EICKTRON ELECTROSURGICAL UNIT
Contents
1. 29 Label on the Rear Panel 29 Manufacturer s Identification Data 29 Meaning of Grafhic Symbols 29 Frontal Panel 30 Operation Mode 31 Switch On 31 Neutral Electrode s Circuit 31 Preselection of the Deliverable Current 32 Cut Current CUT 32 Coagulated Cut Current BLEND 32 Superficial Coagulation Current FORCED COAG 32 Deep Coagulation Current SOFT COAG 33 Bipolar Coagulation Current BIPOLAR 33 Instruction s Manual EN 1 MA510a_EN EN 2 MA510a_EN Instruction s Manual Signaling of Excessive Time of Delivery OVT 33 Signaling of Excessive Impedance in the Circuit of Neutral Electrode OC 34 Adjustment of the Acoustic Signal Level 34 Automatic Control of the Internal Parameters 34 Connectors 35 Bac2. written down and presented to manufacturer or to your own retailer If the unit is returned to the manufaturer or to your own retailer it is necessary to use the original equipment s package or another equivalent one to guarantee the safety during the transport Unpack the equipment and carefully study the documentation and operating instruction supplied Mains voltage indicated above the inlet must agree with the local mains voltage mains voltage frequency 50 60 Hz The correct voltage see above setting is selected as shown in fig E Insert the correct fuses in the module referring to the value written on the label The predisposition of the correct mains voltage is performed in the following way A B Extract the fuse holder drawer from the power module C Insert the fuses making reference to the following chart Mains Voltage 110 120 V Delayed Fuse 2x 2x T6 3AL 250V 5x20mm Mains Voltage 220 240 V Delayed Fuse 2x T3 15 AL 250V 5x20mm D Extract and rotate the detachable part in way to read the correct voltage in the E window reinsert the fuse holder in the module Connect mains cable to a mains outlet having good hearth connection OPERATION OF THE EQUIPMENT WITHOUT EARTH CONNECTION IS FORBIDDEN The unit must be installed on a level surface with dimension at least correspondent to those of the base of the unit itself Around the unit must be left a space of 25cm at least Connect the mains cable to the mains soc
3. Patient circuit F F Duty Cycle action pause in seconds On 10 Off 30 On 10 off 30 Output power control by foot switch or finger switch Defibrillation proof Equipotential binding ABS cabinet PRESENT NOT PRESENT EickTron 120 160 Eickemeyer MAINTENANCE General No user adjustable parts are within the equipment either for calibration or service purposes The equipment housing must not be opened the warranty is invalidated by any unauthorized entry into the unit In the event any repair or adjustment work being necessary the whole equipment should be returned to an Authorized Centre together with a description of the fault Maintenance work by the user is mainly the cleaning of the exterior of the cabinet cleaning and sterilization of the accessory items and checking of the equipment before each use Carrying out function and safety check for verification of the parameters is demanded to specialized technical people Cleaning of the Cabinet Switch the equipment off completely and disconnect the mains supply before any cleaning is undertaken Clean the outside of the cabinet with a damp cloth No chemical should be used a mild non abrasive cleanser may be used when necessary Cleaning and Sterilization of the Accessories Items The best thing to do is to use only one time use accessories and discard them after use Since some of the accessory i
4. interface material like dry surgical gauze Moreover the parts of the body subjected to abundant perspiration must be maintained dry When high frequency electrosurgical unit and physiological monitoring devices are used at a time in the same patient all the monitoring electrodes that have not resistive or inductive elements tested in high frequency interference environment must be as far as possible from the electrodes of the electrosurgical unit Avoid the use of monitoring needles The connection to the electrodes should be located in such a way to avoid the contact both with the patient and with other cables For surgical procedures where the HF current could flow through parts of the body having a relatively small cross sectional area the use of bipolar techniques may be desiderable in order to avoid unwanted coagulation The power level should be the lowest useful to the work to do Always check the return plate whenever electrosurgical unit fails to produce the desired effect Reason for a low output power level or for an incorrect functioning of the electrosurgical unit when arranged for a normal output may be lack of connection of the return plate or its imperfect placement The use of flammable anesthetics of oxygen and of nitrogen protoxide should be avoided in the case of operation at the head or at chest level except the possibility of evacuating gas Flammable materials used to clean or to disinfect should be let to evapo
5. ionic exchange responsible of the transmission of stimulus that cause muscular spasms and cardiac symptoms of extra systole and ventricular fibrillation The effect of this stimulus is known like faradic effect and it is expressed by R 1 VF The physiologic system of stimulus transmission follows a limit curve in which the pulsed currents or by low frequency produce an impulse of stimulation By alternating current in high frequency higher than 200 kHz used in the electrosurgical needle don t have neuro muscular reactions the change of polarity is so fast that the patient doesn t have consequences at a level of the neuro muscular reactions and there isn t an electrolytic damage of the organism For this reason all the equipments generator of the high frequency for surgical use electrosurgical needle work on base frequencies higher than 300 kHz so that they don t produce electric stimulation 3 Electrolytic Effect The use of high frequency currents reduces the electrolytic effect ionic division in the tissues caused by the shortest period of unidirectional conduction of the current Instruction s Manual ENGLISH EN 11 MA510a_EN EN 12 MA510a_EN Instruction s Manual OPERATIVE TECHNICS Monopolar Cut Monopolar cut is the sectioning of the biological tissue achieved by the high density passage of HF current which is concentrated at point of the active electrode The HF current when it is applied t
6. this a mechanical resection If the temperature comes to 500 C it s verify the tissue with an action of cauterization Mixed currents They are obtained by the mixing of coagulation and cut effects There is a reduction of blood loss during the cut procedure or like cut that develops a substantial eschar coat The high frequency used by electrosurgical needle don t allow to the electromagnetic field to penetrate deeply in the matter and so the current crosses the conductor mostly in the external surface reduces in an exponential way and becomes negligible in the centre of the conductor section This effect called skin effect cause a reduction of the useful section for the current passage an increase of the electrical resistance and becomes an important problem in the neutral electrode In fact in this electrode the current density is very high KA m on the edge where the excessive increase of temperature by Joule effect causes burns for the patient So it isn t accidental that the burns for the patient during the electrosurgical interventations have the shape of the edge neutral electrode To reduce the burns risk have to dose opportunely the supply power It and to follow the rules for the application of the neutral electrode on the patient see cap SAFETY EickTron 120 160 Eickemeyer 2 Faradic Effect The pulsed current causes the neuro muscular stimulation originated by stimulation of physiologic process of
