Technical Users Manual Fraxel Re Store DUAL Wavelength System

Fraxel re:store® and Fraxel re:store DUAL Laser System
Fraxel re:store® and

Fraxel re:store® DUAL
Laser Systems Operator Manual
Fractional Resurfacing with IOTS

®
Intelligent Optical Tracking System
Manufactured by
Solta Medical, Inc.

25881 Industrial Blvd
Hayward, CA 94545 U.S.A.
Phone: +1 510-782-2286
Customer Service +1 510-782-2286; or

Authorized Distributor
Part Number 10-05170 Rev. G Page 1 of 80

This manual may not be copied, translated, or reproduced in whole or in part without the
express written consent of Solta Medical, Inc. (henceforth “Solta”).
Solta Medical, Fraxel, Fraxel re:store, the Fraxel logo and Intelligent Optical Tracking are
trademarks or registered trademarks of Solta Medical, Inc. or its subsidiaries in the United
States and other countries. Other names and brands may be claimed as the property of
others.
Various aspects of the Fraxel re:store and Fraxel re:store DUAL Laser Systems are covered
by U.S. Patents 5,897,549 and 6,083,217, 7,282,060, 7,372,606; 7,646,522, D604,843,
D601,697 and foreign equivalents and by patents pending.
Cidex® and Enzol® are registered trademarks of Johnson and Johnson, Inc.
© Solta Medical, Inc.

November 2010
Published in the USA

Solta Medical, Inc.
®
Fraxel re:store and Fraxel
re:store DUAL Laser Systems
THE SOLTA MEDICAL FRAXEL RE:STORE AND FRAXEL RE:STORE DUAL LASER
SYSTEMS ARE INTENDED FOR USE ONLY BY PROPERLY TRAINED PHYSICIANS
AND PROPERLY TRAINED PERSONS UNDER THE SUPERVISION OF SUCH A
TRAINED PHYSICIAN (HENCEFORTH “THE PHYSICIAN”).
PLEASE READ THE SOLTA MEDICAL FRAXEL RE:STORE AND FRAXEL RE:STORE
DUAL LASER SYSTEMS OPERATORS MANUAL IN ITS ENTIRETY PRIOR TO USE OF
THE LASER SYSTEM.

TABLE OF CONTENTS
1.0 System Overview................................................................................................................. 6
2.0 System Operation.............................................................................................................. 13
3.0 Safety ....................................................................................................................................... 41
4.0 Physician Information............................................................................................................. 62
5.0 Maintenance and Warranty .................................................................................................... 66
6.0 Re-order Information ............................................................................................................. 68
7.0 Decontamination of Returned Equipment ........................................................................... 69
8.0 Safety Standards and Regulatory Classifications .............................................................. 70
9.0 Fraxel re:store Laser Systems Specifications .................................................................... 72
10.0 External Factory Calibration Instructions.......................................................................... 73
11.0 Shipping, Installation and Set-Up Requirements.............................................................. 75

Warnings, Cautions, and Notes

This operator’s manual contains certain warnings, cautions and notes designed to alert the
operator to the proper care and use of the Fraxel re:store and Fraxel re:store DUAL
(hereinafter referred to as “Fraxel re:store Laser Systems”) Laser Systems and accessories.
This manual refers to both the Fraxel re:store and the Fraxel re:store DUAL laser systems
unless specifically stated. The cool roller tip / focal cooling feature described in this manual
is not available on all models. The following illustrates each of these messages and how to
recognize them.
Warning: Message
The “Warning: Message” alerts the operator about safety and non-compliance issues that
are of the highest importance. Failure to observe the instructions in these alerts could result
in serious injury, fire, or damage to the laser system or surrounding equipment.
CAUTION:
The “CAUTION: Box” alerts the operator to proper operation and proper use of the Fraxel
re:store Laser Systems and its accessories.
Note:
The “Note: Box” designates information of special interest.
Warning:
PLEASE READ THE FRAXEL RE:STORE LASER SYSTEMS OPERATOR MANUAL IN ITS
ENTIRETY PRIOR TO USE OF THE SOLTA FRAXEL RE:STORE OR FRAXEL RE:STORE
DUAL LASER SYSTEMS. PLEASE CONTACT SOLTA CUSTOMER SERVICE AT +1 510-
782-2286 OR YOUR LOCAL AUTHORIZED DISTRIBUTOR OF SOLTA MEDICAL LASERS
IF YOU HAVE ANY QUESTIONS.
ALL OPERATORS ARE REQUIRED TO PARTICIPATE IN FRAXEL RE:STORE LASER

SYSTEMS TRAINING PROGRAM PRIOR TO STARTING INDEPENDENT TREATMENTS.

1.0 System Overview
This manual provides operating instructions for the Fraxel re:store and Fraxel re:store DUAL
Laser Systems for physicians and qualified operators under physician supervision. Section 1
of this manual will provide a brief description of the laser systems and their major
components. The Fraxel re:store and Fraxel re:store DUAL Laser Systems should only be
used by physicians and staff who have been appropriately trained and who are thoroughly
familiar with the instructions and safety precautions provided in this manual.
This manual covers the following part numbers:
Part #
MC-SYS-SR1500-D-US
MC-SYS-SR1500-D-UPG-US
MC-SYS-SR1500-P-US
MC-SYS-SR1500-P-UPG-US
MC-SYS-SR1500-CPO-US
MC-SYS-SR1500-D-INTL
MC-SYS-SR1500-D-UPG-INTL
MC-SYS-SR1500-P-INTL
MC-SYS-SR1500-P-UPG-INTL
MC-SYS-SR1500-CPO-INTL
Please note there are two differences between the International and Domestic systems:
1) An additional laser “Door Warning Sign” is shipped with International systems

2) There are two different power cords:
a. Part # 08-01615 for International
b. Part # 08-00475 for Domestic
PLEASE CONTACT SOLTA MEDICAL CUSTOMER SERVICE AT +1 510-782-2286 OR

CONTACT YOUR LOCAL AUTHORIZED DISTRIBUTOR OF SOLTA MEDICAL LASERS IF
YOU HAVE QUESTIONS.

1.1 Indications for use
1550 nm: The Fraxel re:store 1550 nm laser is indicated for use in dermatological
procedures requiring the coagulation of soft tissue, as well as for skin resurfacing
procedures. It also indicated for treatment of dyschromia and cutaneous lesions, such as,
but not limited to lentigos (age spots), solar lentigos (sun spots), actinic keratosis, and
melasma, and for treatment of periorbital wrinkles, acne scars and surgical scars.
1927 nm: The Fraxel re:store DUAL 1927 nm laser is indicated for use in dermatological
procedures requiring the coagulation of soft tissue and the treatment of actinic keratosis.
1.2 Device Overview
The Fraxel re:store Laser Systems are designed for cutaneous laser treatment. These
devices are part of the family of Solta Medical products utilizing the Fractional
Photothermolysis principle.
The Fraxel re:store Laser System consists of a single infra-red fiber laser with wavelength of
1550 nm.
The Fraxel re:store DUAL Laser System has two infra-red fiber lasers with wavelengths of
1550 nm and 1927 nm. The two wavelength options allows for targeted treatment of
different tissue depths. The 1550 nm laser coagulates the epidermis and dermis with up to
1.6 mm depth of penetration. The 1927 nm laser coagulates epidermis and superficial
dermis with up to 0.3 mm depth of penetration. The laser sources are controlled by an
embedded processor. The solid state design of the Fraxel re:store and Fraxel re:store DUAL
Laser Systems typically result in limited maintenance and minimal utilities requirements. The
output of the fiber laser is focused into the skin using lenses contained within the handpiece.
Computer controlled motors within the handpiece and the software control architecture
direct the laser system to deliver focused spots in an evenly spaced treatment pattern.
These advanced features allow for precisely controlled delivery of the fractional laser
treatment.
Interchangeable tips allow for treatment of both small and large areas. The small tip design
is intended to allow for treatment of smaller areas.
This manual is intended to help you get the most from your system as you make the Fraxel
re:store and Fraxel re:store DUAL Laser Systems an integral part of your practice. It is our
intention that the information provided assists the operator in successful use of this product.
This manual is not intended to substitute for training by authorized Solta Medical personnel
prior to treatment of patients. If you have additional questions, please contact your local
Solta Customer Service representative directly.
Warning:
The Fraxel re:store and Fraxel re:store DUAL Laser Systems generate an intense beam of
laser radiation which may cause injury if not used properly. It is essential that this manual be
read thoroughly and understood in its entirety before operation.

1.3 Introduction to the System
The Fraxel re:store Laser System has a single fiber laser source and the Fraxel re:store
DUAL Laser System has two fiber laser sources. The fiber laser controls are contained in a
single console. The console is electrically connected to the facility power source. Laser
energy produced by the unit is delivered to the tissue through the handpiece. Contact with
the tissue is maintained by removable disposable contact tips which attach to the
handpiece.
The features of the Fraxel re:store and Fraxel re:store DUAL Laser Systems are shown
below:
Umbilical Cord and

Support Arm
Key Switch
Emergency switch

Front Console with Zimmer Cart
Calibration Port
Power Connection
Footswitch Connection
Remote Door Interlock
Product Labeling
and Identification
Locking Casters
Rear Console with Cart

Treatment Handpiece with Cool Roller Tip installed
(Focal cooling not available on all models)

1.4 Control Features
1.4.1 On/Off Key Switch

The On/Off key switch turns the Laser System on and off. The key should always be
kept in a safe place (and not in the key switch), when not in use, to avoid
unauthorized use by untrained personnel and the possibility of injury or fire.
1.4.2 Touch Screen Display

The touch screen serves as the information center for the Fraxel re:store Laser
Systems. The screen allows the operator to interact with the device. It displays the
information associated with the operating conditions, including: Laser ON / OFF,
Machine Status, Treatment Wavelength Selection (Fraxel re:store: 1550 nm; Fraxel
re:store DUAL: 1550 nm or 1927 nm), Laser parameters for treatment, Information
Messages, Error Messages and System Prompts.
1.4.3 Emergency Stop Button

There is a red emergency stop button in the front center of the console. Press this
button during an emergency to stop the laser treatment beam. To restart, twist the
button and release it from the latched OFF position.
1.4.4 Calibration Port

The calibration procedure is enforced by the software.
CAUTION: The handpiece tip must be removed from the handpiece prior to
calibration. Take precautions to ensure that neither the handpiece internal sealing
window nor the tip window become contaminated before, during, or after the
calibration procedure as this may result in poor clinical outcome, damage to the
machine or injury to the physician or patient.
1.4.5 Umbilical Cord and Support Arm

The umbilical cord is managed by the adjustable support arm. When using focal
cooling with the Cool Roller Tip, the Zimmer cool air delivery hose may be clipped
onto the electrical umbilical cable and draped over the support arm as shown on
page 8. Ensure that there are no kinks in the hose.
CAUTION: Do not attempt to coil the umbilical beyond the resistance point of the
armoring. Do not use if the internal cables and wires are visible through holes or gaps
in the umbilical armoring as this may cause inadvertent exposure of laser energy to
persons in the room.

