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Laser probes - RJ Laser

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<strong>Laser</strong> <strong>probes</strong><br />

For every need<br />

User manual


Contents<br />

1 The probe product line ..................................................................................... 4<br />

2 Introduction ......................................................................................................... 5<br />

3 Safety information .............................................................................................. 6<br />

General information<br />

Intended use<br />

Liability disclaimer<br />

Safety standards<br />

4 Safety precautions .............................................................................................. 8<br />

5 Delivery contents and accessories ...............................................................10<br />

6 Applications .......................................................................................................12<br />

7 Types of <strong>probes</strong> .................................................................................................14<br />

8 Start up ...............................................................................................................15<br />

9 Working with <strong>probes</strong> ......................................................................................17<br />

Remote functions<br />

Probe display<br />

Key functions<br />

Therapy mode<br />

10 Mobile use ..........................................................................................................23<br />

11 Error messages .................................................................................................24<br />

12 Maintenance .......................................................................................................25<br />

2


13 Physical principles of laser therapy ...............................................................26<br />

Continuous wave and pulsed <strong>probes</strong><br />

Energy power output using continuous wave <strong>probes</strong><br />

Energy power output using pulsed <strong>probes</strong><br />

Formular for therapy<br />

14 Technical data ....................................................................................................36<br />

Explanation of the icons<br />

15 Guarantee and disposal ...................................................................................41<br />

16 Manufacturer information ..............................................................................42<br />

3


1<br />

2<br />

1<br />

The probe product line 1<br />

2<br />

3<br />

Multi-cluster <strong>probes</strong><br />

For two-dimensional applications,<br />

Reimers & Janssen offers pulsed<br />

and continuous wave <strong>probes</strong> with<br />

various wavelengths.<br />

CW multi-cluster probe*<br />

8x55 mW / 785 nm (infrared)<br />

+ 4x40 mW / 655 nm (red)<br />

2 control keys, “<strong>Laser</strong> On” indicator.<br />

Pulsed multi-cluster probe<br />

5x30 W / 904 nm (infrared)<br />

Display, 2 control keys, “<strong>Laser</strong> On”<br />

* This CW multi-cluster probe is also<br />

required in the use of CW multi-cluster<br />

probe derma<br />

4<br />

5<br />

6<br />

Single <strong>probes</strong><br />

All <strong>probes</strong> for precise spot applications<br />

are equipped with a display and four<br />

control keys.<br />

CW single probe 500mW<br />

810 nm (infrared)<br />

Pulsed single probe<br />

50 W / 904 nm (infrared)<br />

Additional single probe without<br />

imaging:<br />

CW single probe 50mW<br />

785 nm (infrared)<br />

Single probe 150mW<br />

638 nm (red)<br />

CW single probe 200mW<br />

670 nm (red)<br />

5<br />

4<br />

4


Introduction 2<br />

Your <strong>RJ</strong> laser probe<br />

Thank you for choosing a Reimers & Janssen laser probe. Our extensive probe product line<br />

provides the optimum laser probe for every therapy and diagnosis need.<br />

Whether it’s a surface probe, a single probe or laser needles, all our highly specialised laser<br />

<strong>probes</strong> are operated with the same control unit: the Physiolaser olympic. With this modular<br />

design, we can combine technological innovations with a well-designed control concept.<br />

This has several advantages for you as a therapist. Once you are familiar with the intuitive<br />

operation of your control unit, you can use other <strong>probes</strong> in basically the same way. Thus, if<br />

you wish to purchase a new probe for other applications, there will be little change from<br />

your usual operation.<br />

Your Physiolaser olympic automatically detects which probe is attached and “identifi es” your<br />

preferred settings. With Physiolaser olympic you can even operate two therapy <strong>probes</strong> and a<br />

diagnostic probe simultaneously.<br />

The modular design will also always allow you to benefi t from the newest research<br />

innovations, because your control unit can be easily updated with the most recent therapy<br />

products.<br />

With Reimers & Janssen laser <strong>probes</strong>, you can make the best of the diverse possibilities for<br />

gentle laser therapy for you and your patients.<br />

<strong>RJ</strong> <strong>Laser</strong> <strong>probes</strong><br />

For every need<br />

5


Safety information 3<br />

General information<br />

This device consists of a laser probe that can only be operated together with a Physiolaser<br />

olympic.<br />

Therefore, before operating your probe you must thoroughly read the user manual for<br />

your control unit.<br />

The instructions that follow supplement the user manual of the Physiolaser olympic regarding<br />

special functions of your probe. In addition, they describe the commissioning of the device<br />

and indicate hazards associated with its use.<br />

All individuals who use, care for, service and supervise this device must read and follow<br />

the instructions.<br />

This user manual must always be kept with the device and must be transferred ownership<br />

along with the laser probe.<br />

Intended use<br />

Your laser probe is an electrical device that is intended exclusively for use in medical<br />

practices and clinics and should only be operated under constant supervision.<br />

This laser device should only be operated by trained medical professionals that have been<br />

instructed in the handling of the device and in the dangers associated with laser radiation as<br />

well as in the compliance with the accident prevention regulation “<strong>Laser</strong> radiation” and the<br />

IEC 60825-1 “Safety with laser equipment”.<br />

Liability disclaimer<br />

You should use your laser probe only for the purposes described in this user manual and<br />

only under supervision!<br />

Your laser probe should only be operated with accessories approved by Reimers & Jansen<br />

GmbH and only with a Reimers & Janssen control unit. Currently, this includes the<br />

Physiolaser olympic or the Photonic 500 (device types 160A and 160S).<br />

6


Repair and maintenance work should also only be performed by Reimers & Janssen GmbH<br />

or an authorized <strong>RJ</strong> service station.<br />

The manufacturer is not liable for the device and the consequences resulting from operation<br />

or applications that are not described within this user manual. The manufacturer<br />

reserves the right to make changes based on technological improvements.<br />

Safety standards<br />

The <strong>probes</strong> conform to the following international safety standards:<br />

