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Advanced
Technology With
Maximum Versatility
For Dermatology
& Aesthetic Procedures
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Alma’s Pixel CO2 is one of my favorite
platforms; I have been using it in my
clinic for several years now. The LiteScan
applicator is spectacular – an ideal
combination of great clinical results and
a high-speed procedure
Prof. Dr. Uwe Paasch, MD, Jesewitz OT Gotha, Germany
Fractional &
Non-Fractional Applications
Skin Resurfacing
Skin Rejuvenation
Skin Tightening
Scar Remodeling
Skin Tags & Benign Skin Lesion
Skin Imperfections
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ALMA's Pixel CO2
The carbon dioxide (CO2) laser has been known to provide some of the most dramatic, age-defying
results in the treatment of challenging skin imperfections including wrinkles, ne lines, photodamage,
uneven skin tone and skin laxity, as well as in scar treatment, skin tags and benign lesions.
Using the power of the CO2 laser, the optimal mix of ablative and thermal eects and an array of
applicators and treatment modes for highly tailored procedures, Alma’s Pixel CO2 brings unparalleled
precision and innovation to the eld of dermatology and plastic surgery.
Alma Pixel CO2 is a highly exible system for char-free tissue ablation, excision, incision and
coagulation of soft tissue. It allows physicians full control of treatment parameters, including
level and depth of ablation and thermal eect via pulse duration and mode of energy delivery. This
versatility maximizes precision and treatment results while minimizing unnecessary tissue damage.
The CO2 laser uses a 10,600nm wavelength, which is ideal for collagen matrix renewal and an optimal
choice for treating an extensive range of dermatological indications. The CO2 laser has the ability
to perform ecient, highly precise fractional and non-fractional laser treatments using the widest
assortment of advanced applicators.
With powerful performance and hundreds of treatment options, Alma Pixel CO2 opens the door for
new possibilities in dermatological and surgical treatments. These include: Keratoses, Solar/actinic
elastosis, Acne scars, Surgical scars, Rhinophyma, Cutaneous papilloma and more.
The platform also extends its use for Gynecology, Otolaryngology (ENT) and other medical elds using
advanced, breakthrough applicators.
MODES OF OPERATION
The CO2 laser system oers 4 modes of energy delivery:
CW Mode (Continuous Wave):
1.
Emits one continuous and consistent laser energy, typically used for excision or cutting.
Pulse Mode (Single pulse):
2.
Produces a single pulse of laser energy for more supervised and accurate energy delivery.
Repeat Mode:
3.
Produces a series of either short or long pulses of laser energy at variable speeds.
Super Pulse Mode:
4.
Super pulse mode provides the highest peak power with the shortest pulse duration,
enabling the deepest penetration with minimal residual thermal damage. This mode is
designed for performing ideal ablation/coagulation ratio and achieves highly eective
results with minimal downtime and enhanced patient comfort.
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A Full Range
of Treatment-
Specic
Applicators
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Focus Applicators
Cut & Coagulate with perfect control, ideal for
surgical applications
Alma’s Focus applicators combine cutting and coagulation
into a single setting, allowing physicians to perform
both actions without having to switch applicators or
parameters during procedures. To perform pure cutting,
the applicator is placed on the surface where the laser is
at its most focused position. cutting at this point will be
of high ablation and low thermal ratio. For eective and
swift coagulation, simple defocussing is needed to stop
any bleeding that may occur during the cutting phase.
This sequential-action allows physicians to achieve optimal
tissue incision or excision cutting with minimal bleeding as
well as reduced patient downtime. Fixed focus applicators
of the two spot sizes allow for precise and accurate soft
tissue cutting.
Before
After
Courtesy of Dr. Dinko Kaliterna,
Dermatologist, Poliklinika Poliderma,
Zagreb, Croatia
Various Spot Sizes (VSS)
Flexible spot size adjustment, ideal for
epidermal lesions such as Actinic and
seborrheic keratosis
The VSS applicator can change the size of the laser spot from 1mm to 4mm. This
allows physicians to work with various spot sizes while maintaining work stability
during treatment. It is ideal for removing skin tags and other benign skin lesions as
well as individual pigmented lesions.
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The Fractional Laser
Method
Unlike traditional ablative laser resurfacing which
removes the entire top layer of the skin, Alma Pixel
CO2 deploys a fractional delivery method which
creates pixel-sized perforations in the skin, leaving
the surrounding tissue intact. The preservation of
undamaged skin between the perforations allows
for faster healing while the wound healing process
promotes accelerated re-epithelization, generation of
new collagen, tissue regeneration and contracture of
existing bers.
