H&O Equipments accurett Instrucciones De Uso página 9

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Never touch the skin with the tip of the applicator!
The amount of liquid CO
that you wish to apply can be
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controlled by moving the applicator quickly towards and away
from the tissue. Circular and crossing movements have the
same effect.
Do not hold the Accurett applicator still above
the lesion.
Condensation of humidity in the air may in some cases create
an ice field on top of the lesion. This 'igloo of ice' will hinder the
effective working of the liquid phase of the cryogen at
-79°C/-110°F and should be removed with the applicator tip.
After thawing, the tissue turns reddish and has the aspect
of a zone of inflammation due to interstitial bleeding.
Always protect this new grown skin by using sunblock
for 8 to 20 days after the scab has come off.
The learning curve for utilizing the Accurett is short. Accurett
provides the possibility to have full control in the application of
freezing power. Start practicing on the regular lesions and treat
the more delicate ones after having acquired some experience
Duration/Depth of the treatment.
Hold the tip of the applicator close to the lesion. In all literature,
the rapid drop of temperature (thermal shock) is described as a
critical criterion. However, always relate to the part of the body
where the operation is applied. In some parts, skin is thinner
which requires more caution. A typical freeze on viral infections
may last from 5 to 10 seconds for a small flat wart to 45 seconds
for a full thickness plantar warts. For general purposes most lesions take
about 20 to 30 seconds. The duration of the treatment time will depend
on the surface area and the thickness of the tissue being treated. Thickness
must be estimated based on clinical experience.
Interact with your patients.
Generally, little or no discomfort is experienced during the first few seconds
when you manage to avoid treatment of healthy tissue. You may eventually
add a few seconds more depending on the patient's comfort level and
upon the clinical evaluation of the operation. There might be a little residual
stinging for a few minutes after treatment. Occasionally, a blister might form
and persist for a few hours.
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