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INSTRUCTIONAL MANUAL

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1. Sweep High Beat Frequency Beat L 1 Beat H Hz Output Intensity 0 100 mA CC at 1k ohm load 0 100 V CV at 1k ohm load Treatment time 1 60 minutes ExcellaWave TENS AND EMS MODE RUSSIAN MODE Cycle time cycle Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Ramp time Ramp 2 seconds Waveform Type Mono or Bi phasic square Mode Selection CC Constant Current or CV Constant Voltage Frequency T 250 HZ Frequency Modulation F M 0 249Hz Burst rate Burst 0 10Hz 7 pulse Phase duration PDur 30 400us Amplitude Modulation A M 0 100 Output Intensity 0 100 mA CC at 1k ohm load 0 100 V CV at 1k ohm load Cycle time Cycle Continuous 4 4 4 8 7 7 5 5 4 12 10 10 10 20 10 30 10 50 Treatment time 1 60 minutes Ramp time 1 second Waveform Type Bi phasic square Mode Selection CC Constant Current or CV Constant Voltage Carrier Frequency C F 2 5kHz Burst frequency Freq 20 100 Hz Output Intensity 0 100 MA CC at 1k ohm load 0 100 V CV at 1k ohm load Duty cycle 10 20 30 40 and 50 Cycle time Continuous 5 5 4 12 10 10 10 20 0 30 10 50 Treatment time 1 60 minutes Ramp time S 2s and 5s 10 STORAGE T DISPOSAL IZ EMC TABLE DermaMed solutions Caut
2. CONTRAINDICATIONS 6 Accutane use within one or two years assessment made by physician o Pregnancy or lactation 6 Anyone with an infectious disease 6 Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment high potenC serum collagen renewal C reme and argan boost FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments Excellawave Stretch Mark Management Protocol PROBLEMS Persisten stretch marks on the body TREATMENT AREA Body GOAL Revise the appearance of stretch marks on the body and improve the texture of the skin MEGAPEEL EX MICRODERMABRASION SETTING Silver hand piece 45 60 kPa with clear divided tip on new stretch marks Gold hand piece 50 65 kPa with gold tip on older stretch marks EXCELLAWAVE ULTRASOUND E STIM SETTING P 09 for 7 minutes You will need the following products 6 botana gel cleanser with green tea MegaPeel EX Microdermabrasion System 6 bio repair oxygen spray 6 derma renewal gel C ExcellaWave Ultrasound E Stim System antiox C serum silicone treatment strip r daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse and remove m
3. thrombosis emboli and severe atherosclerosis Tissues previously treated by deep x ray or other radiation should not be exposed to therapeutic ultrasound Ultrasonic treatment over the stellate ganglion the spinal cord after laminectomy subcutaneous major nerves and the cranium should be avoided Do not treat ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result Do not apply therapeutic ultrasound over a healing fracture Ultrasound should not be applied over the epiphyseal areas bone growth centers of the bones of growing children 2 4 CONTRA INDICATIONS FOR ELECTRICAL STIMULATION 2 5 WARNINGS FOR ELECTRICAL STIMULATION DermaMed solutions Do not use this device on patients who have a cardiac pacemaker implanted defibrillator or other implanted metallic or electronic device because this may cause electric shock burns electrical interference or death Do not use this device on patients whose pain syndromes are undiagnosed Do not apply stimulation over the patient s neck because this could cause severe muscle spasms resulting in closure of the airway difficulty in breathing or adverse effects on heart rhythm or blood pressure Do not apply stimulation across the patient s chest because the introduction of electrical current into the chest may cause rhythm disturbances to the pati
4. 0 369 0 369 0 738 1 1 167 1 167 2 339 10 3 689 3 689 7 379 100 11 667 11 667 23 333 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W accordable to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHZ the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 13 SYMBOLS e O ON OFF Switch Mea Power polarity e Type BF Applied Part amp Refer to Instruction Manual a Disposal in accordance with Directive 2002 96 EC Equipment capable of delivering output values in excess of 10 mA r m s or 10V r m s averaged over any period of 5 s QD Stop treatment B I Start Pausethetreatment IPX7 Protected against the effects of immersion for the whole ultrasound treatment head Serial Number ExcellaWave PROFESSIONAL PROCEDURE PROTOCOLS Anti Aging R genique Protocol PROBLEMS Dryness fine lines wrinkles discoloration TREATMENT AREA Face d collet amp hands GOAL Even skin tone hydrate diminish fine lines increase circulation MEGAPEEL EX MICRODERMABRASION SETTING MegaPeel EX should be
5. DermaMed solutions gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off 6 antiox C serum Immediately apply a generous amount of antiox C serum all over the area being treated 7 silicone treatment strip After application of vitA clear serum place the silicone treatment strip on the area being treated 8 Cover Apply a warm steamed towel over silicone to ensure complete molding on the skin Leave the mask on for 7 10 minutes 9 Remove With the steamed towel used in treatment remove any remaining product on the skin 10 bio repair spray Spray bio repair oxygen spray generously on the area treated 11 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection and mineral makeup CONTRAINDICATIONS ry Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation 6 Anyone with an infectious disease Open sores suspicious lesions or basal cell carcinoma Always refer to a physician Silicone and saline breast implants AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment 6 argan boost serum C difference vitamin C lotion and collagen renewal C reme FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave R genique Treatment
6. PEN ULTRASOUND This will begin the 5 minute treatment countdown Using electrical stimulation Channel 2 increase the E stim output intensity to the determined patient comfort level Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off antiox C serum Immediately apply a generous amount of antiox C serum all over the client s face silicone treatment mask After application of antiox C serum place the silicone treatment mask on clients face and mold the silicone over entire face 8 Cover Apply a warm steamed towel over silicone to ensure complete molding on the skin making sure that client is able to breathe comfortably Leave the mask on for 7 10 minutes 9 Remove With the steamed towel used in treatment remove any remaining product on the skin 10 bio repair spray Spray bio repair oxygen spray generously on the area treated 11 antiox C serum Follow with a layer of antiox C serum allowing it to dry for 2 minutes 12 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection and mineral
7. The ExcellaWave can provide electrical stimulation ultrasound therapy or combination therapy This manual has been written for the users of ExcellaWave It contains general information on the operation precautionary practices and maintenance information In order to maximize its use efficiency and the life of the system please read this manual thoroughly and become familiar with the controls as well as the accessories before operating the system Keep yourself informed of the contraindications Read understand and practice the warnings cautions and operating instructions Know the limitations and hazards associated with using any device Observe the precautionary and operational decals placed on the unit Always follow the operating instructions prescribed by your healthcare practitioner DO NOT operate this unit in an environment where other devices are being used that intentionally radiates electromagnetic energy in an unshielded manner DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel 2 2 WARNING DermaMed solutions Inspect Applicator cables and associated connectors before each use This device should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary this machine should be observed to verify normal operation in the configuration in which it will be used This device needs special precauti
8. and remove makeup 2 MegaPeel EX Microdermabrasion Procedure When conducting a MegaPeel microdermabrasion treatment it is advised to make two 2 passes over the skin The first pass should treat the entire face vertically and the second pass should treat the face horizontally It is very important to pull the skin taut in the area being treated The skin should be pulled in the same direction the hand piece is moving Slowly glide the hand piece over the skin back and forth over the area After treatment is complete dust skin free of any particles 3 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze ExcellaWave US E Stim Prepare the patient for treatment by inserting the lead with the Red electrode connector into one adhesive electrode Insert the other red pin at the loose end of the electrode wire into the red chacnnel electrical stimulation cable Place the electrode on the patient s shoulder di Sa Insert the other red pin at the loose end of the electrode wire into the electrode Place the electrode on the patient s shoulder TEST PATIENT COMFORT LEVEL Turn on the ExcellaWave system After 5 beeps push B1 waveform mode until Ultrasound head and 2 electrodes are displayed Next press B2 program CC CB until P on
