ValleyLab FT-10 User manual

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User’s Guide

ValleylabTM FT10

FT Series Energy Platform

For use with software version 1.1x

Part Number: PT00016328

Preface

This guide and the equipment it describes are for use only by qualified medical professionals trained in the particular technique and surgical procedure to be performed. It is intended as a guide for using the Covidien Valleylab FT10 FT Series Energy Platform only. Additional technical information, such as circuit diagrams, component part lists, descriptions, calibration instructions, component-replacement instructions, and softwareupdate instructions, is available in the Valleylab FT10 FT Series Energy Platform Service Manual.

The latest version of the FT10 service manual is available at www.BioMedConnect.com. Call these numbers to request a hardcopy of the service manual

• USA and Canada: 1-800-255-8522 Option 2

• International: 1-303-476-7996

Equipment covered in this manual

Valleylab FT10 FT Series Energy Platform (VLFT10GEN) with software version 1.1x

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Limited Warranty

Covidien warrants the covered product listed below to be free from defects in material and workmanship for normal use and service for the period(s) set forth below. Covidien’s obligation under this warranty is limited to the repair or replacement, at its sole option, of any product, or part thereof, which has been returned to it (or its authorized distributor) within the applicable time period shown below after delivery of the product to the original purchaser, and which examination discloses, to Covidien’s satisfaction, that the product is defective. This limited warranty does not apply to any product, or part thereof, which has been repaired or altered in a way so as, in Covidien’s judgment, to affect its stability or reliability, or which has been subjected to misuse, neglect, or accident.

The warranty period for this Covidien product is as follows:

Valleylab™ FT10 FT Series Energy Platform One year from date of shipping

Limited Warranty

Notwithstanding any other provision herein or in any other document or communication, Covidien’s liability with respect to this limited warranty and the products sold hereunder shall be limited to the aggregate purchase price for the products sold to the customer. This limited warranty is non-transferable and runs only to the original purchaser of the covered product(s). There are no warranties which extend beyond the terms hereof. Covidien disclaims any liability hereunder or elsewhere in connection with the sale of products and for any form of indirect, tort, or consequential damages.

This limited warranty and the rights and obligations hereunder shall be construed under and governed by the laws of the State of Colorado, USA. The sole forum for resolving disputes arising under or relating in any way to this limited warranty is the District Court of the County of Boulder, State of Colorado, USA.

Covidien reserves the right to make changes in covered products built or sold by it at any time without incurring any obligation to make the same or similar changes to equipment previously built or sold by it.

THE OBLIGATION TO REPAIR OR REPLACE A DEFECTIVE OR NONPERFORMING PRODUCT IS THE SOLE REMEDY OF THE CUSTOMER UNDER THIS LIMITED WARRANTY. EXCEPT AS

EXPRESSLY PROVIDED HEREIN, COVIDIEN DISCLAIMS ALL OTHER WARRANTIES, WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WITH RESPECT TO PRODUCTS, INCLUDING WITHOUT LIMITATION ALL IMPLIED WARRANTIES, WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Valleylab FT10 Energy Platform User’s Guide iii

Software License

Customer hereby acknowledges that Covidien LP and or its affiliates (collectively called “COVIDIEN” herein) owns the entire right, title, and interest in and to the Software, as mat be installed in the Products or Equipment addressed herein or provided separately (“Software”) (including all of the computer code, source and object, comprising the Software and all components and elements thereof), and all associated manuals, drawings, technical information and Documentation (collectively, the “Documentation”), including, without limitation, all patent, copyright, trademark, trade secret and other intellectual property or proprietary rights (“Intellectual Property Rights”) in and to the Software and all components and elements thereof all of which shall remain the sole and exclusive property of Covidien. The amount paid by the Customer for the Products and/or Equipment incorporating the Software includes as a portion of that amount, a license fee granting Customer only the rights set forth in this Software License. This Software License will be superseded by any express Software agreement between Covidien and Customer The use of term “Product” herein includes Products and/or Equipment as applicable.

1. Single User License Grant: COVIDIEN grants to Customer a limited, nonexclusive, non-sublicensable, nontransferable and revocable license to use the Software, exclusively at location identified by Customer on the order form as the ship-to location of the Products, solely in machine-readable object code form, and only on a single central processing unit embedded in the Products as provided by COVIDIEN under this agreement, and solely for the Customer’s internal business purpose in the operation of the Products provided by COVIDIEN under this agreement. Notwithstanding anything to the contrary contained in this Agreement, the Software is licensed to be used on only one computing device or Product, and a valid license must be obtained under this Agreement for each computing device or Product with which the Software is used or in which the Software is embedded.

2. Restrictions on Use: Except to the extent expressly authorized in these Software License Terms or by law, Customer shall not and shall not cause any third part to; (i) decompile, disassemble, or reverse engineer the Software; (ii) modify or create any derivative works (including, without limitation, translations, transformations, adaptations or other recast or altered versions) of or based on the Software, or alter the Software in any way; (iii) merge the Software with any other software or product not supplied by Covidien; (iv) use, copy, sell, sublicense, lease, rent, loan, assign, convey or otherwise transfer the Software except as expressly authorized by this Agreement; (v) distribute, disclose or allow use of the Software, in any format, through any timesharing service, service bureau, network or by any other means, to or by third parties; (vi) remove or modify any copyright, confidential or proprietary markings, legends or restrictions that are in the Software originally supplied to Customer; or (vii) violate any obligations with regard to Covidien’s Confidential Information (as defined below). To the extent that Customer is expressly permitted by applicable mandatory law to undertake any of the activities listed in the preceding sentence, Customer will not exercise those rights unless and until Customer has given Covidien not less than 30 days’ prior written notice of Customer’s intent to exercise any such rights unless an order of a government agency of competent jurisdiction will not so allow. This License will terminate immediately upon notice from Covidien if Customer fails to comply with any provision of this License or any agreement.

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3. Reservation of Rights: Notwithstanding anything to the contrary contained in this Agreement, or any order form, purchase order or agreement between the parties, all rights not expressly granted by Covidien to Customer are reserved to and retained by Covidien and Covidien expressly is not selling, assigning or otherwise transferring to Customer, and Customer is not purchasing or otherwise acquiring or obtaining, any of Covidien’s Intellectual Property Rights or other rights in or to the Software or Documentation.

4. Confidentiality: Customer agrees that the Software and the Documentation, and all components and elements of the Software and Documentation, including, without limitation, the specific design and structure of individual programs, constitutes confidential information and trade secrets of Covidien (the “Confidential Information”). Customer agrees not to disclose, provide, or otherwise make available such Confidential Information, including, without limitation, any trade secrets or copyrighted material, in any form to any third party. Customer agrees that it will make the Software available only to those employees, contractors, or consultants of Customer with a specific need to know, who are obligated to comply with the restrictions contained in these Software License Terms and to maintain secrecy of the Software and all other Confidential Information and are properly trained in its use. Customer is responsible for the compliance of all users of the Software and Products with these obligations and shall cause all users of the Software and Products to comply with these obligations. Customer acknowledges that the Software embodies proprietary trade secrets of Covidien including, without limitation, technical and non-technical information regarding the Software and the development and manufacture of the same. Customer hereby agrees to maintain the confidentiality of such trade secrets using at least as great a degree of care as Customer uses to maintain the confidentiality of its own most confidential information. Customer shall communicate these obligations to those employees and agents of Customer who come into contact with the Software, and shall use its best efforts to ensure their compliance with all confidentiality obligations applicable to Customer.

