PB0000300 - A AcuPulse Service Manual-FINAL DRAFT

Carbon Dioxide Laser
FINAL DRAFT - NOVEMBER 18, 2009
Service Manual
Copyright © 2009, the Lumenis group of companies. All rights reserved.
Lumenis, the Lumenis logo, AcuPulse, SurgiTouch, Pulser,

SuperPulse, Acuscan 120, AcuSpot 712, Digital AcuBlade, OtoLAM
and BeamAlign are trademarks or registered trademarks of Lumenis.
This manual is copyrighted with all rights reserved. Under copyright

laws, this manual may not be copied in whole or in part or reproduced
in any other media without the express written permission of Lumenis.

Permitted copies must carry the same proprietary and copyright notices
as were affixed to the original. Under the law, copying includes
translation into another language.
Please note that while every effort has been made to ensure that the
data given in this document is accurate, the information, figures,
illustrations, tables, specifications, and schematics contained herein are
subject to change without notice.
Caution: U.S. law restricts this device to sale by or on the order of a

physician.
Notes:
1. System and Accessory specifications subject to change without notice.
2. Manual Catalog No. PB0000300
3. Manual Catalog Version “A”
4. Prepared October, 2009
ii
Use of Manual:
The AcuPulse system is designed to meet international safety and performance

standards. Personnel operating or servicing the system must have a thorough
understanding of the proper operation of the system.
This manual has been prepared to aid Lumenis-authorized technical personnel to

understand and service the system. Do not operate the system before reading this
manual and gaining a clear understanding of the operation of the system.
Regulatory European Representative:

Lumenis (Germany) GmbH
Heinrich-Hertz-Strasse 3
D-63303 Dreieich
Germany
iii
PHYSICIAN RESPONSIBILITY
Federal (USA) law restricts prescription medical devices to sale by or

on the order of a physician, or properly licensed practitioner. That
physician will be responsible for the use and operation of the device
and for all user qualifications. Lumenis makes no representations
regarding federal, state or local laws or regulations that might apply to
the use and operation of any medical device. The physician is responsi-
ble for contacting his or her local licensing agencies to determine any
credentials required by law for clinical use and operation of the device.
PREVENTIVE MAINTENANCE
The AcuPulse system is a precision, technical medical device that

requires routine service as well as consumable parts. All service must
be performed by a Lumenis authorized technician and all parts must be
purchased from Lumenis. Failure to obtain service and parts through
Lumenis voids all warranties, express and implied. Please call Lumenis
or your local representative for details.
MODIFICATION OF DEVICE
Unauthorized modification of the hardware, software or specifications

of the system voids all warranties, express and implied. Lumenis takes
no responsibility for the use or operation of such a device.
RESALE INSPECTION
The AcuPulse system is a precision, technical medical device. If any

Lumenis device is resold by anyone other than an authorized sales
representative, Lumenis offers a resale inspection by a Lumenis
technician to assure that the device is working in accordance with
manufacturer's specifications. Using the device after it has been resold
and before it has been inspected is a misuse of the device, which may
result in injuries and voids all warranties, express and implied.
RELEVANT DOCUMENTS
AcuPulse System (Surgical) Operator Manual (P/N # UM-1053720)
AcuPulse System (Aesthetic) Operator Manual (P/N # UM-1061050)
iv
Publication No. Revision Description Date
PB0000300 A FIrst Release October, 2009
v
vi
TABLE OF CONTENTS
Chapter 1: Introduction
1.1 Introduction.................................................................................................. 1-1
1.2 Characteristics of the CO2 Laser Beam....................................................... 1-2
1.3 Scope of This Manual.................................................................................. 1-2
1.4 Manual Conventions.................................................................................... 1-3
1.5 Applicable Documents................................................................................. 1-4
1.6 Abbreviations and Acronyms ...................................................................... 1-4
Chapter 2: Safety
2.1 Introduction.................................................................................................. 2-1
2.2 Laser Safety Guidelines............................................................................... 2-2

2.2.1 Laser Safety Officer......................................................................................2-2
2.2.2 Laser Treatment/Operating Area .................................................................2-3
2.3 Understanding and Controlling Laser Impact on Tissue ............................. 2-3

2.3.1 Laser Classes................................................................................................2-4
2.3.2 Wavelength and Tissue Variability...............................................................2-5
2.3.3 Spot Size, Power, and Exposure...................................................................2-5
2.4 Hazards Associated with Unsafe Laser Use ................................................ 2-6

2.4.1 Burn Hazards ...............................................................................................2-6
2.5 Reflection and Direct Eye Exposure Hazard ............................................... 2-7

2.5.1 Laser Safety Eyewear ...................................................................................2-7
2.5.2 Additional Ocular Protection.......................................................................2-8
2.5.3 Fire Hazards.................................................................................................2-8
2.5.4 Electrical Hazards........................................................................................2-9
2.5.5 Grounding the System ..................................................................................2-9
2.5.6 Toxic Hazard ..............................................................................................2-10
2.6 System Safety Features.............................................................................. 2-10

2.6.1 Password Protection ..................................................................................2-11
2.6.2 Self Testing at Login...................................................................................2-11
2.6.3 Safety Shutter..............................................................................................2-12
2.6.4 Door Interlock Connector ..........................................................................2-12
PB0000300, Rev. A i
AcuPulse Laser System Service Manual
2.6.5 Circuit Breaker...........................................................................................2-12

2.6.6 Footswitch Dual-Microswitch ....................................................................2-12
2.6.7 Emergency Stop Button ..............................................................................2-12
2.6.8 Internal Power Meter .................................................................................2-13
2.6.9 Safety Timer................................................................................................2-13
2.6.10 Continuous Internal System Monitoring ..................................................2-13
2.6.11 Laser Beam Emission Indicators..............................................................2-14
2.6.12 On Line Monitor.......................................................................................2-14
2.7 Compliance with International Standards.................................................. 2-15
2.8 Warning, Certification and Identification Labels ...................................... 2-16
Chapter 3: Installation
3.1 Introduction.................................................................................................. 3-1
3.1.1 Required Tools .............................................................................................3-2
3.2 Facility Requirements.................................................................................. 3-2

3.2.1 Space and Positioning Requirements ...........................................................3-2
3.2.2 Electrical Requirements ...............................................................................3-3
3.2.3 Environmental Requirements .......................................................................3-4
3.3 Unpacking the Unit...................................................................................... 3-4
3.4 Installation and Setup ................................................................................ 3-13

3.4.1 Smoke Evacuator Installation ....................................................................3-14
3.4.2 Remote Interlock System Installation .........................................................3-14
3.4.3 Articulated Arm Setup ................................................................................3-15
3.4.4 Handpiece Assembly...................................................................................3-16
3.4.5 Scanning Accessories .................................................................................3-18
3.4.6 Setting up the AcuScan 120 Microscanner.................................................3-20
3.4.7 Cleaning the Optical Head.........................................................................3-20
3.4.8 Check Articulated Arm Balance .................................................................3-21
3.4.9 Bacteriological Filter Installation..............................................................3-22
3.4.10 Footswitch Connection.............................................................................3-22
3.5 Initial System Testing ................................................................................ 3-22

3.5.1 System Controls..........................................................................................3-23
3.5.2 Main Control Panel....................................................................................3-23
3.5.3 System Startup and Self Test ......................................................................3-23
3.5.4 Remote Interlock Check..............................................................................3-26
3.5.5 Footswitch Connection Check....................................................................3-26
3.5.6 Emergency Stop Button Check ...................................................................3-26
3.6 Final Checks .............................................................................................. 3-27

3.6.1 Equipment Required for the Checks ...........................................................3-27
3.6.2 General Preliminary Check........................................................................3-27
ii PB0000300, Rev. A
3.6.3 Aiming Beam Check ...................................................................................3-27
3.6.4 Laser Radiation Leakage Test....................................................................3-29
3.6.5 Laser Alignment Checks .............................................................................3-29
3.6.6 Power Meter Calibration Check ................................................................3-29
3.6.7 Operational Checks....................................................................................3-30
3.6.8 Turn-Off Procedure....................................................................................3-31
3.6.9 Setting User Names and Passwords...........................................................3-31
3.6.10 Setting User Preferences ..........................................................................3-33
3.6.11 Adjusting Date and Time..........................................................................3-33
3.7 Installation Report ..................................................................................... 3-34
3.8 Moving, Transporting, and Storage ........................................................... 3-38

3.8.1 Moving the System within the Facility .......................................................3-38
3.8.2 Transporting the System.............................................................................3-38
Chapter 4: General Description

4.1 General Laser Theory .................................................................................. 4-1
4.2 CO2 Laser Theory ....................................................................................... 4-2
4.3 AcuPulse Laser System Description............................................................ 4-2
4.4 Control Panel ............................................................................................... 4-5

4.4.1 Optical Bench Assembly ...............................................................................4-6
4.4.2 Cooling System .............................................................................................4-7
4.4.3 Service Panel ................................................................................................4-7
4.5 Understanding Laser Delivery................................................................... 4-11

4.5.1 Exposure Types...........................................................................................4-11
4.6 Hardware and Software Interface .............................................................. 4-14

4.6.1 Software Description ..................................................................................4-14
4.7 System Specifications................................................................................ 4-15

4.7.1 Outputs .......................................................................................................4-15
4.7.2 Operation and Control ...............................................................................4-16
4.7.3 Cooling System ...........................................................................................4-17
4.7.4 Electrical Requirements .............................................................................4-17
4.7.5 Physical Specifications...............................................................................4-17
4.7.6 Environmental Specifications.....................................................................4-18
4.8 Delivery Systems & Accessories............................................................... 4-19

4.8.1 Standard Accessories .................................................................................4-20
4.8.2 Optional Accessories..................................................................................4-20
PB0000300, Rev. A iii

Chapter 5: Functional Description

5.1 Introduction.................................................................................................. 5-1
5.2 CO2 Laser Tube........................................................................................... 5-2
5.3 HVPS & Bobbin Assembly ......................................................................... 5-2

5.4 LVPS ........................................................................................................... 5-3
5.5 Interface/Controller Module ........................................................................ 5-4
5.6 Cooling System............................................................................................ 5-6

5.6.1 Air-Cooled Ventilation System .....................................................................5-6
5.6.2 Coolant-Cooled System ................................................................................5-7
5.7 Industrial PC ................................................................................................ 5-9
5.8 Touch Screen Display................................................................................ 5-10
5.9 Scanner Board............................................................................................ 5-10
5.10 Beam Delivery System - Articulated Arm................................................. 5-12

5.10.1 Articulated Arm Assembly ........................................................................5-12
5.10.2 Spring Balance Assembly .........................................................................5-13
5.11 Power Distribution..................................................................................... 5-15
5.12 Functional Description – Lasing................................................................ 5-16
5.13 Internal Power Meter ................................................................................. 5-18
5.14 On Line Monitor ........................................................................................ 5-19

5.14.1 FPGA-DSP Safety ....................................................................................5-20
5.15 Software..................................................................................................... 5-22

5.15.1 User Mode ................................................................................................5-22
5.15.2 Service Mode ............................................................................................5-24
5.15.3 Main Service Screen Functions ................................................................5-28
5.15.4 Input / Output Screen ...............................................................................5-30
5.15.5 ADCs Screen.............................................................................................5-31
5.15.6 Power Meter Screen .................................................................................5-32
5.15.7 System Calibration Screen .......................................................................5-32
5.15.8 Error Log Screen......................................................................................5-33
5.15.9 System Screen ...........................................................................................5-34
5.15.10 Scanner Screen .......................................................................................5-35
5.15.11 FPGA Screen ..........................................................................................5-36
iv PB0000300, Rev. A
Chapter 6: Scanners & Accessories
6.1 Introduction.................................................................................................. 6-1
6.2 SurgiTouch Functional Description............................................................. 6-2
6.3 AcuScan 120 Functional Description .......................................................... 6-3

6.4 Scanner Calibration Procedures................................................................... 6-3
6.5 Accessories for AcuPulse Scanners............................................................. 6-5
Chapter 7: Calibrations, Alignments and Tests

7.1 Optical Alignments...................................................................................... 7-1
7.1.1 Alignment Procedures .................................................................................7-2
7.1.2 Alignment of the Aiming Beam Diode ..........................................................7-3
7.1.3 Combined Alignment Jig Assembly Description ..........................................7-3
7.2 Aiming Beam Diode Alignment Check/Procedure (Angular and Depth

Alignment)7-4
7.3 CO2 Laser Tube Alignments ....................................................................... 7-8

7.3.1 CO2 Laser Alignment Check (Near and Far Field Tests)............................7-8
7.3.2 CO2 Laser Tube Alignment Procedure (Near and Far Alignments) ...........7-9
7.4 Articulated Arm Alignment....................................................................... 7-11

7.4.1 General.......................................................................................................7-11
7.4.2 Articulated Arm Alignment Check..............................................................7-13
7.4.3 Alignment of Mirrors No.1 through 4 ........................................................7-15
7.5 Structure of Mirror Assemblies No. 1 through 4....................................... 7-17

7.5.1 Angular Alignment Procedure for Mirror No. 1 ........................................7-18
7.5.2 Depth Alignment Procedure for Mirror No.1 ............................................7-20
7.5.3 Mirror No.2 Alignment Procedure.............................................................7-21
7.5.4 Mirror No.3 Alignment Procedure.............................................................7-21
7.6 Alignments with the Spring Balance System Activated............................ 7-22

7.6.1 Alignment of Mirror No. 4..........................................................................7-23
7.7 Post Alignment Articulated Arm Alignment Check.................................. 7-24
7.8 Rear Mirror Adjustment ............................................................................ 7-24
7.9 Calibration Procedures in Service Mode ................................................... 7-27

7.9.1 ADCS Calibration ......................................................................................7-27
7.9.2 Internal Power Meter Calibration .............................................................7-32
PB0000300, Rev. A v
7.9.3 System Calibration .....................................................................................7-39

7.9.4 Accessing the OS (Operating System) Explorer.........................................7-45
7.9.5 Touch Screen Calibration ..........................................................................7-47
7.10 Adjusting Date and Time........................................................................... 7-49
7.11 AcuPulse Software Upgrade...................................................................... 7-50

7.12 AcuPulse Configuration Upgrade.............................................................. 7-50
7.13 Loading New Scanner Data ....................................................................... 7-52
7.14 Preventive Maintenance............................................................................. 7-55
Chapter 8: Troubleshooting
8.1 Introduction.................................................................................................. 8-1
8.1.1 Troubleshooting Guide Sections ..................................................................8-2
8.2 Troubleshooting Guide ................................................................................ 8-3

8.2.1 Error Messages ............................................................................................8-3
8.3 Description of the Error States .................................................................... 8-4

8.3.1 The Treatment of System Errors in Service mode ........................................8-4
8.4 Error Messages ............................................................................................ 8-6

8.4.1 Error # 01: Open Shutter Error ...................................................................8-6
8.4.2 Error # 02: Closed Shutter Error.................................................................8-7
8.4.3 Error # 04: Foot Switch 1/2 Error ...............................................................8-7
8.4.4 Error # 06: Foot Switch is Not Connected Error.........................................8-7
8.4.5 Error # 07: Foot Switch Pressed during Self Test Error .............................8-8
8.4.6 Error # 12: CO2 Cooling Flow Switch Error ..............................................8-8
8.4.7 Error # 13: CO2 PUMP Current (Velocity) Error ......................................8-8
8.4.8 Error # 14: Pump Status Error ....................................................................8-9
8.4.9 Error # 15: CO2 FAN Status Error..............................................................8-9
8.4.10 Error # 16: CO2 Temperature is more than 47ºC .....................................8-9
8.4.11 Error # 17: CO2 Over Temperature Error 50ºC .....................................8-10
8.4.12 Error # 18: Air FAN Status Error ............................................................8-10
8.4.13 Error # 19: System Air Temperature is more than 47º C.........................8-10
8.4.14 Error # 20: System Air Over Temperature Error.....................................8-11
8.4.15 Error # 23: Remote Interlock Error .........................................................8-11
8.4.16 Error # 24: Laser Stop Condition Error ..................................................8-12
8.4.17 Error # 26: HVPS Power Supply Fail Error............................................8-12
8.4.18 Error # 28: HVPS 110V Status Error ......................................................8-12
8.4.19 Error # 34: Parameters Error (Software)................................................8-13
8.4.20 Error # 35: GUI PC to DSP Micro Communication Error .....................8-13
8.4.21 Error # 36: DSP FPGA Communication Error .......................................8-14
8.4.22 Error # 37: FPGA Status NNNN Error....................................................8-14
vi PB0000300, Rev. A
8.4.23 Error # 39: Offset Cal2 AGND/2.5V Error..............................................8-15
8.4.24 Error # 40: Offset Cal1 AGND/0.5V Error..............................................8-15
8.4.25 Error # 41: PS 5.0V Error........................................................................8-15
8.4.26 Error # 42: PS ±12V Error ......................................................................8-16
8.4.27 Error # 44: PS +24V Error......................................................................8-16
8.4.28 Error # 45: Power Meter SPDT1 Disk Error (HW).................................8-16
8.4.29 Error # 46: Power Meter SPDT2 Disk Error (HW).................................8-17
8.4.30 Error # 48: Power Meter Sanity Low Med 1W (Software) ......................8-17
8.4.31 Error # 49: Power Meter Sanity Med High 5W (Software) .....................8-18
8.4.32 Error # 50: CO2 On Line current 1 (HW) ...............................................8-18

8.4.33 Error # 51: Self Test Interlock Error .......................................................8-18
8.4.34 Error # 52: Self Test Laser Stop Button Error.........................................8-19
8.4.35 Error # 53: CO2On Line Monitor Current HW Compare Error .............8-19
8.4.36 Error # 54: Temperature Monitoring Error.............................................8-19
8.4.37 Error # 55: CO2 On line Limits SW Compare Error...............................8-20
8.4.38 Error # 56: Power Converge Error (SW) ................................................8-20
8.4.39 Error # 57: Self Test Power Out Test Error.............................................8-20
8.4.40 Error # 65: Scanner Fire Error ...............................................................8-21
8.4.41 Error # 66: Self Test Scanner DSP Controller Error ..............................8-21
8.4.42 Error # 68: Self Test Unsafe Scanner Disconnected Error......................8-21
8.4.43 Error # 69: Scanner Position X/Y Axis HW Error ...................................8-22
8.4.44 Error # 70: Scanner Disconnected Error.................................................8-22
8.4.45 Error # 71: Scanner Board Present Error ...............................................8-23
8.4.46 Error # 74: Scanner Position X Axis Error..............................................8-23
8.4.47 Error # 75: Scanner Position Y Axis Error..............................................8-24
8.4.48 Error # 76: Scanner PS ±15V Error ........................................................8-24
8.4.49 Error # 78: Scanner AcuBlade Error.......................................................8-24
8.4.50 Error # 79: Scanner Servo X/Y Axis not Calibrated Error ......................8-25
8.4.51 Error # 82: Scanner AcuBlade Switch Pressed Warning.........................8-25
8.4.52 Error # 300: HASP Not Connected Error................................................8-25
8.4.53 Error # 301: HASP Not Valid Error ........................................................8-26
8.4.54 Error # 302: Database Error ...................................................................8-26
8.4.55 Error # 303: Database Update Error ......................................................8-26
8.4.56 Error # 304: Software Error ....................................................................8-27
8.5 Other System Problems ............................................................................. 8-27

8.5.1 No/Low Ignition of Laser ...........................................................................8-27
8.5.2 No Sound Emitted.......................................................................................8-27
8.5.3 Wrong Colors/Faulty Image/No Image on Display ...................................8-28
8.5.4 Touch-Screen Not Reacting as Expected....................................................8-28
8.5.5 Truncated or Misformed Shapes Created by Scanner................................8-28
8.5.6 Scanner “Whistling” ..................................................................................8-28
8.5.7 Cannot Login to the System........................................................................8-29
8.6 The FPGA Status Register Bits (from LSB to MSB) ................................ 8-32
8.7 System Operation after Error States in User Mode ................................... 8-32
8.7.1 System Footswitch Operating Error States ................................................8-33
PB0000300, Rev. A vii

Chapter 9: Module Replacement

9.1 Introduction.................................................................................................. 9-1
9.1.1 Required Tools: ............................................................................................9-1
9.2 External Components Replacement............................................................. 9-2

9.2.1 Front Cover Removal ...................................................................................9-2
9.2.2 Handle Replacement.....................................................................................9-4
9.2.3 Filters and Filter Covers Replacement ........................................................9-7

9.2.4 Front Filter Replacement .............................................................................9-7
9.2.5 Rear Filters and Filter Covers Replacement ...............................................9-7
9.2.6 Arm Clamps Replacement ............................................................................9-8
9.2.7 Cable Wrap Hooks Replacement................................................................9-10
9.3 Replacing the GUI PC ............................................................................... 9-11
9.4 Replacing the Display Assembly............................................................... 9-12
9.5 Replacing the Interface/Controller Assembly ........................................... 9-13
9.6 Replacing the Low Voltage Power Supply (LVPS) .................................. 9-15
9.7 Scanner Module Replacement ................................................................... 9-18
9.8 Replacing the High Voltage Power Supply ............................................... 9-20
9.9 Replacing the HVPS Bobbin ..................................................................... 9-23

9.9.1 Replacing the Air Pump Assembly .............................................................9-24
9.10 Replacing the Cooling System Modules ................................................... 9-26

9.10.1 Refilling the System with Fluorinert Coolant...........................................9-26
9.10.2 Replacing the Cooling Pump....................................................................9-27
9.10.3 Replacing the Expansion Tank .................................................................9-29
9.10.4 Replacing the Flow Switch .......................................................................9-30
9.10.5 Replacing the Heat Exchanger.................................................................9-30
9.11 Replacing the Optical Components ........................................................... 9-31

9.11.1 Replacing the Beam Delivery System (Articulated Arm) .........................9-31
9.11.2 Cleaning the Optical System ....................................................................9-33
9.11.3 Replacing the Aiming Beam Diode Module .............................................9-34
9.11.4 Replacing the Optical Bench ....................................................................9-35
9.11.5 Removing the CO2 Laser Tube ................................................................9-38
9.11.6 Installing the CO2 Laser Tube .................................................................9-39
9.11.7 Beam Combiner Assembly Replacement ..................................................9-41
viii PB0000300, Rev. A

Chapter 10: Spare Parts Catalog
10.1 Introduction................................................................................................ 10-1
10.2 Spare Parts ................................................................................................. 10-2

10.2.1 Computer and Display..............................................................................10-4
10.2.2 Electronic Components ............................................................................10-5
10.2.3 Harnesses .................................................................................................10-6
10.2.4 Cooling System .........................................................................................10-7

10.2.5 Covers and Exterior Components ............................................................10-8
10.2.6 HVPS ......................................................................................................10-10
10.2.7 Optical Components ...............................................................................10-11
10.3 Miscellaneous .......................................................................................... 10-12
10.4 Scanners and Accessories ........................................................................ 10-13
10.5 Special Tools ........................................................................................... 10-14
PB0000300, Rev. A ix
x PB0000300, Rev. A
LIST OF FIGURES
Chapter 1: Introduction
Chapter 2: Safety
Figure 2-1 Laser Treatment Room Warning Sign ................................. 2-3
Figure 2-2 System Safety Circuit......................................................... 2-11

Figure 2-3 System Labels ................................................................... 2-17
Chapter 3: Installation
Figure 3-1 Physical Dimensions ............................................................ 3-3
Figure 3-2 Shock Indicator Label .......................................................... 3-5
Figure 3-3 AcuPulse Shipping Box ....................................................... 3-6
Figure 3-4 Box Contents (For Illustration Purposes Only).................... 3-6
Figure 3-5 View of Top with Flaps Open.............................................. 3-7
Figure 3-6 Removing the Ramp from the Box ...................................... 3-7
Figure 3-7 Removing Top Cover with Foam......................................... 3-8
Figure 3-8 Removing Large Box Covering the Unit ............................. 3-8
Figure 3-9 Assembling the Ramp .......................................................... 3-9
Figure 3-10 Turning the Unit................................................................. 3-9
Figure 3-11 Opening the Base ............................................................. 3-10
Figure 3-12 Removing Foam Inserts ................................................... 3-11
Figure 3-13 Rolling the System Down the Ramp................................ 3-11
Figure 3-14 Remove the Plastic Wrapping.......................................... 3-12
Figure 3-15 Assembled AcuPulse Laser System ................................. 3-13
Figure 3-16 Smoke Evacuation Connection Port ................................ 3-14
Figure 3-17 Release the Articulated Arm ............................................ 3-16
Figure 3-18 125 mm Handpiece Set .................................................... 3-16
Figure 3-19 125 mm Handpiece Assembly ......................................... 3-17
Figure 3-20 Setting Up the SurgiTouch Scanner................................. 3-19
Figure 3-21 SurgiTouch Scanner with Accessory Assembled ............ 3-20
Figure 3-22 Footswitch Connection Port............................................. 3-22
Figure 3-23 Login Screen .................................................................... 3-24
Figure 3-24 Control Panel.................................................................... 3-25
Figure 3-25 Aiming Beam Check ........................................................ 3-28
Figure 3-26 Users List Screen ............................................................. 3-31
Figure 3-27 On-Screen Keyboard........................................................ 3-32
Figure 3-28 Preferences Screen ........................................................... 3-33
PB 3580110 Rev. B xi
M22TM Service Manual
Chapter 4: General Description

Figure 4-1 Assembled AcuPulse Laser System ..................................... 4-4
Figure 4-2 Control Panel........................................................................ 4-5
Figure 4-3 AcuPulse Treatment Screen (sample) .................................. 4-6
Figure 4-4 Service Panel....................................................................... 4-8
Figure 4-5 CW Exposure Types .......................................................... 4-12
Figure 4-6 Pulser Exposure Types....................................................... 4-13
Figure 4-7 SuperPulse Exposure Types............................................... 4-14
Figure 4-8 SurgiTouch Scanner Kit..................................................... 4-19

Figure 4-9 AcuScan 120 scanner Kit ................................................... 4-19
Chapter 5: Functional Description

Figure 5-1 AcuPulse System Block Diagram ........................................ 5-1
Figure 5-2 HVPS & Bobbin Assembly Electrical Diagram .................. 5-3
Figure 5-3 LVPS Module Electrical Diagram ....................................... 5-4
Figure 5-4 Interface Board..................................................................... 5-5
Figure 5-5 Controller Board .................................................................. 5-6
Figure 5-6 Air Flow through AcuPulse System..................................... 5-7
Figure 5-7 Fluid Based Cooling Cycle for AcuPulse System ............... 5-8
Figure 5-8 Industrial PC Ports and Components ................................... 5-9
Figure 5-9 Touch Screen Display Assembly ....................................... 5-10
Figure 5-10 Scanner Module Electrical Diagram ................................ 5-11
Figure 5-11 SurgiTouch Scanner Head to Scanner Board
Block Diagram ..................................................................................... 5-11
Figure 5-12 AcuScan 120 Scanner Head to Scanner Board
Block Diagram ..................................................................................... 5-12
Figure 5-13 Articulated Arm Component Locations ........................... 5-14
Figure 5-14 Power Distribution Schematic ......................................... 5-15
Figure 5-15 Power Convergence Phase ............................................... 5-17
Figure 5-16 Lasing Phase Route .......................................................... 5-17
Figure 5-17 Internal Power Meter Functionality Diagram .................. 5-18
Figure 5-18 On Line Monitor .............................................................. 5-19
Figure 5-19 FPGA-DSP Safety Feature Block Diagram ..................... 5-20
Figure 5-20 Software States Diagram.................................................. 5-22
Figure 5-21 Treatment Screen ............................................................. 5-23
Figure 5-22 Home Screen .................................................................... 5-24
Figure 5-23 AcuPulse Splash Screen................................................... 5-25
Figure 5-24 Login Service Screen ....................................................... 5-25
Figure 5-25 Home Screen .................................................................... 5-26
Figure 5-26 Utilities Screen ................................................................. 5-26
Figure 5-27 Main Service Screen - Surgical Version (1.02) .............. 5-27
Figure 5-28 Main Service Screen - Aesthetic Version (1.04).............. 5-27
Figure 5-29 Self Test Screen ............................................................... 5-29
Figure 5-30 Input/Output Screen ......................................................... 5-30
Figure 5-31 ADCs Screen.................................................................... 5-31
xii PB 3580110 Rev. B

Figure 5-32 Power Meter Calibration Screen ...................................... 5-32
Figure 5-33 System Calibration Screen ............................................... 5-33
Figure 5-34 Error Log Screen .............................................................. 5-34
Figure 5-35 System Screen .................................................................. 5-35
Figure 5-36 Scanner Screen ................................................................. 5-36
Figure 5-37 FPGA Screen.................................................................... 5-37
Chapter 6: Scanners & Accessories

Figure 6-1 SurgiTouch Scanner Head ................................................... 6-1

Figure 6-2 AcuScan 120 Scanner Head ................................................. 6-2
Figure 6-3 Scanner Board Location....................................................... 6-2
Figure 6-4 Utilities Screen ..................................................................... 6-4
Figure 6-5 New Scanner Upgrade Wizard............................................. 6-4
Chapter 7: Calibrations, Alignments and Tests

Figure 7-1 Articulated Arm Component Locations ............................... 7-2
Figure 7-2 Combined Alignment Jig Assembly .................................... 7-4
Figure 7-3 Combined Alignment Jig Assembly Connected for
Aiming Beam Alignment........................................................................ 7-5
Figure 7-4 Alignment Beam Position on Masking Tape ....................... 7-5
Figure 7-5 Aiming Beam Diode Assembly ........................................... 7-6
Figure 7-6 Adjusting Screws ................................................................. 7-7
Figure 7-7 Beam Alignment Check Results .......................................... 7-9
Figure 7-8 Articulated Arm Components Locations ........................... 7-12
Figure 7-9 Arms Alignment Check Flow Chart .................................. 7-13
Figure 7-10 Alignment Jig Assembly in Elbow No.2 ......................... 7-18
Figure 7-11 Aiming Beam Position on Angle Window ...................... 7-19
Figure 7-12 aiming Beam Position on depth window ......................... 7-20
Figure 7-13 Mirror No.2 Alignment .................................................... 7-21
Figure 7-14 Mirror No.3 Alignment .................................................... 7-22
Figure 7-15 Alignment with End-Joint Holder and Adaptor ............... 7-24
Figure 7-16 Rear Mirror Metal Guard ................................................. 7-25
Figure 7-17 Rear Mirror Separator ...................................................... 7-25
Figure 7-18 Grounding the Rear Mirror .............................................. 7-26
Figure 7-19 ADCS Screen ................................................................... 7-27
Figure 7-20 ADCs Calibration Screen................................................. 7-28
Figure 7-21 Current Readings Calibration........................................... 7-30
Figure 7-22 Current Factor Calibration ............................................... 7-31
Figure 7-23 Current Limits Calibration ............................................... 7-32
Figure 7-24 Power Meter Screen -Offset Calibration.......................... 7-34
Figure 7-25 Main Service Screen ........................................................ 7-35
Figure 7-26 Power Meter Screen - Gain Calibration ........................... 7-35
Figure 7-27 Power Meter Screen ......................................................... 7-37
Figure 7-28 Power Meter 3 Calibration Screen ................................... 7-38
Figure 7-29 System Calibration - CW ................................................. 7-41
PB 3580110 Rev. B xiii

Figure 7-30 System Calibration - SP - surgical version (1.02)............ 7-42

Figure 7-31 System Calibration - SP - Aesthetic Version (1.04) ........ 7-42
Figure 7-32 System Calibration Pulser SurgiTouch ............................ 7-43
Figure 7-33 System Calibration Pulser DeepFX ................................. 7-44
Figure 7-34 Login Service ................................................................... 7-45
Figure 7-35 Options Screen ................................................................. 7-46
Figure 7-36 Explorer Screen................................................................ 7-46
Figure 7-37 TPUtility.exe Icon ............................................................ 7-47
Figure 7-38 calibration Grid ................................................................ 7-48

