Martin maxium Operating Instructions Manual Download Page 100

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Martin maxium & maxium Beamer Operating Instructions

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15.7 Voltage Diagrams / Bipolar Cutting Currents

maxium Bipo Pure Cut

maxium Bipo Blend Cut

HF v

tage

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HF v

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maxium Forfex

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Summary of Contents for maxium

Page 1: ...Operating Instructions Electrosurgical Unit with maxium Beamer ...

Page 2: ...tting 11 3 3 2 Bipolar Coagulating 11 3 3 3 Seal Safe Vessel Sealing 11 4 Description of the Unit 11 4 1 Front Connectors 18 4 1 1 Monopolar Connectors 18 4 1 2 Bipolar Connectors 20 4 1 3 Neutral Electrode Connector 22 4 2 Connectors on the Unit s Rear 22 4 2 1 Footswitch Connectors 22 4 2 2 maxium Beamer Interface 23 4 2 3 Interface Connectors 23 4 2 4 Equipotential Bonding Connector 23 4 2 5 Ma...

Page 3: ... 42 7 Current Types and Their Properties 43 7 1 Monopolar Cutting Currents 43 7 2 Monopolar Coagulation Currents 46 7 3 Bipolar Cutting Currents 52 7 4 Bipolar Coagulation Currents 53 8 Start Up 56 8 1 Functional Tests 56 8 1 1 Monopolar Functional Test 56 8 1 2 Bipolar Functional Test 58 8 1 3 Bipolar Automatic Mode 58 9 Safety Instructions 59 9 1 General Information 59 9 2 Placing the Patient Co...

Page 4: ...ctrosurgery 72 10 7 3 Pressure Vessels 72 10 7 4 Embolism und Emphysemas 73 10 7 5 Additional Insufflation in Endosurgical Applications 74 10 7 6 Contamination of the Surgical Field 74 10 8 Accessories for Martin Argon Beamer Systems 75 10 9 Maintenance Instructions 76 10 10 Technical Description 76 10 10 1 General Information 76 10 10 2 Argon Gas 77 10 10 3 Technical Data 78 11 Safety Checks 79 1...

Page 5: ...Monopolar Cutting Currents 96 15 6 Voltage Diagrams Monopolar Coagulation Currents 98 15 7 Voltage Diagrams Bipolar Cutting Currents 100 15 8 Voltage Diagrams Bipolar Coagulation Currents 101 16 Ecological Information 102 16 1 Packaging 102 16 2 Ecological Aspects of Operation 102 16 3 Disposal of the Unit 102 ga_maxium_beamer_20_en_07 doc ...

Page 6: ...rd parties Enormous worldwide efforts have been undertaken in this field to minimize the hazards posed to all of these groups of persons Gebrüder Martin was one of the pioneers in this field laying important technological groundwork still in use today Over forty years of experience in medical HF technology simply speak for them selves Thus it goes without saying that the Martin maxium is the resul...

Page 7: ...Gebrüder Martin GmbH Co KG Ludwigstaler Strasse 132 Postfach 60 D 78501 Tuttlingen Germany Phone 49 0 74 61 706 0 Fax 49 0 74 61 706 193 E mail info martin med com Website www martin med com 2 2 Scope of Delivery HF Generator maxium m version 80 042 00 or maxium i version 80 042 02 or maxium e version 80 042 04 Power supply cable country specific Operating Instructions 90 169 52 22 Argon Beamer ma...

Page 8: ...certificate with details about the nature and scope of the repair work done This certificate must be dated and signed and include the firm s details In addition repaired devices or components must be clearly marked with the service technician s ID label in all cases where a party other than the manufacturer of the product performed the work 2 4 Hotline Should you have any technical questions pleas...

Page 9: ... unit is a generator that converts the electric energy supplied by the mains into a high frequency current Via a supply lead this HF current is then delivered to a handle before reaching the dot shaped pointed active electrode At the point of contact or application a high field density is generated in the surrounding tissue It is this high energy concentration which produces the desired electrosur...

Page 10: ...ed ablation The second type of coagulation is called non contact coagulation In this case the current is not delivered to the tissue directly but some distance away from it breaking through a vapor layer or crossing a gap in air due to its high electric voltage Thus energy conversion takes place mainly on the tissue surface not in the deeper tissue layers Therefore this coagulation mode is ideal f...

Page 11: ...t or tip of the surgical instrument to the other part or tip All bipolar coagulation currents are contact coagu lation currents 3 3 3 Seal Safe Vessel Sealing Seal Safe is a special bipolar current used on a contact coagulation basis for tasks such as fusing tissue layers sealing minor hollow organs or denaturing tissue layers prior to dissection so as to avoid hemorrhages The Seal Safe current is...

