Eickemeyer 323130 Скачать руководство пользователя страница 30 | Manualshive

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EN‐28

MA510a

_EN

Instruction’s

Manual

Use

for

BIPOLAR

:

Bipolar

forceps

(optional)

and

single

foot

switch:

connect

the

optional

adapter

(

REF

00498.00)

(see

page

33).

The

equipment

will

select

the

BIPOLAR

operative

mode.

To

deliver

the

current

press

the

foot

switch.

To

avoid

the

forcep’s

damage

don’t

make

short

circuit

with

its

tips.

Bipolar

forceps

and

double

foot

switch:

connect

the

optional

adapter

(

REF

00498.00)

(see

page

33).

The

equipment

will

select

the

BIPOLAR

operative

mode.

To

deliver

the

current

press

the

foot

switch

for

the

coagulation

(blue).

To

avoid

the

forcep’s

damage

don’t

make

short

circuit

with

its

tips.

NOTE:

For

BIPOLAR

procedure

you

need

other

optional

accessories:

1

2

3

1

Bipolar

adapter

2

Cable

for

bipolar

accessories

connection

3

Bipolar

accessory

(ex:

bipolar

forceps)

For

optional

accessories

see

page

5

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Содержание 323130

Страница 1: ...EICKTRON ELECTROSURGICAL UNIT USER MANUAL TELEFON 49 7461 96580 0 www eickemeyer com Art Nr 323130 323135 ...

Страница 2: ......

Страница 3: ...on 13 CONTRAINDICATIONS AND COLLATERAL EFFECTS 14 SAFETY 15 General 15 Installation 18 Safety for the Patient 19 HF Electrosurgical in Laparoscopy 22 INSTALLATION 24 CONNECTOR AND CONTROLS 29 Label on the Rear Panel 29 Manufacturer s Identification Data 29 Meaning of Grafhic Symbols 29 Frontal Panel 30 Operation Mode 31 Switch On 31 Neutral Electrode s Circuit 31 Preselection of the Deliverable Cu...

Страница 4: ...e Internal Parameters 34 Connectors 35 Back Panel 36 Power Supply Module and Voltage Selector 36 Power On Off Switch 36 TECHNICAL CHARACTERISTICS 37 MAINTENANCE 39 General 39 Cleaning of the Cabinet 39 Cleaning and Sterilisation of the Accessories Items 39 Guide to the Solution of the Problems 40 Repairs 41 Fuses Substitution 41 Checking of the Equipment Before Each Use 41 Function and Safety Chec...

Страница 5: ...imes All the safety instructions and advice notes are to be observed Be sure that these operating instructions are furnished together the equipment when this is transferred to other operating people In case of necessity of technical or other type assistance contact your own retailer MA510A_EN Edition 04 2014 No part of this document could be photocopied reproduced or translated in other language w...

Страница 6: ...ro surgical equipment SURTRON 80 120 160 has reserved to specialized veterinary personnel The equipment has destined to a temporary use for surgical operations in emergency room It has foreseen its use in the monopolar cut cut coagulated or coagulation mode or in bipolar coagulation mode ONLY FOR VETERINARY USE ...

Страница 7: ...e electrode 5Pz 5cm 500500 L2 L Bent thin wire electrode 5Pz 10cm 500500 L2 Bent thin wire electrode 5Pz 5cm 00498 04 Bipolar adapter CB463E Bipolar cable 3mt EUR 310 550 Bipolar electrode 20cm curved 310 590 Bipolar electrode 20cm curved 2 310 510 Bipolar electrode 20cm direct 310 110 05 Bipolar Forceps 11 5cm TIP0 5mm 310 140 10 Bipolar Forceps 20cm TIP 1mm 310 140 20 Bipolar Forceps 20cm TIP 2m...

Страница 8: ...al Scissors 18cm 152 122 Needle curved electrode 7 cm 152 125 Needle electrode 13 cm 152 120 Needle electrode 7 cm 500500 L11 Needles for micro surgery 10Pcs 500500 L8 L Noose electrode L8 5pcs 10cm 500500 L8 Noose electrode L8 5pcs 5 cm 00100 01 Power supply cable 5m 3x1 5mm SIEMENS IEC F4814 Reusable handle without finger switches 00400 00 Rod neutral electrode with cable 500500 L9 L Straight ba...

Страница 9: ...tion Control of the units is via front panel keys and display mains inlet is located on the rear panel The units have automatic control systems that monitoring the internal parameters signal the possible damages errors that are found The operational parameters that are used are constantly stored so that every time the unit is switched on or the operative method is changed the last utilized paramet...

