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  • #7946 Reply

    spider24
    Spectator

    “The 980nm wavlength is by a matter of 4-8 fold better absorbed in water than the 810 nm.”

    Sorry, the water absorption ist absolutly irrelevant for diode-laser application. If you take a look at the absorption-charts you will see, that there is nearly no absorption in water. With 810 nm you will find about 0,01 % and with 980 nm 0,05 %. You can simply test it by dipping the fibre into a glass of water with maximum laser power. There happens nothing no matter if you take a 980nm or a 810 nm diode laser.

    If someone is looking for the best Watt/&#36 diode laser, then take a look at the elexxion website, another german laser-company:

    <a href="http://www.elexxion.com

    It” target=”_blank”>http://www.elexxion.com

    It is a 30 W, 810 nm unit, pusled with 20.000 Hz. The laser will be available in US in 2005 after finishing the FDA procedures.

    Olaf

    #7964 Reply

    Robert Gregg DDS
    Spectator
    QUOTE
    Quote: from spider24 on 5:52 am on Aug. 30, 2004
    “The 980nm wavlength is by a matter of 4-8 fold better absorbed in water than the 810 nm.”

    Sorry, the water absorption ist absolutly irrelevant for diode-laser application. If you take a look at the absorption-charts you will see, that there is nearly no absorption in water. With 810 nm you will find about 0,01 % and with 980 nm 0,05 %. You can simply test it by dipping the fibre into a glass of water with maximum laser power. There happens nothing no matter if you take a 980nm or a 810 nm diode laser.

    If someone is looking for the best Watt/&#36 diode laser, then take a look at the elexxion website, another german laser-company:

    <a href="http://www.elexxion.com

    It” target=”_blank”>http://www.elexxion.com

    It is a 30 W, 810 nm unit, pusled with 20.000 Hz. The laser will be available in US in 2005 after finishing the FDA procedures.

    Olaf

    Yes, the near-IR wavelengths have no absorption in water.

    I’m looking forward to another DIODE entry into the US marketplace! We don’t have enough.

    Just kidding. This laser looks very interesting with 20,000 Hertz to offer. No problem keeping that tip hot!

    Bob

    #7957 Reply

    Kenneth Luk
    Spectator

    Hi Bob,
    This diode Claros by Elexxion is a 30w 810nm diode.
    It’s in digital pulse giving 2.5us as they claim. I asked a few times to confirm this figure and they said it is correct! What do you think in the difference/similarity between tissue response for this pd in a 810 and Nd:YAG?
    No need for tip activation!
    It also have a LLLT parameters.
    Elegant looking machine – check out the web-site!
    Ken

    #7969 Reply

    Robert Gregg DDS
    Spectator
    QUOTE
    Quote: from Kenneth Luk on 11:14 pm on Aug. 31, 2004
    Hi Bob,
    This diode Claros by Elexxion is a 30w 810nm diode.
    It’s in digital pulse giving 2.5us as they claim. I asked a few times to confirm this figure and they said it is correct! What do you think in the difference/similarity between tissue response for this pd in a 810 and Nd:YAG?
    No need for tip activation!
    It also have a LLLT parameters.
    Elegant looking machine – check out the web-site!
    Ken

    Hi Ken,

    I can’t find anything about the pulse duration. It says 20,000 Hertz not PD.

    Where do you see 2.5 usec?

    2.5 usec would be extremely short PD and therefore not CW or gated but free-running and not a “diode”. Maybe that’s why it look as big as a FRP laser?rock.gif

    Bob

    #7970 Reply

    Swpmn
    Spectator

    Is this Claros designed for DENTAL applications? What would be the purpose of a 20K Hz 30Watt 810nm diode – to amputate an arm?

    Al

    #7958 Reply

    Kenneth Luk
    Spectator

    Hi Bob,
    When you click onto product and then background, it reads a pd of approx 10usec.
    From their specification, it really reads 2.5usec.
    Ken

    (Edited by Kenneth Luk at 8:33 pm on Sep. 1, 2004)

    #7951 Reply

    whitertth
    Spectator

    Ok, someone please enlighten me… A machine that takes up half an operatory, 30 watts pulsed and I am to do what with it…On the site , it says it can be used for cavity preps…can a pulsed high watt diodde cut hard tissue? Bon..Please help here…
    Thanks…

    #7945 Reply

    spider24
    Spectator

    Ok, there seems to be some misunderstanding. I try to explain the need of 30 W in a dental diode laser.