Fractional treatment controls and signicantly reduces
the risk of adverse side eects such as hypopigmentation,
scarring, post-inammatory hyperpigmentation,
infection and persistent erythema. Patients also benet
from shorter downtime and increased patient comfort
compared to traditional resurfacing.
The fractional method is ideal for skin resurfacing and
rejuvenation treatments, including scar treatment,
improving skin tone, elasticity and texture and
reducing supercial pigmentation.
Alma’s Pixel CO2 technology achieves excellent
results for skin rejuvenation. The deep thermal eect
of the pixel applicator stimulates collagen renewal,
making it ideal for treating ne lines and wrinkles.
The iPixel roller oers high speed capabilities,
allowing us to treat larger areas far more quickly,
easily and eectively.
Dr. Acky Friedman, MD., Dermatologist, iSkin Clinic
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Pixel Applicators
High thermal eect, short downtime, ideal for
wrinkles and skin tightening
The Pixel CO2 7x7 and 9x9 stamping applicators deliver CO2
laser energy to the skin through a DOE (Diractive Optical
Element) which pixelates the beam to energy equaled 49
or 81 pixels, creating simultaneous microscopic columns of
micro-ablative damage. The energy is delivered in a square
pattern with an 11x11mm spot size.
This unique technology approach enables the use of much
higher energy levels via longer pulse durations, creating
a greater coagulation and thermal eect with minimal
ablation and signicantly reduced patient downtime.
The deep thermal eect of the Pixel applicator makes it
ideal for skin rejuvenation, treating ne lines and wrinkles.
Ablation
Laser Beam
Pixel beam
splitter
Split Beams
Focusing lens
Final laser
pixel beams
Epidermis
Dermis
200µM
1
Reversible
Thermal Effect
Significant coagulation and thermal effect
with a micro-ablative effect.
Before After
Courtesy of Dr. Michael Gold, Medical Director, Gold Skin Care, Nashville TN
Coagulation
2
3
1. Ablation
2. Coagulation
3. Reversible Thermal Effect
Ex vivo (porcine skin) histology of Pixel beams
Before After
Courtesy of Dr. Guilherme de Almeida, Hospital sírio libanês, São Paulo, Brazil
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iPixel Roller
Pixel roller for fast, ablative treatments ideal for larger areas
The iPixel roller releases a 7 sequential laser pixel beams as it is rolled across the skin, enabling fast
treatment of large areas. The movement of the roller triggers a series of laser pulses, of seven, energy
equaled, evenly-spaced thermal and ablative channels.
The treatment achieves eective tissue remodeling and skin resurfacing with the benet of faster
healing time associated with the fractional treatment method. It is ideal for skin rejuvenation and
treating skin pigmentation in larger areas.
Laser Beam
Before After
Courtesy of Dr. Michael Shochat, MD, Dermatologist.
Moderate ablation with extensive coagulation and thermal effects.
Laser pixel
beams
Epidermis
Dermis
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LiteScan
Versatile fractional scanner for ecient ablative
procedures, ideal for skin texture and pigmentation
LiteScan is a handheld microprocessor-controlled laser scanner for char-free ablative procedures that
allows for rapid coverage of large areas. It is designed for use in a variety of dermatological, aesthetic
and surgical applications. Multiple scanning options are available including square or circle, in a spiral,
grid pattern as well as straight or curved lines.
LiteScan optimizes treatment ecacy by providing higher energy output per pixel in shorter pulses
for ablative procedures. The galvanometric scanning motor delivers energy more quickly per scanning
area than the CO2 focus applicators, for faster and more ecient coverage of large surface areas.
Paint Brush Mode
In “paint brush” or random mode, LiteScan delivers
energy in a dispersed, randomized pattern with
quick pulses and variable pulse durations. This
approach creates a more natural ablative pattern,
smoothing out the edges of the treatment area
and avoiding the undesirable “checkerboard”
appearance. Physicians can control treatment
power by moving either slower, for higher density
pixels, or faster, for lower density pixels- adapting
the treatment to the specic needs of dierent
areas of the face.
Random mode can achieve either deep or
supercial ablative and thermal eects, while
minimizing the risk of hyperpigmentation. It is
ideal for skin resurfacing of large areas with the
least amount of downtime.
Courtesy of Dr. Mario A. Trelles, MD, PhD, Instituto Medico Vilafortuny, Tarragona, Spain
Automated scanning apparatus that creates
a rapid sequence of aligned, focused beams.
Before After
Scanner
Mirror
Mirror
Scanner
Final laser
beam
X
Y
Ablation
Coagulation
Reversible
Thermal Effect
High-powered ablation with moderate
coagulation and a mild thermal eect.
