Olympus ESG-400 Скачать руководство пользователя страница 147

Страница: 147 / 160

Appendix

145

W7.091.601

ELECTROSURGICAL GENERATOR ESG-400

Bipolar FineCoag

100

1000

10000

Load [Ohm]

]

100

1000

10000

Load [Ohm]

]

Power level

]

Load = 50 Ohm

Power level setting = 39

Содержание ESG-400

Страница 1: ...USA CAUTION Federal Law restricts this device to use by or on the order of a physician INSTRUCTIONS ELECTROSURGICAL GENERATOR ESG 400 ...

Страница 2: ......

Страница 3: ...d optional 28 2 11 Communication cable 0 25 m MAJ 1871 optional this cable is required for the connection with the compatible ultrasonic generator 29 2 12 Communication cable 10 m MAJ 1872 optional this cable is required for the connection with the compatible high flow insufflation unit UHI 2 3 30 2 13 Adapter for UHI 2 3 MAJ 1873 optional this adapter is required for the connection with the compa...

Страница 4: ...sing the compatible high flow insufflation unit 65 5 4 Output setting 67 HF instrument recognition 69 Bipolar cut coagulation mode SalineCut SalineCoag 72 Bipolar coagulation mode RFCoag 72 Overview of all modes 75 5 5 Output of energy 79 5 6 Procedure after use 84 Chapter 6 Push Button Functions 85 6 1 Function list 85 6 2 Push button hierarchy list 86 6 3 Select procedure 87 6 4 Assign footswitc...

Страница 5: ...ristics 127 Output characteristics 129 Transportation storage and operating environment 146 Specifications 147 Electromagnetic compatibility EMC information 152 Alarm information 156 Tone information 157 List of abbreviations AC Alternating Current EMC Electromagnetic Compatibility ESG Electrosurgical Generator FSM Fast Spark Monitor HF High Frequency HPCS High Power Cut Support ICD Implanted Card...

Страница 6: ...r symbols are missing or illegible contact Olympus Function related symbols are described in chapter 2 1 Symbols and Descriptions Date of manufacture CE marking Non ionizing electromagnetic radiation Output insulated from earth connection for neutral electrode Defibrillation proof type CF applied part cardiac application Waste electrical and electronic equipment cTUVus marking Manufacturer Potenti...

Страница 7: ...cy treatment study the properties purposes effects and possible risks thoroughly nature extent probability and imminence associated with the planned treatment and any alternative therapeutic method that can be performed Carry out high frequency treatment only when its benefits outweigh its risks Fully explain to the patient the possible benefits and risks of high frequency treatment as well as tho...

Страница 8: ...pus during installation and commissioning Federal Law of the USA restricts this device to use by or on the order of a physician Electrosurgical generator compatibility Refer to the System chart and Specifications in the Appendix to confirm that this electrosurgical generator is compatible with the ancillary equipment being used Using incompatible equipment can result in patient injury and or equip...

Страница 9: ...lly hazardous situation which if not avoided may result in minor or moderate injury It may also be used to alert against unsafe practices or potential equipment damage NOTE Indicates additional helpful information Dangers warnings and cautions High frequency leakage current or spark discharge may cause user and or patient burns Always prepare for an emergency operation in case of unintentional pat...

Страница 10: ...nstruction manual CAUTION Annual safety checks The electrosurgical generator and the footswitch must undergo a safety check in yearly intervals in accordance with the national statutory regulations refer to chapter 8 3 Periodic safety check Environmental conditions CAUTION Interference with other equipment Be sure that this electrosurgical generator is not used adjacent to or stacked with other eq...

Страница 11: ...equipment magnetic resonance imaging radio or mobile phone equipment Electrosurgical generator malfunction can occur CAUTION Unsuitable temperature and humidity The electrosurgical generator should only be used under the conditions as described in Transport storage and operating environment in the Appendix Use under other conditions may impede normal performance and or result in equipment damage A...

Страница 12: ...m all electrical equipment If liquid gets on or into the electrosurgical generator terminate operation immediately and contact Olympus CAUTION Injury during servicing When the housing is opened there is a danger of electric shock The electrosurgical generator must only be serviced by authorized technicians Burns WARNING Patient and or user The maximum output voltage characteristics of the electros...

Страница 13: ...procedure If the electrosurgical generator is used in conjunction with another electrosurgical generator never use both generators simultaneously Keep the HF instrument connected to the not used electrosurgical generator away from the target area while the other generator is in operation Do not activate output of both generators simultaneously Patient or user injury may occur due to the concentrat...

Страница 14: ...ectrocardiograph or other physiological monitoring equipment Needle monitoring electrodes should not be used as they may cause patient burns Physiological monitoring equipment incorporating high frequency current limiting measures is recommended To prevent burns the user and assistant should wear surgical gloves during the procedure CAUTION High frequency leakage current Wherever possible the pati...

Страница 15: ...A risk does exist however if the application is in close proximity to the implanted electronic device WARNING Cardiac emergency Always keep a defibrillator ready in case of a cardiac emergency During operation of the defibrillator remove the endoscope and or laparoscope and HF instruments from the patient Fire Explosion DANGER Ignitable anaesthetics and gases The risk of flammable gases or other m...

Страница 16: ... Body hair is flammable Water soluble surgical lubricating jelly may be used to cover hair close to the surgical site to decrease flammability WARNING Risk of fire Disconnect the power plug before changing the fuses Replace fuses as marked The fuses must only be replaced by authorized technicians Procedural hazards and complications DANGER Procedural hazards and complications The safety of electro...

Страница 17: ...al area the use of a bipolar mode may be desirable in order to avoid unwanted tissue damage It is not recommended to use electrosurgery for circumcisions because of the risk of thermal injuries The risk can be reduced if metal parts of any kind e g clamps and or monopolar HF instruments are avoided WARNING Safety measures during the procedure Wear personal protective equipment to guard against dan...

Страница 18: ...nse high frequency electrical currents can occur at the beginning of an electrosurgical cut or when using high output power settings This may cause violent spasms or muscle contractions Use the lowest appropriate power level and effect e g effect 1 instead of effect 3 However for certain modes a low output power setting may present an unacceptable risk for the patient For example with the PulseCut...

Страница 19: ...Verify that all items shown below are contained in the package Inspect each item for damage If the electrosurgical generator is damaged a component is missing or you have any questions do not use the electrosurgical generator and contact Olympus Electrosurgical generator ESG 400 Footswitch with cable WB50402W Instruction manual ...

Страница 20: ...lature and Functions 2 1 Symbols and descriptions Front panel Power on off Neutral electrode non split type Neutral electrode split type Select procedure Footswitch Menu BIPOLAR socket MONOPOLAR 1 socket UNIVERSAL socket MONOPOLAR 2 socket Touch screen Double footswitch Single footswitch Autostart Plus ...

