1. Device Overview

The Phothera 200XL is an advanced, high-capacity phototherapy device for home or clinical use, designed for treating hands, feet, and larger areas. The 200XL uses a Digital Timer (DT) Controller, offers exposure-limiting software for safety, and is available in both 2-lamp and 4-lamp configurations. Treatments must always be performed under the guidance of a physician.

2. Indications for Use

For the treatment of diagnosed skin disorders such as psoriasis, vitiligo, and atopic dermatitis (eczema) in patients from pediatric to geriatric age, under physician supervision.

3. Warnings & Safety Precautions

• Prescription Use Only: This device must only be used under the order and direction of a licensed physician.
• Protect Your Eyes: Always wear Phothera-approved UV-blocking goggles during use, and ensure anyone nearby does as well.
• Cover Untreated Skin: Use SPF 30+ sunscreen on all areas not being treated.
• Device Safety: Do not use with a damaged cord or plug; keep away from water.
• Ultraviolet Radiation: Overexposure can cause burns, skin aging, or cancer. Never remove eye protection during treatment. Remove pets and people from the area.
• Do not modify: No unauthorized modifications or repairs; use only original accessories.
• Let your doctor know about any new medications or health conditions, especially if photosensitizing drugs are prescribed.
• Wait until burned/irritated skin is healed before resuming treatment.
• Duty cycle: For treatments longer than 10 minutes, allow at least 10 minutes of cooldown between sessions.

For full warnings and details, consult your device’s official manual.

4. Setup & Assembly

1. Site selection: Place on a flat, dry, well-ventilated surface, near a grounded outlet, away from moisture and children.
2. Unpacking: Remove device, stand, power cord, and all accessories from packaging. Inspect for shipping damage before discarding materials.
3. Assembly:
   • 2-Lamp Model: Assemble the 3-piece acrylic stand and insert the device per manual illustrations. See manual for diagrams (page 6-7).
   • 4-Lamp Model: Assemble stand with included knobs, washers, and spacers. Attach and adjust per manual diagrams (pages 7-10).
4. Lamp Check: Confirm that installed lamps match your prescription (usually PLL-36W/01 Narrowband UVB for 200XL).

5. Operating Instructions

1. Press any button to power on the DT controller.
2. Enter the security code (default 0007) using UP-ARROW and PLAY/PAUSE buttons to unlock.
3. Set the prescribed treatment time using the arrow buttons and PLAY/PAUSE.
4. Position hands/feet on the lamp guard or, for treating top of hands/feet, follow manual instructions for stand-off or flipping the device.
5. Put on goggles, start the treatment (PLAY/PAUSE), and wait for session to end (lamps will auto-stop).
6. For hands/feet: Use 0 inches (on acrylic guard); for larger areas: hold treated area 9 inches from lamps.
7. After each session, record treatment and check for skin response.

6. Timer & Security Code

• Device locks after 3 minutes of inactivity.
• Default security code is 0007. Use UP-ARROW to select numbers, PLAY/PAUSE to enter.
• If exposure limiting is enabled, when exposures are low/expired, a "CXXX" code will display—give this code to your provider to get a refill code.
• See manual for detailed steps on entering, unlocking, and refilling code.

7. Cleaning & Maintenance

• Unplug before cleaning.
• Wipe with mild dish soap solution and soft, non-abrasive cloth.
• For low-level disinfection: Use Monk wipes or 70% isopropyl alcohol (3-minute contact), allow to air dry.
• For high-level disinfection: Use FDA-cleared product such as Steris Resert XL-HLD for multi-user situations.
• Do not use paper towels or abrasive materials on acrylic surfaces.
• Replace lamps after ~300 hours (UVB), ~500 hours (UVA/Blue). Contact support for lamp replacement and lamp hours reset.
• Annual calibration or every 100 hours recommended.

8. Troubleshooting

• Device won’t turn on? Check power, cord, and outlet.
• Lamp not lighting? Check code, timer, or lamp status.
• Device locked? Enter code or request unlock/reset from provider.
• Exposure limiting? Contact provider for refill code when prompted.
• See manual for more or contact Phothera support.

9. Warranty & Support

• Warranty: 1 year (device), 90 days (lamps).
• Contact:
  • Phone: 1-216-831-0600 (Press 2 for NatBio)
  • Email: service@phothera.com
  • Website: www.phothera.com

10. Frequently Asked Questions

• How do I unlock the device? Use code 0007 and arrow keys, then PLAY/PAUSE.
• What goggles should I use? Only Phothera-provided or physician-approved UV goggles.
• Can I treat twice in one day? No, only as directed by your physician.
• What if I miss a treatment? Resume as prescribed; consult your doctor if unsure.
• How do I order replacement parts? Contact Phothera support.
• What do I do if my device needs a refill code? Contact your provider with the device code ("CXXX") displayed.

11. Downloadable Resources

• Full Operation Manual (PDF)
• Treatment Log Sheet (PDF)
• Treatment Time Calculator