Alma Lasers Accent Prime Service Manual

Service Manual
Accent Prime Service Manual
Scope of This Manual

This Service manual incorporates the following chapters:
Chapter 1 System Overview Contains a general introduction to the Accent Prime
system.
Chapter 2 Safety Contains explanations and directions concerning safety
measures for operating the system, international standard
compliance, classifications and regulatory labels.
Chapter 3 Installation Lists electrical, space and environmental requirements for
installation of the system.
Chapter 4 System Description Contains a detailed overview of the Accent Prime system
and its various sub-systems and modules, including
technical specifications for the system and each of the
modules.
Chapter 5 Controls and Describes the control and service panels, footswitch and
Indicators various connections to the system, and functional
indicators.
Chapter 6 Operating Explains how to operate the system, offering basic
Instructions information and common instructions for operation.
Specific operating instructions for each of the modules
may be found in the appropriate clinical guide.
Chapter 7 Maintenance & Provides a detailed review of how to maintain the system
Parts Replacement and parts replacements.
Chapter 8 Troubleshooting & Lists the system error messages that might appear during
S.W installation operation, their probable causes and what corrective
actions to perform as well as S.W installation.
Chapter 9 Spare parts Provides information on spare parts.
CHAPTER 1
System Overview
Chapter Contents:
Section Title Page
1.1. Use of this Manual ............................................................................. 1-2
1.2. User Profiler / Intended User ............................................................. 1-2
1.3. Physician Responsibility .................................................................... 1-2
1.4. Maintenance....................................................................................... 1-3
1.5. Modification of the System ............................................................... 1-3
1.6. Resale Inspection ............................................................................... 1-3
1.7. Abbreviations and Acronyms ............................................................ 1-3
Accent Prime Service Manual 1-1

System Overview
1.1. Use of this Manual

The Accent Prime system is designed to meet international safety and performance
standards. Personnel operating the system must have a thorough understanding of
the proper operation of the Accent Prime.
This manual has been prepared to aid medical and technical personnel to
understand and operate the system. Do not operate the system before reading this
manual and gaining a clear understanding of system operation. If any part of this
manual is not clear, please contact your Alma Lasers representative for
clarification.
Warning
Use of controls or adjustments, or performance of procedures other than those
specified herein may put the operator and/or the patient at risk. Therefore, before
attempting to use or operate the system, personnel operating the Accent Prime
system should read this manual and become thoroughly familiar with all its safety
requirements and operating procedures.
The information provided in this manual is not intended to replace the professional
training on the clinical use of the system. Please contact your Alma Lasers
representative for current information on available training. For clinical
information, refer to the Clinical Guide appendices that include set up guidelines
for each application.
This manual should always accompany the system and all operating personnel must
know its location. Additional copies of this manual are available from Alma Lasers
or your local Alma Lasers representative.
For further information about Alma Lasers, visit the company website at:
http://www.alma-lasers.de
1.2. User Profiler / Intended User

The system is intended to be used by professional practitioners (specialized
physician / authorized technical personnel) in the medical field, for indoor use
environment only.
1.3. Physician Responsibility

Regulatory code restricts prescription of medical devices for sale by or on the order
of a physician, or properly licensed practitioner. The properly licensed practitioner
will be responsible for the use and operation of the device and for all operator
qualifications. Alma Lasers makes no representations regarding federal, state or
local laws or regulations that might apply to the use and operation of any medical
device. The physician is responsible for contacting his or her local licensing
agencies to determine any credential required by law for clinical use and the
operation of the device.
1-2 Accent Prime Service Manual

System Overview
1.4. Maintenance
The Accent Prime system is a precision, precision device that requires periodic
routine maintenance service, which must be performed by Alma Lasers authorized
technical personnel. Failure to obtain service voids all warranties expressed and
implied. Please contact Alma Lasers or your local representative for details.
1.5. Modification of the System

Unauthorized modification of the hardware, software or specifications of the
Accent Prime system voids all warranties, expressed and implied. Alma Lasers
takes no responsibility for the use or operation of such a modified device.
1.6. Resale Inspection

The Accent Prime is a precision, technical medical device. If any Alma Lasers
device is resold by anyone other than an authorized sales representative, Alma
Lasers offers a resale inspection by an Alma Lasers technician to assure that the
device is working in accordance with manufacturer’s specifications. Using the
device after it has been resold and before it has been inspected is a misuse of the
device, which may result in injuries and voids all warranties, expressed and
implied.
Alma Lasers also offers service contracts and extended warranties for its devices.
For more information about the services or about the costs of inspections or service
calls, please contact Alma Lasers or your local representative.
1.7. Abbreviations and Acronyms

°C Degree(s) Centigrade/Celsius
°F Degree(s) Fahrenheit
A Ampere(s)
AC Alternating current
CFR Code of Federal Regulations
cm Centimeter(s)
DC Direct current
HAS Heat appreciation scale
Hz Hertz
IEC International Electrotechnical Commission
IMN Impedance matching network

System Overview
IR Infrared
J Joule(s)
Kg. Kilogram(s)
kHz Kilohertz
lb. Pound(s)
LCD Liquid crystal display
LED Light emitting diode
m Meter(s)
mm Millimeter(s)
MHz Megahertz
PWM Pulse width modulation
RF Radiofrequency
Sec Second(s)
TEC Thermoelectric cooling
V Volt(s)
VAC Volt(s) alternating current
VDC Volt(s) direct current
W Watt(s)

CHAPTER 2
Safety
Chapter Contents:
Section Title Page
2.1. Introduction ........................................................................................ 2-3
2.2. System Safety Features ...................................................................... 2-3
2.2.1. Software ............................................................................................. 2-3
2.2.2. Keyswitch........................................................................................... 2-4
2.2.3. Footswitch .......................................................................................... 2-4
2.2.4. Appliance coupler .............................................................................. 2-4
2.2.5. Emergency Shut-Off Knob ................................................................ 2-4
2.2.6. Input Power ........................................................................................ 2-4
2.2.7. Energy Emission Safety ..................................................................... 2-4
2.2.8. Energy Emission Indicators ............................................................... 2-5
2.2.9. Grounding the System ........................................................................ 2-5
2.2.10. Fuse Protection ................................................................................... 2-5
2.2.11. Cooling System .................................................................................. 2-5
2.3. General Precautions and Cautions...................................................... 2-6
2.3.1. Precautions ......................................................................................... 2-6
2.3.2. Cautions ............................................................................................. 2-6
2.3.3. Burn Hazards...................................................................................... 2-7
2.3.4. Explosion and Fire Hazards ............................................................... 2-7
2.3.5. High Voltage Hazards ........................................................................ 2-7
2.3.6. Radiofrequency Operation Safety ...................................................... 2-7
2.3.7. Ultrasound Operation Safety .............................................................. 2-8
2.4. Equipment Classification and Compliance ........................................ 2-9
2.5. Device Labels ................................................................................... 2-12

Safety
2.5.1. System Labels.................................................................................. 2-12

2.5.2. Module Labels ................................................................................. 2-14
2.5.3. Packaging Label .............................................................................. 2-15
2.5.4. Other informative labels placed around the system......................... 2-17

Safety
2.1. Introduction
This chapter describes general safety issues regarding the use of the Accent Prime system, with
special emphasis on ultrasound, radiofrequency and electrical safety.
Warning
Hazardous voltages are energized when the emergency shut-off knob is engaged.
Note
Federal law (USA) restricts this device to sale by, or on the order of a
physician or any practitioner licensed by the law of the state in which he or
she practices or intends to use or order the use of the device.
With proper operation and maintenance, trained and qualified medical practitioners can use the
system safely. The supervising physician and all other personnel operating or maintaining the
Accent Prime must be familiar with the safety information provided in this chapter.
The primary consideration should be for the safety of the patient, the physician and other
personnel. Patient safety is mainly assured with a well trained staff and a well laid out treatment
room. Patient education is also important, including information about the nature of the
treatment.
2.2. System Safety Features

The Accent Prime system was designed to maximize safety for both patient and personnel.
The following are some of the Accent Prime system's preventive safety measures:
2.2.1. Software
 Once the system is turned on, the software checks all safety-related hardware features.
 A watchdog cycle continuously monitors the safe system operation during the treatment.
 If an error occurs, the system displays a warning message and, if necessary, the software
shuts down the system.

Safety
2.2.2. Keyswitch
 The system can be turned on only when the key is inserted in the keyswitch.
 When not in operation, the key should be removed to prevent unauthorized use of the system.
2.2.3. Footswitch
The system is equipped with a pneumatic footswitch to eliminate the possibility of short-
circuiting in the footswitch wiring and to increase its durability to fluids.
2.2.4. Appliance coupler

The appliance coupler located at the service panel of the system (refer to Chapter 4).
Note
The appliance coupler considered as main disconnection device in any case of hazardous
situation. The disconnection of the electrical cable from the electricity will cause immediate shut
down of the system.
2.2.5. Emergency Shut-Off Knob

When pressed, the emergency shut-off knob cuts the power supply to the system, which results
in immediate shut-down of the entire system.
2.2.6. Input Power

The system's isolation transformer insulates the device and reduces current leakage. The system
is also fuse-protected against mains power surges.
2.2.7. Energy Emission Safety

The system enables radiofrequency or ultrasound emissions only when the following
conditions are met:
 The system is in Ready mode.
 Radiofrequency modules: the footswitch is pressed or the module's trigger is pressed for
RF energy (the rotating massage rings on the UniBody and UniFace modules start to
operate as soon as the system is set to Ready mode).
 Ultrasound modules: the footswitch is pressed.
 Tango module: the footswitch is pressed for ultrasound energy emission, and the
module’s trigger is pressed for radiofrequency energy emission.

Safety
The system does not allow simultaneously activation of any two modules.
The system does not allow energy emissions in any other condition.
2.2.8. Energy Emission Indicators

The yellow light indicator on the control panel and the LED indicator on the modules are
illuminated both prior to and during energy emission.
RF Modules (UniLarge, Coaxipolar, UniBody, UniFace, RF Pixel, Accentuate, Tune Body
& Tune Face):
 In Ready mode, the indicators blink to indicate that radiofrequency emission will occur
when the module trigger or the footswitch is pressed.
 During radiofrequency emission, the indicators are illuminated continuously.
Ultrasound Modules (UltraBody, UltraFace , Tango & UltraFast ):
 During ultrasound emission the same indicators are activated: yellow light indicator,
LED on the module and the audio indicator – beeps every second.
 In addition, the user can identify the working mode by the changing the red or white
colors of the hot or cold indicators on the screen (red for hot mode and white for cold
mode respectively).
 During ultrasound emission the indicators illuminate continuously.
2.2.9. Grounding the System

The system is grounded through the grounding conductor in the power cable and internal
grounding pin.
Warning
To avoid the risk of electric shock, this equipment must only be connected to a supply mains
with protective earth.
2.2.10. Fuse Protection

The system is protected by two slow blow type fuses. The fuses are located in the fuse holder on
the rear panel.
For detailed instructions on fuse replacement, refer to Chapter 7.
2.2.11. Cooling System

The cooling system cools the active module by a constant flow of coolant .The system
continuously monitors the flow rate and temperature of the coolant.
A protection system stops the operation if:

Safety
 The coolant flow drops below the permitted level

 The coolant temperature rises above the permitted level
 The level of the coolant drops below the permitted level
2.3. General Precautions and Cautions

The following precautions, cautions and warnings must be observed for the safe use of the
Accent Prime system.
2.3.1. Precautions
 Physicians, clinicians and practitioners should read this manual thoroughly before attempting
to operate the Accent Prime system.
 Modules and module tips must be kept clean at all times.
 The system is well balanced and is designed to be moved, but should always be moved
carefully and slowly. Never pull the system by the modules or umbilical cables.
 Accent Prime needs special precautions regarding EMC and needs to be installed and put
into service according to the EMC information provided in the accompanying documents.
2.3.2. Cautions
 Only Alma Lasers authorized personnel may service the Accent Prime system. This includes
making internal adjustments to the power supply, cooling system, modules, etc.
 Maintenance performed by the operator must only take place when the system is shut down
and disconnected from the electrical power source. Performing maintenance procedures with
the system powered-up can be hazardous to the operator and/or destructive to the system.
 Always turn off the system when it is not in use.
 Never leave the system in Ready mode unattended.
 Never allow untrained personnel to operate the system.
 Never press the trigger and/or footswitch unless the module is safely oriented at a specific
and intended target.
 The modules and tips must always be visually inspected before treating the patient. If any
wear or damage is apparent, do not use the module.
 Never leave the system turned on, open or unattended during system maintenance.
 When monitoring skin temperature with the infrared thermometer, AVOID direct beam
contact into the patient's eyes by requesting him/her to close the eyes during treatment!
 UniBody and UniFace Modules – these two modules employ a rotating massage ring with
individually spinning balls. Take care not to allow any loose clothing, long hair, jewelry or
other loose item to be caught in the rotating mechanism; this could potentially harm the
patient and damage the module.

Safety
2.3.3. Burn Hazards

The Accent Prime system is a state-of-the-art radiofrequency and ultrasound system for medical
and aesthetic applications. The system emits energies that can damage the skin in case of the use
of excessive energy. The operator must tune the output energy level to minimal level required
by Clinical protocol to avoid burn hazard. Always monitor the temperature of patient to avoid
increasing above permissible levels defined by Clinical protocols.
2.3.4. Explosion and Fire Hazards

 The system is not suitable for use in the presence of flammable mixtures with air or oxygen.
 Do not operate in the presence of volatile solvents such as alcohol, gasoline or other solvents.
 Do not use any flammable substances such as alcohol or acetone in the preparation of the
skin for treatment. If necessary, use soap and water to clean before treatment.
 If alcohol is used to clean and disinfect any part of the Accent Prime system, allow it to dry
thoroughly before operating the system.
 Flammable materials must be kept at a safe distance from the system.
2.3.5. High Voltage Hazards

The system utilizes high voltage electricity. To avoid personnel injury, do not operate the system
before ensuring that the exterior panels are properly closed. Do not attempt to remove or
disassemble the exterior panels.
The Accent Prime system produces very high voltages in various components. Some
components may retain a charge after the power supply has been turned off, so no part of the
exterior housing should be removed, except by Alma Lasers authorized personnel.
Whenever system maintenance is performed, never leave the Accent Prime system turned on,
open or unattended.
2.3.6. Radiofrequency Operation Safety

 Never use a radiofrequency module which has a damaged tip. Always check the tip condition
before starting the treatment for any defects.
 Always clean the tip properly before treatment.
 Allow access to the treatment room only to personnel who are well trained in the required
safety procedures.
 Make sure that all operators are familiar with the system's controls and know to shut down
the system instantly.
 Never press the module trigger or the footswitch without direct and firm contact of the
module tip with the patient's skin.

