Applies to: All NCD staff operating or assisting with Class 3B/4 lasers in the Laser Room.
1) Purpose
Ensure safe, compliant, and effective use of Fotona SP Dynamis and StarWalker MaQX in line with AS/NZS 4173, ARPANSA guidance, and NSW WHS requirements — covering governance, room controls, PPE, plume control, patient protection, documentation and incident response. 1 2 3 4 5
2) Scope & Devices
Fotona SP Dynamis — Er:YAG 2940 nm (ablative/non-ablative) + Nd:YAG 1064 nm. Fotona StarWalker MaQX — QS Nd:YAG 1064/532 nm with dye 585/650 nm. Both Class 4. Jurisdiction NSW WHS oversight. 6 7 8 9 10 11 12 13 14
3) Roles & Training
Clinic Director: compliance & incident reporting. LSO: maintains safety program. Operators: trained clinicians with competency logs. Assistants: briefed on hazards, eyewear, plume & emergency. 1 2 3 5
4) Controlled Area & Engineering Controls
Dedicated laser room with Class 4 controls: signage, access control, fire safety. Manufacturer controls per IFU. 1 5 6 7 9 15 16 17
5) Personal Protective Equipment (PPE)
Laser eyewear matched to wavelength/OD. Skin protection: gloves, non-flammable drapes. Respiratory protection per AS/NZS 1715:2009 with fit-testing. 1 5 10 16 17
6) Surgical/Procedural Plume Control
Local evacuation with ULPA/activated carbon filters. Risk assessment documented. Aim for smoke-free theatre principles. 18 19 20 21
7) Patient Safety & Clinical Protocol Basics
Pre-treatment: history, photos, test spots, consent. Eye protection mandatory. Skin prep non-flammable. Documented parameters per IFUs. Aftercare: SPF, reviews. 1 6 7 8 9 12 13 16 17
8) Signage, Documentation & Equipment Checks
Class 4 signage at door. Daily laser log. Regular servicing and calibration. 1 5 6 7 9 16 17
9) Incident/Exposure Response
Eye exposure: urgent ophthalmology. Skin burns: first aid, medical review. Plume/RPE failures: remove exposure, medical review, re-fit-test before return. 1 5 11 15 18 19 21
10) Governance & Compliance
Operate under AS/NZS 4173:2018, ARPANSA, NSW WHS. Maintain evidence for audits (training, maintenance, logs, consent). 1 2 3 4
Sources
- AS/NZS 4173:2018 Safe use of lasers and intense light sources in health care. Standards Australia/NZ. Available here, viewed 8 October 2025, https://store.standards.org.au/product/as-nzs-4173-2018 ↩︎
 - ARPANSA (2024). Advice for providers: Lasers, IPL and LED for cosmetic purposes. Available here, viewed 8 October 2025, https://www.arpansa.gov.au ↩︎
 - ARPANSA (2024). Lasers, IPL sources and LED phototherapy in the cosmetic and beauty industry. Available here, viewed 8 October 2025, https://www.arpansa.gov.au ↩︎
 - NSW Government (SafeWork/EPA). Information on lasers in workplaces. Available here, viewed 8 October 2025, https://www.safework.nsw.gov.au ↩︎
 - Safe Work Australia. Laser classifications and general duties. Available here, viewed 8 October 2025, https://www.safeworkaustralia.gov.au ↩︎
 - Fotona. SP Dynamis — product overview. Available here, viewed 8 October 2025, https://www.fotona.com/en/products/2027/sp-dynamis/ ↩︎
 - Fotona. Dynamis Pro brochure. Available here, viewed 8 October 2025, https://simplebooklet.com/fotonaspdynamis ↩︎
 - Fotona. Dynamis Pro — technical details. Available here, viewed 8 October 2025, https://www.fotona.com/us/product/fotona-sp-dynamis-pro/ ↩︎
 - Fotona. StarWalker MaQX brochure. Available here, viewed 8 October 2025, https://www.fotona.com/media/documents/aesthetics/brochures/97370_starwalker_maqx___qx_brochure_web.pdf ↩︎
 - ARPANSA. Laser classes and hazards (non-ionising radiation). Available here, viewed 8 October 2025, https://www.arpansa.gov.au ↩︎
 - Innovative Medical Technologies (AU). SP Dynamis Pro (Australia). Available here, viewed 8 October 2025, https://innovative.com.au/ ↩︎
 - Clarion Medical. StarWalker overview. Available here, viewed 8 October 2025, https://www.clarionmedical.com ↩︎
 - Fotona. SP Dynamis technical page. Available here, viewed 8 October 2025, https://www.fotona.com ↩︎
 - MedicalExpo. StarWalker MaQX product listing. Available here, viewed 8 October 2025, https://www.medicalexpo.com ↩︎
 - UNSW Safety. Laser safety hazards. Available here, viewed 8 October 2025, https://safety.unsw.edu.au ↩︎
 - AS/NZS 1715:2009. Selection, use and maintenance of respiratory protective equipment. Available here, viewed 8 October 2025, https://store.standards.org.au/product/as-nzs-1715-2009 ↩︎
 - RESP-FIT/Standards Australia (2023). Fit-testing & respirators guidance. Available here, viewed 8 October 2025, https://respfit.org.au ↩︎
 - NSW Health (2023). GL2023_018: Controlling Exposure to Surgical Plume. Available here, viewed 8 October 2025, https://www.health.nsw.gov.au ↩︎
 - WorkSafe Victoria. Managing surgical plume in healthcare. Available here, viewed 8 October 2025, https://www.worksafe.vic.gov.au ↩︎
 - WA Health. Surgical Smoke/Plume Procedure. Available here, viewed 8 October 2025, https://wacountry.health.wa.gov.au ↩︎
 - Bravura Education. Why every operating theatre should be smoke-free. Available here, viewed 8 October 2025, https://www.bravura.edu.au ↩︎
 


