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        instruction manual alsatom su 50-mpc, su 100-mpc, su 140
         Contents
1.                                DL    De    0       ov    0s    09    OL    08    06    oL    oz    0       or    0s    09    OL    08    06    DL    02    0       ov    os    09    OL    08    p 0003    006L  H 0084  H 00ZL    0091  H 00SL  r 00pL    00   L  H 00cL  H DOLL    0001  H 006  r 008  r 004  r 009  r 00S    oor  r 00     r 003  r OOF            Su SOd OvOO             HL  S  d DVOO     009 O   SIEM    snzzisuzikEliSesuosustiuuc  9888288885 E eg SS d SZ SS Rz  SS SS SS SS SS SS SS SS SS 8 8  Ce EE E A   S  Sod ANT  uO bw    SOd QN3  1H     009 0   se M  Ree a s   E SE ZS ee ae ob op 3  S SS ZS g   SS RS SS d S   SS Rz  SS SS SS ss SS SS SS SS SS SS  EE    S  SOd LNO    Oba  SOY LNO     00s        SUM       ror    r 02    Loe 3HIVIOdONOW  NOILVINDVOO  rov   NOILVINDVOO  FO  HYIOdONONW     9 guviOdONOM  L a INOIZVINDVOD    r 08         06    SUM    ror    H oz  AYIVIOdONOW  poe   NOILLWINDVOO  OJAV NOILO3S  E or  UO ONZI9     5   UVIOJONON    H 09  AYVIOdONOW  Fo   NT18 OlIOVL    r 08         06 ssp    ror  r 02    F 0       Lo  SuIVIOdONOW  3uNd NOLLO3S  ros   ino 3und  F9   EWIOJONOMN     9 3guviOdONON  Ound ONDVL    M 08         06    EA       Page 8 of 9          ING   March 2008             MN   SU MPC          391938  ONILLAS  ANOIZVLSOdWI    391938  ONILLAS  3NOIZV1SOdMWI    20 0 400 Ro m                                                       o o o 400 bk oa m                                                                           00L    003    00       00p   
2.        002       00          oov       oos       009       004       008       006       0001       0011       002L       00   L                                     00pL          S    MN e om Fb o H          00SL      00L       003       00          oor       oos       009       004       008       006       0001       0011                                     0031          00   L    IW  d dA    d dA     N  dein    goviodd  ONILLAS  3NOIZVLSOdWI    3ovio3u  ONILLAS  SNOIZVLSOdWI    ZEN EZ  ONILLAS  3NOIZVLSOdMWI    oO o oo 4 mo Ro ba                                                                            Se ON me o bk o                                                                            O coc MN e om Fb o mv                                                                               r 0002  H 0064    0084  H 00ZL  r 0091    00SL  r 00pL  r 00   L    0021  r OOLL  H 0001  r 006  r 008  r 004    009  r 00S    r 00r    r 00       r 002    H OOL       DL  0c  0        uGu SOd 9vOO  or  os  09  OL  08  06 JDL  S  d DVOD  00     Olt  oz     005 9   SNHM    000c  0061  0081  0041  0091  Oost  00v  00   L  002L  DOLL  0001  006  008  002  009  00s    DL    uGu SOd QN318  0     or  os  09  OL    0L  SOJ ANITA  06  ool    Olt  oz     00s 8   Su M    000c  0061  0081  0021  0091  00S   00pL  00   L  0031  OOF  0001  006  008  004  009  00S    DL  0c  ge wGu SOd LNO  or  os  09  04  08  06  cor 40L S0d LNO  OLL    EI  og     050   Su M    00r    I  S  S    00       00       00
3.  00S    00L  003  00     00r  008  009  004  008  006  0001  OOLL  002L  00   L  WICH  00SL    d dA    d dA    395vio3u    ONILLAS    ANOIZVLSOdWI    394193    DM    ILLIS  INOIZYLSOdNI    o o 0 400 Ro mw                                  o o o 400 Ro mw          r OL    r 03    r oe    r Ov    M OS         09       Dt       0c       oe       or                                     os          09    2    o E o a BR e m     I      o   E         2   E E E E E E E E E E  L   fi fi fi fi fi fi fi fi      oS  r OL            amp  S0d HYTOdIg ro  HF O     01  S0d UW1O0dl9 hne    or    r os         09    3ulv lOdl8  NOILVINDVOO    NOILVINDVOO  uv IOdl8    3uv lOdla  ANOIZVINSVOO       001     SM    SWE M    r 0003    0061  r 0081  E OOZL  r 0091  r OOS  E 00bL  r 00   L  r 0031  r OOLL  r  0001    006    008  r 004    009  r 00S    00p    00       003    OOL           Gu SOY OHOIN DVOO      01   S0d OYOIN DVOO       002      SM        0    3HlVIOdONOW  NOILWINDVOO  OYOIN    NOILVINDVOO  OYIN  YVIOdONOW    AYVIOdONOW  OYIN  ANOIZVINSVOO    sm M       Page 9 of 9          ING   March 2008             MN   SU MPC          