Safety
 Never place the module in contact with or direct it at anything other than the target area. The
cables to the RF applicator should be positioned in such a way that contact with the patient
shall be avoided.
 During system operation, the generated electromagnetic field may interfere with other
medical devices and computers. Always place the system at least two meters away from
computers and other electrical devices.
This equipment has been tested and it conforms to the restrictions for medical devices. Those
restrictions were designed to bring reasonable protection against harmful interferences in the
typical medical installation. This equipment generates, utilizes and can emit radio signals and
may produce nuisance interference to other nearby devices, if it is not installed and utilized in
accordance with the instructions. However, there is no warranty that it will not cause interference
in a particular installation. If this equipment causes harmful interferences with others devices,
which can be determined by turning the equipment off and on, it is recommended that the user
try to correct the interference by one or more of the following measures:
 Redirect or relocate the receptor device.
 The RF applicator is not for use with Neutral electrode.
 Increase the distance between the devices.
 Plug the system into a wall socket on a different circuit than the other equipment.
 Consult with Alma Lasers technical service personal for assistance.
 Avoid placing the module's umbilical cable in contact with the patient.
2.3.7. Ultrasound Operation Safety

 Never use an ultrasound module which has a damaged tip. Always check the tip condition
before starting the treatment for any defects.
 Always clean the tip properly before treatment.
 Allow access to the treatment room only to personnel who are well trained in the required
safety procedures.
 Make sure that all operators are familiar with the system's controls and know to shut down
the system instantly.
 Always monitor the patient temperature to avoid excessive temperature on the patient skin.
2.4. Equipment Classification and Compliance

The Accent Prime system complies with the following standards:
No. Standard Org. Title Revision Date
GENERAL

Safety
No. Standard Org. Title Revision Date
EN ISO 13485 ISO Medical devices - Quality management systems - Requirements - 2012
1.
for regulatory purposes.
2. ISO 9001 ISO Quality management systems – Requirements. - 2008
3. EN ISO 14155-1 ISO Clinical investigation of medical devices for human subjects. - 2011
IEC 62366 IEC Medical Devices: Application of Usability Engineering to - 2007

4.
Medical Devices.
RISK MANAGEMENT
Medical devices – Application of risk management to medical

5. EN ISO 14971 ISO - 2012
devices.
SAFETY
Medical electrical equipment. Part 1: General requirements for

6. IEC 60601-1 IEC 3.0 2005
safety.
Medical electrical equipment - Part 2-2: Particular requirements

7. IEC 60601-2-2 IEC 5.0 2009
for the safety of high frequency surgical equipment.
Medical electrical equipment – part 2-5: Particular requirements

8. IEC 60601-2-5 IEC 3.0 2009
for the safety of ultrasonic physiotherapy equipment
SOFTWARE
9. IEC 62304 IEC Medical Device Software: Software Life Cycle Process 1.0 2006
10. IEEE 830 IEEE Recommended Practice for Software Requirements Specifications - 1998
11. IEEE 829 IEEE Standard for Software Test Documentation - 2008
12. IEEE 1016 IEEE Recommended Practice for Software Design Descriptions - 1998
IEEE IEEE Systems and software engineering -- Life cycle processes --

13. IEEE 29148 - 2011
Requirements engineering
14. IEEE 1012 IEEE Standard for Software Verification and Validation - 2004

Safety
ELECTROMAGNETIC COMPATIBILITY
IEC Medical electrical equipment - Part 1-2: Collateral standard:

15. IEC 60601-1-2 3.0 2007
Electromagnetic compatibility - Requirements and tests.
Electromagnetic compatibility (EMC), Part 3: Limits. Section 2; 2005

16. IEC 61000-3-2 IEC Limits for harmonic current emissions for Equipment with Input 3.0 +A1(08)
Current Less Than 16A. +A2(09)
Electromagnetic Compatibility (EMC) – Part 3: Limits. Section 3;

IEC 61000-3-3 IEC Limitation of Voltage Changes, Voltage Fluctuations and Flicker 2.0 2008
17.
In Public Low Voltage Supply Systems, for Equipment with
Rated Current Less Than 16A
Electromagnetic Compatibility (EMC). Part 4: Testing and

18. IEC 61000-4-2 IEC Measurement Techniques. Section 2: Electrostatic Discharge 2.0 2008
Immunity Test

19. IEC 61000-4-3 IEC Measurement Techniques. Section 3: Radiated, Radiofrequency, 3.2 2010
Electro-magnetic Field Immunity Test
Electromagnetic Compatibility (EMC). Part 4: Testing and 2004

20. IEC 61000-4-4 IEC Measurement Techniques. Section 4; Electrical Fast 2.0
+A1(10)
Transient/Burst Immunity Test
IEC 61000-4-5 IEC Electromagnetic Compatibility (EMC). Part 4: Testing and 2.0 2005
21.
Measurement Techniques. Section 5; Surge Immunity Tests

22. IEC 61000-4-6 IEC Measurement Techniques. Section 6; Immunity to Conducted 3.0 2008
Disturbances Induced By Radiofrequency Fields

23. IEC 61000-4-8 IEC Measurement Techniques. Section 8: Power Frequency Magnetic 2.0 2009
Field Immunity Test

24. IEC 61000-4-11 IEC Measurement Techniques. Section 11: Voltage Dips, Short 2.0 2004
Interruptions and Voltage Variation Immunity Tests
Industrial, scientific and medical (ISM) radio-frequency

25. CISPR 11 IEC equipment - Electromagnetic disturbance characteristics - Limits 5.1 2010
and methods of measurement.

Safety
LABELING
26. EN 980 ECS Symbols for use in the labeling of medical devices - 2008
27. EN 1041 ECS Information supplied by the manufacturer with medical devices - 2008
Medical devices - Symbols to be used with medical device labels,

28. ISO 15223-1 ISO - 2012
labeling and information to be supplied
BIOCOMPATIBILITY
Biological Evaluation of Medical Devices –

29. ISO 10993-1 ISO 1.0 2011
Part 1: Evaluation and Testing.
STERILIZATION
Sterilization of Health Care Products – Moist Heat – Part 1

30. ISO 17665-1 ISO Requirements for the Development, Validation, and Routine - 2006
Control of a Sterilization Process for Medical Devices.
In compliance with these standards, the system is equipped with:

 Emission indicators
 Output displays
 Emergency shut-off knob
 Proper labeling
In accordance with the regulations, a recommended routine inspection and maintenance schedule
is provided in the Maintenance chapter of this manual (see Chapter 7).

Safety
2.5. Device Labels

2.5.1. System Labels
The following Warning, Certification and Identification labels are adhered to the Accent Prime system:
 Identification Label which is located on the service panel. This label contains the following information:
 Manufacturer's details  The system's electrical requirements

 Name of the system  CE-MDD compliance symbol
 Serial number and date of manufacture  Radiofrequency emission advisory symbol
 Caution: Consult Accompanying Documents  Caution: Consult Operating Instructions
 Degrees and types of protection against electric shock
Label # 1 is adhered to systems shipped to 120VAC countries.

Safety
Figure 2-1: Identification Labels

 Fuse rating labels – located near the fuse compartment and identifies type of fuses that shall
be used for replacement
Figure 2-2: Fuse rating label
 Grounded power cable warning label, located next to the power cable connection port:
Figure 2-3: Grounded Cable Warning Label
 The WEEE label indicating separate collection and disposal symbol, located near the
identification label: at the end of useful life the system module is to be returned to the
manufacturer for appropriate processing and disposal:
Figure 2-4: WEEE Label

Safety
2.5.2. Module Labels

Module identification labels for each module type, located on the module's connector:
Figure 2-5: Module Identification Labels

Safety
Figure 2-6: Ultrasound Module Parameters Label
2.5.3. Packaging Label

The following label is attached to the Accent Prime system's shipping crate:
Figure 2-7: Shipping Crate Label

Safety
The symbols on the label indicate the following:

This symbol indicates that the crate must be protected
from excessive humidity and must accordingly be
stored under cover. If particularly large or bulky
Keep Dry packages cannot be stored in warehouse or sheds,
they must be carefully covered with tarpaulins.
Cargo marked with this symbol should be handled

carefully and should never be tipped over or slung.
Fragile
The package must be always transported, handled

and stored in such way that the arrows always point
upwards. Rolling, Swinging, severe tipping or
Top tumbling or other such handling must be avoided.
The cargo need not, however, be stored “on top”.
The symbol provides the storage and transport

Temperature temperature range. In this case, the temperature limit
Limitations is between high +50°C and low -10°C.
The symbol provides the storage and transport

Humidity humidity range. In this case, the humidity limit is
Limitations between 60% high and 10% low.
The symbol provides the storage and transport air

Air Pressure pressure limit. In this case, indicating a low 90 kPa
Limitations and a high 110 kPa.

Safety
2.5.4. Other informative labels placed around the system
 Stop label located below the emergency shut-off

knob
 Non-Ionizing Radiation warning label, located on

the rear panel of the system
 No Pushing label, located on the rear panel of the

system
 Footswitch label, located on the service

panel to identify the footswitch connection port FOOTSWITCH
 Vent label, identifies the connection port for the air
vent of the cooling system's water reservoir.  VENT
 Fill label, identifies the connection port for the
accessory used by the service technician to fill the  FILL
cooling system's water reservoir.
 Drain label, identifies the connection port for the
accessory used by the service technician to drain  DRAIN
the cooling system's water reservoir.
List of icons:
 Follow instructions for use
 Non-ionizing radiation
 Caution
 Warning
 Type BF applied part

Safety
 Date of Manufacture
 Manufacturer
 Serial Number
 Complies with the European Union Medical Device

Directive
 Temperature Limitation
 Humidity Limitation
 Atmospheric Pressure Limitation
 Keep Dry
 The contents are fragile
 This side up

CHAPTER 3
Installation
Chapter Contents:
Section Title Page
3.1. Introduction........................................................................................ 3-2

3.2. Equipment List................................................................................... 3-2
3.3. Facility Requirements ........................................................................ 3-3
3.3.1. Space and Positioning .................................................................... 3-3
3.3.2. Electrical Requirements ................................................................. 3-4
3.3.3. Environmental Requirements ......................................................... 3-5
3.4. Connect the Modules ......................................................................... 3-6
3.4.1. Connect the Bypass Module Connector ......................................... 3-9
3.4.2. Connect a RF Pixel or iRF Pixel Tip .............................................. 3-9
3.5. Connect the Footswitch ................................................................... 3-10
3.6. Fill the Coolant Reservoir ................................................................ 3-11
3.7. Storage and Transportation .............................................................. 3-11
3.7.1. Moving the System....................................................................... 3-11
3.7.2. Environmental Conditions during Transportation ........................ 3-11

Installation
3.1. Introduction
The Accent Prime system is designed for installation in an office or a clinic and
requires minimal site preparation. When the Accent Prime system is purchased,
complete on-site installation, including initial system testing and calibration, is
included.
System transportation and installation is carried out by Alma Lasers authorized
technical personnel, who will do the following:
 Unpack the system and position it in its pre-selected location
 Verify the integrity of the system and its components
 Connect system components (modules, footswitch)
 Plug the system into a designated electrical outlet
 Fill the cooling system reservoir with 50% distilled water and 50% propylene
glycol
 Test the system for proper calibration and functional operation of all
components and software
 Coordinate the performance of an on-site safety inspection, if required
Note
Any damage to the packaging or to the system found prior to
opening the package should be reported to your Alma Lasers
representative and to the insurance carrier.
Caution
Do not turn the system on before circulating the coolant in the cooling system.
Refer to Section 3.7 and to the label adhered to the system's LCD control panel.
3.2. Equipment List

The Accent Prime platform includes the following:
 Accent Prime console
 UniLarge radiofrequency module with built-in IR thermometer
 Coaxipolar radiofrequency module with built-in IR thermometer
 UniBody radiofrequency & massage module
 UniFace radiofrequency & massage module
 RF Pixel module with stationary & roller tips

Installation
 Tune Body radiofrequency module(connected to the upper connection

only)
 Tune Face radiofrequency module (connected to the upper connection
only)
 Accentuate radiofrequency module
 UltraFace ultrasound module
 UltraSpeed ultrasound module
 Tango ultrasound & radiofrequency module
 Operator's Manual
 Set of keys
 White petroleum jelly (i.e., Vaseline®)
 Treatment oil
 Water filling/draining kit
 Non-contact thermometer
3.3. Facility Requirements

Before unpacking the system, ensure that the site meets the requirements described
in the following sections.
3.3.1. Space and Positioning

Space should be allocated with adequate ventilation and free airflow. The working
area for the system should be prepared according to the system dimensions
presented in Figure 3-1. In order to guarantee proper ventilation, always keep the
sides of the system at least 0.5 meters from the wall or from other obstructions to
air flow. After positioning the system, lock the breaks on the front wheels by
pressing the pedals on top of each wheel.
The system can interfere with computers and other electrical and medical devices. It
should be placed at least two meters away from any such devices.

Installation
Figure 3-1: System Dimensions
3.3.2. Electrical Requirements

The universal power supply allows the Accent Prime system to be plugged into the
wall outlet of any country that supplies:
 120 VAC, 10A, 50/60 Hz, single phase
Input power lines should be free of transients, voltage and current spikes, sags and
surges. Consequently, the system power line should not be shared with other heavy
variable loads such as elevators, air conditioning systems, large motors, etc.

Installation
The system is grounded through the grounding conductor in the power cable that is
plugged into the wall power outlet. Good grounding is essential for safe operation.
Only use the power cable supplied with the Accent Prime system; it incorporates
built-in electronic noise filters.
3.3.3. Environmental Requirements

Air Quality:
The system should operate in a non-corrosive atmosphere. Corrosive materials such
as acids can damage electrical wiring, electronic components and the surfaces of RF
or ultrasound delivery components.
Water Quality:
The system should be operated using 50% distilled water and 50% propylene glycol
only. Regular tap water contains sediments that may damage the cooling system.
Temperature:
To ensure that the system performs optimally, maintain room temperature between
20°C and 25°C and relative humidity of less than 80%.
Condensation:
The radiofrequency modules are cooled intensively when the system is in Ready
mode. The module's cooling mechanism may cause water to condense on the
module tip's surface which could affect the treatment process and, under certain
conditions, may produce sparks. Avoid water condensation on the module tip
surface. Wipe the surface of the module tip, immediately before a treatment.

Installation
3.4. Connect the Modules

Select any two modules for connection to the system and proceed as follows:
1. Set the modules in the two cradles, one on each side of the system's rear
handle. It does not matter which module goes on which side.
Figure 3-7: Modules in Cradles
2. Refer to Figure 3-8: pull open the cover (A) of the modules connection ports (B).
A
B
Figure 3-8: Modules Connection Procedure (1)

Installation
Refer to Figure 3-9:

3. Pull the locking lever out to the unlatched position (A).
4. Insert the module connector (B) into the port (C).
C
B
Caution
Insert the connector so that the guiding pin (D) is facing up. Inserting the
connector in the wrong orientation will damage the system!

Installation
5. Close the locking levers to lock the module connectors in position and ensure
that they are closed all the way, as shown by the arrows in Figure 3-10.
6. Close the cover of the module connection ports (see view A in Figure 3-8).

Installation
3.4.1. Connect the Bypass Module Connector

The bypass module connector acts as an electrical and coolant bridge, which
enables the system to operate with only one module connected.
Figure 3-11: Bypass Module Connector
Instructions on connecting the bypass module connector are identical to those of

connecting all other modules as described above.
3.4.2. Connect a RF Pixel or iRF Pixel Tip

When using the RF Pixel module, either the stationary RF Pixel or roller iRF Pixel
tip must be selected and connected to the module.
Select the desired tip and connect it to the distal port of the module by pushing it in
until you feel it "snap" into place (see Figure 3-12).
To remove a tip from the RF Pixel module, hold it with two fingers and gently pull
it out.

