Invasix InMode Operator's Manual
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Operator Manual: InMode™ System with Diolaze™ / DiolazeXL™ 755/810, 810,
810/1064 / Lumecca™ / Fractora™ / Forma™ / Plus™ / BodyFX™ / MiniFX™
DO606736C
Copyright © Invasix Ltd.
Date: June 2018
All rights reserved. Contents of this publication may not be reproduced in any form
without the written permission of Invasix Ltd.
🏭 Invasix Ltd
Tavor House, POB 533, Industrial Park South,
Yokneam, 2069206, Israel
For information call: +972-4-9096313
I InMode Spain
Pati de la Abadia nº1, Breda
17400 Girona, Spain
Contact person:
Jorge Alorda Guibernau
Tel.:+34-670 486 026
E-mail: [email protected]
Table of Contents
1 ..............................................................................................Section 1: Introduction
1.1
Before You Start
1 .....................................................................................................
1.2
1 ................................................................................................... System Overview
1.3
Conventions Used in the Manual
1 ...........................................................................
1.4
Explanation of the Symbols used on the System
2 ...................................................
3 ........................................................................................................ Section 2: Safety
2.1
The Patient
3 .............................................................................................................
2.2
3 ................................................................................................ Treating Attendant
2.3
4 ................................................................................................................. Cautions
2.4
4 ....................................................................................................... Ocular Hazards
2.5
Ocular Safety Considerations
5 .................................................................................
2.6
5 ........................................................................... Electrical and Mechanical Safety
2.7
6 ........................................................................................................... Fire Hazards
2.8
6 ............................................................................... Safety Features of the System
2.9
8 ........................................................................ Safe Use of the Active Accessories
2.10
8 ................................................................................................................ Warnings
2.11
11 ....................................................................................................... Device Labels
2.12
12 . ................................................................................................ Handpiece Labels
2.13
14 ......................................................................................Equipment Classification
Section 3: System Installation
16 .................................................................................
3.1
16 ....................................................................................... Electrical Requirements
3.2
16 .............................................................................. Environmental Requirements
3.3
16 ..................................................................................................... Equipment List
3.4
11 ............................................................................................................ Unpacking
3.5
18 ........................................................................................................... Installation
3.6
18 ......................................................................................................... Filling Water
3.7
18 .............................................................................................. Moving the System
3.8
11 ................................................................................................... System Disposal
21 ................................................................................. Section 4: Device Description
4.1
21 ............................................................................................................ Rear Panel
4.2
21 ............................................................. Front Panel and Operator Control Panel
4.3
22 . ................................................................................................ Software Screens
4.4
Sound Indicator
31 ....................................................................................................
4.5
31 .............................................................................. Cut-Off Temperature Control
4.6
31 ...........................................................................................................Handpieces
36 .................................................................................. Section 5: System Operation
5.1
36 .................................................................................................... Device Start-Up
5.2
31 ................................................................................................ System Shutdown
38 ........................................................... Section 6 – Diolaze Treatment Information
6.1
38 ............................................................................................... Indications for Use
6.2
Contraindications
38 . ................................................................................................
6.3
31 ...................................................................................... Possible Adverse Effects
6.4
31 ....................................................................... Pre-treatment Recommendations
6.5
41 . ................................................................ Tip Cleaning Instructions Prior to Use
6.6
41 ............................................................................. Treatment Recommendations
6.7
Treatment Schedule
42 .............................................................................................
6.8
42 ..................................................................... Post Treatment Recommendations
43 ......................................................... Section 7: DiolazeXL Treatment Information
7.1
43 ............................................................................................... Indications for Use
7.2
Contraindications
43 . ................................................................................................
7.3
44 ...................................................................................... Possible Adverse Effects
7.4
45 ...................................................................... Pre-Treatment Recommendations
7.5
45 . ................................................................ Tip Cleaning Instructions Prior to Use
7.6
45 ............................................................................. Treatment Recommendations
7.7
Treatment Schedule
41 .............................................................................................
7.8
Post-Treatment Recommendations
41 .....................................................................
Section 8: Lumecca Treatment Information
48 ...........................................................
8.1
48 ..............................................................................................Instructions for Use
8.2
Contraindications
48 . ................................................................................................
8.3
41 ...................................................................................... Possible Adverse Effects
8.4
41 ..................................................................................................... Pre-Treatment
8.5
51 . ................................................................ Tip Cleaning Instructions Prior to Use
8.6
51 ............................................................................. Treatment Recommendations
8.7
Post-Treatment Recommendations
51 .....................................................................
8.8
Treatment Schedule
52 .............................................................................................
53 ........................................................... Section 9: Fractora Treatment Information
9.1
53 .................................................................................. Fractional Skin Resurfacing
9.2
53 ..............................................................................................Instructions for Use
9.3
Contraindications
53 . ................................................................................................
9.4
55 ...................................................................................... Possible Adverse Effects
9.5
55 ...................................................................... Pre-Treatment Recommendations
9.6
56 . ................................................................ Tip Cleaning Instructions Prior to Use
9.7
Test Spots
56 .............................................................................................................
9.8
51 ............................................................................. Treatment Recommendations
9.9
Treatment Schedule
51 .............................................................................................
9.10
Post-Treatment Recommendations
51 .....................................................................
61 .................................................... Section 10: Forma/Plus Treatment Information
10.1
61 ..............................................................................................Instructions for Use
10.2
Contraindications
61 . ................................................................................................
10.3
62 ...................................................................................... Possible Adverse Effects
10.4
62 ..................................................... Handpiece Cleaning Instructions Prior to Use
10.5
63 ...................................................................... Pre-Treatment Recommendations
10.6
64 ............................................................................. Treatment Recommendations
10.7
Treatment Schedule
66 .............................................................................................
10.8
Post-Treatment Recommendations
66 .....................................................................
68 ............................................. Section 11: BodyFX/MiniFX Treatment Information
11.1
68 ............................................................................................... Indications for Use
11.2
Contraindications
68 . ................................................................................................
11.3
61 ...................................................................................... Possible Adverse Effects
11.4
61 ..................................................... Handpiece Cleaning Instructions Prior to Use
11.5
11 ...................................................................... Pre-Treatment Recommendations
11.6
11 ............................................................................. Treatment Recommendations
11.7
Treatment Schedule
13 .............................................................................................
11.8
Post-Treatment Recommendations
13 .....................................................................
14 ........................................................................... Section 12: System Maintenance
12.1
14 .................................................................................. Maintenance & Frequency
12.2
Before and after each treatment
14 .........................................................................
12.3
14 ........................................................................................................ Once a Week
12.4
14 ...................................................................................................... Once a Month
12.5
14 .......................................................................................................... Once a Year
12.6
15 ............................................... Filling Water for Diolaze, DiolazeXL and Lumecca
12.7
Draining Water for Diolaze, DiolazeXL and Lumecca
11 ...........................................
12.8
18 ...................... Draining the Laser/IPL Handpieces with the Water Draining Tool
12.9
11 ....................................................................... Replacing the Deionizer Cartridge
12.10
81 .................................................................................Replacing the Capsule Filter
12.11
81 ............................................................................................................... Air Filter
83 .................................................................................... Section13: Troubleshooting
13.1
83 ........................................................... Description of Faults with All Handpieces
85 .......................................................................... Section 14: System Specifications
14.1
Output Power Curves
81 ...........................................................................................
14.2
11 ........................................................................................................... EMC Safety
15 ............................................................... Table from IEC60601-1-2, / 5.2.2.1 C & F
InMode Without Vasculaze Operator Manual
Section 1: Introduction
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Section 1: Introduction
1.1
Before You Start
The manual and the equipment it describes are for use only by qualified medical
professionals trained in the particular technique to be performed.
Federal (USA) law restricts sale of this device by or on the order of a physician.
Read this manual to become familiar with all safety requirements and operating
procedures before attempting to operate the System.
1.1
System Overview
The InMode™ System is employing three different technologies for various aesthetic
applications – Laser, Intense Pulsed Light (IPL), and Radiofrequency (RF). The System
operates while in contact with any of the following Handpieces: Diolaze™,
DiolazeXL™ laser hand pieces for hair removal, Lumecca™ IPL for skin rejuvenation,
Fractora™ radiofrequency (RF) for fractional resurfacing, Forma™/Plus™ RF for facial
and body wrinkle treatment and BodyFX™/MiniFX™ RF for body contouring, fat and
cellulite treatment.
The System provides individual adjustment of treatment parameters to achieve
maximum efficiency and safety for each patient.
The System provides enhanced safety while minimizing possible side effects by
monitoring RF parameters.
1.1
Conventions Used in the Manual
The following conventions in the form of notes and warnings are used in this manual:
WARNING! This information is extremely important!
ATTENTION! Consult Accompanying Document.
Provides general information that is important to keep in mind.
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Section 1: Introduction
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1.1
Explanation of the Symbols used on the System
Symbol
Description
CSA marking
(212603 CSA master contract number)
Do not discard in trash. Electronic equipment should be
disposed of in an appropriate manner
Fuse
Type B Equipment.
Type BF Equipment
HF Isolated Patient Circuit
This equipment intentionally supplies non-ionizing RF
energy
Follow the operating instructions
Do not reuse/single use only. This symbol is used for
disposable one-time-use products.
CE Marking
-1: Device Symbols1Figure
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Section 2: Safety
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Section 2: Safety
This chapter describes safety issues regarding the use and maintenance of the
Diolaze and DiolazeXL laser Handpieces, Lumecca™ IPL
InMode™ System with the
Handpieces, Fractora™, Forma™/Plus™ and BodyFX™/MiniFX™ RF Handpieces, with a
special emphasis on electrical, optical, and laser safety, as applicable.
The System is designed for safe and reliable treatment when used in accordance with
proper operation and maintenance procedures. Only trained, qualified practitioners
can use the System. The operator and all other personnel operating or maintaining
the System should be familiar with the safety information provided in this Section.
The primary consideration should be to maximize safety for both treating attendant
and patient.
Read this chapter to be familiar with all its safety requirements and
operating procedures prior to system operation.
The laser, IPL or RF energy can cause injury if used improperly.
High voltage is present inside the System.
Always be aware of the possible dangers and take proper safeguards as
described in the manual.
1.1
The Patient
Well-trained staff is key for assuring patient safety. A patient history report should be
completed prior to scheduling. Patients should be fully informed of the treatment
details, the likely results and any risks associated with the treatment.
Jewelry and metal accessories that are within the activation range of the Handpiece
should be removed to avoid accidental laser/light reflection or RF conduction, as
applicable.
Protective eyewear must be used by patient during Diolaze and DiolazeXL lasers or
Lumecca IPL treatments.
1.1
Treating Attendant
Only authorized individuals with appropriate training and knowledge should operate,
assist in the operation of, or provide maintenance to the InMode System.
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Personnel should not operate the System until they have been fully educated in its
use. Make sure that all treatment personnel are familiar with the System controls
and know how to shut down the System instantly.
There are no user-serviceable parts in the System, and all service and repair must be
performed only by the factory or authorized field service technicians.
Protective goggles must be used by all treatment attendants when using the Diolaze
and DiolazeXL lasers or the Lumecca IPL.
1.1
Cautions
The following cautions should be heeded for safe System use:
Do not touch the System’s inner parts.
Service is supplied by company authorized personal only.
To avoid damage, do not allow the Handpiece to come in contact with hard
materials.
1.1
Ocular Hazards
The light emitted by the Diolaze and DiolazeXL Handpieces are capable of causing
serious eye damage or blindness. The light emitted by the Lumecca IPL Handpiece is
capable of causing eye irritation or damage.
All persons potentially subject to exposure must wear protective goggles or eyewear
whenever the main power is on, in accordance with national and international
standards. The protective eyewear must have an optical density (OD) of 5 or greater
at the Diolaze and DiolazeXL lasers wavelength of 730 - 1085nm (OD 5); 755nm (OD
7); 1064nm(OD >6); at the Lumecca IPL wavelength of 515-1200 nm. For users
outside the U.S., the protection values are for 730-1085, DIR LB5; for 755, DIR LB6 +
IR LB7; and for 1064, DIR LB6 + IR LB7. All approved by PSP S CE.
The laser and the IPL are to be operated only in an enclosed room with protective
eyewear for all persons; direct eye exposure is not safe at any distance within the
room. All windows in the laser room must be covered with opaque material, and
measures should be taken to prevent unauthorized access to the room. For the laser,
a remote Interlock is provided, which can be connected to the treatment room
doors, disabling laser output if the door is opened during a procedure. In addition,
compliance with ANSI Z1 36.3 and EN 60825-l requires that laser safety signs be
posted at all entrances whenever the laser is in use. Compliance with IEC 60601-2-57
requires that warning label from IR exposure be posted at all entrances whenever the
IPL is in use. Approved sign is provided with each system along with protective
eyewear. Additional eyewear or safety signs may be obtained from the
manufacturer.
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Section 2: Safety
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Never look directly into the laser aperture at the distal end of the Handpiece, even if
you are wearing safety glasses. Serious eye injury or blindness could result.
Avoid directing the laser beam anywhere other than the calibration port or intended
treatment area. Stray laser light and reflection is always a potential hazard and may
cause serious injury.
Do not treat eyebrows, eyelashes, eyelids or other areas within the bony area
surrounding the orbit. The light emitted by the laser or the IPL is capable of causing
serious eye damage or blindness. For maximum safety, metal eye goggles must be
worn by the patient for all facial treatments when laser is used.
1.2
Ocular Safety Considerations
Identify the laser room clearly by posting approved safety signs in prominent
locations.
Cover all windows to prevent laser light from escaping the laser room.
Restrict entry to the treatment room when the laser or IPL is in use. Allow access
to those personnel both essential to the procedure and well trained in safety
issues.
Never direct the laser beam at anything other than the calibration port or the
intended treatment site.
Never look directly into the laser aperture at the distal end of the Handpiece.
All persons in the treatment room must wear approved laser safety eyewear.
This includes the operator, patient, nurses, and any other persons in the
treatment room.
Do not attempt to remove the plastic shell protective covers on the Handpiece
which could allow exposure to high intensity laser light.
1.2
Electrical and Mechanical Safety
Keep all covers and panels of the System closed. Removing the covers creates a
safety hazard.
