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4-4

2

AUTO CUT function field

All parameters can be set in this function field that are relevant
to cutting:

2.1

Setting of the coagulation EFFECT when cutting

Here the required cutting quality in regard to the coagulation effect on the cutting edges
can be adjusted.
Level 1 corresponds to minimum coagulation effect.
Level 4 corresponds to maximum coagulation effect.

2.2

Setting the power limitation

The HF power output can be limited in one watt steps from 200 watts to 1 watt.  If display
2.3 shows “ —“ , the Auto Cut mode is switched off.

2.3

Display of the set power limitation in watts

This display shows the currently set power limitation

2.4

ENDO CUT

is a cutting mode by which the cutting procedure is automatically fractionated. In this way,
for example during endoscopic polypectomy or papillotomy, the cutting electrode is
prevented from cutting through the tissue too quickly. The ENDO-CUT key is only active
on models ICC 200 E and ICC 200 EA.

Activation of monopolar cutting

can be done using either the yellow key on the electrode handle or the yellow pedal on the
footswitch. Activation is visually signaled by continuous illumination of the triangle symbols in
the upper part of the CUT function field and also acoustically signaled. Monopolar cutting
instruments are connected to the CUT/COAG socket.

Summary of Contents for 10128-002

Page 1: ...ERBOTOM ICC 200 Instruction manual 04 05 ERBE...

Page 2: ......

Page 3: ...04 05 ERBOTOM ICC 200 V 2 X 10128 002 10128 009 10128 303 10128 027 10128 403 ERBOTOM ICC 200 E V 2 X 10128 010 10128 015 10128 304 10128 028 ERBOTOM ICC 200 EA V 2 X 10128 023 10128 036 10128 305 10...

Page 4: ...processed reproduced or distributed by means of electronic systems without prior written permission from ERBE ELEKTROMEDIZIN GmbH The information contained in this instruction manual may be revised or...

Page 5: ...and muscles 3 6 3 4 Cardiac pacemaker 3 7 3 5 Danger of explosion 3 7 3 6 Interference with other electronic equipment 3 7 3 7 Portable and mobile communication equipment HF 3 7 4 DESCRIPTION OF THE H...

Page 6: ...tic performance test after switching on the unit 8 1 8 2 Automatic performance check during activation 8 1 8 3 Automatic error documentation 8 2 Error list 8 3 9 SAFETY CHECKS 9 1 10 MAINTENANCE CARE...

Page 7: ...ENDO CUT ICC 200 E Basic Model with ENDO CUT and Argon Plasma Coagulation ICC 200 EA 1 2 Explanation of the safety instructions The WARNING safety instruction indicates a danger which can result in p...

Page 8: ...1 2...

Page 9: ...e high frequency surgical unit to the extent permitted by the type of application intended Initial operation Before delivery every high frequency surgical unit is tested by the manufacturer in regard...

Page 10: ...2 2...

Page 11: ...ive objects during high frequency surgery The black elastic table covers on operating tables demonstrate a certain electrical conductivity for diverting electrical charges Therefore they are never sui...

Page 12: ...way that they can touch the patient directly or indirectly through electrically conductive objects or wet cloths The lines to the active electrodes should be positioned in such a way that they touch...

Page 13: ...this entire distance If the diameter of the tissue next to the application point of the coagulation electrode is smaller than at the point of application coagulation will also occur next to the appli...

Page 14: ...that only accessories in perfect condition are used for high frequency surgery Only accessories that are compatible or tested by the unit manufacturer must be used This applies both to the active ele...

Page 15: ...nd resulted in burns without being noticed 3 1 7 Unintentional thermal tissue damage due to output error The risk of unintentional thermal tissue damage is proportionate to the intensity and time limi...

Page 16: ...ns due to hot electrodes Cutting and or coagulation electrodes become hot during cutting and or coagulation procedures indirectly through the heated tissue and through the electric arc WARNING Tissue...

Page 17: ...it is necessary to make certain during interventions that anesthetics degreasers and disinfectants are neither flammable nor explosive They should at least have evaporated completely before switching...

Page 18: ...3 8...

Page 19: ...International Standard...

Page 20: ......

