Cutera Enlighten / Picosecond + Nanosecond Nd:YAG Tattoo Removal
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Transcript of Cutera Enlighten / Picosecond + Nanosecond Nd:YAG Tattoo Removal
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Set Colors Free
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Laser Tattoo Removal The Next Wave in Aesthetics
Expected
compounded
growth rate of 19%
through 2017 2
$588Per Treatment
45.2K Procedures
$26.6MM 1
Total Expenditure
1. ASPS 2013 Cosmetic Surgery National Data Bank2. Millennium Research Group, US Markets for Laser, Light, and Energy
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Tattoo Demographics The New Face of Tattooees
1. Pew Research Center, MILLENNIALS: A Portrait of Generation Next, Feb 2010
US Tattoo Demographics 1
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16% Have Tattoo RegretsDriving Demand for Tattoo Removal
• Top reasons for regrets:
1. Someone’s name is in the tattoo
2. Employment
stigma
3. Change of
heart
76% of people
feel body art
impacts their
employment
chances
Gen X have grown up
Millennials need a job
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Tattoo Demographics and PsychologyWorldwide Cultural Homogeneity
• UK Tattoo Demographics 1
29% of people between 16 and 44 have a tattoo
Transcends across all societal classes
• 28% of middle-class
• 19% of AB class
• 27% of working class
• Tattoo Removal 2
32% rise in demand from 2011 to 2012
Employment prospects driving demand
1. http://www.dailymail.co.uk/news/article-2714837/More-quarter-middle-class-people-admit-having-tattoo-letters-scripts-proving-popular.html
2. http://www.stylist.co.uk/beauty/women-and-tattoos
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Laser Tattoo RemovalChallenges Impacting Results
Diverse colorsVarying Depth
Formation ChangesSizes Varies
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Incomplete ClearanceDespite Multiple Treatments
• Success rates after 10 Tx:
Source: Pier Luca Bencini, et al., “Removal of Tattoos by Q-switched Laser”. Arch Dermatol. 2012; E1-E7.
58% for black tattoos.
51% for black & red tattoos.
12% for other multi-colored tattoos.
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enlighten Specifications
• Dual wavelength: 1064 nm and 532 nm
• Selectable pulse
duration: 750 ps and 2 ns
• Highest pulse
energies in class: 600 mJ at 1064 nm
300 mJ at 532 nm
• Small Footprint: 20”x33”x36” 50.8 cm X 83.8 cm X 91.4 cm
• Short warm up time: < 2 minutes
• Power Requirements: 110 VAC
• Novel Architecture: Clean pulse with high reliability
Therapeutic fluence throughout spot size range: 2 – 8 mm
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Set Colors Free
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What is enlighten™?
+ 2 wavelengths
= The Versatile, High-Powered Choice
Picosecond + Nanosecond
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Highest Peak PowerEffective Treatment Outcomes
Highest power in its
class:
• 600 mJ at 1064 nm
• 300 mJ at 532 nm
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Dual Pulse Duration Treats All Relevant Ink Sizes
Fountain Pen Ink
Fire Red 8061
Black 8001
Ink Conglomerate
Cutera Picosecond Pulse
Cutera Stretched Pulse
Q-switched Nd:YAG
Q-switched Alexandrite
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1064 nm and 532 nm WavelengthsTargets 2 Most Common Colors
96%
23%19%
9%5% 5%
2% 1% 0.3%
0%
20%
40%
60%
80%
100%Ta
ttoo
Color
Fre
quen
cy
Blac
k or
Dark
Blu
e
Red
Gre
en
Yello
w
Whi
te
Lt. B
lue
Blue
Pink
Viol
et
Bla
ck o
r drk
blu
e
Red
Gre
en
Yellow
White
Lt
Blu
e
Blu
e
Pin
k
Vio
let
Nd:YAG1064 nm +++ + + +
532 nm + +++
Pier Luca Bencini, et al., “Removal of Tattoos by Q-switched Laser”. Arch Dermatol. 2012; E1-E7.