Keep hands away from the Applicator during the System start-up.
Perform maintenance procedures when the System is shut down and
disconnected from the power.
The System is grounded through the grounding conductor in the power cable.
This protective grounding is essential for safe operation.
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Move the System slowly and carefully. The System weighs approximately 32kg
(70lb.) and may cause injury if proper care is not used when moving it.
For RF Handpieces provide as much distance as possible between the system and
other electronic equipment as the activated RF generator may cause interference
between them.
1.2
Fire Hazards
The absorption of diode laser or IPL energy raises the temperature of the
absorbing material. Do not use the System in the presence of explosive or
flammable materials.
Materials conducting RF energy causes temperature rise of the absorbing
material. Do not use the System in the presence of explosive or flammable
materials conductive to RF.
Keep drapes and towels moist to prevent them from igniting and burning. Use
non-flammable prepping solutions.
Do not use flammable substances when preparing the skin for treatment. Be
especially careful with the use of oxygen.
If alcohol is used for cleaning and disinfecting, it must be allowed to dry
thoroughly before the System is used.
1.2
Safety Features of the System
The system incorporates the following safety features. All personnel operating the
system should be familiar with these features.
The System has a unique password to avoid device operation by non-authorized
personnel.
The power electronics cannot be fully activated unless the Applicator and
Footswitch have been connected to the System. With IPL, connection of the
Applicator is sufficient.
An audible tone indicates energy activation.
During activation, the System performs a self-test of the hardware.
The hardware is tested every 10ms to ensure proper operation of electrical
circuit.
The System starts at a low power setting.
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Section 2: Safety
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Temperature monitoring disables the System operation if the Handpiece
sapphire temperature is outside the operating range for Diolaze and DiolazeXL
and Lumecca Handpieces.
The power electronics cannot be fully activated unless the laser or RF Handpieces
and Footswitch have been connected to the System. With IPL Handpieces, the
connection of the Applicator is sufficient.
Diolaze and DiolazeXL Handpieces contains a comprehensive monitoring system
that allows operation only when numerous safety conditions have been met. A
fault must be corrected and the system reset before laser operation is re-
enabled. Monitoring includes the following:
Remote Interlock allows laser emission only when there is electrical continuity
across the contacts of the remote Interlock Connector (located on the rear of the
Console). The System is shipped with a remote Interlock Jumper already
connected, providing electrical continuity and allowing the laser to operate. To
set up a remote Interlock Switch, such as on the treatment room door, please
contact qualified personnel.
The Diolaze and DiolazeXL Hand Triggers allow laser emission only when the
Footswitch is pressed.
Laser Energy monitoring to verify that the laser output is within specific energy
tolerances for every laser pulse. If abnormally low or high, the laser current
(indicative of optical energy) is detected, a System fault is triggered, and the user
is notified.
As a safety feature and in compliance with U.S. and international regulations, the
Diolaze and DiolazeXL Handpieces contain an Electronic Shutter to help prevent
inadvertent laser emissions. The Shutter which is located on the Console, is an
electronic switch that is independent of, and in addition to, the normal energy
circuit for the laser when it is ON.
Releasing the Diolaze and DiolazeXL Handpiece Trigger will stop laser emissions.
In the event of an emergency, the laser can be shut down immediately by
pushing the Emergency Stop Button located on the Console. To restore
operations, rotate the Button clockwise until it pops out again. Then follow the
standard startup sequence. Since the Emergency Stop Button is not intended for
routine use, please follow the procedure in the System Operation Section for
normal shutdown.
For the RF applications:
There is skin temperature monitoring for Forma, Plus, and BodyFX/MiniFX.
There is vacuum level monitoring for BodyFX/MiniFX. RF is disabled when the
vacuum is below the predetermined level.
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Section 2: Safety
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1.2
Safe Use of the Active Accessories
Examine the connection of the Handpiece through the Connector to the System
before using. Ensure that the accessory functions as intended. Improper
connection may result in arcs and sparks, accessory malfunction, or unintended
treatment effects.
Do not wrap the Handpiece cords around metal objects. It may induce current
that could lead to electrical shocks, fire or injury to the patient or personal.
Don’t direct the laser or IPL towards the window, other treatment attendants or
on patient areas that are not intended to be treated.
When using the RF applicators, ensure that all electrodes are in full contact with
the skin. Bad coupling of both electrodes (FORMA/PLUS, BodyFX/MiniFX) with
the skin results in a specific warning sound, a message on the screen, and
disabling of RF.
Warnings 1.12
Do not connect a wet accessory to the System.
Do not immerse the Applicator under water at any time.
This equipment is for use only by trained, licensed physicians.
Only Handpieces manufactured or approved by Invasix Ltd. should be used
with InMode System.
Connect the Power Cord to a properly polarized and grounded power
source with the frequency and voltage characteristics that match those
listed on the back of the unit.
Connect the System Power Cord to a properly grounded receptacle. Do not
use power plug adapters.
Always turn off and unplug the device before cleaning.
The patient and treatment attendants must use protective eyewear during
the use of laser and IPL.
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Section 2: Safety
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The patient should not come into contact with metal parts which are
earthed or which have an appreciable capacitance to earth. The use of
antistatic sheeting is recommended for this purpose. Treatment bed or
chair should not be electric!
Use the lowest output setting necessary to achieve the desired treatment
effect. The higher optical or RF energy is applied, the greater the possibility
of unintended thermal damage of skin.
Failure of the equipment could result in an unintended increase of output
power.
The cables of the Handpieces should be positioned in such a way that
contact with the patient or other leads is avoided.
Fire / Explosion Hazard - The following substances will contribute to
increased fire and explosion hazards in the operating room:
–
Flammable substances (such as alcohol-based skin prepping agents and
tinctures).
–
Naturally occurring flammable gases which may accumulate in body
cavities such as the bowel.
Oxygen enriched atmospheres. –
Oxidizing agents (such as nitrous oxide [N2O] atmospheres). –
Endogenous gases. –
The optical or RF energy and heating associated with the System can
provide an ignition source. Observe fire precautions at all times. When
using InMode in the same room with any of these substances or gases,
prevent their accumulation or pooling within the area where InMode
procedures are performed.
The operation of the InMode System may adversely influence the operation
of other electronic equipment.
To avoid the risk of electric shock, this equipment must only be connected
to a mains supply with protective earth.
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Section 2: Safety
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Device Labels 1.11
As required by national and international regulatory agencies, appropriate warning
and information labels have been attached to specific locations on the instrument as
identified below. The following device labels are located on the InMode device
console:
-1: System Certification and Identification Label2Figure
-2: Laser Emission Warning Label2Figure
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-3: Laser Interlock Label2Figure
-4: IPL Warning Label2Figure
-5: IPL Emission Warning Label2Figure
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Section 2: Safety
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-6: Emergency Stop Label on the emergency Red Button2Figure
-7: Footswitch Label for All Application2Figure
Handpiece Labels 1.11
The Handpieces certification and identification labels are attached to connectors on
the Handpieces. It states that the product conforms to the performance standards,
and indicates the manufacturer’s name, date of manufacturing, model and serial
number of the Handpiece.
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Section 2: Safety
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The following labels are located on the Handpieces:
-8: All Handpieces Identification Labels2Figure
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Section 2: Safety
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-9: DiolazeXL Handpieces Connector Labels2Figure
-10: Diolaze and DiolazeXL Handpiece Label for Laser Aperture2Figure
-11: 10 Lumecca Handpiece Label for IPL Aperture2Figure
Equipment Classification 1.11
The following is a list of the different equipment used and their classifications.
Electric shock protection: Class I, Defibrillation-proof Type B for the optical
Handpieces –Diolaze, DiolazeXL and Lumecca, and Type BF for the RF Handpieces
Fractora, Forma/Plus, and BodyFX/MiniFX.
Protection against ingress of liquids: Ordinary equipment.
Not suitable for use in presence of flammable substance.
Power receptacle must include protective earth and must be checked before
connecting the system.
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Section 2: Safety
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The InMode System with the Diolaze and DiolazeXL Handpieces complies with 21
CFR, Chapter L Subchapter J, as administered by the Center for Devices and
Radiological Health (CDRH) of the Food and Drug Administration (FDA). CE-labeled
devices comply with all appropriate performance standards as specified in Annex II of
the Medical Device Directive MDD 93/42/EEC. The InMode System with Diolaze and
DiolazeXL Handpieces is classified as a Class IV laser by the CDRH and as a Class 4
laser by the European Standard EN 60825-l.
Caution - Use of controls or adjustments or performance of procedures other than
those specified herein may result in hazardous laser radiation exposure.
The InMode System with IPL Handpiece is classified as IIb device defined by the
Medical Device Directive (93/42/EEC) for CE marking.
The InMode System with Fractora, Forma, Plus, and BodyFX/MiniFX Handpieces is
classified as IIb device defined by the Medical Device Directive (93/42/EEC) for CE
marking.
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Section 3: System Installation
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Section 3: System Installation
1.1
Electrical Requirements
The System will require a separate line supply of single phase (100Vac; 15A) or
(115Vac; 15A) or (230Vac; 15A) or (240Vac; 15A) 50-60Hz. Zmax = 0.03Ω.
Power receptacles must be within 15 feet of the System site.
The System should not share a power line with other equipment.
Power receptacle must include protective earth, and must be checked before
connecting the system.
For continued protection against fire, replace the fuse only with one of the
same type and rating.
Proper grounding is essential for safe operation.
1.1
Environmental Requirements
Corrosive materials can damage electronic parts; therefore, the System should
operate in a non-corrosive atmosphere.
For optimal operation of the System, maintain room temperature between
20º-27ºC (68º-79ºF) and relative humidity of less than 80%.
1.1
Equipment List
The System with all Handpieces includes the following:
System platform
Handpieces
Handpiece cradles
Footswitch
Operator manual
Power Cord.
For optical Handpieces:
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Section 3: System Installation
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User protective goggles.
Patient eyewear.
Laser and IPL “Danger” door signs, as applicable.
1.1
Unpacking
In order to unpack the device:
.1
Remove the paper strip and open the box
.2
Remove accessories and foams around the device.
.3
Take the device out of the box using top and bottom handles.
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Section 3: System Installation
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1.2
Installation
The System is designed for installation in a clinic environment. To install the System,
perform the following tasks:
Check the System and all its components for damage.
Add water. Use the Maintenance screen.
Connect the Cradle to the device (Fig. 3.1).
Connect the Handpiece to the Connector on Front or Rear Panel (Fig 4.1 or 4.2)
and place in the Cradle.
Connect the Footswitch.
Connect the Power Cord to the System inlet.
Plug the System Power Cord into an appropriate electrical outlet.
-1: Harness Support Assembly3Figure
1.2
Filling Water
The InMode System and Diolaze, DiolazeXL and Lumecca Handpieces are shipped
without water. Distilled water must be used and failure to do so will void the service
warranty. For detailed instructions refer to System Maintenance.
1.2
Moving the System
Turn the System off.
Disconnect the Power Cord.
Disconnect and remove the Handpieces.
Disconnect the Footswitch.
Release the Wheel Brakes.
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Section 3: System Installation
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Slowly push or pull the System using the Handle.
When moving to another facility, disconnect harness support, lift the System to
the vehicle and lay it carefully on its side.
For shipment with Diolaze, DiolazeXL and Lumecca, drain the water from the
System and the Handpieces, as described in Section 12- System Maintenance.
Never lift, pull or push the System using the operating panel.
Always use the handles when moving the System.
Upon unpacking, check the System for mechanical damage (e.g., cracks in
the Cable insulation).
Never leave the system or/and handpieces with water in, exposed to
freezing temperatures (< 4°C).
1.2
System Disposal
To comply with European Commission Directive 2002/96/EC on Waste Electrical and
Electronic Equipment (WEEE) and other country and state regulations, please DO
NOT dispose of this equipment in any location other than designated locations.
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Section 4: Device Description
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Section 4: Device Description
1.1
Rear Panel
Power Cord Inlet
100-240V~, 15A, 50-60Hz.
Fuse Holder
Rating is T 6.3A, 250V. Replace fuses if needed, only with fuses having
exactly the same rating.
Software Flash Memory Plug
The software plug is a flash memory with the machine software. The
software plug should be screwed to the connectors. To tighten and/or
loosen the screws use fingertips only. Do not use screwdriver as it can
damage the connectors.
Footswitch Connector
The Footswitch is connected to the inlet. Footswitch activates RF
energy if the System is in Ready mode. Place the Footswitch on the
floor near the treatment area.
RF Handpiece
Connector
Located on the upper right side of the Rear Panel and connects to one
of RF Handpieces (Fractora, Forma and Plus – upper Connector) , or to
BodyFX/MiniFX – lower Connector) through two types of Connectors.
Additional
Features
Interlock Connector
!
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Section 4: Device Description
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-1: Two RF Connectors on the Rear Panel (Arrows)4Figure
1.1
Front Panel and Operator Control Panel
The Operator Control Panel is located on the upper side of the System. The Operator
Control Panel consists of an LCD touch screen with four buttons.
4Figure
-2: Front Panel and Operator Control Panel with Optical Handpiece Connector
(Arrow)
Power On-Off
Switch
The Power Switch turns the System on and off. The Switch is
located on the Front Panel.
Optical
Handpiece
Connector
Located in the center of the front panel and connects to one of
the optical Handpieces.
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Section 4: Device Description
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Emergency Stop
Button
Stops the power instantly in emergency conditions.
LCD Screen
The LCD screen shows information about the System mode and
treatment parameters.
The Panel allows changing treatment parameters and System
mode.
Power electronics is not activated if no Handpiece is connected to its Connector on
the Front or the Rear Panel. The System recognizes the connected Handpiece and
enables opening only the relevant screen, except for Fractora and Forma/Plus that
have to be chosen manually on the interface.
1.1
Software Screens
The Splash Progress Screen appears after the On-Off Switch is turned on.
-3: Splash Progress Screen4Figure
*The SW version number will be displayed according to the software version.
After entering the individual code on the Login Screen, non-authorized use of the
device is prevented.
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Section 4: Device Description
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-4: Login Screen4Figure
Software is loaded from the plug and self-test of the System modules is performed.
After the end of the self-test the Menu Screen appears.
