuticals. Cipro is a registered
trademark of Bayer Corporation. Coppertone and Shade are trademarks, distributed by Schering-Plough
HealthCare Products, Inc. Vaseline is a registered trademark of Chesebrough-Pond’s USA, Co. Acutane is a
registered trademark of Roche Laboratories, Inc.
Copyright© Lumenis Ltd.
May 2012
0637-129-01
Revision G
Manufactured by Lumenis Ltd.
P. O . B . 2 4 0
Yokneam 20692
Israel
Directive 2002/96/EC on Waste Electrical and Electronic Equipment (WEEE)
In accordance with Directive 2002/96/EC on Waste Electrical and Electronic Equipment (WEEE), any
item which is marked with the crossed-out wheelie bin symbol must not be disposed of as unsorted
municipal waste, but segregated from other waste types for eventual treatment and recovery at an
approved recycling facility.
By returning waste electrical and electronic equipment via the correct segregated disposal channel, users
can ensure the environmentally sound treatment and disposal of the waste equipment, thereby reducing
the potential for any environmental or health risks that could arise as a result of incorrect disposal.
Lumenis provides web-based collection, recycling and reporting arrangements to the business end-user
for equipment marked with the crossed-out wheelie bin. Please visit www.lumenis.com/recycling to
understand what arrangements Lumenis has made in each EU Member State.
Authorized Representative:
Lumenis GmbH Germany
Heinrich-Hertz-Strasse 3
D-63303 Dreieich-Dreieichenhain
Germany

UltraPulse
0637-129-01, Revision G
3
Contents
General
Operation
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Introduction: The UltraPulse Laser Systems. . . . . . . . . . . . . . . . . . . . . .11
Characteristics of the carbon dioxide laser beam . . . . . . . . . . . . . . . . . . . . . .12
Laser Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
UltraPulse Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Laser console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
External door interlock plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Delivery devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Purge air compressor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Connection Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Connecting the footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Inserting the external door interlock plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Releasing and orienting the articulated arm . . . . . . . . . . . . . . . . . . . . . . . . . .20
Connecting the delivery device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
UltraPulse Delivery Device Connection Diagram . . . . . . . . . . . . . . . . . . . . . . 23
Balancing the articulated arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Connecting the scanner communication cable . . . . . . . . . . . . . . . . . . . . . . . 27
Connecting the main power cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Laser Console Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Turning on the laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Restarting the laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Laser beam alignment check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Turning off the laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Emergency off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Disconnecting the laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Moving the laser console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

4Contents
UltraPulse
0637-129-01, Revision G
Control Screen Basics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Control screen tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Overview of operating modes and treatment screens . . . . . . . . . . . . . . . . . . 38
Changing the control screen mode: English or icon . . . . . . . . . . . . . . . . . . . . 39
Laser status: ready or standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Advisory messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Setting the aiming beam characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Adjusting the system volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Adjusting the Exposure On / Off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Sleep Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Replacing the Scanner (Scanner Pause) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Saving and retrieving treatment settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
UltraScan Encore CPG functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Beam offset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Preoperative Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Intraoperative Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Postoperative Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
SurgiTouch+ Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Introduction: The SurgiTouch+ User Interface . . . . . . . . . . . . . . . . . . . 63
Selecting a Specialty, Application, and Delivery Device. . . . . . . . . . 64
Recalling the last setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Setting Treatment Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Selecting the scan mode: Non-scan or Scan. . . . . . . . . . . . . . . . . . . . . . . . . . 68
Adjusting the power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Adjusting the UltraPulse SurgiTouch Scanner settings . . . . . . . . . . . . . . . . . . 72
Timed exposure and repeat delay in SurgiTouch+ . . . . . . . . . . . . . . . . . . . . . 75
Setting timed exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Setting repeat delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
UltraPulse Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Setting Treatment Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Setting the energy or fluence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Setting the repetition rate or average power . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Timed exposure and repeat delay in UltraPulse mode . . . . . . . . . . . . . . . . . . 86
Setting timed exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Setting repeat delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
CW Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Setting Treatment Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Setting the power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Timed exposure and repeat delay in CW mode . . . . . . . . . . . . . . . . . . . . . . . 93
Setting timed exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Setting repeat delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Contents 5
UltraPulse
0637-129-01, Revision G
Maintenance Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
Troubleshooting Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
User Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
Annual laser maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106
Laser repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106
Clean the external surfaces of the laser console . . . . . . . . . . . . . . . . . . . . . .106
Clean the laser control screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106
Water utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Electrical Utilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107
Systems designed for use outside of Europe . . . . . . . . . . . . . . . . . . . . . . . . .107
Systems designed for use in the European Community under MDD . . . . . . . 107
Hard-wired configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Removable or lockable wall socket and plug configurations . . . . . . . . . . . . . 108
Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
External Door Interlock Pin Assignments . . . . . . . . . . . . . . . . . . . . . . .112
Calibration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113
Calibration instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Warranty Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115
Decontamination of Returned Equipment . . . . . . . . . . . . . . . . . . . . . .115
Safety and
Regulatory
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119
Laser Safety Eyewear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Additional Ocular Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Additional Safety Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Fire hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Airway precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Smoke evacuation—laser plume pollution hazards . . . . . . . . . . . . . . . . . . .127
Protecting nontarget tissues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128
Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Emergency off pushbutton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Key lock switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Location of controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Protective housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
External door interlock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Safety interlocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Manual reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Electronic fault detection circuitry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132
Safety shutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Laser emission indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Location of regulatory and system labels . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