4.  SS SS S  Ee  2   n SD OHOIN DVOO  oz  og  0L S0d OHOIN DVOO    ov H  os H  og    002 0  L  sins M       sins M       3ulv lOdl8 NOIL V T19vOO    08    NOILVINDVOO gv lOdla    o  18V lOdlg ANOIZVINDVOO    001    DL    oz    0       or    os    09    oz    3HulV IOdONON  NOILVINDVOO OYIN    NOILWINDVOO  OYOIN HY TOHONON    JHVIOJONOMN  OYOINN ANOIZVINDVOO       Page 7 of 9          ING   March 2008             MN   SU MPC          POWER OUTPUT DIAGRAMS  x 20      SU 50 MPC    39v193  SNOIZVLSOd     39v193   ONILL3     H  S    H  ONILLAS  INI    200 4020 Fb o                                                                                                    SNOIZVLSOdWI    D o0 4 e o Fb o H                                                                                                                                                             00L  003  00     00r  00S  009  007  008  006  0001  DOLL  0031  00   L  o0bL  0091  0091  00Z   0084  0061    0002  a   d dA    00L  ooz  00     00r  00S  009  007  008  006  0001  OOLL  0031  00   L  00L    oost  a   d dA    ool  003  00     oor  00S  009  007  008  006  0001    OOLL IW    d dA    39193  ONILL3    ld  S    3NOIZV1SOdWI    39vio3  ONILLS    ly  S    3NOIZV1SOdWI    MILL 2    3NOIZV1SOdWI    O voc oo 4 me 0 Fb o DD                                                                   O voc oo 4 e 0 Oo mw                                                                   O coc oo 4 e o Fb o DD                                    
5.  electrode as clean as possible  The patina insulating on an electrode doesn t permit a good contact with the ti ssues     thus it lowers the output power and causes sparks or superficial carbonizations           MN   SU MPC  ING   March 2008 Page 2 of 9                      3  Using the pure cut  especially with the loop  conization electrodes  if the first effect is not satisfactory  with a slight sticking of the  tissue on the electrode   to have the best result increase the power of 10 15 W each time     Pure cut  for biopsy  laparoscopy  cut or skin incision  uterine conization in gynaecology etc   in general for any  case needing cut without coagulating effect    1  Use small size electrodes  such as for ex      e    thin needle electrode   from 3 4 W onwards   e SAD  SAD 1  SAD 2  SAD 3    extra f ine needle electrod es    not insulated w ith diam  from 0 10 to 0 40 mm  from 3 4 W  onwards   e  fine loop electrodes  of different measures and shapes  from 8W onwards    e  long type electrodes  and    LLETZ type electrodes for gynaecology     from 10W onwards   Za Select    CUT    current    Cut coagulating  for laparoscopy  polypectomies or papillotomies in endoscopy  fistulas  haemorrhoids and ect  In  general for any case needing cut combined with an effective coagulating effect    1  Use the electrodes already mentioned for pure cut or  if possible  the ones with larger section  such as for ex   knife and thick needle  electrode  from 3 4 W onwards   2  Select    BLE
