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Diode Laser System X6
User Manual
CHARMINGLASER
Technical Parameter:
Laser type AIGAAS DIODEARRAYS CW
Wavelength 808nm
Power 500Watts/300Watts
Working model HR, SHR,SR
Repetition rate SHR-10HZ; HR-0.5Hz-5Hz; SR-1Hz-4Hz
Spot size 12mm*12mm
Energy density SHR up to 25J/cm2; HR up to 120J/cm2; SR up to 20J/cm2
Pulse duration 10ms-1400ms
Cooling Direct coupling through sapphire tip
DualChill Intrgrated Skin Cooling 4°C Contact cooling
Electrical 110/220V 15A max 50/60Hz
Dimensions 400*550*1260mm
Weight 55Kg
CHARMINGLASER
About Charming :
Charming Electronic Technology Company is a professional laser equipment and body slimming manufacturer,
located in China.Our main products include beauty machine, diode laser hair removal ,jet peel machine, IPL hair
removal, co2 surgical system , weight loss machine, etc.
In addition we also introduce advanced production equipment and employ specialized personnel to strictly monitor
each productin process. Now our products are well received by large chain beauty salons、clinics、spas and hospitals,
ect. If you are in need of any body slimming machine and hair removal equipment and other related produccts, pls
contact us and we will always at your service.
Our ownfactory--------- highqualityequipment at low price
Since 1993, we have been manufacturing IPL equipment , and have been registered for manufacturing RF beauty
equipment for a long time. Over 10years of research and development of beauty products enables us to offer a
complete range of laser beauty equipment and body slimming machine. Due to this we have got the certificate of
registration of RF beauty equipment.
To ensure the quality, we establish long-standing cooperative relationship with raw material suppliers, so we are
able to acquire high quality materials at low price.
Add: 82# 3F Beauty Exchange City , Guangyuan West Road,Guangzhou ,China.
Mobile :+86 13924179119
Tel:+86-20-62670737
Website:www.charminglaser.com
Email: bickle123@yahoo.com.cn
CHARMINGLASER
Chapter 1 Brief Introduction
This equipment is designed to conform to international standard. The operator has to be trained with correct
operation procedure. Before operating on this equipment, please read this user manual carefully. If you have any
questions about this user manual, please contact with our company.
Caution!
The other controlling, adjustment or operation procedure of this equipment beyond scope of this user manual may
result in danger to operator and patient.
So before operation, the operator shall be familiar with the safety requirement and operation procedures of this
equipment.
This user manual shall always accompany with this system and all the operators shall know this user manual.
This manual provides product images are for reference only, actual appearance please subject to real product.
1.1Maintenance
This equipment needs periodic test and maintenance. And the procedure can be done only by professional technical
member.
If you failed in sealing for help from our company because of unclear of warranty period, please contact with our
company.
1.2 System Reform
Any system reform unauthorized by our company will lead to warranty failure. Besides our company has no
responsibility for any reformed system.
1.3 Symbols & Meanings
” Inch
℃ Centidegree
℉ Degree Fahrenheit
A Ampere
AC Alternating Current (AC)
cm Centimeter
Cw Continuous Wave(CW)
Hz Hertz
IEC International Electric Center
IVF Living FIRTILIZATION
J Joule(unit of energy) (J)
J/cm2 Joules per square centimeter
Kg Kilogram
Lbs. Pound
LCD Liquid CrystalDisplay (LCD)
LED Light-Emitting Diode
m Meter
mm Millimeter
nm Nanosecond
OD Optical Density (OD)
Rep Rate Repetition Rate
Sec Second
HR Hair Removal
SHR Swift Mode Hair Removal
SRP Skin
ST Skin Tighten
TEC Electric Cooling
V Voltage
VAC Voltage AC
W Watt
Note: Before using the instrument, please check the local laws and regulations. If it violates any local
laws and regulations,it is not authorized to use.
CHARMINGLASER
Chapter 2 Operation Safety
2.1 Summarize
This chapter describes safety of diode laser system X6, mainly optical and electrical safety.
Caution!
When press down emergency switch, dangerous voltage is broken. This equipment has adopted special design to
minimize possible accident danger and radiation danger.
2.2. System Safety Test
X6 is designed to maximize safety of doctor and patient.
2.2.1. Electrical Safety
1. On the maintenance panel, there is an electricity breaker. When overload happens, the electricity breaker will
protect system. Turn on the equipment again, please uplift the electricity breaker;
2. Software protection contains:
* After starting the equipment, the system tests all the relative safety hardware.
* Monitor system goes on working during treatment.
* When error happens, system would show error message for operator and stop any operation.
3. After starting the equipment, the connected handpiece will do self-test as well;
4. After starting the equipment, electrical circuit will do self-test. This test will go on during treatment.
2.2.2 Laser Safety
1. Closed light conductor will lead light to skin area to be treated with. The light emits from the front part of the
light conductor;
2. When emergency switch is pressed down, the system would stop running;
3. The system has an emission indicator: One blue indicator locates on the top of handpiece;
4. When system is ready for emission, the blue indicator will light;
5. Only when press footswitch and press switch on handpiece at the same time, the laser can be emitted - it will
avoid misusing;
6. After starting the equipment, water circulation will cool the handpiece immediately;
7. Test the temperature of water to avoid handpiece too hot; if water stops running or water temperature is more
than 40 degrees,the laser can’t emit;
8. This equipment equips with medical footswitch for convenient using. It will avoid any short-circuit and increase
the durability.
2.2.3 Treatment Room
The treatment room must post a laser dangerous mark.
1. The treatment room shall not place any reflective objects including mirror;
2. Only allow people well trained to enter the room;
3. Make sure that operator is familiar with using of this equipment and turn off system in the emergency.
2.2.4 Prevention
1. Read this user manual carefully before using this equipment;
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2. Always keep the handpiece clean. Remember to wipe the cooling gel after each patient using;
3. Be careful when moving the equipment to avoid damage on human and machine. Please handle it gently and
must not drop it down. MUST not pull handpiece to move equipment.
2.2.5 Caution
1. Technical staff is qualified to maintain the system,including adjust inner power, cooling system;
2. Make sure that X6's voltage is coincident with your country's. (110V or 220V)
3. During maintenance, system shall be turned off and unplug power cable since turned on system may cause
damage to operator or system;
4. Please turn off the equipment if you don’t use it.
5. Shall not let system stay at ready condition for too long time;
6. Person who isn’t trained can’t operate this equipment.
7. Unless the handpiece is placed on the skin to be treated with, don’t press footswitch and handpiece switch;
8. During maintenance,the system could not be turned on, opened or without Person’s attention.
2.3 Relative Caution about Laser Emission
2.3.1 Burn Hazard
X6 emits invisible light with wavelength 810nm which can burn eyes with third- degree burns. Please be careful.
2.3.2 Eye Injury by Radiation
1. In the treatment room, it is important that all the persons (patient and doctor) wear the protective glasses;
2. Even if the patient wears the protective glasses,he shall close eyes during treatment;
3. If the treatment area is very close (such as eyelid) to eyes,patient need to wear cornealprotector.
2.3.3 Safety Glasses
Scattering from diode can do harm to eyes. All the persons have to wear safety glasses. Ensure that safety glasses
can provide enough protection (OD>5).
This equipment is equipped with operator safety glass and patient goggles. You can order more from our company.
2.3.4 Explosion and Fire Danger
1. This equipment is not allowed to use in the presence of a flammable anesthetic mixture with air or with oxygen
or nitrous oxide. Do not operate it in the presence of volatile solvents such as alcohol or gasoline;
2. While using this equipment, we advise you to wear clothes with fire prevention materials and fire prevention
function;
3. Areadily accessible fire extinguisher in the vicinity of the system is also recommended.
2.3.5 High Voltage Hazard
Voltage of this system is 220V/110V. To prevent injury, make sure machine is well installed with preventive cover
before using this system. Do not disassemble preventive covering. X6 generates high voltage in several parts and
some parts may still has electricity after unplug the power, so only our company authorized technical personnel can
maintain the system. Never leave the system turned on or unattended during system maintenance.
2.3.6 System Grounding
The system can be grounded through the grounding conductor and grounding pin in the power cable.
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2.3.7 System Safety
The system has many safety features. Clinical persons shall be familiar with the position and operation of these
safety devices.
2.3.8 Emergency Shut-OffKnob
The system has emergency shut-off knob for emergency shutdown. When press emergency switch, it immediately
disables the power. To continue normal operation, release the emergency shut-off knob, then you can restart the
system.
2.3.9 Laser Emission Indicators
The system has special laser emission indicators: LED indicator
The LED has three modes of operation:
★ OFF --- When system is in Standby Mode;
★ On--- When system is in Ready Mode;
★ Blinking --- When laser beam is emiting (Both footswitch and handpiece switch are activated.)
2.3.10 Double-tiered Laser Emission Security
Laser beam emission is enabled only when footswitch and handpiece switch are activated at the same time.
These two controlling devices help to reduce laser mistaken emission.
2.3.11 Footswitch
System uses medical footswitch to avoid short circuit and ensure footswitch durability.
2.3.12 Cooling System
The handpiece tip adopts thermoelectric cooling method to reduce uncomfortable after treatment. During treatment,
tip temperature is less than 4ºC. The cooling water and temperature are monitored to ensure no risk of overheating
of the diode.
2.4 Handpiece
The handpiece is designed to ensure system safety:
1. Since the handpiece generates laser, it does not need other beam launching system. On the contrary, handpiece
has an optical mixer. The optical mixer concentrates the light of thousands of transmitters together to produce the
beam of monochromatic square. As the laser beam is limited in the handpiece, there is no harmful optical radiation
in the console or cable.
2. While treatment,make the tip touch skin fully to reduce light deviation and improve treatment effect.
2.5 System Classification according to IEC 60601-1
◆ Classify according to anti-electric shock protection method: system is class-I equipment;
◆ Classify according to anti-electric shock protection degree: laser tip is B type part;
◆ This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide.
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2.6 Equipment label
Located on the service panel, label information is in the following
◆ System name and part number
◆ Serial number and date of manufacture
◆ System power requirements
◆ Conform CE standard
◆ Anti-electric shock protection degree and type
Power supply requirement label: Locates on power line connector
Laser emission danger label: Locates on system panel
Handpiece safety label: Locates on laser emission part
Footswitch label: Locates on maintenance panel
Fill/Drain water label: On the back panel
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Chapter 3 Installation and Operation
System transportation and installation are carried out by our company authorized technical person.
Main items are:
Unpack the equipment and position it in its pre-selected location;
Verify the integrity of this equipment and its components;
Connect handpiece, footswitch and interlock system;
Connect specified power outlet;
Test cooling water system;
Test measurement and operation function of system parts and software.
Caution!
Any damage or system damage when open the package, please report to our company and to the insurance carrier
at once.
