1. Evolve™ in ENT Surgery

2. 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

3. EVOLVE™ - Diode Laser System technical specifications:
wavelenght: 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

4. EVOLVE™ - Diode Laser System accessories:
Laser fibres (bare fibre - Technology), core diameter: µm
autoclave Laser fibres, core diameter : 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

5. 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

6. Absorption Spectrum

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

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

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

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

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

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

13. 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

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

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

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

17. 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

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

19. 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

20. 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

21. 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

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

23. 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

24. Teleangiectasia
before courtesy of Dr. Jesper, Lüdenscheidt after

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

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

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

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

29. 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