Gyrus Acmi PlasmaKinetic, Руководство пользователя

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SECTION 4 GENERAL INFORMATION
Gyrus ACMI PlasmaKinetic SuperPulse Generator (Endourology) USER MANUAL
Part Number: 144020-LB
Mode Selection using Gyrus ACMI PK/SP Instruments
- There are three
PlasmaKinetic

Modes shown as PK1, PK2 and PK3, which produce a tissue effect
increasing from PK1 to PK3 (PK3 delivers power more effectively to higher impedance
tissue than PK1). Two of the ThermoKinetic outputs available, shown as T1 and T2,
continuously switch between a PlasmaKinetic

and Desiccate output during activation.
These ThermoKinetic outputs will provide a greater degree of hemostasis during tissue
cutting compared to a PK setting.
Three VP mode levels and the desiccate (DES) are available.
VP1 is optimal for low impedance tissue, VP2 for intermediate impedance tissue and VP3
for higher impedance tissue or larger diameter instruments. The frequency of pulses in VP
mode will also vary depending on the type of instrument attached: generally, the larger the
tissue contact area, the slower the pulses. DES provides a conventional continuous bipolar
output.
For instruments that support the SuperPulse waveform the PK modes are replaced by SP
modes SP1, SP2, and SP3, producing an increasing tissue effect from SP1 to SP3. The
SuperPulse modes provide high-energy pulses promoting rapid generation of the plasma
corona around the active electrode. Once the plasma corona is established the output
reverts to a continuous wave. The SP equivalents of the T1 and T2 ThermoKinetic outputs,
TS1 and TS2 rely on selective modulation of the SP2 SuperPulse waveform, to provide a
higher crest factor and therefore increased hemostasis.
The waveforms associated with the blue and yellow pedals can be individually assigned.
To change the waveform press the Mode / Menu button until the option to change the
waveform required is seen on the display (yellow pedal waveforms appear on the LHS and
blue pedal waveforms on the RHS).
4C. TURis Mode for Olympus TURis Electrodes
The Gyrus ACMI SuperPulse System supports compatibility with the Olympus TURis
Resectoscopic System.
When the supplied TURis cable is connected, the generator will automatically provide the
default settings.
Modify the settings for the connected instrument to achieve the desired tissue effect.
TP Mode – Provides vaporisation/ cutting yellow pedal outputs for use with the
Olympus TURis Electrodes (TP3 setting is more aggressive than TP1)
Refer to the instructions for use supplied with the compatible TURis Electrode range and the
Olympus Resectoscope.
DES provides a Blue pedal coagulation output.
The outputs can be adjusted in the same manner as described in section 4B to suit
physician preferences.
Page 4-5
SECTION 4
GENERAL INFORMATION