introducing new elos plus applicators · applicator ds, sr, ac applicators elos invented elos plus...
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INTRODUCING NEW
ELOS PLUS APPLICATORS
Product Overview
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Competitive Summary
Most powerful and efficient all-in-
one system without sacrificing safety
for efficacy.
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• electro-optical synergy
• Two types of energy sources: (Optical) Light or Laser + Conducted Bi-Polar RF
• Optical energy: primarily absorbed in the target by the right choice of wavelength and pulse duration
• Bi-Polar RF energy: Chromophore independent – Heats tissue in which the current is conducted
elōs™ Technology
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elōs™ Technology
electro-optical synergy =
Combining optical energies (laser or light) with conducted bi-
polar radio frequency (RF) energy
Optical Energy: Selective heating of the target chromophore
+ Bi-Polar RF Energy: Chromophore independent – bulk heating of the target tissue
Unprecedented Safety and Superior Results!
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Light Behavior
Diffusive Reflection
30%-45%
Scattered Light
30%-40% Treated area
Incident Fluence
Only 20%-40% of light is absorbed in treated area
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elos – IPL at 45J/cm2 + RF at 25J/cm3
elōs™ - The Science
of Combining Optical and RF energies
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+
If you have target that needs to reach >70°C
Optical only - Needs to change the lesion temperature by 35°C
If Non-Selective RF can heat the whole tissue by 5°C
Only 30°C is now needed by the optical energy
15% reduction in optical energy
Instead of Using 35J/cm2 you can use 30J/cm2 to reach the same temperature
Practical Application of Combined Energies –
Without Synergy
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=
Because of the change in conductivity from the application of optical energy
RF heated volume is reduced to 50% of the area, producing double the concentration
of current in the “Pre Heated” tissue
Now the RF application produces + 10°C
Only 25 °C is needed by Optical Energy
30 % Reduction in Optical Energy
Instead of Using 35J/cm2 you can use 25J/cm2 to reach the same temperature
Practical Application of Combined Energies –
WITH SYNERGY
+
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History of elos – What's next?
2002 2000 2004 2012 2008
SRA Applicator
DS, SR, AC Applicators
elos Invented
elos Plus Launched
Addition of IFS
12yrs of elos - Integrating Optical and RF energies
Matrix IR Applicator
2013
What's Next ???
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The Complete Aesthetic Tool Kit
Leg Veins
Laser Hair Removal
Skin Contouring
Skin Texture
Vascular and Pigmented lesions
IPL Hair Removal
Acne
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Decade in LHR (96’– 06’)
RUBY
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HR Adverse Side Effects
• Erythema
• Oedema
• Pain
• Dyspigmentation
• Urticaria
• Vesiculation
• Crusting
• Burn
• Epidermal disruption (rare)
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Mechanism of Action
• Combination of optical and RF energies creates uniform
selective heating of hair shaft and follicle, including the bulge.
HEAT ACCUMULATION – elōs
RF Electrode
RF Electrode
Follicle
Shaft
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Motif Adverse Side Effects
What side effects???
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The Future – Motif LHR
RUBY
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Hair Removal – 2 Techniques
1. LHR Mode – High Energy
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High Fluence Selective Photothermolysis
derm~ 40°C
epi ~ 26°C with cooling
HF ~ 75°C
t° derm << t° hf
derm ~37°C
derm ~37°C
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What is “Comfortable” Laser Hair Removal Treatment? • Based on the accumulation of heat in the
target via multiple passes of with minor
selectivity in the target area
• Energy is delivered in a low fluence (6 -
10J/cm2) in a continuous motion
• Usually a 10Hz repetition rate is chosen,
which allows almost CW like operation
when combined with continuous hand
movements
• The first few passes both warm the follicles
and the surrounding tissue and eventually
the base temperature of dermis rises
enough so that the last couple of passes of
low fluence increase the follicles above the
coagulation/necrotic threshold
60-70° C Painful
50-60° C Warm – Aches
40-50° C Mild Heat Sensation
Heat Stacking (Multiple Passes):
36 46 (39)
39 49 (42)
42 52 (45)
45 55 (48)
48 58 (51)
51 61 (54)
54 64 (57)
57 67 (60)
60 70 (63)
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Low Fluence / High Average Power – Motif LHR
derm~ 50°C
Epi ~ 26°C with cooling
HF ~ 60°C
t°derm < t°hf
derm~ 45°C
derm ~ 50°C
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RF for Hair Removal Treatment (elos Motif)
How Can It Help Create Comfortable Treatments?
