VersaPulse PowerSuite High Power
VersaPulse PowerSuite High Power
VersaPulse PowerSuite High Power
9Chemical Hazard
Solvents used in Cleaning Optics
9Explosion Hazard
Storage Capacitors, Flash Lamp
Protect your eyes!
ESD (Electro-Static Discharge)
o Rapid Movement of
Electrons from One Object
to Another
o Caused by Different
Voltage Potentials
1990
VersaPulse 2.1 15W
1991
February 1991:
VersaPulse 2.1 22W & 30W
1992
May 1992:
VersaPulse 2.1 40W
1993
October 1993:
VersaPulse Select I - 45W & 60W
1994
Machined Head
July 1994:
VersaPulse Select I - 80W and Ho/Nd Systems
1995
Cast Head
1996
July 1996:
VersaPulse Select II
1997
March 2000:
VersaPulse PowerSuite - 100W and Ho/Nd Systems
New Plumbing, Single Microprocessor Controller
2001
History of VersaPulse Surgical Laser Systems
April 2001:
Coherent Medical + ESC/Sharplan = Lumenis
September 2001:
VersaPulse PowerSuite - 20W Single Head
Why Holmium? absorption
in water
• Highly absorbed by
water (and water-filled
tissue)
• Penetration depth in
tissue <1 millimeter
penetration
depth
Multi-Specialty Surgical Applications
¾ Orthopedic(骨整型外科)
Soft-tissue Ablation in all Joints
TMJ
¾ Urology (泌尿科)
Prostate Resection (BPH)前列腺切除
Kidney/Bladder Tumors)肾/膀胱肿瘤
Stones 结石
¾ General Surgery(普外)
¾ ENT(五官科)
¾ Gynecology(妇科)
System Specifications
MODELS Single Wavelength: Holmium Dual Wavelength
Ho. & Nd:YAG
20 Watt (SOS) 60 Watt 100 watt 80/100 Watt
Wavelengths 2.1 microns 2.1 microns 2.1 microns 2.1/1.06 microns
Repetition Rate 5-20 Hz 5-40 Hz 5-50 Hz 5-40 Hz
Energy Per Pulse 0.5-2.5J 0.2-3.5J 0.2-3.5J 0.2-3.5J
Max. Tissue 2J/10Hz 1.5J/40Hz 2J/50Hz 2J/40Hz
Effect Setting
Electrical 110V, 50/60Hz 230V, 50/60Hz 230V, 50/60Hz 230V, 50/60Hz
15A single phase 20/30A single phase 20/30A single phase 20/30A single phase
Dimensions 19"x24"x45" 18"x36"39" 18"x36"39" 18"x36"39"
(48cmx61cmx114cm) (46cm x 91cmx99xm) (46cm x (46cm x 91cmx99xm)
91cmx99xm)
Aiming Beam 0.8mW at 650nm 2.5mW at 650nm 2.5mW at 650nm 2.5mW at 650nm
3 intensity settings 3 intensity settings 3 intensity settings 3 intensity settings
Constant and blinking Constant mode Constant mode Constant mode
modes
Treatment Data Printer Output None None None
Output
Weight 185 lbs. / 84 kg 340 lbs. / 155 kg 340 lbs. / 155 kg 340 lbs. / 155 kg
Pulse Duration Up to 500 microseconds
Cooling Self-contained water-to-air exchanger
Delivery Systems More than 20 reusable and singe-use, flexible and rigid, with standard SMA connector
Important: Only use Lumenis brand fiber delivery systems. Fibers from other sources may cause
connection problems!
(*) These systems are no longer available for purchase. There are still
many systems in the field.
Configurations
Holmium lasers
a 100 watt most powerful; higher rep. rates; incising toughest
material; for high power/long duration procedures
a 60 watt for moderate to high energy procedures
a 45 watt orthopedic applications, ENT for incising tough, fibrous
tissue.
a 30 watt urology; soft tissue, some ENT (Japan only)
Dual Wavelength Lasers
a 80 watts Ho/100 watts Nd:YAG Most powerful configuration, combining 2 high power
lasers in one system.
a 60 watts Ho/100 watts Nd:YAG Applications requiring moderate to high Ho. Energy
with deep coagulative effect of Nd:YAG
a 20 watts Ho/60 watts Nd;YAG For stones and other low power Ho. Applications with
Nd:YAG for deep penetration.
