Buyer’s Guide T Therapeutic Laser TRENDS
Transcription
Buyer’s Guide T Therapeutic Laser TRENDS
35 TRENDS SURVEY Therapeutic Laser Buyer’s Guide Therapy lasers have avid supporters, great potential and a high price. Here is how to know if they meet your ROI standard. ©iStockphoto.com/Joan Vicent Cantó Roig by Jan Thomas Trends magazine, November/December 2010 T hese days, it is hard to read a journal, attend a conference or search the Internet for innovative treatments without coming across the words laser therapy. For all the buzz, you might think this is new technology, but therapeutic lasers (i.e., lasers designed to heal rather than cut tissue) have been around a long time. What is new is the range of equipment options available to practice owners, the number of ailments therapeutic lasers purport to treat and the rapidity with which laser therapy is gaining ground in veterinary medicine. Trends magazine created this Buyer’s Guide to help you decide if a therapeutic laser is a smart option for your hospital. We built a representative list of laser manufacturers and distributors, removed those who produce only surgical equipment and invited the remaining firms to submit data for product comparison charts. Those who agreed are included here. We also talked with veterinarians who use therapeutic lasers in their practices today. Their comments will help you to understand better how the lasers perform in real-world situations and determine if a therapeutic laser offers enough revenue potential to meet your hospital’s standard for return on investment (ROI). 36 How laser therapy works Participating Vendors Companion Therapy Laser by LiteCure 250 Corporate Boulevard, Suite B Newark, Del. 19702 (302) 709-0408 www.companiontherapylaser.com Cutting Edge Laser Technologies 350 Turk Hill Park Fairport, N.Y. 14450 (800) 889-4184 www.celasers.com Dan Scott & Associates 5188 Hoovergate Drive Westerville, OH 43082 (888) 866-6736 www.danscottandassociates.com Grady Medical Systems, Inc. 32007 Scott Road Winchester, Calif. 92596 (800) 800-2585 www.gradymedical.com K-LaserUSA 1106 Harpeth Industrial Court Franklin, Tenn. 37064 (866) 595-7749 www.k-laserusa.com A Hungarian physician named Endre Mester pioneered laser therapy in the late 1960s after realizing that laboratory mice shaved and treated with lasers grew hair more quickly than their untreated counterparts. Mester published several articles on this and future observations and, ultimately, used lasers to treat human patients with skin lesions. Since that time, lasers have been used to reduce inflammation and speed healing. However, early descriptors of the technology (e.g., low level, low power, low intensity, cool) may be less applicable today because many therapeutic lasers are class IV equipment (see Laser Classifications sidebar) and deliver energy at the same rate as some surgical machines. “In Europe, lasers have been used in veterinary medicine for many years,” says Margot Miller, spokesperson for the American Physical Therapy Association. “It’s newer to physicians and physical therapists overseas. In America, the situation is exactly the reverse.” According to Miller, empirical laser therapy studies show “better movement, relief of pain and no negative effects in the short term and significant improvement after an average of nine treatments.” So how does laser therapy work? The science is straightforward. When a laser applies red or near-infrared light (i.e., light with a wavelength of 600–1,000 nm) to the body for an injury-appropriate period of time, a photobiological reaction occurs that stimulates tissue regeneration, reduces swelling and decreases pain. “In some in vitro studies, the application of light energy to specific cell cultures activated cell mitochondria. That resulted in an uptick in ATP production, the implication of which is increased metabolism,” says Robin Downing, DVM, DAAPM, CVA, CCRP, owner of The Downing Center for Animal Pain Management, LLC, in Windsor, Colo., an AAHA-accredited pain management referral practice. “Some in vivo studies used thermography and blood flow perfusion indices to measure laser therapy results. They’ve shown increased circulation, decreased inflammation and reduced nerve conduction velocity following therapeutic laser treatments.” How do you determine how long to treat an injured area? Most lasers come with guidebooks that have treatment recommendations, but Miller says understanding the science behind those recommendations is a good idea. “You don’t just read the manual and go,” she says. In The Scientific Facts