A-TONE. Operating Manual Version 2.0

Transcription

1 Part No: OM-ATN-AMT-01 Engineering AMT Engineering Co., Ltd , Sangdaewon 1-dong Jungwon-gu, #811 Seongnam-si, Gyeonggi-do, Korea Office: Fax: A-TONE (I2PL & Toning System) Operating Manual Version 2.0 Before you operate this product, you must read this manual. If you have any question about this product, please contact

2 Copyrights Copyrights AMT is a trademark of AMT Engineering Co., Ltd. All products and company name mentioned herein should be considered registered trademarks or trademarks of their respective companies AMT Engineering Co., Ltd. All rights reserved. The information in this manual is subject to change without notice. 11/01/2011 Page 2 of 40

3 Table of Contents Table of Contents 1. Introduction of A-TONE 5 What is A-TONE? Key Features Specifications Signs & Labels 2. Safety and Cautions Safety Information Safety System General Cautions Electrical Cautions Eye Protection Fire Cautions Safety Devices International Standard Labels 3. System Description.. 24 System Introduction System Components 4. Installations.. 31 Installation Ready Packing List Installation Environments Page 3 of 40

4 Table of Contents Assembly Parts Assembly Steps Moving the Equipment 5. Equipment Operation. 43 Operation Ready Check the Environments Start Up Control Panel AR Mode Toning Mode Saved Parameters Shot Count Parameter Sheet 6. Appendix Trouble Shootings Page 4 of 40

5 Chapter 1 Introduction of A-TONE 1 Chapter Introduction What is A-TONE? Key Features Specifications Signs & Labels

6 Chapter 1 Introduction of A-TONE Chapter 1. Introduction of A-TONE What is A-TONE? A-TONE (I2PL & Toning System) A-TONE is the multi-purpose an advanced I2PL (APL) device for wide range indications as hair removal, pigmented skin, acne, scar and vascular. A-TONE is famous for the excellent treatment efficacy and safety using specific wave light penetrated into the deep skin selectively, PIP system (Pulse in Pulse System), and the independent and effective lamp design. Especially, this equipment can treat the LIGHT PIGMENTS in the deep skin, which the current IPL cannot treat, efficient TONING with the PIP System and hair-removal w/o side effect. Key Features Features The A-TONE IPL & Toning System is not only safe and sound, but also convenient and long-lasting as it is designed according to the international standards of medical equipment. Only basic maintenance, such as cleaning the tip and filters of the handpiece and the device is necessary. - PIP (Pulse In Pulse) - Safety secured by the low voltages. - Perfect square pulse performance - User friendly interface - Instant high peak power The principle of A-TONE treatment A-TONE overcomes the treatment limitation of the current IPL machines by applying with the PIP system (pulse in pulse system) on the technical grounds of perfect square pulse performances with the instant high peak power. This technique makes to deliver the same energy at the relatively short emission time by using of instant high peak power enhancement and PIP system. By this principle (non-invasive method), the skin damage and pain can be reduced with the high efficacy for the pigment improvement, freckle, and hair-reduction. Page 6 of 40 Manual

7 Chapter 1 Introduction of A-TONE Specifications System Specifications - Light source: Xenon flash lamp - Energy density: Max 26.5/cm2 at single pulse - Handpiece: AR (560nm), toning handpiece, 430nm handpiece (option) - Filter: 585nm, 700nm, vascular tip - Spot size: 12mmx40mm - Dimensions: 760x350x960mm(H) - Repetition: 1Hz - Electrical requirement: 220v, 60Hz - Weight: 85kg Indications Indications - Very light pigment - Toning - Hair removal - PIH treatment - Melasma - Vascular lesion - Acne Signs & Labels Signs used on the manual and the equipment Sign Caution Patient is open to damage if they are exposed to direct laser. Patient is open to damage if they are exposed to direct laser. Patient and equipment is open to electrical shock or fire if they are exposed to direct laser. Patient and equipment is open to electrical shock or fire if they are exposed to direct laser. This mark shows that this equipment's specifications are (IEC417/ ) Class B in the Korea Protection Regulations for electrical shock Page 7 of 40 Manual