    At first the Background of the development:

    Some years ago i was head of the development of a german dental laser company called ORALIA. They had a dental diode laser with 6W for CW use and gated pulses of min. 50 ms. This unit was excellent for decontamination and LLLT and it was possible to make some small surgical applications. But we saw strong carbonisation of the tissue when using 5-6 W CW. To get good absorption, you had to black the fibre tips, otherwise there was no reaction to the tissue.

    Our thought was, that the carbonisation-effect can be reduced if we could manage it to increase the output power ot the laser in combination with a special pulse mode. So we took a 20 W diode which was able to run with 20 W CW. Pulsing a diode laser means simply to switch it ON and OFF. It is impossible to get more peak power than the diode delivers in CW-mode. In the next step we designed a digital driver board which could deliver the maximum electrical current (40 A) in 5 microseconds ! So, with this board it was possible to create pulses with a PD of 25 microseconds followed by a relaxation time of about 75 microseconds. The max. frequency was 10.000 Hz. Due to the duty-cycle of 25 % we had an average power of about 5 W.

    We compared this high-pulsed diode laser with a traditional 5 W CW diode laser.

    What we saw, was a dramatical reduced carbonisation and an improved cutting performance in surgical application. The patients reported less pain and there was no longer need for blacking the fibre tips.

    This pulsed diode was introduced ind 2000 and there were several clinical studies made in germany. The histological results were very impressive. The laser was sold for about 35.000 EUR. (I try to find this studies and try to post them here, but i don´t know if they are published in elcetronical form)

    In 2002 my partner and I founded a new dental laser company called Elexxion. In consequence of the results we saw with the 20 W / 10.000 Hz -diode, we improved the technology and designed a new unit with 30 W and 20.000 Hz pulse frequency. With a brand new electronic board the shortest PD is now 2,5 microseconds followed by a relaxation time of 47,5 microseconds. Mean power with this short PD is only 1,5 W.

    Most of the application programms (more then 70 are stored in the software) work with PD´s between 10 – 16 microseconds. The maximum mean power with a PD of 16 microseconds is 10 W.

    It would be possible to drive the diode with 30 W CW – but this makes no sense because we don´t want to amputate arms :-).

    It is not possible to ablate hard tissue with a 810 nm diode ! But our next step ist to integrate an erbium into the housing of the diode laser. Thats the reason why the housing is so large. Our software now has some application programms for hard tissue removal. But they are not activated until now. They will be activated when the laser is upgraded with the erbium.

    I hope you understand now our ideas and the principal of this new diode-laser technology. My english is not so good as i whish it should be, please excuse this.

    If someone has further questions, i do my best to explain it as good as i can.

    olaf

    #7971 Reply

    Swpmn
    Spectator

    Thank you for the clarification Olaf. That was most helpful.

    The laser ablates soft tissue efficiently without initiating the fiber tip, correct?

    Can the Claros be used to ablate soft tissue without contacting the tissue with the fiber tip?

    Thanks,

    Al

    #7947 Reply

    spider24
    Spectator

    Hi Al,

    yes, it is possible to cut and ablate soft tissue in non-contact. But due to the beam divergence (NA 0,22 = 24°) the energy density is reduced dramaticly on a few mm dictance. But with less than 2 mm it works properly.

    Olaf

    #7952 Reply

    whitertth
    Spectator

    It seems interesting but iI still have questions…I wsnt clear on where u r heading with thehard tissue…Can the diode actually cut hard tissue or will the hard tissue be cut by an erbium which is to be incorporated into the box….So If I also undertsnad correctly the big advantage here is no need for tip activation and some better histology results….If that is coorect is there a market for this expensive large laser when conventional diodes which currently drive the laser market in the U.S. because of affordabilty and ease of use, are getting cheaper and cheaper?