Page 12: ... HF Chirurgie 1 0 0 2 4 0 V 5 0 6 0 H z 6 0 0 V A T y p e C F C la s s I M o n o p 4 0 0 W 4 0 0 O h m 2 5 0 W 1 0 0 O h m 0 4 M H z B ip 1 2 0 W 3 0 0 O h m 3 2 0 W 2 5 O h m In t 1 0 s 3 0 s S e ria l N o M E 4 0 2 m 0 1 0 0 0 4 X X X X Made in Germany 0297 22 23 24 25 21 20 26 27 28 MENU monopolar M1 ma ium monopolar M2 bipolar B1 bipolar B2 7 10 8 11 13 9 14 12 15 16 18 17 19 3 6 2 5 4 1 ...

Page 13: ... Channel selector button for B2 HF output 13 Neutral electrode connector 14 Neutral electrode status indicator LED 15 Display 16 MENU button 17 Rotary switch 18 Backlight ring of rotary switch 19 ON OFF button power switch 20 Connector for dual pedal footswitch 21 Connector for single pedal footswitch 22 Serial interface connector 23 CAN bus connector 24 Equipotential bonding connector 25 Power ca...

Page 14: ...1 RS 232 CAN 100 240V T6 3A Ar Medizin Technik Gebrüder Martin Ludwigstaler Straße 132 D 78532 Tuttlingen ME 402 maxium HF Chirurgie 1 0 0 2 4 0 V 5 0 6 0 H z 6 0 0 V A T y p e C F C la s s I M o n o p 4 0 0 W 4 0 0 O h m 2 5 0 W 1 0 0 O h m 0 4 M H z B ip 1 2 0 W 3 0 0 O h m 3 2 0 W 2 5 O h m In t 1 0 s 3 0 s S e r ia l N o M E 4 0 2 i 0 1 0 0 0 4 X X X X Made in Germany 0297 22 23 24 25 21 20 26...

Page 15: ... Channel selector button for B2 HF output 13 Neutral electrode connector 14 Neutral electrode status indicator LED 15 Display 16 MENU button 17 Rotary switch 18 Backlight ring of rotary switch 19 ON OFF button power switch 20 Connector for dual pedal footswitch 21 Connector for single pedal footswitch 22 Serial interface connector 23 CAN bus connector 24 Equipotential bonding connector 25 Power ca...

Page 16: ...N 100 240V T6 3A Ar Medizin Technik Gebrüder Martin Ludwigstaler Straße 132 D 78532 Tuttlingen ME 402 maxium HF Chirurgie 1 0 0 2 4 0 V 5 0 6 0 H z 6 0 0 V A T y p e C F C la s s I M o n o p 4 0 0 W 4 0 0 O h m 2 5 0 W 1 0 0 O h m 0 4 M H z B ip 1 2 0 W 3 0 0 O h m 3 2 0 W 2 5 O h m In t 1 0 s 3 0 s S e r ia l N o M E 4 0 2 e 0 1 0 0 0 4 X X X X Made in Germany 0297 22 23 24 25 21 20 26 27 28 ...

Page 17: ... Channel selector button for B2 HF output 13 Neutral electrode connector 14 Neutral electrode status indicator LED 15 Display 16 MENU button 17 Rotary switch 18 Backlight ring of rotary switch 19 ON OFF button power switch 20 Connector for dual pedal footswitch 21 Connector for single pedal footswitch 22 Serial interface connector 23 CAN bus connector 24 Equipotential bonding connector 25 Power ca...

Page 18: ...or the Martin circular connector Insert ing it into one of the neighboring control contacts would cause malfunction Warning Some connecting cables for bipolar accessories avail able on the market can also be inserted into the Martin standard sockets M1 or M2 Such use must be pre vented for safety reasons So never connect such ca bles to the maxium s monopolar outputs The i socket module maxium 80 ...

Page 19: ...ble to connect cables with plain 4 mm plugs as well In this case however the user must take care to insert such plugs into the left outer socket Insert ing them into one of the neighboring control contacts would cause a malfunction The activation indicators 2 and 5 of the M1 and M2 sockets will come on as soon as the corre sponding HF output is activated Depending on whether a cutting or coagulati...

Page 20: ...artin standard connecting cables with small coaxial plugs In addition the socket features a connector for Martin multifunction plugs i e Martin multi function connecting cables thus offering finger switch con trol and instrument recognition functions With the i socket module maxium 80 042 02 the sock ets B1 7 and B2 10 conform to the international instru ment standard Therefore B1 and B2 allow con...

Page 21: ...ith two additional control contacts for finger switch activation and instrument recognition Note Technically monopolar instruments with 4 mm plugs can also be connected to these sockets While not operable in this way no function available they should never be con nected to these sockets for application specific technical reasons Upon activation of the corresponding HF output the activation indicat...

