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F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Mar 26, 2015

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Page 1: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

F Care Systems

TC3000Training

Page 2: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Content TC3000 Indications Technique Treatment Protocol Results

Page 3: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

What is the TC3000

A device to treat Telangiectases, Couperosis etc. using Thermo Coagulation

Page 4: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Problem? Both Men and Women can have vein

problems. Mostly on face and legs Virtually everybody has some small

varicular veins. 55% of the women have a problem

they want to get treated.

Page 5: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

The place of the TC3000

THERMOCOAGULATION ------

MICROSCLEROSES -----------

SCLEROSES -------------------

Page 6: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Complete Phlebologist treatment Stripping or Sclerotherapy for the

large varicose veins

Micro sclerotherapy for veins >0.3 mm

Thermo coagulation for veins <0.9 mm

Page 7: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Phlebologist treatment In 67% of cases use Micro

sclerotherapy combined with TC

In 30% of cases only TC

In 7% only micro sclerotherapy

Page 8: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Facial Treatment

Just Thermo Coagulation

Page 9: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Indications

TELANGIECTASES

RETICULAR STELLAR

Page 10: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Indications

Varicosities of the feet

Page 11: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Indications

Matting

Page 12: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Indications

Couperose and Rosacea

Page 13: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

What is Thermo Coagulation Coagulation is the clotting of the

blood

Thermo Coagulation is the clotting of the blood by raising the temperature

Page 14: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Thermo Coagulation The TC3000 raises the

temperature by administering an energy pulse.

This pulse is a 4 MHz radio pulse of exact amplitude and duration.

The pulse is send by an isolated needle to be precisely on the place the coagulation is wanted.

Page 15: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Thermo Coagulation by TC3000

The TC3000 has 2 main components:

The GENERATOR : The power and duration of the pulse can be precisely controlled to achieve un optimal energetic effect while avoiding the risk of necrosis.

THE NEEDLE : an insulating sheath isolates and protects the untreated area. Only the vessel is treated, the epidermis isn’t reached.

Page 16: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

The Needle

Page 17: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

The treatmentAlthough the treatment

is basically simple there are some rules to get good results.

Rule #1: Be precise.If the vein is missed, it will look to disappear

but it will come back!!

Page 18: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Prepare Patient Put the area to be

treated horizontally

For accuracy: good light and use a loupe.

Regularly clean skin and needle

Page 19: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Select Needle Select needle

K2 = 0.055 mm K3 = 0.075 mm K6 = 0.15 mm

K3 is good for most cases K6 for veins >0.3 mm

In case of allergic reactions, a K3 gold needle can be used

Page 20: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Select Powersettings

30%, 0.2 seconds for face 30% to 50%, 0.3 to 0.4 sec. for legs Do not go above 50%.

Page 21: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Insert Needle Find the good position of the needle.

The pressure of the needle must make a net from varicosities disappear

or make the varicosity disappear on both sides of the needle.

Insert the needle perpendicular Or near perpendicular. The tip has to be in the vein

One impulse every 3..4 mm

Be very superficial, the vein is just below the surface.

Page 22: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Check result

Draw the skin with 2 hands to check if the vein has disappeared or just been masked by the edema

Page 23: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Check on next session

After 8 and 15 days do again the same inspection.

Space between impulses must be white

Page 24: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Results of using the TC3000 Instantaneous disappearance of the

variculas.

In the following minutes a little aureole appears and forms a micro scab which disappears after 2 to 6 weeks.

Page 25: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Clinical Reaction

Immediate disappearance of the telangiectases

A light erythema with papule arises quickly after the session

Page 26: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

One Session… takes 10 to 15 minutes.

corresponds to 200/500 impulses.

permits to erase from 40 to 80 cm of teleangiectases.

Page 27: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Treatment Evolution Day 0 : micro-edema

Day 8 : very small crusts which are gradually going to disappear

Day 30 : total disappearance

Page 28: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Abnormal evolution Disappearance of the edema

followed by reappearance of the varicosity over the days that follow. -> The varicosity, in reality, has not been treated correctly and the edema masked the result.

Pigmentation (always disappears)

Page 29: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Abnormal evolution Ochre marks of varying shades appearing a few

days, or even a few weeks, after the treatment. These are associated with the use of non-insulated needles (more rarely) or a technical fault (the non-insulated part of the needle, the last millimetre, is in contact with the skin), often following an overdose.

Transparent appearance of the skin (burn) - pulse too superficial 

Dotted appearance: some of the varicosities were correctly treated (wait one month and then treat the remaining part).

Page 30: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 0, Teleangiectases

Page 31: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 15, Teleangiectases

Page 32: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 21, Teleangiectases

Page 33: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 0, Angiomatosis

Page 34: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 15, Angiomatosis

Page 35: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Day 21, Angiomatosis

Page 36: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Learning curve stage 1 red and blue varicosities < 0.3 mm (non

catheterisable) isolated external leg of ankle needle K3 I power setting 30%, pulse time 0.2 sec

Remain at this stage during one month normally. The result is 100% disappearance.

Page 37: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Learning curve stage 2 varicosities < 0.3 located in the knees

and thighs parameters identical to the first stage During 15 days do only this and await the

result.

This procedure is a little more delicate as these varicosities are often fed by a venule. The correct technique should lead to a positive result approaching 100%.

Page 38: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Learning curve stage 3 isolated varicosities > 0.3 and < 0.6

mm (around twice the size of the 0.3 mm phlebological needle)

use needle K6 I

Perfect the technique, very good result

Page 39: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Learning curve stage 4 Varicosities > 0.3 grouped and fed

by a reflux

More difficult to tackle - for the best results it is preferable to treat the reflux before using microsclerosis.

Page 40: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Contra Indications

Pace Maker

Nickel Allergy (use gold needle)

Coetaneous infection

Page 41: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Advantages for doctor Neither complications nor incidents. Simple to use. Instantaneous disappearance. No allergy No pigmentation. No burns. No secondary effects. Very efficient on all kinds of variculas. All body parts

Page 42: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Advantages for patient No pain, minor discomfort No bandages. Instant Results Permits sun exposure. Can be used on all kinds of skin.

Page 43: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Alternatives? Laser

Important inflammatory reaction. Moderate efficacy. Material expensive and rapidly outdated. Risks of burns. Risks of de-pigmentations Takes 4 to 6 weeks to see results.

Electro Coagulation Problems of eviction when exposed to sun. Burns. Appearance of scabs. Risks of ecchymosis and bruises. Treatment is painful.

Page 44: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Comparison

LASER MICROSCLEROSIS

ELECTROCOAGULATION

THERMOCOAGULATION

ALLERGY NO YES NO NO

BEDSORES / BURNS YES YES YES NO

EXPERIENCE NECESSARY NO YES YES YES

VARICOSITIES < 0.3 mm YES NO YES YES

VARICOSITIES OF THE FOOT

YES NO NO YES

ALL TYPES OF SKIN NO NO NO YES

EFFECTIVENESS POOR AVERAGE AVERAGE GOOD

Page 45: F Care Systems TC3000 Training. Content TC3000 Indications Technique Treatment Protocol Results.

Conclusion The TC3000 removes unsightly veins

in a comfortable efficient way. No risks, no side effects, no pain Can be used all year, on all body

parts Immediate, lasting results