Concerning Class IV Laser Therapy in Veterinary Medicine, Ronald Riegel, DVM, cofounder of the American Institute of Medical Laser Applications, writes, “Numerous world associations of laser therapy… have long established that the tissues need 5–10 J/cm2 to elicit a biological response within the cells.” Because dosage is measured in light energy (joules) directed at a measured treatment area, Riegel defines the formula for calculating dosage as follows: Therapeutic Dosage = (Power)(Time)/Area = J/cm2 “It is important not to confuse power and energy, although they are closely related,” Riegel writes. “Power is the rate at which energy is delivered, not an amount of energy itself.” Patient benefits In the right hands, veterinarians say, therapeutic lasers produce dramatic results. Darlene Cook, DVM, CVA, of The Bluffs of Red Wing, A Clinic for Pets, an AAHA-accredited practice in Red Wing, Minn., is delighted with her $400 handheld machine’s ability to reduce musculoskeletal inflammation, speed wound healing, and either supplement acupuncture or replace needles when injured areas are difficult to reach.* Trends magazine, November/December 2010 37 “Some cases really stand out,” Cook says. “One involved a 17-year-old cat that had been extremely withdrawn and not eating well for the past 3–4 years. We identified arthritis in the back and hip, verified the diagnosis with X-rays, and used the laser to treat it. The client noticed improvement within a day. The cat now runs to the food bowl, appears to be more comfortable and is less prone to hide. “Another case was a dog with what appeared to be a blood blister on the eye. After the first treatment, the lesion was about 90% resolved. After a week, it was completely resolved.” Although Michele Drake, DVM, owner of the AAHA-accredited Drake Center for Veterinary Care in Encinitas, Calif., is not wowed by her class IV laser’s ability to resolve chronic ailments, she is pleased with the effect on acute injuries. “We use pharmaceuticals, supplements, laser, diet, physical therapy — whatever tools best fit a particular patient, but I definitely pick the laser first for wound care, healing and pain,” Drake says. “We can almost see the difference within hours of treatment.” Downing has used therapeutic lasers since 2005 and reports impressive outcomes on patients with a wide range of ailments, including strains, sprains, osteoarthritis, and injured quadriceps and iliopsoas muscles. “The immediacy of the results is amazing,” she says. “I could not practice the way I do now without my laser. I’ll do a pain palpation before I do my laser treatment and a pain palpation immediately after, and the patient does not react in the same way. Once we use the laser, I can add stretching, medical massage and my chiropractic adjustment, and the muscle isn’t going to object.” For all the buzz, you might think this is new technology, but therapeutic lasers have been around a long time. Safety Concerns Although most therapeutic lasers come with suggestions for safe use, do your own homework before making the decision to test or buy even the least expensive equipment. Here is how: 1. Assign a staff member to research safety mandates. These are non-negotiable compliance standards your hospital must meet if class IV and some class III lasers are used on-site. Issues to investigate include: • Occupational Safety and Health Administration standards • American National Standards Institute guidelines for Safe Use of Lasers in Health Care Facilities • State safety requirements (if applicable) • Municipal safety requirements (if applicable) Trends magazine, November/December 2010 2. Identify additional safety precautions that may or may not be required, such as: • Facility upgrades to shield windows or control for airborne contaminants • Signage, fire extinguishers and employee training • Appointing a laser safety officer • Protective gloves or clothing, in addition to safety goggles • New or expanded client waivers 3. Evaluate the potential impact of adding a therapeutic laser on your practice’s fire, property, general liability and, if applicable, employee health insurance policies. If adding a therapeutic laser will increase your annual fees, ask if you can avoid or reduce higher premiums by employing certain safety procedures. If this list gives you pause, do not worry. Laser safety does not have to be onerous to be effective. “We employ simple safety strategies,” says Robin Downing, owner of the AAHA-accredited Downing Center for Animal Pain Management, LLC, in Windsor, Colo. “We wear safety goggles appropriate for our laser’s wavelength. I do safety, operational, patient handling and delivery technique training with my technicians. We have the same respectful approach to lasers that we have for X-ray machines.” 