5. Change Orders: Covidien shall have the right, at any time during the Term, by written request to Customer (an “Update Notice”), to require that Customer return the Products and Software to Covidien for such periods of time as are required by Covidien (“Update Periods”) or to allow Covidien to access the Software at the Customer’s location for the purpose of enabling Covidien to incorporate Software revisions, updates or modifications from time to time. Upon receipt of an Update Notice, Customer shall return the requested Products and Software to Covidien at Covidien’s cost and expense, or work with Covidien to find a suitable time for Covidien to access the Software at the Customer’s location. Customer acknowledges and agrees that during Update Periods, if the Software must be returned to Covidien, the Products and Software will be unavailable to Customer and in Covidien’s possession. Covidien will use reasonable commercial efforts to perform the revisions, updates or modifications and to return the revised, updated or modified Products and Software to Customer as soon as is reasonably practicable.

6. Software License Term: The term of the Software license granted under this Software License shall be for the commercial life of the associated Product or Equipment.

Software License

7. Limited Warranty: Covidien represents and warrants to Customer that the Software will perform substantially as described in Covidien's then current Documentation for such

Valleylab FT10 Energy Platform User’s Guide v

Software License

Software and the remaining warranty, or extended warranty, if any, applicable to the Product or Equipment with which such Software was delivered. If Customer notifies Covidien of defects during the applicable warranty period, and those defects are verified by Covidien, as Customer’s sole and exclusive remedy, Covidien will replace the defective Software or, at its option, terminate this Software License and refund to Customer the amount paid by Customer to Covidien for the Software (if provided separately from a Product) or for the Product in which the defective Software is installed (if embedded within a Product). Customer’s remedy for breach of this limited warranty shall be limited to the foregoing replacement or refund and shall not encompass any other damages. No dealer, distributor, agent or employee of Covidien is authorized to make any modification or addition to the warranty and remedies stated herein.

Notwithstanding these limited warranty provisions, all of Covidien’s obligations with respect to such warranties shall be contingent on Customer’s use of the Software in accordance with this Agreement and in accordance with Covidien’s instructions as provided by Covidien in the Documentation provided by Covidien, as such instructions may be amended, supplemented, or modified by Covidien, in its sole discretion, from time to time. Covidien shall have no warranty obligations with respect to any failures of the Software that are the result of accident, abuse, misapplication, extreme power surge or extreme electromagnetic field, or any other cause outside of Covidien’s control.

This limited warranty does not apply to any damages, malfunctions, or non-conformities caused to or by; (i) Customer’s use of Software in violation of these Software License Terms or in a manner inconsistent with any Documentation or instructions provided by Covidien; (ii) use of non-Covidien furnished equipment, software, or facilities with its equipment or Products; (iii) Customer’s failure to follow Covidien’s installation, operation, repair or maintenance instructions; (iv) Customer’s failure to permit Covidien timely access, remote or otherwise, to Products; (v) failure to implement all features, revisions, modifications, updates, patches, “bug fixes”, or new versions of or to the Software provided by Covidien under this Agreement or otherwise; (vi) Products with there original manufacturer’s serial numbers altered, defaced or deleted; (vii) Products that been altered, serviced or modified by a party other than Covidien; or (viii) Software that has been subjected to abnormal physical or electrical stress, misuse, negligence or accident by Customer or a third party.

8. Export Laws: THESE SOFTWARE TERMS ARE EXPRESSLY MADE SUBJECT TO ANY AND ALL LAWS, REGULATIONS, ORDERS, OR OTHER RESTRICTIONS WITH RESPECT TO THE EXPORT FROM THE UNITED STATES OF AMERICA OF THE SOFTWARE. BUYER SHALL NOT EXPORT OR RE-EXPORT THE SOFTWARE (I) WITHOUT FULL COMPLIANCE WITH SUCH LAWS, REGULATIONS, ORDERS AND OTHER RESTRICTIONS, INCLUDING, WITHOUT LIMITATION, OBTAINING ALL NECESSARY APPROVAL FROM ALL REQUIRED GOVERNMENTAL AGENCIES AND (II) WITHOUT THE PRIOR WRITTEN CONSENT OF COVIDIEN.

9. U.S. Government Rights. The Software is a “commercial item” developed exclusively at private expense, consisting of “commercial computer software” and “commercial computer software Documentation” as such terms are defined or used in the applicable U.S. acquisition regulations. The Software is licensed hereunder (i) only as a commercial item and (ii) with only those rights as are granted to all other customers pursuant to the terms and conditions of this License. Customer shall not use, duplicate, or disclose the Software in any way not specifically permitted by this License. Nothing in this License requires Covidien to produce or furnish technical data for or to Customer.

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10. Survival. Sections 2, 3, 4, 8, 9 and this Section 10 shall survive the termination or expiration of these Software License Terms.

Software License

Valleylab FT10 Energy Platform User’s Guide vii

Contents

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .iii

Software License . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .iv

Chapter 1. Overview and General Features

The Valleylab FT10 Energy Platform. . . . . . . . . . . . . . . . . . . . . . 1-2

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Modes & Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

System Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

The Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

System Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Interface Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Chapter 2. Warnings and Precautions for Patient and Operating Room Safety

Conventions Used in this Guide . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

General Warnings and Precautions. . . . . . . . . . . . . . . . . . . . . . . 2-2

Fire/Explosion Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

System Setup Warnings and Precautions. . . . . . . . . . . . . . 2-3

Warnings and Precautions for the Energy Platform . . . . . 2-6

Warnings and Precautions for Active Instruments . . . . . . 2-7

Warnings for Implanted Electronic Devices (IEDs). . . . . . . 2-8

Post Surgery Safety Issues . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Warnings and Precautions for Monopolar Procedures . . . . . . . 2-9

Warnings and Precautions for Patient Return Electrodes 2-10

Inadvertent Radio Frequency (RF) Burns . . . . . . . . . . . . . 2-11

Warnings and Cautions for Laparoscopic Procedures . . . . . . . 2-12

Warnings and Precautions for Bipolar Procedures . . . . . . . . . 2-13

Warnings and Precautions for LigaSure Procedures . . . . . . . . 2-13

Warnings and Precautions for Bipolar Resection . . . . . . 2-14

Servicing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Shunt Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Conductive Fluid In the Surgical Site . . . . . . . . . . . . . . . . . . . . 2-15

Valleylab FT10 Energy Platform User’s Guide ix

Chapter 3. System Setup

Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Unpacking the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Before Starting the System . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Turning On the VLFT10GEN . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Turning Off the VLFT10GEN (Normal Power-off) . . . . . . . 3-3

System Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Restore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Audio Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Language Selection Menu . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Service and Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

