Endovenous

Treatment for Varicose Veins

1320nm Laser

COOLTOUCHA Syneron-Candela CompanyCoolTouchCTEV™

EFFICACY99%

Science.Results.Trust.

• 99% efficacy rate • short procedure time • fewer risks and complications than vein stripping• ideal outpatient procedure • no sedation required • less invasive than vein stripping and ligation1 • increased patient comfort • quicker healing time • reimbursed procedure

80 million Americans suffer from chronic venous insufficiency (CVI) or varicose veins. Venous insufficiency symptoms

include outwardly bulging, ropy varicose veins, achy, itchy, or swollen legs after standing for prolonged periods

of time, excessive spider veins, skin discoloration or ulcers. Family history or heredity, pregnancies and obesity

play a major role in this condition. Many who suffer from venous insufficiency don’t have bulging varicose veins

so they don’t realize there is a treatment for their symptoms. Fifty percent of patients who seek treatment for

varicose veins do it for cosmetic purposes alone. Many patients are not aware there is a simple procedure that

can eliminate varicose veins or reduce venous insufficiency symptoms, they still believe that vein stripping is the

gold standard with the lengthy, painful recovery process. The CoolTouch CTEV laser procedure offers the patient

a simple outpatient procedure, which in most cases is covered by insurance.

CoolTouch offers a comprehensive laser purchase package which includes the CoolTouch CTEV laser, an automatic

pullback device, and an array of fiber options. A laser purchase includes*:

• Two day training workshop with a CoolTouch Center of Excellence Trainer

• Professional CoolTouch laser in-service with a clinical expert

• Comprehensive marketing kit for promoting your practice

• Toll-free access to dedicated customer support

• Physician Locator listing on CoolTouch website

• Reimbursement Hotline free of charge

*These services may not be available outside the United States and may vary for international markets by region. For international marketing, please contact your local distributor for specific product deliverables.

• 99% success rate obtaining varicose vein closure

with one treatment2

• Little, if any pain, bruising or swelling

• Minimal, if any, patient downtime from regular

daily activities

• Cosmetically pleasing outcomes

• No vein perforations or thermal injury to the skin

Expand Your Practice with the CoolTouch CTEV laser

Comprehensive CoolTouch CTEV Laser Purchase Package

Offer Your Patients the CoolTouch Advantage:

Before the CTEV Procedure After the CTEV Procedure

Mark Forrestal, MD, FACPhNorthwest Vein Care, Arlington Heights, IL

“ Endovenous ablation is a valuable treatment in my phlebology practice today. My choice for endovenous thermal therapy is and has been CoolTouch’s 1320nm laser system for the past decade. When the SaphFire fiber was introduced in 2006, I noticed a procedural advance as compared to previously available technologies. The overall combination of 1320nm laser frequency, the SaphFire fiber and automatic pullback has produced outcomes in my office that are equivalent to published major studies.“

Water specific wavelength targets water in the vessel wall

THE FACTS: The CoolTouch CTEV is a Nd:YAG micro-pulsed

laser with a 1320 nanometer wavelength, which targets water in

the vein wall. The 1320 laser energy, which does not penetrate

beyond a 2.0mm depth of penetration in the vein wall, is ideal

for closing the vein without damaging the surrounding tissues

or nerves.

ADVANTAGE: The wavelength and depth of penetration allows

the CoolTouch CTEV the best possible outcomes with minimal

to no patient discomfort.

99% Success Rate

THE FACTS: The CoolTouch CTEV offers the physician a 99%

vein occlusion rate with 8 year patient follow-up clinical data, the

longest single follow-up patient data in the endovenous ablation

marketplace. Patients report little, if any pain, bruising, or swelling

post-procedure with minimal or no downtime from work or play.

Some patients even report their symptoms resolving quickly after

the procedure.

ADVANTAGE: The CoolTouch CTEV is a win-win procedure

for both physician and patient. You can offer the preferred

endovenous ablation procedure technology available from a

clinical and patient satisfaction standpoint.

1320 nanometer wavelength

Clinical Success & Patient Satisfaction

The CoolTouch Difference

1320nm 810nm - 980nm(Diode Lasers)

Cynthia Asbjornsen, DO, FACPh, Vein Healthcare CenterMaine Phlebology Association Founder

“ The CoolTouch CTEV Automated Pullback feature produces a uniform closing of the vein that improves my patient’s results, especially with larger more complex vein procedures.”

Exclusive Automatic Pullback Device

THE FACTS: The CoolTouch CTEV is the only laser technology

on the market that offers an Automated Fiber Pullback Device.

The pullback device gently withdraws the fiber from the vein while

delivering precise dosimetry during the vein ablation. It is equipped

with two speeds for efficacy and shorter procedure times.

