Remanufactured LigaSure Exact Dissector, Without Nano-coating
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4.
To seal adjacent tissue, overlap the edge of the existing seal. The second seal should be distal to the first seal to
increase seal margin.
Footswitch Activation
A footswitch can be used instead of the hand-activation button (3). Ensure that the footswitch is connected to the footswitch
receptacle that corresponds to the instrument receptacle in use.
Warning
Activating energy delivery with a footswitch when the hand-activation button is not in the second-click position may result in
improper sealing and increase thermal spread to tissue outside the surgical site. The second click of the hand-activation button
indicates proper pressure is being applied to the tissue.
1.
Connect the footswitch to the generator as described in the generator user’s guide.
2.
Ensure hand-activation is disabled on the appropriate port. Refer to the generator user’s guide if needed.
3.
Grasp the intended vessel and/or tissue in the center of the jaws.
4.
Press and hold ring handles to the second click to ensure appropriate pressure on the grasped tissue.
5.
Press and hold the footswitch pedal to activate energy.
A continuous tone sounds to indicate the activation of RF energy. When the activation cycle is complete, a two-pulsed Seal-
Cycle-Complete tone sounds and RF output ceases.
Notice
The surgeon may inspect the seal before cutting the vessel or tissue. After inspecting the seal, the surgeon should create a
second seal adjacent to the first seal before cutting, as described below.
A tone with multiple pulses indicates that the seal cycle was not completed. Refer to the Troubleshooting section for
possible causes and corrective actions. Do not cut tissue until you have verified that there is an adequate seal.
6.
To seal adjacent tissue, overlap the edge of the existing seal. The second seal should be distal to the first seal to
increase seal margin.
Cutting Tissue
Warning
Energy-based devices, such as ES pencils or ultrasonic scalpels that are associated with thermal spread, should not be used ot
transect seals.
Notice
Failure to maintain steady pressure on the ring handles while cutting could result in inadvertent reactivation of energy.
1.
To divide tissue, maintain steady pressure on the ring handles and pull the cutting trigger (4) until a hard stop is
reached. Then release the cutting trigger to allow the cutting blade to retract.
2.
Open the jaws to release tissue.
Cleaning the Instrument During Use
Warning
Inspect the instrument jaws prior to cleaning to ensure the cutting blade is not deployed.
Do not activate the instrument or cutting trigger while cleaning the jaws. Injury to operating room personnel may result.
Wipe jaw surfaces and edges with a wet gauze pad as needed.
Notice
Do not attempt to clean the instrument jaws by activating the instrument on wet gauze. Product damage may occur.
Remove any embedded tissue from blade track and jaw hinge area.
Do not clean the instrument jaws with a scratch pad or other abrasives.