3.1 Equipment Requirements
Before unpacking, make sure the installation location meet the following requirements.
3.1.1 Space and Location
The working area and system location shall meet equipment good ventilation, always ensure that the system left the
walls or air obstructions at least 0.5m (20”). After determining the location, press the wheel top and pedal to lock
the wheel braked. Thus system is fixed.
3.1.2 Electrical Requirements
System requires for an independent line voltage:
Monophase 110VAC±10%, 20A, 50/60Hz or 220 VAC±10%,10A, 50/60Hz.
CHARMINGLASER
The input power should be no transient current, voltage and current spark, no power vertical and surge. Input power
shall have no transient current, voltage and current spark, no power vertical and surge. So this system shall be
separate from other high-power electric equipment, such as elevator, air conditioning, the giant motor.
When connected with external power supply, system is grounded through the grounding conductor in the power
cable. Proper grounding is very important for safe operation.
Caution!
Ensure that use local correct power line (110 or 220 VAC).
This equipment adopts independent lines and separated circuit fuse. Unless the system use dedicated circuit, it
cannot be sure work normally.
3.1.3 Environmental Requirements
Air quality:
The system should work in a non-corrosive atmosphere. Corrosive substances such as acids can damage the
surface of the wires, electronic devices and optical components. Dust in the air should be kept to a minimum. The
dust particles absorb light and produce thermal effects, while thermal particles will damage the surface of the
optical components. Metal particles will corrode the electronic equipment.
Water quality:
The system must use deionized water (pure water or distilled water).
Temperature and Humidity:
Work temperature:10-30ºC (50-85 F)
Storage temperature:0-55ºC (50-1310 F)
Work relative humidity: Max 80%
Storage relative humidity: Max 90%
Note!
Prolonged use produces heat, it is recommended to install air-conditioning in the room.
3.2 Screen Connection
The screen is easily installed and disassemble. And the screen should be install on the front and top of the system.
After unpacked, please fix the screen with screws as picture showed below:
Fix screen with screws.
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3.3 Handpiece Rack Connection
The rack should be installed on left side of the system. Please install and fix it with screws as picture showed
below:
3.4 Handpiece Connection
The handpiece is designed to be easily changed and have safety prevention. Handpiece is connected on the front of
the system. When insert or unplug the handpiece, you have to press the button and clockwise turn the button 90
Degrees. Put the handpiece on the handpiece rack to protect handpiece.
3.5 Footswitch Connection
To improve safety of system while using, it is equipped with a footswitch. Only when footswitch and handpiece are
pressed down, laser can be emitted. Please connect the footswitch onto the power supply panel on the back of the
system
螺钉固定位螺钉固定位
Fix the rack
with screws.
footswitch
connection
Open and lock
Handpiece rack
Power
cable
ti
Power switch
2 Fuses
Fill water/
release
Release air
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3.6 Fill Water
Water quality will greatly influence the system working and laser output, please use deionized water only!
The cooling water tank must be filled with deionized water. Change water per month to ensure normal working of
system.
Filling water procedure:
1. Tack off cover of TANK-EXHAUST to release water tank's water.
2. Connect funnel with WATER/DRAIN (Following picture).
3. Fill 3L deionized water. When water flows from tank-exhaust, stops filling water.
4. Put on TANK-EXHAUST cover again and take away filling water tools.
5. Connect power.
6. Start equipment and let it run for 5 minutes without activity.
7. Be ready for treatment.
Note!
MUST not fill running water into the water tank, but fill deionized water only!
Please be sure to let system run for 5 minutes before usage after each water add/ change. This process makes
water have enough time to run over from handle to water tank and to detect system fully.
3.5 Release Water
Water should be released when system is placed in environment where temperature is lower than 4ºC or when
system is on delivery.
1. Take off cover of TANK-EXHAUST.
2. Put a container (about 3L) near the rear panel.
3. Connect a clean water pipe with Water of the equipment.
4. Water will flow out until there is no water in the tank.
3.6 Transportation
Please followe these steps to move system:
1. Put handpiece in its rack.
2. Unplug power code and footswitch.
3. Release water.
4. Release wheels's lockers.
5. Slowly push or pull system with handles in front or back.
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Chapter 4 System description
4.1 Introduction
This chapter is a detailed description of diode laser system, including main components, controlling parts and each
subsystem.
4.2 Application
X6 diode laser is a compact system with wavelength 810nm. The energy can go up to 120J/cm2.
The whole system is constituted by main system, footswitch and handpiece. During treatment, handpiece would
touch fully on skin and laser pulse comes by pressing footswitch and handpiece at the same time.
The tip on top of handpiece has been done with cooled system to lower skin temperature continuously during
treatment.
4.3 Components
Main System*1 LCD Screen*1 Handpiece*1 Rack*1
Footswitch*1 Water Funnel*1 Power Cable*1 Tank-Exhaust Cover*1
Goggles*1 Operator Glasses*1 Keys*2 Fuse(15A)*2
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4.4 X6 Casing Introduction
Note: the above pictures are for reference only, please object to real machine.
4.5 Product Marks
10.4" touch screen
Handle
Plug-in hole
Wheel
Emergency
Power Key
Handpiec
Handle Rack
anticreepi
AirDrai
Water/Drain
Footswitch Fuse Powerline anticreeping switch
Tank-Exhaust
Emergency Switch
Handpiece
Wheels
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4.6 Program Introduction
4.6.1 Main Screen Display
The screen shows mainly parameters and treatment areas.
4.6.2 Error Detection
This equipment equips self-detecting device. System is continuously monitored by password lock. Software
continuously detects the error of hardware. If it find error, it will show error information.
4.6.3 Control panel
It includes:
Emergency shut-off knob --- Red, mushroom-shaped button, which is used for shut off system in the emergency;
LCD screen --- It supplies system;
Key switch --- Start the system after turning off equipment.
4.6.4 Cooling System
Cooling system contains:
1. Water cooling system
2. Thermoelectric cooling system (TEC)
3. Fan
Caution!
To avoid overheating and system functional faults, must not stem the air exit hole.
4.6.4.1 Water Cooling
Closed-loop system operates with deionized water to achieve water cooling. Its purpose is to make laser cavity
have a longer life. Cooling system contains heat exchangers, water containers, water pump and particulate filter.
For security, when water temperature gets to 40℃,laser energy emission function fails.
4.6.4..2 Fan
Two fans are separately used for water cooling and system cooling.
4.7 Laser Handpiece
It contains diode laser array, light crystal, medical protection window, cooling fins, handpiece trigger mounted in
the handpiece and indicator.
Mark 1
Power Supply
Mark 2
Laser Safety
Mark 3
Footswitch
Mark 4
Fuse
Mark 5
Fill Water/ Release Water
Mark 6
Release Air
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Caution!
The handpiece contains precise optical components. Components may suffer serious damage after falling. Be
carefulwhile in use and in delivery.
4.8 Plug-in Type Connector
The plug-in connector for handpiece is located in front of the system. Please press and ring the button clockwise
90º or counterclockwise 90º when install or uninstall the handpiece.
4.9 Footswitch
Footswitch is brake pedal. It is connected with connector on rear panel. Only when footswitch and handpiece
switch are pressed at the same time, laser can be emitted. These two controlling devices help to reduce laser
mistaken emission. Only when system is at Ready mode, footswitch and handpiece switch can be started.
4.10 Parameter Setting Mode
User can control equipment by selecting different parameters:
1. Application mode
2. Energy density
3. Repetition frequency
4.11 Pause
For security, if there is no need of immediate laser emission, the equipment shall stay at Standby situation. If
operator leaves treatment room, the equipment shall be turned off.
4.12 Parameter Specifications
4.12.1 Output
Laser type :
★ Single Pulse Laser
★ Double Pulse Laser
Wavelength: 805nm~815nm
Energy Density: HR mode: up to 120J/CM2
SHR mode: up to 25J/CM2
SR mode: up to 20J/CM2
Pulse Repetition frequency: 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, 10.0 Hz
Spot size: 12mm*12 mm
4.12.2 Operation and Control
System control
● LCD touch screen
Laser emission indicator
● OFF: No laser emission
● While laser emission, indicator continupus light
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4.12.3Appearance Dimensions
400mm*500mm*1260mm
Weight: 50 KG
4.12.4 Power Supply
110VAC 20A,50Hz
220VAC 15A, 50Hz
4.12.5 Other Specifications
Handpiece: Multi-purpose, Unpasteurized
Skin cooling: Thermoelectric, 4℃, Continuous, skin touch cooling
4.12.6 Classification
CDRLlaser classification, comply with 21CFR1040.10: Section IV class
Laser classification, comply with EN60825-1: Section 4 class
Protection against electric shock mode: I class equipment
Protection against electric shock level: B type equipment
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Chapter 5 Control and Indicator
This chapter is detailed description of operation method for diode laser system.
Caution!
● According to local law of each country, only allow authorized person to operate this equipment.
● This system provides laser danger labels.
● Improper operation of the system and the changes will affect the instrument’s warranty. Operation not mentioned
in the user manual shall be allowed by our company.
5.1 Error Detection
This equipment equips self-detecting device. System is continuously monitored by password lock, circuit breaker.
● LCD shows error information and system stops;
● The system will make sound tone which lasts longer
Under this situation, you shall turn off the equipment and restart the equipment. If error still exists, refer to Chapter
7---Troubleshooting---More notes.
5.2 Preparation Before Operation
1. Connect the power line;
2. Make electricity show ON;
3. Insert key and release emergency switch;
4. Connect handpiece with equipment;
5. Connect footswitch with service panel;
6. Make sure that all the persons in the clinic room wear suitable safe glasses.
5.3 System Operation
Before operating this equipment, you shall:
1. Start equipment (Refer to 5.3.1)
3. Enter languages selecting interface (Refer to 5.3.2)
4. Enter mode selecting interface (Refer to 5.3.4)
Caution!
1. Before laser emitting, make sure that all the persons are well protected from laser or reflected.
2. To protect eyes from injury and discomfort, make sure that all the persons in the clinic room wear glasses
recommended by our company.
3. Even though wear suitable safe glasses,you cannot look laser in the eyes or through reflective objects.
4. Never emit laser without touch skin. Laser only emits to skin to be treated with.
5.3.1 Start System
1. Make sure that emergency switch is released (release it by clockwise turning);
2. Make anticreeping switch show ON;
3. Turn key switch 90 degrees;
4. Screen shows “0% Loading…”. At the same time, system make self-test. If self-test success, screen shows
“100% Loading…”.
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5.3.2 Selecting Languages
The system X6 provides 3 modes of languages for option: English, Spanish and Chinese.
5.3.3 Selecting Working Modes
The system X6 provides 3 working modes for option: HR, SHR and SR.
Click the working mode you want and go into related mode parameter selection interface. E.G. click
go into HR working mode interface.