Страница 21: ...GICAL GENERATOR ESG 400 Minus Return OK Cancel Save procedure Delete procedure Languages Touch tone on Touch tone off Software version Safety test Service Volume Brightness Select procedure in title line Menu in title line Toggle Previous Next Numeric Alphabetic ...

Страница 22: ...owercase Backspace Caution Communication indicator Reset RCAP Resistance Controlled Automatic Power Reference to BIPOLAR socket Reference to MONOPOLAR 1 socket Reference to UNIVERSAL socket Reference to MONOPOLAR 2 socket Rear panel Volume Footswitch LINK IN LINK IN socket LINK OUT LINK OUT socket ...

Страница 23: ...ted to the electrosurgical generator It is also used to show and modify the output settings e g mode output power effect as well as to control other functions e g save procedures delete procedures 6 FOOTSWITCH push button This button is used to open the Footswitch screen to assign one or two footswitch es or the autostart function to a specific output socket 7 SELECT PROCEDURE push button This but...

Страница 24: ... not connected or not applied properly e g bad contact quality or partly dislocated or no neutral electrode is connected in both cases the activation of monopolar output is disabled 10 Contact quality monitor indicator for non split neutral electrode This indicator illuminates green if a non split neutral electrode is connected 11 Neutral electrode socket This socket connects the plug of a neutral...

Страница 25: ...o increase electrical safety this point is used for potential equalization All equipment housings that come into contact with the patient are electrically connected in order to prevent low frequency electrical currents from endangering the patient in the event of a defect in the conventional protective conductor system 5 AC power socket This socket serves as a connection to the mains power supply ...

Страница 26: ...language setting of the electrosurgical generator For a detailed explanation of the different types of sockets refer to chapter 3 7 Connection of neutral electrode and chapter 3 8 Connection of HF instruments 2 4 Bottom panel 1 Docking socket This socket connects the plug 7 pin of a docking connector to connect peripheral equipment 1 ...

Страница 27: ...s symbol indicates if communication with peripheral equipment connected to the docking socket is established 6 Footswitch indicator double pedal This symbol indicates if a connected double pedal footswitch is assigned to the corresponding output socket Blank if autostart or footswitch is not assigned Refer to chapter 6 4 Assign footswitch and autostart function 7 Output mode The name of the output...

Страница 28: ...nd autostart function 2 6 Set screen 1 Mode button The name of the output mode as selected in the Mode screen is displayed here Press this button to switch to the Mode screen If Off is selected will be displayed instead of power level and effect 2 Plus button Minus button These buttons increase decrease the output power level 3 Toggle button This button switches to the next effect 4 Return button ...

Страница 29: ... mode shall be selected press the Off button 2 Return button Press this button to return to the Set screen 2 8 Footswitch with two pedals The footswitch with two pedals Olympus REF WB50402W is included in delivery 1 Cut pedal yellow color This pedal is used to activate the selected cutting mode 2 Coagulation pedal blue color This pedal is used to activate the selected coagulation mode 3 Footswitch...

Страница 30: ...nects the footswitch with the electrosurgical generator on the rear panel 2 10 Neutral electrode cable P cord optional The neutral electrode cable P cord Olympus REF MAJ 814 is an optional item for the connection with a neutral electrode which may be purchased separately 1 Lever locking arm This arm secures the connector of the neutral electrode with the clamp 2 Clamp This clamp connects the neutr...

Страница 31: ... the electrosurgical generator with the compatible ultrasonic generator 1 Communication cable 0 25 m LINK OUT plug This plug connects the communication cable 0 25 m either to the LINK OUT socket of electrosurgical generator or to the LINK OUT socket of the compatible ultrasonic generator 2 Communication cable 0 25 m LINK IN plug This plug connects the communication cable 0 25 m either to the LINK ...

Страница 32: ... the electrosurgical generator with the adapter for the compatible high flow insufflation unit 1 Communication cable 10 m LINK OUT plug This plug connects the communication cable 10 m either to the LINK OUT socket of electrosurgical generator or to the LINK OUT socket of the compatible high flow insufflation unit 2 Communication cable 10 m LINK IN plug This plug connects the communication cable 10...

Страница 33: ...pter for UHI 2 3 Olympus REF MAJ 1873 is a separate accessory and connects the electrosurgical generator with the high flow insufflation unit 1 System plug This plug connects the adapter for UHI 2 3 to the high flow insufflation unit socket 2 LINK IN socket This socket is used for communications with peripheral equipment 26 pin 3 LINK OUT socket This socket is used for communications with peripher...

Страница 34: ...ed and commissioned by Olympus or by a person or firm commissioned and authorized by the manufacturer Prepare the electrosurgical generator and other equipment to be used with this electrosurgical generator before each use Refer to the instruction manual of the equipment to the System chart in the Appendix and install and connect all equipment as described on the following pages ...

Страница 35: ...ils on each step read the corresponding description 3 2 Installation of electrosurgical generator page 34 3 3 Connection of peripheral equipment page 35 3 4 Connection to an AC mains power supply page 36 Automatic mist smoke evacuation system function page 37 3 6 Connection of footswitch page 42 3 7 Connection of neutral electrode page 43 page 49 3 8 Connection of HF instruments 3 5 ...

Страница 36: ...r other equipment in a way that would block the ventilation openings Always use the electrosurgical generator in compliance with the environmental conditions during normal operation specified in Transportation storage and operating environment in the Appendix Otherwise the electrosurgical generator may not work correctly If the electrosurgical generator is lifted up do not hold the electrosurgical...

Страница 37: ...l equipment must be switched off before connecting to each other NOTE If the communication to the peripheral equipment is established and the peripheral equipment is switched on the communication indicator is illuminated on the top right of the All screen or Set screen see chapter 2 5 All screen The threaded holes on the bottom left and right of the rear panel are left open intentionally to attach...

Страница 38: ...le of similar quality see Specifications in the Appendix Never attempt to modify the power cord If the same circuit breaker is used to supply power to other electrical equipment carefully consider the power requirements of the additional equipment and use circuit breakers that have ample capacity Otherwise the electrosurgical generator does not work correctly Portable multiple power socket outlets...

Страница 39: ...oke evacuation system function when using the compatible high flow insufflation unit When the electrosurgical generator is combined with an Olympus high flow insufflation unit UHI 2 3 via a communication cable MAJ 1871 or 1872 the smoke and mist produced in the abdominal cavity can be evacuated simultaneously with the electrosurgical output CAUTION When using the automatic mist smoke evacuation sy...

Страница 40: ...ect the system plug of the adapter for UHI 2 3 to the system connector on the rear panel of the compatible high flow insufflation unit see figure 3 2 3 Connecting the communication cable to the adapter for UHI 2 3 Connect the LINK IN or LINK OUT plug of the communication cable 10 m to the LINK IN or LINK OUT socket of the adapter for UHI 2 3 After connection secure each plug by pushing it in while...

Страница 41: ...NERATOR ESG 400 Figure 3 2 Adapter for UHI 2 3 High flow insufflation unit UHI 2 UHI 3 Electrosurgical generator System connector Incorrect connection Correct connection System connector Electrosurgical generator High flow insufflation unit UHI 2 UHI 3 Adapter for UHI 2 3 ...