9. fan brush or gauze ExcellaWave US E Stim Prepare the patient for treatment by inserting the lead with the Red electrode connector into one adhesive electrode Insert the other red pin at the loose end of the electrode wire into the red chacnnel electrical stimulation cable Place the electrode on the patient s shoulder di Sta Insert the other red pin at the loose end of the electrode wire into the electrode Place the electrode on the patient s shoulder TEST PATIENT COMFORT LEVEL Turn on the ExcellaWave system After 5 beeps push B1 waveform mode until Ultrasound head and 2 electrodes are displayed Next press B2 program CC CB until P on screen begins to flash Then use Parameter toggle to select P 02 Using Ultrasound output intensity control knob increase ultrasonic output to 3 W cm ULTRASOUND 6 Using electrical stimulation Channel 2 increase the E stim output intensity Va N a o ELECTRICAL STIMULATION Begin at 4 Volts and work up until they feel sensation When you have established the patient s e stim comfort decrease Ultrasound output intensity and E stim output intensity back to 0 which will reset the timer Once you have determined the patient s level of comfort take note of the Electrical Stimulation Volt Setting BEGIN TREATMENT Be sure that Program 2 combination setting is selected It should read as follows P 02 with EMS CV Using Ultrasound output inte
10. makeup CONTRAINDICATIONS r Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation 6 Anyone with an infectious disease eo Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment dmSkincare s anti aging kit FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave PROFESSIONAL PROCEDURE PROTOCOLS Hyperpigmentation R genique Protocol PROBLEMS Hyper pigmentation uneven skin tone post inflammatory pigmentation from acne or sun damage TREATMENT AREA Face neck d collet amp hands GOAL Even skin tone and reduce hyperpigmentation MEGAPEEL EX MICRODERMABRASION SETTING The MegaPeel EX should be set to approximately 45 50 kPa using the clear divided tip EXCELLAWAVE ULTRASOUND E STIM SETTING P 02 combo for 5 minutes You will need the following products 6 botana gel cleanser with green tea 6 MegaPeel EX Microdermabrasion System 6 bio repair oxygen spray C derma renewal gel 6 ExcellaWave Ultrasound E Stim System 6 clari tone serum KJ silicone treatment mask o daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse
11. one no yes Ifyes when Define procedure s Medication circle one no yes If yes what kind s Any health problems circle one no yes If yes explain Any allergic reactions to medication circle one no yes If yes describe Do you have any allergies circle one no yes Do you suntan circle one no yes Do you use sunscreen circle one no yes Please name the brand of products you are currently using Cleanser Toner Moisturizer Scr ub Mask Buff Puff Other Have you ever used Retin A circle one no yes If yes what strength Have you ever been treated with Phenol or Trichloracetic acid circle one no yes Have you ever used Hydroquinone skin lightener circle one no yes Have you ever been on Accutane circle one no yes Ifyes when Have you ever had herpes hives cold sores fever blisters keloids Circle all that apply If yes when How would you characterize your skin circle one Sensitive Rough Dry Oily Acne prone Ifyou had one complaint about your skin what would it be Describe your skin in three words Additional comments concerns DermaMed solutions Regenique Treatment Notes Today s Date Treatment Date of Last Treatment Examined client s skin and observed the following Cleansed client s skin with Prepared the skin for microdermabrasion with Pre peel pad or solution Allowed skin to cir
12. rash Be sure to inspect the treatment area during and following treatment and discontinue if an adverse reaction does occur Coupling is described as contact between the applicator and the treatment site and may be accomplished through the use of a coupling agent such as gel lotion Anything used as a coupling agent must be highly conductive Air is a very poor conductor of ultrasonic waves Therapeutic Ultrasound Application of therapeutic deep heat for the treatment of selection sub chronic and chronic medical conditions such as 1 Pain relief muscle spasms and joint contractures 2 Relief of pain muscle spasms and joint contractures that may be associated with Adhesive capsulitis Bursitis with slight calcification Myositis Soft tissue injuries Shortened tendons due to past injuries and scar tissues 3 Relief of sub chronic chronic pain and joint contractures resulting from Capsular tightness Capsular scarring For TENS Interferential and premodulated IFC Symptomatic relief of chronic intractable pain Reduction of inflammation Post traumatic acute pain and edema Post surgical acute pain and edema pay WN ExcellaWave Additionally for EMS and Russian Am FF WN gt Relaxation of Muscle spasms and edema reduction Prevention of disuse atrophy Increasing local blood circulation Muscle re education Maintaining or increasing range of motion Immediate postsurgical stimul
13. screen begins to flash Then use Parameter toggle to select P 02 Using Ultrasound output intensity control knob increase ultrasonic output to 3 W cm ULTRASOUND Using electrical stimulation Channel 2 increase the E stim output intensity 6 Fi PROFESSIONAL PROCEDURE PROTOCOLS 6 DermaMed sowtions an 2 N ELECTRICAL STIMULATION TEN Begin at 4 Volts and work up until they feel sensation When you have established the patient s e stim comfort decrease Ultrasound output intensity and E stim output intensity back to 0 which will reset the timer Once you have determined the patient s level of comfort take note of the Electrical Stimulation Volt Setting BEGIN TREATMENT Be sure that Program 2 combination setting is selected It should read as follows P 02 with EMS CV Using Ultrasound output intensity control knob increase ultrasonic output to 3 W cm2 ULTRASOUND This will begin the 5 minute treatment countdown Using electrical stimulation Channel 2 increase the E stim output intensity to the determined patient comfort level Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps
14. than 25 0cm Stimulation is ineffective Improper electrode Unknown Reposition electrode Contact clinician E1 or E2 displays on LCD E3 displays on LCD Hardware problem Temperature sensor failure E4 displays on LCD Detected the device over limitative temperature Restart the device ifthe problem is still exist please contact the manufacturer or distributor The device will stop treatment automatically please wait several minutes before using again E5 displays on LCD Memorizer failure is detected Restart the device if the problem is still exist please contact the manufacturer or distributor ExcellaWave y SPECIFICATIONS 9 1 GENERAL SPECIFICATIONS 9 2 ULTRASONIC GENERATOR SPECIFICATIONS Adapter supply voltage 100V 240V 47Hz 63Hz 1 35A Adapter output 15V 3A Max Adapter Dimensions Dimensions 143mm L 73mm W 40mm H 250mm L 185mm L 82mm H Operating Environmental Temperature 10 C 50 F to 40 C 104 F Relative humidity 30 85 Storage Environmental Temperature 20 C 4 F to 55 C 131 F Relative humidity 20 90 Maximum Treatment Time 60 minutes electrical stimulation Timer Accuracy 3 Classification of protection against electric shock Class medical equipment Classification of applied part Type BF F
15. CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment 6 argan boost serum collagen renewal C reme FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave Post Acute Liposuction Edema Protocol PROBLEMS Acute sub acute edema tenderness and bruising from Liposuction up to 2 weeks post op TREATMENT AREA Face and body GOAL Reduce edema amp bruising Lymphatic drainage MEGAPEEL EX MICRODERMABRASION SETTING No microdermabrasion treatment is performed EXCELLAWAVE ULTRASOUND E STIM SETTING For face P 07 Ultrasound for 7 minutes For body P 08 Ultrasound for 7 minutes You will need the following products CJ botana gel cleanser with green tea 6 bio repair oxygen spray r derma renewal gel 6 ExcellaWave Ultrasound E Stim System 6 daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse 2 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess 3 derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze 4 ExcellaWave US Turn on the ExcellaWave system After 5 beeps press B1 until you see the Ultrasound icon A 7 da N ULTRASOUND FOR
