IPL beauty machine manual

201105 Edition

Contents
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Chapter One I II III IV

Introduction of IPL system

Therapy principle Therapy scope

Taboo illumination

Reference schedule for therapy period Operation of IPL system

Chapter Two I II

Safety of IPL (Intensive Pulse Light) Safety of electric and mechanics Installation of IPL system

Chapter Three I II III

Parts and the function

The instrument screen interface diagram shows and explains Installation

Chapter Four I II III

Instrument operation instructions

Notes Parameter setting Clinical application guidance Maintenance

Chapter Five I II III

General maintenance Troubleshooting Repair upon return-to-manufacturer Service documents for Cosmetology application (For reference only)

Chapter Six

I II III

IPL technology instruction Cosmetology agreement IPL hair removal, skin rejuvenation record

Chapter One

Introduction of IPL system

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Therapy principle

A Biological stimulation: Light chemistry on skin by intensive pulse light will enable collagen fiber and stretch fiber bosom in derma to change molecular structure to restore to original elasticity. In addition, the light energy produced can tone up the blood vessel to improve circulation so as to eliminate wrinkle and to reduce pore in size. B Light-energy-melting: Since the pigment groups contained inside the pathological change tissues are far more than those inside the ordinary skin tissues, the temperature increase upon light absorption of the pigments is higher than the one by the ordinary skin tissue. The temperature difference can block out the blood vessel of pathological change, which finally can decompose the pigments and do not destroy ordinary tissues. C The operation method of IPL system is based on selective light-energy-melting as well. The dark pigments can absorb relatively short-wavelength light between 250-1200nm, while light absorption peak value of oxygenated hemoglobin is at 418, 542 and 577nm respectively. Thus, the wavelength light at 530nm can be easily absorbed by dark pigments and oxygenated hemoglobin, which can produce energy to destroy the collagen fiber. It is understood that collagen fiber can greatly absorbs lights at the wavelength between 400-600nm. Therefore, part of the light at the wavelength between 530-1200nm by IPL system can be absorbed by collagen fiber, which leads to activation of fiber cell and increase of collagen synthesis. Not only can increase of Type I collagen be seen, but also of Type III collagen. Because most of Type III collagen can be seen around blood vessel, IPL system can effectively change precipitation of pigment, abate expansion of capillary vessel, alleviate fine wrinkle, contract pore and improve skin texture and overall character.

II
1 2 3 4 5 6 7 8 9 10

Therapy scope
Effectively cure facial redness (dilation of capillary vessel), remove facial redness. Effectively contract pore, remove or alleviate tumefaction and scar. Increase thickness of skin collagen and restore skin elasticity. Furthest clean or reduce freckle, age pigment and other kinds of pigment precipitation etc. Furthest clean or alleviate the pigment precipitation caused by suntan to whiten skin. Smoothen fine wrinkle or alleviate facial shrinks and dark eye rim. Improve the pigment precipitation caused by the traditional therapy, and meliorate minor skin pathological change. On non-facial skin: whiten body skin. Skin tendering can be achieved in combination with other cosmetology methods. Remove or restrain excessive hair growth.

III

Taboo illumination

The following patients are to be prevented from the surgery:

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1 2 3 4 5 6 7 8 9.

Pregnant women People at work exposed to the strong sun light People sensitive to light, drug and intensive light source People with sensitive skin People with epileptic or scar habitus People with unhealed 44wound that is to be treated Diabetic People with high expectation The clients now using effective cosmetics product.