7. 2 Ball curved electrode 5mm 6 cm O O 152 130 Ball electrode 2mm 6 cm O O 152 145 Ball electrode 3mm 14 cm O 152 140 Ball electrode 3mm 6 cm O O 152 150 Ball electrode 4mm 6 cm oO Oo 152 165 Ball electrode 5mm 14 cm Q O 152 160 Ball electrode 5mm 6 cm Q O 500500 L10 L Bent ball electro 3mm 5Pz 10cm O e 500500 L10 Bent ball electro 3mm 5Pz 5cm O ie 500500 L5 L Bent hook electrode 5Pz 10cm O 6 500500 L5 Bent hook electrode 5Pz 5cm Oo O 500500 L6 L Bent thick wire electrode 5Pz 10cm 6 O 500500 L6 Bent thick wire electrode 5Pz 5cm O O 500500 L2 L Bent thin wire electrode 5Pz 10cm O O 500500 L2 Bent thin wire electrode 5Pz 5cm O a 00498 04 Bipolar adapter O O CB463E Bipolar cable 3mt EUR O 6 310 550 Bipolar electrode 20cm curved O 6 310 590 Bipolar electrode 20cm curved 2 O O 310 510 Bipolar electrode 20cm direct O O 310 110 05 Bipolar Forceps 11 5cm TIPO Smm O 6 310 140 10 Bipolar Forceps 20cm TIP 1mm O O 310 140 20 Bipolar Forceps 20cm TIP 2mm O 6 310 180 10 Bipolar Forceps Angled 20cm TIP 1mm O O 310 180 20 Bipolar Forceps Angled 20cm TIP 2mm O 6 310 182 10 Bipolar Forceps Angled Curved 20cm TIP Imm O O 310 185 10 Bipolar Forceps Angled Curved 20cm TIP Imm O O 310 112 05 Bipolar Forceps Curved 11 5cm TIPO 5mm O 6 310 142 10 Bipolar Forceps Curved 20cm TIP 1mm E O 310 142 20 Bipolar Forceps Curved 20cm TIP 2mm O O 152 112 Blade curved electrode 7 cm oO oO 152 115 Blade electrode 16 cm O
8. BIPOLAR Pure 100 Pure 100 0 1 0 2 Crest Factor CUT 1 5 1 5 0 3 Crest Factor BLEND 2 1 2 1 0 3 Crest Factor COAG FORCED 2 0 2 0 0 3 Crest Factor COAG SOFT 1 7 1 7 0 1 0 2 Crest Factor BIPOLAR 1 5 1 5 10 Working frequency 600 kHz 600 kHz 15 Maximum output voltage CUT Vpp on 5 2kQ 1050 1050 15 Maximum output voltage BLEND Vpp on 5 2kQ 1050 1050 15 Maximum output voltage FORCED Vpp on5 2kQ 1050 1050 15 Maximum output voltage SOFT Vpp on5 2kQ 540 540 15 Maximum output voltage BIPOLAR Vpp on 5 2kQ 540 540 0 5 Weight Kg 5 5 10 Size WxHxD mm 254x104x288 254x104x288 5 Selectable power Vac 115 230 115 230 1 Mains frequency Hz 50 60 50 60 Fuses 230Vac 5x20 type TIMED 2x T3 15AL 250V 2x T3 15AL 250V Fuses 115Vac 5x20 type TIMED 2x T6 3AL 250V 2x T6 3AL 250V 10 Electrical input power VA 300 350 10 Electrical input current A 230Vac 1 3 1 5 10 Electrical input current A 115Vac 2 6 3 5 Five steps adjustable sound level from 55 to 75dBA J Self check e U Power accuracy output warning J Split or not split patient plate allowed J J Last working condition storing J Electrical Class EN60601 1 ICF ICF MDD 93 42 EC Class Il b Ilb Instruction s Manual ENGLISH EN 38 MA510a_EN Instruction s Manual RE EickTron Toll Description ern Er EN55011 CISPR 11 Class Group Class 2 B 2 B
9. EICKTRON ELECTROSURGICAL UNIT USER MANUAL Art Nr 323130 323135 TELEFON 49 7461 96580 0 echnology for life veterinary t gy www eickemeyer com l a k m e u e P EickTron 120 160 Eickemeyer Summary IMPORTANT 3 INTRODUCTION 4 Destination of Use Sectors of Application 4 Standard and Optional Composition 5 General Description 7 ELECTROPHYSICAL PRINCIPLES 8 OPERATIVE TECHNICS 12 Monopolar Cut 12 Monopolar Coagulation 12 Bipolar Coagulation 13 CONTRAINDICATIONS AND COLLATERAL EFFECTS 14 SAFETY 15 General 15 Installation 18 Safety for the Patient 19 HF Electrosurgical in Laparoscopy 22 INSTALLATION 24 CONNECTOR AND CONTROLS
10. Oo 152 110 Blade electrode 7 cm O O 00404 07 Cable for connection neutral electrode F7915 F7930 O O F7915 Conductive rubber neutral electrode without cable O O F7930 Conductive rubber split neutral electrode without cable O 6 152 195 Conization electrode 13 cm O O 755VL Disposable handle with finger switches O 6 0350 Disposable Neutral electrode Oo 6 F7920 Disposable Split Neutral electrode O O 00305 03 Double water proof foot switch O O 500500 L7 L Drop electrode L7 Spcs 10cm O O 500500 L7 Drop electrode L7 5pcs 5 cm 6 O F7520 Electrode cleaning sponge 47x50mm oO O Instruction s Manual ENGLISH EN 6 Instruction s Manual MAS10a_EN Code Description EickTron 120 120 00201 01 Handle for microsurgical needle O O 00500 00 L Kit of assorted electrode length 10cm 10pcs 6 O 500500 L3 L Loop electrode 4mm 5Pz 10cm O 6 500500 L3 Loop electrode 4mm 5Pz 5cm Q 500500 L4 L Loop electrode 8mm 5Pz 10cm O O 500500 L4 Loop electrode 8mm 5Pz 5cm O O 152 175 10 Loop electrode 10x10 1 15 cm O O 152 190 13 Loop electrode 20x13 1 15 cm O O 152 190 20 Loop electrode 20x20 1 15 cm O oO 190 260 Monopolar cable M4 MP4 3mt O oO 330 134 20 Monopolar Forceps 20cm TIP2mm O O 330 160 Monopolar Surgical Scissors 18cm O O 152 122 Needle curved electrode 7 cm O O 152 125 Needle electrode 13 cm O O 152 120 Needle elect
11. alue Diagrams of output power SOFT versus nominal value BIPOLAR Diagrams of output power BIPOLAR versus nominal value cur Diagrams of CUT maximum mains voltage output versus Vp BLEND PERLEELLIELLEE Diagrams of BLEND maximum mains voltage output versus Vp EickTron 120 160 Eickemeyer EN 47 MA510a_EN FORCED Diagrams of FORCED maximum mains voltage output versus Vp EICKTRON SOFT 160 BIPOLAR ser Diagrams of SOFT maximum mains voltage output versus Vp set Diagrams of BIPOLAR maximum mains voltage output versus Vp wal LED SpA Via Selciatella 40 I 04011 Aprilia LT Italia ce Instruction s Manual ENGLISH EN 48 Instruction s Manual MA510a_EN Information about elimination of this product Applicable in the European Union and other European countries with separate collection systems On the end of the life the present product mustn t be eliminated as urban refusal but it must be eliminated in a separated collection If the product is eliminated in unsuitable way it is possible that some parts of the product for example some accumulators could be negative for the environment and for the human health The symbol on the side barred dustbin on wheel denotes that the products mustn t throw into urban refu
12. amages errors that are found The operational parameters that are used are constantly stored so that every time the unit is switched on or the operative method is changed the last utilized parameters are recalled The level of the emission sound can vary every operator can choose his own level according to the noise of his working ambient Power output can be active either through holder handles with pushbuttons or through single or double foot switch command Moreover applying a special optional adapter it is possible the unit connection to bipolar forceps Instruction s Manual ENGLISH EN 7 MA510a_EN EN 8 MA510a_EN Instruction s Manual ELECTROPHYSICAL PRINCIPLES In the electrosurgical interventations the traditional use of blade surgical is substituted by electrosurgical needle that allows making in a fast simple and effective way the cut and coagulation of The electrosurgical needle is made on the principle of electrical energy conversion in heat and it s constituted by e a sinusoidal oscillator in radiofrequency e a generator of wave packets with repetition frequency of packets equal to 15 30 kHz e a mixer for the transfer to the power amplification block of the only wave form adapt to the cut or the only wave form for the coagulum or a signal obtained by an opportune mixing of the two e a power amplification block able to supply the necessary power in terms of current and to transmit to the