Page 22: ...e maxium enables connection of two different footswitches a dual pedal footswitch to socket 20 and a single pedal footswitch to socket 21 The footswitch to be connected to socket 20 features two pedals a yellow one and a blue one The yellow pedal is intended for monopolar as well as bipolar cutting while the blue pedal is intended for monopolar and bipolar coagulating Accordingly the yellow pedal ...

Page 23: ...AN bus interface 23 is intended for use with a Martin Argon Beamer or with accessories defined by Martin Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standar...

Page 24: ...een navigation 4 3 1 Power ON OFF Switch Following proper preparation and correct installation in its intended place of use see local installation and operating regulations and observe the national fire hazard and explosion protection regulations the maxium HF unit can be turned on with the ON OFF switch 19 It is now ready for use When you switch on the unit for the first time it will perform a se...

Page 25: ...he same selector button once again the red frame will move to the footswitch assignment field Pushing the selector button a fourth time returns the red frame to the Power field Please note that pressing the selector button a little longer deselects the channel Deselecting unused channels has the advantage of giving you a much better overview of the functions actually used To activate the channel a...

Page 26: ...r during as well as after current activation Note that current activation re places pushing the channel selector button so there is no need to operate this button in addition Blue backlight With the blue ring you can use the rotary switch to set adjust the output power or select a current or the footswitch for the currently selected coagulation chan nel or output To assign the rotary switch to the...

Page 27: ...anging the numerical value highlighted by the red frame The current type and footswitch in contrast are selected with a submenu that is automatically displayed on the right side of the screen In the same manner you can change the parameters of the submenus that can be accessed with the MENU button After selecting an option you must push the rotary switch for confirmation The only exception is the ...

Page 28: ...ogram via the menu this text will be changed to the title of the program newly selected 5 2 Context Line The Context line describes the maxium s current status This field is also used for explanations in connection with required user entries During the selection process as well as during current activation the respective type of current is indicated here If you selected the Setup menu the currentl...

Page 29: ...is manual activation option is available for both monopolar outputs M1 and M2 and for the B2 bipolar output And because it is always avail able for these outputs even if a footswitch has also been selected it is not specifically indicated on the display Apart from the manual hand switch mode the maxium s activation options include footswitch op eration either via a dual pedal or a single pedal foo...

Page 30: ...the patient s skin Note that this second type of monitoring PCS is available only for split neutral electrodes In such a case red status the maxium automatically blocks monopolar output no monopolar current can be activated Instead an alert is heard However bipolar currents can be activated nonetheless If the LED 14 and the graphical NE indicator on the display are both green the neutral electrode...

Page 31: ...orrectly attached i e if it makes full contact with the patient s skin across its entire surface so that good electric contact is ensured the slide is in the green section If however the NE makes only poor contact insufficient for monopolar current activation the slide will move to the left yellow or red sec tion This indicator is also helpful when searching for the causes of other NE circuit faul...

Page 32: ...utton you can navigate through the Menu field with the rotary switch to select an item In the upper section of the Menu field the names of the three programs last used are displayed The Programs menu item allows administration of the unit s settings You can select from existing settings programs store changed set tings permanently in the non volatile memory or delete programs from the non volatile...

Page 33: ...it offers much more functionality than its predecessors The maxium has been designed as a program based HF unit Instead of going through the labori ous process of setting channels anew whenever you need the unit for a specific type of surgical intervention you just call up an application specific program that already contains all the settings required What is more Martin delivers the unit with exe...

Page 34: ...s still dis played This ensures that the output power can be adjusted during HF activation as well Alternatively you can set adjust the power of the channel last used say the cutting power of M2 via the MENU button To do so press the MENU button 16 then rotate the rotary switch until you reach the Power menu item A black frame will now highlight the current power value indicated on the display As ...

Page 35: ...es of current You can select the current of your choice by simply rotating the rotary switch which is now backlit either yellow or blue depending on the mode selected in our example yellow The black frame shows you which item you have currently high lighted for selection while the red frame indicates the currently active current To select a different current for use move the black frame to the ite...

Page 36: ...al footswitch Alternatively the single pedal foot switch can be selected as well If a blue channel selector button is pressed three times to access the Footswitch field the blue dual pedal or single pedal footswitch can be selected from the Pedal selection menu and thus assigned to the selected channel The backlight of the rotary switch also indicates which mode is currently being used yellow cutt...

Page 37: ...tly store the new settings under a new name The programs are handled and managed in different ways The three last used programs LUPs are constantly offered in the top section of the Menu field You can easily and quickly access them by pressing the MENU button highlighting one with the rotary switch and selecting it by pressing the rotary switch All programs stored can be accessed modified or selec...

