ACKERMANN 16-2000-700, Инструкция по эксплуатации

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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
10.11 During the operations performed in the region of the thorax or the head it is
recommended to avoid using the flammable anaesthetics or oxidising gases such as
nitrous oxide (
N
2
O) and oxygen, unless those agents are aspirated away.
10.12 In order to remove gases and increase the visibility during the operation, use of
smoke-plume extraction is recommended, where removal is not possible in any other
way.
10.13 Use non-flammable disinfectants. Otherwise, they should be left to evaporate
before the procedure. There is also a risk of pouring those agents under the body or into
a body cavity. Should this happen, such flooded areas should be dried. A flammable
agent can be set on fire by a spark occurring during normal system operation.
10.14 Sparks at the active electrode present the risk of setting bandages and metabolic
gases on fire.
10.15 During a procedure, there is also a risk that a heart pacemaker can be damaged or
its function can be interfered during a procedure. In these cases, the bipolar technique
should be used. If monopolar modes are necessary, the neutral electrode should be
placed at a possibly greatest distance from the pacemaker. The active electrode should
not be used near the stimulator. It is recommended to apply the current for a short time
at short time intervals. Before using electrosurgery, consult an authorised representative
for the heart pacemaker and a cardiac surgeon. Check the pacemaker thoroughly after
the procedure. Use of electrosurgery systems on patients with heart pacemakers is not
permitted under outpatient clinic conditions.
10.16 High-frequency leakage currents can cause burns at a distance from the electrode
application site, if they are in contact with conductive elements.
10.17 The commonly-used “through-the-instrument” coagulation technique should only
be applied when using properly insulated forceps. These are special forceps with
insulated handles. Surgical gloves do not sufficiently protect the operator from
burns. Never use spray coagulation when applying this technique.
10.18 When using spray coagulation, keep at an appropriate distance from the fingers,
metal parts of endoscope optics, fiberscopes.
10.19 When performing endoscopic procedures:
IMPORTANT NOTICE

maintain the active part of the electrode in the operator’s field of vision to avoid
accidental burns or coagulation at a random site

avoid contact with the metal parts of the endoscope

use a non-conductive cap on the endoscope eyepiece
10.20 In designing electrosurgical generators, Ackermann paid special attention to the
increasingly restrictive requirements regarding electromagnetic emissions. As a result,
solutions that ensure minimal emission levels were selected to fulfil current and future
requirements.
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