13. ance to which must be added the electrode contact resistance It s indispensable to maintain the active electrodes perfectly clean to not have a reduction of the e Characteristics of the tissue The resistive characteristics change according to the biological tissues Biological tissue Metals range from 0 3 to 1 MHz Blood 0 16 x 10 Silver 0 16 x 10 Muscle kidney heart 0 2 x 10 Branch 0 17 x 10 Liver 0 3 x 10 Gold 0 22 x 10 Brain 0 7 x 10 Aluminum 0 29 x 10 Lung 1 0 x 10 Fat 3 3 x 10 Example of specific resistances of organic and metallic materials Instruction s Manual ENGLISH EN 9 MA510a_EN EN 10 MA510a_EN Instruction s Manual According to the come temperature and in function of used pulse form it s possible to recognize many types of effects produced by the current in radiofrequency on the human body Coagulation Temperatures from 60 to 70 2C in the area around the active electrode cause a slow heating of intra cellular liquid the water contained in the cell evaporates and an action of coagulum is obtained so the blood flow is stopped Cut Temperature over 100 2C in the area around the active electrode determines the evaporation of the intracellular liquid and the cell explosion The vapor around the electrode baits a chain reaction in the direction where the active electrode is worked transmitting the evaporation energy to the tissues around it The cut isn t for
14. art of this document could be photocopied reproduced or translated in other language without the written consent of manufacturer All right reserved Instruction s Manual ENGLISH EN 4 Instruction s Manual MA510a_EN INTRODUCTION Destination of Use Sectors of Application The use of HF electro surgical equipment SURTRON 80 120 160 has reserved to specialized veterinary personnel The equipment has destined to a temporary use for surgical operations in emergency room It has foreseen its use in the monopolar cut cut coagulated or coagulation mode or in bipolar coagulation mode ONLY FOR VETERINARY USE EickTron 120 160 EN 5 Eickemeyer 5 ose Standard and Optional Composition Code Description EA EickTron Electrosurgical unit code EKM10100 201A EKM10100 301A 00100 03 Power supply cable 2m SIEMENS IEC 771 1 00404 00 Cable for connect neutral electrode disposa type 5365 ei 1 5365A Steel neutral electrode 120x160mm ei 1 00500 00 Kit of assorted electrodes 10pcs 5cm ei 773 F4243 Reusable handle with finger switches HPSW112 1 1 00304 00 Waterproof foot switch ei 1 152 132 Ball curved electrode 2mm 6 cm O Oo 152 142 Ball curved electrode 3mm 5 cm Q O 152 152 Ball curved electrode 4mm 6 cm O O 152 16
15. ate by the catheters The body zones characterized by a higher sweating the extremities in direct contact with trunk or the points of skin skin contact are dried by the nets interposition arm trunk leg leg breast skin folds etc All conductive and grounded supports stirrups are correctly insulated Control the anaesthetics quantity to avoid a great sweating Correct Position of Neutral Electrode The use of the neutral electrode or patient plate for the leakage of current is necessary in the monopolar technique because it allows the return of the cutting or coagulation current to the scalpel The types of the neutral electrode are two neutral electrode by single surface with joint cables where there is not a check on the contact between neutral electrode and patient neutral electrode by two surfaces with divided cables where there is a check on the contact between neutral electrode and patient Keep attention on the correct position of the patient plate to avoid burns and other risks for the patient we recommended regard to this by the following information EickTron 120 160 Eickemeyer Before to apply the neutral electrode clean and eliminate any external substances from its surface Do not apply the neutral electrode on cicatrix bony protrusion or near prosthesis or monitoring electrodes But apply it on sprinkled tissues such as muscles and near the operative site If you use a disposable neutral
16. ation of a patient s muscle and nerves can be caused by low frequency currents originating in electric sparks between electrode and tissue of the patient Should neuromuscular stimulation occur stop surgery and check all connections to generator If this does not solve the problem qualified service personnel must inspect generator Instruction s Manual ENGLISH EN 17 MA510a_EN EN 18 MA510a_EN Instruction s Manual Installation The electric safety is insured only when the same are correctly connected to an efficient net linked to the earth in conformity with the actual safety requirements It is necessary to verify this fundamental safety requisite and in case of doubt to require an accurate control of the plant from part of qualified personnel The manufacturer cannot be considered responsible for possible damages caused from the lack of efficient connection to earth of the installation Operation without a protective earth connection is forbidden Before connect the equipment ascertain that the required voltage showed on the rear panel corresponds to the available mains In case of incompatibility between the available wall socket and the feeding cable of the equipment replace only with legally approved connectors and accessory items The use of adapters multiple connections or cable extensions is not advised Should their use become necessary it is mandatory to use only simple or multiple adapter conforming to the a
17. ctive electrode with the reference one or the active electrode with metallic parts If necessary use a smoke plume extraction system Safety for the Patient During the HF electrosurgical operations the patient is a conductor of electrical voltage against earth potential So if there is a contact between patient and electrical conductive objects metal wet clothes etc in the contact s point could be electrical current that causes thermical necrosis So it is recommended to inspect the equipment and its accessories before using and to respect all safety rules Instruction s Manual ENGLISH EN 19 MA510a_EN EN 20 MA510a_EN Instruction s Manual Correct Position of the Patient It is important to avoid any intention or accidental contact between patient and grounded metallic parts and to make sure that The patient is not in contact with metallic parts operative table supports The flexible tube of the respirator do not touch the body of the patient On the operative table with grounded connection there are always coatings that allow to discharge the electrostatic charges The patient is on a thick basic tissue with insulating properties covered by a sufficient number of nets The patient is not in contact with nets or wet mattress The eventual organic secretions and the cleaning and other liquids do not wet the nets There are not liquid under the patient Urinary secretions are elimin
18. ctual safety requirements Don t let the apparatus exposed to atmospheric agents The unit must be protected from seepage of liquids Don t obstruct openings or cracks of ventilation or heathsink Don t leave the equipment uselessly inserted Switch off the equipment when not in use The use of the unit is not suited in explosive rooms Equipment must be destined only to the use for that have been expressly designed Any other use is to be considered improper and dangerous The manufacturer can not be considered responsible for possible damages due to improper wrong and unreasonable uses It is dangerous to modify or try modifying the characteristic of the equipment Before effect any operation of cleaning or maintenance disconnect the apparatus from the electric net either unplugging it from the mains or switching off the mains switch of the plant In case failure and or bad operation of equipment switch off it For the possible reparation address only to an authorized service centre and ask for the use of original spare parts The lack to follow the above requirements could risk the safety of the equipment and can be dangerous for the user EickTron 120 160 Eickemeyer Do not reduce or disable the audible signal warning the activation of the generator A functioning activation signal can minimize or prevent patient or staff injury in the event of accidental activation Avoid verifying the functioning of the unit by shorting the a
