All you need to know about Emsculpt Neo Toronto

LATEST INNOVATION
FROM THE LEADER IN BODY CONTOURING

The first device designed to eliminate fat cells and build muscle non-invasively by a unique combination of radiofrequency heating & HIFEM in a single treatment.

EMSCULPT NEO FDA CLEARANCE

EMSCULPT TORONTO is FDA cleared for:

▪ non2invasive lipolysis (breakdown of of the abdomen and thighs and reduction in circumference of the abdomen and thighs with Skin Type I to Skin Type VI.
▪improvement of abdominal tone, strengthening of the abdominal muscles and development of firmer abdomen.
▪Strengthening, toning, firming of buttocks, thighs, and calves.
▪Improvement of muscle tone and firmness, for strengthening muscles in arms.

*For the full range of contraindications, warnings, and cautions, please refer to the Operator’s Manual. Do not apply
the therapy through clothes. As is the case with every heat based therapy, in rare cases, burns can occur.

EMSCULPT TORONTO — CONTRAINDICATIONS

▪Electronic implants (such as cardiac pacemakers, defibrillators and neurostimulators)
▪Metal implants
▪Drug pumps
▪Malignant tumor
▪Pulmonary insufficiency
▪Injured or otherwise impaired muscles
▪Cardiovascular diseases
▪Disturbance of temperature or pain perception *
▪Hemorrhagic conditions*
▪Septic conditions and empyema *
▪Acute inflammations*
▪Systemic or local infection such as osteomyelitis and tuberculosis*
▪Contagious skin disease*
▪Elevated body temperature
▪Pregnancy, postpartum period, nursing and menstruation*
▪Graves’ disease*

The procedure must not be applied over:

▪Head, neck, spinal cord, heart and testes.
▪Pelvic or low back area when a metal containing intrauterine device (IUD) is present. **
▪Swollen or neoplastic tissues, space occupying lesions or skin eruptions. **

*New contraindications in comparison with Emsculpt
** New “Must not be applied” in comparison with Emsculpt

Click here to know more: EMSCULPT NEO SAFETY PRECAUTIONS AND WARNINGS

EMSCULPT TORONTO — POSSIBLE SIDE EFFECTS

The side effects may include, but are not limited to:
▪Muscular pain
▪Intramuscular fat decrease
▪Temporary muscle spasm
▪Temporary joint or tendon pain
▪Local erythema or skin redness
▪Increased menstrual flow in female patients*
▪Panniculitis*

*New “Possible side effect” in comparison with Emsculpt
*For the full range of contraindications, warnings, and cautions, please refer to the Operator’s Manual. Do not apply the the rap y through clothes. As is the case with every heat based therapy, in rare cases, burns can occur.

TECHNOLOGY

TWO TECHNOLOGIES IN A SINGLE APPLICATOR

SYNCHRONIZED RF

The only patented radiofrequency heating in the aesthetic field that works simultaneously with a magnetic field

HIFEM+

The first muscle sculpting technology in the aesthetic field that simultaneously operates with RF heating

RADIOFREQUENCY HEATING
THE BASICS

SYNCHRODE RF^TM ELECTRODE

NORMALLY RF AND ELECTROMAGNETIC FIELDS COLLIDE & DON ´ T MIX

RF electrodes are made of metal for good electrical conductivity.

Metal objects are contraindicated to HIFEM because they rapidly heat up when exposed to the electromagnetic field.

Due to mutual interaction, the same metal objects are also physically repulsed from the applicator/magnetic coil.

This makes any ordinary combination of these two technologies technically impossible.

THE FIRST OF ITS KIND SYNCHRODE RF TM ELECTRODE

EMSCULPT NEO introduces a patented concept of combined application of RF heating and magnetic fields using electrodes made of hundreds of mutually interacting (synchronized) interspaced segments.

It is the only applicator in the aesthetic field that can emit RF heating and high intensity magnetic fields simultaneously.

*The surface temperature sensor must always be in direct contact with the patient’s skin during the therapy. Its function does not substitute the need of keeping the communication with the patient during the procedure and adjusting the intensity according to the patient’s condition and feedback. Do not apply the therapy through clothes. As is the case with every heat-based therapy, in rare cases, burns can occur.