1.4.6 Treatment Tip

A disposable Treatment Tip attaches to the distal portion of the handpiece and
MUST be in place prior to any treatment. The system detects contact between the tip
and skin and translates handpiece motion into velocity information. Two sizes of tips
are currently available for treatment with the Fraxel re:store Laser System, but the
Fraxel re:store DUAL system only utlilizes the large Cool Roller Tip.. The tips have a
finite treatment lifetime.
When using the large Cool Roller Tip ensure that the cooling channel adaptor is
clipped onto that side of the handpiece as shown on page 10. Connect the distal
end of the Zimmer air cooler delivery hose to the white cylinder at the end of the
clear tubing. Cool air will flow down the cooling channel into the Cool Roller Tip.
The air will flow across the skin between the rollers and exhaust from the opposite
side.
Inspect tip window for contamination before the tip is installed onto the handpiece.
Note: Handpiece tracking could be adversely affected by tip window fogging or

condensation. Remove tip from handpiece to observe both sides of the tip window.
CAUTION: The handpiece tip must be attached to the distal portion of the handpiece
prior to any treatment. If this is not done, the laser system will not function properly
which may result in injury to the physician or patient.
1.4.7 Power Cord

A hospital grade power cord connects the laser to the electrical outlet. The power
cord entry on the back of the console is a standard IEC60320 type C14 male
connector. The power cord needs to have a standard IEC60320 type C13 female
connector.
CAUTION: Do not substitute another power cord for the one supplied with the unit or
provided by your local representative. Do not use the power cord if it becomes frayed
or damaged in any way. Contact Solta Medical™ or your local authorized distributor
of Solta Medical lasers for a replacement if necessary. Do not pull on the cord to pull
the plug out of the socket.
1.4.8 Cart
The cart serves as a platform for the console when counter space is limited. The
cart has wheels which allows for better mobility when moving the laser system and
drawers available for storage of accessories.
CAUTION: Always lock the wheels prior to operation of the laser.

Warning:
If it is necessary to manually lift the Laser System Console and Cart, or to separate the
console from the cart, two people must perform the lifting operation. Failure to follow this
directive may result in serious injury or damage to the unit..
1.5 System States
The system has defined states of operation which include: utilities/home, system test,
simulate, and treat.
1.5.1 Utilities/Home
Allows access to various functional parameters of the system.
1.5.2 System Test Mode
Allows the system and handpiece to be tested. After successful power-on, the
system will move to this mode.
1.5.3 Simulate Mode

Allows the user to simulate treatment but without discharging laser energy.
1.5.4 Treat Mode
The system is ready and/or receiving input from the footswitch and handpiece. This
mode presents the highest potential risk of injury to the physician and patient.
These functions are described in Section 2.0 in the context in which they appear on the
screen.
2.0 System Operation
2.1 Overview
This section provides a general guideline for the operation of the Fraxel re:store and Fraxel
re:store DUAL Laser Systems. These lasers systems have specific operating requirements.
It is the physician’s responsibility to fulfill these requirements. Failure to do so can result in
incorrect and/or intermittent operation or damage to the laser.

2.2 Routine Precautions Prior to Treatment

2.2.1 Affix the laser warning sign, supplied with the system, to the door of the room
or the point denoting the perimeter of the Nominal Hazard Zone (NHZ) (see
Safety section of this manual).
2.2.2 Ensure that all persons in the NHZ are provided with the appropriate eyewear
(see Safety section of this manual).
2.2.3 Take precautions to mitigate the fire hazards associated with the laser
system, including the use of fire-retardant curtains, water-soaked towels, or
gauze where necessary. See Section 3 for more details.
2.2.4 Check the power cord for damage. Ensure that the appropriate electrical
utilities are available in the treatment room. Connect the power cord to the
laser and to the wall socket.
2.2.5 Make sure that the handpiece umbilical cable is not excessively twisted from
the unit. Do not tape the umbilical to any structure. Do not attempt to coil the
umbilical beyond the resistance point of the armoring. Do not use if the
internal cables and wires are visible through holes or gaps in the umbilical
armoring as this may cause inadvertent exposure of laser energy to persons
in the room. Do not move the unit using the arm.
2.2.6 Check handpiece and tip cleanliness per sections. Do not use tips with
damaged windows.
2.2.7 Ensure that the red emergency switch is in disengaged position (not pushed
in) to enable the system for start up.
2.2.8 Insert the key into the key switch. Turn the unit on and verify that the unit
powers up normally with no error messages. Instructions will appear on the
screen to guide the operation of the system.
Warning:
All personnel within the Nominal Ocular Hazard Distance (NOHD) must be wearing
approved eye protection at this point. Failure to wear appropriate eyewear increases the risk
of serious eye injury.
Warning:
Laser equipment not in use should be protected against unauthorized operation by removing
the key from the key switch. Keep the key in a designated place accessible only to
authorized and trained personnel to avoid unauthorized use by untrained personnel and the
possibility of injury or fire.

Warning:
Do not attempt to coil the umbilical beyond the resistance point of the armoring. Do not use
if the internal cables and wires are visible through holes or gaps in the umbilical armoring as
this may cause inadvertent exposure of laser energy to persons in the room.
Warning:
If it is necessary to manually lift the Laser System console and cart, or to separate the
directive may result in serious injury or damage to the unit.
Warning:
SEVERE DAMAGE TO THE UNIT WILL RESULT FROM IMMEDIATE POWER UP
FOLLOWING MOVEMENT OF THE UNIT FROM A COLD ENVIRONMENT INTO A WARM
ENVIRONMENT. THIS CONDITION WILL OCCUR IF FOR EXAMPLE THE UNIT IS
MOVED FROM LOCATION TO LOCATION ON A DAILY BASIS AND IS STORED IN A
SHIPPING CONTAINER, AUTOMOBILE, OR TRUCK OVERNIGHT.
THE UNIT MUST BE ALLOWED TO EQUILIBRATE WITH ITS SURROUNDINGS FOR A

MINIMUM OF 90 MINUTES FOLLOWING A CHANGE OF ENVIRONMENT. FAILURE TO
OBSERVE THESE PRECAUTIONS WILL RESULT IN THE WARRANTY OF THE UNIT
BEING VOIDED.
NOTE: NEVER BLOCK THE COOLING SYSTEM VENTS. ENSURE ADEQUATE SPACE
AROUND THE UNIT AT ALL TIMES TO FACILITATE SYSTEM COOLING.
CAUTION: USE OF CONTROLS, ADJUSTMENTS, OR PROCEDURES OTHER THAN

THOSE SPECIFIED MAY RESULT IN HAZARDOUS ELECTROMAGNETIC RADIATION
EXPOSURE WHICH MAY RESULT IN INJURY, OR DAMAGE TO OTHER EQUIPMENT.

2.3 System State Descriptions

This section provides a general overview of the Fraxel re:store and Fraxel re:store DUAL
Laser System operation. These laser systems have specific operating requirements. It is
the responsibility of the physician to fulfill these requirements. Failure to do so can result in
incorrect and/or intermittent operation or damage to the laser.
While powering up, the system will briefly display an introductory splash screen.
2.3.1 System Test Mode
Upon completion of the system power-up, the system will enter the System Test mode.
Please follow the instructions as they appear on the touch screen display. The initial system
test screen will direct the placement of the handpiece into the calibration port.
In order to perform system testing, remove the tip from the handpiece. Place the tip in a
clean, dust-free container while the testing is in progress. Then, proceed by placing the
handpiece in the calibration port located on the top right hand side of the laser console. The
touch screen will indicate when testing has initiated.

If the testing is not successful, check the internal window and calibration port window for
damage, check the handpiece seating in the port to make sure it is correctly placed, and try
again, to a maximum of 3 times. After three attempts, contact Solta Medical Customer
Service.
If the system fails to calibrate to within 80% of the requested energy (more than 20% below
specification) it will not allow further treatment. Solta Medical then requires that the system
be serviced. Repeated power cycling will not clear this fault. Contact Solta Medical
Customer Service to schedule service.

2.3.2 Utilities/Home
Upon successful completion of the System Test, the touch screen display will immediately
transition to the Utilities/Home Mode. The Utilities/Home Mode allows various system
parameters to be selected, including Treatment Wavelength.
Fraxel re:store DUAL

Home screen

Fraxel re:store
Home screen

The following parameters may be set in the Utilities/Home Mode:
 Treatment Wavelength – Treatment Wavelength Controls allow either the 1550

nm or the 1927 nm laser to be selected on the Fraxel re:store DUAL Laser
System model.
From the Utilities/Home Mode, the user may access any of the other System modes,
including Simulate, Test System and Treat.
2.3.2 Simulate
Simulate Mode allows the user to simulate treatment but without discharging laser energy.
It is used during the training phase for new operators of the Fraxel re:store Laser Systems
and should be utilized fully before the first patient treatment is performed. The Operator can
also select Simulate Mode in order to familiarize a patient with the feel of the treatment tip
and the tones of the laser before initiating treatment of a new patient.
Once the footswitch is depressed, the system will indicate that the simulate mode is
activated.

2.3.3 Treat
Warning:
Do not lift the handpiece from treatment area with the footswitch depressed during treatment
as this may result in injury to the patient due to inadvertent laser exposure.
When the final selection of utilities has been performed and treatment simulations have
been completed, the Operator may select to transition into Treat Mode. If “Treat” is
selected, the system will begin initializing. Initialization is an idle mode for the system.

If the tip is not yet attached to the handpiece, the touch screen display will notify the
Operator that no tip is installed. Attach tip to the handpiece as directed in this manual.

Once the tip is detected by the system, the touch screen display will indicate that
initialization is occurring, but will remain in standby mode. After initialization, the Operator
may adjust the treatment settings as desired, and then must press “Ready” in order to exit
Standby and enter Treat mode.

In order to initiate treatment, the Operator must depress the footswitch and initiate
handpiece motion.

Active treatment and laser emission will only occur when the footswitch is depressed and
the IOTS senses motion across the skin’s surface. When the system is actively treating, the
screen will reflect that laser energy is emitted and treatment is occurring.

In order to change treatment parameters or interrupt treatment, the Operator must select
“Standby”. The touch screen display will then indicate that the system is in Standby mode.

When in Standby, treatment parameters may be selected. Energy, treatment level and
number of passes are described in the table below. After selections are made, the Operator
must press “Ready” in order to exit Standby and re-enter Treat mode.
Symbol Interpretation
The Pulse Energy Level Indicator field should

be used to increase or decrease pulse energy.
The Treatment Level Indicator field should be

used to increase or decrease level of
treatment. This is a function of the treatment
density and coverage of the laser treatment.
The default display for treatment level is %
Coverage. The % Coverage is the percentage
of the skin that is treated after all the passes
are completed.
Display from % Coverage to Treatment Density

(MTZ / cm2) can be changed by the user by
simply pressing the area on the screen where
“% Coverage” is displayed.

The Handpiece Velocity Indicator displays

handpiece velocity in cm/s.
- White zone indicates normal operation
- Black zone indicates under-treatment
Tip information displays the amount of lifetime

that the currently installed tip has remaining

2.3.4 Pattern Preview Test
It is important to perform a Pattern Preview Test with each tip prior to use on a patient, every
time the Fraxel re:store Laser Systems are used. Remember the following steps:
 Use eye protection
 Use settings listed on pattern prep paper
o 1550nm: 20mJ & 40mJ, TL7, 8 passes
o 1927nm: 10mJ & 20mJm TL7, 8 passes
 Perform only 1 pass for the test
If lines are missing do not perform treatment and contact Solta Medical Customer Product
Support immediately.
Performing Pattern Preview Test
Test paper with lines missing
2.4 Measurement-Guided Dosimetry

To ensure precise treatment dosimetry, actual and estimated kJ readings will be provided in
the kJ counter section on the bottom left corner of the touch screen. The “actual kJ” reading
will appear on the touch screen after treatment is completed. It is an indicator of the amount
of energy delivered though the tip during treatment.

