Message New RevolutionaryAdaptive Structured PulseTechnologyStarWalker® MaQX™Ultra Performance Q-Switched Laser SystemPico second pulses delivered in nano second envelopes, the best of both in one advanced laser system
2Key Benefits• Third-generation ASP™ technology for ultimate precision, efficacy and safety of treatments• Widest range of procedure modes, includ-ing unique MaQX™, VERDE™, FRAC3™ and VERSA3™ modes for pigment, vascular treatments• Impressive line of advanced smart control handpieces• Intuitive, easy-to-use parameter selection• Minimally invasive, safe treatments with little downtime• More patient comfort and satisfactionBeast within a Beauty: Top Performance & Award Winning Design
3StarWalker® MaQX™OPTOflex® arm with patented vacuum cell technology for distortion-free beam delivery to the treatment site14 laser modalities and 4 laser wavelengths for the widest range of treatmentsPico second pulses delivered in nano second envelopes, delivering more control and energy than alternative pico or nano only, the best of the pico and nano in one advanced laser systemIntuitive and intelligent graphical user interfaceInstant access to preprogrammed procedures via a large displayWireless footswitch for freedom and convenience in system controlTop-hat beam profile for uniform treatments with predictable resultsQuick-release mechanism for fast exchange of handpiecesCompact handpieces with automatic real-time handpiece type and spotsize detectionFotona proprietary ASP™ (Adaptive Structured Pulse) technology enabling laser pulse shapes to be adapted to the bio-photonic dynamics of a particular treatmentDual monitor EFC energy control to ensure the precision of laser outputUltra performance laser system with an exceptionally small footprint, dramatically smaller than the typical Pico systemFunctionalityStarWalker’s third-generation technology provides highest power and treatment capability in the most advanced and the most compact design.
4Performance at your fingertips with an interactive touch screenKey Benefits• Easy to use, intuitive interface puts an entire range of applications at your finger tips• Responsive parameter control• User-friendly application wizards for recommended parameters• Fully customizable memory storage for pre-set treatments• Procedure log keeps track of all procedures for quick recall of past treatment parameters by calendar date• Control Panel tracks all procedure statistics during treatmentsThe Interactive Touch Screen Guides Users Through All Treatments1064 nm Nd:YAG 532 nm KTP 585 nm dye 650 nm dyePigments, TattooFracTATMaQX-1 MaQX-2, MaQX-5, MaQX-10MaQX-1 QX QXSkin whitening, Skin toning (Pigmented lesions)MaQX-1, MaQX-2, MaQX-5, MaQX-10MaQX-1, MaQX-2, MaQX-5, MaQX-10QX QXSkin resurfacing, wrinkles MaQX-1, MaQX-2, MaQX-5, MaQX-10, MaQX-1, MaQX-2, MaQX-5, MaQX-10- -Acne scars MaQX-1, MaQX-2, MaQX-5, MaQX-10- - -Active AcneFRAC3 - - -Hair removal and Lightening VERSA3, MaQX-10, FRAC3- - -Pigmented lesionsVERSA3 - - -Vascular lesions, Veins, HaemangiomasVERSA3 VERDE QX -WartsVERSA3 - - -WrinklesVERSA3, FRAC3 - - -Widest Range of Clinical ApplicationsStarWalker® MaQX™1064 nmMaQX-1, MaQX-2,MaQX-5, MaQX-10,TurboFRAC3VERSA3532 nmMaQX-1, MaQX-2,MaQX-5, MaQX-10,TurboVERDE585 nm QX650 nm QXStarwalker® MaQX™• StarWalker® MaQX™ is the most advanced and highest performance Q-Switched laser.
5Ease of useStarWalker’s new advanced touch screen user interface features intuitive navigation and exceptional flexibility.