SlimLine Fibers
HANDPIECE
BARE FIBER
DELIVERY
LASER CONNECTOR FIBER TRUNK
DEVICE
[PROXIMAL END] [3 METERS]
[DISTAL END]
FIBER
ENDFACE
FIBER
STRAIN
FERRULE
RELIEF
FIBER
NUT
VersaCut (Morcellator)
Urology Recommended Treatment Parameters for Holmium Only
Clinical Parameters
pulse energy
control system
and rate request
lamp drive pulse energy
command feedback
user
interface
power supply
fire energy monitor
request flash lamp
footswitch
delivery device
HR laser rod OC
Foam
padding
inside the
crate
Key is located
inside the Accessory
front door box
Cover
ramp
Installation Procedure
Lumenis
START POWER
SHUTTER TEST: VersaPulse PowerSuite (config.) SUPPLY:
VERIFY HVPS PRESENT
POSITION CALIBRATE V/F
SENSORS & LOOPS
ROTATION OF System test, please wait CHECK HVPS
LOW ENERGY & CONFIG
SERVICE SWITCHES
ATTENUATORS Testing CRC... PASS
& SAFETY Starting power supply... PASS
SHUTTER Testing shutters... PASS ANALOG
SYSTEM TEST:
Testing analog systems... PASS TEST ALL DAC-
FOOTSWITCH Testing footswitch... PASS to-ADC
TEST: Testing power supply... PASS DEVICES
VERIFY
Testing lasers... PASS
INTERNAL
FOOTSWITCH TEST POWER
CIRCUITS SUPPLY:
WAIT FOR
CORRECT CAP
LASER TEST: CHARGE &
TEST CROWBAR
FLASH ALL CIRCUITRY
LAMPS,
PERFORM
LASER STATUS OF TEST:
CALIBRATION PASS or FAIL
Treatment Screen - Holmium Only
System
The Holmium laser
system has only one
treatment screen.
Touch the control
screen selectors to set
the treatment values.
Holmium only systems
are upgradeable to
dual-wave Holmium/
Nd:YAG laser systems.
There are three situations where the laser system will automatically change
modes from READY to STANDBY (both Holmium only & dual wave systems):
1. When the system has been standing idle in READY mode for more
than 5 minutes.
2. When disconnecting or reconnecting the footswitch.
3. When replacing a fiber.
Laser Emission
Treatment Screens - Dual System
Holmium Treatment Screen Nd:YAG Treatment Screen
It is possible for both lasers (Holmium & Nd:YAG) to be actively operational at the
same time, with the doctor choosing to operate one or the other by pressing the
appropriate side of the footswitch (see next slide).
To prevent accidents where the doctor may operate one laser when meaning to operate
the other (by pressing the wrong footswitch), it is recommended to lower the ENERGY
and RATE values of the laser not being used at the moment to Zero.
External Control
Dual Footswitch Monitor
Removing the Right Cover
1) With a screwdriver, open the front cover and remove the two top covers by releasing the 2
screws.
2) Remove the single screw securing the cover at the bottom in front of the rear wheel.
3) Remove the 6 screws along the top and front of the cover (3 along the top, and 3 along the
front).
4) Lift the cover off of the frame.
