Presentation on theme: "Wouldn’t it be nice to improve the quality of skin lesion treatment ?"— Presentation transcript:
1Wouldn’t it be nice to improve the quality of skin lesion treatment ?
2Agenda Wart and Skin Lesion Treatment Modalities What is Cryotherapy? Traditional application of CryotherapyThe innovation of CryoPen.How to apply.
3WartsWarts are most common on the hands, feet or genitals. They are caused by HPV-infections and are commonly known as Verrucae Vulgaris.
4Why should warts be treated quickly ? When small, a wart is more easily removed.When removed, a wart will no longer be the origin of further spread.Preventionand serviceto patients…
5Cosmetic lesionsRemoving cosmetic skin lesions is becoming increasingly common as we all aspire to be attractive and stay youthful as we age.Wouldn’t it be nice to improve your treatment modality for these lesions.
6Family Physicians in General Practice My Patients have no Warts.I don’t treat Warts or Skin Lesions.I treat Warts with a variety of alternatives to Cryotherapy because of no Liquid Nitrogen available.I send my Patients to the Pharmacy.I send my Patients to the Dermatologist.
7How do Dermatologists perform Wart/Skin Lesion Treatment ? Dermatologists usually treat Warts and Skin Lesions by freezing this tissue.Cryotherapy is called the golden standard for Skin Lesion Treatment in Medical Practice.
8What are the alternatives ? HF-surgery and laserDisadvantages;Pain – Anaesthesia requiredRisk of collateral damage.Risk of depigmentation, mainly in darker skinScars easily.
9Why Cryotherapy ?Literature confirms that Cryotherapy is the practical, fast and primary form of treatment for Warts. Preparation and follow-up care are minimal to non-existent.If correctly applied, it is well tolerated by children and adults.
10Definition of cryotherapy “Cryotherapy is the controlled destruction of unwanted tissue by the precise applicationof extreme cold.”
20The advantages of Cryotherapy Sterile procedure: No excision, no risk of infection.No pain treatment: no need for local anaesthetic.Fast procedure: Follow-up care not necessary.Safe: no damage from overenthusiastic use.Speed of operation.Excellent results.
21Are these claims confirmed in daily practice? No blisters, no pain?Always good results?Will one or two treatments cure the lesion?Definitive result?
22CryotherapyThe success/result of Cryotherapy Treatment will depend on the level of the user’s expertise.What are the criteria for successful Treatment?
24Osmose: Principle of Cell Preservation At slow freezing rates cells are given time for self protection.Slow freezeFast thawIntracellular fluidNucleusCell MembraneExtracellular fluid
25Principle of Cell Destruction Intracellular fluid freezes, tiny spiked shards of ice areformed, cell membranes rupture, which will be the cause of Cell Destruction.Fast freezeSlow thawIntracellular fluidNucleusCell MembraneExtracellular fluid
26Effective cryonecrosis from -27°C It is described extensively in literature that:“rapid freezing to minus (-) 27°C and more will produce cryonecrosis in all human tissues”.
27Why second freeze after 30 seconds? When freezing is too slow, extracellular ice formation occurs, which has the effect of insulating cells and preserving them rather than the desired opposite.
28Key criteria of cryonecrosis Rapid freeze, slow unassisted thawFast lowering of the temperature from +37°C to -27°CTWO freezing cycles in ONE treatment sessionEnough freezing power should be available to reach the bottom of the wart.
29Traditional Cryotherapy treatment Application with a cotton bud soaked with Liquid Nitrogen29
31No control of energy transmission Cotton buds will rapidly lose energy
32No control over temperature No control over energy=No control over temperature
33No Control Over Penetration Depth If there is insufficient freezing power available, with the forming layers of ice that hinder penetration, the lower levels of the lesion will not be reached.
34No control over the inclusion zone Cotton buds never fit well to the lesion resulting in inevitable inclusion of normal healthy tissue resulting in pain and blisters.
35Definition of Cryotherapy Cryotherapy is the controlled destruction of unwanted tissue by the precise application of extreme cold.
36Indirect Direct The use of Cotton Buds are indirect applications. It will not bring control over the criteria essential for successful treatment with cryotherapy.By spraying Cryogen onto the tissue, the application will become direct with significantly better control over those parameters known for good treatment profiles.
37Cryotherapy with N2 spray In hospital settings, Dermatologists sometimes use LN pumps for direct application of Liquid Nitrogen onto the tissue
38Cryotherapy with N2 spray Better control over temperatureBetter control over energy supplyHowever :Minimal treatment zone : 10mm & more.The result is collateral damage and pain in all lesions smaller than 10mm.You still need Liquid Nitrogen, which is not always easy to have in out-patient situations
39Analysis of the traditional methods and how they can be improved With traditional cryotherapy methods, pain due to collateral tissue damage is not easy to avoid.Because of the pain experienced, patients will not allow for treatment long enough to penetrate deep enough, which leads to repeat visits.
47The innovation of CryoPen Pinpoint Precision to the millimeter.No treatment of healthy skin.No pain.Patients will allow longer treatment with deeper penetration of freezing power.Time consuming repeat visits will reduce dramatically!
53Cryotherapy in daily practice For the first time cryotherapy is accurate to the millimeter.No Collateral Damage = No pain.The moment pain is experienced the freezing has reached the caudal extent of the lesion. At this moment the treatment will stop.The operator can now evaluate the depth of treatment by feedback of the patient.
63Next generation Cryotherapy treatment with CryoPen
64Excellence made affordable CryoPen|cExcellence made affordableUtilizes Disposable 8g CartridgesComes with 1 Standard Micro-ApplicatorRemoving the End Cap will start the flow of CryogenFlow can be stopped by replacing the end cap
65Accuracy at the touch of your finger CryoPen|mAccuracy at the touch of your fingerFull Control with on/off switchUtilizes Disposable 8g CartridgesComes with 2 micro-applicators for ultimate accuracy and flexibility
66CryoPen|x Extremely efficient extremely gas efficient full control with on/off switchready for use with 8g and with 16g cartridgesreassuring refined design with aluminum housingcomes with 4 micro-applicators for ultimate accuracy and flexibility
678g- und 16g cartridges Nothing more easy … 8g: 100 – 120 seconds gas flow16g: 200 – 240 seconds gas flowFilled with liquefied nitrous oxideNo refilling; dispose with metal wasteBlister peel-pack with cartridge and filter device
68Accuracy to the millimeter Micro-applicatorsAccuracy to the millimeterBlue dot applicator Applications of 1-3 mmWhite dot applicator Applications of 2-5 mmGreen dot applicator Applications of 4-8 mmYellow dot applicatorApplications of 6-15 mmenhanced design with extra filter built-invarious flow rates available for more treatment optionscolor coded for easy recognitionall come with protective cap
69Cartridges Box has 24 8g cartridges with opener and filter Freezing rate : Approx. 1 mm per 5 seconds
70Treat Skin Lesions that you would not have treated before. CryoPenSolving today‘s challenges in Skin Lesion TreatmentTreat Skin Lesions that you would not have treated before.Fast and efficient applicationWithout undesired side effects.Great potential for the marketing of your Clinic.