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Before use
7 Before use
This chapter describes all necessary steps to prepare the product for each use and provides
detailed information on each mode.
7.1 Safety notes for before use
Before each operation
Any irregularity or damage of the electrosurgical generator and its equipment compromises
the safety. Therefore, the inspections procedures as described in this chapter must be
performed before every operation.
Do not use the electrosurgical generator if any irregularity or damage is suspected.
Do not use the equipment if any irregularity or damage is suspected.
● Prepare a spare electrosurgical generator or an alternative procedure to avoid
interruption due to an unexpected electrosurgical generator failure during the procedure.
Refer to the chapter “8.10 Troubleshooting” on page 78 to identify and correct failures.
Battery status of wireless foot switches
When the battery capacity of the wireless foot switch is insufcient, it is impossible to
activate the HF output by pressing a foot switch pedal. When the foot switch unexpectedly
fails during the procedure, there is the risk that a treatment, e.g. hemostasis, is interrupted.
Power levels and activation time
The selected power level and the activation time should be as low as possible to achieve the
desired effect. If the power level initially is set too high or if the activation time is too long,
then this can result in neuromuscular stimulation (violent spasms or muscle contractions)
thermal injury to surrounding tissue, bleeding or inadequate treatment.
It needs to be considered that the minimum power level for the modes PulseCut Fast and
PulseCut Slow is 20. The power levels of all other modes can be reduced to 1.
Apparent low output or failure of the HF surgical equipment
Apparent low output or failure of the HF surgical equipment to function correctly at the
normal operating settings can indicate faulty application of the neutral electrode or poor
contact in its connections. Therefore, before selecting a higher output power, the attachment
of the neutral electrode and its connections must be checked.
HPCS not for conscious patients
Especially the modes that are supported by HPCS (High Power Cut Support) generate high
current densities which can result in neuromuscular stimulation. This can cause pain and
discomfort to patients without sedation, pain medication or general anesthesia.
Autostart for the mode BiSoftCoag
When using the Autostart function for the bipolar mode BiSoftCoag, then the HF output
starts as soon as the HF instrument is in contact with tissue. Therefore, unintended tissue
contact of the HF instrument can cause burns to the user and the patient.
The user should also be aware that the HF output is activated as long as the HF instrument
is in contact with the tissue. The HF output only stops when the contact between the
HF instrument and the tissue is released.
The power setting is limited to a maximum value of 50 when Autostart is switched on.
WARNING
Malfunction of pacemakers and debrillators
Using HF equipment on patients with implanted electronic devices, e.g. cardiac pacemakers
or cardioverter debrillators, can cause failure of the implanted electronic device. Failure of
the implanted electronic device will affect the heart and can result in cardiac arrest.