Page 21: ...than normal power so that the initial incision can proceed without delay for otherwise a very large coagulation necrosis may result at the cutting location The ICC is equipped with an automatic power...

Page 22: ...rovided the effective contact surface is not too large relative to the currently set power limitation The adjustable power limitation serves the purpose of protecting fine bipolar coagulation instrume...

Page 23: ...mmediately reactivated This is advantageous if for example the power supply briefly fails If the unit was switched off for longer than approx 15 seconds the basic setting of the program used before sw...

Page 24: ...set power limitation in watts This display shows the currently set power limitation 2 4 ENDO CUT is a cutting mode by which the cutting procedure is automatically fractionated In this way for example...

Page 25: ...ng AUTO COAG BIPOLAR WARNING Only use Auto Start if unintentional contact of tissue with the coagulation instrument can be safely avoided For endoscopic interventions such as laparoscopy pelviscopy or...

Page 26: ...h EN 60 601 1 In addition this pictogram indicates in accordance with EN 60 601 2 2 that the neutral electrode can remain applied to the patient during defibrillation 5 Connecting socket for monopolar...

Page 27: ...NSTALLATION 10 Volume of the acoustic signal The volume of the acoustic signals can be set using this knob This does not apply to warning signals which must always be sufficiently loud WARNING An impo...

Page 28: ...omatic switching off of an HF generator must not occur too quickly because this would hinder the operator during cutting and or coagulation Since the risk of thermal tissue damage varies greatly among...

Page 29: ...um time limit must only be made if all users of this unit are informed properly and in good time about this change In addition a change in the automatic limitation of the maximum time limit must be pr...

Page 30: ...ectrode on the patient Here the electric conductance between the two contact surfaces on the neutral electrode and the skin of the patient is constantly measured automatically and compared with the in...

Page 31: ...rners or edges attention should always be paid during application of neutral electrodes that the current flows toward the long edge NESSY compares the intensity of the two partial currents I1 and I2 o...

Page 32: ...ograms Monitoring connection between unit and return electrode Monitoring contact between skin and return electrode Monitoring direction of application of the return electrode 1 NE 3 or NE 4 for two s...

Page 33: ...nded or supplied by the manufacturer of the unit are used Each time after switching on the power switch an automatic test program is started within the unit which recognizes and signals the following...

Page 34: ...4 14...

Page 35: ...for all setttings Rated frequency of the HF voltage 330 kHz Peak value of the HF voltage max 190 Vp Constancy of the HF voltage automatically controlled up to PHFmax HF rated power 120 watts at 125 oh...

Page 36: ...segment display 3 decimal places Precision of the HF power limitation 1 digit or 15 Activation of Bipolar coagulation via pedal or Auto Start Auto Start delay from 0 to 10 s via program no 23 HF conne...

Page 37: ...100 115 V Operating mode Intermittent operation ON time 25 e g activated for 10 sec deactivated for 30 sec Classification according to the EU Directive 93 42 EEC Class IIb Dimensions weight W x H x D...

Page 38: ...tact surfaces less than 120 ohms green Dual surface neutral electrode not applied to patient or contact resistance between the contact surfaces and patient greater than 120 ohms red Error No 13 HF cur...

Page 39: ...5 5 5 3 Diagrams AUTO CUT MODE Effect 1 2 3 4 Peak value of the HF output voltage UHF at no load as a function of the power limitation Pmax for EFFECT 1 to 4...

Page 40: ...5 6 SOFT COAGULATION AUTO BIPOLAR Peak value of the HF output voltage UHF at no load as a function of the power limitation Pmax...

Page 41: ...5 7 FORCED COAGULATION Peak value of the HF output voltage UHF at no load as a function of the power limitation Pmax...

Page 42: ...5 8 Power output as a function of load resistance for power limitation of 100 watts CUT MODE Effect 1 2 3 4 Power output as a function of load resistance for power limitation of 200 watts...

Page 43: ...5 9 SOFT COAGULATION AUTO BIPOLAR Power output as a function of load resistance for 1 power limitation of 120 watts 2 power limitation of 60 watts...

Page 44: ...5 10 AUTO CUT MODE Effect 1 2 3 4 Power output as a function of the power limitation RL 500 ohms...