-5: Menu Screen4Figure
The Menu Screen allows the selection of the connected Handpiece, or entry to the
Utilities Screen.
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Section 4: Device Description
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-6: Utilities Screen4Figure
The Utility Screen contains:
Volume
This function allows the user to adjust the System volume.
Drain/Fill Water
Drain water from the Handpiece (Diolaze, DiolazeXL and
Lumecca only) and device prior to shipment and fill water
during installation.
Change
Password
Change the password by entering the old password and then
entering another 4-digit password.
Calibration
External validation module for optical Handpieces –Diolaze,
DiolazeXL and Lumecca.
Main Menu
Return to the Main Menu to select the Handpiece.
After returning to the Menu Screen and choosing the application on the Menu Screen
the corresponding Treatment Screen appears.
Pressing the DIODE icon on the Menu Screen will open and the Diolaze or DiolazeXL
Treatment Screen will open according to the attached handpiece.
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Section 4: Device Description
25 of 96
-7: Diolaze/DiolazeXL Treatment Screen4Figure
The Dioalaze/DiolazeXL Treatment Screen contains:
Selection Frame
The frame selects parameters that can be changed by
functional keys.
Fluence:
Fluence (light energy density) is changed within the limits
from 15 to 60J/cm² for Diolaze and from 5 to 40J/cm² for
Diolaze XL, and the System starts up at the minimal setting.
Cooling
Normal and Strong cooling, 10 and 2oC, respectively, can be
selected for Diolaze and 12 and 7oC for Diolaze XL.
Pulse Width
Short or Long pulse can be selected.
Pulse Mode
Pps= Pulse Per Screen
For Diolaze
Off - Single, Normal – 0.5pps, and Fast – 1pps
For DiolazeXL:
Off – Single
5-40J/cm2
1pps
5-40J/cm2
2pps
5-25J/cm2
Glide
5-10J/cm2
Counter Reset
The Pulse Counter can be reset.
Pulse Counter
Shows the number of pulses delivered from the beginning of
the treatment.
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Section 4: Device Description
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System Mode
The System has four treatment modes:
Standby mode: allows the user to set treatment
parameters. Activation of energy is not allowed in Standby
mode.
Armed mode: when the Footswitch is pressed, before the
Hand Trigger.
Ready mode: when the System is waiting for a signal from
the Trigger Switch to activate the energy. Any attempt to
change the treatment settings switches the System to
Standby mode.
Active mode: when the laser is pulsed by pressing the Hand
Trigger.
Main Menu
Return to the Main Menu to select another Applicator and
change the Applicator if needed.
-8: Lumecca 580 Treatment Screen (same screen for the 515)4Figure
The Lumecca 580 or 515nm Treatment Screen contains:
Selection Frame
The frame selects parameters that can be changed by
functional keys.
Fluence:
Fluence (light energy density) is changed within the limits
from 5 to 30J/ cm² for Lumecca and the System starts up at
the minimal setting.
Cooling
Normal and Strong can be selected.
Pulse Width
Short or Long can be selected.
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Section 4: Device Description
27 of 96
Pulse Mode
Repeat mode in Normal or Fast repetition rate or in Off as a
single pulse mode.
Counter Reset
The Counter can be reset.
Pulse Counter
Shows the number of pulses delivered from the beginning of
the treatment.
System Mode
The interfaces have three treatment modes. Standby, Ready,
and Active.
Standby mode allows the user to set treatment parameters.
Activation of energy is not allowed in Standby mode.
In Ready mode, the system is waiting for a signal from the
Trigger Switch to activate the energy. Any attempt to change
the treatment settings switches the system to Standby
mode.
When the signal from the trigger is indicated, the System
switches to Active mode. Any attempt to change the
treatment settings switches the System to Standby mode.
Main Menu
Return to the Main Menu to select another Applicator and
change the Applicator if needed.
-9: Fractora Treatment Screen4Figure
The Fractora Treatment Screen contains:
Selection Frame
The frame selects parameters that can be changed by
functional keys.
Tip Type
Allows selecting between different tip types of Fractora.
Energy
Delivered energy is changed from level 5 to 62 energy levels
and the System starts up at the minimal energy setting.
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Section 4: Device Description
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Pulse Mode
Allows choosing between single pulse and pulse trains
ranging from 0.5 to 2 pulses per second (pps).
Counter Reset
The Counter can be reset.
Pulse Counter
Shows the number of pulses delivered on one zone, and the
total number of pulses from the beginning of the treatment.
Main Menu
Return to the Main Menu to select another Applicator and
change the Applicator if needed.
System Mode
The System has three treatment modes: Standby, Ready and
Active.
Shows number of pulses delivered on one zone and total
number of pulses from the beginning of the treatment.
Return to Main Menu to select another Applicator and
change the Applicator if needed.
The System has three treatment modes: Standby, Ready,
and Active.
Standby mode allows the user to set treatment parameters.
Activation of energy is not allowed in Standby mode.
In Ready mode, the System is waiting for a signal from the
Footswitch to activate the energy. Any attempt to change
the treatment settings switches the System to Standby
mode.
When the signal from the Footswitch is indicated, the
System switches to Active mode. Any attempt to change the
treatment settings switches the system to Standby mode.
-10: Forma/Plus Treatment Screen4Figure
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Section 4: Device Description
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The Forma/Plus Treatment Screen contains:
Selection Frame
The frame selects parameters that can be changed by
functional keys.
Applicator
Allows selecting between Forma and Plus Handpieces.
Energy
Delivered energy is changed from level 20 to 62 energy
levels and the System starts up at the minimal energy
setting.
Cut-Off
Cut-off temperature settings are changed in the range of 35-
43ºC. When measured skin surface temperature reaches the
pre-set limit the RF energy is cut off.
Pulse Mode
Allows selecting between single RF pulses of 30sec in the
Single Mode and continuous RF in Repeat Mode, as long as
the Footswitch is pressed.
Counter Reset
The Counter can be reset.
Temperature
Measure
This indicator shows the skin surface temperature, as
measured by an integral temperature sensor.
Treatment Time
This function shows the total time that RF is activated.
Main Menu
Return to the Main Menu to select another Applicator and
change the Applicator if needed.
System Mode
The System has three treatment modes, Standby, Ready,
and Active.
Standby mode allows the user to set treatment parameters.
Activation of energy is not allowed in Standby mode.
In Ready mode, the system is waiting for a signal from the
Footswitch to activate the energy. Any attempt to change
the treatment settings switches the system to Standby
mode.
When the signal from the Footswitch is indicated, the
system switches to Active mode. Any attempt to change the
treatment settings switches the system to Standby mode.
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Section 4: Device Description
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-11: BodyFX/MiniFX Treatment Screen4Figure
The BodyFX or MiniFX Screen contains:
Screen Name
The BodyFX or MiniFX is determined by the Handpiece that
is connected to the System.
Selection Frame
The frame selects parameters that can be change by
functional keys.
Power
RF power is changed within the limits allowed for the
connected Handpiece. Power level settings are changed
from 10 to 50W for BodyFX and from 10 to 25W for MiniFX.
The System starts up at minimal power level setting.
Cut-Off
This indicator shows the Cut-Off temperature, which is
adjustable from 35 to 43oC. This indicates measured
temperature at which the RF delivery is stopped.
Pulse
This indicator shows the time period during which vacuum is
applied and RF energy is delivered, which is adjustable from
2 to 7sec for BodyFX and from 1-5sec for MiniFX.
Counter Reset
The Treatment Time can be reset.
Temperature
Measure
This indicator shows on line the skin surface temperature,
with a maximal Temperature of 43oC.
Vacuum Level
This indicator shows on line the negative pressure applied by
the vacuum.
Total Time
This indicator shows the total time of RF delivery.
Main Menu
Return to the Main Menu to select another Applicator and
change the Applicator if needed.
System Mode
The System has three treatment modes, Standby, Ready and
Active.
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Section 4: Device Description
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Standby mode allows the user to set treatment parameters.
Activation of energy is not allowed in Standby mode.
In Ready mode, the system is waiting for a signal from the
Footswitch to activate the energy. Any attempt to change
the treatment settings switches the System to Standby
mode.
When the signal from the Footswitch is indicated, the
System switches to Active mode. Any attempt to change the
treatment settings switches the System to Standby mode.
1.1
Sound Indicator
Periodic beeping signal is emitted, when energy is delivered.
A warning sound tone indicates Bad Coupling.
1.2
Cut-Off Temperature Control
The cut-off temperature up to an upper limit of temperature of 43oC is constantly
maintained for Forma/Plus, and BodyFX/MiniFX handpieces. When the measured
temperature approaches the Cut-off Temperature, the tone beeps double in speed. It
becomes faster when the Cut-off Temperature is reached and RF is instantly
inactivated. As soon as the temperature drops below the Cut-off temperature, RF
starts again, thus maintaining the desired temperature with safety and when
reached, RF delivery is automatically stopped. Temperature is monitored by a
temperature sensor in the Handpiece and serves as a safety feature
1.2
Handpieces
Each Diolaze and DiolazeXL Handpiece comprises an Applicator, Cable and Connector.
-12: Diolaze (Left) and DiolazeXL (Right) Handpiece4Figure
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Section 4: Device Description
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The DiolazeXL Handpiece contains:
Applicator
Diolaze comprises diode laser with linear scanning system,
cooled sapphire output window (8 x 50mm), and electronic
shutter.
DiolazeXL diode laser (the bars vary according to wavelength –
810, alternate 810 and 1064, and alternate 755 and 810nm).
There is a cooled sapphire output window (11X27.5mm), and
-12).4electronic shutter (Figure
Cable
Has a length of 170cm (67”)
Connector
The Connector is connected to the System.
Each of the Lumecca Handpieces (515 and 580) comprises an Applicator, Cable and
Connector.
-13: Lumecca Handpiece4Figure
The Lumecca Handpiece contains:
Applicator
Comprises flash lamp and reflector emitting optical energy
-13). 4through the pre-cooled light guide (30x10mm) (Figure
Cable
Has a length of 170cm.
Connector
The Connector is connected to the System.
4The Fractora Handpiece comprises an Applicator, Cable and Connector (Figure
-14).
4Single use tip is connected to the groove in the handle before each use (Figure
-15).
The tip is connected or disconnected by pull or push movement.
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-14: Fractora Handpiece4Figure
The Fractora Handpiece contains:
Handle
The Handpiece handle is made of metal and has ergonomic
design for easy treatment with high visibility of the treated area
-14).4(Figure
Cable
Has a length of 280cm (110’’).
Connector
The Connector is connected to the System Control Panel.
Tips
-15). 4Handpiece tips have 2 sizes of pin arrays (Figure
60 pins are 600µ long, and 24 pins are 2500µ long.
-15: Fractora Tips: Left 60 pin; Right 24pin (Coated/Non-coated)4Figure
Forma/Plus Handpieces comprise an Applicator, Cable, Connector and an integral
Temperature Sensor.
-16: Forma Handpiece4Figure
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Section 4: Device Description
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-17: Plus Handpiece4Figure
The Forma/Plus Handpieces contain:
Tip
Is a part of the Handpiece, comprising RF Electrodes and
Temperature Sensor.
Handle
Is made of metal and has ergonomic design for easy treatment
with high visibility of the treated area.
Cable
Has a length of 280cm (110’’).
Connector
The Connector is connected to System Rear Panel.
BodyFX/MiniFX Handpiece comprise a Vacuum Chamber, 2 RF Electrodes,
Temperature Sensor, 8-character Screen, Handle, Cable and Connector.
-18: BodyFX Handpiece4Figure
-19: MiniFX Handpiece4Figure
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Section 4: Device Description
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The BodyFX/MiniFX Handpieces contain:
Handle
The Handpiece Handle is made of plastic and has ergonomic
design for easy treatment with high visibility of the treated area.
Vacuum
Cleaner
Applied to the skin surface and shape the skin for optimal
heating.
RF Electrodes
Located in the Vacuum Chamber and delivers RF energy to the
treated tissue.
Screen
Shows the measured temperature.
Cable
Has a length of 280cm (110’’).
Connector
The Connector is located on the System Rear Panel.
Temperature
Sensor
Located in the Vacuum Chamber for the skin temperature
measurement.
InMode Without Vasculaze Operator Manual
Section 5: System Operation
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Section 5: System Operation
This section of the manual explains how to start the device, operate it, and turn it off.
Prior to using or connecting the Handpiece, inspect the System and
Handpiece for possible mechanical damage.
2.1
Device Start-Up
.1
Connect the Handpiece to the Handpiece Connector Socket on the System.
.2
Turn on the Main Power Switch on the Rear Panel.
.3
Press the On-Off button on the Control Panel to turn the device on. The
System loads the software and enters the Menu Screen.
.4
Enter a unique password to get access to the device. If the password is correct,
the System enters the Menu Screen.
.5
The System loads the software and enters a self-test mode. If any problem is
detected during the test the error message will appear (See the
Troubleshooting section in this manual). If the test is passed correctly, then the
System automatically enters the Menu Screen.
.6
Select Application from the Menu Screen and the System will enter the
Treatment Screen.
.1
Verify on the screen that the software version is properly displayed, and that
the connected Handpiece type is recognized correctly.
.8
Select the treatment parameters using Up and Down arrow keys.
.1
Apply the Handpiece to the treated area, ensuring a full contact.
.11
Press the Standby icon that will change to Ready.
.11
To start treatment, press the Footswitch for RF applicators, press the Hand-
Trigger button for IPL applicators, and press the Footswitch followed by the
Hand-Trigger press for laser applicators.
The following information is related to the Diolaze and DiolazeXL lasers only.
.12
The Cooling Down icon may appear and when the target temperature is
achieved, the icon will change to Standby. If cooling is fast enough, the
Standby icon will appear immediately.
–
If the laser is not activated within 3 minutes, the System will go back to
Standby mode.
–
After pressing the Footswitch, the icon will change to Armed.
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Section 5: System Operation
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–
After pressing the Hand Trigger as well, the icon will change to Trigger,
and the laser can be emitted to start the treatment.
.13
Lasing is apparent by the blue LED running around the window in the
Handpiece, and by an audio signal.
.14
During treatment, when the laser lightguide is heating up, the System will go
into Cooling Down mode. Wait until the icon changes to Standby mode, as no
energy is delivered in Cooling Down Mode. Press the Standby icon to resume
Ready mode.