THE ENGINEERING BEHIND THE COMBINATION

EMSCULPT TORONTO — THE DEPTH OF PENETRATION

▪Fat has highest resistance, therefore accumulates heat 1

▪Muscles do not have high resistance and they have higher conductivity compared to skin and fat 1.

▪The depth of the heating effect is determined by the patient’s fat thickness

HIFEM+ MUSCLE BUILDING

HIFEM +

▪Faraday’s law of electromagnetic induction states that a changing magnetic field produces secondary electric currents

▪In a single EMSCULPT NEO ® treatment, HIFEM+ produces thousands of electric pulses

▪The induced currents depolarize motor neurons that trigger muscle contractions

▪This leads to an induction of thousands of muscle contractions in a single 30 minute session

EMSCULPT TORONTO — SUPRAMAXIMAL CONTRACTIONS

Bypassing the brain’s limitations, HIFEM energy induces supramaximal contractions in the muscles within the magnetic field. The intensities achieved through HIFEM stimulation are not achievable during a voluntary workout.

EMSCULPT NEO TECHNOLOGICAL ADVANCEMENTS

INNOVATIONS AND SAFETY

EMSCULPT TORONTO — TEMPERATURE CONTROLLED PROCEDURE

▪Thermal Sensor embedded into each applicator measures temperature on the patient’s skin*

▪The sensor must always be in touch with patient’s skin

▪Each applicator measures temperature independently

▪The sensor also stops the therapy completely if the temperature of the skin surface touching the sensor reaches 43 C.

EMSCULPT NEO TORONTO — TREATMENT PRESETS

PRESETS

● Emsculpt NEO allows three different presets
● Each preset has different features

HIFEM+RF PRESETS: RF THERAPY OUTPUT

Each HIFEM + RF Preset is divided into two sections:

Boost section:
▪The device delivers high RF output to reach the therapeutic temperature in the fat and warming up of muscles.
(This is why it is recommended to start the therapy with 100% RF output and then re adjust based on patient’s feedback)

Rest of therapy section:
▪For the remaining treatment time the device maintains the therapeutic temperature.

HIFEM + RF ADVANCE PRESET

THE THERMAL PROFILE OF HIFEM+RF ADVANCE PRESET

Fat has the lowest conductivity. It is therefore selectively heated to a higher temperature compared to the skin and muscle tissue.

EFFECTS ON THE ADIPOSE TISSUE

When exposed to temperatures above 42 43 C for a certain period of time, fat cells initiate their programmed death 3,4,6 .This leads to the breakdown of fat and loss of adipocyte cellular integrity, so called fat apoptosis. Residues of the cells are slowly removed from the body.

HIFEM+RF GENTLE PRESET

THE THERMAL PROFILE OF HIFEM+RF GENTLE PRESET

Fat has the lowest conductivity. It is therefore selectively heated to a higher temperature compared to the skin and muscle tissue.

HIFEM CLASSIC PRESET

EFFECTS ON THE TISSUES NO THERMAL EFFECT

● Presets from the original Emsculpt Device
● Does not have any Synchronized RF component
● Does not heat the muscles

HIFEM+RF TREATMENT BENEFITS

BENEFITS OF THE MUSCLE HEATING

BENEFITS OF THE MUSCLE HEATING

CLINICAL STUDIES

SUMMARY OF NEW EMSCULPT NEO STUDIES

EMSCULPT TORONTO

TREATMENT SET UP & APPLICATIONS

TREATMENT PROTOCOL

• 30 minute session
• 4 treatments (5 10 days apart)
• Recommended price $1,000
• MAP $850 per treatment

PRE POST TREATMENT CONSIDERATIONS

Pre-Treatment:
During the first visit, the operator should
▪Take a detailed patient case history , including previous treatment modalities, and examine the patient’s general suitability for treatment.
▪Determine why the patient is seeking treatment and understand their expectations.
▪Discuss the treatment regimen with the patient.
▪Inquire for contraindications
▪Fill out consent form.