5.3.4 Introduction ofHR Working Mode
5.3.4.1 Interface ofHR working mode
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Click and interface will go into the HR parameter setting interface.
Note: "SKIN TYPE" is default skin type 1 when login the interface.
5.3.4.2 Skin type selection
You can select skin type I-VI from "SKIN TYPE"table here:
Each skin type has relative default parameters.
Energy decreases from skin type I to skin type VI.
Skin Type Frequency Energy level Energy level scope level
Ⅰ 1.0 27 1-120 Default level
Ⅱ 1.0 25 1-100 Default level
Ⅲ 1.0 23 1-80 Default level
Ⅳ 1.0 21 1-60 Default level
Ⅴ 1.0 19 1-40 Default level
Ⅵ 1.0 17 1-20 Default level
5.3.4.3 Parameter adjustment
At "FLUENCY J/cm2)" area, click and to decrease and increase energy output.
At "FREQUENCY(Hz)" area,click and to decrease and increase laser pulse frequency.
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Note: on HR mode, FREQUENCYcan be 0.5Hz, 1Hz, 2Hz,3Hz, 4Hz, 5Hz.
We suggest that you use lower frequency first and use higher one when you are familiar with this laser X6.
Click "READY" to get laser X6 prepared for treatment
Click "STANDBY" to logout ready status.
Click to get back to working mode selection interface.
5.3.5 SHR Working Mode
5.3.5.1 Interface ofSHR working mode
Click and interface will go into the HR parameter setting interface.
Note: Energy of FLUENCYis default 10J/cm2.
5.3.5.2 Parameter adjustment
At "FLUENCY J/cm2)" area,click and to decrease and increase energy output.
Note: At SHR working mode,the laser output frequency has default 10Hz.
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Click "READY" to get laser X6 prepared for treatment
Click "STANDBY" to logout ready status.
Click to get back to working mode selection interface.
5.3.6 SR Working Mode
5.3.6.1 Interface ofSR working mode
Click and interface will go into the HR parameter setting interface.
5.3.6.2 Parameter adjustment
At "FLUENCY" area,click and to decrease and increase energy output.
At "FREQUENCY(Hz)" area,click and to decrease and increase laser pulse frequency.
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Click "READY" to get laser X6 prepared for treatment
Click "STANDBY" to logout ready status.
Click to get back to working mode selection interface.
5.4 Emitting Laser
Caution!
When system is at Ready status, the indicator light on handle will light on (RED).
When system is at Ready status, laser emits once pressing footswitch and handpiece switch at the same time.
Note!
When system is at Ready status, you are not able to adjust parameters; if you want to adjust parameters, please go
back to Standby status.
1. If cooling system isn’t blue, must not begin treatment;
2. Make sure that tip has aimed at skin where should be treated with before press footswitch;
3. After pressing footswitch, press handpiece switch. Only when the two switches are pressed down at the same
time, the laser can emit;
4. Total pulse number used will show
5. Release handpiece switch or footswitch, laser will stops emitting.
Note!
If you press handpiece switch or footswitch only by accidence,laser will not emit.
5.5 Detection System in X6
5.5.1 System TestAlarm
When system find system error during treatment or standby mode, system will note “System Error”.
Click can login the detection interface.
Cooling system indicator light
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5.5.2 Routine Test Parameter
State: This interface is the self-detection interface of diode laser system X6. It will real-time monitoring water flow,
water temperature and crystal temperature, etc. In this interface, when all numbers in "Electricity" and " SU" shows
in green means all is in normal station. If any of the numbers shows in red, it means that part is abnormal and
system cannot go on working.
Detection Parameter Table:
Detection Parameter
Symbol
Identity ofSign Status Display
I1 Hall sensor collecting circut Number display
I2 Power current output Number display
I3 Power current output Number display
V1 Power voltage output Number display
V2 Power irradiation/ non-irradiation Ok or NG
K1 Power dead-stop/ normal Ok or NG
D1 Power launch/ non-launch Ok or NG
NOTICE:
1. "OK" means the working is in normal status;
2. "NG" means the working is in abnormal status;
3. "Number display" refers to the value of real-time detection, "Number in green" means the working is normal,
"Number in red" means the working in abnormal.
5.6 System Shut Off
1. Go back to Standby mode;
2. Turn off system by turning key switch counterclockwise 90 degrees;
3. Turn OFF the Electricity breaker;
4. Unplug power supply;
D2 Power overpressure/ normal Ok or NG
Q1 Power shortcircuit / normal Ok or NG
J1 Power open circuit / normal Ok or NG
X1 Power overcurrent/ normal Ok or NG
W1 Water inlet current of laser generator Number display
W2 Water outlet current of laser generator Number display
T1 Inlet water temperature of laser generator Number display
T2 Outlet water temperature of laser generator Number display
W3 Water line lower limit directive Ok or NG
T3 Temperature of crystal Number display
WX1 Detection of inlet water current circuit of laser generator Number display
WX2 Detection of outlet water current circuit of laser generator Number display
TX1 Detection of inlet water temperature circuit of laser generator Number display
TX2 Detection outlet water temperature circuit of laser generator Number display
TX3 Detection of crystal temperature circuit Number display
X3 Detection of crystal temperature circuit Number display
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5. Clean handpiece (refer to Chapter 6)
6. Put handpiece on handpiece rack.
Note!
You can press down the emergency switch to shut off the system if necessary and can release it when problem
solved.
Never leave key switch in the system to avoid unauthorized person using equipment.
Chapter 6 System Maintenance
Normal maintenance can be carried out by non-authorized technical person unless it is specially stated.
For health, please keep equipment and handpiece clean after each treatment.
Caution!
Please maintain equipment after turning off equipment and unplugging power supply or it may harm person and
equipment.
6.1 Regular Maintenance
Regular maintenance ensures best working condition.
Authorized technical persons should check by following operations every 6 months:
· Total system test.
· Inner test,including cleaning accumulated dust.
· Use energy meter to check laser output power.
· Cooling system:
1. Test water level; If needed,add deionized water
2. Change ion filter;
3. Clean water tank
4. Check the seal ring of ion filter connector
Caution!
System’s inner part shall be tested by professional technical person only!
6.2 Service Information
Matters of this system are relative to serial number on the rear panel. It is necessary when we are doing after-sales
service for you.
Caution!
Unmentioned, unauthorized maintenance and modify can make radiation to operator.
Unsuitable using and adjusting this system may lead to warranty agreement invalid.
6.3 Normal Maintenance
The below maintenance process should be finished by operator.
Caution!
CHARMINGLASER
System causes high voltage and laser radiation after connecting with power. So before maintenance, please turn off
equipment and unplug power cable.
Maintenance insides the machine should be processed by technical persons.
6.3.1 Clean and Disinfection
Use cotton with 70% alcohol to clean system cover.
6.3.2 Clean Handpiece
Check handpiece everyday, including test its integrity and its crystal. If handpiece cannot clean easily, please use
wet cotton.
Use cotton with 70% alcohol to clean crystal after treating with each customer.
6.3.3 Change Filter
Cooling system has deionized water and this will prolong laser lamp lifetime. To ensure water quality, cooling
system is installed ion filter.
Change filter once a year at least (we suggest you change it each 6 months) and the procedure can be finished by
operator.
Changing Ion Filter Procedure:
Take out :
1. Release water form system.
2. Open cover of system on right side and you can see the ion filter.
2. Press the connecting keys (A and B) to make ion filter leave them.
3. Lightly pull the ion filter form the clip.
4. Throw away the used ion filter.
Installation
1. PressAand B;
2. Connect ion filter connector with Aand B;
3. Make ion filter go through the clip;
4. Close the cover.
5. Add water again,make system run for 5 minutes and then you can operate it.
CHARMINGLASER
Chapter 7 Troubleshooting
▲X6 diode laser system has self-test software and it will monitor system operation.
▲When it finds error, LCD screen will show error information.
▲The error will stop the system but operator has to turn off system by key switch and power switch.
▲If situation unmentioned in this chapter happens, it should be handled by technical person. Please contact us first.
▲ Don’t try to disassemble or open system’s cover if not authorized.
7.1 Warranty
System warranty is one year.
Unsuitable using and adjusting this system may lead to warranty agreement invalid.
7.2 Troubleshooting
The below table shows the proper error message/alarm information, reasons and solutions. If this form can’t help
solve problem, pls contact with us.
Error Message/Alarm Reasons Solutions
Out of order System trouble. Restart / contact with us.
Error nothing Test system has trouble. Restart / contact with us.
Key-stroke of handle failure Handle does not well-connected.
Turn off the system, re-connect the handle
and restart the system.
Foot switch failure Foot switch is not well-connected.
Re-install the foot switch and restart the
system.
Water current alarm (W1, W2)
There is no water inside the machine;
Water current sensor has wrong detection;
Water pump is not working.
Fill water into system fully;
Restart system after 1 minutes waiting.
3. If problem not solved, please contact us.
Water temperature (T1,T2)
Too high water temperature;
Temperature sensor has wrong detection.
Restart system after 5 minutes waiting;
If problem not solved, please contact us.
No display after key switch on.
Emergency switch is locked up;
Power switch on back of system is locked
up;
No power supply;
Screen has no display.
Restart system by clockwise rotating
emergency switch;
Uplift power switch;
Check if there is power supply and if
power plug is well-connected;
If problem not solved, please contact us.
No cooling when laser is
working.
Not enough time for cooling;
Hardware failure.
Wait for 1-2 minutes;
If problem not solved, please contact us.
Laser does not come out when
pressing foot switch and
handle.
System is in standby status;
Foot switch does not service panel;
Foot switch faulty.
Switch over to Ready mode;
Check the connection of foot switch;
Change a new foot switch.
Crystal temperature alarm (T3)
Too much temperature on crystal;
Temperature sensor has wrong detection.
Wait for 5 minutes after turning off system;
If problem not solved, please contact us.
Water line alarm (W3)
No water in water tank or there is no
enough water there;
Sensor has faulty detection.
W3 showing red means water line lower
limit, please add water;
If problem not solved, please contact us.
Laser power alarm (K1) Too much power output. Go to the alarm interface and press Reset
CHARMINGLASER
Laser power has problem. to restart system;
Reinstall the handle and restart the system;
If problem not solved, please contact us.
No display on screen.
Wrong signal between screen and main
control panel;
Signal line is not well-connected.
1. Check if the screen
correctly install and restart the system;
If problem not solved, please contact us.
CHARMINGLASER
Chapter 8 Clinical Guide
8.1 Introduction
This part can provide help to professional person who operates laser diode system. This chapter descripts how to
use this equipment, how to prevent danger and warning information. Please read the chapter 1-7 before reading this
chapter.
8.2 Applications and Indications
1. The laser diode system can be used for hair removal on body and face. It can achieve hair reduction permanently.
The system is expected to be used for all skin types.
