bodytite(tm) presentation
DESCRIPTION
http://www.icosmed.de Präsentation von BodyTite(TM) der Fa. i-CosMed Ltd & Co.KG - dem Distributor für Deutschland. Joachim PETERTRANSCRIPT
featuring RFAL™ Technology
Deutschland - Distribution
i-CosMed Ltd & Co.KGSchloßstrasse 14
D-82031 GrünwaldFon: +49-(0)89-37 41 21 72Fax: +49-(0)89-430 21 69
www.icosmed.de
featuring RFAL™ Technology
A new approach to minimally invasive aesthetic surgery
Presenter:
featuring RFAL™ Technology
Who is Invasix?• Privately held Israeli company - www.invasix.com
• Dedicated to minimally invasive technologies through the development of innovative body contouring device,– facial technology in R&D
• World wide distribution with dedicated offices in North America, Asia Pacific and Europe
• ISO, CE approved, FDA pending
• Dedicated and growing North American service structure
• Experienced and seasoned management team with ESC, Lumenis, Syneron and Sciton experience
featuring RFAL™ Technology
The Body Contouring Market
• 350,000 liposuctions performed by plastics
• Total estimated number of procedures is close to 1,000,000 in US
• Representing 4% of all elective surgeries
featuring RFAL™ Technology
Why The Growth?
In 1990 not a single state had a BMI over 15%
By 2007 two-thirds of US had BMI over 25%
Statistics Courtesy Center of Disease Control
Obesity Trends in USA:
featuring RFAL™ Technology
Why The Growth?
The average American man has a 5 inch increase in waist size (now 40 inches).
Statistics Courtesy American Heart Association
In the last 40 years …The average American woman has a 7 inch increase in waist size (now 37 inches).
featuring RFAL™ Technology
The Growth of Liposuction
• Estimated body contouring market will double in the next 4 years
• Significant part of growth due to Energy Assisted Liposuction market
• Growth will be driven by liposuction technologies perceived as being gentle, out-patient and proven to induce contraction
featuring RFAL™ Technology
Liposuction Popularity
featuring RFAL™ Technology
Available Liposuction Options:• Traditional Liposuction
– Requires hard work– No blood vessel coagulation– Little to no skin tightening
• WAL (Water Assisted Liposuction)– Less bleeding and trauma than SAL, been available 5 years– Little or no skin tightening
• UAL (Ultrasound Assisted Liposuction)– Good for fibrotic tissue– Requires separate aspiration– No blood vessel coagulation– Little to no skin tightening
• PAL (Power Assisted Liposuction)– Fast treatment– Very aggressive and no blood vessel coagulation– Little to no skin tightening
• LAL (Laser Assisted Liposuction)– Slow treatment – requires separate aspiration– Has tightening effect– Blood vessel coagulation
Now …. RFAL
featuring RFAL™ Technology
An ideal Liposuction
solution should
address the following:
Procedure Benefits• Speed• Less bleeding•Monitoring and Safety•Thermal uniformity
Immediate Post-treatment Benefits• Less pain• Less swelling• Less bruising
Long-term Objectives•Uniform re-contouring• Soft-tissue contraction & Tightening
featuring RFAL™ Technology
Ideal Liposuction Criteria
Physiological/Medical Criteria:1. Coagulate vessels = less bruising2. Liquefy fat = gentle extraction = less swelling3. Skin contraction4. Uniform body contouring5. Continuous thermal monitoring & safety6. Treat individuals with larger BMI
featuring RFAL™ Technology
Ideal Liposuction Criteria
Economic Criteria:1. Perform under local anesthesia2. Side office procedure3. Treat a variety of treatment zones/sizes4. Speed; one stage coagulation & aspiration
featuring RFAL™ Technology
BodyTite System RFAL Specifications
• 75W RF output system
• Treatment depth control from 5mm to 50mm
• Real time skin temperature monitoring
• Real time power and tissue impedance monitoring
• Tip anti-carbonization control
• Directional energy delivery
• Low weight – 10 kg
• Small footprint – 30 X 30 X 100 cm
featuring RFAL™ Technology
RFAL Technology
• Radio Frequency Assisted Liposuction• Heating the skin by the RF current which flows from the
internal to the external electrode placed on the skin above the internal electrode.