IV

Reference schedule for therapy period

Time Periods required 1-4 times 1-3 times 2-6 times 1-3 times 1-3 times 2-5 times 2-4 times 2-5 times 7-21 days The naked eye can see the hair grows 1CM can do the second treatment In the treatment, hair should cut to 1CM, the naked eye can see hair 1CM 21-45 days Interval between periods Remark (Operation requirements) 1. In compliance with the requirement for selected customer 2. Treated skin cleaned 3. People without severe hypersensitivity 4.Fully meet post-operation requirement 5. Recently no fruit acid shine skin

Case Red blood thread Inserted piece wavelength: 480/430-1200nm Mark remained by tumefaction Inserted piece wavelength:380-1200nm Pathological change of elastic derma-tissue Inserted piece wavelength:530-1200nm Pore enlarged Inserted piece wavelength:530-1200nm Gray skin color, facial pigment precipitation Inserted piece wavelength:530-1200nm Freckle, age pigment Inserted piece wavelength:530-1200nm Fine wrinkle, dark eye rim Inserted piece wavelength:530-1200nm Permanent hair loss Inserted piece wavelength:640/690-1200nm

Note: operation adjustment can be made in accordance with the feedback of patients.

Chapter Two I

Operation of IPL system

Safety of IPL (Intensive Pulse Light)

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IPL system is a hi-tech medical equipment, specializing in removal of all kinds of facial flaw and bodily excessive hair in a safe and reliable way. Only qualified operator can safely run the system in a reasonable operation and maintenance manner. All people including operator, maintenance personnel and other assisting personnel shall fully understand the safety info provided hereto in this chapter. Most importantly, IPL system has already put the safety of patient, operator and others into great consideration at a maximum level. The some of safety methods are listed below: 1 2 3 4 5 Notice Any wrongdoing of intensive light transmitting system can cause bodily injury. IPL system may produce high voltage during operation. Operator shall keep alert always and shall take any required measures in compliance with this manual. Patients: The safety of patients is subject to the qualified physician and well designed surgery room. And the culture traits of patients are as well important, and patients shall understand the therapy principle. And eyes of patients shall be fully and effectively protected during intensive light treatment. Medical staffs: Medical staffs may be exposed to the intensive light during surgery and should get the protection glass at corresponding wavelength against the light. Therefore, medical staffs shall wear protection glass of Type 3. Surgery room: Highly intensive light in use shall be clearly displayed in the surgery room. Warning To ensure the safety use of IPL system, please understand the safety precaution and read the following safety measures: 1 No technician is allowed to examine IPL system without authorization of our company, especially internal parts, including power supply, cooling system, optic components and intensive light curing head etc. please note that high voltage is inside the system. 2 Please make sure that rated voltage of IPL system is in full accordance with the main voltage of your country 3 User can carry out maintenance only when system is switched off and the power supply wire
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Self-check will be on automatically once the system starts. And it shall continue to be monitoring the electric circuit during operation. Closed light filter/ light-transmitting crystal is introduced to transmit to the affected skin. Pulse light can be sent through frond end of the light-transmitting crystal. The safety electric circuit is adopted within the system. And it can cut the electrics when intensive light output is excessive. Red emergency button is designed to cut the electrics in case of any emergency. Key lock is introduced to prevent any misuse of system.

4 5 6

is plugged out. Maintenance with power supply on may cause bodily injury and mangle the system as well. Light-transmitting crystal shall always be kept clean. Please do not let coupling jello seep into the curing head. If water leakage of curing head is found, do not start the system. If it is on already, please switch off the system immediately. It must be sure of that the hole of the input water must be open when during use .

Warning about intensive light 1 2 3 4 Intensive light may cause injury to eye and may lead to fire or burn. Please take all protection measures necessary when it is in use. Excessive light towards surgery skin may cause skin burn, which may lead to increase, shrink or abnormality of pigment precipitation. Do not look directly at intensive light or laser from curing head even protection glass is worn. Do not direct curing head of intensive light into air. The curing head shall be placed on the hook if it is not in use, while it shall be pointing at surgery skin only if it is.

II
1 2

Safety of electric and mechanics

Keep all panel and cover closed. It may cause danger if the cover is open. High voltage is produced inside IPL system. Some may still be left even after the power supply is cut. Therefore, no technician is allowed to open the system except our authorized personnel. Do not connect to the power supply, or open the cover or leave it without care during maintenance. IPL may weigh as much as 40 kg. It may cause bodily injury if system moves improperly. It will be moved without damage once it is slowly moved in a cautious manner. Three-core cable is adopted, one core is for grounding, and good grounding is vital to the operation safety.