2. The hair removal process is based on selective photothermolysis principle. This method is to destroy hair
regeneration. It rises hair follicle temperature high enough to destroy hair generation cells, but it will not damage
the epidermis and surrounding tissue.
3. The unique cooling technology make laser shoot to hair roots, at the same time, the cooling protects the skin and
surrounding tissue, improves patient’s comfort.
4. Diode with 810nm wavelength is suitable for removing excess hair. The effect is stable, long or permanent
reduction.
8.3 Contraindications
Cancer,especially skin cancer
Pregnancy
Use photosensitive drugs and traditional Chinese medicine
Disease easy activated by 810nm wavelength
Sun exposure or tanning 3~4 weeks before treatment
Skin to be treated with has inflammation
Scar tumor history
Diabetes (dependent on insulin injections)
Sensitive skin
Endocrine disorders (light irritation)
Use anticoagulant
Epilepsy
Blood coagulation history
8.4 Side-Effect after Treatment
Diode system is similar to other laser technical products. Normally it can cause controllable or uncontrollable
injury to tissue:
◆Erythema and edema may happen and l last for severalweeks in 2-24 hours after treatment;
◆In 48 hours after treatment, patient may feel allergic, itching, mild burning sensation or pain symptoms on
treated skin;
◆After treatment, there may appear blisters, skin necrosis or surrounding skin ppears pigmentation. They exists for
severaldays or severalweeks and they may obvious;
◆Eyes may get injured if people in room do not wear glasses;
◆It is very important to observe the reaction of skin during the treatment. Improper usage or energy is too high
CHARMINGLASER
may cause injury and other effects.
8.5 Other Possible Effect during Treatment
◆Discomfort --- During laser emission, some patient feel discomfort; Some feel like bitted, others feel like
flagellated lightly or burning sensation lasts for one hour after treatment. Most patient can tolerance the treatment
and some patients need anesthesia before treatment;
◆Skin texture damage --- In some cases,the patients blister who may need to do routine wound protection;
◆Pigmentation change --- Pigmentation of treated skin may change. IV and VI skin types may appear
pigmentation or pigmentation reduction, and this may happen to patients who has exposed to sun one week before
or after treatment. Some patients may cause pigmentation even if he does not expose in sun. These pigmentations
disappear gradually in 3 to 6 months. Only in rare cases,pigmentation will leave;
◆Scarring --- Scarring is very rare, such as proliferative hypertrophic scars or keloids. Compliance with this clinic
guide before and after treatment can be effective in reducing the scarring possibility.
◆Excessive edema --- After treatment, nose and cheeks appear temporary edema. Usually edema disappears in
severalhours or lasts for severaldays;
◆Fragile skin --- Treated skin and surrounding skin becomes fragile after treatment. If this happens, don't make up
and do massage right after treatment.
◆Bruises --- After treatment, purple bruising may appears and lasts for several days. When bruises disappear, the
skin turns red and the color disappears in 3 months.
8.6 Eye Protection
◆It is very important for all persons in the clinic room to wear safe glasses;
◆Eye’s optical density is 5 (OD>5);
◆The patient has to close eyes during treatment, even if he wears safe glasses;
◆If patient could not wear glasses,he can use eye patch to completely prevent glare into eyes;
◆If treated skin is very close to eyes or eyelids, use cornealboard to protect eyes.
8.7 Vision Safety
◆Avoid glare into eyes;
◆Eye shall not straight on emitted laser or reflecting surface,even if it wears safe glasses;
◆While operating pause,the system is set to standby mode to prevent laser emission with negligence;
◆Only when the light aims at skin to be treated,you press footswitch and handpiece switch.
8.8 Fire Safety
◆The hair of treatment part shall be removed. If it is necessary, place disinfectant soaked gauze near the treatment
area;
◆Ensure that you can get fire extinguishers at any time;
◆Avoid using combustible paper products or ensure that they have been volatile before laser/optical radiation;
◆This equipment is not suitable for use in the presence of combustible or anesthetic;
◆The oxygen pipe has to be laser safe.
8.9 Application Mode
Each application mode contains predefined pulse parameters: the mixed-mode rate, warm-up pulse segment and
total pulse width of treated pulse segment;
Mixed-mode --- Energy is transported with pulse processing method which is controlled by proprietary software.
During treatment, warm-up pulses and therapeutic pulses are mixed by this method to become the optimal pulse for
the skin type.
CHARMINGLASER
Pulse width --- Each pulse duration (from warm-up to treatment segment) is in milliseconds. The operator set the
system pulse width according to pulse type key via software control.
8.10 Energy Density
In each treatment, the operator set the energy density output (joules/cm2). Energy density is: total energy (joules) of
selected pulse type/ spot size (cm2).
Scattering of a large spot (12mm*12mm) is minimal. So the result is sustained energy output and deeper
penetration; the greater the energy density, the higher temperature of target hair tissue, surrounding tissue and
epidermis.
8.11 Before Treatment
The parameters are depended on skin type, hair color, hair type, hair intensity, etc. Once treatment parameters are
chosen, you should shave hair, clean treated skin and remove all hair and scrap that may affect treatment.
8.12 Cooling Technology
The cooling technique reduces the initial skin temperature to protect it before, during and after treatment. It can
reduce discomfort and increase energy to maximum without increasing adverse effects.
Dense hair (30-40 hairs /cm2 ) produces higher temperature because each cm2 has more melanin. Surrounding
tissue will produce excessive heat and hurt tissue and so the more bushy, use lower energy.
8.13 Take Photo
We recommend taking photos before and after treatment to record treatment results.
8.14 Surface Anesthesia
The system incorporates a unique mixed-mode and dual cooling technology. Patients can still use anesthetic (such
as EMLA) to avoid any feeling. The anesthetic is usually coated in the preoperative period of time (1 hour).
Remove all narcotic residue before treatment.
8.15 Explanation before Treatment
8.15.1. Preface
Consult physician for the first time:
◆ Bring detailed medical record, including previous treatment method and check whether the skin is appropriate
to accept the system treatment;
◆ The patient who accepts prolonged sun exposure or artificial sunbathing within 48 hours before treatment
cannot do treatment;
◆ Patient who will accept prolonged exposure to sunlight cannot do treatment;
◆ If skin to be treated has herpes simplex history, the patient needs preventive drug treatment before treatment;
◆ Identify patients;
◆ Discuss with patient about treatment goals.
8.15.2. Consolation Service
The physician shall tell patient following at the first consolation:
Understand why the patient seek treatment and his or her expectations.
Discuss with patient about :
CHARMINGLASER
◆Laser treatment needs multiple treatments and a few months time;
◆It may cause some discomfort or pain during treatment;
◆It may cause temporary erythema and edema after treatment;
◆Skin gradual recovery may last for severalmonths;
◆Have a very small possibility of adverse effects,such as skin color changing is usually temporary.
8.15.3. Skin Test
Energy is the key for best treatment effect and minimal adverse effects. Usually patient should make a skin test
with following parameters before treatment:
Fitzpatrickl-VI
Skin type
Hair type Treatment times (Scope) Energy Area
I Thick 6 10 12*12
Thin 9
II Thick 6 10 12*12
Thin 9
III Thick 6 10 12*12
Thin 9
IV Thick 6 9 12*12
Thin 8
V Thick 6 8 12*12
Thin 7
VI Thick 6 8 12*12
Thin 7
Advice: wait for 30 minutes for I-III skin, wait for 45 minutes for IV-VI skin and see skin reaction.
8.16 Treatment
Start after selecting treatment parameters.
Caution!
Extensive heat transmission may hurt skin and cause skin hypertrophy, atrophy or abnormal pigment and other
symptoms.
1. Ensure that the patient comfortably lie on the operating table and wear goggles.; All personnel have to wear safe
glasses. Operator can easily touch treated area.
2. Clean perfume, make-up residue and sunscreen of skin.
3. Check the handpiece and make sure it is cold.
4. Select appropriate settings and save selected parameters. The operator can treat with patient who has the same
situation, using the same parameters.
5. Make handpiece perpendicular to skin and touch skin; Gently press the end of handpiece on skin to make full
touch.
6. After starting treatment,check skin at any time to observe its response.
7. Carefully diagnostic test results.
8. If get desired effect,continue treatment with the same parameters.
9. Press footswitch and handpiece switch to start treatment.
CHARMINGLASER
10. From time to time to view the color and hair follicle morphology of treated skin (erythema and edema). You can
also smell hair burning even if parameters set is appropriate.
11. If adverse effect (such as excessive redness) happens before good response of hair follicle, please reduce energy
to reduce hurt. Reduce damage by decreasing 5-10% energy or adjust pulse type to a larger value.
12. If skin has no adverse reaction or morphological changes,you increase energy 5-10% to get expected effect.
13. Cool skin right after treatment.
Caution!
Laser can lead to serious eye damage or blindness. In order to improve safety, the patients need to wear goggles
during facial treatment.
Note
Do not treat with hair whose color is lighter than surrounding skin.
8.17 Treatment Parameters
The parameter reference setting is based on the user experience. In addition, users can select and set parameters
based on real practice. Treatment parameters includes skin type, hair density, laser energy density and repetition
rate.
Note: the average treatment area is 12mm*12mm. You can adjust treatment times based on the real treatment area.
8.18 Post-Operative Care
After treatment, put cool (not frozen) water bag/towel on treated skin to reduce edema and discomfort. You can also
use cooled & soaked gauze.
Pay attention to prevention of injury in 4 hours to 5 days after treatment and avoid hot bath, aerobics and massage.
● Sun exposure --- Patients need to smear a high index of sunscreen (the SPF>30) and avoid direct sunlight in a
month after treatment. Postoperative exposure can cause pigment regeneration, resulting in pigmentation.
● Make-up --- make up can be applicable in daytime. During this period, skin is sensitive. Avoid hurting skin or
get infection when removing make-up.
Fitzpatrickl-VI
Skin type Hair type
Treatment times (Scope)
Energy
Energy
I
Thick
8 (6-10)
10
Thin 9
II
Thick
8 (6-10)
10
Thin 9
III
Thick
8 (6-10)
10
Thin 9
IV
Thick
8 (6-10)
9
Thin 8
V
Thick
8 (6-10)
8
Thin 7
VI
Thick
8 (6-10)
8
Thin 7
CHARMINGLASER
● Other advice --- Patient shall avoid strenuous exercise or similar activities within a few days until
recover completely.
8.19 Follow-up
The following is follow-up suggestions and the patient can test his own situation according to these:
◆ Usually, the patient can accept more treatments in 6-8 weeks after treatment. The time is different according to
different treatment result and hair growth cycle.
◆ If no need for more treatments, patient shall accept checking again in 3-4 months after treatment or patient
shall accept checking when hair growth in treated area.
◆ If parts of hair is removed, patient shall accept checking again in 6-8 weeks after treatment.
