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世聯(lián)翻譯公司完成用戶手冊英文翻譯
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世聯(lián)翻譯公司完成用戶手冊英文翻譯
Document part number: UMVEGLBA Venus Versa_UM_GLB Global,Rev. 01, November 2015Venus VersaUser Manual(International Version)Venus Versa User Manual (International Version)Document part number:UMVEGLBA Venus Versa_UM_GLB GlobalRev. 01, November 2015Copyright © 2015 Venus Concept Ltd. All rights reserved.Venus Concept Ltd. reserves the right to make changes to itsproducts or specifications to improve performance, reliability,or manufacturability. Information furnished by Venus ConceptLtd. is believed to be accurate and reliable. However, VenusConcept Ltd. assumes no responsibility for its use. No licenseis granted by its implication or otherwise under any patent orpatent rights of Venus Concept Ltd.No part of this document may be produced or transmitted inany form or by any means, electronic or mechanical, for anypurpose, without a written permission of Venus Concept Ltd.Data and Specifications are subject to change withoutnotification.Venus Concept Ltd. has patents and pending patentapplications, trademarks, copyrights, or other intellectualproperty rights covering subject matter in this document. Thefurnishing of this document does not give you any license tothese patents, trademarks, copyrights, or other intellectualproperty rights.NOTICE: This document may contain Venus ConceptConfidential Information. If you received this document bymistake, please inform us, so as to enable us to retrieve thedocuments. In such cases, copying and distributing thisdocument are strictly prohibited.Versa User Manual iTable of ContentsCHAPTER 1 About this Manual Page1.1. Use of the Manual ..................................... 1-21.2. Scope of the Manual ................................. 1-31.3. Document Conventions............................. 1-61.4. Symbols .................................................... 1-7CHAPTER 2 Safety and Regulatory Information Page2.1. Introduction ............................................... 2-22.2. Intended Use ............................................. 2-32.3. Intended User and Environment ............... 2-32.4. Safety Information .................................... 2-42.5. Electrical and Mechanical Safety ............. 2-72.6. Fire Safety ................................................. 2-82.7. Protective Eyewear ................................... 2-82.8. Optical Safety during the IPL Treatment .. 2-92.9. RF Treatment Safety Precautions ........... 2-102.10. Compliance with International Standards 2-112.11. System Safety Features ........................... 2-122.12. Electromagnetic Compatibility ............... 2-132.13. System Labels ......................................... 2-182.14. Contact Information ................................ 2-20ii Versa User ManualCHAPTER 3 Installation Page3.1. Installing the System ................................. 3-23.2. Electrical Requirements ............................ 3-23.3. Environmental Requirements .................... 3-33.4. Equipment List .......................................... 3-43.5. Connecting the System to theMains Power .............................................. 3-53.6. Connecting the Applicators ....................... 3-63.6.1. Connecting the IPL Applicator ..... 3-63.6.2. Connecting the RF Applicators .... 3-73.6.3. Connecting the VivaApplicator Tip ............................... 3-8CHAPTER 4 System Description Page4.1. General Description ................................... 4-24.2. System Components .................................. 4-34.2.1. System Console ............................. 4-44.2.2. Touch Screen ................................ 4-44.2.3. Emergency Button ........................ 4-54.2.4. IPL Applicator ConnectionReceptacle ..................................... 4-64.2.5. RF Applicator ConnectionReceptacles ................................... 4-74.2.6. IPL Applicator Holder .................. 4-84.2.7. RF Applicator Holders ................. 4-94.2.8. Main Power Switch ..................... 4-104.2.9. Power Connection Port .............. 4-11Versa User Manual iiiCHAPTER 4 System Description (cont.) Page4.3. IPL Applicators ....................................... 4-124.3.1. SR515 Applicator ....................... 4-124.3.2. SR580 Applicator ....................... 4-134.3.3. HR650 Applicator ...................... 4-144.3.4. HR690 Applicator ...................... 4-154.3.5. HR650XL Applicator ................. 4-164.3.6. HR690XL Applicator ................. 4-174.3.7. ACDUAL Applicator .................. 4-184.4. RF Applicators ........................................ 4-194.4.1. Diamondpolar Applicator .......... 4-194.4.2. Octipolar Applicator .................. 4-204.4.3. Viva Applicator .......................... 4-21CHAPTER 5 Operating Instructions Page5.1. Turning the System On/Off ...................... 5-25.2. Logging In ................................................. 5-45.3. Selecting the Desired Applicator .............. 5-65.4. Treatment Modes and Parameters ............ 5-75.4.1. (MP)2 Treatment Mode ................ 5-85.4.2. Fractional RF Treatment Mode . 5-125.4.3. IPL Treatment Mode .................. 5-175.5. Setting the Treatment Parameters ........... 5-215.6. Using Preset Parameters in the (MP)2Treatment Mode...................................... 5-22iv Versa User ManualCHAPTER 5 Operating Instructions (cont.) Page5.6.1. Recalling the Preset TreatmentParameters ................................. 5-225.6.2. Changing the Preset TreatmentParameters ................................. 5-235.7. Emitting the Treatment Energy ............... 5-25CHAPTER 6 Advanced Features and Settings Page6.1. Tools screen ............................................... 6-26.1.1. Features in the Tools Screen ........ 6-26.1.2. Status Bar ..................................... 6-56.1.3. Accessing the Tools Screen .......... 6-56.2. Setting the Interface language ................... 6-66.3. Setting the Volume .................................... 6-76.4. Setting the Login Code .............................. 6-86.5. Logging Out ............................................. 6-116.6. Setting the Auto Logout Time ................. 6-126.7. Displaying the System Information ......... 6-136.8. Extending the Activation Period ............. 6-146.9. Displaying the System CounterInformation .............................................. 6-166.10. Activating the Pump ................................ 6-186.11. Technician Mode ..................................... 6-18Versa User Manual vCHAPTER 7 Care and Maintenance Page7.1. Cleaning the System ................................. 7-27.2. Cleaning the Applicators .......................... 7-27.3. Disinfecting the Applicators ..................... 7-37.4. Cleaning the Viva Applicator's Tip .......... 7-37.5. Adding Water to the Cooling System ....... 7-47.6. Circulating the Water ................................ 7-97.7. Replacing a Burnt Fuse ........................... 7-147.8. Moving the System ................................. 7-15CHAPTER 8 Troubleshooting Page8.1. General ...................................................... 8-28.2. System Problems ....................................... 8-38.3. Errors and Messags ................................... 8-5vi Versa User ManualCHAPTER 9 Specifications Page9.1. System Specifications ................................ 9-29.2. SR515 Applicator Specifications .............. 9-39.3. SR580 Applicator Specifications .............. 9-49.4. HR650 Applicator Specifications .............. 9-59.5. HR690 Applicator Specifications .............. 9-69.6. HR650XL Applicator Specifications ........ 9-79.7. HR690XL Applicator Specifications ........ 9-89.8. ACDUAL Applicator Specifications......... 9-99.9. Diamondpolar ApplicatorSpecifications .......................................... 9-109.10. Octipolar Applicator Specifications ........ 9-119.11. Viva Applicator Specifications ............... 9-129.12. Environmental Requirements .................. 9-139.13. Output Power Graphs .............................. 9-14Versa User Manual viiAppendix A Clinical Guide for (MP)² Treatmentwith Diamondpolar Applicator PageA.1. Introduction .............................................. A-2A.2. Indications ................................................ A-2A.3. Contraindications ..................................... A-3A.4. Exclusion Criteria .................................... A-3A.5. Pre-Treatment Information ...................... A-4A.5.1. Recommended Accessories .......... A-4A.5.2. Clinical Data Management .......... A-4A.5.3. Expected Clinical Effects ............. A-5A.5.4. Adverse Effect .............................. A-5A.5.5. Documentation ............................. A-5A.5.6. Preparing for the Treatment ........ A-6A.6. General Treatment Information ............... A-7viii Versa User ManualAppendix B Clinical Guide for (MP)² Treatmentwith Octipolar Applicator PageB.1. Introduction .............................................. B-2B.2. Indications ................................................ B-2B.3. Exclusion Criteria ..................................... B-3B.4. Precaution Criteria .................................... B-4B.5. Pre-Treatment Information ....................... B-5B.5.1. Recommended Accessories .......... B-5B.5.2. Clinical Data Management ......... B-5B.5.3. Expected Clinical Effects ............. B-6B.5.4. Adverse Effect .............................. B-6B.5.5. Documentation ............................ B-7B.5.6. Preparing for the Treatment ........ B-8B.6. General Treatment Information ................ B-8Versa User Manual ixAppendix C Clinical Guide for Fractional RFTreatment with Viva Applicator PageC.1. Introduction ............................................... C-2C.2. Indications ................................................. C-2C.3. Contraindications ...................................... C-3C.4. Exclusion Criteria ..................................... C-3C.5. Possible Side Effects ................................ C-6C.6. Pre-Treatment Information ....................... C-7C.7. Preparing the Applicator and Tip ............. C-8C.8. Test Treatment .......................................... C-9C.9. Treatment Procedure ............................... C-10C.10. Treatment Protocol ................................. C-13C.11. Treatment Parameters ............................. C-13C.12. Post Treatment Care ............................... C-14C.13. Follow-Up ............................................... C-15C.14. Treatment Conclusion ............................. C-15x Versa User ManualAppendix D Clinical Guide for SR515 and SR580Applicators PageD.1. Introduction .............................................. D-2D.2. Indications ................................................ D-3D.3. Contraindications ..................................... D-4D.4. Precautions ............................................... D-5D.5. Possible Side Effects ................................ D-5D.6. Before Starting ......................................... D-6D.7. Test Spot ................................................... D-7D.8. Treatment Method .................................... D-7D.9. Treatment Protocol ................................... D-9D.9.1. Setting the TreatmentParameters .................................. D-9D.9.1.1. Pigmented Lesions .......... D-10D.9.1.2. Vascular Lesions ............ D-11D.10. Post-Treatment Care ............................... D-12Versa User Manual xiAppendix E Clinical Guide for Hair RemovalUsing IPL HR Applicators PageE.1. Introduction ............................................... E-2E.2. Indications ................................................. E-3E.3. Contraindications ...................................... E-4E.4. Precautions ................................................ E-5E.5. Possible Side Effects ................................ E-5E.6. Before Starting .......................................... E-6E.7. Test Spot ................................................... E-7E.8. Treatment Method .................................... E-7E.9. Treatment Protocol ................................... E-9E.9.1. Setting the TreatmentParameters ................................. E-10E.10. Post-Treatment Care ............................... E-11xii Versa User ManualAppendix F Clinical Guide for the ACDUALIPL Applicator PageF.1. Introduction .............................................. F-2F.2. Indications ................................................ F-3F.3. Contraindications ..................................... F-4F.4. Precautions ............................................... F-5F.5. Possible Side Effects ................................ F-5F.6. Before Starting ......................................... F-6F.7. Test Spot ................................................... F-7F.8. Treatment Method .................................... F-7F.9. Treatment Protocol ................................... F-9F.9.1. Setting the Treatment Parameters............. F-9F.10. Post-Treatment Care ............................... F-10Appendix G Manufacturer Warranty PageG.1. Manufacturer Warranty ............................ G-2Versa User Manual xiiiList of FiguresFigure Description Page2-1. IPL Treatment Room Caution Sign .................................... 2-92-2. System Identification Label .............................................. 2-182-3. Light Emission Warning Label ........................................ 2-193-1. Power Connection Port on the System's Rear Side ........... 3-53-2. Connecting the IPL Applicator's Cable Connector ............ 3-63-3. Connecting the RF Applicator's Cable Connector ............. 3-73-4. Connecting a Tip to the Viva Applicator ........................... 3-84-1. System Components ........................................................... 4-34-2. Emergency Button .............................................................. 4-54-3. IPL Applicator Connection Receptacle .............................. 4-64-4. RF Applicator Connection Receptacles ............................. 4-74-5. IPL Applicator Holder ........................................................ 4-84-6. RF Applicator Holders ....................................................... 4-94-7. Main Power Switch .......................................................... 4-104-8. Power Connection Port ..................................................... 4-114-9. SR515 Applicator ............................................................. 4-124-10. SR580 Applicator ............................................................. 4-134-11. HR650 Applicator ............................................................ 4-144-12. HR690 Applicator ............................................................ 4-154-13. HR650XL Applicator ....................................................... 4-164-14. HR690XL Applicator ....................................................... 4-174-15. ACDUAL Applicator ....................................................... 4-184-16. Diamondpolar Applicator ................................................. 4-194-17. Octipolar Applicator ......................................................... 4-204-18. Viva Applicator ................................................................ 4-215-1. Power Connection Port ....................................................... 5-25-2. Login Screen ....................................................................... 5-3xiv Versa User ManualFigure Description Page5-3. Entering the Login Code ..................................................... 5-45-4. Treatment Screen(with the Diamondpolar Applicator Selected) .................... 5-55-5. Applicator Selector(with the Diamondpolar Applicator Selected) .................... 5-65-6. Elements of the (MP)2 Mode Treatment Screen(with the Octipolar Applicator Selected) ............................ 5-85-7. Elements of the Fractional RF ModeTreatment Screen .............................................................. 5-125-8. Elements of the Fractional RF ModeAdvanced Treatment Screen ............................................. 5-125-9. Elements of the IPL Mode Treatment Screen(with the HR690 IPL Applicator Selected) ....................... 5-175-10. Preset Screen ..................................................................... 5-225-11. Preset Icon Inward Arrow Changing to Green .................. 5-246-1. Tools Screen ........................................................................ 6-26-2. Status Bar ............................................................................ 6-56-3. Volume Screen .................................................................... 6-76-4. Login Screen ....................................................................... 6-86-5. Entering the New Login Code ............................................. 6-96-6. Re-Entering the New Login Code ..................................... 6-106-7. Login Screen ..................................................................... 6-116-8. Set Auto Logout Time Screen ........................................... 6-126-9. Information Screen ............................................................ 6-136-10. Activation Code Screen .................................................... 6-156-11. System Counter Information Screen ................................. 6-177-1. Water Level Indicator on the System's rear Side ................ 7-47-2. Water Filling Kit ................................................................. 7-57-3. Disconnecting the IPL Applicator's Cable Connector ........ 7-57-4. Connecting Two Parts of the Water Filling Kit' ................. 7-67-5. Inserting the Water Filling Kit's Connector ........................ 7-67-6. Locking the Water Filling Kit's Connector ......................... 7-7Versa User Manual xvFigure Description Page7-7. Water Filling Kit Locked in Place ...................................... 7-77-8. Water Filling Kit Connected to the System ....................... 7-87-9. Bypass Tool (Without the Funnel) ..................................... 7-97-10. Bypass Tool Connected to the System(Without the Funnel) ........................................................ 7-107-11. Tools Screen ..................................................................... 7-117-12. Connecting the Bypass Tool and Starting thePump Message .................................................................. 7-117-13. Pump Activation Screen ................................................... 7-127-14. Water Circulation Completion Message .......................... 7-137-15. Power Connection Port and Main Fuses on theSystem's Rear Side ........................................................... 7-149-1. Graph of Output Power vs. Load ...................................... 9-149-2. Graph of Output Power vs. Setting .................................. 9-14A-1. Diamondpolar Applicator .................................................. A-2B-1. Octipolar Applicator ........................................................... B-2C-1. Viva Applicator .................................................................. C-2D-1. SR515 (Left) and SR580 (Right) IPL Applicators ............ D-2E-1. HR650 (Upper Left), HR690 (UpperRight),HR650XL (Lower Left) and HR690XL (Lower Right)IPL Applicators .................................................................. E-2F-1. ACDUAL Applicator ......................................................... F-2xvi Versa User ManualList of TablesTable Description Page1-1. Glossary of Symbols Used in this Manualor on the Product ................................................................. 1-72-1. Manufacturer's declaration –Electromagnetic Emissions ............................................... 2-132-2. Manufacturer's Declaration –Electromagnetic Immunity ................................................ 2-142-3. Manufacturer's Declaration –Electromagnetic Immunity that is not Life-Supporting .... 2-152-4. Recommended Separation Distances betweenPortable and Mobile RF Communications Equipmentand the ME Equipment or ME System that is notLife-Supporting ................................................................. 2-176-1. Tools Screen Features ......................................................... 6-38-1. Troubleshooting Problems that areNot Associated with a Message .......................................... 8-38-2. Troubleshooting Problems that areAssociated with a Message ................................................. 8-5D-1. Treatment Parameters for Pigmented Lesions ................. D-10D-2. Treatment Parameters for Vascular Lesions .................... D-11E-1. Treatment Parameters for Hair Removal ......................... E-10F-1. Treatment Parameters for Acne ......................................... F-9Versa User Manual 1-1Chapter 1About this ManualChapter Contents:Section Title Page1.1. Use of the Manual ....................................................... 1-21.2. Scope of the Manual ................................................... 1-31.3. Document Conventions .............................................. 1-61.4. Symbols ...................................................................... 1-7About this Manual1-2 Versa User Manual1.1. Use of the ManualWarningUse of controls or adjustments, or performance of proceduresother than those specified herein, may be hazardous and are notauthorized by Venus Concept.Personnel operating or maintaining the system are required toread this manual and to become thoroughly familiar with all itssafety requirements and operating procedures before attemptingto use or operate the system.This manual has been prepared to aid medical and technicalpersonnel to understand and operate the system. Do not operate thesystem before reading this manual and gaining a clearunderstanding of system operation. If any part of this manual is notclear, contact your Venus Concept representative for clarification.This manual should always accompany the system, and allpersonnel operating the system must know its location.About this ManualVersa User Manual 1-31.2. Scope of the ManualThis User Manual includes:• Chapter 1: About this ManualProvides information on the use and scope of the manual,document conventions, and a list of the used symbols.• Chapter 2: Safety and Regulatory InformationProvides general safety and regulatory information on thesystem, its intended use, possible hazards, and compliance withinternational standards, and shows the system's identificationlabel.• Chapter 3: InstallationProvides information regarding the system installation, and itselectrical and environmental requirements, equipment list,electrical connection and applicators' installation.• Chapter 4: System DescriptionDescribes the system's main components and their descriptions.• Chapter 5: Operating InstructionsProvides detailed instructions on how to operate the system anddescribes its main interfaces.• Chapter 6: Advanced Features and SettingsProvides detailed information on the Tools screen and itsfeatures.About this Manual1-4 Versa User Manual• Chapter 7: Care and MaintenanceProvides information on general user care and maintenance,including cleaning instructions.• Chapter 8: TroubleshootingProvides solutions to some problems that may arise whileoperating the system.• Chapter 9: SpecificationsProvides a detailed list of the system's technical information andspecifications.• Appendix A: Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorProvides a clinical guide and detailed information on how toperform the skin treatment using the Diamond applicators.• Appendix B: Clinical Guide for (MP)² Treatment withOctipolar ApplicatorProvides a clinical guide and detailed information on how toperform the skin treatment using the Octipolar applicators.• Appendix C: Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorProvides a clinical guide and detailed information on how toperform the skin treatment using the Viva applicators.About this ManualVersa User Manual 1-5• Appendix D: Clinical Guide for SR515 and SR580ApplicatorsProvides a clinical guide and detailed information on how toperform the skin treatment using the SR applicators.• Appendix E: Clinical Guide for Hair Removal Using IPLHR ApplicatorsProvides a clinical guide and detailed information on how toperform the hair removal treatment using the HR applicators.• Appendix F: Clinical Guide for the ACDUAL ApplicatorProvides a clinical guide and detailed information on how toperform the skin treatment using the ACDUAL applicator.• Appendix G: Manufacturer WarrantyProvides the manufacturer warranty.About this Manual1-6 Versa User Manual1.3. Document ConventionsThe following messages in this manual prompt the reader to payspecial attention to specific points:WarningWarnings indicate precautions and instructions which, if notfollowed, may result in injury.CautionCautions indicate instructions, that if not followed may result indamage to the equipment or to the quality of treatment.NoteNotes provide information to aid in obtainingoptimum equipment performance or procedureresults.About this ManualVersa User Manual 1-71.4. SymbolsTable 1-1 describes the symbols that are used in this manual or onthe product.Table 1-1. Glossary of Symbols Used in this Manual or on theProductSymbol DescriptionWaste of Electrical and Electronic Equipment(WEEE) MarkingType BF EquipmentManufacturer (accompanied by the name andaddress of the manufacturer)Date of ManufactureSymbol used with an HF isolated patient circuitConsult Instruction for UseSystem that includes RF transmitters or thatapplies RF electromagnetic energy for diagnosis ortreatmentAbout this Manual1-8 Versa User ManualTable 1-1. Glossary of Symbols Used in this Manual or on theProductIndication that the device has not been sterilizedDo not re-use, single use, use only onceWarning:A Warning alerts the user to the possibility ofserious injury, death, or serious adverse reactionsassociated with the use or misuse of the system.Caution:A Caution alerts the user to the possibility of apotentially hazardous situation which, if notavoided, may result in minor or moderate injury tothe user or damage to the equipment.Indicates that Federal (USA) law restricts thisdevice to sale by or on the order of a physician orlicensed practitioner.Versa User Manual 2-1Chapter 2Safety and RegulatoryInformationChapter Contents:Section Title Page2.1. Introduction................................................................. 2-22.2. Intended Use ............................................................... 2-32.3. Intended User and Environment ................................. 2-32.4. Safety Information ...................................................... 2-42.5. Electrical and Mechanical Safety ............................... 2-72.6. Fire Safety ................................................................... 2-82.7. Protective Eyewear ..................................................... 2-82.8. Optical Safety during the IPL Treatment.................... 2-92.9. RF Treatment Safety Precautions ............................. 2-102.10. Compliance with International Standards ................. 2-112.11. System Safety Features ............................................. 2-122.12. Electromagnetic Compatibility ................................. 2-132.13. System Labels ........................................................... 2-182.14. Contact Information .................................................. 2-20Safety and Regulatory Information2-2 Versa User Manual2.1. IntroductionWarningRead this chapter carefully to be familiar with all of safetyrequirements and procedures prior to operating the system.The system is designed for a safe and reliable treatment when usedin accordance with proper operating and maintenance proceduresas outlined in this manual. Only qualified personnel, trained by anauthorized trainer, can use the system and perform the treatments.The operator and all other personnel operating or maintaining thesystem should be familiar with all of the safety informationprovided in this manual.The primary objective should always be in maximizing the safetyof both the client and the treatment operator.You should carefully read the User Manual instructions beforeinstalling or using the system to become familiar with all safetyrequirements and operating procedures, and thereby preventaccidents, injury and reduce the risk of damaging the machine.The Venus Versa is designed for professional use only. Themanufacturer cannot be held responsible for damage or injurycaused by improper use or for uses other than those for which thismachine is intended.Safety and Regulatory InformationVersa User Manual 2-32.2. Intended UseThe Venus Versa system is a multi-application device intended tobe used in aesthetic and cosmetic procedures.For information on the system's intended use, see the Indicationsand Contraindications sections in Appendices A, B, C, D, E and Fof this User Manual.2.3. Intended User and EnvironmentWarningThe device is intended to be used by professional practitionersin the aesthetic field, such as physicians, nurses and othertrained practitioners.• The operator should stand near the client during systemoperation.• The operator is not allowed to leave a client during the entiretreatment.Safety and Regulatory Information2-4 Versa User Manual2.4. Safety InformationWarning• Use of controls or adjustments, or performance ofprocedures other than those specified herein, may result inhazardous radiation exposure and are not authorized byVenus Concept.• Personnel operating or maintaining the system are requiredto read this manual and to become thoroughly familiar withall its safety requirements and operating procedures beforeattempting to use or operate the system.• The system should be protected against unauthorized use.Make sure that only authorized users have access to thesystem's Login code.• High voltage is present inside the system. Do not attempt toopen its casing.• Always be aware of the possible dangers of using the systemand take proper precautions as described in this manual.• The system must be serviced by Venus Concept authorizedservice personnel only.• Failure of the system could result in an unintended increaseof output power.• Any radiofrequency (RF) device can cause injury if usedimproperly.Safety and Regulatory InformationVersa User Manual 2-5• All operators must be familiar with the system controls andknow how to shut down the system in case of a problem.• Do not touch the inner parts of the system. The system servicesand repairs must be performed by qualified personnel only.Failure to do so will void all service agreements.• Disconnect the system from the mains power supply beforeservicing (pull out the plug from the electricity socket).• Do not use the system unless all enclosure panels are properlyin place.• Do not tamper with the controls or attempt to open up thesystem.• Do not abuse, sit or lean on the system.• The system should be kept out of the reach of children.• A patient history should be completed prior to treatment toensure that no complications could arise. It is important toverify that the client does not fall under the exclusion criteria.• The product should not be in contact with other equipment.• For patients with cardiac pacemakers or other active implants, apossible hazard exists because interference with the action ofthe pacemakers may occur, or the pacemaker may be damaged.In case of doubt, approved qualification advice should beobtained.• This equipment/system may cause radio interference or maydisrupt the operation of nearby equipment. It may be necessaryto take mitigation measures, such as reorienting or relocating.• Portable and mobile RF communications equipment can affectthe system.Safety and Regulatory Information2-6 Versa User Manual• The patient should be fully informed of the treatment protocoland the expected results, and should sign the informed consentform prior to beginning of the treatments.• Only authorized persons are allowed to stand near the systemduring the treatment.• Stop the treatment in case of unexpected changes in the client’scondition.• Do not drop the applicators. If an applicator is dropped, turn offthe system immediately. Do not use a broken applicator and callthe local service support.• There are no user-serviceable parts inside the system. ONLYVenus-AUTHORIZED PERSONNEL MAY SERVICE THESYSTEM, ESPECIALLY INSIDE ITS CABINET.• Do not allow the applicators to come in contact with hardmaterials that could damage their tips.• The tip of the Viva applicator is for single use only.Safety and Regulatory InformationVersa User Manual 2-72.5. Electrical and Mechanical Safety• Keep all covers and panels of the system closed. Removing thecovers creates a safety hazard.• Perform maintenance procedures only when the system is shutdown and disconnected from the mains power.• Move the system slowly and carefully. The system weighsapproximately 50 kg (110 lbs) and may cause injury if propercare is not taken when moving it.• The system is grounded through the grounding conductor in thepower cord. This protective grounding is essential for safeoperation.Safety and Regulatory Information2-8 Versa User Manual2.6. Fire SafetyWarningThere is risk of fire if the system is used in the presence offlammable materials, solutions or gases, or in an oxygenenriched environment. Some materials, e.g. darkly coloredclothing or cotton wool, when saturated with oxygen, may beignited by the high temperatures produced in normal use of theequipment.• Do not use the system in the presence of explosive orflammable materials.• Do not use flammable substances when preparing the skin fortreatment.• If germicide swipes is used for cleaning and disinfecting thesystem, it must be allowed to fully dry before the system can beused again.2.7. Protective Eyewear• Exposure to intense pulsed light requires eye protection. Makesure to wear eye goggles during the IPL treatment.• The patient has to wear eye cover during the IPL treatment.Safety and Regulatory InformationVersa User Manual 2-92.8. Optical Safety during the IPLTreatment• Do not direct the light from the treatment head at anything otherthan the targeted area.• Do not allow reflective objects such as jewelry, watches,surgical instruments or mirrors to reflect the pulsed light.• Do not expose any part of the skin, except for the test patch andthe treatment area to the light pulse.• Do not look directly into the IPL aperture of the treatment head,even if you are wearing safety glasses.• The IPL treatment room should be clearly identified with acaution sign, as shown in Figure 2-1.CAUTIONINTENSE PULSED LIGHT DEVICE(VISIBLE TO NEAR INFRARED)USE PROPER EYE PROTECTIONWHEN OPERATING AND/ORTREATING PATIENTSFigure 2-1. IPL Treatment Room Caution SignSafety and Regulatory Information2-10 Versa User Manual2.9. RF Treatment Safety PrecautionsWarning• RF used in this device can cause injury if used improperly.• Applicator tip is for single use and has to be cleaned prior touse.• Do not allow the applicators to come in contact with metalelements, as this could damage the (MP)2 electrodes.• The patient should not come into contact with metal parts whichare earthed or which have an appreciable capacitance to earth(for example operating table supports, etc.). Use of antistaticsheeting is recommended for this purpose.• Applicators' cables should be positioned in such a way that theydo not come in contact with the patient or with other leads.• Interference produced by the operation of HF surgicalequipment may adversely influence the operation of otherelectronic equipment.• Keep the bodies of the applicators clean. Pay particularattention to the applicator's RF electrodes. Check the integrityof all components.• The applicator tip should be changed for each patient.• The applicator tip must be cleaned before using it for the firsttime. Make sure that the applicator tip is clean before eachtreatment.• Keep your hands away from the applicators during the systemstart-up.Safety and Regulatory InformationVersa User Manual 2-112.10. Compliance with InternationalStandardsWarning• Federal (USA) law restricts this device to sale by or on theorder of a physician or licensed practitioner.• Prior the first treatment, the patient has to fill the HealthDeclaration Form. If there are one or more positive answers,treatment is not allowed.The Venus Versa system complies with the following standards:• EN 60601-1: Medical Electrical Equipment - Part 1: GeneralRequirements For Basic Safety And Essential Performance• IEC 60601-1-2: Medical electrical equipment - Part 1-2:General requirements for safety Collateral Standard:Electromagnetic compatibility - Requirements and tests• IEC 60601-2-57 Medical Electrical Equipment - Part 2-57:Particular requirements for the basic safety and essentialperformance of non-laser light source equipment intended fortherapeutic, diagnostic, monitoring and cosmetic/aesthetic use• IEC 60601-2-2 Medical electrical equipment - Part 2-2:Particular requirements for the basic safety and essentialperformance of high frequency surgical equipment and highfrequency surgical accessoriesSafety and Regulatory Information2-12 Versa User Manual2.11. System Safety Features• The system is password-protected and does not allow the user toenter the Treatment screen without entering the correct Logincode.• Emission of treatment pulses are disabled unless the userpresses the Ready button to place the system in the Ready state.When the system is in the Ready state, pressing any button onthe screen will set the system back to the Standby state in whichpulse emission is disabled.• The system is equipped with an Emergency button which shutsdown the system immediately in an emergency situation.Safety and Regulatory InformationVersa User Manual 2-132.12. Electromagnetic CompatibilityTable 2-1. Manufacturer's declaration – ElectromagneticEmissionsGuidance and manufacturer’s declaration – electromagnetic emissionsThe Venus Versa is intended for use in the electromagnetic environment specifiedbelow. The customer or the user of Venus Versa should assure that it is used insuch an environment.Emissions Test Compliance Electromagnetic Environment –GuidanceRF emissionsCISPR 11Group 2 The Venus Versa must emit electromagneticenergy in order to perform itsintended function. Nearby electronicequipment may be affected.RF emissionsCISPR 11Class BHarmonicemissions IEC61000-3-2Class AVoltagefluctuations/ flickeremissions IEC61000-3-3Complies The Venus Versa is suitable for use in allestablishments, including domesticestablishments and those directlyconnected to the public low-voltage powersupply network that supplies buildingsused for domestic purposes.RF emissionsCISPR 14-1Complies The Venus Versa is not suitable forinterconnection with other equipment.RF emissionsCISPR 15Complies The Venus Versa is not suitable forinterconnection with other equipment.Safety and Regulatory Information2-14 Versa User ManualTable 2-2. Manufacturer's Declaration – ElectromagneticImmunityGuidance and manufacturer’s declaration – electromagnetic immunityThe Venus Versa is intended for use in the electromagnetic environment specifiedbelow. The customer or the user of the Venus Versa should assure that it is usedin such an environment.EmissionsTestIEC 60601 TestLevelComplianceLevelElectromagneticEnvironment – GuidanceElectrostaticdischarge(ESD) IEC61000-4-2±6kV contact ±8kV air±6kV contact±8kV airFloors should be wood,concrete or ceramic tile. Iffloors are covered withsynthetic material, therelative humidity should beat least 30%.Electrical fasttransient/burstIEC 61000-4-4±2kV for powersupply lines;±1kV for I/Olines±2kV for powersupply lines;Not applicableMains power quality shouldbe that of a typicalcommercial or hospitalenvironment.Surge IEC61000-4-5±1kV line(s) toline(s) ;±2kV line(s) toearth±1kV line to line;±2kV line(s) toearthMains power quality shouldbe that of a typicalcommercial or hospitalenvironment.Voltage dips,shortinterruptionsand voltagevariations onpower supplyinput lines IEC61000-4-11<5% UT (>95%dip in UT) for 0,5cycle40% UT (60%dip in UT) for 5cycles70 % UT (30%dip in UT) for 25cycles<5% UT (>95%dip in UT) for 5s<5% UT (>95%dip in UT) for 0,5cycle40 % UT (60%dip in UT) for 5cycles70 % UT (30%dip in UT) for 25cycles<5% UT (>95%dip in UT) for 5sMains power quality should bethat of a typical commercial orhospital environment. If theuser of the ME equipment orME system requires continuedoperation during power mainsinterruptions, it isrecommended that the MEequipment or ME system bepowered from anuninterruptible power supply ora battery.Powerfrequency(50/60 Hz)magnetic fieldIEC 61000-4-83 A/m 3 A/m,50 Hz @ 230VAC mains;60 Hz @ 120VAC mainsPower frequency magneticfields should be at levelscharacteristic of a typicallocation in a typicalcommercial or hospitalenvironment.Note: UT is the AC mains voltage prior to application of the test level.Safety and Regulatory InformationVersa User Manual 2-15Table 2-3. Manufacturer's Declaration – ElectromagneticImmunity that is not Life-SupportingGuidance and manufacturer’s declaration – electromagnetic immunityThe Venus Versa is intended for use in the electromagnetic environment specifiedbelow. The customer or the user of Venus Versa should assure that it is used insuch an environment.EmissionsTestIEC 60601Test LevelComplianceLevelElectromagnetic Environment –GuidanceConductedRF IEC61000-4-6RadiatedRF IEC61000-4-33 Vrms150 kHz to 80MHz3 V/m80 MHz to 2,5GHzV1 = 3 Vrms150 kHz to80 MHzE1 = 3 V/m80 MHz to2,5 GHzPortable and mobile RFcommunications equipment should beused no closer to any part of the MEequipment or ME system, includingcables, than the recommendedseparation distance calculated fromthe equation applicable to thefrequency of the transmitter.Recommended separation distanceWhere P is the maximum outputpower rating of the transmitter in Watts(W) according to the transmittermanufacturer and d is therecommended separation distance inmetres (m).Field strengths from fixed RFtransmitters, as determined by anelectromagnetic site surveya, shouldbe less than the compliance level ineach frequency range.bInterference may occur in the vicinityof equipment marked with thefollowing symbol:Safety and Regulatory Information2-16 Versa User ManualTable 2-3. Manufacturer's Declaration – ElectromagneticImmunity that is not Life-Supporting (Cont.)Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.Note 2: These guidelines may not apply in all situations. Electromagneticpropagation is affected by absorption and reflection from structures, objects andpeople.a. Field strengths from fixed transmitters, such as base stations for radio(cellular/cordless) telephones and land mobile radios, amateur radio, AM andFM radio broadcast and TV broadcast cannot be predicted theoretically withaccuracy. To assess the electromagnetic environment due to fixed RFtransmitters, an electromagnetic site survey should be considered. If themeasured field strength in the location in which the Venus Versa is usedexceeds the applicable RF compliance level above, the Venus Versa should beobserved to verify normal operation. If abnormal performance is observed,additional measures may be necessary, such as re-orienting or relocating theVenus Versa.b. Over the frequency range 150 kHz to 80 MHz, field strengths should be lessthan [V1] V/m.Safety and Regulatory InformationVersa User Manual 2-17Table 2-4. Recommended Separation Distances betweenPortable and Mobile RF Communications Equipment and theME Equipment or ME System that is not Life-SupportingRecommended separation distances between portable and mobile RFcommunications equipment and the Venus VersaThe Venus Versa is intended for use in an electromagnetic environment in whichradiated RF disturbances are controlled. The customer or the user of the VenusVersa can help prevent electromagnetic interference by maintaining a minimumdistance between portable and mobile RF communications equipment(transmitters) and the Venus Versa as recommended below, according to themaximum output power of the communications equipment.Rated maximumoutput power oftransmitter (W)Separation distance according to frequencyof transmitter (m)150 kHz to80 MHz80 MHz to800 MHz800 MHz to2.5 GHz0.01 0.12 0.12 0.230.1 0.38 0.38 0.731 1.2 1.2 2.310 3.8 3.8 7.3100 12 12 23For transmitters rated at a maximum output power not listed above, therecommended separation distance d in meters (m) can be estimated using theequation applicable to the frequency of the transmitter, where P is the maximumoutput power rating of the transmitter in watts (W) according to the transmittermanufacturer.Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequencyrange applies.Note 2: These guidelines may not apply in all situations. Electromagneticpropagation is affected by absorption and reflection from structures, objects andpeople.Safety and Regulatory Information2-18 Versa User Manual2.13. System LabelsFigure 2-2 and Figure 2-3 show the labels that are affixed on therear side of the system console.Figure 2-2. System Identification LabelSafety and Regulatory InformationVersa User Manual 2-19Figure 2-3. Light Emission Warning LabelSafety and Regulatory Information2-20 Versa User Manual2.14. Contact InformationUSA: Venus Concept USA Inc.4556 N. Hiatus Road, Sunrise, FL 33351United StatesTel.: 1.416.907.0115Fax: 954.572.5680Canada: 255 Consumers Rd. Suite 100,Toronto, Ontario. M2J 1R4, CanadaInternational:Hachermesh Street Bld. 62,Karmiel 21652, IsraelFor Latin America and the Caribbean, call 1-888-907-0115.For all other inquires, contact:Venus Concept3 HaBarzel St.Tel Aviv 69710, IsraelTel.: +972 3 647 1882General Inquiries: info@venusconcept.comService Inquiries: service@venusconcept.comClinical Inquiries: clinicalsupport@venusconcept.comWebsite: www.venusconcept.comVersa User Manual 3-1Chapter 3InstallationChapter Contents:Section Title Page3.1. Installing the System ................................................... 3-23.2. Electrical Requirements .............................................. 3-23.3. Environmental Requirements ..................................... 3-33.4. Equipment List............................................................ 3-43.5. Connecting the System to the Mains Power ............... 3-53.6. Connecting the Applicators ........................................ 3-6Installation3-2 Versa User Manual3.1. Installing the SystemThe system must be installed only by a qualified Venus Concepttechnician.3.2. Electrical RequirementsThe system should be connected to a mains power supply with thefollowing output:• Single phase• 100-240 VAC• 1.2 kW (Max.)• 50-60 HzAs long as the electrical outlet meets the above requirements, thesystem automatically adjusts itself to the local mains voltage.Warning• For continued protection against fire, only fuses that areindicated on the system label can be installed in the system.• Only use a compatible power cord which is approved for thelocal mains electricity.InstallationVersa User Manual 3-33.3. Environmental Requirements• Corrosive materials can damage the electronic parts. Ensure thatthe environment is free from corrosive material.• Metallic dust can damage the electrical equipment. Ensure thatthe environment is free from metallic dust.• For optimal operation, the system should be placed in a roomwith an ambient temperature of 15º-30ºC (59º-86ºF), a relativehumidity of less than 80%, and an altitude of up to 3000m.• For optimal storage, system should be stored (with waterremoved) in a room with an ambient temperature of -20°C to55°C (-4°F to 131°F) and a relative humidity of 0-90% @ 55°Cnon-condensing.• For optimal transportation, the system should be transported(with water removed) at a temperature range of -20ºC to 55ºC(-4ºF to 131ºF), at a relative humidity of less than 80%, and analtitude of up to 15000m.Installation3-4 Versa User Manual3.4. Equipment ListThe system includes the following:• System console• SR515 Applicator (optional detachable accessory)• SR580 Applicator (optional detachable accessory)• HR650 Applicator (optional detachable accessory)• HR690 Applicator (optional detachable accessory)• HR650XL Applicator (optional detachable accessory)• HR690XL Applicator (optional detachable accessory)• ACDUAL IPL Applicator (optional detachable accessory)• Diamondpolar Applicator (optional detachable accessory)• Octipolar Applicator (optional detachable accessory)• Viva Applicator (optional detachable accessory)• Goggles• Patient eye protectors• Ultrasonic gel• Power cord• User ManualInstallationVersa User Manual 3-53.5. Connecting the System to theMains PowerTo connect the system to electricity:1. Connect the power cable to the power connection port, asshown in Figure 3-1.PowerConnectionPortFigure 3-1. Power Connection Porton the System's Rear Side2. Plug the other end of the power cable to the mains powersupply.Installation3-6 Versa User Manual3.6. Connecting the Applicators3.6.1. Connecting the IPL ApplicatorTo connect an IPL applicator:1. Insert the applicator's cable connector to its receptacle on thesystem console, as shown in Figure 3-2.Figure 3-2. Connecting the IPL Applicator's CableConnector2. Rotate the cable connector clockwise to lock it in place.3. Place the applicator in its cradle.To disconnect an IPL applicator:1. Rotate the applicator's cable connector counter-clockwise tounlock it.2. Pull the cable connector out of its receptacleInstallationVersa User Manual 3-73.6.2. Connecting the RF ApplicatorsTo connect an RF applicator:1. Insert the applicator's RF cable connector to its receptacle onthe system console.Figure 3-3. Connecting the RF Applicator's CableConnector2. Rotate the cable connector clockwise to lock it in place.3. Place the applicator in its cradle.To disconnect an RF applicator:1. Rotate the applicator's cable connector counter-clockwise tounlock it.2. Pull the cable connector out of its receptacle.Installation3-8 Versa User Manual3.6.3. Connecting the Viva Applicator TipTo connect a tip to the Viva applicator:1. Hold the tip with its printed lot number facing bottom-right.2. Align the tip with the applicator, as shown in Figure 3-4.Figure 3-4. Connecting a Tip to the Viva Applicator3. Push the tip into the applicator's tip connection port until itclicks in.To disconnect the tip from the Viva applicator:1. From under the applicator's tip connection port press therelease button to disengage the tip.2. Remove the tip.Versa User Manual 4-1Chapter 4System DescriptionChapter Contents:Section Title Page4.1. General Description .................................................... 4-24.2. System Components ................................................... 4-34.3. IPL Applicators ......................................................... 4-124.4. RF Applicators .......................................................... 4-19System Description4-2 Versa User Manual4.1. General DescriptionThe Venus Versa system is a non-invasive IPL and RF skintreatment device intended for use in dermatological procedures(see Appendices A, B, C, D, E and F).System DescriptionVersa User Manual 4-34.2. System ComponentsFigure 4-1 shows the Venus Versa system components.TouchScreenIPLApplicatorIPLApplicatorHolderTopHandleFrontHandleEmergencyButtonSystemConsoleCable Holder PillarFigure 4-1. System ComponentsSystem Description4-4 Versa User Manual4.2.1. System ConsoleThe system console is the main enclosure that holds and containsall external and internal system components.4.2.2. Touch ScreenThe touch screen is the primary means of communication betweenthe user and the system.The on-screen graphical user interface keeps the user informed ofthe system status and operating parameters at all times.Via the touch screen, the user controls and monitors the systemoperation, using the touch-sensitive buttons and indicators.System DescriptionVersa User Manual 4-54.2.3. Emergency ButtonFigure 4-2 shows the emergency button, which is located on thefront side of the system console.EmergencyButtonFigure 4-2. Emergency ButtonPressing the emergency button shuts down the system immediately.To resume the system operation, turn the emergency buttonclockwise, to release it (the button pops out), and then restart thesystem.System Description4-6 Versa User Manual4.2.4. IPL Applicator ConnectionReceptacleFigure 4-3 shows the IPL applicator connection receptacle, whichis located on top of the system console.Figure 4-3. IPL Applicator Connection ReceptacleThe IPL applicator connection receptacle is the port that connectsthe IPL applicator to the system.System DescriptionVersa User Manual 4-74.2.5. RF Applicator ConnectionReceptaclesFigure 4-4 shows the RF applicator connection receptacles, whichis located on top of the system console.Figure 4-4. RF Applicator Connection ReceptaclesThe RF applicator connection receptacles are the ports that connectthe RF applicators to the system.System Description4-8 Versa User Manual4.2.6. IPL Applicator HolderFigure 4-5 shows the IPL applicator holder, which is located on theright side of the system console.Figure 4-5. IPL Applicator HolderThe IPL applicator holder is the cradle that holds the IPLapplicator, when the applicator is not in use.CautionTo prevent damage to an applicator, make to place theapplicator in its designated holder when it is not in use.System DescriptionVersa User Manual 4-94.2.7. RF Applicator HoldersFigure 4-6 shows the RF applicator holders, which is located on theleft side of the system console.Figure 4-6. RF Applicator HoldersThe RF applicator holders are the cradles that hold the RFapplicators, when the relevant applicator is not in use.CautionTo prevent damage to an applicator, make to place theapplicator in its designated holder when it is not in use.System Description4-10 Versa User Manual4.2.8. Main Power SwitchFigure 4-7 shows the main power switch, which is located on therear side of the system console.MainPowerSwitchFigure 4-7. Main Power SwitchThe main power switch is used to turn the system on and off.System DescriptionVersa User Manual 4-114.2.9. Power Connection PortFigure 4-8 shows the power connection port, which is located onthe rear side of the system console.PowerConnectionPortFigure 4-8. Power Connection PortThe power connection port is the electrical receptacle for thepower cord, which connects the system to mains electricity.System Description4-12 Versa User Manual4.3. IPL Applicators4.3.1. SR515 ApplicatorFigure 4-9 shows the SR515 applicator.Figure 4-9. SR515 ApplicatorThe SR515 applicator is intended for treatments of pigmented andvascular lesions.System DescriptionVersa User Manual 4-134.3.2. SR580 ApplicatorFigure 4-10 shows the SR580 applicator.Figure 4-10. SR580 ApplicatorThe SR580 applicator is intended for treatments of pigmented andvascular lesions.System Description4-14 Versa User Manual4.3.3. HR650 ApplicatorFigure 4-11 shows the HR650 applicator.Figure 4-11. HR650 ApplicatorThe HR650 applicator is intended for hair removal treatments.System DescriptionVersa User Manual 4-154.3.4. HR690 ApplicatorFigure 4-12 shows the HR690 applicator.Figure 4-12. HR690 ApplicatorThe HR690 applicator is intended for hair removal treatments.System Description4-16 Versa User Manual4.3.5. HR650XL ApplicatorFigure 4-13 shows the HR650XL applicator.Figure 4-13. HR650XL ApplicatorThe HR650XL applicator is intended for hair removal treatments.System DescriptionVersa User Manual 4-174.3.6. HR690XL ApplicatorFigure 4-14 shows the HR690XL applicator.Figure 4-14. HR690XL ApplicatorThe HR690XL applicator is intended for hair removal treatments.System Description4-18 Versa User Manual4.3.7. ACDUAL ApplicatorFigure 4-14 shows the ACDUAL applicator.Figure 4-15. ACDUAL ApplicatorThe ACDUAL applicator is intended for the treatment of AcneVulgaris.System DescriptionVersa User Manual 4-194.4. RF Applicators4.4.1. Diamondpolar ApplicatorFigure 4-16 shows the Diamondpolar applicator.Figure 4-16. Diamondpolar ApplicatorThe proposed intended use for the Diamondpolar applicator is:"Use in dermatological procedures requiring treatment ofmoderate to severe facial wrinkles and rhytides in Fitzpatrick skintypes I-IV."System Description4-20 Versa User Manual4.4.2. Octipolar ApplicatorFigure 4-17 shows the Octipolar applicator.Figure 4-17. Octipolar ApplicatorThe proposed intended use for the Octipolar applicator is:"Use in body contouring via Skin Tightening, CircumferentialReduction, and Cellulite Reduction."System DescriptionVersa User Manual 4-214.4.3. Viva ApplicatorFigure 4-18 shows the Viva RF applicator.Figure 4-18. Viva ApplicatorThe proposed intended use for the Viva applicator is:"Use in dermatological procedures requiring ablation andresurfacing of the skin."System Description4-22 Versa User ManualVersa User Manual 5-1Chapter 5Operating InstructionsChapter Contents:Section Title Page5.1. Turning the System On/Off ........................................ 5-25.2. Logging In ................................................................... 5-45.3. Selecting the Desired Applicator ................................ 5-65.4. Treatment Modes and Parameters .............................. 5-75.5. Setting the Treatment Parameters ............................. 5-215.6. Using Preset Parameters in the (MP)2Treatment Mode ....................................................... 5-225.7. Emitting the Treatment Energy ................................ 5-25Operating Instructions5-2 Versa User Manual5.1. Turning the System On/OffTo turn on the system:1. Verify that the Emergency button is not pressed. If it is, turn itclockwise to release the button (the button pops out).2. Verify that the power cord is connected to the powerconnection port on the rear side of the system console, asshown in Figure 5-1.3. Verify that the power cord is plugged into the mains powersupply.4. From the rear side of the system console, turn on the mainpower switch, as shown in Figure 5-1.MainPowerSwitchPowerCordFigure 5-1. Power Connection PortOperating InstructionsVersa User Manual 5-35. Verify that the system powers up and the login screen appears,as shown in Figure 5-2.Figure 5-2. Login ScreenTo turn off the system:1. From the rear side of the system console, turn off the mainpower switch.2. Verify that the system is turned off.NoteTo turn off the system immediately in anemergency situation, press the Emergencybutton.Operating Instructions5-4 Versa User Manual5.2. Logging InTo log in:1. In the login screen (see Figure 5-2), enter the 8 character codewhich is provided with the installation documents, as shownin Figure 5-3.Figure 5-3. Entering the Login CodeOperating InstructionsVersa User Manual 5-52. Press the Confirm button ; the Treatment screen appears,as shown in Figure 5-4.Figure 5-4. Treatment Screen(with the Diamondpolar Applicator Selected)NoteIt is recommended to change initial Login code,as described in Chapter 6.Operating Instructions5-6 Versa User Manual5.3. Selecting the Desired ApplicatorTo select an applicator:1. Verify that the Treatment screen appears, as shown in Figure5-4.2. Use the left/right arrows of the applicator selector, as shownin Figure 5-5, to select the desired applicator.Figure 5-5. Applicator Selector (with the DiamondpolarApplicator Selected)Note• Only applicators that are physicallyconnected to the system can be selected.• Upon selecting an applicator, the systemdisplays the treatment screen for thatapplicator (showing the relevant parametersfor the selected applicator).Operating InstructionsVersa User Manual 5-75.4. Treatment Modes and ParametersThe system operates in the following treatment modes, accordingto the selected applicator:• (MP)2 treatment modeUsed with the following applicators: Diamondpolar applicator Octipolar applicator• Fractional RF treatment mode Used with the Viva applicator• IPL treatment modeUsed with the following applicators: SR515 applicator SR580 applicator HR650 applicator HR690 applicator HR650XL applicator HR690XL applicator ACDUAL applicatorFor each treatment mode, the system displays the appropriateparameters in the Treatment screen.Operating Instructions5-8 Versa User Manual5.4.1. (MP)2 Treatment ModeFigure 5-6 shows the (MP)2 mode Treatment screen.73911131216810145 42Figure 5-6. Elements of the (MP)2 Mode Treatment Screen(with the Octipolar Applicator Selected)Elements of the (MP)2 mode Treatment screen, as indicated bynumbers in Figure 5-6, are described below.1. Applicator selector – Indicates the currently-selectedapplicator and enables you to select any applicator that isconnected to the system by pressing the Left/Right arrows.•Indicates that the selected applicator isDiamondpolar.•Indicates that the selected applicator isOctipolar.Operating InstructionsVersa User Manual 5-92. Preset button – Displays the Preset screen (see section 5.6,on page 5-22).3. Tools button – Displays the Tools screen (see Chapter 6).4. Energy button – Resets the Energy setting.5. Numerical temperature indicator – Displays the real-timenumerical value of the patient's skin temperature, as measuredby the applicator's built-in thermometer. Touching theindicator, toggles the temperature value between Celsius andFahrenheit degrees.6. Graphical temperature indicator – Displays the graph of thepatient's skin temperature versus time. The graph backgroundis divided into three areas:• Blue area, indicating that the skin temperature is less thanthe optimal value for effective treatment.• Yellow area, indicating that the skin temperature is optimalfor effective treatment.• Red area, indicating that the skin temperature is too high.7. Energy controller – Enables you to set the output energy forthe connected applicator, as a percentage (0 - 100%) of themaximum (MP)2 energy output (150W for Octipolar, and 75WFor Diamondpolar applicator), by pressing the -/+ buttons.8. Treatment Time button – Resets the Treatment Time tozero.9. Treatment Time controller – Enables you to set the desiredtreatment time in minutes (0 - 30 minutes) by pressing the -/+buttons.10. Interval Timer button – Resets the countdown timer (to theuser-set Interval Time).Operating Instructions5-10 Versa User Manual11. Interval Timer controller – Enables you to set a timer, toassist in dividing the treatment time into smaller timesegments, by pressing the -/+ buttons.This feature can be useful when a large treatment area isdivided into smaller sections which are to be treatedindividually.The Interval Timer starts counting down when the treatment isinitiated and beeps when timer reaches zero. It then startsanother countdown cycle. This sequence is repeated for aslong as the treatment is in progress.On the Interval Timer controller's display:• The upper time indicator shows the user-set interval time(which can be set to 0 - 30 minutes).• The lower time indicator shows the countdown timer(which starts from the user-set interval time and beepswhen the timer reaches zero).12. Stop button – Ends the current treatment session.Upon pressing the Stop button, the system displays the End ofTreatment message and resets the treatment parameters.13. Start button – Starts a new treatment session or resumes apaused one.Upon pressing the Start button:• The Start button color changes to green.• The selected applicator starts emitting (MP)2 energy.• The treatment timer countdown starts.Operating InstructionsVersa User Manual 5-1114. Pause button – Pauses the treatment, without changing theselected treatment settings.Upon pressing the Pause button:• The Pause button color changes to red.• The (MP)2 energy emission stops.• The treatment timer countdown stops.Pressing the Start button resumes the treatment.Operating Instructions5-12 Versa User Manual5.4.2. Fractional RF Treatment ModeFigure 5-7 and Figure 5-8 show the regular and advancedTreatment screens of the Fractional RF mode (respectively).426810913571112Figure 5-7. Elements of the Fractional RF ModeTreatment Screen16141315Figure 5-8. Elements of the Fractional RF ModeAdvanced Treatment ScreenOperating InstructionsVersa User Manual 5-13Elements of the Fractional RF mode Treatment screens, asindicated by numbers in Figure 5-7 and Figure 5-8, are describedbelow.1. Applicator selector – Indicates the currently-selectedapplicator and enables you to select any applicator that isconnected to the system by pressing the Left/Right arrows.•Indicates that the selected applicator is Viva.2. Tools button – Displays the Tools screen (see Chapter 6).3. Energy button – Resets the Energy setting.4. Energy controller – Enables you to set the output energy forthe Viva applicator, as a percentage (11 - 100%) of themaximum energy output, by pressing the -/+ buttons.5. Pattern Group button – Toggles between pattern groupsI and II.•Indicates that the selected pattern group is I.•Indicates that the selected pattern group is II.Operating Instructions5-14 Versa User Manual6. Pattern selector – Enables you to select the desired pattern ineach pattern group by pressing the Left/Right arrows.The preset patterns (shown below) determine the footprint ofthe applicator pin by setting the tip's active pins during RFemission.••••••••Operating InstructionsVersa User Manual 5-157. Repeat Mode button – Enables you to activate/deactivate theRepeat mode (repetitive pulsing).8. Repeat Mode controller – Enables you to set the timeinterval between pulses in the Repeat mode, by pressing the-/+ buttons.9. Standby button –• Places the system in the Standby state in which pulseemission is disabled.• Illuminates in yellow when the system is in the Standbystate.• Changes to gray when the system is in the Ready state.10. Ready button –• Places the system in the Ready state in which pulseemission is enabled.• Illuminates in green when the system is in the Ready state.• Flashes (for a few seconds) during the transition fromStandby to Ready state.• Changes to solid gray when the system is in the Standbystate.Note• The system's default state is Standby andchanges to Ready only when the Readybutton is pressed.• When the system is in the Ready state,pressing any button on the screen will setthe system back to the Standby state.Operating Instructions5-16 Versa User Manual11. Advanced Settings button – Displays the Fractional RFmode's Advanced Treatment screen, as shown in Figure 5-8,enabling qualified users to control additional parameters ofthe Viva applicator.12. Pulse Counter – Indicates the remaining number of pulses outof the total number of pulses of the connected applicator tip.Once the remaining pulses are consumed, a message appears,warning that the tip needs to be replaced.13. Pulse Profile controller – Displays the pulse profile graphand enables you to control the parameters that determine theoutput energy of the Viva applicator, which are the pulseduration (X axis) and amplitude (Y axis).The graph displays the resultant RF energy output as apercentage of the maximum RF energy output.14. Pulse Amplitude controller – Enables you to select thedesired pulse amplitude (in Volts), by pressing the -/+ buttons.15. Pulse Duration controller – Enables you to select the desiredpulse duration (in milliseconds), by pressing the -/+ buttons.16. Save Profile buttons – Enable you to save the set pulseprofile, as determined by pulse duration and pulse amplitude,for easy access in future treatments. Up to four profiles can besaved, using buttons 1, 2, 3 and 4.• To save a profile, press and hold the desired button forthree seconds. Saving a profile to a button overwrites anddeletes any previously saved profile to that button.• To recall a saved profile, press the button to which theprofile was saved.Operating InstructionsVersa User Manual 5-175.4.3. IPL Treatment ModeFigure 5-9 shows the IPL mode Treatment screen.1735911131412246810Figure 5-9. Elements of the IPL Mode Treatment Screen(with the HR690 IPL Applicator Selected)Elements of the IPL mode Treatment screen, as indicated bynumbers in Figure 5-9, are described below.1. Skin Type selector – Enables you to select the skin type thatmatches that of the patient, according to Fitzpatrick's SkinType category I-VI, by pressing the Left/Right arrows.2. Contact Cooling controller –• Enables you to set the cooling level (0% to 100%) for SR515, SR580and ACDUAL IPL applicators, by pressing the -/+ buttons.• The cooling level cannot be altered if certain skin types areselected.• For HR650, HR690, HR650XL and HR690XL IPL applicatorsthe cooling level is locked at 100% and cannot be altered.Operating Instructions5-18 Versa User Manual3. Cooling button – Resets the Contact Cooling level.4. Applicator selector – Indicates the currently-selectedapplicator and enables you to select any applicator that isconnected to the system by pressing the Left/Right arrows.•Indicates that the selected applicator is SR515.•Indicates that the selected applicator is SR580.•Indicates that the selected applicator is HR650.•Indicates that the selected applicator is HR690.•Indicates that the connected applicator isHR650XL.•Indicates that the connected applicator isHR690XL.•Indicates that the connected applicator isACDUAL.Operating InstructionsVersa User Manual 5-195. Tools button – Displays the Tools screen (see Chapter 6).6. Fluence button – Resets the fluence.7. Fluence controller – Enables you to set the output fluence(in J/cm2) for the connected IPL applicator by pressing the -/+buttons.8. Pulse Duration button – Resets the pulse duration.9. Pulse Duration controller – Enables you to set the pulseduration (in msec) by pressing the -/+ buttons.10. Repeat Mode button – Enables you to activate/deactivate theRepeat mode (repetitive pulsing).11. Repeat Mode controller – Enables you to set the timeinterval between pulses in the Repeat mode, by pressing the-/+ buttons.12. Standby button –• Places the system in the Standby state in which pulseemission is disabled.• Illuminates in yellow when the system is in the Standbystate.• Changes to gray when the system is in the Ready state.13. Ready button –• Places the system in the Ready state in which pulseemission is enabled.• Illuminates in green when the system is in the Ready state.• Flashes (for a few seconds) during the transition fromStandby to Ready state.• Changes to solid gray when the system is in the Standbystate.Operating Instructions5-20 Versa User ManualNote• The system's default state is Standby andchanges to Ready only when the Readybutton is pressed.• When the system is in the Ready state,pressing any button on the screen will setthe system back to the Standby state.14. Pulse Counter – Indicates the number of pulses that havebeen fired in the current treatment session. To reset the PulseCounter, press it continuously.Operating InstructionsVersa User Manual 5-215.5. Setting the Treatment ParametersTo set the treatment parameters:1. Verify that the Treatment screen is displayed, as shown inFigure 5-4.2. Verify that the Applicator selector indicates the actualapplicator that is to be used.3. Using the Skin Type selector, select the skin type that matchesthat of the patient, according to Fitzpatrick's Skin Typecategory I-V.4. Using the Fluence controller, set the desired fluence.5. Using the Pulse Duration controller, set the desired pulseduration.6. If Repeat mode is to be used, press the Repeat Mode button toactivate it and use the Repeat Mode controller to set thenumber of pulses per second.7. For SR515 and SR580 IPL applicators, use the ContactCooling controller to set the desired cooling level.Note• The cooling level cannot be altered ifcertain skin types are selected.• For HR650, HR690, HR650XL andHR690XL IPL applicators the cooling levelis locked at 100% and cannot be altered.Operating Instructions5-22 Versa User Manual5.6. Using Preset Parameters in the(MP)2 Treatment ModeThe system provides six sets of treatment parameters, which can berecalled, as desired, in the (MP)2 treatment mode (withDiamodpolar and Octipolar applicators).5.6.1. Recalling the Preset TreatmentParametersTo recall a preset:1. From the (MP)2 mode Treatment screen (see Figure 5-6),press the Preset button (as described in section 5.4.1, on page5-8); the Preset screen appears, as shown in Figure 5-10.Figure 5-10. Preset ScreenOperating InstructionsVersa User Manual 5-232. From the Preset screen, select the desired preset number (1-6);the system loads the selected preset and the correspondingparameters (saved with the preset) appear in the (MP)2 modeTreatment screen (see Figure 5-6).NoteTo quit the Preset screen without making anychanges, press the Return button.5.6.2. Changing the Preset TreatmentParametersCautionSaving the new treatment parameters to a preset supersedes anddeletes the existing parameters for that preset.To change the parameters of a preset:1. Set the desired (MP)2 treatment parameters (as you want them to besaved in a preset), as described in section 5.5, on page 5-21.2. Press the Preset button (as described in section 5.4.1, on page5-8); the Preset screen appears, as shown in Figure 5-10.3. In the Preset screen, press and hold the button of the presetnumber to which you want to save the set treatmentparameters.Operating Instructions5-24 Versa User Manual4. Continue holding the button until the inward arrow of the Presetscreen icon changes to green, as shown in Figure 5-11, indicatingthat the new parameters are saved to the selected preset.Figure 5-11. Preset Icon Inward Arrow Changing to GreenUpon recalling this preset, the system loads and displays thesaved parameters.NoteTo quit the Preset screen without making anychanges, press the Return button.Operating InstructionsVersa User Manual 5-255.7. Emitting the Treatment EnergyTo emit the treatment energy:1. Verify that the Applicator selector indicates the actualapplicator that is to be used.2. Verify that the treatment parameters are properly set, asdescribed in section 5.4.3. Place the system in the Ready state by pressing the Readybutton [not relevant to (MP)2 treatment mode].4. Verify that the applicator is placed on the treatment area.5. Emit the treatment energy as follows:• In the (MP)2 treatment mode, press the Start button.• In the Fractional RF treatment mode, press the applicator'strigger.• In the IPL treatment mode, press the applicator's trigger.Operating Instructions5-26 Versa User ManualVersa User Manual 6-1Chapter 6Advanced Features andSettingsChapter Contents:Section Title Page6.1. Tools screen ................................................................ 6-26.2. Setting the Interface language .................................... 6-66.3. Setting the Volume ..................................................... 6-76.4. Setting the Login Code ............................................... 6-86.5. Logging Out .............................................................. 6-116.6. Setting the Auto Logout Time .................................. 6-126.7. Displaying the System Information .......................... 6-136.8. Extending the Activation Period ............................... 6-146.9. Displaying the System Counter Information ............ 6-166.10. Activating the Pump ................................................. 6-186.11. Technician Mode ...................................................... 6-18Advanced Features and Settings6-2 Versa User Manual6.1. Tools screenFigure 6-1 shows the Tools screen.Figure 6-1. Tools Screen6.1.1. Features in the Tools ScreenFeatures in the Tools screen, as described in Table 6-1, enable theuser to personalize the system, and allow the qualified VenusConcept technicians to update the system software, calibrate thescreen and control various settings.Advanced Features and SettingsVersa User Manual 6-3Table 6-1. Tools Screen FeaturesIcon Description See SectionLanguage – Enables you to selectthe interface language.6.2Volume – Enables you to set thevolume of the system speakers.6.3Set Login Code – Enables you tochange the login code.6.4Logout – Enables you to log outof the Treatment screen and lockthe system.6.5Set Auto Logout – Enables youto define the time period, afterwhich the system automaticallylogs out if not in use.6.6Information – Displaysinformation regarding thesystem software and hardware.6.7Advanced Features and Settings6-4 Versa User ManualTable 6-1. Tools Screen Features (cont.)Icon Description See SectionActivation Code – Enables youto extend the use of a restricteddevice and add new applicators.6.8Technician Mode – Allowsqualified Venus Concepttechnicians to access theTechnician mode.6.11Pump – Enables you to activatethe pump.6.10Counter – Displays systemcounter information, providingthe usage history of allapplicators that have been usedwith the system.6.9Exit – Closes the Tools screenand returns to the Treatmentscreen.–Confirm – Confirms and savesany changes made to the systemsettings in the Tools screen.Changes will not be stored if theConfirm button is not pressed.–Advanced Features and SettingsVersa User Manual 6-56.1.2. Status BarFigure 6-2 shows the status bar, which appears at the bottom of theTools screen, as shown in Figure 6-1.Figure 6-2. Status BarThe status bar displays the applicators that are currently connectedto the system and their usage information:• If an Octipolar or a Diamondpolar (MP)2 applicator isconnected to the system, the Timer shows the total duration ofRF emission by that applicator.• If a Viva applicator is connected to the system, the PulseCounter shows the total number of pulses emitted by thatapplicator.• If an IPL applicator is connected to the system, the PulseCounter shows the total number of pulses emitted by thatapplicator.6.1.3. Accessing the Tools ScreenTo access the Tools screen:• From the Treatment screen, press the Tools button ; theTools screen appears, as shown in Figure 6-1.Advanced Features and Settings6-6 Versa User Manual6.2. Setting the Interface languageTo set the interface language:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Language icon, as shown inTable 6-1.3. Select the desired language.4. Press the Confirm button.Advanced Features and SettingsVersa User Manual 6-76.3. Setting the VolumeTo set the volume:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Volume icon, as shown inTable 6-1; the Volume screen appears, as shown in Figure 6-3.Figure 6-3. Volume Screen3. Use the +/- buttons to set the desired volume (as a percentageof the maximum volume).4. Press the Confirm button to close the Volume screen andreturn to the Tools screen.NoteTo abort the Volume screen, press the Exitbutton .5. Press the Confirm button in the Tools screen to save thechange.Advanced Features and Settings6-8 Versa User Manual6.4. Setting the Login CodeTo set the login code:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Set Login Code icon, asshown in Table 6-1; the Login screen appears, as shown inFigure 6-4.Figure 6-4. Login Screen3. Enter current login code.Advanced Features and SettingsVersa User Manual 6-94. Press the Confirm button ; the system asks you to enter thenew login code, as shown in Figure 6-5.Figure 6-5. Entering the New Login Code5. Enter a new 8-character login code.Advanced Features and Settings6-10 Versa User Manual6. Press the Confirm button ; the system asks you to enter thenew login code again, as shown in Figure 6-6.Figure 6-6. Re-Entering the New Login Code7. Re-enter the new login code.8. Press the Confirm button to close the Login screen andreturn to the Tools screen.NoteTo abort the above process at any stage, pressthe Exit button .9. Press the Confirm button in the Tools screen to save thechange.Advanced Features and SettingsVersa User Manual 6-116.5. Logging OutTo log out of the Treatment screen and lock the system:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Logout icon, as shown inTable 6-1;• The system logs out.• The Login screen appears, as shown in Figure 6-7.Figure 6-7. Login ScreenNoteTo return to the Treatment screen, log in.Advanced Features and Settings6-12 Versa User Manual6.6. Setting the Auto Logout TimeTo set auto logout time:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Set Auto Logout Time icon,as shown in Table 6-1; the Set Auto Logout Time screenappears, as shown in Figure 6-8.Figure 6-8. Set Auto Logout Time Screen3. Use the +/- buttons to set the desired auto logout time.4. Press the Confirm button to close the Set Auto LogoutTime screen and return to the Tools screen.NoteTo abort the Set Auto Logout Time screen,press the Exit button .5. Press the Confirm button in the Tools screen to save thechange.Advanced Features and SettingsVersa User Manual 6-136.7. Displaying the SystemInformationTo display the system information:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Information icon, as shownin Table 6-1; the Information screen appears, as shown inFigure 6-9.Figure 6-9. Information Screen3. Press the Confirm button to close the Information screenand return to the Tools screen.Advanced Features and Settings6-14 Versa User Manual6.8. Extending the Activation PeriodUse of the system may be restricted to either a specific date(Expiration Date) or a limited time of operation (Operation Time).If the system use is restricted, the appropriate information isdisplayed at the bottom of the Tools screen. If no such informationis displayed, use of the system is unrestricted.• If the system use is restricted to a specific date, the effectiveExpiration Date is displayed. One week before the ExpirationDate, the following message appears:Your activation period is about to expire. Please contactyour area CSA to receive your new activation code(Expiration Date: MMM-DD-YYYY).• If the Expiration Date has passed without extending it, thefollowing message appears:Activation period has expired. Expiration Date: MMM-DDYYYY.Please enter new Activation Code.• If the system use is restricted to a limited Operation Time, theremaining Operation Time (in hours) appears. If the remainingOperation Time is less than 10 hours, the following messageappears at the bottom of the Treatment screen:Remaining Operation Time: XX:YY hoursIf the remaining Operation Time is less than one hour, the colorof the message text becomes red. If no Operation Time hasremained, the following message appears:Your activation period has expired. Please enter newactivation code.• If the system use is restricted to both a specific date and alimited Operation Time, both the effective Expiration Date andthe remaining Operation Time appear with the above messages.Advanced Features and SettingsVersa User Manual 6-15To extend the activation period of a restricted system:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Activation Code icon, asshown in Table 6-1; Activation Code screen appears, asshown in Figure 6-10.Figure 6-10. Activation Code Screen3. Contact your local Venus Concept representative and mentionthe Key Number that is displayed on top the screen. Therepresentative will provide a new 16-character ActivationCode.4. Enter the new Activation Code in the Activation Code screen.5. Press the Confirm button to close the Activation Codescreen and return to the Tools screen.Advanced Features and Settings6-16 Versa User ManualNoteTo abort the Activation Code screen, press theExit button .6. Press the Confirm button in the Tools screen to save thechange.6.9. Displaying the System CounterInformationThe system counter information provides the usage history of allapplicators that have been used with the system.This feature displays a list of all applicators and their usageinformation:• For Octipolar and Diamondpolar (MP)2 applicators, the Timershows the total duration of RF emission by each applicator.• For Viva and all IPL applicators, the Pulse Counter shows thetotal number of pulses emitted by each applicator.Advanced Features and SettingsVersa User Manual 6-17To display the system counter information:1. Access the Tools screen, as described in section 6.1.3.2. From the Tools screen, press the Counter icon, as shown inTable 6-1; the System Counter Information screen appears, asshown in Figure 6-11.Figure 6-11. System Counter Information Screen3. Press the Confirm button to close the System CounterInformation screen and return to the Tools screen.Advanced Features and Settings6-18 Versa User Manual6.10. Activating the PumpFor information and instructions on activating the pump, refer tothe section titled "Circulating the Water" in Chapter 7.6.11. Technician ModeThis feature is password protected and is to be used only byqualified Venus Concept technicians.Versa User Manual 7-1Chapter 7Care and MaintenanceChapter Contents:Section Title Page7.1. Cleaning the System ................................................... 7-27.2. Cleaning the Applicators ............................................ 7-27.3. Disinfecting the Applicators ....................................... 7-37.4. Cleaning the Viva Applicator's Tip ............................ 7-37.5. Adding Water to the Cooling System ......................... 7-47.6. Circulating the Water.................................................. 7-97.7. Replacing a Burnt Fuse ............................................. 7-147.8. Moving the System ................................................... 7-15Care and Maintenance7-2 Versa User Manual7.1. Cleaning the SystemUse the following guidelines to clean the system:• Clean/Wipe the system's external parts at least once a week.• To ensure safety, turn off the system before wiping any of thesurfaces.• Avoid using detergents such as ammonia, acetone, hydrochloricacid, chlorine bleach, and other fluids that can damage ordestroy plastic components.7.2. Cleaning the ApplicatorsCautionDo not immerse the applicator in any liquid.Use the following guidelines to clean the applicators:• After each treatment session, wipe the entire applicator withalcohol/chloride/acetone-free disinfectant.• Ensure that each applicator is fully dried before performing thenext treatment.• Use a soft cloth, moistened with enzymatic detergent solutionsuch as 0.5% ANIOSYME DD1, to clean the applicator until itis visually clean. Use the enzymatic detergent according tomanufacturer instructions.• Use a soft cloth, moistened with water to remove any detergentresiduals.Care and MaintenanceVersa User Manual 7-37.3. Disinfecting the ApplicatorsUse the following guidelines to disinfect the applicators:• Use germicide swipes to disinfect each applicator for at leastone minute.• Dry the applicator with a clean cloth.Caution• Make sure that the applicator is dried from any inflammablesubstance.• Always perform the cleaning procedure prior to disinfection.7.4. Cleaning the Viva Applicator's TipIf the tip requires cleaning, ensure that the system is in the Standbystate before starting the cleaning procedure.Always make sure that the tip is completely dry before starting thetreatment.To clean the Viva applicator's tip:1. Immerse the tip into an ultrasonic cleaner (bath), filled withDeconex 53 Plus 2% solution, for 15 minutes.2. Remove the tip from the ultrasonic cleaner and rinse it withDDW (double distilled water).3. Air-dry the tip. Make sure the tip is completely dry beforeusing it for treatment.Care and Maintenance7-4 Versa User Manual7.5. Adding Water to the CoolingSystemWater should be added to the cooling system if the water levelindicator, as shown in Figure 7-1, indicates that the water level islow.Water Level IndicatorFigure 7-1. Water Level Indicator on the System's rear SideCare and MaintenanceVersa User Manual 7-5A water filling kit is provided for this purpose, as shown in Figure7-2.FunnelBypassQuick- ToolConnector(Male)Quick-Connector(Female)Figure 7-2. Water Filling KitTo add water to the cooling system:1. Turn off the system and disconnect it from the mains power.2. Disconnect the IPL applicator's cable connector from itsreceptacle on the system console, as shown in Figure 7-3.Figure 7-3. Disconnecting the IPL Applicator's CableConnectorCare and Maintenance7-6 Versa User Manual3. Connect the quick-connector of the funnel's tube into that ofthe bypass tool, as shown in Figure 7-4.Figure 7-4. Connecting Two Parts of the Water Filling Kit'4. Insert the water filling kit's connector into the IPL applicatorconnection receptacle, as shown in Figure 7-5.Figure 7-5. Inserting the Water Filling Kit's ConnectorCare and MaintenanceVersa User Manual 7-75. Rotate the connector clockwise to lock it in place, as shown inFigure 7-6 and Figure 7-7.Figure 7-6. Locking the Water Filling Kit's ConnectorFigure 7-7. Water Filling Kit Locked in PlaceCare and Maintenance7-8 Versa User Manual6. Hold the water filling kit upright and pour water through thefunnel, as shown in, until the water level indicator indicatesthat the water level is adequate (see Figure 7-8).Figure 7-8. Water Filling Kit Connected to the SystemCare and MaintenanceVersa User Manual 7-97. Disconnect the water filling kit from the system.8. Re-connect the IPL applicator to the system.NoteAfter filling the water for the first time (),circulate the water, as described in section 7.6.7.6. Circulating the WaterAfter filling the cooling system for the first time (or following afull drainage), water should be circulated through the system. Thisprocedure is carried out by activating the pump, with the bypasstool connected to the system.To circulate the water:1. Verify that the system is turned on.2. Verify that the IPL applicator is disconnected from thesystem.3. Verify that the funnel is disconnected from the bypass tool, asshown in Figure 7-9.Figure 7-9. Bypass Tool (Without the Funnel)Care and Maintenance7-10 Versa User ManualCautionActivating the pump with the funnel connected to thebypass tool causes the water to overflow and pour out ofthe funnelMake sure that the funnel is not connected to the bypasstool.4. Connect the bypass tool to the IPL applicator connectionreceptacle, as shown in Figure 7-5.Figure 7-10. Bypass Tool Connected to the System(Without the Funnel)Care and MaintenanceVersa User Manual 7-115. From the Treatment screen, press the Tools button ; theTools screen appears, as shown in Figure 7-11.Figure 7-11. Tools Screen6. From the Tools screen, press the Pump button ; amessage appears, prompting you to connect the bypass tooland start the pump, as shown in Figure 7-12.Figure 7-12. Connecting the Bypass Tool and Starting thePump MessageCare and Maintenance7-12 Versa User Manual7. Press the Confirm button ;• The pump starts working.• The water starts circulating through the system.• The Pump Activation screen appears, as shown in Figure7-13, showing: Pump activation time Pressure in the cooling systemFigure 7-13. Pump Activation ScreenNoteThe only way to stop the pump is to turn offthe system. In case of emergency, press theEmergency button.Care and MaintenanceVersa User Manual 7-138. Wait (for about one minute) for the system to complete thewater circulation and display the completion message, asshown in Figure 7-14.Figure 7-14. Water Circulation Completion Message9. Turn off the system.10. Disconnect the bypass tool from the system.11. Connect the IPL applicator to the system.12. Turn on the system to commence normal operation.Care and Maintenance7-14 Versa User Manual7.7. Replacing a Burnt FuseIf the system is properly connected to the mains power and doesnot turn on, it is likely that one of its main fuses is burnt.To replace a burnt fuse:1. Disconnect the power cable from the power connection port,as shown in Figure 7-15.PowerConnectionPortMain Fuse CompartmentsFigure 7-15. Power Connection Port and Main Fuses on theSystem's Rear Side2. Use a screwdriver to open the two main fuse compartments, asshown in Figure 7-15.3. Replace the burnt fuse(s).4. Insert the fuses into their compartments and lock them inusing the screwdriver.Care and MaintenanceVersa User Manual 7-157.8. Moving the SystemTo move the system:1. Unplug the power cord from the mains power supply.2. Release all wheel brakes.3. Using the handle, carefully move the system to the desiredlocation.4. Lock all wheel brakes.Care and Maintenance7-16 Versa User ManualVersa User Manual 8-1Chapter 8TroubleshootingChapter Contents:Section Title Page8.1. General ........................................................................ 8-28.2. System Problems......................................................... 8-38.3. Errors and Messags ..................................................... 8-5Troubleshooting8-2 Versa User Manual8.1. GeneralThis Chapter provides solutions to some problems that may arisewhile operating the system.• Section 8.2 (Table 8-1) provides solutions to system problemsthat are not associated with a message.• Section 8.3 (Table 8-2) provides solutions to system problemsthat are associated with a message.If you are not able to solve the problem using the providedsolutions, contact your local Venus Concept service representative.TroubleshootingVersa User Manual 8-38.2. System ProblemsTable 8-1. Troubleshooting Problems that areNot Associated with a MessageProblem SolutionNo power • Check the power cable.Make sure that it is properlyconnected to both thesystem's power connectionport and the mains powersupply.• Make sure that main powerswitch is on.If the problem persists, callService.Troubleshooting8-4 Versa User ManualTable 8-1. Troubleshooting Problems that areNot Associated with a MessageProblem SolutionNo display • Check the power cable.Make sure it is properlyconnected to both thesystem's power connectionport and the mains powersupply.• Make sure that main powerswitch is on.• Turn off the system, wait fortwo minutes, and turn itback on.If the problem persists, callService.No response from touch screen Turn off the system, wait fortwo minutes, and turn it backon.If the problem persists, callService.No energy in applicator Make sure that the applicator isproperly connected.If the problem persists, callService.TroubleshootingVersa User Manual 8-58.3. Errors and MessagsTable 8-2. Troubleshooting Problems that areAssociated with a MessageMessage SolutionError - Can't ReadConfiguration FileTurn off the system, wait fortwo minutes, and turn it backon.If the problem persists, callService.Error - Can't Read LanguageFileTurn off the system, wait fortwo minutes, and turn it backon.If the problem persists, callService.The Machine is Locked -Please Contact Your…Turn off the system, wait fortwo minutes, and turn it backon.If the problem persists, callService.Set New Login Code Failed -Please Try AgainRepeat the procedure forSetting the Login Code (seeChapter 6).Troubleshooting8-6 Versa User ManualTable 8-2. Troubleshooting Problems that areAssociated with a MessageMessage SolutionInvalid Activation Code -Please Enter New ActivationCodeEnter the Activation Codeagain.If the problem persists, callService.Versa User Manual 9-1Chapter 9SpecificationsChapter Contents:Section Title Page9.1. System Specifications ................................................. 9-29.2. SR515 Applicator Specifications ............................... 9-39.3. SR580 Applicator Specifications ............................... 9-49.4. HR650 Applicator Specifications ............................... 9-59.5. HR690 Applicator Specifications ............................... 9-69.6. HR650XL Applicator Specifications ......................... 9-79.7. HR690XL Applicator Specifications ......................... 9-89.8. ACDUAL Applicator Specifications .......................... 9-99.9. Diamondpolar Applicator Specifications ................. 9-109.10. Octipolar Applicator Specifications ......................... 9-119.11. Viva Applicator Specifications ................................. 9-129.12. Environmental Requirements ................................... 9-139.13. Output Power Graphs ............................................... 9-14Specifications9-2 Versa User Manual9.1. System SpecificationsSystem consoledimensions:W × D × H (not packed):65 × 55 × 110 cm(25.6 × 21.7 × 43.3 in)System consoleweight:Approximately 35 kg(77.2 lbs)Electricalrequirements:100 - 240 VAC, 12.5A, 50 - 60 Hz,single phaseSpecificationsVersa User Manual 9-39.2. SR515 Applicator SpecificationsOutputparameters:• Optical fluence:5 - 25 J/cm2• Wavelength:515 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:10 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)Specifications9-4 Versa User Manual9.3. SR580 Applicator SpecificationsOutputparameters:• Optical fluence:5 - 25 J/cm2• Wavelength:580 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:10 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)SpecificationsVersa User Manual 9-59.4. HR650 Applicator SpecificationsOutputparameters:• Optical fluence:5 - 20 J/cm2• Wavelength:650 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:10 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)Specifications9-6 Versa User Manual9.5. HR690 Applicator SpecificationsOutputparameters:• Optical fluence:5 - 20 J/cm2• Wavelength:690 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:10 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)SpecificationsVersa User Manual 9-79.6. HR650XL ApplicatorSpecificationsOutputparameters:• Optical fluence:5 - 20 J/cm2• Wavelength:650 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:20 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)Specifications9-8 Versa User Manual9.7. HR690XL ApplicatorSpecificationsOutputparameters:• Optical fluence:5 - 20 J/cm2• Wavelength:690 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:20 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)SpecificationsVersa User Manual 9-99.8. ACDUAL ApplicatorSpecificationsOutputparameters:• Optical fluence:5 - 25 J/cm2• Wavelength:415 - 480 nmand630 - 950 nm• Pulse repetition rate:Up to 3 Hz• Treatment area:10 × 30 mmApplicatordimensions:W × D × H:23 × 16 × 6 cm(9 × 6.3 × 2.4 in)Applicator weight: Approximately 0.6 kg(1.3 lbs)Umbilical cablelength:170 cm(67 in)Specifications9-10 Versa User Manual9.9. Diamondpolar ApplicatorSpecificationsTechnology: RF + MP2RF energy: N/AMaximum RFoutput power:75 WOutput RFfrequency:1 MHzMagnetic pulsefrequency:15 HzMagnetic field: Up to 15 GaussSpecificationsVersa User Manual 9-119.10. Octipolar ApplicatorSpecificationsTechnology: RF + MP2RF energy: N/AMaximum RFoutput power:150 WOutput RFfrequency:1 MHzMagnetic pulsefrequency:15 HzMagnetic field: Up to 15 GaussSpecifications9-12 Versa User Manual9.11. Viva Applicator SpecificationsTechnology: RFRF energy: 62 mJ/pinMaximum RFoutput power:8 WOutput RFfrequency:0.46 MHzMagnetic pulsefrequency:N/AMagnetic field: N/ASpecificationsVersa User Manual 9-139.12. Environmental RequirementsTreatment room: • Temperature:15° - 30°C(59° - 86°F)• Relative humidity:10% - 80%Storage/Transportation:• Temperature with water in the system:2° - 55°C(35.6° - 131°F)• Temperature without water in thesystem:-20° - 55°C(-4° - 131°F)• Relative humidity:10% - 80%• Air pressure range:700 - 1060 hPa(0.70 - 1.06 Bars)Specifications9-14 Versa User Manual9.13. Output Power GraphsFigure 9-1. Graph of Output Power vs. LoadFigure 9-2. Graph of Output Power vs. SettingVersa User Manual A-1Appendix AClinical Guide for (MP)²Treatment with DiamondpolarApplicatorChapter Contents:Section Title PageA.1. Introduction.................................................................A-2A.2. Indications...................................................................A-2A.3. Contraindications ........................................................A-3A.4. Exclusion Criteria .......................................................A-3A.5. Pre-Treatment Information .........................................A-4A.6. General Treatment Information ..................................A-7Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorA-2 Versa User ManualA.1. IntroductionFigure A-1 shows the Diamondpolar applicator.Figure A-1. Diamondpolar ApplicatorA.2. IndicationsThe Venus Versa system, using the Diamondpolar applicator, isdesigned for use in dermatological procedures requiring treatmentof moderate to severe facial wrinkles and rhytides in Fitzpatrickskin types I- IV.Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorVersa User Manual A-3A.3. ContraindicationsTreatment with the device is contraindicated for patients with anyof the following conditions:• Implantable defibrillators, cardiac pacemakers, and other metalimplants• Subjects with any implantable metal device in the treatment areaA.4. Exclusion Criteria• Actinic keratozis• Cancer, melanoma• Demyelinating diseases• Defibrillator/Pacemaker• Disorder of the thyroid gland• Epilepsy• Fever• Infection in the treated area• Multiple sclerosis• Mental diseases• Metal implants near the treated area, excluding dental implants• Moles at the treated area• Ongoing use of Isotretinoin (e.g. Roaccutane)• Pregnancy or IVF procedure• Specific skin's autoimmune diseasesClinical Guide for (MP)² Treatment withDiamondpolar ApplicatorA-4 Versa User ManualA.5. Pre-Treatment InformationA.5.1. Recommended AccessoriesPrior to the treatment, it is recommended to have the following:• Glycerin in gel or liquid formulation• Camera and tripod (tracking tools to follow the client'sprogress)A.5.2. Clinical Data Management• Establish a detailed patient medical history, including previoustreatment modalities. This would include, and not be limited to,a questionnaire to ensure that the patient does not fall under anyof the exclusion criteria.• Review the informed consent form with the patient to ensurethat the patient is well informed of the treatment protocol andpossible side-effects.• Determine why the patient is seeking this treatment, in order tounderstand and manage their expectations to ensure asatisfactory outcome.Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorVersa User Manual A-5A.5.3. Expected Clinical Effects• Mild discomfort may be associated with the treatment.• Heat sensation will be felt both during and following thetreatment.• Erythema may be present in the treated area for up to two hourspost procedure.A.5.4. Adverse EffectCautionSkin burn may occur if the operator does not follow theinstructions, i.e. holding the applicator for too long on the samespot. If such a burn occurs, it should be treated conventionally.A.5.5. Documentation• It is strongly recommended to take photographs of the treatmentarea, both before and upon completion of the treatment series,in order to document the clinical results and verify a positiveoutcome. It is imperative to maintain consistency in thephotographic conditions.• Treatment documents should be kept with the patient chart.Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorA-6 Versa User ManualA.5.6. Preparing for the Treatment• All Jewelry and/or metal items should be removed from thetreatment area.• The treated area should be clean and free of lotions, creams,and make-up.• Ensure that the patient is relaxed, comfortable and lying downon the treatment bed with the treated area exposed.• Glycerin should be applied thoroughly to the treatment area.CautionApplying an insufficient amount of glycerin to the treatmentarea results in bad coupling and may adversely affect thetreatment results.Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorVersa User Manual A-7A.6. General Treatment Information• The recommended treatment duration is between 15 and 30minutes, depending on the treatment area.• Acceptable results will likely require a number of treatments,performed over a period of time, depending on the treatmentarea and the performed procedure.• In the initial treatment it is important to adjust the treatmenttime and required energy level to best suit the patient's toleranceto the treatment. Tolerance will increase as the patient becomesmore familiar with the treatments.• The aim of the procedure is to heat the surface of the skin onthe treatment area and raise the temperature at least to thetherapeutic temperature (End Point), and maintain it for theremaining time of the treatment.• The End Point temperature should be at least 40°C, but shouldnot exceed 45°C. The treatment should be monitored with anexternal IR thermometer.• For optimal results, it is recommended to maintain the highesttemperature that the patient can tolerate, as long as it does notexceed 45°C.• If large areas are treated, it is recommended to divide them intosmaller areas, and divide the total treatment time accordingly.• During the procedure, ensure that you are gently pressing theapplicator's electrodes against the patient's skin, making surethat all electrodes are in contact with the skin as much aspossible.Clinical Guide for (MP)² Treatment withDiamondpolar ApplicatorA-8 Versa User Manual• The applicator strokes should be long and continuous, andperformed in form of "8" figures, circles, ellipses or waves. Theapplicator must always be in motion, while in contact with theskin surface.• If the measured skin surface temperature (as measured by thedigital thermometer) at End Point is less than 40˚C, treatment isnot optimal and the desired results will not be accomplished.• The achieved skin temperature depends on the applicatormovement speed and energy level. The lower the energy, theslower the movement should be and vice-versa.• In the event that the patient experiences discomfort or painduring the treatment, either decrease the energy percentage, orapply more glycerin, or perform wider and quicker movements,or stop the treatment.• Typically, optimal results will be achieved within 6-10 sessionsperformed once a week. The actual number of sessions neededdepends on the initial condition of the patient and theircompliance.Versa User Manual B-1Appendix BClinical Guide for (MP)²Treatment with OctipolarApplicatorChapter Contents:Section Title PageB.1. Introduction................................................................. B-2B.2. Indications................................................................... B-2B.3. Exclusion Criteria ....................................................... B-3B.4. Precaution Criteria ...................................................... B-4B.5. Pre-Treatment Information ......................................... B-5B.6. General Treatment Information .................................. B-8Clinical Guide for (MP)² Treatment withOctipolar ApplicatorB-2 Versa User ManualB.1. IntroductionFigure B-1 shows the Octipolar applicator.Figure B-1. Octipolar ApplicatorB.2. IndicationsThe Venus Versa system, using the Octipolar applicator, isdesigned for use in body contouring via Skin Tightening,Circumferential Reduction, and Cellulite Reduction.Clinical Guide for (MP)² Treatment withOctipolar ApplicatorVersa User Manual B-3B.3. Exclusion Criteria• Active inflammation and/or infection in the treated area• Current or history of cancer and premalignant condition• Degenerative neurologic diseases• Diseases stimulated by heat (such as recurrent herpes simplex inthe treatment area)• Internal defibrillator/pacemaker.• Metal implants in the treated area, excluding dental implants• Uncontrolled disorder of the thyroid gland• Varicose veins• Pregnancy or IVF procedure• Skin related autoimmune diseases• Silicone implants and injections in treated areaClinical Guide for (MP)² Treatment withOctipolar ApplicatorB-4 Versa User ManualB.4. Precaution Criteria• Botox injection and implants in the treatment area (wait for onemonth after the last injection before starting a treatment)• Breast feeding• Epilepsy• Facial laser resurfacing and deep chemical peeling within thelast month, if face is treated• Fresh scars, wounds, or scarification of the skin in the treatedarea• Telangiectasia• Thyroid gland (it is not recommended to perform the treatmentover the thyroid gland)• Ongoing use of isotretinoin (e.g. Roaccutane)• Recent injection of fillers• Recent surgical procedure or special medications• Rosacea (not recommended if the face is treated; but not aconstraint if treating other body areas)Clinical Guide for (MP)² Treatment withOctipolar ApplicatorVersa User Manual B-5B.5. Pre-Treatment InformationB.5.1. Recommended AccessoriesPrior to the treatment, it is recommended to have the following:• Glycerin in gel or liquid formulation• Weight scale (tracking tool to follow the patient's progress)• Measuring tape (tracking tool to follow the patient's progress)• Camera and tripod (tracking tools to follow the client'sprogress)B.5.2. Clinical Data Management• Establish a detailed patient medical history, including previoustreatment modalities. This would include, and not be limited to,a questionnaire to ensure that the patient does not fall under anyof the exclusion criteria.• Review the informed consent form with the patient to ensurethat the patient is well informed of the treatment protocol andpossible side-effects.• Determine why the patient is seeking this treatment, in order tounderstand and manage their expectations to ensure asatisfactory outcome.Clinical Guide for (MP)² Treatment withOctipolar ApplicatorB-6 Versa User ManualB.5.3. Expected Clinical Effects• Mild discomfort may be associated with the treatment.• Heat sensation will be felt both during and following thetreatment.• Erythema may be present in the treated area for up to two hourspost procedure.B.5.4. Adverse Effect• Skin burn may occur if the operator does not follow theinstructions, i.e. holding the applicator for too long on the samespot. If such a burn occurs, it should be treated conventionally.Clinical Guide for (MP)² Treatment withOctipolar ApplicatorVersa User Manual B-7B.5.5. Documentation• It is strongly recommended to take "Before and After"photographs of the treated area to help document the treatmentprogress, manage expectations and maximize the patientsatisfaction. Since many patients are not able to see the progressof treatment objectively, because it is a slow and gradualchange, these photographs will help in providing objectiveevidence of the progress."Before and After" photos are also useful tools in promoting theclinic, and can be presented to other potential clients in order toshow the results they can expect from the treatment.To ensure consistency in the photographs, use the followingguidelines: Make markings on the floor, indicating exactly where thepatient should stand for taking their photos. Ensure that the same camera speed, flash and distance areused the each time.• Treatment documents, including information such as bodymeasurements and weight, should be maintained. Bodymeasurements and weight should be taken before the firsttreatment and registered in the treatment documents.To ensure consistency in the measurements results, guidelinesshould be set and followed in order to make sure that allmeasurements are carried out exactly in the same manner, eachtime.Clinical Guide for (MP)² Treatment withOctipolar ApplicatorB-8 Versa User ManualB.5.6. Preparing for the Treatment• To ensure treatment safety, all Jewelry and/or metal items(including any belly rings) should be removed from thetreatment area.• The treated area should be clean and free of lotions, creams,and make-up.• Ensure that the patient is relaxed, comfortable and lying downon the treatment bed with the treated area exposed.• Glycerin should be applied thoroughly to the treatment area.B.6. General Treatment Information• The recommended treatment duration is between 15 and 30minutes, depending on the treatment area.• Acceptable results will likely require a number of treatments,performed over a period of time, depending on the treatmentarea and the performed procedure.• In the initial treatment it is important to adjust the treatmenttime and required energy level to best suit the patient's toleranceto the treatment. Tolerance will increase as the patient becomesmore familiar with the treatments.• The aim of the procedure is to heat the surface of the skin onthe treatment area and raise the temperature at least to thetherapeutic temperature (End Point), and maintain it for theremaining time of the treatment (for a minimum duration of 5minutes on the face, and 10 minutes on other body areas).Clinical Guide for (MP)² Treatment withOctipolar ApplicatorVersa User Manual B-9• For easier maintenance of the End Point while treating the bodyareas, it is recommended, to divide each treated area into twosmaller sub-areas.• For optimal clinical results, it is recommended to maintain thehighest temperature that the patient can tolerate.• During the procedure, ensure that you are gently pressing theapplicator's electrodes against the patient's skin, making surethat all electrodes are in contact with the skin as much aspossible.• The applicator movements should be performed in form of "8"figures, circles, ellipses or lifting movements. The applicatormust always be in motion, while in contact with the skinsurface. In order to avoid overheating and to assist in thetolerance of the procedure, the applicator should be in constantmotion.• If the measured skin surface temperature (as measured by thedigital thermometer) at End Point is less than 41˚C on the faceor 41˚C on the body, treatment is not optimal and the desiredresults will not be accomplished.• The achieved skin temperature depends on the applicatormovement speed and energy level. The lower the energy, theslower the movement should be and vice-versa.• In the event that the patient experiences discomfort or painduring the treatment, either decrease the energy percentage, orapply more glycerin, or perform wider and quicker movements,or stop the treatment.• The built-in thermometer is used only to verify that therecommended temperature (End Point) of the treated area isachieved and maintained.Clinical Guide for (MP)² Treatment withOctipolar ApplicatorB-10 Versa User Manual• In most cases, a full body session will include 8-10 treatmentsper treated area. The patient should be treated once a week.• In the event that the patient suddenly feels bad or is in distress,the Emergency Button must be pressed, by the patient or theoperator, to shut down the system immediately.Versa User Manual C-1Appendix CClinical Guide for FractionalRF Treatment with VivaApplicatorChapter Contents:Section Title PageC.1. Introduction................................................................. C-2C.2. Indications................................................................... C-2C.3. Contraindications ........................................................ C-3C.4. Exclusion Criteria ....................................................... C-3C.5. Possible Side Effects .................................................. C-6C.6. Pre-Treatment Information ......................................... C-7C.7. Preparing the Applicator and Tip ............................... C-8C.8. Test Treatment ............................................................ C-9C.9. Treatment Procedure ................................................. C-10C.10. Treatment Protocol ................................................... C-13C.11. Treatment Parameters ............................................... C-13C.12. Post Treatment Care ................................................. C-14C.13. Follow-Up ................................................................. C-15C.14. Treatment Conclusion ............................................... C-15Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-2 Versa User ManualC.1. IntroductionFigure C-1 shows the Viva applicator.Figure C-1. Viva ApplicatorThrough an array of small electrodes organized on a tip,radiofrequency energy is transmitted into the tissue, producing aninjury in a certain pattern to the skin. The un-affected areaspromote faster healing and the result is an improvement in the toneand texture of the skin.C.2. IndicationsThe Venus Versa system, using the Viva applicator, is designed foruse in dermatological procedures requiring ablation andresurfacing of the skin.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-3C.3. ContraindicationsTreatment with the device is contraindicated for patients with anyof the following conditions:• Implantable defibrillators, cardiac pacemakers, and other metalimplants• Subjects with any implantable metal device in the treatment areaC.4. Exclusion CriteriaWarningNever treat the eyelids or lips.• Pacemaker or internal defibrillator, or any other active electricalimplant anywhere in the body (e.g. cochlear implant).• Permanent implant in the treated area, such as metal plates andscrews, or an injected chemical substance.• Current or history of any kind of cancer, or pre-malignantmoles.• Severe concurrent conditions, such as cardiac disorders.• Pregnancy and nursing.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-4 Versa User Manual• Impaired immune system due to immunosuppressive diseases,such as AIDS and HIV, or use of immunosuppressivemedications.*• Patients with history of diseases stimulated by heat, such asrecurrent herpes simplex in the treatment area, may be treatedonly following a prophylactic regime.• Poorly controlled endocrine disorders, such as diabetes.• Any active condition in the treatment area, such as sores,psoriasis, eczema, and rash.• History of skin disorders, such as keloids, abnormal woundhealing, as well as very dry and fragile skin.• History of bleeding coagulopathies, or use of anticoagulants.• Face lift or eyelid surgery (if periorbital treatment is performed)within a year prior to treatment.• Facial dermabrasion, facial resurfacing, or deep chemicalpeeling within the last three months, if face is treated.• Neurotoxin/collagen/fat injections or other methods ofaugmentation with injected bio-material in the treated areawithin six months prior to treatment.• Use of isotretinoin (Accutane®) within six months prior totreatment.* Indicated conditions may be treated at the discretion of – and under thefull responsibility of the medical director/physician, although treatment isnot recommended by Venus Concept. In such cases, a small area should betreated and assessed a few days later to determine if the patient willtolerate the treatment without developing short-term adverse effects. Testspots cannot indicate long-term adverse events.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-5• Use of non-steroidal anti-inflammatory drugs (NSAIDS, e.g.ibuprofen-containing agents) one week before and after eachtreatment session.• Any surgical procedure in the treatment area within the last sixmonths or before complete healing.• Treating over tattoo or permanent makeup.• Excessively tanned skin from sun, tanning beds or tanningcreams within the last two weeks.• As per the practitioner's discretion, refrain from treating anycondition which might make it unsafe for the patient.CautionIn case of uncertainty regarding potential side effects, have thepatient consult his/her primary care physician and bring awritten consent for treatment.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-6 Versa User ManualC.5. Possible Side EffectsImproper use of the system could result in side effects. Althoughthese effects are rare and expected to be transient, any adversereaction should be immediately reported to the physician. Sideeffects may appear either at the time of treatment or after.The side effects may include:• Discomfort or significant pain post-treatment• Excessive skin redness (erythema) and/or swelling (edema)• In-grown hairs• Damage to natural skin texture (crust, blister, burn)• Change of pigmentation (hyper- and hypo-pigmentation)• ScarringTreatment of male patients in hair-bearing areas may result in somedamage to the follicles and subsequent loss of hair. Avoid thebeard area and other hair- growing zones if the patient does notwish to experience hair growth reduction.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-7C.6. Pre-Treatment Information• Complete or update the patient's medical and physical history.• Exclude patients presenting any contraindications fromtreatment.• Determine why the patient is seeking treatment and what theexpectations are.• Inform the patient of the treatment protocol, typical treatmentresults and possible adverse effects and discomfort.• Instruct the patient of the safety aspects he/she should observe.• Advise the patient to avoid skin irritation or intentional skintanning. Sun-screen is advisable when outdoors during daylighthours.• The patient should discontinue any topical agents for 2-3 daysprior to treatment.• The patient should arrive for treatment with clean skin. Thereshould be no lotion, make-up, perfume, powder, or bath/showeroil present on the skin in the area to be treated. Shave any hairin the treatment area.• No lotion, gel or coupling medium should be used duringtreatment.• Areas of dental crowns, caps, braces, or other metal dentalimplants may be more sensitive to treatment and the clinicianmay use dental rolls, gauze or a tongue depressor to isolate thearea and make the treatment more comfortable.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-8 Versa User ManualC.7. Preparing the Applicator and Tip• Before each treatment clean the entire applicator surface with amedical disinfectant that does not contain alcohol. Ensure that itis dry before beginning the treatment.• Use a different tip for each patient and make sure that the tip iscleaned, as per the instructions in this manual, prior to thetreatment.• Connect the tip to the distal port of the applicator and ensurethat the tip is secured in place.• Check the integrity of the tip's electrode-pins and ensure thatthey are all intact. Do not use the tip if any pins are damaged ormissing.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-9C.8. Test TreatmentCautionIn order to prevent adverse effects, test spots should beperformed before each treatment and upon changing thetreatment parameters.When beginning a new treatment, perform a small test spot in anon-conspicuous area of the treatment site, prior to the firstcomplete session. Test spots are performed to establish thefollowing requirements:• Confirm the patient's suitability for treatment: for skin types IIIIwait 24-48 hours before assessing the skin response, and forskin types IV-VI wait 5-7 days.• Establish and confirm treatment parameters: If the desired endpointof erythema and edema – in a tip-shaped pattern – has notbeen achieved within 10-15 minutes, increase the RF energylevel and perform another test spot. If the response is excessive,decrease the parameters and perform another test spot.Test spot results will indicate if the patient can tolerate thetreatment without developing adverse effects. According to patienttolerance to the test spot, you may determine treatment parametersand whether anesthesia is needed. In addition, it is advisable toperform a test spot whenever changing parameters.CautionFor Asian patients, after spot testing, enforce a "waiting period"for one skin type level higher than the apparent skin type.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-10 Versa User ManualC.9. Treatment Procedure• Shave any hair in the treatment area.• Ensure that the skin is completely dry during the entiretreatment. If the skin moistens during treatment (i.e.perspiration, etc.) re-wipe the skin with an alcohol pad andensure that the skin is completely dry before continuing thetreatment.• When treating full-face, after completing the first half of theface, make sure to dry the untreated half before commencing thetreatment.• Set the treatment parameters. Set the desired energy levelaccording to the skin type, severity of the treated condition,treatment area, bone proximity, etc. Set conservative parametersfor a test spot for the first treatment, and then gradually increaseduring treatment or in subsequent treatments according to thedesired impact and test spot results.• Select the desired tip pattern, and enable the Repeat mode, ifdesired.• Treatment consists of a single pass over the treatment area.Adjust the treatment parameters according to the test spotresponse. To perform the treatment, place the tip on the targetzone, perpendicular to the skin surface and with full contactwith the skin.• Emit a pulse by pressing the applicator's trigger; this will createa tip-shaped pattern on the patient's skin that will appear 1-2minutes later. Move the applicator to an adjacent spot on theskin and emit another pulse. There should be no untreated gapsbetween the pulses. Be careful not to overlap the treated zones.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-11• Examine the treated area. The immediate responses, indicativeof the desired effect, are erythema and edema in the immediatearea of the tip-shaped pattern and possibly also around it. Theedema usually appears 1-2 minutes after pulsing and reaches itspeak (of up to moderate edema) within 30 minutes. It should benoted that erythema is not easily noticeable – if at all – in darkerskin types. Therefore, the edema will be more prominent inthese patients.• After completing a full pass on the entire treatment area, ifuntreated patches of skin are apparent, re-treat these patches asper the following procedure:i. Wipe the untreated patch of skin with a dry gauze pad.ii. Treat the untreated patches of skin as normally.• Fine-tuning of the parameters should be done before proceedingto treatment of the entire facial sub-area with the selectedparameters.• Treatment consists of a single pass over the designated area.The applicator tip should be placed on the skin, a pulse emitted,then lifted and moved to an adjacent spot of the skin. Theemitted pulses should create tip-shaped patterns. Leave nountreated gaps between the pattern marks, while also beingcareful not to overlap the treated zones.• The parameters can be modified during subsequent visits, as perthe practitioner's discretion.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-12 Versa User ManualCaution• The system must be in the Standby state when cleaning thetip.• Always check the integrity of the electrode-pins on the tip.Ensure that no pins are missing. If any pins are missing, donot use the tip.• Always perform a test spot, and wait as needed to evaluatethe results, before treatment and before setting or changingpresets.• Use lower RF energy levels when treating in close proximityto a bone.• Non-dry skin may lead to pain. Ensure that the skin iscompletely dry during treatment.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-13C.10. Treatment ProtocolThe number of treatment sessions depends on the individual patientand typically varies between 3-4 sessions, every 4-6 weeks.One touch-up session may be needed every ~6 months, accordingto individual patient response.C.11. Treatment ParametersSelecting the appropriate RF Energy level is essential forsuccessful treatment.Always start with a low energy level and observe the skin'sreaction before increasing the energy.When applying energy to tissue, there are different effectsachieved in the tissue:• With a relatively low increase of temperature there may beactivation of cellular components of the skin.• Further temperature increase may lead to cellular destruction(necrosis/coagulation) and an even further temperature increaseleads to ablation.CautionWhen choosing the treatment parameters, take intoconsideration the diffusion and depth of the lesion, as well as itsspecific anatomical location such as proximity to bone. Inaddition, the patient's skin type and tolerance should always beconsidered.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-14 Versa User ManualC.12. Post Treatment Care• Post-treatment cooling is not necessary. In the event of posttreatmentdiscomfort, it is recommended to cool the treated areaimmediately with air cooling. Cold (not frozen) packs may alsobe used. Blistered or ulcerated skin can be treated with aprescribed cream.• Tiny scabs of less than 1 mm diameter will usually form 24-72hours post-treatment and may remain for several days. Thescabs should not be touched or scratched even if they itch, andshould be allowed to shed off naturally.• Blistered or ulcerated skin can be treated with a prescribedantibiotic ointment or burn treatment cream as per physician'sdiscretion.• During the first two days following treatment, care should betaken to prevent trauma to the treated site. Hot baths, massage,etc. should be avoided. The skin should be kept clean to avoidcontamination or infection. Any mechanical or thermal damageto the area must be avoided.• Moisturizer may be applied only 24 hours after each treatment,and then should be applied regularly throughout the course ofthe treatment. Make-up may be applied only 24 hours after eachtreatment if desired, unless an unwanted reaction occurs in thearea. Generally 24 hours after treatment, patients may useregular soaps, but not scrub soaps or exfoliants.• The patient should use a high-factor sunscreen (at least 30 SPF)and protect the treated area from sunlight for at least one monthafter the treatment. Tanning of any sort (sun exposure, tanningbeds, and artificial sunless tanning lotions) is not allowed in thetreated areas during the entire course of the treatment. Tanningafter treatment may cause hyperpigmentation.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorVersa User Manual C-15C.13. Follow-UpThe following are recommendations for post-treatment follow-up.The most suitable regimen for each patient should be determinedafter reading this section.• The patient should return 2-3 days after the treatment to ensurethat no adverse events have occurred.• The patient should return several (4-6) weeks after the lasttreatment for evaluation of the treatment area.• Update the patient's medical history before each session whilebeing mindful of sun tanning, new medications, etc. If thepatient has not violated the contraindications, treatment may beperformed.• Prior to treatment, perform a test spot in order to choose theadequate treatment parameters.• If no results are observed and adverse events are noticed,treatment should be discontinued.C.14. Treatment ConclusionTreatment should be concluded when the results are satisfactory tothe patient or according to the physician's discretion. Generally 3-4sessions are needed every 4-6 weeks. Do not perform more thanfive consecutive sessions.Clinical Guide for Fractional RF Treatmentwith Viva ApplicatorC-16 Versa User ManualVersa User Manual D-1Appendix DClinical Guide for SR515 andSR580 ApplicatorsChapter Contents:Section Title PageD.1. Introduction.................................................................D-2D.2. Indications...................................................................D-3D.3. Contraindications ........................................................D-4D.4. Precautions ..................................................................D-5D.5. Possible Side Effects ..................................................D-5D.6. Before Starting ............................................................D-6D.7. Test Spot .....................................................................D-7D.8. Treatment Method ......................................................D-7D.9. Treatment Protocol .....................................................D-9D.10. Post-Treatment Care .................................................D-12Clinical Guide for SR515 and SR580ApplicatorsD-2 Versa User ManualD.1. IntroductionFigure D-1 shows the SR515 and SR580 IPL applicators.Figure D-1. SR515 (Left) and SR580 (Right) IPL ApplicatorsThe effect of Venus Versa is based on well-known principles ofselective photothermolysis, developed both theoretically andpractically during the last two decades. One application thatdemonstrates the principle of photothermolysis is IPL-based skinrejuvenation.Clinical Guide for SR515 and SR580ApplicatorsVersa User Manual D-3In treating various vascular and pigmented lesions selectivephotothermolysis is used to target various chromophores such asoxyhemoglobin, that serves as a chromophore for the treatment ofvascular lesions, and melanin located in the upper dermis thatserves as the chromophore for various pigmented lesion treatments.Selective photothermolysis uses the matching of a specificwavelength of light and pulse duration to obtain optimal heatingeffect of the targeted tissue with minimal effect on surroundingtissues.D.2. IndicationsThe SR515 and the SR580 IPL applicators are indicated for thetreatment of benign pigmented epidermal and cutaneous lesionsincluding: dyschromia, hyperpigmentation, melasma, ephelides(freckles), lentigines, nevi, and cafe-au-lait macules.The SR515 and SR580 applicators are also indicated for thetreatment of benign cutaneous vascular lesions including port winestains, hemangiomas, facial, truncal and leg telangiectasias,rosacea, erythema of rosacea, angiomas and spider angiomas,poikiloderma of civatte, leg veins and venous malformations.Clinical Guide for SR515 and SR580ApplicatorsD-4 Versa User ManualD.3. Contraindications• Superficial metal or other implants in the treatment area.• Current or history of cancer, or current condition of any type ofcancer, or pre-malignant moles.• Pregnancy and nursing.• Diseases which may be stimulated by light at the wavelengthsused, such as history of Systemic Lupus Erythematosus,Porphyria, and Epilepsy.• Patients with history of diseases stimulated by heat, such asrecurrent Herpes Simplex in the treatment area, may be treatedonly following a prophylactic regimen.• Poorly controlled endocrine disorders, such as Diabetes orPolycystic Ovary Syndrome.• Any active condition in the treatment area, such as sores,Psoriasis, eczema, and rash.• History of skin disorders, keloids, abnormal wound healing, aswell as very dry and fragile skin.• Use of medications, herbs, food supplements, and vitamins known toinduce photosensitivity to light exposure at the wavelengths used,such as Isotretinoin (Accutane) within the last six months,Tetracyclines, or St. John's Wort within the last two weeks.• Any surgical procedure in the treatment area within the lastthree months or before complete healing.• Treating over tattoo or permanent makeup.• Excessively tanned skin from sun, tanning beds or tanningcreams within the last two weeks.• As per the practitioner's discretion, refrain from treating anycondition which might make it unsafe for the patient.Clinical Guide for SR515 and SR580ApplicatorsVersa User Manual D-5D.4. Precautions• When treatment is carried out on the face, avoid treating theareas that have undergone facial laser resurfacing and deepchemical peeling within the last month.• In case of Botox injection, natural fillers and implants in thetreatment area, wait one month after the last injection beforestarting a treatment.• Tanned skin should not be treated. Instruct patients to avoidtanning throughout the treatment sessions.D.5. Possible Side EffectsImproper use of the system may result in possible side effects.Although these effects are rare and expected to be temporary, anyadverse reaction should be reported to the physician immediately.Side effects may include any of the conditions listed below. Sideeffects may appear either at the time of treatment or shortly after.Some dark-skinned patients may have a delayed response one-totwodays after treatment and should be evaluated post-test spotaccordingly.The side effects may include:• Pain• Excessive skin redness (erythema) and/or swelling (edema)• Damage to natural skin texture (crust, blister, burn)• Change of pigmentation (hyper- and hypo-pigmentation)• ScarringClinical Guide for SR515 and SR580ApplicatorsD-6 Versa User ManualD.6. Before Starting• Determine why the patient is seeking treatment and what theexpectations are.• Inform the patient about the treatment protocol, typicaltreatment results and possible adverse effects and discomfort.• Instruct the patient about the safety issues.• Advise the patient to avoid skin irritation or intentional skintanning. Sun-screen is advisable when outdoors during daylighthours.• The patient should discontinue any irritant topical agents for 2-3 days prior to treatment.• Remove any lotion, make-up, perfume, powder or bath/showeroil present on the patient's skin in the area to be treated. Wipethe treatment area with a non-alcoholic preparation.• Avoid treating over hair.• Make sure that all jewelry and/or metal items (including anybelly rings) are removed from the treated area, to ensuretreatment safety.• Before each treatment clean the entire applicator surface with amedical disinfectant. Wipe the applicator tip with alcohol. Letthe tip dry completely before pulsing. Cleaning of the applicatorshould always be done while system is set to Standby state orturned off.Clinical Guide for SR515 and SR580ApplicatorsVersa User Manual D-7D.7. Test SpotPrior to the first complete session, perform a small test spottreatment on a non-conspicuous site of the treatment area.Wait for at least 15 minutes for skin types I-IV, or 48 hours forskin types V-VI and Asian, before assessing the skin response.This procedure can indicate if the patient can tolerate the treatmentwithout developing adverse effects.D.8. Treatment Method• Ensure that the patient is relaxed, comfortable and lying downon the treatment bed with the treatment area exposed.• Ensure that area that is to be treated is free of hair and that theskin is clean. Ensure that the applicator tip is clean.• Equip the patient with the appropriate protective eyewear.• Set parameters for a test spot near the lower energy range forthe first treatment, and then increase gradually duringsubsequent treatments as the pigmented/vascular lesionsbecome less noticeable.• Set the treatment parameters, taking into consideration thepatient's skin type, the indication for use and the treatmentprotocol.• Apply a layer of ultrasonic gel to the treatment area.• Place the applicator against the treated area so as to put thesapphire in full contact with the patient's skin.• Always start with lower parameters at the first session andincrease gradually during subsequent treatments.Clinical Guide for SR515 and SR580ApplicatorsD-8 Versa User Manual• Use lower parameters in the following cases: strong andpersistent immediate response (longer than 5 minutes) such asdiffused erythema, prolonged redness in the shape of the lightguide, and excessive patient discomfort.• If the skin shows no adverse events and there are no visiblechanges in the pigmented or vascular lesion, increase the energylevel.• When treating large areas, it is sometimes easier to divide thearea to smaller sub-areas. Use a white pencil to mark the subareas.• After adjusting the parameters, emit a pulse at the treatment siteand assess the skin response. When treating pigmented lesions, acceptable fluence causesdarkening of the pigmented lesions (sometimes appearinggray). Continue the treatment with the same parameters. When treating vascular lesions, acceptable fluence causesdisappearance or blanching of the treated vessels (somelarger vessels appear bluish or dark). Continue treatmentwith the same parameters.• Treat with up to 20% overlap, to avoid untreated areas.• In some cases more than one pass may be required. If the skinshows no adverse effects and there are no visible changes in thepigmented/vascular lesion, perform an additional pass on thesame area, after completing a full pass on the whole treatedarea. Some areas tolerate 1-3 additional passes. Erythemashould subside within a few minutes following each pass.• If skin response allows, 1-3 passes may be performed untilendpoint is reached.• Always ensure that the patient is comfortable with the treatmentparameters. In case of patient discomfort, lower the energysettings.Clinical Guide for SR515 and SR580ApplicatorsVersa User Manual D-9D.9. Treatment Protocol• Usually 4-6 treatments are required in order to achieve thedesired results. More sessions may be required for skin withsevere photodamage. Usual intervals for the first three sessionsare 3-4 weeks.• One touch-up session may be needed every 3-6 months,according to individual natural physiological processes.D.9.1. Setting the Treatment ParametersIt is always recommended to start with a low energy level andobserve the skin's reaction before increasing the energy.Table D-1 and Table D-2 list the recommended energy settings forvarious skin types. These are general guidelines. Specific treatmentparameters should be defined for each individual, taking intoconsideration the clinical condition, the history of treatments, etc.Clinical Guide for SR515 and SR580ApplicatorsD-10 Versa User ManualD.9.1.1. Pigmented LesionsWhen treating pigmented lesions, acceptable fluence causesdarkening of the pigmented lesions (sometimes appearing gray).This should be the recommended treatment end-point.Table D-1. Treatment Parameters for Pigmented LesionsApplicator FitzpatrickSkin TypeEnergyOutput(J/cm2)PulseDuration(ms)Frequency(Hz)CoolingSR515 I – II 14-20 10-20 Up to 3III 10-16 10-20 Up to 3IVVVISR580 I – II 14-20 10-20 Up to 3III 10-16 10-20 Up to 3IV 8-14 15-20 Up to 3V 5-10 15-20 Up to 3VIClinical Guide for SR515 and SR580ApplicatorsVersa User Manual D-11D.9.1.2. Vascular LesionsWhen treating vascular lesions, acceptable fluence causesdisappearance or blanching of the treated vessels (some largervessels appear bluish or dark). This should be the recommendedtreatment end-point.Table D-2. Treatment Parameters for Vascular LesionsApplicator FitzpatrickSkin TypeEnergyOutput(J/cm2)PulseDuration(ms)*Frequency(Hz)CoolingSR515 I – II 14-20 10-20 Up to 3III 10-16 10-20 Up to 3IVVVISR580 I – II 16-22 10-20 Up to 3III 12-18 10-20 Up to 3IV 8-14 15-20 Up to 3V 6-12 15-20 Up to 3VI* For very small vessels it is recommended to choose shorterpulse durations.Clinical Guide for SR515 and SR580ApplicatorsD-12 Versa User ManualD.10. Post-Treatment Care• Avoid tanning before and after treatments. Sunscreen should beused to protect the skin from tanning. Treating tanned skin maycause hyper pigmentation or may lead to adverse events.• Blistered or ulcerated skin can be treated with a prescribedantibiotic ointment or burn treatment cream.• During the first two days following treatment avoid hot baths,massages, etc.Versa User Manual E-1Appendix EClinical Guide for Hair RemovalUsing IPL HR ApplicatorsChapter Contents:Section Title PageE.1. Introduction................................................................. E-2E.2. Indications................................................................... E-3E.3. Contraindications ........................................................ E-4E.4. Precautions .................................................................. E-5E.5. Possible Side Effects .................................................. E-5E.6. Before Starting ............................................................ E-6E.7. Test Spot ..................................................................... E-7E.8. Treatment Method ...................................................... E-7E.9. Treatment Protocol ..................................................... E-9E.10. Post-Treatment Care ................................................. E-11Clinical Guide for Hair Removal Using IPLHR ApplicatorsE-2 Versa User ManualE.1. IntroductionFigure E-1 shows the HR650, HR690, HR 650XL and HR690XLIPL applicators.Figure E-1. HR650 (Upper Left), HR690 (UpperRight),HR650XL (Lower Left) and HR690XL (Lower Right)IPL ApplicatorsClinical Guide for Hair Removal Using IPLHR ApplicatorsVersa User Manual E-3The effect of Venus Versa is based on well-known principles ofselective photothermolysis, developed both theoretically andpractically during the last two decades.One of the most common applications that demonstrates theprinciple of photothermolysis is IPL based hair removal. In hairremoval, an optical energy source focuses on the endogenouschromophore melanin, which is mainly found in the hair shaft, witha small amount present in the upper third of the follicularepithelium. When an appropriate energy source is directed at theskin, light is primarily absorbed in the hair shaft melanin. Heat isgenerated and diffuses to the surrounding follicular epithelium.In hair removal, selective photothermolysis uses the matching of aspecific wavelength of light and pulse duration to obtain optimalheating effect of the targeted tissue with minimal effect onsurrounding tissues. The IPL source can cause localized damage byselectively heating dark target matter, melanin, in the area thatcauses hair growth, the follicle, while only minimally heating therest of the skin.Light is absorbed by dark objects. Therefore, the energy can beabsorbed by dark material in the skin at greater speed and higherintensity than in the lighter surrounding tissue. Melanin isconsidered the primary chromophore for all hair removal IPL basedtreatments.E.2. IndicationsThe HR650, HR690, HR 650XL and HR690XL IPL applicators areindicated for the removal of unwanted hair and to effect stablelong-term or permanent hair reduction.Clinical Guide for Hair Removal Using IPLHR ApplicatorsE-4 Versa User ManualE.3. Contraindications• Superficial metal or other implants in the treatment area.• Current or history of cancer, or current condition of any type ofcancer, or pre-malignant moles.• Pregnancy and nursing.• Diseases which may be stimulated by light at the wavelengthsused, such as history of Systemic Lupus Erythematosus,Porphyria, and Epilepsy.• Patients with history of diseases stimulated by heat, such asrecurrent Herpes Simplex in the treatment area, may be treatedonly following a prophylactic regimen.• Poorly controlled endocrine disorders, such as Diabetes orPolycystic Ovary Syndrome.• Any active condition in the treatment area, such as sores,Psoriasis, eczema, and rash.• History of skin disorders, keloids, abnormal wound healing, aswell as very dry and fragile skin.• Use of medications, herbs, food supplements, and vitamins known toinduce photosensitivity to light exposure at the wavelengths used,such as Isotretinoin (Accutane) within the last six months,Tetracyclines, or St. John's Wort within the last two weeks.• Any surgical procedure in the treatment area within the lastthree months or before complete healing.• Treating over tattoo or permanent makeup.• Excessively tanned skin from sun, tanning beds or tanningcreams within the last two weeks.• As per the practitioner's discretion, refrain from treating anycondition which might make it unsafe for the patient.Clinical Guide for Hair Removal Using IPLHR ApplicatorsVersa User Manual E-5E.4. Precautions• When treatment is carried out on the face, avoid treating theareas that have undergone facial laser resurfacing and deepchemical peeling within the last month.• In case of Botox injection, natural fillers and implants in thetreatment area, wait one month after the last injection beforestarting a treatment.• Tanned skin should not be treated. Instruct patients to avoidtanning throughout the treatment sessions.E.5. Possible Side EffectsImproper use of the system may result in possible side effects.Although these effects are rare and expected to be temporary, anyadverse reaction should be reported to the physician immediately.Side effects may include any of the conditions listed below. Sideeffects may appear either at the time of treatment or shortly after.Some dark-skinned patients may have a delayed response one-totwodays after treatment and should be evaluated post-test spotaccordingly.The side effects may include:• Pain• Excessive skin redness (erythema) and/or swelling (edema)• Damage to natural skin texture (crust, blister, burn)• Change of pigmentation (hyper- and hypo-pigmentation)• ScarringClinical Guide for Hair Removal Using IPLHR ApplicatorsE-6 Versa User ManualE.6. Before Starting• Determine why the patient is seeking treatment and what theexpectations are.• Inform the patient about the treatment protocol, typicaltreatment results and possible adverse effects and discomfort.• Instruct the patient about the safety issues.• Advise the patient to avoid skin irritation or intentional skintanning. Sun-screen is advisable when outdoors during daylighthours.• The patient should discontinue any irritant topical agents for 2-3 days prior to treatment.• Remove any lotion, make-up, perfume, powder or bath/showeroil present on the patient's skin in the area to be treated. Wipethe treatment area with a non-alcoholic preparation.• If necessary, a topical anesthetic may be used according to thephysician's discretion.• The hair in the area that is to be treated should be clearly visibleto the operator. Mark the area with white or yellow color andshave it before treatment. Alternatively, ask the patient to shaveat home ~2 days prior to treatment.• Make sure that all jewelry and/or metal items (including anybelly rings) are removed from the treated area, to ensuretreatment safety.• Before each treatment clean the entire applicator surface with amedical disinfectant. Wipe the applicator tip with alcohol. Letthe tip dry completely before pulsing. Cleaning of the applicatorshould always be done while system is set to Standby state orturned off.Clinical Guide for Hair Removal Using IPLHR ApplicatorsVersa User Manual E-7E.7. Test SpotPrior to the first complete session, perform a small test spottreatment on a non-conspicuous site of the treatment area.Wait for at least 15 minutes for skin types I-IV, or 48 hours forskin types V-VI and Asian, before assessing the skin response.This procedure can indicate if the patient can tolerate the treatmentwithout developing adverse effects.E.8. Treatment Method• Ensure that the patient is relaxed, comfortable and lying downon the treatment bed with the treatment area exposed.• Ensure that the hair in the treated area is shaved and that theskin is clean. Ensure that the applicator tip is clean.• Equip the patient with the appropriate protective eyewear.• Set parameters for a test spot near the lower energy range forthe first treatment, and then increase gradually duringsubsequent treatments as hair density decreases or hair becomelighter/finer.• Set the treatment parameters, taking into consideration thepatient's skin type, the indication for use and the treatmentprotocol.• Apply a layer of ultrasonic gel to the treatment area.• Place the applicator against the treated area so as to put thesapphire in full contact with the patient's skin.• Always start with lower parameters at the first session andincrease gradually during subsequent treatments.Clinical Guide for Hair Removal Using IPLHR ApplicatorsE-8 Versa User Manual• Use lower parameters in the following cases: strong andpersistent immediate response (longer than 5 minutes) such asdiffused erythema, prolonged redness in the shape of the lightguide, and excessive patient discomfort.• If the skin shows no adverse events and there are no visiblechanges in the pigmented or vascular lesion, increase the energylevel.• When treating large areas, it is sometimes easier to divide thearea to smaller sub-areas. Use a white pencil to mark the subareas.• After adjusting the parameters, emit a pulse at the treatment siteand assess the skin response. Acceptable fluence causes slightgeneral erythema and perifollicular erythema or edema arounddark/coarse hair follicles. Light and fine hair often does notshow the perifollicular response. Continue the treatment withthe same parameters.• Treat with up to 20% overlap, to avoid untreated areas.• When treating light/fine hair, sometimes more than one pass isrequired. If the skin shows no adverse effects and there are novisible changes in hair and follicles, perform an additional passon the same area, after completing a full pass on the wholetreated area. Some areas tolerate 1-3 additional passes.Erythema should subside within a few minutes following eachpass.• If skin response allows, 1-3 passes may be performed untilendpoint is reached.• Stubborn dark/coarse hair may also require an additional pass toshow a response.• Always ensure that the patient is comfortable with the treatmentparameters. In case of patient discomfort, lower the energysettings.Clinical Guide for Hair Removal Using IPLHR ApplicatorsVersa User Manual E-9E.9. Treatment Protocol• Usually 6-10 treatments are required in order to achieve thedesired results. More sessions may be required for light and finehair and in hormonally controlled areas. Patients shouldschedule another session when hair re-growth is observed.• Usual intervals for the first three sessions are 4-6 weeks on theface and 4-8 weeks on the body. Increase the intervals astreatment progresses and hair becomes lighter and fine. Someareas like legs and back may require longer intervals.• One touch-up treatment session may be needed for sporadicnew hair growth due to individual physiological processes.Clinical Guide for Hair Removal Using IPLHR ApplicatorsE-10 Versa User ManualE.9.1. Setting the Treatment ParametersIt is always recommended to start with a low energy level andobserve the skin's reaction before increasing the energy.Table E-1 lists the recommended energy settings for various skintypes. These are general guidelines. Specific treatment parametersshould be defined for each individual, taking into consideration thetreatment area, the clinical condition, the history of treatments, etc.Table E-1. Treatment Parameters for Hair RemovalApplicator FitzpatrickSkin TypeEnergyOutput(J/cm2)PulseDuration(ms)Frequency(Hz)HR650I – II 14-20 20-50 Up to 3III 10-16 20-50 Up to 3IV 6-12 30-50 Up to 3V Up to 3VI Up to 3HR690I – II 14-20 20-50 Up to 3III 10-16 20-50 Up to 3IV 6-14 30-50 Up to 3V 5-12 30-50 Up to 3VI 5-10 30-50 Up to 3HR650XLI – II 12-18 20-50 Up to 3III 10-16 20-50 Up to 3IV 6-12 30-50 Up to 3VVIHR690XLI – II 12-18 20-50 Up to 3III 10-16 30-50 Up to 3IV 6-12 30-50 Up to 3V 5-10 50 Up to 3VI 5-10 50 Up to 3Clinical Guide for Hair Removal Using IPLHR ApplicatorsVersa User Manual E-11E.10. Post-Treatment Care• Avoid tanning before and after treatments. Sunscreen should beused to protect the skin from tanning. Treating tanned skin maycause hyper pigmentation or may lead to adverse events.• Blistered or ulcerated skin can be treated with a prescribedantibiotic ointment or burn treatment cream.• During the first two days following treatment avoid hot baths,massages, etc.Clinical Guide for Hair Removal Using IPLHR ApplicatorsE-12 Versa User ManualVersa User Manual F-1Appendix FClinical Guide for the ACDUALApplicatorChapter Contents:Section Title PageF.1. Introduction................................................................. F-2F.2. Indications................................................................... F-3F.3. Contraindications ........................................................ F-4F.4. Precautions .................................................................. F-5F.5. Possible Side Effects .................................................. F-5F.6. Before Starting ............................................................ F-6F.7. Test Spot ..................................................................... F-7F.8. Treatment Method ...................................................... F-7F.9. Treatment Protocol ..................................................... F-9F.10. Post-Treatment Care ................................................. F-10Clinical Guide for the ACDUAL ApplicatorF-2 Versa User ManualF.1. IntroductionFigure F-1 shows the ACDUAL applicator.Figure F-1. ACDUAL ApplicatorThe effect of Venus Versa is based on well-known principles ofselective photothermolysis, developed both theoretically andpractically during the last two decades. One application thatdemonstrates the principle of photothermolysis is Acne Vulgaris.Clinical Guide for the ACDUAL ApplicatorVersa User Manual F-3Acne results from the clogging of sebaceous glands with sebum, anaturally occurring oil, and dead skin cells. In these conditions, thenaturally occurring largely commensal bacteriumPropionibacterium acnes can cause inflammation within andaround the follicle, leading to inflammatory lesions (papules,infected pustules, or nodules) in the dermis, which results inredness and may result in scarring or hyperpigmentation.Selective photothermolysis uses the matching of a specificwavelength of light and pulse duration to obtain optimal heatingeffect of the targeted tissue with minimal effect on surroundingtissues.The ACDUAL applicator targets both aspects of Acne Vulgaris. Ituses a blue light (415 nm) to target the porphyrins produced by thep.Acne bacteria and destroy the bacteria, and also uses a red light(630 nm) to help reduce inflammation, inhibit sebum productionand improve healing.F.2. IndicationsThe ACDUAL IPL applicator is indicated for the treatment ofAcne Vulgaris.Clinical Guide for the ACDUAL ApplicatorF-4 Versa User ManualF.3. Contraindications• Superficial metal or other implants in the treatment area.• Current or history of cancer, or current condition of any type ofcancer, or pre-malignant moles.• Pregnancy and nursing.• Diseases which may be stimulated by light at the wavelengthsused, such as history of Systemic Lupus Erythematosus,Porphyria, and Epilepsy.• Patients with history of diseases stimulated by heat, such asrecurrent Herpes Simplex in the treatment area, may be treatedonly following a prophylactic regimen.• Poorly controlled endocrine disorders, such as Diabetes orPolycystic Ovary Syndrome.• Any active condition in the treatment area, such as sores,Psoriasis, eczema, and rash.• History of skin disorders, keloids, abnormal wound healing, aswell as very dry and fragile skin.• Use of medications, herbs, food supplements, and vitamins known toinduce photosensitivity to light exposure at the wavelengths used,such as Isotretinoin (Accutane) within the last six months,Tetracyclines, or St. John's Wort within the last two weeks.• Any surgical procedure in the treatment area within the lastthree months or before complete healing.• Treating over tattoo or permanent makeup.• Excessively tanned skin from sun, tanning beds or tanningcreams within the last two weeks.• As per the practitioner's discretion, refrain from treating anycondition which might make it unsafe for the patient.Clinical Guide for the ACDUAL ApplicatorVersa User Manual F-5F.4. Precautions• When treatment is carried out on the face, avoid treating theareas that have undergone facial laser resurfacing and deepchemical peeling within the last month.• In case of Botox injection, natural fillers and implants in thetreatment area, wait one month after the last injection beforestarting a treatment.• Tanned skin should not be treated. Instruct patients to avoidtanning throughout the treatment sessions.F.5. Possible Side EffectsImproper use of the system may result in possible side effects.Although these effects are rare and expected to be temporary, anyadverse reaction should be reported to the physician immediately.Side effects may include any of the conditions listed below. Sideeffects may appear either at the time of treatment or shortly after.Some dark-skinned patients may have a delayed response one-totwodays after treatment and should be evaluated post-test spotaccordingly.The side effects may include:• Pain• Excessive skin redness (erythema) and/or swelling (edema)• Damage to natural skin texture (crust, blister, burn)• Change of pigmentation (hyper- and hypo-pigmentation)• ScarringClinical Guide for the ACDUAL ApplicatorF-6 Versa User ManualF.6. Before Starting• Determine why the patient is seeking treatment and what theexpectations are.• Inform the patient about the treatment protocol, typicaltreatment results and possible adverse effects and discomfort.• Instruct the patient about the safety issues.• Advise the patient to avoid skin irritation or intentional skintanning. Sun-screen is advisable when outdoors during daylighthours.• The patient should discontinue any irritant topical agents for 2-3 days prior to treatment.• Remove any lotion, make-up, perfume, powder or bath/showeroil present on the patient's skin in the area to be treated. Wipethe treatment area with a non-alcoholic preparation.• Avoid treating over hair. Shave any hair in the treated area priorto treatment.• Make sure that all jewelry and/or metal items (including anybelly rings) are removed from the treated area, to ensuretreatment safety.• Before each treatment clean the entire applicator surface with amedical disinfectant. Wipe the applicator tip with alcohol. Letthe tip dry completely before pulsing. Cleaning of the applicatorshould always be done while system is set to Standby state orturned off.Clinical Guide for the ACDUAL ApplicatorVersa User Manual F-7F.7. Test SpotPrior to the first complete session, perform a small test spottreatment on a non-conspicuous site of the treatment area.Wait for at least 15 minutes for skin types I-IV, or 48 hours forskin types V-VI and Asian, before assessing the skin response.This procedure can indicate if the patient can tolerate the treatmentwithout developing adverse effects.F.8. Treatment Method• Ensure that the patient is relaxed, comfortable and lying downon the treatment bed with the treatment area exposed.• Ensure that area that is to be treated is free of hair and that theskin is clean. Ensure that the applicator tip is clean.• Equip the patient with the appropriate protective eyewear.• Set parameters for a test spot near the lower energy range forthe first treatment, and then increase gradually duringsubsequent treatments as the pigmented/vascular lesionsbecome less noticeable.• Set the treatment parameters, taking into consideration thepatient's skin type, the indication for use and the treatmentprotocol.• Apply a layer of ultrasonic gel to the treatment area.• Place the applicator against the treated area so as to put thesapphire in full contact with the patient's skin.• Always start with lower parameters at the first session andincrease gradually during subsequent treatments.Clinical Guide for the ACDUAL ApplicatorF-8 Versa User Manual• Use lower parameters in the following cases: strong andpersistent immediate response (longer than 5 minutes) such asdiffused erythema, prolonged redness in the shape of the lightguide, and excessive patient discomfort.• Examine the treated area for positive end-points: possible colorchange of lesions and slight general skin erythema.• If the skin shows no adverse events and there are no visiblechanges in the pigmented or vascular lesion, increase the energylevel.• After adjusting the parameters, emit a pulse at the treatment siteand assess the skin response.• After adjusting the treatment parameters, ensure that there areno adverse epidermal events and that the lesions show visiblechanges. Continue the treatment with these parameters.• Apply an additional pass to sporadic lesions if the skin responseallows.• Very inflamed lesions may be more sensitive to a high energylevel. Therefore, decrease the level according to patient'scomfort. Increase the level gradually in subsequent treatmentswhen the lesions begin to shrink.• Treat with up to 20% overlap, to avoid untreated areas.• Always ensure that the patient is comfortable with the treatmentparameters. In case of patient discomfort, lower the energysettings.Clinical Guide for the ACDUAL ApplicatorVersa User Manual F-9F.9. Treatment Protocol• It is recommended to treat the patient twice a week for aboutone month (a total of 8-10 treatments).• Provide prophylactic maintenance treatment twice a month,then monthly, and then increase the intervals according toclearance.F.9.1. Setting the Treatment ParametersIt is always recommended to start with a low energy level andobserve the skin's reaction before increasing the energy.Table F-1 lists the recommended energy settings for various skintypes. These are general guidelines. Specific treatment parametersshould be defined for each individual, taking into consideration theclinical condition, the history of treatments, etc.Table F-1. Treatment Parameters for AcneApplicator FitzpatrickSkin TypeEnergyOutput(J/cm2)PulseDuration(ms)Frequency(Hz)ACDUALI – II 12-16 10 Up to 2III 10-14 15 Up to 2IV 8-12 20 Up to 2V 8 20 Up to 2VI 8 20 Up to 2Clinical Guide for the ACDUAL ApplicatorF-10 Versa User ManualF.10. Post-Treatment Care• Avoid tanning before and after treatments. Sunscreen(> SPF 30) should be used to protect the skin from tanning.Treating tanned skin may cause hyper pigmentation or may leadto adverse events.• Blistered or ulcerated skin can be treated with a prescribedantibiotic ointment or burn treatment cream.• If scabs appear after blistering, they should be kept soft with alubricating ointment.• During the first two days following treatment avoid hot baths,massages, etc.• Return to normal acne skin regimen usually 1-2 days after thetreatment if there are potentially harsh or irritant topical agentsin the program. Otherwise, gentle washer and non-irritanttopical agents may be used without interruption.Versa User Manual G-1Appendix GManufacturer WarrantyChapter Contents:Section Title PageG.1. Manufacturer Warranty ..............................................G-2Manufacturer WarrantyG-2 Versa User ManualG.1. Manufacturer WarrantyThe Company warrants that the product shall be free from defects in materials andworkmanship for a period of 1 (one) year from the date of shipment by the Distributorto the purchaser, provided however that in no event shall any warranty extend morethan 15 months from the date it was delivered to the local distributor. The liability ofthe Company under this warranty is limited to the repair or replacement (atCompany’s sole decision) of any allegedly defective part or parts under warranty at itsexpense.The warranty contained herein does not extend to any product that is modified oraltered, is not maintained to the Company’s maintenance recommendation, isoperated, handled or stored in a manner other than that specified by the Company,has its serial number removed or altered, or is treated with abuse, negligence or otherimproper treatment (including without limitations, use outside the recommendedworking environment).The Company makes no warranty in respect to accessories and other parts made byother manufacturers, whether or not warranted by such manufacturers, which havebeen attached or connected to the product after installation, unless such accessoryand other parts have been supplied by the Company.Please fill in your details, scan and e-mail to service@venus-concept.comBusiness Name:Contact:Address:Telephone Number:Email Address:Date Purchased:S/N:Unitrans世聯(lián)翻譯公司在您身邊,離您近的翻譯公司,心貼心的專業(yè)服務(wù),專業(yè)的全球語言翻譯與信息解決方案供應(yīng)商,專業(yè)翻譯機(jī)構(gòu)品牌。無論在本地,國內(nèi)還是海外,我們的專業(yè)、星級體貼服務(wù),為您的事業(yè)加速!世聯(lián)翻譯公司在北京、上海、深圳等國際交往城市設(shè)有翻譯基地,業(yè)務(wù)覆蓋全國城市。每天有近百萬字節(jié)的信息和貿(mào)易通過世聯(lián)走向全球!積累了大量政商用戶數(shù)據(jù),翻譯人才庫數(shù)據(jù),多語種語料庫大數(shù)據(jù)。世聯(lián)品牌和服務(wù)品質(zhì)已得到政務(wù)防務(wù)和國際組織、跨國公司和大中型企業(yè)等近萬用戶的認(rèn)可。 專業(yè)翻譯公司,北京翻譯公司,上海翻譯公司,英文翻譯,日文翻譯,韓語翻譯,翻譯公司排行榜,翻譯公司收費(fèi)價格表,翻譯公司收費(fèi)標(biāo)準(zhǔn),翻譯公司北京,翻譯公司上海。