38 Basic Information Housecall X Mobile Specialty X Emergency Large animal X Referral Mixed animal Small animal Targeted practices Class X X Class IV Adjustable from 0.1 to 12.0 W (continuous wave) Adjustable from 0.05 to 6.0 W (pulse) X X Class IV Adjustable from 0.1 to 8.0 W (continuous wave) Adjustable from 0.05 to 6.0 W (pulse) Vendor Model K-LaserUSA K-Series K-1200 Class IV Therapy Laser K-LaserUSA K-Series K-800 Class IV Therapy Laser X Q Laser System X X X X X X X X Class I, Class IIIA and Class IIIB Q1000: total laser = 60 mW, total laser energy = 60 mJ/sec; 660 Enhancer: total laser power = 35 mW, total laser energy = 35 mJ/sec; 808 Enhancer: total laser power = 300 mW, total laser energy = 300 mJ/sec Companion CTS Therapy System X X X X X X X X Class IV 12 W (continuous wave); 2–10,000 Hz (single and repeat pulse) Companion CTL 10 X X X X X X X X Class IV 10 W (continuous wave); 2–10,000 Hz (single and repeat pulse) Companion CTL 6 X X X X X X X X Class IV 6 W (continuous wave); 2–10,000 Hz (single and repeat pulse) Cutting Edge Laser Technologies Harmony MLS Therapy Laser X X X X X Class IV 4 W (continuous wave); 25 W peak power with MLS Super Pulse Grady Medical Systems, Inc. GradyVet P-3000 Laser X X X X X Class IIIB and Class IV In continuous wave, power depends on the probe connected. Minimum power: 250 mW for the 810–250 Point and 810–1000 S-Multi. Maximum power: 750 mW for the 810–750 Deep and 810–3000 L-Multi. Peak powers for the switched continuous wave are the same as above. Dan Scott & Associates, Inc. Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure X X X X Power y a l p s i D r o F y l n O s e s o p Pur X X X Trends magazine, November/December 2010 39 First developed for human medicine? First developed for veterinary surgery? Number of practices using unit Year first sold to veterinary practice Basic model list price Promotions available? Available used/ reconditioned? Available on secondary market? 800 and 970 nm; selectable Yes No 200 2009 $21,500.00 Yes No No 800 and 970 nm; selectable Yes No 200 2009 $18,500.00 Yes No No Wavelength 7 wavelengths from 470 to 940 nm y a l p s i D r o F y l n O s e s o p Pur No No 10,000+ between veterinary and human markets 1997 $7,255.00 Yes No No No No No response 2009 $32,900.00 Yes Yes No No No No response 2006 $27,900.00 Yes Yes No No No No response 2006 $18,900.00 Yes No No Dual wavelengths: 808 and 905 nm No No 1,350 2007 $26,995.00 Yes Yes No 810 nm No No 1,500 1998 $6,495.00 Yes No No 810 and 980 nm 980 nm 980 nm Trends magazine, November/December 2010 40 Reasons for doubt Search the Internet for relevant laser therapy studies, and you will be hardpressed to find peer-reviewed reports. That is because “there are practically no scientifically based and methodologically sound studies of laser therapy in cats and dogs,” says Narda G. Robinson, DO, DVM, MS, FAAMA, director of the Center for Comparative and Integrative Pain Medicine at Colorado State University’s Veterinary Teaching Hospital. One such study, funded by the Morris Animal Foundation, is under way at the University of Tennessee. Robinson plans to launch a study at Colorado State University next year. Although Robinson’s study parameters were not final when this article went to press, she says areas of interest include the effect of laser therapy on back pain, neurologic impairment and kidney disease. In the absence of rigorous studies in human medicine, the insurance giant Aetna continues to rate laser therapy as experimental and investigational because “there is inadequate evidence of the effectiveness of cold laser therapy and high-power laser therapy in pain relief, in wound healing or for other indications.” In August, calls to four pet health insurance companies selected at random produced similar responses. The net result is that some clients may decline treatment because their pets’ insurance policies do not provide coverage. This, in turn, might affect your practice’s ROI. Purchase considerations With an average price of almost $20,000, therapeutic lasers represent a significant capital expense for any veterinary practice. Here are some issues to consider before you buy. Wavelength Wavelength is the critical variable in determining laser penetration. According to “Low-Level Laser Therapy: An Emerging Clinical Paradigm,” a 2009 study by Huang, Hamblin and Chen