8 Chapter 1 Introduction of A-TONE This mark shows that this equipment's specifications are (IEC417/ ) a danger voltage level in the Korea Protection Regulations for electrical shock This mark shows that this equipment's specifications are (IEC417/5008) power off in the Korea Protection Regulations for electrical shock This mark shows that this equipment's specifications are (IEC417/5007) power on in the Korea Protection Regulations for electrical shock Sign Caution This mark shows that this equipment's specifications are (IEC417/5021) 'Earthed status' in the Korea Protection Regulations for electrical shock This mark complies with the EU scrap electronic product processing procedure (Directive 2002/96/EC&EN50419), and signifies that it cannot be thrown away, but will need to be disassembled and recycled. Any inquiries regarding processing procedures should be made to AMT Engineering. This mark complies with (IEC ), and is a mark for laser equipment for repetitive pulse frequencies. This mark is used for contents that are important for equipment use. This mark displays the reference clauses related to the clause in question. Page 8 of 40 Manual

9 Chapter 2 Safety & Cautions 2 Chapter Safety and Cautions Safety Information Safety System General Cautions Electrical Cautions Eye Protection Fire Cautions Safety Devices International Standard Labels

10 Chapter 2 Safety & Cautions Chapter 2. Safety and Cautions Safety Information Safety information To avoid hazards, the operator and patient of this device is bound to meet e.g. the following requirements as below; 1) Before initial start-up, the competent professional association and the labor-safety authority are to be informed about the intended use of the laser/ipl device. 2) While the device is in operation, the area in which the maximum permissible radiation level may be exceeded, the operating room must be delimited and marked by a laser warning sign as the picture 2.1 Picture 2.1: Laser Radiation Warning 3) Warning cable must be connected between the main body and the entrances (door) of the room 4) All persons present in the operating room during treatment must war laser/ipl protective eyewear (goggles) as the picture 2.2 Picture 2.2: Laser/IPL protective eyewear 5) Never look directly into the exit laser/ipl aperture of the handpiece or the articulated mirror arm even if wearing laser/ipl protective eyewear. Page 10 of 40

11 Chapter 2 Safety & Cautions 6) Restrict the access to the treatment room to the un-authorized person. 7) Cover the windows and other openings in the treatment room to avoid the unintentional emergence of laser/ipl radiation. 8) Direct the activated laser/ipl only onto the spot to be treated. 9) Remove all metallic objects such as watch, ring, necklaces and similar things from the treatment area. 10) Reflecting objects could interrupt the IPL and guide it to another area than the intended treatment one. 11) If you do not use the device, switch it to the STANDBY mode from READY mode. 12) Make sure the operator or assistant find out how to stop the device in case of emergency. 13) Remove the key always from the key switch after having switched off the system and ensure that it is kept at a safe location. 14) Check if the common power source within the OR is an earthed 220VAC before you plug in the power cord. Danger: The light of A-TONE is dangerous, and cannot be seen to the naked eye, so wearing a goggle is necessary. If you sustain a hit to the eye, you may suffer extreme damage or blindness. All personnel involved should wear either a laser/ipl protective goggle that can block the IPL or something of the sort complying with ANSI guidelines of protecting the sides as well. Patients will also be required to wear goggles for their protection. Page 11 of 40

12 Chapter 2 Safety & Cautions Safety System Info: If you wish to build a remote interlock system, you should contact to us. Safety system of A-TONE 1) This device applies a fuse and overcurrent fuse on both sides of the 250VAC/8A so that it can be protected from overcurrent, leakage and over-voltage. Also, the fuse in the A-TONE's internal module blocks any unintended power. 2) Protection algorithm through the programs of A-TONE - Once the equipment is running, the equipment will also run safety devices to ensure the safety usage by the operators and patients. - The monitoring system is monitoring at any time for all treatment processes to allow the user to be aware of accessible information. - The software installed in A-TONE immediately blocks beam output once any error or warning is issued, and displays it to the operator. - At only READY mode, The IPL is activated when only the operator presses button on the handpiece or step on the foot switch. - There is a remote interlock system which will forbid the running of the equipment if the remote interlock is not plugged into its socket. Page 12 of 40