Page 45: ...5 11 SOFT COAGULATION AUTO BIPOLAR Power output as a function of the power limitation RL 125 ohms...

Page 46: ...5 12 FORCED COAGULATION Power output as a function of the power limitation RL 350 ohms...

Page 47: ...5 13 ARGON PLASMA COAGULATION Power output as a function of load resistance 1 for a power limitation of 99 watts 2 for a power limitation of 60 watts...

Page 48: ...l relative to R No warning signal B In this range IHF is too large relative to R The HF generator can be activated however a red warning signal and four warning tones are given after each activation o...

Page 49: ...re no outlet power socket or extension cord should be used if possible for reasons of safety If their use is unavoidable these must be equipped with a protective ground in perfect working order The po...

Page 50: ...permissible 6 8 HF interferences High frequency surgical units intentionally generate high frequency voltages and currents It must therefore be taken into consideration during set up and operation tha...

Page 51: ...he maximum time limit 1 Call up Test program 10 as follows 2 Press key 2 1 with the unit switched off and switch on the power Pr Program appears in Display 2 3 The program number e g 1 appears in Disp...

Page 52: ...ower limitation in the range from 1 watt to 30 watts continuously to 1 300 Vp Above 30 watts power limitation the peak value of the voltage pulses is limited to a maximum of approx 1 300 Vp This stand...

Page 53: ...changed After switching the unit off and on again after a longer period the basic setting appears again If this basic setting proves to be inappropriate for the intended use of the unit it can be ind...

Page 54: ...he basic setting freely programmable by the user is lost due to an error For the ICC 200 unit the following specific basic setting is defined at the factory AUTO CUT EFFECT 3 AUTO CUT MAX WATT 120 wat...

Page 55: ...unit We recommend a spray or wipe down disinfection However the information from the disinfectant manufacturer absolutely must be observed here WARNING If cleaning or disinfection of the unit with fl...

Page 56: ...7 2...

Page 57: ...while the power switch is switched on this error is signaled acoustically after the power switch is switched on and indicated by an error number 3 If the contact of a footswitch is shorted out due to...

Page 58: ...the power switch In the AUTO CUT display Pr Program appears In the AUTO COAG display 1 Test number 1 appears By pressing the or key in the AUTO COAG field the required test program number is selected...

Page 59: ...ge neutral electrode and apply the entire surface Check the connection of the neutral electrode to the unit Check the connection between the neutral electrode and unit Probably a faulty cable or fault...

Page 60: ...ossible Fingerswitch footswitch defective Always activate instruments with one switch only Please inform Technical Service 34 The instrument at the bipolar socket is activated by two footswitches at t...

Page 61: ...Grounded conductor inspection b Leakage current inspection Performance test of all switches and control lamps on the unit Inspection of the monitoring devices Inspection of the automatic start mode M...

Page 62: ...9 2...

Page 63: ...onal features have not been changed at the expense of safety DIN 57 751 1 VDE 0751 1 Changes and repairs to the unit in consideration of the special safety requirements for high frequency surgical uni...

Page 64: ...10 2...

Page 65: ...gard are only considered valid if the Seller or Shipping agent is immediately notified A damage report must be filled out The term of guarantee for the ICC is 3 years for accessory parts 6 months calc...

Page 66: ...11 2...

Page 67: ...ctuations in measured value dis plays Such disturbances from an activated electrosurgical unit can be reduced by placing it further away and or carrying out suitable shielding measures on the equipmen...

Page 68: ...by state the equipment uses HF energy only for its internal function Therefore its HF emissions are very low in the stand by state and are not likely to cause any interference in nearby electronic equ...

Page 69: ...ode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typi cal commercial or hospi tal environment Voltage dips short interrup tions and voltage variatio...

Page 70: ...ious equations depending on the frequency of the portable and mobile HF communications equipment Recommended separation distance Conducted HF IEC 61000 4 6 3 Vrms 150 kHz to 80 MHz 3 Vrms Equation 1 d...

Page 71: ...in an electromagnetic environment in which radiated HF disturbances are controlled The customer or the user of the equipment can help prevent electromagnetic interference This can be achieved by main...

Page 72: ...12 6...

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