Evolve™ in ENT Surgery

EVOLVE™ - Diode Laser System benefits: versatile application areas interdisciplinary useable quick set-up and easy to use adaptable to individual requirements reliable, maintenance-free diode technology

EVOLVE™ - Diode Laser System technical specifications: wavelenght: 980 nm power output: 15 / 30 watt at distal end of the laser fiber aiming beam: 635nm red, brightness adjustable operating mode: cw, pulse mode, derma mode weight: approx. 7,5 kg

EVOLVE™ - Diode Laser System accessories: Laser fibres (bare fibre - Technology), core diameter: 360-600 µm autoclave Laser fibres, core diameter : 360-600 µm different hand pieces for nasal surgery hand pieces with integrated smoke-evacuation for nasal- and Larynx-Surgery ECLAD™ Set for DCR Derma hand piece for vascular applications

Laser-Tissue Interaction at 980 nm The 980nm wavelength is well absorbed by both water and haemoglobin ► precise excision of tissue and excellent coagulation effect ► tissue penetration: approx. 2-3mm Thermal penetration is less deep compared to Nd:YAG ► safe and precise procedures close to delicate structures Significantly better haemostasis compared to CO²-Laser ► optimal visualisation of the operating field

Absorption Spectrum

Evolve™ Application areas in ENT surgery DCR Oro-Pharynx Otology Pediatric surgery Larynx Nasal surgery Vascular lesions

Nasal Surgery Turbinate reduction Septum deformation Synechia, Stenosis Epistaxis, Morbus Osler Cysts, Hemangioma Sinus surgery Vaporisation of polyps

Septum deformation before courtesy of Drs. J. and M. Hopf, Berlin after

Septum deformation and Hyperplasia of lower turbinate before courtesy of Drs. J. and M. Hopf, Berlin after

Septoturbinal Synechia before courtesy of Drs. J. and M. Hopf, Berlin after

Epistaxis before courtesy of Drs. J. and M. Hopf, Berlin after

Advantages of nasal Laser surgery precise microsurgery under local anaesthesia fast, outpatient and minimal invasive treatments good haemostasis provides clear view of operating field optimum preservation of surrounding mucosal tissue fast return to normal activities

Oro-Pharynx Tonsillotomy (Tonsillectomy) Uvula-palatoplasty (LAUP) Tumour vaporisation Glossectomy

courtesy of Dr. Gröger, Hofheim Oro-Pharynx - Tonsillotomy Tonsillar hyperplasia post-operative courtesy of Dr. Gröger, Hofheim

Advantages of Oro-Pharynx Laser surgery bloodless, precise treatment minimal invasive, outpatient surgery in general anaesthesia lower rate of recurrencies

Otology Myringotomy Tumours of outer ear Surgery of the stapes * *we recommend the use of KTP-Laser (Ceralas G2) due to lower thermal penetration of 532nm wavelenght

Larynx Laryngeal carcinoma Laryngoceles Papilloma Strictures and Stenosis removal of vocal cord polyps and granuloma Retention cysts

Advantages of Larynx Laser surgery bloodless, minimal invasive treatment good control of thermal penetration depth optimum preservation of surrounding mucosal tissue special application systems with integrated smoke evacuation

Dacryocysto-Rhinostomy (DCR) Watering eyes caused by blockage of the lacrimal duct is a relatively common condition, particularly amongst the elderly leads to constant tearing blurring of vision disturbance in social and work activities

methods and advantages of DCR Laser surgery creating of a new lacrimal duct with special treatment set (patented by biolitec AG) fast, minimal invasive operation under local anaesthesia no postoperative bleeding and no visible scars in most cases no stents needed

aesthetic applications Vascular lesions Teleangiectasia Spider Naevi (spider veins) Hemangioma

Methods and advantages transcutaneous treatment with special Derma-hand piece (different spot sizes are available depend on the size of the vessels ) painless treatment, no anaestesia needed in most cases good aesthetic results, often after just a single treatment (depends on type of skin) low side effects

Teleangiectasia before courtesy of Dr. Jesper, Lüdenscheidt after

Teleangiectasia vestibulum nasie before courtesy of Dr. Jesper, Lüdenscheidt after

Teleangiectasia on nose before courtesy of Dr. Jesper, Lüdenscheidt after

Hemangioma of the lip before courtesy of Dr. Jesper, Lüdenscheidt after

Laser endoscopy biolitec laser fibres are compatible to all Laserendoscopes available on the market

EVOLVE™ - Diode Laser System summary sophisticated Laser system for outpatient treatments and use in operating theatres portable and flexible useable reliable, maintenance-free diode-technology