Post-Treatment:
▪No specific post-care is required for Emsculpt Neo treatments.
▪Best time to see optimum results is 2-3 months after the last treatment.
▪It is recommended to maintain healthy lifestyle and diet post-treatment to enhance and promote best results.

EMSCULPT TORONTO — TREATMENT PROCEDURE

▪Plug the unit to the mains using the power cord. Do not use extensions cords with multiple sockets or multi socket adaptors.

▪Prior to the treatment, the patient should remove all jewelry and electronic devices. The patient should remove clothes from the treated area.

▪Place the applicator(s) on the area to be treated. Fix the applicator(s) using the fixation belt supplied with the device.

▪Tighten the fixation belt to minimize movements of the applicator(s) during the therapy. The application side of the applicator(s) should be in full contact with the treated area.

▪ Do not apply therapy through clothes.

▪ For increased patient comfort it is recommended to separate applicator cables from the patient using towels or any other suitable non-conductive non-metallic material.

▪ Do not place the applicator(s) over bones or joint areas as this can result in a painful treatment.

▪Select a body part in the BODY PARTS navigation controls by touching the button of the desired body parts on the screen. After the selected preset is loaded the device displays the Therapy screen. Select the applicator(s) to be used for the treatment by pressing the channel selector on the screen.

▪Press the start button on the touch screen and fill in the basic patient demographic information fields. Press the start button again to start the therapy.

▪Set the radiofrequency intensity to 100%. The patient should feel an intense heat during the treatment, but it should never be painful. The intensity has to be re adjusted according to patient ´ s feedback.

▪Set the magnetic stimulation intensity until maximum tolerable contractions are reached. If necessary, reposition the applicator(s). Adjust the stimulation intensity according to the patient feedback.

▪During therapy, check the applicator(s) regularly and make sure they stay positioned over the treated area throughout.

▪Always keep verbal contact with the patient during therapy. Keep checking for comfort level and contraction intensity regularly.

▪The goal of the treatment is to reach maximum tolerable intensity.

▪If the patient reports discomfort or pain at the site of application during therapy, stop therapy immediately.

▪Remove the applicator(s) and the fixation belt when the therapy ends. The fixation belt is reusable, do not discard.

RF ADJUSTMENTS BY THE OPERATOR

▪If patient feels intolerable heat, the operator should lower the RF intensity on the slider immediately and ask the patient about feedback Continue decreasing the RF intensity if the patient is still experiencing discomfort

▪ If patient reports insufficient heating sensation, the operator can increase the RF intensity again

▪ A sound signal is generated when the radiofrequency intensity is increased by the Operator

ABDOMINAL TREATMENT

For larger patients, use two applicators at the same time to
ensure complete coverage of the treatment area. Make sure
the applicator(s) are fully in contact with the patient’s skin. Do
not apply the therapy through clothes.

The two applicators should be close to each other but must
never overlap.

When using a single applicator, the center of the stimulation
coil should be positioned over the umbilicus.

BUTTOCK TREATMENT

Place the applicators over the top of the gluteus maximus. For the best results only gluteal muscles should be activated without any contractions in thighs.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy
through clothes.

FRONT THIGHS

Place the applicators on the front thighs and secure them with the help of fixation belt.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy
through clothes.

BACK THIGHS

Place the applicators on the back thighs and secure them with the help of fixation belt.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy
through clothes.

OUTER THIGHS

Place the applicators on the outer thighs and secure them with the help of fixation belt. Do not position the applicators over the hip joint.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy through clothes.

INNER THIGHS

Place the applicators on the inner thighs and secure them with the help of fixation belt. Make sure applicators are placed at least 6 inches (15 cm) apart from each other and the cooling vents are not covered during the therapy.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the
therapy through clothes.

BICEPS TREATMENT

Place the applicators below the biceps muscles. Secure the applicators with the help of fixation belts. You may place a pillow under patient’s head for comfort. You can also perform the treatment in the sitting position with applicators attached to the biceps muscles from the top.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy through clothes.

TRICEPS TREATMENT

Place the applicators below the triceps muscles. Secure the applicators with the help of fixation belts. You may want to place a bolster below the elbows for patient’s comfort.