3 4 5

Fire prevention 1 Objects will increase temperature by absorbing light energy. Therefore, take protection measures to reduce the tinderbox, which may cause fire, located at the operation area or hereabout. No alcohol or acetone or other flammable material is allowed to treat the affected skin before operation. If required, please use soap and water. If alcohol is used to clean IPL system or other components for disinfection, the system shall not be started until it entirely goes dry.

2 3

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Safety device 1 2 3 4 IPL system is equipped with some safety device and all personnel inside the surgery room shall fully understand the location and operation of the device. Key switch: Key is for the purpose of switching on and off IPL system. Only keys provided by us shall start the system. Power supply indicator: Red. The indicator is on, which means the system is connected. Emergency switch: The red mushroom-type switch is for the emergency use to switch off the system. Press down the switch, and the system will be disconnected immediately no matter what status the system is on. And release the switch by turning the switch clockwise, otherwise the system shall remain off.

Self-check On start, the system electric circuit will go into self-check mode. Under this condition, operator shall leave the system to run automatically for 1-3 minutes and be prepared for the next step. System specification 1 2 3 4 Electric shock: Grade 1, Type BF Anti-corrosive liquid: ordinary Do not operate the system under the condition of flammable anesthetic together with gas of nitrogen monoxide. Operation mode: continuous.

Chapter Three

Installation of IPL system

Parts and the function The front

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Menu Simmer

UP

Down

Enter

Handle

Handle tray

Key switch

Emergency stop

1 2

Simmer: press this button; the handle lamp will be light. Menu Press this button, can choose the operation, notice the choose area is displayed by white area. 3 Up: choose the function in the operation screen and adjust the parameter. 4 Down: choose the function in the operation screen and down the parameter. 5 EnterConfirm the choose program. Press this key the parameter data can be saved. 6 Handle: Inserted piece handle( the machine with four filters 430/480/530/640) 7 Handle tray: fixed the handle. Emergency stop(the red button ) : While appearing the surprised circumstance, make an effort to press, have no laser exportation at this time, the whole machine power failure. According to clockwise revolve Emergency stop (the red button), make it play, rise to reset, the whole machine instauration power supply, and immediately use normally. Key switch(the left button): Total power switch of whole machine, follow the hour hand to revolve for to switch on, the anti- hour hand revolve in order to shut down, the whole machine power failure.

The back Power supply Adding water hole The handle connectors

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Fans

Turn on water

Overflowing hole

Power supply: Press ----open the machine; the indicated light will be red. Press ----close the machine. The indicated light will turn off. Adding water hole: adding the water for the machine The handle connector: hold the handle connectors into the sockets on the machine. Fan: machine heat dissipation. Overflowing hole: when you add the water for the machine, should open this hole. And if there are water flow that means the machine water is full. Turn on water or drainage water: before the long-distance transportation. Should turn on the water of the machine, and keep the machine dry.

II The instrument screen interface diagram shows and explains 1. Connect 110V or 220V power supply according the machine power supply. (Notice the label on the machine) 2. Turn on the machine power supply to the light will be change into red. 3. Open the machine key switch in clockwise. The machine will be like below:

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About 3 second, the machine will automatically enter into the next interface. See below picture.