◆ If you observe no changing, change treatment parameters, do more treatments, adjust interval time to let new
hair grow in different parts (growth cycle) and different individuals (sex, hormones).
◆ Recommend patients to avoid sunlight during treatment process.
8.20 Finish Treatment
The professional person judge when finish treatment or decide according to patient satisfaction of treatment goal.
CHARMINGLASER

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Charming diode laser system x6 manual

  • 1. Diode Laser System X6 User Manual CHARMINGLASER
  • 2. Technical Parameter: Laser type AIGAAS DIODEARRAYS CW Wavelength 808nm Power 500Watts/300Watts Working model HR, SHR,SR Repetition rate SHR-10HZ; HR-0.5Hz-5Hz; SR-1Hz-4Hz Spot size 12mm*12mm Energy density SHR up to 25J/cm2; HR up to 120J/cm2; SR up to 20J/cm2 Pulse duration 10ms-1400ms Cooling Direct coupling through sapphire tip DualChill Intrgrated Skin Cooling 4°C Contact cooling Electrical 110/220V 15A max 50/60Hz Dimensions 400*550*1260mm Weight 55Kg CHARMINGLASER
  • 3. About Charming : Charming Electronic Technology Company is a professional laser equipment and body slimming manufacturer, located in China.Our main products include beauty machine, diode laser hair removal ,jet peel machine, IPL hair removal, co2 surgical system , weight loss machine, etc. In addition we also introduce advanced production equipment and employ specialized personnel to strictly monitor each productin process. Now our products are well received by large chain beauty salons、clinics、spas and hospitals, ect. If you are in need of any body slimming machine and hair removal equipment and other related produccts, pls contact us and we will always at your service. Our ownfactory--------- highqualityequipment at low price Since 1993, we have been manufacturing IPL equipment , and have been registered for manufacturing RF beauty equipment for a long time. Over 10years of research and development of beauty products enables us to offer a complete range of laser beauty equipment and body slimming machine. Due to this we have got the certificate of registration of RF beauty equipment. To ensure the quality, we establish long-standing cooperative relationship with raw material suppliers, so we are able to acquire high quality materials at low price. Add: 82# 3F Beauty Exchange City , Guangyuan West Road,Guangzhou ,China. Mobile :+86 13924179119 Tel:+86-20-62670737 Website:www.charminglaser.com Email: bickle123@yahoo.com.cn CHARMINGLASER
  • 4. Chapter 1 Brief Introduction This equipment is designed to conform to international standard. The operator has to be trained with correct operation procedure. Before operating on this equipment, please read this user manual carefully. If you have any questions about this user manual, please contact with our company. Caution! The other controlling, adjustment or operation procedure of this equipment beyond scope of this user manual may result in danger to operator and patient. So before operation, the operator shall be familiar with the safety requirement and operation procedures of this equipment. This user manual shall always accompany with this system and all the operators shall know this user manual. This manual provides product images are for reference only, actual appearance please subject to real product. 1.1Maintenance This equipment needs periodic test and maintenance. And the procedure can be done only by professional technical member. If you failed in sealing for help from our company because of unclear of warranty period, please contact with our company. 1.2 System Reform Any system reform unauthorized by our company will lead to warranty failure. Besides our company has no responsibility for any reformed system. 1.3 Symbols & Meanings ” Inch ℃ Centidegree ℉ Degree Fahrenheit A Ampere AC Alternating Current (AC) cm Centimeter Cw Continuous Wave(CW) Hz Hertz IEC International Electric Center IVF Living FIRTILIZATION J Joule(unit of energy) (J) J/cm2 Joules per square centimeter Kg Kilogram Lbs. Pound LCD Liquid CrystalDisplay (LCD) LED Light-Emitting Diode m Meter mm Millimeter nm Nanosecond OD Optical Density (OD) Rep Rate Repetition Rate Sec Second HR Hair Removal SHR Swift Mode Hair Removal SRP Skin ST Skin Tighten TEC Electric Cooling V Voltage VAC Voltage AC W Watt Note: Before using the instrument, please check the local laws and regulations. If it violates any local laws and regulations,it is not authorized to use. CHARMINGLASER
  • 5. Chapter 2 Operation Safety 2.1 Summarize This chapter describes safety of diode laser system X6, mainly optical and electrical safety. Caution! When press down emergency switch, dangerous voltage is broken. This equipment has adopted special design to minimize possible accident danger and radiation danger. 2.2. System Safety Test X6 is designed to maximize safety of doctor and patient. 2.2.1. Electrical Safety 1. On the maintenance panel, there is an electricity breaker. When overload happens, the electricity breaker will protect system. Turn on the equipment again, please uplift the electricity breaker; 2. Software protection contains: * After starting the equipment, the system tests all the relative safety hardware. * Monitor system goes on working during treatment. * When error happens, system would show error message for operator and stop any operation. 3. After starting the equipment, the connected handpiece will do self-test as well; 4. After starting the equipment, electrical circuit will do self-test. This test will go on during treatment. 2.2.2 Laser Safety 1. Closed light conductor will lead light to skin area to be treated with. The light emits from the front part of the light conductor; 2. When emergency switch is pressed down, the system would stop running; 3. The system has an emission indicator: One blue indicator locates on the top of handpiece; 4. When system is ready for emission, the blue indicator will light; 5. Only when press footswitch and press switch on handpiece at the same time, the laser can be emitted - it will avoid misusing; 6. After starting the equipment, water circulation will cool the handpiece immediately; 7. Test the temperature of water to avoid handpiece too hot; if water stops running or water temperature is more than 40 degrees,the laser can’t emit; 8. This equipment equips with medical footswitch for convenient using. It will avoid any short-circuit and increase the durability. 2.2.3 Treatment Room The treatment room must post a laser dangerous mark. 1. The treatment room shall not place any reflective objects including mirror; 2. Only allow people well trained to enter the room; 3. Make sure that operator is familiar with using of this equipment and turn off system in the emergency. 2.2.4 Prevention 1. Read this user manual carefully before using this equipment; CHARMINGLASER
  • 6. 2. Always keep the handpiece clean. Remember to wipe the cooling gel after each patient using; 3. Be careful when moving the equipment to avoid damage on human and machine. Please handle it gently and must not drop it down. MUST not pull handpiece to move equipment. 2.2.5 Caution 1. Technical staff is qualified to maintain the system,including adjust inner power, cooling system; 2. Make sure that X6's voltage is coincident with your country's. (110V or 220V) 3. During maintenance, system shall be turned off and unplug power cable since turned on system may cause damage to operator or system; 4. Please turn off the equipment if you don’t use it. 5. Shall not let system stay at ready condition for too long time; 6. Person who isn’t trained can’t operate this equipment. 7. Unless the handpiece is placed on the skin to be treated with, don’t press footswitch and handpiece switch; 8. During maintenance,the system could not be turned on, opened or without Person’s attention. 2.3 Relative Caution about Laser Emission 2.3.1 Burn Hazard X6 emits invisible light with wavelength 810nm which can burn eyes with third- degree burns. Please be careful. 2.3.2 Eye Injury by Radiation 1. In the treatment room, it is important that all the persons (patient and doctor) wear the protective glasses; 2. Even if the patient wears the protective glasses,he shall close eyes during treatment; 3. If the treatment area is very close (such as eyelid) to eyes,patient need to wear cornealprotector. 2.3.3 Safety Glasses Scattering from diode can do harm to eyes. All the persons have to wear safety glasses. Ensure that safety glasses can provide enough protection (OD>5). This equipment is equipped with operator safety glass and patient goggles. You can order more from our company. 2.3.4 Explosion and Fire Danger 1. This equipment is not allowed to use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. Do not operate it in the presence of volatile solvents such as alcohol or gasoline; 2. While using this equipment, we advise you to wear clothes with fire prevention materials and fire prevention function; 3. Areadily accessible fire extinguisher in the vicinity of the system is also recommended. 2.3.5 High Voltage Hazard Voltage of this system is 220V/110V. To prevent injury, make sure machine is well installed with preventive cover before using this system. Do not disassemble preventive covering. X6 generates high voltage in several parts and some parts may still has electricity after unplug the power, so only our company authorized technical personnel can maintain the system. Never leave the system turned on or unattended during system maintenance. 2.3.6 System Grounding The system can be grounded through the grounding conductor and grounding pin in the power cable. CHARMINGLASER
  • 7. 2.3.7 System Safety The system has many safety features. Clinical persons shall be familiar with the position and operation of these safety devices. 2.3.8 Emergency Shut-OffKnob The system has emergency shut-off knob for emergency shutdown. When press emergency switch, it immediately disables the power. To continue normal operation, release the emergency shut-off knob, then you can restart the system. 2.3.9 Laser Emission Indicators The system has special laser emission indicators: LED indicator The LED has three modes of operation: ★ OFF --- When system is in Standby Mode; ★ On--- When system is in Ready Mode; ★ Blinking --- When laser beam is emiting (Both footswitch and handpiece switch are activated.) 2.3.10 Double-tiered Laser Emission Security Laser beam emission is enabled only when footswitch and handpiece switch are activated at the same time. These two controlling devices help to reduce laser mistaken emission. 2.3.11 Footswitch System uses medical footswitch to avoid short circuit and ensure footswitch durability. 2.3.12 Cooling System The handpiece tip adopts thermoelectric cooling method to reduce uncomfortable after treatment. During treatment, tip temperature is less than 4ºC. The cooling water and temperature are monitored to ensure no risk of overheating of the diode. 2.4 Handpiece The handpiece is designed to ensure system safety: 1. Since the handpiece generates laser, it does not need other beam launching system. On the contrary, handpiece has an optical mixer. The optical mixer concentrates the light of thousands of transmitters together to produce the beam of monochromatic square. As the laser beam is limited in the handpiece, there is no harmful optical radiation in the console or cable. 2. While treatment,make the tip touch skin fully to reduce light deviation and improve treatment effect. 2.5 System Classification according to IEC 60601-1 ◆ Classify according to anti-electric shock protection method: system is class-I equipment; ◆ Classify according to anti-electric shock protection degree: laser tip is B type part; ◆ This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. CHARMINGLASER
  • 8. 2.6 Equipment label Located on the service panel, label information is in the following ◆ System name and part number ◆ Serial number and date of manufacture ◆ System power requirements ◆ Conform CE standard ◆ Anti-electric shock protection degree and type Power supply requirement label: Locates on power line connector Laser emission danger label: Locates on system panel Handpiece safety label: Locates on laser emission part Footswitch label: Locates on maintenance panel Fill/Drain water label: On the back panel CHARMINGLASER
  • 9. Chapter 3 Installation and Operation System transportation and installation are carried out by our company authorized technical person. Main items are: Unpack the equipment and position it in its pre-selected location; Verify the integrity of this equipment and its components; Connect handpiece, footswitch and interlock system; Connect specified power outlet; Test cooling water system; Test measurement and operation function of system parts and software. Caution! Any damage or system damage when open the package, please report to our company and to the insurance carrier at once. 3.1 Equipment Requirements Before unpacking, make sure the installation location meet the following requirements. 3.1.1 Space and Location The working area and system location shall meet equipment good ventilation, always ensure that the system left the walls or air obstructions at least 0.5m (20”). After determining the location, press the wheel top and pedal to lock the wheel braked. Thus system is fixed. 3.1.2 Electrical Requirements System requires for an independent line voltage: Monophase 110VAC±10%, 20A, 50/60Hz or 220 VAC±10%,10A, 50/60Hz. CHARMINGLASER
  • 10. The input power should be no transient current, voltage and current spark, no power vertical and surge. Input power shall have no transient current, voltage and current spark, no power vertical and surge. So this system shall be separate from other high-power electric equipment, such as elevator, air conditioning, the giant motor. When connected with external power supply, system is grounded through the grounding conductor in the power cable. Proper grounding is very important for safe operation. Caution! Ensure that use local correct power line (110 or 220 VAC). This equipment adopts independent lines and separated circuit fuse. Unless the system use dedicated circuit, it cannot be sure work normally. 3.1.3 Environmental Requirements Air quality: The system should work in a non-corrosive atmosphere. Corrosive substances such as acids can damage the surface of the wires, electronic devices and optical components. Dust in the air should be kept to a minimum. The dust particles absorb light and produce thermal effects, while thermal particles will damage the surface of the optical components. Metal particles will corrode the electronic equipment. Water quality: The system must use deionized water (pure water or distilled water). Temperature and Humidity: Work temperature:10-30ºC (50-85 F) Storage temperature:0-55ºC (50-1310 F) Work relative humidity: Max 80% Storage relative humidity: Max 90% Note! Prolonged use produces heat, it is recommended to install air-conditioning in the room. 3.2 Screen Connection The screen is easily installed and disassemble. And the screen should be install on the front and top of the system. After unpacked, please fix the screen with screws as picture showed below: Fix screen with screws. CHARMINGLASER
  • 11. 3.3 Handpiece Rack Connection The rack should be installed on left side of the system. Please install and fix it with screws as picture showed below: 3.4 Handpiece Connection The handpiece is designed to be easily changed and have safety prevention. Handpiece is connected on the front of the system. When insert or unplug the handpiece, you have to press the button and clockwise turn the button 90 Degrees. Put the handpiece on the handpiece rack to protect handpiece. 3.5 Footswitch Connection To improve safety of system while using, it is equipped with a footswitch. Only when footswitch and handpiece are pressed down, laser can be emitted. Please connect the footswitch onto the power supply panel on the back of the system 螺钉固定位螺钉固定位 Fix the rack with screws. footswitch connection Open and lock Handpiece rack Power cable ti Power switch 2 Fuses Fill water/ release Release air CHARMINGLASER
  • 12. 3.6 Fill Water Water quality will greatly influence the system working and laser output, please use deionized water only! The cooling water tank must be filled with deionized water. Change water per month to ensure normal working of system. Filling water procedure: 1. Tack off cover of TANK-EXHAUST to release water tank's water. 2. Connect funnel with WATER/DRAIN (Following picture). 3. Fill 3L deionized water. When water flows from tank-exhaust, stops filling water. 4. Put on TANK-EXHAUST cover again and take away filling water tools. 5. Connect power. 6. Start equipment and let it run for 5 minutes without activity. 7. Be ready for treatment. Note! MUST not fill running water into the water tank, but fill deionized water only! Please be sure to let system run for 5 minutes before usage after each water add/ change. This process makes water have enough time to run over from handle to water tank and to detect system fully. 3.5 Release Water Water should be released when system is placed in environment where temperature is lower than 4ºC or when system is on delivery. 1. Take off cover of TANK-EXHAUST. 2. Put a container (about 3L) near the rear panel. 3. Connect a clean water pipe with Water of the equipment. 4. Water will flow out until there is no water in the tank. 3.6 Transportation Please followe these steps to move system: 1. Put handpiece in its rack. 2. Unplug power code and footswitch. 3. Release water. 4. Release wheels's lockers. 5. Slowly push or pull system with handles in front or back. CHARMINGLASER
  • 13. Chapter 4 System description 4.1 Introduction This chapter is a detailed description of diode laser system, including main components, controlling parts and each subsystem. 4.2 Application X6 diode laser is a compact system with wavelength 810nm. The energy can go up to 120J/cm2. The whole system is constituted by main system, footswitch and handpiece. During treatment, handpiece would touch fully on skin and laser pulse comes by pressing footswitch and handpiece at the same time. The tip on top of handpiece has been done with cooled system to lower skin temperature continuously during treatment. 4.3 Components Main System*1 LCD Screen*1 Handpiece*1 Rack*1 Footswitch*1 Water Funnel*1 Power Cable*1 Tank-Exhaust Cover*1 Goggles*1 Operator Glasses*1 Keys*2 Fuse(15A)*2 CHARMINGLASER
  • 14. 4.4 X6 Casing Introduction Note: the above pictures are for reference only, please object to real machine. 4.5 Product Marks 10.4" touch screen Handle Plug-in hole Wheel Emergency Power Key Handpiec Handle Rack anticreepi AirDrai Water/Drain Footswitch Fuse Powerline anticreeping switch Tank-Exhaust Emergency Switch Handpiece Wheels CHARMINGLASER
  • 15. 4.6 Program Introduction 4.6.1 Main Screen Display The screen shows mainly parameters and treatment areas. 4.6.2 Error Detection This equipment equips self-detecting device. System is continuously monitored by password lock. Software continuously detects the error of hardware. If it find error, it will show error information. 4.6.3 Control panel It includes: Emergency shut-off knob --- Red, mushroom-shaped button, which is used for shut off system in the emergency; LCD screen --- It supplies system; Key switch --- Start the system after turning off equipment. 4.6.4 Cooling System Cooling system contains: 1. Water cooling system 2. Thermoelectric cooling system (TEC) 3. Fan Caution! To avoid overheating and system functional faults, must not stem the air exit hole. 4.6.4.1 Water Cooling Closed-loop system operates with deionized water to achieve water cooling. Its purpose is to make laser cavity have a longer life. Cooling system contains heat exchangers, water containers, water pump and particulate filter. For security, when water temperature gets to 40℃,laser energy emission function fails. 4.6.4..2 Fan Two fans are separately used for water cooling and system cooling. 4.7 Laser Handpiece It contains diode laser array, light crystal, medical protection window, cooling fins, handpiece trigger mounted in the handpiece and indicator. Mark 1 Power Supply Mark 2 Laser Safety Mark 3 Footswitch Mark 4 Fuse Mark 5 Fill Water/ Release Water Mark 6 Release Air CHARMINGLASER
  • 16. Caution! The handpiece contains precise optical components. Components may suffer serious damage after falling. Be carefulwhile in use and in delivery. 4.8 Plug-in Type Connector The plug-in connector for handpiece is located in front of the system. Please press and ring the button clockwise 90º or counterclockwise 90º when install or uninstall the handpiece. 4.9 Footswitch Footswitch is brake pedal. It is connected with connector on rear panel. Only when footswitch and handpiece switch are pressed at the same time, laser can be emitted. These two controlling devices help to reduce laser mistaken emission. Only when system is at Ready mode, footswitch and handpiece switch can be started. 4.10 Parameter Setting Mode User can control equipment by selecting different parameters: 1. Application mode 2. Energy density 3. Repetition frequency 4.11 Pause For security, if there is no need of immediate laser emission, the equipment shall stay at Standby situation. If operator leaves treatment room, the equipment shall be turned off. 4.12 Parameter Specifications 4.12.1 Output Laser type : ★ Single Pulse Laser ★ Double Pulse Laser Wavelength: 805nm~815nm Energy Density: HR mode: up to 120J/CM2 SHR mode: up to 25J/CM2 SR mode: up to 20J/CM2 Pulse Repetition frequency: 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, 10.0 Hz Spot size: 12mm*12 mm 4.12.2 Operation and Control System control ● LCD touch screen Laser emission indicator ● OFF: No laser emission ● While laser emission, indicator continupus light CHARMINGLASER
  • 17. 4.12.3Appearance Dimensions 400mm*500mm*1260mm Weight: 50 KG 4.12.4 Power Supply 110VAC 20A,50Hz 220VAC 15A, 50Hz 4.12.5 Other Specifications Handpiece: Multi-purpose, Unpasteurized Skin cooling: Thermoelectric, 4℃, Continuous, skin touch cooling 4.12.6 Classification CDRLlaser classification, comply with 21CFR1040.10: Section IV class Laser classification, comply with EN60825-1: Section 4 class Protection against electric shock mode: I class equipment Protection against electric shock level: B type equipment CHARMINGLASER
  • 18. Chapter 5 Control and Indicator This chapter is detailed description of operation method for diode laser system. Caution! ● According to local law of each country, only allow authorized person to operate this equipment. ● This system provides laser danger labels. ● Improper operation of the system and the changes will affect the instrument’s warranty. Operation not mentioned in the user manual shall be allowed by our company. 5.1 Error Detection This equipment equips self-detecting device. System is continuously monitored by password lock, circuit breaker. ● LCD shows error information and system stops; ● The system will make sound tone which lasts longer Under this situation, you shall turn off the equipment and restart the equipment. If error still exists, refer to Chapter 7---Troubleshooting---More notes. 5.2 Preparation Before Operation 1. Connect the power line; 2. Make electricity show ON; 3. Insert key and release emergency switch; 4. Connect handpiece with equipment; 5. Connect footswitch with service panel; 6. Make sure that all the persons in the clinic room wear suitable safe glasses. 5.3 System Operation Before operating this equipment, you shall: 1. Start equipment (Refer to 5.3.1) 3. Enter languages selecting interface (Refer to 5.3.2) 4. Enter mode selecting interface (Refer to 5.3.4) Caution! 1. Before laser emitting, make sure that all the persons are well protected from laser or reflected. 2. To protect eyes from injury and discomfort, make sure that all the persons in the clinic room wear glasses recommended by our company. 3. Even though wear suitable safe glasses,you cannot look laser in the eyes or through reflective objects. 4. Never emit laser without touch skin. Laser only emits to skin to be treated with. 5.3.1 Start System 1. Make sure that emergency switch is released (release it by clockwise turning); 2. Make anticreeping switch show ON; 3. Turn key switch 90 degrees; 4. Screen shows “0% Loading…”. At the same time, system make self-test. If self-test success, screen shows “100% Loading…”. CHARMINGLASER
