TattooStar - Asclepion South Africa · 2018. 5. 23. · TattooStar Effect Y TattooStar Effect COMBO Specifications. TS 100 1116 EN 5 Clinical success •1998: The RubyStar is one

TattooStar Family- Q-switched Ruby & Nd:YAG Laser -

TS 100 1116 EN 2

For more than 35 years, Asclepion has been operating on the medical lasermarket. As the company is based in Jena, famous through the world as theglobal center of the optics industry since 1846, the company owes it successto the steady development of new technologies and the active collaborationwith researchers from German universities and industries.

• More than 35 years experience in the aesthetic laser medicine and surgery

• Development, production, service & training center in Jena

• TOP100 of the most innovative medium-sized businesses in Germany

Technology „Made in Germany“

TS 100 1116 EN 3

The first Q-switched laser from

Asclepion was launched in

1998. Now we present the

latest generation of Q-switched

laser for the aesthetic laser

medicine, where you can have

up to 4 different wavelengths

(532, 585, 694, 1064 nm) in

one system:

TattooStar Effect COMBO.

RubyStar

RubyStar+

TattooStar Y

Mile

sto

ne

s o

f p

rod

uct

intr

od

uct

ion

of

Q-s

wit

che

d la

ser

syst

em

sThe new dimension of Q-switched lasers

TS 100 1116 EN 4

Laser: Q-switched Nd:YAG laser (Y), class 4

Q-Switched ruby laser (R), class 4

Q-switched ruby and Nd:YAG laser (COMBO), class 4

Wavelength: 694 nm (R)

532, 1064 nm (Y)

585 nm (Dye)

Energy: Up to 1.5 J (Y), 1.2 J (R)

Pulse duration: Approx. 8 ns (Y), 40 ns (R), 300 µs free running mode (Y)

Frequency: Up to 10 Hz (Y), 2 Hz (R)

Fluence: 1064 nm: Max. 37 J/cm² (Q-Switch: 20 J/cm²)

694 nm: Max. 20 J/cm²

532 nm: Max. 10 J/cm²

585 nm: Max. 5 J/cm2

Spot sizes: 2 – 2,5 – 4 – 5,5 mm (Y), optional 7 mm (free running mode)

2,5 – 4 – 5 mm, TattooStar: optional 6 mm (R)

TattooStar Effect: optional 7mm (R)

7x7 mm with MicroSpot handpiece (R)

(Fractional, 196 MicroSpots with Ø 300 µm, 30% cover rate)

All specifications are subject to change without notice.

TattooStar R

TattooStar Effect RTattooStar Effect YTattooStar Effect COMBO

Specifications

TS 100 1116 EN 5

Clinical success

• 1998: The RubyStar is one of the most

successful Q-switched lasers in

Germany with over 100 systems in the

market.

•The hundreds of satisfied customers in

Germany and worldwide and their

feedbacks had influence in the

development of the latest generations.

• More than 12 years experience.

USPs

• Up to 4 different wavelengths in one system

• Microlens array technology

• Application without gaps due to square shaped spots

• MicroSpot technology

• Very homogeneous beam profile

• Automatic spot size detection

• Intuitive operation

• Sterilizable distance holder

• Reliability

Clinical success and USPs

TS 100 1116 EN 6

state-of-the-art technology Microlens array patented EP1112524

homogeneous spot at every size and fluence

sterilizable distance holder

automatic spot size detection

Microlens array Homogeneous spot Distance holder for different spots(including corresponding optics)

Standard handpiece

Standard handpiece

TS 100 1116 EN 7

Handpiece (fractional for ruby laser)with MicroSpot technology

use of highly reliable microlens arrays

flexible adjustment of Fluence and Speed

optimal coverage for the treatment

Spot size 7,1 x 7,1 mm

Numbers of spots 196 (14 x 14)

MicroSpot Ø 300 µm

Gap 200 µm

Coverage Approx. 30 %

Energy & Fluence

Max. Energy 1.13 J 8.0 J/cm2

Min. Energy 0.31 J 2.5 J/cm2

MicroSpot handpiece

Homogeneous spot fractional

MicroSpot handpiece

TS 100 1116 EN 8

• worldwide first and only Ruby laser with fractional technique

• very homogenous spots

• clearly more mild treatment very gentle method

• normally no down time, sun cream and make up can be applied

• side effects even less compared to ablative fractional laser treatments

• therefore: new applications pigment removal of large areas as the whole face

• painless treatments without anesthesia

• quick treatment procedure for the today‘s busy clients

• reliable technology by Microlens array

Advantages of fractional Q-Switched ruby laser

TS 100 1116 EN 9

Treatment flexibility

The wavelength of the Q-switched Nd:YAG lasercan be set to frequency doubled 532nm (greenlight).

By means of a special dye this green light can betransferred to yellow light (wavelength of 585nm).

This principle is realized with the Dye handpiece ofthe TattooStar Effect Y.

With the yellow light of 585 nm, e.g. sky-bluetattoos can effectively be treated.