Installation
Figure 3-12: RF Pixel Module Tips
3.5. Connect the Footswitch

The footswitch supplied with the system is pneumatically operated.
To connect the footswitch, connect the footswitch's black tube to the connection
port on the system's service panel (shown by the arrow in Figure 3-13).
Figure 3-13: Footswitch Connection Port

Installation
3.6. Fill the Coolant Reservoir

The cooling system's reservoir must be filled with 50% distilled water and 50%
propylene glycol. It is imperative that the level of the coolant in the reservoir be
checked every three months and be added if necessary.
For detailed instructions on filling the coolant reservoir, refer to Chapter 7.
3.7. Storage and Transportation

3.7.1. Moving the System
The front wheels of the Accent Prime
system are fitted with brakes. To lock a
wheel, push its brake lever firmly
downwards. To release, move the lever
upwards. When the system is stationary,
the brakes must be in the locked position.
Release the brakes only when moving the
system.
To move the system, use only the handle
on top of the system's rear panel (see
Figure 3-14). Do not pull the system by
any other part. Figure 3-14: System Handle
To transport the system to another
facility, consult your Alma Lasers service representative.
Caution
Never use the control panel, modules or umbilical cables to move the system.
3.7.2. Environmental Conditions during Transportation

Transportation of the Accent Prime system should be under normal environmental
conditions within the following range:
 Ambient temperature: -10 to 50ºC
 Relative air humidity: 10 to 60%
 Atmospheric pressure: 90 to 110 kPa

CHAPTER 4
System Description
Chapter Contents:
Section Title Page
4.1. Introduction........................................................................................ 4-2
4.2. System Components and Controls ..................................................... 4-2
4.2.1. System Console ................................................................................. 4-3
4.2.2. The Control Panel .............................................................................. 4-3
4.2.3. The Service Panel .............................................................................. 4-3
4.2.4. Modules ............................................................................................. 4-5
4.2.5. Service Panel ................................................................................... 4-11
4.2.6. System Software .............................................................................. 4-12
4.2.7. Water Cooling System ..................................................................... 4-12
4.2.8. Thermoelectric Cooling System ...................................................... 4-12
4.2.9. Air Cooling System ......................................................................... 4-12
4.3. System Features ............................................................................... 4-12
4.3.1. Operator-Selectable Operating Parameters ...................................... 4-12
4.3.2. Save Option ..................................................................................... 4-13
4.3.3. Technician Mode ............................................................................. 4-13
4.4. System Specifications ...................................................................... 4-14
4.4.1. RF Modules Specifications .............................................................. 4-14
4.4.2. Ultrasound Modules Specifications ................................................. 4-15
4.4.3. Operation and Control ..................................................................... 4-15
4.4.4. Physical ............................................................................................ 4-16
4.4.5. System Electrical Requirements ...................................................... 4-16
4.4.6. Classifications .................................................................................. 4-16

System Description
4.1. Introduction
This chapter provides a detailed description of the Accent Prime system. The
description covers the system's main components, controls and functional sub-
systems, the modules and system & module specifications.
The Accent Prime system combines three state-of-the-art technologies. All
procedures deliver safe and virtually painless treatments that combine the most
advanced and effective technologies for medical aesthetic and dermatology
procedures. The treatments involve no down- time, recuperative period or
uncomfortable side effects.
The RF modules use heating (UniLarge, Coaxipolar, UniBody, UniFace, Tune
Body, Tune Face and Accentuate) and fractional technologies (RF Pixel) to treat
cellulite, skin laxity and body & face contouring, using Alma Lasers' proprietary
radiofrequency technology. In addition the UniBody and UniFace modules offer a
rotating massage ring.
The Tune Body and Tune Face modules integrate vacuum and radiofrequency
energy. The vacuum provides coupling between the tissue and the RF electrodes
during the treatment, to maximize radiofrequency energy transfer to the treated
area.
Treatment with the UniLarge, Coaxipolar, UniBody, UniFace, Tune Body, Tune
Face and Accentuate modules penetrates three layers of the skin: the epidermis,
dermis and subcutaneous fat, enabling treatment to be effective and to meet the
patient's and practitioner's clinical needs. Treatment with the RF modules affects
the epidermis and dermis and the selective ultrasound modules penetrate the
subcutaneous fat layer. All modules offer safe and long-lasting treatment with no
damage to nerves, vessels or connective tissue.
The UltraFace and UltraSpeed modules target fat reduction, deliver body & face
contouring and employ Alma Lasers' unique selective ultrasound technology. The
ultrasound treatment safely and effectively targets localized fat deposits and
reduces body circumference as well as successful body contouring.
The Tango module integrates both ultrasound and radiofrequency technologies.
This combination enables active heating of the treatment area and therefore
increased treatment effectiveness and decreased treatment duration.
A technical discussion of the modules and technical specifications may be found
later in this chapter.
4.2. System Components and Controls

Exhibits the Accent Prime system and its components.
The system is comprised of the following main components:
 System console
 Control panel with built-in touch-screen technology
 Various application modules with diverse technologies

System Description
4.2.1. System Console

The system console contains all internal components and subsystems required for
operation and control of the Accent Prime system. They include:
 RF generator
 Ultrasound generator
 Water cooling system
 Main controller
 Power Supplies
4.2.2. The Control Panel

The Accent Prime system's control panel incorporates the following features:
 RF / Ultrasound emissions indicators
 Emergency shutoff knob: this is a red, mushroom-like knob designed for
emergency shutdown of the system.
 Keyswitch: this turns on the Main User menu after the system is activated.
 Touch-screen LCD display: the LCD display provides information on the status
and settings of the Accent Prime system, with touch-screen technology for system
operation. The various screens and their operation are described in detail in
Chapter 6 – Operating Instructions.
4.2.3. The Service Panel

The service is located on the system's back side. It incorporates all the required
controls and connections for the system:
 Appliance coupler
 Main switch (green) used to activate the micro-processor and the LCD display
 Footswitch connection port
 Housing for surge-protection fuses
 Connection fittings for cooling system filling/draining (see Chapter 7 -
Maintenance).

System Description
Footswitch
A/C Indicator
Connection
Port
Fuses
Housing
Main Switch
Figure 4-1: System Service Panel

System Description
4.2.4. Modules
The modules are used to deliver radiofrequency and ultrasound energy to the
treatment site.
For a treatment session, only one module can be selected. The non-selected module
remains inactive during the treatment.
The following images display the various types of modules and module tips used
with the Accent Prime system.
Figure 4-2 displays the UniLarge and Coaxipolar modules:
Figure 4-2: UniLarge and Coaxipolar Modules

System Description
Figure 4-4 displays the Accentuate module from its top and bottom:
Thermometer
Figure 4-3: Accentuate Module
Figure 4-4 displays the UniBody and UniFace modules with the RF heating tips and
detachable massage rings:
Figure 4-4: UniBody and UniFace Modules

System Description
Figure 4-5 displays the RF Pixel module with the pixelated tips for the fractionated
treatment modality:
Figure 4-5: RF Pixel Module and Tips
Figure 4-6 displays the Tune Body and Tune Face modules:
Figure 4-6: Tune Face and Tune Body Modules

System Description
Figure 4-7 displays the ultrasound modules:
Figure 4-7: UltraFace and UltraSpeed Modules
Figure 4-8 displays the Tango (ultrasound & radiofrequency) module:
Figure 4-8: Tango Module

System Description
4.2.4.1. UniLarge and Coaxipolar RF Modules

The RF modules (see Figure 4-2) consist of:
 Handle – used for holding the module.
 Trigger – activates the radiofrequency energy emission when pressed in
Ready mode.
 Applicator tip – establishes radiofrequency energy transmission to the
patient's skin.
 Infrared thermometer – built into the UniLarge and Bipolar modules, for
keeping track of the skin's temperature during treatment.
 Thermoelectric cooler – integrated within the module.
 Emission indicator – blue LED illuminates prior to- and during energy
emission (excluding UniLarge & Bipolar modules).
 Umbilical cable – contains hot and cold water tubes (cooling system),
RF-power cable and control cable for operation of the module.
 Module connector – connects the module to its port. It incorporates
integrated impedance matching network (IMN) and a memory chip
(I-button) which stores information about the module and the parameter
settings. It also houses the water tube quick-connectors.
4.2.4.2. Accentuate Module

The Accentuate module (see Figure 4-3) emits RF energy and consists of an
Infrared thermometer for keeping track of the skin's temperature during the
treatment.
When the footswitch is pressed, the module delivers RF energy as configured on
the control panel by the operator.
To cease the delivery of RF energy, release the footswitch.
4.2.4.3. UniBody and UniFace RF and Massage Modules

The UniBody and UniFace modules (see Figure 4-4) are used to deliver radio-
frequency energy to the treatment site, and in addition they also employ a
massaging mechanism that works in conjunction with the RF heating.
When the UniBody and UniFace modules are connected to the Accent Prime
system, and the system is set to Ready mode (without pressing the footswitch), the
massaging mechanism begins to operate. The ring rotates continuously while the
system is in Ready mode, spinning the individual massage balls against the skin.
When the footswitch is pressed, the module delivers RF energy as configured on
the control panel by the operator.
To cease the delivery of RF energy, release the footswitch.

System Description
To cease operation of the massaging mechanism, set the Accent Prime system to
Standby mode.
Caution
Take care not to allow any loose clothing, long hair, jewelry or other loose item to
be caught in the rotating mechanism; this could potentially harm the patient and
damage the module.
4.2.4.4. RF Pixel Module and Tips

The following types of tips are available for operation with the RF Pixel Applicator:
 Stationary (RF Pixel) tip:
 Icepick: Diameter: 12mm
 In-motion (iRF Pixel) tips:
 Spark: Single row of teeth
 Atrophic: rows of pixels: 6
 Traumatic: rows of pixels: 3
4.2.4.5. Tune Body and Tune Face Modules

The Tune Body and Tune Face (see Figure 4-6) consist of:
 Electrodes – Emit RF energy.
 Vacuum Outlet - provides coupling between the tissue and the RF
electrodes during the treatment.
 Umbilical cable – contains hot and cold water tubes (cooling system),
RF-power cable and control cable for operation of the module.
4.2.4.6. UltraFace and UltraSpeed Modules

The UltraFace and UltraSpeed modules (see Figure 4-7) consist of:
 Applicator tip – for transmission of ultrasonic energy to the contacted
patient's skin.
 Emission indicator – Blue and Yellow LED illuminates prior to- and
during energy emission.
 Ultrasound transducer and sonotrode assembly incorporated within the
module – convert electromagnetic energy in ultrasonic oscillations and
deliver ultrasonic waves to the treated area.

System Description
 Umbilical cable – contains water tubes (cooling system), US-power cable

and control cable for operation of the module.
 Module connector – connects the module to its terminal. It incorporates a
memory chip (I-button) which stores information about the module and the
parameter settings. It also houses the water tube quick-connectors.
4.2.4.7. Tango Module

The Tango module (see Figure 4-8) consists of:
 Applicator tip – for transmission US and RF emission to the contacted
patient's skin.
 Umbilical cable – contains power cables and control cable for operation of
the module and energizing of the fan.
 Module connector – connects the module to its terminal. It incorporates a
memory chip (I-button) which stores information about the module and the
parameter settings.
4.2.5. Service Panel

The service panel is located at the bottom of the system's rear panel. It incorporates
all the required controls and connections for the system:
 Main power cable connection port.
 Housing for two surge-protection fuses.
 Main switch (green) used to activate the micro-processor and the LCD display.
 Footswitch connection port.
 Electrical current indicator; it illuminates when the power cable is connected to
the wall outlet.
 Connection fittings for water cooling system filling/draining.
All of the service panel's components are described in detail in Chapter 5 –
Controls, Connections and Indicators.

System Description
4.2.6. System Software

The Accent Prime is a computerized system with embedded software that controls
its operation.
The software controls the operating parameters, runs routine tests to ensure proper
and safe operation, and coordinates its various sub-systems.
The software also runs the graphical user interface, which enables user-friendly
control of the system operation.
4.2.7. Water Cooling System

The Accent Prime's cooling system incorporates a water pump, water reservoir,
reservoir level switch, radiator, particle filter, deionizer, flow switch and a fan. The
system circulates water from the fan-cooled radiator to the module.
4.2.8. Thermoelectric Cooling System

The Accent Prime system incorporates thermo-electric coolers (TEC) integrated
within the RF modules' electrodes (excluding the RF Pixel module).
The water cooling system (located within the system console) circulates the water
through the TEC, which in turn cools the RF electrodes.
4.2.9. Air Cooling System

Several fans are located inside the system that cools the water in the cooling system
and the RF generator.
Another fan is located inside the ultrasound generator, used for cooling its internal
electronics components.
Fans are also located inside of the module connectors for cooling the components
therein.
4.3. System Features

4.3.1. Operator-Selectable Operating Parameters
The user controls system operation by setting the desired values for the modules'
operating parameters.
For detailed instructions on setting the operating parameters, refer to Chapter 6 –
Operating Instructions.

System Description
4.3.2. Save Option

In order to save time on setting the operating parameters, the system allows the
operator to save protocols of operating parameters, one for each module.
The parameters are saved in the memory chip located in the module connector of
the appropriate module.
The saved parameters become the default settings for each module.
Upon starting each treatment session, the system loads the default (saved) settings
for the module type that is selected.
Caution
Saving the settings overwrites the current default parameters.
Note
Saving the settings for one module type does not affect the
default settings for the other modules.
For detailed instructions on saving the settings, refer to Chapter 6 – Operating

Instructions.
4.3.3. Technician Mode

The technician mode is designed for diagnostic and service purposes.
The technician mode is password-protected and its access is restricted to Alma
Lasers authorized service personnel only.
Warning
 Only Alma Lasers authorized service personnel are qualified to access the
technician mode.
 Tampering with the settings in the technician mode may adversely affect the
safety and efficacy of the Accent Prime system.

System Description
4.4. System Specifications

4.4.1. RF Modules Specifications
Applicable Modules
 UniLarge
 Coaxipolar
 UniBody
 UniFace
 RF Pixel
 Tune Body
 Tune Face
 Accentuate
RF Output Power (P amplifier)

 Up to 300W
Output Frequency
 40.68 MHz ± 20 kHz
Cooling
 Thermoelectric cooling, excluding the RF Pixel module
 Active Air Cooling for Accentuate module
UniBody and UniFace Massage Ring Rotation Speed
 Up to 150 RPM
Vacuum Pump (for Tune Body/Tune Face modules only connected to the upper
connection only)
 Up to 0.045 MPa

System Description
4.4.2. Ultrasound Modules Specifications

Applicable Modules
 UltraFace
 UltraSpeed
 Tango1
Maximum Ultrasonic Intensity

 Up to 3W/cm2
Operating Frequencies
2
70 kHz and 160 kHz
Control
 Adaptive digital frequency control
 Continuous ultrasound output
Cooling
 Water cooling
4.4.3. Operation and Control

System Control
 Fully computerized, micro-controller based
Graphic User Interface

 12 inch LCD touch-screen
Energy Emission Indicators

 Two visual LED indicators, yellow on the control panel and blue on the RF
and ultrasound modules:
 OFF when no energy emission occurs at the module
 Blinking during Ready mode
1
The Tango module integrates both ultrasound and radiofrequency technologies.
The RF Output Power of the Tango module is up to 300W.
It is cooled both by water and TEC.
2
Depends on Module type and automatically detected by system.

System Description
 Illuminating continuously during energy emission

 Audible indicator:
 Activated during energy emission, when pressing the operation
keys (user-controlled) and upon detection of an error condition.
4.4.4. Physical
Dimensions
 46 cm wide x 47 cm deep x 121 cm high
Weights
 60 Kg
4.4.5. System Electrical Requirements

Power Supply
 120 VAC, 50/60 Hz, single phase
 220/230 VAC, 50/60 Hz, single phase
Protection Fuses
 120 VAC, 10 Amp
 220/230 VAC, 5 Amp
4.4.6. Classifications
Mode of Protection against Electric Shock
 Class I Equipment
Degree of Protection against Electric Shock

 Type BF

CHAPTER 5
Controls and Indicators
Chapter Contents:
Section Title Page
5.1. Introduction........................................................................................ 5-2
5.2. Control Panel Components ................................................................ 5-2
5.2.1. Keyswitch .......................................................................................... 5-3
5.2.2. Emergency Shut-Off Knob ................................................................ 5-3
5.2.3. RF and Ultrasound Emission Indicator .............................................. 5-3
5.2.4. Touch-Screen Panel ........................................................................... 5-4
5.3. Service Panel Components ................................................................ 5-4
5.4. Module Trigger .................................................................................. 5-5
5.5. Footswitch.......................................................................................... 5-7
5.6. Module Connection Ports .................................................................. 5-8

5.1. Introduction
This chapter describes in detail the controls, indicators and connections of the
Accent Prime system. They include:
 Control panel components
 Service panel components
 Module connection ports
 Emission control devices
5.2. Control Panel Components

Figure 5-1 exhibits the controls and indicators on the Accent Prime system:
Touch-Screen
Control Panel
Emission
Indicator Keyswitch
Emergency
Shut-off
Knob
Figure 5-1: Accent Prime Control Panel

5.2.1. Keyswitch
The keyswitch is located on the front panel of the system (see Figure 5-1).
The keyswitch is used to turn the system on and off:
 Turning the keyswitch clockwise turns the system on
 Turning the key switch counterclockwise starts the shut-down sequence and
turns off the system
Note
In an emergency situation, press the emergency shut-off knob to

shut down the system immediately (see Section 5.2.2).
Once the keyswitch is turned to the Off position the key should be removed to
prevent unauthorized use of the system. The key cannot be removed when the
keyswitch is in the On position.
5.2.2. Emergency Shut-Off Knob

The emergency shut-off knob is located on the front panel (see Figure 5-1).
In case of an emergency, pressing the emergency shut-off knob shuts down the
Accent Prime immediately by cutting off the electrical supply to the system.
To resume the system operation, turn the emergency shut-off knob clockwise, to
release it (the knob pops out), and then restart the system.
Caution
Use the emergency shut-off knob only in case of an emergency.
5.2.3. RF and Ultrasound Emission Indicator

The RF and Ultrasound emission indicator is a yellow light indicator located on the
front panel of the system (see Figure 5-1). This indicator is synchronized with the
blue LED of the selected module in use.
The yellow light on the system's front panel and the blue LED on the selected
module illuminate both prior to- and during energy emissions:
 In Ready mode, the yellow light and the blue LED blink to indicate that
radiofrequency emission will start when the trigger is pressed.
 In Ready mode, the yellow light and the blue LED blink to indicate that
ultrasound emission will start when the footswitch is pressed.
 During energy emissions, the emission lights are illuminated continuously.

5.2.4. Touch-Screen Panel

The transparent touch-screen panel overlays the LCD graphic display (see
Figure 5-1).
The touch-screen panel provides the primary means of communication between the
operator and the system.
The computer-controlled graphic user interface keeps the operator informed of the
system status and operating parameters at all times.
The operator controls the system, using the touch-sensitive softkeys and indicators
that appear on the LCD.
For a detailed description of the graphic user interface, refer to Chapter 6 –
Operating Instructions.
5.3. Service Panel Components

The service panel (see Figure 5-2) incorporates the following system controls and
connections:
1. Main switch
2. Power cable connection port
3. Fuse housing
4. Footswitch air tube connection port
5. Water fill and vent ports
6. Electrical current indicator (illuminates green when the power cable is
connected to the wall outlet).
7. Fan grill for air flow to the fans that cool the system's interior and the water in
the cooling system (not shown).

Figure 5-2: Service Panel Components
5.4. Module Trigger

Radiofrequency emission is controlled by the module trigger (see Figure 5-3).
Radiofrequency emission starts by pressing the trigger only when the system is in
Ready mode.

Note
 Only the module that is currently selected can be activated
in Ready mode. Pressing the trigger of the other (non-
selected) module will not have any effect.
 The selected module is indicated on the screen.
 The UniBody and UniFace modules have no trigger; the
massaging mechanism rotates continuously while the
system is in Ready mode, and RF energy is delivered when
the footswitch is pressed.
Figure 5-3: Module Trigger
Warning
If the system is in Ready mode, energy emission occurs when the module
trigger is activated.

5.5. Footswitch
The pneumatic footswitch (see Figure 5-4), supplied with the Accent Prime system
provides an additional means for starting radiofrequency emission.
Radiofrequency emission starts by pressing the footswitch only when the system is
in Ready mode.
The footswitch's pneumatic tube is connected to its connector on the service panel
(see Figure 5-2).
For detailed instructions on connecting the footswitch, refer to Chapter 3 –
Installation.
Figure 5-4: Footswitch
Warning
If the system is in Ready mode, energy emission occurs when the footswitch is
activated.

5.6. Module Connection Ports

The two module connection ports are located underneath the compartment's covers
(see Figure 5-5).
The module connection ports are the ports that connect the modules to the system
and lock the module connectors in place.
For detailed instructions on connecting the modules, refer to Chapter 3 –
Installation.
Figure 5-5 Module Connection Ports

CHAPTER 6
Operating Instructions
Chapter Contents:
Section Title Page
6.1. Introduction........................................................................................ 6-2
6.2. Prepare the System for Operation ...................................................... 6-2
6.3. Operating the System ......................................................................... 6-2
6.4. Turn on the System ............................................................................ 6-3
6.5. Select the Module .............................................................................. 6-5
6.6. Select the Body Area for Treatment .................................................. 6-5
6.7. Operating with the RF Modules ........................................................ 6-6
6.7.1. Operating with the RF Pixel Module ................................................. 6-8
6.7.2. Operating with the Tune Body and Tune Face Modules ................. 6-11
6.7.3. Operating with the Accentuate Module ........................................... 6-13
6.8. Operating with the Ultrasound Modules .......................................... 6-15
6.8.1. Resonance Tuning ........................................................................... 6-15
6.8.2. Operating with the UltraBody and Ultra Face Modules .................. 6-16
6.8.3. Operating with the UltraSpeed Module ........................................... 6-18
6.9. Operating with the Tango Module ................................................... 6-20
6.10. Emitting Therapeutic Energy ........................................................... 6-22
6.10.1. Emitting Radiofrequency Energy .................................................... 6-22
6.10.2. Emitting Ultrasound Energy ............................................................ 6-23
6.11. Pause in Operation ........................................................................... 6-23
6.12. Changing Operation Parameters during Operation .......................... 6-23
6.13. Saving the Settings .......................................................................... 6-24
6.14. System Shut-Down .......................................................................... 6-24
6.15. Error Detection ................................................................................ 6-25

6.1. Introduction
This chapter describes in detail the operating instructions of the Accent Prime
system. Specific treatment parameters and information concerning the therapeutic
applications of the system are provided in the appropriate clinical guide.
Caution
 This system may only be operated by a licensed practitioner.
 Improper use or adjustment of this system may invalidate the system's
service warranty agreement. Please contact your authorized Alma Lasers
distributor before attempting to use the system in any manner other than
those specified in this manual.
6.2. Prepare the System for Operation

To prepare the system for operation:
1. Connect the system to the AC mains power.
2. Ensure that the desired modules are connected.
3. Insert the key.
6.3. Operating the System

To operate the system:
1. Turn on the system (see Section 6.4).
2. Select the module (see Section 6.5).
3. Set the operating parameters (see Section 6.8).
4. Set the system to Ready mode (see Section 6.11).
5. Press the module trigger or the footswitch to emit radiofrequency or ultrasound
energy (see Section 6.12).

6.4. Turn on the System

To turn on the Accent Prime system:
1. Verify that the emergency shut-off knob is not pressed in. If it is, release it by
turning the knob clockwise; the knob pops out.
2. From the system rear panel, set the main power switch to the I (On) position;
 The Keyswitch Off screen appears on the display (see Figure 6-1)
Figure 6-1: Keyswitch Off Screen
Note
The Keyswitch Off screen appears when the keyswitch is

turned off.

3. Turn on the keyswitch;

 The system powers up.
 The System Start screen appears (see Figure 6-2).
Figure 6-2: System Start Screen
4. Press the Start button; the Module Selection screen appears (see Figure 6-3).
Figure 6-3: Module Selection Screen (for illustration purposes only)

6.5. Select the Module

The Module Selection screen (see Figure 6-3) displays two buttons representing
the two modules connected to the system.
 On the Module Selection screen, select the module that will be used for the
treatment session by pressing the appropriate button, for example: press the
UniLarge button; the system will immediately transition to the screen where
you will select the body area to be treated.
 Wait a few seconds for the system to complete the module's initialization
process; the system enters Select Area mode (see Figure 6-4).
Note
If the RF Pixel module is connected to the system and is selected, a screen of
dedicated RF Pixel tips will appear; you must select one of these tips: Icepick
(stationary tip), Spark, Atrophic or Traumatic (in-motion tips)
6.6. Select the Body Area for Treatment

The following is a brief description of the Select Area screen elements, as
indicated by the numbered arrows in Figure 6-4:
1. Press any one of the purple patches (representing body areas) on the
illustration of the human body on the screen; the system will transition to the
appropriate Standby screen, described in the following sections.
Figure 6-4: Select Area Screen

2. Press the Face button to change the illustration of the human body to an
illustration of a human face, for the purpose of selecting a facial area for
treatment.
After the treatment area is selected, the system shows a transient Please wait screen
for a few seconds (as shown in Figure 6-5), until the relevant operating screen
shows.
Figure 6-5: “Please wait" Screen
6.7. Operating with the RF Modules

The main treatment screen for RF mode is the same screen for the following
system's radiofrequency modules: UniLarge, Coaxipolar, UniBody and UniFace.
The graphic user interface screen provides the controls and indicators required to
operate and control of the system. It also indicates the system status by displaying
the operating parameters and modes, and displays informative and error pop-up
messages when necessary.
All operator commands are entered by touching the appropriate area on the touch-
screen.
The following is a brief description of the RF Standby screen elements, as

2 3 1
7 8 9 10 11 6
Figure 6-6: RF Standby Screen Elements
1. Module Identifier – displays which module is currently selected for operation.

2. Selected Treatment Area – displays an illustration of the body or facial area
selected for treatment (see Section 6.6).
3. Total Energy Investment Setting – select the maximal desired energy
investment level by pressing the ▲ or ▼ to increase or decrease the energy
level. It ranges between 2 to 300 kJ.
4. Power Selection – select the desired RF power by pressing the ▲ or ▼
button to increase or decrease the displayed power value. The power values
depend on the connected module, and if the target area is face or body.
5. Timer – this countdown timer is set automatically by the system after the
power and energy selections are made, and will count down to 00:00 (zero
time) as the system emits RF pulses.
6. Intensity Depth Selector – this control selects which intensity of RF energy
will be delivered to the target site. The intensity level of the treatment is
determined by the operator. At each intensity level the indicator will change
from Deep to Superficial:
 Superficial is the lowest intensity of energy at the preinstalled RF power.
 Deep is the highest intensity at the same RF energy.

7. Back – press the Back button to go back to the Select Area screen (see
Figure 6-4).
8. Home – press the Home button to return to the Module Selection screen (see
Figure 6-3).
9. Save – saves the current parameter settings for this particular treatment
modality (RF) in the system's memory (see Section 6.15).
10. Reset – resets the treated areas (grids) in the target site.
11. Standby/Ready Softkey – toggles the system between Standby and Ready
modes:
 Press the STANDBY key to switch the system to Ready mode (red).
 Press the READY key to switch the system to Standby mode (green).
6.7.1. Operating with the RF Pixel Module

6.7.1.1. Select the RF Pixel Tip
Connect the RF Pixel module to the system, connect the desired tip – RF Pixel
stationary or roller – to the module and press the Start softkey (see Figure 6-1); the
RF Pixel Tip Selection screen appears (see Figure 6-7).
Figure 6-7: RF Pixel Tip Selection Screen
After making your tip selection, the program will advance to the Stationary
Standby screen if you have selected the Icepick tip, or the In-Motion Standby
screen if you have selected the Spark, Traumatic or Atrophic tip (see Figure 6-8).

8 7 6 5
Figure 6-8: RF Pixel Standby Operation Screens

The Stationary Standby screen provides the controls and displays required to
operate and control of the system when the RF Pixel module is active and the
Icepick stationary tip is connected to the module.
After setting the desired RF power level and transitioning to Ready mode, RF
energy will be emitted for as long as the footswitch or module trigger is pressed.
1. Treatment Tip Identifier – displays which type of RF Pixel tip is currently
selected for operation.
buttons to increase or decrease the displayed power value, between 5-110W
(for the Spark tip, the range is between 5 to 25W).
3. Pulse Duration Setting – select the pulse duration, from 0.1 to 1.0 seconds by
pressing the ▲ or ▼ softkeys.
Note
The In-Motion modality operates in the same fashion as the Stationary
modality, only without the Pulse Duration setting factor.
4. Intensity Depth Selector – this control selects which intensity of RF energy
will be delivered to the target site. The intensity level of the treatment is
determined by the operator. At each intensity level the indicator will change
from Ablative to Thermal:
 Thermal is the lowest intensity of energy at the preinstalled RF power.
 Ablative is the highest intensity at the same RF energy.
Touch the appropriate area of the bar to select the desired intensity of RF
energy application.
modes:
Figure 6-3).
8. Back – press the Back button to go back to the RF Pixel Tip Selection screen
(see Figure 6-7).

6.7.2. Operating with the Tune Body and Tune Face Modules
The main treatment screen for tune mode is the same screen for both RF modules:
Tune Body and Tune Face. (While connected to the upper connection only)
The following is a brief description of the Tune Body Standby screen elements, as
2 3 1
6 5
15 14 13 12 11 10 9 8
Figure 6-9: Tune Body Standby Operation Screen
1. Module Identifier – displays which module is currently selected for

operation.
2. Selected Treatment Area – displays an illustration of the body or facial
area selected for treatment (see Section 6.6).
3. Pulse Duration Setting – select the pulse duration, from 1 to 5 seconds by
pressing the ▲ or ▼ softkeys.
buttons to increase or decrease the displayed power value, from 5 to 300W.
5. Total Energy Investment Setting – select the maximal desired energy
investment level by pressing the ▲ or ▼ to increase or decrease the level,
between 2 to 300 kJ.
6. Cooling Time Selection - select the time in which the RF emission is OFF,
between 2 to 10 seconds.

7. Timer – this countdown timer is set automatically by the system after the
power and energy selections are made, and will count down to 00:00 (zero
time) as the system emits RF pulses.
8. Intensity Depth Selector – refer to Section 6.7.
9. Mode Selector - toggles the system between Pulse and Stacking modes:
 In Pulse mode, the module emits pulses (each pulse lasts between 1-5
seconds).
 In Stacking mode, the module emits between 2 to 10 pulses per
session.
10. Vacuum Intensity Selector – toggles the system between High Vac and
Low Vac modes.
11. Standby/Ready Softkey – toggles the system between Standby and
Ready modes:
14. Home – press the Home button to return to the Module Selection screen
(see Figure 6-3).
Figure 6-4).

6.7.3. Operating with the Accentuate Module

The following is a brief description of the Accentuate Standby screen elements, as
2 3 1
6
5
9
13 12 11 10 8
Figure 6-10: Accentuate Standby Operation Screen

operation.
2. Selected Treatment Area – displays an illustration of the body or
facial area selected for treatment (see Section 6.6).
3. Pulse Duration Setting – select the pulse duration, from 1 to 5
seconds by pressing the ▲ or ▼ softkeys.
4. Power Selection – select the desired RF power by pressing the ▲
or ▼ buttons to increase or decrease the displayed power value,
from 5 to 300W.
5. Total Energy Investment Setting – select the maximal desired
energy investment level by pressing the ▲ or ▼ to increase or
decrease the level, between 2 to 300 kJ.
6. Cooling Time Selection - select the time in which the RF emission
is OFF, between 2 to 10 seconds.
7. Temperature degree in Celsius – the Accentuate module
measures the skin temperature of the treated area and it is displayed
on the operation screen.

8. Accentuate Identifier – the Accent Prime system can operate two

Accentuate modules simultaneously. The module that is connected
to the upper connector is marked in green (“G”) and the module
that is connected to the lower connector is marked in blue (“B”).
“GB” symbol will be indicated when both Accentuate modules are
connected.
9. Timer – this countdown timer is set automatically by the system
after the power and energy selections are made, and will count
down to 00:00 (zero time) as the system emits RF pulses.
10. Standby/Ready Softkey – toggles the system between Standby
and Ready modes:
 Press the STANDBY key to switch the system to Ready mode
(red).
 Press the READY key to switch the system to Standby mode
(green).
11. Save – saves the current parameter settings for this particular
treatment modality (RF) in the system's memory (see Section 6.15).
12. Home – press the Home button to return to the Module Selection
screen (see Figure 6-3).
13. Back – press the Back button to go back to the Select Area screen
(see Figure 6-4).

6.8. Operating with the Ultrasound Modules

6.8.1. Resonance Tuning
Before the system starts operating in ultrasound mode (when the Standby button is
pressed and the system switches to Ready mode), it performs a resonance tuning
procedure, which takes approximately 10 seconds. During this procedure, a
Resonance Tuning screen shows, as shown in Figure 6-12.
Figure 6-11: Resonance Tuning Screen
This procedure also takes place during ultrasound treatments after every three to
five minutes (depends on the operating module), of ultrasound energy emission and
takes approximately 3 seconds. This process does not interfere with the operation of
the system and the treatment may continue uninterrupted.
Note
During a resonance-tuning while in procedure, no Ultrasound
emission will be delivered and the “BIP” sound would be single
“BIP”. The timer clock will be hold during the test.
If the system is switched to Standby mode for more than
5 minutes, it will automatically perform a resonance tuning
routine when switched back to Ready mode.

6.8.2. Operating with the UltraSpeed Module

The following is a description of the screen's elements, as indicated by the
numbered arrows in Figure 6-8:
2 1
10 9 8 7 6 5
Figure 6-13: UltraSpeed Standby Screen Elements (for illustration purposes

only)

operation.
2. Selected Treatment Area – displays an illustration of the body or facial
area selected for treatment (see Section 6.6). Within the illustration you can
see the treatment grids. The highlighted section of the grid is the one
actively being treated.
3. Time Selection – select the desired time of ultrasound energy application
per grid, by pressing the ▲ or ▼ button to increase or decrease the
displayed time value. During treatment, the displayed time will become a
countdown timer that will count down to 00:00 (zero time), at which point
the screen will display the next grid to be treated.

4. Invested Energy – the level of energy to be invested per grid is set

automatically by the system after the power and hot/cold energy selections
are made.
5. Power Selection – select the desired ultrasound energy level; Low (button
with single wavy line), Medium (button with double wavy line) or High
(button with triple wavy line).
6. Standby/Ready Softkey – toggles the system between Standby and
Ready modes:
modality (Ultrasound) in the system's memory (see Section 6.15).
9. Home – press the Home button to return to the Module Selection screen
(see Figure 6-3).
Figure 6-4).

6.9. Operating with the Tango Module

The following is a brief description of the Tango Standby screen elements, as
2 3 1
12 11 10 9 8
Figure 6-14: Tango Standby Screen Elements (for illustration purpose)
1. Module Identifier – displays which module is currently selected for operation.

2. Selected Treatment Area – displays an illustration of the body or facial area
selected for treatment (see Section 6.6). Within the illustration you can see the
treatment grids. The highlighted section of the grid is the one actively being
treated.
3. Hot Time Selector – selects the hot ultrasound energy time parameter. This
enables you to set the hot-time component of the 20-second cycle by pressing
the arrow.
4. Time Selection – select the desired time of ultrasound energy application per
grid, by pressing the ▲ or ▼ button to increase or decrease the displayed time
value. During treatment, the displayed time will become a countdown timer

that will count down to 00:00 (zero time), at which point the screen will
display the next grid to be treated.
5. RF Power Setting – set the desired power by pressing the ▲ or ▼ button to
increase or decrease the displayed power value.
6. Power Selection – select the desired ultrasound and RF energy level; Low
(button with single wavy line), Medium (button with double wavy line) or
High (button with triple wavy line).
7. Invested Energy – the level of energy to be invested per grid is set
automatically by the system after the power and hot/cold energy selections are
made.
modes:
modality (Ultrasound) in the system's memory (see Section 6.15).
Figure 6-3).
Figure 6-4).
After the STBY button is pressed, the system transitions to READY mode (refer to
Figure 6-13):
 To activate energy emission – press the START button (it will change to
STOP button). Ultrasound energy is now emitted.
 To activate the Radiofrequency emission – press continuously on the
module’s trigger. Once you leave the trigger, RF emission is stopped, and
only US energy is emitted.
 To stop energy emission, press the STOP button (it will change back to
START button).
Figure 6-13: START and STOP buttons on Tango Module READY Screen

Note
While the Tango module emits US energy, the READY button
changes alternately to red and blue circles, reflecting the hot
and cold times of the cycle.
6.10. Emitting Therapeutic Energy

6.10.1. Emitting Radiofrequency Energy
1. Verify that the system is in Ready mode and that the operating parameters are
correct for the indication to be treated.
2. Place the module firmly and completely in contact with the treatment area.
3. Push and hold the trigger or the footswitch;
 The module emits energy appropriate to the active module.
 The emission indicators (both the yellow light on the control panel and the
blue LED on the module) illuminate continuously.
4. When treating with the UniBody or UniFace modules, the rotating massage
ring starts to rotate as soon as the system is set to Ready mode. RF energy
emission starts when the footswitch is pressed.
5. Keep the trigger or the footswitch pressed for the full duration of radio-
frequency energy emission.
6. Upon completion of the emission cycle, release the trigger or the footswitch;
the emission indicators (both the yellow light on the control panel and the blue
LED on the module) start blinking.
Note
 Blinking emission indicators after releasing the trigger or
the footswitch indicates that radiofrequency emission has
stopped and that the system is in Ready mode.
 To cease radiofrequency emission at, any time, release the
trigger/footswitch.

6.10.2. Emitting Ultrasound Energy

1. Verify that the system is in Ready mode and that the operating parameters are
correct for the indication to be treated.
2. Place the module's tip firmly and completely in contact with the treatment area.
3. Push and release the footswitch;
 The module emits energy.
 The emission indicators (both the yellow light on the control panel and the
blue LED on the module) illuminate continuously.
4. Press the footswitch again to stop emitting energy.
6.11. Pause in Operation

As a standard safety measure, whenever energy emission is not immediately
required, the system should be set to Standby mode. If the operator should leave
the room, the system should be turned off as described in Section 6.16 and the key
removed from the keyswitch.
As a built-in safety measure, the system will reset itself from Ready to Standby
mode if the module trigger or footswitch are not operated for five minutes.
6.12. Changing Operation Parameters during Operation

Any of the operating parameters may be changed during operation as follows:
1. Release the trigger or footswitch.
2. Change from Ready to Standby mode by pressing the STBY button on the
control panel.
3. Change the setup parameters as desired.
4. Change from Standby to Ready mode by pressing the STBY button on the
control panel.

6.13. Saving the Settings

Every time the system is turned on it loads the default set of operating parameters
for the treatment modality (RF or ultrasound) in use.
If desired, you can save your own set of parameters to replace the default settings
for the selected treatment modality.
Caution
Saving the settings deletes and overwrites the current default parameters (or any
previously-saved settings) for the selected treatment modality.
Note
Saving the settings for treatment modality does not affect the
default settings for the other modalities.
To save the settings:

1. Set the system in Standby mode.
2. Set the desired operating parameters.
3. Press the SAVE button; the system deletes the previous default (or any
previously saved) setting for the current treatment modality and stores the new
default settings.
Once saved, the system recalls the new settings the next time it is turned on.
6.14. System Shut-Down

Turn off the system as follows:
1. Set the system to Standby mode by pressing the STBY button.
2. Turn off the keyswitch; the Keyswitch Off screen appears (see Figure 6-1).
3. Turn off the main switch on the service panel.
4. Disconnect the power cable from the mains power outlet.
Note
To turn off the system in an emergency situation, push the

emergency shut-off knob. To resume operation, turn the knob to
release it and turn the system off and back on again. A complete
start-up procedure will be necessary to return to operation.
5. Clean the modules according to the instructions given in Chapter 7 –

Maintenance.

Warning
Do not leave the key in the keyswitch unattended. It may lead to unauthorized
use of the system.
6.15. Error Detection

This system is equipped with self-testing software that continuously monitors
system operation by means of watchdog software & circuitry. The software
continuously checks the hardware for any error condition:
 The LCD displays an error message and disables further operation.
 The audible indicator sounds an alarm signal which is longer than the normal
treatment emission signal.
In such a case you should shut the system down and restart it. If the problem still
persists, refer to Chapter 8 – Troubleshooting – for further instructions.

CHAPTER 7
Maintenance & Parts
Replacements
Chapter Contents:
Section Title Page
Introduction ........................................................................................................ 7-3

Periodic Service ................................................................................. 7-3
Service Information ........................................................................... 7-4
Routine and Preventive Maintenance ................................................ 7-5
7.3.1. Cleaning and Disinfecting the System ........................................... 7-5
7.3.2. Cleaning and Disinfecting the Modules ......................................... 7-5
7.3.3. Cleaning and Disinfection of the RF Pixel Tips ............................. 7-6
7.3.4. Cleaning the UniBody and UniFace Massage Rings ..................... 7-9
Filling the Cooling System .............................................................. 7-10
7.4.1. Filling the Cooling System ........................................................... 7-11
Fuse Replacement ............................................................................ 7-12
Parts Replacement Introduction ....................................................... 7-13
Electrostatic Discharge (ESD) Precautions ..................................... 7-13
Replacing/Accessing RF Controller ................................................ 7-14
Replacing/Accessing the System Controller.................................... 7-15
7.9.1. Access/Replace the Interface Controller Board ........................... 7-15
Replacing/Accessing the RF Amplifier ........................................... 7-18
Replacing/Accessing the Ultrasound Generator .............................. 7-19
Replacing/Accessing Power Supply ................................................ 7-21
7.12.1. Replacing/Accessing Excelsys Power Supply.............................. 7-22
7.12.2. Replacing/Accessing Lambda power supply................................ 7-24

Maintenance & Parts Replacements
Replacing/Accessing Water cooling components ............................ 7-26

7.13.1. Cooling system location in the system. ........................................ 7-26
7.13.2. Cooling system Components. ....................................................... 7-27
7.13.3. Accessing Cooling System Components. ..................................... 7-28
7.13.4. Accessing the water pump and the radiator. ................................. 7-29
Replacing/Accessing the screen. ...................................................... 7-31
Replacing the TEC Controller. ........................................................ 7-33
Replacing the Phase Shifter and RF Sensor. .................................... 7-35

Introduction
This chapter contains maintenance instructions for the Accent Prime system.
Routine maintenance may be performed by clinic staff unless otherwise specified.
Any maintenance procedure not mentioned in this chapter must be performed only
by Alma Lasers authorized technical personnel.
The system is designed to operate reliably without any need for operator
maintenance. However, the outer surfaces of the system should be kept clean for
hygienic reasons and the applicator tips should be cleaned between sessions to
enable effective treatment.
Warning
Maintenance by the operator should be performed only when the system is shut
down and disconnected from the mains power source. Performing maintenance
procedures with the system turned on may be hazardous to the operator and/or
destructive to the system.
Periodic Service
The system should be periodically inspected and maintained to keep it in peak
operating condition.
The following routine service operations should be performed by Alma Lasers
authorized technical personnel every 12 months:
 General system check
 Interior inspection, including cleaning accumulated layers of dust
 Check the radiofrequency output energy
 Cooling system:
Check the water level in the cooling system; refill if necessary
Replace the filter
Clean the radiator
Check the water quick-connector O-rings on the modules
If periodic service is not performed according to schedule (every 12 months) by an
Alma Lasers-authorized service provider, any warranty agreement of the system
and its associated modules and/or accessories will be invalidated.
Warning
 The Accent Prime system generates hazardous voltages within the main
console.
 The interior of the system may be serviced only by Alma Lasers authorized
technical personnel.

Service Information
In communications with Alma Lasers authorized representatives regarding the
system, always include the part number and serial number indicated
on the identification label located on the system service panel.
Warning
 Unauthorized servicing or modification of this system not described in this
manual may expose the operator or patient to potential high voltage hazards.
 Improper use or adjustment of this system may invalidate the service
warranty agreement.
Questions or problems should be referred to your Alma Lasers representative, or to

the Alma Lasers Service Centers at:
Alma Lasers GmbH
Nordostpark 100-102
90411 Nuernberg, Germany
Tel. + 49 911 / 89 11 29-0
Fax + 49 911 / 89 11 29-99
Email: info@alma-lasers.de
Website: www.alma-lasers.de

Routine and Preventive Maintenance

The following routine maintenance procedures should be performed by the clinic
staff on a regular basis determined by the clinic protocol.
Warning
 The Accent Prime system generates high voltages when powered up.
 Always turn the system off and unplug the power cable before performing
maintenance procedures.
 The interior of the system or its components may be serviced only by Alma
Lasers authorized technical personnel.
7.3.1. Cleaning and Disinfecting the System

The outer surface of the system may be wiped clean with a soft cotton cloth
swabbed in 70% alcohol.
7.3.2. Cleaning and Disinfecting the Modules

Caution
The coatings of the module applicator tips are very delicate. Take all necessary
precautions in order to prevent scratching the tips.
The Accent Prime modules, in particularly the applicator tips, are cooled
intensively when the system is in Ready mode. Water may condense on the
applicator tip's surface which could affect the treatment process and, under certain
conditions, may produce sparks. Avoid water condensation on the applicator tip's
surface. Wipe the surface of the applicator tip clean immediately before a treatment.
In addition, pay attention to cleaning the thermometer display on the UniLarge and
Bipolar modules.
Following every treatment wipe the module with a soft cotton swab dipped in 70%
alcohol.
On a weekly basis check the module tips for cleanliness. If necessary clean the
module tips with a soft cotton swab dipped in 70% alcohol.
Caution
 Do not wet the module with water or immerse the module in any liquid.
 During treatment use only the treatment oil recommended by Alma Lasers.

