AEM Surgical Use User manual

6 Surgical Use

Before Surgery

It is important to mount the AEM Monitor under the electrosurgical generator so the adapter
cable reaches the return electrode connector. The AEM Monitor is supplied with feet
spaced for compatibility with most equipment carts. Recesses are provided in the cover of
the AEM Monitor so most specified electrosurgical generator products may be located
securely upon it.

Warning

FIRE HAZARD. DO NOT USE EXTENSION CORDS.
ELECTRICAL SHOCK HAZARD. CONNECT THE POWER CORD TO A PROPERLY GROUNDED RECEPTACLE.

DO NOT USE POWER PLUG ADAPTERS.
ELECTRICAL SHOCK HAZARD. DO NOT ATTEMPT TO CONNECT OR DISCONNECT ANY CABLE DURING POWER

ACTIVATION.

Surgical Use

Caution

CONNECT THE POWER CORD TO A WALL OUTLET HAVING THE CORRECT VOLTAGE. OTHERWISE PRODUCT

DAMAGE MAY RESULT.

DO NOT USE THE AEM MONITOR UNLESS THE SYSTEM PROPERLY COMPLETES THE AUTOMATIC SELF-

CHECK. OTHERWISE, AEM FUNCTIONS MAY NOT BE OPERATIVE.

1. Connect the AEM Monitor power cord to a wall receptacle with the proper voltage.

2. Turn on the AEM Monitor. The system completes an automatic self-check. All of the
visual indicators illuminate and two beeps are heard. If this is not the case, please
refer to the “Troubleshooting” section.

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Surgical Use

Monopolar Surgery

Active Electrode Monitoring will manage and monitor “stray” monopolar current (insulation
failure and/or capacitive coupling) that emanate either from your laparoscopic instrument
when using an Encision shield or while using a laparoscopic instrument with AEM incorpo­rated into its construction.

Caution

THE ACTIVE ELECTRODE MONITORING SYSTEM TECHNOLOGY IS DESIGNED TO SAFELY DELIVER

ELECTROSURGICAL ENERGY AND TO PREVENT INJURY CAUSED BY INSULATION FAILURE AND CAPACITIVE
COUPLING. THE AEM MONITOR IS NOT INTENDED TO TEST FOR INSULATION DAMAGE ON LAPAROSCOPIC
INSTRUMENTS. DO NOT ATTEMPT TO USE THIS SYSTEM AS AN INSTRUMENT INSPECTION TOOL.

GOOD OPERATING ROOM PRACTICE SUGGESTS THAT CONNECTIONS OF ACCESSORIES TO ELECTROSURGICAL

GENERATORS BE MADE ONLY WHILE GENERATOR IS OFF OR ON STANDBY.

Power On Self Test Function (POST)

POST is activated when the power is switched on after being off for at least 30 seconds. In
POST, each of the monopolar visual indicators illuminates for six seconds and two beeps
are heard.

Setup

1. Connect the AEM Monitor inhibit adapter to the return receptacle on the
electrosurgical generator.

2. Apply the return electrode to the patient, and plug it into the inhibit adapter already
mounted into the electrosurgical unit’s return electrode receptacle.

3. Plug AEM Cord Adapter into footswitch output of ESU.

Caution

AEM WILL NOT FUNCTION WITHOUT THE USE OF A DUAL PAD RETURN ELECTRODE AND AN

ELECTROSURGICAL UNIT EQUIPPED WITH CONTACT QUALITY MONITORING PATIENT SAFETY TECHNOLOGY.

READ AND REVIEW ALL INSTRUCTIONS PROVIDED BY THE MANUFACTURER OF THE DUAL PAD RETURN

ELECTRODE YOU WILL BE USING.

READ AND REVIEW ALL INSTRUCTIONS PROVIDED BY THE MANUFACTURER OF THE AEM ACCESSORIES YOU

WILL BE USING.

ONLY AN AEM INSTRUMENT PROVIDES ACTIVE ELECTRODE MONITORING. OTHER CONDUCTIVE OBJECTS

AT OR NEAR THE SURGICAL SITE ARE NOT PROTECTED. DO NOT TOUCH THOSE OBJECTS WITH THE ACTIVE
INSTRUMENT.

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4. Connect an AEM cord with an AEM instrument to the AEM CORD ADAPTER at the
ESU.

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Surgical Use

Checking the AEM Monitoring System

The following is a quick test of the AEM Monitoring System. A failure of this test should be
resolved before using the system. Please refer to the Troubleshooting Section to establish
the cause of any failure.

5. Verify that the setup fault indicators are off and the READY indicator illuminates on the
AEM Monitor.

6. Turn on the electrosurgical generator and enable its contact quality monitoring
system. It should be in its normal operational state.

7. Disconnect the AEM Cord from the AEM CORD ADAPTER at the ESU. Verify that the
following occurs:

❏ The AEM Monitor AEM CORD indicator illuminates.
❏ The AEM Monitor READY indicator extinguishes.
❏ The contact quality monitoring system on the electrosurgical generator alarms.

8. Reconnect the AEM Cord to the AEM CORD Adapter at the ESU. (Reset CQM
system if necessary.) Verify that the following occurs:

❏ The AEM Monitor AEM CORD indicator extinguishes.
❏ The AEM Monitor READY indicator illuminates.
❏ The contact quality monitoring system on the electrosurgical generator no longer

alarms.

After successful completion of these steps, the system is ready for use. If the system
does not perform as described, do not use until repaired and refer to Section 4, Trouble­shooting.

Bipolar Surgery

Endpoint Monitoring of the bipolar instrument will assist the surgeon in confirming the end
point of bipolar desiccation. This information is displayed on the left front panel of your
AEM Monitor as an illuminated visual graph and a volume controlled audio alarm. If you are
using the Encision Endpoint Monitor Remote Display (EMR), plug it into the receptacle
found on the left rear panel of the AEM Monitor.

Notice

IF YOU ARE USING THE ENCISION ENDPOINT MONITOR REMOTE DISPLAY (EMR), MOUNT THE DISPLAY NEAR

THE TV MONITOR OR AT ANOTHER LOCATION IN THE VIEW OF THE OPERATING ROOM STAFF.

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IF BOTH MONOPOLAR AND BIPOLAR FUNCTIONS ARE BEING USED, THE MONOPOLAR INSTRUMENT MUST REMAIN

CONNECTED TO AVOID SPURIOUS ALARMS.

WHEN USING THE ENCISION ENDPOINT MONITOR REMOTE DISPLAY (EMR), ONLY THE REMOTE

ILLUMINATES DURING BIPOLAR CURRENT FLOW. THE ENDPOINT MONITOR FRONT PANEL ON THE AEM

MONITOR DOES NOT ILLUMINATE.

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