6.  eventually in use    2  It is extremely dangerous to use accessories or instruments which are not perfectly compliant with all the applicable technical or  legislative Rules  and which are not suitable f or the wo rking voltag es of th e device   approx  2800Vpp    1500Vp    for the  monopolar currents with cr est factors equal or higher th an 2  1200 Vpp    600Vp    for the monopolar currents with crest factors  lower than 2  approx  400Vpp    220Vp for the bipolar currents with crest factors equal or lower than 2   Moreover  the accessories  and instruments must not be old nor worn  Check always their status before the use  notably if for endoscopy  Bear in mind that       Allthe old worn active electrodes  accessories and cables do not work properly  and do not guarant ee the perfect insulation  In  addition  their unstable functioning can lead the operator to increase the output powers at dangerous levels       Inthe user manual  for each current  the maximum output voltage    Vpp    and its variation  see the curves  according to the output  power adjustment are specified  This allows the operators to choose the maximum output power th at must not be overcome  in  order to not exceed the rated HF insulation voltage  which is possible for each accessory      The standard monopolar activ e electrodes for n ormal surger y have a stem with    2 3mm   so  the stand ard electrode ho Ider  handles are suitable for the electrodes having stems with this diameter      3  The inte
7. 3    003       001       001       F oL  r oz  r O    ror  ros  r 09  rol  r 08  M 06  M 00L  F OLL  r Oct  F OEL       L opt  SUM    DL  0c  oe  or  os    OL  08  06  ool  OLL  D  I    DEL  Su M    OL  0c  oe  or  os  09  OL  08  06  001  OLL  D  I  DEL    opt  SUM    AYIVIOdONOW  NOILVINDVOO    NOILVINDSVOO  HV IOdONON    3uV IOdONON  ANOIZVINDVOO    AYIVIOdONOW  NOILVINDVOO  O3AV NOILO3S    oy 1N9 QN3 18 HY TIOdONONW    3uV IOdONON  angia ONMDVL    AYIVIOdONOW  3Hfid NOILO3S    1N9 3ufid YWIOdONOW    38V IOdONON  Oufid ONDVL       Page 6 of 9          ING   March 2008             MN   SU MPC          391934  ONILLAS  ANOIZVLSOdNI    391938  ONILLAS  ANOIZVLSOdNI    o om 400     o                                                       o o o   u oe o w     N                                                                                     00     003    00       00y    oos    001  ooz    00t  00S  009  007  008  006  0001  0011  002  00   L  oor  oost    ddA     a   ddA    39v1934  ONLLLJS  3NOIZVLSOdWI    39v1934  ONLLLJS  3NOIZVLSOdWI    oO o eu e om Fb o m                                                                      e o o 400 Fb o mv                                                          r 0001  r 006  r 008  H 004  r 009  r 00S  r oor  r 00     r 003  H OOF  H OS   H oL                    OL F  Ke wGu SOd HV lOdlg L  oe H  ov H  os H  Ka WO bu   SOd HN 1Odlg  0z F  08 H  06 F  oo     0018  L  SINE AA L  D ie ri ti on  s8838858338883385833  SS Se SS See SS Se SS
8. CESSORIES   MPE E   Sterilizable pencil with connection cable  Rated voltage   4000 Vp   SEL VI   Set of 6 electrodes   Rated voltage   4000 Vp    EIP 9   Neutral plate with connection cable    FFE   Fixing rubber belt for neutral electrode    D STOP P   Double pneumatic pedal switch  mod  SU 140 D MPC    STOP PN   Pneumatic pedal switch  modd  SU 50 MPC  SU 100 MPC  SU 140 MPC                  MN   SU MPC_  ING   March 2008 Page 4 of 9                CONTROLS AND SYMBOLS    11 10 9 8       11        eo        ALSATOM SU 140 D mec        y CUT ur COAG w   mro    gp       E  MODE    x s     y D p  GER E 7 E C  3c 283 28    DS GES 9 e  1 LE 10 s ve                           ALSATOM SU 140 mec          d   O                      BIP  e  OF YY    M  Ei mS    gt  NP  alsa           5B 6 7a 7B 6 7a 78  11 10 9 11 10 9         ALSATOM SU 100 mec ALSATOM SU 50 mec  MODE    m Ter SONS O 4r cur l 4  COAG e 8                COAG MICRO    BIP   8 MODE BLEND  e       4   D vu  Bl 3 Le  id E  O  Y 10    ACTIVE    PN    Ei   u       alsa             Y At the back    1  Main switch                3  Connection pedal switch    7 6    symbol   switching on  Oiitching off   2  Power entry module with double fuse holder                qe   Ze   only 140 D model    Q   Q   ML WIL A   cut  yellow signal   T B   coagulation  blue signal   2 3n KI   In the front  4 Function selector  5 Output power setting  modd  140 and 140 D A   pure cut and blend cut  B  coagulation  micro coagulation  bipolar co