• IEC 60601-1 Safety of medical electrical devices<br />

• IEC 60601-1-2 Electromagnetic compliance<br />

• IEC 60601-1-6 Usability<br />

• IEC 60601-2-22 Safety of diagnostic and therapeutic laser devices<br />

• IEC 60825-1 Safety of laser radiation<br />

7


Safety precautions 4<br />

Emergency shutdown<br />

Press fi rmly on the red “Emergency Stop” button on your control unit, turn the key<br />

switch to “off” and remove the “Remote control plug” from the safety locking device.<br />

Treatment room<br />

Operate the laser only indoors. The room in which the laser is located must comply with<br />

the requirements of the Accident Prevention Regulation “<strong>Laser</strong> radiation”. All<br />

entrances must display a laser warning sign in compliance with IEC 60825-1. Refl ective<br />

objects, mirrors and chrome surfaces must be removed.<br />

Personnel<br />

The laser should be operated only by trained medical professionals. Personnel must be<br />

instructed in the handling of the device and in the dangers associated with laser radiation.<br />

The operator of a Class 3B laser device should have access to a radiation expert or preferably<br />

a radiation control offi cer who is has professional experience protecting against<br />

and controlling the hazards associated with laser, and who will be responsible for the supervision<br />

of the protective measures against the hazards of laser. Children may enter the<br />

treatment room only as patient and should be under constant supervision.<br />

Radiation injuries<br />

Avoid direct or scattered radiation to the eyes. Do not look directly into the laser<br />

radiation output area, since visible and invisible laser radiation can cause injury to the eye.<br />

<strong>Laser</strong> protective eyewear typ SPERIAN 3199-21160<strong>RJ</strong> conforming to the European norm<br />

EN 207 must always be worn within the treatment room during treatment.<br />

Take precautions when performing therapy in the head region!<br />

When treating patients with darkly pigmented skin, birthmarks, tattoos, etc, be aware that<br />

there is a risk of burning because melanin or colour in the skin tissue absorbs the light<br />

Reduce the power or energy output with pigmented skin.<br />

8


Risk of infection<br />

Keep the probe at a distance of approx. 1 cm above wounds or infected skin, because there<br />

is a risk of infection through contact transmission of germs.<br />

After each treatment, disinfect your probe as described in the chapter Care and Maintenance<br />

on page 28. If you use an applicator, disinfect the applicator after each treatment in<br />

order to minimize the risk of patient infection.<br />

Risk of burning<br />

With high power output and longer treatment times, the probe tip can overheat. In this<br />

case, avoid direct skin contact by using a cap or applicator; otherwise you may burn the<br />

skin. Alternatively, reduce the power output or treatment time (see also page 22).<br />

Prevent unauthorised use<br />

The Physiolaser olympic is equipped with a key switch to prevent unauthorised use. The laser<br />

can be operated only with the key inserted.<br />

When the laser is not in use, the key should always be removed and stored separate from<br />

the unit in order to prevent unauthorised use.<br />

Registration<br />

Operators of the Physiolaser olympic must be registered as an operator of a Class 3B laser<br />

device with the professional association prior to the fi rst commissioning of the device.<br />

Please consider the national governmental rules and regulations for this class 3B laser<br />

device.<br />

Decommissioning in the event of a hazard<br />

If you believe that the device can no longer be operated safely, it should be<br />

decommissioned to prevent against further use and to send it to the retailer<br />

for repair.<br />

Such cases include:<br />

• parts of the housing or the probe cable have visible damage,<br />

• the device no longer functions properly,<br />

• the device is to be stored for a long period under adverse conditions or is to be<br />

transported,<br />

• the display indicator fails or is illegible.<br />

9


Delivery contents and<br />

accessories<br />

Product contents<br />

• laser probe, convex lens 523<br />

• carrying case<br />

Accessories<br />

Reimers & Janssen manufactures not only laser <strong>probes</strong> in various power output classes<br />

and wavelengths; we also offer other products for your CW single <strong>probes</strong>. These applicators<br />

can be easily screwed onto the standard product, to allow for additional uses.<br />

Available applicators that fi t all CW single <strong>probes</strong><br />

Product Length Diameter* Product No. Illustration<br />

Dental applicator 7 cm 4 mm 5202<br />

Dental applicator ditto 2 mm 5204<br />

Dental wand<br />

Dental wand<br />

7 cm<br />

(angled<br />

60°)<br />

5 cm<br />

(straight)<br />

8 mm 5207<br />

ditto 5208<br />

5<br />

10


Product Length Diameter* Product No. Illustration<br />

Convex lens 10 mm 523<br />

Quartz tip<br />

attachment<br />

Quartz tip<br />

attachment<br />

PDD/PDT Universal<br />

Attachment<br />

(one way)<br />

PDD/PDT<br />

Endo attachment<br />

(One way)<br />

2 cm 2 mm 5241<br />

dito 4 mm 5251<br />

2 cm 0.8 mm 5206<br />

2 cm 0.4 mm 5205<br />

*Diameter of the light power output opening<br />

11


Applications 6<br />

Treatment range<br />

Reimers & Janssen laser <strong>probes</strong> can be used for a wide range of treatments in dermatology,<br />

rheumatology, orthopaedics, physiotherapy, sports medicine and veterinary medicine<br />

as well as dentistry.<br />

On your Physiolaser olympic control unit there is a variety of individually adjustable therapy<br />

programmes. To use these, read the user manual of your control unit.<br />

Your probe may be used for irradiation of the skin.<br />

Indications<br />

The devices is intended to emit energy in the infrared spectrum to provide topical heating<br />

for use when heat is indicated in the temporary relief of minor muscle and joint pain, muscle<br />

spasm, pain and stiffness associated with arthritis, and promoting relaxation of the muscle<br />

tissue.<br />

Limitations<br />

As manufacturers we advise against the radiation of the following organs and areas:<br />

• eyes<br />

• areas near the thyroid gland and other endocrine glands<br />

• testicular regions<br />

• epiphyseal regions in children<br />

• open fontanel<br />

• foetuses or in the areas over the uterus of pregnant women<br />

• dark, pigmented or coloured skin, regions with dark hair<br />

• non radiation in the head area in patients with (tendency for) epilepsy<br />

12


In addition, we advise against treatment of patients with the following indications:<br />

