Instruction Material for Intense Pulsed Light IPL350LS-NF Nail Fungus Treatment System

Quick Setup Guide, Treatment Overview & Techniques

In the interest of providing superior equipment, Avance Beauty Industries reserves the right to modify or amend equipment specifications without notice or obligation.

This IPL Machine is Approved For: Nail Fungus Treatment and More.

 Avance Beauty Industries Ltd.

Nail Fungus IPL Treatment Procedure

Begin by having your client soak their feet for 20 minutes in warm water with antimicrobial soap.  This will sterilize the feet and loosen the nail for carbon dye application.  Dermatophytic onychomycosis (commonly called ‘nail fungus’) is highly contagious.  It can be transmitted from toes to fingers and from client to practitioner.  You must always wear gloves when touching infected tissue.  Aggressively scrub the toes with a brush and clean the shin area (where onychomycosis is in high concentration from infected footwear and socks).

Using the special blunt ended syringe carefully slide the micro-tube under the nail as shown.  Inject the carbon dye and saturate the area where the fungal infection is highest.  It is not important for the dye to penetrate all areas as the laser itself will destroy the fungus in these hard to reach areas effectively.  The use of carbon dye amplifies the laser heat and creates a much more effective thermal destruction of the fungus.

IPL Application

Each 10mm square should be treated with five pulses of high power IPL energy (180 jcm2). Use a grid layout as shown below.  Areas that have ample carbon dye only require a single pulse. Areas without carbon dye should be treated with seven pulses per 10mm squared.  Each nail will require 20 to 30 seconds of IPL treatment.  The time to do both feet (all ten nails) is approximately 3 to 5 minutes.

Schedule the client for a follow up in 7 days. For complete destruction of the fungal infection, the entire nail must be allowed to completely grow out (pushing the diseased nail outward and allowing a healthy nail to replace it). This procedure can take up to 6 months.  Treating the client each 7 days is the best protocol as the technician can gauge the results.  Each subsequent treatment session will require substantially less time as healthy nail overtakes the nail bed.

Post Treatment Care

The use of an OTC anti fungal cream should be applied each day.  A 30 day supply has been included with your kit.

Client should discard all old footwear and socks.  The virus lives in these materials and cannot easily be sanitized.  The use of new footwear is the best way to avoid having the fungus return to the nail bed.  Advise the client to wash their feet with soap and water daily.

IPL Startup Procedure

Put on your IPL eyewear before powering up your system.  Wear the eye protection throughout the entire procedure.

Before connecting your IPL instrument to the main system, be sure the key switch is off (counter and indicator LEDs will be off).  Failure to adhere to the start-up procedure may cause damage to your IPL emitter.

Place the IPL head in a secure position POINTED AWAY from you and the client. 

Turn the key lockout switch clockwise to system status IPL ‘Enabled’.  At this time your digital pulse counter readout will show the number of pulses since the last reset.  A bright LED on the instrument will begin flashing.  The flashing blue warning LED means your IPL is now live and extreme care must be exercised while handling to avoid accidental eye-exposure.

Activate the HF ‘Enabled’.  The red and yellow warning indicators will confirm this operation.

Set power level for treatment.  It is recommended to start out on setting 2 then work your way up to 3 if client discomfort is minimal.  The use of a lidocaine pre-treatment spray or an IPL coupling gel reduces discomfort substantially

WARNING:  This IPL instrument emits photon intensity equivalent to an arc welder and many times the intensity of the sun.  It must be handled with great care.  Do not allow person into the treatment room who are not wearing ANSI certified IPL protective eyewear.  In addition, this instrument emits high intensity shortwave radiation which also poses risk to the human eye.  Never treat on the eyes.  The eyelid provides no protection.  IPL and shortwave radiation will pass easily through and may seriously damage the retina and/or lens resulting in loss of vision quality.

Technical Specifications

  Input:  110-240V AC, 4A  Output:  13,000mW (pulsed)  Spectrum:  410-1200nm  UV Radiation:  None  Safety Considerations:  Eye Protection

It is recommended to use the IPL in high pulse mode (setting 3) at all times.  This will allow the technician to deliver single pulses each time the trigger switch is pressed.  If the switch is held down, the IPL driver will deliver a steady series of pulses at approximately 7 per second.  This is the ideal rate for most treatments.

IPL Emitter Port Maintenance

Intense Pulsed Light treatments should be performed on shaved (or waxed) skin.  In photo epilation, the follicle being targeted is about 0.25-0.5cm (1/8 to 1/4 in) below the skin (the follicle and papilla).  To best reach the desired tissue under the skin it is best to remove the hair from the surface of the skin.

If using carbon or photoreactive dyes, remove any excess which may come in contact with the optics using ethyl alcohol. 

For light maintenance use acetone or alcohol on a cotton tip applicator.  For more aggressive cleaning use a sharp blade (scalpel or razor blade) to scrape any carbonized material from the tip.

