QuadroStarPRO Presentation PDF
QuadroStarPRO Presentation PDF
QuadroStarPRO Presentation PDF
For more than 35 years, Asclepion has been operating on the medical laser
market. As the company is based in Jena, famous through the world as the
global center of the optics industry since 1846, the company owes it success
to the steady development of new technologies and the active collaboration
with researchers from German universities and industries.
• More than 35 years experience in the aesthetic laser medicine and surgery
DLS5
Top-Laser for aesthetic laser treatment, available in four different
wavelengths (yellow (577 nm), green (532 nm), 940 or 980 nm).
Product Development Milestones of vascular laser systems
ProYellow+
YellowStar
BeautyStar
QuadroStar
QuadroStar+
QSPRO 100 1116 EN All specifications are subject to change without notice. 4
Features
• Shapes:
Easy handling
• clear menu navigation
• clear and sharp display with touch sensitive keypad
• different background colors selectable
CW Power (total energy and pulse duration, incl. value set to zero) Surgery
TOOLS Pilot beam brightness, skin cooling, footswitch for setting Basics
HIGH ABSORPTION
in hemoglobin: 100000
The blood heats up and
harms the inner vessel 10000
wall, this glued and
thus closes the vessel. 1000 Desoxy-Hemoglobin
Yellow light is having
the highest absorption.
Absorption Coefficient [cm-1]
100
Protein Water
in melanin:
Treatment of benign 0.01
pigmented lesions; NO
treatment on tanned 0.001 Scattering
skin or skin type V or
VI; Careful use on skin 0.0001
type IV! 100 200 300 400 500 1000 2000 3000 4000 5000 10000
Wavelength [nm]
Penetration depth
PDL Argon KTP HOPSL Diode Nd:YAG
nm 510 514 532 577 800-980 1064
Absorption
Advantages 577nm (YELLOW) vs. 532nm (GREEN)
QSPRO 100 1116 EN Source: Welch, Van Gemert: Optical-Thermal Response of Laser-Irradiated Tissue, p. 815, ISBN 0-306-44926-9 14
QuadroStarPRO | vascular lesions
scanner tests
after 5 days
532 nm 577 nm On the left, large scale
but superficial scabbing.
532 nm
31 J/cm2
11 ms
scanner at max. density
577 nm
19 J/cm2
11 ms
scanner at max. density
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 16
QuadroStarPRO YELLOW | Port wine stains (PWS)
scanner test
after 3 weeks
532 nm 577 nm right side: before treatment
left side: significant better removal
of PWS at the 577 nm
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 17
QuadroStarPRO YELLOW | Telangiectasia
before and after 1 month, 1mm spot size, 14-16 J/cm2, shortest pulse
before
one month after
third session
before
Parameters:
Single scan circle 8mm, 15J/cm2, 32msec
15 days after
2 session
QSPRO 100 1116 EN By courtesy of Dr. Olga Bogomolets’ Institute of Dermatocosmetology, Oblast Mykolajiw, Ucraine 21
QuadroStarPRO YELLOW | Hemangioma
before
Parameters:
18 J/cm2, Scanner 8mm, 32msec, Single scan
15 days after
2 session
QSPRO 100 1116 EN By courtesy of Dr. Olga Bogomolets’ Institute of Dermatocosmetology, Oblast Mykolajiw, Ucraine 22
QuadroStarPRO YELLOW | Post acne erythema
before and after 1 month, Scanner 80% coverage, 70% cooling, 20 J/cm², shortest pulse
before and after 1 month, Scanner 80% coverage, 70% cooling, 20 J/cm², shortest pulse + brush 14 J/cm² on spots defocused 5 cm
before and after 1 month, Scanner 80% coverage, 70% cooling, 22 J/cm², shortest pulse
before
before
Parameters:
14 J/cm2, scanner 100%
30 days after 1 session
QSPRO 100 1116 EN By courtesy of LoraDerm Clinic, Zagreb, Croatia 28
QuadroStarPRO YELLOW | Melasma
before and after 1 month, Scanner 80% coverage, 100% cooling, 18 J/cm², shortest pulse
before and after 1 month, brush 12 J/cm² on spot defocused 5 cm, shortest pulse
before and after 1 month, brush 12 J/cm² on spot defocused 5 cm, shortest pulse
immediate reaction:
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 32
QuadroStarPRO YELLOW | Couperose/Rosacea
typical
immediate reaction
using the scanner:
lighten up of
the scanned area
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 33
QuadroStarPRO YELLOW | Telangiectasia
immediate reaction:
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 34
QuadroStarPRO YELLOW | Telangiectasia
QSPRO 100 1116 EN By courtesy of Dr. P. Wood, Proderma, Bad Homburg, Germany 35
QuadroStarPRO GREEN | Telangiectasia
before after
before after
Hemangioma Wart
Venous lake
before after
before after
During the procedure, a catheter bearing a laser fiber is inserted into the great saphenous vein or small
saphenous vein through a small puncture. The catheter is then advanced under ultrasound guidance by
means of a guide wire, which was inserted before. Under sonographic control the end of the catheter
fixed with the laser fiber is positioned 1-2 cm in front of the opening in the Vena femoralis. Dilute local
anesthetic is injected around and along the vein (perivascular infiltration). The catheter is withdrawn from
the fiber in a way that the end of the fiber juts out of the catheter at least 10mm. The laser is activated
whilst the catheter fixed to the laser fiber is slowly withdrawn, resulting in obliteration of the saphenous
vein along its entire length.