Страница 42: ... more do not use two of communication cable 10 m Otherwise the communication may fail When you add the compatible ultrasonic generator to the compatible high flow insufflation unit and the electrosurgical generator that have been already connected follow the steps below see Figure 3 3 1 Connecting the communication cable 0 25 m to the compatible electrosurgical generator Connect the plug of the co...

Страница 43: ...erator Correct connection Compatible high flow insufflation unit UHI 2 UHI 3 Communication cable 10 m MAJ 1872 System connector Adapter for UHI 2 3 Communication cable 0 25 m MAJ 1871 Compatible ultrasonic generator Electrosurgical generator System connector Adapter for UHI 2 3 Compatible high flow insufflation unit UHI 2 UHI 3 Incorrect connection ...

Страница 44: ...ay not be activated In this case the HF instrument could cut the tissue mechanically which could cause bleeding and or perforation of the tissue The footswitch plug is not waterproof and liquid such as water must not get into the plug When connecting or disconnecting the footswitch plug always hold the plug Pulling the cable may result in damaging of the wires Do not connect products other than th...

Страница 45: ...re 3 4 Figure 3 4 3 7 Connection of neutral electrode for monopolar treatment only Split type neutral electrode When a split type neutral electrode patient grounding pad is connected to the electrosurgical generator it is possible to detect unintended detachment of the neutral electrode from the patient Refer to Specifications in the Appendix for a list of compatible neutral electrodes If the cont...

Страница 46: ... non split type neutral electrode is connected to the electrosurgical generator it is not possible to detect any detachment of the neutral electrode from the patient The electrosurgical generator displays a confirmation window on the touch screen if a non split neutral electrode has been connected A confirmation by the user is required This is to avoid the use of non split neutral electrodes which...

Страница 47: ...gher output power level Use the largest neutral electrode that will fit to the patient especially for obese patients Otherwise patient burns may result The use of large neutral electrodes is strongly recommended particulary if high output power levels will be used To avoid compression necrosis use only self adhesive neutral electrodes Do not use capacitive coupling neutral electrodes as a return p...

Страница 48: ...rface may cause patient burns If necessary remove all hair from the area to which the neutral electrode will be attached When the patient is moved after the neutral electrode has been attached confirm that the neutral electrode is still in proper contact with the patient Otherwise it may cause patient and or user burns Avoid placing the neutral electrode over bony prominences or scar tissue as pro...

Страница 49: ...trode and attach the plate to the patient s body according to the neutral electrode manufacturer s instruction manual 3 Connecting the neutral electrode For neutral electrodes with a pre attached cable consider the following procedure Insert the neutral electrode plug into the neutral electrode socket suitable for 2 pin plugs with 2 5 mm pin diameter and pin spacing 10 mm US standard on the front ...

Страница 50: ...t the contact quality monitor indicator for split neutral electrodes illuminates green If a non split neutral electrode has been connected a confirmation window according to figure 3 7 will appear Press the OK button to continue and the display returns to the last used screen Verify that the contact quality monitor indicator for non split neutral electrodes illuminates green Figure 3 7 Confirmatio...

Страница 51: ...ics in the Appendix and the instruction manual of the HF instrument WARNING Securely connect the HF instrument Otherwise insufficient output might occur during treatment and in this case mechanical tissue cutting by the HF instrument may occur and cause bleeding or perforation of the patient CAUTION Olympus HF instruments should be used for electrosurgical procedures For details refer to the instr...

Страница 52: ...ceptacle except the right hand side receptacle of the MONOPOLAR 1 socket and the MONOPOLAR 2 socket may destroy the socket during activation WARNING Do not connect a 2 pin 4 mm plug e g from monopolar hand switch activated forceps to the MONOPOLAR 1 socket or to the MONOPOLAR 2 socket Connecting this type of instrument may damage the generator ...

Страница 53: ...ter Erbe standard UNIVERSAL socket Suitable for 7 pin bipolar multifunctional plugs Olympus standard and offers HF instrument recognition For a detailed description refer to chapter 5 4 Output setting 1 Checking the HF instrument Confirm that the HF instrument cable and HF instrument plug are not damaged 2 Connecting the HF instrument Insert the HF instrument plug into the appropriate socket on th...

Страница 54: ...quipment as described on the following pages WARNING Before each use inspect this electrosurgical generator as instructed below Inspect other equipment to be used with this electrosurgical generator as instructed in their respective instruction manual Should the slightest irregularity be suspected do not use the electrosurgical generator and refer to chapter 8 Troubleshooting If the irregularity i...

Страница 55: ...s on each step read the corresponding description 4 2 Inspection of power page 54 Inspection of connection between peripheral equipment and the electrosurgical generator page 56 4 4 Inspection of touch screen and push button page 57 4 5 Inspection of footswitch connection page 60 4 6 Inspection of alarm system page 61 4 7 Procedure after inspection page 61 4 3 Ins ...

Страница 56: ...tlet and contact Olympus Equipment damage or malfunction may have occurred and fire or electric shock can result If the output is activated and the output tone can be heard but no output indicators illuminates or the touch screen are off stop the procedure immediately switch off the electrosurgical generator Otherwise it may cause perforation bleeding and user and or patient burns Inspection of th...

Страница 57: ...is shortly displayed on the touch screen then the All screen output settings with the recall of the last settings of all corresponding output sockets see figure 4 2 is displayed and the electrosurgical generator is ready for use Confirm that a tone can be heard at the same time as the Start screen is displayed Figure 4 1 Figure 4 2 Start screen All screen ...

Страница 58: ...al generator is established see figure 4 3 Figure 4 3 If the communication indicator does not illuminate The communication indicator does not illuminate when the peripheral equipment and the electrosurgical generator is not properly connected 1 Confirm that the peripheral equipment and the electrosurgical generator are connected properly 2 Confirm that the generators are switched on If the communi...

Страница 59: ...uch screen may cause malfunction Before activating the output confirm that the present setting is correct To prevent malfunction or damage to the touch screen do not apply an excessive load on its surface Do not control the touch screen with a pointed object such as a pen Otherwise malfunction or damage may result Deposition of dirt and dust between the touch screen and the front panel may cause m...

Страница 60: ...tput socket 2 Press the Plus button Minus button Pressing the Plus button increases the power level Pressing the Minus button decreases the power level For a significant change of the power level continuously press the Plus button Minus button 3 Press the Toggle button Pressing the Toggle button changes the effect 4 Press the Return button The screen changes from the Set screen to the All screen s...

Страница 61: ... 1 Press the MENU push button on the right side of the touch screen as shown in figure 4 5 The Menu screen appears showing different control buttons Figure 4 5 2 Press the Return button The screen changes from the Menu screen to the All screen as shown in figure 4 6 Figure 4 6 Menu screen All screen MENU ...