(Interface one) 4. Press SIMMER key, when you hear a large sound. That means handle is lighted. 5. And then press up key to adjust the main passage, the chosen area will be white. For example, we choose the hair removal passage. (Interface two)

And then press enter key to enter the next interface in order to adjust the parameter. (interface 3)

First pulse width

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Second pulse width

Energy

Flash Frequency

First pulse delay

Second pulse delay

Pulse number

The above picture indicated parameter instructions, pls see below: Pamt1: It is the number of pulse. The adjustable scope is1-6. P1s1: It is the first pulse width. The adjustable scope is 1.020.0ms. D1y1: It is the first pulse delay. The adjustable scope is 199ms. P1sn1: It is the second pulse width. The adjustable scope is 1.020.0ms. D1yn: It is the second pulse delay. The adjustable scope is 199ms. Discharge interval ( flash frequency): It is the repeat frequency. The adjustable scope is 1/2/3/4.Hz

6.All this done, the parameter adjust is OK! Press enter key to save the parameter. And then press up key to adjust energy. See below: (interface four)

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7. Now can do the treatment! 8. The power-off explains: press simmer key, the handle light will be turn off. That means it will go back to the screen one. At this moment, turn the key switch in left rotation, the machine will turn off. The operation is finished. Complement: Menu setting, press menu key, can set the language, and other information connects to the machine, see below picture:

III Installation 1 place: Place instrument is steady in the indoor temperature 22-28, the degree of humidity is no bigger than 20% clean operating room or treatment rooms. 2 installations as follows: A: install the handle tray and handle. B: Link the power supply; C: According the treatment choose the inserted piece wavelength, detailed information, pls consult Reference schedule for therapy period 3 Adding water A. the first adding water: after connect the machine with the handle, then fix the funnel, adding the purified water, and at the same time open the overflowing hole, when the overflowing hole have water flow, thats means water is full. BSecond adding water: then let the machine run 2 minute, and then give the machine adding the second water according the first adding way. Because when the machine run, water will run to the operation handle, so need adding the water again. So can confirm enough water to let the machine work. CIn summer or the room temperature pass 28 centigrade degree,notice before add water, should put the water in the refrigerator, and then can get lower degree water. But cant frozen. 4 after completing, insert the key and turn to right ( the assurance is nasty to stop the button at play and rise the position) of the instrument key, the whole machine switches on electricity right away, at this time water circulation, the instrument cooling system starts automatically.
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5the observation pipe line connects whether is leaking or not. If leaking, turn off the power, press clockwise revolve tightly. 6operation should notice: unpack, put the machine in the stable and non multiaspect circuit place. text the machine and parts integrity. adding water: Must the purified water or distilled water, cant add the tap water or mineral water. install the treatment handle: make sure the correct installation and its immobility. connect the power supply: must accordance with local power voltage. test whether all the button key is normal. 7Change the handle inserted piece step: close the xenon lamp, when necessary, close the machine power supply. pull out the original inserted piece install the new inserted piece according the operation way. turn on the machine again, let the machine run about 1 minute and then lamp the light (press simmer key) test the new inserted piece flash. 8Notice In the machine have high voltage, please must confirm all the cover is good. when open the machine, please put the handle in the handle tray. all the people in the treatment room should wear glasses. Do not look directly into the intensive light from the therapy head. Do not point the therapy head at any direction other than the targeting skin.

Chapter Four

Instrument operation instructions

I Notes A. The operator should establish record for the client (can reference the sample). In addition to this, the operator should also need know the client symptoms very well, and patiently explain to the client the IPL technology and achieve the cooperation of the client B. Before the treatment, should clean the treat area, and need to disinfect the appliance. C.The operator should wear white coat and wear glassed.

II
1

Reference parameter chart

Parameter setting Pigment Skin rejuvenation Hair removal

18J
Parameter White skin, small-size pigment, little sensitive to facula test Pamt (1-6) P1s1 (1.0-20.0ms) 4 10

20J
5 8

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Grey skin, medium-size pigment, reddish skin to facula test, a little sensitive

D1y1 (1-99) P1sn (1.0-20.0ms) D1yn (1-99) Pamt P1s1 (1.0-20.0ms) D1y1 (1-99) P1sn (1.0-20.0ms) D1yn (1-99) Pamt P1s1 (1.0-20.0ms) D1y1 (1-99) P1sn (1.0-20.0ms) D1yn (1-99)