DYE handpiece

DYE Handpiece (for Q-switched Nd:YAG)

TS 100 1116 EN 10

X

Round spotno overlap -> gapsOverlap -> more treatment time

Non homogeneous Spotby Gaussian profile

X Square spotno overlap necessary

Homogeneous spotby Flat Top Profile

Homogeneous, square Spotfor a safe and effective treatment!

TattooStar

Other lasers

X

X

Beam profile and spot shapes

TS 100 1116 EN 11

TattooStarFlat Top Pulse Q-Switch Nd:YAG

traditionalGaussian Pulse q-Switched

Nd:YAG

By courtesy of Prof. Dr. D. Cassuto, Milan, Italy

Comparison beam profile

TS 100 1116 EN 12

Display TattooStar Effect

• detachable 12“ high resolution display

• pre & post treatment pictures and videos

• patient library and list of indications with treatment parameters

• treatment suggestions and procedure

• about Asclepion

Display TattooStar R

• easy use by touch screen

• fluence and speed adjustable directly

• display of energy in the Work Screen

• patient library

User interface

TS 100 1116 EN 13

0.0001

0.001

0.01

0.1

1

10

100

1000

10000

100000

100 1000 10000

Wavelength [nm]

Ab

so

rption

Co

effic

ien

t [c

m-1

]

400030002000 5000500400300200

Melanin

Protein Water

Scattering

Desoxy-Hemoglobin

Oxy-Hemoglobin

HIGH ABSORPTIONin the Melanin of pigmented lesions and in the ink of tattoos. Pigments are fragmented by the Q-Switch pulse and reabsorbed by the lymphatic system.

Ruby laser:LOW ABSORPTIONin blood and water.Side effects in blood vessels and other tissue are marginally.

Nd:YAG laser:LESS ABSORPTIONin Melanin.More safe for dark skin.

Selective absorption

TS 100 1116 EN 14

• (benign) Lentigines

• Epidermal naevi

• Naevus Ota/ Ito

• Tattoo

* besides sun protection before and after treatment, it is always necessary,otherwise recurrent lesions have to be treated once more

Indication 694nm 532nm 1064nm 585nm

Technology Ruby Nd:YAG Nd:YAG DYE

Benign pigmented lesions

yes yes(superficial)

yes(dark and/or deep)

yes(superficial, lighter)

TattooPermanent make-up

Black, blue, green Red Black, blue Light blue

Dirt tattoos yes no yes no

Melasma/Chloasma* yes (MicroSpot FRx) no no no

By courtesy of Dr. Paul Wood, Proderma, Bad Homburg, Germany

Indications

TS 100 1116 EN 15

Laser treatment is the only,

almost bloodless and efficient treatment method.

• no scars

• fast and painless treatment

• usually no anesthesia required

• after the treatment the patient

can carry on as normal.

Indications | Removal of tattoos

TS 100 1116 EN 16

composition of professional Tattoo inks

(University Regensburg, Dr. Bäumler, Prof. Landthaler, BASF Research)

• only 16 main substances

• 41 colorants

• contain of organic pigments

• main component Aluminum

• basic substance: car paint

• 85% dark colors

• substances are toxic


TS 100 1116 EN 17

E. Richter et al: In vivo analysis of solar Lentigines by reflectance confocal microscopy before and after Q-switched Ruby laser treatmentActa Derm Venerol 2011; 91: 164 – 168

By courtesy of Dr. Patricia Steiner, Germany

immediately after the treatment,the skin color is typically white-gray

Clinical end point:Immediate reaction:whitening at the skin

Caused by:• extremely fast heating of pigments

and vaporizing of the tissue water• formation of vacuoles


TS 100 1116 EN 18By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany


TS 100 1116 EN 19By courtesy of Dr. Patricia Steiner, Germany

after 6 treatments (Ruby Q-switched),

red part can not be removed with ruby laser


TS 100 1116 EN 20By courtesy of Prof. Dr. D. Cassuto, Milan, Italy

after 5 treatments(Nd:YAG Q-switched 1064 nm, 8 J/cm2, 2.5 mm spot)



before after 4 treatments (Ruby Q-switched) after 8 treatments (Ruby Q-switched): nearly complete repigmentation



before after 2-3 treatments (Ruby Q-switched)



before after 14 treatments (Ruby Q-switched)


TS 100 1116 EN 24By courtesy of Prof. Dr. D. Cassuto, Milan, Italy

after 1 treatment(Nd:YAG Q-switched 532 nm, 3,5 J/cm2, 2 mm spot)

ATTENTION: During treatment of tattoos/ permanent make-up color change is possible. Test treatment!

Indications | Removal of permanent Make-Up

TS 100 1116 EN 25

before color change

after

By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany

Indications | Removal of permanent Make-Up

TS 100 1116 EN 26

Laser treatment is the only,

almost bloodless and efficient treatment method.

