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27/04/04                                                                                                                     ©  

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Users manual RF-units

 

 

1

 not valid for MBC600

          

 

-23-  

 

1 Power 

switch

 

Connection for patient electrode

 

(See also chapter 4.2 and chapter 5.1.1) 
This RF equipment has patient electrode monitoring, which checks the correct attachment 
of the patient electrode to the patient. For this purpose the use of a split patient electrode 
is necessary. If a non-divided patient electrode is used, only the connection between 
patient electrode and equipment is monitored. 

Connecting socket for cutting and coagulation 

Handpieces for the function fields Cut and Coag are connected to this socket. Handpieces 
with or without finger switches are usable. 

 

Connecting socket for Bipolar

 

Surgical instruments for bipolar applications are connected to this socket. 

 

 

Function field Cut 

The output power is divided into 5 default steps. To use power settings between each of 
the default steps you can use the arrow keys 

14

. When pressing the arrow UP button the 

display counts up, when pressing the arrow DOWN button the display counts down. The 
displayed value is the maximum power output in watts (see Technical Data chapter 8). 

 

Function field Coagulation 

(MBC 601 offers 2 separate adjustable channels 10a, 10b)

 

The output power is divided into 5 default steps. To use power levels between each of the 
default steps you can use the arrow keys 

14

. When pressing the arrow UP button the 

display counts up, when pressing the arrow DOWN button the display counts down. The 
displayed value is the maximum power output in watt (see chapter 8). 
 

Function field Bipolar

 

Field for bipolar applications of Cutting

1

 and Coagulation. The bipolar functions 

coagulation and cut

1

 are activated by a double footswitch or through an automatic mode. 

When using the footswitch option the RF generator stays active as long as the footswitch 
is pressed. This is the standard mode after switch on. The coagulation function can 
alternatively be activated via fingerswitch, if corresponding instruments are used. If the 
automatic button is pressed then coagulation occurs whenever resisting tissue is captured 
and detected between the forceps legs. The coagulation is automatically stopped when the 
tissue is adequately coagulated as detected by the increasing electrical resistance of the 
dried coagulated tissue (tissue impedance higher than 3,5kohm). latestly after the 
maximum time [5sec]. 

Bipolar Coag

 (MBC 600 only)             

To adjust the power level use the default buttons to go immediately to a pre-selected step 
and then use the arrow keys 

14 

to adjust to intermediate levels of power. When pressing 

the arrow UP button the display counts up, when pressing the arrow DOWN button the 
display counts down. The displayed value is the maximum power output in watts). 

 

ATTENTION:

 Do not use Bipolar-Automatic-Mode (14) together with TissueLink Bipolar fluid 

supported instruments. The irrigation fluid could disturb the recognition of the automatic function!!! 
TissueLink fluid supported instruments have to be used only without activated bipolar automatic!

 

 

 

  

!

Summary of Contents for MBC-600

Page 1: ...ing MB C6 0 1 Safety S icherheit BIPO Coag BIPO Cut MONO COAG2 MONO COAG1 MONO CUT 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 F BIPO COAG MONO COAG MONO CUT 1 2 3 4 5 1 2 3 4 5 Safety Sicherheit S r in g MB C...

Page 2: ...in Luther King Jr Freeway Fort Worth TX 76119 S ring GmbH Medizintechnik Justus von Liebig Ring 10 25451 Quickborn Tel 001 817 457 2200 Fax 001 817 547 2201 E mail soring usa soering com Tel 49 0 4106...

Page 3: ...2 2 Coagulation 13 3 2 3 Electrodessication 13 3 2 5 Bipolar application technique 14 3 2 5 1 Bipolar Automatic 14 4 Patient safety 15 4 1 Patient placement 15 4 2 Attachment of patient electrode 15...

Page 4: ...pecial checks 35 9 3 1 Check of controls and indicators 35 9 3 2 Check of handpieces and footswitches 35 9 3 3 Check of RF generators and safety devices 36 9 3 4 Power measurement 36 9 3 5 Current Lea...

Page 5: ...s not been developed for continual operation constant power supply for a longer period The period for use fulfills the demands for operation of the EN60601 2 2 10s load 30s break This RF Surgery unit...

Page 6: ...ust be performed according to manufacturer s recommendations regarding extent and periods of inspections during servicing Safety checks of the technical protocols must be assigned only to those who ha...

Page 7: ...tion as required by that agency Suggested information to be gathered by the hospital includes the following 1 What caused this event 2 Was the equipment in proper operating condition 3 If repaired doe...

Page 8: ...gical tissue is of interest Table 3 1 clearly shows that the specific resistance of metals is much smaller than that of biological tissue As a result in a closed current loop of metallic conductors an...

Page 9: ...reaches a certain upper limit an arc will occur at the contact zone of the active electrode to the tissue This leads to a quick heating of the intercellular fluid This vaporization of the intercellul...

Page 10: ...connective tissue Within a cut vessel the blood retracts and the intima is damaged from the different wall layers over a large area In bones the heating effect spreads along both sides of the perioste...

Page 11: ...to the surroundings of the electrode rim effect Fig 3 4 Schematic representation of electro coagulation with generated eschar In this case the current value used for electro coagulation is too high C...