IPL Control Locations/Feature Descriptions

C.  Pulse Control:  This allows the operator to set the number of IPL/RF pulses per second.

D.   IPL  Jack:  An eight-prong coaxial power jack for the IPL hand piece.

E.  IPL Instrument:  A 13,000mW high intensity pulsed light and high powered RF emitter instrument with thumb switch and counter reset button.  Note: 

F.   Eyewear:  This is an essential part of the treatment process.  Direct or reflective IPL radiation can seriously injure the eye.  Both the technician and the patient must use the protective eyewear while the IPL is enabled or activated.  Eyewear is intended for accidental exposure only.  Never stare directly into an IPL emission.

G.   Carbon Dye:  This is an atomized form of molecular carbon which easily penetrates deeply into the follicle shaft.  The dye adds pigment which gives a receptor for the photon/heat exchange reaction. 

H.   HF (High Frequency):  This switch enables or disables the secondary function HF energy mode to amplify the thermolysis effects of the IPL treatment.

J.    Dermal-Plast:  A special 3.5% lidocaine gel formula to reduce patient discomfort.

K.  Post Treatment Gel:  Anti-androgen formula that reduces the rate of hair re-growth and speeds healing of the skin following IPL treatments.

IPL 350-LS Instrument

The IPL 350-LS comes with a 220jcm2 maximum fluence per second adjustable pulse frequency (fixed pulse duration) instrument for superior operator control.  The addition of high frequency shortwave energy substantially amplifies the thermolysis deep in the tissue for greater intensity and improved results.  RF enhanced IPL treatments enable a greater range of treatments.

Trouble Shooting

Should you encounter technical problems with your IPL 350 system, refer to the following guide for potential problems and the appropriate solution.

—Unit is plugged into the wall, all accessories are correctly inserted into the unit but no IPL output is being registered.

++Check all connections.  Plug and unplug each one being sure all contacts are sound.

++Check all cords.  Due to continual bending and fatigue, wires may fray or break resulting is full loss of power.

—Unit hums or makes abnormal noises. 

++Unit needs servicing.  A clicking sound is normal.

—IPL output is weak.

++Emitter may be obstructed with debris (dried coupling gel, dirt etc.).  Clean thoroughly with a cotton tipped applicator and alcohol.  If the performance of the IPL does not improve after cleaning the head your unit needs servicing by a qualified agent.  Contact technical support for assistance.

—No output from the IPL is registered after all trouble-shooting suggestions listed above have been checked.

IPL Resurfacing and Photo-Rejuvenation

IPL resurfacing is performed using a beam of light energy which vaporizes the upper layers of damaged skin at specific and controlled levels of penetration.  The procedure offers many advantages which others do not have. 

Unlike Microdermabrasion, the IPL penetrates deeply into the dermis where promotion of collagen proteins can be stimulated.  Chemical peels can be very unpredictable and dangerous while an IPL can be dialed in to deliver precisely the right amount of radiation to produce safe and effective results.

All resurfacing treatments work essentially the same way.  First, the outer layers of damaged skin are stripped away.  Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears.

For superficial or medium resurfacing, the IPL can be limited to the epidermis and papillary dermis.  For deeper resurfacing, the upper levels of the reticulas dermis can also be removed.  Varied penetration allows treatment of specific spots or wrinkles.

It's also important to consider the length of recovery when choosing among the skin-resurfacing alternatives.  In general, the more aggressive the resurfacing procedure is, the more prolonged the recovery is likely to be.  "Light" resurfacing procedures, such as superficial chemical peels or superficial IPL resurfacing, offer shorter recovery times. However, these lighter procedures may need to be repeated multiple times to achieve results comparable to those achieved with more aggressive techniques.

General Dermatology

Treatment of additional skin afflictions such as Rosacea, Fine Wrinkles, Sun Damaged Skin, Acne Scars, Age Spots, Large Pores, Acne Prone Skin.

As the IPL goes over the dermis, vascular spaces with hemoglobin in them absorb the light energy thereby heating the surrounding tissue and stimulating the fibroblasts to produce type 1 collagen and dermal proteins.  The treatment rearranges and/or replaces the solar elastosis in the upper dermis, resulting in NEW collagen formation.

What used to be loose, irregular collagen in the dermis is now tighter, refreshed and rejuvenated.

The benefits of each IPL treatment over all other skin rejuvenation procedures include:  Low downtime, non-surgical, little pain and discomfort, immediate results after 1 - 2 treatments, affordable, enhances your own collagen growth, produces more dermal proteins and treats most types of skin.

Treatment Procedure:  Resurfacing and Wrinkle Reduction

Deliver 7 pulses (approximately 220 joules) to each area of 2.5 cm square.  Be very systematic and thorough, but resist the temptation to over treat.  Applying more than 220 joules may burn the skin.  

Figure 1 shows normal sagging and wrinkling of the skin which can be expected as humans age.  Figure 2 shows excellent improvement on a 47 year old female after 6 treatments.

