TattooStar Family- Q-switched Ruby & Nd:YAG Laser -
TS 100 1116 EN 2
For more than 35 years, Asclepion has been operating on the medical lasermarket. As the company is based in Jena, famous through the world as theglobal center of the optics industry since 1846, the company owes it successto the steady development of new technologies and the active collaborationwith researchers from German universities and industries.
• More than 35 years experience in the aesthetic laser medicine and surgery
• Development, production, service & training center in Jena
• TOP100 of the most innovative medium-sized businesses in Germany
Technology „Made in Germany“
TS 100 1116 EN 3
The first Q-switched laser from
Asclepion was launched in
1998. Now we present the
latest generation of Q-switched
laser for the aesthetic laser
medicine, where you can have
up to 4 different wavelengths
(532, 585, 694, 1064 nm) in
one system:
TattooStar Effect COMBO.
RubyStar
RubyStar+
TattooStar Y
Mile
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sThe new dimension of Q-switched lasers
TS 100 1116 EN 4
Laser: Q-switched Nd:YAG laser (Y), class 4
Q-Switched ruby laser (R), class 4
Q-switched ruby and Nd:YAG laser (COMBO), class 4
Wavelength: 694 nm (R)
532, 1064 nm (Y)
585 nm (Dye)
Energy: Up to 1.5 J (Y), 1.2 J (R)
Pulse duration: Approx. 8 ns (Y), 40 ns (R), 300 µs free running mode (Y)
Frequency: Up to 10 Hz (Y), 2 Hz (R)
Fluence: 1064 nm: Max. 37 J/cm² (Q-Switch: 20 J/cm²)
694 nm: Max. 20 J/cm²
532 nm: Max. 10 J/cm²
585 nm: Max. 5 J/cm2
Spot sizes: 2 – 2,5 – 4 – 5,5 mm (Y), optional 7 mm (free running mode)
2,5 – 4 – 5 mm, TattooStar: optional 6 mm (R)
TattooStar Effect: optional 7mm (R)
7x7 mm with MicroSpot handpiece (R)
(Fractional, 196 MicroSpots with Ø 300 µm, 30% cover rate)
All specifications are subject to change without notice.
TattooStar R
TattooStar Effect RTattooStar Effect YTattooStar Effect COMBO
Specifications
TS 100 1116 EN 5
Clinical success
• 1998: The RubyStar is one of the most
successful Q-switched lasers in
Germany with over 100 systems in the
market.
•The hundreds of satisfied customers in
Germany and worldwide and their
feedbacks had influence in the
development of the latest generations.
• More than 12 years experience.
USPs
• Up to 4 different wavelengths in one system
• Microlens array technology
• Application without gaps due to square shaped spots
• MicroSpot technology
• Very homogeneous beam profile
• Automatic spot size detection
• Intuitive operation
• Sterilizable distance holder
• Reliability
Clinical success and USPs
TS 100 1116 EN 6
state-of-the-art technology Microlens array patented EP1112524
homogeneous spot at every size and fluence
sterilizable distance holder
automatic spot size detection
Microlens array Homogeneous spot Distance holder for different spots(including corresponding optics)
Standard handpiece
Standard handpiece
TS 100 1116 EN 7
Handpiece (fractional for ruby laser)with MicroSpot technology
use of highly reliable microlens arrays
flexible adjustment of Fluence and Speed
optimal coverage for the treatment
Spot size 7,1 x 7,1 mm
Numbers of spots 196 (14 x 14)
MicroSpot Ø 300 µm
Gap 200 µm
Coverage Approx. 30 %
Energy & Fluence
Max. Energy 1.13 J 8.0 J/cm2
Min. Energy 0.31 J 2.5 J/cm2
MicroSpot handpiece
Homogeneous spot fractional
MicroSpot handpiece
TS 100 1116 EN 8
• worldwide first and only Ruby laser with fractional technique
• very homogenous spots
• clearly more mild treatment very gentle method
• normally no down time, sun cream and make up can be applied
• side effects even less compared to ablative fractional laser treatments
• therefore: new applications pigment removal of large areas as the whole face
• painless treatments without anesthesia
• quick treatment procedure for the today‘s busy clients
• reliable technology by Microlens array
Advantages of fractional Q-Switched ruby laser
TS 100 1116 EN 9
Treatment flexibility
The wavelength of the Q-switched Nd:YAG lasercan be set to frequency doubled 532nm (greenlight).
