PREPARING FOR MONOPOLAR SURGERY
Monopolar surgery requires a return electrode.
Applying the Return Electrode
To maximize patient safety, Arthrex recommends using a split return electrode and a generator with a contact quality monitoring
system (Bovie NEM™).
NOTICE:
The Bovie NEM™ system requires that you use a split return electrode.
Refer to the manufacturer’s instructions for application site and placement procedures. When using metal plate return electrodes,
use a conductive gel specifically designed for electrosurgery. Select a return electrode site with good blood flow. While a properly
applied electrode results in minimal tissue heating beneath the electrode, a good blood flow helps carry heat away from the site.
1. Connect the cable to the Return Electrode receptacle on the front of the unit.
The unit will automatically sense the presence of a split or solid return electrode and, if a split return electrode is used,
will constantly monitor the resistance at the contact between the electrode and the patient.
2. Adjust the Blend setting to the desired amount of hemostasis (Level 1 - 10). Adjustment is preformed by pressing the up or down
buttons next to the Blend setting indicator.
Select the desired power settings for Cutting. Adjustment is preformed by pressing the up or down buttons next to the Cut display.
When the light above Cut I illuminates, a low Cut mode is selected. When the light above Cut II illuminates, a pure Cut mode is
selected.
Select the mode of operation for Coagulation, either Pinpoint or Spray.
Select the desired power setting for Coagulation. Adjustment is preformed by pressing the up or down buttons next to the
Coag display.
Connecting Accessories
1. Connect a 3-pin monopolar device into the monopolar receptacle on the front of the unit.
If footswitching control capabilities are preferred, connect the Arthrex, Inc. monopolar footswitch to the appropriate footswitch
connecting socket on the rear of the unit.
NOTICE:
If a monopolar footswitch device is connected to the unit, the unit cannot be activated using the
handswitching pencil.
To activate the Monopolar mode, depress the cut or coag button on the monopolar handpiece or the cut or coag pedal on the
monopolar footswitch.
4-4
Arthrex, Inc.
If you are using…
Connect it to…
Standard 3-pin handswitching pencil
Monopolar handswitching receptacle