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#124979 - 10/24/17 02:38 PM Thermocoagulation and Health Canada regulation
Kim Gerry Offline
Member

Registered: 10/03/17
Posts: 7
Loc: Chilliwack, BC, CAN
I have been a certified electrologist for over 10 years and 2 years ago I certified for thermocoagulation treatments with Dectro (great program BTW!). I have just heard that the senior II or any other electrolysis machine from Dectro are not regulated to provide any skin lesion treatments (thermocoagulation). I searched online to see if Health Canada as posted anything but I cannot find articles or clauses that stipulate that regulation. As anyone else heard or seen anything on Health Canada about that? Does that mean insurance will not cover you if you use anything but the machine (Elipsia+) that Dectro has been approved by Health Canada to perform thermocoagulation.

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#124980 - 10/24/17 07:45 PM Re: Thermocoagulation and Health Canada regulation [Re: Kim Gerry]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3220
Loc: Santa Barbara, CA USA
(For US readers)

I'm excruciatingly familiar with the twists-and-turns of all the "esthetician units" that treat skin lesions. All of the dedicated units are re-labeled thermolysis units that are being used "off label."

Were any company to claim their dedicated unit was anything other than an electrolysis unit (and already certified as such), they would have to present evidence of this being something new. Thus, they would have to spend many thousands of dollars for an FDA test. If they claim the unit is equivalent to, say, the Hyfrecator or Bovie (both medical devices), then the unit could only be sold (after testing) to medical doctors. So you see, it's a "catch 22."

If you directly ask any of the "dedicated unit" sellers, they are going to give you a bunch of baloney. So far, no agency has made much ado about this little issue ... however, one good fat lawsuit and that will bring all of this crashing down. The fat lawsuit will probably have something to do with a non-medical person removing a skin cancer and the patient not seeking timely treatment ... with bad results.

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#124981 - 10/24/17 07:49 PM Re: Thermocoagulation and Health Canada regulation [Re: Kim Gerry]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3220
Loc: Santa Barbara, CA USA
Additionally Kim, it's not the machine that is "certified" it's the practice of removing lesions with thermolysis.

They are certifying YOU not the machine."Thermocoagulation" can be accomplished by many many devices ...

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#125003 - 10/27/17 01:00 AM Re: Thermocoagulation and Health Canada regulation [Re: Michael Bono]
Kim Gerry Offline
Member

Registered: 10/03/17
Posts: 7
Loc: Chilliwack, BC, CAN
Indeed Mike! I looked at the health Canada form needed to label a machine as a medical device and it's quite the elaborated process. Thank you for taking the time to clear this up for me.

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#125646 - 01/15/18 03:49 PM Re: Thermocoagulation and Health Canada Regulation [Re: Kim Gerry]
Kim Gerry Offline
Member

Registered: 10/03/17
Posts: 7
Loc: Chilliwack, BC, CAN
Thermocoagulation In British Columbia...

Before any of you decided to get further education on anything... a word of advice DO YOUR RESEACRH!

I was just made aware that an electrologists or estheticians in BC are not allowed under the College of Physicians and Surgeons of BC to treat any benign lesions such as skin tags or senile keratosis using thermo or electrocoagulation even with certification. I always get a physician referral before removing any lesions.

Any of you electrologists offer this service in your province? Any issues?

CPSBC allows us to treat telangiectasia, cherries or Campbell lesions ONLY.

I have downloaded the HPA but I cannot find specifics about thermocoagulation...

This is what my Health authority as sent to me in regards to CPSBC regulations on thermocoagulation.

"It has come to the College's attention that you are removing skin growths including skin tags and benign moles from clients using electrocoagulation...It is the College's position that performance of the above-noted services by a non-registrant constitutes a contravention of s.13(2) of HPA, which prohibits a person other than a college registrant from providing a service of medicine. Breach of s.13(2) is an offense under s.51(1) of the HPA. Accordingly, if you are providing these services, the College insists that you immediately cease providing these services..."

I was trained in Alberta from a Quebec based school.

Any feedback? I want to try and discuss this issue but would like to know if someone already tried...

Thanks

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#125649 - 01/15/18 09:00 PM Re: Thermocoagulation and Health Canada Regulation [Re: Kim Gerry]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3220
Loc: Santa Barbara, CA USA
The rationale from your BC authorities is "spot on." You cannot mistake a hair or a blood vessel for anything else; and so zapping them is relatively safe.

However, a therapist(let's say physicians) cannot identify potentially lethal lesions by just looking (guessing) at them. Even physicians, in my State, must perform a biopsy on specific tissues they remove from the skin.

Stunningly, those selling "skin treatment machines" (really re-named electrolysis units) tell potential customers that doing such medical treatments are legal. I know this chicanery is taking place, by hearing "with my own ears" at trade shows in California. "They" will say anything to make a sale!

Are schools also teaching people do perform these half-baked treatments?

When the old "shit hits the fan," a bunch of businesses, and potentially practitioners, are going to discover what facing lawsuits initiated by the State are all about.

For me? "They've got it commin'!"

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#125652 - 01/15/18 11:09 PM Re: Thermocoagulation and Health Canada Regulation [Re: Kim Gerry]
Iluv2zap Offline
Top 10 Contributor

Registered: 11/19/14
Posts: 1187
The school in quebec is likely academie-dectro. As well as manufacturing machines for treating skin anomolies, they have advanced skin care courses as well. Quebec has almost no laws on what estheticians can and cannot do.It sounds like BC is tightening up the rules a bit more than either quebec or ontario does. I dont actually know what the rules are for skin tag or mole removal is in ontario, so while I can DO a skin tag removal I dont offer it as a service and dont carry insurance to do it.


Edit:
As a Side note, if your local health department is giving you this instruction , do not take it lightly. A couple years ago a local esthician here was doing things the board of surgeons didnt like in her clinc like botox injections (with beer served to the patient!) well the ontario medical board brought court action and shut her down completely.

http://www.cbc.ca/news/canada/ottawa/eve...davit-1.2561134


Seana


Edited by Iluv2zap (01/15/18 11:18 PM)
_________________________
Seana Richmond
Certified Electrologist.
Electrolysis By Seana
http://electrolysisbyseana.com

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