30 4 30 3 8 50 2 50 2 6 60 5 60

30 6 30 4 6 50 2 50 2 5 60 4 60

Dark skin, relevantly largesize pigment, sensitive to facula test, swollen gets fast

III

Clinical application guidance

1 Eye protection All operators shall keep the eyes of patients from intensive lights in order to protect the retina, and shall have them wear the protection glass. When the naked eye is close to the operation area, have the patients wear the opaque protection glass. 2 Operation Anesthesia is not required for low energy pulse light. But most patients wish to have part anesthetic during operation to avoid any discomforts. Generally, use 4% lidocaine to have bodily part anesthetic. Please do not use EMLA to anesthetize since it may cause blood vessel to shrink, which may reduce the therapy achievement by IPL system. Generally, operation may be carried out one hour after the anesthesia. Please note that rinse all the anesthesia remained before operation. 3 Side effect The whole skin tendering process by IPL system takes about 3 to 6 times with 21-45 days interval between each time. It is found that skin quality has been improved dramatically. At meantime, it can assure that patients do not need to change the schedule to be in conformity with the periods. Of course, temporary slight side effect may occur. But most symptoms may appear as follow:
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Pains: some patients may feel pain at different grade when intensive pulse transmits. Some says it feels like pin piercing, while others say it feels like being flipped by rubber band. And perception of burn can last as long as one hour. Most adults and senior children can put up with this kind of discomfort, but some patients request for partial anesthesia. Breakage of skin natural texture: it may cause scab or blain, which takes 5-10 days to recover. Alternation of pigment precipitation: it may alter pigment precipitation within the treated skin. Most of the excessive or insufficient pigment precipitation may appear on the dark skin or on the skin exposed to the sun light. To some patients, exposition to the sunlight after operation can cause pigment precipitation, which takes 3-6 months to recover. But permanent pigment precipitation may occur occasionally. Freckle and beauty spot may become dark in color after surgery. But it will disappear in a short period. Scar: the possibility of scar (such as large size scar or very few or other unnamed abnormal hyperplasia tissue) produced by IPL system is very tiny. In order to reduce the danger of scar after surgery, please comply with the post-surgery care. Excessive red turgescence: temporary turgescence with skin on nose may occur after surgery, which takes 3-7 days to recover. Skin fragility: the skin within or around the treated skin may become fragile. Do not make up at this time, nor rub the treated skin to avoid skin from avulsion. Excessive blue turgescence: blue turgescence may occur to the skin within the treated skin and will last as long as 5-15 days. Then it may become rusting red color, which takes about 1-3 weeks to recover.

4 Different response by different people. (1)Inserted piece wavelength 530-1200nm can treat Type I, II, III,IV skin. (2) 640-1200nm can treat Type I II III and IV type hair removal. Normally V and VI type dont receive the strong light treatment. (3) Classification method of Fizes Patrick for reaction at skin exposition to sunlight is Skin type I II III IV V VI 5 Color white white white Brown Dark brown Dark Reaction at first-time skin exposition to sunlight burn always, never suntan burn generally, hardly suntan mid-grade burn sometimes, suntan at normal level burn hardly, suntan easily Seldom burn, suntan very easily suntan very easily

Treatment explain (i) Patients have to close the eyes and sit in the therapy chair or lie in the bed. Operator shall
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(ii) (iii)

(iv) (v)

(vi)

wear the protection glass and remind the patients to keep eyes closed during surgery. Operator shall select the most suitable place to carry out the surgery. Press the start to transmit the light pulse. If extra surgery is required to coordinate the effect, operator shall select the energy density accordingly to achieve the better effect. But before that, the facula test is to be carried out. Skin tendering and depilation shall use cooling head. No post-surgery care is required after the surgery. And patients can go back to work as before. But general anti suntan has to be carried out to the treated skin. And appropriate skin tendering can help IPL system to smoothen pigment groups, decrease pore in size, lighten pigment precipitation and alleviate light aging process. After surgery, color precipitation and brown facula in color will deepen, which takes a few days to recover.