Page 38: ...Highlight and select the Select program item with the rotary switch The system now displays a list of dif ferent program names with a preview available for each one Highlight the program name of your choice with the rotary switch and confirm by pressing the ro tary switch The selected program is now active and thus ready for use At the same time the program name will appear among the three last us...

Page 39: ...d store the modification i e overwrite the current program first press the MENU button then select the Programs menu item In the following submenu highlight the Overwrite program item and con firm by pressing the rotary switch The system now prompts you to confirm your selection again offering you the following options Escape cancel and Save store changes in the non volatile memory This query conf...

Page 40: ...itor in the form of a table that contains the necessary alphanumerical characters You simply cycle through this character list and the edit ing functions with the rotary switch Once you reach the item or function of your choice press the rotary switch for confirmation The selected character is then displayed in the Text line or the se lected function is carried out immediately When you have comple...

Page 41: ...the text Arrows and The arrow buttons enable you to navigate the cursor within the Text line Enter Terminates text input and saves the current settings under the name entered in the Text line The procedure can be canceled anytime by pressing the MENU button 6 4 5 Deleting a Program To delete a program proceed as follows press the MENU button then select the Programs and then the Delete program ite...

Page 42: ... the menu interface time period that must elapse before the system automatically closes a submenu and returns to the working surface or main menu also time interval to elapse before the red frame or activation indicator disappears Neutral electrode Selecting the types of neutral electrodes permitted exclusion of a single surfaced NE or the baby NE enabling disabling the neutral electrode indicator...

Page 43: ...cisely controlled current enables efficient use of high frequency surgery in the operating room The cut can be re produced anytime Super Blend The higher the coagulation content of the cutting current symbolized by the dotted line s of the Blend Cut and Super Blend currents the higher the degree of eschar formation in the cutting canal will be This results in a distinct hemostatic effect during ti...

Page 44: ... to considerably less tissue carbonization Such cutting under protective gas also causes less burn off with correspondingly lower smoke plume development Apart from the electric parameters the argon flow rates of the maxium Argon Beamer can also be easily con trolled through the maxium s operator panel when using this type of current Care Cut This current offers a precise and pure cut especially u...

Page 45: ... current is almost exclusively due to the thermal relaxation of the tissue during the cutting pauses This is the current of choice when you use mono file wire papillotomes needle papillotomes or fistulotomes Papilla II This papillotomy current is especially useful when working with wire filament papillotomes or when strong bleeding is expected Just as in polypectomy this is a mixed type of current...

Page 46: ...he point of contact leading to slight tissue carbonization Due to the short application time or fast coagulation process the depth effect is limited Contact Coag Soft contact coagulation current that is preferably applied indirectly through surgical instruments such as vessel clamps surgical forceps etc to achieve hemostasis In this case a needle knife or lancet type electrode attached to the HF s...

Page 47: ... a correspondingly low power setting Uro Coag Specialized coagulation current for use in liquid media in conjunction with loop type resectoscopes The HF energy is transferred to the tissue either on a non contact basis or with the electrode slightly touching the tissue Here unlike the technique that uses an irrigation liquid e g a manni tol sorbitol solution the current is automatically conducted ...

Page 48: ...e to check the suitability of your accessories when using this current Spray Like the Macro Spray current this is also a high voltage current for non contact surface coagula tion with a low depth effect and little carbonization However the output voltages of the Spray current are lower in the medium and low power ranges than that of the Macro Spray current so the electric strength requirements for...

Page 49: ...nt designed for depth coagulation as required in HF induced interstitial thermotherapy To avoid extensive surgical tissue resection narrowly delimited tissue areas are thermally necrotized by applying a low intensity HF current for several minutes through needle type coagulation electrodes that are directly inserted into the target tissue The thermally coagulated tissue remains in situ The spread ...

Page 50: ...o channels has been deselected by pressing the channel selector button a little longer the Duo Spray current automatically changes to the equivalent single channel Spray current Argon Beam This current is intended for use in open surgery If a maxium Beamer is available you can control the argon gas flow directly via the maxium s control panel when working with this current Argon gas flow rates bet...

Page 51: ...trol device such as the footswitch The pulsed argon mode enables the user to assess tissue change during the pulse pause intervals and to continue with the application until the intended tissue effect has been achieved Thus the portioned power supply to the tissue automated in pulse mode supports the so called spot technique Pulsed Argon slow repetition rate The explanations given for Pulsed Argon...

Page 52: ...fferent degrees of hemostasis Bipo Blend Cut produces more eschar in the cutting canal than the Bipo Pure Cut current and consequently more hemostasis Forfex Bipolar scissor current that supports the mechanical cutting process with bipolar scissors In this cutting mode the Forfex current is applied to the tissue located between the two blades of the scissors which means that coagulation takes plac...