7.3.3. Cleaning and Disinfection of the RF Pixel Tips

It is imperative that the RF Pixel and iRF Pixel tips remain clean and free of debris.
After each treatment, the stationary and roller tips should be cleaned and
disinfected.
Warning
 Do not treat a patient with not disinfected tip; this can lead to cross-
contamination!
 Ensure that the tip is absolutely dry before inserting it back into the module and
before treating a patient.
 Read the disinfectant manufacturer's instructions carefully before use.
 Use appropriate personal protective equipment during cleaning.
7.3.3.1. Cleaning the RF Pixel (Stationary) Tip

1. Prepare Enzol1 enzymatic detergent (or equivalent natural pH enzymatic)
solution according to the manufacturer's recommendations (1 oz. per gal. /
8 ml. per liter), using lukewarm tap water.
2. Immerse the tip fully in the solution and soak it for at least 10 minutes.
3. While immersed, scrub the tip for a minimum of 3 times, until all visible soil is
removed.
4. Rinse under tap water for at least one minute to remove any residual detergent.
5. Visually examine the tip under normal lighting conditions to assure that all
visible soil has been removed.
6. Prepare Endozime2 AW Triple Plus with APA (Endozime® AW) detergent
solution according to the manufacturer's recommendations (½ oz. per gal. /
4 ml. per liter) in the supplied digital ultrasound cleaner. Immerse the tip in the
detergent and sonicate for a minimum of 10 minutes.
7. After sonication, rinse the tip thoroughly under
running tap water.
8. Shake the tip to remove water and dry using a
clean, lint-free cloth. Pressurized air may be used
(< 20 PSI / < 1.4 Bar).
9. Visually examine the tip again to assure that all
visible soil has been removed.
1
Enzol® is a Johnson & Johnson product
2
Endozime® AW Triple Plus with APA is a product of the Ruhof company

7.3.3.2. Cleaning the iRF Pixel (Roller) Tip

The following cleaning instructions are pertinent only to the multi-use iRF Pixel
roller tip. The disposable iRF Pixel roller tips are to be discarded after the
treatment.
1. Prepare Enzol enzymatic detergent (or equivalent natural pH enzymatic)
solution according to the manufacturer's recommendations (1 oz. per gal. /
8 ml. per liter), using lukewarm tap water. If at any time during the cleaning
procedure the detergent becomes grossly soiled, prepare fresh detergent.
2. Immerse the tip fully in the solution and soak it for at least 10 minutes.
3. With the tip completely immersed, thoroughly scrub it using a soft-bristled
brush, a minimum of three times, until all visible soil has been removed.
Ensure that the wheel component of the tip is rotated through 360 degrees,
throughout each of the three scrubbing passes.
4. Flush the device thoroughly, to rinse in between the plates of the wheel, using
a syringe filled with the prepared detergent (Enzol).
5. Fully immerse the tip in tap water and allow it to soak for a minimum of
1 minute. After soaking, flush the tip thoroughly using a syringe and a fresh
batch of tap water to rinse in between the plates of the wheel, for a minimum
of one minute. Ensure that the wheel component the tip is rotated through
360 degrees, throughout the rinsing pass.
6. Repeat the previous rinsing step two more times (total of 3 times), using fresh
tap water each time for each soak and flush. Each rinse should be at least
2 minutes long with the entire rinse time totaling a minimum of 6 minutes.
throughout each of the three rinsing passes.
7. Visually inspect the tip paying close attention to hard-to-reach areas. If visible
soil remains repeat the applicable cleaning steps above.
8. Prepare Endozime AW Triple Plus with APA, according to the manufacturer’s
recommendations in the supplied digital ultrasound cleaner.
9. Fully immerse the tip in the sonication unit and allow it to sonicate for a
minimum of 10 minutes.
10. Fully immerse the tip in tap water and allow to it soak for a minimum of
1 minute. After soaking, flush the tip thoroughly using a syringe and a fresh
batch of tap water to rinse in between the plates of the wheel, for a minimum
of one minute. Ensure that the wheel component of the tip is rotated through
360 degrees, throughout the rinsing pass.
11. Repeat the previous rinsing step two more times (total of 3 times), using fresh
tap water each time for each soak and flush. Each rinse should be at least
2 minutes long with the entire rinse time totaling a minimum of 6 minutes.
throughout each of the three rinsing passes.
12. Repeat the above sonication and rinsing steps two more times (total of three
cycles), using a fresh batch of detergent each time.

13. Shake the tip dry, and dry it using a clean lint-free cloth. Pressurized air can be
used to dry the tip if applicable (< 20 PSI / < 1.4 Bar).
7.3.3.3. Disinfection of the RF Pixel Tip in Autoclave

1. Wrap the tip in two layers of 1-ply polypropylene wrap (KC600).
2. Sterilize the wrapped stationary tip according to the following sterilizer
settings in the table below.
Sterilizer Type: Prevacuum

Pre-Conditioning Pulses: 3
Minimum Temperature: 132C / 270F
Full-Cycle Time: 4 minutes
Minimum Dry Time: 40 minutes

7.3.4. Cleaning the UniBody and UniFace Massage Rings

It is important that the massage rings of the UniBody (see Figure 7-1) and UniFace
modules remain clean and free of debris. After each treatment, the massage ring
should be separated from the module (held on by magnets) and cleaned with a soft,
lint-free cotton cloth swabbed in 70% alcohol.
There are a total of three types of massage rings: two for the UniBody module and
one for the UniFace module.
Figure 7-1: UniBody Module's Massage Ring (for illustration purposes only)

Filling the Cooling System

The cooling system must be checked at least once every six months, to ensure that
the reservoir contains sufficient coolant. If necessary, 50% distilled water and 50%
propylene glycol should be added.
Filling the coolant is performed with the water filling kit, supplied with the Accent
Prime system (see Figure 7-6).
Figure 7-2: Water Filling Kit
Caution
Never fill the coolant reservoir with regular tap water. Use only 50% distilled water
and 50% propylene glycol.

7.4.1. Filling the Cooling System

1. Disconnect the mains power supply cable.
2. Connect the elbow fitting to the right port (labeled Vent) on the lower left side
of the service panel.
3. Connect the clear tube with the funnel to the port labeled Fill in the middle-left
of the service panel.
4. Slowly pour fresh, 50% distilled water and 50% propylene glycol into the
funnel. Stop filling as soon as the water starts to spill from the Vent port.
5. Disconnect the Fill Kit components.
6. Reconnect the mains power supply cable.
7. Connect any module to the system.
8. Turn the system on and let it run for five minutes. You may experience a
failure to start due to a low water error. Repeat turning the system on until it
runs smoothly.
9. Turn the system off.
10. Repeat steps # 4 and # 8 several times, until no more water can be added (spills
out of the elbow fitting right away).
11. Turn the system on; it is ready for normal operation.
VENT Coolant
Port FILL Port
Figure 7-3: Cooling System Fill and Vent Ports

Fuse Replacement
To replace burnt fuses:
1. Turn off the system and disconnect the power cable from
the outlet.
2. Unplug the power cable from the power cable
connection port on the service panel.
3. Remove the fuse housing as shown in Figure 7-8.
4. Remove the burnt fuses from the housing and replace
them with the new ones.
5. Make sure that the fuses fit snugly within the fuse
housing.
6. Insert the fuse housing into its receptacle and push it in
until it snaps into place.
7. Connect the power cable to the system and to the mains
outlet.
Figure 7-4: Fuse Housing
8. Turn on the system and verify that it is functioning
Removal
properly.
Caution
 Make sure that the type and rating of the new and the replaced fuses match.
 Always replace both fuses at the same time.

Parts Replacement Introduction

This chapter contains replacement parts instructions for the Accent Prime system.
Before disassembling and servicing the system, disconnect and remove the RF
module, Ultrasound module and the power cable.
Warning
To protect the RF module and Ultrasound module from possible damage,
disconnect and store it prior to system disassembly.
Electrostatic Discharge (ESD) Precautions

Electrostatic discharge can damage the integrated circuits on printed-circuit boards.
To prevent such damage from occurring, observe the following precautions when
servicing a board, or unpacking and installing a new board:
 Stand on a static-free mat, or a non-carpeted surface, if possible.
 Wear a static strap to ensure that any accumulated electrostatic charge

discharges from your body to the ground.
 Keep uninstalled printed-circuit boards in their protective antistatic bags.
 Once you have removed the printed-circuit boards from their protective
antistatic bags, handle them only by their edges.

Replacing/Accessing RF Controller
The PWM (Pulse Width Modulation) controller (inserted inside the RF Controller)
governs the RF output power from the RF amplifier to the handpiece module.
Proceed as follows (refer to Figure 7-5):
1. Disconnect the PWM-to-amplifier SMA Cable (1) from the board; use an
adjustable wrench to loosen the connector's nut.
2. Remove the four Phillips screws (2) that secure the board to its mounting plate.
3. Disconnect the input control harness's connector (3) by releasing 2 screws and
pulling it out of its counterpart on the board.
4. Disconnect the control communication harness’s connector (4) by releasing 2
screws and pulling it out of its counterpart on the board.
5. Unpack and install the new RF controller by reversing steps 1 through 4 above.
Figure 7-5: RF Controller replacement

Replacing/Accessing the System Controller

The system controller is the overall controlling module. It incorporates the software processor
and interface module.
There are two possible reasons to access the system controller:
 To replace the Interface controller subassembly
 To upgrade the system's software
7.9.1. Access/Replace the Interface Controller Board

In order to replace the system controller board, or to upgrade the system's software
package, proceed as follows:
Refer to Figure 7-6, Figure 7-7, and Figure 7-8 and Figure 7-9.
1. Open the controller's box cover (the base for the RF Controller board) by
removing the cover's five Phillips screws (1,2,3,4,5) Refer to Figure 7-6.
2. Disconnect the two D-type harness connectors (1, 2) from the module using a
flat screwdriver Refer to Figure 7-7.
3. Disconnect the Molex connector (3) from the module Refer to Figure 7-7.
4. Open the RF cable from the RF Controller board (4) Refer to Figure 7-7.
5. Flip up the cover to access the interface control board, Refer to Figure 7-8.
6. Disconnect the three D-type harness connectors (Marked 1, 2, 3) from the

module using a flat screwdriver , Refer to Figure 7-9.
7. Removing the four Philips screws that that secure the board to its mounting
plate. (Marked 4,5,6,7), and release the board Refer to Figure 7-9.
8. Unpack and install the new Interface controller by reversing steps 1 -7 above.

Figure 7-6: removing the cover's five Phillips screws
Figure 7-7: Releasing the connectors

Figure 7-8: Flip the cover
Figure 7-9: Releasing the Interface Controller Board

Replacing/Accessing the RF Amplifier

1. Disconnect the RF BNC cable connector (1) from the RF amplifier; turn the
connector's knob 1/4 turn counter-clockwise and remove.
2. Disconnect power supply's red wire lead (2).
3. Disconnect the black ground wire lead (3).
4. Disconnect the two fan harness connectors (4, 5).
5. Disconnect the RF controller-to-Amplifier RF control cable (6) using adjustable
wrench.
6. Release four screws (7,8,9,10) holding Amplifier bracket. 2 screws (7,8) on the
Left Side of the Amplifier, and 2 screws (9,10) on the Right Side of the
Amplifier.
7. Unpack and install the new RF Amplifier by reversing steps 1-6.
Figure 7-10: Releasing the RF Amplifier

Replacing/Accessing the Ultrasound Generator

Refer to Figure 7-11, Figure 7-12, Figure 7-13, Figure 7-14
1. Disconnect power and control D-type connectors (1,2) by opening the left and
right locking screws and pulling them out.
2. Disconnect the RF N-Type cable connector (3) from the Ultrasound generator;
unscrew counter-clockwise and remove.
Figure 7-11: Releasing the Ultrasound Generator
3. Refer to Figure 7-12, Open and remove Screws 4-9.
4. Unpack and install the new RF Amplifier by reversing steps 1-6.

5. Refer to Figure 7-13, carefully, slide the Ultrasound Generator on its base
bracket, out via the backside of the system.

6. Refer to Figure 7-14, release the base bracket from the Ultrasound Generator by
open the 2 screws (10, 11), and remove the base bracket.

7. Unpack and install the new Ultrasound Generator by reversing steps 1-6.

Replacing/Accessing Power Supply

The power supply compartment incorporates the following DC current supplying
modules (see Figure 7-15):
Figure 7-15: Power Supply location.

1. Excelsys Power Supply provides:
a. RF Amplifier.
b. Water Pump.
c. TEC Controller.
d. Interface controller.
e. Screen.
2. Lambda power supply, 2 X 48V/3.3A each providing 85VDC for Ultrasound

generator.

7.12.1. Replacing/Accessing Excelsys Power Supply

Refer to Figure 7-16, Figure 7-17, Figure 7-18, Figure 7-19
1. Using cross screwdriver, disconnect all the cables.
Figure 7-16: Excelsys power supply.

2. Using cross screwdriver, open and release all the mark screws as shown on
Figure 7-17

3. Disconnect (As shown on Figure 7-18)

a. Main power supply inlet.
b. Control/Communication flat cable.

4. Release base-plate power supply by using cross screwdriver, open and release
all the mark screws as shown On Figure 7-19

5. Unpack and install the new Lambda Power supply by reversing steps 1-3.

7.12.2. Replacing/Accessing Lambda power supply

Refer to Figure 7-20, Figure 7-21, Figure 7-22, Figure 7-23.
1. Using cross screwdriver, disconnect all power cables.
Figure 7-20: Lambda power supply.

2. Using cross screwdriver, open and release 4 locking screws as shown in
Figure 7-21.

3. Slide out and remove the Lambda Power Supply as shown in Figure 7-22

4. Unpack and install the new Lambda Power supply by reversing steps 1-3

Replacing/Accessing Water cooling components

Caution
Prior to disconnecting and removing the cooling system from the chassis, drain
the water coolant from the system.
7.13.1. Cooling system location in the system.

The water-cooling unit components can be easily access and replace.
The water system location in the system is showing in Figure 7-23
Figure 7-23: water system location.

7.13.2. Cooling system Components.

The cooling system contains the following parts (see Figure 7-24):
1. Flow Switch.
2. Water pump.
3. Level switch.
4. Radiator Funs.
5. Coolnat reservoir
6. Radiator.
7. Thermal switch.
8. Partial filter.
Figure 7-24: water system location.

7.13.3. Accessing Cooling System Components.

1. Disconnect the power connector (1) as shown on Figure 7-25
2. Remove the three Phillips screws (2) that locked the cooling system to the
chassis shown on Figure 7-25.
Figure 7-25: water system Accessing Cooling System.

3. Slide the cooling system to get an access to unit and components shown on
Figure 7-26.
Figure 7-26: Water system Accessing Cooling System.

7.13.4. Accessing the water pump and the radiator.

1. Remove the six Phillips screws (1-6) that locked the fans bracket to the chassis
shown on Figure 7-27.
2. Remove the two Phillips screws (1,2) that locked the hose bracket to the chassis
Figure 7-27.
Figure 7-27: Water system accessing the pump and the radiator.

3. Remove both brackets (steps 1-2) to gain access to the cooling system interior
for access the pump, the radiator, the water reservoir, the practical filter, the
level switch and the flow switch, as shown on Figure 7-28, Figure 7-29 and
Figure 7-30.

Figure 7-30 Water system accessing the pump and the radiator.
Replacing/Accessing the screen.