6 Post-surgery care (1)Blain or ulcer on skin produced after surgery can be treated with antibiotics or ointment for burn. Low chroma ointment can be applied as well. If blain gets scab, use Vaseline to keep the skin moistening. (2) Client shall use highly factor light-shielding ointment to keep the treated skin from the sunlight. Sunlight may cause dark pigment to repeat production, which may lead to excessive pigment precipitation. (3) After one week of the hair removal, do not drink wine. And avoid bath use hot water or sauna. (4)Most doctors permit patients to use cosmetics after surgery. But they demand that if any scab or breakage on the treated skin is found, patients shall inform the hospital immediately and shall stop make-up. Generally, the risk of low energy skin tendering surgery by IPL system is very tiny, which enables patients to go back to normal life safely after surgery.

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Chapter Five
I
1

Maintenance

General maintenance
Please turn off the system and pull out the power line before maintenance. It is harmful to carry out maintenance for users and the system with power on. Cleaning of light transmitting crystal: keep light transmitting crystal clean always. Clean the crystal after each surgery. Use clean soft cotton piece to wipe the crystal, then apply soft cotton piece dipped with ethanol to wipe the system till it goes dry thoroughly. Affusion of water tank: one month is a cycle. Precaution: (1). Must add enough lower degree water in order the machine good circle. (2) Protective glass: the operator should wear glasses in the treatment. (3) Condensation glue: Every treatment should use gel.

3 4

II

Troubleshooting
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No power supply for starting the system (1) Examine the power supply on the power line, and the connection (2) Red emergency switch is not on. Please turn it right to the uplift position.

No light output (1) Examine whether WORK is pressed down (2) Whether handle switch is right. If it is broken, please change it immediately. Judgment: open the key switch, and press the switch on the handle without simmer on and at non-work status. If no periodic sound like suction can be heard, the switch is broken. Reduction of light output (1) Low energy, which disables the system (2) Output window is clean, and clean the lens head accordingly. (3) Any leakage with handles or head. If so, change it accordingly. (1) Use life is expired. And change the handle. Power supply cut without reason Turn off the system and restart it. If no intensive light output or the electric circuit malfunctions, contact us for maintenance. During operation, feel of electric shock (1) Dry weather may cause static electricity due to body friction. Be advised to wear costume with less chemical fiber. (2) Please change to three pin socket if not. Electric wire and power socket shall be equipped with grounding wire. (3) Please provide stable power supply if not. Water leakage (1) Water leakage with handle. (2) Water leakage caused by severe shake during transportation. (3) Water leakage with water tank and water pump.

No simmer Please extend simmer time for a few more minutes after start-up. If still, please contact us to change the gun head.

If any of the above mentioned arises, please contact us immediately.

III

Repair upon return-to-manufacturer

If any problem about the machine happened, u can contact us by Email ,on which u can tell us the
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symptom of the problem .or telephone us .We will solve your problems as soon as possible . If the machine needs to change components, please send us the broken components back to us, we will repair or send new components back to you.

Chapter Six

Service documents for Cosmetology application (for reference only)

IPL technology instruction

IPL system is a new technology, without peeling off and with accurate contact, designated for cosmetology industry. This technology adopts intensive pulse light with energy density at 20-40 J/cm2 to achieve a better result of skin tendering. At present, IPL system is the leading advanced skin tendering system worldwide, which transmits intensive pulse light with spectrum at specific wavelength to penetrate skin. The intensive light can be absorbed by blood vessel and pigment tissue so as to condensate the capillary vessel and dissolve the pigment group. Meanwhile, it can stimulate the collagen tissue to reorganize and proliferate to restore the skin elasticity. IPL system can remove all kinds of facial blemish, drive out or lighten the damage caused by erythema and pigment of facial blood vessel. And no bad reaction towards face after surgery has been reported so far, and it will not interfere with your daily work and study.