published by the International Society for Optical Engineering, “light absorption and scattering in tissue are wavelength dependent, and the principal tissue chromophores (hemoglobin and melanin) have high absorption bands at wavelengths shorter than 600 nm. For these reasons, there is a so-called ‘optical window’ at red and near-infrared wavelengths, where the effective tissue penetration of light is maximal. Thus… [laser therapy] in animals and patients almost exclusively involves red and near-infrared light (600–1,070 nm).” Training, Guide and Tech Support Training Vendor Model Free initial training? Training in-house at practice? Limit on number of Training tapes or CDs/ staff trained at no cost? DVDs available? K-LaserUSA K-Series K-1200 Class IV Therapy Laser Yes Yes No Yes K-LaserUSA K-Series K-800 Class IV Therapy Laser Yes Yes No Yes Dan Scott & Associates, Inc. Q Laser System Yes Yes No Yes Companion Therapy Laser by LiteCure Companion CTS Therapy System Yes Yes No Yes Companion Therapy Laser by LiteCure Companion CTL 10 Yes Yes No Yes Companion Therapy Laser by LiteCure Companion CTL 6 Yes Yes No Yes Cutting Edge Laser Technologies Harmony MLS Therapy Laser Yes Yes No Yes Grady Medical Systems, Inc. GradyVet P-3000 Laser Yes No No No y a l p s i D r Fo y l n O s e s o p r u P Trends magazine, November/December 2010 41 Suitable For Ailments treated Vendor Model Wound healing Muscle injuries Joint injuries Arthritis Chronic injuries Acute injuries Fractures Other y a l p s i D r o F y l n O s e s o p Pur K-LaserUSA K-Series K-1200 Class IV Therapy Laser X X X X X X X X K-LaserUSA K-Series K-800 Class IV Therapy Laser X X X X X X X X Dan Scott & Associates, Inc. Q Laser System X X X X X X X X Companion Therapy Laser by LiteCure Companion CTS Therapy System X X X X X X X X Companion Therapy Laser by LiteCure Companion CTL 10 X X X X X X X X Companion Therapy Laser by LiteCure Companion CTL 6 X X X X X X X Cutting Edge Laser Technologies Harmony MLS Therapy Laser X X X X X X Grady Medical Systems, Inc. GradyVet P-3000 Laser X X X X X X X X Guidebook Technical support Model comes with printed info on dosage recommendations for specific ailments? Provided via Available 24/7? Free during warranty period? Free after warranty period? Yes Phone and email No response No response No response Yes Phone and email No response No response No response Yes Web, phone and email No response No response No response Yes Phone Yes Yes Yes Yes Phone Yes Yes Yes Yes Phone Yes Yes Yes Yes Phone Yes Yes Yes Yes Email and web No Yes Yes y a l p s i D r Fo y l n O s e s o p r u P Trends magazine, November/December 2010 42 Some clients may decline Power Class III lasers generally cost less than their higher-powered counterparts, but the trade-off is time. A 6-W laser with a 980nm wavelength may provide about 1.5 cm of penetration. A 500-mW laser with a comparable wavelength will probably deliver equal penetration, but photons will need more time to reach that depth. treatment because their pets’ insurance policies do not provide coverage. This might affect your practice’s ROI. laser? Will you receive digital versatile discs and other materials for use with new staff? Are advanced training seminars provided after purchase? “My advice is to have the personnel who will deliver the treatments get proper training from someone with experience,” Miller says. “While laser therapy looks simple to do and developers make equipment easy to operate, those positive factors might lead someone to think, ‘Well okay, I can just purchase this unit and use it.’” Education and training Is on-site training included with your Delivery, Modes and Safety X X X X Yes K-LaserUSA K-Series K-800 Class IV Therapy Laser X X X X Yes Dan Scott & Associates, Inc. Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Cutting Edge Laser Technologies Grady Medical Systems, Inc. Other K-Series K-1200 Class IV Therapy Laser Single pulse K-LaserUSA Continuous wave Model Other Vendor Super pulse Laser operation modes Repeat pulse All-in-one handheld device Flexible fiber (or waveguide) Articulated arm Type of laser delivery y a l p s i D r Fo y l n O s e s o p r u P Q Laser System X X Aiming beam? No Companion CTS Therapy System X X X Yes Companion CTL 10 X X X Yes Companion CTL 6 X X X Yes Harmony MLS Therapy Laser GradyVet P-3000 Laser X X X X X X X Yes Yes Trends magazine, November/December 2010 43 Laser Classifications Lasers are classified based on the equipment’s ability to injure users and/or start fires with direct or reflected light. According to the University of