• cytostatic immunosuppression<br />

• tumour/cancer patients<br />

13


Probe types 7<br />

Continuous wave and Superpulsed <strong>probes</strong><br />

Within its product range, Reimers & Janssen offers two types of lasers: CW <strong>probes</strong> and<br />

pulsed <strong>probes</strong>. CW <strong>probes</strong>, also known as continuous wave <strong>probes</strong>, provide a continuous laser<br />

beam, whereas pulsed <strong>probes</strong> emit extremely short light pulse in succession.<br />

With both probe types, the light output can be controlled by frequency modulation. The<br />

Physiolaser automatically determines the attached probe and makes available the appropriate<br />

programme.<br />

You may use therapy programs with pre-programmed frequency modulation or simply programme<br />

the frequencies yourself (individual protocols). For detailed information on this, please<br />

consult the user manual for your Physiolaser.<br />

Please note when using frequencies that the energy output for CW <strong>probes</strong> is always half<br />

that of continuous wave operation – independent of the frequency.<br />

In contrast, with pulsed <strong>probes</strong> – which generally cannot be operated with continuous wave<br />

– the energy is dependent on the selected frequency. The highest energy is emitted at the<br />

maximum frequency. The power output cannot be changed with pulsed <strong>probes</strong>.<br />

If you would like to know the precise relationship between the amount of energy and the<br />

power output with continuous wave and pulsed <strong>probes</strong>, please read the chapter Physical<br />

Principles of <strong>Laser</strong> Therapy on page 29.<br />

14


Start up 8<br />

Testing for damage during transport<br />

Begin by testing your probe for damage that may have occurred during transport, i.e.<br />

whether the housing components or the probe cable have visible damage. If you have a<br />

probe with a display, remove the protective cover from the display and test the indicator.<br />

If you discover any damage, do not operate your probe. Instead, contact your retailer.<br />

Self-test<br />

Your probe does not require any particular start up procedure. You can connect the probe<br />

cable to the control unit at any time. However, if you are going to operate your Physiolaser<br />

for the fi rst time, please read the user manual for your control unit prior to connecting<br />

your probe.<br />

Turning on your control unit or connecting the probe to a device that is already on will initiate<br />

a self test on the connected probe, during which the status indicator blinks briefl y. If<br />

this does not occur, your laser probe may be connected to the diagnostic socket.<br />

Status indicator blinks during the self-test.<br />

Automatic probe detection<br />

The Physiolaser automatically detects a newly connected probe, and a corresponding symbol<br />

is depicted in the therapy selection display.<br />

If the corresponding symbol does not appear, the software of your control unit may need<br />

to be updated. This can occur if your probe is new to an existing control unit. In that case,<br />

there is an SD card included with your probe, with which you can easily perform the update<br />

yourself. An applicable instruction guide will also be included. Contact your retailer.<br />

