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ESU-X 300NT_EN B 

18.04.2018 

ssta 

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For the use with HF currents in flexible endoscopic surgery, 

the unit can be used: 

-

 

With 1 flexible electrode for electro-surgery only (i.e. loop type for polipectomy) with twin pedal foot-switch 

cut/coag

 

 

When the unit is on, the bipolar modes are always possible, as specified here below at point 2). 

 

For the use with HF currents in endoscopic surgery under liquid in urology or gynaecology (TUR)

, the 

unit can be used: 

-

 

With 1 electrode of the monopolar resectoscope by twin pedal foot-switch 

cut/coag

When the unit is on, the bipolar modes are always possible, as specified here below at point 2). 
 

2)  Bipolar functioning with HF currents

 

The bipolar functioning does not require the use of the neutral electrode, as the current flows between the tips 
of the bipolar electrode, and it only affects the tissues of this specific area.  
The unit always allows this kind of use as follows:   

-

 

With 1 bipolar electrode (for cut/coagulating cut and/or coagulation connected to the socket 

BIPOLAR 

by 

twin pedal foot-switch 

cut/coag

-

 

With  1  bipolar  electrode  (for  coagulation  connected  to  the  socket 

BIPOLAR

)  with  automatic  start/stop 

system (

impedance sensing

), by selecting the coagulation 

AUTO

;  

 

All the electrodes mentioned above can be used at the same time and independently, but not 
simultaneously, except for the two monopolar electrodes-holder handles, as specified at point 1). In 
this case, the first activation stops the other ones avoiding all possible errors and giving the right 
signal to the users (See Par. “SELF-DIAGNOSIS and SELF-TEST” – Self-diagnosis system = Error 
Code 

uSr  Act  

and block of the unit). 

 
MONOPOLAR MODE FOR ELECTROSURGERY 

CONNECTION AND USE OF THE ACCESSORIES  

1.     

Socket (3

-A, 

the led

 A above 

is lighted on): 

hand-switch

 handle (forceps for coagulation 

with hand-switch 

for coag only

** in alternative ** 

Socket (5-

 A, 

the led

 A under 

is lighted on

): 

handle (forceps for coagulation, laparoscopic instrument) for the 

use 

by foot-switches  

(See Par. “CONNECTION AND USE OF THE PEDAL FOOT-SWITCHES”) 
 
Use only this socket to connect the instruments specified here above. If other sockets are used, a failure into 
the unit could occur. 
Just in case of a cable with a different plug from Alsa standard type, ask for: 

GEISTER cables

, by specifying the model and the instrument connector type  

Adaptor (34-9590)

, for the cables with non insulated plugs 

 from 2 to 8mm, or with insulated plug 

 4mm);   

2.    

Socket (4-

B

 the led

 B above 

is lighted up): second 

hand-switch

 handle (forceps for coagulation 

with hand-

switch for coag only

** in alternative ** 

(by selecting the pre-set programs 6, 7)   

Socket  (6-

  B

  the  led

  B  under 

is  lighted  up)

second  handle  (forceps  for  coagulation)  for  the  use 

by  foot-

switches 

(See Par. “CONNECTION AND USE OF THE PEDAL FOOT-SWITCHES”); 

3.    

Socket (7-

 NEUTRAL PLATE

): neutral electrode

.

   

 

According to the connection possibilities specified here above, the operator can use: 

A

 

Obviously,  one  single  active  electrode

  (handle,  forceps,  instrument,  etc.) 

by  hand-switches  or  foot-

switches 

(press on the key/pedal 

yellow 

for the pure cut/coagulating cut currents, or the key/pedal 

blue 

for 

the coagulation currents);  

 

B

 

Alternatively, two active electrodes 

(two handles, or one handle and one forceps for coagulation, or other), 

both of them by hand-switches, or just one of them by hand-switches and the other by foot-switches 

(press  on  the  key/pedal 

yellow 

for  the  pure  cut/coagulating  cut  currents,  or  the  key/pedal 

blue 

for  the 

coagulation currents) 