To use the “Actual kJ” reading to determine whether the treatment was delivered as
intended, the Operator will need to measure the surface area of the treatment area. The
system handpiece will function as a measurement tool for assessment of surface area. After
surface area measurements are completed, the system will calculate the “Estimated kJ”
reading based on desired treatment level and measured surface area. This value should be
used as a point of reference in order to determine whether treatment dosimetry was
achieved as intended.
2.4.1 Surface Area Measurements
As described above, the handpiece may be used as a tool to measure the surface area of
the treatment region. Measurement selections may be performed while the system is in
Treat Standby mode or Simulate Standby mode. In order to begin, the Operator should
select the measurement icon.
2.4.2 Treatment Area Selection
After selection of the measurement icon, the touch screen display will prompt the Operator
to select a treatment area for measurement. The possible treatment areas include: the face,
neck, chest, forearm, hand and “other”. Vertical and horizontal measurements will be
required for measurement of each treatment region.

2.4.3 Measurement Process
The Operator must establish contact between the handpiece and the surface of the
treatment region. Vertical and horizontal measurements must be completed as directed by
the measurement touch screen display.
After completion of the measurements for a particular treatment area, the Operator may
select an additional treatment region for measurement. In order to do so, the Operator must
select “Change Treatment Region” and must select a new treatment location. After
completion of vertical and horizontal measurements for the selected region(s), the Operator
must press “Done”. Upon completion of the requested measurements, the system will
provide the value for surface area (cm2).

2.4.4 Measurement Example: Facial Surface Area

In order to measure facial surface area, the Operator will be prompted to complete
measurements along the vertical and horizontal axes. The length measurement should be
completed by administering a pass that begins at the lateral hairline and extends along the
vertical axis to the jawline. The vertical measurement should pass directly through the
lateral canthus (just past the lateral commissure). If the length was not measured properly
or needs to be repeated for any other reason, press “clear” and perform the vertical pass
again. After the length measurement is obtained, the Operator will be prompted to measure
the width of the treatment area.

The Operator shall measure the width of one half of the face. In order to begin, the
Operator must place the tip at the center of the philtrum (depression extending from the
base of the nose to the center of the lips) and complete a horizontal pass until the lateral
edge of the jawline (level with respect to the base of the earlobe). If the width measurement
was not completed properly, or needs to be repeated for any other reason, press “clear” and
perform the horizontal pass again. After the length and the width measurements are
obtained, the Operator must press “Done” in order to store the treatment area calculations.
After completion of all necessary measurements, the touch screen display will list the
“Estimated kJ” value and the treatment area measurement (cm2). If the surface area needs
to be recalculated, the Operator must select “reset all” and will need to perform the
measurements again.

2.4.5 Interpreting “Estimated kJ” Values
The “Estimated kJ” value provided by the system is calculation-based. The calculated
energy estimate incorporates the surface area of the treatment region, as measured by the
Operator, and the intended treatment level. After treatment is completed, the system will
display the “Actual kJ” reading. If the “Estimated kJ” reading is more than the “Actual kJ” of
energy delivered to the patient, the Operator may not have administered the treatment as
intended. Several technique-dependent factors may reduce the amount of energy delivered
to the patient, including: rapid hand speed, inappropriate delivery of treatment passes,
omission of sections within a treatment region, etc.
CAUTION: Measurement guidelines are intended to support the measurement

process. However, proper measurements must be performed by the Operator.
Inaccuracies in surface area measurements would compromise the interpretation of
estimated kJ calculations. Estimated kJ values are intended only to guide the
assessment of energy delivered during treatment, not to replace physician
assessment of treatment adequacy or assessment of clinical outcome.

2.5 Definitions
This section of the manual should familiarize the physician with the terminology used in the
Solta Training Program and describe other features of the Fractional Photothermolysis
process. It is the responsibility of the physician to fully understand the indications for use,
safety considerations and laser function associated with the Fraxel re:store and Fraxel
re:store DUAL Laser Systems, and to make medical decisions regarding the specific
application of the Laser Systems to the individual patient.
MTZ
An MTZ is a Microscopic Treatment Zone, the region of coagulated tissue resulting from one
pulse from the handpiece.
Pass
A “pass” is a single, unidirectional hand motion laying down one segment of MTZs.
Magnified it will be similar to the pattern shown below although the spot pitch and stride may
not be identical.
MEND
A MEND is a Micro-Epidermal Necrotic Debris particle. This is a compact accretion of

necrotic epidermal debris which is being pushed up from the Dermal/Epidermal junction and
expelled as a part of the healing process. MENDS produced by the non-ablative Fraxel
re:store Laser Systems typically flake off after 4 – 14 days. During the flaking process they
give the skin a slightly bronzed appearance.
2.6 Parameter Selection

The physician and all operators should be adequately trained in laser safety and should
make informed and appropriate selection of treatment parameters. The following parameter
set was used as part of the initial safety and efficacy IDE protocol for the first generation
non-ablative Fraxel SR Laser System. Refer to publications and clinical education materials
for additional guidelines.

“The directions for use provided in this section are based on the results of a clinical trial
conducted by Solta Medical, Inc. A total of 27 subjects received a total of 4 non-ablative
fractional laser treatments at 4-7 day intervals. One treatment consisted of ten passes with
the device to create a final treatment density of 2500 spots per cm2. Five double passes
were made in one direction and five double passes were made in a perpendicular direction.
The average fluence per pass was 1.5 - 3 J/cm2, and (pulse energies) ranged from 6 to 12
mJ/pulse. Each pulse had a duration of 1.5 - 5 ms. The results of the clinical trial indicated
that the Fraxel Laser System safely and effectively provided treatment for the cleared
indications for use listed in Sections 1.1 and 4.1 of this manual. It is the responsibility of the
physician to fully understand the indications for use and safety considerations associated
with the Fraxel Laser System.”
2.7 Total Treatment Density (Total MTZs / cm2)

Total treatment density is a function of the density per pass (MTZ / cm2 / pass) and the
number of passes delivered. For example, in order to achieve a desired final MTZ density of
1000 / cm2 when the system is delivering 100 MTZ / cm2 / pass, 10 passes would be
required. System feedback displays density, energy and treatment level to confirm delivery
of desired treatment parameters.
2.8 System Audible Feedback
The laser system console will generate audible tones during normal operation which vary as
a function of handpiece velocity. This indicates that the tracking system is functioning. The
frequency of the tone will increase as hand velocity increases, and decrease as hand
velocity decreases. Physicians should practice with the system in Simulate Mode to gain an
understanding of the relationship between hand velocity and audible tones.
If the handpiece is moved at an unsustainable velocity, i.e. above that where the system will
produce the correct pulse energy and repetition rate, the sound will change to a higher-
pitched tone designed to alert the operator. Slowing down will restore the audible tones to
normal.
There are two adjustments for volume control, “General” and “Alert” (see page 18). The
General volume control can be adjusted down, or turned off completely. If the General
volume is off, you will still hear a soft audible alarm if an alert presents itself.
The handpiece may get warm during treatment. This is normal and not typically a cause for
concern. If the handpiece gets abnormally hot, discontinue treatment and call Solta
Customer Service or your local authorized distributor of Solta Medical lasers.
Warning:
The tones generated by the machine indicate normal function. If the tone is unchanging but
hand velocity is changing, discontinue treatment and check the laser. If the fault persists,
call Solta Customer Service.

Warning:
Release the footswitch prior to lifting handpiece from the treatment area. Failure to do this
may result in burns or injury to the patient due to inadvertent laser exposure.
2.9 Handpiece Tracking (IOTS – Intelligent Optical Tracking® System)

The handpiece is capable of sensing hand motion velocity during treatment, and maps
velocity feedback to ensure uniform delivery of the treatment beam. The IOTS is configured
to work in much the same way as a computer mouse does, in that it senses motion when
moved in a plane.
The IOTS senses velocity, i.e. not only the speed of the handpiece motion but also the
direction. This allows treatment to be bidirectional. The handpiece may be stopped after one
pass and the direction of motion reversed without loss of function. Simulate Mode allows the
operator to practice this hand motion and listen to the tones generated by the machine
without firing the laser.
NOTE: In order for the IOTS to stay locked during a treatment, it is important that the tip stay
in good physical contact and approximately perpendicular to the skin.
NOTE: There is a specific cadence preferred by physicians skilled in the use of the Fraxel®
re:store Laser system. After selection of the desired treatment wavelength, the sequence is:
1. Place the laser in Treat mode.
2. Place the handpiece on the area to be treated.
3. Press the footswitch down.
4. Move the handpiece, performing as many passes as are required to complete treatment
of the selected area.
5. Release the footswitch. Lift the handpiece and move it to the next area to be treated.
6. Restart the sequence at step 3.
7. When finished, release the footswitch, remove the handpiece from the skin, clean and
store carefully.
Warning:
Do not lift the handpiece from treatment area with the footswitch depressed during
treatment. Release footswitch prior to lifting handpiece from treatment area. Failure to follow
these guidelines may increase the risk of injury to the patient.

Warning:
The tones generated by the machine indicate normal function. If the tone is unchanging but
hand velocity is changing, stop treatment to reduce the risk of injury to the patient. Test the
system in Simulate mode. Restart the laser if necessary. If the fault persists, call Solta
Customer Service.
Warning:
Do not move the handpiece in a direction parallel to the long axis of the treatment tip. Do not
twist the handpiece in a circular motion while treating. Failure to observe these precautions
may result in increased risk of injury to the patient.
2.10 Tip Selection, Cleaning and High Level Disinfection Procedure

2.10.1 Tip Selection
The two interchangeable tips have treatment widths of approximately 7 mm (Small)
and 15mm (Large), respectively. The physician should select the appropriate tip
attachment based on the treatment area requirements. For example, for better
accuracy when targeting treatment of a small tissue area, selection of the smaller tip
may be more appropriate. As the treatment area increases, use of the larger tip may
be more efficient and may require fewer treatment passes. The Fraxel re:store
DUAL only utilizes the large treatment tip.
When selected, the tip should be attached to the distal portion of the handpiece. It
will latch magnetically when properly positioned, and will remain latched throughout
treatment with appropriate handling. The small and large tips attach in the same
manner and the dimensions of the tip bases are identical.
CAUTION: Make sure the tip is correctly latched prior to treatment. Check to make
sure that the surface of the handpiece where the tip attached is not contaminated.
Check in particular for obstructions or debris near the magnetic latch. The tip will not
seat properly if this surface is obstructed.
2.10.2 Tip Cleaning
Warning:
The tips cannot be sterilized or disinfected by EtO, or products containing glutaraldehyde.
Using these disinfection/sterilization techniques will severely reduce the tip lifetime and
possibly lead to immediate damage, such as cracking, and possible injury to the patient.
After treatment AND WHILE STILL ATTACHED TO THE HANDPIECE, the tip should be
wiped with 70% alcohol (preps) and inspected for debris and other contamination. The tip
should then be removed from the handpiece and inspected again. Any remaining debris

should be removed. Care should be taken not to allow debris, cleaning materials, or other
contaminants to fall into the mouth of the tip. If the tip was used with off-white plastic rollers,
remove used rollers and replace with new set.
CAUTION: Tip cleaning and care protocols are critical to optimizing tip lifetime.
Treating through a contaminated tip may accelerate the degradation process and may
result in poor clinical outcomes, including possible injury to the patient, and sub-
optimal tip lifetimes.
Warning:
Do not allow the metal part of the handpiece to come into prolonged contact with corrosive
chemical solutions such as acetone, bleaches or disinfectants.
2.10.3 Handpiece Window Cleaning
With the tip removed, wipe the handpiece window with 70% isopropyl alcohol and inspect for
debris and other contamination.
2.10.4 High Level Disinfection Procedure
Solta Medical has tested and qualified a disinfection method using Cidex OPA, which
disinfects the tips to the reusable medical device classification of high level disinfection for
semicritical devices.
Warning:
Wear gloves and other appropriate body protection as directed by the materials
safety data sheets (MSDS) and instructions for use accompanying Cidex® OPA
solution.
Warning:
Do not allow the chip inside the tip to come into contact with any liquid such as the
Cidex® OPA solution, or water.
Do not allow the metal part of the handpiece to come into prolonged contact with any
liquid such as the Cidex® OPA solution.

