Excel V - SFPMed

Excel VMulti-Wavelength High Energy, Short

Pulse 532nm & 1064nm laser

Veerle De Coker – Product Manager

• Versatility to treat all lesions with high safety margin

‒ High hemoglobin absorbing wavelength

‒ Large range of spot sizes

‒ Combinations of fluence and pulse durations that thermally confine

the treatment dose to the lesion

Ideal Laser

the treatment dose to the lesion

• Efficient cooling

• Small footprint

• Ease of use

• No consumables

• Capable of purpuric settings

Versatility and efficacy for all vascular lesions

and superficial benign pigment disorders

• Telangiectasia• Leg Veins• Spider Angiomas

• Cherry Angiomas• Neovascularization• Venous Lakes

• Vascular Lesions

• Pigmented Lesions• Lentigines• DPN’s• Poikiloderma of Civatte

• Freckles• Café-au-lait Stains• Melasma*

• Port Wine Stains• Rosacea/ Matting• Diffused Redness• Ecchymosis

FDA Cleared Indications

• Poikiloderma of Civatte • Melasma*

• Cutaneous Lesions• Verruca• Skin Tags

• Keratoses

• Other• Red Scars

Absorption Vs Longeur d’onde

532 nm

Extend treatments to venous

malformations, venous lakes, nodular 1064 nm

Spot: 2 – 12mm

Fluence: 1.8-42 J/cm2

Pulse: 1.5 – 40 ms

Treat conditions like telangiectasia,

diffuse redness, red port wine stains,

poikiloderma, pigment

Three Distinct Operating Modes

malformations, venous lakes, nodular

port wine stains, and leg veins

Facial revitalization, diffuse redness, scars,

wrinkle reduction

Laser Genesis Micro-Pulse

Spot: 2 – 12mm

Fluence: 5 -300 J/cm2

Pulse: 2 - 300 ms

Spot: 8 mm

Fluence: 4- 7 J/cm2

Pulse: .3 ms

• Fluence: 1.8 - 42 J/cm2

• Spot Size: 2 – 12mm

• Pulse Duration: 1.5 – 40 ms

• Repetition Rate: 0 to 4 Hz

• High power

532 nm KTP Wavelength

• High power

• Treatment Spot: 101 Spot Options (2 to 12 mm)

• Epidermal Cooling: 16mm Sapphire Window

• Treats a vast range of vascular and benign pigmented lesions

• Fluence: 2- 300 J/cm2

• Spot Size: 2 – 12mm

• Pulse Duration: 5 – 60 ms


• 16mm Sapphire Window

1064 nm Nd:YAG Wavelength

• Long pulse 1064nm mode is ideal for treatment of deeper or thicker vascular lesions including leg veins, venous lakes and periorbital veins.

• 16mm Sapphire Window

• Treatment Spot: 101 Spot Options (2 to 12 mm)

• Wavelength: 1064 nm

• Fluence: 4- 7 J/cm2

• Spot Size: 8 mm

• Pulse Duration: 0.3 ms


Laser Genesis

• Epidermal Cooling: none needed

• Patented 1064 nm Laser Genesis procedure targets the micro-vascularity with microsecond high peak power pulse

• Safe for all skin types

Nd:YAG – 1064 nm

Ability to treat Fitzpatrick skin type I - VI

KTP – 532 nm

Easy of use

Photo Revitalization

• Now the user picks from the sub menu for more refinement

532 nm KTP Vascular

Telangiectasia Nose

Before532nm, 4 mm, 10 J/cm2, 15 ms – 1 treatment

Photos Courtesy of Neil Sadick,MD

rosacea

Photos Courtesy of Jeremy B. Green, MD

7 j/cm2 10 mm 10 ms 10°C - 3 Treatments

Immediately After

Resistant Port Wine Stain

Photos Courtesy of Macrene Alexiades, MD, PhD

532nm 7 j/cm2 7mm 6ms 5°C – 1 Treatment

532 nm KTP Pigment/Vascular

Light Lentigines

532 nm, 12-16J/cm2, 4-10ms, 3mm, 15°C - 1 TX

Photos courtesy of Grant Stevens, MD

1064 nm Nd:YAG Vascular

Venous Lake

Photos courtesy of Hideko Yambe, MD

1064nm, 7 mm, 30 ms, 90 J/cm2 1 TX

Spider Veins

Photos courtesy of Jeffrey Hsu, MD – Ashish Bhatia, MD

1064nm, 100-180j/cm2 5mm 10-40ms 5°C - 1TX

Spider Veins

1064nm - 3 mm, 150 J/cm2, 15 ms – 1 month after 1TX

Photos Courtesy of Neil Sadick,MD

Other Treatments

Verruca Vulgaris

Photo courtesy of Dr. TY Han, et al.

