VeinGogh Manual 2012 (outdated)

Operation Manual For proper use, safest application and desired results please read this Operator’s Manual in its entirety before using the VeinGogh™ instrument. The Instrument is not sterile nor does it require sterilization.

This instrument is intended for Prescription Use only and its use requires appropriate professional medical training – use only if you have that professional training and have read the entire Manual. Not to be used by children or persons with reduced physical, sensory or metal capabilities.

VeinGogh™ Model 101 This operator’s manual will prepare you with the knowledge you need to make the most of your new VeinGogh instrument and its Microburst Technology™. We will take you every step of the way, from unpacking your new instrument to normal maintenance of your investment.

Your continued success with VeinGogh instrument means our continued success.

VeinGogh is a trade mark of Refine USA, LLC, Jacksonville Beach, FL Microburst Technology is a trademark of Refine USA, LLC, Jacksonville Beach, FL

Rev – 5 Operation Manual November 1, 2012

TABLE OF CONTENTS DISCLAIMER – COPYWRIGHT – INSTRUCTIONS FOR USE – UPON RECEIPT OF YOUR SHIPMENT ................................................................................................................................Preface

I.

II. III. IV. V. VI. VII. VIII. IX. X. XI.

XII.

XIII.

XIV.

XV. XVI.

INTRODUCTION ................................................................................................................1 Figure 1 – Component and Accessory Identification..........................................................1 Figure 2 – Back View..........................................................................................................2 HOW TO USE THIS MANUAL..........................................................................................2 CONTRAINDICATIONS.....................................................................................................2 WARNINGS...........................................................................................................................3 ADVERSE EVENTS.............................................................................................................3 SAFETY PRECAUTIONS...................................................................................................3 SAFEGUARDING YOUR PATIENTS...............................................................................4 SAFEGUARDING YOUR INVESTMENT........................................................................4 UPON RECEIPT OF YOUR INSTRUMENT....................................................................4 START-UP SCREEN............................................................................................................5 Figure 3 – Start-up Screen...................................................................................................5 SETTINGS.............................................................................................................................5 A. With Footswitch..............................................................................................................5 B. Without Footswitch.........................................................................................................6 Figure 4 –Control Screen.....................................................................................................6 OPERATIONAL PROCEDURES...................................................................................... 7 A. Preparation and Installation...........................................................................................7 B. Preparing the Stylus.......................................................................................................7 Figure 5 – The Ballet Stylus................................................................................................7 Figure 6 – Inserting the Ballet Needle.................................................................................8 Figure 7 – Dropping the needle into the Stylus...................................................................8 Figure 8 – Needle Disposal..................................................................................................9 PATIENT TREATMENT...................................................................................................10 A. Thermocoagulation......................................................................................................10 Figure 9 – Microburst Technology™................................................................................10 B. Post Treatment Care ...................................................................................................10 MAINTENANCE OF THE INSTRUMENT....................................................................11 A. Cleaning Your VeinGogh Instrument ........................................................................11 B. Accessories - Replacement Parts.................................................................................11 TROUBLESHOOTING......................................................................................................12 WARRANTY INFORMATION........................................................................................12

TECHNICAL SPECIFICATIONS................................................................................Back Cover CONTACT INFORMATION........................................................................................Back Cover

DISCLAIMER REFINE USA, LLC and their directors, officers, employees or agents make no warranties, expressed or implied, including without limitation the implied warranties of merchantability and fitness for a particular purpose.

REFINE USA, LLC makes every effort to provide accurate and current information in this document, some errors may exist. Upon notification, REFINE USA, LLC will make every effort to make corrections in a reasonable time frame.

However, no warranty to this accomplishment or for damages due to the inaccurate information is given. REFINE USA, LLC does not accept responsibility of any kind for customer loss due to use or reliance upon this document.

REFINE USA, LLC reserves the right to make changes without notice in the product described or contained herein in order to improve design and/or performance. Refine assumes no responsibility or liability for the use of the product or processes and makes no representation or warranty that this product is free from patent, copyright or trademark right infringement, unless otherwise specified. Applications that are described herein for the product are for illustrative purposes only. Refine makes no representation or warranty that such applications are suitable for the specified use without further testing or modification.