13 Chapter 2 Safety & Cautions General Cautions Cautions on the handpiece before treatment Before permitting power inflow of the equipment, you must check that the handpiece (Probe) is clean. After treatment, make sure that the pollutants on the tip are cleaned and should be sterilized with alcohol over 90%. Even if you have protective goggles that can block an IPL on, with the equipment's main power on, you should not look directly into the IPL aperture on the handpiece (Probe). Cautions in moving the equipment within the OR A-TONE is an equipment of approximately 80kgs and is capable of damage when proper protections are not made in moving. This equipment is designed with optimal balance, so it is convenient for moving, but should always be moved with care. If you use the handpiece (Probe) to move the equipment, it could result in great damage for the handpiece (Probe) and the equipment. Also, if it loses balance this way, if could do harm to the person moving it. So it is required to move the equipment using its designated handles. Caution when replacing handpiece (Probe) If you wish to change the guide of the handpiece (Probe) or wish to do something other than treatment, you should place your finger off the switch and always work on the handpiece (Probe) at a perpendicular angle. Page 13 of 40

14 Chapter 2 Safety & Cautions Electrical Cautions Electrical Cautions 1) A-TONE uses 220VAC, and thus uses high-voltage parts, so removing the cover from the body can cause electrical shock. Also, there can be leftover current in the main body even after the power is off. So, removing the cover without the authorization of AMT Engineering will result in discontinuance of warranty. 2) No liquid should penetrate into the body of A-TONE. This can be a cause for electric shock. 3) Use the main power cord provided by AMT Engineering that is earthed. If the cord has worn out or damaged, do not operate the equipment. 4) Once power is introduced into the main body, you should not wipe the handpiece (Probe), or indulge in any other maintenance activity. Warning: Removing the exterior cover of A-TONE by unauthorized personnel will expose them to risks of laser damage, electrical damage and current. Also, this will result in discontinuance of warranty. Page 14 of 40

15 Chapter 2 Safety & Cautions Eye Protection Eye Protection 1) The light beam of A-TONE is Intense Pulsed Light, and cannot be seen to the naked eye, so protective goggles must be worn. If you sustain a hit to the eye, it may result in serious damage or blindness. 2) All personnel involved in the treatment should either be the IPL protective goggles (Optical density over 5) or a protective measure of similar sort complying with ANSI standards. 3) Normal glass goggles without protective features will do no good as the laser/ipl will pass right through. An Intense Pulsed Light (IPL) hits to the eye will also results in fatal wounds 4) Even if you have protective goggles on, you should not look into the light aperture directly. 5) Patients should also be given goggles for protection. Danger: When the power is connected, you should not look directly into the aperture or the end of the handpiece. It may result in serious injuries to the eye. This goes the same with goggles on. The laser tip should not be pointed towards anything except places where laser beams are necessary. Beams reflected from the surface, regardless of its color, are capable of damage. Page 15 of 40

16 Chapter 2 Safety & Cautions Fire Cautions Cautions for fire damage 1) The light beam of A-TONE can light most non-metal substances like it does to cells. 2) Various gowns or covers should not be inflammable, and should not be filled with oxygen. 3) Avoid the use of oxidizing gases, e.g. nitrogen oxide (N2O) and oxygen. Be especially careful when using oxygen. Oxygen increases both the intensity and the extent of the fire. 4) A fire extinguisher should be beside laser/ipl equipment at all times. Caution: If the device has been fallen over, the water might be leaked to other electronic parts and it might be a cause of electrical sparks inside. If you smell something is burn inside, push the emergency button immediately and call to us. Page 16 of 40

