Daiwha Meditom DT-300S User Manual Download Page 5

1

. Precautions5 

1. Precautions 

1.1  Overview 

  This manual describes how to use the electrosurgical unit (Model: DT-400S/300S) manufactured 

by DAIWHA Corporation, and its technical specifications. 

  Repair  or  circuit  alteration  of  this  equipment  can  only  be  carried  out  by  personnel  authorized  by 

DAIWHA. The warranty shall not apply to defects or damage caused by repairs or disassembly by 
anyone other than personnel authorized by DAIWHA, and safety shall not be assured.   

  Parts  or  circuits  which  are  used  for  this  equipment  can  be  replaced  to  improve  the  safety  and 

performance of this equipment. 

  Read this manual carefully before using the electrosurgical unit, and understand its functions and 

how to use it for safe use. 

  Contact DAIWHA if you have any questions regarding the equipment or the User Manual. 

  As the medical equipment, this product can be used only trained doctors.   

  When  the  patient  contacts  grounded  electric  conductors  such  as  the  metal  part  of  the  grounded 

operation table during the output, it may burn or shock the contacted body part. 

  Since  it  operates  on  high  frequency  and  high  voltage,  electromagnetic  waves  are  generated 

naturally.  This  might  affect  other  equipment  such  as  distorting  an  ECG  monitor  screen  in  a 
negative  way.  When  HF  SURGICAL  EQUIPMENT  and  physiological  monitoring  equipment  (for 
example  ECG  monitor)  are  used  simultaneously  on  the  same  PATIENT.  The  grounding  of  ECG 
should be placed through neutral plate in case that the units are using the same ground earth.Any 
monitoring electrodes should be placed as far as possible from the surgical electrodes (Minimum 
distance 150mm). Needle monitoring electrodes are not recommended. 
The lead of Radio-Frequency electrode is the shorter is the better not to make loops between other 
leads. For this reason Using device that apply to EMC(Electro-magnetic Compatibility) is strongly 
recommended. 

  Set  the  output  to  the  lowest  level  which  can  achieve  the  desired  operation  effect,  and  then 

gradually increase the output volume to the desired level. 

  Prior to use, check the equipment-whether it has a problem. 

  Power voltage and frequency must be supplied in a stable manner within the designated range on 

product rear side. However, the output may vary depending on power. If the wall outlet voltage in 
the  hospital  exceed  the  designated  range  by  ±  5%,  the  equipment  should  be  calibrated  again  by 
manufacturer or supplier. 

  If the power frequency in the hospital different from the designated range, the equipment should be 

calibrated again, too. Please refer to product label on the back for exact power usage.     

  Considering its cooling feature, continuous output can result in abnormal operation of the product. 

Be sure duty cycle. 

  A  short  circuit  that  might  occur  between  electrodes  during  activating  output  will  damage  the 

product. 

  The  Failure  of  the  HF  SURGICAL  EQUIPMENT  could  result  in  unintended  increase  of  output 

power. 

  Do not reuse disposable accessories.   

  All  accessories  has  to  be  always  keep  disinfected  when  you  use,  especially  metal  parts  which  is 

contacting with the patient's body 

  This manual is only applicable to pumps with Program Version v1.xx or above. 

 
 
 
 
 
 
 
 

Summary of Contents for Meditom DT-300S

Page 1: ...MEDITOM DT 400S 300S User Manual DAIWHA Copyright 2014 DAIWHA Corporation All rights reserved Manual No RD USM EN 3 07 Rev1 00...

Page 2: ...lar coagulation output 12 8 D R M Daiwha Return electrode Monitor 12 9 Active electrode 12 10 Return electrode 12 2 2 Symbols 13 2 3 Controls Indicators and Receptacles 15 2 4 Accessories 18 2 5 Label...

Page 3: ...ulatio 39 9 1 2 Open Circuit Peak Voltage 40 9 2 Blend1 Cutting Mode 41 9 2 1 Load Regulation 41 9 2 2 Open Circuit Peak Voltage 42 9 3 Blend2 Cutting Mode 43 9 3 1 Load Regulation 43 9 3 2 Open Circu...

Page 4: ...ility of the manufacturer 53 10 3 Cleaning and Disinfecting 53 10 4 Periodic Inspection 53 10 5 Periodic Performance Testing 54 10 6 Product Life Span 54 10 7 How to Scrap the Unit and Accessories 54...

Page 5: ...using the same ground earth Any monitoring electrodes should be placed as far as possible from the surgical electrodes Minimum distance 150mm Needle monitoring electrodes are not recommended The lead...

Page 6: ...operation When the contact is poor parts of body touching the Neutral Plate Patient Plate Return Electrode will be burned Avoid areas such as near heart scars joints and parts with bones projected par...

Page 7: ...ormal operation of the product Be sure duty cycle 8 A short circuit that might occur between electrodes during activating output will damage the product 9 The Failure of the HF SURGICAL EQUIPMENT coul...

Page 8: ...se children s patient plate neutral plate for adults You may increase the risk of getting burn due to reduced contact size Recommendation to position patient leads in such a way that contact with the...