Pre-cleaning Procedure
After tip use, remove and discard the tip rollers. Wipe off the outside of the tip with 70%
isopropyl alcohol (IPA) wipes until there is no visual sign of soil. Tips can then be placed, but
not submerged, in the Cidex solution (per the Cidex OPA solution instructions). DO NOT
submerge the tip completely. DO NOT allow the cleaning solution to come in contact with
the chip inside the tip.
If desired, precleaning can be done with a solution of an enzymatic detergent, e.g. Enzol®
enzymatic detergent, (per the manufacturer’s recommendations). Pre-clean devices by
immersing the soiled portion of the tips in the prepared detergent.
During cleaning or disinfection, DO NOT allow any liquid to come into contact with the chip
inside the tip.
Rinse the part of the tip exposed to either IPA or enzymatic detergent with water for a
minimum of 30 seconds, being careful not to expose the chip to any liquid.
High Level Disinfection Procedure
Pour the Cidex® OPA solution into a container and immerse the base of the tip (where the
white rollers attach). Ensure that the Cidex® OPA solution completely covers the base of the
tip. Allow the tip to soak in the disinfectant for 12 minutes (or Cidex OPA instructions for
use).
Following disinfection with Cidex® OPA solution, rinse the tip with water. and then dry the tip
thoroughly and attach new unused rollers before use.
More details on the Enzol® and Cidex® OPA products can be found at:
http://www.aspjj.com/us/products/enzol/features-and-benefits
and
http://www.aspjj.com/us/products/cidex-opa/features-and-benefits
More details on preventing infection from reusable medical equipment can be found at:
http://www.biomedcentral.com/1471-2334/2/4
2.11 Normal Shut-down Procedure

2.11.1 Secure the handpiece safely in the recess in the support arm.
2.11.2 Turn off the unit at the key switch.
2.11.3 Remove the key from the key switch and store safely.

3.0 Safety
The Fraxel re:store Laser System and its 1550 nm laser as well as the Fraxel re:store DUAL
Laser System, its 1550 nm and its 1927 nm laser are each classified as Class 4 lasers
according to Center for Devices and Radiological Health (CDRH) and IEC / EN regulations.
This classification represents the highest power laser. Users and staff must take
precautions to prevent exposure of laser energy to the eye and/or skin from either direct or
diffusely reflected laser beams. In addition, precautions must be taken in the surgical
environment to prevent hazards of fire and electrical injury.
This section discusses the primary safety concerns when operating the both Fraxel re:store
and Fraxel re:store DUAL Laser Systems. The instructions are intended to raise awareness
of the safety issues and provide insight so that hazardous optical, mechanical, electrical,
and chemical risks may be minimized.
CAUTION: Prior to use of the Fraxel re:store Laser Systems, this manual must be
thoroughly read and understood by the personnel involved with operating the
System. Improper use may cause personal injury and damage to the System and may
invalidate any warranty agreement.
CAUTION: Improper service, repair or modifications performed by unauthorized

personnel may pose a hazard and will invalidate any warranty agreement.
CAUTION: United States Federal law restricts this device to sale by or on the order of
a physician.
CAUTION: The availability of electronic alarms does not relieve operators of their
obligation to carefully monitor the entire system during operation.

CAUTION: Laser plumes may contain viable tissue particles.
Although the Solta system is a contact non-ablative system which normally cannot
produce any smoke or plume, any laser plume (debris) generated by the laser is
potentially hazardous. It may obscure the laser operating field and may contain viable
airborne pathogens. Any plume generated as part of a laser procedure must be
evacuated promptly and effectively. If such plumes are observed during normal
operation of the laser as instructed by this manual and as directed in the Solta
training, immediately stop treating, shut off the laser system and contact Solta
Customer Service
3.1 General Considerations and Hazard Potential

Laser light presents a severe eye and burn hazard to physician, patient and bystanders, and
has a potential for starting a fire. In order to avoid injury, avoid unintentional exposure to the
laser beam. Take all necessary protective measures in areas where the laser is being used.
To reduce the potential for injury, follow the Standard Operating Procedures set forth by the
physician and Facility Laser Safety Officer, and heed the warnings, cautions, notes and
guidelines in this manual. Failure to do so could result in increased risk of injury or fire or
damage to equipment.
3.2 Fire Precautions
Warning:
Do not use this device in the presence of critical concentrations of flammables or explosives,
such as volatile anesthetics, alcohol, certain surgical preparation solutions, and other
substances known to have these fire hazards. An explosion and/or fire could occur and
severe injury could result.
Warning:
Take extra precautions when using this laser around an airway (endotracheal) oxygen tube.
Firing the laser into the airway oxygen tube could start a fire that will spread rapidly because
of the presence of oxygen which could in turn cause severe injury.
Warning:
The use of flammable anesthetics or oxidizing gases such as nitrous oxide (N2O) and
oxygen should be avoided. Some materials, for example cotton wool, when saturated with
oxygen, may be ignited by the high temperatures produced during NORMAL OPERATION
of the LASER EQUIPMENT.

Warning:
Flammable solutions used for cleaning / disinfecting and the solvents of adhesives should
be allowed to evaporate before the LASER EQUIPMENT is used. An explosion and/or fire
could occur and severe injury could result if these precautions are not observed.
Warning:
this may cause inadvertent exposure of laser energy to persons in the room. An explosion
and/or fire could occur and severe injury could result.
3.2.1 A designated Facility Laser Safety Officer (F-LSO) and the physician shall
control and enforce the safety aspects of the laser in the health care facility.
3.2.2 A fire extinguisher shall always be available to extinguish any flames.
3.2.3 Know the location of the nearest fire extinguisher in case of fire.
3.2.4 Never test-fire the laser over a patient who is receiving oxygen through an
endotracheal (airway) tube as inadvertent exposure may start an airway fire
which could result in serious injury.
3.2.5 Exercise great care with the use of oxygen, especially as an airway gas. In
the event of fire, oxygen will accelerate the progress of a fire which could
cause serious injury.
3.2.6 Do not attempt to operate the laser without a non-flammable backstop

downrange from the handpiece. Without the nonflammable backstop,
inadvertent exposure of the laser beam may cause a fire and serious injury
could result.
3.2.7 Always moisten gauze with water before treating to minimize the fire risk.
3.2.8 Hair in the treatment area should be shaved prior to the procedure to reduce
the potential for interference with the operation of the laser system, including
the IOTS, which may increase the risk of burns or other injury.
3.2.9 If alcohol is used for cleaning and disinfection of the skin, allow the area to
dry completely before using the laser in order to reduce the possibility of
alcohol fuelling a fire. Replace the cover on the alcohol container and
remove the alcohol from the immediate area prior to initiating treatment to
reduce the possibility of alcohol fuelling a fire which could cause serious
injury.

3.3 Optical Safety

3.3.1 The designated Facility Laser Safety Officer (F-LSO) and physician shall
control and enforce the safety aspects of the laser in the health care facility.
3.3.2 The F-LSO and physician are responsible for determining the appropriate
Nominal Ocular Hazard Distance (NOHD), Nominal Hazard Zone (NHZ) and
Maximum Permissible Exposure (MPE) per ANSI Standard Z136.1-2000,
Z136.3-2005 and/or IEC 60825-1.
3.3.3 The F-LSO and physician are responsible for providing appropriate laser
safety items including, but not limited to, the correct laser safety eyewear,
and enforcing the use of these items through laser safety protocols and
Standard Operating Procedures.
3.3.4 A laser-trained physician, nurse, or technician shall be responsible for

enforcing safety guidelines during operation.
3.3.5 All operators shall attend the appropriate laser training course and shall
receive certification and/or credentialing prior to patient treatment.
3.3.6 Laser safety eyewear is routinely required with most lasers. Failure to use
appropriate eyewear with the Fraxel re:store Laser Systems increases the
risk of injury to the cornea, sclera and soft tissue of the eye.
3.3.7 The following formula, taken from ANSI Standard Z136.1, was used to
calculate the Worst Case NOHD for the Fraxel re:store Laser systems.
1 4 
NOHD  a
  MPE
Where:
NOHD = the Nominal Ocular Hazard Distance, defined as the distance from the
source required to reduce the energy density incident on a 7 mm aperture
to less than the Maximum Permissible Exposure,
θ (theta) = the full angle beam divergence, is measured in mrad (milliradians),
Φ (phi), the energy or power of the laser is measured over one aversion response
time (Watts or Joules),
MPE, the Maximum Permissible Exposure, as defined per ANSI 136.1 and ANSI
136.3, is in Watts per unit area.
a = the beam waist diameter at the e-2 point in units of length, and the beam waist is
at the exit window.

Parameter Fraxel re:store 1550 nm Fraxel re:store DUAL 1927 nm

Laser Output Laser Output
Power (Φ) 30 W 12 W
Beam Waist Diameter (a) 30 microns 760 microns
Divergence 20 mrad 3.6 mrad
Wavelength (Θ) 1550 min:1520 max:1560 1927 min:1905 max:1945
MPE 0.1 W cm-2 0.1 W cm-2
3.3.8 Using this formula, and the values for the parameters above:
 Worst Case NOHD for the Fraxel re:store Laser System when operating at
1550 nm is 45 feet / 13.8 meters. When operating at 1927 nm the worse case
NOHD is 145 feet / 44 meters.
 All personnel within the NOHD are required to wear eye protection with a
minimum Optical Density of 4.58 at 1550 nm and 3.02 at 1927 nm. Appropriate
eye wear should be used that supports the minimum optical density for both
given wavelengths.
 For operators complying with EN 207, all persons shall wear eyewear with
protection class of DL4.
CAUTION: It is recommended that protective eyewear will be worn by the operator

and any individuals in the treatment room when the Fraxel re:store Laser Systems are
in use.
3.3.9 Patients must have appropriate eye protection. The F-LSO and physician are
responsible for ensuring that the patient is adequately protected during
treatment. Failure to use appropriate eyewear with the Fraxel re:store Laser
Systems increases the risk of injury to the cornea, sclera and soft tissue of
the eye.
3.3.10 Extra precautions must be taken if treating inside the bony orbital rim of the
eye, including but not limited to treatment on the upper and lower eyelid.
Failure to use appropriate eyewear with the Fraxel re:store Laser Systems
increases the risk of injury to the cornea, sclera and soft tissue of the eye.
3.3.11 Protective eyewear of the correct optical density for the laser wavelength
must be worn at all times during the laser procedure and during laser
verification and calibration. Failure to use appropriate eyewear with the
Fraxel re:store Laser Systems increases the risk of injury to the cornea,
sclera and soft tissue of the eye.