Figure 7-39 9-Point Screen Calibration ............................................... 7-48
Figure 7-40 Free Draw Grid ................................................................ 7-49
Figure 7-41 Utilities Screen, Upgrade Button ..................................... 7-51
Figure 7-42 Software Upgrade ............................................................ 7-52
Figure 7-43 Utilities - New Scanner .................................................... 7-53
Figure 7-44 Scanner Upgrade Wizard ................................................. 7-54
Chapter 8: Troubleshooting
Figure 8-1 LVPS Voltage Lines Facing Outwards .............................. 8-29
Figure 8-2 COM Harness Location ..................................................... 8-30
Figure 8-3 Harness connector Not Fully Mounted .............................. 8-31
Figure 8-4 Harness Fully Closed ......................................................... 8-31
Figure 8-5 Switch Diagram - Footswitch ............................................ 8-34
Chapter 9: Module Replacement

Figure 9-1 Remove Six Allen Screws from Back.................................. 9-3
Figure 9-2 Holding Hooks ..................................................................... 9-3
Figure 9-3 Front Cover Open and Secured on Holding Hooks ............. 9-4
Figure 9-4 AcuPulse System Handles Location .................................... 9-4
Figure 9-5 Remove 4 Allen Screws ....................................................... 9-5
Figure 9-6 Screws Behind Laser Tube for Left Side Handle ................ 9-6
Figure 9-7 Filter Locations .................................................................... 9-7
Figure 9-8 Removing the Front Filter.................................................... 9-7
Figure 9-9 Filter Cover Screws.............................................................. 9-8
Figure 9-10 Arm Clamps Locations ...................................................... 9-9
Figure 9-11 Cable Wrap Hooks Location............................................ 9-10
Figure 9-12 Remove Screw ................................................................. 9-10
Figure 9-13 PC Module ....................................................................... 9-11
Figure 9-14 GUI PC Harnesses ........................................................... 9-12
Figure 9-15 Eight Screws Holding the Display Assembly .................. 9-12
Figure 9-16 Releasing Captive Screws on Interface/Controller .......... 9-14
Figure 9-17 Remove Guard Bracket from LVPS ................................ 9-15
Figure 9-18 Main Power Cable from LVPS ........................................ 9-16
Figure 9-19 disconnecting LVPS Control Cable ................................. 9-16
Figure 9-20 Disconnect from J1 .......................................................... 9-17
Figure 9-21 Remove Captive Screws from LVPS............................... 9-17
xiv PB 3580110 Rev. B

Figure 9-22 Disconnect HV Connections ............................................ 9-18
Figure 9-23 Scanner Module Connections .......................................... 9-19
Figure 9-24 Disconnect 110V Power Cable ........................................ 9-20
Figure 9-25 Release the HVPS Captive Screws .................................. 9-21
Figure 9-26 Disconnect HV Connectors.............................................. 9-21
Figure 9-27 Disconnect Bobbin Cable................................................. 9-22
Figure 9-28 Disconnect HVPS Control Harness ................................. 9-22
Figure 9-29 Removing HVPS from Mounting Plate ........................... 9-23
Figure 9-30 Remove Nuts from Mounting Plate ................................. 9-24

Figure 9-31 Open Bottom Panel .......................................................... 9-24
Figure 9-32 Disconnect Connections to Air Pump .............................. 9-25
Figure 9-33 Air Pump Bottom ............................................................. 9-25
Figure 9-34 Release Air Pump Quick-Connector................................ 9-26
Figure 9-35 Cooling Pump .................................................................. 9-28
Figure 9-36 Tie off Coolant Tubes ...................................................... 9-28
Figure 9-37 Release Screws Holding Pump ........................................ 9-28
Figure 9-38 Disconnect Tube to Expansion Tank ............................... 9-29
Figure 9-39 Release Screws Holding Expansion Tank ....................... 9-29
Figure 9-40 Flow Switch Removal ...................................................... 9-30
Figure 9-41 Release Screws on Heat Exchanger ................................. 9-31
Figure 9-42 Rotate the Arm on its Base to Access Hole ..................... 9-32
Figure 9-43 Disconnect Air Purge Tube.............................................. 9-32
Figure 9-44 Mounting the Arm............................................................ 9-33
Figure 9-45 Ground Bracket ................................................................ 9-35
Figure 9-46 Cooling Fluid Tube from Flow Switch ............................ 9-35
Figure 9-47 .......................................................................................... 9-36
Figure 9-48 Diode Harness .................................................................. 9-36
Figure 9-49 Harness on Beam Combiner ............................................ 9-37
Figure 9-50 Chassis Bolts - Upper and Lower .................................... 9-37
Figure 9-51 Remove Anti-static Foam ................................................ 9-38
Figure 9-52 Remove 2 Securing Screws.............................................. 9-39
Figure 9-53 Laser Tube Installation - Front Mirror ............................. 9-39
Figure 9-54 Installing the Laser Tube.................................................. 9-40
Figure 9-55 Fixing Pins Aligned ......................................................... 9-40
Figure 9-56 Insert Mirror in Dust Sleeve of Beam Combiner ............. 9-41
Figure 9-57 Disconnect Coolant Tube on Beam Combiner ................ 9-41
Figure 9-58 Releasing 2 Nuts on Beam Combiner .............................. 9-41
PB 3580110 Rev. B xv
Chapter 10: Spare Parts Catalog

Figure 10-1 Spare Parts List Example ................................................. 10-2
Figure 10-2 System Front View........................................................... 10-3
Figure 10-3 Computer and Display ..................................................... 10-4
Figure 10-4 Electronic Components .................................................... 10-5
Figure 10-5 Harnesses ......................................................................... 10-6
Figure 10-6 Cooling System Components........................................... 10-7
Figure 10-7 Covers and Exterior Components .................................... 10-8
Figure 10-8 HVPS ............................................................................. 10-10

Figure 10-9 Optical Components....................................................... 10-11
Figure 10-10 Miscellaneous............................................................... 10-12
Figure 10-11 Scanners and Accessories ............................................ 10-13
Figure 10-12 Special Tools................................................................ 10-14
xvi PB 3580110 Rev. B

C H A P T E R
INTRODUCTION
1.1 Introduction
The AcuPulse encompasses a family of DC-excited CO2 laser system
models for use in a variety of surgical and aesthetic applications.
• AcuPulse 30
• AcuPulse 40
• AcuPulse 30ST - this system includes software and operating
modules for the Lumenis SurgiTouch Flashscanner accessories
• AcuPulse 40ST - this system includes software and operating
modules for the Lumenis SurgiTouch Flashscanner accessories
• AcuPulse 40R - this system includes software and operating

modules for the Lumenis resurfacing kit, including the
SurgiTouch flashscanner.
• AcuPulse 40F - this system includes software and operating

modules for the Lumenis AcuScan 120 fractional flashscanner
accessories.
• AcuPulse 40A - this system includes software and operating

modules for the Lumenis AcuScan 120 fractional flashscanner
accessories and the Lumenis resurfacing kit, including the
SurgiTouch flashscanner.
PB0000300 Rev. A 1-1

AcuPulse System Service Manual
The AcuPulse systems deliver maximal power of:
System Model: Î 30, 30ST 40, 40ST, 40R, 40F, 40A

Continuous Wave 30 Watts 40 Watts
Pulser Mode 25 Watts 35 Watts
SuperPulse Mode 10 Watts 15 watts
1.2 Characteristics of the CO 2 Laser

Beam
The CO2 laser wavelength falls in the mid-infrared region of the
electromagnetic spectrum. This wavelength is invisible to the human
eye.
Carbon dioxide laser energy is readily absorbed by water in tissue.

Since soft tissue is comprised primarily of water, CO2 laser energy can
be used effectively for the excision, incision, ablation, vaporization,
and coagulation of soft tissue.
1.3 Scope of This Manual
Caution
Service personnel operating or maintaining the AcuPulse system
should read this manual thoroughly before attempting to operate
or service the device. While the manual is intended to aid the
service personnel in the care and service of the equipment, it
cannot serve as a substitute for the service engineers training,
provided by Lumenis.
This service manual incorporates the following chapters:
Chapter 1: Introduction Contains a general introduction to the system.
Chapter 2: Safety Contains explanations and directions

concerning safety measures for operating the
system. This chapter also includes regulatory
information and requirements.
1-2
Introduction
Chapter 3: System Lists electrical, space and environmental

Installation requirements for system installation and
instructions for unpacking, installing and
testing the system.
Chapter 4: System Contains a detailed overview of the system
Description and its various components, controls, displays
and connections. Includes detailed
specifications of all facets of the system.
Chapter 5: Functional Provides a detailed functional description of

Description all unit sub-systems and software.
Chapter 6: Scanners and Provides information regarding the AcuPulse

Accessories optional scanners and accessories, including
the SurgiTouch and AcuScan 120
flashscanners
Chapter 7: Tests, Contains instructions on various system tests
Calibrations & and calibrations, and provides a preventive
Preventive maintenance check list.
Maintenance
Chapter 8: Troubleshooting Lists the system error messages and various

problems, probable causes, symptoms/
diagnostic checks, and the appropriate
corrective actions
Chapter 9: Module Provides instructions for replacement of the
Replacement unit's modules and assemblies. The
instructions include removal, installation and
post- replacement procedures.
Chapter 10: Spare Parts Provides an easy-to-use catalog, containing
photographs of the unit and its components.
1.4 Manual Conventions

Throughout this manual, notes, cautions and warnings are used to
provide critical information needed before the device is used.
Examples:
Note
A Note is a statement that alerts the operator to particularly
important information.
PB0000300 Rev. A 1-3

Caution
A Caution is a statement that alerts the operator to the possibility
of a problem with the device associated with its use or misuse.
Such problems include device malfunction, device failure, and
damage to the device or other property. The caution statement
includes the precaution that should be taken to avoid the hazard.
Warning
A Warning is a statement that alerts the operator to the
possibility of injury, death, or serious adverse reactions
associated with the use or misuse of the device.
1.5 Applicable Documents

AcuPulse System (Surgical) Operator Manual (P/N # UM-1053720)
AcuPulse System (Aesthetic) Operator Manual (P/N # UM-1061050)
1.6 Abbreviations and Acronyms

" Inches
°C Degrees Celsius
°F Degrees Fahrenheit
ACD Analog to Digital conversion
ANSI American National Standards Institute
CE European Directives Compliance Marking
cm Centimeters
CO2 Carbon Dioxide
CVD Continuous Variable Defocus
CW Continuous Wave
DAC Digital to Analog Conversion
DC Direct Current
DSP Digital Signal Processor
ENT Ear, Nose and Throat
1-4
Introduction
FDA Food & Drug Administration (USA)

FPGA Field Programmable Gate Array
FSE Field Service Engineer
GI Gastro-intestinal
GUI Graphic User Interface
GYN Gynecology
HVPS High Voltage Power Supply

Hz Hertz
IEC International Electrotechnical Commission
ISO International Standards Organization
J/cm2 Joules per square centimeter
kg Kilogram
lbs Pounds
LAM Laser-Assisted Myringotomy
LAN Local Area Network
LAUP Laser-Assisted Uvulopalatoplasty
LCD Liquid Crystal Display
LED Light Emitting Diode
LVPS Low Voltage Power Supply
m Meters
mJ MilliJoules
mm Millimeters
mW MilliWatts
NEMA National Electrical Manufacturers Association
nm Nanometers
OD Optical Density
P/N Part Number
PS Power Supply
S/N Serial Number
SP SuperPulse
UL Underwriters Laboratories
USB Universal Serial Bus
VAC Volts, Alternating Current
VGA Video graphics Array
W Watts
PB0000300 Rev. A 1-5

1-6
C H A P T E R
SAFETY
2.1 Introduction
Caution
Use of controls or adjustments or performance of procedures
other than those specified herein may result in hazardous
radiation exposure. Therefore, personnel operating the AcuPulse
system must be thoroughly familiar with all its safety
requirements and operating procedures.
Likewise, the service technician must become familiar with all safety
precautions before attempting to check the interior of the unit.
The laser unit generates high voltages and emits laser radiation of high
intensity which can cause serious personal injury if handled
improperly.
This chapter includes:
• Laser Safety guidelines

• Understanding and Controlling Laser Impact on Tissue
• Hazards associated with Unsafe Laser Use
• System Safety Features
• Compliance with International Standards
• Warning, Certification, and Identification Labels
PB0000300 Rev. A 2-1

2.2 Laser Safety Guidelines

American National Standards Institute specification ANSI Z136.3-
2005 and Z136.1-2000 include a very thorough discussion of laser
safety and guidelines for medical laser use. These standards were
developed in the earliest days of lasers and are routinely revised to keep
up with growing technology. ANSI Z136.3 is written specifically for
the use of lasers in medicine. While non-binding, the guidelines are
excellent guides for an office or institution seeking to set up a formal

safety program.
Lumenis strongly recommends that the operators read these two ANSI
standards before using a laser in clinical practice.
2.2.1 Laser Safety Officer

Large institutions are following the prescriptions of ANSI 136.3 by
setting up Laser Safety Committees and appointing Laser Safety
Officers to manage laser use. Even the smallest office should have one
person to act in the capacity of Laser Safety Officer.
ANSI Z136.3 requires the Laser Safety Officer to fulfill the following
responsibilities:
1. Classify, or verify classification of, lasers and laser systems.
2. Evaluate hazards of laser treatment areas.
3. Assure that the prescribed control measures are in effect and
recommend or approve alternates when the primary ones are not
feasible.
4. Approve operational procedures, including any procedural
checklists.
5. Recommend or approve protective equipment, and assure that it is
periodically inspected to ensure proper working order.
6. Approve wording on signs and equipment labels.
7. Approve installation and equipment prior to use, and modifications
to existing equipment and facilities.
8. Assure adequate safety education and training is provided for all
personnel.
The Laser Safety Officer may also assume other responsibilities, such
as keeping laser use and preventive maintenance logs. The Laser Safety
Officer should become familiar with the periodic preventive
maintenance requirements in the preventive maintenance chapter of
this manual.
2-2
Safety
2.2.2 Laser Treatment/Operating Area

According to ANSI Z136.3, the Laser Safety Officer is responsible for
the area in which laser treatments are carried out. In meeting this
requirement, the Laser Safety Officer should ensure that:
1. The surroundings are safe for both the patient and the operator.
2. The floor is uncluttered and clear access is maintained to the
footswitch. Cables are secure and not crimped.

3. The operating area is occupied only by authorized personnel.
4. Appropriate warning signs are posted in the operating area and just
outside of it. The AcuPulse is a Class IV laser; the door warning
sign for the AcuPulse is shown in Figure 2-1.
VISIBLE AND INVISIBLE

LASER RADIATION
Avoid eye or skin exposure
To direct or scattered radiation.
LASER SURGERY IN PROGRESS
SAFETY EYEWEAR REQUIRED
CO 2 LASER/10600nm 40 Watts Continuous

CLASS 4/IV LASER
Diode LASER/635nm 5 mWatts Continuous
CLASS 3A/IIIa LASER
Figure 2-1 Laser Treatment Room Warning Sign
2.3 Understanding and Controlling Laser

Impact on Tissue
Caution
The AcuPulse system contains a Class IV, CO2 laser which
produces an invisible beam of high energy infrared radiation.
Improper use could result in serious personal injury. Observe all
safety precautions for Class IV lasers.
Many different types of lasers have been developed for multitudes of

different uses. Each type of laser has a certain potential for harm if
PB0000300 Rev. A 2-3

misused. Even lasers designed for use on living tissue must be used and
applied carefully in order to avoid:
• Hazards to the patient or clinical personnel

• Hazards to the physical surroundings
For this reason, it is important to understand the basics of how laser
energy affects living tissue and how to control this energy so as to
avoid misapplication.
The tissue damage that a misused laser may do depends on the

following factors:
• Class of the laser

• Wavelength of the laser
• Tissue variability of the area in contact with a laser beam
• Spot size or beam diameter
• Power
• Exposure, or time duration of beam contact
The following sections describe these factors in more detail.
2.3.1 Laser Classes

Lasers are divided into classes by power according to the degree of
safety hazards they present (see the table below).
The AcuPulse is a Class IV laser and is therefore potentially hazardous

to both patient and operator.
Laser Classes
Laser Class Example Characteristics
Class I Grocery store Class I lasers do not emit levels of optical radiation
scanner above the exposure limits for the eye under any
circumstances - they are no more harmful than an
electric light bulb.
Class II Laser pointer Momentary viewing of Class II lasers is not considered
dangerous.
Class III Laser light show Class III lasers may be hazardous for direct viewing.
Class IV Most surgical Class IV includes all lasers that exceed over 0.5 Watt
lasers average power over 0.25 seconds or those that exceed
10 J/cm2. They can cause serious eye and skin injuries
and set fire to many materials. Both the direct and
reflected beams are hazardous to the eye and skin.
2-4
Safety
2.3.2 Wavelength and Tissue Variability

Different types of lasers generate different wavelengths of light. When
laser energy strikes tissue, the laser wavelength and the target tissue
type determine the basic nature of the impact.
Lasers of different wavelengths show different effects on a given type

of tissue. Conversely, a laser of a given wavelength affects different
types of tissue in different ways. The primary factor is the efficiency

with which the tissue absorbs light of the given wavelength.
An example that illustrates this concept is the use of the Argon laser for
retinal surgery. The Argon laser is used for retinal surgery because the
tissues and fluids in front of the retina do not absorb the Argon laser
wavelength, whereas the retina itself does. By comparison, the CO2 laser
wavelength would be totally absorbed by the lens and would damage it
before reaching the retina.
The AcuPulse is a CO2 laser. The CO2 emits a concentrated beam of

light at a wavelength of 10.6 microns, which is in the invisible infrared
portion of the electromagnetic spectrum. The effects, and therefore the
risks, of the CO2 laser are primarily thermal.
2.3.3 Spot Size, Power, and Exposure

Assuming that the laser wavelength and target tissue are given, the spot
size, power, and exposure (including exposure duration) determine the
laser's degree of impact.
The operator sets the power in Watts with the laser controls. Note the
relationship of spot size and power: at a given power setting, a larger
spot size spreads the power out over a larger area. This yields a larger
area of impact, but a lesser tissue effect.
The operator controls the exposure with the laser controls. The
exposure determines the duration of the applied laser beam. Obviously,
the longer the exposure is, the greater the tissue impact will be. The
primary exposure control is the footswitch.
The AcuPulse system's modes of operation are based on two distinct

types of settings: the laser operation mode and the tissue exposure
mode settings. The laser operation modes control the power pattern and
the peak power outputs, while the tissue exposure modes control the
duration pattern of the laser beam delivered to tissue. The system offers
three laser operation modes and three tissue exposure modes:
PB0000300 Rev. A 2-5

Laser Operation Modes Tissue Exposure Modes

Continuous Wave (CW) Continuous
SuperPulse Single Pulse
Pulser Repeat Pulse
The AcuPulse system is specially designed to minimize accidental

exposure to hazardous radiation. However, the areas of concern for safe
CO2 laser operation are:
1. Burn hazard
2. Reflections and direct eye exposure hazard
3. Explosion and fire hazard
4. Toxic hazard
2.4 Hazards Associated with Unsafe

Laser Use
2.4.1 Burn Hazards

CO2 laser radiation is invisible to the human eye, and can cause third-
degree burns, even when unfocused.
Caution
Only the person directing the aim of the laser beam should have
access to the laser footswitch. Use caution pressing the laser
footswitch when it is in proximity to footswitches for other
equipment. Make sure the footswitch pressed is the correct one
to avoid unintended laser exposure.
Never place hands or other objects in the path of the laser beam.
Severe burns could occur.
2-6
Safety
2.5 Reflection and Direct Eye Exposure

Hazard
The system output beam contains visible and invisible laser radiation
that is hazardous to the eye. Never stare into the CO2 laser beam or
allow it to be reflected from any reflecting surface - even rough metal
can reflect the CO2 laser beam. As a precaution against accidental
exposure to the output beam or to its reflections, all personnel must

wear safety eyewear.
2.5.1 Laser Safety Eyewear

Laser safety eyewear is required when operating the AcuPulse laser
system.
All personnel within the operating area of the laser must wear eye
protection with a minimum optical density (OD) of 5.0.
In addition to providing the required laser safety eyewear, take the

following steps to secure the treatment room:
1. To alert personnel before they enter the controlled area, place a

warning sign on the outside of the treatment room door when the
laser is in use.
2. Close the treatment room door during operation of the laser.
3. External door interlocks that automatically disable the laser when
the treatment room door is opened may be installed.
Note
A blocking barrier, screen, or curtain capable of blocking or filtering
the laser beam could be placed to create a controlled area inside a
large treatment room. The barrier should be made of material that
can withstand the power of the treatment beam for the maximum
exposure time, relative to the configuration of the controlled area and
the treatment parameters for the specific medical application.
PB0000300 Rev. A 2-7

2.5.2 Additional Ocular Protection
Caution
Always verify that the delivery device is properly connected to the
laser. An improper connection may result in an inadvertent
secondary laser beam. Severe eye or tissue damage could
occur.
Never substitute prescription eyewear for the appropriate laser

safety eyewear, as severe eye damage could occur. Prescription
eyewear can concentrate the laser light to the eye and/or can be
shattered by a high power density beam, possibly causing severe
eye damage.
Never look directly into any optical lens, scanner, handpiece,

probe, laser articulated arm, or laser system aperture while the
laser is energized. Severe eye or skin damage could occur. Turn
off the laser before inspecting any delivery system or laser
components.
2.5.3 Fire Hazards

FSEs should be aware of the following safety considerations and
potential fire hazards when using a CO2 laser:
• A CO2 laser beam can ignite most non-metallic materials

• A UL or CE approved or equivalent fire extinguisher and water
should be readily available
Caution
Do not use this device in the presence of flammables or
explosives, such as volatile anesthetics, alcohol, volatile surgical
preparation solutions, and similar substances. An explosion or
fire could occur.
The area around the target site can be protected with wet towels
or gauze sponges. If allowed to dry, these protective towels and
sponges can increase the potential fire hazard.
2-8
Safety
2.5.4 Electrical Hazards

Because the AcuPulse contains high-voltage components, there is a
danger of severe shock if its covers are taken off. In addition, the
system must be properly grounded during operation. Always use proper
cables and do not attempt to use three-prong adapter plugs to defeat the
grounding system. The use of extension cables is not recommended.
Caution
Opening the covers will expose personnel to high voltage
components, the laser resonator and possible laser radiation.
Only Lumenis-certified service technicians are qualified to
service the system.
To avoid electrical shock, the area around the laser and

footswitch should be kept dry. Do not operate the laser if any of
the cables are faulty or frayed. The laser should undergo routine
inspection and preventive maintenance per Lumenis'
recommendations and institutional standards.
Caution
To prevent unintended laser discharge, always turn off the laser
before connecting a delivery system.
2.5.5 Grounding the System

Proper grounding is essential for safe operation. The system is
grounded through the grounding conductor in the power cable. To
ensure grounding reliability, always plug the power cable into a
properly wired hospital grade power receptacle. For protective earth
connection, use the protective earth terminal on the system's service
panel (see Chapter 3).
Warning
Use the system only when it is properly grounded via the
protective earth terminal.
PB0000300 Rev. A 2-9

2.5.6 Toxic Hazard
Optical Elements
The following precaution should be observed while handling mirrors
and/or lenses: the coatings of the laser tube front mirror, the beam
combiner, the handpiece, and Microslad lenses contain toxic materials.
Therefore, care should be taken not to inhale coating particles which

are produced when a mirror or lens is damaged/broken.
Coolant
The following precautions should be observed while handling the
cooling system coolant:
• Avoid prolonged inhalation of concentrated coolant vapors (even at

room temperature)
• Handle only in areas sufficiently ventilated to prevent vapor buildup.
• Decomposition of coolant may produce toxic products. Do not inhale
decomposition products. Slow decomposition may occur at elevated
temperatures (~200°C); the rate of decomposition increases at higher
temperatures.
• Wash hands after working with coolant.
• In case of contact with eyes, immediately rinse with water.
2.6 System Safety Features

The AcuPulse is equipped with various built-in safety features to
provide maximum protection for both user and patient. Before using
the system for the first time, become familiar with the location and
operation of these safety features.
Figure 2-2 shows a logical diagram of the different safety features that
regulate the system’s operation.
2-10
Safety
Figure 2-2 System Safety Circuit
A reported failure in any of the above circuits will immediately stop

lasing until the issue is resolved.
2.6.1 Password Protection

Entry to the system's software is protected by a password assigned to
each user of the system (see Chapter 6). If the password is not keyed in,
the surgical operating system is not accessible and laser beam emission
will not be available.
2.6.2 Self Testing at Login

When the user logs in to the AcuPulse system, the system computer
automatically executes system self-testing. Self-testing checks the
following:
• Ability of the system to generate lasing power

• Functionality of the computer systems
• Safety monitoring circuits
PB0000300 Rev. A 2-11

If the self-test is successfully completed, the system enters Standby

mode. The test circuits continuously monitor the operation of the
system during treatment.
2.6.3 Safety Shutter

The AcuPulse incorporates optoelectronic detectors which monitor the
opening and closing of the automatic shutter. This monitoring helps to

ensure that shutter failure is recognized. The automatic shutter is
opened when the footswitch is pressed. When the footswitch is
released, the shutter closes. If the shutter does not close within ½
second after releasing the footswitch, or open when pressing the
footswitch, lasing is disabled.
2.6.4 Door Interlock Connector

The door interlock connector plug must be inserted into the proper
receptacle on the system's service panel in order for the laser to operate.
It can be wired to an external switch to disable the laser if the treatment
room doors are opened during treatment.
2.6.5 Circuit Breaker

The main fuse located within the system is a circuit breaker. When the
circuit breaker trips, it disconnects power from the system. To restore
power after the circuit breaker has tripped, raise the circuit breaker.
2.6.6 Footswitch Dual-Microswitch

The footswitch incorporates a dual-microswitch safety mechanism,
which requires the pedal to be firmly pressed – changing the state of
both microswitches – in order to generate laser beam emission. If the
footswitch is pressed too lightly, it will not operate.
2.6.7 Emergency Stop Button

This red knob is designed for emergency shutdown. When pressed it
immediately disables the laser and switches the system to Standby
mode. A message will appear on the user interface notifying the user
that the emergency button is pressed and lasing is disabled until the
button is released.
2-12
Safety
To release the emergency shut-off button, turn it clockwise in the

direction of the arrows. Once released, the system must be turned off
and back on to restart.
2.6.8 Internal Power Meter

The AcuPulse compares lasing power as read by the internal power
meter to an internal table of anticipated electrical input power. If there

is a significant discrepancy, an appropriate error message is displayed.
2.6.9 Safety Timer

The safety timer resets the system from Ready to Standby mode if the
system is left idle in Ready mode for more than a user-defined time
limit, to prevent unintentional activation of the laser with the
footswitch.
2.6.10 Continuous Internal System Monitoring

The system's computer continually monitors internal system status. The
following are among the items monitored:
System Faults
If a fault is detected an appropriate error message is displayed on the
LCD monitor. Lasing is disabled until the fault is corrected. A
complete discussion of system faults may be found in the
Troubleshooting chapter of this manual.
Internal Power Monitoring

To prevent accidental delivery of excessive energy to tissue, laser
energy is monitored continuously. An appropriate error message is
displayed on the LCD monitor if a ±20% deviation in the laser output is
detected, the system returns to Standby mode and you may try power
convergency to the same level or a different one.
PB0000300 Rev. A 2-13

Temperature
If the system begins to overheat, an appropriate error message will be
displayed on the LCD monitor (refer to the Troubleshooting chapter of
this manual).
2.6.11 Laser Beam Emission Indicators

The system features two laser emission indicators: a yellow LED
located on the top of the control console and a speaker.
The yellow LED has three modes of operation:
• Off -When the system is turned on, and in Standby mode.

• Flashing -In Ready mode, alerting the user that laser emission will
start upon footswitch activation.
• Continuous - During laser emission (footswitch pressed).
The speaker emits a sound during laser emission.
2.6.12 On Line Monitor

The On Line monitor is a safety feature that ensures the power
developed in the HVPS to excite the laser tube is safely within the
required range (resulting power should stay within ±20% of the
expected value). If the value exceeds the safety range, lasing is aborted.
2-14
Safety
2.7 Compliance with International

Standards
The AcuPulse system is designed to comply with the following
standards:
• IEC 60601-1:1988 – Medical Electrical Equipment - General

Requirement for Safety, Amendment 1:1991 + Amendment 2:1998
• IEC 60101-1-2:2001 – Medical Electrical Equipment - Part 1-2:

General Requirements for Safety - Collateral Standard: Electromag-
netic Compatibility - Requirements and Tests
• IEC 60601-1-4 – Medical Electrical Equipment - Part 1-4: General
Requirements for Safety - Collateral Standard: Programmable
Electrical Medical Systems
• IEC 60601-2-22:1995 – Medical Electrical Equipment - Part 2:
Particular Requirements for the Safety of Diagnostic and Therapeu-
tic Laser Equipment
• UL2601-1 or CSA22.2 – Medical Electrical Equipment - Part 1:
General Requirements For Safety
• IEC 60825-1:1993 – Safety of Lasers Products – Part 1:Equipment
Classifications, Requirements and User’s Guide, Amendment 1:1997
+ Amendment 2:2001
• ISO14971:2000 – Medical Devices – Application of Risk
Management to Medical Devices, Amendment 1:2003
• 93/42/EEC – Medical Device Directive (Essential Requirements
• US Federal Performance Standards 21 CFR 1040.10 and 1040.11 for
Class IV laser products
• Design, manufacturing and testing is performed according to
ISO 9001:2000 and ISO 13485:2003
In compliance with these standards, the system is equipped with:
• Laser emission indicators

• Beam shutter
• Power display
• Emergency shut-off button
• Remote interlock connector
• Proper labeling
In accordance with the regulations, a recommended routine inspection
and preventive maintenance schedule is provided in Section 6.11
AcuPulse Software Upgrade.
PB0000300 Rev. A 2-15

2.8 Warning, Certification and

Identification Labels
Figure 2-3 shows the location of the labels affixed to the system:
1. Identification and Certification – The label is located on the

system's rear panel and contains the following information:
• Manufacturer's and/or distributor's details

• Assures that the system complies with U.S. Federal
Performance Standards
• System's model name and part number
• Serial number and date of manufacture
• The system's electrical requirements
• Degree and type of protection against electric shock
• symbol: Caution – read the Operator's Manual before
operating the system
• CE – compliance symbol
• CSA – compliance symbol
• List of US patents on file for the AcuPulse system
2. Laser Emission Danger – warns against possible exposure to laser
beam radiation and specifies the type and classification of laser
beams present. The label is located on the system's rear panel.
3. Non-Interlocked warning Label – warns against and about:
• Risk of explosion if used in the presence of flammable
anesthetics
• Possible electrical shock when covers are removed
• Proper electrical grounding of the system
4. Laser Aperture – indicates laser beam exit location, located at the
articulated arm's endjoint.
5. Articulated Arm Release – advisory to release the articulated arm
from its storage without damage.
6. EPUP - Environmental Protection Use Period: Indicates the
number of years before any substance is likely to leak out into the
environment.
7. Rear Mirror housing ground warning - indicates guidelines and
instructions for grounding the rear mirror housing when performing
alignment.
2-16
Safety
Figure 2-3 System Labels
PB0000300 Rev. A 2-17

2-18
C H A P T E R
INSTALLATION
3.1 Introduction
Note
In Canada this instrument must be installed and operated according
to CA/CSA-Z386-92: Laser Safety in Health Care Facilities.
On-site installation of the AcuPulse system involves unpacking and

initial system test and calibration. Installation is carried out by FSEs
authorized by Lumenis, who do the following:
1. Verify the crate integrity and check the shock indicator.