9. INSTRUCTION MANUAL C     0051    ALSATOM SU 50 MPC  SU 100 MPC  SU 140 MPC  SU 140 D MPC    This unit is manufactured by ALSA APPARECCHI MEDICALI S R L   Via C  Bonazzi 16  40013 Castel Maggiore  BO   Italy  that guarantees its safety   reliability and perform ances only if installa tion  recalibrations and repairs are carried out by personnel authorized by ALS A and ifthe unitis used in  compliance with t he given instructi ons in an area tha t meets all the applicable IEC or CEI requirements  The manufacturer is at dis posal to supply  if  requested  the electric diagrams and any further information    In accordance with the ALSA procedures for the after sale control of the production  the users are pleased to inform the Manufacturer about every   even little  problem of this unit     INTRODUCTION   In a biological tissue crossed by an electric current are shown the following effects      thermal  faradic  electrolytic    By using HF electric curr ent the last 2 und isired and useless ef fects are eliminated and it is utilized above all the thermal e ffect  In fact   when an electric current having such characteristics flows  from the active electrode to the neutral one  with sufficient density the cellular   liquid of the tissues warms it and produces the following effects    1  heating is so quick that the pressure of the vapour created in the cells breaks their membranes  cutting     2  heating is lower  so the liquid slowly evaporates allowing the coagulation of the coa
10. ND    current and sl ow a little th e sliding of the el ectrode on the tissue   If coagulati ng effect is not enough  use even       COAG     current   Micro coagulation       l  Use extra fin e needles  AID    in sulated needle   the best for depilation   all the above mentioned    SAD    long ty pe  not insulated  needles for depilation  telangiectasia  spider naevi  pointformed red ruby angiomas and ect    2  Use ball electrodes to obtain deep effect avoiding as much as possible a surperficial sparking    3 Select    COAG MICRO  current  from 0 5 Watt onwards    Coagulation   l  Use ball electrodes  surgical forceps for coagulation with effective deep effect and good surperficial effect  fulguration     2  Use small ball  needle  loop or for polipectomy electrodes  etc  to obtain strong superficial effect and limited deep effect    3  Select    COAG    current  from 2 3 W onwards     Bipolar coagulation   l  Use bipolar forceps or bipolar electrodes  also for laparoscopy or endoscopy  eventually supplied by the other manufacturers     2  Select    BIP    current  from 2 3 Watt onwards    3  Please remind that  to reduce the    sticking phenomena    of the tissue on the tips of the bipolar forceps during the operation  it is very    useful to clam them as little as possible  reduce at maximum the time of activation and moisten them by physicological solution  or  plunged inside a cup or on an imbibed gauze      AUTOTEST   The running of the unit is completely   controlled b
11. WRMS at 200 Ohm  Vpp 1420  cf 2 8   Bipolar  100 WRMS at 100 Ohm  Vpp 400  cf 1 4   Output power  Vpp open circuit  Crest factors  SU 50 MPC    Cut  80 WRMS at 500 Ohm  Vpp 1000  cf 1 7   Blend  80 WRMS at 500 Ohm  Vpp 1420  cf 2 8   Coag  80 WRMS at 500 Ohm  Vpp 1950  cf 6 9   Coag Micro  60 WRMS at 200 Ohm  Vpp 1420  cf 2 8   Bipolar  60 WRMS at 100 Ohm  Vpp 400    cf1 4     ATMOSPHERIC CONDITIONS    usage transport and storage  Temperature    C   10   40 Temperature    C   40    70  Humidity 30    75  Humidity 10    95   Pressure  hPA  700   1060 Pressure  hPA  500   1060    CLEANING  STERILIZATION  MAINTENANCE  DISPOSAL    1  Clean the unit by neutral soap solution  pay attention  any liquid doesn t go inside  and wipe it  keep in a dry and not dusty place  and ensure that is not poured any liquid on it   2  The unit must be periodically checked  at least once per year  by qualified staff  better by the Manufacturer  Always control the    accessories  if they are not in p erfect condition they can be d angerous  eg  Bro ken cables  dirty electrodes  pins clamped b y jury   means and etc     Waste of the unit must respect every specific national rules    4  Attention  at the moment of the sale the accessories are not sterile  All the monopolar and bipolar accessories are sterilizable  by autoclave  121  C  or by cold solution  ex  Cydex   the neutral plates by cold solutions only  Sterilize them as indicated in  the instruction of every single package     Ww    STANDARD AC
12. agulation   6 Neutral plate socket                           s symbol  qa  7 Active electrode socket  modd  140 and 140 D  A  hand switch handle       symbol por n 7      wu us B  pedal switch handle      symbol     D   modd  100 and a  symbol   A                     8   Bipolar electrode  Socket symbol   j  9 Output activation coagulation   blue light  with display  only modd  140 and 140 D                          symbol als  10 Output activation cut   yellow light  with display  only modd  140 and 140 D                                   symbol      11 Neutral plate safety circuit  red Debt     symbol  qq  Be careful  read the annexed documentation                    essere symbol  A  Apparatus of Class I   Type CF     protected against the effect of the defibrillator     symbol  LI  Altemating  C  fretit eege ide dtp Re ENEE symbol     MN   SU MPC  ING   March 2008 Page 5 of 9                del SU 140 MPC  BLEND    in mo    POWER OUTPUT DIAGRAMS    20      Modd  SU 100 MPC  140 MPC  140 D MPC  NOTE    diagram corresponds to BLEND COAG position of the mode selector     391938  ONILLAS  3NOIZVLSOdWI    391938  ONILLAS  3NOIZVLSOdMWI    3ovio3uH  ONILLAS  SNOIZVLSOdWI    o oc oc   u o om Fb o mw            001       002       00          00t       oos       009       007       008       006       0001       DOLL       00zL  00   L          oor       00SL       0091  0041                0081                               0061          O coc MN ODMR o mw    0003            00L
13. e has this following connector     Ww    Put on the unit by the switch 1   4  Set up the initial power as follows        modd  SU 100 and SU 50 by control 5      modd  SU 140 and SU 140 Db y control 5A  pure cut or blen d cut   and control 5B  coagulation  micro  coagulation  bipolar    coagulation    5  Select the performance by selector 4 and activate the output as follows   modd  SU 100 and SU 50               selector 4   position  cut  blend  coag   micro coag   bip  coag   activation by single pedal switch   mod  SU 140 D                     ses  selector 4     position  cut  coag   cut micro coag   blend coag    activation by hand switch pencil    or double pedal switch  yellow for cut  blue for coagulation     selector 4     position  bip  coag   activation by only the pedal switch  blue    m od SU 140   selector 4     position  cut coag   activation by hand switch pencil    selector 4     position  cut  blend coag   micro coag   bip  coag   activation by single pedal switch   The activation is indicated  cut blend by yellow light and low acoustic signal  coag  micro coag  by blue light and high acoustic signal   bipolar coag  by blue light and louder acoustic signal     To optimize the running of the units follow the following general indications     1  Do not activate the unit before touching the tissues by the active electrode  otherwise they will creat electric arcs able to produce  eschar on tissue and preventing them from good cicatrization    2  Keep the active