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1064 nm WavelengthTreats All Skin Types
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enlighten is 510k) cleared for the treatment of benign pigmented lesions in all skin typesAP0913 Rev A (05/14)
532 nm WavelengthTargeting Superficial Concerns
Ab
sorp
tio
n (
AU
)
Melanin
Hemoglobin
Wavelength (nm)532 1064755
Alex Nd:YAG
60
70
40
50
20
30
10
KTP
Relative Depth of Penetration(not to scale)
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Therapeutic Fluence Customize Your Treatments
Independent control of
fluence and spot-size
enables:
• Precise depth control
• Adjustment of
therapeutic fluence
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High Energy at Every Spot SizeTargeting Deep Dermal Concerns
8 mm 2 mm
Up to 4x greater
depth of penetration
Relative Depth of Penetration using 1064 nm(not to scale)
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Designed Around UEasy to Use, Ready When You Are
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A New Age in Short Pulse Technology
“With enlighten, the medical
community has a high power,
versatile picosecond device that
allows practitioners to fully
leverage the clinical possibilities of
extremely short pulse duration
treatments.” E. Victor Ross, M.D.
San Diego, California
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Tattoo Removal
Clinical Results
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Tattoo RemovalBefore and After
• Skin type IV, 2 treatments
• 532 nm, picosecond pulses
Before After 2 treatments
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Tattoo RemovalBefore and After
• Skin type III, 3 treatments
• 1064 nm, picosecond pulses,1.3 – 2.5 J/cm 2
Before 3 treatments
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Tattoo RemovalBefore and After
• Skin type II, 3 treatments
• 1064 nm, picosecond pulses,1.0 – 2.8 J/cm2
Before 3 treatments
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Benign Pigmented Lesions
Clinical Overview
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Benign Pigmentation LesionsCommon Disorders• Epidermal pigmentation
Solar lentigines (mottled hyper-pigmentation)
Freckles Post inflammatory hyper-pigmentation
(PIH) Seborrheic Keratoses Café au lait spots Nevus spilus Mole
• Dermal pigmentation Nevus of Ota Nevus of Ito Blue nevus
• Epidermal and dermal pigmentation Becker’s nevus Melasma Acquired dermal melanocytosis (ADM)
• Hori’s nevus• Acquired bilateral nevus of Ota like
maculae (ABNOM) Photos courtesy of Kei Negishi, M.D.
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enlightenResults: 532 nm
100% of the subjects showed improvement in a
blinded review
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enlightenResults: 1064 nm
73% of the subjects showed improvement in a blinded
review
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*Data as submitted to FDA for 510(k) clearance
enlightenAverage Pain Score
Using 532 nm
1.4
Using 1064 nm
2.5
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Clinical Results
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enlightenBenign Pigmented Lesions
Pulse Width Picosecond Wavelength 532nm Fluence 1J/cm2
Photos Courtesy of Cutera Research Center
Before 3 months post one treatment
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enlightenBenign Pigmented Lesions
Before
Pulse Width Picosecond Wavelength 532nm Fluence 0.6J/cm2
3 months post one treatment
Photos Courtesy of Cutera Research Center
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enlightenBenign Pigmented Lesions
Pulse WidthPicosecond
PicosecondWavelength
532nm
532nmFluence
0.7J/cm2
0.9J/cm2
Before 3 months post 2 treatments
Photos Courtesy of Cutera Research Center
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enlightenBenign Pigmented Lesions
Before
Pulse Width Picosecond Wavelength 1064nm Fluence 4.95 J/cm2
Photos Courtesy of Cutera Research Center
6 weeks post one treatment
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enlighten Summary
• enLIGHTen dual wavelengths, dual pulse durations
and high power:
Addresses a diverse range of tattoo colors, ink
compositions and benign pigment concerns
Targets a diverse range of particle sizes from large
tattoo conglomerates to smaller tattoo particle
remnants
Addresses all skin types
• Easy to use
• Fast warm up time
• Ergonomic design