2. Unpack the AcuPulse system and position it in the desired location.
3. Verify the integrity of the system and its components.
4. Plug the system into a designated electrical outlet.
5. Test the system’s functional operation.
6. Fill-in the Installation Report and Check List, and send it to the
Lumenis Service Department* (see Section 3.7‘Installation
Report’ on page 3-34).
(*) Use only photocopies of the Installation Check List and Report.
Note
Before unpacking the AcuPulse system, ensure that the site meets
the requirements described in Section 3.2‘Facility Requirements’ on
page 3-2.
PB0000300 Rev. A 3-1

3.1.1 Required Tools

• Standard tool kit P/N KT-1041360
• 0.5 liters FC-770 Fluorinert (in case of leaks during installation) P/N
KT-1051230
• appropriate CO2 power meter (calibrated)
• Arms Alignment Kit P/N AS2295500
• Leakage Tester Tool P/N MD1472400
3.2 Facility Requirements

Before unpacking the system, ensure that the site meets the
requirements described in the following sections.
3.2.1 Space and Positioning Requirements

Space should be allocated with adequate ventilation and free air flow.
The working area for the system should be prepared according to the
dimensions shown in Figure 3-1. In order to guarantee proper
ventilation, always keep the sides of the system at least 0.5 m (20")
from the wall or from other obstructions to air flow. After positioning
the system, lock the wheels’ brakes by pressing the pedals on top the
four wheels equipped with brakes.
3-2
Installation
Figure 3-1 Physical Dimensions
3.2.2 Electrical Requirements

The system is equipped with a universal power supply module.
Accordingly, the system will require a separate line supply of:
• 100-240 VAC, 9A, 50/60 Hz, single phase

Input power lines should be free of transients, voltage and current
spikes, sags and surges. Consequently, the system power line should
PB0000300 Rev. A 3-3

not be shared with other heavy variable loads such as elevators, air
conditioning systems, large motors, etc.
It is strongly recommended that the system be connected to a

separate power line with separate circuit breakers. Lumenis
cannot guarantee adequate performance unless the system is
connected to a dedicated circuit.
3.2.3 Environmental Requirements
Air Quality
The system should operate in a non-corrosive atmosphere. Corrosive
materials such as acids can damage electrical wiring, electronic
components and the surfaces of optical components.
Air-borne dust particles should be kept to a minimum. Dust particles

absorb light and heat up. Hot particles located on the optical lenses can
damage them. Metallic dust is destructive to electrical equipment.
Temperature
To ensure that the system performs optimally, it is recommended to
maintain ambient room temperature between 5°C and 30°C (41°F -
86°F) and relative humidity of 5-85% non-condensing. When the
system is used intensively it will emit heat. Therefore, it is
recommended that the treatment room be air-conditioned.
3.3 Unpacking the Unit

The AcuPulse system is shipped in a shockproof container. Contents
may vary according to the purchase agreement with Lumenis, but the
parts and accessories generally shipped in the container are:
• AcuPulse system console

• Safety eyewear
• Footswitch
• System accessories (optional, according to purchase agreement,
including flashscanners)
• Bacteriological filter
3-4
Installation
• Remote interlock connector plug (installed)

• Laser danger sign(s)
• Operator’s manual
• Instructional material
Note
Any damage to the packaging or to the system found prior to opening

the packaging, or during unpacking and installation of the system,
should be immediately reported to your Lumenis distributor and to
the insurance carrier.
1. Verify that the shipping crate is intact and check the shock indicator
on the crate to make sure that the crate has not been subjected to
shock. If it has, notify Lumenis offices and your insurance office
before opening the crate.
Figure 3-2 Shock Indicator Label
To unpack the AcuPulse, do the following:
1. With a cutter, cut the metal straps surrounding the box.

2. Release the 2 cloth straps by loosening the buckles and opening
them (see Figure 3-3).
PB0000300 Rev. A 3-5

cloth straps
Figure 3-3 AcuPulse Shipping Box
3. Cut the masking tape on the top of the box to open the top flaps.
4. The contents of the box are arranged as indicated in Figure 3-4:
top cover
ramp
AcuPulse unit
accessories
box
foam base
Velcro strip
Figure 3-4 Box Contents (For Illustration Purposes Only)
3-6
Installation
5. Slide the wooden ramp up and out of the box (see Figure 3-5).
ramp
Figure 3-5 View of Top with Flaps Open
Figure 3-6 Removing the Ramp from the Box
6. Pull out the top cover with foam (see Figure 3-7).
PB0000300 Rev. A 3-7

Figure 3-7 Removing Top Cover with Foam
7. Lift up the large box up and over to expose the AcuPulse unit and
accessories box (see Figure 3-8).
accessories box
Figure 3-8 Removing Large Box Covering the Unit
8. Remove the accessories box from the shipping pallet as shown in

Figure 3-8.
9. Attach the ramp by aligning the Velcro strip of the ramp with the
Velcro strip on the pallet. Note that the unit’s front panel is facing
the ramp (see Figure 3-9).
3-8
Installation
Figure 3-9 Assembling the Ramp
10. Turn the unit with the base 180° so that the back panel faces the
ramp (see Figure 3-10).
Figure 3-10 Turning the Unit
PB0000300 Rev. A 3-9

11. Open the buckle of the strap holding the carton and foam base; the
base flaps open (see Figure 3-11).
Figure 3-11 Opening the Base
12. Remove the foam inserts by lifting the unit from all four sides of
the unit so that the unit is now lowered onto its wheels (see Figure
3-12).
Note
It is recommended to first remove the front and back foam inserts,
and then remove the side foam inserts.
3-10
Installation
Figure 3-12 Removing Foam Inserts
13. Verify that the unit is stable and then unlock the wheel brakes.
Figure 3-13 Rolling the System Down the Ramp
14. Roll the system slowly and carefully down the ramp to the floor
(see Figure 3-13). The system is heavy! Use caution when
moving down the ramp.
PB0000300 Rev. A 3-11

Figure 3-14 Remove the Plastic Wrapping
15. Visually examine the exterior of the system for damage before
removing the plastic wrapping (see Figure 3-14). It is
recommended to remove the protective wrapping only after the
system is placed in the desired location.
3-12
Installation
3.4 Installation and Setup

The system has passed full quality assurance testing before shipment
and should be operational upon delivery.
The assembled AcuPulse laser system is shown in Figure 3-15.

Figure 3-15 Assembled AcuPulse Laser System
PB0000300 Rev. A 3-13

3.4.1 Smoke Evacuator Installation

A commercial, portable smoke evacuator system designed for use with
surgical lasers may be used; these are usually most effective when the
plume is extensive. The vacuum tubing or probe used to evacuate the
laser plume should not be used to suction blood or fluids unless it is
specifically designed and set up to perform both functions
simultaneously.
Optional: if available, connect the smoke evacuator remote control line

to the port on the service panel (see Figure 3-16) (this option is
currently available on Buffalo smoke extractors).
Figure 3-16 Smoke Evacuation Connection Port
3.4.2 Remote Interlock System Installation
Warning
Ensure that the system is turned off and that the power cord is
disconnected from the outlet before connecting or disconnecting
the remote interlock system.
1. Install the external switch on the entrance door so that:

• its contacts close when the door is shut.
• its contacts are open when the door is open.
3-14
Installation
2. Disassemble the interlock plug (supplied with the system) by

removing the small screw that holds its components together.
3. Unsolder and remove the short connected between pins 1 and 2.
4. Solder one of the leads from the external switch to pin 1 of the
interlock plug.
5. Solder the other lead from the external switch to pin 2 of the
interlock plug.
6. Reassemble the interlock plug and tighten its screw.

7. Connect the plug to its connector on the system's service panel.
Verifying the Mains System Plug

The system is shipped with a NEMA 5-20P (125 VAC/20A) hospital
grade plug. Make sure that a NEMA 5-20R outlet (receptacle) is
available at the installation site. If you have a different receptacle that
suits the system's voltage and current requirements (100-120V/20A or
220-240V/16A), replace the system plug with a suitable one at the site
for installation.
3.4.3 Articulated Arm Setup

Refer to Figure 3-17:
1. Release the articulated arm endjoint from its clip in the articulated
arm compartment (A).
2. Release the longer arm section from its clip only by pulling the tab
attached to the arm; release the arm from its compartment (B).
Caution
Pulling the endjoint or the shorter arm section to release the arm
from its compartment, may result in misalignment of the optical
system.
3. Raise the longer arm section until the arm locking pin on the main
bearing is engaged (you will hear and feel a 'click').
4. Rotate the articulated arm 180° around the main bearing axis.
5. Disengage the tab and clip to release the short section of the arm
from the long section.
PB0000300 Rev. A 3-15

Figure 3-17 Release the Articulated Arm
3.4.4 Handpiece Assembly

The 125mm handpiece set is the standard laser accessory delivered
with the AcuPulse system (see Figure 3-18).
Figure 3-18 125 mm Handpiece Set
The CO2 laser beam focal point is indicated by the straight tip on the
handpiece. With the 90° and 120° reflector tips, the focal point is 1 cm
distal to the reflecting mirror. The spot size for the handpiece is
0.26mm.
3-16
Installation
The 125mm handpiece set includes:
• 125mm lens holder, including the lens

• Two 125mm extenders
• Two straight focus-indicating tips
• 90° reflector tip
• 120° reflector tip

• Endjoint cap, attached to the articulated arm’s endjoint to prevent
dust from entering the endjoint when an accessory is not attached.
A 200 mm or 250 mm handpiece set is optional.
Figure 3-19 125 mm Handpiece Assembly
To assemble the 125 mm handpiece, (see Figure 3-19):
1. Screw the lens holder into the endjoint quick-connection.

2. Connect the bacteriological filter’s outlet (short flexible tube) to the
compressed air nipple on the lens holder.
3. Screw the extender into the lens holder.
4. Screw the desired tip (straight tip; 90° or 120° reflector tip) into the
extender and ensure that all the connections are tightly secured.
5. Check for proper beam alignment, see Section 3.6.5‘Laser
Alignment Checks’ on page 3-29).
Note
The system is equipped with an animated demonstration of how to
assemble each accessory. For more information, see the Operator
Manual.
PB0000300 Rev. A 3-17

3.4.5 Scanning Accessories

Two scanning accessories are available for use with the AcuPulse
system: SurgiTouch and AcuScan 120. Each of these accessories
consists of flashscanner and user interface software built into the
AcuPulse system's operating program, with pre-set recommendations
for parameters and delivery devices.The SurgiTouch and AcuScan 120
scanners are similar in design and the way they are controlled by the
AcuPulse system.
The SurgiTouch Scanner uses multiple devices depending on the

surgical specialty it is used with.The system's operating program
includes settings for ENT, Gynecology, Neurosurgery, Dermatology
and General Surgery applications.
The AcuPulse's user-friendly graphic display provides step-by-step

operating instructions, shows the correct accessories and operating
parameters for each procedure, and keeps the user in control of the
procedure at all times. The SurgiTouch scanner can be used with many
Lumenis delivery devices listed later in this manual. The flashscanning
technology is mandatory for the AcuBlade and OtoScan delivery
systems and is recommended for the multi application/oral pharyngeal
and nasal handpiece set, the BeamAlign laparoscopic coupler, and the
Lumenis micromanipulators (AcuSpot 712, MicroSlad and ColpoSlad).
The AcuScan 120 Microscanner and its procedures deliver laser

energy in a fractional technique via a scanner for rapid coverage of
large surface areas. A "fractional" technique is one where the physician can
selectively treat less than 100%of the skin's surface (a fraction). This allows
the skin to heal much faster because much of the skin is left untreated and is
completely healthy. Depending on the condition to be treated, the physician
may select different treatment densities (how much skin is covered) and
energy settings (for different depths, different amounts of heat/ablation, etc.).
This allows the physician to "optimize" the treatment according to each
patient's condition. By minimizing/eliminating the previous compromise
between treatment efficacy, down-time, pain management, side-effects,
observable results and other factors; the physician can now bridge the gap
between the patient's expectations and their results.
The AcuScan 120 microscanner's control screen and scanner provide precise
control over the laser energy, the beam scan shape, beam scan size and
beam scan density.
3-18
Installation
Setting up the SurgiTouch Scanner

Setting up the scanner requires the connection of the optical head to the
articulated arm's endjoint; connecting the communication cable and
connecting the accessory to the optical head (see Figure 3-20 and
Figure 3-21):
1. Connect the scanner optical head's entry port to the endjoint of the
laser system's articulated arm, and fasten it by screwing the end-
joint's rotating knob until it stops.
2. The exit port is a swivel connector that allows free rotation of the
handpiece. If free rotation is not required, simply lock the lever on
the exit port.
3. Connect the communication cable between the optical head and the
system cable connection port on the system's control panel.
4. Route the communication cable along the articulated arm and
attach it to the arm's segments with the supplied clips.
5. Connect the desired accessory to the optical head's exit port.
Figure 3-20 Setting Up the SurgiTouch Scanner
PB0000300 Rev. A 3-19

Figure 3-21 SurgiTouch Scanner with Accessory Assembled
3.4.6 Setting up the AcuScan 120 Microscanner

Setting up the scanner requires the connection of the optical head to the
articulated arm's endjoint; connecting the communication cable and
connecting the focusing tip to the optical head (see Figure 3-20 and
Figure 3-21):
1. Connect the scanner optical head's entry port to the endjoint of the
laser system's articulated arm, and fasten it by screwing the end-
joint's rotating knob until it stops.
2. Connect the communication cable between the optical head and the
system cable connection port on the system's control panel.
3. Route the communication cable along the articulated arm and
attach it to the arm's segments with the supplied clips.
4. Remove the protective cap from the scanner optical head
5. Connect the focusing tip to the optical head's exit port
3.4.7 Cleaning the Optical Head

The SurgiTouch and AcuScan 120 optical heads are intended to be
used as non-sterile devices. Their external surfaces may be cleaned
with a cloth or cotton swab dipped in hospital grade 70% alcohol.
3-20
Installation
3.4.8 Check Articulated Arm Balance

1. Attach the desired accessory to the arm and release it. If the arm
position is not where you want it, carry out steps 2 through 7
below.
2. Holding the arm with one hand, release the arm locking pin with the
other by pressing it down.
3. Carefully lower the arm to a horizontal position, exposing the

spring balance adjustment screw.
4. The spring balance system is now inactive, and the arm must be
supported at approximately the same height as the top of the unit. If
the arm is released at this stage, it can fall and either cause
misalignment of the optics or damage elements inside the arm.
5. Using a No. 6 Allen wrench, turn the adjustment screw counter-
clockwise to decrease the tension of the spring balance system
(turning the screw clockwise increases the tension).
6. Return the arm to an upright position, ensure that the arm locking
pin clicks in place, release the arm, and check its position. If it is
too high, decrease the tension of the spring balance system. If it is
too low, increase the tension of the spring balance system.
7. Repeat steps 2 through 6 until the rest position of the arm, with the
desired accessory attached, is where you want it (optimum is
usually ~45° from vertical).
PB0000300 Rev. A 3-21

3.4.9 Bacteriological Filter Installation

A dedicated unidirectional bacteriological filter is supplied with the
AcuPulse system to provide clean compressed air at the surgical
accessory.
The filter is equipped with a short flexible tube on its outlet for
connection to the nipple on the laser surgical accessory in use. The inlet
(free end) of the filter should be connected to the delivery nipple of the
compressed air supply on the system's control panel. Then the filter
should be clipped onto the last arm section, as close as possible to the
endjoint. The compressed air flow through the bacteriological filter
should be inspected prior to each use and the filter should be replaced
when insufficient flow is detected.
3.4.10 Footswitch Connection

Plug the footswitch cable into the footswitch connection port on the
service panel (see Figure 3-22).
Figure 3-22 Footswitch Connection Port
3.5 Initial System Testing

Prior to clinical use, test out the AcuPulse system to verify that the
system, including its built-in safety features, is operational.
Read the entire manual before turning on the system. Of particular

importance is Chapter 2 – Safety.
3-22
Installation
Before beginning system test, make sure that the laser operating area is
safe and secure. As when performing any laser procedure, flammable
materials should be moistened or beyond contact of the laser beam. All
personnel should wear protective goggles or glasses.
The required test includes the following procedures, which should be

performed in the order indicated:
1. Self-testing
2. Power adjustment check
3. Remote interlock check
4. Footswitch connection check
If at any point during the test the system does not perform as described,
discontinue use and contact Lumenis Service.
3.5.1 System Controls

Before beginning the initial system test, familiarize yourself with the
system controls described below. Use of the controls is described fully
in chapter 5 of this manual.
3.5.2 Main Control Panel

The main control panel is located at the top of the console and
incorporates system controls and the touch-screen LCD panel.
Refer to Figure 3-24: For initial system testing it is important to know

the locations of the Start button, the Emergency Stop button and the
Laser Emission indicator.
3.5.3 System Startup and Self Test

1. Turn the system's main circuit breaker located on the service panel
to the On position.
2. On the system control panel (see Figure 3-24) make sure that the
emergency stop button is not engaged (pressed down). If it is, turn
it clockwise until it releases and pops up.
3. Press the green On/Off button; the system will turn on, the software
will initialize and the LCD panel will display a splash screen.
PB0000300 Rev. A 3-23

4. The Login screen will appear on the Touch-screen.

Figure 3-23 Login Screen
5. Login using the technician Login code 0912.
Note
This code is confidential and for exclusive by of Lumenis authorized
personnel. Do not disclose this code to users. Refer to Section
3.6.9‘Setting User Names and Passwords’ on page 3-31 on how to
assign Login codes to users.
The system performs a series of internal tests; when all the internal
tests succeed, the Home Screen is displayed. If one of the tests fails, the
a dialog box will appear indicating which of the tests failed; if this
occurs, troubleshoot according to the error message. See the
Troubleshooting Chapter of this manual.
3-24
Installation
Figure 3-24 Control Panel
PB0000300 Rev. A 3-25

3.5.4 Remote Interlock Check

Laser beam emission is disabled when the remote interlock plug is not
connected or is improperly connected to the service panel, even if it is
not wired to an actual remote interlock. To check this:
1. Set the system to Standby mode.

2. Unplug the remote interlock plug.
3. Try to select Ready mode; the system should display the following
error message: Remote Interlock Error, Please verify Treatment
Room door is closed.
4. If the system does not display the error message and remains in
Ready mode, discontinue use and contact Lumenis Service.
3.5.5 Footswitch Connection Check

Active monitoring of the footswitch connection should be working at
all times. To check this:
1. Set the system to Standby mode.

2. Unplug the footswitch.
3. The system should display the following error message: Footswitch
is not connected. Please Connect.
4. If the system does not display the error message immediately,
discontinue use and contact Lumenis Service.
3.5.6 Emergency Stop Button Check

The Emergency Stop button is designed to disable laser emission when
pressed. To check this button:
1. While the system is on and the main Treatment screen is displayed,

press down on the emergency stop button; the system should
display the following error message: Laser stop button engaged.
Please disengage to proceed.
2. If the system does not display the error message, discontinue use
and contact Lumenis Service.
3. To resume operation, turn the emergency stop button clockwise
until it releases and pops up.
4. Touch Ready on the touch-screen to enable lasing.
3-26
Installation
3.6 Final Checks

The FSE should perform the following checks after unpacking and
setting up the unit, and after each service visit.
When performing the checks, each item/step should be confirmed or

corrected before going on to the next step.
3.6.1 Equipment Required for the Checks

• Wooden tongue depressor and alumina brick to check for aiming
beam/CO2 laser beam alignment.
• A calibrated external power meter for the CO2 laser beam, such as
Ophir model 300A, Ophir model F-150A CAL ANHH MED, Laser
Precision Model RT-150, Coherent Radiation model 201, or
equivalent.
• A leakage current tester such as Instrutak Corp. leakage current
tester, Model LR-200A.
• 125 mm lens holder and extender
• 5-start threaded alignment test tip (P/N PM0497930)
• Masking tape
3.6.2 General Preliminary Check

The general preliminary check includes the following:
1. Check coolant pressure in the expansion tank (see Toubleshooting

chapter).
2. Check grounding continuity between the ground connection in the
plug and the main grounding screw.
3. Check level of leakage current (the maximum level allowed is
100μA).
3.6.3 Aiming Beam Check

Perform the following check without attaching accessories to the
endjoint:
1. Access the Treatment Screen (see Figure 3-25).
PB0000300 Rev. A 3-27

2. Set the aiming beam intensity control to FULL position.

3. Set up a target, such as a wooden tongue depressor marked with a
cross, 1 m from the endjoint.
4. Position the aiming beam so that it hits the center of the cross mark
on the target.
5. Set the aiming beam intensity control to one of the medium
positions. Check in each position that the aiming beam intensity is
reduced, and that the beam hits the exact same point on the target.
6. Turn on the BLINK function (see Figure 3-25). Verify that the
aiming beam hits the exact same point on the target and is blinking.
Low/High Intensity buttons
Beam
Align
Blink
function
Figure 3-25 Aiming Beam Check
7. Turn off the BLINK function and set the aiming beam intensity
control to OFF position and check that the aiming beam is not
emitted.
3-28
Installation
3.6.4 Laser Radiation Leakage Test
Caution
Due to the possibility of emission of laser radiation during the
performance of this test, appropriate safety measures should be
taken.
1. Aim the articulated endjoint at the external power meter.

2. Adjust the power meter to maximum sensitivity (lowest power
range scale).
3. Press Standby.
4. Set the laser unit at maximum power level.
5. Press READY.
6. Carefully observe the indicator on the power meter. Ensure that the
indicator constantly points at 0W on the scale, and does not move
during the “power converge” procedure.
7. If the system does not perform as expected, discontinue use and
contact Lumenis Service.
8. After verifying the required results, press STANDBY.
3.6.5 Laser Alignment Checks

Perform Final Check of the Articulated Arm Alignment.
See “Articulated Arm Alignment Check” on page 7-13
3.6.6 Power Meter Calibration Check

Check that the internal power meter and the system’s power calibration
tables are correctly calibrated by performing the following procedure:
Note
This procedure requires setting up an appropriate external power
meter for measuring CO2 laser power.
1. In User mode, from the Home screen, access Manual Treatment.

2. Set the following parameters:
• CW, 1W, Continuous
PB0000300 Rev. A 3-29

3. Press Ready and wait for the power to converge.

4. Press the footswitch and verify that the power measured in the
external power meter is within 1 ± 0.1 W.
5. Press Standby and set the following parameters:
external power meter is within 5 ± 0.5 W.
8. Press Standby and set the following parameters:
external power meter is within 40 ± 4 W.
11. If the power measured in one of the above steps is out of range,
perform internal power meter calibration and system calibration
(See “Internal Power Meter Calibration” on page 7-32 and See
“System Calibration” on page 7-39).
3.6.7 Operational Checks
Caution
Laser Radiation is emitted during this check; therefore,
appropriate safety measures should be taken.
1. Remove the handpiece.

2. Aim the endjoint at the external power meter.
3. Access the Manual Treatment Screen.
4. From the Manual Treatment Screen, set the parameters to CW laser
operation mode, Continuous exposure mode, and set the Power to
the maximum value (30W for 30/30ST units and 40W for 40/40ST
units).
5. Fire the CO2 laser continuously for 10 minutes, and record the
power as displayed on the power meter at the end of each minute.
6. verify that the power fluctuations during this period do not exceed
±10% of the initial power reading.
7. If the unit does not perform as expected, contact Lumenis Service.
3-30
Installation
3.6.8 Turn-Off Procedure

The system is turned off by pressing the green On/Off button on the
control panel.
3.6.9 Setting User Names and Passwords

Entry to the system's software is protected by a password assigned to

each user of the system. If the password is not keyed in, operation of
the system is not accessible and laser beam emission will not be
available. A User Name and proprietary password must be assigned for
access for each user.
1. From the Home Screen, press Utilities. The Utilities Screen appears.
2. From the utilities screen press the Users List button; the Users List
screen appears (see Figure 3-26).
Figure 3-26 Users List Screen
3. To add a new user, press the Add User button. The “Add User”
dialog will be displayed.
4. Using the on-screen keyboard (see Figure 3-26), type in a unique
user name and a unique password for the user and press Save.
PB0000300 Rev. A 3-31

Figure 3-27 On-Screen Keyboard
5. Perform steps 3 and 4 for each additional user.

6. To create an Administrator, repeat steps 3 and 4 and select the
Administrator checkbox.
Note
An Administrator User has permission to add/edit/delete user names
and passwords. A minimum of one Administrator must be created for
each system. The Administrator’s initial password is 1808. It is
strongly recommended that the administrator change the initial
passwords as soon as possible.
Caution
The Administrator does not have any access to the treatment
screen. In order for an Administrator to use the machine, a
separate “regular” User Name must be created for that same
person.
3-32
Installation
3.6.10 Setting User Preferences

User preferences may be set or changed from the Preferences screen
(see Figure 3-28). These settings include: language, LCD brightness,
sound, and air flow (to adjust the performance features of the purge air
compressor). These preferences are explained in more detail in the
Operator Manual.
Figure 3-28 Preferences Screen
3.6.11 Adjusting Date and Time

Set the date and time according to local time zone; for a detailed
description of how to set the date and time, see Section 6.10‘Adjusting
Date and Time’ on page 6-45.
)
PB0000300 Rev. A 3-33

3.7 Installation Report

Make and fill out photocopies of this section (pages 34-37).
Keep the original blank for further use.

Service Call Number:

Installation Date:
Engineer Name:
Phone Number:
Distributor Name (If applicable):
System Part Number:
System Serial Number:
SurgiTouch Scanner S/N:
(If applicable)
AcuScan 120 Scanner S/N:
(If applicable)
Software Package Version:
Installation Date:
Site Name:
Address:
Country:
Comments:
3-34
Installation
Installation Check List
Site Preparation (Chapter 4)
Space and Positioning Requirements (Section 3.2.1 )
OK Not OK Description Remarks

At least 60 cm (2 ft.) from the wall

Adequate work area
Lighting Conditions
Fire, safety, and first aid equipment
Electrical Requirements (Section 3.2.2 )

Line supply of 100 - 230 V AC ±10%
(90 - 253), 16 - 20 A, 50/60 Hz with a
suitable wall receptacle
System power line not shared with
other heavy variable loads such as
elevators, air conditioning systems,
large motors, etc.
Separate power line with separate
circuit breakers
Environmental Requirements (Section 3.2.3 )

Atmosphere non-corrosive
Room temperature between 15°C -

30°C (60°F - 86°F)
Relative humidity up to 70%
System far from heating ducts or other

outlets
PB0000300 Rev. A 3-35

Installation
Unpacking the System (Section 3.3)

Verify that shipping crate is intact.
Check the shock indicator on the box to
make sure that the crate has not been

subjected to shock.
Open the crate and remove the system.
Remove all accessories from crate and
check for missing items.
Move the system and accessories to the
treatment room.
Visually inspect the system exterior for
damage.
Setting up the System (Section 3.4)

Assemble the articulated Arm
Install the bacteriological filter
Install the remote interlock system
Install the handpiece.
Connect the footswitch
Connect the smoke evacuator

Check the system mains plug for
compatibility with the local mains receptacle.
If not, replace it with one that matches the
power socket.
Connect the system power cable
3-36
Installation
Testing the System’s Functional Operation (Section 3.5)

Remove Warning tag from circuit breaker
and release emergency stop button.
Turn on the system.
Adjust time zone, date and time.

Set up initial user.
Turn off the system.

Turn on the system, and access service
mode.
Perform the following checks:
Power-On Indicator and Aiming Beam
Intensity Check
Laser Radiation Leakage Test
Laser Alignment Checks
Diagnostic Mode Check
Power Meter Calibration Check
Operation Checks
Scanners and accessories operation and
calibration checks (if applicable).
PB0000300 Rev. A 3-37

3.8 Moving, Transporting, and Storage
3.8.1 Moving the System within the Facility

Most users of the AcuPulse laser system have more than one operating
location. The system can easily be moved between them by rolling the
console on the base-mounted wheels using the top-mounted maneuver-
ing handles. The only disassembly required is disconnection of the

footswitch and power cable to ease maneuvering.
3.8.2 Transporting the System

Prepare the system for transport as follows:
1. Unplug the system from the wall outlet.

2. Disconnect the power cable from the service panel.
3. Disconnect the footswitch from the service panel.
4. Fold and store the articulated arm in its storage compartment in the
system's rear panel.
Caution
Don’t ship the system without the factory packaging materials.
Doing so may result in damage to the components during
shipping and void the warranty. Contact Lumenis if packaging
materials or repacking instructions are required.
The AcuPulse console weighs 40 Kg (88 Lbs.). Use proper lifting

techniques. Don’t hurt yourself!
3-38
C H A P T E R
GENERAL DESCRIPTION
4.1 General Laser Theory

LASER is the acronym for Light Amplification by Stimulated Emission
of Radiation. The laser is a device consisting of an active medium and a
pumping source, enclosed in a pump cavity. The pumping source
"pumps" the active medium from its ground energy state to excited
states. If "population inversion" between two excited states takes place
(where the higher energy state is more populated) stimulated emission
of radiation (photons) can occur. This emission is resonated (reflected
back and forth) within the optical resonator and is amplified. A portion
of this amplified electromagnetic radiation is then emitted as a laser
beam.
The main properties of the beam are:
• Monochromaticity – the radiation is within an extremely narrow

wavelength range on the spectrum
• High degree of collimation – unidirectional beam with very
small divergence
• Coherence – all photons are in phase, both in space and time
The high degree of collimation and coherence enables the focusing of

the beam to small spot sizes.
The active (lasing) medium of a laser can be either gas, liquid or solid.
Most gas lasers consist of atoms, molecules, or mixtures of both. Solid-
state lasers consist of atoms or ions "doped" in some solid matrix.
Liquid lasers consist of higher molecular weight molecules dissolved in
liquids.
PB0000300 Rev. A 4-1

Under specific pumping conditions, all these materials can undergo the
unnatural phenomenon of "population inversion" that results in
stimulated emission of radiation at a wavelength characteristic of the
active medium.
4.2 CO 2 Laser Theory

This system incorporates a DC-excited CO2 laser tube. The gas used is
enclosed within an aluminum laser tube equipped with electrodes. The
laser tube is positioned between the two mirrors of the optical cavity.
The rear mirror is totally reflective, whereas the front mirror is partially
reflective and transmits the CO2 laser beam into the delivery system.
The direct current power supply (pumping source) provides voltage to

the electrodes which produce an electrical discharge perpendicular to
the tube. The discharged electrons collide with the CO2 molecules in
the gas mixture, and excite them to a vibrationally excited level (an
asymmetric stretching mode).
The stimulated emission takes place between this level and a lower
vibrationally excited level (a symmetric stretching mode), resulting in
laser emission in the far infrared range at a wavelength of 10.6 microns.
The CO2 laser wavelength falls in the mid-infrared region of the

electromagnetic spectrum. This wavelength is invisible to the human
eye.
CO2 laser energy is readily absorbed by water in tissue. Since soft

tissue is comprised primarily of water, CO2 laser energy can be used
effectively for the excision, incision, ablation, vaporization and
coagulation of soft tissue.
4.3 AcuPulse Laser System Description

The AcuPulse is an advanced computer-controlled, user friendly CO2
laser system based on a sealed-off CO2 laser tube providing up to 30 or
40 Watts (model dependent) on tissue. The system incorporates the
CO2 laser tube within the main cabinet, an articulated arm beam
delivery system and attachable laser accessories. The system is
activated for laser emission by a footswitch.
4-2
General Description
Since CO2 laser emission is invisible (in the infra-red spectrum),

aiming is achieved by using a coaxial aiming beam emitted by an
auxiliary red laser diode (635 nm).
The AcuPulse system's modes of operation are based on two distinct

types of settings: the laser operation mode and the tissue exposure
mode settings. The laser operation modes control the power pattern and
the peak power outputs, while the tissue exposure modes control the
duration pattern of the laser beam delivered to tissue.
The system offers three laser operation modes and three tissue
exposure modes:
Laser Operation Modes Tissue Exposure Modes

Continuous Wave (CW) Continuous
SuperPulse Single Pulse
Pulser Repeat Pulse
The laser tube cooling system is a closed-loop pressurized system. It is

used to cool the CO2 laser tube and the power detector. The coolant is
circulated by the pump through the fan-cooled heat exchanger. The
coolant is an electrically neutral fluid - FC-770 Fluorinert.
The AcuPulse laser system is composed of the following major

components: the system console, the operator control panel, and the
articulated arm and delivery system.
Figure 4-1 presents a description of the AcuPulse laser system. This

product, as all Lumenis products, is designed and manufactured
according to the highest quality standards, ISO 13485 and ISO 9001,
by which Lumenis is certified.
PB0000300 Rev. A 4-3

Figure 4-1 Assembled AcuPulse Laser System
4-4
General Description
4.4 Control Panel

The AcuPulse control panel, located on top of the system console,
incorporates the following elements (refer to the items in Figure 4-2):
1. Green On/Off Button – a push-button switch that initiates the

system's functions. A green LED indicator built into the button
indicates that the system is on.
2. Emergency Stop Button – a two-position, normally released,

push-type button for emergency laser stop. The button actuator is a
large, red mushroom-shaped knob that is operated by pressing
down. To release the switch to its normal position, rotate the knob
(direction is marked on the knob's face). No operation is possible as
long as the button is pressed.
Caution
The emergency stop button should be used only in case of an
emergency.
Figure 4-2 Control Panel
3. Laser Emission Indicator – the yellow LED has three modes of

operation:
• Off – when the system is turned on, and in Standby mode
• Flashing – in Ready mode, alerting the user that laser emission
will start upon footswitch activation
• Continuous – during laser emission (footswitch pressed)
PB0000300 Rev. A 4-5