16. CONSENT FORM voluntarily request that and such associates as deemed necessary provide me with a Microdermabrasion and an Ultra Sound Electrical Stimulation treatment called R genique acknowledge having been informed that this procedure is intended to remove fine surface skin and improve the vitality and smoothness of the skin understand that my provider of this procedure may discover conditions which may require additional procedures have discussed this with my technician and authorize incremental procedures as advised to accomplish optimum results understand the outcome of this procedure may vary from patient to patient Although improvement results with this procedure range from 40 90 on overage there is no specific guarantee realize that the risks may include slight redness irritation or a slight burning sensation after the Microdermabrasion procedure The skin may remain somewhat red or irritated for up to 48 hours after the procedure understand that the Microdermabrasion procedure uses Aluminum Oxide Crystals which is a safe abrasive realize that the Ultrasound Estim procedure cannot be performed near or over the heart over eyes on pregnant women over the spinal column over carotid sinus area over any diagnosed undiagnosed skin lesions on patients with pacemakers on swollen infected or inflamed areas or on a client patient with suspected or diagnosed epilepsy realize that the risks may includ
17. ExcellaWave INSTRUCTIONAL MANUAL www dermamedsolutions com ExcellaWave This manual is valid for the ExcellaWave This user manual is published by DermaMed Solutions LLC DermaMed Solutions LLC reserves the right to improve and amend it at any time without prior notice Amendments may however be published in new editions ofthis manual All Rights Reserved Rev V1 0 2013 Declaration of conformity DermaMed Solutions LLC declares that the complies with following normative documents ExcellaWave IEC60601 1 IEC60601 1 2 IEC60601 2 10 ISO 7010 1S014971 1SO010993 1 1S010993 5 1S010993 10 10 ILA 12 13 14 CONTENTS FOREWORD SAFETY INFORMATION INDICATIONS FOR USE PRESENTATION INSTALLATION OPERATION MAINTENANCE TROUBLESHOOTING SPECIFICATIONS STORAGE DISPOSAL EMC TABLE WARRANTY SYMBOLS 11 13 15 17 47 48 50 53 53 53 60 61 ExcellaWave I FOREWORD 1 1 GENERAL INFORMATION 1 2 INTRODUCTION TO THIS MANUAL Zi SAFETY INFORMATION 2 1 CAUTION Thank you for purchasing the ExcellaWave The microprocessor controlled ExcellaWave provides interferential 4 pole premodulated 2 pole interferential medium frequency Russian EMS and TENS waveforms You can choose between several different amplitude modulation options The interferential and premodulated modes offer frequency modulation as well as a static frequency option
18. FACE Press B2 until P flashes Rotate the Paramaters Knob until you see Program 07 LX pill Using Ultrasound output intensity control knob increase ultrasonic output to 05 W cm This will begin the 7 minute treatment countdown AN ULTRASOUND FOR BODY Press B2 until P flashes Rotate the Paramaters Knob until you see Program 08 FX pill Using Ultrasound output intensity control knob increase ultrasonic output to 1 0 W cm This will begin the 7 minute treatment countdown 779 Pe o ULTRASOUND BEGIN TREATMENT Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off Remove With the steamed towel used in treatment remove any remaining product on the skin 6 bio repair spray Spray bio repair oxygen spray generously on the area treated 7 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection for any areas exposed to the sun CONTRAINDICATIONS Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation 6 Anyone with an infectious
19. RECOMMENDED PROGRAM MegaPeel EX treatment every 7 to 14 days for a series of 6 8 treatments Maintenance treatments every 4 to 6 weeks Immediately after each treatment daily eclipse sunscreen CLARIFYING ROUTINE In the morning cleanse the face recommended repair bar After cleansing apply green tea toner with a cotton pad Keep out of eyes Apply sunscreen recommended daily eclipse At night cleanse skin recommended botana gel cleanser and pat dry Apply a pea size amount of vitA clear serum to the face Keep out of eye area Allow to dry for two 2 minutes before applying a dime size amount of AHA salicylic solution to the face Keep out of eye area DO NOT SPEND TIME IN THE SUN IF YOU ARE USING RETINYL PRODUCTS DermaMed solutions LIGHTENING ROUTINE TREATMENT SCHEDULE Hyperpigmented and Uneven Toned Skin Name DATE TIME RECOMMENDED PROGRAM MegaPeel EX treatment every 7 to 14 days for a series of 6 8 treatments Maintenance treatments every 4 to 6 weeks Immediately after each treatment daily eclipse sunscreen LIGHTENING ROUTINE In the morning cleanse the face recommended botana gel cleanser with green tea Apply a dime size amount of C difference and follow with sun protection recommended daily eclipse At night apply pea size amount of clari tone serum and allow to dry for two 2 minutes Follow with a dime size application of AHA salicylic solu
20. ake sure the electrodes are placed firmly to the skin and make good contact between the skin and the electrodes Place the electrodes over the skin attach them properly firmly and evenly Caution 1 Before applying the self adhesive electrodes it is recommended to wash and degrease the skin and then dry it 2 Do not turn on the device when the electrodes are not positioned on the body 3 Never remove the self adhesive electrodes from the skin while the device is still turns on 4 It is recommended that at minimum 50mm x 50mm self adhering based square electrodes are used at the treatment area If used for delivery of electrotherapy there are two conductive mediums for you to select the first one is use electrode sponges as conductive mediums another is use other conductive medium such as Transmission Gel DermaMed solutions ExcellaWave 7 MAINTENANCE 7 1 CLEANING OF THE DEVICE 7 2 CLEANING THE ELECTRODES 7 3 CLEANING THE LEAD WIRES AND CABLES 7 4 MAINTENANCE DermaMed solutions Switch off the device and disconnect it from the power supply The apparatus can be cleaned with a damp cloth Use lukewarm water and a non abrasive liquid household cleaner no abrasive no alcohol content solution If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner ZN Caution Do not submerse the apparatus in liquids Should the unit accidentally
21. akeup 2 MegaPeel EX Microdermabrasion Procedure Dry the skin thoroughly prior to treatment Make 2 passes over the skin Treat the scar vertically the first time horizontally the second time Pull the skin taut in the same direction the hand piece is moving as you treat in that area Slowly glide the hand piece over the skin back and forth over the area Microdermabrade the surrounding areas of the scar to ensure blending Dust any particles off the skin 3 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze ExcellaWave US Turn on the ExcellaWave system After 5 beeps press B1 until you see the Ultrasound icon A da N ve ULTRASOUND Press B2 Rotate the Paramaters Knob sing the until you see Program 09 ULTRASOUND Using Ultrasound output intensity control knob increase ultrasonic output to 1 0 W cm This will begin the 7 minute treatment countdown AA pill BEGIN TREATMENT Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator
22. aratus to the power supply check that the voltage and frequency stated on the rating label match with the available power supply The power adapter is a part of the supply circuit on which the device s safety partly depends The approvals for ExcellaWave are only valid if used in combination with this type of adapter Switch on the device using ON OFF switch 00 Switch off the device by switching the ON OFF switch from to position Pull out the power adapter from the wall socket Pull out the power adapter from device Ensure there are no contraindications to treatment Inspect the treatment area skin seriously for any abrasions inflammation surface veins etc Clean the skin of the treatment area with soap or alcohol 70 If the skin is hairy shaving can get optimal treatment 5 3 SWITCHING ON 6 1 2 ELECTRODE PLACEMENT 6 1 3 ADHESIVE ELECTRODES A DermaMed solutions Test the heat sensibility of the treatment area Examine the skin for any wounds and clean the skin Apply the electrodes to the treatment area Ensure that the electrodes are applied securely to the skin Ensure good contact between each electrode and the skin Check the electrode contact regularly during the treatment Examine the skin again after the treatment Choose electrodes that fit the anatomy Follow electrode manufacturer s instructions To avoid skin irritation due to high current d
23. ation of calf muscles to prevent venous thrombosis 4 PRESENTATION 4 1 PANEL FOR FRONT VIEW Sec OO o de E BBG BRA i BBE BEB Be BEBE 188 B7 Select channel 1 or adjust the output intensity of channel 1 Select channel 2 or adjust the output intensity of channel 2 Parameters control knob and pause button Stop treatment button Power indicator LCD display Shows the current information of the device Eight parameters selection buttons see below for details B1 Toggle the therapeutic mode Electrical stimulation Ultrasound therapeutic or Combo therapeutic B2 Toggle the therapeutic program select the output mode CC CV or switch program types Common or professional B3 Toggle the parameter F M Vector Burst B4 Toggle the parameter Freg C F B5 Toggle the parameter Duty Beat H A M B6 Toggle the parameter Beat L PDur B7 Toggle the parameter Treat Cycle Ramp B8 Toggle the parameter Freaq Duty for ultrasound ExcellaWave Symbols CC Constant current output mode CV Constant voltage output mode FM Frequency Modulation Burst Burst Frequency Freq Frequency CF Carrier Frequency Duty Duty Cycle for Russian waveform for B5 button Beat L Sweep Low Beat Frequency PDur Pulse Duration Treat Treatment time Cycle Cycle time Ramp Ramp tim