19. dBA 70 dBA 75 dBA Level UO WIN R Automatic Control of the Internal Parameters The unit has an automatic control system of some of the internal parameters When switched on the control is indicated on the display through the message SEL FCh If there are not errors the message PAS Sed appears if there are errors Err 001 appears See Guide to the Problems Solution for further information EickTron 120 160 EN 35 Eickemeyer 5 Connectors om a Neutral Electrode Connector This is the point of connection of the return plate or of the bipolar optional adapter REF 00498 04 for BIPOLAR function Taave zq Q aa m Handle Connector This is the point of connection of electrode handle In the case of use of handle without finger switch it shall be connected to the buckle indicated ACTIVE lt lt lt Foot switch Connector On the left part of the front panel it is foot switch connector Instruction s Manual ENGLISH EN 36 MA510a_EN Instruction s Manual Back Panel SURTRON mod 160 1 Fuses holder Voltage selector 2 Power On Off switch 3 Mains voltage connector 4 Equipotential connector Power Supply Module and Voltage Selector Power supply module is the connection point of mains voltage feeding to the unit This module is provided with line fuses and the voltage selector WARNING before switch on the unit operator has to verify
20. e correspondent pushbutton on the unit or the blue foot switch or the blue pushbutton of the holder handle to pre set and deliver the coagulating current the choice between FORCED COAG SOFT COAG or BIPOLAR must be done pressing the correspondent pushbutton on the unit Holder handle without pushbuttons optional and single foot switch connect the holder handle to the buckle indicated ACTIVE and pre set the current for the cut CUT or BLEND or the coagulation FORCED COAG SOFT COAG or BIPOLAR press the foot switch to deliver the pre set current Holder handle without pushbuttons optional and double foot switch optional connect the holder handle to the buckle indicated ACTIVE and press the yellow footswitch to pre set and deliver the cutting current the choice between CUT or BLEND must be done pressing the correspondent pushbutton on the unit press the blue foot switch to pre set and deliver the coagulating current the choice between FORCED COAG SOFT COAG or BIPOLAR must be done pressing the correspondent pushbutton on the unit Instruction s Manual ENGLISH EN 27 MA510a_EN EN 28 MA510a_EN Instruction s Manual Use for BIPOLAR Bipolar forceps optional and single 2 foot switch connect the optional So adapter REF 00498 00 see page 33 The equipment will select the BIPOLAR RR N SS operative mode To deliver the current 3 3 e press the foot switch To av
21. electrode respect the date of use if you use a not disposable neutral electrode make sure that the fixing systems guarantee stability It is very important that the neutral electrode is firmly applied on its entire surface to avoid burns When the neutral electrode is partially taken off from the patient the current density on the remaining applied part is higher Because the density of the current flow under the neutral electrode is not uniform it verifies a not uniform heating especially near the borders of the neutral electrode Instruction s Manual ENGLISH EN 21 MA510a_EN EN 22 MA510a_EN Instruction s Manual HF Electrosurgical in Laparoscopy Since its introduction minimally invasive surgery has revolutionized surgical operation offering any significant benefits to the patient of faster healing and less postoperative pain In laparoscopy the monopolar HF electro surgery is the most used because it is highly versatile pure cut coagulation blended cut that combines these two functions but this modality can compromise patient safety by burns The constricted view of the surgical field the poor maintenance of the laparoscopic instrumentation interference on the video monitor the insufficient training of the surgeon or his inattention the smoke the insulation failure the capacitive currents the contact of the tip of the active electrode with the surrounding tissue these are all factors that increase the hazard o
22. electrodes by transformer the amplified signal e a security circuit for the return electrode to take possible cable interruptions and disarm the radiofrequency supply e by an active electrode opportunely shaped handle e by a return electrode neutral that close the circuit by the patient The current that crosses the biological tissue can cause 1 Joule Effect 2 Faradic Effect 3 Electrolytic Effect 1 Joule Effect In the biological tissue crossed by electrical current it s produced a heating thermical effect dependent by the electrical resistance of the tissue by the current density by the application time and that can determine many cellular transformations Q xRxT EickTron 120 160 Eickemeyer The thermical effect influence Joule Effect is made by e Current Intensity and output power e Modulation level Parameters interpretable by the wave form of the high frequency current produced by the generator e Electrode shape The electrode shape can be needle or rounded according to the necessity it has reduced dimension for this the current density on the point surface A m is highest The electrodes with a thin section create a high current density and high temperature favoring the cut action Those with a big surface create a smaller current density a smaller temperature realizing a coagulation effect e State of active electrode The thermical effects can be reported to the human body resist
23. f burns intra abdomen lesions necrosis of the tissue perforation of internal organs The nature of the surgical environment in which the active electrode is in close proximity to other conductive instruments and to tissue may make the electrical currents transmission to unseen tissue off the laparoscope causing unintentional tissue burns at non targeted sites by direct coupling insulation failure Capacitive coupling Direct coupling occurs when the active electrode touches another metal instrument transferring electrical current to it and possibly injuring tissue with which it comes in contact for example bowel or other organs Insulation failure occurs when there is an excessive voltage abuse wear and tear poor handling or mechanical accident of the electrode shaft that happens during a single laparoscopic procedure or during disinfection and sterilization procedures The breakdown along the unseen shaft of an activated electrode can allow electrical current to leak into surrounding non targeted tissues causing unobserved damage Paradoxically small cracks are more dangerous than large breaks because the current is more focused and is therefore more likely to produce burns Capacitive coupling occurs when electrical current is induced from the active electrode to nearby conductive material despite intact insulation During HF electrosurgical operations the rapidly varying electrical field around the active electrode is only