6Innovation at WorkHomogeneity of a laser beam profile promotes safety during treatment since laser energy is evenly distributed across the treated area. Epidermal damage is minimized and the risks of bleeding, tissue splatter and transient textural chang-es in the skin are decreased. Achieving homogeneous beam profiles has been a great challenge for the laser industry due to the nonlinearity of Q-switched lasers.Fotona’s StarWalker® advanced Q-switched laser technology relies on ground-breaking solutions such as patented OPTOflex® and Vacuum Cell Technologies to produce almost perfectly homogeneous beam profiles.The OPTOflex® articulated arm is specifically designed to efficiently transmit the laser beam without losing energy or changing the beam’s original properties. The shape and magnitude of the aiming beam enhances visibility, allowing for easier, faster treatments and greater precision. OPTOflex® is light, compact and folds back to decrease system height.With laser quality benefits unlike any other beam delivery system, OPTOflex® is definitive of the next generation in laser delivery systems for high-power lasers.Patented solutions for a homogenous beam profileOPTOflex® Vacuum Cell TechnologyReliabilityStarWalker® is built on Fotona’s foundation of over 50 years of experience, with quality and reliability being one of the pillars of Fotona’s commitment and reputation.
7Most standard Q-switched laser systems can only achieve stable output during laser beam operation by ensuring that their flashlamps are pulsed internally at a constantly high repetition rate, even when the operator selects a single-pulse or low repetition rate mode. As a result the laser system and especially the flashlamp, one of the most important compo-nents, can burn out prematurely due to overuse. This is not the case with the StarWalker’s patented Vacuum Cell & OPTOflex technology, where the laser flashlamp is activated only when actual laser output is required. A much lower burden on the laser system is imposed, resulting in a longer flashlamp lifetime and lower costs of laser system maintenance.The StarWalker’s titanium handpiece technology enables physicians to provide advanced solutions for a broad range of treatments.Titanium HandpiecesLonger System Lifetime: Almost 100% flashlamp pulse utilizationR20 Square BeamR650 Full-beamSquare beamFull-beam
8Taking Your Practice into the Future
9New RevolutionaryAdaptive Structured PulseTechnologyFotona’s StarWalker® laser system features the entire range of super-short pulse technologies in a single, high-performance solution. StarWalker’s patented MaQX™ pulse modalities produce powerful bursts of laser energy that photoacoustically break apart skin pigmentations into smaller, more easily eliminated particles. StarWalker® and its groundbreaking ASP™ (Adaptive Structured Pulse) technolo-gy represent a cosmic shift forward for the medical and aesthetic laser industry. This third-generation technology combines the unsurpassed range of pulse duration modes of Fotona’s VSP (Variable Square Pulse) technology with the revolutionary capability of ASP™ technology to adapt the temporal structure of laser pulses to the bio-photonic dynamics of laser-tissue interaction.Third Generation ASP™ Technology™Modulated Acoustics Q-Switched (MaQX™) Laser SystemLaser pulse powerTimeStandard PFNTechnologyLaser pulse powerFotona VSPTechnologyTimeLaser pulse powerThird Generation FotonaASP TechnologyTime