4. SurgiTouch Connection Port – this is the connection point for the

optional SurgiTouch accessory's communications cable.
5. Purge Air Tube Connection Barb – this is the connection point for
the purge air tube.
6. LCD Touch-Screen Panel – communication with the system is
performed by means of the touch-screen panel. All commands are
inserted into the system by "pressing" the appropriate "buttons", or
keys, on the LCD. Figure Figure 4-3 presents a sample control

screen; all aspects of the operating system will be discussed in the
Software section of this manual.
Figure 4-3 AcuPulse Treatment Screen (sample)
4.4.1 Optical Bench Assembly

The optical bench assembly is comprised of the sealed-off laser tube
and its optical resonator, the aiming beam diode, and the CO2 laser
shutter assembly (includes the power meter, and the CO2 and aiming
beam combiner).
The aiming beam is a low-powered diode laser with an adjustable

intensity control. It can also be configured to illuminate constantly or
blinking.
The shutter assembly regulates the emission of the CO2 laser by

mechanically blocking its optical path while conditions for lasing are
not met. When the shutter is closed, the CO2 laser is directed to the
4-6
General Description
internal power meter which monitors the laser level when needed.
When the shutter is open, the beam combiner combines the CO2 laser
beam and the aiming beam coaxially, and guides them into the
articulated arm beam delivery system.
4.4.2 Cooling System

The CO2 laser tube and the laser power meter are cooled by an internal
closed-loop liquid-to-air cooling system. The coolant used is Fluorinert
FC-770, an inert liquid that does not conduct electricity.
The coolant is circulated in the system by means of an electric pump,

absorbing heat from the CO2 laser tube and from the power meter. The
heat is expelled through a heat exchanger.
In addition to the coolant circulation system, a forced-air fan circulates

air through the system's console.
4.4.3 Service Panel

The service panel is located on the lower section of the system's rear
panel and incorporates the following (see Figure 4-4):
1. Power cable connection port

2. Power circuit breaker
3. Footswitch connection port
4. External ground connection
5. Smoke evacuator connection port
6. Door interlock connection port
7. USB connection ports
8. LAN connection port
9. Remote control connection port
10. VGA monitor port
PB0000300 Rev. A 4-7

Figure 4-4 Service Panel
Power Cable Connection

Connect the power cable to this port (see item # 1 in Figure 4-4).
Use only:
• The power cable and plug specified for your system

• A power cable and plug that are in good condition
• A hospital grade plug and a correctly matched power receptacle
Power Circuit Breaker

This master switch should be turned off when the system is left
overnight or for extended periods of time (see item # 2 in Figure 4-4).
Footswitch Connection
To connect the footswitch, place it on the floor and plug its power cable
into the footswitch connection located in the panel. Screw the cable's
threaded cap onto the connection terminal securely. A polarizer on the
socket prevents incorrect connection of the cable (see item #3 in
Figure 4-4).
4-8
General Description
External Ground Connection

For protective earth connection, use the protective earth terminal on the
system's service panel (see item # 4 in Figure 4-4).
Note
Use the system only when it is properly grounded via the protective
earth terminal.
Smoke Evacuator Connection

A compatible portable smoke evacuation system may be connected to
the system at this port (see item # 5 in Figure 4-4) and remotely
operated through the AcuPulse graphical user interface treatment
screens by pressing the “start smoke evac.” button to start smoke
evacuation and “stop smoke evac.” button to stop smoke evacuation.
Remote Interlock Connection

The remote interlock connection is a safety feature that disables the
laser if the treatment room doors are opened or the interlock plug is
removed while the laser is in Ready mode (see item # 6 in Figure 4-4).
Use of a remote interlock connection is optional; however, you must

insert the interlock plug into the service panel receptacle whether or not
you are using a remote interlock connection. The laser remains
inoperative until the plug is inserted into the receptacle.
When a remote interlock connection is in use, the laser is automatically

disabled and returns to Standby mode if the treatment door is opened or
the interlock plug is removed, and an error message displays on the
control panel screen. To resume treatment, close the treatment room
door or reinsert the interlock plug, and press Ready to resume normal
treatment.
USB Connections
The USB connection ports are normally utilized by Lumenis-
authorized service engineers for servicing the system and for uploading
periodical software upgrades (see item # 7 in Figure 4-4).
PB0000300 Rev. A 4-9

LAN Connection Port

Provision for future option (see item # 8 in Figure 4-4).
Remote Control
A remote control allows the physician to change relevant laser
parameters in a sterile field with a same-size touch-screen and same

user interface, but can be placed closer to the surgeon (see item # 9 in
Figure 4-4).
VGA Monitor Connection

An external VGA monitor may be connected to the system (see item #
10 in Figure 4-4).
4-10
General Description
4.5 Understanding Laser Delivery

The AcuPulse delivers three basic modes of laser energy: CW, Pulser
and SuperPulse:
• CW Mode is optimal for incision or ablation where hemostasis is

desirable. CW is a continuous delivery of lasing energy with peak
power as set. CW mode delivers a steady beam of laser energy useful
for cutting. Because the pulses of energy are continuous, just enough
energy is transferred to surrounding tissue to provide hemostasis,
while at the same time providing a clean incision with minimal
penetration.
• Pulser Mode high-frequency delivers pulses in a constant preset
pulse frequency. The average power requested and delivered to
tissue is controlled by the microprocessor by varying the On time.
Tissue incision capability is generally enhanced with higher peak

power of the laser beam. Thermal damage to surrounding tissue is
usually reduced with shorter laser activation durations, whereby the
adjacent healthy tissue has more time to cool between pulses
• SuperPulse Mode is optimal for incision or ablation where char-free
performance is desirable. This includes many dermal applications.
SuperPulse is a continuous series of short duration, high peak power
pulses whose average power is the set power. Because of its very
high peak power, SuperPulse laser energy brings the water in the
cells to the boiling point so rapidly that the target tissue vaporizes
and only a negligible amount of heat is transferred (by conduction)
to adjacent tissue.
The time between each SuperPulse of high energy is long enough

that the surrounding tissue has time to cool before being hit with the
next SuperPulse. Because of this, SuperPulse helps reduce charring
and minimizes surrounding tissue damage.
Refer to Figure 4-5 through Figure 4-7 for CW, Pulser and SuperPulse
power delivery comparisons.
4.5.1 Exposure Types

Both CW and SuperPulse can be set to deliver any of three different
exposure types:
• In Continuous exposure, lasing lasts as long as the footswitch is

pressed.
PB0000300 Rev. A 4-11

• In Single exposure, one timed exposure is delivered for each press of

the footswitch.
• In Repeat exposure, the laser beam cycles between On and Off while
the footswitch is pressed.
POWER
[W] Continuous
Ppeak
Pav
TIME
[Sec]
POWER Single Pulse
[W]
Ppeak
Pav
TIME
ON Time [Sec]
POWER
[W] Repeat Pulse
Ppeak
Pav
TIME
ON Time OFF Time [Sec]
FOOTSWITCH DEPRESSED
Nested (Depth)= 3 – Only In Surgitouch Mode

POWER
[W]
No. Of Exposures = 4 – SurgiTouch Mode and Basic mode
Ppeak
Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan
Pav No.1 No.2 No.3 No.1 No.2 No.3 No.1 No.2 No.3 No.1 No.2 No.3
TIME
FOOTSWITCH PRESSED
Figure 4-5 CW Exposure Types
4-12
General Description
POWER
[W] Continuous
Ppeak
Pav
TIME
[Sec]
POWER Single Pulse

[W]
Ppeak
Pav
TIME
[Sec]
ON Time
POWER
[W] Repeat Pulse
Ppeak
Pav
TIME
[Sec]
ON Time OFF Time
FOOTSWITCH PRESSED
Figure 4-6 Pulser Exposure Types
PB0000300 Rev. A 4-13

POWER
[W] Continuous
Ppeak
Pav
TIME
[Sec]
POWER Single Pulse
[W]
Ppeak
Pav
TIME
ON Time [Sec]
POWER
[W] Repeat Pulse
Ppeak
Pav
TIME
FOOTSWITCH DEPRESSED
Nested (Depth)= 3 – Only Scan Mode

[W]
No. of Exposures = 4 – Scan Mode and No Scan Mode
Ppeak
Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan Scan
No.1 No.2 No.3 No.1 No.2 No.3 No.1 No.2 No.3 No.1 No.2 No.3
Pav
TIME
[Sec]
ON Time OFF Time
FOOTSWITCH PRESSED
Figure 4-7 SuperPulse Exposure Types
4.6 Hardware and Software Interface

The system is based on a micro-controller that monitors the status of
the different subsystems of the machine.
It translates the selected treatment parameters into electrical signals

that generate the proper energy fluence, pulse duration, delay between
pulses, and number of pulses from the treatment head.
The interface to the user is carried out through a touch-screen display.
4.6.1 Software Description

This software module was designed with the Windows® CE
(Embedded) operating system to provide the AcuPulse graphic user
interface. The CE (Embedded) operating system precludes many
normal desktop computer features in order to reduce its size and
complexity, and still offers a user-friendly, easy to use environment.
4-14
General Description
4.7 System Specifications
4.7.1 Outputs
Treatment Laser
• Type:CO2 laser tube, sealed-off, DC-excited

• Wavelength:10.6 microns (invisible infrared)

• Mode structure:TEM00 (Gaussian)
Aiming Laser
• Type: Diode
• Wavelength: 635 nm
• Intensity:6 settings – off to 5mW max.
• Operational modes: Continuous or blinking
Laser Operating Modes
• Continuous Wave (CW)

• Pulser
• SuperPulse (SP)
Tissue Exposure Modes
• Continuous
• Single Pulse
• Repeat Pulse
Power on Tissue
• CW in 30/30ST model: 1.0 – 30.0 Watts

• CW in 40/40ST/40R/40F/40A model:1.0 – 40.0 Watts
> Pulser in 30/30ST model:
Average power range:1.0 – 25.0 Watts
Peak power:30 Watts
Pulse frequency:60 Hz
Duty cycle: Automatically set by system
> Pulser in 40/40ST/40R/40F/40A model:
Peak power: 40 Watts
PB0000300 Rev. A 4-15

Pulse frequency:60 Hz
Duty cycle: Automatically set by system
> SuperPulse in 30/30ST model:
Peak power:125 Watts in 0.5-4W range
300 Watts in 4.5-10W range
Energy for Stapedectomy:12 mJ
Pulse frequency & duty cycle automatically set by system
> SuperPulse in 40/40ST/40R/40F/40A model:

Average power range:0.2 – 15 Watts
Peak power:125 Watts in 0.2-4W range
350 Watts in 3.5-15W range
Energy for Stapedectomy:12 mJ
Pulse frequency & duty cycle automatically set by system
Pulse On Time
• CW mode 0.01 - 1.00 seconds

• Pulser and SuperPulse modes: 0.05 - 1.00 seconds
Pulse Off Time
• All modes: 0.01 - 1.00 seconds
Spot Size
• From 0.1 mm, focused at 50 mm working distance, to 6.7 mm, fully

defocused at 400 mm working distance
Delivery System
• Lightweight, carbon fiber, 7-joint, spring-balanced articulated arm

• Working radius at full arm extension:120 cm (47")
• Horizontal rotation of articulated arm: 360°
4.7.2 Operation and Control

Control
• Microprocessor based, touch screen, high resolution, multicolor GUI

• Storing and recall capability
System Turn-on
• Circuit Breaker on service panel
4-16
General Description
• On/Off button on control panel

• Proprietary password access for each user
System Turn-off
• Circuit Breaker on service panel

• On/Off button on control panel
Laser Emission Control
• Footswitch
Laser Emission Indicators
• Emergency stop button (for emergencies only)

• Yellow LED
• audible indication when lasing

• Closed-loop liquid-to-air cooling system
• Fluorinert FC-770 coolant
4.7.4 Electrical Requirements

• 100-240 VAC, 9A, 50/60 Hz, single phase
4.7.5 Physical Specifications

Dimensions and Weight
• Height of console: 118.5 centimeters (46.65 inches)

• Height with articulated arm at full vertical deployment:
245.5centimeters (96.65 inches)
• Width: 35 centimeters (14 inches)
• Depth: 34 centimeters (13.5 inches)
• Weight: 40 kilograms (88 pounds)
PB0000300 Rev. A 4-17

4.7.6 Environmental Specifications

Ambient Temperature
• Operating: 5 to 30°C (41 to 86°F)

• Storage: 5 to 45°C (41 to 113°F)
Relative Humidity
• Operating: 5% to 85% relative humidity, non-condensing

• Storage: 5% to 95% relative humidity, non-condensing
4-18
General Description
4.8 Delivery Systems & Accessories

SurgiTouch systems (30ST/40ST) are also shipped with a calibrated
SurgiTouch scanner (see Figure 4-8).
Aesthetic systems (40R, 40F, 40A) are shipped with the relevant
combination of calibrated SurgiTouch and/or AcuScan 120 scanners as
well as additional accessories (see Figure 4-8 and Figure 4-9).
Figure 4-8 SurgiTouch Scanner Kit
Figure 4-9 AcuScan 120 scanner Kit
PB0000300 Rev. A 4-19

4.8.1 Standard Accessories
Handpiece Set • Focusing handpiece assembly for 125 mm

working distance with two straight tips, one
90° and one 120° reflector tip
4.8.2 Optional Accessories
Handpieces • Focusing handpiece assemblies for 50mm

working distance (Model No. 15050) and 200
mm working distance (Model No. 15200).
• Defocusing handpiece assembly with
Continuously Variable Defocus (CVD)
optical unit, for 50 mm working distance
(Model No. 15051)
• Oral pharyngeal delivery system with a CVD
optical unit, for 230 mm working distance
(Model No. 15201)
Micromanipulator • Sharplan Digital AcuBlade for precise
rotational manipulation of scanned shapes for
use with AcuSpot microslad
Microslads • Sharplan 719 Microslad for most standard

operating microscopes.
• Sharplan 717 and 718 Microslad with side laser
beam entry port.
• Sharplan 715 for Zeiss OPMI MD microscopes
• Sharplan 712 AcuSpot for miniscule spot size
and convenient working distance adjustment. For
Zeiss and WILD microscopes.
4-20
General Description
Colposlads • Sharplan 729 for Zeiss, JEDMED/KAPS,

CODMAN, SHIMA, WOLF, and KAMIYA
TSUSHO KAISHA colposcopes
• Sharplan 727 and 728 colposlads with side laser
beam entry port
• Sharplan 725 and 726 for Leisegang and
Olympus colposcopes, respectively
• Sharplan 779 Laser Colposcope System

comprising a Sharplan Colposlad incorporated
within a Leisegang ID300 colposcope on a
tiltable or swivel stand with an illumination
transformer.
Endoscope • Sharplan 781 Bronchoscope set includes four
Devices tube sizes, coupler with joystick control, CVD
and x 4 proximal magnifier
• Sharplan 782 Laparoscope set includes single
and double puncture tubes, trocars, sleeves and
two Beam Align direct couplers for 300 mm and
200 mm working distances.
• Sharplan 783 Laparoscope set includes double
puncture tubes, trocar, sleeve and Beam Align
direct coupler for 200 mm working distances.
• Sharplan 793 Laparoscopic probe set includes
single puncture probes, second puncture probes,
sheaths, and laser coupler.
• Sharplan 794 arthroscopic probe set includes
short probes, sheaths, laser coupler and gas purge
system.
• Sharplan Microguide Systems for Laparoscopy
and Arthroscopy includes coupler, probes,
sheaths, gas purge system and sterilization tray.
• BeamAlign direct laparoscopic coupler includes
CVD optical unit, aligning connector and
adaptors.
PB0000300 Rev. A 4-21

4-22
C H A P T E R
FUNCTIONAL DESCRIPTION
5.1 Introduction
Figure 5-1 presents a block diagram of the AcuPulse system.
Beam
Delivery Scanner Foot LCD &
Scanner
System Controller Switch Touch-Screen
Shutter &
Power Aiming
Beam
Meter Beam GUI PC
Combiner
Controller Cooling
System
Interface Board
CO2 HVPS
Laser LVPS
Laser Signal Tube
Data Signal HV
Module
Isolation
Transformer
Figure 5-1 AcuPulse System Block Diagram
PB0000300 Rev. A 5-1

This chapter provides a detailed description of each component and

explains the functions of all modules and sub-systems.
The AcuPulse system comprises the following major modules:
• CO2 laser tube and optical bench (including red diode aiming laser)
• HVPS & Bobbin assembly
• LVPS
• Interface / Controller board
• Cooling System
• Industrial Computer
• Touch screen display
• Scanner and Scanner Controller Board (optional, available in
“surgitouch” 30ST and 40ST models only)
• Beam Delivery System – Articulated Arm
5.2 CO 2 Laser Tube

The CO2 laser tube is the “heart” of the system. While under the high
voltages created by the HVPS/bobbin assembly, it creates precise
lasing beams that are released through the optical bench and the beam
delivery system while all the safety/operational conditions are met
(user in “ready” mode, footswitch engaged, emergency laser stop
button disengaged, power/current parameters within range, door
interlock plug in place etc.…)
5.3 HVPS & Bobbin Assembly

The HVPS receives a ±110VDC feed from the LVPS and converts it
into a High voltage signal that feeds the bobbin, at the output of which
extremely high voltages (4-36 KV) are created to excite the laser tube.
A voltage of 36kV is created for ignition of the lasing process and 4-

22kV working power after initial ignition.
5-2
Functional Description
Figure 5-2 HVPS & Bobbin Assembly Electrical Diagram
5.4 LVPS
The AcuPulse system is designed to receive line voltage of 100-240
VAC (±10%) from the power cable connector. The Low Voltage Power
Supply (LVPS) receives AC power from the main electrical grid (after
it has been noise-filtered) and supplies the required DC power to all the
main modules of the AcuPulse system.The voltage passes through line
filters and a galvanic separation transformer before being fed into the
medical grade multi-range low voltage power supply module (LVPS).
The LVPS module distributes voltages of 5, ±12, ±15, 24 and 110V

along various routes to the different modules of the system: 5V, ±12V
and 24V lines go the Interface / Controller board, ±15V to the Scanner
board and 110V to the HVPS assembly (the 110VDC line is achieved
by connecting two 55VDC outputs in line from the LVPS).
The working specs of the LVPS are as follows:
• Input: 85-264 VAC, 47-63 Hz, 1Ø, 10A RMS @ 85VAC

• Output:
• +110 VDC 7A 770 W (peak)
• +24 ± 5% VDC7A168 W
PB0000300 Rev. A 5-3

• +12 ± 5% VDC3A45 W
• -12 ± 5% VDC3A45 W
• +15 ± 5% VDC2.5A37.5 W
• -15 ± 5% VDC2.5A37.5 W
• +5 ± 5% VDC6A30 W
See ‘Power Distribution’ on page 5-15 for details on each client

module’s power requirements.
• Protections:
• Over Voltage
• Over Current
• Over Temperature
Figure 5-3 LVPS Module Electrical Diagram
5.5 Interface/Controller Module

The Interface/Controller module is the “brain” of the system. It
includes the interface and controller boards that control the operation of
the entire system, and allows communication of data and commands
5-4
between the different modules. The Interface / Controller module

distributes power to the peripheral modules:
• user interface PC
• aiming beam diode
• beam combiner in the optical bench
• cooling system: (including air pump, Fluorinert pump, cooling
system fan, flow switch)

• Main system fan
• Smoke evacuator
• Footswitch
• indicators and remote display connector
Figure 5-4 Interface Board
PB0000300 Rev. A 5-5

Figure 5-5 Controller Board
5.6 Cooling System

The AcuPulse system makes use of a sophisticated cooling and
temperature regulation module, to allow optimal performance at all
times.
The cooling system cools the CO2 laser tube and the power detector.
The system is a self-contained pressurized dielectric coolant circulating
unit, consisting of a heat exchanger, an expansion tank, a coolant
pump, a flowswitch, and a temperature sensor.
To achieve maximum cooling efficiency, two distinct cooling cycles

are used in the system:
• air-cooled ventilation system

• Coolant- cooling system
5.6.1 Air-Cooled Ventilation System

The system’s overall body and electronic components’ temperature is
regulated by an air-cooled ventilation based system, where fresh air is
5-6
being pumped and circulated through the body of the AcuPulse system
by fans (including the HVPS and LVPS fans as well as the main system
fan) before being expelled by vents at the bottom of the body.
In Figure 5-6, the blue arrows represent the main air flow routes
through the system, while the orange arrows indicate air flow through
the heat exchanger of the coolant-based cycle (see next section).
System Body Temperature Sensor

The system’s temperature is monitored at all times by a temperature
sensor placed close to the main system fan. A warning is issued at
47°C. Operation is cancelled if it exceeds 50°C.
Figure 5-6 Air Flow through AcuPulse System
5.6.2 Coolant-Cooled System

A closed loop of tubing circulates coolant (Fluorinert – a cooling fluid
that is chemically inert and cannot interact with the contacts of the CO2
tube) through the beam combiner (especially the internal power meter
that can be permanently damaged if overheated) and CO2 tube.
The coolant is circulated first through the jacket surrounding the CO2
laser tube and then through the power detector jacket. The coolant, thus
PB0000300 Rev. A 5-7

the unit itself, may be stored at temperatures ranging from -20°C to

+70°C (-4°F to +158°F).
The Fluorinert circulation is propelled by a pump and regulated by a

magnetic flow switch that controls the amount of fluid that is available
in the closed loop at any given moment, according to the current
temperature. Both the pump and the flow switch are controlled by the
Interface Controller board.
Radiator (Heat Exchanger)

The Fluorinert is cooled by passing through a fan-cooled radiator.
Figure 5-7 illustrates the Fluorinert cooling cycle.
Figure 5-7 Fluid Based Cooling Cycle for AcuPulse System
Cooling System Temperature Sensor

A temperature sensor mounted on the coolant outlet port of the heat
exchanger monitors the temperature of the coolant at all times. When
the temperature exceeds 47°C, a warning message is issued. Operation
is cancelled if it exceeds 50°C.
5-8
Flowswitch
A flowswitch monitors the flow rate of the coolant and activates the
LOW COOLANT FLOW fault message if the flow rate decreases to
below 0.1 gal/min (0.4 lit/min).
Expansion Tank
The expansion tank allows changes in coolant volume caused by
variation in temperature or leaks, thus preventing damage to the
cooling system. The pressure in the expansion tank should be
maintained at values of 0.8 - 1.5 atm (12-22.5 psi).
5.7 Industrial PC
The industrial PC feeds the touch-screen display assembly which
allows the user to control the system by inserting commands through
the Graphical User Interface.
These commands are translated into the desired waveform by the

Interface / Controller board, and communicated to the HVPS.
The user interface PC provides 5V and 12V power to the display /

touch screen assembly.
Figure 5-8 Industrial PC Ports and Components
PB0000300 Rev. A 5-9

5.8 Touch Screen Display

The touch screen display is a 1024 x 768 10.4” LCD monitor which
displays information on the status and settings of the AcuPulse system.
All commands are inserted into the system by pressing the appropriate
buttons or keys on the LCD. The various screens are described in detail
in the section ‘Software’ on page 5-22 of this manual.
Figure 5-9 Touch Screen Display Assembly
5.9 Scanner Board

The scanner board controls the Surgitouch and/or AcuScan 120
scanners by translating commands from the user interface PC into
precise motion of the galvo motors that control the scanner’s mirror to
create specific shapes for each application. Each shape is application
and specialty specific.
The Scanner board receives 15VDC from the LVPS to feed the scanner
operation (including galvo motors), and 5VDC for internal “logic”
operation of the board.
5-10
Figure 5-10 Scanner Module Electrical Diagram
Figure 5-11 SurgiTouch Scanner Head to Scanner Board

Block Diagram
PB0000300 Rev. A 5-11

Figure 5-12 AcuScan 120 Scanner Head to Scanner Board

Block Diagram
5.10 Beam Delivery System - Articulated

Arm
5.10.1 Articulated Arm Assembly

The articulated arm assembly guides the coaxial CO2 and diode laser
aiming beams to the target. Figure 5-13 illustrates all the parts of the
articulated arm assembly.
It is comprised of the main bearings, the spring balance assembly,

elbows and mirrors No. 1 through 4, a long arm section, a short arm
section, and the articulated end-joint assembly which contains elbows
and mirrors No.5 through 7.
The mirrors in the articulated arm are adjusted so that the beam always
hits the same point on the handpiece lens for all arm positions. The
handpiece lens focuses the laser beam to a smaller spot size, resulting
in a higher energy density.
5-12
Mirrors No.1 through 4 are adjustable, while mirrors No.5 through 7

are fixed. All mirrors are coated for total reflectivity.
5.10.2 Spring Balance Assembly

The articulated arm is spring-balanced, allowing smooth and easy
movement, but with sufficient friction to prevent unnecessary impact
on the arm. The spring balance assembly is located between elbows

No.1 and No.2.
The spring balance system is inactivated (i.e., the long arm section falls
freely when released in any position) until the longer arm section is
raised to the resting position and arm locking pin clicks into place.
Thereafter, the spring balance system is activated, and the longer arm
section will remain in place when released in the “rest” position or in
the “balanced arm” range of position.
The spring balance assembly consists of the spring assembly housing,

the torque spring with its sleeve, and the internal bearing, which is
attached to elbow No.2.
The spring torque is adjusted to balance the articulated arm (with the
hand-piece accessory attached) at an angle of approximately 45°. A
friction force applied by the system’s internal bearing enables retention
of the longer arm section within an angle range of approximately 30°
(45° ± 15°).
The torque spring can be adjusted to determine the exact angle at which
the longer section of the arm is retained. For adjustment instructions,
see Chapter 6.
PB0000300 Rev. A 5-13

Figure 5-13 Articulated Arm Component Locations
5-14
5.11 Power Distribution

Figure 5-14 illustrates the power distribution flowchart in the AcuPulse
system (AC power is represented in red while DC power is represented
in green).
Figure 5-14 Power Distribution Schematic
PB0000300 Rev. A 5-15

5.12 Functional Description – Lasing

The following steps are taken for lasing to occur:
1. The user enters the lasing parameters (power, mode, duration, and
scanning shape if necessary) through the touch screen / display
assembly and presses the “READY” button to finalize them.
2. The parameters are relayed by the user interface PC to the Interface

/ Controller board.
3. The DSP unit of the controller board estimates a suitable waveform
to achieve the desired results and sends that waveform to the
HVPS.
4. The HVPS assembly creates the required high voltage waveforms
to ignite lasing in the CO2 tube.
5. As the beam combiner shutter is in the “closed position”, the
resulting laser beam is routed to the internal power meter and
measured.
6. The result is analyzed by the Interface / Controller board.
7. Steps 3-6 are repeated as needed (up to 8 times) until the
measurement on the internal power meter converges to the correct
parameters as defined by the user in step 1.
8. If a scanning shape is required, the Interface / Controller board
communicates it to the Scanner board.
9. The Scanner board adjusts the galvo motors on the scanners
according to the desired shape. This can be witnessed by the user in
the shape of the aiming beam. See Figure 5-15 for a block diagram
illustration of steps 1-9 – the Power Convergence Phase.
10. When the unit is ready with the appropriate waveform, the user
presses the footswitch.
11. The engaged footswitch sends a signal to the Interface / Controller
board to start lasing.
12. The Interface Controller board sends the verified waveform (after
the power convergence test described in steps 1-8) to the HVPS and
opens the shutter in the beams combiner.
13. The HVPS excites lasing in the CO2 tubes.
14. The laser beam exits through the open shutter of the beams
combiner into the articulated arm and is delivered to the target area.
15. If a scanner is attached and operational, the laser beam will pass
through the moving mirrors of the scanner to create the required
5-16
shape. See Figure 5-16 for a block diagram of steps 10-15 – the
Lasing Phase.
Figure 5-15 Power Convergence Phase
Figure 5-16 Lasing Phase Route
Note
Note that the CO2 laser beam and diode aiming beam are shown
slightly apart after the beams combiner for reading comfort. In reality
they should be perfectly juxtaposed.
PB0000300 Rev. A 5-17

5.13 Internal Power Meter

AcuPulse uses an internal power meter to perform self calibrations and
self monitoring of the lasing quality.
The power meter measurements are divided into 3 effective ranges:
• 0.2-1 Watt
• 1-5 Watt
• 5-60 Watt
Each range is measured by passing the power meter reading through

amplifiers of different strengths. (See Figure 5-17).
The low range is very strongly amplified, while the high range is only
mildly amplified.
In that way, the dynamic range of the A/D converters allows full range
readings.
As an additional safety feature, in the self-test procedure, lasings of 1

Watts and 5 Watts are compared between the two relevant A/D outputs
to make sure that the readings are consistent. (This constitutes a power
sanity check).
Figure 5-17 Internal Power Meter Functionality Diagram
5-18
5.14 On Line Monitor

Figure Figure 5-18 illustrates the on-line monitor block diagram.
Figure 5-18 On Line Monitor
The current from the HVPS is monitored at all times in 2 simultaneous

samples (current 1 and current 2).
• Current 1 is used as a reference to ensure that the current 2 line is not

corrupted.
• Current 2 is fed into the online monitor circuit, which compares the
actual current with the expected values of the current (which are
calculated according to the power convergence tables so that the
actual power received will not exceed ±20% of the required value)
In CW mode, lasing will be stopped if the current exceeds the limits for
more than 100 µs in any window of 5 seconds (for example, if during a
5 second window, 2 current spikes of 75 µs each are detected, lasing
will stop. On the other hand, 15 current spikes of 5 µs each will not stop
CW lasing).
In Superpulse / Pulser mode, any deviation from the expected current

values results in automatic laser stop.
PB0000300 Rev. A 5-19

5.14.1 FPGA-DSP Safety

Figure 5-19 FPGA-DSP Safety Feature Block Diagram
In pulsing modes (Superpulse / Pulser), the system incorporates an

additional safety feature to ensure that the pulse timing parameters that
were sent by the DSP to the HVPS are correct and will create the
required effect.
To this end, the required parameters are encoded in Hexadecimal form

and sent from the DSP to the FPGA.
These parameters include the following (each has a specific register in

the FPGA):
• Single pulse “ON” time (with min/max tolerance of 2% – 2 registers)

• Single pulse “OFF” time (with min/max tolerance of 2% – 2
registers)
• Pause time between repetitions (with min/max tolerance of 2% – 2
registers)
• Number of pulses in a single repetition (exact number – one register)
• Number of required repetitions (exact number – one register.)
The FPGA then compares these parameters with the actual waveforms
sent by the DSP to the HVPS, to make sure that the waveforms fit the
parameters.
Any deviation from the parameters (for example, a repetition that

contains the wrong number of pulses) will force lasing to stop and
5-20
create an error (stored in the FPGA in a dedicated register as well as in

the error log).
Operation is allowed only after the error is cleared from the FPGA.
PB0000300 Rev. A 5-21

5.15 Software
The following chapter describes the software of the AcuPulse system,
its uses and interface. Figure 5-20 illustrates the system software as a
flow chart.
Figure 5-20 Software States Diagram
The software installed in the system is divided into two main parts:
• User mode software

• Service mode software
5.15.1 User Mode

The operation software fulfills three major tasks:
• To enable the system to select optimal treatment parameters for the

patient, according to the specific clinical data input by the user.
5-22
• To store preferred treatment parameters according to the physician’s

usual operating protocols.
• To control machine operation, and to prevent accidents.
Figure 5-21 Treatment Screen
To login in User mode, do the following:
1. Press the green On/Off switch on top of the system's console; the
system starts its initialization process, during which a splash screen
is displayed on the LCD.
2. The Login screen will now appear; insert the password by touching
the numbered buttons on the screen's virtual keypad. If you touched
a wrong button by mistake, touch the button with the icon –

this will clear the last character entered:
• Technician’s password: 0912
Note
This code is confidential and for exclusive by of Lumenis authorized
personnel. Do not disclose this code to users.
3. Press the Login key in the top-right corner of the screen; a self-test
routine starts that checks out the system. If a fault is detected, the
system issues an appropriate error message. Once the system
PB0000300 Rev. A 5-23

satisfactorily completes the self-test routine, it is ready for

operation and displays the Home screen (see Figure 5-22).
Figure 5-22 Home Screen
Note
To switch from one logged-in user to another or from the logged-in
administrator to a user, touch the Logoff button; the Login screen will
reappear and an alternate user may log in with his/her proprietary
password.
The user software and its related screens are described in more detail in
the Operator Manual.
5.15.2 Service Mode

The Service mode software is used only by the service personnel. The
service software fulfills the following major tasks:
• Operate all functions of the system

• Perform diagnostic activities
• Perform calibration activities
• Troubleshoot and reset potential errors
5-24
To access the Service Screen:
1. Turn on the system. The AcuPulse splash screen appears (see

Figure 5-23) and then the Login screen (see Figure 5-24)appears.
Figure 5-23 AcuPulse Splash Screen
2. In the Login screen, enter the technician code (0912) and press the
Login button.
Figure 5-24 Login Service Screen
3. The Home screen appears (see Figure 5-25).
PB0000300 Rev. A 5-25

Figure 5-25 Home Screen
4. From the Home screen, press Utilities; the Utilities screen appears
(see Figure 5-26).
Figure 5-26 Utilities Screen
5. From the Utilities screen, press Service. The main Service screen
appears (see Figure 5-27 and Figure 5-28).
5-26
Figure 5-27 Main Service Screen - Surgical Version (1.02)
Figure 5-28 Main Service Screen - Aesthetic Version (1.04)
PB0000300 Rev. A 5-27

5.15.3 Main Service Screen Functions
Lasing Parameters
This area allows the FSE to set the parameters for lasing as in User
mode, with the additional capability to set the Drive voltage instead of
the lasing power, in order to determine the physical capabilities of the
laser tube. Drive voltage is limited to 0 - 5V.
Power Out/Power In Radio Buttons

These radio buttons allow the FSE to determine if pressing the
footswitch will open the shutter when in Ready mode.
• Power Out - opens the shutter when the footswitch is pressed, acting
as a laser in normal operation.
• Power In - keeps the shutter closed when the footswitch is pressed,
effectively lasing into the internal power meter for diagnostic
purposes.
Aiming Beam Control Area

This area is used to control the aiming beam parameters:
• Intensity is controlled with the numbers:1 = off; 6=Full intensity

• Blink button activates/deactivates the blink feature of the diode.
Stapedectomy
This function simulates a stapedectomy procedure by inputting the
correct parameters, using 6 different presets. To use this function,
select the Stapedectomy checkbox and then choose one of the six
presets. Press Ready and then press the footswitch.
Air Flow While Ready/Air Flow While Lasing

These functions turn on the air pump automatically when you want it to
work when lasing.
• Select the Air Flow While Ready checkbox to control the flow of air
when the Ready button is pressed.
5-28
• Select the Air Flow While Lasing checkbox to control the flow of air
when the footswitch is pressed.
FPGA Safety Checkbox

This checkbox bypasses the safety module and allows lasing even
when the FPGA displays errors. As default, it is unchecked.
Warning
Lasing while this checkbox is checked may result in irreversible
damage to the HVPS bobbin assembly, HVPS, or laser tube, and
should be performed only with explicit permission from
Lumenis Service headquarters or R&D department.
Make Self Test Button

This button runs the self test and displays the self-test progress.
Figure 5-29 Self Test Screen
PB0000300 Rev. A 5-29

Status Box
The Status Box acts as a log, displaying all messages, warnings and
statuses of the system. The status Box can be cleared by pressing Clear.
Diagnostic information Display

These fields display the current readings from the power meter and
reference voltages. The current readings can be displayed in decimal,
hexadecimal, or physical voltages. Touch the field to change the
reading display to a different format.
5.15.4 Input / Output Screen

This screen enables continuous monitoring of system operation, by
displaying the status of the hardware and readings of energy and
voltages at various points. This window is helpful for troubleshooting.
From the Main Service screen, press I/O; the Input/Output screen
appears.
Figure 5-30 Input/Output Screen
5-30
Machine Outputs Section

This area enables the FSE to view the statuses of the system outputs
and/or modify them. The current status is highlighted in blue-green; to
change to the alternate status, simply press on it.
Machine Inputs Section

This area allows the FSE to view the inputs of the various signals that
are monitored in the system.
5.15.5 ADCs Screen

The elements in the ADCs service screen display physical
measurements that are being monitored by the controller. The sampled
signals are displayed in hexadecimal, decimal, 0-3 voltage (digital
signal), or physical format.
Measurements being monitored include power meter readings,

voltages, currents, and temperatures.
In addition, this screen allows calibration of the various measurements.