Страница 62: ...e of the touch screen as shown in figure 4 7 The Footswitch screen appears Figure 4 7 3 Press the Double footswitch indicator of the MONOPOLAR 1 output socket see figure 4 8 The Double footswitch button changes to gray which indicates the connection of the double pedal footswitch at the MONOPOLAR 1 output socket 4 Disconnect the footswitch plug from the electrosurgical generator The Double footswi...

Страница 63: ...onopolar mode by pressing the corresponding footswitch pedal The contact quality monitor indicator for split neutral electrodes illuminates red and the output cannot be activated 2 Confirm that an error window E202 see figure 4 9 is displayed and an audible signal can be heard 3 The audible signal stops and after a few seconds the error window E202 disappears Figure 4 9 4 7 Procedure after inspect...

Страница 64: ...utral electrode and HF instruments are secure and correct DANGER If during operation any irregularity will be suspected do not use the electrosurgical generator and refer to chapter 8 Troubleshooting If the irregularity is still suspected after consulting chapter 8 contact Olympus Damage or irregularity may compromise patient or user safety and may result in more severe equipment damage ...

Страница 65: ...he following is a flow chart for operation work For details on each step read the corresponding description 5 2 Turn on the electrosurgical generator page 64 Automatic mist smoke evacuation system function page 65 5 4 Output setting page 67 5 5 Output of energy page 79 5 6 Procedure after use 5 3 page 84 ...

Страница 66: ...l generator after one or more procedures have been done the last used mode effect and output power is presented at the All screen Before starting the procedure confirm the correctness of the settings 1 Checking the connections Confirm that all HF instruments and peripheral equipment required for the procedure are connected properly and securely For the connection method refer to chapter 3 Installa...

Страница 67: ...s Confirm that the electrosurgical generator is turned ON Otherwise the automatic mist smoke evacuation system function of the compatible high flow insufflation unit will not work Press the power switch of the compatible high flow insufflation unit see Fig 5 1 While the handswitch or footswitch pedal is pressed the automatic mist smoke evacuation system function of the UHI 2 or UHI 3 is activated ...

Страница 68: ... 3 is activated at the same time as the output The exhaust continues for about 5 seconds even after the output is stopped In the following cases however the safety function disables the automatic exhaust function even during output When the abdominal cavity pressure is below 3 mmHg When the air flow mode of the UHI 2 UHI 3 is Low When the UHI 2 UHI 3 is in the air flow stop mode ...

Страница 69: ... when modes with High Power Cut Support HPCS are used Nerve and muscle stimulations may cause discomfort or pain in patients without sedation pain medication or general anesthesia To reduce the probability of nerve and muscle stimulations use modes without HPCS NOTE The power level displayed in the All screen or Set screen is the maximum power watts which can be applied during the activation of th...

Страница 70: ...gs go to chapter 5 5 Output of energy If the output settings have to be changed go to step no 2 below 2 Choose the power and effect settings If the touch screen shows the All screen press on the appropriate button connected to the output socket which settings shall be changed e g MONOPOLAR 1 button see figure 5 2 The display changes from the All screen to the Set screen When the Set screen is disp...

Страница 71: ...nts or cables with HF instrument recognition capabilities Such HF instruments have stored information about instrument name will be displayed instead of UNIVERSAL in the All Set or Mode screen default settings and safety margins for mode power level and effect For detailed information about the settings refer to the instructions for use of the HF instruments or cables The next paragraph describes ...

Страница 72: ... The default instrument settings will be taken and the display returns to the All screen Figure 5 5 If a procedure will be selected from the Select Procedure screen and at least one of the stored procedure settings are out of range of the allowed Olympus HF instrument settings a confirmation window according to figure 5 6 will appear Press the OK button to continue The default instrument settings ...

Страница 73: ...g of power level or effect of an unselected mode is out of range of the allowed Olympus HF instrument settings a confirmation window according to figure 5 7 will appear Press the OK button to continue Just the permitted settings will be changed to the default instrument settings and the display returns to the All screen Figure 5 7 Confirmation window Confirmation window ...

Страница 74: ...ue is totally desiccated after a long treatment time For that reason it is essential when using RFCoag with RCAP mode that the procedure should be stopped by the user on the basis of the applied energy the duration of application and the coagulation progress Before using any bipolar HF instrument which does not have a cutting function reduce the power level of the bipolar cutting modes to zero or ...

Страница 75: ... resistance increases the frequency of the audible feedback tone also increases This permits audible monitoring of the coagulation status since the latter is directly connected with the tissue resistance Energy is applied until the tissue resistance exceeds a limit value see Specifications in the Appendix Then the power output is automatically stopped because the coagulation process is completed d...

Страница 76: ...W7 091 601 Figure 5 8 Figure 5 9 Set screen Activation in Set screen with RFCoag with RCAP mode All screen Activation in All screen with RFCoag with RCAP mode Time energy counter RCAP button Energy counter Time counter Reset button Energy counter Time counter ...

Страница 77: ...ctrodes loop electrodes pencil electrodes Increased crest factor Monopolar cut PulseCut slow PulseCut fast 1 2 3 1 2 3 Intermittent cutting e g for endoscopic operations Monopolar cutting electrodes e g needle electrodes snare electrodes Two pulse timings for controlled cutting slow moderate speed fast higher speed High Power Cut Support HPCS Fast Spark Monitor FSM ensures smooth and reproducible ...

Страница 78: ...g procedures of tissue structures Bipolar cutting electrodes e g needle electrodes High Power Cut Support HPCS Bipolar cut SalineCut available only via the UNIVERSAL socket with Olympus HF instruments 1 2 3 Cutting in conductive fluid Bipolar cutting electrodes e g loop electrodes High Power Cut Support HPCS Automatic detection of conductive fluid BiSoftCoag 1 2 3 Coagulation of tissue with little...

Страница 79: ...onductive fluid HardCoag 1 2 3 Controlled tissue coagulation Bipolar coagulation electrodes e g bipolar forceps Automatic end of procedure detection RFCoag with or without RCAP Controlled deep tissue coagulation Bipolar coagulation electrodes e g bipolar forceps Automatic end of procedure detection With Resistance Controlled Automatic Power RCAP premature tissue desiccation is avoided Audible feed...

Страница 80: ...erCoag Results in increased decreased coagulation dissection capability Results in increased decreased thermal effect Bipolar cut BipolarCut SalineCut Results in increased decreased thermal effect Results in increased decreased thermal effect and increased decreased cutting capability BiSoftCoag AutoCoag Results in increased decreased coagulation speed Results in increased decreased coagulation de...

Страница 81: ...iameter which is appropriate for the size of tissue to be removed and close the snare loosely to avoid mechanically stress at the operation site Otherwise perforation bleeding can occur Be sure to activate the output before operating the snare Always use compatible accessories and control equipment for treatment Do not use damaged or used disposable accessories Electrical injury hazard due to proj...