featuring RFAL™ Technology
Internal Electrode = Cannula
• Internal electrode is also a cannula• For simultaneous coagulation & aspiration• One Stage coagulation and aspiration• Unprecedented speed, uniformity & safety
featuring RFAL™ Technology
BodyTite Handpiece
RF Internal ElectrodeCoagulation of Adipose, Vascular and Fibrous TissueAND ASPIRATES = ONLY FAST ONE STAGE TECHNOLOGY
RF External Electrode
Controlled Depth of Penetration
5mm extension
50mm extension
featuring RFAL™ Technology
Thermal Directionality and Uniformity
featuring RFAL™ Technology
Thermal Profile Computer Simulation
External electrode
Internal electrode
featuring RFAL™ Technology
Comparison with Laser Assisted Liposuction
• RF Assisted Liposuction (RFAL) & LipoTightening– Better localization and concentration of energy
– Uniform heating
– Exponential thermal zone size
– Safe RF enabled tightening of skin
Fat
Muscle
Skin
RF Laser
featuring RFAL™ Technology
Comparison with Laser Assisted Liposuction
RFAL LAL
featuring RFAL™ Technology
BodyTite Physiological Effect< Click image to start animation >
featuring RFAL™ Technology
RFAL Features & Benefits
Sophisticated Handpiece • Treatment depth adjustment
• Directional and controlled RF
• Constant monitoring & safety feedback control
• Simultaneous aspiration-coagulation handpiece
• Aspiration speed greater than traditional liposuction
featuring RFAL™ Technology
RFAL Features & BenefitsSpeed of Treatment:• Sample area of 5x5cm and thickness of 20mm with initial
temperature of 26oC were treated at depth of 10mm until skin surface was heated uniformly up to 42oC. Power of 50W was used.
• Measured treatment time was 37sec representing treatment speed of 1.5 sec/cm2.
• Typical site 25x25cm can be treated during about 10min.
• SmartLipo MPX requires more than hour to treat identical area
• Faster at higher wattages
featuring RFAL™ Technology
RFAL vs SAL Aspiration SpeedRFAL SAL
Cannula Size 3.7mm aspirating cannula
3.7mm blunt nose Mercedes cannula
Aspirated in 21 minutes
490 ml (23.3 ml/min) 440 ml (20.9 ml/min)
RFAL
SAL
Conclusions:• RFAL12% faster aspiration than SAL• RFAL visibly less hematocrit than SAL• RFAL has visible liquification of the aspirated fat vs SAL more lobular fat aggregates
featuring RFAL™ Technology
RFAL Features & BenefitsSkin Temperature Monitoring & Limit Control • A sensor embedded in the handpiece provides real time surface
temperature; only device to monitor epidermal temperature
• Temperature cut-off above an adjustable target level and energy is automatically reactivated when the hand piece/temperature falls below the cut-off level
• This closed-loop feedback avoids overtreatment and thermal hot spots to ensure a safe and uniform treatment.
• Allows operator to maintain target temp at any give location
featuring RFAL™ Technology
RFAL Features & Benefits
Impedance Monitoring• Contact Impedance:
– Energy cut off if one of the electrodes does not have contact with the skin’s surface or is too close to the skin’s surface
• Anti-Carbonization Protection:
– Automatically cuts off energy during treatment if carbonization builds on the internal electrode.