Page 53: ... start function as well After the bipolar instrument forceps has touched the tissue the coagulation process starts automatically in accordance with the criteria defined under Micro Stop Via MENU Setup Automatic mode Auto start delay you can set a delay period 0 5 sec onds to elapse before power is actually supplied to the active electrode after making contact with the tissue The auto start mode is...

Page 54: ...gh footswitch activation time Again the rule of thumb is as follows Low penetration depth short application period at a correspondingly high power output High penetration depth long application period at a correspondingly low power output Macro Stop The MENU Setup Automatic mode Coagulation degree Bipo coag degree mac operating sequence takes the user to the menu level where the degree of coagulat...

Page 55: ...s through the trocar For safety reasons therefore the system always prompts the user to confirm activation whenever an application program that uses this function is selected This also applies when one of the last used application programs includes an auto start cur rent as may be offered by the maxium after switching it on Seal Safe This current supports a fully automatic bipolar coagulation mode...

Page 56: ...onal tests 8 1 1 Monopolar Functional Test Before using the unit all of its functions must be checked Please perform the following monopolar checks and tests 1 Verify that the accessories used handle single surfaced or split neutral electrode etc have no visible defects 2 Connect the accessories to the Martin maxium 3 Switch on the unit 4 The unit now performs an automatic self test Watch for pote...

Page 57: ... NE connecting cable to its socket on the maxium Warning If the HF current activation signal is heard although neither a footswitch nor an electrode handle has been connected then the unit is defective and must be withdrawn from use Be sure to have the unit checked and repaired in this case If the HF current activation signal is heard after a footswitch or electrode handle has been connected to th...

Page 58: ...on nected to the unit but not operated this means that the accessory in question is defective and must be replaced immediately 8 1 3 Bipolar Automatic Mode Warning Note that there is a hazard of unintentional activation if you use the maxium s bipolar automatic auto start function Be sure to prevent the bipolar instrument from accidental tissue contact as well as from any contact with electrically...

Page 59: ... or there is skin to skin contact should be kept dry by placing enough covering towels between them arm trunk legs breasts These insulation requirements must be observed also when the patient needs to be repositioned during the operation 9 3 Attaching the Neutral Electrode Electrodes and cables must be attached carefully To prevent any hazards be sure you attach the neutral electrode on the patien...

Page 60: ...urgical purposes the following rules must be observed If a surgical unit and monitoring devices are simultaneously used on the same patient then only monitoring electrodes having protective resistors or HF chokes incorporated in their con necting cables may be employed Do not use needle electrodes for monitoring purposes Moreover the active surgical electrode should never be used near ECG electrod...

Page 61: ... the hazard is still greater as an accidental explosion might be caused if the HF current comes in contact with the gas mixture Therefore see to it that the gas air bubble inside the bladder is always kept as small as possible This device may not be used in combination with other systems unless permitted by the manu facturer Other electromedical devices may be adversely affected by interference wh...

Page 62: ...tch the voltage values indicated in section 14 1 Technical Specifications Certificate Be sure to use only accessories that are in perfect working condition Only Martin accessories may be used 9 10 Interference with Other Equipment When using high frequency currents for electrosurgery as intended other electromedical equip ment such as ECG monitors or electrical equipment such as telephones or PCs ...

Page 63: ...3 Operating status indicator 4 Connector for connection to maxium unit 5 Decompression pin 6 Argon gas supply connector 7 Thread connector for fixed mounting 8 Rating plate PURGE Argon 2 3 1 Medizin Technik Gebrüder Martin Ludwigstaler Straße 132 D 78532 Tuttlingen Maxium Beamer A r g o n P in m in 2 5 b a r m a x 4 5 b a r F lo w 0 1 1 2 l m in S e r ia l N o M B 4 0 2 0 0 0 0 0 4 X X X X Made in...

Page 64: ...is used to reduce the high internal pressure of the cylinder to approx 2 5 to 4 0 bar when connecting the cylinder to the maxium Beamer Before connecting the pressure reducer to the cylinder ensure that the cylinder is safely installed thereby observing all working and safety guidelines and regulations relat ing to pressure vessels The maxium Cart available for maxium Beamer installation offers am...

Page 65: ...the pressure reducer has been de pressurized To achieve this you can activate the gas flow either by activating the maxium Beamer or pressing the PURGE button The fastest way though is disconnecting the quick action coupling and pushing it onto the decompression pin located on the unit s rear panel Never use up the cylinder s gas content completely The cylinder should be exchanged when the interna...

