ACKERMANN 16-2000-700, Инструкция по эксплуатации

Страница: 69 / 134

USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
8.10 VesSeal
Depending on software version, the HF 16-2000-700 device can also offer a mode for
sealing large blood vessels.
VesSeal is a special bipolar current allowing to seal large blood
vessels and to prepare tissue bundles before cutting. It eliminates
the need for traditional staplers and ligation. This mode is especially
helpful for the resection of organs and tumours. The instrument
used in this mode is bipolar clamp.
This mode is used for closing blood vessels with diameter of up to 7 mm, and for
preparation of tissues, e.g. before mechanical cutting. The use of special instruments
which combine the mechanical and thermal effects is required. In this mode, a
pulsating current, which enables deep tissue coagulation, appears on the instrument.
Suggested settings:
Effect: 3
Power: 80 W (for laparoscopic procedures)
Power: 150–200 W (for open surgery)
In the VesSeal mode, the set power means the maximum power. However, when
using laparoscopic instruments, we suggest to limit the power to 80 W.
Nevertheless, please take into account the fact that, despite common opinion, setting
too low power causes excessive heating of the adjacent tissues in most modes. It is
because low power increases the time of activation and increases heat migration.
Correctness of performed work using the VesSeal
In the VesSeal mode, after complete tissue sealing, the system automatically turns
the generator off. The system measures the parameters of the closed tissue and
automatically cuts the current when the optimum effect is obtained.
The correctness of the performed work is signalled by an acoustic signal and a
message on the screen:
Figure 28. Message: AutoStop – cycle completed.
Page: 69 of 134