Comparison of Light Based Home Use Devices and Measuring IPL Ocular Hazard

Safety of Home Use Light based Devices East India Club, London UK 22nd November 2010

Dr Caerwyn Ash, PhD

Statement of Disclosure
The following potential conflict of interest relationships are germane to my presentation: Salary, equipment, travel expenses paid by CyDen Ltd.

Previous Studies Investigating Professional IPL systems

Measuring key parameters of intense pulsed light (IPL) devices Town G, Ash C, Eadie E, Moseley H. J Cosmetic Laser Therapy 2007; 9:3:148-160.

Relevance of the structure of time-resolved spectral output to light-tissue interaction using intense pulsed light (IPL)
Ash C, Town G and Bjerring P. Lasers in Surgery and Medicine 2008; Vol 40:2: 83-92.

Key Parameters for Therapeutic Effect

Fluence Energy density (J/cm2)

Spectral Distribution Photon intensity of the range of wavelengths emitted

Pulse Duration The total time period of light emission of pulse or pulses Spatial Distribution The distribution of emitted energy across the treatment area Time resolved spectral data shows the change in spectral distribution and fluence with time

Summary Output Energy

Measured Energy

PD300-3W
Nova 2, Energy/Power Meter Both sensor heads are calibrated for 350-1100nm Damage threshold for maximum energy and pulse width is considerably high with respect to typical home use devices L50(300)A-IPL has a large measurement area

L50(300)A-IPL-SH

Summary

Pulse Duration

Tria Beauty, Tria

Philips, Lumea

Remington, iLight

Rio, IPL 8000

Town G, Ash C, Eadie E, Moseley H, (2007), Measuring key parameters of intense pulsed light (IPL) devices. J Cosmet Laser Therapy, 9(3):148160. Town G, Ash C, (2009), Measurement of home-use laser and intense pulsed light systems for hair removal: Preliminary report Journal of Cosmetic and Laser Therapy 11: 157168

Summary

Spectral Distribution

Town G, Ash C, Do Home-Use Hair Removal Lasers & Intense Light Devices Deliver What They Promise, Journal of Australasian Cosmetic Laser Therapy

Summary

Time Resolved Spectral Analysis

Town G, Ash C. Are Home Use IPL Devices Safe? Lasers Med Sci

Spatial Distribution

Summary

Thomas G, Ash C, Hugtenburg R, Kiernan M, Town G, (2010), Investigation and Development of a Measurement Technique for the Spatial Energy Distribution of Home-Use Intense Pulsed Light (IPL) Systems, Journal of Medical Engineering & Technology, (In Review)

Summary

Safety Mechanism

Tria

Rio Laser

Epilflash

Summary

Ocular Hazard Risk Assessment

Box colours pantone reference Retinal Damage Photochemical (blue) Infrared hazard to cornea and lens Iris

Summary

Ocular Hazard Risk Assessment

Retinal Thermal Hazard
Angular subtense () Pulse Duration Exposure Limits Spectral Irradiance (Wm-2nm-1) Solid Angle () Weighted Radiance Compare Spectral Irradiance with Radiance

Town G, Ash C. Are Home Use IPL Devices Safe? Lasers Med Sci Eadie E, Miller P, Goodman T, Moseley H, (2009), Assessment of the Optical Radiation Hazard From a Home-Use Intense Pulsed Light (IPL) Source, Lasers in Surgery and Medicine, Volume 41 Issue 7, Pages 534 - 539

Summary

Methodology
Ocean Optics Spectrometer (Wm2nm1) Spectra suite Software (Ocean Optics) Tungsten Calibration Lamp FOIS-1 Fibre Optic Integrating Sphere Neutral Density filter (measured Coefficients) cosine correction IEC TR 60825-9, BS 8497-2:2008 standards Dark Frame Correction Assessment in Dark ambient

Town G, Ash C. Are Home Use IPL Devices Safe? Lasers Med Sci Eadie E, Miller P, Goodman T, Moseley H, (2009), Assessment of the Optical Radiation Hazard From a Home-Use Intense Pulsed Light (IPL) Source, Lasers in Surgery and Medicine, Volume 41 Issue 7, Pages 534 - 539

Summary

Ocular Safety - Results

Town G, Ash C. Are Home Use IPL Devices Safe? Lasers Med Sci Eadie E, Miller P, Goodman T, Moseley H, (2009), Assessment of the Optical Radiation Hazard From a Home-Use Intense Pulsed Light (IPL) Source, Lasers in Surgery and Medicine, Volume 41 Issue 7, Pages 534 - 539

Summary

Ocular Safety - Results

Town G, Ash C. Are Home Use IPL Devices Safe? Lasers Med Sci Eadie E, Miller P, Goodman T, Moseley H, (2009), Assessment of the Optical Radiation Hazard From a Home-Use Intense Pulsed Light (IPL) Source, Lasers in Surgery and Medicine, Volume 41 Issue 7, Pages 534 - 539

Summary

Summary
Proposed guidelines for measurement techniques presented here was adapted from the professional industry, collaborative discussion is welcome.

All equipment is commercially available.

This study shows that even low-fluence IPL systems can be a risk to safe ocular viewing if near ultraviolet emission (i.e., <500 nm) is considerable with respect to BS 8497-2. Enhanced measurement techniques allows better understanding to reduce adverse incidences such as spatial distribution.

Summary

Conclusions
Consumer devices for healthcare should be clinically effective whilst being safe, whilst cost-effective in mass production. Domestic market for home use light based products is growing fast and far-east duplicates could take advantage of market with no regulations and potentially damage the overall market. Interlocks should be difficult to bypass but not hinder treatment

Summary