By means of a special dye this green light can betransferred to yellow light (wavelength of 585nm).
This principle is realized with the Dye handpiece ofthe TattooStar Effect Y.
With the yellow light of 585 nm, e.g. sky-bluetattoos can effectively be treated.
DYE handpiece
DYE Handpiece (for Q-switched Nd:YAG)
TS 100 1116 EN 10
X
Round spotno overlap -> gapsOverlap -> more treatment time
Non homogeneous Spotby Gaussian profile
X Square spotno overlap necessary
Homogeneous spotby Flat Top Profile
Homogeneous, square Spotfor a safe and effective treatment!
TattooStar
Other lasers
X
X
Beam profile and spot shapes
TS 100 1116 EN 11
TattooStarFlat Top Pulse Q-Switch Nd:YAG
traditionalGaussian Pulse q-Switched
Nd:YAG
By courtesy of Prof. Dr. D. Cassuto, Milan, Italy
Comparison beam profile
TS 100 1116 EN 12
Display TattooStar Effect
• detachable 12“ high resolution display
• pre & post treatment pictures and videos
• patient library and list of indications with treatment parameters
• treatment suggestions and procedure
• about Asclepion
Display TattooStar R
• easy use by touch screen
• fluence and speed adjustable directly
• display of energy in the Work Screen
• patient library
User interface
TS 100 1116 EN 13
0.0001
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Wavelength [nm]
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Melanin
Protein Water
Scattering
Desoxy-Hemoglobin
Oxy-Hemoglobin
HIGH ABSORPTIONin the Melanin of pigmented lesions and in the ink of tattoos. Pigments are fragmented by the Q-Switch pulse and reabsorbed by the lymphatic system.
Ruby laser:LOW ABSORPTIONin blood and water.Side effects in blood vessels and other tissue are marginally.
Nd:YAG laser:LESS ABSORPTIONin Melanin.More safe for dark skin.
Selective absorption
TS 100 1116 EN 14
• (benign) Lentigines
• Epidermal naevi
• Naevus Ota/ Ito
• Tattoo
* besides sun protection before and after treatment, it is always necessary,otherwise recurrent lesions have to be treated once more
Indication 694nm 532nm 1064nm 585nm
Technology Ruby Nd:YAG Nd:YAG DYE
Benign pigmented lesions
yes yes(superficial)
yes(dark and/or deep)
yes(superficial, lighter)
TattooPermanent make-up
Black, blue, green Red Black, blue Light blue
Dirt tattoos yes no yes no
Melasma/Chloasma* yes (MicroSpot FRx) no no no
By courtesy of Dr. Paul Wood, Proderma, Bad Homburg, Germany
Indications
TS 100 1116 EN 15
Laser treatment is the only,
almost bloodless and efficient treatment method.
• no scars
• fast and painless treatment
• usually no anesthesia required
• after the treatment the patient
can carry on as normal.
