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LEDA The Fastest Hair Removal Laser © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Quantel Derma © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 • Development, Manufacturing, Sales, Marketing and Service of Lasers and Light Systems for Dermatology and Aesthetic • Part of the Quantel Group of France In the Laser business since 1970 • Most comprehensive portfolio of products and applications Product Overview LBO - KTP 532 308 Excimer © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 550 LED – SCR Alexandrite 585 755 630 IPL 635 694 Ruby Nd:YAG 1,064 808 980 Diode Er:YAG 2,940 1,540 Er:Glass 10,600 CO2 LEDA EPI – Fastest Hair Removal Laser • Fastest hair removal laser - 808 nm for all skin types - 980 nm for darker skin types • LED technology as an additional option • Platform for several energybased technologies in the future © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI The fastest Laser Hair Removal System • LEDA EPI is the fastest hair removal laser system in the market • Entire back can be treated in less than 10 min without any compromise to fluence and pulse duration • Special features for the treatment of sensitive skin like the registered FHR® Fractional Hair Removal Technology © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Current Hair Removal Technology Repositioning requires a lot of time Courtesy of Prof. Dr. Uwe Paasch, Leipzig University, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 New Scanning Technology for Hair Removal Result: LEDA is fast and effective! Courtesy of Prof. Dr. Uwe Paasch, Leipzig University, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Hair Removal – Spot versus Continuous Scanner Much faster treatment with linear scanning Spot Scanner Quantel Derma approach Principle Single shots Different spots Scanned along the skin surface Duty Cycle (% light on) < 10 % 30 - 40 % Light intensity > 1,500 W/cm2 > 2,500 W/cm2 Required light output 2,900 W (best in class) 300 W Result: LEDA is fast due to high duty cycle LEDA is effective due to high light intensity LEDA is transportable due to low required light output © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Hair Removal – Spot versus Continuous Scanner As effective as established methods Scanner Spot Quantel Derma approach Position of applicator Difficult to achieve optimal overlap Optimal positioning in large spot due to scanner Penetration depth Depending on spot size Deep homogeneous heating in the hair root layer Treatment time Long because of many new positionings Short because of few new positionings Power consumption weight, size High, due to high required light output Low, due to low required light output short pulses possible No Yes Result: © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA is effective on deep lying hairs due to penetration Depth LEDA is effective on fine hairs due to possiblity of short pulses Current Epilation Technology Time period between two shots is much larger than the shot itself Laser switchedon for less than 10% of the treatment time sufficient fluence and penetration depth High powered lasers (> 1 kW) to generate it © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Slow Long treatment time Heavy and bulky laser New Epilation Technology Laser fires during entire scanning period Laser switchedon for more than 30% of the treatment time Fast Short treatment time sufficient fluence and penetration depth Small slit only with pre- and post scattering of the light Small and portable laser © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 High light intensity with scanning technology Scanning technology Current spot by spot technology L A S E R High light intensity due to focus on small slit - 2,500 W/cm2 - 300 W required light output Courtesy of Prof. Dr. Uwe Paasch, Leipzig University, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 L A S E R Low light intensity due to spot - 1,500 W/cm2 - 2,900 W required light output Light on time of more than 30% with scanning technology Scanning technology Light on for the entire scan On-time: complete scan Off-time: 1 sec repositioning -> more than 30% on-time and shorter treatment time Courtesy of Prof. Dr. Uwe Paasch, Leipzig University, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Current spot by spot technology Light off-time > light on-time On-time: 0,1 sec x 5 = 0,5 sec Off-time: 0,9 sec x 5 = 5 sec -> 10% on-time Best Wavelengths for Hair Removal Lighter skin: 755 nm to 808 nm due to medium absorption in melanin 755 nm Alexandrite laser 1,064 nm Nd:YAG laser 808 nm Diode laser 980 nm Diode laser LEDA EPI 808 is optimal for hair removal of lighter skin (like many other systems for years). © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Best Wavelength for Hair Removal Darker skin: 980 nm due to low absorption in melanin 755 nm Alexandrite laser 808 nm Diode laser 1,064 nm Nd:YAG laser 980 nm Diode laser LEDA EPI 980 is optimal for hair removal of darker skin. 1,064: too low absorption in melanin (painful, too high penetration depth) 808: high absorption for darker skin (risk of side effects) © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA Hair Removal - Clinical Effect It works! 