24. become submersed contact the dealer or Authorized Service center immediately Do not attempt to use a system that has been wet inside until inspected and tested by a Service Technician Certified by Authorized Service center Do not allow liquids to enter the ventilation holes Apply the protective backing to the tacky side of the electrode Place the electrode on the side of the protective backing that is labeled with the word on It may be helpful to improve repeated application by spreading a few drops of cold water over the adhesive and turn the surface up to air dry Over Saturation with water will reduce the adhesive properties Between uses store the electrodes in the reusable bag in a cool dry place ZN Caution The electrodes are intended for single patient use only Ifirritation occurs discontinue use and consult your clinician Always use the electrodes with CE mark or are legally marketed in the US under 510 K procedure Periodically wipe the lead wires clean with a cloth dampened in a mild soap solution and then gently wipe them dry Use of rubbing alcohol on the lead wires will damage the insulation and dramatically shorten their life Maintenance and all repairs should only be carried out by an authorized agency The manufacturer will not be held responsible for the results of maintenance or repairs by unauthorized persons Opening of the equipment by unauthorized agencies is not allowed and will te
25. cle one Airdry Fan dry Cloth dry Determined the hand piece to be used circle one Gold Silver Determined the tip to be used circle one Gold Blue Clear divided Determined the vacuum power by occluding the tip vacuum power used Determined crystal flow by turning the crystal regulating knob full revolutions down from full crystal flow Tested vacuum power on client s mid forehead results i e Slight redness pin point bleeding excoriation scratch If above results were more or less than desired re adjustment of vacuum power and or crystal flow were performed as follows Proceeded with microdermabrasion treatment use facial chart to record vacuum power crystal flow hand piece and tip used making two passes in opposite directions on the following areas for face Right forehead Left forehead Right temple area Left temple area Right cheek area Left cheek area nose chin Turned the vacuum power down to to microdermabrade the right eye area left eye area right side of neck mid neck and left side of neck R genique Protocol Performed Post microdermabrasion treatment Removed any excess crystal residue Sprayed with mineral water or wiped with damp cotton Cleansed with name of product Applied 1 Hydrocortisone if skin appeared very irritated yes no Moisturized with name of product Applied mineral sunscreen of at least 30 SPF yes no Handed client written post treatment p
26. disease 6 Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment high potenC serum collagen renewal C reme and argan boost FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave Acute Post Surgical Edema Protocol PROBLEMS Acute sub acute edema tenderness and bruising from Liposuction up to 2 weeks post op TREATMENT AREA Face and body GOAL Reduce edema swelling amp bruising Lymphatic drainage MEGAPEEL EX MICRODERMABRASION SETTING No microdermabrasion treatment is performed EXCELLAWAVE ULTRASOUND E STIM SETTING For face P 07 Ultrasound for 7 minutes For body P 08 Ultrasound for 7 minutes You will need the following products botana gel cleanser with green tea o bio repair oxygen spray J derma renewal gel ExcellaWave Ultrasound E Stim System C daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse 2 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess 3 derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze 4 ExcellaWave US Tur
27. e Duty Duty Cycle for Ultrasound for B8 button Freaq Frequency for ultrasound Ultrasound output intensity control knob Adapter receptacle 0 ON OFF switch 1 Output connector connect with ultrasound applicator 2 Output connector connect with electrical stimulation cable 8 9 1 1 1 O III Jew III rota A_N AIA ins recto III er Oe ee GIGI et I DOD sten Daaf Dual Daha 13 ALII PLO I DI Di ICI ICI cme Crete MON s NUN ero CNIT nS o jt Duty ry DermaMed solutions IFC Interferential IFC Premodulated IP4P Traditional 4 Pole IF 2P Traditional 2 Pole Electrical Stimulation Electrical output 8 8 0 paese VINOY Ultrasound therapeutic Combination therapy Eee Th ti S Ultrasound output y erapeutic program A ca TARA O indicato CC Constant current control Batt Parameter Constant Voltage Time indicator CV g control 5 INSTALLATION 5 Remove the equipment and all accessories from shipping carton and BEFORE USE giftbox ExcellaWave 5 2 CONNECTION OF THE POWER ADAPTER 5 4 SWITCHING OFF AND DISCONNECT POWER ADAPTER 6 OPERATION 6 1 MEASURES WITH REGARD TO TREATMENTS 6 1 1 ELECTROTHERAPY BEFORE THE TREATMENT Connect the power cord to the power adapter Connect the power adapter to the device connector Connect the power adapter to a wall socket Caution Prior to connecting this app
28. e periosteal pain as a result of excess intensity of electrical stimulation and that untrained use of equipment may cause damage to the skin tissue have received complete instructions on my pre procedure and my post procedure protocols have not received any alcohol or medication before signing this consent certify that have read and understand the above consent form that have been given the opportunity to discuss all my questions and have received satisfactory answers hereby consent to the R genique procedure This document supersedes any previous verbal or written disclosure PRINT NAME ADDRESS SIGNATURE DALE C DermaMed solutions ExcellaWave Treatment CONSENT FORM voluntarily request that and such associates as deemed necessary provide me with an Ultrasound Electrical Stimulation procedure acknowledge having been informed that this procedure is intended to enhance the vitality and smoothness of the skin understand that my provider of this procedure may discover conditions which may require additional procedures have discussed this with my physician technician and authorize incremental procedures as advised to accomplish optimum results understand that the outcome of this procedure may vary from patient to patient Although improvement results with this procedure range from 10 85 on average there is no specific guarantee realize that this procedure cannot be p
29. ectromagnetic flicker emissions IEC 61000 3 3 Emissions test Compliance 3 environment guidance RF emissions The ExcellaWave device CISPR 11 uses RF energy only for its internal function Therefore Gioi its RF emissions ale very low and are not likely to cause any interference in nearby electronic equipment RF emissions Casp The ExcellaWave device CISPR11 is suitable for use in all Harmonic establishments other than emissions Class A domestic and those directly IEC 61000 3 2 connected to the public Voltage low voltage power supply fluctuations network that supplies Applicable buildings used for domestic purposes DermaMed solutions The ExcellaWave device is intended for use in the electromagnetic environment specified below The customer or the user of the ExcellaWave should assures that it is used in such an environment Electromagnetic Immunity IEC 60601 Compliance environment test test level level guidance Floors should be wood concrete or Electrostatic ceramic tile If floors 6 kV 6 kV discharge are covered with contact contact ESD IEC synthetic material 8 kV air 8 kV air i Rs 61000 4 2 the relative humidity should be at least 30 Electrical Mains power qualit 2 kV for 2 kV for AE fast transient oa satin should be that of a burst IEC i i sa typical commercial or supply lines lines 61000 4 4 hospital enviro
30. ed solutions POST TREATMENT SENSITIVE ROUTINE TREATMENT SCHEDULE Post Treatment Irritated Skin amp Rosacea Name DATE TIME RECOMMENDED PROGRAM MegaPeel EX treatment every 7 to 14 days for a series of 6 8 treatments Maintenance treatments every 4 to 6 weeks Immediately after each treatment daily eclipse sunscreen POST TREATMENT ROUTINE In the morning cleanse the face using the gentle cleansing bar Create a lather with water then apply to skin and gently cleanse with fingertips Rinse well May also be used in evening Apply a small amount of argan boost serum to skin adding water and smooth over face keeping out of tear ducts and away from lash line may be used under eyes on lips and throat For temporary relief of itching discomfort inflammation and rashes that might be due to stimulating facial products or treatments apply liberal amount of derma renewal gel as needed for soothing and moisture Keep out of eye area DO NOT SPEND TIME IN THE SUN IF YOU ARE USING RETINYL PRODUCTS