6Contents
UltraPulse
0637-129-01, Revision G
Indications
for Use
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
General Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
General laser contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
General laser warnings and precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
General laser recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Aesthetic (Dermatology/Plastic Surgery) Indications. . . . . . . . . . . . 144
Safety considerations for dermatology and plastic surgery . . . . . . . . . . . . . . 146
Safety considerations for laser skin resurfacing . . . . . . . . . . . . . . . . . . . . . . 148
Podiatry Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Safety considerations for podiatry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Otolaryngology (ENT) Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Safety considerations for ENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Safety considerations for LAUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Safety considerations for myringotomy/tympanostomy (tympanic membrane
fenestration) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
Gynecology and GYN Laparoscopy Indications . . . . . . . . . . . . . . . . 161
Safety considerations for gynecology and GYN laparoscopy . . . . . . . . . . . . 162
Neurosurgery Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Safety considerations for neurosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Orthopedics Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Safety considerations for orthopedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
General and Thoracic Surgery Indications . . . . . . . . . . . . . . . . . . . . . . 165
Safety considerations for general and thoracic surgery . . . . . . . . . . . . . . . . . 165
Dental and Oral Surgery Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Safety considerations for dental and oral surgery . . . . . . . . . . . . . . . . . . . . . 167
Genitourinary Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Safety considerations for genitourinary procedures. . . . . . . . . . . . . . . . . . . . 168
Clinical Studies Referenced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

UltraPulse
0637-129-01, Revision G
7
General
Operation
Overview
•Introduction: The UltraPulse Laser Systems 9
•Laser Preparation 11
•UltraPulse Components 12
•Connection Instructions 14
•UltraPulse Delivery Device Connection Diagram 21
•Laser Console Basics 29
•Control Screen Basics 35
•Preoperative Instructions 56
•Intraoperative Instructions 57
•Postoperative Instructions 58

Introduction: The UltraPulse Laser Systems 9
UltraPulse
0637-129-01, Revision G
Introduction: The UltraPulse Laser Systems
The Lumenis UltraPulse®SurgiTouch™and the UltraPulse Encore™CO2
lasers are the benchmark for speed, reproducibility, and ease of treatment for a
wide variety of aesthetic and surgical procedures. Each system incorporates
our patented high-energy, short-pulse CO2technology that has delivered
proven results in hospitals and surgery centers for over a decade. Extensive
experience with CO2laser skin resurfacing has broadened not only the merits
of the technology, but also its utility for a full range of surgical treatments.
With the addition of the SurgiTouch automation system, Lumenis combines
state-of-the-art scanning technology with the best in pulsed laser technology.
The optional SurgiTouch+ interface offers predetermined application settings
that make the UltraPulse Encore even more adaptable and easy-to-use in a
variety of specialties, including aesthetics, ENT, gynecology, neurosurgery,
and general surgery. Our complete line of delivery systems and accessories,
including the optional UltraPulse SurgiTouch Scanner, further extends the
versatility of the UltraPulse laser system.
UltraPulse is now available in two models: The SurgiTouch model includes
the SurgiTouch scanning system and application-specific SurgiTouch+ user
interface. The Encore model is fully upgradeable to SurgiTouch to support the
future needs of your practice. And, of course, both models deliver the proven
benefits of UltraPulse technology.
Lumenis lasers and delivery systems are precision medical instruments. They
have undergone extensive testing and with proper handling are useful and
reliable clinical instruments. If you have questions regarding your laser or
delivery system, contact your local Lumenis representative.
WARNING - Lasers generate a highly concentrated beam of light that may
cause injury if improperly used. To protect the patient and the operating
personnel, the entire laser and the appropriate delivery system operator
manuals, including all Safety and Regulatory sections, should be carefully read
and comprehended before operation.