15


In the therapy selection display, both laser<br />

connectors will be presented: <strong>Laser</strong> 1 corresponds<br />

to the left connector, <strong>Laser</strong> 2 to<br />

the right.<br />

Probe symbols<br />

The different probe types are easily distinguished<br />

by different symbols.<br />

Pulsed single probe<br />

Pulsed multi-cluster<br />

probe<br />

Light Needle<br />

CW single probe<br />

CW multi-cluster<br />

probe<br />

Photonic satellite<br />

Charge <strong>Laser</strong> Test Power<br />

Diagnosis<br />

<strong>Laser</strong><br />

If the “invalid” probe symbol appears, you<br />

have attached a invalid probe into a laser<br />

connector.<br />

16


Working with <strong>probes</strong> 9<br />

Remote functions<br />

Operation of your probe takes place primarily<br />

via the touchscreen of your Physiolaser<br />

olympic. Therefore it is required to read the<br />

instructions for your control unit.<br />

In this user manual, only the functions<br />

specifi c to the <strong>probes</strong> are described:<br />

For comfortable use, all <strong>probes</strong> are equipped<br />

with buttons with which essential program<br />

functions can be selected directly from the<br />

probe (remote function).<br />

Probe display<br />

Other than the CW multi-cluster probe, all<br />

probe have a two-line status display.<br />

If your Physiolaser olympic is in “Stand By”<br />

mode, this is indicated in the probe<br />

display. In this state, the buttons on the probe<br />

are inactive.<br />

As soon as the “Ready” symbol appears in<br />

the therapy selection display, the remote<br />

functions can be used.<br />

These instructions do not describe<br />

the special functions of the Light<br />

Needle. This laser needle acupuncture<br />

probe has its own user manual.<br />

Other than the Light Needle, all <strong>probes</strong> can<br />

be used in remote function.<br />

<strong>RJ</strong>‐<strong>Laser</strong><br />

Stand by<br />

“Stand By” display in the probe display<br />

17


Single probe button functions<br />

CW multi-cluster probe button<br />

functions<br />

LASER ON<br />

FREQUENCY<br />

LASER<br />

Superpulsed multi-cluster probe<br />

button functions<br />

Start/Stop<br />

Short: Start therapy; stop therapy<br />

Long: Start therapy with reduced<br />

diagnostic power<br />

Right arrow<br />

Change to the next therapy<br />

program<br />

Left arrow<br />

Change to the previous therapy<br />

programme<br />

Group<br />

Short: Change to the next<br />

program group<br />

Long: Change to the next<br />

programme set<br />

F<br />

Change to the next therapy<br />

program<br />

Start/Stop<br />

Short: Start therapy; stop therapy<br />

Pause<br />

1x start therapy<br />

2x stop therapy<br />

Start/Stop<br />

Short: Start therapy; stop therapy<br />

18


Change therapy set (single <strong>probes</strong>)<br />

If you have installed multiple therapy sets<br />

on your Physiolaser, you can change to the<br />

next therapy set by pressing and holding the<br />

Group button.<br />

If you have installed a therapy set with multiple<br />

program groups, advance to the next<br />

program group by pressing briefl y.<br />

Basic<br />

cont. beam<br />

The program group and therapy program<br />

are shown on the probe display.<br />

Selecting the therapy program<br />

You can change the next or previous therapy<br />

program with single <strong>probes</strong> by pressing<br />

the arrow keys within the program group.<br />

You can change the next therapy program<br />

with the CW multi-cluster <strong>probes</strong> by pressing<br />

the “F” button.<br />

The pulsed multi-cluster probe does not<br />

have this function.<br />

Basic<br />

F2<br />

The display on your control unit indicates<br />

that the “continuous wave” therapy programme<br />

in the “basic” program group of the<br />

“Basic therapy” program set has been selected<br />

for the attached probe.<br />

19


Therapy mode<br />

At any time you can begin therapy from the<br />

therapy selection mode by briefl y pressing<br />

on the “Start/Stop” button.<br />

This is also possible if another probe is chosen<br />

or if another probe is already present in<br />

therapy mode. In both cases, the most recently<br />

used therapy program will begin.<br />

Do not forget to equip yourself and<br />

your patient with laser protective<br />

eyewear prior to commencing therapy.<br />

Once you press the start button, a two-second<br />

tone will sound and the status LED will<br />

blink to indicate the start of therapy. During<br />

this time, you can always press the “Start/<br />

Stop” button to stop the program again, if,<br />

for example, you have forgotten to put on<br />

the protective glasses.<br />

During the two seconds, the multi-cluster<br />

<strong>probes</strong> and the superpulsed single <strong>probes</strong><br />

send out a visible, but harmless pilot beam,<br />

which helps you to fi nd the precise therapy<br />

location.<br />

During the therapy, the status indicator will<br />

remain on. The end of therapy will be indicated<br />

with a long tone. However, the current<br />

therapy program can be stopped at any time<br />

by holding the “Start/Stop” button.<br />

You can interrupt the therapy with the<br />

pulsed multi-cluster iprobe using the pause<br />

button, and resume using the “Start/Stop”<br />

button.<br />

Since all buttons are active in therapy<br />

mode, at any time during a treatment<br />

you can also change the program.<br />

F2 1.1<br />

:150mW 04:45<br />

Therapy program<br />

Energy output<br />

Power output<br />

Remaining therapy time<br />

The status LED blinks when you press the<br />

“Start/ Stop” button until the onset of the<br />

therapy mode. The status indicator remains<br />

on during therapy.<br />

Stop the current therapy programme using<br />

the Start/Stop button.<br />

20


Reduced RAC power<br />

All single <strong>probes</strong> offer the option to reduce<br />

the therapy power output to 5mW for RAC<br />

testing.<br />

To do this, simply press the “Start/Stop”<br />

button on your probe longer rather than<br />

shorter.<br />

The program sequence is identical on the<br />

therapy display and the probe display – if<br />

present – will indicate “R 5mW” in the power<br />

output section.<br />

Changing the contrast<br />

If the probe display is diffi cult to read, for<br />

example in bright sunlight, you can adjust<br />

the display on your control unit in the “<strong>Laser</strong><br />

settings” menu.<br />

Cont. beam 0.8<br />

R: 5mw 59:19<br />

Start/Stop button<br />

“5mW” is indicated in the probe display<br />

“<strong>Laser</strong> 1 setting” display on the Physiolaser<br />

“-” or “+” changes the contrast of the probe<br />

display.<br />

21


Caution when using the<br />

CW single probe 500mW<br />

The tip of the CW single probe 500mW can<br />

overheat with full power output and longer<br />

treatment times.<br />

As a result, you should not use this probe<br />

without an attachment or applicator.<br />

Otherwise, the probe tip can get too hot<br />

and may result in burns during contact<br />

with the skin.<br />

The CW single probe 500mW should not<br />

be operated at full power output for longer<br />

than 5 minutes. If you want to use it for longer,<br />

you should pause treatment for at least<br />

one minute every 5 minutes.<br />

Caution when using the pulsed<br />

<strong>probes</strong><br />

The maximum recommended frequency<br />

modulation with superpulsed <strong>probes</strong><br />

is 10,000 Hz. For therapeutic purposes we<br />

have enabled frequencies up to 40,000 Hz,<br />

for example, to allow more energy to be<br />

transferred in a shorter period. However,<br />

this results in an accelerated ageing of the<br />

laser diodes.<br />

The laser diodes should therefore be monitored<br />

more closely than usual, or in any<br />

case in the context of the annual safety<br />

check (see also the chapter Care and Maintenance<br />

on page 28)<br />

Caution when using the<br />

infrared <strong>probes</strong><br />

Every now and then you should test the<br />

functioning of your infrared <strong>probes</strong> with the<br />

help of the laser test diode on your control<br />

unit. Read the chapter on the <strong>Laser</strong><br />

Function Test in the user manual for your<br />

Physiolaser.<br />

22


Mobile use 10<br />

Sample scenarios<br />

With the compact Physiolaser olympic you<br />

can also use your probe during battery operation.<br />

How long you can actually use the<br />

probe in practice, depends on various factors,<br />

for example the ambient temperature<br />

and the adjusted parameters.<br />

CW multi-cluster probe in CW<br />

operation<br />

1.5 hours<br />

9 treatments are possible<br />

Treatment time: 10 Min<br />

Power output: 400 mW<br />

Therapy program: CW<br />

CW single probe 500 mW at 10 kHz<br />

1.5 hours<br />

9 treatments are possible<br />

Treatment time: 10 Min<br />

Power output: 500 mW<br />

Therapy program: CW<br />

We have conducted a practical test with<br />

both probe types as a reference point for<br />

your work: rechargeable battery fully charged,<br />

each therapy session 10 minutes at<br />

room temperature. How many sessions are<br />

possible under these conditions?<br />

Pulsed single probe at 10 kHz<br />

5 hours<br />

24 treatments are possible<br />

Treatment time: 10 Min<br />

Frequency: 10,000 Hz<br />

Power output 50 W<br />

Pulsed multi-cluster probe at 10 kHz<br />

4 hours<br />

24 treatments are possible<br />

Treatment time: 10 Min<br />

Frequency: 10,000 Hz<br />

Power output 5 x 30 W<br />

23


Error messages 11<br />

Defective laser diodes<br />

Please also read the chapter “Error messages”<br />

in the user manual of your Physiolaser.<br />

On the probe itself only the following error<br />

messages appear in the case of defective<br />

laser diodes:<br />

The therapy programme can no longer be<br />

initiated, or – in cases when the failure occurs<br />

during an ongoing treatment – it will<br />

stop automatically.<br />

Please contact your retailer for repair.<br />

Multi-cluster probe error messages<br />

<strong>Laser</strong> 1 defect<br />

Error message that displays on single<br />

<strong>probes</strong><br />

Single probe error messages<br />

<strong>Laser</strong> x defect<br />

The “X” indicates the number of the defective<br />

diode<br />

24


Maintenance 12<br />

Cleaning and disinfection<br />

Unplug the power cord of the control unit before beginning all cleaning and care!<br />