31. ensity do not use electrodes smaller in surface area than 25cm2 self adhesive electrode Caution Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Output current density is related to electrode size Improper application may result in patient injury If any question arises as to the proper electrode size consult a licensed practitioner prior to therapy session Powered muscle stimulators should be used only with the leads and electrodes recommended by the manufacturer This device is supplied with 4 pieces 5 0mmx50mm and 4 pieces 50mmx100mm adhesive electrodes You can select the right adhesive electrodes according to treatment area and output current density It is recommended that manufacturer s Electrodes be used whenever possible to ensure the highest level of contact with the treatment area and most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used Electrodes upon completion of the therapy session If you are unsure of your electrode adhesive properties order new replacement electrodes Replacement electrodes should be re ordered through or on the advice of your physician to ensure proper quality Apply electrodes to the exact site indicated by your physician or therapist before applying electrodes be sure the skin surface over which ExcellaWave electrodes are placed is thoroughly cleaned and dried M
32. ent s heart which could be lethal Do not apply stimulation over open wounds or rashes or over swollen red infected or inflamed areas or skin eruptions e g ohlebitis thrombophlebitis varicose veins Do not apply stimulation over or in proximity to cancerous lesions Do not apply stimulation in the presence of electronic monitoring equipment e g cardiac monitors ECG alarms which may not operate properly when the electrical stimulation device is in use Do not apply stimulation when the patient is in the bath or shower Do not apply stimulation while the patient is sleeping and Do not apply stimulation while the patient is driving operating machinery or during any activity in which electrical stimulation can put the patient at risk of injury Consult with the patient s physician before using this device because the device may cause lethal rhythm disturbances to the heart in susceptible individuals and Apply stimulation only to normal intact clean healthy skin This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed ExcellaWave 2 6 PRECAUTIONS FOR THERAPEUTIC ULTRASOUND Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus If a patient has a history of deep vein thrombosis even man
33. erformed near or over the heart over eyes on pregnant women over the spinal column over cartoid sinus area over any diagnosed undiagnosed skin lesions on patients with pacemakers on swollen infected or inflamed areas or on a client patient with suspected or diagnosed epilepsy realize that the risks may include periosteal pain a sharp pain as a result of excess intensity and excessive doses of Ultrasound Electrical Stimulation may cause damage to the skin tissue have received complete instructions on my pre procedure and my post procedure protocols certify that have read and understand the above authorization consent form have been given the opportunity to discuss all my questions and have received satisfactory answers have not received any alcohol or medication before signing this consent certify that have read and understand the above consent form that have been given the opportunity to discuss all my questions and have received satisfactory answers hereby consent to the Ultrasound Electrical Stimulation procedure This document supersedes any previous verbal or written disclosure PRINT NAME ADDRESS SIGNATURE DATE ExcellaWave Skin Care Questionnaire Date Name Birthdate Address City State Zip Home Phone Work Phone Referred by PERSONAL DATA Smoker circle one no yes Pregnant circle one no yes Cosmetic surgery circle
34. icrodermabrasion Procedure When conducting a MegaPeel microdermabrasion treatment it is advised to make two 2 passes over the skin The first pass should treat the area being treated vertically and the second pass should treat the area being treated horizontally It is very important to pull the skin taut in the area being treated The skin should be pulled in the same direction the hand piece is moving Slowly glide the hand piece over the skin back and forth over the area After treatment is complete dust skin free of any particles bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess 4 derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze ExcellaWave US Turn on the ExcellaWave system After 5 beeps press B1 until you see the Ultrasound icon A 7 da N ve ULTRASOUND FOR FACE Press B2 until P flashes Rotate the Paramaters Knob until you see Program 07 LX Pill Using Ultrasound output intensity control knob increase ultrasonic output to 05 W cm This will begin the 7 minute treatment countdown we ULTRASOUND FOR BODY Press B2 until P flashes Rotate the Paramaters Knob until you see Program 08 A Pill Derma Med solutions Using Ultrasound output intensity control knob increase ultrasonic output to 1 0 W cm gt This will begin the 7 mi
35. ion This device has been thoroughly tested according to tested and inspected to assure proper performance and operation For a prolonged pause in treatment store the device with the adapter in a dry room and protect it against heat sunshine and moisture Store the machine in a cool well ventilated place Never place any heavy objects on the machine Please dispose of the device in accordance with the directive a 2002 96 EC WEEE Waste Electrical and Electronic Equipment a 29 CONtact your local distributor for information regarding disposal of the unit and accessories 1 The device needs special precautions regarding electromagnetic compatibility EMC and needs to be installed and put into service according to the EMC information supplied in this manual 2 Care must be taken when operating this device adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this or other equipment Try to minimize this interference by not using other equipment in conjunction with it 3 The performance of the device was determined to be essential performance This device has been thoroughly tested according to tested and inspected to assure proper performance and operation ExcellaWave The ExcellaWave device is intended for use in the electromagnetic environment specified below The customer or the user of the ExcellaWave should assures that it is used in such an environment El
36. lectrical shock disconnect the unit from the power source before attempting any maintenance procedures The use of accessories transducers and cables than those specified with the exception of transducers and cables sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased immunity of the device ExcellaWave 2 3 CONTRA INDICATIONS FOR THERAPEUTIC ULTRASOUND This device is not designed to be use in an MRI Environment and should be removed prior to MRI exposure Therapeutic ultrasound should not be applied over the pregnant or potentially pregnant uterus Therefore therapeutic ultrasound should not be applied over the uterus unless specific assurance can be attained from the patient that she is not pregnant Patients who have cardiac pacemakers should be protected from direct ultrasound exposure over the thorax to protect the lead wires and pacer from such exposure Therapeutic ultrasound should not be applied to the eye Applications of therapeutic intensities of ultrasound should be avoided over the heart Neoplastic tissues or space occupying lesions should not be exposed to ultrasound Ultrasound should not be applied to the testes to avoid increases in temperature Areas of thrombophlebitis should not be treated with therapeutic ultrasound due to the increased possibility of clotting or dislodging a thrombus Conditions where this might occur are deep vein
37. lift the ultrasound applicator from the skin and turn the device off clari tone serum Immediately apply a generous amount of clari tone serum all over the client s face silicone treatment mask After application of clari tone serum place the silicone treatment mask on clients face and mold the silicone over entire face 8 Cover Apply a warm steamed towel over silicone to ensure complete molding on the skin making sure that client is able to breathe comfortably Leave the mask on for 7 10 minutes 10 Remove With the steamed towel used in treatment remove any remaining product on the skin 11 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection and mineral makeup CONTRAINDICATIONS ry Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation 6 Anyone with an infectious disease Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment dmSkincare s lightening kit FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave Acne R genique Protocol PROBLEMS Comedones pustules redness inflammation irritation congestion TREATMENT AREA Face and back GOAL Reduce redness and irritation evacuate follicular deb