14. e operated  the ideal is a flabby part without hairs where there  are no protruding bones or uneven surfaces   Clean it  shave it and massage it to favour circulation           MN   SU MPC  ING   March 2008 Page   of 9                        Firmly fix the electrode without placing anything in between  ensuring the best contact possible over the entire surface but  without pressing too hard to avoid creating ischemic areas  may be use conductive gels  etc   and always make sure that the  contact is constant  especially if the patient is moved or when liquids are poured     10  The position of the neutral electr ode with re gard to the operating area creates an HF current route and remember that an y metal  objects  prostheses  catherters  etc   in that area may cause current concentrations that heat or even burn the adjacent tissue    11  Position the cables of the electrodes so that they do not touch the patient or other wires    12  Always use the lowest power possible to the surgical need     The insufficient performance of the equipment may depend on  wrong positioning or fault y contact of the neutr al plate  faulty  connection of electrodes  poor conditions of the active electrode and therefore check these factors before increasing the power     13  Use the bipolar technique for operating on small portions of tissues or in cavities    14  When the unit is in use  don t touch with the active electrode the neutral one  short circuit  and try to avoid the activation when  
15. gulable components of the tissues  coagulation or  haemostasis     3  the effect is a middle way between the two above described ones  cut with coagulation     The ESU is   HF device  that may destroy the cells of biological tissues and therefore it should be used by expert staffs in electrosurgery   and respecting strictly all the given instructions     The ALSATOM SU MPC series can be used for every kind of monopolar bipolar cut and coagulation microcoagulation in   GYNAECOLOGY  DERMATOLOGY  PLASTIC SURGERY  DENTAL AND MAXILLO FACIAL SURGERY  ANGIOLOGY   GENERAL SURGERY  ORL  GASTROENTEROLOGY  VETERINARY     U 0 8 V  ee  In particular  the functions are as follows     CUT  Monopolar pure cut without coagulation    BLEND  Monopolar cut with coagulation    COAG  Monopolar coagulation  high voltage fulguration     COAG MICRO Monopolar coagulation  low voltage soft     BIPOLAR Bipolar coagulation     Before using these units  control their performance  for example on a piece of meat  without relying completely on the previous  experiences with other devices  Always start with very low powers  then gradually raise up until obtain the desired surgical effect     GENERAL PRECAUTIONS   It is dangerous to ignore the following warnings    1  It is dangerous to use the device if the operating theatre doesnot meet CEVIEC electrical requirements      Do not use    extension leads    for the powers upply cable  Co ntact the technical department for the com patibility of o ther  equipment
16. ignals  or work s  irregularly   a  check if the pedal is well connected   b  check if the pedal is broken b y activating the unit pushing the central hole ofthe relevant socket with a round  point  If the unit works regularly it is probably a problem of pedal   2  the unit is ON  autotest OK   all the running is OK  but there is not output power or it is lower than the normal value   a  check the good contact of the neutral plate  if the contact is bad or absent there is no power   Remember that the    hair of animals is insulating           MN   SU MPC  ING   March 2008 Page 3 of 9                      b  check if the active electrodes are damaged  if the contact with the pencil is good  if the pencil cable is broken   pull and bend it  especially near the plug and the handle    If all the above mentioned interventions do not resolve  please contact the Technical Assitance                                   TECHNICAL FEATURES  H Electronic generator in compliance with the Safety Standards IEC 601 2 2 3 ed   H Monopolar and Bipolar working frequency  475 kHz    Classification IEC  I type CF     Classification EC MDD  IIB    Output circuit     floating out    protected against the use of the defribrillator    Mains and Absorption  see rating on the back of the unit    Mains Fuses  see rating on the back of the unit    Neutral plate safety circuit with acoustic signal  strong  intermittent  and luminous signal  red     Output power   setting by rotary switches    Running contro