Please ensure that you do not use sharp or caustic agents (e.g. acetone) when cleaning<br />

the plastic parts. Avoid getting moisture in the housing. A damp cloth is the best cleaning<br />

tool.<br />

To disinfect the device, use a soft cloth that has been dampened with a mild disinfecting<br />

agent.<br />

Always use a damp cloth for cleaning and disinfection – never fl ush water over the<br />

device. Do not use a solvent!<br />

If you work with an applicator, sterilise the applicator after each use in order to<br />

avoid transmitting infection to the patient.<br />

Calibration and safety check<br />

We recommend jearly calibration and safety check for the Physiolaser olympic, along with all<br />

<strong>probes</strong> and accessories, Please consider the national governmental rules and regulations for<br />

this class 3B laser device.<br />

Your Physiolaser olympic does not contain internal parts or components that need to be<br />

serviced by the user. Thus, there is no reason to open the device housing.<br />

If you want a service contract, please contact us or your distributor.<br />

25


Physical principles of laser<br />

therapy<br />

Continuous wave and pulsed <strong>probes</strong><br />

In gentle, non-invasive laser therapy, also<br />

known as LLLT (Low Level <strong>Laser</strong> Therapy),<br />

in general, a laser with relatively low power<br />

is used. Within LLLT, Reimers & Janssen offers<br />

two different laser types: CW <strong>probes</strong><br />

(CW=continuous wave) emit a continuous<br />

wave laser light with an output power from 5<br />

– 500 mW and with pulsed <strong>probes</strong>, extremely<br />

short, but up to 50 W strong light pulses<br />

are emitted sequentially.<br />

The light emission with both probe types<br />

can be controlled by frequency modulation.<br />

With this, the laser beam is periodically switched<br />

on and off. In your control unit’s software<br />

this is referred to as “frequency”. You<br />

can use your therapy programs with preprogrammed<br />

frequency modulation or simply<br />

program the frequencies yourself. Please read<br />

about this in the user manual for your control<br />

unit.<br />

When using frequencies, please note that<br />

the on- and off times of the laser beam are<br />

equal with the CW <strong>probes</strong>. Thus, the energy<br />

output is always half that of a continuous<br />

wave – independent of the magnitude of<br />

the frequency. In contrast, with superpulsed<br />

<strong>probes</strong> – which generally cannot be operated<br />

with a continuous wave – the energy<br />

output amount depends on the selected<br />

frequency. The highest energy is emitted at<br />

the maximum frequency<br />

.<br />

Reimers & Janssen CW <strong>probes</strong><br />

Reimers & Janssen pulsed <strong>probes</strong><br />

13<br />

26


Energy output with CW <strong>probes</strong><br />

CW-<strong>probes</strong> continuously emit the laser<br />

light with relatively low power output<br />

in continuous wave operation. This<br />

can be turned on and off with frequency<br />

modulation.<br />

In Reimers & Janssen CW <strong>probes</strong>, the<br />

length of time which the laser beam is on<br />

is always exactly as long as the time off.<br />

The following fi gures indicate the different<br />

operation of a CW single probe 50 mW. For<br />

illustration, small frequency modulations<br />

have been used.<br />

In continuous wave operation<br />

In the fi rst example, the CW probe is operated<br />

with full power output without frequency<br />

modulation with continuous wave<br />

for 2 seconds. Power output and energy<br />

emission are thus continuous.<br />

Leistung<br />

in Milliwatt<br />

100<br />

75<br />

50<br />

mW<br />

25<br />

0<br />

461 THz<br />

0,5<br />

Reimers & Janssen CW <strong>probes</strong><br />

Energy output in CW operation<br />

Red area = Energy in Joules<br />

Zeit<br />

in Sekunden<br />

The magnifying glass indicates the light frequency of 461 THz, which corresponds to a<br />