Make sure the applicator(s) are fully in contact with the patient’s skin. Do not apply the therapy through clothes.

CALVES TREATMENT

Place the applicators under the calves and secure them with the help of fixation belts.

Make sure the applicators are fully in contact with the patient’s skin. You may want to place a bolster
below the ankles for patient’s comfort.

COMMON MISTAKES

EMSCULPT TORONTO — APPLICATORS

CALIBRATION OF APPLICATORS

Operator should calibrate the applicators
1. When device is first time installed
2. If applicators are switched for another pair

• Calibration can be found in Settings/Applicators/Calibration
• Applicators must be removed from holders before calibration

ADDITIONAL APPLICATORS’ INFO

▪ The remaining lifetime can be seen on the home screen at any time
▪ All applicators (large and small) are tested and guaranteed for 9,000 minutes 150 hours).
▪ After the lifetime is completed, the applicators need to be replaced
▪ Automatic warnings notify the users whenever 80% or more of the lifetime is used.

CHANGING APPLICATORS

Step 1

• Turn the device off
• Unlock the safety locks.
•Unplug the undesired applicators from main unit.
• Remove the applicators from the applicator holders

Step 2

• Insert applicator(s) in the applicator holder(s).
• Connect the applicator(s) to the main unit.
• Use safety locks to fix the connector(s).

EMSCULPT TORONTO — ADDITIONAL FEATURES

APPLICATOR CONTACT MONITOR (ACM)

▪ ACM measures the quality of the applicator skin coupling.

▪ If the contact is not sufficient, the device shows a red triangle near applicator(s) sliders and a warning message is displayed . A sound notification is played.

▪ If a warning message is shown, operator should reposition the applicator(s) to re establish a proper contact with a skin

SKIN SURFACE TEMPERATURE MONITOR

Applicators with RF component are equipped with temperature sensor . The sensor measures the application surface temperature to avoid overheating.
The surface temperature sensor must always be in direct contact with the patient’s skin during the therapy.
Its function does not substitute the need of keeping the communication with the patient during the procedure and adjusting the intensity according to the patient’s condition and feedback.
Always keep verbal contact with the patient during therapy.
Do not apply the therapy through clothes.

SKIN SURFACE TEMPERATURE MONITOR

▪ If the skin surface temperature is approaching 43 C, the device automatically controls the RF power, to avoid exceeding the maximum therapeutic temperature
▪ The therapy is interrupted if the temperature reaches 43 C
▪ If therapy is interrupted, operator should wait and start the therapy again and ask regularly for patient feedback.

THERAPY DISCOMFORT BUTTON

The Therapy Discomfort Button light indicates the active radiofrequency power output. Pressing this button stops the therapy. The patient should be instructed to press the button any time he/she feels discomfort related to the therapy. Therapy Discomfort Button should always be accessible to the patient.

PULSE QUALITY MONITOR

Pulse Quality Monitor (PQM) is a technical feature which continuously monitors the pulse parameters during the therapy. In the event of any mismatch with expected values, the therapy is stopped to protect the device. Unwanted changes in pulse parameters may
typically be caused by the presence of major metallic or ferromagnetic objects in the application field.
If PQM interrupts the treatment, remove all the metal objects in the proximity of applicators. Also, check if the applicators are positioned properly on the patient and not overlapping.
If the problem persists, recalibrate the applicators as per Operator’s Manual before proceeding with the treatment. Calibration must not be done with applicators in the applicator holders or with applicators positioned on the patient!
Pulse Quality Monitor is not intended to protect the operator and/or a patient

CLEANING OF ACCESSORIES THAT COME INTO CONTACT WITH PATIENT

Clean and disinfect the application side of the applicator(s) and the fixation belts using intermediate or low level disinfectants as follows:

▪ Use a soft cloth slightly moistened with a disinfectant approved for use in medical environments (do not use agents containing chlorine or those with high alcohol content of more than 70%).

▪ Clean the applicator surface.

▪ Visually inspect the surface of the applicator for cleanliness. Repeat cleaning if necessary.

▪ After disinfection, wipe the accessories with a soft cloth slightly moistened with clean water to prevent an undesired allergic reaction!