2.1
System Shutdown
To shut down the System, turn the On-Off Switch located at the front to Off.
Turn the Main Power Switch to Off at the end of the day.
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Section 6 – Diolaze Treatment
Information
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Section 6 – Diolaze Treatment Information
Diolaze hair removal treatment is based on principles of selective photothermolysis.
The light penetrates into the skin and is selectively absorbed by melanin of the hair
shaft. The absorbed energy is converted into heat, coagulating the hair follicle.
Multiple treatments are required for best results. Light blond and white hairs, as well
as villous hairs are resistant to the treatment due to scares pigmentation in the hair
shaft.
2.1
Indications for Use
The Diolaze Handpiece is intended for hair removal and permanent hair reduction
defined as the stable, long-term reduction in hair counts at 6, 9, or 12 months
following a treatment regime.
2.1
Contraindications
Current or history of skin cancer, or current condition of any other type of
cancer, or pre-malignant moles.
Pregnancy and nursing.
Impaired immune system due to immunosuppressive diseases such as AIDS and
HIV, or use of immunosuppressive medications.
Patients with history of diseases stimulated by heat, such as recurrent Herpes
Simplex in the treatment area, may be treated only following a prophylactic
regimen.
Any active condition in the treatment area, such as sores, psoriasis, eczema, and
rash.
History of skin disorders, keloids, abnormal wound healing, as well as very dry
and fragile skin.
Severe concurrent conditions, such as cardiac disorders, sensory disturbances.
Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction,
polycystic ovary and hormonal virilization.
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
Known skin photosensitivity or using drugs increasing skin photosensitivity.
Diseases that may be stimulated by light, such as epilepsy, lupus and urticaria.
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Section 6 – Diolaze Treatment
Information
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Certain delay is recommended if other recent treatments like light, laser or RF
were performed on the same area.
Lasers can cause increased hair growth in some individuals with the highest risk
groups for being females of Mediterranean, Middle Eastern, and South Asian
heritage treated on the face and neck.
Fresh tan from sun, sunbeds or chemicals.
Vitiligo.
As per the practitioner's discretion, refrain from treating any condition which
might make it unsafe for the patient.
Do not treat the upper eyelids and the lips!
Do not treat over tattoo and permanent makeup!
2.1
Possible Adverse Effects
Possible adverse effects include but are not limited by: discomfort or pain, excessive
skin redness (erythema) and/or swelling (edema), damage to natural skin texture
(crust, blister, and burn), change of pigmentation (hyper- and hypo-pigmentation),
in-growing hairs and scarring.
Peri-follicular erythema and edema lasting for a few days after the treatment is a
desirable typical treatment end point.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
Hair removal by lasers or intense pulse light sources can cause increased hair growth
in some individuals. Based upon currently available data, the highest risk groups for
this response are females of Mediterranean, Middle Eastern, and South Asian
heritage treated on the face and neck.
2.1
Pre-treatment Recommendations
During the patient’s first visit the treating attendant should:
Complete or update the patient's medical and physical history.
Exclude from treatment anyone with the listed contraindications.
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Information
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Determine why the patient is seeking treatment and what his/her expectations
are.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
Instruct the patient about the safety warnings.
Advise the patient to avoid skin irritation or skin tanning. Sunscreen is advisable
during outdoor activity at daylight hours.
The patient should discontinue any irritant topical agents for 2-3 days prior the
treatment.
Stop anticoagulants 7-10 days prior to treatment, if medically permitted.
Photograph the patient.
Mark the treatment area with a white marker.
Clean the Handpieces parts that come in contact with the skin with 70% alcohol.
Treatment area should be shaved prior the treatment. Hairs may absorb
light and leave burn mark on the skin.
2.2
Tip Cleaning Instructions Prior to Use
Clean the Handpiece output window with 70% alcohol absorbed pad for at least
30sec and dry completely.
2.2
Treatment Recommendations
.1
Follow Device Start-Up Procedure from System Operation section.
.2
Shave the treatment area and ensure that skin is clean.
.3
Apply thin layer of water based gel to the treated area.
Prior to using water-based gel, ensure that the container of ultrasound gel
has not passed the expiration date.
.4
Make a test-spot with Normal/Weak Cooling to see epidermal end-points of
perifollicular erythema/edema. Change to Strong Cooling while treating for
better comfort and safety. Perform the test spot in the area to be treated in a
non-conspicuous site and wait according to the Table below to check the
response.
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Section 6 – Diolaze Treatment
Information
41 of 96
.5
Set treatment parameters. Typical treatment parameters are shown in the
table here:
Skin
Type
Fluence [J/cm2 ]
Pulse
Width
Cooling
Max.
Speed
I
30-40
Test - Wait at least
15-30 min.
increase or decrease
by 2-5 J/cm2
Short
Strong/Medium/
Weak
Fast
II
25-40
Test - Wait at least
15-30 min.
increase or decrease
by 2-5 J/cm2
Short
Strong/Medium
/Weak
Fast
III
20-40
Test - Wait at least
15-30 min.
increase or decrease
by 2-5 J/cm2
Short
Strong/Medium
Fast
IV
20-35
20-40
Test - Wait at least
15-30 min.
increase or decrease
by 2-3 J/cm2
Short
Long
Strong/Medium
Fast
V
15-35
Test - Wait at least 2-
3 days.
increase or decrease
by 2-3 J/cm2
Long
Strong
Fast/N
ormal
VI
15-25
Test - Wait at least 2-
3 days.
Increase or decrease
by 1-2 J/cm2
Long
Strong
Normal
For
longer
cooling
.6
Always start with a low settings level to check patient tolerance, test, watch
epidermal response, and increase or decrease settings gradually. Darker skin is
safer to treat with long pulse width. Lighter hair requires higher fluence to
InMode Without Vasculaze Operator Manual
Section 6 – Diolaze Treatment
Information
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reach the results. Stronger cooling allows better epidermis protection, but may
compromise results on very superficial hair e.g. upper lip or Asian skin in
general. Reduce fluence on thin skin and in bone proximity along with a thicker
layer of gel. Consider primarily safety for selection of parameters.
.1
Apply Handpiece to the treated area ensuring a contact with pressure, and
press trigger button to deliver Diolaze laser pulse. During one application, the
scanner covers the full length of the output window.
.8
Move Handpiece to adjacent area in the pause between laser pulses, indicated
by audio signal and blue light. Do not overlap and apply next pulses to cover all
treatment area.
.1
In a continuous mode - slide the Handpiece to adjacent area without overlap
in the time gap between two consecutive lasing events and not while lasing.
Chose Auto Repeat Normal or Fast Mode according to the speed of your hand
movement.
.11
In a single mode (AutoRepeat Off) - move Handpiece by stamping to adjacent
area without overlap and apply next pulse to cover all treatment area.
.11
If end-points are not obvious, perform another pass, preferably in a different
direction, when general erythema subsides. Occasionally, a third pass is
applied on light skin. Ensure that there is a delay of a few minutes between
passes (after the whole area is treated) before applying additional pass.
2.2
Treatment Schedule
The number of treatments is typically varied from 5-10 sessions every 4-8 weeks on
the face and 6-12 weeks on the body.
Lighter and deeper hair is more resistant and requires more treatment sessions. Hair
re-growth should be observed prior the treatment.
Treatment should be concluded when the results are satisfactory to the patient or
according to the physician's discretion.
2.2
Post Treatment Recommendations
Following each treatment session, the physician should advise the patient on proper
care.
Sun block should be used for 3 weeks following the treatment.
Moisturizer may be applied after each treatment.
Make-up may be applied immediately after facial treatment.
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Section 7: DiolazeXL Treatment
Information
43 of 96
Section 7: DiolazeXL Treatment Information
DiolazeXL hair removal treatment is based on principles of selective
photothermolisys. The light penetrates into the skin and is selectively absorbed by
melanin of the hair shaft. The absorbed energy is converted into heat, coagulating
the hair follicle. Multiple treatments are required for best results. White hairs are
resistant to the treatment due to scares pigmentation in the hair shaft. DiolazeXL 810
is a universal hair removal for all skin types. However, blond hair and fine hair
respond better to the DIiolazeXL 755/810, while DiolazeXL 810/1064 is more suitable
for very dark skin and deep hair.
2.1
Indications for Use
The InMode System with the DiolazeXL Handpieces is intended for hair removal.
2.1
Contraindications
Hair removal by lasers or intense pulse light sources can cause increased hair
growth in some individuals. Based upon currently available data, the highest risk
groups for this response are females of Mediterranean, Middle Eastern, and
South Asian heritage treated on the face and neck.
Current or history of skin cancer, or current condition of any other type of
cancer, or pre-malignant moles.
Pregnancy and nursing.
Impaired immune system due to immunosuppressive diseases such as AIDS and
HIV, or use of immunosuppressive medications.
Patients with history of diseases stimulated by heat, such as recurrent Herpes
Simplex in the treatment area, may be treated only following a prophylactic
regimen.
Poorly controlled endocrine disorders, such as diabetes, thyroid dysfunction,
polycystic ovary and hormonal virilization.
Any active condition in the treatment area, such as sores, psoriasis, eczema, and
rash.
History of skin disorders, keloids, abnormal wound healing, as well as very dry
and fragile skin.
Severe concurrent conditions, such as cardiac disorders, sensory disturbances.
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Section 7: DiolazeXL Treatment
Information
44 of 96
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
Known skin photosensitivity or using drugs increasing skin photosensitivity.
Diseases that may be stimulated by light, such as epilepsy, lupus and urticaria.
Certain delay is recommended if other recent treatments like light, laser or RF
were performed on the same area.
Fresh tan from sun, sunbeds or chemicals.
Lasers can cause increased hair growth in some individuals with the highest risk
groups for being females of Mediterranean, Middle Eastern, and South Asian
heritage treated on the face and neck.
Vitiligo.
As per the practitioner's discretion, refrain from treating any condition which
might make it unsafe for the patient.
Do not treat the upper eyelids and the lips!
Do not treat over tattoo and permanent makeup!
2.1
Possible Adverse Effects
Possible adverse effects include but are not limited by: discomfort or pain, excessive
skin redness (erythema) and/or swelling (edema), damage to natural skin texture
(crust, blister, and burn), change of pigmentation (hyper- and hypo-pigmentation),
in-growing hairs and scarring.
Peri-follicular erythema and edema lasting for a few days after the treatment is a
desirable typical treatment end point.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
Hair removal by lasers or intense pulse light sources can cause increased hair growth
in some individuals. Based upon currently available data, the highest risk groups for
this response are females of Mediterranean, Middle Eastern, and South Asian
heritage treated on the face and neck.
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2.1
Pre-Treatment Recommendations
During the patient’s first visit the treating attendant should:
Complete or update the patient's medical and physical history.
Exclude from treatment anyone with the listed contraindications.
Determine why the patient is seeking treatment and what his/her expectations
are.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
Instruct the patient about the safety warnings.
Advise the patient to avoid skin irritation or skin tanning. Sunscreen is advisable
during outdoor activity at daylight hours.
The patient should discontinue any irritant topical agents for 2-3 days prior the
treatment.
Stop anticoagulants 7-10 days prior to treatment, if medically permitted.
Photograph the patient.
Mark the treatment area with a white marker.
Clean the s parts that come in contact with the skin with 70% alcohol.
The treatment area should be shaved prior the treatment. Hairs may absorb
light and leave burn mark on the skin.
2.2
Tip Cleaning Instructions Prior to Use
Clean the output window with 70% alcohol absorbed pad for at least 30sec and dry
completely.
Leave it for complete drying.
2.2
Treatment Recommendations
.1
Follow Device Start-Up procedure from the System Operation section.
.2
Ensure that skin is clean.
.3
Apply a thin layer of water-based gel to the treated area
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Prior to using water-based gel, ensure that the container of ultrasound gel
has not passed the expiration date.
.4
Make a test-spot with Normal/Strong Cooling to see epidermal end-points of
perifollicular erythema/edema. Change to Strong Cooling while treating for
better comfort and safety. Perform the test spot in the area to be treated in a
non-conspicuous site and wait according to the Table below to check the
response.
.5
Test and wait at least 15-30 min and increase or decrease by 2-5 J/cm2 for skin
types I-IV. Wait 2-3 days and increase or decrease by 1-2J/cm2 for skin types V-
VI.
.6
Set treatment parameters. Typical treatment parameters are shown in the
table below; however, an individual adjustment is required:
Skin
Type
Fluence [J/cm2 ]
Pulse
Width
Cooling
755/810
810
810/1064
I
15-30
16-30
18-30
Short
Strong/Normal
II
12-25
14-28
16-30
Short
Strong/Normal
III
10-20
12-25
14-25
Short
Strong/Normal
IV
10-20
12-25
14-25
Long
Strong/Normal
V
6-15
10-20
12-22
Long
Strong
VI
NA
8-16
10-20
Long
Strong
.1
Always start with a low settings level to check patient tolerance. Test, watch
epidermal response, and increase or decrease settings gradually. Darker skin is
safer to treat with Long pulse width. Lighter hair requires higher fluence to
reach the results. Stronger cooling allows better epidermis protection but may
compromise results on very superficial hair e.g. upper lip or Asian skin in
general. Reduce fluence on thin skin and in bone proximity along with a thicker
layer of gel. Consider primarily safety for selection of parameters.
.8
Apply to the treated area ensuring a contact with pressure, depress Footswitch
and press trigger button to deliver DiolazeXL laser pulse.
.1
Move to adjacent site with small overlap and apply next pulses to cover all
treatment area. Pulse Mode may vary from Off (single pulse) or 1, 2 pulses per
second (pps) and Glide (5 pps), restricted by certain fluence, as described in
Device Description in Section 4.
.11
In a continuous mode – choose Pulse Mode of 1, 2 or Glide 5 pps according to
the speed of your hand movement and slide the Handpiece to adjacent site.
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.11
In a single mode (Pulse Mode at Off) - move Handpiece to adjacent site and
apply next pulse to cover all treatment area.
.12
If end-points are not obvious, or if gaps are apparent, perform another pass,
preferably in a different direction, when general erythema subsides.