Page 66: ...activated only if you select a Beamer supported type of current e g ARGON BEAM This is indicated by the gas cylinder symbol appearing on the maxium s display At the same time the green maxium Beamer LED will come on Medizin Technik Gebrüder Martin Ludwigstaler Straße 132 D 78532 Tuttlingen Maxium Beamer A rg o n P in m in 2 5 b a r m a x 4 5 b a r F lo w 0 1 1 2 l m in S e r ia l N o M B 4 0 2 0 0...

Page 67: ...Martin maxium maxium Beamer Operating Instructions V 2 0 67 Example for a type of current that activates the maxium Beamer ...

Page 68: ...g must of course be inserted into the socket of the channel used for the argon supported current The handle s gas connector is the female component of a Luer lock connection and must be con nected to socket 1 on the front panel of the maxium Beamer To drain the air from the applicator an argon gas flow can be activated with the PURGE button 2 This does not activate the HF unit All parts of the gas...

Page 69: ...bolts The rear of the Cart s compartment provides storage space for up to two 5 liter argon gas cyl inders that must be secured with straps When installing the cylinders be sure to position the one to be used so that the pressure reducer s manometer can be easily read The cylinder s protective cap can be stored on the floor of the Cart beside the cylinder A special pocket in which you can safely a...

Page 70: ... a green LED lighting up To select an argon gas supported cutting or coagulation current proceed in ac cordance with the instructions given in section 6 Operating the Unit As soon as you have se lected such a current a flow rate field will be displayed in addition underneath the name of the cur rent Depending on the selected operating mode maxium Beamer operation gas flow is indicated by a blue or...

Page 71: ...opriate currents such as Argon Cut or Argon Beam Once an argon supported current has been selected an additional field for setting the gas flow rate appears on the maxium s display By pressing the channel selector button several times as described in section 6 Operating the Unit you can move the red frame to the flow rate field displayed underneath the current s name Thereafter you can use the rot...

Page 72: ...utral electrode NE correctly to the patient see section 9 3 the special instructions for dealing with patients wearing active or passive implants especially cardiac pacemakers see section 9 6 Never place the handle on the patient As the argon plasma beam can bridge distances clearances of several centimeters the danger of burns would be even greater for the patient than in conventional HF surgery ...

Page 73: ...d clotting argon gas bubbles can nonetheless obstruct or even completely stop the blood flow in some regions when they are allowed to enter the arterial circulation and travel through the increasingly thin branches of those vessels Moreover if the gas outlet at the tip of the applicator is directly applied to the tissue there is a danger of argon being injected into the tissue underneath causing e...

Page 74: ...on as the permitted limit value is exceeded so the user can take adequate pres sure reduction measures If no insufflator is used you should take measures for discharging the argon gas accumulating inside the cavity if there is a danger of argon induced pressure increase 10 7 6 Contamination of the Surgical Field While the pressurized argon gas cylinders the fittings connected to them and the valve...

Page 75: ...manufacturer The accessories certified for use with Martin electrosurgical units can be found in our accessories catalog Electrosurgical Instruments item no 90 767 08 Combinations of accessories not mentioned in this manual may only be used if they are expressly intended for the application in question However the use of such combinations must not adversely affect the system s performance characte...

Page 76: ...ely involved in the current delivery nor in the cutting proc ess it does counteract the generation of products of combustion And in both applications the gas beam helps to clear the surgical field by blowing aside any liquids present on the surface Argon gas is usually supplied in pressurized cylinders having a filling pressure of 20 MPa 200 bar This high internal pressure is reduced to 250 450 kP...

Page 77: ...n Due to its inertness argon by itself does not undergo chemical reactions which means that while odorless it is neither ignitable nor aggressive nor poisonous This prevents the formation of argon based disintegration products in the argon beam plasma Moreover its release into the ambient air from which it has been extracted poses no environmental problems at all Although all noble gases can basic...

Page 78: ...1 checked together with maxium HF generator Type of applied part CF defibrillation proof Mode of operation INT 10s 30s Weight 3 5 kg Interference suppression Limit values acc to EN 55011 and IEC 601 1 2 Interference immunity acc to IEC 1000 Dimensions Width 390 mm Height 108 mm without ball head bolts Depth 435 mm Environmental conditions for transportation and storage Ambient temperature Relative...

Page 79: ...ctors Check the HF connecting sockets M1 M2 B1 and B2 for potential damage or defects On the maxium s rear panel check the footswitch sockets the equipotential bonding pin and the maxium Beamer connecting socket for potential damage and firm seat Disconnect the power supply cable from the unit s power supply socket and check the socket for potential damage and firm seat On the maxium Beamer s rear...