wavelength of 650 nm.<br />

1<br />

sek.<br />

= Power output x<br />

Dauerstrahl (CW)<br />

1,5<br />

time<br />

= 0.05 W x 2 s<br />

= 0.1 J<br />

2<br />

27


At a frequency of 1 Hz<br />

In this case the CW probe is operated with<br />

a frequency modulation of 1 Hz for 2 seconds.<br />

With equal on and off times, power<br />

output is only half the time, so the energy<br />

output is halved.<br />

100<br />

75<br />

50<br />

mW<br />

25<br />

0<br />

Eine Periode<br />

0,5<br />

During 1 period, the laser beam is on 1 x<br />

and off 1 x.<br />

1<br />

sek.<br />

1,5<br />

Energy output in frequency operation<br />

mode<br />

Red area = Energy in Joules<br />

Frequency modulation<br />

Frequency =<br />

number of periods / 1<br />

second<br />

1 Hz = 1 period / 1 second<br />

1.000 Hz = 1.000 period / 1 second<br />

1 MHz = 1 x 106 period / 1<br />

second<br />

= (power output x<br />

time) / 2<br />

= (0.05 W x 2 s) / 2<br />

= 0.05 J<br />

2<br />

At a frequency of 2 Hz<br />

In this case, the continuous wave prove is<br />

modulated at 2 Hz, so the energy output is<br />

exactly the same as for 1 Hz operation.<br />

100<br />

75<br />

50<br />

mW<br />

25<br />

Eine Periode<br />

0<br />

0,5<br />

At 2 Hz, the laser beam is on 2 x and off 2 x<br />

each second.<br />

1<br />

sek.<br />

1,5<br />

If you operate your CW probe with<br />

frequency modulation, the energy<br />

output is always halve compared to<br />

the continuous wave mode – independent<br />

of the magnitude of the frequency<br />

modulation. If you want a higher<br />

energy output, you must increase<br />

the treatment time or select a continuous<br />

wave program. If you want a<br />

lower energy output, you must decrease<br />

the treatment time or lower<br />

the power output.<br />

Light frequencies<br />

Frequency =<br />

461 THz =<br />

1 THz =<br />

Velocity (light) /<br />

wavelength<br />

ca. 300,000 km / s /<br />

650 nm<br />

1.000 x 1.000 x 1.000 x<br />

1.000 Hz<br />

2<br />

28


Calculation of therapy time with CW<br />

<strong>probes</strong><br />

If you change the energy output or treatment<br />

time in your control unit, the software<br />

automatically calculates the other parameters,<br />

both in a CW program and in a frequency<br />

programm<br />

Adjustable values<br />

T = Time in minutes / seconds<br />

E = Energy in Joules<br />

P = Power output in milliwatts<br />

Formula for the continuous wave<br />

programme<br />

T = E / P<br />

Formula for the frequency programme<br />

T = (E / P ) x 2<br />

Sample calculation with the CW<br />

single probe 500mW<br />

If you want to emit 4 Joules in a continuous<br />

wave program, the treatment time is 8<br />

seconds.<br />

Pre-set values<br />

Energy output = 4 Joule<br />

Power output = 500 mW<br />

Calculation of treatment time<br />

T = 4 J / 0.5 W = 8 s<br />

If you want to emit the same energy with a<br />

frequency program, the treatment time is 16<br />

seconds.<br />

Calculation of treatment time<br />

T = (4 J / 0.5 W) x 2 = 16 s<br />

You can change the parameters in the<br />

“<strong>Laser</strong> settings” display.<br />

The CW single probe 500mW<br />

29


Energy output with spulsed <strong>probes</strong><br />

Compared to continuous wave <strong>probes</strong>,<br />

pulsed <strong>probes</strong> emit relatively strong, but<br />

extremely short light pulses sequentially.<br />

The duration of the pulses is always equally<br />

short and equally strong.<br />

The frequency determines the number of<br />

pulses per second and thus the average<br />

power output. The higher the frequency,<br />

the more energy emitted. The following<br />

fi gures indicate the relationship based on<br />

the superpulsed single probe at 90 W. For<br />

illustration, a very small frequency is contrasted<br />

with a large one.<br />

At a frequency of 1 Hz<br />

The pulsed probe has a peak power output<br />

of 90 W. One pulse is emitted per second at<br />

a modulation frequency of 1 Hz.<br />

Leistung<br />

in Watt<br />

100<br />

90<br />

The light frequency amounts to 331 THz,<br />

which corresponds to a wavelength of 904<br />

nm. Each pulse emits energy for a duration<br />

of 100 ns, or 100 billionths of a second.<br />

W<br />

75<br />

50<br />

25<br />

0<br />

331 THz<br />

1<br />

Reimers & Janssen superpulsed <strong>probes</strong><br />

General formulae<br />

total<br />

energy (E)<br />

average<br />

power<br />

output<br />

Pre-set values<br />

100 ns<br />

2<br />

sek.<br />

= average power output (P)<br />

x treatment time (T)<br />

=<br />

3<br />

Zeit<br />

in Sekunden<br />

peak power output<br />

x pulse duration x<br />

frequency<br />

Treatment time = 10 s<br />

Frequency modulation = 1 Hz<br />

Calculation<br />

E = 90 W x 100 ns x 1 Hz x 10 s<br />

4<br />

= 90 W x (100 x 10 -9 )s x 1 Hz x 10s<br />

= 90 µJ (micro Joules)<br />

30


At a frequency of 20 kHz<br />

The same probe at a frequency modulation<br />

of 20,000 Hz. Each second, the energy<br />

emitted is 20,000 times greater than at 1<br />

Hz.<br />

100<br />

90<br />

W<br />

75<br />

50<br />

25<br />

0<br />

The magnifying glass indicates that the energy output is in individual pulses emitted<br />