Always use an approved cooling and coupling gel with your IPL treatments.  This will substantially reduce patient discomfort and protect the dermis from excessive thermal retention or damage from heat.  It will also increase the ’translucency’ (rate of which the skin will allow IPL energy to pass through) factor which improves overall results. 

Call your patient back in for a follow up in 48 hours.  Additional treatments may be applied in 7-10 days depending on the level of dermal trauma the patient experience and their rate of healing.

Treatment Procedure:  Rosacea

Apply ‘IPL Spider Vein Treatment Gel’ (see back page of pamphlet for ordering information).  This formula contains activated phylloquinone, which supports healthy regeneration of new capillaries (reducing the recurrence of future Rosacea) by strengthening the capillary walls.

Deliver 5 pulses on high power (approximately 180 joules) to each area of 2.5 cm square.  Be very systematic and thorough but resist the temptation to over treat. 

Figure 1 shows severe late stage Rosacea of a 30 year old male.  Figure 2 shows the substantial improvement achieved with 20 treatments over 24 months.  Spider veins and enlarged capillaries require more treatments overall than most other laser procedures.

Treatment Procedure:  Age Spots

This condition is caused by melanin deposits in the skin which do not fade.  Normal melanin will darken (proliferate) with exposure to sun, but will also fade over 4-6 weeks when the exposure is stopped.  It is most common in the elderly but occurs in all ages.  IPL treatments are remarkably effective for this affliction. 

Apply ‘IPL Wrinkle Treatment Gel’ (see back page of pamphlet for ordering information). 

Deliver 6 pulses (approximately 200 joules) to each area of 2.5 cm square.  Fading of the age spots (also known as ’liver spots’) will be evident after 4-6 weeks. 

Figure 3 shows moderate age spot activity on a 46 year old female.  Note the improvement in figure 4 showing nearly complete regression of the skin disorder.  This patient underwent 3 treatments over 11 weeks.

Treatment Procedure:  Scars

This condition can be caused by any trauma to the skin from acne, sun burn, cuts, scrapes and surgical procedures.  To reduce the appearance of the scar, it will be necessary to rebuild the collagen proteins in the skin with IPL radiation.  This process is extensive (especially in cases where severe scarring exists).  It may take 5-10 treatments over 12 months to achieve desired results.

Apply ‘IPL Scar Reduction Treatment Gel’ (see back page of pamphlet for ordering information).   

Deliver 7 pulses (approximately 220 joules) to each area of 2.5 cm square.  Remember, applying more than 220 joules may burn the skin so this procedure must be done very carefully.   You must deliver the seven pulses in under one second for maximum thermal heat exchange in the tissue (simply hold the trigger switch down).

Figure 5 shows a 28 year old female with acne scarring which was left over from teenage puberty.  There are very deep pocks, which are the hardest to improve.  In figure 6, the appearance of the scars (including the pock) has improved 90%.

Treatment around the eyes must be done with adequate protection.  Exposure to IPL radiation (even through the eye lid) can permanently injure the eyes up to and including vision quality loss. 

Photos are for example purposes only and may not indicate results which will be achieved on every patient.  Medical IPL treatments for dermatology purposes are rated by improvement and not by cure.  Many skin conditions such as Rosacea may return and require future treatments to be controlled.  Advise your patient to expect improvement but caution them as to which degree of improvement they will be able to achieve.

Replacement Parts 1-888-621-4484

IPL Eyewear

Eyewear # D-213-4600 Each $39.95

IPL350 Emitter Tip Replacement

IPL # D-213-6700 Each $79.95

Carbon Dye 50ml

Carbon Dye # P-213-2500 Each $29.95

Carbon Dye 50ml Gel

Carbon Dye # P-213-2505 Each $29.95

IPL Tattoo/Wrinkle Treatment 50ml Gel

Stock # P-216-2500 Each $29.99

IPL Spider Vein Treatment 50ml Gel

Stock # P-216-2600 Each $29.99

IPL Pre Treatment Lidocaine 3.4% 50ml Gel

Stock # P-216-2607 Each $29.99

IPL Nail Fungus Treatment 50ml Gel

Stock # P-216-2509 Each $29.99

IPL Wrinkle Reduction/Skin Toning Treatment 50ml Gel

Stock # P-216-2709 Each $29.99

Prices are subject to change without notification.  To order on-line, go to

http://www.centre-biotechnique-avance.com

For technical assistance beyond what this manual provides, please e-mail

support@centre-biotechnique-avance.com

 Please allow 24 hours for processing.

The IPL 350-LS produces IPL radiation which can be harmful to the eyes.  Always wear protective eyewear while operating this equipment.  Intense Pulsed Light has the capability to burn the skin if the technician does not closely observe the patient’s reaction to the procedure.  IPL treatments will result in destruction of hair follicles and is irreversible.  Always plan ahead before undertaking detail work such as eyebrow shaping or hairline contouring.  Patch test a small area (no larger than 1cm by 1cm square) before full application.  Allow 24 hours to determine the patient’s reaction before applying full treatment.