Страница 82: ...switch pedal or the user s finger released from the handswitch of the HF instrument immediately switch off the electrosurgical generator to prevent patient burns perforation and bleeding Do not increase the electrosurgical generator s output if a function is not working as expected doing so could cause patient injury burns bleeding and or perforation In this case inspect the cord connections the c...

Страница 83: ...e HardCoag mode the limit is 20 seconds After exceeding the time limit an error window E115 appears an alarm signal can be heard and the output is deactivated To continue the procedure release the footswitch pedal or handswitch button of the HF instrument and the electrosurgical generator can be reactivated again The application time limit does not apply to RFCoag FineCoag and SalineCut mode If th...

Страница 84: ...e tissue During activation an output tone can be heard If the electrosurgical generator was activated from the All screen the setting area of the corresponding button will change its background color according to the used mode see figure 5 10 If the electrosurgical generator was activated from the Set screen the background color will change according to the used mode see figure 5 11 The background...

Страница 85: ...Chapter 5 Operation 83 W7 091 601 ELECTROSURGICAL GENERATOR ESG 400 Figure 5 11 Set screen Activation in Set screen e g monopolar SoftCoag mode ...

Страница 86: ...r the cleaning of reusable accessories refer to the instruction manual of these products 1 Switch off the electrosurgical generator Press the power switch to turn off the electrosurgical generator The illumination of the power switch is off The touch screen is off The illumination of the push buttons is off The contact quality monitor indicator for split or non split neutral electrodes is off 2 Di...

Страница 87: ...preferred settings Footswitch Assignment of footswitch and autostart function Save Procedure Saving overwriting of output settings Delete Procedure Deleting of previously saved settings Languages Select Language Available languages English Japanese German Chinese French Italian Spanish and Portuguese Touch Tone Activating deactivating an audible feedback when a touch screen button is pressed Autos...

Страница 88: ...button hierarchy list The push buttons allow an immediate access to the Select Procedure screen Assign Footswitch screen and Select Menu screen Refer to the next chapters for a detailed description Assign Footswitch screen Push buttons Select Procedure screen Select Menu screen Touch screen ...

Страница 89: ...e has already been selected this is indicated by a gray button If no procedure has been saved a No procedure saved message is displayed To cancel the operation press the Return button see figure 6 1 The screen returns to the All screen or Set screen 2 Selecting a procedure Press a button for a procedure to be recalled as shown in figure 6 2 e g Lap Coletomy The selected procedure is recalled The A...

Страница 90: ...Autostart setup The autostart function can only be used for the BIPOLAR and UNIVERSAL socket in conjunction with the BiSoftCoag mode The autostart function cannot be assigned to the UNIVERSAL socket before an instrument is connected If the autostart function has been selected and the set power level is above 50 it will be reduced automatically to 50 The activation of the cut or coagulation output ...

Страница 91: ...y one assignment per output socket can be selected 2 Confirming the assignment Press a button to assign the appropriate footswitch or autostart function to an output socket Repeat this step for further assignment to other sockets if needed To confirm the operation press the Return button see figure 6 3 The screen changes to the All screen or Set screen Figure 6 3 Assign Footswitch screen FOOT SWIT...

Страница 92: ...ush button to display the Select Menu screen on the touch screen All available menu functions are displayed on two pages see figure 6 4 To switch between the menu pages press the Previous button Next button The different menu functions are described on the following pages Figure 6 4 Select Menu screen MENU ...

Страница 93: ...ocedure screen see figure 6 5 2 Save Procedure screen Press the New Procedure button see figure 6 5 The Save Procedure screen changes to the Keyboard screen uppercase see figure 6 6 Figure 6 5 3 Enter the procedure name in alphanumeric characters Enter the name of the procedure Enter the procedure name using the alphanumeric characters Switching between alphabetic numeric characters Press either t...

Страница 94: ...edure name Once the desired procedure name has been entered press the OK button see figure 6 8 An information window will appear for a few seconds confirming the procedure is being saved After the information window disappears the All screen will be displayed Keyboard screen uppercase Keyboard screen numeric Procedure name area Alphabetic button Numeric button Keyboard screen uppercase Keyboard sc...

Страница 95: ...ppear for a few seconds confirming the procedure is being overwritten After the information window disappears the All screen will be displayed If an incorrect procedure name has been entered press the Cancel button The display returns either to the Keyboard screen uppercase lowercase or Keyboard screen numeric Enter the correct procedure name and press the OK button Figure 6 9 Keyboard screen e g ...

Страница 96: ...uld not be saved press the Cancel button The display returns to the Save Procedure screen see figure 6 10 Press the Cancel button on the Save Procedure screen and the display returns to the Select Menu screen see figure 6 11 Figure 6 10 Figure 6 11 Keyboard screen e g uppercase Save Procedure screen Select Menu screen Save Procedure screen ...

Страница 97: ...the procedure to be overwritten see figure 6 12 A confirmation window will appear and ask to overwrite the procedure Figure 6 12 3 Confirming the procedure name If the procedure name to be overwritten is correct press the OK button see figure 6 13 An information window will appear for a few seconds confirming the procedure is being overwritten After the information window disappears the All screen...

Страница 98: ...4 The screen changes from the Select Menu screen to the Delete Procedure screen see figure 6 14 2 Delete Procedure screen Use the Previous button Next button to switch to the screen where the procedure to be deleted is displayed Press the button of the procedure to be deleted see figure 6 14 A confirmation window will appear and ask to delete the procedure Figure 6 14 Confirmation window Informati...

Страница 99: ...e confirmation window disappears and the Delete Procedure screen is displayed Select the correct procedure to be deleted and proceed as described above Figure 6 15 Languages The touch screen is capable of displaying 8 languages This function is used to select the desired language Available languages English Japanese German Chinese French Italian Spanish and Portuguese 1 Select Menu screen After pr...

Страница 100: ...ter pressing the desired Language button the confirmation window is displayed Figure 6 17 3 Changing the language When the selected language is correct press the OK button on the bottom right of the screen see Figure 6 24 The language is changed to the selected language After the confirmation window disappears the Select Menu screen is displayed Select Menu screen Select Language screen Select Lan...

Страница 101: ...SURGICAL GENERATOR ESG 400 If the incorrect language is selected in error press the Cancel button The confirmation window disappears and the Select Language screen is displayed Select the correct language Figure 6 18 Confirmation window Select Menu screen ...

Страница 102: ...he screen changes from the Select Menu screen to the Touch Tone screen see figure 6 19 Figure 6 19 2 Touch Tone screen Press either the On button or the Off button see figure 6 19 Selecting the On button enables the touch tone Selecting the Off button disables the touch tone The default setting is a disabled touch tone Off button is in gray color 3 Saving the touch tone setting Press the OK button...

Страница 103: ...t button on the Select Menu screen see figure 6 20 The Select Menu screen switches to the next page Press the Autostart Setup button on the Select Menu screen The screen changes from the Select Menu screen to the Autostart Setup screen see figure 6 21 Figure 6 20 2 Autostart Setup screen Press the Plus button or Minus button see figure 6 21 The Plus button increases the time delay in seconds The M...