38. m place the silicone treatment strip on area being treated 8 Cover Apply a warm steamed towel over silicone strip to ensure complete molding Leave the strip on for 7 10 minutes 9 Remove With the steamed towel used in treatment remove any remaining product on the skin 10 bio repair spray Spray bio repair oxygen spray generously on the area treated 11 Finish ExcellaWave Acute Sub Acute Scar Management Protocol PROBLEMS Acute sub acute incisional scars from cosmetic surgery wounds TREATMENT AREA Face and body GOAL Revise the appearance of raised scars even out skin tones blend lines of demarcation improve texture MEGAPEEL EX MICRODERMABRASION SETTING The MegaPeel EX should be set to approximately 45 50 kPa using the clear divided tip EXCELLAWAVE ULTRASOUND E STIM SETTING For face P 07 Ultrasound for 7 minutes For body P 08 Ultrasound for 7 minutes ADJUNCTIVE TREATMENT Use the vitA clear serum and silicone treatment strip You will need the following products botana gel cleanser with green tea 6 MegaPeel EX Microdermabrasion System C bio repair oxygen spray ry derma renewal gel ExcellaWave Ultrasound E Stim System ry vitA clear serum 6 silicone treatment strip C daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse 2 MegaPeel EX M
39. magnetic Immunity IEC 60501 Compliance environment test test level level guidance Portable and mobile RF communications equipment should be used no closer to any part ofthe ExcellaWave device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted 3Vrms RF IEC 150kHzto 3 Vrms d 1 2VP 61000 4 6 80 MHz Radiated RF 3V m IEC 80 MHz to 3V m 61000 4 3 2 5 GHZ d 1 2 P 80MHz to 800MHz ExcellaWave d 2 3P 80MHz to 2 5MHz where P is the maximum output power rating of the transmitter In watts W according to the transmitter manufacturer and d Is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency range Interference may occur In the vicinity of equipment marked with the following symbol a NOTE 1 At 80 MHz ends 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people DermaMed solutions a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land
40. makeup CONTRAINDICATIONS ry Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation 6 Anyone with an infectious disease 6 Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER CARE INSTRUCTIONS For better results instruct patient to use the following products starting immediately post treatment K dmSkincare s acne kit FOLLOW UP TREATMENTS Patient should follow up with 2 week intervals for a minimum of 6 treatments ExcellaWave Chronic Mature Scar Management Protocol PROBLEMS Chronic mature incisional scars from cosmetic surgery wounds TREATMENT AREA Face and body GOAL Revise the appearance of raised scars even out skin tones blend lines of demarcation improve texture MEGAPEEL EX MICRODERMABRASION SETTING The MegaPeel EX should be set to approximately 45 50 kPa using the clear divided tip EXCELLAWAVE ULTRASOUND E STIM SETTING For face P 07 Ultrasound for 7 minutes For body P 09 Ultrasound for 7 minutes ADJUNCTIVE TREATMENT Use the antiox C serum and silicone treatment strip You will need the following products 6 botana gel cleanser with green tea 6 MegaPeel EX Microdermabrasion System r bio repair oxygen spray 6 derma renewal gel C ExcellaWave Ultrasound E Stim System e antiox C serum 6 silicone treatment strip 6 daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansi
41. mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the device b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m The ExcellaWave device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the ExcellaWave device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the ExcellaWave as recommended below according to the maximum output power of the communications equipment Electromagnetic Immunity IEC 60501 Compliance 9 environment test test level level guidance Rated Separation distance according to frequency of maximum transmitterm enn 150kHzto 80MHzto 800 MHz to power of 80 MHZ 800 MHZ 2 5 GHz transmitter W d 1 2VP d 1 2VP d 2 3VP 0 01 0 117 0 117 0 233 ExcellaWave 0 1
42. n on the ExcellaWave system After 5 beeps press B1 until you see the Ultrasound icon A da N ve ULTRASOUND DI i FOR FACE Press B2 until P flashes Rotate the Paramaters Knob until you see Program 07 LX pill Using Ultrasound output intensity control knob increase ultrasonic output to 05 W cm This will begin the 7 minute treatment countdown AN ULTRASOUND FOR BODY Press B2 unti P flashes Rotate the Paramaters Knob until you see Program 08 FX pill Using Ultrasound output intensity control knob increase ultrasonic output to 1 0 W cm This will begin the 7 minute treatment countdown 779 Pe o ULTRASOUND BEGIN TREATMENT Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off 5 Remove With the steamed towel used in treatment remove any remaining product on the skin 6 bio repair spray Spray bio repair oxygen spray generously on the area treated 7 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection for any areas exposed to the sun
43. ng Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse 2 MegaPeel EX Microdermabrasion Procedure When conducting a MegaPeel microdermabrasion treatment it is advised to make two 2 passes over the skin The first pass should treat the area being treated vertically and the second pass should treat the area being treated horizontally It is very important to pull the skin taut in the area being treated The skin should be pulled in the same direction the hand piece is moving Slowly glide the hand piece over the skin back and forth over the area After treatment is complete dust skin free of any particles bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze ExcellaWave US Turn on the ExcellaWave system After 5 beeps press B1 until you see the Ultrasound icon A da N ve ULTRASOUND FOR FACE Press B2 until the P flashes Rotate the Paramaters Knob until you see Program 07 a pill Using Ultrasound output intensity control knob increase ultrasonic output to 05 W cm This will begin the 7 minute treatment countdown z TA ULTRASOUND FOR BODY Press B2 until the P flashes Rotate the Paramaters Knob until you see Program 09 A pill ry DermaMed solutio
44. nique of the applicator should be used when applying therapeutic ultrasound at intensities greater than 0 5 W cm to assure even exposure of tissues to ultrasound Heating of the joint capsule in acute or subacute arthritis should be avoided This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed 2 7 PRECAUTIONS FOR ELECTRICAL STIMULATION DermaMed solutions This device should not be used when cancerous lesions are present in the treatment area Additional precautions should be used when ultrasound is used on patients with the following conditions Over an area of the spinal cord following Laminectomy i e when major covering tissues have been removed Over anesthetic areas On patients with hemorrhagic diatheses Ultrasound should be routinely checked before each use to determine that all controls function normally especially that the intensity control does properly adjust the intensity of the ultrasonic power output in stable manner Also determine that the treatment time control does actually terminate ultrasonic power output when the timer reaches zero The Ultrasound Applicator with care Inappropriate handling of use the Ultrasound applicator may adversely affect its characteristics Before each use inspect the Ultrasound Applicator for cracks which may allow the ingress of conductive fluid The ultrasound therapy c
45. nment Mains power quality Surge IEC 1 kV line 1 kV line should be that of a 61000 4 5 s to line s s to line s typical commercial or hospital environment ExcellaWave lt 5 UT Mains power quality gt 95 di should be that of a UT fi a 5 Ii typical commercial or in or 0 i i Voltage dips dip in UT for P cycle 40 hospital environment short inter _ 0 5 cycle 40 i UT 60 dip on lf the user of the ruptions UT 60 dip in in UT for 5 device requires and voltage UT for 5 cycles a cycles 70 continued operation variations 70 UT 30 UT 30 dip during power on power l dip in UT for Mia in UT for mains interruptions supply input 25 cycles lt 5 25 cycles i it is needed that lines IEC UT gt 95 dip lt 5 UT the device be 61000 4 11 in UT for 5 gt 95 dip powered from an seconds in UT for 5 uninterruptible power seconds supply Power frequency Power face magnetic fields u a 2 should be at levels Z 3 A m 3 A m characteristic of a Ae typical location in a field IEC a typical commercial or 61000 4 8 hospital environment NOTE UT is the a c mains voltage prior to application of the test level DermaMed solutions The ExcellaWave device is intended for use in the electromagnetic environment specified below The customer or the user of the ExcellaWave should assures that it is used in such an environment i Electro