24. he OVT warning signal getting out Error Code 001 Current delivery control activated during switching on Disconnect the handpiece or the pedal and switch on the unit again Error Code 002 Error in the management board Call for Service Error Code 003 Error in the management board Call for Service Error Code 004 Error in the data conversion circuit Call for Service Error Code 005 Error of the reference voltage value Verify the main voltage Call for Service Error Code 009 Error in the output power activation circuit Call for Service Error Code 010 Error in the output power activation circuit Call for Service EickTron 120 160 EN 41 Eickemeyer 5 Repairs High frequency cables and electrode holder handle cannot be repaired Always substitute a damaged part with a new one Fuses Substitution Before substituting the fuse disconnect the unit from the mains system Only use fuse of the kind 5x20 they must have those characteristics T3 15A slow 230Vac mains voltage T6 3A 115Vac mains voltage proceed as follows A B Extract the fuse holder drawer from the power module C Insert the fuses making reference to the following chart Mains Voltage 110 120 V Delayed Fuse T6 3AL 250V 5x 20 mm Mains Voltage 220 240 V Delayed Fuse T3 15AL 250V 5x 20 mm D Extract and rotate the detachable part in way to read the correct vol
25. imum mains voltage output versus Vp EickTron 120 160 Eickemeyer EN 45 MA510a_EN EICKTRON 120 FORCED ser Diagrams of FORCED maximum mains voltage output versus Vp ser Diagrams of SOFT maximum mains voltage output versus Vp BIPOLAR set Diagrams of BIPOLAR maximum mains voltage output versus Vp Instruction s Manual ENGLISH EN 46 MA510a_EN Instruction s Manual TOON CUTI cur EICKTRON 160 BLEND FORCED ENDIOGN BENDER Dn FORCEDIO Diagrams of half and maximum output power versus impedance sort s0F T1008 SOFTEN load 100 2000 QCUT Diagrams of half and maximum output power versus impedance load 100 2000 2 BLEND Diagrams of half and maximum output power versus impedance load 100 2000 FORCED SPOR IOUS FOAI cur Wer Diagrams of half and maximum output power versus impedance load 100 2000 2 SOFT BLEND Diagrams of half and maximum output power versus impedance load 10 1000 2 BIPOLAR FORCED Diagrams of output power CUT versus nominal value sort POWER rower Diagrams of output power BLEND versus nominal value Diagrams of output power FORCED versus nominal v
26. irectives 6 The product mustn t be threw in the containers for urban wastes but it must be swallowed by a separate picking 7 Manufacturer 8 Serial number wO CEN al 1 2 Instruction s Manual ENGLISH EN 29 MA510a_EN EN 30 Instruction s Manual MA510a_EN Frontal Panel 12 3 4 5 6 7 8 91011 12 1 Level control for cut current 2 Level indication for cut current 3 Output indication for cut current 4 Level controls for coagulation current 5 Level indications for coagulation current 6 Output indications for coagulation current 7 Selection key and light for CUT function 8 Selection key and light for BLEND function 9 Selection key and light for FORCED COAG function 10 Selection key and light for SOFT COAG function 11 Selection key and light for BIPOLAR function 12 Alarm indicator for excessive impedance in the neutral electrode circuit 13 Handle connector for active electrode holder 14 Connector for neutral electrode connection 15 Foot switch connector EickTron 120 160 Eickemeyer Operation Mode Switch On When switched on the electrosurgical unit performs automatically a test to establish the correct operation of itself and of the connected accessories as well In case anomaly is found an alphanumeric message it is shown coded according to the chart codes brought in the chapter MAINTENANCE This test lasts about 10 seconds At the end of the control the equipment restores last use operati
27. issue blanches to avoid tissue damage Maintain clean the electrode s tip the optional sponges F7520 to clean the electrodes are advised Bipolar Coagulation Bipolar coagulation consists in the hemostais of small blood vessels of the body tissue between the two tips of the forceps When the current density is reduced the drying of the cellular surface is obtained without deep penetration and its consequent coagulation These superficially coagulated cells act as a layer of insulation that prevents the heat due to successive current applications to penetrate too deeply Instruction s Manual ENGLISH EN 13 MA510a_EN EN 14 Instruction s Manual MA510a_EN CONTRAINDICATIONS AND COLLATERAL EFFECTS Electro surgery is not recommended in the following subjects having pacemaker with stimulating electrodes with metal prosthesis plant with important arterial pressure unbalance with important nervous disorders with renal insufficiency in state of pregnancy Burns are the most consequences of the HF electro surgery for the patient even if these are not the only one In fact necrosis by compression allergic reactions to the disinfectant gas or inflammable liquids ignition Some important causes of burns are by insufficient medical equipe training about all modalities to avoid or reduce the risks of burns by using HF electrosurgical units use of disinfectants with high alcol content incorrect po
28. k Panel 36 Power Supply Module and Voltage Selector 36 Power On Off Switch 36 TECHNICAL CHARACTERISTICS 37 MAINTENANCE 39 General 39 Cleaning of the Cabinet 39 Cleaning and Sterilisation of the Accessories Items 39 Guide to the Solution of the Problems 40 Repairs 41 Fuses Substitution 41 Checking of the Equipment Before Each Use 41 Function and Safety Check and Test 43 DIAGRAMS ee gel aana aiaiai 44 EickTron 120 160 EN 3 Eickemeyer IMPORTANT These operating instructions form an integral part of the equipment and must be available to the operating personnel at all times All the safety instructions and advice notes are to be observed Be sure that these operating instructions are furnished together the equipment when this is transferred to other operating people In case of necessity of technical or other type assistance contact your own retailer MA510A_EN Edition 04 2014 No p
29. ket on the rear panel of the unit EickTron 120 160 Eickemeyer Connect if request the equipotential binding post located at the left of the unit s back panel to eventual equipotential socket of the plant Connect the single foot switch or the double foot switch optional to the connector on the rear panel Connect handle in the case of use of handle without finger switch it shall be connected on the buckle indicated ACTIVE In case of use of bipolar forceps see BIPOLAR operation page 33 it is necessary to use the special optional adapter REF 00498 00 Let unit work in dry environment only Any verified condensate must be let evaporate before putting in operation the unit Don t exceed the temperature environment or the allowed moisture Environments condition Temperature 10 40 C Relative moisture 30 75 Pressure 70 106k Pa Before using the unit it is necessary connect the cable to the patient plate and these connected to unit The neutral electrode must apply to patient see Safety chapter Single plate electrodes and split plate electrodes can be When the unit is switched on if the value of the impedance is acceptable the OC indicator light will stop flashing When the unit is switched on through the on off switch on the rear panel after having checked the internal parameters it will work with the function and the power level utilized during the last switching when the unit is switched for the first time