DEMO Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

System Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Service Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Chapter 4. Monopolar

Front Panel Monopolar Features . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Rear Panel Monopolar Features . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Monopolar Quick Setup Instructions . . . . . . . . . . . . . . . . . . . . . 4-4

Monopolar Function Overview . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Monopolar Power Output Modes . . . . . . . . . . . . . . . . . . . 4-5

Foot Pedal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Monopolar Foot-Pedal Activation . . . . . . . . . . . . . . . . . . . 4-6

Return Electrodes – REM Contact Quality Monitoring System . 4-7

Patient Return Electrode Considerations. . . . . . . . . . . . . . 4-7

How the REM System Works. . . . . . . . . . . . . . . . . . . . . . . . 4-7

Patient Return Electrode Setup . . . . . . . . . . . . . . . . . . . . . 4-8

Monopolar Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Standard Monopolar Mode Functionality . . . . . . . . . . . . 4-11

VALLEYLAB Mode Functionality. . . . . . . . . . . . . . . . . . . . 4-12

Using a VALLEYLAB-Mode Instrument. . . . . . . . . . . . . . . 4-14

After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Disconnect the instruments . . . . . . . . . . . . . . . . . . . . . . . 4-15

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Chapter 5. Bipolar

Front Panel Bipolar Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Rear Panel Bipolar Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Bipolar Quick Setup Instructions . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Bipolar Function Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Bipolar Power Output Modes. . . . . . . . . . . . . . . . . . . . . . . 5-4

Bipolar Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Foot Pedal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Virtual Ammeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Setting the Ammeter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Auto Bipolar Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Enable/Disable Auto Bipolar. . . . . . . . . . . . . . . . . . . . . . . . 5-7

Auto Bipolar Activation Impedance. . . . . . . . . . . . . . . . . . 5-7

Setting the Auto Bipolar Activation Delay . . . . . . . . . . . . 5-8

Shutting Down Bipolar Functions . . . . . . . . . . . . . . . . . . . . . . . . 5-9

After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9

Disconnect the instruments . . . . . . . . . . . . . . . . . . . . . . . . 5-9

Chapter 6. LigaSure

Front Panel LigaSure Features. . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Rear Panel LigaSure Features . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

LigaSure Quick Setup Instructions. . . . . . . . . . . . . . . . . . . . . . . . 6-3

LigaSure Function Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

LigaSure Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

LigaSure/Bipolar Receptacle . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Foot Pedal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

LigaSure Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Reusable-Instrument Assembly. . . . . . . . . . . . . . . . . . . . . . 6-6

Connecting LigaSure Instruments to the Energy Platform 6-6

Activating the LigaSure Instrument . . . . . . . . . . . . . . . . . . . . . 6-10

Alert Situations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Disconnect the instruments . . . . . . . . . . . . . . . . . . . . . . . 6-12

Chapter 7. Bipolar Resection

Front Panel Bipolar Resection Features . . . . . . . . . . . . . . . . . . . 7-2

Rear Panel Bipolar Resection Features . . . . . . . . . . . . . . . . . . . . 7-2

Bipolar Resection Function Overview . . . . . . . . . . . . . . . . . . . . . 7-3

LigaSure/Bipolar Receptacle . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Bipolar Resection Default Settings. . . . . . . . . . . . . . . . . . . 7-4

Foot Pedal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

Valleylab FT10 Energy Platform User’s Guide xi

Connecting Bipolar Resection Instruments to the Energy

Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Bipolar Resection Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Changing the Energy-Delivery Setting. . . . . . . . . . . . . . . . 7-7

Activating a Bipolar Resection Instrument . . . . . . . . . . . . . . . . . 7-7

Incorrect Foot-Pedal Error. . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Disconnect the Instruments . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Chapter 8. Troubleshooting

General Troubleshooting Guidelines . . . . . . . . . . . . . . . . . . . . . 8-2

REM Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Correcting a REM-Alarm Condition . . . . . . . . . . . . . . . . . . 8-2

Correcting Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Chapter 9. Maintenance and Repair

Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . 9-2

Routine Maintenance and Periodic Safety Checks. . . . . . . . . . . 9-2

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Product Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Returning the Energy Platform for Service . . . . . . . . . . . . 9-4

Software Updates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5

Updating Energy Platform Software . . . . . . . . . . . . . . . . . 9-5

Service Manual Copies and Updates . . . . . . . . . . . . . . . . . . . . . . 9-6

Covidien Technical Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Training/Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

Chapter 10. Technical Specifications

VLFT10GEN Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Dimensions and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Environmental Parameters . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Input Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Power Cord Specifications. . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Backup Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Equipotential Ground Connection . . . . . . . . . . . . . . . . . . 10-4

EKG Blanking and Smoke Evacuation . . . . . . . . . . . . . . . 10-4

Internal Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Duty Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Leakage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Radio Frequency Identification (RFID) . . . . . . . . . . . . . . . 10-6

xii Valleylab FT10 Energy Platform User’s Guide

Wireless Fidelity (WiFi) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7

Ethernet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Symbols Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9

Standards and IEC Classifications . . . . . . . . . . . . . . . . . . . . . . 10-11

Class I Equipment (IEC 60601-1) . . . . . . . . . . . . . . . . . . . 10-11

Type CF Equipment/Defibrillator Proof (IEC 60601-1, IEC 60601-2-2, and ANSI/AAMI HF18) . . . 10-11

IP21 Liquid Ingress/Spillage

(IEC 60601-1 and IEC 60601-2-2) . . . . . . . . . . . . . . . . . . . 10-12

Voltage Transients – Energy Platform Mains Transfer (IEC 60601-1, IEC 60601-2-2, and ANSI/AAMI HF18) . . . 10-12

CISPR 11 Class A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12

Electromagnetic Compatibility

(IEC 60601-1-2 and IEC 60601-2-2) . . . . . . . . . . . . . . . . . 10-12

Cables Used for EMC Compliance Testing . . . . . . . . . . . 10-18

Return Electrode Monitor (REM) . . . . . . . . . . . . . . . . . . 10-19

Auto Bipolar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-20

Audio Tones. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-21

Energy Output Characteristics. . . . . . . . . . . . . . . . . . . . . . . . . 10-23

Output Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-24

Output Power vs. Resistance Graphs. . . . . . . . . . . . . . . . . . . . 10-25

Monopolar Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-25

Bipolar Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-34

Valleylab FT10 Energy Platform User’s Guide xiii

Chapter 1

Overview and General Features

This chapter provides an overview of the features and functions of the Valleylab FT10 FT Series Energy Platform.

Precaution

Read the instructions, warnings, and precautions provided with this energy platform and associated accessories before using. Specific instructions for electrosurgical instruments are not included in this manual.

Valleylab FT10 Energy Platform User’s Guide 1-1

The Valleylab FT10 Energy Platform

Introduction

The Valleylab FT10 FT Series Energy Platform (VLFT10GEN) provides RF energy for monopolar and bipolar surgical applications, and tissue-fusion and vessel-sealing applications. It features a touchscreen divided into four sections for viewing and user input of settings and options available for any application. The energy platform automatically detects coded handsets and configures the energy platform accordingly. Safety and diagnostic functionality include automatic fail-safe functions.