II

Cosmetology agreement

Notice before the surgery 1 Fully understand the introduction of IPL system.
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The cosmetologist has tried his/her best to achieve the best result. Due to personal taste for cosmetology and the current the limitation of cosmetology, the surgery may not satisfy your needs entirely. Our clinic will take all measures to improve the cosmetology effect. At present, IPL system is the most advanced and safe cosmetology solution, but it is not omnipotent. Due to personal characteristics, the following side effect may occur before or after the surgery: A. Partial rube faction or turgescence B. Excessive or insufficient pigment precipitation C. Partial facial scab or blain D. Alleviate symptom by some degree to those severe skin blemish E. Some patients may feel abnormal with the treated skin F. Fragile skin texture G. Blue turgescence

To achieve the best cosmetology effect, patients shall strictly abide by the oral or written notice of cosmetologist. If any discomforts, please come to the hospital for further check-up immediately. And the patients shall take full responsibility of any consequences arising out of any delay of further check-up.

5 Notice after surgery 1 2 3 4 Prevent from suntan No spicy food within three days No scratch on the treated skin No medicine such as aspirin, Vitamin A and other aldehyde-like.

Customer signature: ________________________________________ Cosmetologist signature: ____________________________________

III

Customer information first surgery date: __M/__D/__Y/

Name:_____________ Age:______ Gender_______ Occupation:___________

Address:_______________________________________________________________________ Telephone:_____________________________________________________________________ Skin type: Type ________________________________________________________________ Therapy subject:________________________________________________________________ Symptom before surgery:_________________________________________________________ Payment Series No.______________________ Each (therapy period) fee:__________________ 1. Whether underwent skin replacing with fructose or other skin tendering (Details)________________________________________________________________________
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2. Past hyper susceptibility annals:_____________ the general medicine taken _________ Medicine that is being taken at present_________________ 3. Photo series No. before the surgery( attach to the reverse of file if there is )_________________ 4. Skin tendering before surgery (partial anesthesia Yes/No)_______________________________ 5. Parameter of this (first) surgery: Wavelength at _____nm Energy___J/cm2 No.s of pulses______, Width of first pulse___________, Interval between first pulse______, Width of sub pulse________, Interval between sub pulses______, Interval between discharges______, No.s of facula_______________

Feel of patient during surgery ( ) comfortable ( ) slightly painful ( ) very painful Instant skin color ( ) slightly reddish ( )over red ( ) facular color darkened ( ) skin whiten ( ) texture reduced ( ) partial blain ( ) partial disrepair The instant pathological change after surgery indicates: _______________________________ 6. Surgery serial No ___ Improvement after the previous surgery ______________________________________________ Side effect or simultaneous symptom after the previous surgery (if there is)__________________ Parameter of this surgery: Wavelength at _____nm , Energy___J/cm2 , No.s of pulses______, Width of first pulse___________, Interval between first pulse_____ , Width of sub pulse_______, Interval between sub pulses_____, Interval between discharges_____, No.s of facula_______________, Feel of patient during surgery ( ) comfortable ( ) slightly painful ( ) very painful Instant skin color ( ) slightly reddish ( )over red ( ) facular color darkened ( ) skin whiten ( ) texture reduced ( ) partial blain ( ) partial disrepair The instant pathological change after surgery indicates: _______________________________

7. Surgery serial No ___ Improvement after the previous surgery ______________________________________________ Side effect or simultaneous symptom after the previous surgery (if there is)__________________ Parameter of this surgery: Wavelength at _____nm , Energy___J/cm2 , No.s of pulses______, Width of first pulse___________, Interval between first pulse_____, Width of sub pulse_______, Interval between sub pulses_____, Interval between discharges_____, No.s of facula_______________
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Feel of patient during surgery ( ) comfortable ( ) slightly painful ( ) very painful Instant skin color ( ) slightly reddish ( )over red ( ) facular color darkened ( ) skin whitened ( ) texture reduced ( ) partial blain ( ) partial disrepair The instant pathological change after surgery indicates: _______________________________

(Note: add the customer info as above if necessary)

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