17 Chapter 2 Safety & Cautions Safety Devices A-TONE Safety Devices Key Switch This equipment includes safety devices suited for international standards for the safety of doctors and patients. Picture 2.3: Safety Device 1) A-TONE can only be turned on and off by the key provided by AMT Engineering. 2) Please remove the key from the key switch and store it at a safe location so that unauthorized person will not be able to operate the equipment. 3) The key-switch is in two stages and can be turned into two stages, 1 and 2. Key switch 1 (Power OFF) Picture 2.4: Key Switch Key switch 1 (Power ON) Warning: This equipment should be used by authorized person only. And please remove the key from the key switch and store it at a safe location so that unauthorized personnel will not be able to operate the equipment. Page 17 of 40

18 Chapter 2 Safety & Cautions Emergency Stop Switch 1) In emergencies, this switch can be used to stop the light output immediately. 2) If you wish to re-boot the equipment, turn the emergency stop switch clockwise so that the button will pop up again. 3) This emergency switch should not be used in normal circumstances. Please use the key switch for general use. Emergency switch off Emergency switch on (Button is pressed) (Button is popped up) Picture 2.5: Emergency Switch Laser/IPL output warning light / sound 1) After pressing the Standby/Ready button, ready button graphically shows that the light output is ready. 2) There is beep sound after pressing the shot button. It last 2 seconds to give a warning and shots the light. Page 18 of 40

19 Chapter 2 Safety & Cautions Door sensor for the remote interlock 1) Once you plug in the interlock at the socket in the rear of the equipment it will close the circuit and allow the equipment to run 2) If the interlock switch is not connected, the equipment will not run. 3) If you wish to build a system of a remote interlock with the door in the OR, please contact the AMT Engineering Co., Ltd. (info@amtpro.co.kr). This will allow the equipment to shut down when unauthorized person enters the OR. Picture 2.6: Remote Interlock Page 19 of 40

20 Chapter 2 Safety & Cautions International Standard International Standards that A-TONE complies with A-TONE complies with the following international standards. Standard /Regulation Title Ratification 93/42/EEC Medical Device Directive 2011 EN EN EN EN EN EN ISO13485 Medical electrical equipment Part1 : General requirements for safety Medical electrical equipment Part1-2; General requirements for safety -Collateral standard : Electromagnetic compatibility - Requirements and Tests Medical electrical equipment Part1-4; General requirements for safety -Collateral standard : Programmable electrical Medical systems Medical electrical equipment-part2 : Particular requirements for the safety of diagnostic and therapeutic laser equipment CB/CCA, Measured laser radiation, calculations and comparison with AEL limits Medical devices-application of risk management to medical devices 2011;A1;1993;A2; 1995;A13; ;A1; ; 2007 (2 nd Edition) 2003 Page 20 of 40

21 Chapter 2 Safety & Cautions Labels Caution: Operator and staff should know the meaning and location of the safety labels attached to the equipment. Safety label and information label attached to A-TONE Complying with the international standards and conditions, safety labels and information labels should be attached in appropriate areas. Laser/IPL output label Label showing the output and output direction. Picture 2.7: Laser/IPL output label Service protection seal There are two seals on the back of the body to protect regular A/S. If the seals are damaged, the A/S would not be accepted. Picture 2.8: Service protection seal Laser/IPL exposure danger label Label warning users that direct and indirect laser/ipl beam hit may damage the body. Picture 2.12: Laser/IPL exposure danger label Page 21 of 40

22 Chapter 2 Safety & Cautions A-TONE Nameplate label Label is showing product name, model name, laser/light class and electrical specifications. Picture 2.14: Equipment nameplate label Picture 2.15: The place of the lable on the body Page 22 of 40

23 Chapter 3 System Description 3 Chapter System Description System Introduction System Performance System Components Page 23 of 40

