Page 1
Foreword
Foreword
This
manual
sionals
manual
operation.
in
general
Read
trained
is
intended
[tis
application
and
review
and
in
not
the
equipment
the
particular
as a guide
intended
or
in
laparoscopic
all
instructions
it
describes
technique
for
servicing
to
be a general
in
this
are
for
and
surgical
the
AEM
reference
procedures.
manual
prior
use
only
procedure
Monitor,
about
to
using
by
qualified
to
be
including
the
use
of
the
AEM
medical
performed.
its
profes-
This
setup and
electrosurgery
system.
either
Feperat
THE
INJURY
NOT
USE
Conventions
INDICATES A POTENTIALLY
INJURY
(USA)
AEM
Monitor
CAUSED
INTENDED
THIS
SYSTEM
OR
DEATH.
LAW
BY
INSULATION
TO
TEST
AS
AN
INDICATES A HAZARDOUS
RESTRICTS
!S
DESIGNED
FOR
INSULATION
INSTRUMENT
Used
HAZARDOUS
SITUATION
THIS
TO
SAFELY
FAILURE
INSPECTION
in
SITUATION
WHICH,
DEVICE
DELIVER
AND
CAPACITIVE
DAMAGE
this
IF
TO
SALE
BY
ELECTROSURGICAL
COUPLING.
ON
LAPAROSCOPIC
TOOL.
Manual
WHICH,
IF
NOT AVOIDED,
OR
NOT
ON
MAY
THE
AVOIDED,
RESULT
ORDER
OF A PHYSICIAN.
ENERGY
THE
AND
Encision
INSTRUMENTS.
COULD
RESULT
IN
MINOR
AEM
Do
OR
TO
PREVENT
MONITOR
NOT
ATTEMPT
IN
SERIOUS
MODERATE
IS
TO
INJURY.
00875-002
Notice
INDICATES A HAZARD
Controls,
this:
RETURN
indicators,
ELECTRODE,
WHICH
and
MAY
RESULT
receptacles
RETURN
IN
PRODUCT
on
the
unit
ELECTRODE,
DAMAGE.
appear
Return
in
bold
Electrode
and/or
italic
capitals
like
Page 2
Foreword
Warnings
Please
including
refer
warnings
Explosion,
mn
EXxPLOSION
FiRE/ExPLOSION
EXPLOSION
HAZARDS
U.
2
Q
THE
SPARKING
OBSERVE
OF
OR
THESE
WITHIN
FIRE
SUBSTANCES
THE
and
to
the
Fire
HAZARD.
HAZARD.
FLAMMABLE
NaTURALLY
SUCH
OXYGEN
AND HEATING
PRECAUTIONS
AREA
manual
and
and
Ďo
IN
THE
AS
THE
AGENTS
OR
WHERE
Shock
NOT
SUBSTANCES
OCCURRING
Cautions
of
your
electrosurgical
precautions
Hazards
USE
ELECTROSURGERY
THE
FOLLOWING
OPERATING
BOWEL.
ASSOCIATED
AT
GASES,
ELECTROSURGERY
(SUCH
ALL
TIMES.
PREVENT
ROOM:
(sucH
FLAMMABLE
AS
regarding
SUBSTANCES
AS
ALCOHOL
GASES
NITROUS
WITH
OXIDE
ELECTROSURGERY
WHEN
USING
THEIR
ACCUMULATION
IS
PERFORMED.
generator
its
use
IN
THE
WILL
BASED
WHICH
[N,O]
ELECTROSURGERY
for
applications
before
proceeding
PRESENCE
CONTRIBUTE
SKIN
MAY
OF
PREPPING
ACCUMULATE
ATMOSPHERES).
CAN
PROVIDE
OR
POOLING
further.
FLAMMABLE
TO
INCREASED
AGENTS
AN
IN
THE
UNDER
information
ANESTHETICS.
FIRE
AND
IN
BODY
CAVITIES
IGNITION
SAME
SOURCE.
ROOM
SURGICAL
AND
TINTURES).
WITH
ANY
DRAPES,
FIRE
HAZARD.
FIRE
HAZARD.
TYPE
AND
RATING.
Fire
HAZARD.
FIRE.
DO
NOT
DRAPES).
ELECTRIC
SHock
RECEPTACLE.
ELECTRIC
CONNECTED
ELecrric
WALL
ELECTRIC
SHock
AND
SHock
RECEPTACLE.
SHOCK
Do
NOT
USE
EXTENSION
FOR
CONTINUED
ELECTROSURGICAL
PLACE
THEM
NEAR
Do
HAZARD.
NOT
Hazarp.
THAT
HAZARD.
HAZARD.
USE
NO
CONNECT
POWER
ENSURE
METAL
Do
ALWAYS
CORDS.
PROTECTION
ACCESSORIES
OR
TOUCHING
THE
GENERATOR POWER
STRIP
PLUG
THAT
ALL
IS
EXPOSED.
NOT
CONNECT A WET
UNPLUG
AGAINST
FIRE
THAT ARE
FLAMMABLE
ADAPTERS.
ACCESSORIES,
POWER
THE
AEM
HAZARD REPLACE
ACTIVATED
MATERIALS
CORD
CORDS,
CORD
MONITOR
BEFORE
FUSES
OR
HOT
FROM
(SUCH
AS
TO A PROPERLY
AND
ADAPTERS
TO
THE
AEM
CLEANING.
ONLY
USE
GAUZE
GROUNDED
ARE
MONITOR
WITH
CAN
CAUSE
OR
SURGICAL
CORRECTLY
OR
THE
TO
SAME
A
THE
00875-002
EE
Page 3
Foreword
General
ANY
MINIMUM
TISSUE
CONFIRM
LOWEST
IN
ORDER
GENERATOR
THE
ELECTRODE.
DIRECTIONS
IN
SOME
(E.G.,
SEEKS A PATH
CURRENT
BURN.
Electrosurgical
ELECTROSURGICAL
ACTIVATION
SHOULD
PROPER
POWER
TO
SAFE
USE
CIRCUMSTANCES,
BETWEEN
PASSING
THIS
LESSEN
ONLY
TO
ON
TO
IS
TRUE
BE
SETTING
WHEN
OF
MONOPOLAR
AVOID
THE
THE
THE
Hazards
PROCEDURE
TIMES.
PROLONGED
AVOIDED.
ELECTROSURGICAL
THAT
ACHIEVES
THE
POSSIBILITY
THE
ACTIVE
ELECTROSURGERY
ELECTROSURGICAL
PRODUCT
ARM
PATIENT
THROUGH
FOR
PACKAGE
POTENTIAL
AND
THE
RETURN
SMALL
EARTH
IS
SAFEST
ACTIVATIONS
POWER
OF
ELECTRODE
FOR
EXISTS
SIDE
OF
ELECTRODE
SKIN
REFERENCED
SETTING
THE
DESIRED
CREATING
BURNS
PROPER
FOR
THE
TO
SKIN
AND
IF
MODERATE
UNINTENDED
IS
NEAR
REQUIRES
BENEATH
ALTERNATE
BODY).
THAT
CONTACT
ISOLATED
WITHOUT
BEFORE
SURGICAL
OR
THE
RETURN
THIS
INCLUDES
CONTROL
THE
PROCEEDING
TOUCHING
PROPER
PATIENT
ELECTRODE
SITE
OCCURS
POINTS
OUTPUT
ELECTRODE
EFFECT.
BURNS,
PLACEMENT
BURNS
THE
IS
CONCENTRATED
GENERATORS.
SETTINGS
ACTIVATE
THE
RETURN
PLACEMENT
AT
WHEN
SKIN
TARGET
POINTS
TO
ARE
USED
IN
CONTACT
WITH
SURGERY.
THE
ELECTROSURGICAL
TISSUE.
OF
THE
ELECTRODE,
AND
OF
SKIN
ELECTROSURGICAL
SKIN
CONTACT
AND
ALONG
WITH
USE
PATIENT
FOLLOW
USE.
CONTACT
POINT.
MAY
WITH
THE
THE
RETURN
CURRENT
CAUSE
ALL
A
TO
REDUCE
О
Q
u
口
WHILE
WITH
GROUNDED
POSSIBLE
USE
EXTREME
QI
Q
Ül
Ül
KEEP
ELECTRICAL
THE
POTENTIAL
AVOID
SKIN
TO
PLACE
TWO
OCCUR.
POSITION
AND
IN
USING
THE
THE
RETURN
ADDITION,
ELECTROSURGERY,
METAL
DURING
Use
PLACE
PLACE
CERTAIN
CAUTION
THE
LoweST
THE
DRY
PATIENT
GAUZE
CONTINUALLY
CONNECTIONS
SKIN
TO
THREE
PATIENT
ELECTRODE
PLACE
OBJECTS
TO
POWER
BETWEEN
MONiTOR
FOR
ALTERNATE
CONTACT
INCHES
RETURN
PATIENT
(E.G.,
PROCEDURES
MAXIMIZE
SETTING
RETURN
THE
DRY
WHILE
POINTS,
SUCH
OF
DRY
GAUZE
ELECTRODE
WHICH
AVOIDS
RETURN
ELECTRODES
THE
PATIENT
SURGICAL
(E.G.,
PATIENT
ELECTRODE
THAT
SAFETY:
ACHIEVES
AS
THE PATIENT
CONTACT
POINT(S).
IN
USE
TO
SITE
SKIN
AS
FINGERS
BETWEEN
TO
PROVIDE A DIRECT
SKIN-TO-SKIN
ACCORDING
SHOULD
TABLE
THOSE
THE
CLOSE
AND
THE
PREVENT
BURNS,
TOUCHING
CONTACT
CONTACT,
NOT
BE
FRAME,
IN
WHICH
DESIRED
TO
THE
SURGICAL
GROUNDED
POTENTIAL
DO
ONE
OR
LEG,
WHEN
POINTS
TO
CURRENT
TO
THE
MANUFACTURER
ALLOWED
INSTRUMENT
NONINSULATED
EFFECT.
SITE
AS
OBJECT
IF
POSSIBLE.
CONDUCTION
MORE
OF
POSITIONING
ENSURE
ROUTE
BETWEEN
TO
COME
TABLE,
READ
POSSIBLE,
OF
HF
THE
THE
THAT
CONTACT
'S
INSTRUCTIONS.
INTO
ETC.).
FRAMES
CURRENT
FOLLOWING:
PATIENT.
DOES
THE
SURGICAL
DIRECT
IF
THIS
ARE
TO
THE
NOT
SITE
CONTACT
IS
NOT
USED),
USER.
Caen
00875-002
EEE
i
Page 4
Foreword
General
Warning
POTENTIALLY
INTERMIXED.
GENERATOR
Active
Accessories
Warning
THESE
DEVICES
PROCEDURES.
Do
NOT
WRAP
MAY
INDUCE
THE
ELECTRODE
IS
DEACTIVATED,
WHEN
NOT
NOT
TOUCHING
Electrosurgical
HAZARDOUS
BE
CERTAIN
OUTPUT
USED
CONDITIONS
THAT
AND
and
HAVE
BEEN
SPECIFICALLY
ACCESSORY
CURRENTS
TIP
IN
USE,
THE
THAT
MAY
REMAIN
PLACE
PATIENT.
CORDS
ACCESSORIES
Hazards,
ACCESSORIES
THE
INTENDED
AEM
Monitor
AROUND
COULD
LEAD
HOT
INADVERTENT
continued.
MAY
EXIST
DESIGNED
METAL
TO
ENOUGH
IN A CLEAN,
CONTACT
WHEN
ARE
APPROPRIATE
APPLICATION.
FOR USE
OBJECTS.
SHOCKS,
TO
CAUSE
WITH
ACCESSORIES
IN
WRAPPING
FIRES
BURNS
DRY,
NONCONDUCTIVE
THE
FOR
THE
LAPAROSCOPY.
OR
INJURY.
AFTER
PATIENT
OF
SIMILAR
TYPE
CORDS
THE
MAY
CONNECTOR
OF
ELECTROSURGICAL
Do
NOT
USE FOR
AROUND
ELECTROSURGICAL CURRENT
AND
RESULT
HIGHLY
IN
BURNS.
METAL
TYPES
VISIBLE
ARE
OTHER
OBJECTS
AREA
INADVERTENT
MAY
RESULT
ADEQUATE
LOCALIZED
THROUGH
GENERATED
CLOSE
PROXIMITY
ENSURE
SCOPIC
INSTRUMENTATION
TO
SHOCKS
WHEN
USING
ABDOMINAL
REFER
TO
CANNULA,
CAREFULLY.
ACTIVATION
IN
INJURY
VISUALIZATION.
BURNS
TO
CONDUCTIVE
IN
CONDUCTIVE
TO
THAT
THE
OR
BURNS
LAPAROSCOPIC
WALL
BURNS
THE
GANNULA
TO
AVOID
OR
TO
THE
THE
PATIENT
OBJECTS
THE
CONDUCTIVE
INSULATION
IS
TO
THE
TO
MANUFACTURER'S
DAMAGING
MOVEMENT
PATIENT.
OBJECTS
OF
INTACT.
PATIENT
INSTRUMENTATION
OCCUR
THE
USE
OR
PHYSICIAN
(SUCH
AS
BY
OBJECT.
CONVENTIONAL,
COMPROMISED
OR
IN
THE
ELECTRODE
OF
THE
THESE
CANNULAS
DIRECT
SURGICAL
WITH
EVENT
INSTRUCTIONS
ACTIVATED
INSTRUMENTS
MAY
COME
OR
CONTACT
NONSHIELDED
INSULATION
PERSONNEL.
METAL
OF
DIRECT
OR
INJURING
ELECTRODE
FROM
SCOPES).
WITH
THE
OF
CANNULAS,
ELECTRODE
BEFORE
THE
TIP
ONLY
UNDER
ELECTRICAL
ELECTRICAL
ACTIVE
DISPOSABLE
NONSHIELDED
THE
INSERTING
PATIENT,
OUTSIDE
ACCESSORY
AND
POTENTIAL
TIP
CONTACT
INSERT
THE
CONDITIONS:
CURRENTS
CURRENT
REUSABLE
INSTRUMENTS
THE
ELECTRODE
AND
FIELD
THAT
CARRIED
MAY
CABLE
EXISTS
TO
THE
WITHDRAW
OF
VISION
ASSURE
BE
BEING
LAPARO-
MAY
FOR
CANNULA.
INTO
IN
LEAD
THE
THEM
00875-002
Page 5
Foreword
Active
Accessories
Warn
INSPECT
OF
OBSERVE
PERSONNEL
DAMAGED
RESULT
LIFE
CORDS
INDIGATORS
THIS
PRECAUTION
.
EXTERNAL
IN A RISK
Caution.
READ
THE
INSTRUCTIONS,
ACCESSORIES
Use
THE
FUNCTIONS
WHEN
CURRENT
BEFORE
AEM
MAY
AN
ALERT
IMMEDIATELY.
FOR
BREAKS,
ARE
INSULATION
OF
UNINTENDED
USING.
Monitor
NOT
BE
IS
PRESENTED
and
AEM
CRACKS,
NOT
PRESENT.
MAY
RESULT
ON
PATIENT
WARNINGS,
THEIR
ONLY
IF
THE
OPERATIVE.
BY
THE
FIND
THE
CAUSE
Monitor,
NICKS
IF
ANY
IN
INJURY
continued.
OR
OF
INSTRUMENTS
BURN.
AND
CAUTIONS
SPECIFIC
SELF-TEST
INSTRUCTIONS
AEM
Monitor,
OF
THE
ALERT
OTHER
THESE
OR
AND
DO
NOT
PROVIDED
HAS
DAMAGE
ARE
PRESENT,
ELECTRICAL
INCORRECT
USE
PRODUCT
ARE
BEEN
PROPERLY
DISCONTINUE
AND
CORRECT
BEFORE
SHOCK
SETUP
WITH
NOT
EVERY
DO
NOT
TO
THE
OF
THE
HAVING
THE
AEM
INCLUDED
COMPLETED.
USE
OF
THE
IT
BEFORE
USE.
ENSURE
USE.
FAILURE
PATIENT
AEM
DAMAGED
MONITORING
IN
THIS
TO
OR
OPERATING
MONITOR
INSULATION.
SYSTEM
MANUAL.
OTHERWISE,
ELECTROSURGICAL
CONTINUING
USE.
THAT
AEM
END
MAY
AEM
MONITORING
AND
AN
oeY.
DAMAGED
RETURN
SAFETY,
A
SINGULAR
ENERGY
SECOND
LIMIT
POWER
OCCUR.