Страница 10: ...gulum or a signal obtained by an opportune mixing of the two a power amplification block able to supply the necessary power in terms of current and to transmit to the electrodes by transformer the amplified signal a security circuit for the return electrode to take possible cable interruptions and disarm the radiofrequency supply by an active electrode opportunely shaped handle by a return electro...

Страница 11: ...ure favoring the cut action Those with a big surface create a smaller current density a smaller temperature realizing a coagulation effect State of active electrode The thermical effects can be reported to the human body resistance to which must be added the electrode contact resistance It s indispensable to maintain the active electrodes perfectly clean to not have a reduction of the Characterist...

Страница 12: ... obtained by the mixing of coagulation and cut effects There is a reduction of blood loss during the cut procedure or like cut that develops a substantial eschar coat The high frequency used by electrosurgical needle don t allow to the electromagnetic field to penetrate deeply in the matter and so the current crosses the conductor mostly in the external surface reduces in an exponential way and be...

Страница 13: ...he pulsed currents or by low frequency produce an impulse of stimulation By alternating current in high frequency higher than 200 kHz used in the electrosurgical needle don t have neuro muscular reactions the change of polarity is so fast that the patient doesn t have consequences at a level of the neuro muscular reactions and there isn t an electrolytic damage of the organism For this reason all ...

Страница 14: ...led it can be used safely without damage to the bone but since good coagulation while cutting is one of principal benefits of using electro surgery a current with a certain amount of modulation is desirable The following rules help the operator to obtain good cutting however every user must follow first of all his professional judgment as he does every time in his practice Keep the tissues moist b...

Страница 15: ...tissue destruction but more efficient coagulation The following rules help the operator to obtain good coagulation however every user must follow first of all his professional judgment as he does every time in his practice Select a ball or heavy wire electrode Locate the bleeder after have wiped the excess blood from the area contact lightly the bleeder before activating the electrode Stop the ele...

Страница 16: ...pression allergic reactions to the disinfectant gas or inflammable liquids ignition Some important causes of burns are by insufficient medical equipe training about all modalities to avoid or reduce the risks of burns by using HF electrosurgical units use of disinfectants with high alcol content incorrect position of the patient during the electrosurgical operation contact between active electrode...

Страница 17: ...stics It is recommended to inspect the integrity of the packaging of the sterile products General The following precautions reduce the risk of accidental burnings The whole surface of the patient plate must be placed on a well vascularized muscle as next as possible to surgical area Avoid connecting the patient plate to bony protrusions prosthesis cicatricial tissues and parts of the body subjecte...

Страница 18: ...r cables For surgical procedures where the HF current could flow through parts of the body having a relatively small cross sectional area the use of bipolar techniques may be desiderable in order to avoid unwanted coagulation The power level should be the lowest useful to the work to do Always check the return plate whenever electrosurgical unit fails to produce the desired effect Reason for a low...

Страница 19: ...bles for the electrodes and the possible accessories for the endoscopy to verify that the insulation is not damaged To avoid the connection of incompatible accessories to the unit the insulation characteristics of the items to be replaced must be requested to the manufacturer and compared to those of the supplied unit see Technical Characteristics Attention a damage of the electrosurgical unit cou...

Страница 20: ...use only simple or multiple adapter conforming to the actual safety requirements Don t let the apparatus exposed to atmospheric agents The unit must be protected from seepage of liquids Don t obstruct openings or cracks of ventilation or heathsink Don t leave the equipment uselessly inserted Switch off the equipment when not in use The use of the unit is not suited in explosive rooms Equipment mus...

Страница 21: ...y shorting the active electrode with the reference one or the active electrode with metallic parts If necessary use a smoke plume extraction system Safety for the Patient During the HF electrosurgical operations the patient is a conductor of electrical voltage against earth potential So if there is a contact between patient and electrical conductive objects metal wet clothes etc in the contact s p...

Страница 22: ...acterized by a higher sweating the extremities in direct contact with trunk or the points of skin skin contact are dried by the nets interposition arm trunk leg leg breast skin folds etc All conductive and grounded supports stirrups are correctly insulated Control the anaesthetics quantity to avoid a great sweating Correct Position of Neutral Electrode The use of the neutral electrode or patient p...

Страница 23: ...ear the operative site If you use a disposable neutral electrode respect the date of use if you use a not disposable neutral electrode make sure that the fixing systems guarantee stability It is very important that the neutral electrode is firmly applied on its entire surface to avoid burns When the neutral electrode is partially taken off from the patient the current density on the remaining appl...

Страница 24: ...he laparoscope causing unintentional tissue burns at non targeted sites by direct coupling insulation failure capacitive coupling Direct coupling occurs when the active electrode touches another metal instrument transferring electrical current to it and possibly injuring tissue with which it comes in contact for example bowel or other organs Insulation failure occurs when there is an excessive vol...

Страница 25: ...jury a better and more complete training for the medical staff visual examination of the surgical instrumentation active electrode laparoscope use of disposable electrodes but the thinner insulation doesn t reduce the risk of breakdown or capacitive coupling prohibiting the use of hybrid plastic metal cannulas adopting bipolar electro surgery not versatile but safer because the necrosis happen onl...

Страница 26: ... selected as shown in fig E Insert the correct fuses in the module referring to the value written on the label The predisposition of the correct mains voltage is performed in the following way A B Extract the fuse holder drawer from the power module C Insert the fuses making reference to the following chart Mains Voltage 110 120 V Delayed Fuse 2x 2x T6 3AL 250V 5x20mm Mains Voltage 220 240 V Delay...

Страница 27: ...only Any verified condensate must be let evaporate before putting in operation the unit Don t exceed the temperature environment or the allowed moisture Environments condition Temperature 10 40 C Relative moisture 30 75 Pressure 70 106k Pa Before using the unit it is necessary connect the cable to the patient plate and these connected to unit The neutral electrode must apply to patient see Safety ...

Страница 28: ...r coagulating current the choice between FORCED COAG SOFT COAG or BIPOLAR must be done pressing the correspondent pushbutton on the unit Holder handle with two pushbuttons and a single foot switch choose the cutting current CUT or BLEND and the coagulation current FORCED COAG SOFT COAG or BIPOLAR Preset through the yellow pushbutton on the holder handle the function for the cut that appears on the...

Страница 29: ...rrespondent pushbutton on the unit Holder handle without pushbuttons optional and single foot switch connect the holder handle to the buckle indicated ACTIVE and pre set the current for the cut CUT or BLEND or the coagulation FORCED COAG SOFT COAG or BIPOLAR press the foot switch to deliver the pre set current Holder handle without pushbuttons optional and double foot switch optional connect the h...

Страница 30: ...it with its tips Bipolar forceps and double foot switch connect the optional adapter REF 00498 00 see page 33 The equipment will select the BIPOLAR operative mode To deliver the current press the foot switch for the coagulation blue To avoid the forcep s damage don t make short circuit with its tips NOTE For BIPOLAR procedure you need other optional accessories 1 2 3 1 Bipolar adapter 2 Cable for ...

Страница 31: ...RON HF electrosurgical unit are designed manufactured and tested in laboratories in Aprilia LT Italy Meaning of Graphics Symbols The meaning of the graphic symbols printed on unit s cabinet is the following 1 Floating Patient s plate neither at low frequency nor at high frequency earth connected 2 The equipment is CF class protected against Cardiac Defibrillator discharge 3 Not Ionizing Radiation ...

Страница 32: ...ns for coagulation current 7 Selection key and light for CUT function 8 Selection key and light for BLEND function 9 Selection key and light for FORCED COAG function 10 Selection key and light for SOFT COAG function 11 Selection key and light for BIPOLAR function 12 Alarm indicator for excessive impedance in the neutral electrode circuit 13 Handle connector for active electrode holder 14 Connector...

Страница 33: ...ment restores last use operational conditions Neutral Electrode s Circuit The neutral electrode is continually watched by a special circuit that prevents danger of burns to the patient due the loss of contact between the neutral electrode and the patient skin if split electrode is used If the impedance value of the patient circuit is more than 200 ohm the value is not accepted in this case the OC ...

Страница 34: ...eep coagulation together the cut is desired This current is made by sine current e suited for the cut associated to low voltage current suited for coagulation soft coag With this blending a current suited for cut coagulated in absence of eschar and carbonization is obtained particularly suitable for endoscopic surgery Superficial Coagulation Current FORCED COAG The modulated current FORCED COAG it...

Страница 35: ...coagulation without carbonization either monopolar or bipolar The use of bipolar forceps it is allowed only with this current To allow the connection of the cable for bipolar forceps it is necessary the use of an optional adapter REF 00498 00 that prevents any other type of current from delivering Signaling of Excessive Time of Delivery OVT If the operator exceeds the maximum time of disbursement ...

Страница 36: ... the COAG one the value of the preset level Now the CUT pushbutton can be released 3 Through the COAG knob it is possible varying the emission acoustic level During the variation the sound emitted by the unit corresponds to the preset level 4 Press the CUT pushbutton to confirm the level Level Sound emission until 1m distance from the frontal panel 1 55 dBA 2 60 dBA 3 65 dBA 4 70 dBA 5 75 dBA Auto...

Страница 37: ...s the point of connection of the return plate or of the bipolar optional adapter REF 00498 04 for BIPOLAR function Handle Connector This is the point of connection of electrode handle In the case of use of handle without finger switch it shall be connected to the buckle indicated ACTIVE Foot switch Connector On the left part of the front panel it is foot switch connector ...