3.3.12 All protective glasses or goggles must bear a label from the manufacturer
identifying the wavelengths for which their use is intended and the optical
density at those wavelengths.
3.3.13 All protective eyewear must have side shields for protection against
inadvertent exposure from the side. Failure to use appropriate eyewear with
the Fraxel re:store Laser Systems increases the risk of injury to the cornea,
sclera and soft tissue of the eye.
3.3.14 Laser safety eyewear shall be properly stored away from direct sunlight to
prevent degradation of the absorbing media, such as photobleaching.
3.3.15 When cleaning eyewear, do not use solvents or abrasives that might remove
protective coatings. Follow the manufacturers’ recommendations for
cleaning.
3.3.16 Two sets of appropriate protective eyewear are provided with each Fraxel
re:store Laser System. Additional sets may be purchased from Solta (See
Section 6 – Re-Order Information). One set of the eyewear is designed to be
used over optical spectacles.
3.3.17 Examples of patient-specific eye protection, not tested and not endorsed by
Solta, but used by practitioners skilled with the use of this and similar lasers,
are given in the “Re-Order Information – Section 6” of this manual. The
presence of these products in this manual does not constitute an all-inclusive
list of products, nor does it constitute an endorsement of any product or a
testimonial of safety or efficacy.
3.3.18 Discard eyewear if it becomes scratched, chipped or if the protection is in

any other way compromised as serious injury may result.
3.3.19 Contact lenses and regular glasses do not provide adequate protection.
Laser protective eyewear must be worn. Failure to use appropriate eyewear
with the Fraxel re:store Laser Systems increases the risk of injury to the
cornea, sclera and soft tissue of the eye.
3.3.20 The treatment room door shall be kept closed during operation of the laser.
Door interlocks can optionally be installed to automatically disable the laser
when the treatment room door is open.
3.3.21 Keep reflective objects out of the treatment field to avoid accidental
reflection. Remember that stainless steel eye shields may cause some
reflection of the laser beam.

Warning:
All persons within the NOHD shall wear appropriate eye protection with a minimum optical
density of 4.58. For operators complying with EN 207, all persons shall wear eyewear with a
protection class of DL4. Do not use eyewear that is visibly damaged in any way. Failure to
use appropriate eyewear with the Fraxel re:store Laser Systems increases the risk of injury
to the cornea, sclera and soft tissue of the eye.
Warning:
Use extra caution when treating close to the eyes. The laser wavelengths used in the Fraxel
re:store Laser Systems are extremely hazardous to the cornea and soft tissue around the
eye. All operators must have a comprehensive understanding of the risks involved and
knowledge of the safety precautions required for these lasers to ensure the safety of the
patients and others within the NOHD.
Warning:
Never look directly into the path of the laser as this may cause permanent eye damage. In
addition, direct exposure to the laser beam can cause permanent damage to the safety
eyewear lens.
Warning:
A warning sign shall be placed on the outside of the treatment room door or controlled area.
Warning:
Warning:
Never look into the handpiece exit window if the laser is turned on. Severe eye damage
could occur. Turn off the power to the laser before inspecting any of the optical components.

Warning:
Contact lenses and spectacles do not provide adequate ocular protection. Do not
substitute for the specified eye protection. Failure to use appropriate eyewear with
the Fraxel re:store Laser Systems increases the risk of injury to the cornea, sclera
and soft tissue of the eye.
3.4 Operation of the Laser System
Warning
This manual is not intended to be a complete guide to the use of the Fraxel re:store and
Fraxel re:store DUAL Laser Systems. Solta recommends that all qualified personnel who
operate the laser system first seek training that includes, but is not limited to, the following
aspects of laser operation:
 Laser Safety
 Laser/Tissue Interaction
 Hands-On training by a qualified Solta representative
CAUTION: Solta does not and cannot recommend standard operating clinical
practice. The following guidelines are suggested as a starting point from which
operators may become familiar with good clinical laser technique through study of
the medical literature. The guidelines in ANSI Standards Z136.1, Z136.3, IEC60825-1
and EN207 are also recommended as reference material.
3.4.1 Check the laser prior to every procedure before admitting the patient into the
room.
3.4.2 Prepare the patient as directed with appropriate pain management, and
recommended contact lubricant.
3.4.4 The footswitch should be controlled only by the operator to prevent
accidental firing of the laser.
3.4.5 The laser is designed to fire only when:
(a) Either the 1550 nm or the 1927 nm laser is selected, and
(b) The system is in “Treat” mode, and
(c) The footswitch is depressed, and
(d) The Intelligent Optical Tracking System (IOTS) senses handpiece motion
when the tip is in contact with the skin. See Section 2.9 of this manual for a
more detailed explanation of the IOTS.
3.4.6 Press the footswitch only after positioning the laser handpiece over the
treatment area.

3.4.7 Do not allow the tip to lose contact with the skin during treatment.
3.4.8 The audible tones emitted by the unit during treatment are an indication of
hand velocity. If you are moving your hand at different velocities, but you
hear an unchanging monotonic sound, stop treatment immediately. This
indicates an IOTS fault. Stop treatment and go to Simulate mode to test the
IOTS. If the fault persists, restart the system. If this fault condition persists,
call Solta Customer Service or your local authorized distributor of Solta
Medical lasers.
3.4.9 Never place the system in Treat mode and depress the footswitch without
intending to initiate a treatment.
3.4.10 Refer to the list of “Indications for Use” and “Contraindications” before
treatment.
3.4.11 Do not use visibly damaged (cracked, crazed, cloudy) tips.
Warning:
Do not move the footswitch while the laser is in Treat mode other than to initiate a treatment.
Do not move the footswitch by placing a foot in the housing and lifting it up. Do not pull the
footswitch by its cord. Do not move the laser by the footswitch cord. Do not place the
footswitch or cord in an exposed area where it may be damaged by for example, being
tripped over, or where a sharp object such as a scalpel may fall on it.
Warning:
Laser equipment not in use should be protected against unauthorized operation by removing
the key from the key switch. Keep the laser key in a designated place and allow only trained
personnel access to the key.
Warning:
Do not allow the tip to lose physical contact with the skin during treatment. Serious injury or
undertreatment may result if the IOTS enters a cycle of rapid starts and stops due to loss of
signal.
Warning:

Warning:
Laser treatment can only be initiated when the screen shows Treat mode, when the
footswitch is pressed down, and when the IOTS registers handpiece motion. Do not leave
the system in Treat mode and the footswitch pressed down when no treatment is desired,
otherwise inadvertent exposure could occur and serious injury could result.
CAUTION: Solta systems are intended for use solely by trained physicians and
authorized staff trained in the operation of these devices.
CAUTION: Unauthorized calibration of this device, or the use of controls or

adjustments to performance not specified or approved by Solta Medical could cause
injury or harm to the patient, or may result in unintentional laser exposure, or may
void any warranty.
3.5 Electrical Safety

3.5.1 Electrical hazards with the laser are similar to any high-powered electrical
device. Care should be taken when plugging the unit into the wall outlet. The
area must be free of water and your hands must be dry to avoid electric
shock. Always disconnect the laser by grasping and pulling the plug and not
the power cord.
3.5.2 Place the power cord and footswitch cord where they cannot become
hazards.
CAUTION: Never operate the footswitch in water. Serious injury could result. The
footswitch must remain dry.
3.5.3 The high voltages of the Fraxel re:store and Fraxel re:store DUAL Laser
Systems are not accessible unless the protective housing is opened. Do not
open the protective panels unless trained and authorized to do so.
3.5.4 Do not attempt to coil the umbilical or power cable beyond the resistance
point of the armoring. Do not use if internal cables and wires are visible
through holes or gaps in the umbilical armoring as this may cause
inadvertent exposure of electrical energy to persons in the room.
3.5.5 Servicing high voltage and other components is to be done only by Solta
authorized personnel. If service is required call Solta Customer Service or
your local authorized distributor of Solta Medical lasers.
3.5.6 The laser should never be left turned on while opened.

CAUTION: The Fraxel re:store Laser Systems are susceptible to Electrostatic Discharge
(ESD) and proper ESD procedures should be followed.
3.6 Laser Treatment Controlled Area (LTCA) Information

3.6.1 Warning signs for laser exposure must be placed on all doors allowing
entrance into the LTCA.
3.6.2 The signs must display "Danger" or "Warning", and the type and wavelength
of laser in use in accordance with ANSI Z35.1, the specification for accident
prevention signs, or per your local or regional regulations. Examples of
suitable signs are also shown in ANSI Z136.1, Z136.3 and IEC60825-1.
3.6.3 Appropriate protective eyewear should be placed outside of the laser

treatment room to facilitate safe entry. Failure to use appropriate eyewear
with the Solta Medical Fraxel re:store and Fraxel re:store DUAL Laser
Systems increases the risk of injury to the cornea, sclera and soft tissue of
the eye.
3.6.4 All LTCA windows should be covered with opaque non-flammable material or
a non-flammable window filter specific for the wavelength being used in
order to prevent inadvertent escape of laser light. Note that a material that
appears opaque to the eye may not be opaque at the treatment wavelength.
Most common ordinary window glass will allow the laser wavelength used in
the Solta Medical Fraxel re:store and Fraxel re:store DUAL Laser Systems to
escape.
Warning:
3.7 Laser Suite Access and Remote Door Interlock

3.7.1 Always limit personnel in the surgical procedure room to those essential to
the procedure. To protect personnel from possible injury due to entry into the
procedure room during treatment, an optional remote door interlock can be
connected from the laser system to the procedure room entrance door.
3.7.2 When connected, the interlock will automatically disable the laser if the door
is opened during the procedure. When the door is closed, the interlock is
reconnected and treatment can resume once the message is acknowledged.

3.7.3 Access to the remote door interlock is through a plug and socket located on
the back panel of the laser. The appropriate pin-outs and wiring are shown in
the figure below. The laser system is delivered with this plug shorted
internally. Cut the internal wire and join to your external circuit when this is
required. The circuit used should be low impedance and use twisted-pair
wire connections. Consult an electrical professional if unsure about this.
3.7.4 Do not connect other power supplies to this interlock. Connecting devices to
the unit other than instructed may cause severe damage to the unit and will
result in voiding of the device warranty.
3.8 Proper Laser Routine Maintenance, Handling, and Storage

3.8.1 Only Solta personnel or personnel approved and trained by Solta shall install
or adjust the Fraxel re:store or Fraxel re:store DUAL Laser Systems.
3.8.2 After each patient treatment, the portion of the handpiece tip that came in
contact with the patients’ skin should be wiped down with a 70% alcohol prep
pad and visually inspected for damage, debris, dirt, contamination, crazing or
cracks. Allow the alcohol to dry before initiating another treatment in order to
mitigate the risk of fire, or serious injury could result.
3.8.3 Make sure that the handpiece umbilical cable is not excessively twisted from
the unit. Do not tape the umbilical to any structure. Do not attempt to coil the
umbilical beyond the resistance point of the armoring. Do not use if the
internal cables and wires are visible through holes or gaps in the umbilical
armoring as this may cause inadvertent exposure of laser energy to persons
in the room.
3.8.4 Do not use acetone on the tip as this may cause damage preventing the tip
from functioning properly.
3.8.5 To clean the internal handpiece sealing window, carefully use an alcohol
prep pad or gauze moistened with 70% alcohol. Do not hold the prep pad or
gauze with bare hands while performing this operation. Allow the alcohol to
dry before initiating treatment in order to mitigate the risk of fire from which
serious injury could result.
3.8.6 Be careful not to contaminate the internal handpiece optics with any
substance used for cleaning and disinfecting the tip or with the topical
anesthesia gel.
3.8.7 Do not allow the inside of the tip window to become contaminated while
cleaning the handpiece sealing window.
3.8.8 Do not set liquids of any kind on top of the laser.
3.8.9 The accessories should be stored in an area accessible only to qualified and
trained personnel.

3.8.10 Minimize the presence of dust particles and corrosive substances such as
salts and acids in the storage environment in order to extend the lifetime of
the laser system.
3.8.11 Do not store the laser outside.
3.8.12 Examine the handpiece frequently to check for debris on the window.
3.8.13 Do not allow the plastic or metal parts of the handpiece to come into
prolonged contact with enzymatic detergents, Cidex® OPA or other
chemically aggressive cleaning solutions of chemicals.
3.8.14 Solta Medical suggests that the operators clean and disinfect the exterior
chassis of the laser system with a soft cloth dampened with mild soap and
water.
Warning:
Inspect the handpiece umbilical armoring for damage on a routine basis. Do not use the
device if the umbilical is damaged as inadvertent exposure to the laser may occur which
may result in serious injury.
Warning:
Never move the unit by pulling on the handpiece support arm.
Warning:
Never move the unit by pulling on the footswitch cable.
Warning:
Do not immerse or soak the handpiece or the umbilical cable containing the optical fiber.
Warning:
If the handpiece tip or internal sealing window is cleaned with alcohol prior to use, allow time
for the alcohol to evaporate before restarting the laser to mitigate the risk of fire and injury.
Warning:
Do not allow the metal part of the handpiece to come into prolonged contact with enzymatic
detergent, Cidex® OPA solution, or other chemically aggressive cleaning solutions.

3.9 Regulatory Compliance and Device Safety Information
3.9.1 Safety Features

The Fraxel re:store Laser Systems provide a means for setting and measuring the
laser output of each laser source, and also contains the required interlock
connectors, key control, and labeling.
3.9.2 Emergency Stop Button

The laser has an emergency stop button that, when pushed, turns off (de-energizes)
the laser in emergency situations.
3.9.3 Key Control

The key switch must be turned to the “ON” position to allow the laser to be
energized. Laser light can be produced by the system only when the key switch is
on. The key may not be removed while the key switch is in the “ON” position.
3.9.4 Touch Screen Display

Allows the operator of the laser to calibrate the laser prior to use, set the system and
treatment parameters prior to treatment, simulate treatment, manage tip usage, and
perform treatments.
3.9.5 Laser Emission Indicator

After a self-test, treatment can only begin when the laser is in the “Treat” mode. The
laser also emits an audible sound when the laser is pulsing.
3.9.6 The laser can only fire when the following conditions are met:
(a) The tip is installed correctly, and
(b) The footswitch is depressed, and
(c) The handpiece senses motion when the handpiece tip is placed in
contact with the skin.
3.9.7 Handpiece Connection

The electrical connections providing power to the handpiece are completely
enclosed by the console and umbilical. There is no access to electrical sources form
the console to the handpiece. The optical path comprising the laser energy conduit
from the console to the handpiece is completely and redundantly enclosed from the
source to the handpiece window.
3.9.8 Foot Pedal Connector

The Foot Pedal connector allows the Foot Pedal supplied with the system to be
connected to the main unit.

3.9.9 Remote Interlock Connector

The remote interlock connector permits the operator to connect a remote barrier
interlock, remote emergency stop switch, or similar device. The interlock is wired
internally such that, when the terminals of the connector are open, the laser is
disabled to prevent laser emission.
3.9.10 Protective Housing

The laser has a protective housing which prevents unintended access to laser
radiation. No sections of the housing can be removed without specialized tooling.
The laser optical path is enclosed by four separate layers of protection, comprising
the fiber buffer, the fiber jacketing, the metal armoring on the fiber jacket and the
metal armoring on the handpiece umbilical cable. There is no exposed optical path
between the console (laser enclosure) and the delivery device. The only exposed
laser portal is the handpiece exit window.
CAUTION: DO NOT ATTEMPT TO REMOVE ANY PANEL FROM THE LASER

CONSOLE. ANY ATTEMPT TO DO SO COULD RESULT IN SERIOUS INJURY. THE
LASER WARRANTY WILL BE VOIDED.

3.10 Labeling
The Fraxel re:store Laser Systems contain the required manufacturing warning labels.
The location, positioning and formatting of labels are subject to change.
Emergency Stop Button

Regulatory Compliance Labels
1550 nm and 1927 nm 1550 nm





4.0 Physician Information
Warning:
The information which follows below is provided by Solta only as an information service to
physicians and is made available with the understanding that it does not constitute the
rendering of medical advice. Physicians should make their own assessment of and decision
on the use of any of the information.
4.1 Indications for Use
1550 nm: The Fraxel re:store 1550 nm laser is indicated for use in dermatological
procedures requiring the coagulation of soft tissue, as well as for skin resurfacing
procedures. It also indicated for treatment of dyschromia and cutaneous lesions, such as,
but not limited to lentigos (age spots), solar lentigos (sun spots), actinic keratosis, and
melasma, and for treatment of periorbital wrinkles, acne scars and surgical scars.
1927 nm: The Fraxel Fraxel re:store DUAL 1927 nm laser is indicated for use in
dermatological procedures requiring the coagulation of soft tissue and the treatment of
actinic keratosis.
4.2 Contraindications
4.2.1 Not all patients will necessarily react the same way to the laser treatment. The laser
system should not be used on any patient who is ineligible for general surgery. Appropriate
medical judgment should be exercised at all times.
4.2.2 The following contraindications are routine for many laser treatments and may also
be associated with non-ablative Fraxel re:store and Fraxel re:store DUAL Laser Systems
treatments. Pre-screening and informed consent should include, (but not be limited to):
(a) predisposition to keloid formation or excessive scarring,
(b) pigmentation changes following surgery,
(c) skin indentations and textural changes following surgery,
(d) systemic steroids (e.g. prednisone, dexamethasone), which should be

rigorously avoided prior to and throughout the course of treatment,
(e) patients undergoing Accutane™ treatment or with drugs in a similar

class.
4.2.3 Solta has no clinical information or experience concerning the use of the Fraxel
re:store and re:store DUAL Laser Systems on pregnant women or nursing mothers.

4.3 Tissue Interaction

In skin, water is the primary absorber (chromophore) of the 1550 nm and 1927 nm laser
wavelengths used in the Fraxel re:store and Fraxel re:store DUAL Laser Systems.
Tissue damage can occur with the application of incorrect laser energy settings, incorrect
use of the handpiece or inappropriate pretreatment regimens. Extreme caution should be
exercised until you are familiar with the system.
4.4 Pre-Operative Inspection

Do not use the Fraxel re:store Laser Systems on patients meeting the contraindication
criteria.
Warning:
rendering of medical advice. It also does not constitute a statement that Solta has tested
these items for safety or efficacy, nor is it an endorsement or warranty of the safety or
efficacy of these products. Physicians should make their own assessment of and decision
4.5 Anesthesia
NOTE: The physician must be fully versed in the nature, presentation and treatment of
anesthesia toxicity. Physicians should inquire before starting this procedure as to whether
the patient has a history of potential sensitivity to amide-type anesthetics if, for example,
lidocaine is used. Do not use topical lidocaine or similar systems if contact allergies or
systemic allergic conditions have occurred in the past.
An example of a test of an anesthesia protocol as performed by a physician skilled in the

use of a Fraxel re:store and Fraxel re:store DUAL Laser Systems might be:
“After the anesthetic has been administered to the treatment area for an appropriate period
of time, perform a sensitivity test to gauge readiness for treatment. For example, perform an
“ice cube test”. This consists of placing a plastic-wrapped ice cube on the area coated with
topical ointment for 7 seconds and then placing a plastic-wrapped ice cube on the non-
treatment area for 7 seconds. The patient should score the sensation felt within the
treatment on a scale from 0 to 5, with “0” equal to no sensation of cold and “5” equaling the
sensation of cold felt on the non-treated region. If the patient scores the sensation within the
treatment region as being greater than 1, reapply the topical anesthetic and wait 15 more
minutes. Repeat until the patient has scored the cold sensation within the treatment region
as a “0” or a “1”. Another test may be used to gauge patient sensitivity and readiness for
treatment, however in the interest of maintaining an appropriate pain management protocol,
aim to begin treatment only when the anesthetic appears to have reached optimal
effectiveness.”

4.6 Immediate Post-Operative Care

Remove any topical anesthetic residue from the skin using a gentle facial cleanser
(Neutrogena™, Kinerase™, Hydraphase™ etc), plenty of water and a wash cloth. Another
method of removing the residue consists of gently wiping the skin with commercially-
available, unscented “baby wipes”. Used towelettes or washcloths may be washed using
ordinary laundry detergents.
Warning:
rendering of medical advice. Physicians should make their own assessment of and decision
4.7 Post-Operative Information

4.7.1 Protecting New Skin
For both the Fraxel re:store and Fraxel re:store DUAL Laser System’s non-ablative
wavelengths, histology indicates that new epithelium (new skin) will start to form within about
24 hours, but that it will remain covered by the old stratum corneum and MENDS from 4 -14
days. Desquamation of MENDS may progress more slowly on non-facial skin and may vary
depending on individual patient response to the treatment. During that time normal /
accelerated exfoliation will reveal the repaired epidermal tissue and new stratum corneum.
Patients should avoid injury and sun exposure.
Skin Protection: Patients should plan to use a high SPF sunscreen on a regular basis for at
least 6 months whenever they are outside. Patients should apply a dual UVA/UVB
sunscreen containing both a physical sun block (either or both zinc oxide or titanium dioxide)
with a sun protection factor of at least 30 SPF. In addition, patients should be instructed to
avoid direct sunlight and wear sun-protective clothing (i.e. a wide-brimmed hat).
4.7.2 Routine Skin Care
Most skin care products can be used 3 weeks after treatment. Avoid the use of retinoids and
topical corticosteroids for 1 – 2 weeks following treatment. Avoid systemic steroids e.g.
prednisone, dexamethasone throughout the course of the Fraxel treatment.
4.7.3 Expected Responses to Treatment
Edema: Mild to moderate edema (swelling) typically develops immediately after treatment
and diminishes, or resolves. within the first several days post-treatment. A small degree of
swelling may last longer in some cases.
Erythema: Mild to moderate erythema (redness) typically develops immediately after

treatment and diminishes. or resolves, within the first several days post-treatment. A small
degree of redness may last longer in some cases.

