Olympus ESG-300 Quick Reference Manual

Page 1
ESG-300 and APU-300
Set Screen Monopolar*
Electrosurgical Generator
ESG-300
QUICK REFERENCE GUIDE
for Gastroenterology
Bipolar
Neutral
Argon
Graphical User Interface
Purge button
Argon Plasma Unit “APU-300”
Electrosurgical Generator “ESG-300”
Active mode
Active socket
Contact Quality Monitor
System setup
Open user defined settings
Effect level adjustment
Power adjustment
Procedure name
Setting name
Change output socket
* Please refer to Instruction for Use of ESG-300 for detailed information about Bipolar and Argon Set Screens.
Page 2
ESG-300 Operation Settings
Basic Procedures
Procedure Instrument or technique Mode Power Effect
Snare Polypectomy: Sessile polyp
Close the snare slowly and gently
PulseCut Slow 120 2
Snare Polypectomy: Pedunculated polyp
Close the snare slowly and gently
ForcedCoag 20 4
Endoscopic Mucosal Resection (EMR)
Close the snare slowly and gently
PulseCut Slow 120 2
Hemostasis
Coagrasper SoftCoag 50 3
Sphincterotomy / Pre-Cut
Sphincterotome / Needle Knife
PulseCut Fast 120 2
Procedure Steps Instrument or technique Mode Power Effect
Marking
Knife (apply gentle pressure)
ForcedCoag 20 2
SoftCoag 50 3
Pre-Cut / Incision
Knife
PulseCut Fast 120 2
BlendCut 30 2
Submucosal Dissection
Knife PowerCoag 30 2
Hemostasis
Closed Knife PowerCoag 30 2
Endoscopic Submucosal Dissection (ESD)
Peroral Endoscopic Myotomy (POEM)
Procedure Steps Instrument or technique Mode Power Effect
Incision
Knife PulseCut Fast 120 2
Dissection / Tunneling
Knife SprayCoag 40 2
Myotomy
Knife PulseCut Fast 120 2
Hemostasis
Coagrasper SoftCoag 50 3
The above settings are examples based upon previous general clinical usage of the device. Please note that clinical staff are solely responsible for selection of an appropriate mode and power level, dependent upon the instrument being used and the condition of the tissue being treated. Due to the heterogeneity of instruments and clinical conditions, Olympus cannot accept liability for clinical risks arising from the use of these example settings.
Page 3
Monopolar modes of the ESG-300
Yellow pedal Blue pedal
Pure Cutting
Increasing coagulation effect
Deep Coagulation
Increasing cutting effect
Cutting with coagulation
PureCut
Continuous cutting
PulseCut Slow/Fast
Controlled cutting with
intermittent coagulation of
different duration
BlendCut
Cutting of varying tissue structures
with increased coagulation capacities
PowerCoag
Good compromise
between cutting and
coagulation
ForcedCoag
Superficial pinpoint
coagulation
SprayCoag
High peak voltage for
superficial coagulation
without contact between
the HF instrument and
the tissue
SoftCoag
Deeper coagulation
Versatile coagulation
technology
High Power Cut Support (HPCS) – immediate cutting
Fast Spark Monitor (FSM) – optimised cutting power
Olympus Winter & Ibe GmbH Kuehnstraße 61 22045 Hamburg, Germany www.olympus.eu/ESG-300
W7083334_01
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