532nm, 15j/cm2 3mm 10ms 20°C - 1TX

Ecchymosis

Photos courtesy of David Holcomb, MD

532nm, 10mm, 15ms, 5J/cm2, 10° C – 2 days after 1TX

Melasma/Pigment

Melasma – Patient 1

Before After 2x532nm, 5.8J/cm2 - 10mm - 10ms, 10°C, 500shots, 2TX

Photos Courtesy of Dr. Shamshik Shin

1064 nm Nd:YAG – Genesis V

AP0555 Rev A (04/13)

Acne Scars

Photos courtesy of Dr. Tomei & Ashraf Badawi, MD

Pre Genesis V Post 6 TX

Skin Revitalization

Pre Genesis V 4 Months Post 6 TX

Photos Courtesy of David Vasily, MD

excel HR ™

21st Century Hair Removal21st Century Hair Removal

• Versatile, High Performance• High-Power 755 nm Alexandrite + Versatile 1064

nm Nd:YAG• Effectively treats ALL skin types• Easily set 3-18 mm spot sizes optimized for hair

and vascular

• Rapid, powerful energy deliveryCoverage rate 5.1 cm2/sec (755 nm)

excel HRAdvanced 21st Century Hair Removal

• Coverage rate 5.1 cm2/sec (755 nm)• truPulse™ consistent long pulse energy delivery

(1064 nm)

• Comfortable treatments with Sapphire contact cooling• The only high power Alex product on the

market with contact cooling• Effective, safe, comfortable• Superb visibility of treatment site

Parameters Alexandrite High Power, Long Pulse Nd:YAG

Wavelength 755 nm 1064 nm

Fluence Up to 100 J/cm2 ≤ 300 J/cm2

Pulse Duration 3 ms 0.1-300 ms

Repetition Rate from single shot up to 10 Hz (Nd:YAG) and 2 Hz (Alex)

Delivery System Permanently attached umbilical and handpiece

excel HRTechnical Specifications

Treatment Spot 5 – 18 mm 3 – 18 mm

Epidermal Cooling

Cold Sapphire (adjustable 4 – 20o C)

Aiming Beam 635 nm

Power Requirements

200-240 V, 30 Amp

Dimensions12.5 in x37 in x25 in / 32 cm x 94 cm x 63.5 cm

198 lbs/90 kg

COMPETITOR

excel HRSpace Saving Footprint

•30% Smaller Footprint•HALF the Volume

CUTERACUTERA

35”35”

45”45”

excel HR ™


• High Power• 755 nm

Alexandrite

High Power 755 nm AlexandritePenetration Depth

High Power 755 nm AlexandriteFitzpatrick Skin Types I – IV

755 nm Alexandrite

• Max Delivered Energy: 50 J

• Fluence: 4 - 100 J/cm2

• Spot Size: 5 – 18 mm Automatic Adjustable

• Pulse Duration: 3 ms

High Power 755 nm AlexandriteTechnical Specifications

• Pulse Duration: 3 ms


• High power – 16.7 Kilowatts Peak Power – no system faster or more powerful

• Epidermal Cooling: Cold Sapphire, Adjustable 4-20°C

excel HR ™


• Long Pulse 1064 nm• Nd:YAG• With Exclusive

truPulse™ technology

Long Pulse1064 nm Nd:YAGPenetration Depth

1064 nm Nd:YAG

Long Pulse1064 nm Nd:YAGFitzpatrick Skin Types I – VI

• Max Delivered Energy: 80 J

• Fluence: 3 – 300 J/cm2

• Spot Size: 3 – 18 mm Automatic Adjustable


Long Pulse1064 nm Nd:YAGTechnical Specifications



• High power – 14 Kilowatts Peak Power – fastest, most powerful system

• Epidermal Cooling: Cold Sapphire, Adjustable 4-20°C

• truPulse ™ – the only Nd:YAG laser with a true long pulse temporal beam profile that measurably delivers consistent levels of long pulse energy, pulse after pulse (not a composite pulse)

excel HRLong Pulse 1064 nm Nd:YAG

10 msec truPulse™ Competitor “10 msec”

excel HR ™


• Clinical Applications & Results

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient X (Chest)

Pre-Tx 6 Weeks Post 1 Tx

Photos courtesy of Cutera Research Center

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient Y (Full Back)

• Skin Type V


Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Partial Back


Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient Z (Under Arm)

Pre-Tx 6 Weeks Post 1 Tx


3 Months Post 1 Tx

Clinical Results1064 nm Nd:YAG Laser Hair Removal

• Skin Type V

Pre-Tx Post-Tx

Photos courtesy of Eliot F. Battle, Jr., MD

• Pseudofolliculitis Barbae


Pre-Tx Post-Tx



Pre-Tx 8 Wks Post 3 TxsPhotos courtesy of Greg Waslen, MD


• Skin Type IV (Indian)

Pre-Tx Post 4 Txs

Photos courtesy of Kevin Smith, MD


Pre-Tx Post-Tx

Photos courtesy of Samuel Lederman, MD

Excel V - SFPMed

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