(see ‘ADCS Calibration’ on page 6-27).
Figure 5-31 ADCs Screen
PB0000300 Rev. A 5-31

5.15.6 Power Meter Screen

The power meter screen is used by the FSE to adjust the internal power
meter’s parameters (Offset, Gain, and Calibration). The internal power
meter is part of the shutter board and is used to monitor the power
output of the laser tube during the power convergence stage. See
‘Power Meter Calibration’ on page 6-36.
Figure 5-32 Power Meter Calibration Screen
5.15.7 System Calibration Screen

The system calibration screen includes the power to voltage calibration
tables for the system’s various operation modes and power levels.
Calibration is performed automatically at the initiation of the FSE, and

is performed separately for each laser operation mode (CW, SP, and
Pulser). See ‘System Calibration’ on page 6-38.
5-32
Figure 5-33 System Calibration Screen
5.15.8 Error Log Screen

During operation, all events in the system are recorded in the error log
screen. The error log screen has two functions:
• Lists all available error in the current version’s software

• Logs the error occurred with date and time stamp of when they
occurred.
Reviewing this file may assist in solving problems and monitoring the
machine’s behavior.
PB0000300 Rev. A 5-33

Figure 5-34 Error Log Screen
To save the error log, insert a Disk-On-Key into the port at the system
service panel at the back of the unit, and press Save Log; A prompt
“Save on Disk-On-Key?” appears; click Yes. The log will be saved as
Omni_Error_Log.log on the root of the disk-on-key.
Note
Two different error files cannot be saved on the same Disk-On-Key.
To erase the error log, press Erase Log.
To display a list of all the possible system errors and their associated
error numbers, Select Display Error List.
5.15.9 System Screen

In the factory, the production engineers use the System screen for
inserting the serial numbers of the system and the individual modules.
In the field, the FSE uses the screen in order to edit the machine serial
number (see Figure 5-35).
5-34
Figure 5-35 System Screen
The screen displays the following information:
• Software version
• Machine Serial Number
• Manufacturing Date
• Tube Work time: The total net duration that the laser tube has been
illuminated.
• DSP version
• FPGA version
• Scanner DSP version (if applicable)
Note
The machine serial number MUST match the serial number
appearing on the system HASP.
5.15.10 Scanner Screen

This screen displays the SurgiTouch and/or AcuScan 120 scanner
parameters. The calibration process for the scanners is performed in
production and requires a high level of precision. The values displayed
PB0000300 Rev. A 5-35

are the exact values set for the scanner in production and cannot be
modified.
Figure 5-36 Scanner Screen
Note
On surgical systems with software version 1.02, this screen does not
display the correct data and therefore should not be used.
5.15.11 FPGA Screen

Allow the FSE to view and/or modify the parameters that are loaded
into the FPGA memory, including potential errors.
Press Reset Errors to clear the errors currently loaded in the FPGA
memory.
5-36
Figure 5-37 FPGA Screen
PB0000300 Rev. A 5-37

5-38
C H A P T E R
SCANNERS & ACCESSORIES
6.1 Introduction
AcuPulse uses scanners to perform a variety of operations requiring a
high degree of precision not usually attainable in free-hand techniques.
Scanners consist of mirrors connected to automated galvanometric

motors that generate various shapes from the laser beam of the
AcuPulse by performing pre-determined movements at high speeds.
AcuPulse currently uses two types of scanners, SurgiTouch and

AcuScan 120, in conjunction with various handpieces and accessories
to provide solutions for a wide range of surgical and aesthetic
applications.
Both scanners have motor units (heads) connected to the articulated

arm endjoint and a scanner control board installed within the AcuPulse
system. The same board controls both types of scanner heads.
Figure 6-1 SurgiTouch Scanner Head
PB0000300 Rev. A 6-1

Figure 6-2 AcuScan 120 Scanner Head
Figure 6-3 Scanner Board Location
6.2 SurgiTouch Functional Description

The SurgiTouch scanner is used to create precise cutting patterns
according to the requirements of each surgical or aesthetic specializa-
tion.
6-2
Scanners & Accessories
For each application the relevant pattern and pattern sizes are stored in
the system’s memory and can be browsed and selected by the user.
Once the user has selected the pattern, the appropriate parameters are
communicated to the scanner board which drives the scanner motors to
generate the scanning pattern by moving the mirrors accordingly.
6.3 AcuScan 120 Functional Description

AcuScan Bridge Therapy is a fractional laser procedure performed with
the AcuScan 120 scanner in conjunction with the AcuPulse CO2 laser
system. With fractional laser treatment, only a fraction of the skin's
surface is treated by the laser, leaving small "bridges" of untouched
skin. This technique makes the healing process much faster than
conventional treatment modalities.
The AcuScan Bridge Therapy procedure works by applying CO2 laser

energy in a scanned pattern comprised of very narrow laser pulses
(micro-pulses).
For each application the relevant pattern and pattern sizes are stored in
the system’s memory and can be browsed and selected by the user.
Once the user has selected the pattern, the appropriate parameters are
communicated to the scanner board which drives the scanner motors to
generate the scanning pattern by moving the mirrors accordingly.
6.4 Scanner Calibration Procedures

Both SurgiTouch and AcuScan 120 scanners use a digital control board
that can be calibrated through the AcuPulse software. The calibration
data for each specific scanner motor is stored on a USB flash drive
shipped with the particular scanner head, and can be easily loaded to
the scanner board when/if a new scanner motor is provided to the user.
To load the calibration data of either an ST or AcuScan 120

scanner motor head onto the scanner electronics, perform the
following:
1. Insert the USB Flash drive shipped with the scanner into an
available USB port on the system’s rear service panel.
PB0000300 Rev. A 6-3

2. Turn on the system.

3. Login and access the Utilities screen (see Figure 6-4).
Figure 6-4 Utilities Screen
4. Press the New Scanner button; the new scanner upgrade Wizard
will appear (see Figure 6-5).
Figure 6-5 New Scanner Upgrade Wizard
5. Press Start; the calibration data will automatically be loaded to the

scanner electronic board.
6-4
Scanners & Accessories
6. At the end of the process, the progress bar will be filled and the
message “Upgrade Successful” will appear.
6.5 Accessories for AcuPulse Scanners

All of the AcuPulse accessories are listed in the Accessories Atlas of
the AcuPulse GUI software, including a short description and animated

video presenting the mounting procedure. For more information, refer
to the CO2 Laser Accessories Service Manual, Part Number
PB0963300.
PB0000300 Rev. A 6-5

6-6
C H A P T E R
CALIBRATIONS, ALIGNMENTS AND TESTS
7.1 Optical Alignments

Alignment problems in the optical system can involve the aiming beam
diode, the CO2 laser tube, the CO2 laser rear mirror and the articulated
arm.
Most alignment problems will involve the articulated arm, which is

more susceptible to physical abuse. If the entire system has been
subjected to sudden jarring or certain parts have been replaced, re-
alignment of the other optical components may be required.
PB0000300 Rev. A 7-1

Figure 7-1 Articulated Arm Component Locations
7.1.1 Alignment Procedures
General
To identify a possible optical system misalignment, follow the steps in
the following sections in order to isolate and troubleshoot the possible
fault.
7-2
Calibrations, Alignments and Tests
Warning
Each footswitch depression, in the READY state, activates the
laser and the high voltage circuit. All high voltage and radiation
warnings/precautions apply to the unit when the main unit is
disassembled.
7.1.2 Alignment of the Aiming Beam Diode

The purpose of this alignment procedure is to position the diode aiming
beam so that it is coaxial with the main bearing axis.
The alignment is achieved in a step by step convergent procedure that

involves angular and depth adjustments of the aiming beam diode. The
angular alignment positions the beam parallel to the main bearing
mechanical axis, while the depth alignment positions the aiming beam
coaxial with this axis.
Equipment Required:
• Articulated arm alignment kit (P/N AS2295500) which includes:

• combined alignment jig assembly (P/N AA2301500)
• threaded adaptor assembly (P/N AA2301600)
• slant spacer for the arm (P/N AA2301800)
• adaptor for the arm (P/N AA2323900)
• other tools
• Masking tape/Mylar film
7.1.3 Combined Alignment Jig Assembly Description

The alignment jig assembly consists of a beam splitter, two lenses and
three folding mirrors.
In order to attach the tool to the articulated arm, a mirror and its cover
should be removed and replaced with the alignment tool; thus the beam
is diverted through the alignment jig assembly instead of through the
arm.
The beam enters the tool and strikes the beam splitter, is split in two
and directed into two different paths. One beam is directed to an
aperture at the end of the jig assembly. The second beam enters the jig
PB0000300 Rev. A 7-3

assembly, where it strikes the first lens. It continues to the next two
mirrors, and finally through the second lens and another mirror to the
second output port of the alignment tool that also contains an aperture
through which the beam exits. The second aperture permits angular
alignment and the first aperture permits depth alignment.
Figure 7-2 Combined Alignment Jig Assembly
7.2 Aiming Beam Diode Alignment

Check/Procedure (Angular and Depth
Alignment)
To check whether angular alignment is required for the aiming beam
diode, perform the following:
Refer to Figure 7-3 to assemble the jig:
1. Remove the cover of mirror No.1 and remove the mirror.

2. Attach the slant spacer to the joint by inserting its two pins into the
mirror screw holes in the joint.
3. Attach the adaptor to the joint through the slant spacer and tighten
with the locking key. Verify that the adaptor is fully inserted into
the joint and tightly secured.
7-4
Figure 7-3 Combined Alignment Jig Assembly Connected for

Aiming Beam Alignment
4. Screw the combined alignment jig assembly into the other end of
the jig adaptor.
5. Place the magnets or a piece of masking tape/Mylar film over the
angle and depth windows of the alignment jig assembly, turn on the
key switch, and mark the aiming beam position (see Figure 7-4).
Figure 7-4 Alignment Beam Position on Masking Tape
PB0000300 Rev. A 7-5

6. Rotate the alignment jig assembly, together with the arm, 180°
around the main bearing axis and note whether the previously
marked aiming beam position coincides with the new beam
position. Whenever a discrepancy between the two beam positions
occurs, angular alignment is necessary.
The angular aiming beam alignment procedure is performed as

follows:
1. Using a 7/64” Allen wrench, release the four tightening screws

holding the aiming beam diode mounting plate in position. There
are two screws with top access and two screws with bottom access.
Angular
Adjustment
Screws
Depth Adjustment
Screws
Tightening Screws
Figure 7-5 Aiming Beam Diode Assembly
2. Using a 3/8” wrench, release the two locking nuts (holding the
Angular Adjustment Screws).
3. Refer to Figure 7-6: Adjust the mounting plate’s position in the
horizontal plane (depth) by using the horizontal adjusting screws.
4. With a 7/64” Allen wrench, adjust the mounting plate’s angle by
using the angular adjusting screws.
7-6
use to adjust
angle
use to adjust
depth
Figure 7-6 Adjusting Screws
5. Repeat steps 3 and 4 until the aiming beam is centered on the

correct target in the alignment jig assembly.
6. When done, carefully tighten all four locking screws; in order to
maintain the alignment while tightening the screws, tighten each
screw in succession only by a quarter-turn each time, until all
screws are tightened.
7. Firmly and carefully tighten the two locking nuts; in order to
maintain the alignment while tightening the nuts, tighten each nut
in succession only by a quarter-turn each time, until both nuts are
tightened.
8. Recheck the angular and depth alignment to ensure that the aiming
beam is still properly aligned.
Note
Angular and depth adjustments must always be performed through
the top and side screws, respectively; otherwise the alignment
process will not converge.
If complete angular alignment cannot be achieved in one step,

proceed to depth alignment. If complete depth alignment cannot be
achieved in one step, switch to angular alignment.
PB0000300 Rev. A 7-7

7.3 CO 2 Laser Tube Alignments

The purpose of this alignment is to position the CO2 laser tube so that
the beam it creates is fully coaxial with the previously aligned diode
alignment beam.
7.3.1 CO 2 Laser Alignment Check (Near and Far Field

Tests)
To determine if the CO2 laser tube requires alignment, a simple check
must be performed, after the diode aiming beam has been correctly
aligned.
This test may be performed with mirror No.2 removed or assembled.

If mirror No.2 is assembled, the laser beam exit port is the end joint
(the hand piece should be removed). If mirror No.2 is removed, the
laser exit port is elbow No.2. (See ‘Articulated Arm Alignment’ on
page 7-11 for details on how to remove one of the articulated arm
mirrors).
To perform the check, proceed as follows:
Note
Make sure to follow all the laser and radiation safety rules for CO2
laser, including the use of appropriate safety goggle while attempting
this procedure (see ‘Laser Safety Eyewear’ on page 2-7).
1. Position a moistened tongue depressor approximately 5 cm (2”)

from the laser beam exit port.
2. Aim the diode aiming beam at the tongue depressor.
3. Set the unit for 10W in CW mode.
4. Press the footswitch until a burn mark is produced on the target.
5. Verify that the burn mark on the tongue depressor is concentric
with the aiming beam spot (see Figure 7-7). This constitutes the
“near range” test.
7-8
Figure 7-7 Beam Alignment Check Results

6. Position the moistened tongue depressor approximately 160 cm

(about 5’ 3”) from the laser beam exit port.
7. Aim the diode aiming beam at a clean area of the tongue depressor
(not near the burn mark).
with the aiming beam spot. This constitutes the “far range” test.
For both the “near range” and “far range” tests, the maximum allowed
distance between the centers of the aiming beam and the burn mark is
1mm.
If the CO2 and aiming beams are concentric in both the “near range”
and far “range tests” (i.e. the centers of the burn marks and the aiming
beam are less than 1 mm apart in both cases), no alignment is required
for the CO2 laser tube.
If the CO2 and aiming beams are not concentric in either of the tests,
the following CO2 laser tube alignment procedure must be performed.
7.3.2 CO 2 Laser Tube Alignment Procedure (Near and

Far Alignments)
The procedure for aligning the CO2 laser tube with the aiming beam
diode is achieved through an iterative converging process that requires
near and far alignments.
The near alignment is performed on a target positioned a few

centimeters (2-3”) distal to the beam combiner, through adjustment of
the CO2 laser front adjusting screws.
PB0000300 Rev. A 7-9

The far alignment is performed on a target placed 3m (10 ft.) from the
beam combiner through adjustment of the CO2 laser rear adjusting
screws.
To align the CO2 laser tube, perform the following procedure.

Caution
Do not over-tighten the CO2 laser adjusting screws.
The rear mirror adjusting screws must never be touched during

this procedure, as this will misalign the CO2 laser tube.
1. Remove the cover from mirror No.2

2. Remove mirror No.2.
3. Release the three CO2 laser locking screws on each supporting
plate.
4. Begin the far alignment by placing a moistened tongue depressor
approximately 3m (10’) from elbow No.2.
5. Set the unit for 20W CW mode.
(with no burn mark)
8. Verify that the burn mark is concentric with the aiming beam.
9. Adjust the two rear adjusting screws on the CO2 laser rear
supporting plate.
10. After each adjustment, move the laser tube slightly against the
supporting plate spring by pressing on its widest diameter only, to
ensure the spring has not been caught within the supporting plate.
11. Repeat steps 6-10 until the burn mark and the aiming beam are
concentric – i.e. the distance between their centers is less than 1
mm.
12. Begin the near alignment by positioning a moistened tongue
depressor approximately 5 cm (2”) from the laser beam exit port.
(with no burn mark).
7-10
with the aiming beam spot.
17. Adjust the two front adjusting screws on the CO2 laser front.
supporting plate until the aiming beam and burn marks are
concentric.
18. Repeat near and far alignments to ensure perfect coaxiality between
the CO2 laser and diode aiming beam.
19. Tighten the three CO2 laser locking screws on each CO2 laser
supporting plate.
Note
Near and far alignments must always be performed through the front
and rear adjusting screws, respectively; otherwise, the alignment
process will not converge.
If complete far alignment cannot be achieved in one step, perform

the near alignment. If complete near alignment cannot be achieved
in one step, perform the far alignment.
7.4 Articulated Arm Alignment
7.4.1 General
Note
Do not perform the articulated arm alignment before ensuring that
the diode aiming beam and the CO2 laser have been perfectly
aligned coaxially.
The coaxial CO2 laser and diode aiming beams must be aligned in
order to travel along the mechanical axis of the articulated arm.
Figure 7-8 illustrates the articulated arm components and location of

mirrors.
PB0000300 Rev. A 7-11

Figure 7-8 Articulated Arm Components Locations
The alignment of each mirror along the arm is important and should be
performed as precisely as possible, since even minor errors are grossly
amplified as the beam progresses along the arm.
Equipment Required
• Hook spanner for longer arm section (P/N AJ0372300)

• Hook spanner for arms and swivel joint (P/N PS0732630)
• Articulated arm alignment kit (P/N AS2295500) including:
• combined alignment jig assembly (P/N AA2301500)
• threaded adaptor assembly (P/N AA2301600)
• a slant spacer for the arm (P/N AA2301800)
• an adaptor for the arm (P/N AA2323900)
• other tools, including an adaptor alignment assembly (P/N
AA2323900) for alignment of mirror No. 4.
• Masking tape/Mylar film
7-12
• 125 mm lens holder and extender

• 5-start thread alignment test tip (P/N PM0497930)
• Double pin spanner for arm mirror/hand piece lens tightener (P/N
PM0291400)
7.4.2 Articulated Arm Alignment Check

The articulated arm alignment check is shown as a flow chart in Figure

7-9.
Figure 7-9 Arms Alignment Check Flow Chart
The alignment check requires emission of the CO2 laser beam.

Therefore, all precautions relating to the operation of the CO2 laser
must be observed.
1. Ensure that the spring balance system is activated.
PB0000300 Rev. A 7-13

2. Attach a 125mm hand piece to the end-joint assembly and connect

the air tube to the lens holder.
3. Connect the 5-start thread alignment test tip to the hand piece and
place masking tape on the end of the tip.
4. Fire a REPEAT PULSE at 10W, using a pulse duration of 0.1 sec
ON time and 0.6 sec OFF time.
Caution
Ensure air flow through the hand piece. Performing this step
without air flow will damage the lens.
5. If the diode aiming beam spot and the CO2 burn mark are
concentric, proceed to step 6 for a finer check of the articulated arm
alignment. If they do not coincide, continue with the next steps to
determine the source of the deficiency.
6. Remove the handpiece.
7. Position a moistened tongue depressor approximately 160 cm
(5’3”) from the end joint.
(with no burn mark).
9. Set the unit for 20W CW mode.
10. Press the footswitch until a burn mark is produced on the tongue
depressor.
11. Verify that the burn mark and the aiming beam spot are concentric.
Displacement of 1mm between the centers is permitted.
This completes the “far field” test.
Note
Thermal paper, similar to fax paper, actually works better than a
moistened tongue depressor for this check
12. Repeat step 4 with the target positioned approximately 5 cm (2”)

from the laser beam exit port and the unit set for 10W. This
completes the “near range” test.
13. If coincidence is obtained in both the “near range” and “far range”
tests, the deficiency is probably due to a misalignment of the
articulated arm. Perform ‘Alignment of Mirrors No.1 through 4’ on
7-14
page 7-15.
If coincidence is not obtained in both tests, the deficiency is due to
a misalignment of the aiming diode and the CO2 tube. Perform
aiming beam/CO2 tube alignment and repeat the articulated arm
alignment check.
14. Place a new piece of masking tape at the end of the test tip. Set the
unit for REPEAT PULSE mode, 10W, 0.1 sec ON time and 0.6 sec
OFF time.
15. Press the footswitch, while rotating the end joint assembly and
articulated arm in all directions. Be careful no to point the laser
beam at anyone. The hole burned by the laser beam should not
exceed 1.5mm in diameter. If it does, perform ‘Alignment of
Mirrors No.1 through 4’ on page 7-15.
16. Remove the hand piece and test tip.
7.4.3 Alignment of Mirrors No.1 through 4
General Goals
Each of the four adjustable articulated arm folding mirrors No.1
through 4 (note that folding mirrors No.5, 6 and 7 in the end joint
assembly are non-adjustable) should be aligned so that the diode
aiming beam (together with the CO2 laser beam) strikes the mirror
exactly at its center. The mirror then reflects the beam along the
mechanical axis of the articulated arm.
The alignment is performed in numerical sequence, starting with mirror

No.1 and progressing through mirrors No.2, 3 and 4 in order until the
arm is fully aligned.
Note
The following procedures require only the diode aiming beam.
The CO2 laser beam is not required.
The articulated arm is not prone to misalignment. Depth alignment

should rarely be necessary.
Full alignment of each mirror is achieved through two different

alignment procedures: the angular alignment procedure and the depth
alignment procedure.
PB0000300 Rev. A 7-15

Both alignments are performed using the “180° rotation” procedure –

i.e., 180° rotation of the alignment jig assembly around the axis of the
elbow containing the mirror.
This procedure maximizes the deflection of the beam spot due to any
misalignment, this facilitating the accurate alignment of the mirror.
The angular alignment procedure is performed first, using the

combined alignment jig assembly, which should be attached to the

elbow in place of the mirror in immediate succession to the mirror
being aligned (i.e. when aligning mirror No.2, attach the combined
alignment jig assembly to elbow No.3 in place of mirror No.3)
If the mirror angle is inadequate, the reflection of the beam will not be
parallel to the mechanical axis of the arm. This misalignment is
observed as two different contact points of the diode aiming beam on
the masking tape placed on the angle window of the alignment jig
assembly – one before and one after the jig assembly is rotated by 180°.
When the mirror has been adjusted to its correct angular position, the
beam will be reflected parallel to the mechanical axis of the arm, and
only one diode aiming beam spot will appear on the masking tape
placed on the angle window of the jig assembly after performing the
180° rotation procedure.
The beam positions noted before and after the 180° rotation will be
coincident.
When angular alignment has been achieved, positioning the beam

parallel to the mechanical axis of the articulated arm, the depth
alignment procedure should be performed to ensure that the beam is
centered within the articulated arm. To perform the depth alignment
procedure, cover the depth window of the alignment jug assembly with
masking tape. If the mirror depth is inadequate, the beam reflection will
be parallel but not coaxial with the mechanical axis of the arm, thereby
causing two different spots to appear on the masking tape placed over
the depth window of the alignment jig assembly– i.e., one before and
one after rotating the elbow by 180°.
When the mirror depth has been adjusted, the reflected beam will be
coaxial with the mechanical axis of the articulated arm, and only one
spot will appear on the masking tape when performing the 180°
rotation procedure.
7-16
When the spring balance system is activated, a slight bending occurs in

the spring balance system housing and in the long arm section. As a
result, an additional angular alignment is required for mirrors No.1, 2
and 3, with the spring balance system activated to ensure perfect
alignment in all arm positions. After this additional angular alignment
is performed mirror No.4 alignment procedure is performed with the
spring balance system activated.
7.5 Structure of Mirror Assemblies No. 1

through 4
There are three mirror adjustment screws for each mirror. The adjusting
screws may be reached with a screwdriver from the inner part of the
elbow, without necessitating the removal of the mirror.
Angular alignment may be performed in three possible “paths”.

Each pair of screws determines a path. The alignment is performed by
alternately releasing one screw and tightening the other screw by the
same number of turns, so that the depth alignment is not altered.
When adjusting the screws, always release one screw before tightening
the other. Screws should not be too tight. Conversely, no screw should
remain loose after the adjustment is completed.
Depth alignment is achieved by releasing or tightening all three screws

the same number of turns, thus causing parallel movement of the mirror
without altering its angular position.
Note
In order not to alter the angle alignment when performing depth
alignment, all screws must be rotated the exact same number of
turns.
PB0000300 Rev. A 7-17

7.5.1 Angular Alignment Procedure for Mirror No. 1
Note
Ensure that the initial angular and depth alignments are performed
with the spring balance system inactivated.
Figure 7-10 Alignment Jig Assembly in Elbow No.2
1. Remove the cover from mirror No.2, and then remove the mirror
itself.
2. Attach the slant spacer to the joint by inserting its two pins into the
mirror screw holes in the joint.
3. Attach the adaptor to the joint (through the slant spacer) and tighten
with the locking key.
4. Verify that the adaptor is fully inserted into the joint and tightly
secured.
5. Screw the alignment jig into the adaptor’s threaded end.
6. Place masking tape on the angle window to mark the beam position.
Note
Verify that the alignment jig assembly and the adaptor are tightly
screwed to elbow No.2.
7. Hold the alignment jig assembly in a horizontal position.

8. Turn on the unit and mark the beam position on the masking tape.
7-18
9. While pressing the arm locking pin to ensure that the spring balance
system remains inactivated, rotate the alignment jig assembly 180°
around the axis of the spring balance assembly.
10. Mark the beam position again (points A and B in Figure 7-11).
Figure 7-11 Aiming Beam Position on Angle Window
11. If the two positions marked in steps 8 & 10 do not coincide,

alignment of mirror No.1 should be performed by following the
next steps. If they do coincide (i.e. the beam is positioned on point c
before and after the rotation) mirror No.1 is aligned. Proceed to the
next section – Depth Alignment Procedure for Mirror No. 1
12. Select a pair of adjusting screws.
13. Direct the beam along the parabolic path determined by the pair of
screws you selected by releasing one screw and tightening the other
equally.
14. Switch pairs when a different path is required.
15. Continue to direct the aiming beam along the paths until it is
exactly centered on point C in Figure 7-11.
16. Verify that angular alignment was achieved by again rotating the
alignment jig assembly 180° around the spring balance assembly
axis and verifying that the aiming beam continues to coincide with
point C. If not, repeat steps 12-15.
PB0000300 Rev. A 7-19

7.5.2 Depth Alignment Procedure for Mirror No.1

1. Place masking tape over the depth window of the alignment jig
assembly.
2. Mark the position on the masking tape. (Point A in Figure 7-12)
3. While depressing the arm locking pin, rotate the alignment jug
assembly 180° around the axis of the spring balance assembly.
Mark the beam position again (Point B in Figure 7-12)

4. If the marks do not coincide, depth alignment for mirror No.1
should be performed by following the next steps. If the marks do
coincide (i.e. the beam is positioned on point C before and after the
rotation) mirror No.1 is aligned. Proceed to the next section – Final
Alignment for Mirror No.1.
5. Release or tighten the three adjusting screws equally to displace the
aiming beam on the masking tape in the direction of midway point
C, until it is exactly centered on midway point C
6. Verify that depth alignment was achieved by again rotating the
alignment jig assembly 180° around the axis of the spring balance
assembly and verifying that the aiming beam continues to be
centered on midway point C. If not, repeat steps 5-6.
Figure 7-12 aiming Beam Position on depth window
Final Alignment of Mirror No. 1

Repeat angular and depth alignment procedures (above) until the
mirror is fully aligned.
7-20
7.5.3 Mirror No.2 Alignment Procedure

The angular and depth alignment procedures for mirror No.2 are
similar to those performed for aligning mirror No.1.Refer to Figure 7-
13 while setting up alignment checks or alignment of mirror No.2.
Figure 7-13 Mirror No.2 Alignment
Note
Verify that the spring balance assembly is not activated while
performing mirror No.2 alignment.
1. Reassemble mirror No.2 and its cover.

2. Remove the cover from mirror No.3, then the mirror itself.
3. Screw the adaptor though the slant spacer into joint No.3 and attach
the alignment jig assembly to the adaptor.
4. Perform the angular and depth alignment procedures (see the
appropriate sections for mirror No.1) by rotating the alignment jig
assembly 180° around the axis of the longer arm section.
7.5.4 Mirror No.3 Alignment Procedure

The angular and depth alignment procedures for mirror No.3 are
similar to those performed for aligning mirror No.1.
Refer to Figure 7-14 while setting up alignment checks or alignment of
mirror No.3.
PB0000300 Rev. A 7-21

Figure 7-14 Mirror No.3 Alignment
Note
Verify that the spring balance assembly is not activated while
performing mirror No.3 alignment
1. Reassemble mirror No.3 and its cover.