Indications | Removal of tattoos
TS 100 1116 EN 16
composition of professional Tattoo inks
(University Regensburg, Dr. Bäumler, Prof. Landthaler, BASF Research)
• only 16 main substances
• 41 colorants
• contain of organic pigments
• main component Aluminum
• basic substance: car paint
• 85% dark colors
• substances are toxic
Indications | Removal of tattoos
TS 100 1116 EN 17
E. Richter et al: In vivo analysis of solar Lentigines by reflectance confocal microscopy before and after Q-switched Ruby laser treatmentActa Derm Venerol 2011; 91: 164 – 168
By courtesy of Dr. Patricia Steiner, Germany
immediately after the treatment,the skin color is typically white-gray
Clinical end point:Immediate reaction:whitening at the skin
Caused by:• extremely fast heating of pigments
and vaporizing of the tissue water• formation of vacuoles
Indications | Removal of tattoos
TS 100 1116 EN 18By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany
Indications | Removal of tattoos
TS 100 1116 EN 19By courtesy of Dr. Patricia Steiner, Germany
after 6 treatments (Ruby Q-switched),
red part can not be removed with ruby laser
Indications | Removal of tattoos
TS 100 1116 EN 20By courtesy of Prof. Dr. D. Cassuto, Milan, Italy
after 5 treatments(Nd:YAG Q-switched 1064 nm, 8 J/cm2, 2.5 mm spot)
Indications | Removal of tattoos
TS 100 1116 EN 21By courtesy of Dr. Patricia Steiner, Germany
before after 4 treatments (Ruby Q-switched) after 8 treatments (Ruby Q-switched): nearly complete repigmentation
Indications | Removal of tattoos
TS 100 1116 EN 22By courtesy of Dr. Patricia Steiner, Germany
before after 2-3 treatments (Ruby Q-switched)
Indications | Removal of tattoos
TS 100 1116 EN 23By courtesy of Dr. Patricia Steiner, Germany
before after 14 treatments (Ruby Q-switched)
Indications | Removal of tattoos
TS 100 1116 EN 24By courtesy of Prof. Dr. D. Cassuto, Milan, Italy
after 1 treatment(Nd:YAG Q-switched 532 nm, 3,5 J/cm2, 2 mm spot)
ATTENTION: During treatment of tattoos/ permanent make-up color change is possible. Test treatment!
Indications | Removal of permanent Make-Up
TS 100 1116 EN 25
before color change
after
By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany
Indications | Removal of permanent Make-Up
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Laser treatment is the only,
almost bloodless and efficient treatment method.
• straightforward procedure
• fast and efficient treatment
• painless treatment
• no scarring
• impressive results
Indications | Removal of pigmented lesions
TS 100 1116 EN 27
After 10 days
immediately after treatment,the skin color is typically white-gray
Indications | Removal of pigmented lesions
TS 100 1116 EN 28By courtesy of Dr. Said Hilton & Heike Heise, Dusseldorf, Germany
Indications | Removal of pigmented lesions
TS 100 1116 EN 29By courtesy of Dr. Patricia Steiner, Germany
after 1 treatment (Ruby Q-switched)
Indications | Removal of pigmented lesions
TS 100 1116 EN 30By courtesy of Dr. Patricia Steiner, Germany
before 3 months after one treatment (Ruby Q-switched)
Indications | Removal of pigmented lesions
TS 100 1116 EN 31By courtesy of Center of Biophysics, Ho Chi Minh City, Vietnam
after 4 treatments
Indications | Removal of pigmented lesions
TS 100 1116 EN 32By courtesy of Center of Biophysics, Ho Chi Minh City, Vietnam
after 4 treatments
Indications | Removal of pigmented lesions
TS 100 1116 EN 33By courtesy of Dr. med. Said Hilton, Düsseldorf, Germany
Indications | Q-switched ruby fractional
TS 100 1116 EN 34By courtesy of Dr. med. Said Hilton, Düsseldorf, Germany
Indications | Q-switched ruby fractional
TS 100 1116 EN 35By courtesy of Dr. med. Said Hilton, Düsseldorf, Germany
Indications | Q-switched ruby fractional
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Clinical results
„Removal of tattoos with q-switched ruby laser (694 nm) and q-switched Nd:YAG laser (532 nm and 1064 nm)”by S. Werner et al. (Hautarzt 1999, 50 :174-180)
Results: 100% brightening rate in 57% of black and 30% of colored non-professional tattoos and in 50% of black and 33% of colored professional tattoos; brightening rates of 70% to 99% in all other patients. Removal of professional tattoos takes more sessions than removal of non-professional tattoos. Removal of colored tattoos requires a number of sessions similar to that for removal of black tattoos.