The VLFT10GEN, applied parts (patient return electrodes and active instruments) are designed to work as a system. Covidien offers a selection of patient return electrodes and active instruments that are fully compatible with this energy platform.

• Refer to each instrument’s instructions for use (IFU) for indications, warnings, and specific contraindications.

• When considering other manufacturers’ patient return electrodes and/or active instruments, customers should seek detailed user instructions and warning information from the manufacturer.

The generator is intended for use in general surgery and such surgical specialties as urologic, vascular, thoracic, plastic, gynecologic, reconstructive, and colorectal surgery.

Indications for Use

The Valleylab FT10 is a high frequency electrosurgical generator intended for use with monopolar and bipolar accessories for cutting and coagulating tissue. When used with compatible sealing devices, it is indicated for sealing vessels up to and including 7 mm, tissue bundles, and lymphatics.

The generator can also be used with compatible resectoscopes for endoscopically controlled removal or coagulation of tissue using 0.9% NaCl solution as the irrigation medium.

The tissue fusion function has not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures. Do not use this function for these procedures.

Contraindications

None known.

1-2 Valleylab FT10 Energy Platform User’s Guide

Front Panel

The Valleylab FT10 Energy Platform

Overview and General Features

FT10

཰ On/Off button

ཱ Restore Settings button

ི Audio Volume control button

ཱི Service/Settings button

ུ REM (Return Electrode Monitoring) indicator

ཱུ Interface touchscreen

ྲྀ REM patient return electrode receptacle

ཷ LigaSure™/Bipolar receptacle

ླྀ Monopolar 2 instrument receptacle

ཹ Monopolar 1 Universal Foot Pedal Port (UFP) receptacle

ེ Bipolar instrument receptacle

Valleylab FT10 Energy Platform User’s Guide 1-3

The Valleylab FT10 Energy Platform

Rear Panel

Monopolar 2 Monopolar 1

Bipolar

Warning: Risk of Fire.

Replace Fuse as Marked 250V, F10.0A (100-127Vac) 250V, F6.3A (220-240Vac)

Monopolar1Monopolar

Avertissement: Risque du feu.

Remplacez les fusibles

comme marqués. 250V, F10.0A (100-127Vac) 250V, F6.3A (220-240Vac)

཰ Monopolar 2 foot-pedal receptacle (requires included adapter to connect standard

four-pin monopolar foot pedal)

ཱ Monopolar 1 foot-pedal receptacle

ི LigaSure/Bipolar foot-pedal receptacle (requires included adapter to connect Bipolar

Resection foot pedal)

ཱི Bipolar foot-pedal receptacle

ུ Fuse drawer

ཱུ Power cord receptacle

ྲྀ Equipotential grounding lug

ཷ WiFi antenna (Covered. For service only.)

ླྀ Ethernet receptacle (Covered. For service only.)

ཹ Interlink cable receptacles for EKG blanking and smoke-evacuation control

1-4 Valleylab FT10 Energy Platform User’s Guide

The Valleylab FT10 Energy Platform

Modes & Settings

The VLFT10GEN provides the following modes and settings for a variety of surgical procedures:

Monopolar modes Power-Setting Ranges Peak Voltage

 CUT

- PURE Off, 1–300 W 1287 V

- BLEND Off, 1–200 W 2178 V

 VALLEYLAB 5–85 W 2783 V

 COAG

Overview and General Features

- SOFT Off, 1–120 W 264 V

- FULGURATE Off, 1–120 W 3449 V

- SPRAY Off, 1–120 W 3933 V

Bipolar effects

 LOW Off, 1–15 W 133 V

 MEDIUM 16–40 W 214 V

 HIGH 45–95 W 462 V

LigaSure (tissue fusion) No power settings 244 V

Bipolar Resection effect

 CUT 1–6 742 V

 COAG 1–6 318 V

Valleylab FT10 Energy Platform User’s Guide 1-5

The Valleylab FT10 Energy Platform

Monopolar Modes

The system produces six modes of monopolar power output.

Precaution

To provide expected functionality from a hand piece, proper insertion is required. Refer to the alignment dots below the receptacles for proper insertion orientation.

CUT Modes

PURE CUT provides a clean, precise cut in any tissue with little or no hemostasis.

BLEND CUT is a conventional blended waveform that provides slower cutting with

simultaneous hemostasis.

VALLEYLAB Mode

VALLEYLAB mode is a unique combination of hemostasis and dissection that allows the user to slow down for more hemostasis and speed up for faster dissection. Thermal spread is equal to or less than CUT or BLEND modes.

COAG Modes

SOFT desiccates tissue at a relatively slower rate with deeper thermal penetration. It is

typically performed with a ball electrode.

FULGURATE coagulates tissue by sparking from the active electrode, through air, to the patient tissue.

SPRAY delivers wider fulguration; penetration is shallower and the affected tissue area is larger than with the FULGURATE mode.

Compatible Monopolar Instruments & Devices

The following Covidien catalog numbers for monopolar surgical instruments, return electrodes, foot pedals, and adapters are fully compatible with the VLFT10GEN.

UFP-Receptacle Adapter (connect only to Monopolar 1)

E05021 Monopolar Adapter

E050212 Monopolar Adapter

Instruments (connect only to Monopolar 2 receptacle)

FT3000DB Force TriVerse™ Electrosurgical Device

FT3000 Force TriVerse Electrosurgical Device

1-6 Valleylab FT10 Energy Platform User’s Guide

The Valleylab FT10 Energy Platform

Instruments (connect to either Monopolar 1 or Monopolar 2)

This generator is designed for use with Covidien monopolar instruments. However, monopolar instruments are compatible with the VLFT10GEN if they have a connector that matches the following figure and are rated for peak voltages of at least 3933 V.

Monopolar

Overview and General Features

Utilizes 4 mm banana pins

Return Electrodes (Monitoring)

E0560 Valleylab REM™ Patient Return Electrode Cord

E7507 REM Polyhesive™ Adult Patient Return Electrode

E7507DB REM Polyhesive Adult Patient Return Electrode

E7508 REM Polyhesive Adult Cordless Patient Return Electrode

E7509 REM Polyhesive Adult Cordless Patient Return Electrode

E7509B REM Polyhesive Adult Cordless Patient Return Electrode

E7510-25 REM Polyhesive Infant Patient Return Electrode

E7510-25DB REM Polyhesive Infant Patient Return Electrode

E7512 REM Polyhesive Neonatal Patient Return Electrode

Return Electrodes (Non-Monitoring, for use in DEMO mode only. Not for clinical use.)

E7506 Non-REM Polyhesive Patient Return Electrode

REM Connector

E0507B Valleylab Multiple Return/S Cord Adapter

Valleylab FT10 Energy Platform User’s Guide 1-7

The Valleylab FT10 Energy Platform

Foot Pedals

FT6003 ForceTriad Three-Pedal Footswitch (Monopolar 2 only)

E6008 Valleylab Monopolar Footswitch (Monopolar 1, Monopolar 2 with adapter)

E6008B Valleylab Monopolar Footswitch (Monopolar 1, Monopolar 2 with adapter)

1017577 6-Pin to 4-Pin Monopolar Footswitch Adapter (Monopolar 2 only)

Bipolar Effects

Selection of Bipolar effects and power settings is dependent on surgeon preferences, tissue characteristics, accessories selection, and the intended clinical application.