5 weeks after first treatment With insufficient overlap Pictures: Courtesy of Prof. Paasch, Leipzig, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA Hair Removal – Treatment Examples LEDA EPI 980 for dark skin Before Before 3rd session LEDA EPI 980 treatment parameters: Energy: 24 J/cm2 Pulse duration: 30 ms Photographs: Courtesy from Dr. Chandrashekar, Bengaluru, India © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA Hair Removal – Treatment Examples Black hair is gone, only white/grey hair stays Before Before 5th session LEDA EPI 980 treatment parameters: Energy: 24 J/cm2 Pulse duration: 30 ms Photographs: Courtesy from Dr. Chandrashekar, Bengaluru, India © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Proven Clinical Results Presented at ASLMS 2009* Study with 31 patients and 6 month follow-up after last treatment As effective as Alexandrite Laser Presented at EADV 2009** Study with 18 Patients and 6 month follow-up after last treatment As effective as established Diode Laser * Bodendorf et. Al: Hair removal with a continuous laser ** Slouka and Voltr: Efficacy and safety of a linear scanning 808 nm diode laser for hair removal © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI 808 nm – Clinical Trial in Leipzig Full scale clinical trial to compare LEDA to Alexandrite • Epilation of axillary hair of 31 patients Right axilla: Alexandrite (ARION) 25 J/cm² 30 ms* Left axilla: LEDA Epi 808 nm 24 J/cm² 12 ms* • 6 treatment sessions Final results with 6 months follow-up presented at 29th ASLMS, National Harbor 2009 (now 18 months follow-up) * Parameter of first treatment session © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Hair removal with a continuous wave laser Marc Oliver Bodendorf, Sonja Grunewald, Monica Illes, Jan-Christoph Simon, Uwe Paasch Division of Lasers and Aesthetics, Department of Dermatology University of Leipzig, Germany 29th ASLMS Annual Conference, National Harbor, Maryland © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Material and methods Subjects enrolled into the study n = 31 (♂ = 3; ♀ = 28) Skin type I-IV brown-dark axillary hair Exclusion criteria Pigmentary disorder Pregnancy and Lactation Infection Pre-treatment axillary laser hair removal Hair counting Trichoscan™ right axilla Alexandrite 755 nm spot scan Trichoscan ™ 6 x 6 x Treatment 1- 6 Trichoscan ™ Treatment 1- 6 25-30 J/cm² 30-40 ms © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 left axilla Diode 808 nm continuous scan 24-30 J/cm² 12 ms Follow-up after 6 months Hair reduction: Trichoscan (haircount per 0.651 cm²) LEDA is as effective as the gold standard = Alexandrite also for FINE hairs © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Clinical pictures Before treatment Photographs courtesy of Prof. Paasch, Leipzig, Germany © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 4 weeks after 4th Tx LEDA EPI 808 nm – Clinical Trial in Leipzig Pain assessment • Directly after treatment How painful was the treatment? (0 = not at all, 10 = like a nettle-contact) Similar pain as Alexandrite 4,4 • One hour post treatment How painful is the treated area now? (0 = not at all, 10 = like a nettle-contact) 0,2 How itchy is the treated area now? (0 = not at all, 10 = like 5 insect bites) 0,2 How is the redness of the treated ares now? (0 = not at all, 10 = like a strong sunburn) 0,2 Are you restricted in your physical activities? (0 = not at all, 10 = need rest in bed) 0,0 © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI 808 nm – Clinical Trial in Plzen Second trial to compare LEDA with standard diode laser (LightSheer) • Epilation of axillary hair of 18 patients Right axilla: Diode Laser LightSheer 810 nm Left axilla: Diode Laser LEDA EPI 808 nm • 6 Treatment Sessions Treatments included pain assessment Presented with 6 months follow at EADV, Berlin 2009 © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Efficacy and safety of a linear scanning 808 nm diode laser system for hair removal •David Slouka | •Jiri Voltr | © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Charles University, Medical School Plzen, Czech Republic VS LASERA Laser Centre Plzen, Czech Republic Results LEDA LightSheer 100% LEDA is as effective as LightSheer but much faster 100% -50% -54% -69% -63% -65% -75% TS = Treatment session © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI 808 nm – Clinical Trial in Plzen Clinical pictures Axilla treatment LEDA Epi 808 nm Before Photos: Courtesy of Dr. David Slouka, Plzen Czech Republic © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 After 2nd treatment with LEDA LEDA EPI 808 nm – Clinical Trial in Plzen Clinical pictures Axilla treatment LEDA Epi 808 nm Before Photos: Courtesy of Dr. David Slouka, Plzen Czech Republic © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 After 2nd treatment with LEDA Biology: What causes the pain? Skin is very sensitive to outside influences due to a high number of different cutaneous receptors, such as: • Thermoreceptors (for heat) • Mechanoreceptors (for mechanical stress) © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Pain Reduction at Hair Removal Pain level is dependent from Pain reduction can be achieved by • Level of external nerve stimuli • Decreasing the external nerve stimuli (= less heat!) • Number of stimulated nerves at the same time • Decreasing the influenced area (= smaller spot size!) © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Principles of Low Fluence Hair Removal (= less heat) with LEDA EPI Options for low fluence treatments Advantages (+) and Disadvantages (-) • Treatment of skin with fluence of less than 12 J/cm2 (e.g. Lumenis LightSheer Duet) + + - • Energy is not delivered in one shot or path but in several paths (e.g. IN-Motion™ technology from Alma) + Applicable for tanned skin - Uncontrolled procedure - Time consuming Lower pain level No Cooling required Bad results on fine hairs No long-term efficacy proven Low fluence is a good option for tanned and sensitive skin to remove thick hairs © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Low Fluence Hair Removal with LEDA EPI • Low fluence (6 – 12 J/cm2) can be applied with short pulse durations • Efficacy: multiple spots with low fluence for gentle heating up of the hair bulb, surrounding tissue can cool down between spots • Full control of energy and stacking 2 1 © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 The Effect of Spot size LEDA EPI distance holders Experience by many patients with sensitive skin Small spot size is less painful than large spot size using the same parameters (fluence and pulse durations) Small spot 10 x 12 mm e.g. for upper lip Large spot 50 x 12 mm e.g. for legs and backs How can the lower pain of the small spot be combined with the high speed of the large spot? © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 FHR® Fractional Hair Removal Mode for Sensitive Skin • Quantel Derma has developed the registered FHR® Fractional Hair Removal technology • The large spot size (10 x 50 mm2) is divided into 2 – 4 smaller treatment areas FHR® Fractional Hair Removal Mode Standard mode © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 1 1 3 2 4 1 1 3 2 4 LEDA System: Offering many Options The LEDA EPI is the only system, that combines •Standard Treatment (either guided or direct input) •Low Fluence Hair Removal •FHR® Fractional Hair Removal User can select the number of simultaneous treatment areas: 2 “Normal Comfort” 3 “Medium Comfort” or 4 “High Comfort” © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Which mode should I use? • Standard Hair Removal Mode + Fastest mode (10 min for a back) + Useful for light skin types - Can be painful for sensitive or darker skin • FHR® Fractional Hair Removal Mode + As effective as standard mode, but reduced pain + Useful for light skin types - Prolonged treatment time (15 min for a back) • Low Fluence Hair Removal Mode + + + - very low pain safe treatments Best for darker skin types especially with 980 nm Prolonged treatment time (~ 20 min for a back) © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Example of an individualized Treatment Regime Start of 1. session 1. – 3. session 4. – 6. session © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Quick Treatment Guide © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Parameters of Factory Settings* High Fluence vs. Low fluence High Fluence Low Fluence 2 sub pulses each 6 – 12 J/cm2 *(not US-Version) ** (not included in treatment wizzard) © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 White Paper Low Fluence Hair Removal Mode by Dr. Adatto, Switzerland © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Software Menu Treatment wizzard – Skin type © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Software Menu Treatment wizzard – Hair color © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Software Menu Treatment wizzard – Hair thickness © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Software Menu Treatment wizzard – Settings confirmation © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Software Menu Press OK if everything is correct © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Advantages Contact cooling 1. Homogeneous Cooling 2. Compact design (portable chiller) 3. No noisy air cooler © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Exchangeable Sapphire Glasses © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 Two attractive options of an integrated system © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Technical Specifications EPI 808 EPI 980 Laser type Diode Diode Wavelength 808 nm 980 nm Spot size 50 x 12 mm / 10 x 12 mm 50 x 12 mm / 10 x 12 mm Pulse width 6 - 40 ms 6 - 40 ms Max. Power density 60 J/cm² 60 J/cm² Skin cooling (opt.) cold air or contact cold air or contact © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10 LEDA EPI – Summary LEDA EPI – Revolution in hair removal: • Effective due to proven wavelengths and large spot size, 50 x 12 mm • Fast hair removal of complete back in less than 10 min. • Flexible due to transport allowance, Plug and Play, table top system • Versatile proven wavelength 808 nm and especially designed handpiece 980 nm for darker skin types © Copyright Quantel Derma GmbH 2011 2011-03-14_Master and Sales Presentation LEDA_Rev10