Page 9: ...checked before selecting higher power 12 The supplier will make available on request circuit diagrams component part lists descriptions calibration instructions or other information which will assist...

Page 10: ...ion 135 Donghwagongdan ro Munmak eup Wonju si Gangwon do Korea Product Name Electrosurgical unit Model DT 400S DT 300S Packaging Unit 1 Set Purpose Consistent infusion of medicine Storage Store at roo...

Page 11: ...sure that patients do not touch grounded metals It may cause partial burn 3 Do not give long output to tissue areas or do not give approval high output beyond the need Manipulate output when electrod...

Page 12: ...k when bipolar coag mode used 6 Mono polar cutting output It is the output from the mono polar output jack when pure mode or blend mode used 7 Mono polar coagulation output It is the output from the m...

Page 13: ...m the On Power Disconnection to the mains used with electrodes that do not monitor contact quality used with electrodes that do monitor contact quality Monitor Alarm alarm Mono polar output is disable...

Page 14: ...ndle Output for Unipolar hand bi polar accessories Return Electrode Connection for mono dispersive electrode polar foot switch Inlet for mono Defibrilation Proof Type CF applied part RF Isolated are i...

Page 15: ...urn electrode placement and causes DRM Set Indicator goes on The unit will then monitor the patient s resistance and produce an alarm if the resistance rises by more than 20 5 or if a short is detecte...

Page 16: ...as been selected 22 Contact Coagulation Mode Indicator Illuminates when Mono polar contact coagulation mode has been selected 23 Spray Coagulation Mode Indicator Illuminates when Mono polar Spray coag...

Page 17: ...orresponding to that listed on the Patcher attached right by A detachable power cord with a standard 3 prong are supplied with unit The fuses in main fuse box provide Dual pole power line overload pro...

Page 18: ...CO LTD in Taiwan 4 Disposable Single Pad BIOPROTECH in Korea 5 Disposable Dual Pad BIOPROTECH in Korea 6 Pad Cable 4 m Shining World Health Care CO LTD in Taiwan 7 Double Foot Switch 4 m KEM Co Ltd In...

Page 19: ...1060mbar Storage Conditions 10 60 30 95 noncondensing 700mbar 1060mbar Transportation Conditions 10 60 30 95 noncondensing 700mbar 1060mbar Do not drop the unit from higher than 50cm Do not use the ho...

Page 20: ...peat Frequency Output RF Power W Load Resistance Pure mode 400 300 500 Blend1 mode 400 33 300 300 Blend2 mode 400 33 220 300 Blend3 mode 400 33 140 300 Forced mode 400 33 100 300 Soft mode 400 33 100...

Page 21: ...om a patient to earth It reduces the current to lower than IEC Requirement when a patient grounded to Earth by material part of a bed or any other materials It reduces the skin burns at Return Electro...

Page 22: ...Mount Return Electrode to Return Electrode jack Patch the pad on the patient s body as closely as possible so that more Assist Resistance Indicators could light for the safety if possible Refer to th...

Page 23: ...rea decreased 80 smaller than the initial area HF current from surgical unit has deteriorated pad adhesives during long time operation In this case Patch the pad to the patient and press DRM Setting S...

Page 24: ...3 Specifications24 Tolerance 10 State Resistance LED Single PAD Below 10 8 Dual PAD 31 50 8 51 80 7 81 100 6 101 110 5 111 120 4 121 130 3 Poor condition 131 141 2 141 150 1 Above 150 0 Open PAD 0...

Page 25: ...rent modulated by 33KHz For cutting with minimum hemostasis 3 Blend 2 400KHz alternating current modulated by 33KHz For cutting with more hemostasis than Blend 1 4 Blend 3 400KHz alternating current m...

Page 26: ...types of electrodes If possible an electrode with small diameter is recommended if possible as you need higher output in proportion to the diameter Low output can make coagulation possible Don t use e...

Page 27: ...necessary the tips of Forceps will be too much heated coming out the gilt of tips If it is not evitable to use high output be mindful to cool the tips sufficiently Use the Forceps with the wide tips...

Page 28: ...to minimize the burn risk It is sometimes called Dispersive Electrode Neutral Plate or Patient Plate 5 2 Unipolar Handle Return Electrode Plug Uni polar Handle mono polar forceps laparoscopic instrum...

Page 29: ...5 Connecting Accessories with the unit29 5 3 Bipolar Forceps 5 4 Foot switches...

Page 30: ...of the equipment If there is no ground circuit in the main power outlet the Equipotential grounding cable must be connected to the quipotential Grounding Contact Daiwha sales department when you need...

Page 31: ...ion Switch to set up the Dual Pad Mode The Dual Pad Mode Indicator will be turned on and the DRM will be ready Attach the Pad firmly to the patient Please read carefully the precautions The changes in...

Page 32: ...lend1 Blend2 Blend3 and choose the appropriate output power W by Mono polar Cut Power Increase or Decrease Switch 5 Select the Coagulation mode Contact Spray and choose the appropriate output power W...

