C-LAS Brochure

C-LAS GEN II
CO2 LASER
SURGERY
LASER…INNOVATION
MADE IN GERMANY
O P HT HA L M O L O G Y | G Y NO CO L O G Y | E N T
A E S T HE T I C S URG E RY | DE NTA L | S U R G E RY
2
3
STATEMENT of PASSION
In cooperation with surgeons
worldwide a new concept of a
CO2 laser has emerged. Our love
to details and performance was
the driving power behind this
project.
With this device we have set new
standards in surgical lasers.
Marcel Ernstberger
Dipl.-Ing.
Manager, Surgical Application and Laser
Angela Thyzel
CEO A.R.C. Laser
4
5
CONTENT
The use of CO2 lasers in medicine has a
long and successful tradition
Unique modular Laser . . . . . . . 9
The C-LAS gas management
. . . . . . . . . . . . . . . . . . 11
Vario Display . . . . . . . . . . . 15
It is your choice: Articulated arm or
WaveGuide – The perfect concept
for any application
The gas flow can be adjusted
extremely fine.
The easiest handling ever.
A.R.C. Lasers are modular: Sleek
Design for plenty of space.
The User-Interface can be found at
any of our systems.
While cutting or large-scale
removal different gas pressures
are set
CONTENT
6
WaveGuide Connector . . . . . 17
C-Las with Gas Management . . 18
Accessories . . . . . . . . . . . 21
C-Las for ENT . . . . . . . . . . 22
Advantages of the A.R.C.Micromanipulator . . . . . . . . 26
C-LAS - The Original . . . . . . 29
The superior Scanner for surgical
Applications . . . . . . . . . . . 30
7
C-Las with Articulated Arm . . . 36
C-Las with Scanner for ENT . . . 38
C-Las for Dermatology . . . . . . 40
Specifications
C-Las & Weasel . . . . . . . . . 42
Advantages of our C-Las
Trolley . . . . . . . . . . . . . . 44
Smoke Evacuation . . . . . . . . 45
Alternative Lasers . . . . . . . . 56
8
9
C-LAS
UNIQUE MODULAR LASER
Either wave guide or articulated arm
It is the C-Las
Flexible waveguide and a Smart
Connector - The System knows
what you do next.
Unique high-power-table-top- unit.
The Scanner can be easily integrated.
Stable Trolley with a drawer
for your individual accessories
Versatile, reliable and easy to
move.
10
SMART GAS HANDLING
Controlled air flow
Clean surgery field
Cooling of tissue
Perfect visibility of the surgery field
Easy Handling
The result is unmatched by
any other CO2 laser
Best vision of the
surgery field
THE GAS MANAGEMENT
The unique gas handling of the laser allows for a precise working ,
which is outstanding compared to other lasers available.
Advanced work flow
A fine tuned gas flow in cooperation
with the power of the laser is the
best of today’s CO2 world. The surgery field stays clean at all the time
and therefore the visibility of the
whole field will be a surprise for you.
The cutting spot is clean and no
scattering around, as a result a better and more clean focus spot.
The performance of the CO2 laser
is enhanced, as a result faster and
more precise surgery.
The energy deposition is much less,
thanks to the non present water in
the wound any more. Faster cutting
and no evaporation of any unwanted tissue is the result of this gas
flow during surgery.
Remove debris
instead of evaporation
11
GAS MANAGEMENT
12
Safety is always present
The integrated gas handling system holds two
cylinders. Changing a bottle during your surgery
is quick and easy. More than one safety valve is
part of the gas cart and protects the WaveGuide
from air exposure.
• Smart gas handling
The software monitors the gas compartement
and sends a warning to the front screen, as soon
as the gas pressure drops in one bottle. You can
easily switch to the second bottle, within one
second.
• Easy detached and easy to stow away.
If you decide to use the C-Las in another OP setting, the gas
• Changing and Installation without any tools.
cart can simply be detached in less then 2 seconds. So the
laser can be operated without any gas flow. The gas flow thru • Bottles are changed outside the OR
the WG cools the inner bore in addition and helps to get more
• After desinfection of the wheels ready
power and prolonged lifetime.
to enter the OR again
• Modular ist he key word for the small and compact unit. Even
the gas bottles are nicely packaged into the cart.
The gas bottles can be moved or attached to the cart.
It is more than smart – “Make your life easy”
• Easy and simple – simple and easy
To switch to the second bottle – 2 seconds and go further
on with surgery.