 

C

 

At the same time, two active electrodes by two operators, both of them by hand-switches, or just one 
of them by hand-switches and the other by foot-switches

, (This possibility is allowed only selecting the 

coagulation modes without contact 

“Fulg 

and

 Spray

”, as stated by the International Safety Rules for the HF 

electro-surgical equipments -IEC 60601-2-2, par. 46.103)

;  

Summary of Contents for ESU-X 300 NT

Page 1: ...stra e 2 78532 Tuttlingen Germany Tel 49 7461 96624 0 FAX 49 7461 96624 22 E Mail info geister com Read instruction for use 0123 Medical product higher class I and shortcut for Notified Body T V S D P...

Page 2: ...oagulation G Alarm Led for the HF leakage currents control circuit H Setting of the standard twin foot switch pedal functioning PEDAL 1 I Setting of the connection sockets for the bipolar electrodes l...

Page 3: ...th sufficient density the cellular liquid of the tissues it warms it and generates what follows 1 a heating which is so rapid that the vapour pressure into the cells breaks their membranes and provoke...

Page 4: ...an electrode in bad conditions or an electrode with connection defects causes a reduction of the output power as it does not have any good contact with the tissues 6 Remember that even if compliant wi...

Page 5: ...circuit because these currents represent one possible source for undesired burns on the patient or the operators i e a patient who gets in touch with a metallic part of the operating table or with wet...

Page 6: ...dal or coagulation blue pedal BIP to activate the bipolar currents of cut coagulating cut yellow pedal or coagulation blue pedal except for the coagulation AUTO which is not activated by any pedal foo...

Page 7: ...d switch handle forceps for coagulation with hand switch for coag only in alternative Socket 5 A the led A under is lighted on handle forceps for coagulation laparoscopic instrument for the use by foo...

Page 8: ...ust the power with the regulation keys UP DOWN For the delivery loud acoustic signal and yellow Led press on the yellow pedal of the twin foot switch or the yellow key of the hand switch handle Instru...

Page 9: ...the delivery acute acoustic signal and blue Led press on the blue pedal of the twin foot switch or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current b...

Page 10: ...r the delivery acute acoustic signal and blue Led press on the blue pedal of the twin foot switch or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current...

Page 11: ...Dateiname mit Revisionsstand erstellt am erstellt von gepr ft von freigegeben von Seite ESU X 300NT_EN B 18 04 2018 ssta cgro cgro 11 von 35...

Page 12: ...USE OF THE PEDAL FOOT SWITCHES Press on the yellow pedal for the pure coagulating cut currents and the blue pedal for the coagulation currents C BIPOLAR FUNCTIONING The bipolar functioning is always...

Page 13: ...ith the active electrode This current is controlled by an automatic system ADC System for the self regulation of the functioning which guarantees that the power selected by the operators remains const...

Page 14: ...med with forceps surgical instrument and for coagulations performed directly with the active electrode even far away from the tissues This current is controlled by an automatic system ADC System for t...

Page 15: ...ted above the unit allows to A Use the resectoscope by foot switch activation See PAR CONNECTION AND USE OF THE PEDAL FOOT SWITCHES Just press on the yellow pedal for the pure cutting coagulating cutt...

Page 16: ...keys UP DOWN For the delivery acute acoustic signal and blue Led press on the blue pedal of the twin foot switch Instructions for use adjustments and electrodes Use the loop ball electrodes for the r...

Page 17: ...for a cut without coagulating effect Current BLEND 1 from 90 100W on the prostate for a cut with soft coagulating effect For the Cut with ribbon loop electrodes use as follows Current PURE from 160 18...

Page 18: ...informs the operators that the neutral electrode is not connected Impossibility to use the monopolar currents the displays for the monopolar currents powers are switched off Activation modes and outp...

Page 19: ...he unit 0 5sec on the left 5sec on the right For the switching off it is possible either to disconnect the forceps from the tissues or wait until the current disconnects automatically once the tissues...

