13 What is Thermo Coagulation Coagulation is the clotting of the bloodThermo Coagulation is the clotting of the blood by raising the temperature
14 Thermo CoagulationThe TC3000 raises the temperature by administering an energy pulse.This pulse is a 4 MHz radio pulse of exact amplitude and duration.The pulse is send by an isolated needle to be precisely on the place the coagulation is wanted.
15 Thermo Coagulation by TC3000 The TC3000 has 2 main components:The GENERATOR : The power and duration of the pulse can be precisely controlled to achieve un optimal energetic effect while avoiding the risk of necrosis.THE NEEDLE : an insulating sheath isolates and protects the untreated area. Only the vessel is treated, the epidermis isn’t reached.
17 The treatmentAlthough the treatment is basically simple there are some rules to get good results.Rule #1: Be precise.If the vein is missed, it will look to disappear but it will come back!!
18 Prepare Patient Put the area to be treated horizontally For accuracy: good light and use a loupe.Regularly clean skin and needle
19 Select Needle Select needle K3 is good for most cases K2 = mmK3 = mmK6 = 0.15 mmK3 is good for most casesK6 for veins >0.3 mmIn case of allergic reactions, a K3 gold needle can be used
20 Select Powersettings 30%, 0.2 seconds for face 30% to 50%, 0.3 to 0.4 sec. for legsDo not go above 50%.
21 Insert Needle Find the good position of the needle. The pressure of the needle must make a net from varicosities disappearor make the varicosity disappear on both sides of the needle.Insert the needle perpendicularOr near perpendicular.The tip has to be in the veinOne impulse every 3..4 mmBe very superficial, the vein is just below the surface.
22 Check resultDraw the skin with 2 hands to check if the vein has disappeared or just been masked by the edema
23 Check on next sessionAfter 8 and 15 days do again the same inspection.Space between impulses must be white
24 Results of using the TC3000Instantaneous disappearance of the variculas.In the following minutes a little aureole appears and forms a micro scab which disappears after 2 to 6 weeks.
25 Clinical Reaction Immediate disappearance of the telangiectases A light erythema with papule arises quickly after the session
26 One Session… takes 10 to 15 minutes. corresponds to 200/500 impulses. permits to erase from 40 to 80 cm of teleangiectases.
27 Treatment Evolution Day 0 : micro-edema Day 8 : very small crusts which are gradually going to disappearDay 30 : total disappearance
28 Abnormal evolutionDisappearance of the edema followed by reappearance of the varicosity over the days that follow. -> The varicosity, in reality, has not been treated correctly and the edema masked the result.Pigmentation (always disappears)
29 Abnormal evolutionOchre marks of varying shades appearing a few days, or even a few weeks, after the treatment. These are associated with the use of non-insulated needles (more rarely) or a technical fault (the non-insulated part of the needle, the last millimetre, is in contact with the skin), often following an overdose.Transparent appearance of the skin (burn) - pulse too superficial Dotted appearance: some of the varicosities were correctly treated (wait one month and then treat the remaining part).
36 Learning curve stage 1red and blue varicosities < 0.3 mm (non catheterisable)isolatedexternal leg of ankleneedle K3 Ipower setting 30%, pulse time 0.2 secRemain at this stage during one month normally. The result is 100% disappearance.
37 Learning curve stage 2varicosities < 0.3 located in the knees and thighsparameters identical to the first stageDuring 15 days do only this and await the result.This procedure is a little more delicate as these varicosities are often fed by a venule. The correct technique should lead to a positive result approaching 100%.
38 Learning curve stage 3isolated varicosities > 0.3 and < 0.6 mm (around twice the size of the 0.3 mm phlebological needle)use needle K6 IPerfect the technique, very good result
39 Learning curve stage 4Varicosities > 0.3 grouped and fed by a refluxMore difficult to tackle - for the best results it is preferable to treat the reflux before using microsclerosis.
40 Contra Indications Pace Maker Nickel Allergy (use gold needle) Coetaneous infection
41 Advantages for doctor Neither complications nor incidents. Simple to use.Instantaneous disappearance.No allergyNo pigmentation.No burns.No secondary effects.Very efficient on all kinds of variculas.All body parts
42 Advantages for patient No pain, minor discomfortNo bandages.Instant ResultsPermits sun exposure.Can be used on all kinds of skin.
43 Alternatives? Laser Electro Coagulation Important inflammatory reaction.Moderate efficacy.Material expensive and rapidly outdated.Risks of burns.Risks of de-pigmentationsTakes 4 to 6 weeks to see results.Electro CoagulationProblems of eviction when exposed to sun.Burns.Appearance of scabs.Risks of ecchymosis and bruises.Treatment is painful.
44 Comparison LASER MICRO SCLEROSIS ELECTRO COAGULATION THERMO ALLERGY NO YESBEDSORES / BURNSEXPERIENCE NECESSARYVARICOSITIES < 0.3 mmVARICOSITIES OF THE FOOTALL TYPES OF SKINEFFECTIVENESSPOORAVERAGEGOOD
45 ConclusionThe TC3000 removes unsightly veins in a comfortable efficient way.No risks, no side effects, no painCan be used all year, on all body partsImmediate, lasting results