24 Chapter 3 System Description Chapter 3. System Description System Introduction System Introduction IPL & Toning system, A-TONE creates the micro thermal hole zone at specific depths while sparing the tissue surrounding each wound. This major feature of the A-TONE IPL system treats the thermal zone safely with less pain. The user-friendly design of handpiece helps operator work. Operators and patients are going to experience dramatically better results and post treatment handling through this optimized device. Components System Components The A-TONE IPL system consists of four major parts 1) System console (body) 2) Handpiece (Probe) 3) Filters 4) System software 5) Cooling system Equipment dimensions (mm): (760x350x960mm) Picture 3.1: A-TONE Page 24 of 40

25 Chapter 3 System Description Refer: A-TONE uses 220V. The voltage transformer may need for other voltage as 110V. System console The A-TONE system should not share a power line with other heavy power-load devices. This IPL system should be connected the separate power line with a separate circuit breaker Handpiece (Probe) Shot button Picture 3.2: Handpiece and socket Picture 3.3: Handpiece button Page 25 of 40

26 Chapter 3 System Description Filters Caution: The filter are only for AR handpiece. 430nm handpiece is option. Picture 3.3: Filter Caution: When moving the equipment, safely remove the footswitch from the main body and delivery it safely. System software The software loaded on the A-TONE IPL system is programmed under the following purposes to provide optimal treatment environment. 1) Optimal treatment parameters can be selected and applied for each patient. 2) Control the devices on A-TONE for precise and quick treatment 3) In order to secure the safety of the operator, staff and patients, A-TONE continuously monitors the equipment. 4) By checking the light output change due to use, it is able to output a precise powered IPL (Intense Pulsed Light). Cooling system 1) The cooling system installed on the A-TONE IPL system provides the best treatment environment. 2) There are 2 cooling fans and water cooling system installed on A-TONE. The fan operates according to the temperature control system and the water cooling system operates according to the temperature control of handpiece. Page 26 of 40

27 Chapter 4 Installations 4 Chapter Installations Sum Installation Ready Packing List Installation Environments Assembly Parts Assembly Steps Moving the Equipment

28 Chapter 4 Installations Chapter 4. Installation Ready to install Installation ready The moving and installation of this device can only be made by personnel either educated or authorized by AMT Engineering Inc. The authorized personnel have to read this chapter in advanced. After that, the environment must be cleaned and all tools, accessories, multi-outlet extension cord, voltage transformer, and so forth. Packing List Installation Packing List Items - A-TONE Main body - Handpiece (AR) - Handpiece (AR 430 nm) - option - Handpice (Toning) - A-TONE Key - Interlock - Laser/IPL protective goggles for Operator - Patient Goggles - User Manual - Filter (700 nm) - Filter (585 nm) Chart 4.1: Packing lists Quantity 1 ea 1 ea 1 ea 1 ea 2 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea Note: Each item can be purchased through AMT Engineering Inc.'s HQ and its affiliates. Installation Environments Installation Space Requirements The dimensions of the equipment is as shown on Picture 4.1, and only be fulfilling the installation space below can it maintain the optimal efficiency of the equipment. 1) Consider the location and space of the before installation. 2) There should be at least 30cm of space from all sides of the equipment. 3) Install with as much distance as possible from other heat-generating equipment / medical instruments. Page 28 of 40

29 Chapter 4 Installations Picture 4.1 A-TONE's Exterior Dimensions Warning: If you do not comply with the electrical requirements and use inadequate common power or power systems, it may cause the malfunction or permanent damage to the equipment and may critically harm the body. Inadequate use will relieve the company from guarantee. Electrical Requirements The power supply input should fulfill the below conditions to ensure optimal efficiency and electrical stability. 1) The within-wall power point should have at least 2 sockets and an earth socket. 2) Check that the power output of the within-wall power point is 220AVC, 60Hz before you plug the equipment in. 3) This equipment is designed to protect the equipment from over-current using AC 220AVC/15A fuse. When the fuse is disconnected, please contact the AMT Engineering customer center for necessary procedures. 4) To enhance electrical safety of patients, operators and staff, earth the equipment with a separate earth socket within the room and with the exterior earth socket. Contact the AMT Engineering customer service to ensure a safe installation. Environmental Requirements A-TONE s environment should satisfy the following; Interior Air In a corruptive acidic air, the power cord, electrical parts and handpiece modules may be corrupted. You must minimize the dust inhaled through the airflow. Dust can penetrate into the electrical parts or light modules to inflict critical damages to the equipment. Temperature / Relative Humidity The optimal storage temperature of the equipment is 10~40, and the optimal use temperature is 20~30. Relative humidity should at least maintain the 0~90% level. Page 29 of 40