Kentucky’s Environmental Health & Safety Fact Sheet, laser classes are as follows: • Class I: Extremely low power; deemed safe from all potential hazards • Class II: <1 mW of power; could possibly damage the eyes if viewed directly for more than 15 minutes • Class IIIa: Intermediate power, continuous wave (1–5 mW). Direct viewing could be hazardous to the eyes. • Class IIIb: Intermediate power, continuous wave (5–500 mW, pulsed 10 J/cm²). Direct viewing is hazardous to the eyes. Diffuse reflections of the beam can also be hazardous to the eyes. • Class IV: High power, continuous wave (>500 mW, pulsed >10 J/cm²). Direct beam and diffuse reflections are hazardous to the eyes and skin. Class IV lasers can be a fire hazard depending on the reaction of the target when struck. Much greater controls are required to ensure safe operation. Most laser eye injuries occur from reflected beams of class IV laser light, so keep all reflective materials away from the beam. Safety Protective eyewear recommended for person providing treatment? Protective eyewear recommended for all humans in room during treatment? Protective eyewear recommended for patient? At least one pair for practitioner included free with basic model? At least one pair for patient included free with basic model? Vendor Model K-LaserUSA K-Series K-1200 Class IV Therapy Laser Yes Yes Yes Yes No K-LaserUSA K-Series K-800 Class IV Therapy Laser Yes Yes Yes Yes No Q Laser System No No No No No Companion CTS Therapy System Yes Yes Yes Yes Yes Companion CTL 10 Yes Yes Yes Yes Yes Companion CTL 6 Yes Yes Yes Yes Yes Harmony MLS Therapy Laser Yes Yes Yes Yes No GradyVet P-3000 Laser Yes Yes No Yes No Dan Scott & Associates, Inc. Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Cutting Edge Laser Technologies Grady Medical Systems, Inc. y a l p s i D r Fo y l n O s e s o p r u P Trends magazine, November/December 2010 44 Understand the ROI New equipment is expensive. Before you order a therapeutic laser, make sure it meets your standard for ROI. Here is how. Step 1: Calculate the real cost of your purchase In addition to the list price of the equipment, add tax, shipping, handling, and, if applicable, lost revenue during training sessions, higher insurance premiums, additional safety equipment, facility retrofits and marketing materials. Step 2: Quantify potential patients Given all potential applications of therapeutic lasers, estimate the number of current patients likely to get laser treatments. Step 3: Set the price(s) Decide how your practice will deliver laser treatments, and set your price accordingly. At The Downing Center for Animal Pain Management, owner Robin Downing assesses patients and writes up a procedure plan that specifies the treatment area, power setting, mode and strategy (e.g., “paint” the area uniformly using horizontal and vertical strokes). A technician then delivers the treatment. The Downing Center for Animal Pain Management’s laser therapy fees reflect both Downing’s and the technician’s time. The Drake Center uses its therapy laser following each dental extraction and charges $13.61 for the service. Timeconsuming musculoskeletal treatments cost more. “A onetime treatment on a single site is $50. A onetime treatment on multiple sites is $65,” owner Michele Drake says. “If the injury involves multiple sites, though, that Maintenance, Warranty and Repair Maintenance Vendor Model K-LaserUSA K-Series K-1200 Class IV Therapy Laser K-LaserUSA Dan Scott & Associates, Inc. Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Cutting Edge Laser Technologies Grady Medical Systems, Inc. Maintenance Maintenance required required daily? weekly? No No Maintenance required monthly? Maintained by practice staff (no outside maintenance needed)? Length of warranty On-site repair? Yes Yes 2 years No y a l p s i D r Fo y l n O s e s o p r u P K-Series K-800 Class IV Therapy Laser No No Yes Yes 2 years No Q Laser System No No No Yes 2 years, extended for 3 additional years for a charge No Companion CTS Therapy System No No No Yes 3 years Yes Companion CTL 10 No No No Yes 3 years Yes Companion CTL 6 No No No Yes 3 years Yes Harmony MLS Therapy Laser No No No Yes 2 years Yes GradyVet P-3000, Inc. No No No Yes 3 years No Trends magazine, November/December 2010 45 probably means the patient has a lot going on, so we offer the client a prepaid package of six treatments for $258.” Step 4: Close the gap Take another look at the number of current patients that are likely candidates for laser therapy. Given the prices you set, how many patients need to have laser therapy