30. nding a current suited for cut coagulated in absence of eschar and carbonization is obtained particularly suitable for endoscopic surgery Superficial Coagulation Current FORCED COAG The modulated current FORCED COAG it is characterized by good property of surface coagulation behaving at the time it probable production of eschar and partial carbonization of the tissue The FORCED advantage of this type of coagulation resides in the rapidity with which the effect is gotten EickTron 120 160 EN 33 Eickemeyer 5 Deep Coagulation Current SOFT COAG The low voltage and low modulation current SOFT COAG it is suited for coagulation of deep layers of the tissue in which the coagulation of the cellular albumin is gotten in absence of SOFT carbonization and without production of eschar The process of coagulation is in this case more time expensive than that of the forced coagulation Bipolar Coagulation Current BIPOLAR This current is low voltage pure sine current suited for coagulation without carbonization either monopolar or BIPOLAR bipolar The use of bipolar forceps it is allowed only with this current To allow the connection of the cable for bipolar forceps it is necessary the use of an optional adapter REF 00498 00 that prevents any other type of current from delivering CAVO BIPOLARE BIPOLAR CABLE CABLE BIPOLARES CABLE BI AIRES KABEL BI AR CABO BIPOLARES KABEL BIPOLARNY Signaling of Excessi
31. o the tissue through the point of the active electrode it creates intense molecular heat in the cells so high that explosion of it is caused The cut effect is achieved by moving the electrode through the tissue and destroying the cells one after the other The movement of the electrode prevents the propagation of the side heat in the tissue thus limiting to a single line the cells destruction The best HF current for cutting is pure sine wave without any modulation that cuts very smoothly and provides the least thermal effect with poor haemostasis while cutting Because its effects can be precisely controlled it can be used safely without damage to the bone but since good coagulation while cutting is one of principal benefits of using electro surgery a current with a certain amount of modulation is desirable The following rules help the operator to obtain good cutting however every user must follow first of all his professional judgment as he does every time in his practice Keep the tissues moist but not wet Survey the stroke before activate the electrode Keep the electrode perpendicular to the tissue Activate the electrode before making contact with the tissue Maintain clean the electrode s tip the optional sponges F7520 to clean the electrodes are advised Wait at least five seconds before to repeat a stroke When the output power is properly set there should be no resistance to the electrode m
32. oid the forcep s damage don t make short circuit with its tips Bipolar forceps and double foot switch connect the optional adapter kri REF 00498 00 see page 33 The Ra equipment will select the BIPOLAR operative mode To deliver the current press the foot switch for the coagulation blue To avoid the forcep s damage don t make short circuit with its tips NOTE For BIPOLAR procedure you need other optional accessories 2 1 Bipolar adapter 2 Cable for bipolar accessories connection 3 Bipolar accessory ex bipolar forceps For optional accessories see page 5 EickTron 120 160 Eickemeyer CONNECTOR AND CONTROLS Label on the Rear Panel The requirements for the safety of H F surgical equipment ask data and graphic symbols must be printed on the cabinet or on at least one of the panels of generator unit to define its features and oversee its condition of work Manufacturer s Identification Data EICKTRON HF electrosurgical unit are designed manufactured and tested in laboratories in Aprilia LT Italy Meaning of Graphics Symbols The meaning of the graphic symbols printed on unit s cabinet is the following 1 Floating Patient s plate neither at low frequency nor at high frequency earth connected 2 The equipment is CF class protected against Cardiac Defibrillator discharge 3 Not lonizing Radiation emitted 4 Following instruction of use 5 Corresponding to the European D
33. onal conditions Neutral Electrode s Circuit The neutral electrode is continually watched by a special circuit that prevents danger of burns to the patient due the loss of contact between the neutral electrode and the patient skin if split electrode is used If the impedance value of the patient circuit is more than 200 ohm the value is not accepted in this case the OC indicator light flashing and if the output circuit is activated no power out and there is a sound alarm In order to reduce the acoustic pollution the sound alarm is present only when pressed the foot switch If a single plate electrodes use watched only the connection of the neutral electrode plate to the unit Instruction s Manual ENGLISH EN 31 MA510a_EN EN 32 Instruction s Manual MA510a_EN Preselection of the Deliverable Current The deliverable current for the surgical operations can have preselected through push button for 66446 BLEND FORCED SOFT BIPOLAR Cut Current CUT The best current for the cut is the pure sinusoidal wave without modulation that means with duty cycle 100 Such current proper for cut without coagulation CUT Coagulated Cut Current BLEND The coagulated cut current BLEND it is suited for coagulated cut when a deep coagulation together the cut is desired This current is made by sine current e suited for the cut associated to low voltage BLEND Current suited for coagulation soft coag With this ble
34. ovement through the tissue no change in the cut surfaces color no fibers of tissue remained onto the electrode Monopolar Coagulation Monopolar coagulation is the haemostasis of small blood vessel of the bodily tissue through passing of high frequency current in correspondence EickTron 120 160 Eickemeyer of active electrode When the current density is reduced and a broad surfaced electrode is used to dissipate the energy over a larger area the effect is to dry out the surface cells without deep penetration resulting in coagulation These coagulate surface cells then serve as a layer of insulation preventing heat derived by successive applications of current from penetrating too deeply The current normally used for coagulation is modulated and depending from the modulation percentage is the smoothness of cutting goodness of haemostasis and likelihood of tissue destruction Deeper current modulation brings to somewhat roughly cutting and the chance of some slight depth of tissue destruction but more efficient coagulation The following rules help the operator to obtain good coagulation however every user must follow first of all his professional judgment as he does every time in his practice Select a ball or heavy wire electrode Locate the bleeder after have wiped the excess blood from the area contact lightly the bleeder before activating the electrode Stop the electrode activation as soon as the t
35. partially impeded by electrical insulation and creates stray electrical currents by alternately attracting and repelling ions in surrounding body tissue Currents transferred in this way EickTron 120 160 EN 23 Eickemeyer a in nearby tissue can cause irreversible damage the movement of electrically charged ions in capacitive coupled tissue can cause currents that can heat tissue sufficiently to produce burns Several measures are used during electrosurgical operations to limit and minimize the risks of patient injury a better and more complete training for the medical staff visual examination of the surgical instrumentation active electrode laparoscope use of disposable electrodes but the thinner insulation doesn t reduce the risk of breakdown or capacitive coupling prohibiting the use of hybrid plastic metal cannulas adopting bipolar electro surgery not versatile but safer because the necrosis happen only if there is a long and continuous application of the current In the HF electro surgery burns are a real hazard that can be minimized by the knowledge of the causes and especially if the surgeon is prepared against these Instruction s Manual ENGLISH EN 24 MA510a_EN Instruction s Manual INSTALLATION Inspect the unit for damages during transport The claims for possible damages will be accepted only in case they are immediately communicated to the carrier the damages that are found must be