Страница 104: ...screen see figure 6 22 The Select Menu screen switches to the next page Press the Software Version button on the Select Menu screen The screen changes from the Select Menu screen to the Software Version screen see figure 6 23 Figure 6 22 2 Software Version screen The current installed software version of the electrosurgical generator is displayed on the screen Press the OK button see figure 6 23 T...

Страница 105: ...description NOTE If the Relays On button will be pressed the electrosurgical generator remains in this mode until the Relays Off button or Cancel button has been pressed again This enables a measurement required by the periodic safety check 1 Select Menu screen After pressing the MENU push button press the Next button on the Select Menu screen see figure 6 24 The Select Menu screen switches to the...

Страница 106: ...n closes the relays Selecting the Relays Off button opens the relays The default setting is opened relays Relays Off button is in gray color 3 Return to normal operation Press the Cancel button to return to the normal operation of the electrosurgical generator see figure 6 25 The display returns either to the Select Menu screen or to the All screen Figure 6 25 Select Menu screen Safety Test screen...

Страница 107: ... This could cause patient injury NOTE The volume can be controlled either on the touch screen or using the volume control on the rear panel of the electrosurgical generator The volume control on the touch screen is not available during output To control the volume during output use the volume control on the rear panel of the electrosurgical generator The volume of the error tones low medium and hi...

Страница 108: ...creases the output tone volume The Minus button decreases the output tone volume The volume level range is from 1 to 10 The default setting is a volume level of 7 The volume level is displayed in the common area for both menu screens so that it can be controlled from either screen Select Menu screen Common area ...

Страница 109: ... Brightness section of the Select Menu screen see figure 6 27 Figure 6 27 The Plus button increases the brightness of the touch screen The Minus button decreases the brightness of the touch screen The brightness level range is from 1 to 10 The default setting is a brightness level of 5 The brightness level is displayed in the common area for both menu screens so that it can be controlled from eith...

Страница 110: ... equipment damage Do not clean the output sockets or the AC power socket the footswitch sockets or the LINK IN LINK OUT sockets Cleaning them can deform or corrode the contacts which could damage the electrosurgical generator Do not wipe the external surface with hard or abrasive wiping material The surface will be scratched After each use perform the following cleaning procedures immediately If c...

Страница 111: ...ed with a surface disinfectant 5 Drying After wiping with disinfecting alcohol be sure to dry the electrosurgical generator completely prior to use 7 2 Storage CAUTION Do not store the electrosurgical generator in a location exposed to direct sunlight x rays radioactivity liquids or strong electromagnetic radiation e g near microwave medical treatment equipment short wave medical treatment equipme...

Страница 112: ...al laws and guidelines The packaging materials can be separated for adequate recycling Waste electrical and electronic equipment In accordance with European Directive 2002 96 EC on Waste Electrical and Electronic Equipment WEEE the product must not be disposed of as unsorted municipal waste but should be collected separately Refer to Olympus or your distributor for return and or collection systems...

Страница 113: ...n error window is displayed use the information in section What to do when an error code is displayed of chapter 8 2 Error screen codes and measures to identify and correct the malfunction 4 If no error window is displayed use the information in section What to do when no error code is displayed of chapter 8 2 Error screen codes and measures to identify and correct the malfunction 5 If the problem...

Страница 114: ...y monitor indicator for non split neutral electrode illuminates green A split neutral electrode is connected Activation is possible Contact quality monitor detects connection of neutral electrode and contact to patients skin Contact quality monitor indicator for split neutral electrode illuminates green Monopolar application During standby A split or a non split neutral electrode is not connected ...

Страница 115: ...dition of the audible signal and the caution symbol are different see table 8 1 Proceed with the described remedial action The error window disappears after a few seconds if the error is cleared If the error window is still displayed the error is not cleared Proceed with the next remedial action if available Table 8 1 Error priorities and the corresponding indicator symbol condition Error category...

Страница 116: ...the base of multiple variables Depending on the risk potential alarms are classified in high priority medium priority and low priority alarms An alarm of higher priority overrides an existing alarm of lower priority If more than one alarm situation of equal priority is determined the one that occurred first is displayed only This electrosurgical generator complies with the IEC 60601 1 8 2006 ...

Страница 117: ...r switch Malfunction of the electrosurgical generator Contact Olympus The touch screen remains dark after switching the electrosurgical generator on sound is audible after switching on Malfunction of the touch screen Contact Olympus An object is in contact with the touch screen Remove the object The touch screen is not properly calibrated Contact Olympus The touch screen cannot be controlled Malfu...

Страница 118: ...F instrument and or the connection cable are damaged Check the footswitch or the handswitch of the HF instrument and or the connection cable for damages and if necessary replace the footswitch the HF instrument or the connection cable The incorrect footswitch pedal or handswitch button is pressed Press the correct footswitch pedal or handswitch button of the HF instrument The electrosurgical gener...

Страница 119: ...roper connection of the Olympus HF instrument plug with the UNIVERSAL socket on the front panel of the electrosurgical generator Check the Olympus HF instrument plug for correct connection The HF instrument does not support Olympus HF instrument recognition Confirm the use of an Olympus HF instrument with HF instrument recognition capabilities The Olympus HF instrument and or the connection cable ...

Страница 120: ... by pressing the power switch Replace the footswitch or HF instrument with handswitch The output of the electrosurgical generator cannot be deactivated Malfunction of the electrosurgical generator Contact Olympus The electrosurgical generator cannot be switched off Malfunction of the electrosurgical generator Disconnect the power cord plug from the AC power socket on the rear panel of the electros...

Страница 121: ...nstrument and or the connection cable E002 Short circuit 1 Ensure the instrument electrodes do not come into contact with each other 2 If the problem persists replace the instrument 3 If the problem persists contact Olympus Malfunction of the electrosurgical generator If the problem persists contact Olympus Use of non conductive fluid during a bipolar cutting procedure The active and or neutral el...

Страница 122: ...switch pedal to continue 2 If the problem persists contact Olympus Malfunction of the electrosurgical generator If the problem persists contact Olympus The handswitch of the HF instrument is pressed while switching on Release the handswitch of the HF instrument Malfunction of the HF instrument Replace the HF instrument E108 E113 Handswitch pressed 1 Release the handswitch of the instrument to cont...

Страница 123: ...rator If the problem persists contact Olympus No mode has been selected while activating Select a mode via the Mode screen refer to chapter 5 4 Output setting E140 No mode selected 1 Select a mode 2 If the problem persists contact Olympus Malfunction of the electrosurgical generator If the problem persists contact Olympus The power level for the chosen mode is set to zero Increase the power level ...

Страница 124: ...e limit 1 Switch off the ESG 400 and wait until it has cooled down 2 If the problem persists contact Olympus Malfunction of the electrosurgical generator If the problem persists contact Olympus The high frequency leakage current has exceeded the limit of 150 mA for monopolar application or 100 mA for bipolar application Check if the electrosurgical generator or the patient is grounded unintentiona...