Page 33: ...Outlet2 8 After finishing surgery Turn OFF the Power Switch TIP What is Output Path Selector 1 This slide switch alters the path of RF Output by Mono polar Foot Switch RF Output will go out to Monopol...

Page 34: ...e equipment If there is no ground circuit in the power cord the equipotential grounding cable must be connected to the Equipotential Grounding 3 Patch Neutral plate as closely and firmly to the surger...

Page 35: ...ut Press the blue switch of TBH or the blue pedal of Foot Switch to perform the coagulation surgery 6 3 When operating bi polar cut function Connect bi polar forceps to Bi polar RF Power Outlet Press...

Page 36: ...ls It may cause partial burn Do not give long time output to tissue areas or higher output beyond the need Manipulate output when electrode is always contacted with tissue to prevent tissue burn If th...

Page 37: ...ion Spray 10 30 Neuro Surgery Blend2 or Blend3 Loop 20 80 20 70 Contact BALL 10 25 1 8 Prostatic Resection Pure or Blend1 65 and up 55 and up Spray 15 and up Bladder Fulguration Spray 12 30 Tumor Exci...

Page 38: ...toclave supply water Tight bunching or wrapping of the cord during sterilization Contact between the cord and material instruments during autoclave sterilization 4 Sterilize the accessories made of pl...

Page 39: ...9 Load Regulation Vpeak Graphs39 9 Load Regulation Vpeak Graphs 9 1 Pure Cutting Mode 9 1 1Load Regulation DT 400S DT 300S...

Page 40: ...9 Load Regulation Vpeak Graphs40 9 1 2Open Circuit Peak Voltage...

Page 41: ...9 Load Regulation Vpeak Graphs41 9 2 Blend1 Cutting Mode 9 2 1Load Regulation DT 400S DT 300S...

Page 42: ...9 Load Regulation Vpeak Graphs42 9 2 2Open Circuit Peak Voltage...

Page 43: ...9 Load Regulation Vpeak Graphs43 9 3 Blend2 Cutting Mode 9 3 1Load Regulation DT 400S DT 300S...

Page 44: ...9 Load Regulation Vpeak Graphs44 9 3 2Open Circuit Peak Voltage...

Page 45: ...9 Load Regulation Vpeak Graphs45 9 4 Blend3 Cutting Mode 9 4 1Load Regulation DT 400S DT 300S...

Page 46: ...9 Load Regulation Vpeak Graphs46 9 4 2Open Circuit Peak Voltage...

Page 47: ...9 Load Regulation Vpeak Graphs47 9 5 Forced Soft Coagulation Mode 9 5 1Load Regulation DT 400S DT 300S...

Page 48: ...9 Load Regulation Vpeak Graphs48 9 5 2Open Circuit Peak Voltage...

Page 49: ...9 Load Regulation Vpeak Graphs49 9 6 Spray Coagulation Mode 9 6 1Load Regulation DT 400S 300S 9 6 2Open Circuit Peak Voltage...

Page 50: ...9 Load Regulation Vpeak Graphs50 9 7 Cutting Biploar Mode 9 7 1Load Regulation DT 400S 300S 9 7 2Open Circuit Peak Voltage...

Page 51: ...9 Load Regulation Vpeak Graphs51 9 8 Standard Bipolar Coagulation Mode 9 8 1Load Regulatio DT 400S 300S 9 8 2Open Circuit Peak Voltage...

Page 52: ...9 Load Regulation Vpeak Graphs52 9 9 Soft Bipolar Coagulation Mode 9 9 1Load Regulatio DT 400S 300S 9 9 2 Open Circuit Peak Voltage...

Page 53: ...leaning and Disinfecting Electric shock hazard Always turn off and unplug the unit before cleaning When cleaning with damp cloth exert cautions to prevent moist from leaking into the product It may ca...

Page 54: ...k all reusable parts with eyes before use Scrap immediately or repair them before use As for the reusable parts the unit life span is significantly different according to usage environment and sterili...

Page 55: ...uthorized representative reserves the right to submit the invoice to the Buyer for the work carried out This warranty is not applicable to ESUs with damaged seal or when failure caused by violations o...

Page 56: ...ence in nearby electronic equipment RF Emissions CISPR 11 Class A The DT 400S 300S is suitable for use in ail establishments including domestic establishments and those directly connected to the publi...

Page 57: ...s Mains power quality should be that of a typical commercial or hospital environment Surge IEC 61000 4 5 1kV differential mode 2kV common mode 1kV differential mode 2kV common mode Mains power quality...

Page 58: ...than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80MHz and 800MHz the higher frequency range applies NO...

Page 59: ...tion applicable to the frequency of the transmitter where p is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80MHz and 800MHz the se...

Page 60: ...ence may occur in the vicinity of equipment marked with the following symbol NOTE 1 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflectio...

Page 61: ...12 Document History61 12 Document History Change Code Revised Description Rev 0 1 2016 07 06 Created a draft Rev 1 0 2017 02 27 Added Description...

Reviews: