Professional Documents
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71 Adc 9 A 74657 B 2 Aff 198
71 Adc 9 A 74657 B 2 Aff 198
1 Introduction ...........................................................................................................................................5
1.1 Proper use and indication ............................................................................................................5
1.2 Contra-indication and side effects................................................................................................5
2 Safety....................................................................................................................................................6
2.1 General instructions for use .........................................................................................................6
2.2 Warning and safety information ...................................................................................................7
2.3 Eye protection ..............................................................................................................................9
2.4 Restrictions in use......................................................................................................................10
2.5 Product labels ............................................................................................................................11
3 Technical requirements and start-up ..................................................................................................14
3.1 Technical and spatial requirements ...........................................................................................14
3.2 Start-up.......................................................................................................................................16
3.3 Marking the laser area ...............................................................................................................18
4 Description of the device ....................................................................................................................19
4.1 Basic device ...............................................................................................................................19
4.2 Switching elements and interfaces ............................................................................................20
Display (Fig.12) .......................................................................................................................................22
5 Operation and application...................................................................................................................23
5.1 Assembling the application fibres ..............................................................................................23
5.2 Dismantling the fibres.................................................................................................................24
5.3 Switching on the device .............................................................................................................24
5.4 Main menu..................................................................................................................................25
5.5 Application menu........................................................................................................................25
5.6 Triggering laser pulses...............................................................................................................27
5.7 Sub-menus .................................................................................................................................30
5.7.1 Pilot laser sub-menu ..............................................................................................................30
5.8 Configuration menu (set-up) ......................................................................................................31
5.8.1 Set language..........................................................................................................................33
5.8.2 Treatment log.........................................................................................................................33
5.8.3 Set date and time...................................................................................................................34
5.8.4 Adjust screen settings............................................................................................................34
5.8.5 Adjust the volume ..................................................................................................................35
5.8.6 Call up device information .....................................................................................................35
5.8.7 Reset factory setting ..............................................................................................................36
5.8.8 Open error history..................................................................................................................36
5.8.9 Access to service level (only possible for authorised service personnel)..............................37
5.9 Switch off....................................................................................................................................38
5.10 Cleaning .....................................................................................................................................38
5.11 Transport and storage................................................................................................................39
5.11.1 Transport and storage conditions......................................................................................39
6 Accessories.........................................................................................................................................39
6.1 Accessories ................................................................................................................................39
6.2 Cleaning .....................................................................................................................................41
7 Technical specifications......................................................................................................................42
7.1 Device specifications..................................................................................................................42
7.2 Laser parameters .......................................................................................................................43
7.3 Electromagnetic compatibility ....................................................................................................43
8 Rectifying faults and maintenance......................................................................................................48
8.1 Rectifying faults..........................................................................................................................48
8.2 Error messages..........................................................................................................................49
All rights reserved. Copies or photocopies of these operating instructions or parts thereof or conversion into
electronic media or machine-readable formats are not permitted without the prior written consent of the author.
The vela®XL emits laser beams with a wavelength of approx. 1.9 µm.
This special wavelength is transmitted by an optical fibre (application fibre) and, together with the
application-related parameters, enables efficient treatment with minimum stress to the surrounding tissue.
Various optical fibres and applicators are available for this laser system which allows it to be used for many
different applications. The accessories and the types of fibre are continuously extended and refined. If you
have any questions, contact StarMedTec GmbH or your local dealer.
StarMedTec GmbH
Kreuzstraße 22
82319 Starnberg, Germany
Hotline
The vela®XL is a medical-technical treatment device that may be used only for its intended use.
Mobile phones or similar devices must not be used when the laser is operating.
Because of potential risks from electromagnetic radiation, people with pacemakers must not be in
the vicinity of the laser.
We recommend that pregnant women should keep away from the laser area.
CAUTION
Like any highly effective medical device, handling and use of lasers requires specialist
knowledge and care. The laser may be used only by people who have been instructed in the
proper use of the device with consideration of the operating instructions and who are familiar
with its therapeutic effect and potential risks.
Maintenance and repair work may be carried out only by service technicians from StarMedTec GmbH or
specialists authorised by StarMedTec GmbH. Interference with the device by unauthorised persons voids the
warranty and excludes any claim for liability.
As regards disposal of the laser, StarMedTec GmbH will advise you about environmentally compatible
utilisation.
Only people who are trained in the use of the laser and who have adequate medical knowledge may use the
vela® XL.
National requirements for the setting up and operation of medical products and medical lasers must be
complied with. The operator must clarify whether the national authorities have to be notified about the
operation of laser equipment.
The vela® XL is an active medical product in Class IIb according to Medical Device Directive 93/42/EEC.
If used improperly, every laser can endanger health. The vela® XL is a Class 4 laser.
Do not direct the laser beam on to reflective surfaces (metal surfaces, mirrors, etc.).
Remember that reflective surfaces or instruments can divert the laser beam in an uncontrolled manner.
Particular care must be taken with glass surfaces, but highly polished metal surfaces a few metres away can,
under certain circumstances, also cause dangerous scattered laser radiation.
During laser emission the prescribed protective glasses must be worn in the laser area.
If you are using optical equipment for observation or adjustment, you may have to use suitable protective
filters with the correct safety level.
During operation the laser area must be isolated and marked according to Safety Standard EN/IEC 60825.
When handling all accessories, disposable items or materials that were in contact with the patient it is
important to take protective measures to prevent the transfer of germs. See Sections 5.10 “Cleaning”
(device) and 6.2 "cleaning” (accessories).
For the treatment use only undamaged application fibres that have been sterilised according to the
instructions. Observe the specified cleaning and sterilisation cycles. Do not use damaged or dirty application
fibres. The maximum usage time for the application fibres for each sterilisation cycle is limited to 150
minutes.
During the treatment make sure that neither the patient nor the person treating the patient touch the laser
device. The patient and the person treating the patient should only come into contact with the sterile
application fibres.
We have no knowledge of contra-indications in the treatment of pregnant women or children. There should
be a strict indication and the special circumstances should be considered carefully during the application.
Laser smoke and ablation products that are emitted into the surrounding air may contain viable tissue
particles. Use suitable extraction and filter systems and take suitable protective measures.
The operator must ensure that when laser beams are used for medical applications close to organs, body
cavities and tubes that could contain flammable gases or vapours protective measures are taken against the
risk of fire or explosion.
Protect surrounding organs or organ parts that are not to be treated with the laser against laser radiation with
(sterile) wet cloths.
Use only the "single use" or "reusable" application fibres approved by StarMedTec GmbH with the vela® XL.
In some cases, the application fibres are subject to country-specific restrictions and, because of this, are not
approved or available everywhere.
Check the laser device for damage before each use. If it is damaged, do not use the laser device.
If the display is faulty, do not use the laser device. The menu structure is interactive. Do not continue the
treatment if the display becomes dark or unclear. Set up the display/device so that you can read the display
clearly and legibly.
To prevent damage to health, move the device with at least two people; do not lift the device, not even with
the front handle.
Before transporting the vela® XL dismantle all accessories (application fibres, power cable, foot switch, ...).
The life of the medical product is limited to 10 years. After this time, the adequacy of the technology must be
re-evaluated by StarMedTec GmbH.
Because of the high energy density of the emitted laser radiation, eyes are especially at risk and can be
damaged even by weak laser beams.
- Protect everyone involved and the person carrying out the laser treatment against unintended exposure
to radiation.
- Protect objects in the operation area of the laser against damage, fire, explosion, etc.
CAUTION
Everyone must wear laser protection glasses or suitable eye protection in the laser area. If this
is not adhered to, irreversible eye damage may occur! Before using laser protection glasses
make sure that they are not damaged; in other words, the glasses must not have any
mechanical damage. The type described below must be used.
Laser protection glasses for the vela® XL must fulfil the following conditions:
Protection level
CAUTION
If the patient cannot wear laser protection glasses during the treatment because the treatment is close to the
eyes, other adequate protective measures must be taken, such as using suitable eye cups.
Only accessories approved by StarMedTec GmbH may be used on the laser device vela® XL!
The vela® XL laser device must not be operated in rooms or areas where there is a risk of explosion!
The vela® XL laser device may be used only in rooms that are used for medical purposes. National
requirements must be complied with!
The laser device has been tested for electromagnetic susceptibility (EMS) and complies with all applicable
EMS requirements. However, interference cannot be fully excluded.
It is recommended that the vela® XL laser device is used only in rooms with a room temperature between
18°C - 30°C and relative humidity ≤ 75 %, non-condensing. The maximum permissible ambient temperature
of 30°C must not be exceeded.
The vela® XL laser device may not be operated at more than 2,000 m above sea level.
Note
The vela® XL laser device has been tested according to EN / IEC 60601-1-2 (EMV). For more
information, see Section 7.3 "Electromagnetic compatibility".
NOTE
The manufacturer's type label is located on the back side of the laser device. The warning symbol on the
type label points out that the instructions for use must be adhered to when the device is being used.
The laser warning sign on the back side of the laser device provides information about the laser class,
wavelength, rating, pulse duration and frequency of the laser beam so that appropriate safety measures can
be taken.
50 mm
ACCORDING TO EN 60825-1:2007
LASER
LASER CLASS 4 Po ≤ 150 W
λ = 1,9 µm
PILOT
LASER CLASS 2 Po < 1 mW
λ = 0,5 µm
52 mm
108
Fig. 2: Warning and information signs on the laser device
Information sign on the back side of the laser device: foot switch & door interlock
The information sign marks the connections for the foot switch and the door interlock.
If a fibre is connected, the laser beam is emitted from the end of the fibre.
When activated, the laser emergency stop switch immediately switches off the laser emission. Activate this
switch in an emergency.
Type label
(Fig.1)
The fusing and the supply line for the vela® XL must be separate. Fusing with a circuit breaker Type C16 A
or higher.
Place the vela® XL only on a suitable nonslip base that can bear the weight of the device (see Section 7.1
"Device specifications").
To ensure adequate cooling, the inflow and outflow of air at the sides should not be blocked. To ensure this,
if possible, install the vela® XL so that it is freestanding. On the side beside the air inlet and the air outlet
there must be a gap of at least 20 cm so that the air can flow in and out without restriction.
Ensure that the treatment room is adequately ventilated. Because the laser emits heat, ventilation of at least
200 m³/h is recommended.
CAUTION
Condensation on the laser device during operation may damage the device. It is important that
you allow the cool device to acclimatise at the prescribed ambient conditions in the treatment
room for several hours before you use it.
CAUTION
If the laser device is used improperly, it can cause irreversible damage. Because of this, the
laser device may be operated only by appropriately trained and experienced staff.
Before using the laser device, operators must make sure that it functions and is in a proper condition.
Attention
Insert the plug into a fixed socket with an earth wire contact (exclusive and with at least 16 A
fuse). Do not use a multiple socket.
For connection requirements, see Section 3.1 "Technical and spatial requirements".
Connect the foot switch to the socket on the bottom right side on the back of the device.
Connect the door contact plug to the socket on the bottom right side on the back of the device.
Install the required application fibre in the laser system. Observe the associated instructions for use and the
sterilisation conditions. See Section 5.1 "Assembling the application fibres" and the instructions for using the
application fibre.
ATTENTION
For the treatment use only undamaged application fibres that have been sterilised according to
the instructions. Observe the specified cleaning and sterilisation cycles. Do not use damaged
or dirty application fibres.
CAUTION
The above regulations are German regulations. If the laser device is to be operated outside
Germany, the applicable national or international regulations must be complied with.
Display
Emergency stop
Key switch
Foot switch
connection
Door
contact
connection
Power cable
Fig. 10: Back side of the vela® XL Fig. 11a and 11 b: Connection for application fibre
Foot switch
The foot switch is used to trigger the laser emission.
NOTE
If neither a contact nor a door contact plug is connected, the laser device cannot be operated.
NOTE
Do not touch the surface of the touchscreen with sharp or unclean objects. This reduces the
picture quality and may damage the surface.
CAUTION
Do not bend or kink the application fibres too much as this can break the fibres.
Depending on the fibre, the minimum bending radius is 5 - 10 cm
(230 µm: 5 cm, 365 µm: 7.5 cm, 600 µm: 10 cm).
Remember that these bending radii should also not be exceeded during storage.
CAUTION
Closely observe the installation and working instructions that are contained in the instructions for use for the
respective application fibres.