COPYRIGHTS This Manual is protected by copyrights, and may only be read and used by end users who have purchased this instrument through authorized distributors. All rights are reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording or otherwise without the prior written permission from the author and publisher. All inquiries should be addressed to Refine USA, LLC’s worldwide headquarters at the address listed in this Manual, along with a date from a copy of the original purchase receipt of your VeinGogh. No attempt has been made to designate as trademarks or service marks all words or terms in which proprietary rights might exist. The inclusion, exclusion or definition of a word or term is not intended to affect, or to express a judgment on, the validity or legal status of the word or term as a trademark, service mark or other proprietary term.

INDICATIONS FOR USE (IFU) - BRIEF DESCRIPTION OF FUNCTIONS AND SIGNIFICANT PHYSICAL AND PERFORMANCE CHARACTERISTICS

The VeinGogh instrument is intended for the treatment of lower limb spider veins or telangiectasia by thermocoagulation. Treatment areas should be horizontal to the user.

Users could wear a magnification aid to ensure adequate vision of the treatment area. The user could wear a face shield and gloves. The patient should be positioned to ensure freedom from earthed metal parts or parts with appreciable capacitance to earth. The user inserts the needle point in a telangiectasia at a right angle to the vein after setting the instrument’s control panel settings of time and pulse or using the instrument’s autopulse functionality. Pulses are intended to be created every 23 mm along a vein. The user should clean the needle point frequently between vein insertions with a sterile compress.

The instrument has an operational control panel, driven by the instrument’s firmware, which provides the operator with control of the instrument’s on/off, standby, voltage amplitude or “power”, pulse, auto on, auto off, time, and reset operations. In the autopulse mode, the pulse rate is depended on the pulse duration. The delay between pulses is controlled from 0.5 seconds to 3 seconds. The fastest pulse rate will be a pulse every 0.5 seconds and slowest every 3.0 seconds. The user can manually set the voltage amplitude or “power,” as a % of instrument maximum voltage amplitude of 205Vpp and time duration from 0.1second to 0.8 second. Note: The “%” change is not mathematically accurate and the actual output amplitude voltage is not linearly changed with “Power” settings. Operators should always use the lowest power settings that will provide thermocoagulation of the treated vein.

The instrument has default “power” and pulse settings.

Users should review and conform to the Contraindications, Warnings, Adverse Events, and Safety Precautions provided on pages 2 – 4, and Safeguarding Your Patients and Safeguarding Your Investment on page 4. Operational Procedures and Patient Treatment are provided on pages 6-9.

Maintenance and cleaning information is provided on page 10. Technical Specifications are provided on the back cover.

DISCLAIMER – COPYRIGHT – INDICATIONS FOR USE – BRIEF DESCRIPTION OF FUNCTIONS

I. INTRODUCTION Thank you for choosing VeinGogh. The VeinGogh instrument is intended for the treatment of lower limb spider vein or telangiectasia by thermocoagulation.

The VeinGogh instrument is less invasive to the skin than Intense Pulsed Light, Laser instruments, or other traditional therapies and has proven to be more effective for the treatment of Telangiectasia.

The complete VeinGogh includes the VeinGogh instrument and the following accessories: r Ballet Needle Holder (Stylus) r Foot Switch r Ballet and Bristle Sample Needles r Mains Power Cord r Ballet Stylus Cord r User’s Manual Please confirm that you have received the VeinGogh instrument and all the accessories.

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II. HOW TO USE THIS MANUAL You’ll find chapter headings and corresponding page numbers to quickly locate specific information in the Table of Contents. This is your detailed guide to install and operate your Vein Gogh instrument. You will find detailed safety information, how to identify the parts of your new instrument and minor trouble-shooting suggestions. Also, you will discover how to prepare and set up the instrument, review techniques for VeinGogh’s three main functions and learn about normal maintenance and care. You will even find out the fastest way to contact us if you should need further assistance on our contact information on the back cover.

Your standard warranty information is located towards the back of this manual. If you purchased either the two or four year extended warranty you will find that information on your original purchase receipt. Always safeguard your original bill of sale should you ever have warranty concerns as it is required for warranty service. Use the descriptions and illustrations in this Manual to become familiar with the VeinGogh instrument’s terminology and accessories.

