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– 20 –
3-6. ELECTRO-SURGERY
NOTE:
There
a
re
s
ever
a
l type
s
of pro
s
thetic device
s
a
v
a
il
a
ble, be
su
re to review the
s
pecific in
s
tr
u
ction
s
su
pplied with
e
a
ch pro
s
the
s
i
s
.
WARNING:
Ple
as
e refer to the oper
a
ting m
a
n
ua
l provided with the electro
su
rgic
a
l
u
nit. Electro
su
rgic
a
l
s
y
s
tem
s
m
a
y be of the flo
a
ting
type (BF type, CF-type) or non-flo
a
ting (B type). To
a
void p
a
tient
a
nd
us
er b
u
rn,
us
e only the flo
a
ting type E
S
U (
su
ch
as
ERBOTOM ICC 200) /
a
cce
ss
ory
s
y
s
tem
s
. Do not
us
e the non-flo
a
ting (B type) electro
su
rgic
a
l
s
y
s
tem
s
. The electro
su
rgic
a
l
gener
a
tor
a
nd
a
ny electro
su
rgic
a
l
a
cce
ss
ory
s
ho
u
ld be c
a
ref
u
lly
a
nd thoro
u
ghly in
s
pected. Only the
us
er c
a
n determine if
the condition of the electro-
su
rgic
a
l gener
a
tor
a
nd the electro-
su
rgic
a
l
a
cce
ss
ory
a
re
su
it
a
ble.
1) The user has the option of using a non-explosive gas for
insufflation. Non-explosive gas from a pressure-regulated and
flow-rate controlled source can be connected to the provided
or optionally available gas adapter, Model OF-G11, as
described for Laser in section 3-6.
2) The electrosurgical accessories should be introduced through
the endoscope in the same manner as described for biopsy
forceps in section 3-3.
WARNING:
To
a
void p
a
tient
a
nd
us
er b
u
rn, follow the in
s
tr
u
ction
s
below before electro
su
rgic
a
l energy i
s
delivered.
1) U
s
e only the electro
su
rgic
a
l gener
a
tor with the flo
a
ting gro
u
nding type (BF or CF Type). Do not
us
e the non-
flo
a
ting (B type) electro
su
rgic
a
l
s
y
s
tem
s
.
2) In
Flo
a
ting Gro
u
nd Electro-
Su
rgic
a
l Gener
a
tor, there i
s
a
type with
a
s
cope feedb
a
ck cord (
S
-cord)
as
well
as
the one witho
u
t
a
s
cope feedb
a
ck cord.
- In
c
as
e of Flo
a
ting Gro
u
nd Electro-
Su
rgic
a
l Gener
a
tor with
a
s
cope feedb
a
ck cord: Connect the
s
cope
feedb
a
ck cord between the
s
cope’
s
feedb
a
ck termin
a
l
a
nd the connecting
s
ocket of the p
a
tient gro
u
nd
of the electro-
su
rgic
a
l gener
a
tor.
- In c
as
e of Flo
a
ting Gro
u
nd Electro-
Su
rgic
a
l Gener
a
tor witho
u
t
a
s
cope feedb
a
ck cord: Do not
us
e
option
a
l f
u
nction
a
l gro
u
nd cord. To do
s
o m
a
y be d
a
ngero
us
if the met
a
l portion of the
s
cope tip come
s
in cont
a
ct with p
a
tient ti
ssu
e or m
u
co
us
d
u
ring proced
u
re
s
. In order to minimize the noi
s
e c
aus
ed by the
electro-
su
rgic
a
l gener
a
tor,
us
e option
a
lly
a
v
a
il
a
ble conden
s
er e
a
rth c
a
ble OL-Z3. If the proce
ss
or doe
s
not h
a
ve
a
n eq
u
ipotenti
a
l termin
a
l, do not connect
a
ny f
u
nction
a
l gro
u
nd cord.
3) We
a
r r
u
bber glove
s
a
nd f
a
ce m
as
k
s
.
4) The
po
s
ition of the t
a
rget
a
re
a
, the in
su
l
a
ted di
s
t
a
l portion of the electro
su
rgic
a
l
a
cce
ss
ory
a
nd the
a
ctive
portion of the electro
su
rgic
a
l
a
cce
ss
ory,
s
ho
u
ld be vi
s
ible.
5) The
a
ctive portion of the electro
su
rgic
a
l
a
cce
ss
ory
s
ho
u
ld not to
u
ch the met
a
llic di
s
t
a
l portion of the
endo
s
cope directly or vi
a
fl
u
id
s
.
6) The
met
a
llic portion of the endo
s
cope
s
ho
u
ld not to
u
ch the
su
rro
u
nding ti
ssu
e directly or vi
a
fl
u
id
s
.
7) The
a
ctive portion of the electro
su
rgic
a
l
a
cce
ss
ory
s
ho
u
ld not to
u
ch the
su
rro
u
nding ti
ssu
e directly or vi
a
fl
u
id
s
.
8) The
he
a
d of
a
ny le
s
ion
su
ch
as
polyp
s
ho
u
ld not to
u
ch the
su
rro
u
nding ti
ssu
e directly or vi
a
fl
u
id
s
.
9) Phy
s
ici
a
n
s
a
nd
ass
i
s
ting per
s
onel
s
ho
u
ld
a
void cont
a
ct with the p
a
tient while high freq
u
ency energy i
s
delivered.
10) Electro-
su
rgic
a
l energy
s
ho
u
ld be delivered for
as
s
hort
a
time period
as
nece
ssa
ry to
a
ccompli
s
h the de
s
ired clinic
a
l effect.
11)
S
elect
a
high freq
u
ency o
u
tp
u
t power
s
etting
su
it
a
ble for the p
a
rtic
u
l
a
r intended proced
u
re in order to
a
void
therm
a
l inv
as
ion of the ti
ssu
e, or in
su
fficient co
a
g
u
l
a
tion, re
su
lting in exce
ss
ive bleeding.
12) To
a
void the ri
s
k of therm
a
l inj
u
ry,
us
e only in
su
l
a
ted
a
cce
ss
orie
s
.
Never
us
e non-in
su
l
a
ted device
s
while performing endo
s
copic electro
su
rgic
a
l proced
u
re
s
.
LIGHT GUIDE PLUG
CO
2
GA
S
CYLINDER
CO
2
GA
S
ADAPTER
OF-G11
LIGHT
S
OURCE
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