10A typical measured local temporal intensity of the StarWalker’s 1064 nm MaQX™ pulse. The 1064 nm MaQX™ pulse consists of high peak power picosecond micro pulses within an overall nanosecond high energy macropulse.When absorbed in skin pigments, extremely short energy bursts of picosecond structured MaQX™ pulses generate photoacoustic shockwaves that disintegrate irradiated pigment particles into tiny particles that are then easily eliminated by the body.StarWalker’s unique TMD (Transverse Mode Discrimination) laser oscillator technology combined with the ASP™ pulse control delivers very short (5 nsec) Q-switched pulses consisting of a high energy train of ultra-short bursts of energy in trillionths of a second, enabling photomechanical impact to shatter tiny skin targets without injury to the surrounding skin. StarWalker’s technology thus combines the high energy capabilities of nanosecond lasers with the ultrashort pulse peak powers of traditional picosecond lasers.Fotona Q-Switched Pulse Power Time (nsec)0 2 4 6 8 10 12-2-4-6-8-10-12580 psec5 nsecBest ofBoth WorldsPicosecond pulse power with the high energy of nanosecond pulsesNew RevolutionaryAdaptive Structured PulseTechnology™
11Patient safety and comfort with ultra-performance MaQX™ mode treatments are further enhanced by the StarWalker’s unique capability that allows the user to select the softness (patient comfort) level (MaQX-1, MaQX-2, MaQX-5 or MaQX-10) of the treatment. When a higher softness level is selected, the StarWalker’s ASP™ technology ensures that the generated acoustic energy is released at an accept-able acoustic power, resulting in a “softer” and less invasive effect on the tissue.Ultimate safety with Q-Switched treatmentsBased on revolutionary ASP™ technology, StarWalker® is capa-ble of delivering up to an unprecedented 10 J of Q-switched energy in one giant structured MaQX™ pulse.The unique MaQX™ high energy capability of StarWalker® enables the generation of a higher energy photoacoustic effect at the treatment site, leading to more effective and faster treatments.Additionally, with high MaQX™ energies, larger spotsizes can be used resulting in more homogeneous treatments of even deeper lying skin pigments, and therefore with reduced risk of unwanted side effects.Fotona MaQX™ – Unmatched Q-Switched Pulse EnergySpeed and precisionStarWalker’s MaQX™ capabilities allow the operator to perform treatments with unprecedented efficacy and precision, and with increased safety enabled by the operator-adjustable “softness” level of the treatment.Q-Switched Energy (J)StandardQS0246810StandardQ-PTPFotonaMaQX-10MaQX™ modesoftness level settingMaQX™ mode energy settingMaQX™ mode spotsize settingMaQX™ Technology Ultra highQ-switched energyfor ultimate speedand precisionNew RevolutionaryAdaptive Structured PulseTechnology™
12Empowered by ASP™ TechnologyStarWalker® features an extraordinary 14 laser modalities operating at 4 complementary laser wavelengths. Based on the ASP™ technology, StarWalker® modes are tailored to the requirements of specific treatments, a feature that has not been possible with earlier technologies.StarWalker® delivers four laser wavelengths to cover the complete absorption spectrum of melanin, oxyhemoglobin and water.Fourteen Laser ModalitiesFour Laser WavelengthsStarWalker’s wavelengths are located at appropriate skin absorption peaks and minimums.Four wavelengths to treat structures at different skin depths.Wavelength Pulse widthnanoseconds microseconds milliseconds1064 nmMaQX-1, MaQX-2, MaQX-5, MaQX-10, Turbo FRAC3 VERSA3532 nmMaQX-1, MaQX-2, MaQX-5, MaQX-10, Turbo- VERDE585 nm QX - -650 nm QX - -Absorption CoefficientWavelengthMelanin532 nm 1064 nm585 nm650 nmKTP Nd:YAGHbOH2OHbR1064 nm 650 nm 585 nm 532 nmNew RevolutionaryAdaptive Structured PulseTechnology™