1. Remove the tow Phillips screws (1) that locked the top screen bracket
Figure 7-31A.
Figure 7-31A Screen top backside.

2. Remove the four Phillips screws on the bottom left (1,2), and on the bottom
right (3,4) that locked the screen to the chassis shown on Figure 7-31B.
Figure 7-31B Screen backside.
3. Flip the screen upside down, and disconnect both the D-type connector (1) and
the DC power cables (2) shown on Figure 7-32.
Figure 7-32 Screen connectors back view.

4. Remove the screen bracket by releasing eight locking on the back pf the screen
bracket as shown on Figure 7-33.
Figure 7-33 Screen bracket back view.

5. Unpack and install the new Screen by reversing steps 1-4
Replacing the TEC Controller.

1. The TEC Controller located on the back of the system shown on Figure 7-34.
Figure 7-34 TEC location-system back view.

2. Remove six all plastic connector as shown on Figure 7-35.
Figure 7-35 TEC Controller connector.
3. Remove two Philips screws (1,2) that locked the power wires and five (1-5)
Screws that holds the TEC controller to the chassis Figure 7-36.
Figure 7-36 TEC Controller.

4. Unpack and install the new TEC Controller by reversing steps 1-4

Replacing the Phase Shifter and RF Sensor.

1. The Phase Shifter (1) and the RF Sensor (2) located on the back of the
system shown on Figure 7-37.
Figure 7-37 Phase Shifter and RF Sensor.

2. Open three BNC connectors (1,2,3) and disconnect D-Type connector (4) and
the fan power connector (5) as shown on Figure 7-38.
3. Open two Philips screws (1,2) that locked the Phase Shifter to the chassis
Figure 7-39.
Figure 7-39 Phase Shifter.

4. Open BNC connector (1) connected to the RF Sensor and gently slide the Phase
Shifter unit to the right as shown in Figure 7-40.

5. Separate the RF Sensor from the Phase Shifter by releasing the two (1,2)
screws as shown in Figure 7-41.

6. Releasing the Phase Shifter bracket by opening one Philips screw (1) that
located in the front of the Phase Shifter and two screws (2,3) located in the
back of the Phase Shifter Figure 7-42.
Figure 7-42 Phase Shifter bracket.
5. Unpack and install the new Phase Shifter or RE sensor by reversing steps 1-4

CHAPTER 8
Troubleshooting & S.W
installation
Chapter Contents:
Section Title Page
8.1. Introduction........................................................................................ 8-2

8.2. Troubleshooting Guides..................................................................... 8-2
8.3. Troubleshooting Guide: Non displayed Symptoms ........................... 8-7
8.3.1. Sparks ............................................................................................. 8-7
8.4. Installing New Software on the Rabbit Processor ............................. 8-7
8.4.1. Introduction .................................................................................... 8-7
8.4.2. Required Equipment ....................................................................... 8-7
8.4.3. Software Installation Instructions ................................................... 8-8
8.5. Installing New LCD Graphics Software .......................................... 8-11
8.5.1. Introduction .................................................................................. 8-11
8.5.2. Required Equipment ..................................................................... 8-11
8.5.3. Software Installation Instructions ................................................. 8-11
8.5.4. “Memory Card Error” during screen installation. ........................ 8-17
8.6. Technician Screens .......................................................................... 8-17
8.6.1. Access Technical screen............................................................... 8-18
8.6.2. Technician Screen # 1 .................................................................. 8-19
8.6.3. Technician Screen # 3 .................................................................. 8-21
8.6.4. Technician Screen # 3 – PWM ..................................................... 8-21
8.6.5. Technician Screen # 4 – Ultrasound............................................. 8-21
8.7. Troubleshooting Guide: Non displayed Symptoms ......................... 8-22

Troubleshooting & S.W Installation
8.7.1. Sparks ........................................................................................... 8-22

8.7.2. RF Controller PWM Output Measurement .................................. 8-22
8.7.3. Phase Shifter Check...................................................................... 8-23
8.7.4. Ultrasound circuit testing ............................................................. 8-24
8.1. Introduction
The Accent Prime system is equipped with a self-testing software routine that
continuously monitors the system operation. If a system malfunction is detected, an
error message will appear on the LCD display.
An error will disable system operation and the operator should turn the system off
using the keyswitch and the main switch.
The following troubleshooting tables do not attempt to list all possible system
failures. Any fault not listed should be referred to Alma Lasers Service personnel.
Warning
Do not attempt to open or disassemble the system covers.
8.2. Troubleshooting Guides

Table 8-1 provides a list of alarms and error messages that may appear on the
screen, their possible causes and corrective actions to be performed. If the
corrective actions listed in the table do not solve the problem, contact your Alma
Lasers Service representative.
Table 8-2 lists some probable system malfunctions for which no messages are
displayed. If the corrective actions listed in the tables do not solve the problem,
contact your Alma Lasers service representative.
The following troubleshooting guides do not attempt to list all possible system
failures. Any fault not listed should be referred to your Alma Lasers service
representative.

Table 8-1: Error Message Troubleshooting Guide
Fault Message Probable Cause Corrective Action

1. Check that both RF delivery module and Ultra
module are properly connected. One of the
modules could be replaced with Bypass
connector.
2. Restart the system 2-3 times.
3. Switch the system off, wait 10-15 minutes and
restart.
4. Remove the system’s back panel and left side
panel and check that piston of the Flow switch
No water flow or raises at system start.
Flow Switch Error 5. Check the Thermal switch for an electrical short
system overheated
circuit, if the result is negative, replace the
Thermal switch.
6. Check that pump starts.
7. Check the input voltage to the pump.
8. Check the water pump’s power supply for the
output voltage.
9. Check the water pump’s power supply for the
input voltage.
10. Replace the Interface module.
1. Restart the system.
2. Remove the system’s panels and check that
piston of the Flow switch is stacked in the upper
position. If the piston is in the upper position –
tap the flow switch to move it down.
3. Refill the water system with fresh water.
4. Clean the Particle filter and replace Filter
Flow switch does Deionizer.
FlowSW OFF error not function on 5. If this problem happens repeatedly, replace the
system startup. Flow switch.
6. When the FlowSW OFF error message is
displayed, and you see the Flow switch’s piston
in the lower position:
 Check the Flow switch for an electrical short
circuit, if the result is positive, replace the Flow
switch.
 The Interface module should be replaced.
1. Fill the cooling system.
2. Remove the system’s panels and check the
Water Level Low Water level too low. Level switch for an electrical short circuit, if the
result is negative, replace the Level switch.
3. Replace the Interface module.


2. Disconnect the handpiece and check the control
signal connector’s pins at the both sides –
iButton handpiece and system – for proper position
iButton Failure (does not fell in).
communication
error
malfunction 3. Check the system with another handpiece. If
another handpiece operating correct, the iButton
of the defective handpiece should be replaced.
4. Replace the Interface Module.
2. Check the fan of the handpiece’s connector turns
on.
handpiece and system – for proper position
Ultrasound (does not fell in).
Ultrasound Fan handpiece 4. Check the system with another handpiece. If
Error connector’s fan another handpiece operating correct, the
malfunction handpiece should be sent for repair.
5. Check that 24VDC present at the pins 6 and 12
at the system side of the handpiece’s control
signal connector when system turned on and
handpiece connected.
6. Check the connections at the Relay board.
7. Replace the Relay board.
iButton handpiece and system – for proper position (does
Data Save Error communication not fell in).
malfunction 3. Replace the Interface Module.
4. Check the system with another handpiece. If
Data Buffer Interface module 1. Restart the system.

Overload malfunction 2. Replace the Interface Module.
2. Remove the Front Panel of the system and
Handpiece check the control wiring connections to the PWM
Handpiece Relay controller (2, 4).
recognition
Error
sequence failed 3. Replace the PWM controller.
5. Replace the Relay Board.
Handpiece The handpiece

exchanged after 1. Restart the system.
Exchanged Error
detection without

Handpiece restart of the 2. Check the system with another handpiece. If

Exchanged Error system another handpiece operating correct, the iButton
1. Check that right side handpiece connected.
System can not handpiece and system – for proper position
Right Handpiece
recognize UP side (does not fell in).
Not Connected
handpiece
3. Check the Relay Board connectors.
1. Check that left side handpiece connected.
System can not handpiece and system – for proper position (does
Left Handpiece
recognize DOWN not fell in).
Not Connected
side handpiece
3. Check the Relay Board connectors.
1. Finish the software upgrade
LCD does not Software upgrade 2. Check that Software versions of the LCD screen
match MCU not finished and Interface module are same (see Figure 8-6).
Install appropriate software versions.
Ultrasound 1. Restart the system.

Resonance out of generator 2. Enter Tech4 Ultra screen and check
range resonance point out Resonance parameters.
of range 3. Replace Ultrasound generator.
1. Check that Ultra handpiece or Bypass
connected.
No Ultrasound No Ultra handpiece 2. Disconnect the handpiece and check the control
Connected connected signal connector’s pins at the both sides –
handpiece and system – for proper position (does
not fell in).
Ultra handpiece handpiece and system – for proper position
Ultra CS Error
iButton malfunction (does not fell in).
3. Check the system with another handpiece. If
generator
OCP Error 2. Replace Ultra handpiece.
overcurrent
protection 3. Replace Ultrasound generator.

The software of
US Gen Version
generator not
Error 2. Install the correct System software.
compatible with the
system software
System cannot 1. Restart the system.
Unrecognized recognize the
Handpiece connected 2. Check that connecting handpiece intended for
handpiece this system.
Fail to load data Fail to load data 1 .Reinstall software and check wiring.
from flash from Rabbit flash 2. Replace IPL controller.
Resonance Over 1. Restart the system.

Resonance Time Time without 2. Check Hot & Cold parameters on Ultrasound
Passed receiving replay Tech Screen.
from PIC. 3. Call Alma Service.
HandPiece Error I button parameters
1. Call Alma Service.
VB1=VB2=0 failure.
Rabbit and PIC are 1. Install correct Rabbit software.
PIC Sync Error
not synchronized 2. Call Alma Service.
Communication 1. Check wiring conductivity, Controller P1 to RF
error between the Controller & US Generator.
Tester Sync Error
tester PIC and the
Rabbit 2. Check the main Controller
1. Check P.S functionality.

Hardware (of 2. Check the all the wiring and connections that
Phase Shifter
Phase shifter) isn’t related to the Phase shifter.
error
working 3. Call Alma Service.
Wrong Phase
RfCtrl Ver Error Shifter PIC 1. Replace Phase Shifter.
software
Power  Check power cable

System does not
disconnected  Plug cable into wall
start Red emergency
Release emergency shutoff knob by turning it
shutoff knob is
clockwise
engaged
Burnt fuse Replace the fuses
Monitor does not
The monitor is not Make sure the power cable in the rear of the
respond when the
receiving power monitor is connected
system is on

8.3. Troubleshooting Guide: Non displayed Symptoms

8.3.1. Sparks
If sparks appear from the handpiece tip during RF energy emission, proceed in the
following order:
1. Wipe the tip dry; condensation on the tip can cause sparks.
2. Check that the tip's alumina coating is intact.
3. Replace the RF module.
8.4. Installing New Software on the Rabbit Processor

8.4.1. Introduction
All Alma Lasers systems are equipped with a controller card. This board has a
"Piggy Back" card designated as the Rabbit Processor. The Rabbit processor in the
is part of the interface module (see Figure 8-1).
The Rabbit processor is a microcontroller equipped with flash memory; we will
upload the system's operating software package into this flash memory.
Figure 8-1: Interface control with Rabbit processor.
8.4.2. Required Equipment

1. PC computer.
2. Disk On Key.
3. Programing cable for Rabbit 4000.
4. RFU 10.72 (Rabbit Field Utility).

8.4.3. Software Installation Instructions

1. Check the active COM serial port (RS232) on your computer as follows:
 Right click with your mouse on My Computer
 Select Properties
 Select the Hardware Tab
 Click on Device Manager
 Find Ports (COM & LPT) and double-click it
 Check the COM number of your computer or the USB Serial Port COM number
2. Run the RFU.exe file (Rabbit Field Utility) on your computer from its
location; The main screen appears and choose Processor Type Rabbit
4000 (see Figure 8-2).
Figure 8-2: RFU Start Screen.

3. From the opening screen menu bar, select Setup and Communications.
4. In the Communication Options dialog box, select the correct COM port from
the drop down list.
5. Make sure to leave the Baud Rate at 115200.

Figure 8-3: Communications Options.
6. If you are using USB to Serial Converter:

 Check the Use USB to Serial Converter box.
 Uncheck the Enable Processor Detection box.
7. Connect the D-Type connector of the flat cable to your computer's serial port,
or USB to Serial Converter.
8. Check that the switch on the system controller is in Norm mode.
9. Connect the cable connector marked PROG on the other end of the cable to the
Rabbit processor. Make sure that the cable's red lead is facing toward the hole
(see Figure 8-4).
Figure 8-4: Communications Options.

10. Connect the power cable to the system and turn the system on.
11. From the opening screen menu of the RFU program (see Figure 8-2), select
File and Load Flash Image; the Choose Flash Image dialog box appears (see
Figure 8-1).
Figure 8-1: Choose Flash Image Dialog Box.
12. In the dialog box select the bin file to load and click OK.
13. A progress bar appears; wait until it disappears, switch off the system,
disconnect the flat cable and turn system back ON.
14. Go to the Password screen and check on the LCD display that the software
version installed is the same as the one expected (circled in Figure 8-6).
Figure 8-6: Password Screen.
8-10 Accent Prime Service

Manual
If the flat cable is not connected properly, an error message will appear when trying
to load the software, notifying No Rabbit Processor Connected. Reconnect the
cable and retry to load the software package again.
8.5. Installing New LCD Graphics Software

8.5.1. Introduction
All Alma Lasers systems are equipped with a graphic display. The display is
operated by its own software and requires installation of new versions when new
features developed and released for the system.
The display software is installed directly into the display's printed circuit board;
therefore, it requires separate installation.
8.5.2. Required Equipment

CompactFlash Card reader
Graphics Zip File
PC Computer (Laptop/Desktop)
8.5.3. Software Installation Instructions
1. Check the active com serial port (RS232) on your computer as follows:
 Right-click with your mouse on My Computer.
 Select Properties.
 Select the Hardware Tab.
 Click on Device Manager.
 Find Ports (COM & LPT) and double-click it.
 Check the COM number of your computer or the USB Serial Port COM
number.
2. Extract graphics zip file to your Desktop.
3. Copy extracted BANK# folder (BANK1,BANK2, BANK3 or BANK4) from your

Desktop to the CompactFlash Card using USB CardReader (see Figure 8-7).

Figure 8-7: USB CompactFlash CardReader.

4. Turn power ON, while the LCD loads touch the two corners of the touch screen
continuously until system menu screen appears. (Figure 8-8, Figure 8-9).
Figure 8-8: System menu screen access.

Manual
Figure 8-9: System menu screen.

5. Click on the "Special screen" tab.
6. Make sure "Memory card transfer" is selected and click on the "Start" button
(in red). Language selection screen appears (see Figure 8-10)

7. Open the system control panel and insert the memory card Figure 8-11.

Manual

8. Close the panel and press “English” button Figure 8-10.
9. The Memory Card Transfer screen appears Figure 8-12.
Figure 8-2: Memory Card Transfer screen

10. Select Direction "Download Memory card->NS hardware", Contents "Project"
and the appropriate bank number for this system (as you had on the extracted
zip file) and press “Go!”.

11. Transmit confirmation screen appears Figure 8-3. Press OK [Transmit] button
twice.
Figure 8-3: Transmit confirmation screen 1
Figure 8-4: Transmit confirmation screen 2
12. When transmission ends, the restart screen appears Figure 8-5.