treatments each week — and each day — to recover the cost of your investment in a reasonable time? If you need more patients to shorten the time to ROI, how many do you need to acquire each month? Are the marketing dollars you added in step 1 sufficient for this task? Remember, a therapeutic laser has the potential to differentiate your services and make your hospital more competitive; however, warranties and training offers vary, and the equipment can be pricey. Make sure the equipment aligns with your practice’s short- and long-term business plans before you buy. n *Trends was unable to contact the manufacturer of this machine. Data for this product are not included in the product comparison charts. Should you buy? Four DVMs say Yes! Read about their amazing success in the Trends digital edition. Go to trends.aahanet.org. Click on the cover of the magazine, then click on the bookmark I Love My Laser! Jan Thomas is the principal of Thomas Hunt, LLC. Warranty and repair Includes shipping and insurance when sending laser for repair? Yes Yes No Yes Yes Yes Yes Warranty also covers Lifetime warranty on laser diodes. 2-yr on laser body and electrical components. 2-yr conditional on optical fiber. Extended Replacement Average warranty provided while laser repair available? is being repaired? time Yes Yes 2 days After warranty expires, repair charges based on Hourly rate for repair after warranty expires Depends on nature of repair N/A y a l p s i D r Fo y l n O s e s o p r u P Full 2 yr on laser electronic components. Lifetime warranty on laser diodes. 2-yr conditional warranty on laser fiber. Yes Yes 2 days Depends on nature of repair Varies depending on nature of repair Manufacturer's defects Yes No 24-48 hr Parts & labor N/A 24-hr replacement Yes Yes 24 hr Annual contract N/A 24-hr replacement Yes Yes 24 hr Annual contract N/A 24-hr replacement Yes Yes 24 hr Annual contract N/A All parts, labor, travel and shipping costs. Service done either on-site or at company depot. Yes Yes 3-5 bus. days Annual contract N/A No response Yes No 3 days Hourly fee $45 No Trends magazine, November/December 2010 46 Financing, Vendor Information Vendor Model Lease available? Financing available? Lease-to-own available? Financing K-LaserUSA K-Series K-1200 Class IV Therapy Laser Yes Yes No The K-1200 Class IV therapy laser represents the latest in laser therapy technology with preprogrammed presets, multiple output modes of laser delivery, exclusive Intense SuperPulse capability, wavelength selectability, compact design and onboard battery power. Easy to use for the laser novice, yet adaptable for the advanced user. K-LaserUSA backs up the purchase with education, training and support. K-LaserUSA K-Series K-800 Class IV Therapy Laser Yes Yes No The K-Series lasers combine an onboard battery with compact, lightweight design to enable remote treatments. The power is adjustable from 0.1 to 12 Watts, and the K-800 has built-in presets categorized by species, anatomical region and indication. Dan Scott & Associates, Inc. Vendor-provided details y a l p s i D r o F y l n O s e s o p Pur Q Laser System Yes Yes Yes Components are FDA cleared for treatment of osteoarthitis of the hand. Q1000 is registered with FDA as 100% safe. Engineered to create Soliton Wave, allowing penetration of the energy to any point in the body. Q1000 delivers 31 frequencies that are in the animal or the human body for treatment of general health issues and rehab. Companion CTS Therapy System Yes Yes Yes There are over 1,200 Companion Therapy Laser Systems in private practice in the US and worldwide. Proudly manufactured in the US. Companion CTL 10 Yes Yes Yes No response Companion CTL 6 Yes Yes Yes All Companion Therapy Laser Systems are proudly manufactured and serviced in Newark, Del. Cutting Edge Laser Technologies Harmony MLS Therapy Laser Yes Yes Yes The MLS Harmony Therapy Laser utilizes dual wavelengths that are synchronized allowing the laser to penetrate deep into the patient without the use of high power. Grady Medical Systems, Inc. GradyVet P-3000 Laser Yes Yes Yes The GradyVet P-3000 is an excellent tool for increasing the speed, quality and tensile strength of tissue repair. It can reduce inflammation and provide relief from both acute and chronic pain. Widely researched and proven effective, laser therapy is a valuable form of treatment for animal athletes and companion animals and helps improve the quality of life for aging pets. Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Companion Therapy Laser by LiteCure Trends magazine, November/December 2010