Combined Modalities
Scar Treatment
LiteScan and Pixel provide the ideal
combination for eective scar treatment
The combined power of the LiteScan and the
Pixel applicator achieves excellent results for the
treatment of hypertrophic and hypotrophic scars;
Pixel applicator provides a deep thermal eect
while LiteScan oers a powerful ablative eect.
This combination triggers a healing process that
replaces scar tissue with healthy regenerated skin.
Before After
change to: Courtesy of Prof. Dr. Uwe Paasch, MD, Jesewitz OT Gotha, Germany
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SkinTight
Non-ablative laser with zero downtime, for
skin tightening
The new and uniquely designed SkinTight applicator is a CO2 probe created specifically for skin
tightening. It features a large, 6mm spot size and uses a defocused low fluence laser beam to gently
heat tissue without ablation; effectively heating the dermal layer and triggering neocollagenesis.
Energy is applied to the skin without contact and is suitable for treating fine lines, wrinkles and
for skin tightening of the face, neck and décolleté.
Before
Courtesy of Dr. Dinko Kaliterna, Dermatologist, Poliklinika Poliderma, Zagreb, Croatia
After
The Pixel CO2 is brilliant; it is a must - have device
for all dermatologists & plastic surgeons.
Dr. Michael Shochat, MD, Dermatologist.
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EXTENDING CLINICAL PERFORMANCE
WITH SUPERIOR RESULTS
MULTIPLE DERMATOLOGICAL & AESTHETIC SURGERY INDICATIONS
VERSATILE APPLICATORS FOR TARGETED PROCEDURES
ADJUSTABLE TREATMENT PATTERNS
EXCLUSIVE NONABLATIVE MODE
UNIQUE PIXEL TECHNOLOGY
SAFE FOR DELICATE AREAS
PRECISE & FAST TREATMENT
VERSATILE FOR HIGH ROI
VALUE ADDED SYSTEM FEATURES
System Endurance
Pixel CO2 uses a Coherent RF-excited tube with a high quality laser beam and
extremely long span time.
Purge-Air System
The purge-air ow system is designed to remove laser-generated smoke from
the treatment area and keep the lens clean. It consists of an air compressor and a
medical-grade sterilizable silicone tube that extends along the articulated arm to the
applicator.
Smart, User-friendly interface
The Alma Pixel CO2 is designed with smart, user-friendly features and quick setup capabilities. A color touch screen LCD display provides step-by-step operating
instructions and indicates correct scanning patterns for each treatment objective.
The system optimizes procedures by oering pre-set operation and laser delivery
parameters and allows users to congure custom parameters and patterns of lasing
for specic indications. These settings may also be saved for future procedures.
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CO2 Applicators Footprint
FootprintApplicator
Focus 50/100mm
LiteScan Aesthetic Mode
LiteScan Surgical Mode
iPixel Roller
SkinTight
> Continuous
* themral eect only
7x7 9x9
> Pulsed
12
Pixel
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Pixel CO2 with the Roller
applicator is an unbeatable
combination when treating
scars and stretch marks.
Dr. Tania Meneghel, MD, Dermatologist,Brazil
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Alma Pixel CO2 Specications
System Specications
Laser Type Coherent Inc. Sealed-o, RF-excited CO2 laser
Wavelength 10,600 nm
Laser Power 60 /30 Watts
Operational
Electrical 120 VAC, 16 A, 60/56 Hz or 230 VAC, 8 A, 60/56 Hz
Dimensions (HxWxD) 52” x 17” x 132” (21 cm, 43 cm x 53 cm)
Mode CW, Repeat, Pulse, Super Pulse
Weight 135 Ibs. (61 kg)
Focus Applicators & VSS
Focal Distance Spot Size
50 mm
100 mm
200 mm
VSS 200 mm
100 m
(0.125 mm)
200 m
(0.20 mm)
400 m
(0.4 mm)
1-4 mm
Pixel Applicators
Spot Density Energy
49 Pixels (7 x 7)
81 pixels (9 x 9)
iPixel Roller
Spot Density Energy
7 Pixels (7 x 1)
Energy/Pixel: 10 to
150 mJ/Pixel
Energy/Pixel:
10 to 150
mJ/Pixel
LiteScan LiteScan
30W System:
Energy/Pixel: up to 3840 mJ/Pixel
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60W System:
Energy/Pixel: up to 7680 mJ/Pixel
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Alma is a world-leading provider of energy-based solutions
for the surgical, medical aesthetics and beauty markets,
delivering cutting-edge technologies to our partners and
customers. We are rm believers in the power of science,
redening the industry through an endless desire to
innovate and drive the global industry forward.
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