Manual
Figure 8-5: Restart screen

13. Open the system Control panel and remove memory card.
14. Press the “Reset” button.
15. Wait for the system to restart and turn system power off.
16. To verify that LCD software upgrade was successful turn the system power on.
17. In the tech3 screen, verify that the software version marked with “L” is similar
on both lines (Figure 8-6).
8.5.4. “Memory Card Error” during screen installation.

If after operation #8 the Memory Card Error screen appears Figure 8-16.
 Press the “Return” button; the system backs to Language selections screen Figure
8-10.
 Check that memory card inserted properly
 Press “English” button Figure 8-10.
Figure 8-6: Memory Card Error screen.
8.6. Technician Screens

8.6.1. Access Technical screen.

To access the technician screens, start by touching the top-left corner of the System
Home Screen (where you chose the Handpiece in use), as shown in Figure 8-17; the
Password screen will appear (see Figure 8-18).
Figure 8-7: System Home screen.
Figure 8-8: System Password screen.

The Password screen displays the installed system software versions in the top-left
corner. The R value notes the Rabbit processor software version and the L value is for
the LCD software.

Manual
To rise up the keyboard press the star according Figure 8-18.

Enter the password: 1 – 2 – 3 – 4 and press the Enter button (see Figure 8-19); the
Tech1 (Technician # 1) screen will appear (see Figure 8-20).
Figure 8-9: System Password screen.
8.6.2. Technician Screen # 1

The following diagnostic tests and operations can be performed in the Tech1 screen
(see Figure 8-20):

1. FlowSw: this indicator is for testing the coolant flow; in normal conditions this
indicator should be yellow.
2. RightSw: when pressing the RF handpiece's trigger, the grey indicator turns
yellow.
3. LeftSw: when pressing the RF handpiece's trigger, the grey indicator turns
yellow.
4. LevelSw: displays the coolant level in the reservoir; in normal conditions this
indicator should be yellow.
5. FootSw: when pressing the footswitch, the grey indicator turns yellow.
6. Touch the “Next” button to advance to the Tech3 screen.
Figure 8-20: Tech screen # 1.

Manual
8.6.3. Technician Screen # 3

8.6.4. Technician Screen # 3 – PWM
This is a diagnostic utility for the RF controller. It includes D/A OFF button, Pixel
OFF button and % number field.
 Follow the procedure in Section 8.7.2 – RF controller PWM Output
Measurement
 Use the RF measurement tool to measure the output power of the RF Amplifier
(refer to the RF measurement tool's operation manual).
8.6.5. Technician Screen # 4 – Ultrasound

The following diagnostic tests and operations can be performed in the Tech4 screen
(see Figure 8-21):
1. Hot: notes the Hot mode parameters of the Accent Prime system. It is strongly
recommended not to change this setting.
2. Cold: notes the Cold mode parameters of the Accent Prime system. It is
strongly recommended not to change this setting.
3. Resonance: activates the procedure of resonance point seeking for each mode.
4. Stop: this button activates or ceases ultrasound emission for selected frequency.
5. Touch the “More” button to advance to the Tech1 screen
Figure 8-21: Tech screen # 3.

8.7. Troubleshooting Guide: Non displayed Symptoms

8.7.1. Sparks
If sparks appear from the handpiece tip during RF energy emission, proceed in the
following order:
1. Wipe the tip dry; condensation on the tip can cause sparks.
2. Check that the tip's alumina coating is intact.
3. Replace the RF module.
8.7.2. RF Controller PWM Output Measurement
On occasion you may be requested by the Technical Support Department at Alma
Lasers to measure the RF controller's power output.
To do so, use a DVM (Digital Volt Meter) to measure the voltage between the
control cable connector's central pin and a ground source (see Figure 8-22).
Disconnect the SMA Cable from the RF controller.
Go to RF TECH3 and press the zero (0%) on the bottom left side of the screen, a
keypad will open, enter the different Duty Cycle values and press D/A OFF button
to apply, check with DVM on the SMA connector the output voltage accordingly:
2. 10% -> 0.46±5%
3. 50% -> 2.3±5%
4. 100% -> 4.62V±5%
Figure 8-22: PWM output measurement

Manual
Figure 8-23: PWM output measurement
8.7.3. Phase Shifter Check

Turn the system on and check Phase Shifter Power Supply - 3.2V on pin#9 of the
D-Type connector on the Phase Shifter panel (The system in READY MODE and
cable connected to the PHASE SHIFTER), see picture.
Figure 8-24: Phase Shifter Check

8.7.4. Ultrasound circuit testing

In order to provide the testing Ultrasound circuit functioning follow procedure
below:
1. Remove the system’s front panel to access Ultrasound generator.
2. Switch the system on with Ultra handpiece selected.
3. In StBy mode measure the output voltage of the Ultrasound power supply (see
Figure 8-25).
Figure 8-25: Ultrasound power supply Check

Manual
4. Unscrew N-type coaxial connector from Ultrasound generator and measure the
voltage between central pin of the N-type connector and ground source (see
Figure 8-26). The voltage reading should be a same with output voltage of the
power supply.
Warning
Do not short the central pin of the N-type coaxial connector with
ground ring by the DMV probe. It can cause Ultrasound generator
damage.
Warning
This testing should be provided in StandBy mode only.
Figure 8-26: Ultrasound Generator power Circuit Check

5. Disconnect the Red wire from the Ultrasound generator power supply and
connect DVM for current measurement (series) (see Figure 8-27).
Figure 8-27: DVM Connection for current measurement

Manual
After connecting the DVM proceed to the following table to continue the test
On right side of the
Hot row press
Resonance The
system will find the
resonance frequency
and show in
Resonance column.
Press on the “0” as

shown in the picture.
On the appearing
keyboard type the 4
digits of the
resonance value and
press Enter.
For example: if the

value was 69745,
type 6974

Reading the current

marked with the red
circle.
The current should
be 500 -1500.
On right side of the
Cold row press
Resonance The
system will find the
resonance frequency
and show in
Resonance column.
Press on the “0” as

shown in the picture.

Manual
On the appearing
keyboard type the 4
digits of the
resonance value and
press Enter.
For example: if the

value was 69745,
type 6974
Reading the current

marked with the red
circle.
The current should
be 800 - 1300.
6. Compare the current reading result (see Figure 8-28) from the DVM and Tech4
Ultrasound screen. The acceptable difference should be ±10%. The current
reading at the resonance point should be not less than 500mA.
Figure 8-28: DVM Connection for current measurement

8.7.5. Measuring RF Amplifier output

Online RF-power measurements are implemented using Bird RF-power meter
Model-43 with RF-handpiece at the appropriate RF-power level. For example for
Unilarge handpiece RF-power setting should be 150-200 Watts.
In the power measured we have taken into account the modulation frequency. The
measured RF-power must be lower than setting value due to the point that RF-
signal is modulated with a frequency of 15 kHz.
Bird power meters are calibrated for continuous wave signals and measures the
power value with accuracy ±5%. To understand the correlation between the power
measured on the Bird and the power output on the tip of the handpiece it is
necessary to use the calibration table below.
RF Amplifier of 320W
Duty Cycle set in tech Handpiece real RF Measured RF POWER
mode, % POWER,W on Bird model 43, W
0 0 0
10 36 17.77
15 54 26.66
20 72 37.33
25 90 46.22
30 108 60.44
35 126 73.77
40 144 87.11
Due to the said above, it should be noted that at duty cycles above 90% the real
power and the Bird measurement coincide.

Manual
Remove the system covers to have

access to the RF amplifier and
disconnect the coax cable shown
Use the Bird Model 43 Power meter

with Bird plug in element of 50A and
two half-wavelength resonant cables.
 Connect the coax cable (4) to
the RF Amplifier.
 Connect Coax cable (6) to the
Handpiece side using the TEE
adaptor or use a Female to
Female Coax adaptor
Make sure the Bird plug in element

Arrow is pointing to the handpiece side.

Connect the system to power and turn ON the system, enter into technician mode.
In Tech3 Set the PWM % output, set D/A ON and activate the emission by pressing
the trigger or Foot Pedal. Releasing the foot Pedal will stop emitting power
Perform the test as follows:
1. Uniform / Unilarge / Unipolar Uniface – PWM should be set to 20%, 25%,
30%
2. Bipolar – PWM should be set to 15%.
Attach the handpiece to your hand or body and check the values on the Bird power
meter to match the table above.
Figure 8-29: PWM Setting Screen

Manual
CHAPTER 9
Spare Parts
Chapter Contents:
Section Title Page
9.1. Introduction........................................................................................ 9-2

9.2. Spare Parts List .................................................................................. 9-2

Spare Parts
9.1. Introduction
The following spare parts catalog lists all of the Accent Prime modules and parts
that should be stored by the Alma Lasers depot or distributorship for the use of the
field service engineers.
The Item # column of the table indicates the item number as shown in the
illustration on the pages following the table.
The Figure # column notes in which illustration (following the table) the particular
item can be found.
The Description column of the table provides the item name and/or its brief
description.
The Part # column of the table shows the item part number, by which it should be
ordered from Alma Lasers
9.2. Spare Parts List

Figure
Item # Part Description Part #
#
1 9-5 Screen LCD 12.1" OM NS12-TS00B-V2 EGSP27100901
2 9-6 RF Amplifier Tenor Filtered Generator (Accent Prime ) AARF08041304
3 9-7 Excelsys power supply (Power Supply XVCUX6444244-P00A) EGUL16091501
4 9-8 Lambda power supply (Power Supply HWS150-48/MEA) ELHX20111211
5 9-9 Water system AAWP21111119
6 9-10 Phase Shifter Module High Power Rev2 AAPA19081302
7 9-10 RF Sensor AARF28031203
8 9-11 RF Controller (PWM) AERF19121204
9 9-12 Interface control module (Shielded in the box) AARF16091502
10 9-13 TEC controller AETE23091501
11 9-14 Ultrasound Generator AATE15081002
12 9-15 Main Transformer 2x117.5V 50/60Hz 600VA EGTT01020501
13 9-16 Contactor LP4-K09004BW3 EGIP24090701
14 9-17 Main power switch (Switch Rocker) EGDD22040202
(inside) 5 9-9 Water Pump (General) For Service EGSH18011001
(inside) 5 9-9 Thermal switch (Spark Dou - Cooling Thermostat Harness) HSSK02071425
(inside) 5 9-19 Level switch WAUN20011133
(inside) 5 9-20 flow switch EGGG18030905
18 9-21 RF Relay Box (Accent Prime) AAUS09061535
19 9-21 Air Vacuum Pump AAGG18070601
20 9-22 Signal Indicator M16 Round Green EGAC15041001
21 9-23 Inlet Filter 10A Medic 2 fuse EGRF08070801

Spare Parts
22 9-24 Connector 10P 3.5mm Male Light Grey (SYSTEM) EGAC25120705
23 9-24 Connector 10P 3.5mm Female Light Grey (WATER SYSTEM) EGAC25120706
Front Back
Figure 9-1: Front and Back system view

Spare Parts
Left Right
Figure 9-2: Right and Left system view

Spare Parts
Front Back
Figure 9-3: Bottom Front and Back system view
Left Right
Figure 9-4: Bottom Right and Left system view

Spare Parts
Figure 9-5 Screen LCD 12.1" OM NS12-TS00B-V2
Figure 9-6 RF Amplifier Tenor Filtered Generator (Accent Prime)
Figure 9-7 Excelsys power supply (Power Supply XVCUX6444244-P00A)

Spare Parts
Figure 9-8 Lambda power supply (Power Supply HWS150-48/MEA)
Figure 9-9 Water Pump
Figure 9-10 Phase Shifter & FR Sensor

Spare Parts
Figure 9-11 RF Controller (PWM)
Figure 9-12 Interface control module (Shielded in the box)
Figure 9-13 TEC controller

Spare Parts
Figure 9-14 Ultrasound Generator
Figure 9-15 Main Transformer 2x117.5V 50/60Hz 600VA
Figure 9-16 Contactor LP4-K09004BW3

Spare Parts
Figure 9-17 Main power switch (Switch Rocker)
Figure 9-18 Thermal switch (Spark Dou - Cooling Thermostat Harness)
Figure 9-19 Level switch

Spare Parts
Figure 9-20 Flow switch
Figure 9-21 RF Relay Box and Vacuum pump

Spare Parts
Figure 9-22 Signal Indicator M16 Round Green
Figure 9-23 Inlet Filter 10A Medic 2 fuse
Figure 9-24 Male / Female water pump connector

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Service Manual

Accent Prime Service Manual

Scope of This Manual

Accent Prime Service Manual 1-1

1.1. Use of this Manual

1.2. User Profiler / Intended User

1.3. Physician Responsibility

1-2 Accent Prime Service Manual

1.5. Modification of the System

1.6. Resale Inspection

1.7. Abbreviations and Acronyms

Accent Prime Service Manual 1-3

1-4 Accent Prime Service Manual

Accent Prime Service Manual 2-1

2.5.1. System Labels.................................................................................. 2-12

2-2 Accent Prime Service Manual

2.2. System Safety Features

Accent Prime Service Manual 2-3

2.2.4. Appliance coupler

2.2.5. Emergency Shut-Off Knob

2.2.6. Input Power

2.2.7. Energy Emission Safety

2-4 Accent Prime Service Manual

2.2.8. Energy Emission Indicators

2.2.9. Grounding the System

2.2.10. Fuse Protection

2.2.11. Cooling System

Accent Prime Service Manual 2-5

 The coolant flow drops below the permitted level

2.3. General Precautions and Cautions

2-6 Accent Prime Service Manual

2.3.3. Burn Hazards

2.3.4. Explosion and Fire Hazards

2.3.5. High Voltage Hazards

2.3.6. Radiofrequency Operation Safety

Accent Prime Service Manual 2-7

2.3.7. Ultrasound Operation Safety

2.4. Equipment Classification and Compliance

No. Standard Org. Title Revision Date

2-8 Accent Prime Service Manual

No. Standard Org. Title Revision Date

2. ISO 9001 ISO Quality management systems – Requirements. - 2008

IEC 62366 IEC Medical Devices: Application of Usability Engineering to - 2007

Medical devices – Application of risk management to medical

Medical electrical equipment. Part 1: General requirements for

Medical electrical equipment - Part 2-2: Particular requirements

Medical electrical equipment – part 2-5: Particular requirements

IEEE IEEE Systems and software engineering -- Life cycle processes --

Accent Prime Service Manual 2-9

IEC Medical electrical equipment - Part 1-2: Collateral standard:

Electromagnetic compatibility (EMC), Part 3: Limits. Section 2; 2005

Electromagnetic Compatibility (EMC) – Part 3: Limits. Section 3;

Electromagnetic Compatibility (EMC). Part 4: Testing and

Electromagnetic Compatibility (EMC). Part 4: Testing and

Electromagnetic Compatibility (EMC). Part 4: Testing and 2004

Electromagnetic Compatibility (EMC). Part 4: Testing and

Electromagnetic Compatibility (EMC). Part 4: Testing and

Electromagnetic Compatibility (EMC). Part 4: Testing and

Industrial, scientific and medical (ISM) radio-frequency

2-10 Accent Prime Service Manual

Medical devices - Symbols to be used with medical device labels,

Biological Evaluation of Medical Devices –

Sterilization of Health Care Products – Moist Heat – Part 1

In compliance with these standards, the system is equipped with: