Lumenis Ultrapulse Encore Carbon Dioxide Surgical Lasers and Delivery Device Accessories

The Lumenis UltraPulse Encore Carbon Dioxide Surgical Lasers (and the delivery accessories that are used with them to deliver laser energy) are indicated for use in surgical applications requiring the ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery.

The Lumenis UltraPulse Encore Carbon Dioxide Surgical Lasers are indicated for use in the performance of specific surgical applications in aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology (including laparoscopy), neurosurgery, orthopedics (soft tissue), arthroscopy (knee), general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery as follows:

Dermatology & Plastic Surgery

The ablation, vaporization, excision, incision, and coagulation of soft tissue in dermatology and plastic surgery in the performance of:

laser skin resurfacing;

laser derm-abrasion;

laser burn debridement.

Laser skin resurfacing (ablation &/or vaporization) for treatment of:

wrinkles, rhytids, and furrows

Laser skin resurfacing (ablation and/or vaporization) of soft tissue for the reduction, removal, &/or treatment of:

keratoses, including actinic keratosis;

solar/actinic elastosis;

cheilitis, including actinic cheilitis;

lentigines;

uneven pigmentation/ dyschromia;

acne scars;

surgical scars;

keloids;

hemangiomas (including Buccal and port wine);

tattoos;

telangiectasia;

removal of small skin tumors;

superficial pigmented lesions;

adenosebaceous hypertrophy;

rhinophyma reduction;

cutaneous papilloma (skin tags);

milia;

debridement of eczematous or infected skin;

basal and squamous cell carcinoma;

nevi, including spider and epidermal;

neurofibromas;

tricoepitheliomas;

xanthelasma palpebrarum;

syringoma

Laser ablation, vaporization and/or excision for complete and partial nail matrixectomy

Vaporization/coagulation of:

benign/malignant vascular/avascular skin lesions;

Moh's Surgery;

lipectomy;

verrucae and seborrhoecae vulgares;

Laser incision &/or excision of soft tissue for the performance of blepharoplasty.

Laser incision &/or excision of soft tissue for the creation of recipient sites for hair transplantation

Podiatry

Laser ablation, vaporization &/or excision of soft tissue for the reduction, removal, &/or treatment of:

verrucae vulgares/plantar (warts);

fungal nail treatment;

porokeratoma ablation;

ingrown nail treatment;

neuromas/fibromas, including Morton's neuroma;

debridement of ulcers;

other soft tissue lesions.

Laser ablation, vaporization and/or excision in podiatry for complete and partial matrixectomy;

Otolaryngology (ENT)

Laser incision, excision, ablation and/or vaporization of soft tissue in otolaryngology for treatment of:

choanal atresia;

leukoplakia, including oral, larynx, uvula, palatal, upper lateral pharyngeal tissue;

nasal obstruction;

adult and juvenile papillomatosis polyps;

polypectomy of nose and nasal passages;

lymphangioma removal;

removal of vocal cord nodules and polyps;

removal of recurrent papillomas in the oral cavity, nasal cavity, larynx, pharynx and trachea, including the uvula, palatal, upper lateral pharyngeal tissue, tongue and vocal cords;

laser/tumor surgery in the larynx, pharynx, nasal, ear and oral structures and tissue;

stenosis, including subglottic stenosis;

tonsillectomy (including tonsilar cryptolysis and neoplasma);

pulmonary bronchial and tracheal lesion removal;

benign and malignant nodules and tumors (larynx, pharynx, trachea);

benign and malignant lesions (nose and nasal passages);

benign and malignant tumors (oral);

stapedotomy/stapedectomy;

acoustic neuroma in ear;

superficial lesions of the ear;

telangiectasia/hemangioma of larynx, pharynx and trachea (includes uvula, palatal or upper lateral pharyngeal tissue);

cordectomy and cordal lesions of larynx, pharynx and trachea;

myringotomy/tympanostomy;

uvulopalatoplasty (LAUP, laser UPPP),

turbinectomy;

partial glossectomy;

tumor resection on oral, subfacial and neck tissues;

rhinophyma;

verrucae vulgares (warts);

gingivoplasty/gingivectomy

Gynecology

Laser incision, ablation and/or vaporization of soft tissue in GYN for treatment of:

conization of the cervix, including cervical intraepithelial neoplasia (CIN), vulvar and vaginal intraepithelial neoplasia (VIN, VAIN);

condyloma acuminata, including cervical, genital, vulvar and perineal;

leukoplakia (vulvar dystrophies);

incision and drainage of Bartholin’s and nabothian cysts;

herpes vaporization;

urethral caruncle vaporization;

cervical dysplasia;

benign and malignant tumors;

hemangiomas

GYN Laparoscopy

Vaporization, incision, excision, ablation, or photocoagulation of soft tissue in endoscopic and laparoscopic surgery including GYN laparoscopy for treatment of:

endometrial lesions, including ablation of endometriosis;

excision/lysis of adhesions;

salpingostomy;

fimbroplasty;

metroplasty;

microsurgery (tubal);

uterine myomas and fibroids;

ovarian fibromas and follicle cysts;

uterosacral ligament ablation;

hysterectomy

Neurosurgery

Laser incision, excision, ablation and/or vaporization of soft tissue in neurosurgery for the treatment of:

Cranial

posterior fossa tumors;

peripheral neurectomy;

benign and malignant tumors and cysts (e.g. gliomas, meningiomas (including basal tumors), acoustic neuromas, lipomas and large tumors);

arteriovenous malformation;

pituitary gland tumors (transphenoidal approach)

Spinal Cord

incision/excision and vaporization of benign and malignant tumors and cysts;

intra- and extradural lesions;

laminectomy/ laminotomy/ microdiscectomy

Orthopedics

Incision/excision and vaporization of soft tissue in orthopedic surgery. Applications include:

Arthroscopy

meniscectomy;

chondromalacia;

chondroplasty;

ligament release (lateral and other);

excision of plica;

partial synovectomy;

General

debridement of traumatic wounds;

debridement of decubitus and diabetic ulcers;

microsurgery;

artificial joint revision;

PMMA removal;

General/Thoracic Surgery

Incision/excision and vaporization of soft tissue in general and thoracic surgery including endoscopic and open procedures. Applications include:

debridement of decubitus ulcers, stasis, diabetic and other ulcers;

mastectomy;

debridement of burns;

rectal and anal hemorrhoidectomy;

breast biopsy;

reduction mammoplasty;

cytoreduction for metastatic disease;

laparotomy and laparoscopic applications;

mediastinal and thoracic lesions and abnormalities;

skin tag vaporization;

atheroma;

cysts;

pilonidal cyst removal and repair;

abscesses;

other soft tissue applications

Dental/Oral Surgery

Incision/excision and vaporization of soft tissue in dentistry and oral surgery. Applications include:

gingivectomy- removal of hyperplasias;

gingivoplasty;

incisional and excisional biopsy;

treatment of ulcerous lesions, including aphthous ulcers;

incision of infection when used with antibiotic therapy;

frenectomy (frenum release);

excision and ablation of benign and malignant lesions;

hemostasis;

operculectomy;

crown lengthening;

removal of soft tissue, cysts and tumors;

oral cavity tumors and hemangiomas;

abscesses;

extraction site hemostasis;

salivary gland pathologies;

preprosthetic gum preparation;

leukoplakia;

partial glossectomy;

periodontal gum resection

Genitourinary

Incision/excision and vaporization of soft tissue in genitourinary procedures. Applications include:

benign and malignant lesions of external genitalia;

condyloma;

phimosis;

erythroplasia