NOTE
Application fibres that have exceeded the maximum permitted number of cycles are
automatically blocked for use on the vela® XL.
To minimise the risk of recontamination, the maximum usage of an application fibre per
sterilisation cycle is restricted to 150 minutes.
The corresponding information is shown on the display.
.
NOTE
Fibre management
The number of usage cycles of a fibre is reduced by 1 when the laser device is switched on,
the fibre is inserted and the laser is activated with the foot switch. If the fibre is removed –
even by mistake –, the laser device is switched off or the emergency stop button is pressed,
the number of uses with this fibre is reduced. Single-use fibres can then no longer be used.
Insert the key in the key switch and turn it clockwise as far as you can. Leave the key in this position until
you see on the screen: "device will be started" and the StarMedTec logo appears on the display.
While it is starting up, the laser device performs a system test. When the test routines have been completed,
the device automatically opens the main menu.
While the device is starting up and during the subsequent test no changes may be made to the system (do not
press the foot switch, touch the touchscreen, or activate any switches and do not insert or remove fibres).
NOTE
The laser emergency stop switch must not be depressed. Release the emergency stop switch
by turning the red button clockwise.
When you switch on the device for the first time (start-up) or if you restart it after the device has been reset to
"factory settings" you must choose the language. Choose the language in the configuration level (set-up).
Touch the configuration symbol to open the configuration menu (set-up), where you can change the
basic settings for the device.
If an approved application fibre is connected, touch the application icon on the screen (Fig. 14) to
open the application menu. Here, you can adjust and activate the laser parameters. If you cannot open the
application menu, check the application fibre and replace it if necessary.
Overview:
Left side of the application menu:
- On the left hand side are the navigation icons. With these you change to the other menu levels.
Middle and right hand side of the application menu:
- On the top right hand side the laser can be switched from STANDBY to READY and back again.
- Below that (blue scale) you can vary the heat input into the tissue in 10 steps (10 = standard, 9 to 1 =
reduction of the heat input).
- In the middle you see information about the size of the fibre being used and the remaining number of
cycles you can use the fibre.
- In the lowest line (green scale) you select the laser power (dependent on the selected step of heat
input)
- Change the laser settings with the right/left arrow icons. The chosen setting is displayed as a number
and as a graphic display between the arrow icons.
Operation icons:
Adjust the laser output with the "left" and "right" icons. Touch the corresponding icons to adjust the
laser output one level higher or lower. The current laser output is shown numerically and also graphically
between the arrow icons.
Touch the "Laser" icon to switch from STANDBY to READY mode or from READY to STANDBY mode.
Note
The reduction of the heat input into the tissue is generated by reduction of the maximum
power permitted and a special modulation of the laser.
In READY mode the laser can be activated with the foot switch: laser beams are emitted with the set
parameters. On the screen you will see the laser warning information and "LASER". If the laser is active (foot
switch activated), you cannot make any changes on the screen.
In READY mode the laser can be activated if you inadvertently press the foot switch. For
safety reasons, in breaks between the treatments you should switch the laser device from
READY to STANDBY mode.
If the laser is not activated for about 2 minutes in READY mode (e.g. with the foot switch), for the sake of
safety it automatically switches from READY to STANDBY mode. Touch the laser button again to put the
laser in READY mode again.
In the pilot laser sub-menu you can adjust the brightness of the pilot laser. Touch the "left" or "right" icon to
adjust the brightness of the pilot laser from 0 to 100%.
Touch the "Confirm" icon to accept the set value; use the "Back" icon to return to the application
menu without accepting the new value and the "Home" icon to open the main menu.
Touch the configuration icon in the main menu to open the configuration menu (set-up).
Here, you can open the following basic information and settings:
- Set language
In this menu item you can choose the different languages. The languages are shown with a typical flag and
in the respective language.
Use the navigation icons to choose your required language.
In this menu item you can open the last 10 treatment logs. The logs are generated automatically.
Displayed are:
- Date,
- Starting time (when the laser was first activated with the foot switch),
- Application fibre used,
- Duration of treatment (activation by foot switch until the fibre is replaced or the vela® XL is switched off),
- Laser on-time (length of time which the vela® XL was activated and emitted laser radiation),
- The entire laser output
In this menu item you can adjust the date and time.
Touch the hour display to activate it and make it grey. The hour display can be changed with the arrow icons.
Adjust the minutes, years, month and day in the same manner.
With this menu item you can adjust the brightness of the screen.
The volume can be adjusted from 0% to 100% within the permitted range.
On this page you can call up data and information: Serial number, software version, hardware version, total
output of the laser source, remaining life until the laser source has to be replaced
In this menu item you can reset the factory settings of the device.
On this page you can read error codes and error-relevant data.
Switch the laser device off by turning the key switch anti-clockwise, the display closes. We recommend that
you also isolate the device from the power supply with the power switch on the back.
CAUTION
Never leave the device switched on without supervision. Remove the key to prevent
unauthorised use of the device.
CAUTION
The laser emergency stop is solely for emergencies during normal operation. When the laser
emergency stop switch is activated, the laser emission is switched off immediately. In addition,
the device's software control is interrupted incorrectly which means that some parameters may
not be saved. If the laser emergency stop switch has been activated, before starting the device
again make sure that you release the emergency stop by turning the red button clockwise.
5.10 Cleaning
CAUTION
The power cable must always be disconnected before you clean or disinfect.
Clean the surface of the device with a damp cloth and clear liquid skin disinfectant (e.g. Kodan® or
Sagrotan® ). Generally, if the device is only slightly dirty, it is enough to clean the surfaces with a damp cloth.
CAUTION
Aggressive cleaning agents, such as scouring powder, can damage the surfaces and display.
When you are cleaning the device, make sure that no liquid gets inside the device, as this
could cause faults.
CAUTION
Condensation on the laser device during operation may damage the device. It is important that
you allow a cold device to acclimatise at the prescribed ambient conditions in the treatment
room for several hours before you use it.
Before transporting the vela® XL dismantle all accessories (fibres, power cable, foot switch, etc).
6 Accessories
6.1 Accessories
Operators of the device are obliged to use only accessories that StarMedTec has approved for use with this
laser device.
StarMedTec accepts absolutely no liability for damage or subsequent damage resulting from using the
device with accessories that are not approved.
The supplied conformity declaration contains information about approved accessories (fibres).
See the instructions for use for information about operation, maintenance and disinfection.
You can obtain a current list of accessories from the vela® XL product range from StarMedTec GmbH at any
time. The product range is continuously updated and extended.
CAUTION
When handling all accessories or materials that were in contact with the patient it is important
to take protective measures to prevent the transfer of germs.
List of accessories
Article number Description
6032 Laser protective glasses, normal
6033 Laser protective glasses for people who wear prescription glasses
6450 Application fibres single use, 230 µm core diameter
6451 Application fibres reusable, 230 µm core diameter
6452 Application fibres single use, 365 µm core diameter
6453 Application fibres reusable, 365 µm core diameter
6454 Application fibres single use, 600 µm core diameter
6455 Application fibres reusable, 600 µm core diameter
40001041 Power cable
40001101 Door interlock plug
40001102 Spanner set
41001021 Foot switch
Remember that the accessories may change due to experiences and technical developments. Ask your
dealer or StarMedTec Gmbh about the latest accessories.
Clean, disinfect and sterilise application fibres according to the instructions for use.
Minimum output 1W
NOTE
Portable and mobile HF communication equipment may affect electrical medical equipment.
NOTE
Electrical medical equipment is subject to special precautionary measures regarding EMC and
must be installed and operated according to these guidelines.
The following cables must be used to comply with interference emission and interference immunity.
CAUTION
Use of different cables and accessories may cause higher interference emission or reduced
interference immunity.
CAUTION
The vela® XL must not be operated directly beside other devices. If it has to be operated
close to other devices, the vela® XL must be observed to check that it operates as intended in
this arrangement.
2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
Fibre may not be used again: Use new Dispose of application fibre and replace with a new
1101
fibre. application fibre
Unscrew application fibre from device, check application
Fibre identification not possible: Replace
1103 fibre and connect again or replace and use a new
fibre!
application fibre
Foot switch activated too soon: Release
1104 Release foot switch
foot switch!
Door contact faulty or door not closed: Check door contact (door interlock); close door if door
1105
Check door contact or close door. contact is combined with room lock (optional)
Unscrew application fibre from laser, check application
Fibre identification not possible: Check
1106 fibre and connect again or replace and use a new
fibre or use new fibre
application fibre
Unscrew application fibre from laser, check application
Fibre identification not possible: Check
1107 fibre and connect again or replace and use a new
fibre or use new fibre
application fibre
Active usage time within the current sterilisation cycle
1110 Sterilisation complete: Change fibre. has expired. Remove application fibre from device and
replace with new application fibre
Laser output too low: Restart device or If the message is displayed again after the restart: write
1301
contact service down the error message and inform technical service
Laser output too high: Restart device or If the message is displayed again after the restart: write
1302
contact service down the error message and inform technical service
Average laser output too low: Restart If the message is displayed again after the restart: write
1303
device or contact service down the error message and inform technical service
Average laser output too high: Restart If the message is displayed again after the restart: write
1304
device or contact service down the error message and inform technical service
Shutter fault: Restart device or contact If the message is displayed again after the restart: write
1305
service down the error message and inform technical service
Shutter fault: Restart device or contact If the message is displayed again after the restart: write
1306
service down the error message and inform technical service
Shutter fault: Restart device or contact If the message is displayed again after the restart: write
1307
service down the error message and inform technical service
Output measurement fault: Restart If the message is displayed again after the restart: write
1308
device or contact service down the error message and inform technical service
Output measurement fault: Restart If the message is displayed again after the restart: write
1309
device or contact service down the error message and inform technical service
Water temperature sensor fault: Restart If the message is displayed again after the restart: write
1310
device or contact service down the error message and inform technical service
Cooling water temperature much too low: Wait until the device has warmed up.
1311
Wait until the device has warmed up.
Installation not performed: notify service Ask service to perform installation
1312
and have installation performed.
Life of laser source exceeded: Inform Ask service to replace the laser source
1313 service department: replace radiation
source.
Fibre identification fault: Restart device or If the message is displayed again after the restart: write
1314
contact service down the error message and inform technical service
Touchpanel fault: Switch off device and Write down the error message and inform technical
1315
notify service department. service
Excess temperature! The device will Write down the error message and inform technical
1316 switch off automatically in a few seconds: service
Inform service department.
Air temperature sensor fault: The device Write down the error message and inform technical
1317 will switch off automatically in a few service
seconds: Inform service department.
Our foreign customers should first contact the service hotline of their local dealer.
StarMedTec GmbH
Kreuzstraße 22
82319 Starnberg, Germany
Hotline
Repairs or maintenance work carried out by unauthorised personnel make our guarantee void and exclude
any future warranty and liability claims. If maintenance work is not performed properly, this may also cause
the device to malfunction, which puts users and patients at risk.
CAUTION
If the vela® XL does not operate properly, do not try and interfere with the device yourself.
Please contact StarMedTec GmbH or your authorised StarMedTec GmbH service partner.
Please note that the manufacturer is responsible for the functioning, reliability and safety of the device only if:
• transport, installation, start-up, modifications, maintenance and repairs have been carried out by
authorised personnel,
• the electrical installation in the room in which the laser is operated complies with statutory requirements
and our installation requirements,
• the device and accessories are used in accordance with this user manual, and
• users are trained and instructed.
Maintenance intervals
An inspection of the complete laser system should be carried out by an authorised service technician at least
once within each 12-month period or if a message is displayed on the device (whichever comes first).
Technical checks
Technical safety checks may only be carried out by authorised service technicians and must be documented
in the medical product book (equipment book).
The check must include the accessories, wearing parts, disposable items and connected interfaces which
the operator uses with the device if the use of the device could be affected in terms of safety by this ancillary
equipment.
NOTE
Technical checks must be carried out at intervals of maximum 12 months and must be
documented in the medical product book.
CAUTION
If faults are discovered during the technical safety check which could put patients, users or
third parties at risk, the device may not be operated until these faults have been rectified by an
authorised service technician.
8.5 Disposal
StarMedTec GmbH will take your used device back and undertakes to dispose of it in accordance with
national regulations. Please contact your dealer or StarMedTec GmbH regarding the return of your laser
device.
9 Warranty/Guarantee