Goon
OPERATING
GENERATORS
WILL
NOT
ELECTROSURGICAL
INTERNAL
PAD
ALARMS
DISCONTINUE
AEM
INSTRUMENT
BY
TOUCHING
DEVICE
WILL
SETTING
ROOM
BE
MADE
UNIT
INSULATION
TRIGGERED
USE
OF
AN
AEM
NOT
BE
TO
80
PRACTICE
ONLY
FUNCTION
EQUIPPED
OF
THE
BY
THE
THE
INSTRUMENT
MUST
INSTRUMENT
PROTECTED
WATTS
OR
SUGGESTS
WHILE
THE
WITHOUT
WITH
THE USE
CONTACT
INSTRUMENT,
AEM
MONiToR's
IF
BE
THE
SOLE
TO A SECOND
FROM
CAPACITIVE
LOWER.
GENERATOR
OTHERWISE,
THAT
OF
QUALITY
OR
LOSS
FAULT
THIS
OCCURS.
CONDUCTOR
CONNECTIONS
iS
OFF
OR
DUAL
PAD
PATIENT
MONITORING
OF
SHIELD
INDICATORS.
OF
ENERGY
INSTRUMENT
COUPLING
SPURIOUS
ON
AND
INSULATION
OF
ACCESSORIES
STANDBY.
RETURN
PATIENT
CONTINUITY,
FOR
MAXIMUM
TO
TISSUE.
CONTACTING
TISSUE.
INSULATION
FAILURE
TO
ELECTRODES
SAFETY
MAY
TECHNOL-
CAUSE
ESU
PATIENT
Do
NOT
CONDUCT
THE
FAILURE.
ALARMS
ELEGTROSURGICAL
MAY
00875-002
Page 6
Foreword
Electromagnetic
Use
oF
ACCESSORIES,
OF
TRANSDUCERS
REPLACEMENT
IMMUNITY
AEM
MONITOR
SPECIFIED
TO
VERIFY
FOLLOW
WITHIN
WITH
OTHER
MEDICAL
INSTALLED
ING
DOCUMENTS,
CAL
EQUIPMENT.
Symbol
/N
E)
1
PARTS
OF
THE
HEREIN.
NORMAL
THE
ELECTROSURGERY
THE
OPERATING
ELECTRONIC
ELECTRICAL
AND
PUT
Definitions
Attention:
accompanying
Ground
9
Type
İ
defibrillator
Compatibility
TRANSDUCERS
AND
CABLES
FOR
INTERNAL
EQUIPMENT
SHOULD
IF
ADJACENT
OPERATION
EQUIPMENT
INTO
PORTABLE
NOT
ROOM
EQUIPMENT.
SERVICE
jon:
CF
Eguipment
SOLD
BY
COMPONENTS,
OR
SYSTEM.
BE
USED
OR
STACKED
IN
THE
UNIT
MANUFACTURERS
TO
DIMINISH
NEEDS
ACCORDING
AND
MOBILE
Consult
documents
with
protection
Hazards
AND
CABLES
THE
MANUFACTURER
ADJACENT
USE
CONFIGURATION
OR
ELIMINATE
SPECIAL
TO
RF
COMMUNICATIONS
OTHER
MAY
RESULT
TO
OR
STACKED
IS
NECESSARY,
IN
WHICH
INSTRUCTIONS
RADIO
PRECAUTIONS
THE
EMC
(©
THAN
THOSE
OF
THE
iN
IT
FREQUENCY
REGARDING
INFORMATION
EQUIPMENT
yi
SO
ty
SPECIFIED,
EQUIPMENT
INCREASED
WITH
OTHER
THE
EQUIPMENT
WILL
BE
AS
FAR
PROVIDED
CAN
Power
AEM
Cord
Setup
Return
Electrode
Setup
Fault
WITH
OR
SYSTEM
EMISSIONS
EQUIPMENT
SHOULD
USED.
AS
LOCATING
ELECTRICAL
EMC
AND
IN
AFFECT
Fault
THE
EXCEPTION
AS
OR
DECREASED
EXCEPT
BE
OBSERVED
EQUIPMENT
INTERFERENCE
NEEDS
TO
THE
ACCOMPANY~
MEDICAL
AS
BE
ELECTRI-
vi
=
СЯ
ej
REF
Bipolar
Jumper
Bipolar
Accessory
Remote
Jack
Catalog
Date
of
Consult
Cord
Display
Number
Manufacture
Instructions
for
Use
Vy
Insulation
—\ | Operative
Ready
C
ry)
O
dm
SN
EC
.
|REP
High
OFF
Low
Serial
Authorised
inthe
Fault
Volume
Number
Ri
European
Control
tati
Community
00875-002
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