Page 80: ...indicator which must first be enabled via the menu if not displayed yet must be at the left end of the bar Upon activating a monopolar channel via electrode handle connected to M1 or M2 the intermittent NE alarm signal must now be clearly heard Insert the shorting plug The non split single surfaced NE symbol must now be displayed in green and the slide symbol must disappear Insert the test plug wi...

Page 81: ...e shall not exceed 0 2 Ω when using a measuring current of 25 A 2 Ground leakage current normal case Measure the current in the protective conductor of the power supply cable without fault simulation The measured value shall not exceed 1 5 times the value measured initially reference value as indicated in the Works Test Report At the same time it shall not exceed the absolute upper limit of 500 µA...

Page 82: ...olar outputs B1 and B2 will cause an error message during the self test performed after switching on the unit This leaves two op tions Either you can use test cables that are connected to only one pin of the outputs B1 and B2 or you can perform the measurement manually after the self test has been completed In this latter case however no current with auto start function must have been selected 8 P...

Page 83: ...may pose a hazard In cases of doubt please contact the manufacturer For accessories especially certified for use with Martin s electrosurgical units please refer to our Electrosurgical Instruments accessories catalog item order number 90 767 08 Combinations of accessories not mentioned in these Operating Instructions may be used only if expressly intended for use for the application in question Pe...

Page 84: ...in house proce dures or use a nationally recognized and approved method Be sure that no liquids penetrate into the housing Never sterilize the unit Note that the unit may only be used after all disinfectant residues have been carefully removed Manual disinfecting of accessories When disinfecting accessories either by surface disinfection or immersion the user is required to observe the respective ...

Page 85: ...des yes Note Parts accessories marked as disposable may never be reprocessed or reused Never use hot air sterilization for electrodes cables and other accessories because the high temperatures associated with this type of sterilization could damage insulation soldered con nections etc All other procedures need to be validated by the user operator 13 3 Non Sterilizable Accessories Non sterilizable ...

Page 86: ...pecializations Two monopolar and two bipolar outputs Monopolar arc controlled cutting with up to 400 watts Bipolar cutting with marCut und Forfex Monopolar and bipolar coagulating with automatic functions Different socket modules available m i and e versions Night design socket illumination Argon plasma coagulation with maxium Beamer maxium Cart trolley suitable for all marTronic units CAN interfa...

Page 87: ... Vp max 3 000 Vpp Care Cut 1 70 W at 600 ohms CF 1 7 max 750 Vp max 1 500 Vpp Clamp Coag 5 250 W at 250 ohms CF 3 0 max 1 500 Vp max 2 800 Vpp Forced Clamp 5 150 W at 300 ohms CF 4 6 max 2 000 Vp max 4 000 Vpp Contact Coag 5 250 W at 100 ohms CF 3 3 max 2 000 Vp max 4 000 Vpp Contact Coag Auto Stop 5 250 W at 100 ohms CF 3 3 max 2 000 Vp max 4 000 Vpp Forced Coag 5 150 W at 300 ohms CF 5 4 max 2 8...

Page 88: ...9 max 180 Vp max 360 Vpp Macro Stop 1 120 W at 50 ohms CF 1 9 max 180 Vp max 360 Vpp Auto Macro 1 120 W at 50 ohms CF 1 9 max 180 Vp max 360 Vpp Seal Safe 5 320 W at 25 ohms CF 1 9 max 300 Vp max 600 Vpp Endo Seal 1 100 W at 50 ohms CF 2 1 max 230 Vp max 450 Vpp Note Vp peak voltage Vpp peak to peak Data applies to coagulation phase only cycle based average value deviates Data averaged across cycl...

Page 89: ...ble 45 60 dB Alarm 65 dB A Weight 8 3 kg Interference suppression Limits in conformity with EN 55011 and IEC 601 2 2 Interference immunity in conformity with IEC 1000 Dimensions Width 390 mm Height 182 mm Depth 435 mm Environmental conditions for transportation and stor age Ambient temperature Relative humidity Atmospheric pressure 25 C to 70 C 10 to 100 500 hPa to 1060 hPa Environmental condition...

Page 90: ...00 2000 100 50 0 10 20 30 40 50 60 70 0 200 400 600 800 1000 1200 1400 1600 1800 2000 100 50 15 Diagrams 15 1 Performance Diagrams Monopolar Cutting Currents 100 maximum power setting 50 half of maximum power setting maxium Pure Cut maxium Argon Cut maxium Blend Cut HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Super Blend maxi...

Page 91: ...hase 50 0 50 100 150 200 250 300 350 400 0 200 400 600 800 1000 1200 1400 1600 1800 2000 Coag Phase 100 Coag Phase 50 Cut Phase 100 Cut Phase 50 Fractionated monopolar cutting currents 1 maximum power setting 2 half of maximum power setting maxium Polyp I maxium Polyp II HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Papilla I m...