17. l  by microcontroller with autotest  output error control  error codes    Protection against liquids  common  not protected casing    Cooling by convection without ventilator  D Activation  discontinuous  10s ON 30s OFF  H Dimensions and weight   cm  LxDxH  23x24x10     Kg 4 75  modd  SU 140 MPC and SU 140 D MPC   cm  LxDxH  21x24x10     Kg 4 50  modd  SU 50 MPC and SU 100 D MPC   Conformity EMC Directive 89 336 CEE  Category A  Suggested distances to keep from not vital devices  Source of the Current RF Typical Power  W  Distance  m   Microcellular telephones CT1 CT2 CT3 0 01 0 4  Mobile telephones DECT  Wireless devices  modems  LANs  0 25 2  Mobile telephones  USA  0 63  Hand mobile telephones  GSM  NMT  Europe  2 6   DECS 1800  8 11  Walkie talkie  police  firemen   protection  maintenance  5 9  Bag mobile telephones 1616  Mobile radio  police  firemen  protection  100 40  For broadcasting stations which use frequencies less than 800MHz  the distance can be established by using the equation  A  d   4NP  For broadcasting stations which use frequencies between 800MHz and 2 5GHz  the distance can be established by using the equation   B d 23NP  P   Nominal power of the transmitter in watt  W   established by the manufacturer              Output power  Vpp open circuit  Crest factors  SU 100 MPC  SU 140 MPC  SU 140 D MPC     Cut  140 WRMS at 500 Ohm  Vpp 1200  cf 1 7   Blend  120 WRMS at 500 Ohm  Vpp 1450  cf 2 8   Coag  120 WRMS at 500 Ohm  Vpp 1952  cf 6 9   Coag Micro  60 
18. ound contact  use clogs  insulating chair  and so on         SAFETY CIRCUIT OF THE NEUTRAL PLATE   The unit is equipped with the neutral plat e connection control circuit that  when the monopolar performance is selected  blo cks the output  power  if the neutral electrode is not connected or the relevant cable is broken  with specific alarm  intermittente sound and red light     This circuit doesn t occur when the bipolar coagulation is selected but the red light signal is put on     WAY TO USE AND PRATICAL PROPOSALS  1  Check the power supply mains  it must corres pond with the tech nical data at the back  and connect the device with main switch   1   position OFF  Connect the pedal switch tubing  socket 3 at the back  crew tightly the connector without pushing on the pedal  the  mod  140 D is provided with 2 sockets for the double pedal switch and the connection must be performed as follows  yellow  tubing of the double pedal to the left socket with yellow area  blue tubing of the double pedal to the right socket with blue area    The  pedal is pneumatic type  without electric current  waterproof and explosion proof   2  Connect the electrodes as follows     neutral electrode  socket 6  and active electrode  socket 7   Modd  140 and 140 D  hand switch pencil  7A  pedal switch pencil  7B   For endoscope cables and etc  use only socket 7B   if neccessary ask for specific adapters     Bipolar electrode  socket 8 without any polarity of the pins   The ALSA standard bipolar cabl
19. rference of HF units may harm the other electromedical equipments in use    4  Contact cardiological department when using a HF unit on patient with pace maker  the device can interfere its efficiency causing  fibrillations and ect  or damage their electrodes     5  Always take metal objects off the patients  ring  chain and etc    Do not use a HF unit in the presence of flammable anaesthetic  gases  i e  oxygen  nitrogen protoxide and etc   especially if operating in cavities  chest  abdomen  trachea  head  etc     6  Do not use flammable cleanin g substances  disinfectants or s olvents  or a tl east c arefully ev aporate th em be