An overview of ARC Laser's WOLF TruBlue surgical laser, with a direct comparison to Diode and CO2 lasers in various ENT applications

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Truly lightweight Truly versatile
Truly flexible Truly noiseless

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A.R.C. LASER “made in Germany”
24 years of excellence

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Wide range of lasers technologies

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Worldwide Distribution
A.R.C. Laser’s devices are sold in over 55 countries worldwide

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A.R.C. LASER - Canada
• Over 24 years experience of medical lasers development
• All lasers are 100% designed and manufactured in Nuremburg, Germany
• Solid Canadian market commitment (implementing the 2019
Canadian MDSAP regulation)
• Solid presence in Canada for over 11 years (since early 2007)

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ENT Lasers from A.R.C.

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The TruBlue® Laser
 Highly absorbed by oxyhemoglobin
 Excellent hemostasis
 Controlled depth of penetration
 Perfect balance of coagulation and cutting power
 Gentle coagulation of Papillomas
….World's first blue wavelength (445nm)

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The TruBlue® Laser
Prof. Markus
M. Hess, MD
Developed in collaboration with the Hamburg University Medical Center
–Eppendorf*; Prof Hess, Dr Fleischer, et al.
• Best possible hemoglobin absorption, outperforming KTP
• Delivery through ultra flexible fibreglass wires, outperforming CO2
• Minimal residual heat, selective absorption
• Contact & non-contact laser operating modes
Dr. Susanne
Fleischer, MD
Endoscopic Bare Fibres (300µm and 400µm)
* Department of Voice, Speech and Hearing Disorders,
University Medical Center Hamburg- Eppendorf,
Hamburg, Germany

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Other requirements:
• Space saving
• Quite operation
• Lower disposables cost compared to KTP
• Very low operating costs compared
to both KTP and CO2
• Suitable for outpatient departments
as well as OR
The TruBlue® Laser

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Lasers-Tissue Interaction

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Lasers-Tissue Interaction
Purely radiation
no bleeding
Photoangiolysis

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Lasers-Tissue Interaction
Purely radiation Thermal based
no bleeding no bleeding
Photoangiolysis Coagulation

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Lasers-Tissue Interaction
Purely radiation Thermal based Photoacoustic (ablation)
no bleeding no bleeding with bleeding!
Photoangiolysis Coagulation

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Video (WOLF TruBlue)

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Penetration Depth
Er: YAG
2940nm
Excimer
193nm
CO2
10,6µm
TruBlue
445nm
Nd:YAG
1064nm
KTP
532nm
Thullium
1,93-2,04nm
Ruby
694nm
Alexandrite
755nm
Diode
980nm

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Controlling penetration depth

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Controlling penetration depth
Tip blackening

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Controlling penetration depth
Non contact mode

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Non contact mode
Contact mode
Reduced penetration depth
Controlling penetration depth

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Laser cutting - residual effects
Diode 980
Necrosis

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Laser cutting - residual effects
Diode 980 CO2
Necrosis

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Laser cutting - residual effects
Diode 980
TruBlue
CO2
Necrosis

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Laryngology & Pharyngology Applications
 Laryngology
 Papilloma
 Leukoplakia
 Reinke´s Edema
 Capillary Ectasia
 Polyps
 Dysplasia
 Partial Larynx
resection
 Treatment of
Stenosis
Pharyngology
 Tumor resection e.g.
tongue, tongue base,
oral cavity, tonsils
 Uvulopalatoplastic

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Papilloma
Papilloma
Laser Power Pulse on Pulse off
Wolf TruBlue 10 W 20 ms 300 ms
Papilloma
Laser Power Pulse on Pulse off
Wolf TruBlue 6 W 80 ms 300 ms
Accessories Part Number
Endoscopic Fiber 400 µm LL28066s
Smoke Evacuation ZU01049
Accessories Part Number
Endoscopic Fiber 400 µm LL28066s
Smoke Evacuation ZU01049

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Capillary Ectasia
• High selectiveness
• Low energy
• Easy and flexible targeting
before
after
Capillary Ectasia
Laser Power Pulse on Pulse off
Wolf TruBlue 10 W 30 ms 300 ms
Accessories Part Number
Endoscopic Fiber 400 µm LL28066s
Smoke Evacuation ZU01049

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Cyst
• Easy cutting in contact or
non-contact modes
• Precise fibre guiding
• No bleeding
• Good wound formation
after few hours
Cyst
Laser Power Pulse on Pulse off
Wolf TruBlue 10 W 20 ms 300 ms
Accessories Part Number
Endoscopic Fiber 400 µm LL28066s
Smoke Evacuation ZU01049

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Synechia
• Low necrosis zone
• Easy fibre guiding
• No bleeding
• Antibacterial effect
Synechia
Laser Power Pulse on Pulse off
Wolf TruBlue 10 W 50 ms 200 ms
Accessories Part Number
Endoscopic Fiber 400 µm LL28066s
Smoke Evacuation ZU01049

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Leukoplakia
Leukoplakia
Laser Power Pulse on Pulse off
Wolf TruBlue 10 W 30 ms 300 ms
Accessories Part Number
Bare-Fiber 400µm LL28066s
• Easy fibre guiding
• Easy removal
• Superficial effect

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Videos (WOLF TruBlue)

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Otology Applications
Otology
 Stapedotomy
 Cholesteatoma
 Radiation of wound after
mechanical removal of
Cholesteatoma
 Glomus tumor
 Hemostasis

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Stapes
• Rosette-technique for stapes
• Less trauma
• More precise
• Safer and faster
• Easier to handle device
• Low cost accessories

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Stapes
Stapes cutting
Laser Power Pulse on Pulse off
Wolf TruBlue 3 W 20 ms SP
Accessories Part Number
Otology Probe LL28059s

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Stapes
Footplate perforation
Laser Power Pulse on Pulse off
Wolf TruBlue 2 W 40 ms SP
Accessories Part Number
Otology Probe LL28059s

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Cholesteatoma
Accessories Part Number
Otology Probe LL28059s
• Removal or radiation after
mechanical removal
• Low cost accessories
• Easy access with Otology Probe
Choleasteatoma
Laser Power Pulse on Pulse off
Wolf TruBlue 1-2 W 20-40 ms 50-100 ms

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Video (WOLF TruBlue)

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Rhinology Applications
Rhinology
 Turbinate reduction
 Synechia/ Scar band
 Septal spur ablation
 Epistaxis/ HHT
 Polyps
 Cutting, Coagulating

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Rhinology Applications
Accessories Part Number
Surgical handpiece +
80 mm cannula
HS11018 +
ZU01036
Turbinate reduction
Turbinate reduction
Laser Power Pulse on Pulse off
Wolf 980 5-6 W 1 sec 1 sec

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Rhinology Applications
Accessories Part Number
Surgical handpiece +
80 mm cannula
HS11018 +
ZU01036
Scar band
Scar band
Laser Power Pulse on Pulse off
Wolf 980 4-5 W CW --

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Videos (WOLF 980)
Turbinate reduction Scar band

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TruBlue vs. Diode Laser

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  
Contact Cutting  

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg
1.8 kg (FOX)
2.8 kg (WOLF)

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg
1.8 kg (FOX)
2.8 kg (WOLF)
Fibre guided  

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TruBlue vs. Diode Laser
TruBlue 980
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg
1.8 kg (FOX)
2.8 kg (WOLF)
Fibre guided  
Necrosis zone  

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TruBlue vs. CO2 Laser

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  
Contact Cutting  

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 50 kg

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 50 kg
Fibre guided  

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TruBlue vs. CO2 Laser
TruBlue CO2
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 50 kg
Fibre guided  
Necrosis zone  

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TruBlue vs. Green (KTP) Laser

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  
Contact Cutting  

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 25 kg

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 25 kg
Fibre guided  

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TruBlue vs. Green (KTP) Laser
TruBlue Green Laser
Photoangiolytic  
Contact Cutting  
Non-Contact-Cutting  
Weight 3.5 kg 25 kg
Fibre guided  
Necrosis zone  

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The WOLF TruBlue closes the gap!
 Best possible coagulation for bloodless surgery
 Non-contact and contact cutting
 Minimal residual heat - selective absorption
 Very low necrosis zone

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The WOLF TruBlue closes the gap!
 Delivery through ultra slim flexible fibres with
minimal bending radius to target any location
 Very low operating costs compared to both KTP
and CO2
 Space saving
 Quite operation
 Suitable for outpatient and in the OR

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Various Flexible Fibres
Endoscopic Bare Fibers (300µm and 400µm)
300µm
400µm
600µm

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Otology Probes

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Nasal and Pharynx Handpiece

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Nasal and Pharynx Fibres
Fiber and stripper:
Check the proper fiber
dimension.
Put the fiber mantle (cee-flex
tube) in the stripper.
Cut the fiber mantle by
pressing both handles.
Tilt and rotate the stripper
while pulling.
Stripping the fiber without a
stripper:
Cut the cee-flex tube with
your nails Pull the tube forward

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Nasal and Pharynx Fibres
Cutting the fiber
Removing the cut tip

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Nasal and Pharynx Fibres
Testing the fiber for cracks, before use
Check the spot of the fiber

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Light absorption in the human eye

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Accessories – Laser Safety
Only

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Accessories – Laser Safety
and
Only

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Accessories – Laser Safety
only
and
and

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ENT Packages – OR and Outpatients
ViroVac - Smoke Evacuation
ZU01049
Optional: Smoke Evacuation

74. A.R.C. Laser GmbH
Bessemerstraße 14
90411 D-Nürnberg
Germany
+49 (0) 911 - 217 79 0
+49 (0) 911 - 217 79 99
info@arclaser.de
www.arclaser.de
Thank you !
Aaron Miller
© 2018 BritaMed Inc. All rights reserved. Any use of the material, including reproduction in whole or in part, requires permission in writing from BritaMed Inc.