Occasionally, a third pass on selected sites is applied on light skin. Ensure that
there is a delay of a few minutes between passes (after the whole area is
treated) before applying additional pass.
2.2
Treatment Schedule
The number of treatments typically varies from 4-10 sessions every 4-8 weeks on the
face and every 6-12 weeks on the body.
Lighter and deeper hair is more resistant and requires more treatment sessions.
Hair re-growth should be observed prior the treatment.
Treatment should be concluded when the results are satisfactory to the patient
or according to the physician's discretion.
2.2
Post-Treatment Recommendations
Following each treatment session, the physician should advise the patient on proper
care.
Sun block should be used for 3 weeks following the treatment.
Moisturizer may be applied after each treatment.
Make-up may be applied immediately after facial treatment.
During the first 2 days following treatment, care should be taken to prevent
trauma to the treated area: avoid hot baths, massage, etc. The skin should be
kept clean to avoid contamination or infection. Any mechanical or thermal
damage to the area must be avoided.
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Section 8: Lumecca Treatment Information
IPL Lumecca treatment is based on principles of selective photothermolysis. The light
penetrates into the skin and is selectively absorbed by lesion chromophore (melanin
or hemoglobin) having darker color than surrounding tissue. Absorbed energy is
converted into heat, coagulating the lesion which fades during a few weeks following
the treatment. Fine textural lesions like macro-pores, and fine lines may improve
along with the pigmented and vascular lesions in the skin photo-rejuvenation
process. Multiple treatment sessions may be required for best results.
2.1
Instructions for Use
The Lumecca Handpieces are intended for treatment of superficial vascular and
pigmented lesions on skin type I to IV.
2.1
Contraindications
Current or history of skin cancer, or current condition of any other type of cancer, or
pre-malignant moles.
Pregnancy and nursing.
Impaired immune system due to immunosuppressive diseases such as AIDS and HIV, or
use of immunosuppressive medications.
Patients with history of diseases stimulated by heat, such as recurrent Herpes Simplex
in the treatment area, may be treated only following a prophylactic regimen.
Severe concurrent conditions, such as cardiac disorders, sensory disturbances.
Any active condition in the treatment area, such as sores, psoriasis, eczema, and rash.
History of skin disorders, keloids, abnormal wound healing, as well as very dry and
fragile skin.
Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction and
hormonal virilization.
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
Certain delay is recommended if other recent treatments such as light, laser or RF
were performed on treated area.
Known skin photosensitivity or using drugs increasing skin photosensitivity.
Diseases that may be stimulated by light, such as epilepsy, lupus and urticaria.
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Vitiligo.
Skin type V and VI and excessively tanned skin from sun, tanning beds or tanning
creams and sprays within the last two weeks.
As per the practitioner's discretion, refrain from treating any condition which might
make it unsafe for the patient.
Do not treat the upper eyelids and the lips!
Do not treat over tattoo and permanent makeup!
Permanent hair reduction may occur in the treated area.
Do not treat over an area with a high density of hair. Absorption of light by
hair follicles may cause an adverse skin reaction.
2.1
Possible Adverse Effects
Possible adverse effects include but are not limited by: discomfort or pain, excessive
skin redness (erythema) and/or swelling (edema), damage to natural skin texture
(crust, blister, and burn), change of pigmentation (hyper- and hypo-pigmentation),
and scarring.
Erythema, lasting not longer than 24h is a typical skin reaction to the Lumecca
treatment.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
2.1
Pre-Treatment
During the patient’s first visit the treating attendant should:
Complete or update the patient's medical and physical history.
Exclude from treatment anyone with the listed contraindications.
Determine why the patient is seeking treatment and what his/her expectations
are.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
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Instruct the patient about the safety warnings.
Advise the patient to avoid skin irritation or skin tanning for at least 2 weeks.
Sunscreen is advisable during outdoor activity at daylight hours.
Patient should discontinue any irritant topical agents for 2-3 days prior the
treatment.
Stop anticoagulants 7-10 days prior to treatment, if medically permitted.
Photograph the patient.
Mark the treatment area.
Clean the handpieces parts that come in contact with the skin with 70% alcohol.
The patient may shave the area to be treated. Long and dark hair may
absorb light and leave burn mark on the skin.
2.2
Tip Cleaning Instructions Prior to Use
Clean the light guide with 70% alcohol absorbed pad for at least 30 sec.
Leave it for complete drying.
2.2
Treatment Recommendations
.1
Follow Device Start-Up Procedure from System Operation section.
.2
Ensure that skin is clean.
.3
Apply thin layer of water-based gel to the treated area.
Prior to using water-based gel, ensure that the container of ultrasound gel
has not passed the expiration date.
.4
Set treatment parameters. Reduce ~20% fluence on thin sensitive skin like
neck or bony area like forehead. Further reduce fluence on thin sensitive skin
over bone like chest and hand dorsum and on off-face, body areas, as well as
on off-face areas, such as arms and legs.
.5
Typical treatment parameters are shown in the table below:
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Skin
type
Lesions
type
Handpiece
Fluence
Pulse
width
Cooling
I-II
Pigmented
lesions
515nm
8-
12J/cm²
Short
Long
Strong
Vascular
lesions
515nm
12-
16J/cm²
Short
Long
Strong
III-IV
Pigmented
lesions
580nm
6-
12J/cm²
Short
Long
Strong
Vascular
lesions
580nm
10-
16J/cm²
Long
Strong
.6
Always start with a low settings level to check patient tolerance to the
treatment parameters, test and then gradually increase energy fluence to
reach the results without compromising safety.
.1
Apply the Handpiece to the treated. Use slight pressure and activate the Hand
Trigger Button to deliver a light pulse.
.8
Perform a test spot in the area to be treated on a non-conspicuous spot and
wait 10-15 minutes to check the response.
.1
In a single mode (AutoRepeat Off) - move Handpiece to adjacent area without
overlap and apply next pulse to cover all treatment area.
.11
In a continuous mode - slide the Handpiece to adjacent area without overlap
and chose Auto Repeat Normal or Fast Mode according to the speed of your
hand movement.
.11
If end-points of darkening lesions and inflammation around them are not
obvious after a few minutes, perform a second pass, preferably in a different
direction.
Lumecca is a very powerful Applicator. Take care with treatment
parameters!
2.2
Post-Treatment Recommendations
After each treatment session, the physician should advise the patient on proper care.
Sun block should be used for 3 weeks following the treatment.
Moisturizer and make-up may be applied immediately after each treatment.
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2.2
Treatment Schedule
The number of treatments typically varies from 2-5 sessions every 3-4 weeks.
Pigmented lesions usually require less sessions than vascular lesions.
Treatment should be concluded when the results are satisfactory to the patient or at
the discretion of the physician.
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Section 9: Fractora Treatment Information
2.1
Fractional Skin Resurfacing
The Fractora Handpiece is designed for delivering RF energy to the skin surface in a
fractional manner with the energy applied to <10% of the total coverage area. The
energy is delivered to the skin through bipolar arrays of pins and results in localized
heating and ablation of the skin that is in direct contact with the pins. Ablation of the
skin promotes skin resurfacing while untreated skin between the pins promotes
faster healing of the tissue. There is also the contribution of non-ablative, non-
coagulating dermal matrix heating that occurs in the skin that is not subject to
fractional ablation.
2.1
Instructions for Use
The InMode System with the Fractora Handpiece is designed for use in
dermatological procedures requiring ablation and resurfacing of the skin.
2.1
Contraindications
Pacemaker or internal defibrillator, or other metallic or electronic implant
anywhere in the body. The Handpiece should be used at least 1cm away from
cochlear implants in the ear.
Permanent implant in the treated area such as metal plates, screws and metal
piercing or silicon, unless deep enough in the periosteal plane.
Intra-dermal or superficial sub-dermal areas injected with
Botox®/HA/collagen/fat injections or other augmentation methods with bio-
material, before the product has been dissipated (up to 6 months), except Botox
after binding to the facial muscles (3-7 days). It is possible to treat sooner over
injectable products placed in the deep, periosteal plane, as soon as the area has
healed (1-3 weeks).
Current or history of skin cancer, or any other type of cancer, or pre-malignant
moles.
Pregnancy and nursing.
Severe concurrent conditions, such as cardiac disorders or sensory disturbances.
Impaired immune system due to immunosuppressive diseases such as AIDS and
HIV, or use of immunosuppressive medications.
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Patients with history of diseases stimulated by heat, such as recurrent Herpes
Simplex in the treatment area, may be treated only following a prophylactic
regime.
Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction
and hormonal virilization.
Any active skin condition in the treatment area, such as sores, psoriasis, eczema,
and rash.
History of skin disorders, keloids, abnormal wound healing, as well as very dry
and fragile skin.
History of bleeding coagulopathies.
Any facial surgery performed within a year prior to treatment.
Facial dermabrasion, facial resurfacing, or deep chemical peeling within the last
three months, if face is treated.
Having received treatment with light, laser, RF, or other devices in the treated
area within 2-3 weeks for non-ablative procedures, and 6-12 weeks for ablative
fractional laser resurfacing (according to treatment severity) prior to treatment,
except special recommendations.
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
Use of non-steroidal anti-inflammatory drugs (NSAIDS, e.g., ibuprofen-containing
agents) one week before and after each treatment session, as per the
practitioner’s discretion.
Treating over tattoo or permanent makeup.
Treating over the lips.
Treating over eyebrows or other hair bearing surfaces.
Skin type VI and dark V patients treat with caution.
Excessively tanned skin from sun, tanning beds or tanning creams and sprays
within the last two weeks.
As per the practitioner's discretion, refrain from treating any condition that
might make it unsafe for the patient.
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2.1
Possible Adverse Effects
Possible adverse effects include but are not limited by: discomfort or pain, excessive
skin redness (erythema) and/or swelling (edema), damage to natural skin texture
(crust, blister, and burn), change of pigmentation (hyper- and hypo-pigmentation),
and scarring.
Erythema lasting not longer than 24h and edema for 1-3 weeks is a typical skin
reaction to the Fractora treatment.
Crusting from the ablated dots will exfoliate naturally after 1-3 weeks.
Occasionally, at energy levels >30-40 energy levels, there is a potential low-level
stimulation of branches of the facial nerve and there will be some involuntary
contraction of the underlying facial muscle. This is transient and is not harmful, as the
Fractora effect diminishes at the deeper level where parts of the facial nerve lie
above the muscles.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
2.2
Pre-Treatment Recommendations
During the patient’s first visit the treating attendant should:
Complete or update the patient's medical and physical history.
Exclude from treatment anyone with the listed contraindications.
Determine why the patient is seeking treatment and what his/her expectations
are.
Determine accurately the patients Fitzpatrick skin type.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
Instruct the patient about the safety warnings.
Advise the patient to avoid skin irritation or intentional skin tanning. Sunscreen is
advisable when outdoors during daylight hours.
Asian patients and skin type IV-V should be treated gradually by bleaching
products 6 weeks prior treatment and stop at least 48 hour prior Fractora
treatment to minimize risk of post inflammatory hyper-pigmentation.
Prophylactic antiviral therapy should be prescribed for patients with history of
cold sores (Herpes Simplex) when treating around the mouth.
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Stop anticoagulants 7-10 days prior to treatment, if medically permitted.
Clean the treatment area.
Apply anesthesia:
–
Many patients can tolerate the treatment with no anesthesia at low
energy levels of 5-20 energy levels and sometimes more.
–
Topical for 30-45 min – limited to energy as tolerated by the patient
and may reach 40-62 energy levels, depending on the percent
numbing ingredients and patient sensitivity.
–
A few patients require nerve block for higher energy, limited to central
face.
–
Tumescent or IV sedation is applied usually when Fractora follows an
invasive procedure.
The patient should shave the area to be treated. Long and dense hairs
prevent electrode contact with the skin’s surface
2.2
Tip Cleaning Instructions Prior to Use
Clean the tip with 70% alcohol absorbed pad for at least 30sec.
Leave it for complete drying.
Before each use of the Fractora Handpiece and tip, they must be checked for
integrity and proper cleaning and drying.
The Fractora tip is single use only.
2.2
Test Spots
A small test spot should be performed in a non-conspicuous area of the treatment
site, prior to the first complete session. Test spot is performed to establish the
following requirements:
Confirm the patient's suitability for treatment:
–
For skin type I – III wait 10-15 minutes before assessing the skin
response.
–
For skin types IV-V wait 2-3 days if energy level <30 is used and 7-10
days for energy level >30, due to delayed response of dark skin.
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Establish and confirm treatment parameters: if the desired end-point of
erythema and edema – in a tip-shaped pattern – has not been achieved within
10-15 minutes, increase the RF energy. If the response is excessive, decrease the
parameters.
Tolerance of patient to the treatment: low energy levels of 10-25 may be
tolerated after topical anesthesia application. Energy levels of 25-40 may require
nerve block or tumescent and high energy levels of 40-62 may call for tumescent
or IV sedation.
2.2
Treatment Recommendations
.1
Apply the necessary means of anesthesia. If topical, make sure that it is
cleaned off the face before treatment and the skin is dried with alcohol 70%.
.2
Ensure that skin is clean and dried with alcohol 70%.
.3
Take an alcohol cleaned and dry tip and connect it to the Handpiece in the
groove.
.4
Connect Handpiece to the system.
.5
Follow Device Start-Up Procedure from System Operation section.
.6
Set treatment parameters. Typical treatment parameters are shown in the
table below:
Clinical
Indications
Tip
Treatment
Area
RF
Energy
Level
Number
Sessions
Weeks
between
Sessions
Down
Time
Days
Superficial
- texture,
tone, very
fine lines
60
Soft tissue
10-25
3-5
1-4
0-1
Bony area
5-20
Moderate -
texture,
tone, fine
lines
60
Soft tissue
25-30
2-3
4-5
2-3
Bony area
20-30
Deep -
texture,
tone, fine
lines, fine
vessels,
wrinkles,
acne scars
60
Soft tissue
30
1-2
5-6
7-10
Bony area
03-52
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Clinical
Indications
Tip
Treatment
Area
RF
Energy
Level
Number
Sessions
Weeks
between
Sessions
Down
Time
Days
Deep
wrinkles,
scars
24
Soft tissue
25-50
1-3
3-6
2-5
Deep
wrinkles,
scars
24
Bony area
20-30
1-3
3-6
1-2
Lax skin
and dark
skin
ablation
24
Coated
Soft tissue
dark skin
up to VI
15-40
1-2
2-3
2-5
Lax skin
and dark
skin
ablation
24
Coated
Bony area
dark skin
up to V
15-25
1-2
2-3
1-2
The approval and availability of the various Fractora tips may differ in
different countries.
.1
Always start with a low energy level, test and observe the skin's response
before increasing the energy.
.8
The deeper the lesion, the higher the energy. However, this consideration is
limited according to patient tolerance, the anesthetic method used, and the
affordable down time.
.1
On sensitive thin skin area, such as lower eyelid, apply lower parameters with
more passes, rather than higher parameters in one pass. It is also applicable to
any facial area for new users. Use lower energy (~20%) for thin skin like neck or
bony area like forehead. When working on thin skin over bone, such as hand
dorsum or chest, further reduce energy (~20%).
.11
Do not use higher energy level than 45 energy levels for soft tissue of dark skin
IV-V and reach it gradually in 3-5 sessions with 5 energy levels increments each
session. On bony area of dark skin restrict energy, reaching highest energy
level of 25 energy levels.
.11
Apply the Fractora Handpiece to the treated area ensuring a contact with
pressure to minimize discomfort, and press Footswitch to deliver RF energy
.12
Move Handpiece to the adjacent area and press Footswitch again in the
SINGLE mode, or adjust the repetition rate to the speed you move the tip to
adjacent site.
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.13
Move to adjacent areas with no overlapping of side-electrodes (30-50%
overlap).
.14
Occasionally, additional 1-2 passes may be applied to reinforce results on the
full area or on selected spots. Gaps may be treated after the full area is done.
When combining 2 tip types on the same area, apply the deeper treatment
first and follow with the more superficial treatment. Allow a few minutes
between passes to check skin response – the darker the skin, the longer the
intervals.
.15
The endpoint is substantial erythema and edema, visible ablative craters, and
burnt tissue smell often accompanied by tingling heat sensation.
2.2
Treatment Schedule
The number of treatment sessions depends on the individual patient and treatment
aggressiveness and may vary from 1-5 sessions. Treatments are typically repeated
every 3-6 weeks.
It is recommended to schedule follow-up session 2-3 days after the treatment to
ensure safe healing process.
Treatment should be concluded when the results are satisfactory to the patient or
according to the physician's discretion. Generally, 3-5 sessions are needed for mild to
moderate depth settings. It is not typical to perform more than five consecutive
sessions. In some instances, 1-2 sessions may be sufficient.
Post-Treatment Recommendations 2.12
After each treatment session, the physician should advise the patient on proper care.
Cool the skin for 10-20 minutes.
Emollient cream or occlusive dressing could be applied to the treatment area.
Alternatively, prophylactic antibiotic treatment may be prescribed for 1-3 days
post treatment. Patient is to contact the physician if there is any indication of
infection, excessive swelling, redness, undue pain, or any other unusual or
untoward symptom.
Tiny scabs may appear after 1-3 days and stay for several days following the
treatment. The scabs should not be touched or scratched even if they itch, and
should be allowed to flake off naturally.
Blisters may be treated with a prescribed antibiotic ointment or burn treatment
cream as per physician's discretion.
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During the first two days following treatment the skin should be kept clean to
avoid contamination or infection; any mechanical or thermal damage to the area
must be avoided.
Prophylactic antiviral therapy should be continued for patients with history of
cold sores (Herpes Simplex) when treating around the mouth.
Moisturizer may be applied 24-72 hours after each treatment and then should be
applied regularly throughout the course of the treatment. Make-up may be
applied only 24-72 hours after each treatment session. Generally, 24 hours after
treatment, patients may use regular soaps, but not scrub soaps or exfoliates.
The patient should use a high-factor sunscreen (at least 30 SPF) and protect the
treated area from over-exposure to sunlight for at least one month after the
treatment, starting 24-72 hours post treatment. Excessive tanning of any sort
(sun exposure, tanning beds, and artificial tanning lotions) is not allowed in the
treated areas during the entire course of the treatment.
For Asian patients and skin type IV and V, bleaching ointment should be
prescribed for 6-12 weeks, 2-3 times a week following the healing of treatment
area (typically 7 days) to minimize risk of post inflammatory hyper-pigmentation.
It should be stopped 48-72 hours before another Fractora session.
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Section 10: Forma/Plus Treatment Information
Instructions for Use 12.1
The InMode system with the Forma Handpiece is intended for use in dermatologic
procedures for noninvasive treatment of mild to moderate facial wrinkles and
rhytides.
The Plus Handpiece is intended for non-invasive and non-ablative treatment of the
tissue to trigger collagen remodeling for the treatment of wrinkles
Contraindications 12.1
Pacemaker or internal defibrillator, or any other metallic or electronic implant
anywhere in the body. The Handpiece should be used at least 1cm away from
cochlear implants in the ear.
Permanent implant in the treated area such as metal plates, screws and metal
piercing, silicone implants or an injected chemical substance, unless deep enough
in the periosteal plane.
Intra-dermal or superficial sub-dermal areas that have been injected with
HA/collagen/fat injections or other augmentation methods with bio-material
during last 6 months.
Current or history of skin cancer, or current condition of any other type of
cancer, or pre-malignant moles.
Severe concurrent conditions, such as cardiac disorders, sensory disturbances,
epilepsy, uncontrolled hypertension, and liver or kidney diseases.
Pregnancy and nursing.
Impaired immune system due to immunosuppressive diseases such as AIDS and
HIV, autoimmune disorders or use of immunosuppressive medications.
Patients with history of diseases stimulated by heat, such as recurrent Herpes
Simplex in the treatment area, may be treated only following a prophylactic
regimen.
Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction
and hormonal virilization.
Any active condition in the treatment area, such as sores, psoriasis, eczema, and
rash.
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History of skin disorders, keloids, abnormal wound healing, as well as very dry
and fragile skin.
History of bleeding coagulopathies, or use of anticoagulants in the last 10 days,
as per the practitioner‘s discretion.
Facial dermabration, laser resurfacing and deep chemical peeling within the last
3 months prior FORMA treatment.
Having received treatment with light, laser, RF, or other devices in the treated
area within 3 months, or before complete healing.
Any surgical procedure in the treatment area within the last 3 months or before
complete healing.
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
As per the practitioner's discretion, refrain from treating any condition which
might make it unsafe for the patient unsafe for the patient
Possible Adverse Effects 12.1
Possible side effects include but are not limited by: discomfort or pain, excessive skin
redness (erythema) and/or swelling (edema), damage to natural skin texture (crust,
blister, burn), change of pigmentation (hyper- and hypo-pigmentation), scarring.
Erythema and edema lasting not longer than 24h is typical skin reaction to the
treatment.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
Handpiece Cleaning Instructions Prior to Use 12.1
These cleaning instructions are for clinical use only.
The following processes are validated for the InMode Forma/Plus Handpieces when
used in accordance with the instructions provided for cleaning products and/or
processes. Any deviation from said instructions or the cleaning agents listed below
may impact the performance or durability of the product and is prohibited. Review
those instructions for additional warnings and cautions.
We recommend the usage of the following cleaning agent that was tested in our
company for material compatibility as 70% alcohol solution.
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Cleaning Procedure:
.1
Thoroughly clean the Handpiece with 70% alcohol absorbed pad for at least 30
sec and repeat as necessary
.2
Leave it to dry completely.
Pre-Use Check
Before each use of the Handpiece, the device must pass the following:
.1
Check to ensure proper cleaning and drying of the Handpiece.
.2
Inspect all components of the Handpiece for visible damage.
Pre-Treatment Recommendations 12.2
During the patient’s first visit the treating attendant should:
Complete or update the patient’s medical and physical history
Exclude from treatment anyone with the listed contraindications.
Determine why the patient is seeking treatment and what his/her expectations
are.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
Instruct the patient about the safety warnings.
The patient should discontinue any irritant topical agents for 2-3 days prior to
treatment and if medically permitted, anticoagulants should be stopped 1-2
weeks prior treatment.
Clean the face, remove crèmes and makeup, and dry the skin.
Photograph the patient.
Mark the treatment area.
Clean the parts of the Handpieces that come in contact with the skin with 70%
alcohol.
Long and dense hairs may affect the treatment, and may be shaved
according to physician’s discretion.
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Treatment Recommendations 12.2
.1
Ensure that skin is clean and dry.
.2
Follow Device Start-Up procedure from Section 5.
.3
Set treatment parameters. Suggested facial treatment parameters for Forma
are shown in the table below:
Facial Treatment
Zone
RF Energy
Level
-Off Temperature
Cut
o[ C]
Gel
Thick soft skin e.g.
Cheeks, nasolabial
folds, and jawline
40-50
As high as tolerable
Starting at 40oC
Thin layer
2-3mm
Thin skin e.g. neck
35-40
As high as tolerable
Starting at 40oC
Thin layer
2-3mm
Thin skin over
bone e.g.
forehead, temples,
periorbital
30-35
As high as tolerable
Starting at 40oC
Thick layer
3-4mm
.4
Suggested body treatment parameters for Plus are shown in the table below:
Body Treatment
Zone
RF Energy
Level
-Off Temperature
Cut
o[ C]
Gel
Resistant skin in
normal size zone of
~12x12 cm e.g.
abdomen, buttocks
40-50
As high as tolerable
starting at 40oC
Thin layer
2-3mm
Resistant skin in
small size zone of
~8x8cm e.g. naval
area
30-40
As high as tolerable
starting at 40oC
Thin layer
2-3mm
Sensitive skin in
normal size zone of
~12x12 cm e.g.
Inner thigh
35-45
As high as tolerable
starting at 40oC
Thin layer
2-3mm
Sensitive skin in
small size zone of
~8x8cm e.g. Arms,
knees
25-35
As high as tolerable
starting at 40oC
Thick layer3-
4mm
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.5
Any combination of treatment parameters should be according to skin
response and patient tolerance.
.6
Always start with low settings and observe the skin's reaction and patient
comfort before increasing the RF energy.
.1
Air condition directed at the patient treated area may reduce the skin surface
temperature in 1-2oC, and cut-off temperature should be reduced
accordingly.
.8
Divide facial and neck treatment area to zones as shown in figure below. Other
variations are possible. For smaller neck areas, 2 zones are sufficient.
-1: Recommended Forma Facial and Neck Treatment Zones11Figure
.1
Treat body areas by zones with size of about 2 hand palms (~12x12cm), such as
half of abdominal area, flank, outer thigh, inner thigh, buttocks. When treating
smaller zones as upper arm, reduce energy setting to avoid patient
discomfort.
.11
Apply 2-4mm ultrasound gel (not oil) to the treated zone and to adjacent zone
that can serve as a warm gel reservoir for replenishing gel in the treatment
zone with minimal delay.
Prior to using water-based gel, ensure that the container of ultrasound gel
has not passed the expiration date.
.11
Assume full contact of Handpiece with the skin with a slight pressure.
.12
Use your free hand to flatten and stretch treatment area if needed for
complete contact and smooth movement.
.13
Press the Footswitch and initiate the RF energy.
.14
Move the Handpiece in circular movements or back and forth with gentle
pressure over the full treated zone to reach uniform skin heating. Movement
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should be constant and its amplitude should be at least double of Handpiece
spot size to avoid hot spots.
.15
Continue to treat the area in this fashion. Always start with a low setting level
to check the patient’s tolerance to the treatment parameters and increase the
settings gradually.
.16
Apply multiple passes to maintain the desired temperature during ~15-30min
on face, neck or on the body (less for smaller zone) . If cut-off temperature is
<41oC, maintain the temperature for additional 1-3min per zone.
.11
After treating the zone, move to the next zone.
.18
For excessive heat sensation, you may increase the movement speed, reduce
the RF power and lastly, reduce the cut-off temperature for patient comfort. If
this does not help, stop the treatment and move to the next zone.
.11
Slight erythema and edema is a typical immediate response. However, when
there is excessive skin response (erythema and edema), stop treatment and
move to the next zone. For excessive heat sensation, you may increase the
movement speed, reduce the RF power and lastly, reduce the cut-off
temperature. If this does not help, move to the next zone.
The skin should be observed for excessive erythema or edema. If observed,
stop the treatment and move to the next treatment zone.
Asian skin is typically thicker and more fibrotic than Caucasian skin, hence
occasionally higher energy, smaller zones, longer treatment and more
sessions (all or part) may be required.
Treatment Schedule 12.2
The number of treatment sessions depends on the individual patient and is typically 6
weekly sessions, but can vary according to patient response. Some patients may need
only 6 sessions and some 10.
Longer treatment time on each zone may reduce the number of sessions.
Treatment should be concluded when the results are satisfactory to the patient or
according to the physician's discretion.
One session every 1-3 months, or as needed, may maintain treatment results.
Post-Treatment Recommendations 12.2
Skin cooling is NOT recommended.
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Patient should avoid very hot water for 2 days after the treatment.
Patient should avoid scrubbing, pinching and etc. of the treated area.
Moisturizer and makeup may be applied to the skin surface immediately post
treatment.
After each treatment session, the patient should be advised to contact the
physician if there is any indication of infection, excessive swelling, redness, pain,
or any other unusual or untoward symptom.
The Handpiece should be cleaned from the gel and disinfected by 70% alcohol.
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Section 11: BodyFX/MiniFX Treatment
Information
Indications for Use 11.1
The BodyFX/MiniFX Handpieces are intended for the treatment of the following
medical conditions using RF combined with massage:
Relief of' minor muscle aches and pain, relief of muscle spasm, temporary
improvement of local blood circulation.
Temporary reduction in the appearance of cellulite.
Temporary improvement of circumferential reduction and body contouring.
Contraindications 11.1
Pacemaker or internal defibrillator, or any other metallic or electronic implant
anywhere in the body.
Permanent implants in the treated area such as metal plates, screws and metal
piercing, silicone implants or an injected chemical substance, unless deep enough
in the peri-ostal plane.
Intra-dermal or superficial sub-dermal areas that have been injected with
HA/collagen/fat injections or other augmentation methods with bio-material
during last 6 months.
Current or history of skin cancer, or current condition of any other type of
cancer, or pre-malignant moles.