  • 19. 5.3.2 Selecting Languages The system X6 provides 3 modes of languages for option: English, Spanish and Chinese. 5.3.3 Selecting Working Modes The system X6 provides 3 working modes for option: HR, SHR and SR. Click the working mode you want and go into related mode parameter selection interface. E.G. click go into HR working mode interface. 5.3.4 Introduction ofHR Working Mode 5.3.4.1 Interface ofHR working mode CHARMINGLASER
  • 20. Click and interface will go into the HR parameter setting interface. Note: "SKIN TYPE" is default skin type 1 when login the interface. 5.3.4.2 Skin type selection You can select skin type I-VI from "SKIN TYPE"table here: Each skin type has relative default parameters. Energy decreases from skin type I to skin type VI. Skin Type Frequency Energy level Energy level scope level Ⅰ 1.0 27 1-120 Default level Ⅱ 1.0 25 1-100 Default level Ⅲ 1.0 23 1-80 Default level Ⅳ 1.0 21 1-60 Default level Ⅴ 1.0 19 1-40 Default level Ⅵ 1.0 17 1-20 Default level 5.3.4.3 Parameter adjustment At "FLUENCY J/cm2)" area, click and to decrease and increase energy output. At "FREQUENCY(Hz)" area,click and to decrease and increase laser pulse frequency. CHARMINGLASER
  • 21. Note: on HR mode, FREQUENCYcan be 0.5Hz, 1Hz, 2Hz,3Hz, 4Hz, 5Hz. We suggest that you use lower frequency first and use higher one when you are familiar with this laser X6. Click "READY" to get laser X6 prepared for treatment Click "STANDBY" to logout ready status. Click to get back to working mode selection interface. 5.3.5 SHR Working Mode 5.3.5.1 Interface ofSHR working mode Click and interface will go into the HR parameter setting interface. Note: Energy of FLUENCYis default 10J/cm2. 5.3.5.2 Parameter adjustment At "FLUENCY J/cm2)" area,click and to decrease and increase energy output. Note: At SHR working mode,the laser output frequency has default 10Hz. CHARMINGLASER
  • 22. Click "READY" to get laser X6 prepared for treatment Click "STANDBY" to logout ready status. Click to get back to working mode selection interface. 5.3.6 SR Working Mode 5.3.6.1 Interface ofSR working mode Click and interface will go into the HR parameter setting interface. 5.3.6.2 Parameter adjustment At "FLUENCY" area,click and to decrease and increase energy output. At "FREQUENCY(Hz)" area,click and to decrease and increase laser pulse frequency. CHARMINGLASER
  • 23. Click "READY" to get laser X6 prepared for treatment Click "STANDBY" to logout ready status. Click to get back to working mode selection interface. 5.4 Emitting Laser Caution! When system is at Ready status, the indicator light on handle will light on (RED). When system is at Ready status, laser emits once pressing footswitch and handpiece switch at the same time. Note! When system is at Ready status, you are not able to adjust parameters; if you want to adjust parameters, please go back to Standby status. 1. If cooling system isn’t blue, must not begin treatment; 2. Make sure that tip has aimed at skin where should be treated with before press footswitch; 3. After pressing footswitch, press handpiece switch. Only when the two switches are pressed down at the same time, the laser can emit; 4. Total pulse number used will show 5. Release handpiece switch or footswitch, laser will stops emitting. Note! If you press handpiece switch or footswitch only by accidence,laser will not emit. 5.5 Detection System in X6 5.5.1 System TestAlarm When system find system error during treatment or standby mode, system will note “System Error”. Click can login the detection interface. Cooling system indicator light CHARMINGLASER
  • 24. 5.5.2 Routine Test Parameter State: This interface is the self-detection interface of diode laser system X6. It will real-time monitoring water flow, water temperature and crystal temperature, etc. In this interface, when all numbers in "Electricity" and " SU" shows in green means all is in normal station. If any of the numbers shows in red, it means that part is abnormal and system cannot go on working. Detection Parameter Table: Detection Parameter Symbol Identity ofSign Status Display I1 Hall sensor collecting circut Number display I2 Power current output Number display I3 Power current output Number display V1 Power voltage output Number display V2 Power irradiation/ non-irradiation Ok or NG K1 Power dead-stop/ normal Ok or NG D1 Power launch/ non-launch Ok or NG NOTICE: 1. "OK" means the working is in normal status; 2. "NG" means the working is in abnormal status; 3. "Number display" refers to the value of real-time detection, "Number in green" means the working is normal, "Number in red" means the working in abnormal. 5.6 System Shut Off 1. Go back to Standby mode; 2. Turn off system by turning key switch counterclockwise 90 degrees; 3. Turn OFF the Electricity breaker; 4. Unplug power supply; D2 Power overpressure/ normal Ok or NG Q1 Power shortcircuit / normal Ok or NG J1 Power open circuit / normal Ok or NG X1 Power overcurrent/ normal Ok or NG W1 Water inlet current of laser generator Number display W2 Water outlet current of laser generator Number display T1 Inlet water temperature of laser generator Number display T2 Outlet water temperature of laser generator Number display W3 Water line lower limit directive Ok or NG T3 Temperature of crystal Number display WX1 Detection of inlet water current circuit of laser generator Number display WX2 Detection of outlet water current circuit of laser generator Number display TX1 Detection of inlet water temperature circuit of laser generator Number display TX2 Detection outlet water temperature circuit of laser generator Number display TX3 Detection of crystal temperature circuit Number display X3 Detection of crystal temperature circuit Number display CHARMINGLASER
  • 25. 5. Clean handpiece (refer to Chapter 6) 6. Put handpiece on handpiece rack. Note! You can press down the emergency switch to shut off the system if necessary and can release it when problem solved. Never leave key switch in the system to avoid unauthorized person using equipment. Chapter 6 System Maintenance Normal maintenance can be carried out by non-authorized technical person unless it is specially stated. For health, please keep equipment and handpiece clean after each treatment. Caution! Please maintain equipment after turning off equipment and unplugging power supply or it may harm person and equipment. 6.1 Regular Maintenance Regular maintenance ensures best working condition. Authorized technical persons should check by following operations every 6 months: · Total system test. · Inner test,including cleaning accumulated dust. · Use energy meter to check laser output power. · Cooling system: 1. Test water level; If needed,add deionized water 2. Change ion filter; 3. Clean water tank 4. Check the seal ring of ion filter connector Caution! System’s inner part shall be tested by professional technical person only! 6.2 Service Information Matters of this system are relative to serial number on the rear panel. It is necessary when we are doing after-sales service for you. Caution! Unmentioned, unauthorized maintenance and modify can make radiation to operator. Unsuitable using and adjusting this system may lead to warranty agreement invalid. 6.3 Normal Maintenance The below maintenance process should be finished by operator. Caution! CHARMINGLASER
  • 26. System causes high voltage and laser radiation after connecting with power. So before maintenance, please turn off equipment and unplug power cable. Maintenance insides the machine should be processed by technical persons. 6.3.1 Clean and Disinfection Use cotton with 70% alcohol to clean system cover. 6.3.2 Clean Handpiece Check handpiece everyday, including test its integrity and its crystal. If handpiece cannot clean easily, please use wet cotton. Use cotton with 70% alcohol to clean crystal after treating with each customer. 6.3.3 Change Filter Cooling system has deionized water and this will prolong laser lamp lifetime. To ensure water quality, cooling system is installed ion filter. Change filter once a year at least (we suggest you change it each 6 months) and the procedure can be finished by operator. Changing Ion Filter Procedure: Take out : 1. Release water form system. 2. Open cover of system on right side and you can see the ion filter. 2. Press the connecting keys (A and B) to make ion filter leave them. 3. Lightly pull the ion filter form the clip. 4. Throw away the used ion filter. Installation 1. PressAand B; 2. Connect ion filter connector with Aand B; 3. Make ion filter go through the clip; 4. Close the cover. 5. Add water again,make system run for 5 minutes and then you can operate it. CHARMINGLASER
  • 27. Chapter 7 Troubleshooting ▲X6 diode laser system has self-test software and it will monitor system operation. ▲When it finds error, LCD screen will show error information. ▲The error will stop the system but operator has to turn off system by key switch and power switch. ▲If situation unmentioned in this chapter happens, it should be handled by technical person. Please contact us first. ▲ Don’t try to disassemble or open system’s cover if not authorized. 7.1 Warranty System warranty is one year. Unsuitable using and adjusting this system may lead to warranty agreement invalid. 7.2 Troubleshooting The below table shows the proper error message/alarm information, reasons and solutions. If this form can’t help solve problem, pls contact with us. Error Message/Alarm Reasons Solutions Out of order System trouble. Restart / contact with us. Error nothing Test system has trouble. Restart / contact with us. Key-stroke of handle failure Handle does not well-connected. Turn off the system, re-connect the handle and restart the system. Foot switch failure Foot switch is not well-connected. Re-install the foot switch and restart the system. Water current alarm (W1, W2) There is no water inside the machine; Water current sensor has wrong detection; Water pump is not working. Fill water into system fully; Restart system after 1 minutes waiting. 3. If problem not solved, please contact us. Water temperature (T1,T2) Too high water temperature; Temperature sensor has wrong detection. Restart system after 5 minutes waiting; If problem not solved, please contact us. No display after key switch on. Emergency switch is locked up; Power switch on back of system is locked up; No power supply; Screen has no display. Restart system by clockwise rotating emergency switch; Uplift power switch; Check if there is power supply and if power plug is well-connected; If problem not solved, please contact us. No cooling when laser is working. Not enough time for cooling; Hardware failure. Wait for 1-2 minutes; If problem not solved, please contact us. Laser does not come out when pressing foot switch and handle. System is in standby status; Foot switch does not service panel; Foot switch faulty. Switch over to Ready mode; Check the connection of foot switch; Change a new foot switch. Crystal temperature alarm (T3) Too much temperature on crystal; Temperature sensor has wrong detection. Wait for 5 minutes after turning off system; If problem not solved, please contact us. Water line alarm (W3) No water in water tank or there is no enough water there; Sensor has faulty detection. W3 showing red means water line lower limit, please add water; If problem not solved, please contact us. Laser power alarm (K1) Too much power output. Go to the alarm interface and press Reset CHARMINGLASER
  • 28. Laser power has problem. to restart system; Reinstall the handle and restart the system; If problem not solved, please contact us. No display on screen. Wrong signal between screen and main control panel; Signal line is not well-connected. 1. Check if the screen correctly install and restart the system; If problem not solved, please contact us. CHARMINGLASER