20,000 times per second.<br />

With your superpulsed probe, the<br />

energy output changes depending<br />

on the frequency modulation. If you<br />

want to emit more energy, increase<br />

the frequency or the treatment<br />

time. If you want to emit less energy,<br />

reduce the treatment time or decrease<br />

the frequency.<br />

The duration of the pulse with Reimers &<br />

Janssen pulsed <strong>probes</strong> amounts to 200 ns at<br />

a frequency modulation up to 9,999 Hz, and<br />

beyond 10,000 Hz the pulse lasts 100 ns<br />

1<br />

20 kHz<br />

2<br />

sek.<br />

3<br />

General formulae<br />

total<br />

energy (E)<br />

average<br />

power<br />

output<br />

Pre-set values<br />

4<br />

= average power output<br />

(P) x time (T)<br />

=<br />

peak power output<br />

x pulse duration x<br />

frequency<br />

Treatment time = 10 s<br />

Frequency modulation = 20,000 Hz<br />

Calculation of energy output<br />

E = 90 W x 100 ns x 20 kHz x 10 s<br />

= 90 W x (100 x 10-9 ) s x (20 x 10 3 )<br />

Hz x 10 s<br />

= 1.8 J<br />

31


Calculation of therapy time with<br />

pulsed <strong>probes</strong><br />

Energy output and treatment time are the<br />

only parameters that can be set with superpulsed<br />

<strong>probes</strong>, and not the power output. If<br />

you change the frequency on your control<br />

unit, the software automatically calculates<br />

the energy output.<br />

Sample calculation with the pulsed<br />

single probe<br />

The pulsed single probe has a power output<br />

of 90 W with an pulse duration of 100 ns.* If<br />

you want to emit 4 Joules at a frequency of<br />

10 kHz with this probe, the treatment time<br />

will be 44 seconds.<br />

General formulae<br />

time (T) =<br />

average power<br />

output<br />

Pre-set values<br />

=<br />

Energy = 4 J<br />

total energy (E) /<br />

average power output<br />

(P)<br />

peak power output<br />

x pulse duration x<br />

frequency<br />

Frequency = 10,000 Hz<br />

Calculation of treatment time<br />

T = 4 J / 90 W x 100 ns x 10,000 Hz<br />

= 4 J / 90 W x (100 x 10-9 ) s x<br />

(10 x 10 3) Hz<br />

= 44.44 s<br />

*at less than 10,000 Hz the pulse duration<br />

is 200 ns<br />

You can set the frequency modulation in<br />

the “Changing the frequency” display.<br />

Reimers & Janssen superpulsed single<br />

probe<br />

32


Calculation formulae for the therapy<br />

practice<br />

The previous examples are based on the<br />

assumption that a 1 mm² laser beam is<br />

targeted directly from the outlet onto the<br />

skin and thus a 1 mm² area of the skin<br />

surface is treated.<br />

However, in practice it may be that an applicator<br />

is used or a safety margin is maintained<br />

to the skin or simply that a larger<br />

area is to be treated.<br />

<strong>Laser</strong>strahl mit Austrittswinkel<br />

<strong>Laser</strong>strahl bei Austritt: 1 mm 2<br />

Energiedichte: 1 J / mm 2<br />

Because the laser beam is not perfectly focussed,<br />

but instead is emitted at an angle,<br />

the power output and energy at the surface<br />

decreases with the distance. This factor<br />

is expressed in the formulae for power<br />

density and energy density as:<br />

General formulae<br />

power density<br />

(W/cm 3 )<br />

energy density<br />

(J/cm 2 )<br />

= average power out-<br />

=<br />

put / beam size<br />

power density x<br />

time (treatment<br />

time)<br />

Fläche beim Auftreffen: 100 mm 2<br />

Energiedichte: 0,01 J / mm 2<br />

The laser beam has a beam size of 1 mm2<br />

upon emission. Because of the emission<br />

angle, the surface area (beam size) increases<br />

with distance, and energy decreases.<br />

Power and energy density decrease<br />

proportionally as the irradiated surface<br />

decreases.<br />

33


CW single probe 500mW example<br />

If we assume that the laser beam emanates<br />

directly from the outlet with a diameter of<br />

1 mm² (beam size) in the CW single probe,<br />

then the power density at maximum power<br />

is 500 mW / mm².<br />

If we now assume that the irradiated surface<br />

area is 1 cm 2 , the power density is only<br />

0.005 W / cm 2 .<br />

General formulae<br />

Power density<br />

(W / cm 2 )<br />

Pre-set values<br />

Power output = 500 mW<br />

= average power<br />

output / beam size<br />

Calculation of power density on 1 cm²<br />

Power density<br />

(W / cm 2 )<br />

= 500 mW / mm 2<br />

= 0.5 W / 0,01 cm 2<br />

= 0.005 W / cm 2<br />

The CW single probe 500mW<br />

If you want to irradiate this 1 cm 2 surface<br />

area with 4 Joule of energy, you will need<br />

13 minutes and 20 seconds of treatment<br />

time.<br />

General formulae<br />

Energy density<br />

(J / cm 2 )<br />

Pre-set values<br />

Power output = 500 mW<br />

= power density x time<br />

Energy = 4 J<br />

(treatment time)<br />

Calculation of treatment time on 1 cm²<br />

T = energy density / power density<br />

= 4 J / cm 2 / 0.005 W /cm 2<br />

= 800 s<br />

= 13 minutes + 20 seconds<br />

34


CW multi-cluster probe example<br />

If we assume that the laser beam in each<br />

outlet of the CW multi-cluster probe with<br />

12 laser diodes has a diameter of 1 cm 2<br />

(beam size), then the power density at maximum<br />

power is 600 mW / cm 2 , distributed<br />

over the 12 laser diodes. This is equivalent<br />

to 33.33 mW /cm 2 per diode.<br />

If we now assume that the irradiated surface<br />

area is 12 cm 2 and each diode irradiates a 1<br />

cm 2 area, then the power density per diode<br />

is only 0.0003333 W / cm 2 .<br />

General formulae<br />

Power density per<br />

diode (W/cm 2 )<br />

Average power<br />

output<br />

Pre-set values<br />

Power output = 400 mW<br />

=<br />

= power output /<br />

average power<br />

output / beam<br />

size<br />

number of diodes<br />

Calculation of power density per diode<br />

on 1 cm 2<br />

Power density<br />

(W/cm 2 )<br />

=<br />

= (400 mW / 12 ) /<br />

(power output /<br />

number of diodes) /<br />

beam size<br />

mm 2<br />

= 33,33 mW / mm 2<br />

= 0.0003333 W / cm 2<br />

Reimers & Janssen CW multi-cluster probe<br />

If you want to achieve an energy density of<br />

4 Joule/ cm 2 , you will need a treatment time<br />

of 16 minutes and 40 seconds.<br />

Pre-set values<br />

Power<br />

output<br />

= 400 mW<br />

Energy = 4 J<br />

Calculation of treatment time on<br />

1 cm 2<br />

T =<br />

(energy density / power<br />

density ) / number of diodes<br />

= (4 J / cm2 / 0.0003333 W /<br />

cm 2 ) / 12<br />

= 1.000 s<br />

= 16 minutes + 40 seconds<br />

35


Technical Data 14<br />

Technical Data<br />

Class 3B laser therapy device<br />

Absolute measurement uncertainty for laser<br />

power<br />

Frequency modulation<br />

Electrical conductance measurement<br />

accuracy<br />

Operating conditions<br />

Ambient temperature + 10°C to +30°C<br />

Relative humidity 30% to 75%<br />

Atmospheric pressure 700 hPa to 1060 hPa<br />

Transport and storage conditions<br />

+/-20%<br />

0.1 Hz to 99999 Hz cw laser<br />

0.1 Hz to 40000 Hz pulsed laser<br />

+/- 10%<br />

Ambient temperature -20° C to +40 C<br />

36


Single <strong>probes</strong><br />

Single probe<br />

impulse<br />

Typ 515 A<br />

Single probe<br />

CW 50mW<br />

Typ 510 A<br />

Single probe<br />

CW 150mW<br />

Typ 514 A<br />

Single<br />

probe 200mW<br />

Typ 512 A<br />

Single probe<br />

CW 500mW<br />

Typ 511 A<br />

Multi-cluster <strong>probes</strong><br />

Cluster probe<br />

Impulse<br />

Typ 516 A<br />

Cluster probe<br />

CW<br />

Typ 517 B<br />

Cluster probe<br />

CW cuff<br />

Typ 518 A<br />

Wavelength Power output <strong>Laser</strong> type<br />

Pulse<br />

duration<br />

904 nm max. 50 W<br />

Impulse<br />

100ns/200ns<br />

785 nm max. 50 mW Continuous<br />

wave (CW)<br />

638 nm max. 150 mW Continuous<br />

wave (CW)<br />

670 nm max. 200 mW Continuous<br />

wave (CW)<br />

810 nm max. 500 mW Continuous<br />

wave (CW)<br />

Wavelength<br />

Power output <strong>Laser</strong> type<br />

Pulse<br />

duration<br />

904 nm 5 x max. 30 W<br />

785 nm<br />

655 nm<br />

785 nm<br />

655 nm<br />

8 x max. 55 mW<br />

4 x max. 40 m<br />

8 x max. 55 mW<br />

4 x max. 40 m<br />

impulse<br />

100/200 ns<br />

Continuous<br />

wave (CW)<br />

Continuous<br />

wave (CW)<br />

NOHD* Beam<br />

divergence<br />

0.10 m 0.190 rad<br />

0.10 m 0.140 rad<br />

0.09 m 0.157 rad<br />

0.14 m 0.209 rad<br />

0.29 m 0.157 rad<br />

NOHD Beam<br />

divergence<br />

0.06 m 0.190 rad<br />

0.10 m<br />

0.09 m<br />

0.10 m<br />

0.09 m<br />

0.140 rad<br />

0.157 rad<br />

0.140 rad<br />

0.157 rad<br />

* Safety margin (NOHD): The distance at which the radiation strength or the radiation<br />

is equal to the corresponding limit for the maximum permissible radiation of the cornea<br />

(MPE=Maximum Permissible Exposure).<br />

All <strong>probes</strong> are equipped with a red LED status indicator.<br />

37


CW multi-cluster probe: Positioning of the labels on the device<br />

4<br />

1. laser warning sign<br />

2. identifi cation label<br />

3. bottom laser warning sign<br />

4. power output label<br />

CW multi-cluster probe: explanation of device icons and labels<br />

Identifi cation label Symbols on the Identifi cation<br />

Power output and warning signs<br />

3<br />

3<br />

1<br />

2<br />

Power output label<br />

<strong>Laser</strong> warning sign<br />

IPX0<br />

0123<br />

The device meets the requirements<br />

of 93/42/EEC for medical products.<br />

No rating against harmful ingress<br />

of water as defi ned in IEC 529<br />

„Attention“ Oberserve the<br />

instructions in the manual for safe<br />

and effective usage of<br />

this device.<br />

Protection against electric shock<br />

regarding allowable leakage current<br />

limitations are specifi ed in standard<br />

60601-1.<br />

Production date, month - year<br />

FDA cleared CSA cleared<br />

38


Single <strong>probes</strong>: Positioning of the labels on the device*<br />

2 3<br />

1. <strong>Laser</strong> warning sign on the upper side<br />

2. <strong>Laser</strong> warning sign on the lower side<br />

3. Power output label<br />

4. Identifi cation label<br />

Single <strong>probes</strong>: explanation of device icons and labels<br />

Identifi cation label Symbols on the Identifi cation<br />

Power output and warning signs<br />

Power output label<br />

<strong>Laser</strong> warning sign<br />

4<br />

1<br />

IPX0<br />

0123<br />

The device meets the requirements<br />

of 93/42/EEC for medical products.<br />

No rating against harmful ingress<br />

of water as defi ned in IEC 529<br />

„Attention“ Oberserve the<br />

instructions in the manual for safe<br />

and effective usage of<br />

this device.<br />

Protection against electric shock<br />

regarding allowable leakage current<br />

limitations are specifi ed in standard<br />

60601-1.<br />

Production date, month - year<br />

FDA cleared CSA cleared<br />

39


Pulsed multi-cluster probe: Positioning of the labels on the device<br />

1<br />

1<br />

1<br />

2<br />

2<br />

1. <strong>Laser</strong> warning sign<br />

2. <strong>Laser</strong> warning sign<br />

3 4<br />

3. Power output label<br />

4. Identifi cation label<br />

Superpulsed multi-cluster probe: explanation of device icons and labels<br />

Identifi cation label Symbols on the Identifi cation<br />

Power output and warning signs<br />

Power output label<br />

<strong>Laser</strong> warning sign<br />

IPX0<br />

0123<br />

The device meets the requirements<br />

of 93/42/EEC for medical products.<br />

No rating against harmful ingress<br />

of water as defi ned in IEC 529<br />

„Attention“ Oberserve the<br />

instructions in the manual for safe<br />

and effective usage of<br />

this device.<br />

Protection against electric shock<br />

regarding allowable leakage current<br />

limitations are specifi ed in standard<br />

60601-1.<br />

Production date, month - year<br />

FDA cleared CSA cleared<br />

40


Guarantee and Disposal 15<br />

Guarantee<br />

The manufacturer’s guarantee is valid for 24 months. The manufacturer is only responsible<br />

for the features warranted by the user manual, if the device has been operated carefully<br />

according to the user manual.<br />

Readjustment, calibration and maintenance or repairs should only be performed by the<br />

retailer, otherwise the guarantee expires. Any alterations or interventions on the device<br />

by an unauthorized third party void the guarantee. The manufacturer guarantees replacement<br />

parts for a period of ten years after the date of purchase.<br />

Disposal<br />

Probes and control units may not be disposed of along with normal electronic waste because<br />

of the radiation hazard. The devices should be sent to the manufacturer for decommissioning<br />

and disposal.<br />

41


Manufacturer information<br />

Distributor<br />

Version 1.4 25.05.2012<br />

Distributor<br />

REIMERS & JANSSEN GmbH<br />

Photomedicine — <strong>Laser</strong> Therapy<br />

Fabrikstr. 22 79183 Waldkirch, Germany<br />

Tel. +49-7681-4934149 Fax +49-7681-4934150<br />

service@rj-laser.com www.rj-laser.com<br />

Quality Management ISO 13485: 2003 + AC2009<br />

16<br />

42

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