For thermal ablation of saphenous veins

After the success of the Pharaoh 980 nm and following the validation of the clinical interest of the 1470 nm wavelength, LSO Medical launched the 1470 nm Endotherm™ in 2012.

This wavelength of 1470 nm combined with its “continuous” firing mode are now recognized as the Gold Standard in the thermal ablation treatment of saphenous by Laser.

All national and international recommendations are at the origin of the recognition of this Gold Standard:

Internationally:

Technical characteristics

Why the wavelength 1470 nm?

a) Selective energy delivery

The Endotherme™ 1470 laser emits infrared light with a wavelength of 1470 nm.

Emitted inside the saphenous, the light is thus absorbed by the water (its chromophore) of the venous wall and then converted into heat.

Under the effect of this heat, the venous wall is destroyed, which leads to the occlusion of the saphenous.

b) Focused energy delivery

The penetration distance of the wavelength 1470 is of the order of 300 to 400 μm. During thermal endovenous treatment, the 1470 laser acts on more than half the thickness of the venous wall (thickness between 450 and 600 μm), inducing a level of tissue damage necessary (to induce the destruction of the vein) and sufficient (not to induce damage in the adjacent compartment).

c) Conclusion

Wavelength Diode Laser 1470 nm + Radial Emission Fibers:

  • Low light penetration (0.34mm) by WL 1470 nm
  • Light oriented towards the venous wall by the radial emission fiber
  • Short exposure time (thanks to continuous shrinkage)

=> Destruction of the Wall without destruction of surrounding tissues or nerves

Laser Endotherme™ 1470 – Indications

The precise targeting of the 1470 nm Endovenous Laser allows a high precision of the treatment as well as wide indications.

The Endovenous Laser is indicated for:

  • Large saphenous veins (between 4 and 20 mm in diameter in orthostatic position)
  • Small saphenous veins (between 4 and 20 mm in diameter in orthostatic position)

And their associated complementary acts:

  • Accessory saphenous
  • Perforating veins

Laser Endotherme™ 1470 – Les contraindications

Endotherme™ 1470 should not be used in the following cases:

  • Patients with thrombi in the venous segment intended for treatment.
  • Patients with an aneurysm in the venous segment intended for treatment.
  • Patients with peripheral vascular diseases with an ankle-arm systolic pressure index below 0.9.
  • Patients with deep vein thrombosis or with a history of deep vein thrombosis.
  • Pregnant patients.
  • Patients with infection on the area to be treated, active herpes or other viral infection.
  • Other contraindications may be indicated by the practitioner at the time of treatment.

Traitement endoveineux thermique – Le matériel

LSO Medical offers you a turnkey solution to launch a thermal endovenous activity.

You want to discuss your business project:

a) The 1470 nm Endotherme™ laser

Technical specifications:

  • Laser: Laser Diode
  • Wavelength: 1470 nm +/- 10
  • Power: 15 Watts
  • Cooling: Peltier and Air
  • Continuous or Pulsed, 0.1 to 25 sec.
  • Laser class: 4
  • Class DM: IIb (Directive 93/42/EC)
  • Aiming laser: Laser Diode
  • Wavelength: 635 nm +/- 20
  • Power: Less than 2 mWatts
  • Laser class: 3R
  • Power supply: 100-230 VAC; 50 to 60 Hz
  • Weight: 15 kg
  • Dimensions: H45 cm × L45 cm × W35 cm

b) Practical guide to use

Endovenous laser treatment Endotherme™ 1470:

  1. The 10-step procedure
  2. Material selection: Fiber and consumables
  3. How the Endotherme™ 1470 laser works

Find out more about this guide

Related accessories
DescriptionReferenceTechnical specificationsCompatibility
Endotherme™ 1470 laser
CE 1639
PHARAON 1470
  • Laser: Laser diode
  • Wavelength: 1470 nm +/- 10
  • Laser class: 4
  • Class DM: IIb (Directive 93/42/EC)
Ringlight® fibers compatibility
DescriptionReferenceTechnical specificationsCompatibility
RINGLIGHT® FIBER PROBE IR 1,8 mm
CE 1639
ORLF000003Ringlight® Fiber Standard
600 µm, 1.8 mm
Laser : Endotherme 1470
Introducer 6 Fr
RINGLIGHT® FIBER PROBE IRH 1,0 mm
CE 1639
ORLF000005Ringlight® Fiber Slim
400 µm, 1.0 mm
Laser : Endotherme 1470
Introducer 4 Fr or Cathlon 16G
RINGLIGHT® FIBER PROBE IR 1,8 mm
CE 1639
ORLF000007Ringlight® Fiber Fused Standard
600 µm, 1.8 mm
Laser : Endotherme 1470
Introducer 6 Fr
RINGLIGHT® FIBER PROBE IRH 1,3 mm
CE 1639
ORLF000006Ringlight® Fiber Fused Slim
400 µm, 1.3 mm
Laser : Endotherme 1470
Introducer 4 Fr or Cathlon 16G
DescriptionReferenceTechnical specificationsCompatibility
DP 30 Pump – Nouvag
CE 0197
4187
  • Adjustable injection power
  • Pedal: Vario
Nouvag 6022 / 6022a / 6022b tubing
Tubing – Nouvag
CE 0197
6022 / 6022a / 6022bLength: 4 metersDP 30 Pump – Nouvag
Vascular thermal ablation kit 6 Fr – LSO MedicalFR-K66189Ringlight® Fiber Standard
Introduction kit 6 Fr – SCW
CE 0197
INTRO6F03818GS
  • 1 short introducer – 11 cm
  • 1 dilator
  • 1 metallic .038 J guide wire – 45 cm
  • 1 puncture needle 18G – 7 cm
Ringlight® Fiber Standard
DescriptionReferenceTechnical specificationsCompatibility
Servante Endotherme 1470SERVANTECompatible Endotherme 1470
Lunettes Praticiens
CE 1883
FG1#37Blue glasses lenses
Lunettes Patients
CE 0196
IRD5#35Green glasses lenses
Legal Notice

Destinations: vascular surgeons, vascular doctors, pharmacists, biomedical engineers and operating room staff

Medical equipment Laser: Endotherme™ 1470. DM class: IIb. Laser class: 4

CE : 1639

Disposables: Ringlight® laser Fibers

Indications: Medical lasers and sterile disposables for endovascular coagulation, occlusion and removal of saphenous veins.

Contraindication: Endotherme™ 1470 should not be used in the following cases: Patients with thrombi in the venous segment intended for treatment, Patients with an aneurysm in the venous segment intended for treatment, Patients with peripheral vascular diseases with an ankle-arm systolic pressure index below 0.9,  Patients with deep vein thrombosis or with a history of deep vein thrombosis, Pregnant patients, Patients with infection on the area to be treated, active herpes or other viral infection, Other contraindications may possibly be indicated by the practitioner at the time of treatment. Read the instructions in the user manual carefully.

Endovenous Laser Treatment: Covered by Health Insurance

Manufacturer: LSO Medical, 280 rue Salvador Allende, Biocentre Fleming, Bât. D, 59120 Loos, France

Distributor: SCW brands

Internal reference: 23/04/LSOMEDICAL/PM/001

Version: IM EMB – VA-en