Страница 38: ... WARNING before switch on the unit operator has to verify that requested mains voltage corresponds to the voltage available from the electrical net see chapter INSTALLATION Power On Off Switch The POWER ON OFF mechanical switch is used to control power to the equipment To power the equipment press the switch in the direction of the 1 When the equipment is powered the front panel will illuminate Pr...

Страница 39: ...BLEND 2 1 2 1 0 3 Crest Factor COAG FORCED 2 0 2 0 0 3 Crest Factor COAG SOFT 1 7 1 7 0 1 0 2 Crest Factor BIPOLAR 1 5 1 5 10 Working frequency 600 kHz 600 kHz 15 Maximum output voltage CUT Vpp on 5 2kΩ 1050 1050 15 Maximum output voltage BLEND Vpp on 5 2kΩ 1050 1050 15 Maximum output voltage FORCED Vpp on5 2kΩ 1050 1050 15 Maximum output voltage SOFT Vpp on5 2kΩ 540 540 15 Maximum output voltage ...

Страница 40: ...on 120 120 EN55011 CISPR 11 Class Group Class 2 B 2 B Patient circuit F F Duty Cycle action pause in seconds On 10 Off 30 On 10 Off 30 Output power control by foot switch or finger switch Defibrillation proof Equipotential binding ABS cabinet PRESENT NOT PRESENT ...

Страница 41: ...afety check for verification of the parameters is demanded to specialized technical people Cleaning of the Cabinet Switch the equipment off completely and disconnect the mains supply before any cleaning is undertaken Clean the outside of the cabinet with a damp cloth No chemical should be used a mild non abrasive cleanser may be used when necessary Cleaning and Sterilization of the Accessories Ite...

Страница 42: ...doesn t respond to the command of activation Breakdown of the handpiece or of the pedal Wrong connection of the handpiece or of the pedal Alarm OVT activated Replace the handpiece or the pedal Verify the connection of the handpiece or of the pedal Wait for the OVT warning signal getting out Error Code 001 Current delivery control activated during switching on Disconnect the handpiece or the pedal ...

Страница 43: ...ower module C Insert the fuses making reference to the following chart Mains Voltage 110 120 V Delayed Fuse T6 3AL 250V 5 x 20 mm Mains Voltage 220 240 V Delayed Fuse T3 15AL 250V 5 x 20 mm D Extract and rotate the detachable part in way to read the correct voltage in the E window reinsert the fuse holder in the module Fi 1 Checking of the Equipment Before Each Use Each time the use of the electro...

Страница 44: ... by disconnecting the reference electrode cable the functioning of the OC light Active unit and check OC light and sound alarm warning Check by activating the CUT and COAG power switch the functioning of the emission lights and sounds warnings ...

Страница 45: ...ical protections Check of the protections against the danger due to liquid s pouring dripping moisture liquid s penetration cleanliness sterilization and disinfection Check of the Equipment s Data on the Label Check of the availability of the Instruction s Manual Check the functioning of the H F output controls Check the uniformity of the resistance through the surface of the patient plate Test th...

Страница 46: ... and maximum output power versus impedance load 100 2000 SOFT Diagrams of half and maximum output power versus impedance load 10 1000 BIPOLAR Diagrams of output power CUT versus nominal value Diagrams of output power BLEND versus nominal value Diagrams of output power FORCED versus nominal value Diagrams of output power SOFT versus nominal value Diagrams of output power BIPOLAR versus nominal valu...

Страница 47: ...anualed Istruzioni DEUTSCH PORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO EICKTRON 120 Diagrams of FORCED maximum mains voltage output versus Vp Diagrams of SOFT maximum mains voltage output versus Vp Diagrams of BIPOLAR maximum mains voltage output versus Vp ...

Страница 48: ...maximum output power versus impedance load 100 2000 SOFT Diagrams of half and maximum output power versus impedance load 10 1000 BIPOLAR Diagrams of output power CUT versus nominal value Diagrams of output power BLEND versus nominal value Diagrams of output power FORCED versus nominal value Diagrams of output power SOFT versus nominal value Diagrams of output power BIPOLAR versus nominal value Dia...

Страница 49: ... PORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO EICKTRON 160 Diagrams of FORCED maximum mains voltage output versus Vp Diagrams of SOFT maximum mains voltage output versus Vp Diagrams of BIPOLAR maximum mains voltage output versus Vp LED SpA Via Selciatella 40 I 04011 Aprilia LT Italia ...

Страница 50: ...st be eliminated in a separated collection If the product is eliminated in unsuitable way it is possible that some parts of the product for example some accumulators could be negative for the environment and for the human health The symbol on the side barred dustbin on wheel denotes that the products mustn t throw into urban refuses container but it must be eliminated with separate collection In c...

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