INTRODUCING NEW

ELOS PLUS APPLICATORS

Product Overview

Competitive Summary

Most powerful and efficient all-in-

one system without sacrificing safety

for efficacy.

• electro-optical synergy

• Two types of energy sources: (Optical) Light or Laser + Conducted Bi-Polar RF

• Optical energy: primarily absorbed in the target by the right choice of wavelength and pulse duration

• Bi-Polar RF energy: Chromophore independent – Heats tissue in which the current is conducted

elōs™ Technology

elōs™ Technology

electro-optical synergy =

Combining optical energies (laser or light) with conducted bi-

polar radio frequency (RF) energy

Optical Energy: Selective heating of the target chromophore

+ Bi-Polar RF Energy: Chromophore independent – bulk heating of the target tissue

Unprecedented Safety and Superior Results!

Light Behavior

Diffusive Reflection

30%-45%

Scattered Light

30%-40% Treated area

Incident Fluence

Only 20%-40% of light is absorbed in treated area

elos – IPL at 45J/cm2 + RF at 25J/cm3

elōs™ - The Science

of Combining Optical and RF energies

+

If you have target that needs to reach >70°C

Optical only - Needs to change the lesion temperature by 35°C

If Non-Selective RF can heat the whole tissue by 5°C

Only 30°C is now needed by the optical energy

15% reduction in optical energy

Instead of Using 35J/cm2 you can use 30J/cm2 to reach the same temperature

Practical Application of Combined Energies –

Without Synergy

=

Because of the change in conductivity from the application of optical energy

RF heated volume is reduced to 50% of the area, producing double the concentration

of current in the “Pre Heated” tissue

Now the RF application produces + 10°C

Only 25 °C is needed by Optical Energy

30 % Reduction in Optical Energy

Instead of Using 35J/cm2 you can use 25J/cm2 to reach the same temperature

Practical Application of Combined Energies –

WITH SYNERGY

+

History of elos – What's next?

2002 2000 2004 2012 2008

SRA Applicator

DS, SR, AC Applicators

elos Invented

elos Plus Launched

Addition of IFS

12yrs of elos - Integrating Optical and RF energies

Matrix IR Applicator

2013

What's Next ???

The Complete Aesthetic Tool Kit

Leg Veins

Laser Hair Removal

Skin Contouring

Skin Texture

Vascular and Pigmented lesions

IPL Hair Removal

Acne

Decade in LHR (96’– 06’)

RUBY

HR Adverse Side Effects

• Erythema

• Oedema

• Pain

• Dyspigmentation

• Urticaria

• Vesiculation

• Crusting

• Burn

• Epidermal disruption (rare)

Mechanism of Action

• Combination of optical and RF energies creates uniform

selective heating of hair shaft and follicle, including the bulge.

HEAT ACCUMULATION – elōs

RF Electrode

RF Electrode

Follicle

Shaft

Motif Adverse Side Effects

What side effects???

The Future – Motif LHR

RUBY

Hair Removal – 2 Techniques

1. LHR Mode – High Energy

High Fluence Selective Photothermolysis

derm~ 40°C

epi ~ 26°C with cooling

HF ~ 75°C

t° derm << t° hf

derm ~37°C

derm ~37°C

What is “Comfortable” Laser Hair Removal Treatment? • Based on the accumulation of heat in the

target via multiple passes of with minor

selectivity in the target area

• Energy is delivered in a low fluence (6 -

10J/cm2) in a continuous motion

• Usually a 10Hz repetition rate is chosen,

which allows almost CW like operation

when combined with continuous hand

movements

• The first few passes both warm the follicles

and the surrounding tissue and eventually

the base temperature of dermis rises

enough so that the last couple of passes of

low fluence increase the follicles above the

coagulation/necrotic threshold

60-70° C Painful

50-60° C Warm – Aches

40-50° C Mild Heat Sensation

Heat Stacking (Multiple Passes):

36 46 (39)

39 49 (42)

42 52 (45)

45 55 (48)

48 58 (51)

51 61 (54)

54 64 (57)

57 67 (60)

60 70 (63)

Low Fluence / High Average Power – Motif LHR

derm~ 50°C

Epi ~ 26°C with cooling

HF ~ 60°C

t°derm < t°hf

derm~ 45°C

derm ~ 50°C

RF for Hair Removal Treatment (elos Motif)

How Can It Help Create Comfortable Treatments?

• 1MHZ Conducted Bi-Polar RF

can increased the bulk

dermal temperature

between 5-10°C per pulse

(30-50J/cm3)

• Can be pulsed synchronous

with the Laser for combined

synergistic heating of the

target – elos

• Heats tissue independently of

the target color or more

importantly increase risk to

epidermal structures

60-70° C Painful

50-60° C Warm – Aches

40-50° Mild Heat Sensation

Heat Stacking (multiple Passes)

36 46 (41)

41 51 (46)

46 56 (51)

51 61 (56)

56 66 (61)

61 71 (66)

• Hypothesis: Combined with the Laser the addition of RF should shorten number of passes to reach the target temperature of the

same sized treatment zone.

Speed

Spot size 12mm X 15mm

Optical fluence 8J/cm2 20% lower than

nearest competitor, more comfortable for

patient

ELOS energy uniquely delivering RF with Laser

of up to 5J/cm3 with every pulse in Motif

mode

2 X speed of nearest rival…

Man’s back in 20 mins

Woman’s full legs in 30 min

Underarm in 1 minute

• Versatility : 1,2, 3Hz + Motif Mode

• Treat All skin types

• Treat All year round

• Comfortable hair removal using Motif Mode

• elos painting advantage: Optical + RF

• Speed of treatments

NEW! Motif Mode

MOTIF LHR

Pulsing Mode vs. Motif Mode

15 mm

12 mm

Motif LHR Applicator

(Numbers in brackets are the maximum energy levels in 3 Hz)

LHR Mode Specs

Wavelength: 810nm

Optical Fluence (up to 2 Hz):

Skin types I-III:

Skin type IV:

Skin types V-VI & Tanned:

6 – 50 (30) J/cm2

6 – 40 (24) J/cm2

6 – 20 (12) J/cm2

RF Energy Density (up to 2 Hz): Low:

Normal:

High:

15 (5) J/cm3

30 (10) J/cm3

50 (20) J/cm3

Cooling Temp 5° C

Treated Area 12 x 15 mm

Repetition Rate Up to 3 Hz

Motif LHR : Pulsing Mode Screen

15 mm

12 mm

Motif LHR Applicator

Motif (“Painting”) Mode Specs

Wavelength 810 nm

Optical Fluence:

Intensity I:

Intensity II:

Intensity III:

Intensity llll:

2 J/cm2

4 J/cm2

6 J/cm2

8 J/cm2

RF Energy Density:

High Mode

Normal Mode

Sensitive Mode

10J/cm3

7J/cm3

3 J/cm3

Cooling Temp 5° C

Repetition Rate 10 Hz

Treated Area 12 x 15 mm

Motif LHR: painting mode screen

Treatment at speed of 3 Hz LHR Mode

Motif Mode Treatment Parameters

Three parameters require setting:

1. Laser:

• Skin types I-III: 6,8

• Skin type IV: 4

• Skin Types V, VI, tan: 2

2. RF energy:

• 10J/cm3: for thick-skinned areas

• 7J/cm3 : for normal skin

• 3J/cm3: for thin-skinned/bony areas

3. Recommended Energy

• 10x10 cm treatment area: 6000J

• 15X10 cm treatment area: 9000J

• Smaller areas require less delivered energy

Page 29-49

Motif Technique