46. ns Using Ultrasound output intensity control knob Apply the daily eclipse oil free sunscreen SPF 30 for increase ultrasonic output to 1 0 W cm This will begin protection and mineral makeup if treating an area that the 7 minute treatment countdown will be exposed to sunlight CONTRAINDICATIONS Accutane use within one or two years ULTRASOUND ci assessment made by physician Pregnancy or lactation BEGIN TREATMENT ry Anyone with an infectious disease Move the ExcellaWave ultrasound applicator in a quick 6 Open sores suspicious lesions or basal cell circular motion carcinoma Always refer to a physician NOTE Faster movement of the ultrasound applicator AFTER CARE INSTRUCTIONS decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed eo to keep skin moist and to keep ultrasound applicator argan boost serum collagen renewal C reme For better results instruct patient to use the following products starting immediately post treatment gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the FOLLOW UP TREATMENTS device off Patient should follow up with 2 week intervals for a minimum of 6 treatments 6 antiox C serum Immediately apply a generous amount of antiox C serum on area being treated 7 silicone treatment strip After application of antiox C seru
47. nsity control knob increase ultrasonic output to 3 W cm2 PEN ULTRASOUND This will begin the 5 minute treatment countdown Using electrical stimulation Channel 2 increase the E stim output intensity to the determined patient comfort level Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off vitA clear serum Immediately apply a generous amount of vitA clear serum all over the client s face DermaMed solutions 7 silicone treatment mask After application of vitA clear serum place the silicone treatment mask on clients face and mold the silicone over entire face 8 Cover Apply a warm steamed towel over silicone to ensure complete molding on the skin making sure that client is able to breathe comfortably Leave the mask on for 7 10 minutes 9 Remove With the steamed towel used in treatment remove any remaining product on the skin 10 bio repair spray Spray bio repair oxygen spray generously on the area treated 11 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection and mineral
48. nute treatment countdown ULTRASOUND BEGIN TREATMENT Move the ExcellaWave ultrasound applicator in a quick circular motion NOTE Faster movement of the ultrasound applicator decreases the risk of patient discomfort and periosteal burning Do not stop moving the ultrasound applicator Apply more derma renewal gel as needed to keep skin moist and to keep ultrasound applicator gliding evenly over the skin When the timer beeps lift the ultrasound applicator from the skin and turn the device off 6 vitA clear serum Immediately apply a generous amount of vitA clear serum on area being treated 7 silicone treatment strip After application of vitA clear serum place the silicone treatment strip on area being treated 8 Cover Apply a warm steamed towel over silicone strip to ensure complete molding Leave the strip on for 7 10 minutes 9 Remove With the steamed towel used in treatment remove any remaining product on the skin 10 bio repair spray Spray bio repair oxygen spray generously on the area treated 11 Finish Apply the daily eclipse oil free sunscreen SPF 30 for protection and mineral makeupif treating an area that will be exposed to sunlight CONTRAINDICATIONS ry Accutane use within one or two years assessment made by physician 6 Pregnancy or lactation r Anyone with an infectious disease Open sores suspicious lesions or basal cell carcinoma Always refer to a physician AFTER
49. ons regarding Electro Magnetic Compatibity and needs to be installed and put into service according to the EMC information provided in the manual Portable and mobile Radio Frequency communications equipment can affect this device Do not use a mobile phone or other device that emit electromagnetic fields near the unit This may result in incorrect operation of the device This device has been thoroughly tested and inspected to assure proper performance and operation U S A Federal Law restricts these devices to sale by or on the order of a physician or licensed practitioner This device should be used only under the continued supervision of a physician or licensed practitioner Make certain the unit is electrically grounded by connecting only to a grounded electrical service receptacle conforming to the applicable national and local electrical codes Care must be taken when operating this equipment around other equipment Potential electromagnetic or other interference could occur to this or to the other equipment Try to minimize this interference by not using other equipment in conjunction with it Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of electrotherapy and Ultrasound To prevent e
50. ontrols unit is not designed to prevent the ingress of water or liquids Ingress of water of liquids could cause malfunction of internal components of system and therefore create risk of injury to the patient Federal law USA restricts this device to sale by or on the order of a physician The long term effects of chronic electrical stimulation are unknown Electrical stimulation devices have no curative value Electrical stimulation is not a substitute for pain medications and other pain management therapies Effectiveness is highly dependent upon patient selection by a practitioner qualified in the management of pain patients The safety of electrical stimulation during pregnancy has not been established Some patients may experience skin irritation or hypersensitivity due to the electrical stimulation or electrical conductive medium gel ExcellaWave Patients with suspected or diagnosed heart disease should follow precautions recommended by their physicians Patients with suspected or diagnosed epilepsy should follow precautions recommended by their physicians Use caution when the patient has a tendency to bleed internally such as following an injury or fracture Use caution following recent surgical procedures when stimulation may disrupt the patient s healing process Use caution if stimulation is applied over the menstruating or pregnant uterus Use caution if stimulation is applied over areas of
51. requency Freq 1MHz 10 3MHz 10 Duty factor Duty 10 100 Stepping 10 Pulse Repetition Rate 100Hz Treatment time Max 30 minutes Output power 0 5W 10 0W when duty factor gt 80 for 5cm 0 5W 15 0W when duty factor lt 70 for 5cm 0 1W 2 0W when duty factor gt 80 for 1cm 0 1W 3 0W when duty factor lt 70 for 1cm Effective radiating area Arr 1 Ocm Optional 5 0cm Effective intensity Max 3 0W cm 9 3 WAVEFORM SPECIFICATIONS INTERFERENTIAL TRADITIONAL 4 POLE INTERFERENTIAL TRADITIONAL 2 POLE MODE DermaMed solutions Indication accuracy 20 for any level above 10 of maximum Ren Max lt 8 0 Beam type Collimated Material of sound head Aluminium Waterproof Grade IPX7 Only for Ultrasound applicator Waveform Type Bi phasic square Mode Selection CC Constant Current or CV Constant Voltage Vector Auto 0 100 Manual 0 90 Carrier Frequency C F 4 0kHz Sweep Low Beat Frequency Beat H Beat L 150 Hz Sweep High Beat Frequency Beat L 1 Beat H Hz Output Intensity 0 100 mA CC at 1k ohm load 0 100 V CV at 1k ohm load Treatment time 1 60 minutes Waveform Type Bi phasic square Mode Selection CC Constant Current or CV Constant Voltage Carrier Frequency C F 2 5kHz Sweep Low Beat Frequency Beat H Beat L 150 Hz
52. ris hydrate prevent break outs amp clears skin MEGAPEEL EX MICRODERMABRASION SETTING The MegaPeel EX should be set to approximately 45 50 kPa using the clear divided tip EXCELLAWAVE ULTRASOUND E STIM SETTING P 02 combo for 5 minutes You will need the following products botana gel cleanser with green tea 6 MegaPeel EX Microdermabrasion System 6 bio repair oxygen spray 6 derma renewal gel 6 ExcellaWave Ultrasound E Stim System 6 vitA clear serum silicone treatment mask daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse and remove makeup 2 MegaPeel EX Microdermabrasion Procedure When conducting a MegaPeel microdermabrasion treatment it is advised to make two 2 passes over the skin The first pass should treat the entire face vertically and the second pass should treat the face horizontally It is very important to pull the skin taut in the area being treated The skin should be pulled in the same direction the hand piece is moving Slowly glide the hand piece over the skin back and forth over the area After treatment is complete dust skin free of any particles 3 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a
53. rminate any claim to warranty ExcellaWave 8 TROUBLE SHOOTING FOR OPTIMAL USE Replace lead wires annually Please follow the directions on the electrode packaging for the care of electrodes The life of the electrodes varies depending on skin conditions skin preparation storage and climate Replace electrodes that no longer stick NOTE Ifthe following measures fail to alleviate the problem please call the authorized agency or your supplier Displays fail to light up Stimulation weak Adapter contact failure Electrodes 1 Dried out or contaminated Ensure adapter is connect Check the following contacts All contacts are in place All contacts are not broken Ensure that adapter is connected 1 Replace 2 Electrodes must be a minimum of 2 inches 2 Placement apart Lead wires Replace Old worn damaged Stimulation stops Poor electrode contact Reapply electrodes secure firmly Damaged or worn electrodes or lead wires Replace DermaMed solutions Stimulation is uncomfortable Intensity is too high Decrease intensity Electrodes are too close together Reposition the electrodes Electrodes must be a minimum of 2 inches apart Damaged or worn electrodes or lead wires Replace Electrode active area size is too small Replace electrodes with ones that have an active area no less
54. rotocol Attach copy of Post Treatment Protocol ExcellaWave SKIN CONDITIONS ___Sun Damage ___Hard bumps under skin Dry Patches ____ Brown Spots ___Milia Red White Broken Blood Vessels Upper Lip Lines Deep Fine Clogged Pores Pimples Often Sometimes Freckles Excessive Oiliness Wrinkles ___Acne ____Blackheads SKIN TYPE Normal Combination Oily Dry Notes and Observations ry DermaMed solutions HYDRATING ROUTINE TREATMENT SCHEDULE Dry Sensitive and Mature Skin Name DATE TIME RECOMMENDED PROGRAM MegaPeel EX treatment every 7 to 14 days for a series of 6 8 treatments Maintenance treatments every 4 to 6 weeks Immediately after each treatment daily eclipse sunscreen HYDRATING ROUTINE In the morning cleanse the face recommended gentle cleansing bar Allow skin to remain slightly damp then apply a pea size of argan boost serum smoothing over face and neck The serum may be applied to eye area keeping away from lash line Follow with C difference vitamin C lotion and sunscreen recommended daily eclipse At night cleanse the face and apply a pea size of argan boost serum on damp skin Follow with green tea vita E moisturizer DO NOT SPEND TIME IN THE SUN IF YOU ARE USING RETINYL PRODUCTS ExcellaWave ACNE ROUTINE TREATMENT SCHEDULE Acne Prone and Oily Skin Name DATE TIME
55. set to approximately 45 50 kPa using the clear divided tip EXCELLAWAVE ULTRASOUND E STIM SETTING P 02 combo for 5 minutes You will need the following products 6 botana gel cleanser with green tea 6 MegaPeel EX Microdermabrasion System 6 bio repair oxygen spray C derma renewal gel 6 ExcellaWave Ultrasound E Stim System 6 antiox C serum ry silicone treatment mask daily eclipse oil free sunscreen SPF 30 PROCEDURE 1 Cleansing Apply botana gel cleanser with green tea Massage gently over area being treated to cleanse and remove makeup 2 MegaPeel EX Microdermabrasion Procedure When conducting a MegaPeel microdermabrasion treatment it is advised to make two 2 passes over the skin The first pass should treat the entire face vertically and the second pass should treat the face horizontally It is very important to pull the skin taut in the area being treated The skin should be pulled in the same direction the hand piece is moving Slowly glide the hand piece over the skin back and forth over the area After treatment is complete dust skin free of any particles 3 bio repair oxygen spray Spray bio repair oxygen spray to the skin Leave on the skin for 2 minutes Blot excess derma renewal gel Layer a generous amount of derma renewal gel directly on the skin using a fan brush or gauze ExcellaWave US E Stim Prepare the patient for treatment by inserting the lead with
56. skin that lack normal sensation Use this device only under the continued supervision of a licensed practitioner Electrical stimulation is ineffective for pain of central origin Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain Patients should not be left unattended during any treatment Keep this device out of the reach of children 28 Skin irritation inflammation and electrode burns beneath the ADVERSE electrodes are potential adverse reactions REACTION Potential adverse effects with TENS are skin irritation and electrode burns Patients may experience headache and other painful sensations during or following the application of electrical stimulation near the eyes and to the head and face and Patients should stop using the device and should consult with their physicians if they experience adverse reactions from the device APPLICATOR If movement of the applicator is too slow the patient may feel periosteal MOVEMENT pain characterized by a deep ache or pain If motion is too fast or if the applicator does not maintain good contact with the skin the therapeutic effect of the sound waves will be reduced and the applicator may overheat PATIENT SUSCEPTIBILITY COUPLING 3 INDICATIONS FOR USE DermaMed solutions Some patients are more sensitive to ultrasound output and may experience a reaction similar to a heat
57. the Red electrode connector into one adhesive electrode Insert the other red pin at the loose end of the electrode wire into the red chacnnel electrical stimulation cable Place the electrode on the patient s shoulder di Ska Insert the other red pin at the loose end of the electrode wire into the electrode Place the electrode on the patient s shoulder TEST PATIENT COMFORT LEVEL Turn on the ExcellaWave system After 5 beeps push B1 waveform mode until Ultrasound head and 2 electrodes are displayed Next press B2 program CC CB until P on screen begins to flash Then use Parameter toggle to select P 02 Using Ultrasound output intensity control knob increase ultrasonic output to 3 W cm ULTRASOUND PROFESSIONAL PROCEDURE PROTOCOLS DermaMed sotutions Using electrical stimulation Channel 2 increase the E stim output intensity n n amp m ELECTRICAL STIMULATION Begin at 4 Volts and work up until they feel sensation When you have established the patient s e stim comfort decrease Ultrasound output intensity and E stim output intensity back to 0 which will reset the timer Once you have determined the patient s level of comfort take note of the Electrical Stimulation Volt Setting BEGIN TREATMENT Be sure that Program 2 combination setting is selected It should read as follows P 02 with EMS CV Using Ultrasound output intensity control knob increase ultrasonic output to 3 W cm2
58. tion to the entire area Keep both products out of eye area DO NOT SPEND TIME IN THE SUN IF YOU ARE USING RETINYL PRODUCTS ExcellaWave ANTI AGING ROUTINE TREATMENT SCHEDULE Mature Aged Skin and Fine Lines Name DATE TIME RECOMMENDED PROGRAM MegaPeel EX treatment every 7 to 14 days for a series of 6 8 treatments Maintenance treatments every 4 to 6 weeks Immediately after each treatment daily eclipse sunscreen ANTI AGING ROUTINE In the morning cleanse the face recommended botana gel cleanser with green tea Apply a pea size amount of high potenC serum to face and another to neck area Blend into skin before applying moisture products recommend C difference vitamin C lotion or green tea vita E moisturizer and sunscreen recommended daily eclipse Do not apply high potenC serum to thin skin of upper eyelids At night cleanse the face and apply dime sized amount of collagen renewal C reme for nighttime repair Three times a week or as directed by your skincare technician apply a quarter size amount of retinyl enzyme treatment evenly to clean face and neck and leave on for 8 10 minutes remove with warm water and gently rub with damp cloth Repeat removal and rinse process three times Pat skin dry and follow with your recommended serum or moisture products Keep out of eye area DO NOT SPEND TIME IN THE SUN IF YOU ARE USING RETINYL PRODUCTS ry DermaM
59. y years past the affected area should not be stimulated Fresh fractures should not be stimulated in order to avoid unwanted motion Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage Do not apply electrodes directly over the eyes or inside body cavities Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Since the effects of stimulation of the brain are unknown stimulation should not be applied across the head and electrodes should not be placed on opposite sides of the head Ultrasound should not be applied in areas of reduced sensation or circulation Patients having reduced sensation will not be able to notify the practitioner of discomfort if ultrasound intensities are too high Patients with compromised circulation may have an excessive heat buildup in the treatment area If a patient complains of periosteal pain deep achy pain during ultrasonic treatment intensity should be reduced to a comfortable level Any bleeding tendency is increased by heating because of the increase in blood flow and vascularity of the heated tissues Care therefore should be used in treating patients with therapeutic ultrasound who have hemorrhagic diatheses or bleeding disorders Moving tech

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