  • 29. Chapter 8 Clinical Guide 8.1 Introduction This part can provide help to professional person who operates laser diode system. This chapter descripts how to use this equipment, how to prevent danger and warning information. Please read the chapter 1-7 before reading this chapter. 8.2 Applications and Indications 1. The laser diode system can be used for hair removal on body and face. It can achieve hair reduction permanently. The system is expected to be used for all skin types. 2. The hair removal process is based on selective photothermolysis principle. This method is to destroy hair regeneration. It rises hair follicle temperature high enough to destroy hair generation cells, but it will not damage the epidermis and surrounding tissue. 3. The unique cooling technology make laser shoot to hair roots, at the same time, the cooling protects the skin and surrounding tissue, improves patient’s comfort. 4. Diode with 810nm wavelength is suitable for removing excess hair. The effect is stable, long or permanent reduction. 8.3 Contraindications Cancer,especially skin cancer Pregnancy Use photosensitive drugs and traditional Chinese medicine Disease easy activated by 810nm wavelength Sun exposure or tanning 3~4 weeks before treatment Skin to be treated with has inflammation Scar tumor history Diabetes (dependent on insulin injections) Sensitive skin Endocrine disorders (light irritation) Use anticoagulant Epilepsy Blood coagulation history 8.4 Side-Effect after Treatment Diode system is similar to other laser technical products. Normally it can cause controllable or uncontrollable injury to tissue: ◆Erythema and edema may happen and l last for severalweeks in 2-24 hours after treatment; ◆In 48 hours after treatment, patient may feel allergic, itching, mild burning sensation or pain symptoms on treated skin; ◆After treatment, there may appear blisters, skin necrosis or surrounding skin ppears pigmentation. They exists for severaldays or severalweeks and they may obvious; ◆Eyes may get injured if people in room do not wear glasses; ◆It is very important to observe the reaction of skin during the treatment. Improper usage or energy is too high CHARMINGLASER
  • 30. may cause injury and other effects. 8.5 Other Possible Effect during Treatment ◆Discomfort --- During laser emission, some patient feel discomfort; Some feel like bitted, others feel like flagellated lightly or burning sensation lasts for one hour after treatment. Most patient can tolerance the treatment and some patients need anesthesia before treatment; ◆Skin texture damage --- In some cases,the patients blister who may need to do routine wound protection; ◆Pigmentation change --- Pigmentation of treated skin may change. IV and VI skin types may appear pigmentation or pigmentation reduction, and this may happen to patients who has exposed to sun one week before or after treatment. Some patients may cause pigmentation even if he does not expose in sun. These pigmentations disappear gradually in 3 to 6 months. Only in rare cases,pigmentation will leave; ◆Scarring --- Scarring is very rare, such as proliferative hypertrophic scars or keloids. Compliance with this clinic guide before and after treatment can be effective in reducing the scarring possibility. ◆Excessive edema --- After treatment, nose and cheeks appear temporary edema. Usually edema disappears in severalhours or lasts for severaldays; ◆Fragile skin --- Treated skin and surrounding skin becomes fragile after treatment. If this happens, don't make up and do massage right after treatment. ◆Bruises --- After treatment, purple bruising may appears and lasts for several days. When bruises disappear, the skin turns red and the color disappears in 3 months. 8.6 Eye Protection ◆It is very important for all persons in the clinic room to wear safe glasses; ◆Eye’s optical density is 5 (OD>5); ◆The patient has to close eyes during treatment, even if he wears safe glasses; ◆If patient could not wear glasses,he can use eye patch to completely prevent glare into eyes; ◆If treated skin is very close to eyes or eyelids, use cornealboard to protect eyes. 8.7 Vision Safety ◆Avoid glare into eyes; ◆Eye shall not straight on emitted laser or reflecting surface,even if it wears safe glasses; ◆While operating pause,the system is set to standby mode to prevent laser emission with negligence; ◆Only when the light aims at skin to be treated,you press footswitch and handpiece switch. 8.8 Fire Safety ◆The hair of treatment part shall be removed. If it is necessary, place disinfectant soaked gauze near the treatment area; ◆Ensure that you can get fire extinguishers at any time; ◆Avoid using combustible paper products or ensure that they have been volatile before laser/optical radiation; ◆This equipment is not suitable for use in the presence of combustible or anesthetic; ◆The oxygen pipe has to be laser safe. 8.9 Application Mode Each application mode contains predefined pulse parameters: the mixed-mode rate, warm-up pulse segment and total pulse width of treated pulse segment; Mixed-mode --- Energy is transported with pulse processing method which is controlled by proprietary software. During treatment, warm-up pulses and therapeutic pulses are mixed by this method to become the optimal pulse for the skin type. CHARMINGLASER
  • 31. Pulse width --- Each pulse duration (from warm-up to treatment segment) is in milliseconds. The operator set the system pulse width according to pulse type key via software control. 8.10 Energy Density In each treatment, the operator set the energy density output (joules/cm2). Energy density is: total energy (joules) of selected pulse type/ spot size (cm2). Scattering of a large spot (12mm*12mm) is minimal. So the result is sustained energy output and deeper penetration; the greater the energy density, the higher temperature of target hair tissue, surrounding tissue and epidermis. 8.11 Before Treatment The parameters are depended on skin type, hair color, hair type, hair intensity, etc. Once treatment parameters are chosen, you should shave hair, clean treated skin and remove all hair and scrap that may affect treatment. 8.12 Cooling Technology The cooling technique reduces the initial skin temperature to protect it before, during and after treatment. It can reduce discomfort and increase energy to maximum without increasing adverse effects. Dense hair (30-40 hairs /cm2 ) produces higher temperature because each cm2 has more melanin. Surrounding tissue will produce excessive heat and hurt tissue and so the more bushy, use lower energy. 8.13 Take Photo We recommend taking photos before and after treatment to record treatment results. 8.14 Surface Anesthesia The system incorporates a unique mixed-mode and dual cooling technology. Patients can still use anesthetic (such as EMLA) to avoid any feeling. The anesthetic is usually coated in the preoperative period of time (1 hour). Remove all narcotic residue before treatment. 8.15 Explanation before Treatment 8.15.1. Preface Consult physician for the first time: ◆ Bring detailed medical record, including previous treatment method and check whether the skin is appropriate to accept the system treatment; ◆ The patient who accepts prolonged sun exposure or artificial sunbathing within 48 hours before treatment cannot do treatment; ◆ Patient who will accept prolonged exposure to sunlight cannot do treatment; ◆ If skin to be treated has herpes simplex history, the patient needs preventive drug treatment before treatment; ◆ Identify patients; ◆ Discuss with patient about treatment goals. 8.15.2. Consolation Service The physician shall tell patient following at the first consolation: Understand why the patient seek treatment and his or her expectations. Discuss with patient about : CHARMINGLASER
  • 32. ◆Laser treatment needs multiple treatments and a few months time; ◆It may cause some discomfort or pain during treatment; ◆It may cause temporary erythema and edema after treatment; ◆Skin gradual recovery may last for severalmonths; ◆Have a very small possibility of adverse effects,such as skin color changing is usually temporary. 8.15.3. Skin Test Energy is the key for best treatment effect and minimal adverse effects. Usually patient should make a skin test with following parameters before treatment: Fitzpatrickl-VI Skin type Hair type Treatment times (Scope) Energy Area I Thick 6 10 12*12 Thin 9 II Thick 6 10 12*12 Thin 9 III Thick 6 10 12*12 Thin 9 IV Thick 6 9 12*12 Thin 8 V Thick 6 8 12*12 Thin 7 VI Thick 6 8 12*12 Thin 7 Advice: wait for 30 minutes for I-III skin, wait for 45 minutes for IV-VI skin and see skin reaction. 8.16 Treatment Start after selecting treatment parameters. Caution! Extensive heat transmission may hurt skin and cause skin hypertrophy, atrophy or abnormal pigment and other symptoms. 1. Ensure that the patient comfortably lie on the operating table and wear goggles.; All personnel have to wear safe glasses. Operator can easily touch treated area. 2. Clean perfume, make-up residue and sunscreen of skin. 3. Check the handpiece and make sure it is cold. 4. Select appropriate settings and save selected parameters. The operator can treat with patient who has the same situation, using the same parameters. 5. Make handpiece perpendicular to skin and touch skin; Gently press the end of handpiece on skin to make full touch. 6. After starting treatment,check skin at any time to observe its response. 7. Carefully diagnostic test results. 8. If get desired effect,continue treatment with the same parameters. 9. Press footswitch and handpiece switch to start treatment. CHARMINGLASER
  • 33. 10. From time to time to view the color and hair follicle morphology of treated skin (erythema and edema). You can also smell hair burning even if parameters set is appropriate. 11. If adverse effect (such as excessive redness) happens before good response of hair follicle, please reduce energy to reduce hurt. Reduce damage by decreasing 5-10% energy or adjust pulse type to a larger value. 12. If skin has no adverse reaction or morphological changes,you increase energy 5-10% to get expected effect. 13. Cool skin right after treatment. Caution! Laser can lead to serious eye damage or blindness. In order to improve safety, the patients need to wear goggles during facial treatment. Note Do not treat with hair whose color is lighter than surrounding skin. 8.17 Treatment Parameters The parameter reference setting is based on the user experience. In addition, users can select and set parameters based on real practice. Treatment parameters includes skin type, hair density, laser energy density and repetition rate. Note: the average treatment area is 12mm*12mm. You can adjust treatment times based on the real treatment area. 8.18 Post-Operative Care After treatment, put cool (not frozen) water bag/towel on treated skin to reduce edema and discomfort. You can also use cooled & soaked gauze. Pay attention to prevention of injury in 4 hours to 5 days after treatment and avoid hot bath, aerobics and massage. ● Sun exposure --- Patients need to smear a high index of sunscreen (the SPF>30) and avoid direct sunlight in a month after treatment. Postoperative exposure can cause pigment regeneration, resulting in pigmentation. ● Make-up --- make up can be applicable in daytime. During this period, skin is sensitive. Avoid hurting skin or get infection when removing make-up. Fitzpatrickl-VI Skin type Hair type Treatment times (Scope) Energy Energy I Thick 8 (6-10) 10 Thin 9 II Thick 8 (6-10) 10 Thin 9 III Thick 8 (6-10) 10 Thin 9 IV Thick 8 (6-10) 9 Thin 8 V Thick 8 (6-10) 8 Thin 7 VI Thick 8 (6-10) 8 Thin 7 CHARMINGLASER
  • 34. ● Other advice --- Patient shall avoid strenuous exercise or similar activities within a few days until recover completely. 8.19 Follow-up The following is follow-up suggestions and the patient can test his own situation according to these: ◆ Usually, the patient can accept more treatments in 6-8 weeks after treatment. The time is different according to different treatment result and hair growth cycle. ◆ If no need for more treatments, patient shall accept checking again in 3-4 months after treatment or patient shall accept checking when hair growth in treated area. ◆ If parts of hair is removed, patient shall accept checking again in 6-8 weeks after treatment. ◆ If you observe no changing, change treatment parameters, do more treatments, adjust interval time to let new hair grow in different parts (growth cycle) and different individuals (sex, hormones). ◆ Recommend patients to avoid sunlight during treatment process. 8.20 Finish Treatment The professional person judge when finish treatment or decide according to patient satisfaction of treatment goal. CHARMINGLASER