Prior to any initial use, read the complete Manual and periodically or whenever appropriate, review Contraindications, Warnings, Adverse Events, Safety Precautions, Safeguarding Your Patient, and Safeguarding Your Investment. The following symbols and definitions may appear in this manual and on the instrument: Caution

Read the Manual

Type BF Applied Part

Date of Manufacture

Keep Dry

III. CONTRAINDICATIONS       

Never use the instrument on anyone with: A pacemaker or other internal electrical or electronic instrument.

Epilepsy or history of seizures Open sores or lesions Skin cancer Known metal sensitivities or allergies Heart problems, conditions or artificial parts 2

 Hemorrhagic trauma, blood thinning or other disease  Broken or irritated skin, including conditions such as hives or dermatitis  Any stage of melanoma  Do not use with pregnant women  Do not use on patient’s with a fake or faux tan  Do not use with patients with skin infections IV. WARNINGS  The instrument does present the possibility of problems with electromagnetic compatibility (EMC) conflicts with other electrical equipment. Interference produced by high frequency equipment, like the VeinGogh instrument, may adversely influence the operation of other electronic equipment. Should such events be suspected, immediately terminate any VeinGogh instrument use and monitor the other electrical equipment to determine if the issue remains. If the issue was resolved, steps should be taken to isolate both the instrument and the affected electronic equipment from each other and monitor the affected equipment until the user is confident the steps taken resolve the issue.  Users should be aware that activation of the stylus when not in contact with the target tissue may cause capacitive coupling.  Conductive fluids (e.g., blood or saline), in direct contact with the needle, may carry electrical current or heat, which may cause unintended burns to the patient.  The operator must be aware that patients with cardiac pacemakers or other active implants may be at risk because of possible interferences with the correct operation of the pacemaker, or the pacemaker may sustain damage. In case of doubt, qualified and expert advice should be sought.  Never submerge any accessories or electrical parts in water or cleaning solutions  Never try to adjust, repair or replace any internal part of your instrument, doing so will void the manufacturer’s warranty and could cause shock, injury or death.

V. ADVERSE EVENTS  There is a chance of Erythema and transient matting.  Pigmentation can be caused from over treating.

VI. SAFETY PRECAUTIONS  Never attempt to repair a VeinGogh instrument. Doing so will void the manufacturer’s warranty. Our professional technicians are the only ones authorized to adjust, repair, service and inspect this instrument  Only use original VeinGogh replacement parts and accessories, including sterile Ballet K3 insulated stainless steel brand needles.  Only operate equipment in between 10 – 33°C and in a non-hospital setting, away from flammable gases.  Place the instrument on a sturdy, flat surface convenient to the patient’s location.  The operator(s) of the instrument should, as routine and preventive maintenance before each use, inspect the stylus cord, the stylus, its’ needle and the power cord for possible damage to insulation coverings or other conditions that may make them unsuitable for use and service. Replace as appropriate. No other instrument components require user maintenance.  Place all provided or specified expendables and user provided consumables on or very near the same sturdy, flat surface on which the instrument is positioned.  Store the instrument in a climate controlled facility to ensure that temperature extremes do affect the performance of the instrument.

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 Only use the VeinGogh instrument if you have the professional training and background, or have been professionally trained and have read this entire user’s guide.  Do not allow children or persons with reduced physical, sensory, or mental capabilities to operate this instrument.  Do not allow children to play with this instrument.  Based on individual user’s needs during treatment, a magnification device or a face shield could be used.  Users should wear protective gloves as specified by their office practices.

VII. SAFEGUARDING YOUR PATIENTS      



Establish and maintain standard office practices.

Patients should be positioned to ensure that they do not come in contact with grounded (earthed) metal parts or parts with appreciable capacitance to earth. Antistatic sheeting can be used to avoid grounding.

Always position the stylus or Ballet Needle Holder cable to prevent contact with patient.

Ballet Gold K3 needles may often be substituted for stainless steel needles for patients with other metal allergies – see “Accessories – Replacement Parts” below Frequently review ‘CONTRAINDICATIONS” and “WARNINGS” above Warning: The operator of the instrument must be aware that patients with cardiac pacemakers or other active implants may be at risk because of possible interference with the correct operation of any pacemaker, or any pacemaker may sustain damage. In case of doubt, qualified and expert advice should be sought.

Warning: Interference produced by high frequency equipment may adversely influence the operation of other electronic equipment.

VIII. SAFEGUARDING YOUR INVESTMENT        

  

VeinGogh instrument must be connected to an electrical wall outlet with a reliable protective earth ground and proper voltage as specified on the nameplate label.

Do not attempt to connect or modify VeinGogh to any other power source.

Never plug the instrument into an electrical receptacle if the power cord or its plugs are damaged or frayed.

Do not use extension cords; their use is prohibited for this type of instrument. Move the instrument close to an approved electrical outlet.

Do not plug in more than one instrument to the electrical outlet being used to operate the VeinGogh instrument.

Do not attempt to modify VeinGogh instrument. Doing so will void the manufacturer’s warranty and can create a product which could endanger the user and/or patient.

Always operate the instrument on a sturdy level surface.

Do not operate the instrument near flames, water, metal or where hydrotherapy, short wave, microwave or thermal therapy is being conducted.

During use, care must be taken to ensure that water, in any form, does not come in contact with the instrument or its accessories. If water comes in contact with instrument or foot switch turn off instrument, stop all use and call for Technical Support.

Use common sense or call Refine USA, LLC for advice if you ever have a safety related concern.

Clean the instrument and its accessories when patients are absent from the area of operation.

Do not use strong chemicals for cleaning the instrument. They can damage the plastic surface and display. Only use a damp cloth with alcohol or a very mild detergent.

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IX. UPON RECEIPT OF YOUR SHIPMENT The shipping container is designed to protect the instrument during shipping. Inspect the shipping container for damage that may have occurred during shipment. Open and inspect the instrument packaging. If any damage to the instrument or accessories is found, contact the shipping carrier immediately. It is important to save the shipping container and packaging materials until you have checked all its contents and in case the instrument requires a return. Make sure the VeinGogh instrument and all accessories have been received and are free of damage. If shipping damage is noted, a claim must be submitted to the shipper.

Call Refine USA immediately if you observe missing parts or accessories. Advise Refine USA of any physical damage to your instrument or accessories and your claim to the carrier. Missing accessories must be reported to Refine USA within 3 days of receipt of your instrument for prompt replacement.

X. START-UP SCREEN After connecting the power cord, stylus and inserting a needle, plug the power cord into the proven, grounded electrical wall outlet. Turn the Power Switch to turn the instrument on. The VeinGogh instrument’s initial Start-up screen will appear, see below.

Figure 3 –

Start-up Screen When the instrument is first turned on or booted up, the Start-up Screen appears. After a few seconds it will disappear and be replaced by the Control Screen.

XI. SETTINGS The VeinGogh instrument has several different settings for each feature. Take a look at the diagram of the instrument (pictured below) and compare it to your instrument. There are actually two separate modes of operation. They are with and without the footswitch.

A. With Footswitch: Always keep the foot switch free from contact with water.

With AutoPulse off, touching the “On/Off” button will switch the instrument from Standby to Run mode but nothing else happens except the timer is activated. Thereafter, each time the footswitch is pressed one sequence of specified pulses is produced for each footswitch press.

This short-time – specified operation is the most common mode of operating your instrument.

If, while in Run mode, the AutoPulse function is activated, the footswitch is then used to start and stop a continuous AutoPulse sequence. If the AutoPulse mode is disabled, continuous operation ceases and the footswitch will then again function to send a single pulse stream each time pressed.

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B. Without Footswitch: First, enable the AutoPulse mode by touching the “Auto” button, then by pushing the “On/Off” button it will switch the instrument from Standby mode to Run mode and automatically start continuous pulsing as specified by the user. When the “Auto” button is touched again the instrument switches back to Standby mode. Power and pulse timing can be adjusted at any time.

1)

2) 3) 4)

5)

The instrument’s default settings are pre-adjusted to “Power % 100” [“Power %” or amplitude voltage)] and “Pulse S” 0.2 seconds. The amplitude voltage or “Power %” “setting can be adjusted in 5% increments from 5%-100% by touching the up or down arrows.

Note: The amplitude voltage settings are relative Vpp settings. As a convenience to the user, they identified as “Power %” settings. A Power % setting of 100 is approximately 205Vpp and a Power % setting of 35 is approximately 143Vpp. These two settings represent the recommended amplitude voltage range of 205 Vpp – 143Vpp for the instrument. Within those Power % settings are 14 individual settings, providing the user with a range of sophisticated treatment options that may be tailored for each patient.

The time duration for each pulse is adjustable in tenths of a second from 0.1s (second) to 0.8s (second). “Pulse S” setting can be adjusted by the user to the desired pulse time setting by touching the up or down arrows.

To activate the “Auto” setting, touch the “Auto” button. To deactivate the “Auto” function push the “Auto” button again.

The “On/Off” button is used to turn the instrument on and after pulse selection settings have been made. The time in minutes that the pulse function has been active is recorded in minutes in the box under the “Time” title. The numbers of pulses administered are recorded in the box under the “Pulses” title. The pulse function is stopped by pressing the “On/Off” button again.

Time/Pulse Counter- Used to time procedures and count the number of pulses and can be reset to zero by touching the “Reset” button.

Figure 4 - Control Screen 6

XII. OPERATIONAL PROCEDURES If this is your initial use review Contraindications, Warnings, Adverse Events, Safety Precautions, Safeguarding Your Patient, and Safeguarding Your Investment, pages 4 and 5 above. Periodic review of those discussions is also advised.

If you haven’t already, remove the instrument from its packing and become familiarized with the component parts and accessories by comparing them to the photographs on pages one and two and the accessories list on page ten. See Upon Receipt of Your Instrument, page 5, above.

A. PREPARATION AND INSTALLATION Find the electrical power supply cord and plug it into the back of VeinGogh instrument. Plug the other end into a reliably grounded electrical wall receptacle of the proper voltage as specified on the instrument’s nameplate label. Do not use floor receptacles as they expose your power cord and instrument to the risk of inadvertent damage.

Attach the red female Ballet connector to the front left receptacle of the instrument or attach the black male Bristle needle connector to the front center receptacle of the instrument. Attach the footswitch cord to the front right receptacle of the instrument.

B. PREPARING THE BALLET STYLUS Check stylus cord insulation and stylus for any damage or wear.

Remove the shipping “dummy” needle from the stylus by pressing the elongated chuck release button near the needle end of the stylus. The shipping dummy needle should pull out easily with the chuck button pressed firmly, see descriptions and illustrations below.

Figure 5 – The Ballet Stylus

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Figure 6 – Inserting the Ballet Needle

1. Press the chuck release button.

2. Insert the sterile Ballet Needle into the stylus chuck. Hold the sterile needle in its packaging to keep it sterile and to avoid inadvertent puncture. Release the chuck release button when the needle has been captured by the chuck.

3.

Hold the stylus in a vertical position and press the chuck release button again. The sterile needle should drop into the chuck to its correct depth

Figure 7 – Dropping the sterile needle into the Stylus

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4. Connect the stylus power cord by pushing it in firmly into the stylus power receptacle.

5. After each needle use, position the needle-end of the stylus over an open Sharps container.

Press the chuck release button, and allow the used needle to fall free of the stylus.

6.

Dispose of used needles according to established office practice and procedures for medical waste.

Figure 8 – Needle Disposal – Do Not Reuse

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XIII. PATIENT TREATMENT – Intended for use in a non-hospital setting Periodically review Contraindications, Warnings, Adverse Events, Safety Precautions, Safeguarding Your Patient, and Safeguarding Your Investment A. THERMOCOAGULATION Please refer to VeinGogh’s Introduction on page 1 and Settings on page 5 for discussions of accessories, control switches, buttons and indicator locations.

1) 2) 3) 4)

5)

6) 7) 8)

Put on medical grade protective eyewear and gloves.

Prepare skin with a thorough cleansing and inspect the skin for contraindications of use.

If using a Ballet needle, insert a sterile stainless steel Insulated needle into the stylus.

The recommended size is Ballet K3 - 0.075mm. Never reuse needles on another patient; always use a new, sterile needle.

The default settings are a duration of 0.2 seconds and a 100% power setting, however you may select any desired duration and power settings with the up and down arrows of those settings. Never use a higher power setting than needed to perform the intended use. See “Settings – Without Footswitch” above.

Before sending a pulse, you must find the correct needle position by pressing on the vein with the needle until the small thread of varicosity disappears, confirming that you are properly positioned on the varicosity. The gentle pressure of the needle should make the varicosity disappear after the pulse has been sent.

For best results apply a pulse every 2-3mm along the spider vein.

Pull the skin to test results. Any lateral pulses will cause the veins to reappear. Repeat treatment as appropriate. Never try to immediately retreat an area.

The foot switch is used to control the start and stop of the auto-pulse function.

Depressing and releasing the rubber foot pad turns the function on. Depressing and releasing the foot pad turns the auto-pulse function off, and vice –versa.

Figure 9 – Microburst Technology Ohmic thermolysis is the process of using electrical resistivity to selectively thermocoagulate small, 0.3mm, blood vessels using microbursts of highfrequency electrical energy delivered into the vessel via a hair-thin probe. The energy is converted to heat instantly, coagulating the blood and collapsing the vessel wall, yet leaving the outer layers of the skin unaffected.

B. POST TREATMENT CARE 1) 2) 3) 4) 5)

Clean Skin with Alcohol swabs.

Pulse spots will scab. Patient should avoid scratching. Advise your patient not to apply foundation or make-up for at least four hours. Use a mineral based powder if make-up is required or essential to your patient.

Complete healing could take 7-30 days depending on skin’s condition and intensity of treatment received.

Apply ice pack(s) immediately after treatment for patient comfort.

Aloe Vera and/or moisturizer products can be applied immediately after treatment.

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XIV. MAINTENANCE OF THE INSTRUMENT The user is responsible for keeping the VeinGogh instrument maintained and cleaned properly to insure your manufacturer’s warranty remains intact. Inspection of the stylus cord insulation and stylus should be performed with each use. There are no inspection or maintenance activities required or scheduled to be performed by other persons. It is important to keep your instrument away from outside factors that could negatively influence VeinGogh’s electronic stability.  There are NO user internal maintenance activities identified for the instrument.  Keep the instrument clean by only using a slightly damp cloth with alcohol to wipe your VeinGogh.  Never use water, soap or chemicals to clean the control panel or its buttons.  Carefully clean the stylus and cord with any product labeled for cleaning medical equipment. (For example 70% to 90% isopropanol)  Allow all attachments to dry completely after cleaning and before using them with your next client.  Inspect the power cord for damage. If the detachable cord set is damaged, it must be replaced. Use only a replacement cord set available from the manufacturer or their service agent. Supply cords vary by country and location; please contact your service agent or the manufacturer to obtain the correct cord set and replacement instructions.

A. CLEANING YOUR VEINGOGH INSTRUMENT and ACCESSORIES – A User Responsibility Your accessories must be cleaned after each use. All foreign material should be removed during the cleaning process.  Make sure the needle has been removed from the stylus as described previously.  Follow the specific instructions of your product labeled for cleaning medical equipment or cleaning in medical environments.  Clean the stylus and its cord by wiping it with a damp cloth with alcohol or with any legally marketed product labeled for cleaning medical equipment or cleaning in medical environments, following the instructions provided by that manufacturer. Do not submerge in any solution.  Immersing electronic parts or accessories in any liquid solutions will void your manufacturer’s warranty.  Allow proper cleaning and drying time in between uses of the instrument.  The exterior of the appliance may be cleaned by only using a slightly damp cloth with alcohol. Make sure the appliance is disconnected from the wall outlet when performing this action. Do not allow liquid to enter the appliance.  Do not clean the appliance with solvents or other harsh chemicals.

B. ACCESSORIES - REPLACEMENT PARTS Use of parts or accessories other than VeinGogh’s original replacement parts will void your manufacturer’s warranty. Directions are included when you order your replaceable parts. Please contact Refine USA at the telephone number or address located in the back of this manual if you have any questions about installing replacement parts. Ballet Stainless Steel K2 and Ballet K3 Gold Needles are available for purchase, when needed.

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All VeinGogh parts and accessories are available at www.refineusa.com DESCRIPTION Foot Switch Ballet Needle Holder and Cord Ballet K3 Stainless Needles Ballet K2 Stainless Needles* Ballet K3 Gold Needles* Mains Power Cord This Operation Manual

PART NUMBER VG-6439 VG-6442 VG-6488 VG-6388 VG-6088 VG-6432 VG-6466

*Note: Available for purchase, not supplied with the VeinGogh Instrument

XV. TROUBLESHOOTING If your VeinGogh instrument seems to be malfunctioning there are a few things you can do to insure the instrument is being used properly. Please report any malfunctions immediately to Refine USA using the contact information located on the back cover.

If you have no power when the instrument is in the “on” position: • Check your power cord at the back of the instrument and at the wall receptacle.

• Unplug the VeinGogh instrument from the wall outlet and plug another instrument in the receptacle to insure your electricity is performing properly.

• Make sure the corresponding power switch is turned on for the function of the instrument you are attempting to use.

If you have any circumstance that is not easily identified above, please contact your sales representative or Refine USA right away for Customer Service support.

XVI. WARRANTY INFORMATION Your VeinGogh instrument is covered under the following warranty information.

What is covered: This warranty gives you certain rights and you may also have other rights that may vary from state to state. This warranty is given only to the first end user/ purchaser of the accompanying product (further referred to in this warranty as “this Product”.)

Refine USA, LLC warrants to you for the Warranty Period that there are no defects in the materials and workmanship of this Product. The Warranty Period is 1 year from the date you purchased this product.

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What is NOT covered: This warranty is VOID – that is, this Product has no warranty – if: (1) You did not purchase this Product from an authorized Refine USA, LLC distributor. (2) this product has been serviced, modified or tampered with by anyone other than an Authorized Service Representative of Refine USA, LLC, (3) the serial number has been modified, defaced or removed from this Product, (4) this Product has been abused or damaged, (5) Unauthorized parts, or non-recommended supplier parts, accessories or power supplies have been used with this Product, or (6) this Product has been transported without the proper preparation and packaging.

What to do if you think your Product is defective: Complete a repair request at www.refineusa.com. During the Warranty Period, you must supply Refine USA, LLC with a copy of your dated bill of sale showing that this product was purchased in the United States.

After contacting Refine USA, LLC you may be required to deliver or send the Product properly packaged, freight/insurance prepaid, to the corporate office together with a photocopy of your bill of sale.

What Refine USA, LLC will do: Refine USA, LLC will evaluate your report of a possible defect to determine whether a defect exists, and if it does exist, Refine USA, LLC will repair or (at Refine USA, LLC’s option) replace the Product with a product that performs the same functions and performs as well as the original Product. Refine USA, LLC reserves the right to supply remanufactured replacement parts provided that the replacement parts conform to the manufacturer’s specifications for new products. The repaired or replacement product will be returned to you at no cost.

Exchange Service: When an exchange is authorized, Refine USA, LLC will exchange your non-working Product with a remanufactured product that conforms to the manufacturer’s specifications for new products. The remanufactured Product you receive will be covered by the balance of the limited warranty period remaining on the original Product, plus an additional thirty (30) days.

Limitations: Repair or replacement as described above is your sole and exclusive (that is, your only) remedy if this product if defective. Refine USA, LLC is not responsible for damage to or loss of anything or anyone related to the use of this product. Except for that repair or replacement, Refine USA, LLC shall not be liable for any direct, indirect, incidental or consequential damages or specific relief. Because some states do not allow the exclusion or limitation of consequential or incidental damages, the above limitation may not apply to you.

THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER WARRANTIES, WRITTEN OR ORAL, WHETHER EXPRESSED BY AFFIRMATION, PROMISE, DESCRIPTION, DRAWING, MODEL OR SAMPLE. ANY AND ALL WARRANTIES OTHER THAN THIS ONE, WHETHER EXPRESSED OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE HEREBY DISCLAIMED.

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TECHNICAL SPECIFICATIONS Dimensions Weight

Width – 41cm Depth – 33cm Height – 15cm Width – 16.1 in Depth – 13 in Height – 5.9 in Approximately 2.6 kg / 5.7 pounds

Temperature: (Operating)

Lower Limit: 10oC - 50oF Upper Limit: 33oC - 92oF

(Storage)

Lower Limit: 0oC - 32 oF Upper Limit: 40oC - 104 oF

Humidity: (Operating)

20 – 80% (without condensation)

(Storage)

20 – 80% (without condensation)

Atmospheric Pressure:

70kPa – 106kpa Input Rating: Output: Frequency of Wave: Max voltage in output: Max time of pulse:

120 V

50/60 Hz 40W

4MHz 230V 0.1 second - 0.8 second

CONTACT INFORMATION: Refine USA. LLC 340 3 Avenue South, Suite C Jacksonville Beach, Florida 32250 rd

(866) 333-6858 www.refineusa.com