Страница 125: ...the peripheral equipment Check the connection of the communication cables to the electrosurgical generator and or to the peripheral equipment for correct connection Malfunction or damage of the communication cables Check the cables for damages and if necessary replace the cables E390 E394 E409 E411 E490 E515 E516 Communication error 1 Check all communication cables are connected correctly 2 Check ...

Страница 126: ...d or the connection cable Replace the Olympus HF instrument and or the connection cable E486 No instrument connected 1 Connect an instrument to the UNIVERSAL socket 2 If the problem persists replace the instrument 3 If the problem persists contact Olympus Malfunction of the electrosurgical generator If the problem persists contact Olympus E Error ESG 400 will automatically restart If the problem p...

Страница 127: ...sposal Otherwise cross contamination of the surrounding environment may result Olympus will not assume any liabilities for human injuries or equipment damage caused as a result of servicing or repairs by a person other than the Olympus qualified service personnel When returning the electrosurgical generator for repair contact Olympus With the electrosurgical generator include a description of the ...

Страница 128: ...t other than those shown below are used the full responsibility is assumed by the medical treatment facility Bipolar Monopolar instruments Electrosurgical generator ESG 400 Footswitch two pedals WB950356 Footswitch one pedal WB950355 Ultrasonic Generator USG 400 Neutral electrode with cord Neutral electrode without cord Docking Fixture MAJ 1876 Communication cable 0 25 m MAJ 1871 P cord MAJ 814 En...

Страница 129: ...00 Intermittent sinusoidal alternating current PulseCut slow t1 800 ms pulse delay time see figure 9 1 PulseCut fast t1 550 ms pulse delay time see figure 9 1 Soft Coag N A 80 5 200 2 3 50 220 Continuous sinusoidal alternating current Forced Coag 5 0 6 5 80 5 120 2 3 500 2000 Modulated 15 kHz sinusoidal alternating current Spray Coag 7 5 9 0 60 5 120 2 3 500 4300 Modulated 15 kHz sinusoidal altern...

Страница 130: ...polar coagulation Fine Coag N A 40 1 40 1 1 50 220 Continuous sinusoidal alternating current Crest factor at rated load specified for modulated sinusoidal alternating current modes only min minimum max maximum The power level is the maximum power watts which can be applied during the activation of the electrosurgical generator The actual applied power depends on the tissue characteristics e g resi...

Страница 131: ...cal generator for all modes are shown below Table 9 1 shows the legend of the diagrams Full output power setting Effect 3 Effect 2 Effect 1 Half output power setting Effect 3 Effect 2 Effect 1 Table 9 1 Please note that the half power lines in the power diagrams may lay over each other In this case only effect 3 is visible ...

Страница 132: ...nopolar PureCut 0 50 100 150 200 250 300 350 10 100 1000 10000 Load Ohm Power W 0 50 100 150 200 250 300 0 50 100 150 200 250 300 Power level Power output W 0 100 200 300 400 500 600 700 0 50 100 150 200 250 300 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 133: ...TOR ESG 400 Monopolar BlendCut 0 50 100 150 200 250 10 100 1000 10000 Load Ohm Power W 0 50 100 150 200 0 50 100 150 200 Power level Power output W 0 200 400 600 800 1000 1200 1400 0 50 100 150 200 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 134: ...132 Appendix ELECTROSURGICAL GENERATOR ESG 400 W7 091 601 Monopolar PulseCut slow fast 0 20 40 60 80 100 120 140 160 10 100 1000 10000 Load Ohm Power W During cut phase ...

Страница 135: ...ESG 400 Monopolar SoftCoag 0 50 100 150 200 250 10 100 1000 10000 Load Ohm Power W 0 50 100 150 200 0 50 100 150 200 Power level Power output W 0 20 40 60 80 100 120 140 160 180 200 220 0 50 100 150 200 Power level High frequency voltage Vp Load 50 Ohm ...

Страница 136: ...G 400 W7 091 601 Monopolar ForcedCoag 0 20 40 60 80 100 120 140 10 100 1000 10000 Load Ohm Power W 0 30 60 90 120 0 30 60 90 120 Power level Power output W 0 500 1000 1500 2000 0 30 60 90 120 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 137: ... GENERATOR ESG 400 Monopolar SprayCoag 0 30 60 90 120 150 10 100 1000 10000 Load Ohm Power W 0 30 60 90 120 0 30 60 90 120 Power level Power output W 0 860 1720 2580 3440 4300 0 30 60 90 120 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 138: ... 601 Monopolar PowerCoag 0 20 40 60 80 100 120 140 10 100 1000 10000 Load Ohm Power W 0 20 40 60 80 100 120 0 20 40 60 80 100 120 Power level Power output W 0 500 1000 1500 2000 2500 0 20 40 60 80 100 120 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 139: ...ERATOR ESG 400 Bipolar Cut 0 20 40 60 80 100 120 10 100 1000 10000 Load Ohm Power W 0 20 40 60 80 100 0 20 40 60 80 100 Power level Power output W 0 100 200 300 400 500 600 700 0 20 40 60 80 100 Power level High frequency voltage Vp Load 500 Ohm ...

Страница 140: ...0 100 150 200 250 300 350 10 100 1000 10000 Load Ohm Power W 0 40 80 120 160 200 240 280 320 0 40 80 120 160 200 240 280 320 Power level Power output W 0 100 200 300 400 500 600 700 0 40 80 120 160 200 240 280 320 Power level High frequency voltage Vp Load 75 Ohm During cut phase ...

Страница 141: ...polar BiSoftCoag 0 20 40 60 80 100 120 140 10 100 1000 10000 Load Ohm Power W 0 20 40 60 80 100 120 0 20 40 60 80 100 120 Power level Power output W 0 20 40 60 80 100 120 140 160 180 200 220 0 20 40 60 80 100 120 Power level High frequency voltage Vp Load 75 Ohm ...

Страница 142: ...ipolar AutoCoag 0 20 40 60 80 100 120 140 10 100 1000 10000 Load Ohm Power W 0 20 40 60 80 100 120 0 20 40 60 80 100 120 Power level Power output W 0 20 40 60 80 100 120 140 160 180 200 220 0 20 40 60 80 100 120 Power level High frequency voltage Vp Load 75 Ohm ...

Страница 143: ...GENERATOR ESG 400 Bipolar SalineCoag 0 50 100 150 200 250 10 100 1000 10000 Load Ohm Power W 0 50 100 150 200 0 50 100 150 200 Power level Power output W 0 50 100 150 200 250 0 50 100 150 200 Power level High frequency voltage Vp Load 75 Ohm ...

Страница 144: ...W7 091 601 Bipolar HardCoag 0 20 40 60 80 100 120 140 10 100 1000 10000 Load Ohm Power W 0 10 20 30 40 50 60 10 100 1000 10000 Load Ohm Power W 0 20 40 60 80 100 120 0 20 40 60 80 100 120 Power level Power output W Load 25 Ohm Power level setting 42 ...