UltraPulse
0637-129-01, Revision G
10 General Operation
Characteristics of the Carbon Dioxide Laser Beam
The carbon dioxide laser wavelength falls in the mid-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.
Carbon dioxide laser energy is readily absorbed by water in tissue. Since soft
tissue is comprised primarily of water, carbon dioxide laser energy can be used
effectively for the excision, incision, ablation, vaporization, and coagulation of
soft tissue.

Laser Preparation 11
UltraPulse
0637-129-01, Revision G
Laser Preparation
The laser is shipped directly from the factory to your site. Your local Lumenis
representative initially uncrates, inspects, sets up, and installs the laser to
ensure that it is ready for use. In addition, Lumenis provides in-service
training to ensure that your surgical staff is experienced with the operation
and safety considerations of the laser.
Thereafter, you or the nursing staff at your facility will perform the daily
maintenance routines associated with the laser and with any delivery systems
used during surgery, including inspecting and cleaning the laser and delivery
systems; sterilizing, connecting, and disconnecting the delivery systems; and
performing laser beam alignment safety checks. These procedures are detailed
in this manual and in your delivery system operator manuals.
Most nursing staff prefer to inspect delivery systems and perform a laser beam
alignment check daily, usually prior to scheduled cases and before patients are
premedicated. Doing so will ensure adequate time to troubleshoot a problem
or seek professional service with the least disruption to patient care. These
routine surgical tasks may be performed outside of the sterile field; in this case,
ensure enough time to sterilize any components, as necessary, before
scheduled cases.

UltraPulse
0637-129-01, Revision G
12 General Operation
UltraPulse Components
The UltraPulse laser system comprises:
•A laser console with articulated arm and control screen
•A footswitch
•An external door interlock plug
•All electrical cables necessary for operation
•Thread adapters for connecting delivery devices
•A purge air compressor
An UltraScan Encore CPG, an UltraPulse SurgiTouch Scanner, a DeepFX
microscanner or additional delivery systems, if ordered, may also be shipped
with your laser system.
UltraPulse Laser Console and Components
UltraScan Encore CPG
(optional)
Communication cable and clips (for
UltraScan Encore CPG or
UltraPulse SurgiTouch Scanner)
External door
interlock plug
UltraPulse SurgiTouch
Scanner (optional)
Footswitch
UltraPulse Focused
Incisional Handpieces
Articulated
arm
Control
screen
Laser console
Blue UltraPulse thread
adapter (with lens,
for non-fiber
accessories)
Silver UltraPulse thread
adapter (without lens,
for fiber accessories)
Purge air
compressor (optional)
DeepFX micro-
scanner (optional)

UltraPulse Components 13
UltraPulse
0637-129-01, Revision G
Laser Console
The laser console houses the control screen, articulated arm, main power
keyswitch, emergency off button, control electronics, laser source and
associated optics, and power supply.
Footswitch
The footswitch activates the laser treatment beam.
External Door Interlock Plug
The external door interlock plug must be inserted into the proper receptacle
on the back of the laser console in order for the laser to operate. It can be
wired to an external switch to disable the laser if the treatment room doors are
opened during treatment.
Delivery Devices
Delivery devices for a variety of applications may have been shipped with your
UltraPulse laser. Refer to the operator manuals included with those delivery
devices for specific descriptions and operating instructions. In addition to the
UltraScan Encore CPG and Focused Incisional Handpieces, compatible
delivery devices include the UltraPulse SurgiTouch Scanner; the AcuBlade™
Micromanipulator; the DeepFX™Microscanner; the OtoScan™Ear Aeration
Delivery System; and a wide range of other handpieces. For a complete list of
compatible delivery devices, refer to the UltraPulse Delivery Device
Connection Diagram in this chapter.
Refer to the operator manuals of the above delivery devices for complete
operating instructions.
Purge Air Compressor
An optional external purge air compressor should be connected to and used
with delivery devices that require internal air-cooling and smoke evacuation.
These include:
•The nasal and laryngeal probes
•Multi-Application (Oral Pharyngeal) and Nasal Handpiece
•AcuSpot 712 Micromanipulator
•AcuBlade Micromanipulator
•DeepFX Microscanner (with connected disposable tip)
•OtoScan Ear Aeration Delivery System

UltraPulse
0637-129-01, Revision G
14 General Operation
Connection Instructions
Before connecting the system components, inspect the individual
components, cables, and electrical connections for dirt, debris, or damage.
Check all electrical cables to ensure that they are not frayed or split. Inspect all
delivery systems, as instructed in the appropriate delivery system operator
manual.
WARNING - Always disconnect delivery system components from the laser
articulated arm before inspection. Never look directly into a delivery system
while it is connected to the laser articulated arm. Never look directly into the
laser articulated arm while the laser is energized. Accidental laser exposure can
cause severe eye damage.
CAUTION - Do not touch any optical lens; finger oils may damage the
delicate coatings.