• 1MHZ Conducted Bi-Polar RF
can increased the bulk
dermal temperature
between 5-10°C per pulse
(30-50J/cm3)
• Can be pulsed synchronous
with the Laser for combined
synergistic heating of the
target – elos
• Heats tissue independently of
the target color or more
importantly increase risk to
epidermal structures
60-70° C Painful
50-60° C Warm – Aches
40-50° Mild Heat Sensation
Heat Stacking (multiple Passes)
36 46 (41)
41 51 (46)
46 56 (51)
51 61 (56)
56 66 (61)
61 71 (66)
• Hypothesis: Combined with the Laser the addition of RF should shorten number of passes to reach the target temperature of the
same sized treatment zone.
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Speed
Spot size 12mm X 15mm
Optical fluence 8J/cm2 20% lower than
nearest competitor, more comfortable for
patient
ELOS energy uniquely delivering RF with Laser
of up to 5J/cm3 with every pulse in Motif
mode
2 X speed of nearest rival…
Man’s back in 20 mins
Woman’s full legs in 30 min
Underarm in 1 minute
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• Versatility : 1,2, 3Hz + Motif Mode
• Treat All skin types
• Treat All year round
• Comfortable hair removal using Motif Mode
• elos painting advantage: Optical + RF
• Speed of treatments
NEW! Motif Mode
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MOTIF LHR
Pulsing Mode vs. Motif Mode
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15 mm
12 mm
Motif LHR Applicator
(Numbers in brackets are the maximum energy levels in 3 Hz)
LHR Mode Specs
Wavelength: 810nm
Optical Fluence (up to 2 Hz):
Skin types I-III:
Skin type IV:
Skin types V-VI & Tanned:
6 – 50 (30) J/cm2
6 – 40 (24) J/cm2
6 – 20 (12) J/cm2
RF Energy Density (up to 2 Hz): Low:
Normal:
High:
15 (5) J/cm3
30 (10) J/cm3
50 (20) J/cm3
Cooling Temp 5° C
Treated Area 12 x 15 mm
Repetition Rate Up to 3 Hz
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Motif LHR : Pulsing Mode Screen
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15 mm
12 mm
Motif LHR Applicator
Motif (“Painting”) Mode Specs
Wavelength 810 nm
Optical Fluence:
Intensity I:
Intensity II:
Intensity III:
Intensity llll:
2 J/cm2
4 J/cm2
6 J/cm2
8 J/cm2
RF Energy Density:
High Mode
Normal Mode
Sensitive Mode
10J/cm3
7J/cm3
3 J/cm3
Cooling Temp 5° C
Repetition Rate 10 Hz
Treated Area 12 x 15 mm
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Motif LHR: painting mode screen
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Treatment at speed of 3 Hz LHR Mode
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Motif Mode Treatment Parameters
Three parameters require setting:
1. Laser:
• Skin types I-III: 6,8
• Skin type IV: 4
• Skin Types V, VI, tan: 2
2. RF energy:
• 10J/cm3: for thick-skinned areas
• 7J/cm3 : for normal skin
• 3J/cm3: for thin-skinned/bony areas
3. Recommended Energy
• 10x10 cm treatment area: 6000J
• 15X10 cm treatment area: 9000J
• Smaller areas require less delivered energy
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Motif Technique
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