36. rate before the use of the electrosurgical unit There is risk of stagnation of flammable solutions under the patient or in body cavities as the umbilicus and the vagina The fluid that deposits in these areas should be removed before the equipment use The danger of endogenous gas ignition has to be considered Some materials like cotton wool or gauze when saturated with oxygen may burst into flames because of the sparks produced by the equipment in the normal use EickTron 120 160 Eickemeyer There is a risk for the patients fitted with heart pacemaker or other stimulation electrode interference may occur with the stimulator signal or the stimulator itself can be damaged Please refer to Cardiology Unit when in doubt Electrosurgical equipment does emit unnoticed radiation of high frequency energy that may effect other medical equipment unrelated electronics telecommunications and navigational systems The accessory must be regularly checked particularly the cables for the electrodes and the possible accessories for the endoscopy to verify that the insulation is not damaged To avoid the connection of incompatible accessories to the unit the insulation characteristics of the items to be replaced must be requested to the manufacturer and compared to those of the supplied unit see Technical Characteristics Attention a damage of the electrosurgical unit could result in an unwanted increase of the output power Inadvertent stimul
37. rode 7 cm Oo Oo 500500 L11 Needles for micro surgery 10Pcs O O 500500 L8 L Noose electrode L8 5pcs 10cm Oo O 500500 L8 Noose electrode L8 5pcs 5 cm O O 00100 01 Power supply cable 5m 3x1 5mm SIEMENS IEC O O F4814 Reusable handle without finger switches O 6 00400 00 Rod neutral electrode with cable 500500 L9 L Straight ball electrode 3mm 5pcs 10cm 6 O 500500 L9 Straight ball electrode 3mm 5pcs 5cm O 6 500500 L1 L Straight thin wire electrode Spcs 10cm oO O 500500 L1 Straight thin wire electrode 5pcs 5cm O O TR003 Trolley 3 shelves O O TROO3W Trolley 3 shelves wide O 6 TROO4 Trolley 4 shelves O 6 TROOS Trolley 5 shelves O O TROOSW Trolley 5 shelves wide Q O Pcs STANDARD O OPTIONAL NOT COMPATIBLE EickTron 120 160 Eickemeyer General Description EickTron 120 160 are electro surgical equipments suited to deliver current for monopolar cut soft coagulation forced coagulation or bipolar coagulation The current can be delivered for the whole time of activation of the output circuit It is possible to use either single plate neutral reference electrodes or electrodes with split conductive zone so to watch the plate to patient contact during the surgical intervention Control of the units is via front panel keys and display mains inlet is located on the rear panel The units have automatic control systems that monitoring the internal parameters signal the possible d
38. rols e Check the uniformity of the resistance through the surface of the patient plate e Test the earth conductivity resistance e Test the earth leakage current e Test H F leakage current e Control of the neuromuscular stimulation e Control of the accuracy of the output power Instruction s Manual ENGLISH EN 44 MA510a_EN Instruction s Manual DIAGRAMS EICKTRON 120 i i _ Diagrams of half and maximum output power versus impedance load 100 2000 CUT Diagrams of half and maximum output power versus impedance load 100 20002 SOFT BLEND POWER ser Diagrams of output power BLEND versus nominal value BIPOLAR POWER Diagrams of output power BIPOLAR versus nominal value ENDIOON BLENDE Diagrams of half and maximum output power versus impedance load 100 2000 2 BLEND Diagrams of half and maximum output power versus impedance load 100 2000 2 FORCED BIPOLAR Diagrams of half and maximum output power versus impedance load 10 1000 BIPOLAR FORCED Diagrams of output power FORCED versus nominal value Diagrams of _ CUT maximum mains voltage output versus Vp eur POWER Diagrams of output power CUT versus nominal value sort POWER ser Diagrams of output power SOFT versus nominal value BLEND ser Diagrams of BLEND max
39. s next as possible to surgical area Avoid connecting the patient plate to bony protrusions prosthesis cicatricial tissues and parts of the body subjected to liquid accumulation or that present subcutaneous adipose tissue The part of the body must be without hair dry and clean Do not use alcohol to clean the skin Unless for veterinary use the use of gelatinoids substances for the electrodes is not advised By using the disposable neutral electrodes respect the date of expire By using the reusable electrodes ascertain that the fixing systems give warranty of stability When you apply the neutral electrode avoid the transversal course and prefer the vertical or diagonal course in particular if a split neutral electrode is used That to allow a uniform distribution of the current on the surface of the neutral electrode and reduce the risk of burn to the patient Instruction s Manual ENGLISH EN 15 MA510a_EN EN 16 MA510a_EN Instruction s Manual If it isn t possible to use correctly the neutral electrode consider if it s possible the bipolar technique instead of the monopolar one The patient does not must be in contact with metal parts that are connected to the earth or have a large electrical coupling capacity to the earth for example operating table or metallic support The use of antistatic sheets is advised Avoid the skin to skin contact for example between arm and body of the patient Insert an
40. ses container but it must be eliminated with separate collection In case of abusive elimination of this product could be foreseen sanctions GERMANY EICKEMEYER KG Eltastra e 8 78532 Tuttlingen Germany T 49 7461 96 580 0 F 49 7461 96 580 90 E info eickemeyer de www eickemeyer de UNITED KINGDOM EICKEMEYER Ltd 47 St Margarets Grove Twickenham Greater Lon don TW1 1JF United Kingdom T 44 20 8891 2007 F 44 20 8891 2686 E info eickemeyer co uk www eickemeyer co uk DENMARK EICKEMEYER ApS Lysbjergvej 6 Hammelev 6500 Vojens Denmark T 45 7020 5019 F 45 7353 5019 E info eickemeyer dk www eickemeyer dk NETHERLANDS EICKEMEYER BV Bedrijventerrein Pavijen West Bellweg 44 4104 BJ Culemborg Netherlands T 31 345 58 9400 F 31 345 58 9401 E info eickemeyer nl www eickemeyer nl ITALY EICKEMEYER S R L Via G Matteotti 16 64029 Silvi Marina TE Italy T 39 085 935 4078 F 39 085 935 9471 E info eickemeyer it www eickemeyer it veterinary technology for life Eickemeyer CANADA EICKEMEYER Inc 250 Briarhill Dr Stratford Ont Canada NSA 752 T 1 519 273 5558 F 1 519 271 7114 E info eickemeyer com www eickemeyerveterinary com SWITZERLAND EICKEMEYER AG Sandgrube 29 9050 Appenzell Switzerland T 41 71 788 2313 F 41 71 788 23 14 E info eickemeyer ch www eickemeyer ch