2. Remove the cover from mirror No.4, then the mirror itself.
3. Screw the adaptor though the slant spacer into joint No.4 and attach
the alignment jig assembly to the adaptor.
4. Perform the angular and depth alignment procedures (see the
appropriate sections for mirror No.1) by rotating the alignment jig
assembly 180° around the axis of the arm section between elbows
No.3 and No.4.
7.6 Alignments with the Spring Balance

System Activated
When the spring balance system is activated, a slight bending occurs in
the spring balance system housing and in the long arm section. As a
result, an additional angular alignment is required for mirrors No.1, 2
and 3, with the spring balance system activated to ensure perfect
alignment in all arm positions before proceeding with the alignment of
mirror No.4.
1. Raise the long arm section until the locking pin on the main bearing
is engaged.
2. Perform mirror No.1. angular alignment check as follows:
7-22
a. Raise the long arm section almost as far as it will go (the alignment
should not be done with the spring fully stretched).
b. Mark the aiming beam position on the masking tape placed on the
angle window of the alignment jig assembly.
c. While holding elbows No.3 and 4 to prevent rotation relative to the
arm sections, lower the long arm almost as far as it will go.
d. Mark the aiming beam position on the masking tape placed on the
angle window of the alignment jig assembly.
e. If the two marks do not coincide, perform angular alignment as

described in Angular Alignment Procedure for mirror No. 1
above.
3. Repeat step 2 until full mirror alignment is achieved.
4. Perform mirror No.2 and No.3 angular alignment / check procedure
in the same manner as the initial alignments, until the mirrors are
fully aligned.
Note
For mirror No.2, perform the alignment holding elbow No.2 to
prevent rotation relative to the short arm section.
7.6.1 Alignment of Mirror No. 4

To align mirror No. 4, connect the alignment jig assembly to the quick
connector of the end-joint by using an end-joint holder (P/N
AS2429500) and an end-joint adaptor. (See Figure 7-15).
1. Reassemble mirror No. 4 and its cover.

2. Connect the alignment jig assembly:
a. Release the cover screw of the end-joint holder and open the cover.
Position the end-joint assembly in the C-shape position and place it
in the holder with elbow No. 5 facing upward.
b. Close the holder cover and secure the cover screw.
c. Screw the end-joint adaptor to the end-joint quick-connector.
d. Screw the alignment jig assembly to the end-joint adaptor.
3. Perform mirror No. 4 angular alignment procedure, rotating the
alignment jig assembly 180° around the axis of the short arm
section.
4. Perform the depth alignment procedure, placing masking tape on
the depth window of the alignment jig assembly and rotating the
alignment jig assembly around the axis of the shorter arm section.
5. Repeat steps 3-4 until the mirror is fully aligned.
PB0000300 Rev. A 7-23

end joint holder
Figure 7-15 Alignment with End-Joint Holder and Adaptor
7.7 Post Alignment Articulated Arm

Alignment Check
1. Remove the end-joint holder.
2. Place masking tape over the out port of the end-joint.
3. Rotate the arm 180° around each of the arm sections axes.
4. Verify that the aiming beam does not displace from the center of
the masking tape (mark it with a cross for each rotation)
5. If displacement occurs for one of the rotations, perform angular
alignment for each of the mirrors without the alignment jig
assembly.
6. Perform the articulated arm alignment procedure with the jig
assembly from start.
7.8 Rear Mirror Adjustment

The rear mirror adjustment should be performed by technical personnel
in the field only as a last resort before replacing the laser tube. It
should be performed only when the laser tube power output and mode
structure (spot shape) have significantly deteriorated.
If rear mirror adjustment is needed, perform the following procedure:
7-24
1. Remove the articulated arm as a complete unit (see ‘Replacing the

Beam Delivery System (Articulated Arm)’ on page 9-31.)
2. Open the system (see‘Front Cover Removal’ on page 9-2).
3. Remove the metal guard that protects the rear mirror (see Figure 7-
16).
Figure 7-16 Rear Mirror Metal Guard
4. Remove the plastic separator of the rear mirror by releasing the two
Phillips screws located on the right side at the back of the unit (see
Figure 7-17).
Note
Three of the four adjusting screws for the rear mirror are accessed
via the optical bench (see Figure 7-16); the fourth). adjusting screw
is accessed via the back of the unit (see Figure 7-17).
Phillips screws
x2
Figure 7-17 Rear Mirror Separator
PB0000300 Rev. A 7-25

5. Ground the rear mirror housing to prevent high voltage from

developing on the mirror, using the grounding wire (with the
alligator clip) connected to the unit grounding screw. Secure the
alligator clip in place, using the screw on its jaws (see Figure 7-18).
alligator clip
Figure 7-18 Grounding the Rear Mirror
6. Turn on the unit and aim the diode aiming beam at an external
power meter.
7. Set the unit for maximum power (30W or 40W) CW mode.
8. While pressing the footswitch, alternately press lightly on each of
the four rear mirror adjusting screws.
9. If there is an improvement (i.e. the power being measured by the
power meter is closer to the expected value) while one of the
screws is pressed, that screw must be tightened.
10. Tighten the screw using only light pressure. If the screw cannot be
tightened in this way, loosen the opposite screw first.
11. When acceptable performance has been achieved, reassemble the
plastic separators, the metal guard, the front panel and the
articulated arm.
7-26
7.9 Calibration Procedures in Service

Mode
7.9.1 ADCS Calibration

This screen allows you to monitor the following readings:
• Power readings for internal power meter ranges 1-3

• Voltage readings for the LVPS’ 4 voltage outputs (24V, 5V, 12V
and -12V) as they are being monitored by the interface module
• Reference voltages 1and 2 on the interface module
• Temperature sensor readings
• Current readings for the high voltage power supply
This screen also allows calibrating the voltages and temperatures
above, as well as the current factor.
From the Utilities screen, go to service mode, and access the ADCS
screen (see Figure 7-19).
Figure 7-19 ADCS Screen
PB0000300 Rev. A 7-27

Voltage and Temperature Calibration

To calibrate the ADCS voltages, you will need a DVM and the
Interface Test tool.
Note
Make sure the system is turned off before connecting the interface
tester.
1. Connect the Interface Test Tool:

a. Connect the flat cable to the interface J6 port.
b. Disconnect the J11 cooling fan connector and J12 - system fan
connector and reconnect them to the Interface Tester Tool bypass
plugs.
c. Set the interface tester tool to Test and Low Temp.
2. Connect the DVM to the interface tester connectors and set to
Volts.
3. Turn on the system and access Service mode (see ‘Service
Mode’ on page 5-24).
4. Press ADCS Cal to access the calibration screen; the ADCs
Calibration Screen appears (see Figure 7-20).
Press to start
calibration
Value
window
message
box
Figure 7-20 ADCs Calibration Screen
5. Make sure all the checkboxes of the readings that need to be

calibrated are selected and press Start Calibration.
7-28
6. Instructions for the required next steps will be displayed in the

message box of the dialog window.
7. Measure the voltages where relevant:
8. Measure the voltage of the 24V output (select [4] on the tester tool).
9. Enter the exact value into the value window (pressing on it will
display an on-screen keypad to enter the values) and press Next.
10. Measure the voltage of the 5V output (select [1] on the tester).
11. Enter the exact value into the value window and press Next.
12. Measure the voltage of the 12V output (select [2] on the tester).
14. Measure the temperatures where relevant:
15. Set the interface tester to Temp Cal mode and set the Temperature
switch to Low Temp.
16. Measure the temperature at cooling point 1: read the DVM reading
and multiply by 100.
18. Measure the temperature at system point 1: read the DVM reading
and multiply by 100 (both system and cooling point value should be
almost equal, as they are generated by the same voltage in the
tester).
20. Set the temperature switch to Hi Temp.
21. Measure the temperature at cooling point 2. Read the DVM reading
and multiply by 100.
23. Measure the temperature at system point 2: read the DVM reading
and multiply by 100 (both system and cooling point value should be
almost equal, as they are generated by the same voltage in the
tester).
25. When all the measurements have been entered, set the Interface
Tester tool temperature switch back to Low Temp and exit the
screen.
PB0000300 Rev. A 7-29

Current Readings Calibration

1. Set the measurement format to 0V-3V.

2. Press Current Reading Cal; the Current Reading Cal window
appears.
Figure 7-21 Current Readings Calibration
7-30
Figure 7-22 Current Factor Calibration
3. Using the UP/DOWN buttons, adjust the Current 2 factor so that

Current 1 and Current 2 are close in value.
4. When the desired results are achieved, press Save Factor; the
factors are saved. Press Exit.
Current Limit Calibration (Automatic)

After all ADCs calibrations are finalized, press Current Limits Cal.
The system performs an automatic calibration process of currents to the
lasing module which will consist of internal lasing at different levels.
The process will be finished when lasing stops and should take less
than five minutes.
Note
Do not disconnect the system while current limit calibration is in
process; this may disrupt the proper calibration process of the
system.
PB0000300 Rev. A 7-31

Figure 7-23 Current Limits Calibration
Caution
After performing ADCs calibration, restart the machine by turning
it off and on. This ensures that the unit loads with the correct
calibrated values that were set in the previous procedures.
Failure to restart the machine before performing system
calibration will result in faulty calibration tables and/or erroneous
power levels while lasing.
Calibration is complete; proceed to next section ,“Offset Calibration”

on page 7-33.
7.9.2 Internal Power Meter Calibration

The internal power meter calibration comprises three phases:
• Offset calibration - determines the power meter’s zero point.

• Gain calibration - determines the ratio between the power meter
readings and the voltages read by the system
• Power meter calibration - performs the actual calibration of the
various power meter ranges.
7-32
Note
When performing any part of the power meter calibration procedure,
it is mandatory to perform system calibration immediately afterwards
(see ‘System Calibration’ on page 7-39).
Offset Calibration
1. Go to service mode, and access the P.M. screen.

2. Press on the P.M. 3 reading box and set the display format to dec
(decimal display).
3. Use the Up and Down buttons for P.M. 3 offset (low) until the reading
box displays a value of 100±10.
Note
Decrease the offset to achieve a higher value; increase the offset to
achieve a lower value.
4. If it is impossible to get to the desired range, adjust the values to the

closest possible reading above 100.
5. When you achieve the desired range, press Save.
6. Repeat the steps above for P.M. 1 and P.M 2, so that all power
meters will be adjusted to a value that is as close to 100 as possible.
(To switch control to a different power meter, press on the
appropriate PM Offset reading box at the top of the screen). When
done with each setting, press Save.
PB0000300 Rev. A 7-33

Figure 7-24 Power Meter Screen -Offset Calibration
7. Offset is complete; proceed to the section ,“Gain Calibration” on

page 7-34.
Gain Calibration
Gain calibration of the power meter ranges is performed starting by the
lowest range (P3, 0-1W) through the middle range (P1, 1-5W) and
ending with the highest power range (P2, 5-60W).
Set up a FL-250 External Power Meter, in CO2 mode.
Note
Use appropriate CO2 laser protective goggles and make sure that
the articulated arm is securely in place in front of the power meter
before using the laser system.
When ready, perform the following steps:
1. From the Main Service Screen, press P.M (see Figure 7-25); the
Power Meter Screen appears (see Figure 7-26).
7-34
Figure 7-25 Main Service Screen
Figure 7-26 Power Meter Screen - Gain Calibration
2. Press on the P.M. 3 reading box (at the bottom of the screen –see
Figure 7-26) and set the display unit to “dec” (decimal display).
3. Press P.M 3 Gain (low).
PB0000300 Rev. A 7-35

4. Press Find P.M. 3 Gain.

5. Select Power Out.
6. Press the footswitch to start lasing.
7. While keeping the footswitch pressed, note the power meter
reading and adjust the drive value by using the up and down buttons
so that the power meter display reads 1.00 ± 0.1W. Release the
footswitch.
8. Select Power In.

9. While keeping the footswitch pressed, adjust the P.M.3 Gain by
pressing the up and down buttons until the reading for P.M.3 is as
close as possible to 3500.
10. Release footswitch and press Save.
11. Allow a few minutes for the system to cool off, then press Abort to
release focus from P.M.3.
12. Choose P.M 1 Gain (Med).
16. While keeping the footswitch pressed, adjust the drive value by
using the up and down buttons so that the Ophir display reads 5.00
± 0.2W.
17. Select Power In.
18. While keeping the footswitch pressed, adjust the P.M.1 reading by
pressing the up and down buttons until the value for P.M.1 is as
19. Release the footswitch and press Save.
20. Allow a few minutes for the system to cool off, then press Abort to
release focus from P.M.1
21. Choose P.M 2 Gain (high).
25. While keeping the footswitch pressed, adjust the drive value by
using the up and down buttons (see Figure 7-26) so that the Ophir
display reads 50.00 ± 2W.
26. Select Power In.
7-36
27. While keeping the footswitch pressed, adjust the P.M.2 Gain by
pressing the UP/DOWN buttons until the reading for P.M.2 is as
28. Release the footswitch and press Save.
29. Press Abort to release focus from P.M.2.
Gain is complete; proceed to the section ,“Power Meter Calibration”

on page 7-37.
Power Meter Calibration

After you have completed the steps above, you are ready to perform the
Power Meter calibration.
1. From the Power Meter Screen, select the Power Meter 3 (low) range
the “Start Power Meter Calibration” button will change to Start
Power Meter 3 Calibration.
2. Press the Start Power Meter 3 Calibration button (see Figure 7-27.)
Figure 7-27 Power Meter Screen
PB0000300 Rev. A 7-37

Figure 7-28 Power Meter 3 Calibration Screen
3. Set the frequency value to 35 Hz.

4. Follow the instructions in the box on the screen. Fire the laser and
adjust the Drive Value so that the power meter displays as
indicated: 0.2W± 10%.
5. When the correct Drive Value is achieved, enter the exact value
displayed by the power meter into the appropriate box: click on the
value illuminated in blue; a keypad will appear. Enter the value and
press OK; then press Next.
6. When prompted, start lasing and allow the machine to perform
internal calibration.
7. Observe the P.M. 3 reading; when a good average reading is
displayed, press Get internal reading. (If the value received is not as
desired, you can press Get internal reading again until you get the
desired value).
8. Press Next.
9. Set the frequency to 45Hz.
10. Follow the instructions in the box on the screen. Fire the laser and
adjust the Drive Value so that the power meter displays as indicated
on the screen: 0.8W ± 10%.
11. When the correct Drive Value is achieved, enter the exact value
displayed by the power meter into the appropriate box: click on the
7-38
value illuminated in blue; a keypad will appear. Enter the value and
press OK; then press Next.
12. When prompted, start lasing and allow the machine to perform
internal calibration.
13. Observe the P.M. 3 reading; when a good average reading is
displayed, press Get internal reading. (If the value received is not as
desired, you can press Get internal reading again until you get the
desired value).
14. Press Next.
15. When the prompt to save the values appears, press Save to save the
calibration values.
16. Press Abort and perform these same procedure (steps 1-12) for
Power Meter 1 and 2. Press Abort in between calibrations for Power
Meter 1 and 2.
Note
Frequency adjustments (steps 3 and 9) are not required for Power
Meters 1 and 2.
17. When power meter calibration is complete, turn off the system and
wait a few minutes for it to cool down.
Power meter Calibration is complete; proceed to the next section

7.9.3 ,“System Calibration” on page 7-39.
7.9.3 System Calibration

After you have completed ADCS, power and gain calibration, proceed
to the system calibration screen to perform an automated calibration of
the drive levels.
Caution
Before performing system calibration, restart the machine by
turning it off and on. This will make sure that the unit loads with
the correct, calibrated values that were set in the previous
procedures. Failure to restart the machine before performing
system calibration will result in faulty calibration tables and/or
erroneous power levels while lasing.
PB0000300 Rev. A 7-39

1. Before beginning, perform these preliminary steps for determining

the appropriate Stapedectomy and SP drives for system calibration:
a. Turn the system off and then on again.
b. In the main Service screen, set the following: mode SP, On-time
150 µs (default) and freq. 50Hz.
c. Select Power Out and Ready.
d. Wear protective eyewear and fire the laser to achieve a power of
1.25W on the external power meter.
e. Press the Drive field to open the on-screen keypad. Enter the value
and press OK. Required drive should be between 0.8 - 1.2 V. Use
increments of 0.05 V until you achieve a result closest to 1.25W on
the external power meter.
f. The drive achieved will be used as the drive value in the STEP Drive
box in the next steps.
g. After having determined the STEP value, go back to Standby mode.
h. Set the following: mode SP, On-time 250 µs, and freq: 550 Hz.
i. Select Power Out and Ready.
j. Wear protective eyewear and fire the laser to achieve a power of
17 W on the external power meter.
k. Press the Drive field to open the on-screen keypad. Enter the value
and press OK. Required drive should be between 0.8 - 1.2 V. Use
increments of 0.05 V until you achieve a result closest to 17 W on
the external power meter.
l. The drive achieved will be used as the drive value in the SP Drive
2. For Aesthetic systems (version 1.04), perform the following to
determine the AcuScan 120 warming pulse drive:
a. In the main Service screen, set the following: mode SP, On-time 90
µs (default) and freq. 330Hz
b. Select Power Out, Drive 2 and Ready
c. Wear protective eyewear and fire the laser to achieve a power of
0.495W on the external power meter.
d. Press the Drive field to open the on-screen keypad. Enter the value
and press OK. Required drive should be between 0.23-0.33. Use
increments of 0.01 V until you achieve a result closest to 0.495W±
10% on the external power meter.
e. The drive achieved will be used as the drive value in the DFX Drive
3. From the Main Service screen, press Sys Cal to start automatic
calibration.
4. Select CW and press Make Calibration.
7-40
Figure 7-29 System Calibration - CW
5. The table will slowly get updated with accurate power values for
each drive step.
Note
It is possible to follow the calibration process – each highlighted line
contains new, accurate data, while the non-highlighted lines show
the remaining values that need to be calibrated.
6. When calibration is finished, a message “CW Calibration

Complete” appears. Press OK.
7. Refer to Figure 7-30: Select SP.
8. Use the Up/Down arrows to enter into the STEP Drive box the
value you achieved in Step 1 for Stapedectomy. Press Save and
then press OK.
9. Use the Up/Down arrows to enter into the SP Drive box the value
you achieved in Step 1 for SP. Press Save and then press OK.
10. In Aesthetic systems (version 1.04) use the Up/Down arrows to
enter into the DFX Drive box (refer to Figure 7-31) the value you
achieved in Step 2 for AcuScan Warming Pulse Drive. Press Save
and then press OK.
11. Press Make Calibration; system calibration for SP mode is executed.
PB0000300 Rev. A 7-41

12. When calibration is finished, a message “SP Calibration Complete”

appears. Press OK.
Figure 7-30 System Calibration - SP - surgical version (1.02)
Figure 7-31 System Calibration - SP - Aesthetic Version (1.04)
13. Refer to Figure 7-32: Choose PULSER.
7-42
Note
Pulser calibration requires populating two separate tables;
SurgiTouch, and DeepFX (AcuScan 120). Both tables must be
updated for the system to perform correctly, regardless of the system
configuration.
14. Press the SurgiTouch button.
Figure 7-32 System Calibration Pulser SurgiTouch
15. Press Make Calibration; system calibration for Surgitouch PULSER

mode is executed.
16. When Surgitouch PULSER calibration is complete, a message
“Pulser Calibration Complete” appears. Press OK.
17. Press the DeepFX button.
PB0000300 Rev. A 7-43

Figure 7-33 System Calibration Pulser DeepFX
18. Press Make Calibration; system calibration for AcuScan120

PULSER mode is executed.
19. When AcuScan120 PULSER calibration is complete, a message
“Pulser Calibration Complete” appears. Press OK.
20. Turn off the system to ensure that the values are saved.
7-44
7.9.4 Accessing the OS (Operating System) Explorer

Some procedures might require accessing the system's Operating
System Explorer.
The system is based on Microsoft's Window CE, which can be accessed

directly by using the following procedure:
Note
Although not required, it is recommended to connect a USB
keyboard and mouse to the system, as it makes navigating the OS
much easier than using the touchscreen. If using a keyboard/mouse
combination, assume "touch" means "click" and "double-touch"
means "double-click."
1. Turn on the system.

2. In the login screen, enter the technician code (0912); do not press
the "Login" button.
Figure 7-34 Login Service
3. Press the Login in the upper left corner of the login screen.
4. The screen will show the AcuPulse logo on a black background.
5. Press the upper left corner of the screen again (approximately
where the word "Login" was located in step 3).
PB0000300 Rev. A 7-45

6. A few buttons will appear (see Figure 7-37)|.

Figure 7-35 Options Screen
7. Press the "Explorer" button on the left (Figure 7-35); the Explorer
screen appears (Figure 7-36).
Figure 7-36 Explorer Screen
To return to normal operating mode, simply turn off the system by

pressing the green "on/off" button, then turn it back on.
7-46
7.9.5 Touch Screen Calibration

Touch screen calibration should be performed if the touch-screen does
not respond or if the cursor appears shifted (too much) from the touch
point.
The touch-screen calibration procedure allows you to calibrate the

screen. If the touch-screen does respond but the cursor appears slightly
shifted from the touch point, fine tuning of the touch-screen should be
sufficient to correct the shift.
To calibrate the touch-screen, do the following:
1. Access the OS Explorer (see Section 7.9.4 ,“Accessing the OS

(Operating System) Explorer” on page 7-45) and perform the
following:
2. In the menu bar, choose the "View" Menu and tap "Options…"
3. In the resulting dialog box, uncheck all three checkboxes and press
OK.
4. Access the "Windows" Folder.
5. Double-tap the TPUtility.exe icon (see Figure 7-37).
Figure 7-37 TPUtility.exe Icon
PB0000300 Rev. A 7-47

6. In TPUtility the dialog box, choose "UTP1:" and press "9 pts
Linearization"; a screen with a green grid and a blinking green and
red circle appears (see Figure 7-38).
Figure 7-38 calibration Grid
7. Firmly press a finger on the circle until the circle turns yellow
(approximately 2 seconds).
8. Perform step 7 for all 9 points (see Figure 7-39).
Figure 7-39 9-Point Screen Calibration
9. A success message should appear and the screen should go back to

the TPUtility dialog box.
10. Press "Free Draw"; a gray grid appears.
7-48
11. Drag your finger on the screen and make sure the touch pad is
tracking all movements (see Figure 7-40). Pay special attention to
the screen's problematic areas: corners and borders.
Figure 7-40 Free Draw Grid
12. When satisfied, press QUIT and close the application. If the screen
still needs calibration, repeat steps 5-11 until the appropriate results
have been achieved.
7.10 Adjusting Date and Time

In order to adjust the date and time, it is necessary to access the date/
time module in the control panel of the operating system.
Note
For convenience, it is recommended to use a USB mouse instead of
the touch-screen to perform this procedure.
1. Access the Explorer Window (see Section 7.9.4 ,“Accessing the OS

(Operating System) Explorer” on page 7-45).
2. Enter the Control Panel folder.
3. Double-click the Date/Time icon to access the date/time module.
4. Select the correct month, year and date and update the time and
time zone in the dialog box.
5. Press OK to save the settings.
6. Restart the system in order for the changes to take effect.
PB0000300 Rev. A 7-49

7.11 AcuPulse Software Upgrade

From time to time a software version upgrade might be required.
This upgrade might include changes in software files, as well as

firmware/FPGA updates to hardware components of the system.
Due to the variability of the upgrade processes, detailed instructions

will be provided with each upgrade package as they are relevant. For
more information, contact the service support center in your region, or
Global Service Organization.
7.12 AcuPulse Configuration Upgrade

The following procedure is used when performing a system
configuration upgrade to add the SurgiTouch and/or AcuScan 120
capabilities to a system.
As of this manual’s publication, the following upgrades are possible:
• AcuPulse 30 (GA-0000070) to 30ST (30W with SurgiTouch)

• AcuPulse 40 (GA-0000080) to 40ST (40W with SurgiTouch)
• AcuPulse 40 (GA-0000080) to 40R (with Resurfacing capabilities)
• AcuPulse 40 (GA-0000080) to 40F (with Fractional capabilities)
• AcuPulse 40 (GA-0000080) to 40A (with full Aesthetic capabilities)
(Note that the part number for the machine does not change after the
upgrade).
The upgrade kit should contain the following items:
• scanner board module

• scanner motor assembly
• scanner harness
• PC-to-scanner board COM harness
• Disk-On-Key with scanner parameters
• Purge tube with bacteriological filter
• Upgrade Key (single use HASP dongle)
7-50
To perform the upgrade, do the following:
1. Turn off the system, open the front cover and install the scanner
board in the system (see ‘Releasing 2 Nuts on Beam Combiner’ on
page 9-41).
Note
Make sure to connect the PC-to-Scanner board COM harness

securely.
2. Turn on the system and access the Utilities screen.

3. From the Utilities screen, press the Upgrade button; a dialog box
appears prompting for the insertion of an Upgrade Key.
Figure 7-41 Utilities Screen, Upgrade Button
PB0000300 Rev. A 7-51

Figure 7-42 Software Upgrade
4. Connect the upgrade Key to an available USB port on the system

and press Next.
5. The upgrade will perform automatically according to the relevant
configuration of the system.
6. When the upgrade is complete, a message “Upgrade Completed
Successfully” appears. Turn off the system.
7. Remove the upgrade Key and dispose of it, as it becomes unusable
after the upgrade process has been completed.
8. After the upgrade is complete, load the data for the new scanner(s)
into the system: See 7.13,“Loading New Scanner Data” on page 7-
52.
7.13 Loading New Scanner Data

Perform this procedure when adding a new scanner to the system. A
new scanner is added when:
• an existing scanner is damaged and needs replacement

• additional scanning capabilities are added to the system as part of a
configuration upgrade (See 7.12,“AcuPulse Configuration
Upgrade” on page 7-50).
7-52
To perform this procedure, you will need the USB memory stick (Disk-
On-Key) provided with the scanner in the scanner kit.
1. From the Home screen, press Utilities to access the Utilities screen.
Figure 7-43 Utilities - New Scanner
2. In the Utilities screen, press New Scanner to access the New

Scanner Wizard.
3. The Wizard will prompt you to insert the upgrade key. Insert the
USB memory stick into an available USB port on the service panel
at the back of the system, and press Start.
PB0000300 Rev. A 7-53

Figure 7-44 Scanner Upgrade Wizard
4. The data will load automatically into the system.

5. When the process is complete, a message will appear on the screen.
6. Press OK.
7. If there is an additional scanner’s data you wish to load, repeat the
previous steps for that scanner.
7-54
7.14 Preventive Maintenance

Regular preventive maintenance checks are essential to patient safety,
system reliability, and customer satisfaction. The information
contained in this checklist is designed for general application only.
There may be individual exceptions to these checks.
Preventive Maintenance Checklist

Service Call Number:

Preventive Maintenance Date:
Engineer Name:
Phone Number:
Distributor Name (If applicable):
System Part Number:
System Serial Number:
SurgiTouch Scanner S/N:
(If applicable)
AcuScan 120 Scanner S/N:
(If applicable)
Software Versions: SW Package:
Main DSP:
Service:
UI:
FPGA:
Scanner DSP:
Site Name:
Address:
Country:
PB0000300 Rev. A 7-55

External Visual Inspection

F F At least 60 cm (2 ft.) from the wall
F F Adequate work area

F F Line supply of 100-240 VAC, 9A, 50/60

Hz, single phase
F F System far from heating ducts or other
outlets
F F Inspect the system's exterior surfaces
for damage.
Internal Visual Inspection

F F Connectors, power cable and plugs
inspected
F F Service alligator clip not connected
to tube.
F F Heat exchanger clean
F F Bacteriological filter - replaced
F F Air filter clean
Electrical/Optical Checks

F F Aiming Beam output stable
F F Compressed air-continuous flow in

Ready
F F Date and time
F F Laser emission indicator flash in

Ready, on when lasing.
F F Max. Power in CW (service mode)
F F Max. Power in SP mode
F F Internal Power Meter Calibration

verified
F F Alignment check - CW @ max power
(laser mode)
7-56
F F Alignment check - Pulser @ max

power (laser mode)
F F Alignment check - SP @ max power
(laser mode)
F F Beam Walk <1.5mm
F F CO2 shutter operation, no leakage
F F Remote interlock
F F Low coolant flow
F F Coolant leakage inspection
F F Emergency lasing stop switch
F F Delivery Arm transmission
F F Far & Near check (lasing)
F F Touch-Screen calibration
PB0000300 Rev. A 7-57

SurgiTouch Checks

F F Software Version:
F F Beam Offset check

F F Operational check-scanner
AcuScan 120 Checks

F F Software Version:
F F Beam Offset check
F F Operational check-scanner
Comments:
I certify that this unit has had the recommended preventive

maintenance service.
This preventive maintenance was performed in accordance with the

instructions in the service manual and those items listed above.
Engineer Name: Date:
Signature:
7-58
C H A P T E R
TROUBLESHOOTING
8.1 Introduction
Warning
This equipment generates high voltages and emits pulsed laser
and light of high intensity which can cause serious personal
injury if handled improperly.
Before performing any preventive maintenance, adjustment or

repair procedures, turn off the system and disconnect it from the
mains power, unless the procedure to be followed necessitates
otherwise.
This chapter helps the FSE to identify, diagnose, and repair the Error in
the event of a malfunction. Except for the corrective actions that are
listed in the AcuPulse operator's manual, no attempt should be made by
the end user to repair the system or any of its sub-systems.
PB0000300 Rev. A 8-1

Caution
All preventive maintenance and repairs should be referred to and
performed only by a Lumenis-authorized field service engineer
FSE.
8.1.1 Troubleshooting Guide Sections

The Troubleshooting Guide is divided into the following sections:
Error Messages – Describes error messages that may appear on the

system's display following a system malfunction.
Refer to the list of all system errors in Section ‘Error
Messages’ on page 8-3.
System Problems – Describes malfunction situations that are not
necessarily associated with an error message. Refer
to the list of all system problems in Section XXX.
In all cases when replacing parts, send all defective parts back to
Lumenis and reinstall all good parts back in the system or return them
to the warehouse.
8-2
Troubleshooting
8.2 Troubleshooting Guide
8.2.1 Error Messages

This section describes all error messages that may appear on the
system's display following a system malfunction.
Note
Error messages may appear intermittently if the mains power is
inadequate or unstable.
Once the system issues an error message, always check the mains
power first.
The possible technical reasons for the appearance of each message are
explained after each error message in this section.
PB0000300 Rev. A 8-3

8.3 Description of the Error States

The AcuPulse system generates errors in both User and Service modes.
The different types of errors are:
• Warning Message - WM
• Fatal recoverable Error – SR (Service) (all Errors are recoverable)
• Fatal Recoverable Error – R (User) (recoverable)

• Fatal Non-recoverable Error – NR (User) (not recoverable)
8.3.1 The Treatment of System Errors in Service

mode
System halts on Error and displays the error ID in User mode.
Fatal errors require system restart.
When logged in as Technician, the error message can be acknowledged
and work can be resumed without restarting the system.
Local Errors
All Local Errors will cause the System to change to “Stand By mode”.
The user will have option to return to “Ready mode” and continue the
procedure.
Fatal Recoverable Errors - R in User Mode

All Fatal Recoverable Errors - R in User Mode will cause the system
change to Neutral mode (Idle)” which causes the system to stop lasing
and shut down the part of power supply involved in lasing. Software
will stop all of the activities and measurements, the user will have to
respond to a message on the GUI Screen.
After the system safety demands are fulfilled, the user may press the
“OK” button on the screen, and the system will return to “Stand By
mode”. The FSE has the option of entering the Service mode (with a
password) to solve the Error.
Fatal Non-Recoverable Errors - NR in User Mode

All Fatal Non-Recoverable Errors - NR in User Mode will cause the
system change to Neutral mode (Idle) which causes the system to stop
8-4
Troubleshooting
lasing and shut down the part of power supply involved in lasing.
Software will stop all of the activities and measurements, the user will
have to respond to a message on the GUI Screen. The user must then
shut down the system and restart it. The FSE has the option of entering
the Service mode (with a password) to solve the Error.
All errors will be written to Error Log with the Time Stamp.
PB0000300 Rev. A 8-5

8.4 Error Messages

Each Error table is comprised of:
Heading: Includes (an ascending) heading number and the

following: Error number followed by the error
message text
Description Description of the system error

Error Type Warning message, Local Error, Data Error-R, Fatal
Error-NR, Laser Stop as a result
Screen Screen notification or display.
Notification
Corrective Action Provides the corrective action for each error. Follow
the steps according to the order in which they are
presented.
8.4.1 Error # 01: Open Shutter Error