Connection Instructions 15
UltraPulse
0637-129-01, Revision G
UltraPulse Connections
Scanner
communication cable
External door
interlock
Footswitch
To electrical outlet

UltraPulse
0637-129-01, Revision G
16 General Operation
Connecting the Footswitch
Plug the footswitch cable into the (footswitch) receptacle. If the
footswitch is not properly connected when the laser is turned on, "Attach
Footswitch" displays in the advisory text bar on the control screen, and the
laser cannot be placed in ready mode.
Connecting the Footswitch

Connection Instructions 17
UltraPulse
0637-129-01, Revision G
Inserting the External Door Interlock Plug
The external door interlock is a safety feature that disables the laser if the
treatment room doors are opened or the interlock plug is removed while the
laser is in ready mode.
Use of an external door interlock is optional; however, you must insert the
interlock plug into the (external interlock) receptacle whether or not you
are using an external door interlock. The laser remains inoperative until the
plug is inserted into the receptacle.
When an external door interlock is in use, the laser is automatically disabled
and returns to standby mode if the treatment door is opened or the interlock
plug is removed; “Remote Interlock” displays in the advisory text bar on the
control screen. To resume treatment, close the treatment room door or
reinsert the interlock plug, and press the button on the advisory text
bar.
Inserting the External Door Interlock Plug

UltraPulse
0637-129-01, Revision G
18 General Operation
Releasing and Orienting the Articulated Arm
CAUTION - The articulated arm is a precision component; carefully handle
and position the arm. An improperly oriented articulated arm can reduce the
quality or intensity of the laser beam and may result in unintended tissue effect.
When the laser is not in use, the articulated arm should be stored in the
articulated arm storage compartment, with the red protective cap in place. Two
latches secure the arm in the compartment.
1Slide the arm pivot lock to the (unlocked) position.
2Turn the latch on the side panel lock to the vertical position, and carefully
swing the articulated arm up and out of the storage compartment.
Releasing the Articulated Arm
Arm pivot lock
Arm clip
Side panel lock

Connection Instructions 19
UltraPulse
0637-129-01, Revision G
3Release the lower part of the articulated arm from the arm clip, and unfold the
arm toward you. As you unfold, ensure that the labels on the articulated
arm point toward the ceiling.
The arrows must point up in order to ensure proper arm orientation. An
improperly oriented articulated arm can reduce the quality or intensity of the
laser beam.
4Remove the red protective cap from the distal end of the arm. Store the cap in
the holder on the mast.
5Hold the articulated arm in place until you have connected a delivery system.
Orienting the Articulated Arm

UltraPulse
0637-129-01, Revision G
20 General Operation
Connecting the Delivery Device
After unfolding the articulated arm, connect the appropriate delivery device as
instructed in your delivery device operator manual. Some devices attach
directly to the articulated arm, while some require adapters or couplers. Refer
to the UltraPulse Delivery Device Connection Diagram on the following
pages for an illustrated overview of delivery device connections.
If using the UltraPulse SurgiTouch Scanner, connect the scanner to the
articulated arm as shown, then connect the appropriate delivery device to the
scanner. If using a delivery device with a smoke evacuation tip, connect the
smoke evacuator as instructed in your delivery device operator manual.
If using the Nasal or Laryngeal Probes, connect the external Purge Air
Compressor to the FiberLase Probe Coupler as follows:
1Situate the compressor on a stable surface, in close proximity to the base of the
articulated arm.
2Connect one end of the power cable to the compressor’s power cable
receptacle and the other end to a normal electrical outlet.
3Unpack the air tube with the bacteriological filter and connect one end of the
tube to the spigot on the compressor labeled Air Outlet.
4Ensure that the Silver UltraPulse Thread Adapter and the FiberLase Probe
Coupler are attached to the articulated arm’s endjoint.
5Attach the bacteriological filter’s clamp to the silver thread adapter.
6Connect the free end of the air tube to the FiberLase Probe Coupler’s intake
nipple.
If using the Multi-Application (Oral Pharyngeal),
OtoScan, AcuBlade or 712 Acuspot delivery
devices, connect the free end of the air tube to
the appropriate purge air port on the
delivery device.
WARNING - To avoid possible damage to the
optical system, use only qualified, compatible Lumenis
delivery systems with this laser. Use of incompatible
delivery systems may result in unpredictable or
unsafe laser operation and will nullify your Lumenis
warranty or service contract.
WARNING - Carefully inspect any delivery system
sterile packaging to ensure that it has not been torn
or punctured. If there is any damage to the sterile
packaging, do not use the delivery system.
Silver
Adapter
Bacteriological
Filter
FiberLase
Probe Coupler