Страница 145: ...Appendix 143 W7 091 601 ELECTROSURGICAL GENERATOR ESG 400 0 20 40 60 80 100 120 140 160 180 200 220 0 20 40 60 80 100 120 Power level High frequency voltage Vp ...

Страница 146: ...1 601 Bipolar RFCoag w o RCAP 0 10 20 30 40 50 60 10 100 1000 10000 Load Ohm Power W 0 10 20 30 40 50 0 10 20 30 40 50 Power level Power output W 0 20 40 60 80 100 120 140 160 180 200 220 0 10 20 30 40 50 Power level High frequency voltage Vp Load 75 Ohm ...

Страница 147: ...CAL GENERATOR ESG 400 Bipolar FineCoag 0 10 20 30 40 50 60 10 100 1000 10000 Load Ohm Power W 0 10 20 30 40 50 60 10 100 1000 10000 Load Ohm Power W 0 10 20 30 40 0 10 20 30 40 Power level Power output W Load 50 Ohm Power level setting 39 ...

Страница 148: ... frequency voltage Vp Transportation storage and operating environment Temperature 10 40 C 50 104 F Relative humidity 30 85 non condensing Operation environment Atmospheric pressure 70 106 kPa Temperature 25 60 C 13 140 F Relative humidity 10 85 non condensing Transportation and storage environment Atmospheric pressure 50 106 kPa ...

Страница 149: ...zation Yes Width x Depth x Height 370 465 156 mm Volume 25752 cm Weight of generator 12 5 kg Weight of packaging 2 3 kg Size weight and packaging Type of packaging Cardboard and expanded polypropylene material Classification Protection class according to IEC 60601 1 CF Class I Classification according to MDD 93 42 EEC IIb High frequency functions Monopolar Bipolar High frequency 430 kHz 20 Maximum...

Страница 150: ... 4 8 mm Erbe standard UNIVERSAL 7 pin Olympus standard Sockets Neutral electrode Single or split 10 mm plug Allowable resistance range for split type neutral electrodes 10 155 Ω 15 Ω Contact quality monitor CQM Allowable resistance range for non split type neutral electrodes 10 Ω 5 Ω Power cords 4 5 m angled plug WA95621A Many European countries Type E F WA95622A USA Canada and other countries Typ...

Страница 151: ...ackaging 0 5 kg Size weight and packaging Type of packaging Cardboard material Footswitch REF WB50403W single pedal optional Classification Protection class according to IEC 60529 IPX8 except the plug section Width x Depth x Height 175 185 50 mm Weight of footswitch 1 6 kg Length of cord 4 m Weight of packaging 0 5 kg Size weight and packaging Type of packaging Cardboard material Neutral electrode...

Страница 152: ...M 9160 Patient weight 0 15 kg split type safety ring soft backing 3M 9165 Patient weight 0 15 kg split type safety ring soft backing with cable Valleylab E7509 Patient weight 15 kg split type soft conductive adhesive Valleylab E7507 Patient weight 15 kg split type soft conductive adhesive with cord Valleylab E7510 25 Patient weight 0 15 kg split type soft conductive adhesive Conmed SureFit 410 200...

Страница 153: ...m REF MAJ 1871 optional Weight 0 05 kg Size Length of cord 0 25 m Communication cable 10 m REF MAJ 1872 optional Weight 0 5 kg Size Length of cord 10 m Adapter for UHI 2 3 REF MAJ 1873 optional Width x Depth x Height 100 77 42 mm Size Weight 0 35 kg Compatible cables MAJ 1871 MAJ 1872 ...

Страница 154: ...cal generator is suitable for use in all establishments other than domestic and may be used in domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes provided the following warning is heeded Warning This electrosurgical generator is intended for use by healthcare professionals only This electrosurgical ...

Страница 155: ...ltage variations of power supply input lines according to IEC 61000 4 11 5 for 5 s 5 for 0 5 periods 40 for 5 periods 70 for 25 periods 5 for 5 s 5 for 10 ms 40 for 100 ms 70 for 500 ms The quality of the power supply voltage should comply with a typical commercial or hospital environment If the user of the electrosurgical generator requires continuous operation during power supply interruption it...

Страница 156: ...oadcast and TV broadcast cannot be theoretical predicted with exact accuracy To assess the electromagnetic environment due to fixed high frequency transmitters a site survey should be considered If the measured field strength at the location where the electrosurgical generator is used exceeds the above applicable compliance level the electrosurgical generator should be observed to verify normal op...

Страница 157: ... 2 3 Square root P 0 01 0 1 m 0 1 m 0 2 m 0 1 0 4 m 0 4 m 0 7 m 1 1 2 m 1 2 m 2 3 m 10 3 7 m 3 7 m 7 4 m 100 11 7 m 11 7 m 23 3 m For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts...

Страница 158: ...33 E137 E142 E145 E150 E165 E168 E178 E197 E198 E203 E211 E213 E216 E217 E220 E387 E395 E400 E408 E410 E412 E415 E419 E437 E439 E440 E443 E456 E458 484 E490 E505 E514 E518 E538 Intermitting signal number of burst 10 200 300 Hz 65 dB A Medium E012 E016 E017 E019 E023 E032 E038 E044 E047 E049 E051 E053 E055 E062 E068 E073 E078 E080 E103 E114 E120 E121 E131 E134 E136 E138 E141 E147 E149 E151 E154 E15...

Страница 159: ...554 Hz Continuous signal 40 65 dB A BipolarCut 587 Hz Continuous signal 40 65 dB A SalineCut 587 Hz Continuous signal 40 65 dB A BiSoftCoag 440 Hz Continuous signal 40 65 dB A AutoCoag 440 Hz End signal 1200 800 Hz Continuous signal 40 65 dB A Alternating end signal 0 3 s SalineCoag 440 Hz Continuous signal 40 65 dB A HardCoag 440 Hz End signal 980 Hz Continuous signal 40 65 dB A Intermitting end ...

Страница 160: ...pa com OLYMPUS KOREA CO LTD 4F 5F Gyeongam Building 157 27 Samseong Dong Kangnam Gu Seoul 135 090 Korea Fax 82 262 55 32 99 Phone 82 262 07 32 00 http kr olympus com OLYMPUS LATIN AMERICA INC 6100 Blue Lagoon Drive Suite 290 Miami FL 33126 2097 U S A Fax 1 305 266 9168 Phone 1 305 266 2332 http www olympusamericalatina com OLYMPUS MEDICAL SYSTEMS CORPORATION 2951 Ishikawa cho Hachioji shi Tokyo 19...

Результаты поиска

Содержание ESG-400

Отзывы:

Olympus ESG-400, Инструкция по эксплуатации, Страница: 147 / 160

Результаты поиска

Содержание ESG-400

Отзывы: