**4. What is the morpheus burst?**

The Morpheus Burst offers the next level of InMode innovation. The Morpheus BURST comes with the Morpheus BODY applicator (**Figure 11**). The Morpheus BURST is automated multiple, sequential Vertical Fractional adipose RFAL ablation and coagulation in a single cycle. The first FDA approval gained for deepest penetration depth up to 7 mm of ablation and 8 mm of heat and allows to use Morpheus8 applicator for multi-level energy release during one insertion cycle.

**There are two options for the 3 level RFAL automated Morpheus BURST fractional Coagulation:**

i. 7 mm, 5 mm and 3 mm OR, (**Figure 12**)

ii.6 mm, 4 mm and 2 mm (**Figure 12**)

iii.And two options for the 2 levels of automated coagulation treatment

iv. 5 mm and 3 mm OR

v.4 mm and 2 mm (**Figure 13**)

With each of the pulse sequence options above, the Morpheus BURST software will automatically embed the 40-pin needle array at deepest level and deliver the coagulation and ablative pulses automatically stopping every 2 mm during retraction (**Figures 12** and **13**).

#### **Figure 11.**

*The Morpheus BURST comes with the Morpheus BODY applicator. 40-pin electrodes that penetrate 2-7 mm with single pulse, automated double or triple pulse ablation and coagulation.*

#### **Figure 12.**

*The new Morpheus BURST offers automated, single pulse vertical, fractional adipose coagulation and contract in a single 1 second pulse. The triple depth can be either 7 mm/5 mm/3 mm, or in thinner tissue zones, 6 mm/4 mm/2 mm. There are also 2 double automated ablative and coagulative soft tissue contraction of 5 mm/3 mm and 4 mm/2 mm.*

This **"BURST"** of soft tissue ablation and coagulation at multiple levels with each cycle, optimizes and greatly increases the amount of soft tissue contraction and fat reduction that can be delivered in each second. In essence, one pass of the Morpheus BURST, is equivalent to the summative contractile effect of 3 passes with the non-burst Morpheus (**Figure 14**). This tripling of the coagulation index provides 300% increase in the single pass soft tissue contraction and fat reduction. Automatic delivering energy in 3 levels also increase uniformity of treatment allowing delivery of precise number of ablative and coagulative zones for each level and exactly the same treatment area.

#### **Figure 13.**

*The Morpheus burst allows a double synchronous double burst, single pulse ablation and coagulation injury for thinner, soft tissue areas.*

*Internal and External Radiofrequency Assisted Lipo-Coagulation (RFAL) in the Control of Soft… DOI: http://dx.doi.org/10.5772/intechopen.97031*

#### **Figure 14.**

*Top: Shows the synchronous, automated, single pulse 3 zone thermal effects of the Morpheus BURST. Bottom: The synchronous, automated multiple vertical depths of coagulation simulate 3 passes in a single pulse, amplifying and efficiently delivering optimized soft tissue volume ablation, coagulation and ultimately, single pass contraction. With 2 passes, one at burst 7 and the other burst 6, coagulation zones can be deposited every 1 mm.*

*The Burst Pulse Configuration* at each level is as follows:


#### **Figure 15.**

*The aggregate soft tissue coagulation and enhanced volumetric soft tissue contraction of the Morpheus BURST.*

Each Morpheus BURST pulse is like making 3 sequential passes, with the single depth coagulation Morpheus. Thus, with a single pass in a given zone, is then equivalent to 3x's the number of passes with 3x's the ablative and coagulative index and GREATLY enhanced soft tissue contraction (**Figure 15**).
