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ULTRACISION HARMONIC SCALPEL Generator 300
User manual
34 pgs584.66 Kb1

Ethicon Endo-Surgery ULTRACISION HARMONIC SCALPEL Generator 300 User manual

U
LT R A
CISION
®
H
ARMONIC
SCALPEL
®
Generator 300 System User Manual
∂Á¯ÂÈÚ›‰ÈÔ XÚ‹Û˘ ÙÔ˘ ™˘ÛÙ‹Ì·ÙÔ˜ °ÂÓÓ‹ÙÚÈ· 300
Användarhandledning för generator 300-systemet
Instrukcja obs∏ugi systemu generatora 300 Generátor 300 rendszer Használati útmutató UÏivatelská pfiíruãka systému Generator 300 PouÏívateºská príruãka pre systém Generator 300
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Table of Contents
Chapter 1 – General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2 – Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Generator 300 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Hand Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Power Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Controls, Indicators, and Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Unpacking Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Chapter 3 – System Setup and Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
System Startup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
System Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
System Shutdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Chapter 4 – Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Audible Indicators and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Chapter 5 – Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Generator and Cart Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Foot Switch Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Chapter 6 – Safety and Function Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Safety Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Function Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Chapter 7 – Warnings and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
System Warnings and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Instrument Warnings and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Chapter 8 – System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter 9 – Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Chapter 10 – Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
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Please read all information carefully.
Failure to properly follow the instructions may lead to serious surgical consequences.
Important: The ULTRACISION®HARMONIC SCALPEL®Generator 300 System User Manual is designed to provide instructions for use of the ULTRACISION HARMONIC SCALPEL Generator 300, Foot Switch, and Cart (see Chapter 8 – System Specifications - for applicable product codes). This manual is not a reference to surgical techniques.
Note: Refer to package inserts provided separately for information about the Hand Piece, Hand Switching Adaptor, Adaptors, Test Tip and Instruments prior to using the system.
Indications
The ULTRA
CISION HARMONIC SCALPEL System is indicated for soft tissue incisions when bleeding control and
minimal thermal injury are desired. The ULTRACISION HARMONIC SCALPEL
System instruments can be used as
an adjunct to or substitute for electrosurgery, lasers, and steel scalpels.
Contraindications
• The instruments are not indicated for incising bone.
• The instruments are not intended for contraceptive tubal occlusion.
Chapter 1 – General Information
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User Manual
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The U
LTRAC
ISION HARMONIC SCALPEL System utilizes ultrasonic energy to enable hemostatic cutting and/or
coagulation of soft tissue. The system consists of an ultrasonic generator, a foot switch, an optional hand­switching adaptor, a hand piece, and a variety of open and minimally invasive instruments.
Important: The U
LTRACISION HARMONIC SCALPEL Generator 300 System User Manual is designed to provide
instructions for use of the ULTRACISION HARMONIC SCALPEL Generator 300, Foot Switch, and Cart (see Chapter 8 – System Specifications for applicable product codes). This manual is not a reference to surgical techniques.
Note: Refer to package inserts provided separately for information about the Hand Piece, Hand Switching Adaptor, Adaptors, Test Tip and Instruments prior to using the system.
System Components
Generator 300
The generator supplies the hand piece with electrical energy and facilitates selection of power levels, system monitoring, and system diagnostics.
Power is delivered by activating the foot switch or hand switch.
Hand Piece
The hand piece contains an acoustic transducer that converts the electrical energy supplied by the generator to mechanical motion. The transducer is connected to an amplifier which amplifies the motion produced by the transducer and relays it to the instrument.
Instrument
The mechanical motion from the hand piece advances to the instrument, transmitting ultrasonic energy which enables hemostatic cutting and/or coagulation of tissue.
Note: Throughout this manual “instrument(s)” refers to ULTRACISION HARMONIC SCALPEL blades, ball coagulators, or coagulating shears.
Power Levels
The generator delivers two power levels: minimum (MIN) and maximum (MAX). The minimum power level may be adjusted by the user from Level 1 to 5. The maximum power level is always Level 5. With all instruments except the ball coagulator, use a higher generator power level for greater tissue cutting speed and a lower generator power level for greater coagulation. For the ball coagulator, higher generator power levels will provide greater coagulation. The amount of energy delivered to the tissue and resultant tissue effects are a function of many factors including the power level selected, instrument characteristics, grip force (when applicable), tissue tension, tissue type, pathology, and surgical technique.
Note: Refer to the instruments’ package inserts for additional power level information, including recommended starting power levels.
Chapter 2 – Principles of Operation
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Controls, Indicators, and Connections
Fig. 2-1 Front Panel
1 READY When this indicator is green, the system is ready for activation.
2 STANDBY Push this button to toggle between Standby and Ready modes. In Standby mode,
this button, and the STANDBY icon, light up and all power is removed from the hand piece. Both the foot switch and hand switch are disabled. Upon power-up, the system defaults to Standby mode enabled.
3 INCREASE/ Push this button to increase or decrease the minimum (MIN) power
DECREASE POWER setting to the desired level (from 1 to 5). The level chosen will be shown on the LEVEL graphic display. The power level may be adjusted when the generator is in Ready or
Standby mode.
4 POWER This switch controls the main electrical power to the generator.
5 VOLUME Turn this knob to adjust the volume of the activation tones. A tone will sound
indicating the volume level selected.
6 MIN Indicates the user-settable minimum power level setting. When this power level is
activated (by foot switch or hand switch), the “MIN” indicator will flash. The system defaults to “MIN” power level 3. Refer to the instruments’ package inserts for the recommended minimum power level.
7 MAX Indicates the maximum power level setting. This setting is always “5”. When this
power level is activated (by foot switch or hand switch), the “MAX” indicator will flash.
8 ALARM INDICATOR This red indicator appears only if a system alarm occurs in response to a component
or generator problem.
9 HAND PIECE This receptacle is used to connect the hand piece to the generator.
RECEPTACLE
10 HAND ACTIVATION When the indicator is green, hand activation on the hand switching adaptor is
enabled. To disable the Hand Activation mode, depress the button. Upon power-up, the system defaults to Hand Activation mode disabled.
Note: If the foot switch is installed, the foot switch is always enabled.
11 TEST Depressing this button initiates the Test mode. This mode is used during
troubleshooting. The generator will emit a tone when the Test mode is active and “TEST IN PROGRESS” will appear on the display.
12 GRAPHIC DISPLAY In Ready or Standby modes, this display indicates the minimum (user-settable
level 1 to 5) and maximum (level 5) power levels. If a system or component problem exists, error codes will appear on this display.
Fig. 2-2 Back Panel
13 FOOT SWITCH Identical receptacles allow connection of up to two foot switches for
RECEPTACLES user convenience. If only one foot switch is used, connect to either receptacle.
14 POTENTIAL This terminal provides a means for connection to a Potential Equalization
EQUALIZATION Conductor. TERMINAL
15 FUSES See the U
LTRACISION HARMONIC SCALPEL Generator 300 Service Manual for
additional information.
16 POWER CORD This receptacle is used to attach the power cord to the generator. For power cord
RECEPTACLE requirements, see Chapter 8 – System Specifications.
AUDIBLE SIGNALS The generator delivers audible tones to signal activation and alarm states. The user
may choose from three activation tone pitches. See Chapter 3 – System Setup and Operation for tone selection information. Upon power-up, the system defaults to the last tone chosen (the mid-pitch tone is factory-set).
Chapter 2 – Principles of Operation
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Unpacking Instructions
The ULTRACISION HARMONIC SCALPEL Generator 300 System includes several components that are purchased separately. Upon receiving the ordered components, check for visible shipping damage. If damage is seen, contact your Ethicon Endo-Surgery representative.
System components may include the following parts (for product codes, see Chapter 8 – System Specifications):
Generator 300 – includes the generator, power cord, user manual, and service manual.
Note: The User Manual includes a troubleshooting guide (see back pocket of manual binder). Remove the self-adhesive guide’s backing and adhere the guide to the top panel of the generator. Placement guides for the Troubleshooting Guide are found on the generator’s top panel.
Foot Switch – includes the foot switch and detachable cable assembly.
Note: The foot switch is required if the system will be used with coagulating shears or instruments without the hand switching adaptor. Since the generator has receptacles for two foot switches, two foot switches may have been shipped.
Cart – the cart is optional. It is designed to hold one ULTRACISION HARMONIC SCALPEL Generator. The cart requires assembly; instructions are included with the cart.
System Startup
Warning: Products manufactured or distributed by companies other than Ethicon Endo-Surgery, Inc. may not be compatible with the ULTRACISION HARMONIC SCALPEL System. Use of such products may lead to unanticipated results and possible injury to the user or patient.
Caution: The ULTRACISION HARMONIC SCALPEL system includes components that are shipped non-sterile (e.g. hand piece, hand switching adaptor, adaptors, and blade wrench). Sterilize products as required before beginning system setup. Refer to individual package inserts for cleaning and sterilization instructions.
1 Confirm that the generator power switch is off during setup.
2 Secure the generator on its cart or on another suitable fixture. To secure the generator on its
cart, place the generator’s rubber feet into the corresponding holes on the cart. Push down on the generator’s top panel.
Caution: To prevent overheating during use, ensure that the air vents found on the generator’s bottom and back panels are not blocked and that they allow adequate clearance from obstructions to allow air to flow freely through the generator enclosure. Avoid placing the generator on a soft surface. Warning: The ULTRACISION HARMONIC SCALPEL system must be operated within the required ambient operating conditions. Refer to Chapter 8 – System Specifications for requirements. Caution: Do not simultaneously touch the patient and generator.
3 Connect the line cord into the AC inlet located on the generator’s rear panel and into an
appropriately-grounded outlet. If the power cord is wrapped around the cart handle, it must be completely removed from the cart handle prior to plugging it into the power outlet.
Warning: Verify that the outlet voltage correctly corresponds to the generator’s requirements (see Chapter 8 – System Specifications). Connection to an improper power supply may result in damage to the generator and risk of shock or fire hazard.
4a. Attach the foot switch cable to the foot switch:
Note: Although installation of the foot switch is optional when using the hand switching adaptor, installing the foot switch is recommended in case its use is needed during the procedure.
• Confirm that the connector and receptacle are dry and clean.
• Orient the slot on the foot switch cable’s larger connector at 12 o’clock.
• Seat the connector in the foot switch receptacle.
• Turn the connector collar clockwise until tight. Ensure the collar is finger-tight to prevent inadvertent activation because of fluid ingress.
b. Connect the foot switch cable’s smaller connector to the foot switch receptacle on the rear panel of the generator.
• Confirm that the connector and receptacle are dry and clean.
• Align the red dot on the foot switch 4-pin connector with the red dot on the 4-pin receptacle on the generator back panel.
Note: The generator has two identical foot switch receptacles. If one foot switch is used, either receptacle may be used.
Repeat steps 4a and 4b if a second foot switch will be used.
Chapter 3 – System Setup and Operation
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