featuring RFAL™ Technology
RFAL Features & Benefits
Audible Feedback• For both temperature measurements and impedance feedback
• Physicians can focus on treatment
• Audible monitors sound when approaching and then achieved target temp
• Impedance errors (too close or too far) sound as well
featuring RFAL™ Technology
User Friendly Interface
50 W
featuring RFAL™ Technology
Quantified Comparison of Heating Uniformity
0
5
10
15
20
25
30
35
23,5 26 28,5 31 33,5 36 38,5 41 43,5 46 48,5 51
% o
f tot
al
Temperature, oC
LAL RFAL
Researcher 2.9 software was used for thermal images quantiattive analysis
RFAL LAL
featuring RFAL™ Technology
0
5
10
15
20
25
30
35
23,5 26 28,5 31 33,5 36 38,5 41 43,5 46 48,5 51
% o
f tot
al
Temperature, oC
LAL RFAL
Larger treatment area uniformity
featuring RFAL™ Technology
Uniformity of RFAL
Flir A320 Thermal CameraFlir A320 Thermal Camera
featuring RFAL™ Technology
Histological Study
Fat after RFAL treatment. Channel in the fat is observed. Fat cells are disrupted around the channel.
Untreated fat.
Fat after SAL/ PAL treatment. Adipose tissue is separated to clusters. Space between adipocytes is filled with hemoglobin.
featuring RFAL™ Technology
Histological Study
Collagen after RFAL treatment
Blood vessel coagulated after RFAL treatment
Untreated collagen
featuring RFAL™ Technology
Sp
Blood Vessel Coagulation with RFAL
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Vessel Coagulation
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Blood Vessel Coagulation
Untreated Fat LAL Treated Fat RFAL Treated Fat
featuring RFAL™ Technology
No bleeding in fat area
normal bleeding in sub-dermal
area
featuring RFAL™ Technology
Blood Vessel Coagulation Histology
• RF coagulates vessels
featuring RFAL™ Technology
RFAL Coagulative Effect
• RFAL followed by PAL faster than PAL alone
• Lower Hematocrit in Aspirate than SAL/PAL
• Higher Lipocrit in Aspirate than SAL/PAL
RFALSAL
featuring RFAL™ Technology
Adipose Tissues Coagulation
• Adipose liquefaction = gentle extraction
• Reduced extraction forces
• Less edema, less pain
RFALSAL
featuring RFAL™ Technology
Sp
Skin Contraction with RFAL
featuring RFAL™ Technology
RFAL Skin Contraction
Normal Untreated Collagen
RFAL Treated CollagenDenaturization
featuring RFAL™ Technology
20-30% More Contraction @ 3-6 mons
featuring RFAL™ Technology
RFAL Skin Contraction
Sub Dermal RFAL Contraction
+Fibrous Septae Contraction
=X, Y, Z Soft Tissue Contraction
featuring RFAL™ Technology
Pre-Abdominalplasty Patient
CONTROL
Patient was treated with three technologies, Smartlipo MPX 46W, BodyTite 50W and BodyTite 75W
featuring RFAL™ Technology
Before
After
BodyTite Effects
featuring RFAL™ Technology
Immediate ContractionBefore -70mm After tumescent – 82mm
After RF but prior suction – 70mm
featuring RFAL™ Technology
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
21% vertical contraction
Analysis of Tightening Results
featuring RFAL™ Technology
10.3% vertical contraction
Analysis of Tightening Results
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
10% vertical contraction
Analysis of Tightening Results
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Summary of Skin Contraction• SAL/UAL maximum linear contraction of 5% reported (11% surface
contraction)
• LAL 8% linear corresponding to 17% area contraction verified
• Initial RFAL skin contraction studies show:
• - linear 14%-40%
• - area contraction 24%-60% for high volume patient
• - depending on treated volume and energy deposited
• RFAL is about twice more effective on skin contraction than LAL
• Objective 3D Vector Analysis in progress
featuring RFAL™ Technology
Physician Testimonial: Skin Contraction
“For skin tightening, nothing other than BodyTite really works. With competing systems, you may attain as much as 10% improvement in skin tightening. But BodyTite truly causes skin contraction, if used correctly. With BodyTite, you can actually measure skin contraction. With one treatment, I am seeing up to 40% skin retraction.”
“Every single patient of mine has been ecstatically happy with treatment.”
--- Dr. Diane Duncan, Fort Collins CO
featuring RFAL™ Technology
“I consider BodyTite the next-generation in non-excisional skin-tightening devices – more evolutionary than revolutionary. … The ability to modulate the skin surface temperature is better than any other system on the market.”
“This should be an easy procedure to market to patients because I feel it fills a need. We’ll be able to achieve more skin tightening in a lipo patient with loose skin compared to other existing modalities. These patients may no longer require a tummy tuck. Plus, practices should be able to charge a premium for that benefit.”
--- Dr. Jason Pozner, Boca Raton FL
Physician Testimonial
featuring RFAL™ Technology
This morning I saw this 35 year old 5' 4" 150 pound woman 2 weeks after her limited abdominoplasty and RF abdominal liposuction as marked. She has no pain and no problem healing and I feel an incredible early result not previously achievable by any means.
-- Dr. Dennis Hurwitz, Pittsburgh PA
Physician Testimonial
featuring RFAL™ Technology
IRB Clinical Sites
Multiple centered IRB clinical site• Malcolm Paul, USA• Diane Duncan, USA• Dennis Hurwitz, USA• Gerald Pitman, USA• Roy Geronomous & Lori Brightman, USA• Stephen Mulholland, Canada• Guillermo Blugerman, Argentina
Overall results show uniformity, consistency and safe results.
featuring RFAL™ Technology
Sp
Before and After Photos
featuring RFAL™ Technology
Before & 6 Weeks After
Phot
o Co
urte
sy: D
enni
s H
urw
itz,
MD
Absolute waist circumferential contraction of 9cm (118-109=9cm)
Massive Weight Loss: Dr. Hurwitz
featuring RFAL™ Technology
Before & 6 Weeks After
Phot
o Co
urte
sy: D
enni
s H
urw
itz,
MD
Massive Weight Loss: Dr. Hurwitz
featuring RFAL™ Technology
Phot
o Co
urte
sy: D
enni
s H
urw
itz,
MD
Massive Weight Loss: Dr. Hurwitz
Patient: Analysis of Tightening Results
featuring RFAL™ Technology
Before & After
Hips, Flanks and Abdomen Treatment
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Hips, Flanks and Abdomen Treatment
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o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Post Mummy Tummy – Mother of 9 and 4 year old
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esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Post Mummy Tummy – Mother of 9 and 4 year old
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ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & 3 mos After – 28F
Weight 133 lbs; Cir. 83 cm Weight 122 lbs; Cir. 71 cm
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & 3mos After – 28F
Weight 133 lbs; Cir. 83 cm Weight 122 lbs; Cir. 71 cm
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & After
Phot
o C
ourt
esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & After
Phot
o C
ourt
esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & 3mos After – 32F
Weight 136 lbs; Cir. 91 cm Weight 129 lbs; Cir. 78 cm
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o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & 3mos After – 32F
Weight 136 lbs; Cir. 91 cm Weight 129 lbs; Cir. 78 cm
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & 3mos After – 20M
Weight 178 lbs ; Cir. 105 cm Weight 172 lbs; Cir. 100 cm
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o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & 3mos After – 20M
Weight 178 lbs ; Cir. 105 cm Weight 172 lbs; Cir. 100 cm
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & After – 58F
Inner & Outer Thigh, Hips & Abdomen Treatment with Cellulite Reduction
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After – 34F
Inner & Outer Thigh, Bra Line, Hips, Buttocks & Abdomen Treatment
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After – 34F
Inner & Outer Thigh, Bra Line, Hips, Buttocks & Abdomen Treatment
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Abdomen Treatment
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esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Abdomen Treatment
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esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & 6 Weeks After
Photo Courtesy: Guillermo Blugerman, MD
Arm treatment showing significant skin contraction.
featuring RFAL™ Technology
Before & 6W After – 57F
Inner & Outer Thigh Treatment with Cellulite Reduction
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Flank and Back Treatment
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esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Abdomen Treatment
Phot
o C
ourt
esy:
Ste
phen
Mul
holla
nd M
D
featuring RFAL™ Technology
Before & After
Phot
o C
ourt
esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & After
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o C
ourt
esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & 7 Weeks After
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esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & 7 Weeks After
Phot
o C
ourt
esy:
Den
nis
Hur
witz
, MD
featuring RFAL™ Technology
Before & 3mos After
Abdomen Treatment
Phot
o C
ourt
esy:
Mal
colm
Pau
l, M
D
featuring RFAL™ Technology
Before & After
Phot
o C
ourt
esy:
Mal
colm
Pau
l, M
D
Back and Abdomen Treatment
featuring RFAL™ Technology
Before & 3mos After – 52F
Weight 139 lbs; Cir. 90 cm Weight 128 lbs; Cir. 85 cm
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
Before & After
Phot
o C
ourt
esy:
Gui
llerm
o B
luge
rman
, MD
featuring RFAL™ Technology
“My results are amazing! BodyTite has totally re-contoured my figure and changed my body type completely. It feels like my skin has tightened and formed back to my body and I can see I don’t have saggy skin or rolls anymore. Three years after having my baby, I feel like I have a new body image and my shape back.”
“I was treated a month ago and already I feel more active and lighter, with a much better figure. I am a new person with a totally new shape and outlook about my body image.”
“During and after my treatment I never felt any pain. I would describe it as a general soreness, but not painful at all.”
L.M., 24 yearsAreas Treated: Hips, flanks, bra line (wants abdomen next)
Profile: Single mother of 3 year old child
Patient Testimonial
featuring RFAL™ Technology
Marketing• Liposuction is a big market ($341,144 procedures performed by
ASAPS members in 2008)
• Consumers are losing interest in traditional liposuction (down 25% since 2007) in the same time, Energy Assisted Liposuction market is booming and overall body contouring market is growing
• Consumes are demanding
- skin contraction
- less bruising, pain, etc
- out-patient
• To maintain practice growth physicians need to incorporate Energy Assisted Liposuction
Statistics courtesy ASAPS
featuring RFAL™ Technology
Marketing Materials
And More:•Patient Education Flip Book•Advertising Templates•Table Top Display•Posters•Consumer Website
Direct MailPostcard
Patient Education Brochure
featuring RFAL™ Technology
BodyTite ROI Benefits:• Increased market demand• Adds new patients in your practice interested in a gentle, less
downtime procedure• New patients who are not ready for excisional procedures but
interested in RFAL contraction• Treat multiple zones achieving coagulation and contraction faster
than SAL , UAL, LAL• Safest most reliable way of achieving thermal treatment• More patient candidates (high BMI, loose skin, previous
liposuction)• Side-office and local anesthesia to reduce overhead
• between $1500-$4000 facility/staffing in cost savings
featuring RFAL™ Technology
BodyTite Competitive AdvantagesErgonomic design• Small foot print• Light weight• Simple use• Intuitive interface
Most advanced technology• Higher power• Faster treatment• Single Stage• Uniform heating• Directional heating• Lipolysis/Tightening/Coagulatio
n• BEST in class Skin Contraction
Fully Controlled Procedure• Skin temperature monitoring• Anti-carbonization
monitoring• Controlled penetration depth• Skin contact monitoring• Output power monitoring• Skin impedance monitoring
featuring RFAL™ Technology
Thank you
Questions?Please Call - +49-89-37412172
featuring RFAL™ Technology
Deutschland - Distribution
i-CosMed Ltd & Co.KGSchloßstrasse 14
D-82031 GrünwaldFon: +49-(0)89-37 41 21 72Fax: +49-(0)89-430 21 69
www.icosmed.de