41. sition of the patient during the electrosurgical operation contact between active electrode and the skin contact with liquid long application of HF currents incorrect application of the patient plate To avoid or reduce the common HF electrosurgical risks it is very important to respect the rules and safety measurements exposed illustrate on the next chapter EickTron 120 160 Eickemeyer SAFETY WARNING Electro surgery can be dangerous Careless use of any element in the electrosurgical system may subject the patient to a serious burn Read and understand all warnings precautions and directions for use before attempt to use any active electrode Neither manufacturer can be considered responsible for personal material or consequential injury loss or damage that results from improper use of the equipment and accessories The accessories supplied with the unit have characteristics compatible with this supplied unit they could be incompatible with others electrosurgical units the user must check before connecting other accessories to this unit that they have characteristics of insulation compatible with those of this unit and utilized function see Technical Characteristics It is recommended to inspect the integrity of the packaging of the sterile products General The following precautions reduce the risk of accidental burnings The whole surface of the patient plate must be placed on a well vascularized muscle a
42. tage in the E window reinsert the fuse holder in the module Checking of the Equipment Before Each Use Each time the use of the electrosurgical equipment is planned a check of the most important safety aspects has to be implemented considering at least the following e Check the integrity of cords connections wires breakage etc e Assure that all the electrical equipment is properly grounded e Assure that all the accessories that should be used are available and sterilized Instruction s Manual ENGLISH EN 42 Instruction s Manual MA510a_EN e Check by disconnecting the reference electrode cable the functioning of the OC light Active unit and check OC light and sound alarm warning e Check by activating the CUT and COAG power switch the functioning of the emission lights and sounds warnings EickTron 120 160 EN 43 Eickemeyer 5 Function and Safety Check and Test At least once a year the biomedical engineering department or other qualified personnel should do the following check and test e Check of the connectors and mains supply cord conditions e Visual check of the mechanical protections e Check of the protections against the danger due to liquid s pouring dripping moisture liquid s penetration cleanliness sterilization and disinfection e Check of the Equipment s Data on the Label e Check of the availability of the Instruction s Manual e Check the functioning of the H F output cont
43. tems are to be used more than once it is mandatory to clean carefully and sterilize those accessories before the new use The best way to clean and sterilize the reusable items is to follow the direction of the supplier of each item When original reusable accessories suppliedare applied the cleaning by using deep cleanser and sterilization through steam sterilization at 121 C 134 C is recommended Instruction s Manual ENGLISH EN 39 MA510a_EN EN 40 MA510a_EN Instruction s Manual Guide to the Solution of the Problems In case of problems before all it is advised to check for the correct installation of the unit and for the correct connection of the accessories Problems Probable Cause Solution The equipment doesn t switch on Interruption or absence of the main feeding Verify the connection of the main cable Verify the fuses and replace them where necessary with new ones of the proprie type Alarm OC always Interruption or lack of Check the connection of the active contact on the neutral cable to the neutral electrode electrode circuit Replace the cable of connection of the neutral electrode The unit doesn t Breakdown of the Replace the handpiece or the respond to the command of activation handpiece or of the pedal Wrong connection of the handpiece or of the pedal Alarm OVT activated pedal Verify the connection of the handpiece or of the pedal Wait for t
44. that requested mains voltage corresponds to the voltage available from the electrical net see chapter INSTALLATION Power On Off Switch The POWER ON OFF mechanical switch is used to control power to the equipment To power the equipment press the switch in the direction of the 1 When the equipment is powered the front panel will illuminate Pressing the switch in the O direction will cut power to the equipment this operation allows it to be used as an emergency stop switch in the event of any fault A O Na EickTron 120 160 EN 37 Eickemeyer 5 TECHNICAL CHARACTERISTICS dae EickTron Toll Description ZEN Do Electrosurgical unit code EKM10100 201A EKM10100 201A 0 Minimum presectable power 0 0 Level step 1 1 Digital level display J 20 Maximum output power CUT W 120 gt 2500 160 gt 2500 20 Maximum output power BLEND W 90 gt 2000 120 gt 2000 20 Maximum output power COAG FORCED W 80 gt 1500 100 gt 1500 20 Maximum output power COAG SOFT W 60 gt 1000 80 gt 1000 20 Maximum output power BIPOLAR W 40 gt 1000 60 gt 1000 5 Modulation factor CUT Pure 100 Pure 100 5 Modulation factor BLEND Pure 100 Pure 100 5 Modulation factor COAG FORCED Mod 60 Mod 60 5 Modulation factor COAG SOFT Mod 90 Mod 90 5 Modulation factor
45. the level will be 00 Instruction s Manual ENGLISH EN 25 MA510a_EN EN 26 MA510a_EN Instruction s Manual 68868 7 mann oww sur gt DoEr amp Monopolar typical configuration Use for MONOPOLAR 2 ry ee K a T Na BS mr Se Oe Holder handle with two pushbuttons without foot switch press the yellow pushbutton on the holder handle to deliver the cutting current the choice between CUT or BLEND must be done pressing the correspondent pushbutton on the unit or the blue pushbutton on the holder handl between FORCED COAG SOFT e to deliver coagulating current the choice COAG or BIPOLAR must be done pressing the correspondent pushbutton on the unit Holder handle with two pushbuttons and a single foot switch choose the cutting current CUT or BLEND and the coagulation current FORCED COAG SOFT COAG or BIPOLAR Preset through the yellow pushbutton on the holder handle the function for the cut that appears on the unit or through the blue pushbutton on the holder handle the function for the coagulation that appears on the unit The current delivery takes place through the foot switch EickTron 120 160 Eickemeyer Holder handle with two pushbuttons and optional double foot switch press the yellow foot switch or the yellow pushbutton of the holder handle to pre set and deliver the cutting current the choice between CUT or BLEND must be done pressing th
46. ve Time of Delivery OVT If the operator exceeds the maximum time of disbursement recommended by the international norms that is 10 seconds after a time depending from the type of current and from the level of the same one the equipment could generate a signal of warning consisting in the text Hot flashing on the display and in impediment to the delivering of current The interdiction lasting of the current delivery depends from the previous conditions of delivery Instruction s Manual ENGLISH EN 34 Instruction s Manual MA510a_EN Signaling of Excessive Impedance in the Circuit of Neutral Electrode OC For the meaning of this warning signal please refer to the previous description of the neutral electrode circuit Adjustment of the Acoustic Signal Level To modify the emission acoustic signal it is necessary to follow those indications 1 Switch on the unit through the mains switch while the CUT pushbutton is maintained pressed 2 When the unit has finished to check internal parameters on the display CUT appears the message SOU while on the COAG one the value of the preset level Now the CUT pushbutton can be released 3 Through the COAG knob it is possible varying the emission acoustic level During the variation the sound emitted by the unit corresponds to the preset level 4 Press the CUT pushbutton to confirm the level Sound emission until 1m distance from the frontal panel 55 dBA 60 dBA 65
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