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Service Manual
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a split-type dispersive pad partially separates from the patient (CQM, or contact quality moni-
toring), or
4.
the actual output power exceeds the set output by an unsafe margin.
Smoke Evacuation System
The smoke evacuation system is integrated with the electrosurgical generator to enhance the con-
venience and safety of electrosurgical procedures, such as Loop Excision of the Transformation
Zone (LETZ®). Its purposes are to remove the smoke that would otherwise obscure the visual field
during the procedure, to filter particles from the smoke, and to adsorb the unpleasant odor.
The smoke evacuation system consists of four major components:
1. a first-stage HEPA particulate filter
2. a second-stage activated charcoal filter
3.
a third-stage ULPA particulate filter
4. a vacuum motor that creates the negative pressure and the resulting airflow necessary to pull
the smoke from the surgical field and through the filters.
The first two filter stages are supplied as a disposable unit (FINESSE Filter Pack, catalog no. ESU-
501) that may be easily changed and discarded. The third-stage ULPA filter and vacuum system
are installed inside the system housing. The ULPA filter ( Internal Filter, cata-
log no. SSE-500) is removable for annual replacement.
Electrosurgical Procedure Guidelines
The surgical techniques using low-power generators are described in several medical journal
papers and are being taught in current medical seminars. You are encouraged to learn the surgi-
cal methods from the established experts, then to read this manual carefully before using the
system and instruments to perform these procedures. A bibliography of papers on the
subject is found later in this manual. Standard practice of these techniques may change as new
findings are published.
Because of the simplicity and low complication rate of electrosurgical excision procedures, some
practitioners have elected to perform these procedures in their offices. The decision whether or
not to follow this trend is the responsibility of the clinician. If the decision is made to perform
the procedure in the office, the clinician should be aware that no surgical procedure is performed
without risk and an appropriate degree of expertise must be developed to minimize these risks.
It should also be noted that office procedures should be limited to those that do not carry signifi-
cant risk of complications that may require emergency support. This criterion is met only when
the excisions are not too deep and when they are performed using the same techniques that have
been previously successful in the office environment.
The developers and providers of the system will not presume to prescribe surgical tech-
niques in this manual. However, there are some guidelines and warnings that may be useful in
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