13StarWalker® features a FRAC3™ pulse mode which utilizes the short submillisecond pulse duration and high peak power density at 1064 nm to produce a self-induced three-dimension-al fractional pattern in the epidermis and dermis, with damage islands that are predominantly located at the sites of targeted skin imperfections. Key applications of the FRAC3™ mode in-clude skin rejuvenation and removal of thin hair. StarWalker® also delivers 1064 nm VERSA3™ mode pulses with a range of durations (15, 20, 25, and 50 ms), which are clinically well proven for a broad range of treatments, such as vascular lesions, hair removal, wrinkle reduction, treatment of warts. In addition, the StarWalker’s ASP™ technology modulates the pulse to create a “FRAC3 type” microsecond structure superimposed on the milliseconds long VERSA pulse, thus combining the beneficial effects of the “long” 1064 nm pulse with the self-induced fractional capability of the FRAC3™ modality. The 532 nm wavelength is located at one of the oxyhemoglobin absorption peaks, which makes it an ideal candidate for treating vascular lesions. Based on the revolutionary ASP™ technology, StarWalker® features a unique green long-pulse VERDE™ pulse mode that has been designed specifically to treat vascular lesions. The StarWalker’s VERDE™ mode provides a range of long-pulse durations (15, 20, 30, and 50 ms), adapted to corre-spond to the TRT of superficial red vessels.VERDE™ 532 nm mode for Treating Vascular LesionsFRAC3™ and VERSA3™ 1064 nm modesStarWalker’s unique VERDE™ mode delivers 532 nm energy in long millisecond pulses designed for treating superficial vascular lesions.Standard Q-switched laser systems cannot deliver Nd:YAG laser pulses in the ‘long-pulse’ duration regime.Photon emission energy converter of the StarWalker’s TMD (Transverse Mode Discrimination) laser oscillatorVersatilityStarWalker’s range of laser sources and wavelengths enables a wide range of treatments, from tattoo removal and pigmented and vascular lesion removal to skin rejuvenation, acne treatments, hair removal and more.Laser PowerTimeStandard QSmodeFotona VERDEmode15, 20, 30, 50 msec5 nsecLaser PowerTimeStandard QSmodeFotonaFRAC3 modeFotona VERSA3long mode15, 20, 25, 50 msec0.6 msec5 nsecNew RevolutionaryAdaptive Structured PulseTechnology™
14Expanded Treatment RangeStarWalker’s MaQX™ and QX modes are ideal tools for effectively treating a wide variety of epi-dermal and dermal pigmented lesions on all skin types.Melanin absorption is highest at 532 nm, and then decreases towards longer StarWalker® wave-lengths. On the other hand, the dermal penetration depth is greatest at 1064 nm. Therefore, the 532 nm is useful for removing epidermal pigmentation such as freckles, and the 1064 nm is suit-able for removing pigments deeper in the dermis.Epidermal and dermal pigmented lesionsVersatilityStarWalker’s twelve laser modes provide the user with treatment options otherwise not available with Q-switched laser systems.Nevus of Ota with MaQX 1064 nm Removal of freckles with MaQX 1064 nm modeCourtesy of KW BookCourtesy of S. SaracogluTreatment with MaQX 1064 nm Age spots with MaQX 1064 nmCourtesy of J. KozarevCourtesy of KW BookPigment treatment: combined 1064 nm and 532 nm (MaQX skin toning)Pigment Treatment: 1064 nm (MaQX skin whitening)Courtesy of AB GoodallCourtesy of DMT
15Expanded Treatment RangeSpider vein before and after Treatment of port-wine stain with VERDE™ modeCourtesy of U. AhcanCourtesy of FotonaThe 532 nm wavelength is located at one of the oxyhemoglobin peaks, which makes the StarWalker® VERDE™ mode an ideal candidate for superficial vascular treatments, while 1064 nm is used for treating deeper and larger vessels.Vascular treatmentsSpider vein before and afterCourtesy of FotonaHair removal ResurfacingTreatment with MaQX 1064 nm (Facial Pores)Hair removal with VERSA3 1064 nm modeCourtesy of DMTCourtesy of FotonaAcne treatments Facial redness1064 nm MaQX treatment of facial redness1064 nm MaQX treatment of active acneCourtesy of D. KaliternaCourtesy of D. Kaliterna
