One of the most innovative features of  the ACCURAY Q45 ACCURAY D60 is the B or Blended button for wavelength transmission.
For years, laser experts have all expressed opinions on continuous wave, pulsing, and super pulsing types of emissions.  Now, the ACCURAY line of lasers has addressed this by adding Blended to the emission mode choices.
Blended  emission is a combination of both continuous wave for  one  minutes, and then our new feature called Turbo Pulsing automatically starts for 15  seconds.
Turbo Pulsing is an extremely fast way of pulsing, similar to Super Pulsing, but a true higher output value with thousands of pulses per second for maximum treatment and with reduced concern for thermal overload.  The joules counter moves rapidly, joule by joule, showing advanced and expanded treatment energy being delivered to the tissue.  This is TRUE SUPER PULSING, but on a stronger, more technical level.
When the B mode is chosen, Turbo Pulsing runs for 15 seconds, shuts off, and continuous wave runs for one minute until the next cycle of Turbo Pulsing starts.  This protocol continues until the treatment times out.  Turbo Pulsing is superior to straight Super Pulsing because the laser diode in the ACCURAY are manufactured to perform at designated higher power levels.  Most Super Pulsed lasers are associated with Class IIIb lasers and they operate in the 500mw range.  It would be difficult for a 500mw diode to give a burst of laser energy at 100w or 200 times their working value.
The ACCURAY offers this fantastic treatment mode with the combination of Turbo Pulsing and continuous mode emissions.  The Blended method of laser emission with Turbo Pulsed transmission gives the doctor or therapist another method of treatment that prevents tissue adaptation and increases healing to the optimal level.
Several laser companies in order to market their lasers use Techno -Babble which is using technical sounding terms, which are not necessarily proven,  to impress potential customers.
Super pulsing may give a high peak power, but the average output of super pulsed lasers is comparatively low.
Even though peak power of the super pulsed laser may be very high, it lasts for an extremely short time compared to the pulsed cycle, resulting in an average output power that is usually a thousand times lower than the peak power.  For clinical use, it is the AVERAGE POWER that is beneficial.
Some manufacturers prefer to label these lasers as “very strong” and state only the peak power which then can be in the order of 100 watts.  This sounds impressive, but typically these lasers emit 10 – 100 mW average power, and this is what counts for treatment.
One manufacturer promotes it’s super pulsed lasers as having 25,000 mW or 50,000 mW of power.  It has just a few presets.  To calculate the average power, one must only know the Peak Power, the Pulse Frequency and the Pulse Duration.
If the manufacturers “highest” power option of 50,000 mW is used, and consider the longest possible pulse duration is .0000002 sec for calculation purposes, the AVERAGE OUTPUT POWER is only .050 mW or fifty millionths of one Watt.
With is very low average power, it will take twenty thousand seconds or 5.6 hours for this manufacturer’s laser to deliver one Joule.
When speaking to a sales rep, many of them will not really know the so called scientific principles regarding Super Pulsing, and resort to more Techno Babble in order to sell a laser that actually delivers less.