Itching / Dryness of the Treated Area: These are common symptoms once the skin has
healed initially. Flakiness and dry crusting will gradually clear. Use of bland moisturizers
and/or moisturizing sunscreens that have previously been shown to not cause irritation
should help this condition.
Pain or Discomfort: Post-treatment ice packs may be applied to alleviate discomfort. Over-
the-counter itch and pain relievers may be used if necessary (e.g. Benadryl, Claritin, Tylenol
etc). Solta has no knowledge of the effects of NSAIDS on the outcome of treatment.
4.8 Complaints and Adverse Effects

Complaints and Adverse Events are reportable under FDA Guidelines. Solta Medical follows
MDR (Medical Device Reporting) rules for complaint and adverse event handling. Solta
Customer Service should be contacted if the Fraxel re:store and Fraxel re:store DUAL Laser
Systems are involved in a complaint or adverse event.
4.9 Complications
The following complications may be associated with the non-ablative Fraxel re:store and
Fraxel re:store DUAL Laser Systems. This is not intended to be an all-inclusive list, nor a
substitute for an informed consent form, which should be provided to every patient.
 Blistering: Blistering may develop over the treated areas.
 Discoloration: The possibility of temporary and permanent skin color change is

known to exist with any laser treatment. Post-Inflammatory hypo-pigmentation and
hyper-pigmentation are known complications of many laser treatments and may
occur with Fraxel laser treatment.
 Eye injury: Protective eyewear or goggles are provided for the operator and
assistant. As discussed in the Safety Section (Section 3.0), it is important to keep the
eye protection on at all times during treatment in order to protect your eyes from
accidental laser exposure and serious injury.
 Infection: A risk of infection exists whenever the skin is wounded. The possibility for
infection exists even with non-ablative fractional laser devices such the Fraxel
re:store Laser Systems. If observed, infection should be treated appropriately with
topical and/or systemic medications.
 Keloid formation: A thickened scar can result from excessive growth of fibrous tissue.
Please refer to the contraindications section.
 Prolonged redness: Mild-moderate transient erythema is an expected response.

However, if erythema is severe or persists significantly longer than expected, re-
treatment should be avoided until the condition resolves. Reaction may vary on a
patient-by-patient basis.

 Scarring: The possibility for scarring exists even with non-ablative fractional laser
devices such the Fraxel re:store and Fraxel re:store DUAL Laser Systems. Local
scarring may occur directly from laser exposure if treatment procedures are not
followed properly, or from infection or physical irritation such as picking and rubbing.
 Delayed wound healing / skin textural changes: Following laser treatment,

reepitheliazation may not occur as expected due to patient physiology, i.e. poor
wound healing ability, or post-treatment care. This may result in undesirable textural
changes.
 Temporary bruising: Temporary bruising may develop over the treated areas.
5.0 Maintenance and Warranty
The Fraxel re:store and Fraxel re:store DUAL Laser Systems should not require any specific
maintenance by the operator. Routine regular preventative maintenance should be
performed on the system as described in this manual. The device is covered by the warranty
described in the Solta Master Purchase Agreement and the included attachments thereto,
such as the Terms and Conditions of Sale.
5.1 Warranty Information

Please refer to the Terms and Conditions of Sale document attached to the Master
Purchase Agreement. Specific warranty terms and procedures are discussed in this
document.
Warning and Disclaimer:

Factory Calibration of the Fraxel re:store and Fraxel re:store DUAL Laser Systems as
described in Section 10 are to be carried out only by factory-qualified engineers or
technicians, or by individuals who have taken the Solta Medical Training Program on service
of lasers and who have passed the examination. Factory Calibration or other adjustment of
this device by persons other than those identified above will result in the warranty of the unit
being voided.
5.2 Cleaning Procedures

5.2.1 Exterior Surfaces
The exterior surfaces of the laser console may be cleaned with a soft cloth damped
with a solution of soap and water. Do not use harsh detergents or acetone to clean
the exterior surfaces, including the console. A hospital grade disinfectant may be
used when the system is returned to Solta Medical. The display screen should be
cleaned with antistatic glass or plastic cleaner. Do not pour cleaning products
directly on the display screen, as this could potentially cause damage to the system.

5.2.2 Handpiece
WITH A TREATMENT TIP IN PLACE, wipe the exterior surface with a gauze pad
moistened with a small amount of 70% alcohol solution. The handpiece must be
thoroughly dried prior to initiation of laser treatment. Do not use harsh detergents or
acetone to clean the handpiece.
5.2.3 Treatment Tip
ALWAYS CLEAN THE TIP BEFORE REMOVING IT FROM THE HANDPIECE.

Wipe the exterior surface of the tip attachment with 70% alcohol. Remove the tip
from the handpiece, turn the tip with the treatment surface up and carefully clean
any remaining debris around. Ensure that no debris, cleaning materials or other
contamination enters the tip. Be sure to completely dry the tip prior to attachment to
the handpiece. Visually inspect the tip for scratches, pits, or damage. Do not use if
these conditions exist.
5.2.4 Component Replacement/Service
Solta Medical, Inc. offers full service warranty to cover all necessary modifications,
replacements, and repairs for the Fraxel re:store and Fraxel re:store DUAL Laser
Systems. Contact Solta Medical Customer Service to confirm return of the device for
these purposes.
CAUTION: All equipment must be properly decontaminated before return to Solta.

Failure to do this will result in delays and charges to the operator.
5.3 Disposal and Recycling
Do not dispose of laser console as unsorted municipal waste. End of life electrical /
electronic equipment must be collected separately to prevent ill effects to the environment
and human health.
Contact your local recycling facility for separate collection or Solta Medical, Inc. for
appropriate disposal information.

6.0 Re-order Information
To reorder accessory items contact Solta Customer Service or your local authorized
distributor of Solta Medical™ lasers.
6.1 Accessories
Accessory items include:
Large (15mm) Cool Roller treatment & replacement tips

MC-RS-CRTL-US or MC-RS-CRTL-INTL
(for use with systems with Focal Cooling Feature)
Large (15mm) and small (7mm) treatment tips

MC-F2-RT1L or MC-F2-INTL-RT1L
*Laser Protective Eyeglasses and Shields

MC-LG-GLASS
*Additional information on these items is available from their respective suppliers and/or
their regional distributors.
6.2 *External steel eye protection

The P2 Design is made by Trinity Technologies, 4110 Central Avenue, Minneapolis, MN
55421. USA Phone (763) 788-8278, Fax (763) 788-8283. The Durette II Regular is made by
Oculoplastik, Inc., 200 Sauve W., Montreal, Quebec, Canada H3L 1Y9, Phone (888) 381-
3292, Fax (800) 879-1849.
6.3 *Corneal Shields

The Cox II Ocular Shield is made by Oculoplastik, Inc., 200 Sauve W., Montreal, Quebec,
Canada H3L 1Y9, Phone (888) 381-3292, Fax (800) 879-1849
Goldman / Stefanovsky Laser Eye Shields are distributed by Rockwell Laser Industries, Inc.,
PO Box 43010, Cincinnati, OH 45243 USA, Phone (513) 271-1568, (800) 945-2737, Fax
(513) 271-1598

6.4 *Corneal Shield Lubrication Gel

Celluvisc is made by Allergan, P.O. Box 19534, Irvine, CA 92623 USA, Phone: (714) 246-
4500, Fax: (714) 246-4971.
www.allergan.com/site/products/consumers/home.asp?id=celluvisc&largeText,
6.5 *Topical Corneal Anesthetic

Proparacaine USP 0.5% Hydrochloride Ophthalmic Solution is made by Bausch and Lomb
Vision Care, 1400 N. Goodman St. P.O. Box 450 Rochester, NY 14603-0450 USA Phone:
585-338-6000, 1-800-553-5340, Fax: 585-338-6896
7.0 Decontamination of Returned Equipment
US Federal Postal and Transportation Law (Postal Law Title 18, US Code Section 1716,
Department of Transportation Rules CFR 49, Section 173.386 and 173.387) mandates that
equipment returned to Solta for repair or return must be properly decontaminated with a
chemical cleared for use as a “Hospital Disinfectant” and which is commercially available.
To ensure that transportation workers and Solta personnel are not exposed to pathogens, a
signed statement of decontamination must be enclosed with the return shipment.
If this is not done, Solta will not accept the shipment and the sender will be liable for all
costs and delays.
All decontamination inquiries should be addressed to Solta Customer Service.
The text of the Decontamination Certificate must include the following statements or
information:
The undersigned individual, at the (institution) in
(City and State) certifies that the Solta equipment being
returned has undergone decontamination with a commercially available Hospital
Grade disinfectant / germicide, and is clear and free from biohazards including but
not limited to blood, dermal matter, other body tissues and fluids or components and
constituents thereof.
The undersigned also agrees to reimburse Solta for any costs incurred in shipping,
handling, cleaning of the enclosed equipment in the event that the items received by
Solta are found to be in a contaminated condition.

Model
Serial Number
Date of Manufacture
Solta RMA Number
Print Name
Signature
Date
8.0 Safety Standards and Regulatory Classifications
8.1 General Standards

The Fraxel re:store and Fraxel re:store DUAL Laser Systems are compliant to and have
been certified as meeting the following FDA, CDRH standards. Formal compliance
certifications to the IEC 60601-1 based standards will be obtained through TUV Rheinland
of N.A. and TUV Rheinland GmbH.
FDA – CDRH 21 CFR 1040

FDA – Laser Notice 50
Warning:
The Fraxel re:store and Fraxel re:store DUAL Laser Systems are classified to contain Class
4 lasers by the Center for Devices and Radiological Health and by IEC / EN. This
classification represents the highest power laser. The output power is in excess of 300 times
the maximum permissible exposure per ANSI Z136 and IEC60825-1. The physician and
associated staff must take precautions to prevent exposure of laser energy to the eye and
unintended skin exposure from either direct or diffusely reflected laser beams. In addition,
precautions must be taken in the surgical environment to prevent hazards of fire and
electrical injury.

Warning:
In compliance with CAN/CSA-Z386-08, it is the responsibility of the user to be aware of the

requirements for safe use of the Fraxel re:store and re:store DUAL Laser Systems. This
includes training in laser safety and responsibility for the physical facility and its signs,
proper use of protective eyewear and other safety measures, both for protection of the
patient, or others who may be potentially exposed to hazards associated with use of the
device. This also includes maintenance and other practices required for safe operation of
the device. If needed, the user should consult a safety expert, a consultant, or other
sources regarding safety related issues such as site assessment, hazard evaluation,
problem solving, or compliance enforcement.
European Community Authorized Representative
MDSS GmbH
Schiffgraben 41
D-30175 Hannover
Germany

9.0 Fraxel re:store Laser Systems Specifications
9.1 Treatment Beam

Invisible Laser Radiation Invisible Laser Radiation
Product Fraxel re:store Fraxel re:store DUAL
Equipment Class I Class I
classification
IEC60601-1
CDRH Laser Class 4 Class 4
Classification
IEC 60825 Class 4 Class 4
Classification
1550 min:1520 1550 min:1520
max:1560 max:1560
Wavelength
1927 min:1905
max:1945
Maximum Power 30 W 30 W / 12 W
Maximum Pulse 70 mJ 70 mJ / 20 mJ
Energy
Maximum Pulsewidth 10 ms 10 ms
Pulse Repetition Rate 0 – 3kHz 0 – 3kHz
9.2 Console
Dimensions / in 19.25w x 17.75h x 17.5d
(/cm) 48.9w x 45.1h x 44.45d
Weight ~ 55 lbs
Warning:
SEVERE DAMAGE TO THE UNIT MAY RESULT FROM IMMEDIATE POWER UP
THE UNIT SHOULD BE ALLOWED TO EQUILIBRATE WITH ITS SURROUNDINGS FOR A

BEING VOIDED.

9.3 Laser Safety Eyewear

Refer to “Optical Safety” – Section 3 of this document
9.4 Cart
Dimensions / in 20w x 30h x 22d
(/cm) 50.8w x 76.2h x 55.9d
Weight <100 lbs
9.5 Operating Environment

Maximum Recommended Ambient Air 35°C / 95°F
Temperature for Treatment
Operating Temperature Range 15 to 40°C, 59 to 104°F
Humidity 30 – 75% Non-condensing
Altitude < 10000 feet / 3075 meters
9.6 Shipping and Storage (Non-Operational)

Temperature Range -15 to 45°C, 5 to 113°F
Humidity 30 – 75% Non-condensing
Altitude < 45000 feet / 13846 meters
9.7 Compatible Delivery Devices

Only use original Fraxel re:store and Fraxel re:store DUAL Disposable Tips. Contact your
local authorized distributor of Solta Medical lasers for more information.
10.0 External Factory Calibration Instructions
Regulations state that laser-based devices that are classified as CDRH Class 4 shall have
instructions for external Factory Calibration of the power output.
External Factory Calibration of the Fraxel re:store and Fraxel re:store DUAL Laser Systems
must be performed by a factory-qualified engineer or technician. Please contact Solta
Customer Service with questions relating to the external power calibration of the Fraxel®
laser.