30 Chapter 5 Equipment Operation 5 Chapter Equipment Operation Operation Ready Check the Environments Start Up Control Panel How to Run Beam Energy Density Operation Modes Repeat & Single Scan Shapes Repeat Time for a Dot Save Parameters Handpiece Buttons

31 Chapter 5 Equipment Operation Chapter 5. Equipment Operation Ready for Operation Operation Ready In this chapter, a detailed description on the method of operating the A-TONE IPL Equipment, with warning and caution items for each procedure. Please refer to the Clinical guide or Quick guide. All Operators have to be trained by authorized personnel by AMT Engineering Co., Ltd. Check the Environments Check / Caution items before operation of equipment In all operations, please check the safety procedures explained in Chapter 2 and recheck the following list. 1) Is everybody in the OR wearing protective goggles of IPL protection, or with side protection applied complying with ANSI standards. 2) Is the patient wearing protective goggles for protection? 3) Is the handpiece lens and equipment that you wish to use clean? 4) Is the equipment installed under the conditions stated in Chapter 4. 5) Is the roller at the bottom fixed so that the equipment doesn't move during operation? 6) Are there surfaces in the OR that reflect light like a mirror? 7) Did you plug in the power input after checking that the power point is an earthed 230VAC? Danger: When the power input plug is inserted into the common power point, you should not be looking into the end of the handpiece or have it point anybody else within the OR. Sustaining a hit with this Intense pulsed light could seriously damage your eyes and you may go blind. Start up Starting up the equipment 1) Have the main power switch at the back of the equipment point to ON. 2) Check whether the emergency switch at the front of the equipment is pressed. 3) "When the emergency switch is pressed, the equipment will not run" 4) Insert your key into the key switch at the front of the equipment and turn the key two blocks. 5) A moment later, the user mode will be displayed on the touch display screen. Danger: Never look into the end of the hand piece or the laser dispenser when the power is in. It may cause serious eye damage or even blindness. Never leave your post when the equipment is turned on. Be careful not to keep your key plugged in so that unauthorized personnel do not have access to it. Page 31 of 40

32 Chapter 5 Equipment Operation Control Panel Control Panel 1) This control panel allows the user to optimize the parameters of the operation of Intense Pulsed Light. 2) This control panel also displays useful information during operation. 3) While the system is loaded, the Micro-controller continuously monitors the functions. Refer: P.38 Save the parameters - As the picture, adjust the parameter which you want. - Push the button 2~3 seconds then the button memorizes the parameters. Picture 5.1: A-TONE Control Panel Page 32 of 40

33 Chapter 5 Equipment Operation AR Mode Start 1) Have the main power switch at the back of the equipment point to ON. 2) Check whether the emergency switch at the front of the equipment is pressed. 3) Insert your key into the key hole at the front of the device and turn right the key. Caution: Emergency Switch When the emergency switch (Red push button) is pressed, the equipment will not run Picture 5.2: Start A-TONE 4) A moment later, the control panel S/W will be displayed on the LCD touch screen.. 5) Choose a treatment mode This control panel allows the user to optimize the parameters of the operation light beam per each treatment mode (Toning, pigment, acne, hair removal, rejuvenation and vascular) Danger: - Never look into the end of the handpiece or the light dispenser when the power is on. It may cause serious eye damage or even blindness. - Never leave when the device is turned on. Be careful not to keep your key plugged in so that unauthorized person does not touch it. Picture 5.3: Treatment Modes Pigment (normal): 560 nm Pigment (thin): 560 nm Rejuvenation: 560 nm Acne: 430 nm Hair removal: 700 nm Vascular: 585 nm Page 33 of 40