Page 20: ...thout any sticking of the tissues on the electrode the above mentioned powers maybe have to be changed through small variations of 10 15W each time For the Coagulation When bipolar forceps are used it...

Page 21: ...ion Is it possible to modify the adjustments of the power s and or the selected settings of a memory before the use Yes it is always possible through the different adjustment selection keys and this v...

Page 22: ...gon gas flow if it is used can obviously be changed by setting the desired levels and by pressing the memorisation key MEM of the area B The pre setting of these memories allows to use the unit as fol...

Page 23: ...raph PRE SET MEMORIES nr 8 Use in flexible endoscopic surgery or in endoscopic surgery under liquid The pre setting concerns 1 Activation mode and output available 2 In these programs are not set outp...

Page 24: ...o the neutral electrode broken cable non connected cable to the unit or to the neutral electrode neutral electrode split type not attached to the tissues no nP Failure into the neutral electrode contr...

Page 25: ...nopolar SPRAY mode Err 46 2E Output peak voltage reading failed lower than expected Err 47 2F Output peak voltage reading failed higher than expected Err 48 30 Output peak current reading failed lower...

Page 26: ...ins Fuses T 5 A Monopolar mode with the possibility to connect 1 or 2 electrodes holder handles both of them with hand switches or just one with hand switches and the other one with pedal foot switche...

Page 27: ...Directive 89 336 CEE Category A Suggested distances to keep from not vital devices Source of the Current RF Typical Power W Distance m Microcellular telephones CT1 CT2 CT3 0 01 0 4 Mobile telephones D...

Page 28: ...300NT_EN B 18 04 2018 ssta cgro cgro 28 von 35 MONOPOLAR CURRENTS Variation of the output power from 50 to 2000 by selecting 100 and 50 of maximum power Increase in the output power with nominal load...

Page 29: ...50 200 250 300 3500 3000 2500 2000 1000 500 1500 20 40 60 80 100 120 140 7000 6000 5000 4000 3000 2000 1000 7500 Vpp V 50 100 50 100 50 100 P W RMS Impostazione Reglage P W RMS Setting Impostazione Re...

Page 30: ...120 150 5000 4000 3000 2000 1000 50 100 150 200 250 3500 3000 2500 2000 1500 1000 500 50 100 50 100 50 100 200 300 400 500 600 700 800 900 1k 1 1k 1 2k 1 3k 1 4k 1 5k 1 6k 1 7k 1 8k 1 9k 2k 100 200 3...

Page 31: ...0 200 240 280 3500 3000 2500 2000 1500 1000 500 20 40 60 80 100 120 140 7000 6000 5000 4000 3000 2000 1000 7500 50 100 50 100 200 300 400 500 600 700 800 900 1k 1 1k 1 2k 1 3k 1 4k 1 5k 1 6k 1 7k 1 8k...

Page 32: ...X 300NT_EN B 18 04 2018 ssta cgro cgro 32 von 35 BIPOLAR CURRENTS Variation of the output power from 10 to 1000 by selecting 100 and 50 of maximum power Increase in the output power with nominal load...

Page 33: ...40 20 130 120 100 80 60 40 20 130 120 100 80 60 40 20 20 40 60 80 100 120 140 160 20 40 60 80 100 120 130 20 40 60 80 100 120 130 40 80 120 160 20 60 100 140 100 200 300 400 500 600 700 800 850 20 40...

Page 34: ...20 130 120 100 80 60 40 20 130 120 100 80 60 40 20 130 120 100 80 60 40 20 20 40 60 80 100 120 130 20 40 60 80 100 120 130 20 40 60 80 100 120 130 450 400 350 300 250 200 150 100 50 20 40 60 80 100 12...

Page 35: ...RIES see next page for details Nominal voltage 4000 V E 1 Straight knife electrode E 5 Straight needle electrode thick type 2 pcs E 7 Straight needle electrode thin type E12 Straight ball electrode 2...

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