LCD display
AC control PCB
OPTICS BENCH Main & Aux. contactor
Circuit breaker
Fan speed Terminal block
controller FUSES Chassis grounding post
Isolation transformer
(behind the rear cover)
HVPS
COOLING FAN
BACK
Air temp sensor MAIN
RESERVOIR
(fan)
HEAT EXCHANGER
Tachometer PCB
Air Filter
Right Side AC Controller
HVPS
System Left Side, Cooling System
Flow switch
2 µm filter
To be P/N 2603-0147
replaced
once a
Deionizer filter
year
P/N 0638-763-01
Reservoir
Radiator
Front Side, CPU
Speaker
Drain port
Optical Bench, Top View Second
Relay
First Relay mirror
Blast Shield Head board Wedge mirror Beam dump Servo PCB
(Dual Solenoid PCB)
First Relay Mirrors and Second Relay Mirrors
Second
Servo mirror relay
mirrors
First
relay Plano Plano
mirrors relay relay
mirrors mirrors
Flashlamp
O-ring
SERVO MOTOR
& POSITION
ENCODER
BLASTSHIELD
BEAM DUMPS W EDGE
SAFETY
SHUTTER
FOCUSING
LENS
SERVO SERVICE
MIRROR ATTENUATOR
PLANO (2nd)
RELAY MIRROR
1st 45 DEGREE
TURNING CAVITY or
BRICK HIGH
MIRROR
ASSEMBLY REFLECTOR
MIRROR
FLASH LAMP
Inspection Scope
Optical Alignment ( illustration)
Examining the Test Fiber Burn
SMA Fiber Port
Important!
Use only Lumenis brand
fiber delivery systems.
Aiming Laser Alignment
FLOW
Fill SW ITCH w ater filter laser head
Res.
To CPU PCB coolant
coolant tem p sensor tem p. sense circuit
hot water tem p sense
D/I
FILTER
PUM P
M AIN
F5 ISOLATIO N
TRANSFO RM ER
F7
COND
SENSOR
BEAM
DUM P
FAN Fan
Air Vent Tach Speed
Valve feedback Control
PCB
RESERVOIR
Outlet TO
WATER-TO-W ATER EXTERNAL
H EAT EXCH AN GER HOOK UP
Inlet HEAT EXCHANGER
Drain
Outlet Valve
AI R FILTER
Air sensor
Cooling System
Volts Celsius
0.0V 0°C
0.1V 1°C
1.0V 10°C
2.0V 20°C
5.0V 50°C
Set point for the Ho:YAG & Ho/Nd:YAG = 45ºC, Reset
Point = 42°C.
Differences between Holmium and
Dual Systems (Holmium + Nd:YAG)
a The dual system has a dual footswitch - the user does not need to
toggle between screens, but uses the existing settings by pressing
the footswitch to select the type of laser.
a On the user screen, a smaller screen appears in the corner which
displays the information of the other laser (picture-in-picture).
a YAG head is always head #2 in the system.
a Dual system has different mirrors than Holmium:
` Rear and front mirrors of head #2.
` Double fiber focusing lens
` Different second relay mirror
ELECTRONICS
Power Distribution
All power from the main isolation transformer secondary is
directed in parallel through the fuses (except to the HVPS), then
to the individual loads. The loads consist of the following:
CURRENT
FLASH LAMP OPERATIONAL
REP. RATE (PER (advisory and/or fault messages on top STATUS
ROD) line)
Ho: 1.3-12.5 Hz
Nd: 5-60 Hz 1.3 Hz 800 V 48 J 38 A Standby GO TO "READY"
MODE
Init
ON OFF ON ON PRESS & HOLD Perform
NVRAM when
TO INITIALIZE
WAVELENGTH replacing
NVRAM
Ho Nd Ho Ho main CPU
Next
MAIN ENERGY 1.05 J 0.51 J 1.01 J 1.03 J
SCRN
READING 1.00 J 0.53 J 0.99 J 0.98 J GO TO
SVC.SCREEN #2
SAFETY LAMP #1 LAMP #2
LAMP #3 LAMP #4
ENERGY CONTROL & CONTROL & CONTROL & CONTROL &
READING
LASER ENERGY LASER ENERGY LASER ENERGY LASER ENERGY
Service Mode Screen #1
Service Screen #2
CONFIGURATION SOFTW ARE SOFTW ARE PRESS & HOLD
(POW ER AND REVISION "CHECK" TO CLEAR
COMPUTER W AVELENGTH) LEVEL VALUE TIMERS
READBACK OF
ANALOG
SIGNALS
(advisory and/or fault messages on top line) "ON TIME" AND
"LASING"
TIMERS
+5V 5.01 VersaPulse PowerSuite (config.)