16Pigment Colorblue, brown, gray,black (dark)1064 nm 650 nm 585 nm 532 nmgreen sky blue (light) red, tan, orange,purpleLaser WavelengthAdvanced Tattoo RemovalThe Fotona StarWalker® ASP™ ultra-short pulse technology combines 4 different wavelengths in an advanced, high-powered solution for tattoo removal.Generally, the greater the absorption of laser light in the tattoo pigment gran-ules at a certain wavelength, the greater the energy available to break up these tattoo pigment granules.Multi-color laser for multicolor tattoosFotona FracTat™ Tattoo RemovalFracTat™Combinedfractional ablativeand Q-switchedphotoacoustictattoo removalprocedureColor tattoo before and after Color tattoo before and afterColor tattoo removed after five treatments Cosmetic tattoo (permanent make-up) removalCourtesy of Dr. J. KozarevCourtesy of L. MariniCourtesy of FotonaCourtesy of Dr. U. Ahcan
17When a Q-switched laser pulse strikes the tattoo pigment it generates gas and steam within the skin. This causes an optical shielding or “frosting” effect that prevents any subsequent laser pulse from effectively reaching the deeper-lying pigments. Fur-thermore, gas bubbles which are formed around the pigment particles can damage the surrounding tissue.When the Fotona patented FracTat™ procedure is performed, micro holes are first drilled into the skin using a resurfacing laser. The micro holes act as pressure relief ducts through which the gasses can escape without building up excessive pressure.Standard TreatmentFracTat™ treatmentBefore the treatmentMicro holes are drilled with an ablative resurfacing laserBefore Following FracTattreatmentAfterFirst treatment with aQ-switched pulseFirst treatment with aMaQX pulseGas bubbles following the Q-switched treatmentReduced frostingeffectSubsequent Q-switched pulses are blocked from reaching deeper lying pigmentsSubsequent MaQX pulses are not blocked from reaching deeper lying pigmentsCourtesy of L. Marini, ItalyAdvantages of FracTat:• Enhanced generation of photoacoustic shockwaves• Reduced frosting and pressure on surrounding tissue• Multiple MaQX™ irradiations can be made during a single session• Direct pigment removal via resurfacing and healing of the skin• Enhanced generation of photoacoustic shockwavesReliabilityStarWalker’s MaQX™ peak energy, four colors and proprietary FracTat™ procedure make StarWalker® an industry leading tattoo removal laser system.12 3 41234
18Long Term Melasma Treatment With Little To No ReoccuranceMelasmaFor a difficult-to-treat condition such as melasma, StarWalker® and MaQX™ are especially effective due to the selectivity of Q-switched light, enabling it to break apart pigments only and not cells. This means that pigment destruction can take place without ablating the skin– a unique feature that also allows a variety of other treatment possibilities, such as the safe and effective removal of complex, multi-colored tattoos.How does melasma treatment work? Laser removal of pigmented lesions works by destroying the pigment in the skin without the need for excision. The Fotona exclusive process of treating Melasma can be a game changing procedure for your practice. Light Absorption Pigment Break-Up Pigment RemovalBenefits of melasma treatment with StarWalker• Quick• Sutureless• Controlled, accurate and precise• Rapid healing time• Excellent results• Suitable for all ethnic skin typesLong Term & LongLasting Results!
19Melasma clinical resultsCourtesy of Dr. Julio Cesar Vélezand Dr. Sebastián Vélez Melasma before and 8 months post 6 tx sessionsMelasma before and 8 months post 6 tx sessionsMelasma before and 8 months post 6 tx sessionsMelasma before and 8 months post 6 tx sessionsCourtesy of Dr. Julio Cesar Vélezand Dr. Sebastián Vélez Courtesy of Dr. Julio Cesar Vélezand Dr. Sebastián Vélez Courtesy of Dr. Julio Cesar Vélezand Dr. Sebastián Vélez Courtesy of Dr. Julio Cesar Vélezand Dr. Sebastián Vélez Q-switched light is especially effective due to its high peak powers and selective nature, enabling it to break apart pigments only and not cells.This means that pigment destruction can take place without ablating the skin.Melasma before and post 4 tx sessions
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21Return on InvestmentThe StarWalker offers a competitive marketing advantage, giving you the ability to advertise your practice with Fotona's proprietary NON-INVASIVE procedures such as: • Effective and Safe Solution for Multi-Colored Tattoos• A Fast, Simple and Minimally Invasive Tx• safe and effective hair reduction Safe for all Fitzpatrick skin types IVIType I Type II Type III Type IV Type V Type VIThe Fotona StarWalker can generate up to $,/Hr.*$1,500/Hr.** Estimated revenue, actual revenue for your practice may vary.• FracTat $70 per sq in of ink coverage. Average tattoo is 3” of coverage; Average price per session is $250. (less than 30 min procedure)• Scar Revision average $250 per treatment (less than 10 min procedure)• Stretchmarks average is $400 per session depending on amount and severity. (less than 10 min procedure) • Fractional resurfacing average is $1500 per session (less than 10 min procedure)• Pigment Lesions / Melasma average $250 per session depending on amount and coverage (less than 10 min procedure)• Solar Lentigo average $250 (less than 10 min procedure)• Solar Lentigenes avg $600 per session depending on amount (less than 10 min procedure)• Genital whitening avg $800 per treatment (less than 10 min procedure)Fees will very by region and individual practice
22Key Benefits• Quick-release mechanism for attaching handpieces to the OPTOflex articulated arm• FracTat technology offers a wide range of treatments• Automatic Detection: on-the-fly detection of type of HP, spot-size and spacer. HPs retain their compact size even with the automatic detection feature• Unified handpiece design with built-in CPU for optimal safety and performance• Titanium constructionExcellence in Your HandsA focus on applications with an impressive line of advanced easy-to-use handpiecesBroad range of titanium handpieceshandpiece wavelength spotsize spot shapeR28 1064 / 532 nm 2 - 8 mm circleR29 1064 / 532 nm 1.5, 2, 3, 10, 12.5, 20 mm circleR58 532 nm 1.5 - 6 mm circleR585 585 nm 2, 3, 4 mm circleR650 650 nm 2, 3, 4 mm circleR20 1064 nm 7x7 or 9x9 mm square
23PerfectionWhen you choose Fotona, you choose a company committed to designing, manufacturing and delivering the highest performance, best made laser systems in the world.
Committed to EngineeringThe Highest Performance, Best Made Laser Systems in the World since 1964Founded in 1964, only four years after the invention of the very first laser, Fotona is one of the most experienced developers of high-technology laser systems. Fotona today is a world-leading medical laser company recognized for its innovative, award-winning laser systems for applications in aesthetics & dermatology, dentistry, surgery and gynecology. US headquater in Dallas, Texas, Fotona’s business philosophy is to continuously choose perfection to ensure the maximum performance and efficacy of its medical devices.For related Patents, go to: www.fotona.com/patents www.fotona.com/usFotona, LLC 2307 Springlake Road #518 Dallas-Farmers Branch, TX 75234 USAFotona, d. o. o. Stegne 7, 1000 Ljubljana Slovenia, EUFotona GmbH Hohlbachweg 2 73344 Gruibingen, Germany, EUISO 9001:2008, EN ISO 13485:2003, MDD 93/42 EEC Annex II excluding (4), ISO 13485:2003 (CMDCAS).IEC 60825-1/ 201498850VISIBLE AND INVISIBLE LASER RADIATIONAVOID EYE OR SKIN EXPOSURETO DIRECT OR SCATTERED RADIATION CLASS 4 LASER PRODUCTOP. MODEAVELENGTHAX UTPUTULSE URATIONWM . OP D Q-switch LP LP PILOT 1064 n 32 532 nm 35 1.9 (12) 9(18) J 0.7(5) J 5 J < Q-switchm 1064 nm 5 nm 6 nmJ 1 mWCW5 ns(2.6 ms) 0.6(15)m 5 ns(2.6 ms) 20 mss