Page 12: ...f cell destruction The shape of the electrode influences the cutting action and the kind of cut in electrotomy Basically cutting electrodes should have a tissue contact area as small as possible in or...

Page 13: ...For coagulation the tissue is heated more or less to such a degree that no cell rupture occurs The temperature for coagulation is above 50 C This temperature leads to a coagulation of the intra and ex...

Page 14: ...rement and a low disturbance effect e g on measurement equipment Fig 3 8 shows a schematic representation of bipolar application technique Isolation Insulation Isolierter Pinzettenschenkel Insulated T...

Page 15: ...of perspiration will be avoided Liquids of any kind must not be sprayed spilled or used in ample quantities in order to avoid its collection underneath the patient 4 2 Attachment of patient electrode...

Page 16: ...dage after setting Fig 4 2 Correct fastening When using self adhesive disposable patient electrodes building up of blisters beneath the electrode may occur due to incorrect handling wrong electrode pa...

Page 17: ...tions disturbed blood supply around the patient electrode might come up again which leads to an increased transfer resistance If the transfer resistance at the patient electrode increases during an op...

Page 18: ...other and connected to the same or adjacent power circuits should be used in order to avoid dangerous current loops which may originate from outlets situated far apart from each other 4 4 Current carr...

Page 19: ...special applications If the operation with RF surgery equipment is extended over different parts of the body the position of the patient electrode must be optimal for all areas of operation For RF sur...

Page 20: ...ng Users manual RF units 1 not valid for MBC600 20 Arrangement of Switches Sockets and displays of MBC 601 10 21 3 12 12 12 2 1 S ring G mbH MBC 601 1 2 F 15 14 15 14 10 14 11 3 9 16 19 17 18 20 4 8 6...

Page 21: ...04 04 S ring Users manual RF units 1 not valid for MBC600 21 Arrangement of Switches Sockets and displays of MBC 600 21 9 2 12 15 1 15 11 14 10 14 3 16 19 17 18 4 10 5 6 7 14 13 20 S ring GmbH MBC 600...

Page 22: ...tion see above Different effects for a given signal shape and voltage have been described in more detail in chapter 3 2 The expected output characteristics for the different applications are shown in...

Page 23: ...essing the arrow DOWN button the display counts down The displayed value is the maximum power output in watt see chapter 8 7 Function field Bipolar Field for bipolar applications of Cutting1 and Coagu...

Page 24: ...adjusted by pressing the Pulse button for around 1 5 sec PL and a value from 1 9 will light up in the Cutting display The coagulation phase duration can be varied by the arrow keys in 9 steps from 1 f...

Page 25: ...edal both LED s CUT COAG will light up Bipolar power indicators and set up keys Use the arrow keys 14 to adjust the power When pressing the arrow UP button the display counts up when pressing the arro...

Page 26: ...around 2 5 seconds until Sto will come up in the CUT display Now all pre adjusted parameters are stored permanently and the unit returns automatically after a short time back into the standard mode T...

Page 27: ...well as the application of the patient electrode at the patient A good connection of the patient electrode is indicated by the illumination of a green LED A yellow LED indicates deterioration of trans...

Page 28: ...om bipolar to monopolar only one arrow key in the monopolar function fields CUT or COAG has to be activated Pressing an arrow key in the bipolar field then re activates the bipolar mode The following...

Page 29: ...dicator blinks in the safety field Settings in the function field are possible However activation of the equipment is not possible see chapter 5 1 If in spite of this an attempt is made a warning sign...

Page 30: ...ctrode For adapting the disposable electrode a reusable patient electrode cable is available Handpieces For monopolar application handpieces with finger switches for footswitch operation are usable Fo...

Page 31: ...ent ATTENTION The following points are only valid for S ring products Handpieces Handpieces as well as their cables and connectors should be treated with non inflammable and non explosive cleaning as...

Page 32: ...1320 TUR1 10W 200 1W 70W 350 940 TUR2 70W 200 10W 150W 350 1250 TUR3 150W 200 70W 250W 350 1320 TUR4 250W 200 150W 350W 350 1320 TUR5 350W 200 250W 350W 350 1320 Pulse1 7W 200 1W 14W 350 1180 Pulse2 1...

Page 33: ...e Pulse 1 5 step continuous sine wave pulsed Soft 1 5 step continuous sine wave Force 1 5 step pulsed sine wave duty circle 25 Spray 1 5 step spike shaped signal Bipolar Cut1 1 130 watt continuous sin...

Page 34: ...cognition 9 1 9 4 defective patient electrode recognition 10 1 10 8 defective relays 11 1 11 6 see 4 1 4 6 12 1 12 7 Cut module defective 13 1 13 5 Coag module defective Power supply data Mains voltag...

Page 35: ...tion of special checks 9 3 1 Check of controls and indicators Connect handpieces and patient electrode according to instruction manual Switch on equipment and check indicator lights Select a power ste...

Page 36: ...e measured RF power does not deviate more than 20 from the nominal value 9 3 5 Current Leakage test Measurement is performed with a load resistance of 200 a monopolar RF handpiece and the genuine S ri...

Page 37: ...27 04 04 S ring Users manual RF units 1 not valid for MBC600 37 Remarks...

Page 38: ...27 04 04 S ring Users manual RF units 1 not valid for MBC600 38 03 092R3...

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