EndoSet
Focus on security: EndoFiber NIR Q600 (Fiber) with catheter Insertion Set
Onychomycosis: Fungal infections of the nails, especially of the toenails, are one of the
most common fungal diseases. About five percent of the population is asking for a
treatment, but the estimated number of people affected is approximately four to five times
higher. Most of patients consider the changes and discoloration of the nails as unattractive
and maybe a little embarrassing, but they do not pay this too much heed. But the
Onychomycosis is not a minor cosmetic problem only. If remains untreated, the infection
can spread up and destroys at the end the nail cells completely, which leads to separation of
the nail plate from nail bed.
QSPRO 100 1116 EN Source: Deutsche Haut - und Allergiehilfe e.V./ Picture by courtesy of Dr. Koch, Harsefeld, Germany 50
QuadroStarPRO 980 | Nail treatment
Laser treatment:
• Now there are several lasers with different parameters and treatment methods available and
used successfully, represent an additional option to the existing protracted therapies with high
relapse rates.
• All together is the wavelength in the near infrared (870-1320nm, which ensures good
penetration) and the goal is to heat the nail.
• The study situation is currently not clear what the mechanism of action relates (reached nail
temperature is not enough to destroy fungus or spores), but the application studies and
especially the practical experience in the treatment of many patients and their satisfaction
demonstrate the usefulness of the treatment.
• Nevertheless, it should be noted in the informed consent discussion that the treatment
improves the visual appearance of the nail and recurrences are possible (including the famous
The PinPointeTM FootLaserTM is approved by the FDA only for it: "is Indicated for use for the
temporary increase enlarge of clear nail in patients with Onychomycosis").
Treatment time until 43°C is reached = 1min 20sec (small nail), no pain
continuously scanned nail including nail edge of approx. 2mm
Indications
Reduction of local fat deposits, body contouring, slimming, skin tightening, collagen remodeling
Treatment areas
• abdomen, hips
• areas where liposuction is not appropriate or with poor response (neck, chin, knee-cap, under bra – line etc.)
• areas with previous liposuction and persisting skin laxity
Tumescence anesthesia
• diluted local anesthesia is injected into the fat layer
• no general anesthetic necessary – significant less risk
Mechanism
The laser melts unwanted fat efficiently by selectively targeting adipose fat and damages the
dermal collagen by heat and causes shrinkage and ultimately neocollagenesis prompting
reduction of lines and wrinkles and providing skin tightening.
• smoother skin with less deformities compared to • Table top system with high power for shorter
liposuction treatment times
• faster healing with smaller incisions, less bruising, reduced • different canulas and fibers available
pain minimal blood loss and swelling (200, 300, 400 and 600 µm)
• cw – technology allows superior controlling of thermal • special LipoSet with sterile fibers
effect vs. competing high peak power pulsed laser; (300 and 600 µm) and handpieces
competing systems using short (200 µs) peak power
• no consumables
pulses cause extreme temperatures in the tissue, leading
to disruptive photomechanical and photo acoustic effects;
these temperatures are high enough to cause unnecessary
boiling and vaporization at the end of their tip
Surgery procedures
• Preparation of QuadroStar+ with accessories
• Preparation tumescent solution, Lipolysis Set
• Lipolysis surgery
Pre-OP preparation
• Equipment preparation and sterilization
• Body examination
• Pre-OP medication
• Surgery line
• Picture records
• Body disinfection
• Anesthesia (tumescent therapy)
Post-OP care
• Picture records
• Massage
Preparation of LipoSet
• insert fiber into handpiece
• fiber has to jut out of cannula 5 - 7 mm in order to prevent
heating of cannula and thus skin burns, fiber must be fixed !!
Surgery preparation
• QuadroStar 980: check function and select correct cw – mode
• connection of fibers
• safety goggles
• red aiming beam must be visible (brightness adjustment)
Parameter setting
• tight tissue: cw, 6 - 10 Watt, 300 µm fiber
• floppy tissue: cw, 4 - 8 Watt, 300 µm fiber
Experienced user may run high effective and high speed procedures
by using 600 µm fiber, cw, 15 – 18 Watt.
Medications
Midazolam (Dormicum ™, Benzodiazephrine) (oral)
Tumescent solution (injection)
• 0,9% normal saline 1000 ml
• 2% lidocaine 50 ml
• Adrenaline 1: 100.000 1 ml
• 8,4 % sodium bicarbonate 12,5 ml
• 10 mg triamcinolone acetonide 1 ml
Incision
Fan method
Surgery line
Tumescent line
Clinical results
Lipolysis using a 980-nm Diode Laser: A Retrospective Analysis of 534 Procedures
Jean Pascal Reynaud1, Martine Skibinski1, Benjamin Wassmer2, Philippe Rochon2, 3 and Serge Mordon3
Patient satisfaction
Lipolysis using a 980-nm Diode Laser: A Retrospective Analysis of 534 Procedures
Jean Pascal Reynaud1, Martine Skibinski1, Benjamin Wassmer2, Philippe Rochon2, 3 and Serge Mordon3
Treatment results
before treatment
before treatment 1 day after one treatment 5 days after one treatment
Treatment results
Treatment of superficial cutaneous vascular lesions: experience with the KTP 532 nm laser
Clark C, Cameron H, Moseley H, Ferguson J, Ibbotson SH. Photobiology Unit, Department of Dermatology, Ninewells Hospital Medical School,
University of Dundee, DD1 9SY, UK. Lasers Med Sci. 2004;19(1):1-5.
Comparison of the 532-nm KTP and 1064-nm Nd:YAG lasers for the treatment of cherry angiomas
Pancar GS1, Aydin F, Senturk N, Bek Y, Canturk MT, Turanli AY. Department of Dermatology, Ondokuz Mayis University School of Medicine,
Samsun, Turkey. J Cosmet Laser Ther. 2011 Aug;13(4):138-41. doi: 10.3109/14764172.2011.594058. Epub 2011
Acne rosacea: effectiveness of 532 nm laser on the cosmetic appearance of the skin
Maxwell EL1, Ellis DA, Manis H. Art of Facial Surgery, Facial Plastic Reconstructive Surgery, Toronto, ON lindamaxwell22@hotmail.com.
J Otolaryngol Head Neck Surg. 2010 Jun;39(3):292-6.
Treatment of spider leg veins with the KTP (532 nm) laser--a prospective study.
Spendel S, Prandl EC, Schintler MV, Siegl A, Wittgruber G, Hellbom B, Rappl T, Berghold A, Scharnagl E. Lasers Surg Med. 2002;31(3):194-201.
The utilization of a new yellow light laser (578 nm) for the treatment of class I red telangiectasia of the lower extremities.
Sadick NS, Weiss R. Dermatol Surg. 2002 Jan;28(1):21-5.
Copper bromide laser treatment of facial telangiectasia: results of patients treated over five years.
McCoy SE. Lasers Surg Med. 1997;21(4):329-40.
Split treatment of photodamaged skin with KTP 532 nm laser with 10 mm handpiece versus IPL: a cheek-to-cheek comparison.
Butler EG 2nd1, McClellan SD, Ross EV. Lasers Surg Med. 2006 Feb;38(2):124-8.
Endovenous laser treatment (EVLT) for the saphenous reflux and varicose veins: a follow-up study.
Firouznia K, Ghanaati H, Hedayati M, Shakiba M, Jalali AH, Mirsharifi R, Dargahi A. J Med Imaging Radiat Oncol.
2013 Feb;57(1):15-20. doi: 10.1111/j.1754-9485.2012.02457.x. Epub 2012 Oct 9.
Laser assisted lipolysis for neck and submental remodeling in Rohrich type I to III aging neck: a prospective study in 30 patients.
Leclère FM, Moreno-Moraga J, Alcolea JM, Casoli V, Mordon SR, Vogt PM, Trelles MA. J Cosmet Laser Ther. 2014 Dec;16(6):284-9.
doi: 10.3109/14764172.2014.946053. Epub 2014 Sep 19.