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LEADERS & SUCCESS
BEAMING ESC Lasers Win Over Doctors For Varicose Vein Treatments
Date: 2/14/97 Author: Robin M. Grugal
ESC Medical Systems Ltd. is proving skeptics wrong.
Eight months ago, analysts and reporters echoed some doctors' claims that ESC's new pulsed-light treatment for varicose veins didn't live up to its promise. They said it caused blistering and discoloration.
But physicians using ESC's PhotoDerm have found otherwise and are helping boost the Israeli company's sales by more than 200%.
Dr. Leonard Yaffe, an analyst at Montgomery Securities, said that while the claims may be true, they are misleading. ''(The device) is of great interest to physicians, because it is the most versatile product on the market, with the least side effects.''
Yaffe said the device can be more effective than alternative noninvasive laser treatments, but requires greater physician training and skill. ''If done improperly, there can be side effects. But doctors experienced in using the devices have great results.''
The choice of wavelength and pulse depend on the size and depth of the vessel being treated. The goal is to heat the vessel just enough to collapse its walls, without damaging surrounding tissue. There are no needles or punctures to the skin.
Effectiveness studies on the PhotoDerm VL are uniformily positive, Yaffe said. It causes fewer side effects than other lasers in the treatment of varicose veins. Plus, it can be used to treat larger vessels.
Competing lasers - produced by Candela Laser Corp., Laserscope, Laser Industries Ltd. and Coherent Inc. - are good at clearing vessels less than one millimeter in diameter. PhotoDerm can treat vessels up to three millimeters in size.
In a recent study, the ESC system completely cleared 61% of vessels greater than one millimeter in diameter. A competing system provided just 50% clearance on 38% of vessels and had a 100% incidence of skin discoloration.
ESC has sold 350 PhotoDerm units to date, including 230 last year. It received Food and Drug Administration clearance in mid-1995. Doctors pay an average of $118,000 for the system.
Included in the sales count are mixed VL/PL units. The PL upgrade, approved by the FDA in September, lets doctors also treat sun spots, age spots, birthmarks and tattoos with pulsed-light technology.
But ESC's technology doesn't stop at varicose veins and skin conditions. A new hair-removal laser called EpiLight could soon hit the U.S. market.
''Growth of PhotoDerm will continue for the next few years,'' Yaffe said. ''But EpiLight is clearly the new product story. It will set a new standard for effectiveness in hair removal.''
The device uses pulses of light to remove hair follicles without damaging the skin. It's available overseas, but awaits FDA approval here.
The closest thing on the market is an FDA-approved laser produced by Thermolase Corp.. In one study, patients treated with that product saw 50% regrowth after three months. Data on EpiLight's effectiveness is still a bit sketchy, as no official studies have been done. But Yaffe says he's heard that EpiLight's results are superior.
EpiLight's key strength is its flexibility, said Hillel Bachrach, ESC's head of marketing and sales. Because it adjusts to hair color and coarseness, body locations and skin types, he said, it can achieve better results.
Bachrach won't call EpiLight a permanent solution. But in Europe, where it's been in commercial use for 15 months, doctors are seeing people return with no signs of hair growth over 95% of a treated area. Still, he said, there's no way of knowing what the results will look like after two years.
ESC sold as many as 40 units in 1996. The price ranges from about $135,000 to $160,000.
ESC has another big product in the pipeline - a skin rejuvenation laser known as Derma 20. Bachrach expects FDA clearance for both EpiLight and Derma 20 in 30 to 60 days.
The Derma 20 is a pulsed laser used for wrinkle removal and skin resurfacing. Bachrach has high hopes for the product, considering what's now available in the market -namely CO2 lasers. CO2 lasers are effective, but healing takes three to six months. Derma 20 gets the job done with less thermal damage to surrounding tissue and therefore heals faster.
In the quarter ended Dec. 31, ESC's net income rose 266% to $4.4 million from $1.2 million the year before. On a per-share basis, the gain was 177% to 25 cents from nine cents on 39% more shares outstanding. Revenue was up 214% to $11.6 million. The stock, priced near 35, sells by ESCMF.
(C) Copyright 1997 Investors Business Daily, Inc.
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