fore oper ation     Always remove the remaining substances from hollow parts of the body or cavities  umbilicus  vagina  etc   and from underneath   While using the device  a spark may cause the endogenous gas  intestin e  explosion or set fire to ox ygen saturated material   cotton  gauze  etc       7  Prevent the patient from touching an y metal parts connected to earth or electricity conductors  table  supports  etc   and isolate  strongly secreting parts of the body and skin to skin contacts by using dry covers  i e  between arm and body     8  Position monitoring electrodes  not specifically s hielded  as far as pos sible fr om the el ectrodes of the HF units  If pos sible  avoiding the needle type or small sized ones    9  Use and position the neutral electrode as follows         Choose an area of the body as near as possible to the area to b
20. the active electrode doesn t touch the tissues     it might damage the unit or r educe its life  Please respect the suggested working  times    15  Contact the Technical Department for the use of    disposable    electrodes    16  In case lack of supply mains  turn off the unit  setting output power at ZERO     17  Pay attention that the fault of the HF unit might cause an unexpected power increase     POSITIONING OF THE PATIENT AND USING OF NEUTRAL PLATE   By using monopolar technique  itis very important that all the currents reach ing the pa tient must return to the unit via the neutral plate    otherwise two serious consequences will be encountered    1  HF current d ischarges from th e patient through an insufficient part of the same neu tral plate or via casual contacts of conductive  objects  operating table  wet clothes  supports and etc    since these contact surfaces can be insufficient  the current crossing them may  cause some burns    2  Output power may lower considerably   Therefore use and position the neutral plate respecting the par     General Precautions       Remember that  using a HF unit  it may occur phenomena generally named as    shocks    but these phenomena are normally only   stimulations or radiofrequency discharges depending on the same contact between the operator and the patient  In case they   happen it is advisable that the operator avoids the direct contacts with patient  e g  use surgical gloves as insulating  and  if  possible  has not gr
21. y microcontr oller both durin g the working and when switching on  starting aut     otest  which  if regu lar  ends with short acous tic signal   If an y failure the s ystem get blocked the output giving specific error cod es  acoustic  signals                                                                     NO  OF  TYPE OF FAILURE ACOUSTIC SOLUTION  SIGNAL  Turn off and re switch on the unit  1f the problem  E l continues  contact the o  2  CRC control software 2 B  3  variables of the system 3     4  supply voltage of microcontroller 4 i  5 act ivation circuits 5 K  6  output power higher than the selected value 6 di  7  incorrect use of the selector 4 T Check the position of the selector  8  got broken control 5 8 As specified for Fault 1  9  continuous activation for more than 20s 9 Deactivate and reactivate immediately  10  R F  modulation signal 10 As specified for Fault 1  11  monitoring of the output current 11 R  12  monitoring of R F  supply 12 s  13  watchdog timer 13 S  Check the connection of the plug and the cable  bend       NE intermittent and pull it  especially near the plug and the electrode    EES  grave  Ifthe Shien GE Ee the technical    assistance   15  usage error  eg  Activation of cut function if eegen  selecting BIP or activation of 2 switches Eliminate the cause   acute   comtemporally   Furthermore the following cases may occur   l  the unit is ON  autotest OK   but when you press the pedal switch  it does not work  without acoustic or ligh t s
    
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