13
More Safety with the unique
gas management system
• Perfect and mobile
In some cases severe requirements are placed on the
gas handling. Processors monitor the gas flow and the
availability of gas all the time.
• Stability at all the time
The cart of the laser and the gas cart are connected
together for the highest stability performance.
The gas cart will stand alone on it’s feet also.
• 2 bottles in one cart – the highest safety for
continuous work
The software monitors the gas compartement and sends
a warning to the front screen, as soon as the gas pressure drops in one bottle. You can easily switch to the
second bottle, within 1 sec.
Clever and careful management of our resources.
• Hygenic
The capacity of the gas bottles are easily checked at the
rear of the cart, by reading the two sensors.
Safe and clean storage of the gas bottles
Switch easy from bottle 1 to bottle 2
Very high availability of gas when needed
Quick change of bottles
Safety and reliability
When the gas compartment is removed ,
the cable and the tubes are nicely stored
inside
Automatic lock system to ease your life, when a bottle change is
required
Inside the OR the bottles do not
have to be touched.
Sterility and cleanliness are key.
14
15
Touch Screen
VARIO DISPLAY
Omnidirectional screen
Even the non sterile person in the OR can
help to run the screen, from either side.
The screen is nicely fixed, rotatable but
also operational from each side.
The touch screen is comfortable to operate.
16
CO
DE
The waveguide is by far superior
to the articulated arm when it comes to narrower cuts.
Thanks to the super focusing.
1
17
Laser connector
The WaveGuide is specially designed for long life ,
stability and easy handling.
Design by A.R.C. Laser
The connector is coded to adjust the laser to the desired application. To plug the connector into the laser – is intuitive.
The CO2 with Waveguide is optimal
for all laser surgery with a variety
of accessories.
With the C-Las, the laser light feels
like a scalpel in your hand.
The use of the flexible WaveGuide
allows you to work in surgical areas
that are difficult to access with an
articulated arm.
Flexible and precise.
At the laser hand piece the beam is almost parallel. Therefore the distance to tissue is
not as critical as with hand pieces from an articulated arm.
00W
5
2
n m
10.6
TOTAL CONTROL WITH
THIS ARRANGEMENT
* accompanying illustration includes optional extras
18
C-LAS WITH GAS MANAGEMENT FOR
EYE SURGERY
CO2 LASER WITH WAVEGUIDE
19
Tactile feeling with cw or
super pulse using this
hand-piece.
Minimal risk of scaring.
Post OP complications
are reduced.
C-LAS WAVE GUIDE
SUPER PULSE
WITH GAS MANAGEMENT
Plastische Lidchirurgie
Kurative Lidchirurgie
Rekonstruktive Chirurgie
20
Our C-LAS combines the advantages of laser
precision with a familiar scalpel feeling.
WAVEGUIDE LL12003
Waveguide with 2 m length allows
maximum freedom of movement
21
CO2 Laser with WaveGuide
ACCESSORIES
For each surgery the perfect tool
BG01279
The long cap allows improved
beam delivery for the treatment of
fine structures.
BG01268
Small necrosis zones are the advantage of this super spot hand piece
ME02264
Ceramic inserts for stability and better performance.
For BG01268 and BG01279
Units á 10 pieces
WE12058s
Sterile drape for the
articulated arm as well
as for the WaveGuide
Waveguide-Design
with the power to spare
hh Aesthetic Surgery
hh ENT Surgery
hh Neuro Surgery
hh Soft tissue
hh Gynaecology
hh Cutting
hh Dental
hh Vaporisation
hh MKG
hh Coagulation
C-LAS FÜR DIE HNO
* accompanying illustration includes optional extras
ENT
22
CO2 LASER WITH MICROMANIPULATOR
23
Microscope adaptation for maximum control
Vocal fold surgery
Carcinoma resection
Smallest spot size
Tonsillectomy
Special coating for highest aiming
beam visibility
LAUP
Tumor Excision
Neoplastic stenosis
C-LAS WAVEGUIDE
SUPER PULSE
Zenker diverticle
WITH GAS MANAGEMENT
Micromanipulator ENT
The world wide only Micromanipulator
with WaveGuide adaptation
CO2 LASER
24
C-LAS WITH
WAVEGUIDE AND
MICROMANIPULATOR
FOR ENT
COD
E2
WAVEGUIDE LL12004
Waveguide with a length of 3 m and
a hand piece for maximum control.
25
MICROMANIPULATOR
Easy to adapt to all microscopes.
Enhanced aiming beam brightness and
small laser spot size = Maximum efficacy.
BG01301
It is one part.
Waveguide and adapter with aiming beam.
CO2 LASER
ADVANTAGES OF THE MICROMANIPULATOR
26
Micromanipulator
Universal adapter to all
microscopes
Hand rest
Adjustment of
working distance
Defocusing
The quality of the optics tells
about the quality of the laser.
hhPartial silver coating
hhBrighter Aiming Beam
hhOne Focal Plane for
Aiming and Effective
Beam
•
•
•
Partial high reflector
High aiming beam visibility
The patented beam delivery system achieves
spot sizes as small as 200 µm.
Based on this unique features you will benefit from
precise cuts and a high aiming beam visibility.
The micromanipulator optics in combination with
our high durability silver coating makes this device
the best in the world.
Vision and technology by A.R.C. Laser
27
Partial silver coating
Adjustment wheel
for the micro
man.
Micromanipulator
Hand rest
The Partial silver coating offers highest brightness of your
aiming beam.
Proven system with the
smallest spot worldwide.
• With our micromanipulator you can scan the whole surgical field. Precision and maneuverability is key.
• The friction of the joystick can be adjusted by the wheel
around the joystick.
• The hand rest is for your comfort with longer surgery
times.
We strongly believe that there is no match to this design.
Spot sizes and precision is the world standard of today.
This combination
is available from
A.R.C. Laser only.
Aiming beam
module as part
of the adapter.
C-LAS WITH WAVEGUIDE
„We have set the standards
for CO2 surgery.“
* accompanying illustration includes optional extras
28
CO2 LASER WITH WAVEGUDE
29
CO2 Laser
C-LAS - THE ORIGINAL
Touch screen, smart connector and WaveGuide
are just some of the advantages.
Eyelid surgery
Beam guidance like a scalpel
Reconstructive surgery
Instruments and accessories
can be stowed in the drawer
of the cart
BG01268
With this hand piece you will achieve
perfect cuts as a result the necrosis
zones are minimal
VP01065
ZU01043
Accessory Case
Stow away and carry
accessories around.
Angled adapter for
UHP hand piece red.
ME02601
Ceramic insert ( short)
WEASEL
THE SCANNER FOR YOUR SURGICAL APPLICATIONS
30
SCANNER WEASEL
WITH PATTERN-GENERATOR
C-Las connectivity
Touch Screen
The ultimate scanner for a fast
movement of the laser spot
Weasel – fast , precise and repeatable
•
Variable pattern scheme
•
Different scans with more than 100 filling factors
•
Button to repeat each scan as
often as required
The surface ablation is the core technology of every scanner.
Different scans and filling factors can be programmed and stored.
• Scanner integrated as part of the system
• High speed applications possible
• Super pulse can be used for fractional scanning
• The operation of the laser and the scanner in one control screen
• Ablation and cutting in the same machine
* accompanying illustration includes optional extras
• The modular system allows retrofit of our CO2 lasers in the field
31
WEASEL
Scan patterns filled – outline
Scan fields max Derm
17 x 17 mm, 1% steps
Scan field ENT
4 x 4 mm, 1% steps
Scan routines Circle, Ellipse, Square, rectangular, 6- and
3-angle, Line, Bow, Dot
Scan routes
10 Routes available (sukzessive, random,
selective Grid)
Repeat modus
1 to 10 repeats
and endless ∞
Pulse time Laserspot 30 μs to 10 ms
Filling of scans 0 to 100 %, 10 % steps
Ø Stapes 0.3 to 0.9 mm, 0.1 mm steps
User programs various sets of preprogrammed Settings
ENT + Dermatology
CO2 LASER & SCANNER
C-LAS WITH WEASEL FOR ENT
32
ARC
S TA P E S 0 . 5
* accompanying illustration includes optional extras
ENT
33
Stapes 0.3 -0.9mm
Scanner you can count on
Surface vaporization
Scanner and Micromanipulator
the perfect team
Stapes Supra Structure
Free hand surgery
Larynx surgery with straights
and bents
C-LAS WAVEGUIDE
SUPER PULSE
SCANNER WEASEL
WITH GAS-MANAGEMENT
Micromanipulator ENT
BG01300
Scan head with aiming beam
is tight together, to keep the
performance and the speed.
WEASEL
THE SCANNER FOR YOUR SURGICAL APPLICATIONS
34
The scanner you have been waiting for
WEASEL ENT - WAVEGUIDE
GE02510
for C-Las CO2 Laser
Housing
GE02500, KB01316
Scan head
BG01300
- LL12005 WG
- EL01305 + KB01322
KB01320
BG01300
WEASEL ENT - ARTICULATED ARM
GE02511
for C-Las CO2 Laser
Housing
GE02500, KB01316
Scan head
BG01310
- EL01305 + KB01321
BG01310
WEASEL ENT - LASERMICROSCOPE
GE02512
for WaveGuide or Articulated Arm
Available on request only
WEASEL STAND ALONE
GE02501
for C-Las CO2 Laser
Housing
GE02500, KB01321
Scan head
EL01305
EL01305
35
WEASEL DERMA: ARTICULATED ARM
GE02520
for C-Las CO2 Laser
Housing
GE02500, KB01316
Scan head
BG01302
- EL01305 +KB01321
BG01302
WEASEL DUAL: ARTICULATED ARM
GE02530
for C-Las CO2 Laser ENT and Dermatology
Housing
GE02500, KB01316
2 Scan heads
BG01302
- EL01305 + KB01321
BG01310
BG01302
Connection Cables
KB01316
0.2 m
connects Weasel + C-Las GEN I / II
KB01320
4.5 m
connects Weasel GE02510 + Aiming Beam of BG01300
KB01321
2.05 m
connects Weasel Articulated Arm + Scan head of BG01302 / BG01310
KB01322
4.5 m
connects GE02510 + Scan head of BG01300
KB01323
1.7 m
connects GE02512 + C-Las GEN I+II
KB02039
4.5 m
connects C-Las GEN II + Aiming Beam of BG01301
BG01310
- EL01305
CO2 LASER
C-LAS WITH ARTICULATED ARM
36
ENT
C-LAS ARTICULATED ARM
SUPER-PULSE
Touch Screen
Microscope-Connection optional
Der Standard unter
den CO2-Lasern
6“
Trolley*
HS11024
Hand piece
for ENT
length 6“
Drawer for all
your accessories*
Our articulated arm is
counterbalanced for
the microscope
Stable
double roles
Foot switch
* accompanying illustration includes optional extras
Smoke Evacuation protecting you from
toxic fume*
37
DERMATOLOGY
GYNECOLOGY
Versatile with all the accessories available
3“
6“
3“
HS11023
Hand piece
for dermatology
length 3“
ZU02001
ZU02002
ZU02003
Insert 3“
Insert 6“
Backstop
Insert
BG02013
ME02157
Sterile holder for your
TouchStick
Thread adapters to use the
C-Las articulated arm with a
µ-manipulator, colposcope,
Laprascope or similar.
ME02840
Resterilisable TouchStick
connection of the C-Las articulated arm to the Colposcope
(expl: Leisegang)
CO2 LASER
C-LAS WITH ARTICULATED ARM FOR ENT
38
ENT
C-LAS ARTICULATED ARM
SUPER-PULSE ENT
WITH SCANNER GE02511
Touch Screen, Micro-Manipulator
for Microscope-Connection
ENT surgeries are complex and
require high precision instruments.
BG01310 Scan head for Micro Manipulator
Scanner Weasel
Trolley*
Drawer for all your
accessories*
ENT + DERMATOLOGY
GE02530
Housing
GE02500
KB01316
2 Scan heads
BG01310
- EL01305
- KB01321
BG01302
- EL01305
- KB01321
Smoke Evacuation protecting you from
toxic fume*
Stable
double roles
Foot Switch
* accompanying illustration includes optional extras
This C-Las can be additionally
used in Dermatology fields
39
Partial silver coating
Adjustment wheel
for the micro man.
1
BG01310
The scan head can be detached from the microscope. Ideal if the microscope will be used by
other people.
Proven system, with the smallest spot world wide. The
aiming beam is highly visible due to the silver coating in the
central area.
APPLICATIONS
Stapes ϕ 0,3 - 0,9 ϕ
surface vaporization
Stapes-Supra structure
Surgeries
Larynx-Surgery
with linesor curve
HS11024
Hand piece
for ENT
length 6“
Scanner-technology for
stapes surgery.