• straightforward procedure

• fast and efficient treatment

• painless treatment

• no scarring

• impressive results

Indications | Removal of pigmented lesions

TS 100 1116 EN 27

After 10 days

immediately after treatment,the skin color is typically white-gray


TS 100 1116 EN 28By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany



after 1 treatment (Ruby Q-switched)



before 3 months after one treatment (Ruby Q-switched)


TS 100 1116 EN 31By courtesy of Center of Biophysics, Ho Chi Minh City, Vietnam

after 4 treatments


TS 100 1116 EN 32By courtesy of Center of Biophysics, Ho Chi Minh City, Vietnam

after 4 treatments


TS 100 1116 EN 33By courtesy of Dr. med. Said Hilton, Düsseldorf, Germany

Indications | Q-switched ruby fractional





TS 100 1116 EN 36

Clinical results

„Removal of tattoos with q-switched ruby laser (694 nm) and q-switched Nd:YAG laser (532 nm and 1064 nm)”by S. Werner et al. (Hautarzt 1999, 50 :174-180)

Results: 100% brightening rate in 57% of black and 30% of colored non-professional tattoos and in 50% of black and 33% of colored professional tattoos; brightening rates of 70% to 99% in all other patients. Removal of professional tattoos takes more sessions than removal of non-professional tattoos. Removal of colored tattoos requires a number of sessions similar to that for removal of black tattoos.

„Red ink tattoo reactions: successful treatment with the q-switched 532 nm Nd:YAG laser”by F.C. Anthony et al. (Br J Dermatol 2003 ; 149 : 94-98)

Results: Depigmentation of red tattoos after six sessions on average.After six months of follow-up, treated spots were found to be flat and inconspicuous.

„Comparison of the q-switched Alexandrite (755 nm) and q-switched Nd:YAG (1064 nm) lasers in the treatment of benign melanocytic nevi“ by A. Rosenbach et al. (Dermatol Surg 1997; 23:239-245)

Results: Both lasers yield statistically significant improvement of pigmented lesions, as was confirmed by independent observers. Improvement was more pronounced in the case of the alexandrite laser. (Authors discussed possibility for compensation by selecting other energy densities; study used 6 J/cm² for both lasers.). Reflection measurement showed equally good results for both lasers. A significant reduction in epidermal pigments was histologically verified for both lasers after treatment.

„Tattoo removal with the q-switched ruby laser and the q-switched Nd:YAG laser: a comparative study”by V. J. Levine et al. (Cont Med Educ 1995; 55:291-296)

Phase 1: In 17 of 49 professional tattoos – equally good brightening of black professional tattoos.18 cases better @ 694 nm, 4 cases better @ 1064 nm. Ruby laser provides better results,if tattoos is green. Also non-professional tattoos were found to respond better to ruby laser.Phase 2: All red tattoos successfully removed in 1 to 3 sessions using the 532 nm Nd:YAG laser.

Bibliography | Q-switched laser

TS 100 1116 EN 37

Clinical results

„Fractional mode Q-switched Ruby laser for Melasma”

by Dr. Paisal Rummaneethorn, Thailand (2010)

Method: 14 cases of refractory Melasma, Fluence of 2 – 3.5 J/cm2 (in order to prevent photo-thermal reaction,

use of EMLA, Indications: Lentigo senilis, Hori‘s melanosis (Hori Nevus), Freckles, Melasma

Results: - grade 1 improvement (0-25%) – 5 patients, no scarring observed

- grade 2/3 improvement (25 -50%, 50 – 75%) – 7 patients, no scarring observed - 2 patients lost during follow up, 3 cases of post-inflammatory hyper-pigmentation

Conclusion: - Remarkable improvement after a single treatment- optimal effective fluencies still to be investigated in further studies (incl. Biopsies)

„Use of Fractional Q-Switched Ruby Laser Treatment of Facial Lentigines“

by Dr. Ron Moy, Lisa Chipps, UCLA, Los Angeles, USA (2011)

Preliminary results: Facial Lentigines, Fitzpatrick type II, 5 patients with excellent outcome, Significant lightening of lesions

after 1 or 2 treatments, Dermal lesions on types III – IV, results less convincing, expectation that with 4, 5 or 6 treatments results will improve, PIH, Anesthetic is inadequate for superficial lesions, Very good improvements on Becker Nevus, Rapid healing times, Post treatment care is much easier with the Ruby FRx

„Efficacy of 694-nm Q-switched Ruby Fractional Laser Treatment of Melasma in Female Korean Patients“ by Dr. Lee, Gowoonsesang Dermatologic Clinic in cooperation with Chung-Ang University, Seoul (2011)

Method: 15 Korean female patients aged 29–50 years (mean 39 years) with MelasmaConclusion: Treatments provides convincing improvements on superficial pigmentation,

also dermal components of pigmentations (Melasma) respond

Bibliography | Q-switched ruby fractional laser

www.asclepion.com

Documents

TattooStar - Asclepion South Africa · 2018. 5. 23. · TattooStar Effect Y TattooStar Effect COMBO Specifications. TS 100 1116 EN 5 Clinical success •1998: The RubyStar is one