34 Chapter 5 Equipment Operation Save to Memories Memories of the parameters It shows four memories (1 ~ 4) for personal parameters. Picture 5.4: Save parameters Pulse Time Pulse time control Picture 5.5: Pulse time control Recommended pulse time is set up in the clinic indications. Users can control the parameter value on the PULSE SETTING as above if users want to control. Activated with purple color on the selected part, and then control pulse duration. Pulse duration control Users can control the pulse duration on the PULSE SETTING as above picture. Touch the pulse to control by hand. Cursor will be blinking on the selected part and control by buttons below. UP/DOWN Page 34 of 40

35 Chapter 5 Equipment Operation Single pulse can be controlled by 0.1ms Double and Triple pulse can be controlled by 0.5ms. Pulse on time: 1.0ms~25.0ms Pulse delay time: 5~60ms Energy (J/cm2) value control Users can control the energy value on the PULSE SETTING as above picture. It can be controlled by UP/DOWN buttons as right picture. Energy range is 7.60J/cm²~15.40J/cm²(double pulse standard) Single pulse: 4,68J/cm²~9.48J/cm² Triple pulse: 11.40J/cm²~21.60J/cm² Picture5.6: Energy value control Page 35 of 40

36 Chapter 5 Equipment Operation Toning Mode Toning mode There are two type of toning modes (Mild and Basic) Picture5.7: Toning mode When users touch the Toning mode on screen of clinic indication, its own parameters come out. It is set up MILD mode applied PIP mode and once touching MILD button, PIP mode goes BASIC mode. Once PIP mode is set up, 10 small pulses per 1ms come out and if total on-time is 2ms, 20 pulses come out. On-time of the each small pulse can control at the below control window. Duration control in MILD mode Control at the top menu and there are 4 kinds of modes. When users touch this part 4 kinds of selections come out and possible to control. Displayed as below and chosen one by touching the screen. Picture5.8: PIP control Page 36 of 40

37 Chapter 5 Equipment Operation Four kinds of durations of PIP mode are below. Mode On time Off time 90%/10% 90µs 10µs 80%/20% 80µs 20µs 70%/30% 70µs 30µs 60%/40% 60µs 40µs Picture5.9: Durations of PIP modes Duration of PIP mode After finishing setting up PIP mode, touch STANDBY/READY button to be activated (see below Pic.). Then, start work. Picture5.10: Standby/Ready PIP mode control screen. Picture5.11: Repeat / single modes Page 37 of 40

38 Chapter 5 Equipment Operation Saved Paramaters Parameter saves & recollect Select a mode which user wants on the clinic indication and then set up parameter value user wants.(see previous page to set up) If users click the second (save) button of the menu on the top side, users get the display as below, and then choose a memory box to save the value. Picture 5.12: Four saved parameters To open a saved parameter, select a memory box on the clinic indication screen or get in a set-up display and touch the first button top side. on the menu bar at the Picture 5.13: Saved parameters The saved parameter is shown as gold skin. Picture5.14: Load saved parameters Page 38 of 40

39 Chapter 5 Equipment Operation Shot Count Shot count check If users push the third button window is shown and users can check the total count. (shot count) on the menu bar, the below Picture5.15: Total count Handpiece has to be changed around 38,000~40,000 shot, and if it is over 38,000 shot, it shows warning box as below and it sounds a warning alarm every 6 sec. from 40,000 shot. Picture5.16: Repeat/Single modes Page 39 of 40

40 Chapter 5 Equipment Operation Parameter Sheet Picture5.17: A-TONE treatment standard sheet Page 40 of 40