Page 92: ...0 150 0 200 400 600 800 1000 1200 1400 1600 1800 2000 100 50 15 2 Performance Diagrams Monopolar Cutting Currents 100 maximum power setting 50 half of maximum power setting maxium Clamp Coag maxium Forced Clamp HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Contact Coag maxium Contact Coag Auto Stop maxium Forced Coag HF output ...

Page 93: ...of maximum power setting maxium Macro Spray maxium Spray maxium Argon Beam maxium Duo Spray HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Endo Spray maxium Argon Endo maxium Pulsed Argon fast repetition rate maxium Pulsed Argon slow repetition rate HF output power in watts HF output power in watts Connection resistance in ohms ...

Page 94: ... 0 20 40 60 80 100 120 0 100 200 300 400 500 600 700 800 900 1000 100 50 15 3 Performance Diagrams Bipolar Cutting Currents 100 maximum power setting 50 half of maximum power setting maxium Bipo Pure Cut maxium Bipo Blend Cut HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Forfex HF output power in watts Connection resistance in ...

Page 95: ...00 100 50 15 4 Performance Diagrams Bipolar Coagulation Currents 100 maximum power setting 50 half of maximum power setting maxium Macro Coag maxium Macro Stop maxium Auto Macro maxium Micro Coag maxium Micro Stop maxium Auto Micro HF output power in watts HF output power in watts Connection resistance in ohms Connection resistance in ohms maxium Seal Safe maxium Endo Seal HF output power in watts...

Page 96: ... 290 400 0 200 400 600 800 1000 1200 1400 1600 5 14 30 60 105 150 230 320 0 150 300 450 600 750 1 10 19 28 37 46 55 70 15 5 Voltage Diagrams Monopolar Cutting Currents maxium Pure Cut maxium Argon Cut maxium Blend Cut HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Super Blend maxium Uro Cut Pure HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Uro ...

Page 97: ...1 10 19 36 54 72 90 120 0 200 400 600 800 1000 1200 1400 1600 1800 2000 1 2 5 14 23 32 41 50 0 200 400 600 800 1000 1200 1 10 19 28 46 64 82 100 maxium Polyp I maxium Polyp II HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Papilla I maxium Papilla II HF voltage in volts peak HF voltage in volts peak Setting Setting ...

Page 98: ... 3600 5 14 26 44 62 80 98 150 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5 14 26 44 62 80 98 150 15 6 Voltage Diagrams Monopolar Coagulation Currents maxium Clamp Coag maxium Forced Clamp HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Contact Coag maxium Contact Coag Auto Stop maxium Forced Coag HF voltage in volts peak HF voltage in volts peak Setting Setting maxium U...

Page 99: ...0 19 28 37 46 55 70 maxium Macro Spray maxium Spray maxium Argon Beam maxium Duo Spray HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Endo Spray maxium Argon Endo maxium Pulsed Argon fast repetition rate maxium Pulsed Argon slow repetition rate HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Care Coag maxium Care Coag Auto Stop maxium Desiccation ...

Page 100: ... 200 300 400 500 600 700 800 900 1 10 19 36 54 72 90 120 0 20 40 60 80 100 120 140 160 180 1 10 19 36 54 72 90 120 15 7 Voltage Diagrams Bipolar Cutting Currents maxium Bipo Pure Cut maxium Bipo Blend Cut HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Forfex HF voltage in volts peak Setting ...

Page 101: ... 95 140 185 230 275 320 0 50 100 150 200 250 1 10 19 28 46 64 82 100 15 8 Voltage Diagrams Bipolar Coagulation Currents maxium Micro Coag maxium Micro Stop maxium Auto Micro maxium Macro Coag maxium Macro Stop maxium Auto Macro HF voltage in volts peak HF voltage in volts peak Setting Setting maxium Seal Safe maxium Endo Seal HF voltage in volts peak HF voltage in volts peak Setting Setting ...

Page 102: ...terrupted and the unit is not being used for an extended period we recommend you to switch it off for safety as well as economic reasons energy saving If disposable products are used in a treatment please note that such articles may be disposed of with the domestic or hazardous garbage only after they have been carefully cleaned disinfected and if need be sterilized Infected sharp parts of disposa...

Page 103: ...Martin maxium maxium Beamer Operating Instructions V 2 0 103 ...

Page 104: ......

Page 105: ...74 61 706 193 info martin med com www martin med com 01 05 90 169 52 22 Printed in Germany Copyright by Gebrüder Martin GmbH Co KG Alle Rechte vorbehalten Technische Änderungen vorbehalten We reserve the right to make alterations Cambios técnicos reservados Sous réserve de modifications techniques Ci riserviamo il diritto di modifiche tecniche ...

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