10.1 Tools and Parts Required

 Serial Port Cable
 Personal Computer (PC) running Windows 95 or more recent version
 Must have a 9 or 25 pin Serial Port Connector (COMM1 or COMM2)
 Laser Power Meter
 16 mm Sensor Aperture and > 30W power handling at 1550 & 1927 nm
 Fraxel Utility Update CD-ROM
 Laser Safety Glasses: P/N 09-00827 and 09-00828
10.2 Procedure
10.2.1 Connect the PC and the Fraxel re:store or Fraxel re:store DUAL Laser
System using the Serial Connector. Both systems must be “OFF” at time of
connection.
10.2.2 Turn on the computer. Once this has started, turn on the laser system. Wait
for Self-Test to complete.
10.2.3 Calibrate the system.
10.2.3 Select External Calibration Option.
10.2.4 Follow the instructions on the screen.
10.2.5 When finished, power down the computer and the Laser System, and
disconnect the units by removing the serial connector.

Factory Calibration of the Fraxel re:store and Fraxel re:store DUAL Laser Systems are to be
carried out only by factory-qualified Solta employees, or by individuals who have taken a
Solta taught course on service of lasers who have passed the examination and are currently
listed by Solta as factory-qualified technicians. Factory Calibration or other adjustment of
this device by persons other than those identified above will result in the warranty of the unit
being voided.

11.0 Shipping, Installation and Set-Up Requirements
11.1 Shipping
The Fraxel re:store and Fraxel re:store DUAL Laser Systems will be shipped in a specially
designed container. When the shipment is received, inspect the exterior container for
damage. Inspect the shock indicators for indications of shipping damage. If there is exterior
damage, DO NOT ACCEPT OR UNPACK THE SYSTEM. Contact Solta Customer Service
at +1 510-782-2286 or your local authorized distributor of Solta Medical lasers and the
shipping company immediately.
DO NOT ATTEMPT TO UNPACK THE SYSTEM even if the system is undamaged and the
shock indicators appear normal. Unpacking will be done as a part of installation by Solta
authorized representatives.
Store the system indoors and at a temperature similar to the temperature of the facility in
which it is to be installed. When the system has been successfully installed, return the
shipping containers to Solta with the enclosed shipping documents.

Storage at excessively low temperatures, such as outdoors in the winter, may result in a
delay during installation and subsequent shortening of the time available for training by the
Solta Customer Service representative.
11.2 Installation
The Fraxel re:store Laser Systems will be installed by Solta Customer Service. At this time
the system, its use, indications and safety features will be explained to facility personnel as
part of the Solta Training Program. It is the customers’ responsibility to prepare the site. See
Site Preparation Guide for installation utilities, space, and other prerequisites.
11.3 Space Requirements
The dimensions of the Fraxel re:store and Fraxel re:store DUAL Laser Systems are listed in
the specifications above. Allow adequate space for ventilation (at least a 12 inch perimeter
all around the laser system) to prevent overheating.
Allow extra space for placement of the footswitch. The footswitch must remain accessible
during all treatments. The unit must not be moved by pulling on the footswitch cable, the
handpiece support arm, or the handpiece umbilical.

11.4 Environmental
The temperature in the laser room should ideally remain between 65º to 80º F, (18 – 27°C)
both for patient comfort and for optimum operation of the laser. Patients may feel more
discomfort if the temperature of the room is excessively high. A maximum ambient operating
temperature of 104°F / 40ºC is allowed. The cooling system for the laser is forced air, and
no other external utilities are required.
The Fraxel re:store and Fraxel re:store DUAL Laser Systems will emit a maximum of 600W /
2050BTUh into the environment around the console.
11.5 Electrical
The Fraxel re:store and Fraxel re:store DUAL Laser Systems contain a universal, medical
grade, power-factor corrected power supply. The line voltage and power switch amperage
requirements are given in the specifications section of the manual. Solta recommends a
dedicated circuit for the laser system. Place the power cord where it cannot become a
hazard, for example by being tripped over or having sharp objects dropped on it.
The worst-case current draw is anticipated to be:

100-240V  50/60Hz 5  2.5A
Warning:
The operator is responsible for ensuring that the proper electrical specifications are met at
the installation site.
Warning:
Laser equipment not in use should be protected against unauthorized use by removing the
key from the key switch. Keep the key in a designated place accessible only to designated
and trained personnel. Moving the Laser
11.5.1 Shut down the laser and then remove the power cord from the wall and from
the power switch housing in the laser.
11.5.2 Remove the footswitch cable plug from the rear of the system and carefully
wrap the footswitch cable around the footswitch housing. Store the
footswitch in the basket in the rear of the cart. If the external interlock is
connected, remove this plug.
11.5.3 Lock the handpiece umbilical management arm prior to movement. Unlock
the cart wheels.

11.5.4 Using the console handle, move the system to the new location. Be careful
when pushing the unit over elevator thresholds, carpet-linoleum interfaces,
and other step-like features in the path of motion. Do not allow the unit to tip
over when in motion. The safest way to cross a high threshold is to back the
unit into the threshold and pull it across, so that the larger wheels cross the
threshold first.
11.5.5 When the Fraxel re:store and Fraxel re:store DUAL Laser Systems are
parked in their working location, the brakes located on the base of the
console must be locked thus avoiding accidental movement and reducing the
possibility of tilting the laser system.
11.5.6 The Fraxel re:store Dual has been fully tested and is compliant to the Class
A limits of the EN60601-1-2 medical device standards. The Class A limits in
the EN60601-1-2 standard are used to provide reasonable protection against
harmful electromagnetic interference caused by medical equipment. To
avoid interference with other devices, use the electrical cord provided with
the Fraxel re:store Dual system and always plug the cord into a grounded
outlet.
.
Warning:
If it is necessary to manually lift the Laser System Console and Cart, or to separate the
directive may result in serious injury, or damage to the unit.
Warning:
Never move the unit by pulling on the handpiece support arm or by pulling on the footswitch
cable. Do not utilize an undersized substitute cart to move the system.
Warning:
SEVERE DAMAGE TO THE UNIT WILL RESULT FROM IMMEDIATE POWER UP
THE UNIT MUST BE ALLOWED TO EQUILIBRATE WITH ITS SURROUNDINGS FOR A

BEING VOIDED.

12.0 Labeling Symbols
Description Symbol
Caution / Warning: See Instructions for Use
Authorized Representative in the EU
Date of Manufacture
Do Not Discard in Trash
European Conformity
Footswitch
Fuse
Manufacturer
Type “B” Symbol
Invisible Laser Radiation Hazard

Emergency Laser Stop
ESD Sensitive Device
Laser Aperture, Avoid exposure. Invisible laser radiation
Key Switch Power On and Off
Heavy, Lift with two persons
Handpiece Connector
Service Key (For Service Technicians Only)
USB port (This port is used for system updates/upgrades.

This port is utilized by qualified Service Technicians Only)
Do not insert any cables or wires into any of the service

ports, as this may potentially cause damage to the
equipment
Remote Interlock Connector

Communication Connectors (These ports are used in case

a system error has occurred. This port is utilized by
qualified Service Technicians Only)
Do not insert any cable or wires to any of the service ports

as this may potentially cause damage to the equipment
No special protection against moisture
TUV Rheinland logo
MC-SYS-SR1500-D-US
MC-SYS-SR1500-D-UPG-US
MC-SYS-SR1500-P-US REF
MC-SYS-SR1500-P-UPG-US
MC-SYS-SR1500-CPO-US
MC-SYS-SR1500-D-INTL
MC-SYS-SR1500-D-UPG-INTL
MC-SYS-SR1500-P-INTL
MC-SYS-SR1500-P-UPG-INTL
MC-SYS-SR1500-CPO-INTL

Technical Users Manual Fraxel Re Store DUAL Wavelength System

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Technical Users Manual Fraxel Re Store DUAL Wavelength System

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Fraxel re:store® and Fraxel re:store DUAL Laser System

Fraxel re:store® and

Fractional Resurfacing with IOTS

Solta Medical, Inc.

Customer Service +1 510-782-2286; or

Part Number 10-05170 Rev. G Page 1 of 80

© Solta Medical, Inc.

Part Number 10-05170 Rev. G Page 2 of 80

Solta Medical, Inc.

Part Number 10-05170 Rev. G Page 3 of 80

1.0 System Overview................................................................................................................. 6

2.0 System Operation.............................................................................................................. 13

3.0 Safety ....................................................................................................................................... 41

4.0 Physician Information............................................................................................................. 62

5.0 Maintenance and Warranty .................................................................................................... 66

6.0 Re-order Information ............................................................................................................. 68

7.0 Decontamination of Returned Equipment ........................................................................... 69

8.0 Safety Standards and Regulatory Classifications .............................................................. 70

9.0 Fraxel re:store Laser Systems Specifications .................................................................... 72

10.0 External Factory Calibration Instructions.......................................................................... 73

11.0 Shipping, Installation and Set-Up Requirements.............................................................. 75

Part Number 10-05170 Rev. G Page 4 of 80

Warnings, Cautions, and Notes

The “Note: Box” designates information of special interest.

ALL OPERATORS ARE REQUIRED TO PARTICIPATE IN FRAXEL RE:STORE LASER

Part Number 10-05170 Rev. G Page 5 of 80

1.0 System Overview

This manual covers the following part numbers:

1) An additional laser “Door Warning Sign” is shipped with International systems

PLEASE CONTACT SOLTA MEDICAL CUSTOMER SERVICE AT +1 510-782-2286 OR

Part Number 10-05170 Rev. G Page 6 of 80

1.1 Indications for use

1.2 Device Overview

Part Number 10-05170 Rev. G Page 7 of 80

1.3 Introduction to the System

Umbilical Cord and

Part Number 10-05170 Rev. G Page 8 of 80

Front Console with Zimmer Cart

Rear Console with Cart

Part Number 10-05170 Rev. G Page 9 of 80

Treatment Handpiece with Cool Roller Tip installed

(Focal cooling not available on all models)

Part Number 10-05170 Rev. G Page 10 of 80

1.4 Control Features

1.4.1 On/Off Key Switch

1.4.2 Touch Screen Display

1.4.3 Emergency Stop Button

1.4.4 Calibration Port

1.4.5 Umbilical Cord and Support Arm

Part Number 10-05170 Rev. G Page 11 of 80

1.4.6 Treatment Tip

Note: Handpiece tracking could be adversely affected by tip window fogging or

1.4.7 Power Cord

CAUTION: Always lock the wheels prior to operation of the laser.

Part Number 10-05170 Rev. G Page 12 of 80

1.5 System States

Allows access to various functional parameters of the system.

1.5.2 System Test Mode

1.5.3 Simulate Mode

1.5.4 Treat Mode

2.0 System Operation

Part Number 10-05170 Rev. G Page 13 of 80

2.2 Routine Precautions Prior to Treatment

Part Number 10-05170 Rev. G Page 14 of 80