08/27/2020    David Zuckerman, DPM

MLS M6 Robotic Laser (Anas Khoury, DPM)

The MLS robotic M6 Láser has a hand held probe
as well as robotic head. The question asked
should be how often and in what specific
clinical conditions are you as a podiatrist
having to use the hand held, non-robotic hand
piece with the MLS láser for foot and ankle
inflammatory conditions i.e., plantar
fasciitis? If the MLS is “robotic”, then why is
there a hand held accessory?

Power density is key, especially for foot and
ankle pathology for great clinical outcomes. I
don’t see a robotic laser being used solely for
foot and ankle pathology. The hand probe will
be needed in deep seated pathology such as PF.

How often do you need to use the hand held
probe along with the robotic function? That’s
not fully robotic! That’s both robotic and
hand- on applications

You must manipulate the joint as well as extend
the joint when treating pain and inflammation
with 1st MPJ condition such HL. Post-surgical
laser applications should combine hands-on in
conjunction with laser therapy. I call this
láser physical therapy.

Laser therapy is more physical medicine and not
just physical therapy. Very important. The
laser is only as good as the clinical skills of
the human skills behind the laser. I teach
follow the nerve distribution when treating PF.
Examine the foot before, during, and especially
after the laser treatment. Physical lack of
pain is key when determining patient power
density end point. In Simple terms before laser
treatment some times during and it’s a must
immediate post láser treatment. No pain
indicates proper power density

I see you are in New Jersey. Unattended
robotic lásers could be problematic per New
Jersey State Regulations? Question are you
leaving the patient unattended with the MLS
robotic class 4 láser? That is not a good idea.
The MLS is a class 4 láser which means it’s in
the category of potential for patient burn. I
am not saying it burns patient but it’s
regulated as class 4 láser

I would invested in a láser that is multiple
functional, i.e. pain.. fungus.. and both
ablative and non- ablation wart treatments as
well portable an all in one láser as an adjunct
and not look toward “robotic”. Keep it simple.
Streamline...? I would expand láser services
instead. Use your clinical hands-on skills!
Much better outcomes and with higher patient
satisfaction

Clinical outcomes are based on power density
outputs of the laser. You must be able to
control depth of penetration and this can be
achieved only with hands-on control of the hand
piece. Power density is controlled by
controlling the area and time of the hand piece
that is being is treated along other factors. A
great hand piece that is light and able to be
pushed deep into the foot is very important as
well

In simple English, the robotic arm does not
know how long and exactly where you to go to
treat deep seated pathology such as plantar
fasciitis The proper dose can be missed as well
an area. Stick with your Klaser unit. Although
it only can treat pain, it does this well

Disclosure: Dr. Zuckerman is owner of Remy
Láser System.

David Zuckerman, DPM, Cherry Hill, NJ

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