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ESU-X 500TT_EN B 

01.06.15 

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CHECK OF THE BIPOLAR INSTRUMENT BEFORE THE USE 

 

Set a coagulation current (20/30) 

 

Wet a gauze with physiological solution, and hold it without touching the wet part. 

 

Touch the wet gauze with both ends of the instrument and activate the delivery. The smoke produced 
signals the good functioning, otherwise check the connecting cable, the connections among different 
parts of the instrument and the insulation of the ends For example the damage of the insulation of 
bipolar scissors causes a short circuit which does not allow the current to reach tissues). 

 
GENERAL TECHNICAL FEATURES 

The unit includes a computerized system to automatically control the functioning 

 

It performs a main self

check at the switching ON (It repeats it automatically every about 30 minutes). 

 

It stops the power delivery in case of both breakages and mistakes of use by informing users with 
acoustic and visual signals (ERROR CODES). 

 

It stores the detected problems to help the following technical assistance.

 

 
The unit includes with a computerized self

control and self

adjustment of currents with 

PER (Power Efficiency Rating > 98%) 

 

It automatically controls all currents according to the features of tissues with two different systems: 

ADC System 

– Self adjusting with constant power 

APC System 

 Self adjusting with constant voltage 

 

It also checks that the power delivery corresponds to intended setting and, in case of hardware or 
software breakages which could cause an anomalous delivery, it blocks the delivery. 

 

The unit allows the memorization of 99 programs 

 

The programs can be also identified by a text (Name of users or kind of use). 

 

All the setting of a program can be changed whenever users like 

 

The unit includes some programs with a specific pre

setting to facilitate the use. 

 
The unit has 15 programs for the only bipolar use without the neutral electrode. 
 

The unit is usable by one or two monopolar handles or instruments / the unit is always usable by one or 
two bipolar instruments 

 

The bipolar instruments are normally usable by foot

switch, but the unit also includes some currents with 

automatic “impedance sensing” start/stop systems. 

 

The unit is usable by one or two twin foot

switches 

 

By the standard 34-9333 twin foot

switch which is provided with a foot controlled selector to activate 

either the monopolar currents or the bipolar currents. 

 

By the bigger version of the previous model (34-9332 code) which is very useful for the endoscopy. 

 

By an independent twin foot

switch (34-9331) which activates the bipolar currents only. 

 

By both foot

switches (34-9331 and 34-9333). 

 

By the 34-9333 twin foot

switch to activate both the monopolar currents for cut and the bipolar currents 

for coagulation or vessel sealing. 

 

The unit has a control circuit of the neutral electrode which allows the users the following 

 

The use either with normal electrodes for adults or with small electrodes for paediatrics or new born. 

 

The use with neutral electrodes either “Single section 

 

Non Split” or “Double section 

 

Split”. 

 

The use of connecting cables with different connectors: European standard and USA standard. 

 

The unit includes the STANDBY mode 

 

It allows the disconnection of the neutral electrode without the intervention of the related control circuit.

 

 

The unit includes with the function of self

reset 

 

It, at the switching on, resets all the setting used at the switching on. 

 

The unit includes an automatic circuit to control the HF leakage currents to earth 
 

CURRENTS AND RELATED FEATURES 

All the monopolar and bipolar currents are automatically controlled, in real time, by microprocessors according to 
the features “impedances / resistances” of tissues. The self

control is different according to the operative need of 

the currents: 

Summary of Contents for ESU-X 500 TT

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: ...e The thermal effect affects all tissues included between electrodes BIPOLAR MODE Also this mode requires two electrodes but they are included in the same instrument and are very closed In this case t...

Page 3: ...monitoring of the quantity of irrigation fluids in the patients input and output volumes mainly if they have a poor renal function or cardiovascular insufficiency The unit is provided with self check...

Page 4: ...the patient Also dry the traces of disinfectant on the skin Place all the not specifically protected monitoring electrodes as far away as possible from the electrodes of the HF unit Avoid if possible...

Page 5: ...rox 7600 Vpp 4000 Vp for the monopolar currents with crest factor equal or higher than 2 Approx 3600 Vpp 1800 Vp for the monopolar currents with crest factor lower than 2 Approx 1100 Vpp 550 Vp for th...

Page 6: ...it includes some programs with a specific pre setting to facilitate the use The unit has 15 programs for the only bipolar use without the neutral electrode The unit is usable by one or two monopolar h...

Page 7: ...T APC System Control Coagulating cut AUTO ENDO CUT APC System Control Current with phases of cut and coagulation CURRENTS FOR MONOPOLAR COAGULATION FULG FORCED COAG ADC System Control Coagulation with...

Page 8: ...ENDO CUT 300 W 300 1670 50 AUTO PURE 50 AUTO BLEND Ditto FULG FORCED COAG 150 W 300 4500 F 440 kHz CF 6 4 M 60kHz DT 18 Acute Sound Blue light SPRAY COAG 200 W 700 7750 F 440 kHz CF 7 75 M 30kHz DT 7...

Page 9: ...authorized by GEISTER and if the unit is used in compliance with given instructions in an area that meets all the applicable IEC or CEI requirements GEISTER is at disposal to supply if requested the...

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Page 11: ...EN1 adaptor to connect a cable with connector American standard MONOPOLAR 1 socket When the 3a HAND SWITCHED light is ON It allows the use of a hand switched handle or instrument The socket allows th...

Page 12: ...rents for cut and coagulation or vessel sealing are delivered through it When 8b and 8a lights are ON both sockets BIPOLAR 1 e BIPOLAR 2 are usable The currents for cut are delivered through the first...

Page 13: ...grams See the paragraph MEMORIZATION AND USE OF PROGRAMS 4 Keys and lights of the control circuit of the neutral electrode See the paragraph CONTROL CIRCUIT OF THE NEUTRAL ELECTRODE 5 Area to select a...

Page 14: ...lay from 0 1 to 5 seconds of activation of the bipolar currents with automatic impedance sensing start stop AUTO SOFT MICRO BICOAG for coagulation AUTO SEALING for vessel sealing 2 7 SECTION LCD color...

Page 15: ...n or NON SPLIT Single section are not connected to theunit When using any of these types The cable of the neutral electrodes is broken Continuous pulsed tone Lights 1 2 3 and 4 ON Symbols EL or ES red...

Page 16: ...according to the electrode Split Non Split The circuit does not intervene when selecting the memories for the bipolar use only In this case the 1 2 3 4 lights and the EL ES symbols are ON but for info...

Page 17: ...Visual Mode LARGE Mode SMALL Well connected Not Not Yes Not limited Max 150W Broken Not connected either to the unit or to the electrode Continuous Intermittent tone Lights 1 2 3 4 ON Symbols EL and E...

Page 18: ...erates as follows The unit is totally usable but the power delivery is blocked The control circuit of the neutral electrode does not emit alarm signals if users disconnect the neutral electrode To sel...

Page 19: ...stant the foot selector The unit signals the selection in three ways BIP word by digital speech BIP 1 image ON for 2 seconds on the touch screen 1b BIP light of the PEDAL 1 socket ON During the use to...

Page 20: ...m the first setting and the memorization of a program see the Par FIRST SETTING To change the setting memorized in a program see the Par ADJUSTMENTS DURING THE USE To either cancel or memorize the cha...

Page 21: ...ETTING Starting Switch the unit ON and when the self check ends push the standby key Selection of a memory Users can select the memory both by scrolling all memories and by setting a specific one To d...

Page 22: ...he CS keys select the current By the PS keys set the power Push the exit key Users can set more currents Set as above detailed the first current Do not push the exit key and repeat the same way for fu...

Page 23: ...s 90 cut 10 coagulation The delivery is 80 cut 20 coagulation The delivery is 70 cut 30 coagulation The delivery is 50 cut 50 coagulation When selecting the currents Saline Uro Gyn Cut and Saline Arth...

Page 24: ...of the memory number When users change a memory its number blinks but the blinking does not signal problems and the unit goes on operating normally The memory number stops blinking when users either c...

Page 25: ...INGS AND PRECAUTIONS FOR THE OPERATION To perform all operations carefully apply all the warnings of the paragraph BASIC WARNINGS SETTING OF THE CURRENTS To set memorize and change the currents Follow...

Page 26: ...trument Connect to the 8a and 8b sockets Usable when both lights 8a and 8b are ON two instruments The connector is 2 x 6mm plugs type and it does not require a specific polarity of connection INDICATI...

Page 27: ...ns starting from 10 30 when using thin active electrodes or micro needles It is not suitable to coagulate tissues with heavy bleeding and to cut the tissues with coagulating effect CURRENTS FOR BIPOLA...

Page 28: ...by an acoustic signal low adjustable in the GENERAL MENU and by the big image on the touch screen COAGULATION Push the blue pedal of hand switched handles instruments Push the blue pedal of foot switc...

Page 29: ...ot switches See the paragraph USE OF THE FOOT SWITCHES The unit for this endoscopy is normally used by the 34 9333 model which is provided with a foot selector to activate either the monopolar current...

Page 30: ...ue SOFT MICRO BICOAG bipolar coagulation The only current usable for this endoscopy It is suitable starting from 20 30 to coagulate during all procedures DELIVERY OF THE MONOPOLAR AND BIPOLAR CURRENTS...

Page 31: ...PURE MICRO Effect 9 COAGULATING CUT Ribbon loop BLEND CUT 1 110 120 or AUTO BLEND MICRO Effect 9 COAGULATION Wire loop Ribbon loop FULG FORCED COAG 70 80 or SPRAY COAG 60 70 COAGULATION Ball or Roll...

Page 32: ...e monopolar currents or the bipolar currents The 34 9331 model on request which activates the bipolar currents only To connect the 34 9333 use the 1 socket to connect the 34 9331 use the 2 socket When...

Page 33: ...e pedal The delivery is signalled by an acoustic signal acute adjustable in the GENERAL MENU and by the big image on the touch screen Continuous or pulsed delivery of the currents Saline Uro Gyn Cut a...

Page 34: ...Strongly coagulating cut 5 cut 95 coagulation It can be also considered a current for coagulation only and it is very useful if users have to use a bipolar instrument for coagulation and a bipolar in...

Page 35: ...blue pedal The delivery is signalled by an acoustic signal acute adjustable in the GENERAL MENU and by the big image on the touch screen Bipolar current SEALING for vessel sealing Clamp tissues betwe...

Page 36: ...ll the traces of humidity The best thing to do is to centrifuge them USE STORAGE MAINTENANCE DISPOSAL The unit must not be used at less than 30cm from the wall or other objects that can obstruct the v...

Page 37: ...vation Use of the bipolar AUTO SEALING current By automatic impedance sensing start stop system Automatic start stop system 0 30 Delivery blocked 30 900 Delivery starts 1000 a 1700 Delivery stops Star...

Page 38: ...cates that the product must be separately disposed of The separate waste collection of this kind of unit is arranged and managed by the manufacturer Therefore the user to dispose of an old unit must c...

Page 39: ...ients lower than 1 second as established in IEC 60601 2 2 With regard to the powers we stress the following The allowed tolerance is 20 for the powers higher than the 10 of the maximum power of the cu...

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Page 43: ...RRENTS Values measured within 3 seconds by excluding the transients lower than 1 second as established in IEC 60601 2 2 With regard to the powers we stress the following The allowed tolerance is 20 fo...

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Page 45: ...edle electrode thin type 34 9560 Straight ball electrode 2 5 mm 34 9562 Straight ball electrode 4 mm 2 pcs 34 9589 Straight Ball Electrode 6 0mm 100mm NEUTRAL ELECTRODES 34 9528 Stainless steel neutra...

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