MATHEMATICAL
+15V 14.99 VPSIII Rev. x Clr Timers
EQUATION
-15V 15.01 ROM CRC nnnnnnnn
OF LAMP
TempC 23.7 PRESS & HOLD
CALIBRATION Time ON: 0d:17h:24m:35s ( 62355s) TO CLEAR
CURVES Kohms 1192
Lasing: 0d:00h:10m:48s ( 648s) INDIVIDUAL
LampV 798 LAMP SHOT
COUNTERS
TRANSMISSION Laser1: J = 24.56i + 25.39 Total Pulses Lamp#1: 0000000000
% OF LOW Laser2: J = 43.21i + 26.01 Total Pulses Lamp#2: 0000000000
ENERGY NUMBER
ATTENUATOR
Laser3: J = 23.76i + 24.71 Total Pulses Lamp#3: 0000000000 OF
SHOTS FIRED
FOR EACH Laser4: J = 23.43i + 25.02 Total Pulses Lamp#4: 0000000000 BY EACH LAMP
W AVELENGTH LE Trans Ho: 42% Nd: 39%
CURRENT NUMBER
(advisory and/or fault messages on top line) GO TO
OF SHOTS PER "READY"
ACTIVE ROD
MODE
Fiber Alignment Standby
GO TO
JUMP TO MAX. 1
Ready "STANDBY"
SHOTS (10) Ho Pump Energy: xJ MODE
Max Shots Nd Lamp Current: yA
Pulse Rate / Rod: z Hz
INCREASE NUMBER Standby FIRE LASER TO
OF SHOTS BY 1 PERFORM
Shots UP ALIGNMENT
TEST (no foot
OFF Brick 3 FIRE switch req'd)
REDUCE NUMBER
OF SHOTS BY 1
Shots DN Spin Mode Adv Servo
SERVO MIRROR
JUMP TO NOW POINTING
SINGLE SHOT
1 Shot TOWARD LASER #3
PRESS TO ADVANCE
STATUS OF
SERVO TO NEXT
MIRROR SPIN
LASER
ON OFF ON ON RETURN
PRESS TO TURN
RETURN TO
MIRROR SPIN SVC.SCREEN
ON or OFF #2
Must be:
Solid line must
always be above Less than 116
dotted line
More than 30
Electronic Adjustments
Pyro Detector Adjustment
To maintain system calibration accuracy, the pyro detector mirrors must be properly aligned.
Perform this procedure if the dual solenoid PCB is changed.
1. Setup
a. Open the front door and remove the top (external) cover including the inside laser head cover.
b. Disable the AUTOCALIBRATION by moving the calibration switch SW3 on the controller PCB to the left.
2. Turn the laser ON.
3. Access Service Mode by sliding the service switch SW2 on the controller PCB to the left.
4. Set the laser to the following parameters: Voltage 800V, Pulse Rate 10Hz, Lamp energy 45J. Turn on the first laser
channel (all other channels should be OFF).
5. Attach a power calibration long fiber (P/N 0623-973-01) and turn ON the aiming laser. Direct the fiber output toward
the external power meter. The aiming beam should be approximately 10mm in diameter.
6. Please the laser in READY mode.
7. Press the footswitch and fire the laser. Adjust the LAMP ENERGY until 6 Watts is delivered out of the fiber.
8. Set the Differential and Gain amplifiers:
a. Attach oscilloscope probes to TP15 (SDIF) and GND on the controller PCB and adjust potentiometer SGAIN
(R4) on the optics bench PCB until the signal amplitude is 4.0 ± 0.1 VDC.
b. Move the oscilloscope to probes TP24 (MNDIF) and GND on the controller PCB, and adjust potentiometer
MGAIN (R2) on the optics bench PCB until the amplitude is 4.0 ± 0.1 VDC.
Continued…….
Electronics Summary
9. Press the footswitch and adjust the LAMP ENERGY until 10W is delivered (displayed on the external power meter).
Verify pulse rate is at 10Hz. NOTE: 10 Watts ÷ 10 Hz = 1 Joule Pulse
10. Prepare the main and safety energy channels:
a. Attach a DVM to TP38 and GND on the controller PCB.
b. Fire the laser and adjust the potentiometer MAIN 2.1 (R32) on the controller PCB until 1.0 ± 0.2 VDC is measured on the
DVM (1V/Joule).
c. Move the DVM probes to TP36 and TP38 and fire the laser.
d. Adjust potentiometer SAFE 2.1 (R15) on the controller PCB until 0.00 + 0.02 VDC is measured on the DVM (as close as
possible to zero, but not below).
11. Turn all lamps on and place the laser into READY, the press CALIBRATE until 5 tones are heard. NOTE: pressing the
footswitch is not required.
If the laser is a DUAL Wavelength system, proceed with the following steps; otherwise, skip to step 15.
12. Set the laser to the following parameters: Turn lamps 1, 3, & 4 OFF, and turn lamp 2 ON; Voltage 800V, Pulse Rate 50Hz, Lamp
Current 50Amps. Verify laser channel #2 is ON and all other laser channels are OFF.
13. Press the footswitch and adjust the LAMP CURRENT until 50 Watts is delivered. NOTE: 50 Watts ÷ 50 Hz = 1 Joule Pulse
14. Prepare the main and safety channels:
a. Attach the DVM probes to TP38 and GND on the controller PCB and fire the laser.
b. Adjust the potentiometer MAIN 1064 (R34) on the controller PCB until 1.0 ± 0.02 VDC is measured on the DVM (1V/Joule).
c. Move the DVM probes to TP36 and TP38 on the controller PCB and fire the laser.
d. Adjust the potentiometer SAFE 1064 (R61) on the controller PCB until 0.00 ± 0.02 VDC is measured.
15. Turn all lamps on and place the laser into READY, the press CALIBRATE until 5 tones are heard. NOTE: pressing the
footswitch is not required.
Electronics Summary (con’t)
a 15. Final Adjustment:
a In User mode, set 2J and 40Hz. Press READY and fire a pulse. Verify that the resulting energy is within 76-84W. If not,
adjust the main potentiometer in the MAIN CPU (R32) until the acceptable energy is achieved. Repeat Calibration and Offset
adjustment again (R15) and Calibration (Service Screen #1).
a Enable the AUTOCALIBRATION by sliding the calibration switch on the controller PCB SW3 to the right and turn the laser OFF.
a Disconnect the test equipment probes from the laser, install the covers and close the front door. Turn the laser on.
Fault Codes
11 A/D converter test failed. .
303 Pulse energy is over 50% higher than requested.
12 A/D converter #1 failed to finish conversion within 50µS.
304 Pulse energy is over 50% lower than requested.
13 A/D converter #2 failed to finish conversion within 50µS. 351 Rate is more than 20% higher than requested.
21 Servo motor controller failed to respond. 352 Rate is more than 20% lower than requested.
31 Servo motor failed to find home position. 401 Footswitch #1 is depressed.
51 Service serial port failed to respond within designated time. 402 Footswitch interface for footswitch #1 failed test.
403 Footswitch #1 contacts are bouncing.
52 Main panel failed to respond within designated time.
404 Footswitch #1 is disconnected - both contacts are open.
53 Remote failed to respond within designated time. 405 Footswitch #1 contacts are both closed.
102 System ROM has wrong CRC. 406 Footswitch #1 internal logic failed.
103 Internal data has failed to validate. 421 Footswitch #2 is pressed down.
104 Program flow is incorrect. 422 Footswitch interface for footswitch #2 failed test.
423 Footswitch #2 contacts are bouncing.
105 System is not calibrated.
424 Footswitch #2 is disconnected.
201 Shutter test failed. 425 Footswitch #2 contacts are both closed.
202 Shutter failed to block the beam. 426 Footswitch #2 internal logic failed.
203 Shutter failed to unblock the beam. 431 External interlock plug is removed.
204 optocouplers for the shutter see light. 441 Debris shield is removed from the system.