CO2 LASER
C-LAS WITH SCAN HEAD FOR DERMATOLOGY
40
C-LAS ARTICULATED ARM
SUPER-PULSE DERMA
WITH SCANNER GE02520
Touch Screen with our scan head for
fractional laser application
Ideal for Skin Rejuvenation
Scan head for Dermatology.
The hand pieces can be detached quick
and easy. Put the other hand piece on and
continue with the laser.
The C-Las can be used for ENT
applications as well
DERMATOLOGY + ENT
GE02530
Housing
GE02500
KB01316
2 Scan heads
BG01302
- EL01305
- KB01321
BG01310
- EL01305
- KB01321
* accompanying illustration includes optional extras
DERMATOLOGY
41
BG01302
Scanner GE02520
Housing
GE02500
KB01316
Scan head
BG01302
- EL01305
- KB01321
APPLICATIONS
SCANNER GE02520
The Weasel.
Fast - precise and reliable – as you like it.
lesions & surface removal
Smoothing scars
Resurfacing
Wrinkle treatment
Eyelid surgery
Fractionating
Spacer made from
medical stainless
steel.
C-Las and Weasel
CO2 LASER
SPECIFICATIONS C-LAS & WEASEL
42
The Weasel. Fast - precise and
reliable – as you like it.
Fractional
protects
the skin
Fast moving
mirrors –
increase your
efficiency.
SPECIFICATIONS WEASEL
Scanner Weasel
Ultra Fast
Scan-Size
Scan-Rep.
Scan-Density
Programs
max. 17,5 mm x 17,5 mm (Dermatology)
max. 4 mm x 4 mm (ENT)
Square, Circle, donut, square, rectangle, line, triangle,
arc, spiral, hexagon
max. 10 / ∞
0 % to 100% in steps of 10%
100, editable incl. presets
Power supply
110-240 V, 50/60 Hz, 100 VA
Scan-Pattern
Technical specifications
may change due to
advances in design
without notice.
43
SPECIFICATIONS C-LAS
Laser
CO² / Ceramic Tube
Wavelength - Power
10.600 nm
10.600 nm
25 Watt, at Distal End WaveGuide
30 Watt, at Distal End Articulated Arm
Radius
Articulated Arm
WaveGuide
max. 1.5 m
max. 2.8 m
Mode of Operation
cw, Pulses, SinglePulse, SuperPulse (optional)
Pulse energy (SuperPulse)
200 µJ to 948 µJ (optional)
Pulse length (SuperPulse)
50 µs to 300 µs (optional)
Beam Characteristics
Spot Size (Micromanipulator)
Ablation Depth
Pulse Length
Pulse Interval
Aiming Beam
Gauss (depending on applicator)
105 to 3000 µm
50 to 600 µm
40 ms to 1 s / cw
SinglePulse, 5 - 500 Hz variable
Diode 635 nm (red) <1mW max.
Dimensions
WDH 478 x 491 x 200 mm
Weight
18 kg with WaveGuide
Power Requirements
100-260 V, 50/60 Hz, 10 A
Technical specifications
may change due to
advances in design
without notice.
VISIBLE AND INVISIBLE LASER RADIATION
AVOID EYE OR SKIN EXPOSURE TO
DIRECT OR SCATTERED RADIATION
CO2-LASER 10600 nm = 40 Watt CW
DIODE LASER 635 nm < 5 mW CW
CLASS 4 LASER PRODUCT
LASER RADIATION
AVOID EXPOSURE TO BEAM
CLASS 4 LASER PRODUCT
P=40 Watt, 10600 nm
P< 5mW, 635 nm
CO2 LASER
THE ADVANTAGE OF THE HIGH STABILITY TROLLEY
44
Stable frame from
aluminum for durability and stability.
ZU11029
Trolley
Basic version
SlimLine
All double rols are
equipped with
pedal-brakes.
DETAILS
BG01313
BG01314
BG01312
BG01311
Holder for the infusion bar
Holder for smoke evacuation
Holder for foot switch
Drawer
Sturdy tool - for a stable footing and longer transport distances.
CO2 LASER
MORE ACCESSORIES
45
BG01260
ZU01049
Stand with latching lock and
adjustable hand-grips. Slip
ring for secure recording of the
waveguide.
ViroVac smoke evacuation for your C-Las
ZU01050
KB02033
Spare filter
Remote plug C-Las
ZU01051
BG01312
Flexible tubing 2.6 m
Holder for smoke evacuation
ZU01004
ZU01058s
tip resterilisable
Sterile tubing 60 cm