„Red ink tattoo reactions: successful treatment with the q-switched 532 nm Nd:YAG laser”by F.C. Anthony et al. (Br J Dermatol 2003 ; 149 : 94-98)
Results: Depigmentation of red tattoos after six sessions on average.After six months of follow-up, treated spots were found to be flat and inconspicuous.
„Comparison of the q-switched Alexandrite (755 nm) and q-switched Nd:YAG (1064 nm) lasers in the treatment of benign melanocytic nevi“ by A. Rosenbach et al. (Dermatol Surg 1997; 23:239-245)
Results: Both lasers yield statistically significant improvement of pigmented lesions, as was confirmed by independent observers. Improvement was more pronounced in the case of the alexandrite laser. (Authors discussed possibility for compensation by selecting other energy densities; study used 6 J/cm² for both lasers.). Reflection measurement showed equally good results for both lasers. A significant reduction in epidermal pigments was histologically verified for both lasers after treatment.
„Tattoo removal with the q-switched ruby laser and the q-switched Nd:YAG laser: a comparative study”by V. J. Levine et al. (Cont Med Educ 1995; 55:291-296)
Phase 1: In 17 of 49 professional tattoos – equally good brightening of black professional tattoos.18 cases better @ 694 nm, 4 cases better @ 1064 nm. Ruby laser provides better results,if tattoos is green. Also non-professional tattoos were found to respond better to ruby laser.Phase 2: All red tattoos successfully removed in 1 to 3 sessions using the 532 nm Nd:YAG laser.
Bibliography | Q-switched laser
TS 100 1116 EN 37
Clinical results
„Fractional mode Q-switched Ruby laser for Melasma”
by Dr. Paisal Rummaneethorn, Thailand (2010)
Method: 14 cases of refractory Melasma, Fluence of 2 – 3.5 J/cm2 (in order to prevent photo-thermal reaction,
use of EMLA, Indications: Lentigo senilis, Hori‘s melanosis (Hori Nevus), Freckles, Melasma
Results: - grade 1 improvement (0-25%) – 5 patients, no scarring observed
- grade 2/3 improvement (25 -50%, 50 – 75%) – 7 patients, no scarring observed - 2 patients lost during follow up, 3 cases of post-inflammatory hyper-pigmentation
Conclusion: - Remarkable improvement after a single treatment- optimal effective fluencies still to be investigated in further studies (incl. Biopsies)
„Use of Fractional Q-Switched Ruby Laser Treatment of Facial Lentigines“
by Dr. Ron Moy, Lisa Chipps, UCLA, Los Angeles, USA (2011)
Preliminary results: Facial Lentigines, Fitzpatrick type II, 5 patients with excellent outcome, Significant lightening of lesions
after 1 or 2 treatments, Dermal lesions on types III – IV, results less convincing, expectation that with 4, 5 or 6 treatments results will improve, PIH, Anesthetic is inadequate for superficial lesions, Very good improvements on Becker Nevus, Rapid healing times, Post treatment care is much easier with the Ruby FRx
„Efficacy of 694-nm Q-switched Ruby Fractional Laser Treatment of Melasma in Female Korean Patients“ by Dr. Lee, Gowoonsesang Dermatologic Clinic in cooperation with Chung-Ang University, Seoul (2011)
Method: 15 Korean female patients aged 29–50 years (mean 39 years) with MelasmaConclusion: Treatments provides convincing improvements on superficial pigmentation,
also dermal components of pigmentations (Melasma) respond
Bibliography | Q-switched ruby fractional laser
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