451 No delivery fiber is connected.
205 Neither optocouplers for the shutter sees light.
211 Attenuator test failed.
212 Attenuator is in the beam path when it should not be.
213 Attenuator is out of the beam path when it should be.
221 Service Attenuator test failed.
222 Service attenuator is in the beam path when it should not be.
223 Service attenuator is out of the beam path when it should not be
Fault Codes
501 No power to High Voltage Power Supply.
502 HVPS fiber interface calibration failed.
503 HVPS modulation calibration failed.
504 HVPS crowbar test failed.
505 Voltage on HVPS capacitor bank is outside specification.
510 Channel 0 of the HVPS is configured incorrectly.
511 Channel 1 of the HVPS is configured incorrectly.
512 Channel 2 of the HVPS is configured incorrectly.
513 Channel 3 of the HVPS is configured incorrectly.
514 Crowbar is active.
601 +5 VDC is out of specification.
602 +15 VDC is out of specification
603 -15 VDC is out of specification
701 temperature too high.
702 Coolant temperature too low.
703 Coolant conductivity too high.
801 Inadvertent exposure test failed.
802 Inadvertent exposure.
803 Safety system test failed.
901 No good lasers left.
Select II Specifications
a 20/60 W Model
Wavelength Power Energy Exp. Time Pulse Rate Pulse Width
Ho:YAG (2.1µm) 0-20W 0.2-4J n/a 5-20 pulses/sec 80-600 µs
Nd:YAG 0-60W 1J 0.1-180 sec 60 pulses/sec 2 ms
a 60/100 W Model
Wavelength Power Energy Exp. Time Pulse Rate Pulse Width
Ho:YAG (2.1µm) 0-60W 0.2-4J n/a 5-40 pulses/sec 80-600 µs
Nd:YAG (1.06µm) 0-100W 1.67 J 0.1-180 sec 60 pulses/sec 2 ms
or continuous
a 80/100 W Model
Wavelength Power Energy Exp. Time Pulse Rate Pulse Width
Ho:YAG (2.1µm) 0-80W 0.2-4J n/a 5-40 pulses/sec 80-600 µs
Nd:YAG (1.06µm) 0-100W 1.67 J 0.1-180 sec 60 pulses/sec 2 ms
or continuous
Select II Specifications
Dual solenoid
2nd 1st wedge mirror SW service attenuator
wedge mirror
PCB
single solenoid
Select II - CPU
Technician Mode
(left)
Out Calibration
(right)
Summary - Optical Alignment for Select II
Optical Alignment:
Remove FRM from the optical bench. Turn head #1 On and set the following parameters: 800V, 5Hz, 50J.
Using target alignment tool, 0621-131-51 , adjust HR (rear mirror) verify spot size is round and each quadrant is
divided equally.
Perform Maximum power check for each head separately. Set parameters 40Hz and 50J. Press the footswitch.
Increase the energy and adjust the output coupler (OC) until maximum power is achieved on the external power
meter.
Quality Laser Head Check:
Head check is performed using 800V, 40Hz, 135J. Minimum results of 35W using external power meter.
Near Alignment
Connect first relay mirror to the optical bench.
Connect wedge aperture tool (P/N 0622-919-51) and set parameters 5 Hz and 50J. Verify spot size is round and
adjust SRM (check each head separately).
Far Alignment
Make sure the service attenuator is activated. Connect the transimpedence amplifier tool (P/N 0614-868-51) to
the fiber port and set parameters to 40Hz and 50J; In Service mode #1 adjust FRM, until maximum wavelength
(amplitude) on the scope for each head is achieved.
Final Optical Inspection for all four heads:
Color the proximal end of a short test fiber with a red marker and connect it to the system’s fiber port. Operate all
four heads in On position at parameters 5 Hz and 50J. Fire a shot and using the inspection scope, verify that the
spot is centered in the scope.
Summary - Optic and Electrical Alignment for Select II
First Pyro Alignment:
Connect the scope between TP2 and TP4 (ground) on the Single Solenoid PCB. Adjust the pyro mirror in both x
and y axes to peak the signal as seen on the scope. Adjust to maximum amplitude on the scope (scope is set to
1V/200ms)
Second Pyro Alignment:
Connect the scope between TP2 and TP5 (ground) on the Dual Solenoid PCB. Adjust the pyro mirror in both x and
y axes to peak the signal as seen on the scope. (scope is set to 1V/200ms)