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2

 

 

 

I.

 

INTRODUCTION 

1.0 

INTRODUCTION TO RADIOSURGERY

®

 

Radiosurgery

®

 

with Ellman’s Surgitron

®

 

4.0 Dual RF™/90 IEC system (Surgitron

®

 

Dual/EMC) is an excellent method of cutting and coagulating soft tissue. With five 
waveforms (4 monopolar and 1 bipolar) and a wide selection of electrode tips, the user can 
easily configure the system for a wide array of applications.

 

1.1 

INTENDED USE

 

The intended use for the Surgitron

®

 Dual/EMC is:

 

1.1.1 

Cutting: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty 
(RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, 
turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, development 
of skin flaps, skin tags and blepharoplasty.

 

1.1.2 

Blended cutting and coagulation: snoring, submucosal palatal shrinkage, traditional 
uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, 
epistaxis treatment, turbinate shrinkage, skin tags, papilloma keloids, keratosis, 
verrucae, basal cell carcinoma, nevi, fistulas, epithelioma, cysts, abscesses, and 
development of skin flaps.

 

1.1.3 

Hemostasis: control of bleeding, epilation, telangiectasia.

 

1.1.4 

Fulguration: basal cell carcinoma, papilloma, cyst destruction, tumors, verrucae, 
hemostasis.

 

1.1.5 

Bipolar: pinpoint precise coagulation, pinpoint hemostasis in any field (wet or dry), 
snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), 
myringotomy with effective hemorrhage control, epistaxis treatment and turbinate 
shrinkage.

 

NOTE: The Surgitron

®

 Dual/EMC generator is not designed to withstand the 

demands of lengthy wrinkle treatment procedures. The generator will overheat and 
possibly fail. Such failures will not be covered by warranty.

 

II.

 

SAFETY

 

Improper use of this, or any high frequency surgical instrument, can result in a patient injury.

 

Read and become familiar with all directions before using this product.

 

2.0 

WARNINGS

 

2.0.1 

High frequency surgical equipment should be used only by persons having 
adequate training and familiarity with high frequency surgical equipment and 
related techniques. A thorough understanding of the use of high frequency surgical 
equipment is essential to avoid shock and burn hazards to both patient and 
medical personnel and damage to the device or other medical equipment. Consult 
medical literature relative to related techniques, complications, and hazards prior 
to use of high frequency surgical equipment.

 

2.0.2 

Never increase the power settings without first checking both the active electrode 
and the neutral plate.

 

2.0.3 

Ocular Shields (plastic, non-conductive) must be used for any radiofrequency 
surgical procedure involving the eyelid and the immediate surrounding areas.

 

2.0.4 

Use only with Ellman accessories including Ellman handpieces, neutral plates, 
cables

, and 

electrodes.

 

2.0.5 

When using an active electrode near a metal (conductive) accessory, ensure the 
electrode does not come into contact with the metal accessory.

 

2.0.6 

Failure of high frequency surgical equipment could result in an unintended 
increase of output power.

 

2.0.7 

Use a compatible neutral electrode with a contact quality monitor to ensure the 
auditory alarm will sound in the event of loss of safe contact between the neutral 
electrode and patient. 

2.0.8 

Risks resulting from neuromuscular stimulation can occur, especially with modes 
producing electrical arcs between active electrode and tissue. 

2.0.9 

Do not maintain or service equipment while in use.  Maintaining or servicing 
equipment while in use may result in possible injury to the operator or patient. 

Summary of Contents for CYNOSURE ELLMAN SURGITRON 4.0 Dual RF/90 IEC

Page 1: ...4 0 Dual RF 90 IEC Instruction Manual English English...

Page 2: ...subjected to an accident tampering alteration misuse abuse negligence fire or water damage Warranty does not cover defects or damage caused directly or indirectly as a result of service by unauthoriz...

Page 3: ...FOR USE Page 12 5 0 Preparation for Use 5 1 Waveform Selection 5 2 Smoke Hazard VI SURGICAL DESCRIPTION AND USE Page 14 6 0 Learning to Use Radiosurgery 6 1 Pre Operative Cutting Practice 6 2 Pre Oper...

Page 4: ...stics 8 1 Preventive Inspection and Maintenance 8 2 Safety Features 8 3 Input Characteristics 8 4 Size and Weight 8 5 Operating Conditions 8 6 Transportation Storage Conditions 8 7 Error Codes Table I...

Page 5: ...arranty II SAFETY Improper use of this or any high frequency surgical instrument can result in a patient injury Read and become familiar with all directions before using this product 2 0 WARNINGS 2 0...

Page 6: ...with the patient or other leads is avoided Temporarily unused active electrodes should be stored segregated from the patient 2 1 1 10 The output power selected should be as low as possible for the int...

Page 7: ...as monitoring electrodes 2 1 3 Flammable Environment 2 1 3 1 Some materials for example cotton wool and gauze when saturated with oxygen may be ignited by sparks produced in normal use of the equipmen...

Page 8: ...e of this device in the unsorted municipal waste stream 3 2 CLEANING DISINFECTING AND STERILIZING THE UNIT AND ACCESSORIES 3 2 1 Cleaning and disinfecting the unit Cleaning and disinfecting of the uni...

Page 9: ...available for use with the Surgitron Dual EMC A three button handpiece adds convenience by enabling the user to control CUT BLEND and COAG modes via fingerswitch The depressed button will control out...

Page 10: ...er cord supplied by the manufacturer Line Fuses The unit is protected with two line fuses If a fuse blows the unit should be checked for possible faults before the fuse is replaced and the unit is ope...

Page 11: ...the top of the line fuse door Remove two fuse holders Replace fuses with the same value size fuses ONLY The fuse holder arrows should be pointing towards the right Snap the compartment back with the f...

Page 12: ...If the neutral plate is not properly connected to the patient and or Surgitron Dual EMC the Neutral LED Indicator will turn red and the audio alarm will sound until the patient return neutral plate is...

Page 13: ...tch Handpiece Receptacle accepts any monopolar handpiece that is compatible with the Surgitron Dual EMC Yellow Footswitch Indicator The light indicator will be ON only when the CUT control footswitch...

Page 14: ...gures in Section 7 20 Power up Button for Coagulation Mode A single depression of the button switch increases the power setting by one Continuous depression gradually increases the power to maximum 10...

Page 15: ...ent s body as close as possible to the operating field as per the Safety Instructions specified in Section 2 1 4 5 0 5 Select the desired electrode and handpiece and connect them as instructed by thei...

Page 16: ...ated Waveform is an intermittent flow of the high frequency radiowaves that produces hemostasis The Partially Rectified Modulated Wave is also recommended for coagulating blood vessels via an indirect...

Page 17: ...point where excessive dehydration occurs Preventing the accumulation of such heat is a basic objective of radiosurgical technique The spread of lateral heat in tissue depends upon various factors as i...

Page 18: ...e to the electrode while cutting then increase the power gradually until a smooth cut occurs H If the setting is too high then you will notice sparking and discoloration along the electrode path Reduc...

Page 19: ...ed wave with different techniques Bleeding should be stopped by some form of direct manually applied pressure When bleeding has momentarily stopped final sealing of the vessels can be accomplished by...

Page 20: ...urgitron Dual EMC CUT MODE Figure 7 1 RESISTIVE LOAD OHMS POWER WATTS POWER WATTS Half Setting 50 Full Setting 100 Typical Nominal Plot CUT MODE Power Output vs Resistive Load Typical Nominal Plot 90w...

Page 21: ...ODE Figure 7 3 RESISTIVE LOAD OHMS RESISTIVE LOAD OHMS POWER WATTS POWER WATTS Half Setting 50 Full Setting 100 Typical Nominal Plot COAG MODE Power Output vs Resistive Load Half Setting 50 Full Setti...

Page 22: ...MODE Figure 7 5 RESISTIVE LOAD OHMS RESISTIVE LOAD OHMS POWER WATTS POWER WATTS Typical Nominal Plot BIPOLAR MODE Power Output vs Resistive Load Half Setting 50 Full Setting 100 Half Setting 50 Full S...

Page 23: ...20 Surgitron Dual EMC MONOPOLAR BIPOLAR MODES Figure 7 6 Typical Nominal Plot Voltage Output vs Digital Setting Open Circuit No Load CUT CUT COAG HEMO FULG BIPOLAR VOLTAGE PEAK PEAK DIGITAL SETTING...

Page 24: ...and method of circuit connection RF Power out is within 20 of nominal above when greater than 10 of maximum RF Power out is stable within 10 within 10 seconds after activation RF output frequency is w...

Page 25: ...s above 85 C the unit will declare an error message error code 12 8 2 7 Continuous power test monitor output power Error code 13 if power test failed 8 2 8 Error indication after self check Refer to l...

Page 26: ...had a warm reset 4 A D converter error 7 Foot Fingerswitch interface failed 8 Bond sensor interface failed 9 Keypad pressed during power up protection failed 10 Foot or Fingerswitch pressed during pow...

Page 27: ...f interference plug the unit in a separate outlet or plug the unit in another room 9 1 2 Medical electrical equipment requires special precautions regarding electromagnetic compatibility EMC and needs...

Page 28: ...overed with synthetic material the relative humidity should be kept at levels to reduce electrostatic charge to suitable levels electrical fast transients bursts IEC 61000 4 4 2 kV for power supply li...

Page 29: ...ce in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency rangeb Interference may occur in t...

Page 30: ...ent Guidance 385 TETRA 400 380 390 MHz 27 V m 27 V m Unless otherwise specified the equipment was tested at a distance of 0 3m The equipment was tested using the IEC 61000 4 3 test method 450 GMRS 460...

Page 31: ...12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transm...

Page 32: ...Hologic BVBA Da Vincilaan 5 1930 Zaventem Belgium Tel 32 2 711 46 80 Cynosure LLC 5 Carlisle Road Westford MA USA Tel 888 523 2233 Fax 978 349 6152 DIM 50 65 Rev 002 04 2019...

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