    #7959 Reply

    Kenneth Luk
    Spectator

    Hi Olaf,
    Can it match CO2 for incision?
    Ken

    #7949 Reply

    spider24
    Spectator

    @whitertth:

    Cutting hard tissue with a diode is impossible until now and I don´t believe that this will be possible in the future (wrong wavelength, not enough pulse power).

    Hard tissue treatment will be done with our integrated erbium modul.

    Another advantage of the high-pulsed diode is a cutting performance that almost reaches the performance of a Co2 but without bleeding.

    Do you think our unit is too expensive rock.gif It will be under &#36 20.000 on the US-market. ith very comfortable and autovclavable handpieces, with coloured display, touchpanel and very easy to use, 70 prestored application-programs which can be activated with 2 tips of your finger ?

    Perhaps the pictures on the website give you a wrong impression of the real size. It isn´t much larger than other diode lasers on a cart or for example the periolase.

    In Europe we see higher sales from month to month. The strategy is very simple: Our customers get the chance to test our system against competitor systems (most of them diodes) without any cost. This year we sold more than 100 units until now.

    Olaf

    #7960 Reply

    Kenneth Luk
    Spectator

    Hi Olaf,
    Can you post any pictures of soft tissue treatment, eg Frenectomy…
    Before, immediate post-op and later post-ops ?
    Ken

    #7966 Reply

    Robert Gregg DDS
    Spectator

    Olaf,

    Welcome to the LDF.  It’s great to have another manufacturer posting here.

    Thank you very, very much for your detailed background and device review.  Your English is much better than my German, so thank you for your efforts to communicate with us!

    Your history of involvement with lasers and your evolution with the diode technology is very interesting.  It supports my theory that designer/engineers and their products are the result of their prior experiences with the technology they are most familiar with.  I mean no disrespect, it is just an observation I have had over the past 14 years of my involvement with a number of laser companies, engineers, designers, software developers, etc.  My involvement with the PerioLase development could also be used to support my theory.

    I am familiar with Oralis, as my good friend from Germany–Dr. Claus Neckels has been using their diode system in oral surgery for some time.  Have you  worked with Dr Neckels and this new “super-charged” diode?

    To my friends with many good questions, we are seeing the next generation in diode and laser technology, and size, display, software, features, etc.  This is great for laser dentistry.

    As Olaf has explained, they have been able to create very short pulse durations (10 usec), which is a great development for lasers.  As you all can see, though, the larger size reflects the added capabilities.  As we see, as capabilities are added, size increases.

    For example, the digital FR pulse PerioLase weighs just a little more than the first dental diode–the Premier Aurora, but with much more capabilities and features.

    The duty cycle is an extremely important parameter for optimal thermal tissue relaxation.  While PD is important, DC is equally so.

    For example, a duty cycle of 8% with an 800 usec laser at 50 Hz did a lot of severe damage to patients in the US and that laser was pulled from the market.

    The FRP Nd:YAG lasers–including the PerioLase–have duty cycles that range from 0.1 to 0.2% “on time”.  This means a thermal relaxation time of 500 fold “off” time over on.

    The Claros has a DC of 25%, which doesn’t allow for as much thermal relaxation time as even the 8% device, the generation of high peak powers, the removal of hard tissue that we can do with high peak power FRP Nd:YAGs. But that doesn’t mean it is dangerous as the other parameters of extremely short PD and high Hertz can effect the actual tissue interaction.

    Olaf has defined the reasonable and responsible clinical expectations of a device with the reported parameters.  I think the price Olaf of &#3620,000 US will make the Claros an instant “player” in the diode and near-IR marketplace.  The US marketplace will want to see new science behind these very new device parameters, or want Elexxion to sponsor some US research.  There will also be a need to provide some training, as dentists are looking to manufacturers more to provide clinical training, unless and until US dental schools get involved with conducting dental laser curriculums.

    All in all, a very positive development in dental lasers.  It’s is very encouraging and exciting to see that new innovators are developing new laser products for dentistry.

    Welcome to the marketplace Olaf!

    Bob

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