ADVANTAGE: The Automatic Pullback eliminates the guesswork

associated with energy delivery to the vein tissue. Other

technology requires the physician to manually extract the fiber

from the vein, which can result in under or over-treatment of

the vein and potential thermal injury to the tissue and skin. The

pullback offers a reliable, repeatable hands-free fiber retraction

for excellent patient outcomes.

Array of Fibers & Accessories

THE FACTS: CoolTouch offers a wide array of fiber options.

• SaphFire® 2.5F single-use sterile fiber utilizes a smooth

rounded tip which is ideal for tortuous veins

• EZ PASS® 400μm single-use fiber offers a smooth passage

through the vein lumen

• Re-usable 600μm 5x multi-use fiber, the lowest cost “per

procedure” FDA cleared fibers to treat varicose veins

• Single-use sterile 600μm fiber is an industry standard

endovenous fiber for your sterile needs

ADVANTAGE: The CoolTouch fiber family offers the physician fiber

choices based on their practice’s financial and office policy needs.

Controlled Energy Delivery

Cost Effective & Environmentally-Friendly Fiber Options

Minimize your risk

THE FACTS: The CoolTouch CTEV laser’s energy is micro-pulsed with a 100μsec duration. Micro-pulsing, a feature

exclusive to the CoolTouch CTEV laser, provides the high peak power needed to produce the Clear Tip® effect

that inhibits thrombus formation on the fiber’s tip.3-4

ADVANTAGE: Physicians can trust the CoolTouch CTEV brand for its minimal risk profile and reduced risk of patient

complications.

Reimbursable Procedure

THE FACTS: The CoolTouch CTEV laser procedure is reimbursed by most insurance utilizing the CPT codes

36478 and 36479. The national reimbursement average in an office setting varies between ~$1300 to $1800

per procedure depending on geography.5 One patient’s complete treatment program for one leg (2 veins) has a

potential reimbursement up to $5,000.

ADVANTAGE: Incorporating endovenous ablation for varicose veins into your practice allows you to offer your

patients an additional procedure and increases your revenue.

Bibliography:

1. Weiss, Robert A., Margaret A. Weiss, Karen L. Beasley, and Robert A. Weiss. “Chapter 21.” Sclerotherapy and Vein Treatment. New York: McGraw-Hill Professional, 2012. N. pag. Print

2. Weiss R, Beasley K. (2011). Long Term Experience with CoolTouch 1320nm Endovenous Ablation. [White paper] CoolTouch Inc. Kingsley J., Maltbia C., Isobe J., Tadros S. (2006). Endovenous CoolTouch 1320 nm Laser Ablation-The First Reported Detailed Analysis. [White Paper]. CoolTouch Inc.

3. Hennings, D., Lindsay, C., Hennings, T. (2011) Endovenous Ablation with Laser Induced Thrombus

4. Kirpolsky, M. (2010) A Comparison of Laser Delivery Mode and Wavelength on Varicose Veins

5. 2014 CoolTouch CTEV Endovenous Ablation Reimbursement Guide

Micro-pulsed Technology = Clear Tip® Results

Increase your Practice Revenue

Wavelength: 1320 nanometer

Power: 15 Watts

Delivery: 273, 400, 600um & 2.5F

Dimensions: 31” high x 18” wide x 21” deep

(79 cm x 46 cm x 53 cm)

Weight: 128 lbs (58kg)

Utilities: 115 VAC, 50/60Hz, Single Phase

230 VAC, 50/60 Hz, Single Phase

Regulatory Approvals: FDA cleared for treatment of reflux of the great and small saphenous veins and tributary

veins associated with varicose veins and varicosities

CE0044

Product Specifications

New Star Lasers dba CoolTouch Inc., a pioneer in the Nd:YAG laser industry for 20 years, manufactures and markets medical laser technology to a wide array of physician specialties. In 2014, CoolTouch was acquired by Syneron Candela which is a publicly traded company on the stock exchange (Nasdaq: ELOS). Syneron Candela and CoolTouch are committed to supporting the physician’s practice needs and developing innovative new technology. CoolTouch branded products are assembled in the USA using a certified ISO 13485 world-class quality system, Good Manufacturers Practice standards and

CE Mark qualified.

CoolTouch Branded Products a subsidiary of Syneron Candela

Science.Results.Trust.

CoolTouch CTEV, ClearTip, EZ PASS & SaphFire are trademarks of CoolTouch Inc.

The CTEV 1320nm laser system is manufactured under US patents and patents pending: 7,524,316: 7,644,715: 7,921,854

©2014 CoolTouch 7110-0109 Rev. A

CoolTouch Branded Products by Syneron Candela

9085 Foothills Blvd., Roseville, CA 95747

877.858.2665 916.677.1900 fax 916.677.1901

www.cooltouch.com