Description: Shutter does not appear to have opened when it was
supposed to open.
The “Shutter open” Opto coupler on the Shutter module
did not respond to Shutter command.
Error Type: Fatal Unrecoverable Error - NR; will cause the laser to
stop as a result.
Screen Notification: “01 - Open Shutter Error” – Please Restart

System. If error persists, please call service.
Corrective Action: Check shutter and/or shutter board, interface

controller module and relevant harnesses.
8-6
Troubleshooting
8.4.2 Error # 02: Closed Shutter Error

Description: Shutter does not appear to have closed when it was
supposed to close.
The “Shutter Close” Opto coupler on the Shutter
module did not respond to Shutter command.
stop as a result.
Screen Notification: “02 - Closed Shutter Error” – Please Restart

Corrective Action: Check shutter and/or shutter board, interface

controller module and relevant harnesses.
8.4.3 Error # 04: Foot Switch 1/2 Error

Description: Foot switch 1 (NO) shorted when not active.
Interface P1/2, Controller J4/39, GPIO_B10.
The Foot switch 1 (NO) shorted to ground even when
not activating the FS_READY by software command.
stop as a result.
Screen Notification: “04 - Foot Switch Error” – Please Restart

8.4.4 Error # 06: Foot Switch is Not Connected Error

Description: Footswitch appears to be disconnected from the system.
Error Type: Local Error; will cause “Stand By mode” as a result.
Screen Notification: “06 - Footswitch is Not Connected, Please

Connect”.
Corrective Action: Check footswitch connection; if it appears to be

connected correctly, check footswitch cable
integrity, footswitch, interface controller,
footswitch harness from service panel to
interface controller; footswitch connector on
service panel.
PB0000300 Rev. A 8-7

8.4.5 Error # 07: Foot Switch Pressed during Self Test

Error
Description: The Foot Switch appears to have been pressed during
Self Test.
Error Type: Fatal Recoverable Error - R; will cause the laser to stop
as a result.
Screen Notification: “07 – Footswitch engaged; Please disengage to

proceed”.
Corrective Action: Remove foot from footswitch while self test is

performed; check footswitch, interface
controller, footswitch harness
8.4.6 Error # 12: CO 2 Cooling Flow Switch Error

Description: The CO2 Cooling Flow switch detects Error.
The CO2 Cooling Flow switch detects that the
Fluorinert circulation is lower than 0.4 liters / minute
Error Type: Fatal Recoverable Error - R; will cause Laser Stop as a

result
Screen Notification: “12-Cooling system flow switch error. Please
restart system. If error persists, please call
service.”
Corrective Action: Check that enough Fluorinert liquid is present in

the system; check for leaks and abnormal
pressure in the cooling system; check flow
switch, interface controller module and relevant
harness;
8.4.7 Error # 13: CO 2 PUMP Current (Velocity) Error

Description: Wrong fluid current value is being measured by the
cooling pump.
Screen Notification: “13 - Cooling system pump current error; Please

restart system. If error persists, please call
service.”
Corrective Action: Check that enough Fluorinert liquid is present in

the system; check for leaks and abnormal
pressure in the cooling system; check pump,
interface/controller module and relevant harness;
8-8
Troubleshooting
8.4.8 Error # 14: Pump Status Error

Description: Internal error in cooling pump was detected
Screen Notification: “1014 - Pump Status Error”
Corrective Action: Try the action again; if error persists, restart the
system; if error persists again, check pump,

interface/controller module and relevant harness.
8.4.9 Error # 15: CO 2 FAN Status Error

Description: Internal error in cooling fan was detected
Screen Notification: “15-Cooling system fan error. Please restart

system. If error persists, please call service.”
system; if error persists again, check fan,
interface/controller module and relevant harness.
8.4.10 Error # 16: CO 2 Temperature is more than 47ºC

Description: The cooling system temperature appears to have
increased over the warning threshold of 47ºC.
The warning will remain until the cooling system’s
temperature is lowered to less than 37ºC.
Screen Notification: “16-Cooling system overheating warning. Please

allow 5 minutes for system cool down.”
Corrective Action: Check calibration of cooling temperature sensor;

Wait for system to cool down and try the action
again; check cooling system fan filters for
clogging and obstructions and clean them; check
cooling system integrity; check interface
controller module and relevant harness.
PB0000300 Rev. A 8-9

8.4.11 Error # 17: CO 2 Over Temperature Error 50ºC

Description: The cooling system temperature appears to have
increased over the fatal threshold of 50ºC.
Lasing will be prevented until the cooling system’s
temperature is lowered to less than 37ºC.
as a result.
Screen Notification: “17- Cooling system overheating error. Please

allow 20 minutes for system cool down”.
Corrective Action: Check calibration of cooling temperature sensor;

again; check cooling system fan filters for
clogging and obstructions and clean them; check
cooling system integrity; check interface
controller module and relevant harness.
8.4.12 Error # 18: Air FAN Status Error

Description: Internal error in main system fan was detected.
Screen Notification: “18- System fan error. Please restart system. If

error persists, please call service.”
system; if error persists again, check main
system fan, interface/controller module and
relevant harness.
8.4.13 Error # 19: System Air Temperature is more

than 47º C
Description: The system air temperature appears to have increased
over the warning threshold of 47ºC.
The warning will remain until the system’s temperature
is lowered to less than 37ºC.
Screen Notification: “19-System overheating warning. Please allow

5 minutes for system cool down”.
Corrective Action: Check calibration of system temperature sensor;

again; check system inlet filters on the back
8-10
Troubleshooting
panel for clogging and obstructions and clean

them; check interface controller module and
relevant harness.
8.4.14 Error # 20: System Air Over Temperature Error

Description: The system air temperature appears to have increased
over the fatal threshold of 50ºC.

Lasing will be disabled until the system’s temperature
is lowered to less than 37ºC.
Error Type: Fatal Recoverable Error - R”; will cause the laser to
stop as a result.
Screen Notification: “20-System overheating error - please allow 20

minutes for system cool down”.
Corrective Action: Check calibration of system temperature sensor;

again; check system inlet filters on the back
panel for clogging and obstructions and clean
them; check structural integrity of the
temperature sensor on the system fan; check
interface controller module and relevant harness.
8.4.15 Error # 23: Remote Interlock Error

Description: Remote (Door) safety interlock failure.
The Door safety interlock failure, the Door appears to
be open or the remote interlock is not connected.
as a result.
Screen Notification: “23-Remote Interlock Error, please verify that the

Treatment Room door is closed”.
Corrective Action: Check that the treatment room door is closed

when system is active; check interlock
connection to service panel; check integrity of
interlock and cable; check interface controller
module and relevant harness; check the
connector in the service panel.
PB0000300 Rev. A 8-11

8.4.16 Error # 24: Laser Stop Condition Error

Description: Laser Stop button appears to be engaged.
Error Type: Fatal Recoverable Error - R; will prevent lasing from

occurring.
Screen Notification: “24-Laser stop button engaged. Please disengage

to proceed”.
Corrective Action: Disengage emergency stop button; if error

persists, check button assembly; check interface
controller and relevant harness.
8.4.17 Error # 26: HVPS Power Supply Fail Error

Description: HVPS Power Supply Fail Error.
The HVPS Power Supply failure signal was activated.
stop as a result.
Screen Notification: “26-HVPS Error; Please restart system. If error

persists, please call service.”
Corrective Action: Restart system; if error persists, check HVPS,

interface controller module and relevant harness.
8.4.18 Error # 28: HVPS 110V Status Error

Description: HVPS 110V Status Error.
110V inlet voltage to HVPS appears to be unstable.
stop as a result.
Screen Notification: “28-HVPS 110V status error. Please Restart

System. If error persists, please call service.”
Corrective Action: Check 110V harness connection on HVPS and

LVPS sides; check HVPS, LVPS and 110V
harness between HVPS and LVPS.
8-12
Troubleshooting
8.4.19 Error # 34: Parameters Error (Software)

Description: Internal Parameters in the control software appear to be
out of range.
stop as a result.
Screen Notification: “34-Invalid Parameters Error” – Please Restart

Corrective Action: Restart the system; if error persists, check the

software version of GUI PC and software version
of controller and update to the latest version.
8.4.20 Error # 35: GUI PC to DSP Micro

Communication Error
Description: A communication error in COM line between GUI PC
and interface controller module has occurred.
stop as a result.
Screen Notification: “35-GUI PC-DSP communication Error” –

Please Restart System. If error persists, please
call service.
Corrective Action: Restart the system; if the error persists, check

COM1 harness connection between GUI PC and
interface controller module; check harness
integrity; check GUI PC; check interface
controller module.
PB0000300 Rev. A 8-13

8.4.21 Error # 36: DSP FPGA Communication Error

Description: A communication error between the interface board
and controller board has occurred.
stop as a result.
Screen Notification: “36 – DSP-FPGA Communication Error” Please

Restart System. If error persists, please call

service.
Corrective Action: Restart the system; if the error persists, check

interface controller module.
8.4.22 Error # 37: FPGA Status NNNN Error

Description: FPGA status Error. Timing error occurred in the pulse
waveform check in FPGA safety test; error details
according to the table below:
Status Number Error Description
1001 Pulse start time is too long
1002 Pulse start time is too short
1004 Pulse stop time is too long
1008 Pulse stop time is too short
1010 Pause between pulses is too long
1020 Pause between pulses is too short
1040 Extra pulse detected
stop as a result.
Screen Notification: “37 - FPGA Status is 10nn” – Please Restart

Corrective Action: Restart the system; check software version of

GUI PC and interface controller; verify latest
software versions; if error persists, check
interface controller.
8-14
Troubleshooting
8.4.23 Error # 39: Offset Cal2 AGND/2.5V Error

Description: PS Ground Noise Error detected; the measured Voltage
of reference 2.5V signal is out of range.
Error Type: Fatal Recoverable Error - R”; causes the laser to stop as
a result.
Screen Notification: “39-Offset calibration (2.5V) error. Please


service.”
Corrective Action: Check mains power; check mains cable integrity;

check interface controller.
8.4.24 Error # 40: Offset Cal1 AGND/0.5V Error

Description: PS Ground Noise Error detected; the measured Voltage
of reference 0.5V signal is out of range.
Error Type: Fatal Recoverable Error - R; causes the laser to stop as

a result.
Screen Notification: 40-Offset calibration (0.5V) error. Please

service.”
Corrective Action: Check mains power; check mains cable integrity;

check interface controller.
8.4.25 Error # 41: PS 5.0V Error

Description: PS 5.0V Error. Measured voltage from 5.0V output of
LVPS is out of range.
Error Type: Fatal Unrecoverable Error - NR; causes the laser to stop
as a result.
Screen Notification: “41 - LVPS 5V error. Please Restart System. If

Corrective Action: Check connection of voltage harness between

LVPS and interface controller. Perform voltage
calibration in service mode; Check LVPS; Check
interface controller module; Check integrity of
voltage harness.
PB0000300 Rev. A 8-15

8.4.26 Error # 42: PS ±12V Error

Description: PS ±12.0V Error. Measured voltage from ±12.0V
output of LVPS is out of range.
Error Type: Fatal Unrecoverable Error - NR;causes the laser to stop

as a result.
Screen Notification: “42-LVPS ±12V Error. Please Restart System. If


voltage harness.
8.4.27 Error # 44: PS +24V Error

Description: PS 24.0V Error. Measured voltage from 24.0V output
of LVPS is out of range.
as a result.
Screen Notification: “44 - LVPS +24V Error. Please Restart System. If


voltage harness.
8.4.28 Error # 45: Power Meter SPDT1 Disk Error (HW)

Description: Internal Power Meter Hardware Error.
as a result.
Screen Notification: “45 - Power Meter Disk HW1 Error” –Please

service.”
Corrective Action: Check connection of harness between beam

combiner/shutter assembly and interface
controller; Perform power meter calibration; If
problem persists, check the internal power meter,
interface controller, and relevant harnesses.
8-16
Troubleshooting
8.4.29 Error # 46: Power Meter SPDT2 Disk Error (HW)

Description: Internal Power Meter Hardware Error.
as a result.
Screen Notification: “46 - Power Meter Disk HW2 Error” –Please

service.
Corrective Action: Check connection of harness between beam

combiner/shutter assembly and interface
controller; Perform power meter calibration; If
problem persists, check the internal power meter,
interface controller, and relevant harnesses
8.4.30 Error # 48: Power Meter Sanity Low Med 1W

(Software)
Description: Inconsistent reading was obtained while performing
low level power sanity check (1W).
Error Type: Fatal Unrecoverable Error _ NR; causes the laser to

stop as a result.
Screen Notification: “48-Power Meter Low-Med (1W) Error” –Please

service.”
Corrective Action: Perform power meter calibration; if problem

persists, check the power meter disk; check
interface controller module and relevant
harnesses.
PB0000300 Rev. A 8-17

8.4.31 Error # 49: Power Meter Sanity Med High 5W

(Software)
Description: Inconsistent reading was obtained while performing
higher level power sanity check (5W).
Error Type: Fatal Unrecoverable Error _ NR; causes the laser to

stop as a result.
Screen Notification: “49-Power Meter Med -High (5W) Error” –

call service.”
Corrective Action: Perform power meter calibration; if problem

persists, check the power meter disk; check
interface controller module and relevant
harnesses.
8.4.32 Error # 50: CO 2 On Line current 1 (HW)

Description: CO2 On Line current 1 Error.
On-line monitoring of the laser tube inlet current
detected out of spec currents.
as a result.
Screen Notification: “50-Current Monitoring Error” – Please Restart

Corrective Action: Restart the system; if the error persists, perform

on-line current calibrations in service mode;
check the interface controller module, HVPS
module, bobbin, and relevant harnesses
8.4.33 Error # 51: Self Test Interlock Error

Description: Remote interlock appears to be in faulty status during
self test procedure.
as a result.
Screen Notification: “51-Self Test Interlock Error” – Please Restart

Corrective Action: Check connection of remote interlock to the

system’s service panel; restart the system; if error
persists, check remote interlock, interface
controller, relevant harness
8-18
Troubleshooting
8.4.34 Error # 52: Self Test Laser Stop Button Error

Description: Laser Stop Button appears to be pressed during self test
procedure.
Error Type: Warning Message - WM
Screen Notification: “52-Self Test Laser Stop Button Error-Please

restart system”
Corrective Action: Release Laser Stop button on system top panel;

restart the system; if error persists, check Laser
Stop harness, interface controller.
8.4.35 Error # 53: CO 2 On Line Monitor Current HW

Compare Error
Description: A discrepancy occurred while comparing online
monitor currents 1 and 2.
as a result.
Screen Notification: “53 - Current 1,2 Compare Error – Please Restart

System.If error persists, please call service.”
Corrective Action: Perform on-line monitor currents calibration in

service mode; restart the system; if error persists,
check interface controller module, HVPS
module, bobbin, and relevant harnesses.
8.4.36 Error # 54: Temperature Monitoring Error

Description: Illogical reading on temperature sensor was detected
for more than 2 seconds.
as a result.
Screen Notification: “54-Temperature Monitoring error”.
Corrective Action: Restart the system; if error persists, perform

ADCS calibration in service mode; check
interface controller, temperature sensors on
cooling system and on system fan and relevant
harnesses.
PB0000300 Rev. A 8-19

8.4.37 Error # 55: CO 2 On line Limits SW Compare

Error
Description: On line Monitor detected difference larger than ±20%
between original parameters and actual power in
internal lasing.
Error Type: Fatal Recoverable Error - R; causes the laser to stop as

a result.
Screen Notification: “55-On line monitor limit error”.
Corrective Action: Restart the system; if error persists, perform full

system calibration in service mode; check
interface controller, HVPS, bobbin, internal
power meter disk, laser tube, and relevant
harnesses.
8.4.38 Error # 56: Power Converge Error (SW)

Description: System failed to create a waveform of within 20% of
required power range in less than 8 iterations.
Error Type: Local Error; causes “Stand By mode” as a result
Screen Notification: “Power convergence Failed!”.
Corrective Action: Restart the system; if error persists, perform full

system calibration in service mode; check
interface controller, HVPS, bobbin, internal
power meter disk, laser tube, and relevant
harnesses.
8.4.39 Error # 57: Self Test Power Out Test Error

Description: Timing Error on Self Test Power Out Check.
as a result.
Screen Notification: “57-Self Test Power Out Error – Please Restart

Corrective Action: Restart the system; if error persists, check

interface controller module, HVPS, bobbin, and
laser tube.
8-20
Troubleshooting
8.4.40 Error # 65: Scanner Fire Error

Description: Scanner synchronization Error.
Scanner control signal reports faulty status.
as a result.
Screen Notification: “65-Scanner synchronization Error. Please


service.”
Corrective Action: Check connection of scanner harness between

scanner and system; Check scanner assembly,
check scanner board module; check interface
controller module, and relevant harnesses.
8.4.41 Error # 66: Self Test Scanner DSP Controller

Error
Description: Scanner communication Error.
Scanner DSP Controller reported an error while
performing self-test
Error Type: Fatal Unrecoverable Error - NR; causes the Laser to

stop as a result.
Screen Notification: ”66-Scanner communication error. Please

service.”

8.4.42 Error # 68: Self Test Unsafe Scanner

Disconnected Error
Description: An unexpected disconnection of the scanner was
detected.

stop as a result.
Screen Notification: “68-Unsecured scanner disconnection error”.

PB0000300 Rev. A 8-21


8.4.43 Error # 69: Scanner Position X/Y Axis HW Error

Description: AcuScan 120 scanner position X/Y axis test fault
during dynamic test. The AcuScan 120 scanner position
was out of range and scanner did not reach the next
lasing point in time.

stop as a result.
Screen Notification: “69-scanner position error. Please Restart


scanner and system; Load scanner calibration
data from scanner flash memory drive; Check
scanner assembly, check scanner board module;
check interface controller module, and relevant
harnesses.
8.4.44 Error # 70: Scanner Disconnected Error

Description: Scanner appears to be disconnected.

stop as a result.
Screen Notification: “70-Scanner is disconnected. Please connect”.

8-22
Troubleshooting
8.4.45 Error # 71: Scanner Board Present Error

Description: Scanner Board present Error.
System is defined to have a scanner an no scanner
board module is detected as present.

stop as a result.
Screen Notification: “71-Scanner Board present Error” – Please

service.”
Corrective Action: Check correct configuration version.

Check connection of scanner harness between
8.4.46 Error # 74: Scanner Position X Axis Error

Description: An error was detected in the position of the horizontal
plane (X-axis) mirror in the scanner.

stop as a result.
Screen Notification: “74-Scanner position (X) axis error. Please

service.”
Corrective Action: Restart the system; reload scanner calibration

parameters; check scanner harness, check
internal scanner harness (HS-1002260), check
scanner software version, check main software
version, replace scanner head, replace scanner
electronic module
PB0000300 Rev. A 8-23

8.4.47 Error # 75: Scanner Position Y Axis Error

Description: An error was detected in the position of the vertical
plane (Y-axis) mirror in the scanner.

stop as a result.
Screen Notification: “75-Scanner position (Y) axis error. Please


service.”

electronic module.
8.4.48 Error # 76: Scanner PS ±15V Error

Description: Scanner PS ±15V Error.
Measured voltage from 15.0V inlet of scanner board
module is out of range.

stop as a result.
Screen Notification: “76-Scanner PS ± 15V. Please Restart System.

If error persists, please call service.”
Corrective Action: Check connection of 15V harness between LVPS

and scanner board module; check scanner board;
check LVPS; check relevant harness
8.4.49 Error # 78: Scanner AcuBlade Error

Description: AcuBlade switch appears to be engaged

stop as a result.
Screen Notification: Scanner AcuBlade Error. Please Restart

Corrective Action: Check connection of AcuBlade to SurgiTouch

scanner; Check scanner harnesses; replace
AcuBlade.
8-24
Troubleshooting
8.4.50 Error # 79: Scanner Servo X/Y Axis not

Calibrated Error
Description: There appears to be a calibration error of the scanner
servo motors.

stop as a result.
Screen Notification: 79-Scanner Servo (X/Y) calibration error.

call service.
Corrective Action: Check scanner calibration table in service mode

against the data from production; check scanner
assembly and scanner board module.
8.4.51 Error # 82: Scanner AcuBlade Switch Pressed

Warning
Description: AcuBlade switch appears to be engaged while trying to
lase.
Error Type: WM: Warning message
Screen Notification: 82-Scanner AcuBlade switch engaged. Please

disengage to proceed.
Corrective Action: Check that the AcuBlade is not engaged, check

AcuBlade connection to scanner.
8.4.52 Error # 300: HASP Not Connected Error

Description: HASP security dongle appears to be disconnected.

stop as a result.
Screen Notification: 300 - HASP is not connected. Please Restart

Corrective Action: Check connection of HASP to GUI PC USB

connector; if error persists, switch the USB port
to one of the other free USB ports; replace the
HASP; check GUI PC.
PB0000300 Rev. A 8-25

8.4.53 Error # 301: HASP Not Valid Error

Description: HASP security dongle appears to contain invalid
information.

stop as a result.
Screen Notification: 301-HASP is not valid. Please Restart System.

If error persists, please call service.
Corrective Action: Restart the system; if error persists, replace the

HASP with the correct one.
8.4.54 Error # 302: Database Error

Description: Data corrupt in database.

stop as a result.
Screen Notification: “302-Database error. Please Restart System.

If error persists, please call service”.
Corrective Action: Restart the system; if error persists, reinstall the

software to the latest version. NOTE: When
reinstalling software, all user data and
preferences will need to be re-entered, including
user names and passwords.
8.4.55 Error # 303: Database Update Error

Description: Database structure upgrade failed while performing
software upgrade.

stop as a result.
Screen Notification: “303-Database update error. Please Restart

System. If error persists, please call service”.

software to the latest version with empty
database. NOTE: When re-installing software,
all user data and preferences will need to be re-
entered, including user names and passwords.
8-26
Troubleshooting
8.4.56 Error # 304: Software Error

Description: One of the software modules is missing or corrupt.

stop as a result.
Screen Notification: “304-Software error. Please Restart System. If

error persists, please call service”.

software to the latest version.
8.5 Other System Problems

This section describes malfunction situations that are not associated
with an error message. Follow the troubleshooting steps in the
Corrective Actions according to the order in which they appear.
8.5.1 No/Low Ignition of Laser

Description: No power or very low power is emitted by the laser
tube when lasing, even when very high power/drive
parameters have been set.
Corrective Action: Using the HVPS tester tool, determine if ignition

occurs independently of machine parameters; if
so, check interface controller and relevant
harnesses; if not, check HVPS, bobbin, laser
tube, and relevant harnesses.
8.5.2 No Sound Emitted

Description: No sound is emitted from the system
Corrective Action: Check speaker volume in the User Preferences

screen; Check speaker assembly on GUI PC;
Check GUI PC.
PB0000300 Rev. A 8-27

8.5.3 Wrong Colors/Faulty Image/No Image on

Display
Description: The LCD display presents distorted images, or wrong
colors, or fails to display an image.
Corrective Action: Check display harnesses connection to GUI PC;

check display harnesses integrity (pay special
attention to LVDS connector on GUI PC side);
Check display assembly; Check GUI PC.
8.5.4 Touch-Screen Not Reacting as Expected

Description: The touch-screen does not correctly track finger
movements across the screen.
Corrective Action: Check touch screen USB cable connection to

GUI PC. Perform touch screen calibration
procedure; if problem persists, check the display
assembly.
8.5.5 Truncated or Misformed Shapes Created by

Scanner
Description: The shapes created by the scanner appear distorted,
asymmetrical, or incomplete or truncated.
Corrective Action: Use the scanner cross-harness tool to determine

if the problem is with the scanner assembly or
scanner board module.Check the appropriate
module.
8.5.6 Scanner “Whistling”

Description: Scanner emitting sharp whirring mechanical noises
when connected to the system.

electronic module.
8-28
Troubleshooting
8.5.7 Cannot Login to the System

Description: Login button is grayed-out and/or unresponsive.
This is the result of bad communication between the

GUI PC and the Interface/Controller module while the
system is loading. Since the software cannot detect that
it is connected to a working machine, it doesn't allow
the user to login.
Corrective Action: Perform the following steps:
1. Check all harnesses between the GUI PC and Interface Module

(check that they are secure and that there is no integrity problem
like loose wires or shorts).
2. Check that the interface/controller module harness is securely
connected to the Low Voltage Power Supply (both the green
connector and the screwed on lines)
3. Check that the voltage lines that go out of the LVPS are screwed on
facing outwards from the screw (see Figure 8-1) to minimize noise.
Figure 8-1 LVPS Voltage Lines Facing Outwards
PB0000300 Rev. A 8-29

If the above does not solve the problem, follow the procedure below to
check the integrity of the COM harness inside the GUI PC:
1. Take the GUI PC out of the unit by disconnecting all the harnesses
and releasing the captive screws.
2. Open the covers of the GUI PC by unscrewing the Phillips screws.
3. Refer to Figure 8-2 and locate the COM harness (marked in red).
Figure 8-2 COM Harness Location
4. Gently disconnect the harness.

5. Inspect the harness' connector: a hairline gap might be visible,
meaning that the harness connector is not fully mounted
(see the marked gap in Figure 8-3).
8-30
Troubleshooting
Figure 8-3 Harness connector Not Fully Mounted
6. Using a flat surface and a stable, relatively heavy tool (for example
a screwdriver handle or scissors), lightly tap on the connector until
the gap is fully closed (see Figure 8-4).
Figure 8-4 Harness Fully Closed
7. Make sure the gap is invisible on both sides of the connector.

8. Reconnect the connector to the board of the PC (warning - make
sure to use the correct placement – in the case Figure 8-2, it is the
lower slot that is marked in red. Using the other slot will result in
the unit malfunctioning).
9. Close the covers of the GUI PC by replacing the Phillips screws.
10. Replace the GUI PC in the unit and reconnect all harnesses.
11. Turn on the unit and verify that the problem is solved.
PB0000300 Rev. A 8-31

8.6 The FPGA Status Register Bits (from

LSB to MSB)
• Bit 0 indicates OK
• Bit 1 indicates Error
Bit SW Name Description Note

0 Timing_Count_n Timing Count n is higher than expected Status = 2001

1 Repeat_Count_N Repeat Count N is higher than Status = 1002
expected
2 Repeat_Low Repeat On Time is Short Status = 1004

3 Repeat_High Repeat On Time is Long Status = 1008
4 nRepeat_Period_Low Repeat Period is Short Status = 1010
5 nRepeat_Period_High Repeat Period is Long Status = 1020
6 Timing_Low Timing Pulse Width On Time is Short Status = 2040

7 Timing_High Timing Pulse Width On Time is Long Status = 2080
8 nTiming_Period_Low Timing Pulse Period is Short Status = 2100
9 nTiming_Period_High Timing Pulse Period is Long Status = 2200
10 Status = 2400
11 Status = 2800
12 Status = 1000 + 000n

13 Status = 2000 + 0n00
14 Status = 4000
15 Status = 8000
8.7 System Operation after Error States

in User Mode
When the System during passing the “Self Test” or during entering to
“Stand By mode” or during entering to “Ready mode” detects a
malfunction, it will notify the operator by sending an Error message to
the GUI screen.
Each Error message contains an error number and short error

description.
8-32
Troubleshooting
Errors will be of two types:
• Local Error – Lasing stops and details recorded to the Error Log;
user is notified on the GUI screen with the Error Number and then
will return System to the “Stand By” mode and lets the user to
operate all functionality, including entering “Ready” mode.
• Fatal Error – Lasing stops and details recorded to the Error Log;
user is notified on the GUI screen with the Error Number and in case
of real “Fatal Error – NR” will write the line “The System needs to
Restart, Press “OK” to continue”, and then retry to operate the
system again after Restart and Self Test. Or in case of a simple
Safety “Fatal Error –R” like “Door Interlock” or “Mast Interlock”
will write the line “The System needs to solve Safety Error, after
solving Press “OK” to continue”, and then retry to operate the
system in the “Stand By” mode and will let the user to operate all
functionality including entering “Ready” mode.
8.7.1 System Footswitch Operating Error States
FS_READY S1 (NO) S2 (NC) Error Type Error Num Description

1 0 0 F 8 Short Wires
1 0 1 F 7 Short in S1
1 1 1 -- O.K.
0 0 1 * FS Pressed
0 1 0 -- FS not Pressed
0 1 1 L 9 FS not connected
Error Types: F = Fatal, L = Local
If the System exceeds Ready mode for more than 5 seconds after the
Foot Switch is pressed, the software waits until the Footswitch is
released and then the user can press it again to operate the Laser.
Because of jumping of the Switches, software will need to check the

Foot Switch inputs 200mSec after the first Interrupt from switches.
PB0000300 Rev. A 8-33

Figure 8-5 Switch Diagram - Footswitch
8-34
C H A P T E R
MODULE REPLACEMENT
9.1 Introduction
This chapter describes the replacement procedure for the AcuPulse
system modules.
Warning
Before performing any replacement of modules or parts, turn off
the system and disconnect it from the main power, unless the
procedure to be followed indicates otherwise.
9.1.1 Required Tools:

• Standard FSE tool kit
• Inch Allen screwdriver set
• 9/64” Long Allen screwdriver
• Optical alignment kit
• AcuPulse tool kit
Warning
Before performing any of the procedures described in this
chapter, make sure the system is turned off, move the circuit
breaker on the back panel to the “off position”, disconnect the
power cable and engage the wheels’ brake pedal.
PB0000300 Rev. A 9-1

9.2 External Components Replacement

The external components of the AcuPulse that can be replaced include
the following:
• Front cover
• Front and rear handles
• Filters and filter covers

• Articulated arm clamps
• Cord wrap hooks
9.2.1 Front Cover Removal

AcuPulse is enclosed in a chassis on to which all the modules are
mounted. In order to gain access to the chassis, the system front cover
must be removed.
The front cover is attached to the chassis by six Allen screws that are
accessible from the back of the main chassis.
Caution
When opening or closing the chassis, always handle with care to
avoid causing scratches or other damage to the system’s exterior
surface. Pay special attention to the touch screen apparatus on
the front cover.
To open the front cover, perform the following:
1. Release but don’t remove the six 9/64” Allen screws (marked by
arrows) from the system’s back side (see Figure 9-1).
9-2
Module Replacement
Figure 9-1 Remove Six Allen Screws from Back
2. Hold the front cover with both hands; pull back and off the main
chassis.
3. Extend the two holding hooks on the side of the main chassis (see
Figure 9-2). Slightly loosen the black knob to make room for the
upper holding hook.
upper holding hook lower holding hook
Figure 9-2 Holding Hooks
4. Hang the front cover on the holding hooks securely.
PB0000300 Rev. A 9-3

Figure 9-3 Front Cover Open and Secured on Holding Hooks
To close the front cover, perform the steps above in reverse order.
9.2.2 Handle Replacement

The AcuPulse system has 3 handles on the chassis – one in front and
two in the back (see Figure 9-4).
front handle
rear handles
Figure 9-4 AcuPulse System Handles Location
To replace one or more of them, perform the following:
9-4
Module Replacement
Front Handle Replacement

1. Remove the front cover (see ‘Front Cover Removal’ on page 9-2).
2. Remove the 4 Allen screws and washers that hold the handle
bracket on the inside of the front cover.
Note
Take care not to let the tension cord snap.
Figure 9-5 Remove 4 Allen Screws
3. Remove the handle.
To install the handle, perform the above steps in reverse order.
Rear Handle Replacement

Each handle is held by 2 Allen screws with washers, fixed to the inner
side of the main chassis.
Caution
Note that the left side handle (see Figure 9-6) is located behind
the laser tube; take extreme care to avoid damaging or
misaligning the laser or its optics.
PB0000300 Rev. A 9-5

Figure 9-6 Screws Behind Laser Tube for Left Side Handle
To remove the left side back handle:
1. Remove the 2 Allen screws with washers that hold the handle to the
inside side of the chassis.
To remove the right side back handle:
1. Open the front cover.

2. Remove the SurgiTouch scanner module (optional).
3. Remove the PC module (see ‘Replacing the GUI PC” on page 9-
11).
4. Remove the 2 Allen screws with washers that hold the handle to the
inside side of the chassis.
9-6
Module Replacement
9.2.3 Filters and Filter Covers Replacement

The AcuPulse system has 2 filters on the back of the chassis and one
filter on the inner side of the front chassis (see Figure 9-7).
Figure 9-7 Filter Locations
9.2.4 Front Filter Replacement

To replace the front filter, perform the following (see Figure 9-8):
1. Remove the 5 Phillips screws and washers from the filter.
Figure 9-8 Removing the Front Filter
2. Remove the filter.
To mount the filter, perform the above steps in reverse order.
9.2.5 Rear Filters and Filter Covers Replacement

Replacing the rear filters and filter covers does not require opening the
chassis.
PB0000300 Rev. A 9-7

To replace one or more of the filters, perform the following:
1. Remove the 4 Phillips screws from each filter cover (Figure 9-9).
Figure 9-9 Filter Cover Screws
2. Remove the filter cover from the chassis.

3. Separate the two parts of the filter cover to reveal the filter.
To install the filters and filter cover, perform the above steps in reverse
order.
9.2.6 Arm Clamps Replacement

There are two clamps that secure the articulated arm in its stored
position. Pliers are required for replacing the arm clamps on the back of
the unit.
Each clamp is extracted directly from the back of the unit by doing the
following:
9-8
Module Replacement
clamp
clamp
Figure 9-10 Arm Clamps Locations
1. Unlock and release the articulated arm from its storing location.
2. Firmly grip the clamp with the pliers.
3. Pull the clamp straight out of the system.
To install the clamp, push it into the appropriate hole in the back side of
the unit.
PB0000300 Rev. A 9-9

9.2.7 Cable Wrap Hooks Replacement

The main power cable is stored on the cable wrap hooks.
cable wrap hooks
Figure 9-11 Cable Wrap Hooks Location
To replace the cable wrap hooks, open the front cover and perform the
following:
Note
For the upper cord wrap hook, the interface module must first be
removed.
1. Remove the Philips screw from the main chassis (see pic).
Figure 9-12 Remove Screw
9-10
Module Replacement
2. Remove the cable wrap hook from the back of the system.
To install the cable hooks, perform the steps above in reverse order.
9.3 Replacing the GUI PC

To replace the GUI PC, open the chassis and perform the following
(refer to Figure 9-13):
1. Unscrew the three captive screws that hold the GUI PC to the
chassis (two on the left and one on the right).
2. Carefully disconnect the following cables from their connectors
(see Figure 9-13):
• Power Molex
connector
• GPIO (LVDS)
• Touch screen ground
control wires
• Display control
• 3 USB cables
• COM1
• COM2
• VGA
• LAN
ground
wires
Figure 9-13 PC Module
3. Disconnect all the earth wiring connections, three upper and three
lower.
4. Remove the GUI PC module.
5. To mount the GUI PC, perform the steps above in reverse order.
PB0000300 Rev. A 9-11

9.4 Replacing the Display Assembly

To replace the display assembly, open the chassis and perform the
following:
1. Remove the GUI PC module (see ‘Replacing the GUI PC’ on

page 9-11).
2. Disconnect the display cables from the GUI PC (USB, touch screen
cable and LVDS cable), and grounding wires.
Figure 9-14 GUI PC Harnesses
3. Disconnect the earth wiring from the chassis spine.

4. Push the touch-screen display down into its housing.
5. Unscrew eight Phillips screws that hold the display assembly to the
front cover. Access is from the inside of the front cover through
dedicated holes (See Figure 9-15).
Figure 9-15 Eight Screws Holding the Display Assembly
9-12
Module Replacement
6. Remove the hinge bracket on the cable side by disconnecting the

two Philips screws.
7. Carefully remove the display assembly from the front cover by
sliding it out.
8. Carefully pull the cables through the display assembly hole in the
front cover to completely separate the display assembly from the
chassis front cover.
To mount the display chassis, perform the steps above in reverse order.
9.5 Replacing the Interface/Controller

Assembly
Warning
Make sure that the system is disconnected from the main wall
power and that the circuit breaker on the back panel is set to the
“off” position before attempting to handle the interface/
controller assembly, since it regulates the power for several
other modules in the system and controls the logical “on/off”
status of the LVPS.
To replace the interface/controller assembly, open the chassis and

perform the following:
1. Unscrew the two captive screws that hold the interface/controller

assembly to the chassis (one upper and one lower screw - see
Figure 9-16).
PB0000300 Rev. A 9-13

)
Lower Captive Screw
Upper Captive Screw
Figure 9-16 Releasing Captive Screws on Interface/Controller
2. Carefully disconnect the following cables from their connectors in

the order below:
• Power (J1)
• GUI (J2) and ground wire
• LVPS control (J15)
• Shutter (J3)
• Scanner harness (J4) if connected
• Emergency Switch (J5)
• Aiming Beam (J8)
• HVPS (J9) flat cable
• Foot Switch (J10)
• Cooling Fan (J11)
• System Fan (J12)
• Fluorinert Coolant Pump (J13) and ground wire
• Air Pump (J14) and system ground wire
• 6-pin Molex (J15) coming from the LVPS control.
3. Slide the Interface/Controller assembly out of its location.
To mount the interface/controller assembly, perform the above steps in

reverse order.
9-14
Module Replacement
9.6 Replacing the Low Voltage Power

Supply (LVPS)
Warning
Make sure that the system is disconnected from the electrical
grid and that the circuit breaker on the back panel is set to the
“off” position before attempting to handle the LVPS, to reduce
the risk of electrical shock.
To replace the Low Voltage Power Supply, open the chassis and
1. Remove the guard bracket by releasing the 2 Philips screws (see

Figure 9-17).
remove 2 screws on
bracket
Figure 9-17 Remove Guard Bracket from LVPS
2. Disconnect the main power cable from the bottom part of the
LVPS.
PB0000300 Rev. A 9-15

Figure 9-18 Main Power Cable from LVPS
3. Disconnect the LVPS control cable (J15) from the Interface

Controller assembly (see Figure 9-19). Do not disconnect this
cable from the LVPS unit.
Figure 9-19 disconnecting LVPS Control Cable
4. From the top of the module, disconnect the power harness from the
Interface Controller assembly (J1). Do not disconnect this cable
from the LVPS unit (see Figure 9-20).
9-16
Module Replacement
J1
Figure 9-20 Disconnect from J1
5. Unscrew the 4 captive screws that hold the LVPS to the chassis
body (see Figure 9-21). Carefully slide the module partially out of
its location.
Figure 9-21 Remove Captive Screws from LVPS
6. Carefully disconnect the following cables coming from the HVPS

(see Figure 9-22):
• 15V harness to scanner (green plug)
• 110 V to LVPS (double red and black wires)
Note
If needed, cut the tie wraps holding the cables down.
PB0000300 Rev. A 9-17

15V harness
110V double
red and black
wires
Figure 9-22 Disconnect HV Connections
7. If needed, remove the 4 Phillips screws to separate the LVPS from

its mounting plate.
To mount the LVPS, perform the above steps in reverse order.
9.7 Scanner Module Replacement

To replace the Scanner module, open the chassis and perform the
following:
1. Disconnect the following connections:

• P1
• J4 power cable (Molex connector) coming from the scanner to
the LVPS.
• J7 flat cable going to the interface
2. Release the 2 hex nuts to release the ground wires.
3. Release the three captive screws (one on the left side and two on the
right side) holding the module to the chassis.
To mount the scanner module, perform the above steps in reverse
order.
Note
after replacing a scanner module, it is necessary to load the scanner
calibration data into the module for each scanner that the system is
working with (see ‘Loading New Scanner Data’ on page 7-52).
9-18
Module Replacement
P1
ground
J4
J7
ground
Figure 9-23 Scanner Module Connections
PB0000300 Rev. A 9-19

9.8 Replacing the High Voltage Power

Supply
Warning
To reduce the risk of electrical shock, make sure that the system
is disconnected from the electrical grid and that the circuit

breaker on the back panel is set to the “off” position before
attempting to handle the HVPS assembly.
Also make sure to ground the HVPS bobbin connectors by

touching them to a metal part of the chassis before handling the
parts.
To replace the HVPS perform the following:
1. From the top of the HVPS, disconnect the 110V power cable Molex
connector from its location at the top of the HVPS (see Figure 9-
24).
Figure 9-24 Disconnect 110V Power Cable
2. Release the two captive screws and swing the HVPS module open
(see Figure 9-25).
9-20
Module Replacement
captive screw
captive screw
Figure 9-25 Release the HVPS Captive Screws
3. Carefully disconnect the two high voltage connectors between the

bobbin and the laser tube (see Figure 9-26), and immediately touch
the connectors to a grounded metal surface to avoid electrical
shock.
Connected Disconnected
Figure 9-26 Disconnect HV Connectors
PB0000300 Rev. A 9-21

4. Disconnect the 2-pin Molex Bobbin cable from its connector (see
Figure 9-27).
Figure 9-27 Disconnect Bobbin Cable
5. Disconnect the HVPS control harness (flat cable) from its

connector (see Figure 9-28).
Figure 9-28 Disconnect HVPS Control Harness
6. Remove the 4 Philips screws from the back of the HVPS mounting
plate. (see Figure 9-29).
9-22
Module Replacement
Figure 9-29 Removing HVPS from Mounting Plate
7. Carefully remove the HVPS from the mounting plate.

8. To mount the HVPS, perform the above steps in reverse order.
9.9 Replacing the HVPS Bobbin

To replace the HVPS bobbin, perform the following:
1. Carefully disconnect the two high voltage connectors between the

bobbin and the laser tube (see Figure 9-26), and immediately touch
shock.
2. Disconnect the bobbin cable from its connector on the HVPS (see
Figure 9-27).
3. Remove the 2 nuts from the screws on the side of the mounting
plate (see Figure 9-30).
PB0000300 Rev. A 9-23

Figure 9-30 Remove Nuts from Mounting Plate
4. Carefully remove the HVPS bobbin by sliding it to the side off its
metal bracket.
9.9.1 Replacing the Air Pump Assembly

To replace the air pump, carefully lay the machine on its back side and
1. Open the bottom panel by releasing the 7 screws (see Figure 9-31)
Figure 9-31 Open Bottom Panel
9-24
Module Replacement
2. Disconnect the fan harness.

3. Disconnect the air pump harness from the chassis base.
4. Disconnect the thermal sensor plug.
Figure 9-32 Disconnect Connections to Air Pump
5. Disconnect the temperature probe harness from the chassis base.

6. Remove the 4 Philips screws from the air-pump assembly bottom to
expose the air pump (see Figure 9-33).
Figure 9-33 Air Pump Bottom
7. Pull the air pump assembly from the bottom of the unit.
Note
Take care not to pull to hard; the attached sensor harness is very
fragile.
PB0000300 Rev. A 9-25

8. Disconnect the air hose quick-connector from the air pump by

lightly pressing on the hose connector and simultaneously pulling
the hose (see Figure 9-34).
Figure 9-34 Release Air Pump Quick-Connector
To mount the air pump assembly, perform the above steps in reverse
order.
9.10 Replacing the Cooling System

Modules
Before replacing or removing any part of the cooling system, prepare
some tie-wraps that will be used to cut off water flow and avoid leaks.
9.10.1 Refilling the System with Fluorinert Coolant

In order to fill the system with Fluorinert liquid, the draining receptacle
and AcuPulse fitting adaptor tubes are required.
To fill up the system with Fluorinert from the draining receptacle, open
the chassis and perform the following:
1. Turn off the system and switch the circuit breaker to the "Off"
position.
9-26
Module Replacement
2. Make sure the draining receptacle is empty and that its screw-on lid
is firmly closed.
3. Connect the AcuPulse fitting adaptor tubes to the draining
receptacle. A click should be heard.
4. Connect the plastic fittings on the AcuPulse fitting adaptor tubes to
the fittings on the system (see pic).
5. Turn on the system by switching the circuit breaker to the "On"
position and pressing the green Start button.

6. Flow in the cooling system will start and the Fluorinert liquid will
fill up the system.
7. Let the system run for several minutes until it is clear that the
expansion tank has filled up.
Caution
The expansion tank should not be filled up to bursting – allow
some room. When pressed upon, the tank should still be slightly
squeezable.
8. When the system is full, turn it off by pressing on the green Start
button and switching the circuit breaker to the "Off" position.
9. Disconnect the AcuPulse fitting adaptor tubes from the system and
close the system fittings (see pic).
9.10.2 Replacing the Cooling Pump

To replace the cooling pump, open the chassis and perform the
following:
1. Release the nuts holding the Fluorinert tubes in place.
PB0000300 Rev. A 9-27

Fluoriner
t tubes
Fluorinert
tubes
Figure 9-35 Cooling Pump
2. Carefully release the Fluorinert tubes from the cooling pump and
tie them off with T-wraps to avoid leaks (see Figure 9-36).
Figure 9-36 Tie off Coolant Tubes
3. Release the Allen screws holding the pump to the chassis.
Figure 9-37 Release Screws Holding Pump
4. Remove the pump.
9-28
Module Replacement
To mount the cooling pump, performs the steps above in reverse order.
9.10.3 Replacing the Expansion Tank

To replace the expansion tank, open the chassis and perform the
following:
1. Release the nut holding the Fluorinert tube to the expansion tank
(see Figure 9-38) and tie off the tube with a T-wrap to avoid leaks.
Figure 9-38 Disconnect Tube to Expansion Tank
2. Release the two Philips screws that hold the expansion tank to the
chassis (see Figure 9-39).
Figure 9-39 Release Screws Holding Expansion Tank
PB0000300 Rev. A 9-29

3. Slide the expansion tank out from under the holders.
To mount the expansion tank, perform the above steps in reverse order.
9.10.4 Replacing the Flow Switch

To replace the flow switch, open the chassis and perform the following:
1. Remove the two Philips screws of the bracket holding the flow
switch in place.
tube
screw screw tube
Figure 9-40 Flow Switch Removal

3. Carefully release the Fluorinert tubes from the flow switch and tie
them off with T-wraps to avoid leaks.
4. Remove the flow switch.
To mount the flow switch, perform the steps above in reverse order.
9.10.5 Replacing the Heat Exchanger

To replace the heat exchanger, open the chassis and perform the
following:
1. Remove the flow switch (see "replacing the flow switch" section
above")
9-30
Module Replacement
3. Carefully release the Fluorinert tubes and tie them off with T-wraps
to avoid leaks.
4. Release the Allen screws holding the heat exchanger to the chassis
(see Figure 9-41).
Figure 9-41 Release Screws on Heat Exchanger
5. Remove the heat exchanger by carefully sliding out towards you.
To mount the heat exchanger, perform the steps above in reverse order.
9.11 Replacing the Optical Components

After replacing one of the optical components (optical bench, CO2 laser
tube, aiming diode or articulated arm), optical alignment must be
checked (see "optical alignment" section). Note that the system is
designed to keep alignment even when one of the optical modules is
replaced, but in order to ensure patient and user safety, this must be
checked each time one of the optical components is affected in any
way.
9.11.1 Replacing the Beam Delivery System

(Articulated Arm)
To replace the articulated arm, deploy the arm to its upwards position
and perform the following:
PB0000300 Rev. A 9-31

1. Detach any accessories (including the SurgiTouch scanner) or

cables from the arm.
2. Disconnect the air purge tube.
3. Rotate the arm on its base until the access hole shows one of the
allen screws (see Figure 9-42).
Figure 9-42 Rotate the Arm on its Base to Access Hole
4. Remove the Allen screw through the access hole.

5. While holding the arm firmly for support, repeat steps 3-4 for the 2
other Allen screws that hold the arm to the AcuPulse body. (A total
of 3 Allen screws should be removed).
Figure 9-43 Disconnect Air Purge Tube
6. Carefully pull the arm upwards an away from the body.

7. Make sure that articulated arm is kept on a stable, smooth surface
and avoid scratches of falls that could compromise the mirrors
alignment.
9-32
Module Replacement
To mount the articulated arm, perform the following:
1. Using the alignment pins, mount the arm in the correct position on
the mounting base. The elliptical shaped hole should align with the
pin closest to the front side of the unit. (see Figure 9-44).
alignment pins
elliptical alignment hole
Figure 9-44 Mounting the Arm
2. While holding it firmly, rotate the arm on its base until the access
hole is directly over a screw thread.
3. Insert an Allen screw into the thread and tighten it.
4. Repeat steps 3-4 for the two remaining Allen screw/thread pairs.
5. Verify that the arm is held firmly and that the base joint is rotating
freely 360°around its axis.
6. Perform an optical alignment check (see section) to make sure that
the articulated arm and all its mirrors are perfectly aligned with the
CO2 laser and aiming beams.
9.11.2 Cleaning the Optical System

The articulated arm mirrors must always be free of any dust. Otherwise
the laser beam will burn and damage the coating. Any defects on the
mirrors can usually be observed both through a drop in power and as a
degradation in beam shape. Before removing a mirror, prepare the
following equipment:
• A clean work surface covered with a white cloth.

• Optical grade (lint-free) lens tissue, such as Kodak lens cleaning
paper or equivalent.
PB0000300 Rev. A 9-33

• Acetone, ethyl alcohol, methanol or isopropane alcohol (APA) of

spectroscopic quality.
Caution
Use only the solvents listed above to clean a mirror. The solvents
must be of spectroscopic quality. Inferior agents can remove the
coating from the mirrors.
When cleaning a mirror, always handle it by its edge or uncoated

side.
Mirror Cleaning
1. Position the mirror on the mirror housing with the side to be
cleaned facing upward, and place the mirror housing on the work
surface.
2. Place a sheet of lens tissue over the mirror surface and saturate it
with 3-4 drops of solvent. Gently pull the tissue across the mirror
surface.
3. Repeat this procedure, using new lens tissue each time, until the
mirror appears. Clean. Never rub the mirror surface. Clean from the
center towards the edge of the mirror.
4. Verify that the mirror center (up to a diameter of 15mm) is free of
scratches and burns before replacing the mirror.
9.11.3 Replacing the Aiming Beam Diode Module

To replace the aiming beam diode module, open the chassis and
1. Disconnect the aiming beam diode from its harness (see pic)
2. Release the two holding Allen screws on each side of the aiming
diode (see pic)
3. Pull the aiming diode module up to release if from the aiming plate.
(see pic)
To mount the aiming beam diode module, perform the steps above in
reverse order, then perform an aiming beam optical alignment
procedure (see ‘Aiming Beam Diode Alignment Check/Procedure
(Angular and Depth Alignment)’ on page 7-4).
9-34
Module Replacement
9.11.4 Replacing the Optical Bench

To replace the optical bench, open the chassis and perform the
following:
1. Make sure the system is turned off, the circuit breaker is in the "off"
position and that the system is not plugged into an electrical socket.
2. Carefully disconnect the two high voltage cables between the HV
filter and the laser tube (see Figure 9-26), and immediately touch
shock.
3. Remove the ground bracket by unscrewing the 2 captive screws.
(see picture)
Figure 9-45 Ground Bracket
4. Remove the expansion tank (see ‘Replacing the Expansion

Tank’ on page 9-29).
5. Disconnect the cooling fluid tube from the flow switch and tie it off
with a tie-wrap to prevent leaks.
disconnect
Figure 9-46 Cooling Fluid Tube from Flow Switch
PB0000300 Rev. A 9-35

6. Disconnect the quick release connector for the cooling fluid (see
picture)
Connector Closed Connector Open
Figure 9-47
7. Disconnect the aiming beam diode harness from the diode.
Figure 9-48 Diode Harness
8. Disconnect the J3 connector on the beam combiner.
9-36
Module Replacement
Figure 9-49 Harness on Beam Combiner
9. Remove the articulated arm (beam delivery system) and store it on

a stable, flat surface to avoid accidental scratches or falls (see
‘Replacing the Beam Delivery System (Articulated Arm)’ on
page 9-31).
10. Release the eight Allen bolts (four upper and four lower) holding
the chassis in its location.
UPPER
LOWER
Figure 9-50 Chassis Bolts - Upper and Lower
11. Carefully slide the optical bench out of its location.

12. To install the optical bench, perform the steps above in reverse
order.
PB0000300 Rev. A 9-37

13. After installing the optical bench, perform full optical alignment as
described in Section 7.1 Optical Alignments.
9.11.5 Removing the CO 2 Laser Tube

Perform the following procedure only after removing the optical bench
from the unit (see ‘Replacing the Optical Bench’ on page 9-35). Please
the bench on a clean 1.5 x 0.5m (60” x 20”) table with the laser tube
facing upwards.
Caution
Do not touch the front mirror. Do not apply pressure to the rear
mirror or on the laser tube protrusions. Hold the laser tube by its
widest diameter only.
1. Remove the antistatic foam the laser tube by cutting its tie-wrap
(see Figure 9-51). Cut any other tie wraps holding cables to the
laser tube as needed.
Figure 9-51 Remove Anti-static Foam
2. Loosen and remove the 2 securing Allen screws and its small
bracket from the tube housing (see Figure 9-52).
9-38
Module Replacement
Figure 9-52 Remove 2 Securing Screws
3. Slide the laser tube carefully towards the rear section of the bench;
take care not to let the fixing pins of the supporting rings fall out.
9.11.6 Installing the CO 2 Laser Tube

Before installing the laser tube back into the optical bench, apply a thin
layer of petroleum jelly to the support rings.
Make sure not to touch the front mirror when installing the tube (see
Figure 9-53).
Figure 9-53 Laser Tube Installation - Front Mirror
1. Carefully insert the tube into the bench until the bearings almost
reach the supporting plates (see Figure 9-54).
PB0000300 Rev. A 9-39

Figure 9-54 Installing the Laser Tube
2. While inserting the tube into the bench, do not allow the fixing pins
of the supporting rings to fall out. Use a small, gently rotating
motion to insert the tube past the supporting plates. The fixing pins
should align directly under the 2 large adjusting screws (see Figure
9-55).
adjusting screw
fixing pin
Figure 9-55 Fixing Pins Aligned
3. Gently push the tube forward. Insert the front mirror into the
protective dust sleeve of the beam combiner assembly.
9-40
Module Replacement
Figure 9-56 Insert Mirror in Dust Sleeve of Beam Combiner
4. Tighten the 2 securing Allen screws back in their place.

5. Replace the anti-static foam and secure with a 368 mm tie-wrap.
Verify that the foam touches the front supporting plate.
9.11.7 Beam Combiner Assembly Replacement

1. Disconnect the coolant tube from the beam combiner assembly (see
Figure 9-57.
Figure 9-57 Disconnect Coolant Tube on Beam Combiner
2. From the top of the optical bench, release the 2 nuts that hold the
beam combiner assembly in its location (see Figure 9-58).
Figure 9-58 Releasing 2 Nuts on Beam Combiner
PB0000300 Rev. A 9-41

9-42
C H A P T E R
SPARE PARTS CATALOG
10.1 Introduction
This chapter is divided into three sections:
• Spare parts (see Section ‘Spare Parts’ on page 10-2).

• Accessories and Consumables (see Section ‘Optical Components’ on
page 10-11).
• Special tools (see Section ‘Special Tools’ on page 10-14).
Each section contains a list of the parts that are relevant to that section
and their respective part numbers. In most cases the tables are preceded
by appropriate illustrations, as shown in Figure 10-1.
PB0000300 Rev. A 10-1

Figure 10-1 Spare Parts List Example
The Item column of the table indicates the item number as shown in the
preceding illustration. The letters NS indicate that the item is not shown
in the illustration.
The Description column provides the item's name and/or a brief

description.
The Part No. column offers the item's part number, by which it should
be ordered from Lumenis.
10.2 Spare Parts

This section is divided into several sub-sections, according to the
system's modules. Each sub-section contains the spare parts
information for its respective module.
Figure 10-2 exhibits the system opened, allowing easy location of the
system's modules. A callout pointing at each module indicates the
section number (Sec.) where the appropriate spare parts are listed.
To find the entry for a component:
1. Locate the module in Figure 10-2, and refer to the appropriate

section as indicated by section numbers.
2. Within the appropriate section, locate the desired item in the
illustration and then find its part number in the appropriate table.
10-2
Spare Parts Catalog
‘Computer and Display’ on page 10-4

‘Optical
Components’
on page 10-11
‘Electronic
Components’
on page 10-5
‘HVPS’ on
page 10-10
‘Cooling System’ on page 10-7 ‘Covers and Exterior

Components’ on page 10-8
Figure 10-2 System Front View
PB0000300 Rev. A 10-3

10.2.1 Computer and Display
1
2
Figure 10-3 Computer and Display
Item Description Part Number

1 AcuPulse Display Assembly SP-1028710
2 Compact Flash 1 GB EL0003603
3 AcuPulse PC Assembly SP-1028740
10-4
Spare Parts Catalog
10.2.2 Electronic Components
1
panel not included
Figure 10-4 Electronic Components

1 AcuPulse interface controller SP-1028730
2 AcuPulse LVPS Assembly SP-1028810
3 System fan assy SA-1007180
4 Operator pushbutton (green button) ST0000020
Operator pushbutton (button housing) ST0000010
PB0000300 Rev. A 10-5

10.2.3 Harnesses
1 2
5
6
3 4
Figure 10-5 Harnesses

1 Laser indication harness HS-1000390
2 On/off harness HS-1000620
3 Scanner Output harness HS-1002260
4 Com1 harness HS-1004350
5 Mushroom head pushbutton switch ST1002450
6 Operator pushbutton (green button) ST0000020
Operator pushbutton (button housing) ST0000010
NS Circuit breaker harness HS-1000700
NS Speaker harness HS-1000690
10-6
Spare Parts Catalog
1 2
3 4
Figure 10-6 Cooling System Components

1 Cooling system fan assy SA-1007710
2 Flow switch assy SA-1006740
3 Expansion tank assy SA-1005500
4 Coolant Pump Assembly SA-1005260
5 Air pump (not including mounting plate) SP-1004600
PB0000300 Rev. A 10-7

10.2.5 Covers and Exterior Components
1 2
3 4
5 6
Figure 10-7 Covers and Exterior Components
10-8
Spare Parts Catalog

1 Wheel HW0000020
2 Grip for front cover MI-1001880
3 Left back handle grip MI-1005540
4 Right back handle grip MI-1006730
5 Clamp PI2412100
6 Lh air filter assy SA-1006940

7 Rh air filter assy SA-1007230
PB0000300 Rev. A 10-9

10.2.6 HVPS
Figure 10-8 HVPS

1 HVPS bobbin assy SA-1005240
2 AcuPulse HVPS SA-1028820
P
10-10
Spare Parts Catalog
10.2.7 Optical Components
1 2
Figure 10-9 Optical Components

1 AcuPulse Delivery System (articulated arm) KT-1028750
2 Sealed off laser (not including bench) KT-1028700
3 Diode Aiming Beam SP-1028830
4 Beam Combiner and Shutter SP-1028840
NS Arm Mirror PO2256110
NS Endjoint mirror PO0238310
PB0000300 Rev. A 10-11

10.3 Miscellaneous
1 2
Figure 10-10 Miscellaneous

1 Foldable foot switch assembly SA-1005080
2 Operator Manual Surgical Systems UM-1053720
Operator Manual Aesthetic Systems UM-1061050
NS Service Manual PB0000300
10-12
Spare Parts Catalog
10.4 Scanners and Accessories
1,2 3
5 6
Figure 10-11 Scanners and Accessories

1 Surgical AcuPulse Scanner Electronic Board SP-1028720
2 Aesthetic AcuPulse Scanner Electronic Board SP-1028760
3 AcuPulse ST Scanner Replacement Kit SP-1028780
4 AcuScan 120 Scanner Replacement Kit SP-1028790
5 125 mm Handpiece Kit AA0632600
6 Kit, Disposable Tips for AcuScan 120 (30 pcs) KT-1005870
PB0000300 Rev. A 10-13

10.5 Special Tools

1 2 3
5 6
8
7
9
Figure 10-12 Special Tools
10-14
Spare Parts Catalog

1 Leakage tester tool MD1472400
2 Endjoint holder clamp AJ2429500
3 Articulated Arm Alignment Kit AS2295500
4 AcuPulse Tool Kit KT-1041360
4.1 HVPS Tester tool TA-1030000
4.2 Interface Tester Tool TA-1040770

4.3 SurgiTouch Cross Harness HS-1040840
4.4 Refilling Tool AJ2728000
4.5 Adapter tubes for refilling tool KT-1030510
5 5-Start Thread Adapter SA-1008980
6 125 mm Handpiece AA2814900
7 Assembly Lens/Handpiece KT-1005880
8 Handpiece locking tool MM-1008320
9 260 mm handpiece AA2782600
NS FC-770 Fluorinert bottle (0.5 liter) KT-1051230
PB0000300 Rev. A 10-15

10-16

PB0000300 - A AcuPulse Service Manual-FINAL DRAFT

Transféré par

Informations du document

Titre original

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

PB0000300 - A AcuPulse Service Manual-FINAL DRAFT

Transféré par

Droits d'auteur :

Formats disponibles

Carbon Dioxide Laser

FINAL DRAFT - NOVEMBER 18, 2009

Lumenis, the Lumenis logo, AcuPulse, SurgiTouch, Pulser,

This manual is copyrighted with all rights reserved. Under copyright

in any other media without the express written permission of Lumenis.

Caution: U.S. law restricts this device to sale by or on the order of a

The AcuPulse system is designed to meet international safety and performance

understanding of the proper operation of the system.

This manual has been prepared to aid Lumenis-authorized technical personnel to

Regulatory European Representative:

Federal (USA) law restricts prescription medical devices to sale by or

The AcuPulse system is a precision, technical medical device that

Unauthorized modification of the hardware, software or specifications

The AcuPulse system is a precision, technical medical device. If any

AcuPulse System (Surgical) Operator Manual (P/N # UM-1053720)

AcuPulse System (Aesthetic) Operator Manual (P/N # UM-1061050)

1.2 Characteristics of the CO2 Laser Beam....................................................... 1-2

1.3 Scope of This Manual.................................................................................. 1-2

1.4 Manual Conventions.................................................................................... 1-3

1.5 Applicable Documents................................................................................. 1-4

1.6 Abbreviations and Acronyms ...................................................................... 1-4

2.2 Laser Safety Guidelines............................................................................... 2-2

2.3 Understanding and Controlling Laser Impact on Tissue ............................. 2-3

2.4 Hazards Associated with Unsafe Laser Use ................................................ 2-6

2.5 Reflection and Direct Eye Exposure Hazard ............................................... 2-7

2.6 System Safety Features.............................................................................. 2-10

2.6.5 Circuit Breaker...........................................................................................2-12

2.7 Compliance with International Standards.................................................. 2-15

2.8 Warning, Certification and Identification Labels ...................................... 2-16

3.2 Facility Requirements.................................................................................. 3-2

3.3 Unpacking the Unit...................................................................................... 3-4

3.4 Installation and Setup ................................................................................ 3-13

3.5 Initial System Testing ................................................................................ 3-22

3.6 Final Checks .............................................................................................. 3-27

3.7 Installation Report ..................................................................................... 3-34

3.8 Moving, Transporting, and Storage ........................................................... 3-38

Chapter 4: General Description

4.2 CO2 Laser Theory ....................................................................................... 4-2

4.3 AcuPulse Laser System Description............................................................ 4-2

4.4 Control Panel ............................................................................................... 4-5

4.5 Understanding Laser Delivery................................................................... 4-11

4.6 Hardware and Software Interface .............................................................. 4-14

4.7 System Specifications................................................................................ 4-15

4.8 Delivery Systems & Accessories............................................................... 4-19

PB0000300, Rev. A iii

Chapter 5: Functional Description

5.2 CO2 Laser Tube........................................................................................... 5-2

5.3 HVPS & Bobbin Assembly ......................................................................... 5-2

5.4 LVPS ........................................................................................................... 5-3

5.5 Interface/Controller Module ........................................................................ 5-4

5.6 Cooling System............................................................................................ 5-6

5.7 Industrial PC ................................................................................................ 5-9

5.8 Touch Screen Display................................................................................ 5-10

5.9 Scanner Board............................................................................................ 5-10

5.10 Beam Delivery System - Articulated Arm................................................. 5-12

5.11 Power Distribution..................................................................................... 5-15

5.12 Functional Description – Lasing................................................................ 5-16

5.13 Internal Power Meter ................................................................................. 5-18

5.14 On Line Monitor ........................................................................................ 5-19

5.15 Software..................................................................................................... 5-22

6.2 SurgiTouch Functional Description............................................................. 6-2

6.3 AcuScan 120 Functional Description .......................................................... 6-3

6.4 Scanner Calibration Procedures................................................................... 6-3