Severe concurrent conditions, such as cardiac disorders, sensory disturbances,
epilepsy, uncontrolled hypertension, and liver or kidney diseases.
Pregnancy and nursing.
Impaired immune system due to immunosuppressive diseases such as AIDS and
HIV, or use of immunosuppressive medications.
Patients with history of diseases stimulated by heat, such as recurrent Herpes
Simplex in the treatment area, may be treated only following a prophylactic
regimen.
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Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction
and hormonal virilization.
Any active condition in the treatment area, such as sores, psoriasis, eczema, and
rash.
History of skin disorders, keloids, abnormal wound healing, as well as very dry
and fragile skin.
History of bleeding coagulopathies.
Any surgery in treated area within 3 months prior to treatment.
Having received treatment with light, laser, RF, or other devices in the treated
area within 3 months or before complete healing.
Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
As per the practitioner's discretion, refrain from treating any condition that
might make it unsafe for the patient.
Possible Adverse Effects 11.1
Possible side effects include but are not limited by: discomfort or pain, excessive skin
redness (erythema) and/or swelling (edema), damage to natural skin texture (crust,
blister, and burn), change of pigmentation (hyper- and hypo-pigmentation), scarring,
and vacuum bruising.
Erythema and edema lasting not longer than 24h is typical skin reaction to the
treatment.
The patient must understand the importance of pre-treatment and post-treatment
instructions and that failure to comply with these instructions may increase the
probability of complications.
Handpiece Cleaning Instructions Prior to Use 11.1
These cleaning instructions are for clinical use only.
The following processes are validated for the BodyFX/MiniFX Handpieces when used
in accordance with the instructions provided for cleaning products and/or processes.
Any deviation from said instructions or the cleaning agents listed below may impact
the performance or durability of the product and is prohibited.
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We recommend the usage of the following cleaning agent that was tested in our
company for material compatibility as 70% alcohol solution.
Cleaning Procedure:
.1
Thoroughly clean the Handpiece with 70% alcohol absorbed pad for at least 30
sec.
.2
Leave it for to dry completely.
Pre-Use Check:
Before each use of the Handpiece, the device must pass the following:
.1
Check to ensure proper cleaning and drying of the Handpiece.
.2
Inspect all components of the Handpiece for visible damage.
Pre-Treatment Recommendations 11.2
During the patient’s first visit the treating attendant should:
Complete or update the patient's medical and physical history.
Exclude from treatment anyone with the listed contraindications.
Determine why the patient is seeking treatment and what his/her expectations
are.
Inform the patient about treatment arrangement, typical treatment results and
possible side effects and discomfort.
Instruct the patient about the safety warnings.
The patient should discontinue any irritant topical agents for 2-3 days prior to
treatment and if medically permitted, anticoagulants should be stopped 1-2
weeks prior treatment.
Photograph the patient.
Mark the treatment area.
Clean the Handpiece with alcohol 70% or other disinfectant. Use alcohol-soaked
cotton buds to clean inside the Handpiece cavity.
Long and dense hairs may affect the treatment, and may be shaved
according to physician’s discretion.
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Treatment Recommendations 11.2
.1
Ensure that skin is clean and dry.
.2
No gel allowed!
.3
Follow Device Start-Up Procedure from Section 5.
.4
Set the treatment parameters. Suggested parameters are shown in the table
below:
Handpiece
Treatment
Approach
RF
Power
[W]
Pulse
Width
[Sec]
Cut-Off Skin
Temperature [ºC]
BodyFX
Sensitive
skin
30-40
2
As high as
tolerable
Starting at 40oC
BodyFX
Normal skin
35-45
3
As high as
tolerable
Starting at 40oC
BodyFX
Resistant
skin
40-50
4
As high as
tolerable
Starting at 40oC
MiniFX
Sensitive
area
10
1-3
As high as
tolerable
Starting at 40oC
MiniFX
Normal area
15-20
1-3
As high as
tolerable
Starting at 40oC
MiniFX
Resistant
area
20-25
1-3
As high as
tolerable
Starting at 40oC
Any combination of treatment parameters should be according to skin response and
patient tolerance.
.5
Always start with low settings and observe the skin's reaction and patient
comfort before increasing the RF power, the temperature or pulse width.
.6
Reduce RF Power on thin fat areas and on small areas. When using MiniFX
restrict RF Power to 10-20W, occasionally to 25W.
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.1
Reduce Pulse Width if bruises appear and with MiniFX restrict Pulse Width to
1-3sec.
.8
Divide treatment area to zones of about the size of a large hand palm, 4 foot-
prints of the Vacuum Chamber (full normal size abdomen = 6 treatment
zones), and 3-4 foot-prints for MiniFX. Mark the treatment area and zones. The
smaller the zone and the thinner the fat, the lower the RF Power.
.1
Assume a full contact of Handpiece with skin with a slight pressure to enable
vacuum.
.11
Use your free hand to flatten and stretch treatment area.
.11
Press the Footswitch and initiate the RF energy and suction, and dwell on the
site for preset pulse duration.
.12
Move to adjacent site with no overlap from previous site and apply another
pulse.
.13
15-30 minutes. When skin
Apply multiple passes to the treated zone during
temperature is <41oC, compensate with 1- 3 more minutes of treatment.
.14
Stacking pulses in the first and second passes may shorten the heating time to
reach the cut-off temperature.
.15
For the next 15-30 minutes, the longer – the better, move around the zone
evenly, maintaining cut-off temperature. Please note that time is measured
once the cut-off temperature has been reached.
.16
Excessive heat sensation after a few passes may call for a faster movement,
reduced pulse width, reduced RF power level, and last, reduced cut-off
temperature, in this sequence.
.11
After 15-30 minutes move to the next zone, usually left or right side, and
perform the same steps.
.18
Some patients who cannot tolerate the heat may have the treatment time
divided into two – e.g. for full 20 minutes total time may be divided to 10 + 10
minutes, allowing the skin to cool down. One zone is then treated for 10
minutes and the other zone (left or right) is treated for 10 minutes. After
treating the second zone for 10 minutes return to the first zone and complete
additional 10 minutes. Repeat treatment of the second zone. Each zone is
treated for a total time of 20 minutes. In odd areas like navel area or neck,
allow skin cooling between repeated treatments, especially in small areas.
.11
After treating the zone, move to the next zone.
Asian skin is typically thicker and more fibrotic than Caucasian skin, hence
occasionally higher energy, smaller zones, longer treatment and more
sessions (all or part of these measures) may be required.
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Treatment Schedule 11.2
The number of treatment sessions depends on the individual patient and is
typically 8 sessions, once a week. Some patients may get satisfactory results after
6 sessions. Some patients may need 2-4 additional sessions and very few do not
respond to treatment.
Longer treatment time may help reduce the number of sessions.
Treatment should be concluded when the results are satisfactory to the patient
or according to the physician's discretion.
One session every 3-6 months, or as needed, may maintain treatment results.
Post-Treatment Recommendations 11.2
Erythema and occasionally purpura is a common response and will subside
naturally within a few days.
Patient should avoid very hot water for 2 days after the treatment.
Patient should avoid scrubbing, pinching and etc. of the treated area.
Moisturizer can be applied to the skin surface.
After each treatment session, the patient should be advised to contact the
physician if there is any indication of infection, excessive swelling, redness, pain,
or any other unusual or untoward symptom.
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Section 12: System Maintenance
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Section 12: System Maintenance
Maintenance & Frequency 11.1
The following list suggests how often each of the maintenance procedures should be
performed by the operator.
Before and after each treatment 11.1
Wipe the device with a damp soft cloth. The Handpiece elements that are in contact
with the skin should be disinfected with 70% alcohol between patients, as described
in detail for each handpiece in “Handpiece Cleaning Instruction Prior to Use”. For
applications that require gel (Diolaze, DiolazeXL, Lumecca, Forma/Plus), remove the
gel before cleaning
Once a Week 11.1
Clean the System at least once a week. Turn the System off and wipe all surfaces.
Be careful not to spill any liquids on the System.
Clean the Dust Cover.
Once a Month 11.1
Replace the cooling water at least once a month. Follow the instruction of “Draining
Water” and “Filling Water” below.
Once a Year 11.2
By the operator:
Replace the Deionizer Cartridge and Capsule Filter at least once a year. Follow
the “Replacing the Deionizer Cartridge” and Replacing the Capsule Filter”
instructions below.
Replacement Deionizer Cartridge and Capsule Filter can be purchased by your
local service center.
By authorized service personnel only:
System and Hand pieces full test and calibration is required to be done. Please
make sure to contact your local service center to perform this process.
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Failure to replace your filters can lead to serious malfunctions of the
laser/IPL Handpieces!
Filling Water for Diolaze, DiolazeXL and Lumecca 11.2
InMode System, Diolaze, DiolazeXL and Lumecca handpieces are shipped without
water. Distilled water must be used and failure to do so will void the service
warranty.
During water filling, air bubbles can form inside the hoses which may cause water
flow issues. This instruction will help prevent this from occurring.
.1
Connect one of the Handpieces.
.2
Open the back cover and take out the Bottle.
.3
-1).12Unscrew the water Bottle Cap (Figure
.4
Slowly pour distilled water into the Bottle while the Water Filter and Tube are
-2).12inside the Bottle to prevent over pouring (Figure
-1: Water Bottle Cap21Figure
21Figure
-2: Distilled Water
Filling
21Figure
-3: Water Bottle in
Bracket
.5
Fill the Bottle up to the maximum level.
.6
Close the bottle cap and insert the Bottle at the back of the System
-3).12(Figure
.1
Connect any Handpiece to the System.
.8
Turn the System On.
.1
-4).12Select “Utilities” on the Main Menu (Figure
.11
-5).12Select “Water Drain/Fill” from the Utilities Screen (Figure
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.11
Pressing the Up arrow will activate the Pump and count down from 600
-6).12seconds (10 minutes) to 0 seconds (Figure
-4: Menu Screen21Figure
-5: Utilities Screen21Figure
-6: Time Counter Water Pump Current Value12Figure
.12
After 300 seconds (while the Pump is working), unscrew the plastic Cap on the
side of the Capsule Filter counterclockwise to release air. Afterwards, screw
-7). Ensure that no water is leaking.12the Cap clockwise to close it (Figure
-7: Capsule Filter with Plastic Cap12Figure
.13
Pressing the Down arrow will stop the Water Pump.
.14
Turn the System Off.
.15
Repeat steps 2 to 5 since the System and Handpiece will take some of the
water.
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Section 12: System Maintenance
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.16
If additional Diolaze, DiolazeXL or Lumecca Handpieces are present, connect
each Handpiece and repeat steps 6 to14. Ensure the water level is checked
periodically.
Draining Water for Diolaze, DiolazeXL and Lumecca 11.2
For shipping and storage, the InMode systems and Handpieces must be drained of
water during freezing temperature. Failure to do so will void the service warranty.
Frozen water in the system and Handpiece hoses can lead to damages.
.1
Open the back cover and take out the bottle.
.2
Unscrew the water bottle cap and slowly remove it from the bottle (Figure
-8).12
12Figure
-8: Water Bottle with Deionizer
Cartridge
-9: Water Bottle in Drain Position12Figure
.3
Empty the Bottle.
.4
Place the Bottle inside the Chamber with the black hose outside the Bottle
-9).12(Figure
.5
Connect any Diolaze, DiolazeXL or Lumecca Handpiece.
.6
Turn the System On.
.1
-4).12-4Figure 12Select “Utilities” on the Main Menu (Figure
.8
-5).12Select “Water Drain/Fill” (Figure
.1
Pressing the Up arrow will activate the Pump and count down from 600
-6).12seconds (10 minutes) to 0 seconds (Figure
.11
Pressing the Down arrow will stop the Water Pump.
.11
Repeat Steps 5 to 9 for draining any remaining IPL/laser Handpiece.
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.12
Observe the reservoir; when no more water is pouring out, turn off the
System.
11.2
Draining the Laser/IPL Handpieces with the Water Draining
Tool
When only applicators are shipped or stored, follow applicators draining instructions
below. It is possible to connect them to the system and perform the draining
procedure, as above. It is also possible to use the Invasix Water-draining tool (Figure
-10).12
-10: Water Draining Tool12Figure
The Diolaze, DiolazeXL and Lumecca Handpieces may be damaged in cold (freezing)
temperatures that occur during transportation or the local storage environment. In
cold climates, especially during the winter, systems and handpiece may be damaged
during transportation or storage when exposed to freezing temperature.
To Drain the Handpiece
1.
Hold the Water Draining Tool's Connector and insert the Handpiece Connector
12with the label at a 90° counter-clockwise angle (as shown ii Figure
-11), and
twist it 90° to the right, so that the label is straight.
-11: Connecting the Handpiece to the Water Draining Tool12Figure
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Section 12: System Maintenance
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2.
Hold the Handpiece and the Draining Tool over a sink and start pumping air
through the Handpiece until no more water drains out.
.3
Disconnect the Handpiece from the Water Draining Tool.
Damage to the system or Handpieces by frozen water will not be covered
under System's warranty.
Only Invasix draining mechanical hand pumps (Invasix P/N AT604837x)
could be used to drain Diolaze, DiolazeXL and Lumecca Handpieces. To
order the Water Draining Tool, contact our Service department.
Replacing the Deionizer Cartridge 11.2
For safety, and proper System performance, replace the cooling water with fresh
distilled water only.
To remove the Deionizer Cartridge:
1.
Drain the water from the System following “Draining Water” procedure.
2.
Turn the System Off.
3.
Push the Slide Latch of the Bottle Door down, and remove the Door.
4.
Holding the Bottle cover with one hand, loosen the Bottle by turning it
clockwise.
5.
Disconnect the Deionizer Cartridge from the Water Hoses by pressing the
-8).12Release Button on the upper part of the Deionizer (Figure
To install a new Deionizer Cartridge:
.1
Connect the Water Hose into the Deionizer Filter until is securely locked.
.2
Remove the Water Bottle from the compartment, pour out the distilled water
from the Bottle according to “Draining Water” procedure and wash it with new
fresh water.
.3
Fill 1 liter of distilled water into the Bottle and return it to its compartment.
Perform “Filling Water” procedure as described above.
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Replacing the Capsule Filter 11.12
For safety, and proper System performance, replace the cooling water with fresh
distilled water only.
To remove the Capsule Filter:
.1
Drain the water from the System following “Draining Water” procedure
.2
Turn the System Off.
.3
Push the Slide Latch of the Bottle Door down, and remove the Door.
.4
Holding the Capsule Filter with one hand, loosen the Filter by pressing the
upper Black Quick Connector and pulling the Filter out of the Water Hose
-12 left).12(Figure
.5
Holding the Capsule Filter with one hand, loosen the filter by pressing the
lower black quick Connector and pulling the filter out of the water hose
-12 right).12(Figure
-12: Upper (Left) and Lower (Right) Filter Quick Connectors12Figure
To install a new Capsule Filter:
.1
Hold the Capsule Filter when the arrow on the Filter body pointing upwards.
.2
Push the lower System Water Hose into lower Filter’s Quick Black Connector
-12right).12as much as possible (Figure
.3
Push the upper System Water Hose into upper Filter’s Quick Black Connector
-12 left).12as much as possible (Figure
.4
Remove the Water Bottle from the compartment, pour out the distilled water
from the Bottle according to the “Draining Water” procedure, and wash it with
new fresh water.
.5
Fill 1 liter of distilled water into the Bottle and return it to its compartment.
Perform “Filling Water” procedure, as described above.
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Air Filter 11.11
Systems marked by the Service Revisions listed in the table below are equipped with
new air filters. The Filters are intended to reduce dust and debris entering and
accumulating inside the System. Dust and debris may affect internal heat exchanges
and the performance of other components.
Platform Description
Part Number
Service Revision
InMode II
AG606666A
B04
Optimas
AG606991A
B04
Triton
AG606992A
A02
-13).12Dust filter are located on inside back over door (Figure
-13: Back Cover Door with Dust Filter12Figure
Air Filter Maintenance
Dust Filter must be to be cleaned once a week. In dusty environments or desert
regions, it should be checked daily.
Replace the Dust Filter if damaged.
Cleaning method
Remove back cover door and wash it under tap water until filter net is clean from
a dust. Air pressure can used carefully if available.
Shake and dry the back-cover door before use.
Return the back-cover door when dry.
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Dust Filter ordering
In order to add a back cover with Dust Filter to existing Systems, order the parts
as listed in the table.
For Systems which already have a support for the back door, order a Mesh for
Cabinet Back Cover (part number MM607749X).
Platform
Item Description
Part Number
AG606666A InMode II
White Back Cover door
with Dust filter
AS607830X
AG606991A Optimas
AG606992A Triton
Black back Cover door
with Dust Filter
AS607831X
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Section13: Troubleshooting
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Section13: Troubleshooting
The InMode System provides monitoring of all critical parameters to ensure safety of
patient and user. If any of the following faults are detected system automatically
goes to Stand By mode.
Description of Faults with All Handpieces 11.1
Problem
Description and Checks
The System did not turn on
Check the Power Cord connection.
Check that the Main Switch on Rear Panel is On.
Check that the On/Off Switch on Front Panel is On.
Check that the Emergency Button has not been
pressed.
Check the fuses on the Back Panel of the System.
Call Technical Service if the problem persists.
The System shuts down by
itself
Check the Power Cord connection.
Check the fuses on the Back Panel of the System.
Check that the Emergency Button has not been
pressed.
Call Technical Service if the problem persists.
Checksum
The software was not loaded properly from the
Software Plug.
Check the Plug connection and reboot the System.
Call Technical Service if the problem persists.
Fault H8002 - Handpiece is
not connected
Check the Handpiece connection.
Replace the Handpiece.
Call Technical Service if the problem persists.
Fault H8005, H800F, H8010
– System Memory Fault
Call Technical Service if the problem persists.
Fault H8601 – Distributor
Card Connection Fault
Call Technical Service if the problem persists.
Fault H8609 – Water
Temperature Fault
Call Technical Service if the problem persists.
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Section13: Troubleshooting
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Problem
Description and Checks
Fault H800E- System
Incompatible Software
Version
Call Technical Service if the problem persists.
Fault H800F- System
Memory Fault
Call Technical Service if the problem persists.
Fault H8010- System
Memory Fault
Call Technical Service if the problem persists.
Faults H83XX, H84XX,
H82XX
Call Technical Service if the problem persists.
Faults H86XX Water Flow
Fault
Call Technical Service if the problem persists.
Faults H8003, H8006, H8007
- RF Related Faults
Call Technical Service if the problem persists.
Faults H8401, H8410,
H8420, H8421, H8422,
H8430, H8431, H8481 - IPL
Related Faults
Call Technical Service if the problem persists.
Faults H8202, H8210,
H8211, H8220-H8229,
H8222 - Laser Related
Faults
Call Technical Service if the problem persists.
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Section 14: System Specifications
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Section 14: System Specifications
Input Power
Main Line Frequency (nominal
50-60Hz
Input Voltage (nominal)
100-240VAC
Input Current (rms)
12A
Operating Parameters
Ambient Temperature Range
15 – 30°C [59 – 86°F]
Relative Humidity
30% to 80%, non-condensing
Atmospheric Pressure
90 - 110kPa
Warm-up Time
If transported or stored at temperatures outside
the operating temperature range, allow one hour
for the device to reach room temperature before
use.
Transport and Storage
Ambient Temperature Range
-20 – 65oC [-4 – 14°F]
Relative Humidity
0% to 80%, non-condensing
Atmospheric Pressure
50 to 110kPa
Dimensions
System
46cm W x 46cm
D x 100cm H
[18.2’’ W x 18.2’’ D
x 40’’ H]
Handpiece Cable
170; 280cm L
[67; 110`` L]
Weight
System
32.000 kg
[70.548 lb]
Diolaze Applicator
0.500 kg
[1.100 lb]
DiolazeXL Applicator
0.450 kg
[0.925 lb]
Lumecca Applicator
0.575 kg
[1.268 lb]
Fractora Applicator
0.100 kg
[0.220 lb]
Forma Applicator
0.110 kg
[0.243 lb]
Plus Applicator
0.170 kg
[0.375 lb]
BodyFX Applicator
0.900 kg
[1.984 lb]
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Section 14: System Specifications
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MiniFX Applicator
0.750kg
[1.653 lb]
Diolaze Output Parameters
Wavelength
81010 nm
Fluence
Variable, maintaining highest peak
power
Short
10 – 40 J/cm²
Long
15 – 60 J/cm²
Pulse width (duration)
Short/Long
Light guide cooling
Strong:
2ºC
Normal
10ºC,
Weak
15ºC
Spot size
8 mm x 50 mm
Repetition Rate
Long
0.8 Hz
Short
0.8-1 Hz
DiolazeXL Output Parameters
Wavelength
Fluence
5` – 40 J/cm²
Pulse width (duration)
Short/Long
Light guide cooling
Strong: 7ºC, Normal: 12ºC
Spot size
11 mm x 27.5 mm
Lumecca Output Parameters
Wavelength
515 – 1200nm (SR 515)
580 – 1200nm (SR 580)
Fluence
5 – 30J/cm²
Pulse width (duration)
Short/Long
Light guide cooling
Strong - 15ºC, Normal - 22ºC
Spot size
10mm x 30mm
Repetition Rate
1Hz
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Section 14: System Specifications
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Fractora Output Parameters
RF Energy
5 – 62 energy levels
Frequency
Forma Output Parameters
RF Energy
20 – 62 energy levels
Frequency
1MHz
Plus Output Parameters
RF Energy
20 – 62 energy levels
Frequency
1MHz
BodyFX Output Parameters
RF Power
10 – 50W
Frequency
1MHz
Vacuum
Automatically controlled
MiniFX Output Parameters
RF Power
10 –25W
Frequency
1MHz
Vacuum
Automatically controlled
Output Power Curves 11.1
The curves that follow depict the changes for each RF mode at specific power
settings.
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Section 14: System Specifications
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-1: Fractora 24 Pin Output Power versus Impedance14Figure
-2: Fractora 60 Pin Output Power versus Impedance14Figure
-3: Forma Output Power versus Impedance14Figure
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Section 14: System Specifications
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-4: Plus Output Power versus Impedance14Figure
-5: BodyFX Output Power versus Impedance14Figure
-6: MiniFX Output Power versus Impedance14Figure
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Section 14: System Specifications
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EMC Safety 11.1
The device has been tested and found to comply with the limits for the medical
devices to the IEC 60601-1-2. These limits are designed to provide reasonable
protection against harmful interference in a typical clinical installation. This device
generates uses and can radiate radio frequency energy. If not installed and used in
accordance with the instructions, may cause harmful interference to other devices in
the vicinity. However, there is no guarantee that the interference to other devices,
which can be determined by turning the device off and on, is caused by this
instrument.
The user is encouraged to try to correct the interference by one or more of the
following measures:
Reorient or relocate the receiving device.
Increase the separation between the devices.
Connect the device into an outlet on a circuit different from that which was
previously used.
Consult InMode service personnel for help.
Interference to the device may be caused by portable and mobile RF communication
equipment. In case of an interruption, beware of such a device in the vicinity.
Use of the System with any accessory, transducer or cable other than those
specified may result in increased EMISSIONS or decreased IMMUNITY than those
specified.
The System should not be used adjacent to or stacked with other equipment. If
adjacent or stacked use is necessary, the System should be observed to verify
normal operation in the configuration in which it will be used.
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Section 14: System Specifications
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Guidance and manufacturer’s declaration – electromagnetic emissions
The InMode System is intended for use in the electromagnetic environment specified below. The
customer or the user of the Optimas should assure that it is used in such an environment.
Emissions test
Compliance
Electromagnetic environment – guidance
RF emissions CISPR 11
Group 1
The System uses RF energy only for its
internal function. Therefore, its RF
emissions are very low and are not likely
to cause any interference in nearby
electronic equipment.
RF emissions CISPR 11
Class A
The System is suitable for use in all
establishments other than domestic and
those directly connected to the public
low-voltage power supply network that
supplies buildings used for domestic
purposes.
Harmonic emissions
IEC 61000-3-2
Complies
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
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Section 14: System Specifications
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Guidance and manufacturer’s declaration – electromagnetic immunity
The System is intended for use in the electromagnetic environment specified below. The
customer or the user should assure that it is used in such an environment.
Immunity test
IEC 60601 test
level
Compliance
level
Electromagnetic
environment –
guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
± 6 kV contact
± 8 kV air
± 6 kV contact
± 8 kV air
Floors should be wood,
concrete or ceramic tile.
If floors are covered
with synthetic material,
the relative humidity
should be at least 30 %.
Electrical fast
transient/burst
IEC 61000-4-4
± 2 kV for power
supply lines ± 1 kV
for input/output
lines
± 2 kV for
power supply
lines
Surge
IEC 61000-4-4
± 1 kV differential
mode
± 2 kV common
mode
± 1 kV
differential
mode ± 2 kV
common mode
Mains power quality
should be that of a
typical commercial or
hospital environment.
Voltage dips,
short
interruptions
and voltage
variations on
power supply
input lines IEC
61000-4-11
UT (>95 % dip
<5 %
in UT) for 0,5 cycle
UT (60 % dip
40 %
in UT) for 5 cycles
UT (30 % dip
70 %
in UT) for 25 cycles
UT (>95 % dip
<5 %
in UT) for 5sec
>95 % dip for
10 ms
60 % dip for
100 ms
30 % dip for
500 ms
95 % dip for
5000 ms
Mains power quality
should be that of a
typical commercial or
hospital environment. If
the user of the device
requires continued
operation during power
mains interruptions, it is
recommended that the
device be powered
from an uninterruptible
power supply.
Power
frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
3 A/m
3 A/m
Power frequency
magnetic fields should
be at levels
characteristic of a typical
location in a typical
commercial or hospital
environment.
NOTE - UT is the AC mains voltage prior to application of the test level.
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Section 14: System Specifications
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Guidance and manufacturer’s declaration – electromagnetic immunity
The System is intended for use in the electromagnetic environment specified below. The
customer or the user should assure that it is used in such an environment.
IMMUNITY
Test
IEC
60601
Test
Level
Compliance
Level
Electromagnetic environment – guidance
Conducted
RF IEC
61000-4-6
Radiated
RF IEC
61000-4-3
3 Vrms
150 kHz
to
80 MHz
3 V/m
80 MHz
to
2,5 GHz
[3] V
[3] V/m
Portable and mobile RF communications
equipment should be used no closer to
any part of the device, including cables,
than the recommended separation
distance calculated from the equation
applicable to the frequency of the
transmitter.
Recommended separation distance
𝑑 = [3,5
𝑉1
] √𝑃 = [3,5
3 ] √65 = 𝟖���. 𝟒 [𝒎]
80 𝑀𝐺���𝑧 𝑡𝑜 800 𝑀𝐺���𝑧
𝑑 = [ 7
𝐸1
] √𝑃 = [7
3] √65 = 𝟏𝟖. 𝟖𝟏 [𝒎]
80 𝑀𝐺���𝑧 𝑡𝑜 2,5 𝐺𝐺���𝑧
Where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the recommended
separation distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
a should be
electromagnetic site survey,
less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of
equipment marked with the following
symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
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Section 14: System Specifications
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a Field strengths from fixed transmitters, such as base stations for radio
(cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess
the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which the
System is used exceeds the applicable RF compliance level above, the System should be
observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the System.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between
portable and mobile RF communications equipment and the System
The System is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the System can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the System as recommended
below, according to the maximum output power of the communications equipment.
Rated maximum
output power of
transmitter [W]
Separation distance according to frequency of transmitter [m]
150 kHz to 80 MHz
𝑑 = [3,5
𝑉1
] √𝑃
80 MHz to 800
MHz
𝑑 = [3,5
𝐸1
] √𝑃
800 MHz to 2,5
GHz
𝑑 = [ 7
𝐸1
] √𝑃
0,01
0.117
0.117
0.233
0,1
0.369
0.369
0.738
1
1.167
1.167
2.333
10
3.689
3.689
7.379
100
11.667
11.667
23.333
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
InMode Without Vasculaze Operator Manual
Table from IEC60601-1-2, / 5.2.2.1 C & F
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Table from IEC60601-1-2, / 5.2.2.1 C & F