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27/04/04                                                                                                                     ©  

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Users manual RF-units

 

 

1

 not valid for MBC600

          

 

-24-  

 

8 Safety 

field

 

(For detailed description see chapter 5.1.1) 
Patient Electrode failure: 
Indication for correct patient electrode connection 
Functional error: 
Shows malfunction of equipment during internal safe test. Error code is shown on 7-
segment display CUT 
Dosage error: 
Indication that an equipment dependent output power error occurs. 

 

Function field for monopolar Cutting modes 

When none of the following buttons are activated the unit works in pure cutting mode.

 

TUR

 

When pressing the TUR button the power for cutting will be increased. This is needed for 
so called “under water cuts” as are used in Transurethral resection. 

Blend

 

When pressing the Blend button the pure cutting function is changed to a blend mode 
combining a combination of cutting and coagulation functions. Part of the signal will be in 
the cutting mode and part in the coagulation mode. When you keep pressing the button for 
around 1.5 sec. “BL” and a value from 1-9 will light up in the Cutting display. Thus 
coagulation degree (the coagulation duration) can thus be varied by the arrow keys in 9 
steps from 1=few up to 9=strong) A setting of 5 results in a 50-50 combination of cutting 
and coagulation modes.  A setting of 9 means that about 90% of the time the signal will be 
in the coagulation mode. 

Pulse

 

When pressing the Pulse button the cutting current will be delivered in a pulsed form in 
order i.e. to cut off a diverticla cleanly with loop electrodes. The pulsing power alternates 
between high cutting power and lower coagulating power. Thus cutting is followed by 
coagulation.  The duration of the coagulation phase can be 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=few up 
to 9=strong) 

Pulse TUR

 

In case both keys are activated a pulsed cut under water can be performed. The power for 
cutting will be increased and the current is delivered in a pulsed form, in order i.e. to cut 
off diverticles cleanly with loop electrodes with under water. Due to the pulsed waveform 
an additional coagulation effect is achieved during cutting. 

 
10 

Function keys for monopolar Coagulation modes

 

These pushbuttons select the desired coagulation mode for the function field coagulation. 
There is a choice for Soft, Force, and Spray  Coagulation, selecting the desired degree of 
coagulation with respect to output power, output voltage and signal shape (see Technical 
Data chapter 8).Additionally to the "normal" Force coagulation a certain cutting degree can 
be mixed to the coagulation power to allow a less bleeding cut. (Comparable to "Blend" 
cutting). When you keep pressing the button for around 1.5 sec. “

Fr.”

 and a value from 1-9 

will light up in the coagulation display. This cutting degree can thus be varied by the arrow 
keys in 9 steps from 1=no up to 9=strong).Additionally to achieve a better TUR coagulation 
the unit can be adjusted to "HI" with the arrow keys (turn completely down) 

 
11 

Function keys for bipolar modes

 

Auto-Stop Button

 

Pressing this button enables AutoStop mode. In this mode the HF generator will be 
activated for around 1.5 sec. by either the footswitch.  

 

 

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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