Treatment Considerations; Contact Technique; Laser Treatment Procedure; Skin Color And Other Pigment Considerations - Companion Ctx Benutzerhandbuch

Warning: Ensure alcohol on the instrument has fully evaporated/dried before activating the laser.

Examine treatment head surface (ball surface, cone lens) to ensure it is free of cracks, burn marks, blemishes, or residue prior to
use.

Thermal effects vary with hair coat and pigmentation – darker pigments absorb more. If patient appears uncomfortable and/or
haircoat feels excessively warm, increase distance and/ or move the handpiece more rapidly, and/or reduce power.
4.5.

Treatment Considerations

Recommendation: For patients with excessively long or thick haircoats, user may part the hair while treating with your hands or clip/shave
the fur.

Treatments can be done in conjunction with stretching or gentle range-of-motion exercises.

Monitor for superficial thermal discomfort.

Keep beam perpendicular to skin surface at all times.

Treat muscles connecting to a painful joint in addition to tendon attachments.

For edema/swelling, treat area from proximal to distal to facilitate lymphatic drainage.

Treat biomechanically connected muscles and joints in the kinematics chain.

Post-operative or acute injuries use shorter times and/or lower power.
4.6.

Contact Technique


Treatments can be done on contact or at a slight distance from the skin.

Monitor for superficial thermal discomfort.

Continuously move probe in grid pattern (Figure 23).

Treat 1-2 inches, or 3-5 cm, of surrounding healthy tissue.
4.7.

Laser Treatment Procedure

This section contains information about the protocols and settings on this device. The following treatment recommendations are provided
for guidance only. The practitioner is the person who determines the settings and protocol to use when treating each individual patient.
4.8.

Skin Color and Other Pigment Considerations

This laser system will deliver a dual wavelength of 810 nm and 980 nm light which has been found to provide therapeutic relief of pain. This
laser system allows the operator to choose skin color for the patient. Since darker skin will absorb 810 nm light more than lighter skin, the
software in the device will adjust the output so that it contains 100% 980 nm when the dark skin, or dark hair coat, setting is selected. Another
circumstance when it may be appropriate to use this setting, include areas of mixed pigmentation, such as areas with a both dark and light-
Recommendation: For patients with mixed pigmentation, select the characteristic setting for darker pigmentation.
colored skin patches.
4.9.

Dose

The laser energy dose delivered during a treatment is measured in joules. This number is recorded on the screen during a treatment and is
calculated by multiplying the power (in watts) by treatment time (in seconds). Laser treatment should be applied to an area using a scanning
application.
General guidelines are for the total dose to an area to be 4-15 J/cm
this laser system is programmed to deliver a dose appropriate for the treatment area and conditions input by the operator. It is recommended
that treatment information (protocol and input setting or power, energy delivered, treatment time, treatment area) be recorded for each
treatment.

In general, doses are delivered to the area of pain, the surrounding tissues, and along the nerve pathway for the specific area
experiencing the pain.

Treat muscles connecting to a painful joint in addition to tendon attachments.
4.10.

Treatment Technique

Warning:

DO NOT allow any reflective objects to fall into or obstruct the path of the laser energy produced by this device. The
operator, all assistants, and the patient must remove all reflective objects (such as rings, metal watchbands, metal collars,
and jewelry) prior to treatment with this device. Indirect or direct eye contact with scattered laser light from any reflective
surface from the laser can cause serious, irreparable corneal and/or retinal damage, and possible blindness to one or both
eyes.

Use carefully. May cause serious burns. Do not use over sensitive skin area or in the presence of poor circulation.

During treatment, it is important to observe feedback from the patient concerning their comfort level. The laser provides a soothing
warmth. Be cautious in cases where the patient has limited sensation or is not able to respond to increases in temperature and
consider treating at a lower power setting. If the patient expresses any discomfort; the power output should be reduced.

Treatment should be delivered to exposed skin. Do not treat through fabric or bandages.

The treatment area should be clean and free of surface dirt or oils.

Treatments can be performed on or off contact.

For optimal delivery of the dose, keep the treatment head perpendicular to the skin.
RSR-000929-000 (0)
2
(actual dose will depend on area, condition, body type). The software in
User Manual – CTX
Figure 23
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