AEM Foreword User manual

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

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.

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.

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

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

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

RETURN

CURRENT

CAUSE

ALL

A

TO

REDUCE

О

Q

u

口

WHILE

WITH

GROUNDED

POSSIBLE USE

EXTREME

QI

Q

Ül

KEEP

ELECTRICAL

THE

POTENTIAL

AVOID

SKIN

TO

PLACE

TWO

OCCUR.

POSITION

AND

IN

USING

THE

RETURN

ADDITION,

ELECTROSURGERY,

METAL

DURING

Use

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

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

Foreword

General

Warning

POTENTIALLY INTERMIXED. GENERATOR

Active

Accessories

Warning

THESE

DEVICES

PROCEDURES.

Do

NOT

WRAP

MAY

INDUCE

THE

ELECTRODE

IS

DEACTIVATED,

WHEN

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

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

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

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

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

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

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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

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THAN

THOSE

OF

THE

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FREQUENCY

REGARDING

INFORMATION

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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

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AS

BE

ELECTRI-

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REF

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Date

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Number

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00875-002