LOW effect is for power selections of 1–15 watts. It delivers low-voltage output for precision and fine control of the amount of desiccation typically used with small-surface area instruments.

MEDIUM effect is for power selections of 16–40 watts. It is a conventional bipolar output typically used with medium surface-area electrodes.

HIGH effect is for power selections 45–95 watts. Power remains constant over a wide range of tissue types and may be used for large electrodes.

Effect Setting

LOW 1—15 watts • Small surface-area instruments

MEDIUM 16—40 watts • Medium surface-area instruments

HIGH 45—95 watts

Power Setting Range

(5 watt increments)

Optimized Instrumentation

• Micro-tip forceps (0.4—2.2 mm)

• Micro-tip forceps (1.0—2.2 mm)

• Small paddle lap forceps

• Bipolar scissors

• Large surface-area instruments

• Large paddle lap forceps

Auto Bipolar

The Auto Bipolar feature senses tissue impedance between the two bipolar electrodes, then uses the impedance information to automatically start or stop bipolar RF energy delivery. Optionally, the user may select a timed activation delay for auto start and RF activation.

Note: When using Auto Bipolar, the tissue in the grasp of the bipolar device must have an impedance less than 2200 Ω. The activation impedance safety feature will not deliver RF power to the tissue if it is not within the specified range. This is a factory-set value that cannot be reset by the user.

1-8 Valleylab FT10 Energy Platform User’s Guide

The Valleylab FT10 Energy Platform

Precaution

Do not use the FT0501 ForceTriad Bipolar Adapter with Auto Bipolar on the VLFT10GEN.

Compatible Bipolar Instruments & Devices

The VLFT10GEN is designed for use with Covidien bipolar instruments. However, other bipolar instruments are compatible with the FT10 if their connectors match the following illustration and are rated for peak voltages of at least 531 V.

Bipolar

Overview and General Features

Utilizes 4 mm banana pins

Bipolar with Switching

A. Utilizes 4 mm banana pins B. Utilizes 2 mm banana pins

Valleylab FT10 Energy Platform User’s Guide 1-9

The Valleylab FT10 Energy Platform

The following Covidien catalog numbers for bipolar foot pedals are fully compatible with the VLFT10GEN.

Foot Pedals

E6009 Valleylab Bipolar Standard Footswitch

E6009B Valleylab Bipolar Standard Footswitch

E6019 Valleylab Bipolar Dome Footswitch

Bipolar Resection

Bipolar Resection configures the LigaSure/Bipolar receptacle to use bipolar-resection resectoscopes.

Accessories

FT0021S ForceTriad Bipolar Resection Cord

FT0022W ForceTriad Bipolar Resection Cord

FT6009 ForceTriad FT Series Bipolar Resection Footswitch (with adapter)

1060355 Valleylab TR Bipolar Resection Footswitch Adapter

Effect-Settings Reference Chart

Effect Setting Initiation Current

Setting (amps)

1 1.8 80 25

2 1.8 120 50

3 2.1 120 75

4 2.4 120 100

5 2.4 160 125

6 2.4 200 150

CUT (watts) COAG (volts)

LigaSure

LigaSure tissue fusion can be used on arteries, veins, pulmonary vasculature, and lymphatics—up to and including 7 mm in diameter—and tissue bundles. When used with compatible instruments, the system provides precise energy delivery and electrode pressure to vessels for a controlled time period to achieve a complete and permanent fusion of the vessel lumen. The system has been designed to produce minimal sticking, charring, and thermal spread to adjacent tissue.

1-10 Valleylab FT10 Energy Platform User’s Guide

The Valleylab FT10 Energy Platform

Warning

The tissue fusion function has not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures. Do not use this function for these procedures.

LigaSure Instruments

The LigaSure instruments that complete the VLFT10GEN tissue-fusion system include reusable and single-use instruments for open and laparoscopic procedures. Each reusable instrument requires a corresponding single-use electrode. The LigaSure function is only available when using compatible instruments.

Compatible LigaSure Instruments & Devices

This generator is designed for use with Covidien LigaSure instruments that have a connector that matches the following figures and are rated for peak voltages of at least 244 V. However, it does not recognize all LigaSure instruments. Please refer to the cover of the instructions for use to confirm if a specific LigaSure catalog number is compatible with the VLFT10GEN.

Overview and General Features

LigaSure

Utilizes 4 mm banana pins

Valleylab FT10 Energy Platform User’s Guide 1-11

The Valleylab FT10 Energy Platform

LigaSure with Switching

A. Utilizes 4 mm banana pins B. Utilizes 2 mm banana pins

The following LigaSure foot pedal is fully compatible with the VLFT10GEN.

Foot Pedal

LS0300 Tissue Fusion Footswitch, Purple

Connection to External Systems

The VLFT10GEN can be connected to an external system. For example, connections can be made to enable smoke evacuation or EKG blanking during monopolar activation, or provide argon-enhanced coagulation. There are two external system receptacles on the back of the VLFT10GEN that can signal RF activation–one that is associated with the Monopolar 1 receptacle (labeled Monopolar 1) and one with the Monopolar 2 receptacle (labeled Monopolar 2). Refer to the external system user’s guide for detailed instructions regarding how to connect it to the generator.

External Systems Compatible with the FT10 Energy Platform

SEA3730 RapidVac™ Smoke Evacuator Interlink Cable

SE3690 RapidVac Smoke Evacuator

Force™ Argon II-20 Argon Gas Delivery Unit II

Warning

The use of any external system connected to the VLFT10GEN should be evaluated by qualified personnel.

1-12 Valleylab FT10 Energy Platform User’s Guide

System Conventions

The Touchscreen

The VLFT10GEN features a user-friendly touchscreen interface to control system functions. The touchscreen is divided into quadrants; each of the four sections is associated with an adjacent instrument receptacle.

• Quadrant 1—Settings entered in the touchscreen control an instrument attached to the Monopolar 1 receptacle.

• Quadrant 2—Settings entered in the touchscreen control an instrument attached to the Monopolar 2 receptacle.

• Quadrant 3—Settings entered in the touchscreen control an instrument attached to the Bipolar receptacle.

• Quadrant 4—The touchscreen displays instrument-specific options and activation of LigaSure and Bipolar Resection devices.

System Conventions

Overview and General Features

1 2

FT10

Valleylab FT10 Energy Platform User’s Guide 1-13

System Conventions

Generator States

The appearance of touchscreen components indicates one of the three states of the system.

Edit

When the system is powered on and no instrument is attached, the instrument controls in the monopolar and bipolar sections can be preset. The following illustration shows monopolar controls edited prior to inserting an instrument.

Inserted

The controls change from the edit stage’s flat gray to a brightly illuminated color when an instrument is inserted into the associated receptacle. The following illustration shows the monopolar controls when a two-button pencil is inserted.

1-14 Valleylab FT10 Energy Platform User’s Guide

Activation

The black background illuminates brightly when the instrument is activated. The following illustration shows the two-button pencil is currently delivering energy for PURE CUT. The mode controls are locked during activation preventing any change in the mode. Power settings can be changed during activation.

System Conventions

Overview and General Features

System Buttons

There are four buttons on the energy platform’s front panel:

Turns system power on and off. To turn power on, hold

On/Off

Restore Settings

Audio Volume Displays the volume pop-up menu to adjust sound levels.

Service/Settings Displays the service/settings menu.

the button for 0.25 seconds To turn off, hold the button for 1 second. To reset a non-responsive system, hold for 10 seconds.

Restores settings from the last time the system was powered down using the On/Off button.

Valleylab FT10 Energy Platform User’s Guide 1-15

System Conventions

Interface Conventions

Interface Element Name Description

Pop-up window/ menu

Up/Down arrows Up and down arrows indicate additional

Software Buttons Options and confirmations are represented by

Pop-up windows and menus appear on screen when user input is needed or requested. Popups close if the user touches anywhere outside of the pop-up window.

values or selections are available for the current setting.

For numeric values, press the up or down arrow to increase or decrease the displayed value. When the value is at its maximum or minimum available setting, the appropriate arrow button becomes inactive.

Menu selections (such as the up arrow on PURE) presents other available settings.

virtual buttons on the touchscreen. Touch onscreen buttons to select preference.

Toggle Switches Touch the virtual toggle switches to enable

(ON) or disable (OFF) options or functions.

1-16 Valleylab FT10 Energy Platform User’s Guide

Chapter 2

Warnings and Precautions for Patient and Operating Room Safety

The safe and effective use of electrosurgery depends to a large degree upon factors solely under the control of the operator. There is no substitute for a properly trained and vigilant surgical team. It is important that the operating instructions supplied with this or any electrosurgical equipment be read, understood, and followed.

Electrosurgery has been used safely in millions of procedures. Before starting any surgical procedure, the surgeon should be trained in the particular technique and surgical procedure to be performed, should be familiar with the medical literature related to the procedure and potential complications, and should be familiar with the risks versus the benefits of utilizing electrosurgery in the procedure.

Conventions Used in this Guide

Warning

Indicates a hazardous situation which, if not avoided, could result in death or serious injury.

Precaution

Indicates a hazardous situation which, if not avoided, may result in minor or moderate injury.

Notice

Indicates a hazard which may result in product damage.

Important

Indicates an operating tip or maintenance suggestion.

Valleylab FT10 Energy Platform User’s Guide 2-1

General Warnings and Precautions

Fire/Explosion Hazards

Warning

Danger - Explosion Hazard Do not use electrosurgery in the presence of flammable anesthetics

or oxidizing gases (such as nitrous oxide (N solvents (such as ether or alcohol).

Fire Hazard Do not place active instruments near or in contact with flammable materials (such as gauze or surgical drapes). Electrosurgical instruments that are activated or hot from use can cause a fire. When not in use, place electrosurgical instruments in a safety holster or safely away from patients, the surgical team, and flammable materials.

Sparking and heating associated with electrosurgery can be an ignition source. Keep gauze and sponges wet. Keep electrosurgical electrodes away from flammable materials and oxygen (O enriched environments.

O and oxygen) or in close proximity of to volatile

)

Use of electrosurgery in O to reduce the O

If possible, stop supplemental oxygen at least one minute before and during use of electrosurgery.

The use of non-flammable agents is recommended for cleaning and disinfecting wherever possible. If flammable agents are used, do not activate the energy platform until flammable vapors from skin-preparation solutions and tinctures have dissipated.

There is a risk of pooling of flammable solutions under the patient or in body depressions, such as the umbilicus, and in body cavities, such as the vagina. Any fluid pooled in these areas should removed before activating the energy platform.

Avoid the accumulation of naturally occurring flammable gases that may accumulate in body cavities such as the bowel.

Prevent the accumulation of flammable or oxidizing gases or vapors under surgical drapes or near the surgical site.

Tissue buildup (eschar) on the tip of an active electrode may create embers that pose a fire hazard, especially in oxygen-enriched environments. Keep the electrode clean and free of all debris.

Facial and other body hair is flammable. Water soluble surgical lubricating jelly may be used to cover hair close to the surgical site to decrease flammability.

Verify that all anesthesia circuit connections are leak free before and during use of electrosurgery.

Fire Hazard During Oropharyngeal Surgery

Verify endotracheal tubes are leak free and that the cuff seals properly to prevent oxygen leaks.

concentration at the surgical site.

rich environments increases the risk of fire. Therefore, take measures

If an uncuffed tube is in use, pack the throat with wet sponges around the uncuffed tube, and be sure to keep sponges wet throughout the procedure.

Question the need for 100% O

If necessary, scavenge excess O

Do not attempt to recharge the generator’s lithium battery. This can cause the battery to explode.

during oropharyngeal or head and neck surgery.

with separate suction.

2-2 Valleylab FT10 Energy Platform User’s Guide

General Warnings and Precautions

System Setup Warnings and Precautions

Warning

Electric Shock Hazard Connect the system power cord to a properly grounded power receptacle.

Do not use power plug adapters.

Electric Shock Hazard When taking measurements or troubleshooting the system, take appropriate precautions, such as using isolated tools and equipment, using the “one hand rule,” etc.

Electric Shock Hazard Do not touch any exposed wiring or conductive surfaces while the system is disassembled and energized. Never wear a grounding strap when working on an energized system.

Warnings and Precautions for

Patient and Operating Room

Electric Shock Hazard To allow stored energy to dissipate after power is disconnected, wait at least 5 minutes before replacing parts.

Position the generator where it can be easily unplugged in an emergency.

Fire Hazard Do not plug into a power strip or extension cord.

Patient Safety Use the energy platform only if the power-on self-test has been completed as

described in this manual, otherwise inaccurate power outputs may result.

Hazardous Electrical Output This equipment is for use only by trained, licensed physicians. Do not use electrosurgical equipment unless properly trained to use it in the specific procedure being undertaken. Use of this equipment without such training can result in serious, unintended patient injury, including bowel perforation and unintended, irreversible tissue necrosis.

Do not touch the patient while touching a connector or fuse contact at the same time. Simultaneous contact can cause electric shock or burns.

Do not wrap the instrument cords or patient-return-electrode cords around metal objects. This may induce currents (capacitive coupling) that could lead to shocks, fires, or injury to the patient or surgical team.

Electric Shock Hazard Do not connect wet instruments to the energy platform. Ensure that all instruments and adapters are correctly connected and that no metal is exposed at any connection points.

Confirm proper power settings before proceeding with surgery. If the proper power settings are not known, set the power to a low setting and cautiously increase the power until the desired effect is achieved. If increased power settings are requested, check the patient return electrode and all instrument connections before major power-setting adjustments.

Safety

Contact between the active electrode and any metal will greatly increase current flow and can result in unintended surgical effect.

Valleylab FT10 Energy Platform User’s Guide 2-3

General Warnings and Precautions

Warning

While using electrosurgery, the user and patient should not be allowed to come into direct contact with grounded metal objects (e.g., surgical-table frame, instrument table, etc.). If this is not possible during certain procedures (e.g., those in which noninsulated head frames are used), use extreme caution to maximize patient safety:

• Use the lowest power setting that achieves the desired effect.

• Place the patient return electrode as close to the surgical site as possible.

• Place dry gauze between the patient and the grounded object if possible.

• Continually monitor the contact point(s).

• Do not use metal needle monitoring electrodes.

Precaution

Read the instructions, warnings, and precautions provided with electrosurgical instruments before using. Specific instructions for electrosurgical instruments are not included in this manual.

Always use the lowest power setting that achieves the desired surgical effect. The active electrode should be utilized only for the minimum time necessary in order to lessen the possibility of unintended burn injury. Accidental and unintended burn injury has occurred during procedures in small surgical fields and on small appendages. Pediatric applications and/or procedures performed on small anatomic structures may require reduced power settings. The higher the current flow and the longer the current is applied, the greater the possibility of unintended thermal damage to tissue, especially during use on small structures.

For surgical procedures where the current could flow through delicate parts of the body, the use of bipolar techniques may be desirable in order to avoid unwanted coagulation.

Connect only Covidien-approved devices. Using devices from other manufacturers may cause equipment malfunction or patient injury.

Examine all instruments and connections to the system before using. Improper connection may result in arcs, sparks, instrument malfunction, or unintended surgical effects.

Do not operate the generator for clinical use while cables are connected to the utility WiFi receptacle or Ethernet receptacles on the back of the generator. This may cause a system error that would halt the procedure and require restarting the generator.

Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical team when the energy platform is delivering RF energy.

When using a smoke evacuator in conjunction with the VLFT10GEN, set the system volume control at a level that ensures the activation tones can be heard.

A non-functioning VLFT10GEN may cause an interruption of surgery. A backup system should be available for use.

2-4 Valleylab FT10 Energy Platform User’s Guide

General Warnings and Precautions

Precaution

Inadvertent activation may occur while installing, removing, or bending electrodes. Ensure that the instrument cord is not connected to the VLFT10GEN or that the system is off.

Leads connected to the patient should be positioned in such a way that contact with the patient or other leads is avoided because the capacitance between the electrode cable and the patient may result in some local high current densities.

Studies have shown that smoke generated during electrosurgical procedures can be potentially harmful to patients and the surgical team. These studies recommend adequately ventilating the smoke by using a surgical-smoke evacuator or other means.

1. U.S. Department of Health and Human Services. National Institute for Occupational Safety and

Health (NIOSH). Control of Smoke from Laser/Electric Surgical Procedures. HAZARD CONTROLS, Publication No. 96-128, September, 1996

Notice

Connect the power cord to a properly grounded power receptacle having the correct voltage. Otherwise, product damage may result.

Warnings and Precautions for

Patient and Operating Room

Safety

The VLFT10GEN requires special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Valleylab FT10 Energy Platform Service Manual.

Portable and mobile RF communications equipment can affect the VLFT10GEN. Refer to the EMC information provided in the Valleylab FT10 Energy Platform Service Manual.

The system should not be used adjacent to or stacked with equipment other than specified in the Valleylab FT10 Energy Platform User Guide and Service Manual. If adjacent or stacked use is necessary, the system should be observed to verify normal operation in the configuration in which it will be used.

The system intentionally applies RF energy for diagnosis or treatment during activation. Observe other electronic medical equipment in the vicinity during the system activation for any possible adverse electromagnetic effects. Ensure adequate separation of electronic medical equipment based on observed reactions.

The use of accessories, other than specified in the Valleylab FT10 Energy Platform User Guide and Service Manual, may result in increased emissions or decreased immunity of the system.

Calibration must be performed on a non-conductive surface. Do not use antistatic bench-top mats. When performed on a conductive surface, calibration values may not be accurate.

After completing calibration, the system will reboot to the clinical screen to save the values or abort the calibration.

Important

The VLFT10GEN is intended for use in a hospital environment.

Valleylab FT10 Energy Platform User’s Guide 2-5

General Warnings and Precautions

Important

If required by local codes, connect the energy platform to the hospital potential equalization system with an equipotential cable.

The operator of the generator may be as far away from the generator as 2 feet (direct product interaction), 5 feet (inside the sterile field), and 13 feet (across the room working with other equipment).

RFID and WiFi function may be interfered with by other equipment even if that other equipment complies with CISPR emission requirements.

Log files are maintained when the system is powered down. The time when the system was powered down or experiences a total loss of power is also logged.

When log files reach capacity, the earliest log is deleted to make room for the newest log.

Warnings and Precautions for the Energy Platform

Warning

Each instrument receptacle on this energy platform is designed to accept only one instrument at a time. Follow the instructions provided with electrosurgical instruments for proper connection and use.

Failure of the generator could result in an unintended increase of output power or activation.

The use of any external system connected to the VLFT10GEN should be evaluated by qualified personnel.

Precaution

Do not stack equipment on top of the energy platform or place the energy platform on top of electrical equipment. This is an unstable configuration and does not allow for adequate cooling.

Provide at least 4” to 6“ (10 to 15 cm) of unobstructed space round the top and sides of the generator to ensure proper cooling.

Provide as much distance as possible between the energy platform and other electronic equipment (such as monitors). Do not cross or bundle cords from electronic devices. This energy platform may cause interference with other electronic equipment.

The use of monitoring systems that incorporate high-frequency current-limiting devices is recommended to reduce interference with the monitoring device.

The system contains electrostatic-sensitive components. When repairing the system, work at a static-control workstation. Wear a grounding strap when handling electrostatic-sensitive components, except when working on an energized system. Handle Printed Circuit Board Assemblies (PCBA) by their non-conductive edges. Use an antistatic container for transport of electrostatic-sensitive components and PCBAs.

2-6 Valleylab FT10 Energy Platform User’s Guide

General Warnings and Precautions

Notice

Make no modifications to the energy platform. Any modifications to the system will void the warranty.

When testing RF equipment, follow these test procedures. Keep test leads to the minimum length usable; lead inductance and stray capacitance can adversely affect readings. Carefully select suitable ground points to avoid ground loop error in measurements.

The accuracy of most RF instruments is approximately 1%–5% of full scale. Using uncompensated scope probes causes large errors when measuring high-voltage RF waveforms.

Warnings and Precautions for Active Instruments

Warnings and Precautions for

Patient and Operating Room

Warning

Energy applied to an electrosurgical instrument can convert liquids to steam. The thermal energy of steam may cause unintended injury in close proximity to the tip of the instrument. Care should be taken in surgical procedures occurring in confined spaces in anticipation of this possibility.

Do not activate the energy platform in an open-circuit condition. To reduce the chances of unintended burns, activate the energy platform only when the active electrode is near or touching the target tissue.

Use the lowest power setting that achieves the desired surgical effect and use a low-voltage waveform (PURE CUT, BLEND, or Valleylab mode) to lessen the potential for the creation of capacitive currents.

If energy delivery from the generator cannot be stopped, disconnect the handpiece or power cord.

Do not activate the instrument when not in contact with target tissue as this may cause injuries due to capacitive coupling.

The surface of the active electrode may remain hot enough to cause burns after the RF current is deactivated.

Keep the active electrodes clear. Build-up of eschar may reduce the instrument's effectiveness. Do not activate the instrument while cleaning. Injury to operating room personnel may result.

Precaution

Read the instructions, warnings, and precautions provided with electrosurgical instruments before using. Specific instructions for electrosurgical instruments are not included in this manual.

Safety

Inspect instruments and cords—especially for laparoscopic/endoscopic instruments—for breaks, cracks, nicks, and other damage before every use. If damaged, do not use. Damaged instruments or cords may result in injury or electrical shock to the patient or surgical team.

Valleylab FT10 Energy Platform User’s Guide 2-7

General Warnings and Precautions

Precaution

Use only instruments that can withstand the maximum output (peak) voltage for each output mode as listed in Chapter 10, Technical Specifications. Using an instrument with a voltage rating that is lower than the maximum output voltage may result in injury to the patient or the operator, or damage to the instrument.

Information on voltage ratings for non-Covidien instruments should be obtained from the instrument’s manufacturer.

Notice

All Covidien instruments have voltage ratings that are greater than the maximum output voltages in the VLFT10GEN and are thus fully compatible.

Inspect instrument plugs for wear before every use. Worn plugs may result in a loose or stuck connection to the generator.

Warnings for Implanted Electronic Devices (IEDs)

IEDs include, but are not limited to, pacemakers, neurostimulators, implantable cardioverter defibrillators (ICDs), ventricular assist devices (VAD), spinal cord stimulators, cochlear implants, infusion pumps, and bone growth stimulators.

Warning

Use the system with caution in the presence of internal or external pacemakers or other implanted devices. Interference produced by electrosurgical equipment can cause a pacemaker or other device to enter an unsafe mode or permanently damage the device. Consult the device manufacturer or responsible hospital department for further information when use is planned in patients with implanted medical devices.

Post Surgery Safety Issues

Warning

Shock Hazard Before cleaning or servicing the unit, disconnect the power plug from the power

outlet in order to completely isolate the generator from mains power.

Notice

Do not clean the energy platform with abrasive cleaning or disinfectant compounds, solvents, or other materials that could scratch the panels or damage the energy platform.

2-8 Valleylab FT10 Energy Platform User’s Guide

Warnings and Precautions for Monopolar Procedures

Warning

Simultaneously activating suction/irrigation and electrosurgical current may result in increased arcing at the electrode tip, burns to unintended tissues, or shocks and burns to the surgical team.

Power output of a two- or three-button pencil (CUT and COAG selections) can change during use when another foot pedal is pressed.

Some surgeons may elect to “buzz the hemostat” during surgical procedures. It is not recommended, and the hazards of such a practice probably cannot be eliminated. Burns to the surgeon’s hands are possible. To minimize the risk take these precautions:

• Do not buzz the hemostat with a needle electrode.

• Do not lean on the patient, the table, or the retractors while buzzing the hemostat.

Warnings and Precautions for

Patient and Operating Room

Safety

• Activate CUT rather than COAG. CUT has a lower voltage than COAG.

• Firmly grasp as much of the hemostat as possible before activating the energy platform. This disperses the current over a larger area and minimizes the current concentration at the finger tips.

• Buzz the hemostat below hand level (as close as possible to the patient) to reduce the opportunity for current to follow alternate paths through the surgeon’s hands.

• Use the lowest power setting possible for the minimum time necessary to achieve hemostasis.

• Activate the energy platform after the instrument makes contact with the hemostat. Do not arc to the hemostat.

• When using a coated- or nonstick-blade electrode, place the edge of the electrode against the hemostat or other metal instrument.

DEMO mode delivers monopolar energy without the use of a patient return electrode, and is intended for demonstration purposes only. Chance of burns to the patient significantly increase when DEMO mode is used for clinical procedures.

Precaution

To provide expected functionality from a hand piece, proper insertion is required. Refer to the orientation drawing near the receptacles for proper insertion orientation.

Valleylab FT10 Energy Platform User’s Guide 2-9

Warnings and Precautions for Monopolar Procedures

Warnings and Precautions for Patient Return Electrodes

Warning

It is not possible to foresee what combination of current and duty cycle may be safely used in every situation—for example, when higher currents and/or longer duty cycles are used on procedures such as tissue lesioning, tissue ablation, tissue vaporization; and procedures where conductive fluid is introduced into the surgical site. Under these conditions a greater risk may exist that the heating under a fully applied return electrode may be high enough to injure the patient.

When using a Covidien energy platform or a patient return electrode during these types of surgical procedures, the user should seek written guidance in the form of detailed user instructions from the manufacturer of the active accessory regarding the currents and duty cycles that can be expected. In some instances, the application of additional patient return electrodes may help mitigate the increased risk.

Do not attempt to use patient return electrodes that disable the Return Electrode Monitoring (REM) system. The VLFT10GEN REM system will function correctly only with contact quality monitoring (CQM) split-style patient return electrodes. Other patient-return-electrode products may cause patient injury or product damage.

The safe use of monopolar electrosurgery requires proper placement of the patient return electrode. To avoid electrosurgical burns beneath the patient return electrode, follow all directions provided with the product.

Do not cut a patient return electrode to reduce its size. Patient burns due to high current density may result.

To avoid patient burns, ensure that the patient return electrode makes firm and complete contact with the skin. Always check the patient return electrode periodically, after the patient is repositioned, and during procedures involving long periods of activation.

Use of duty cycles greater than 25% (10 seconds active followed by 30 seconds inactive) will increase the risk that heat build-up under a return electrode may be high enough to injure the patient. Do not continuously activate for longer than one minute.

Apparent low-power output at the normal operating settings may indicate faulty application of the return electrode. Verify the return electrode is correctly placed and attached to the patient as described in the electrode’s instructions for use. Verify the connection between the electrode and the generator.

Use of a non-REM return electrode while in DEMO mode does not monitor the quality of pad contact with the patient. No warning will be issued from the generator when a non-REM return electrode’s pad-to-patient contact degrades when in DEMO mode.

Precaution

Covidien REM Polyhesive patient return electrodes are recommended for use with the FT10. Return electrodes from other manufacturers may not provide proper impedance to work correctly with the energy platform.

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Warnings and Precautions for Monopolar Procedures

Important

A statement of compatibility from the CQM patient return electrode manufacturer should be obtained prior to the use of a non-Covidien CQM patient return electrode.

A patient return electrode is not necessary in bipolar or LigaSure procedures.

Inadvertent Radio Frequency (RF) Burns

Warning

Electrodes and probes used with monitoring, stimulation, and imaging devices (or similar equipment) can provide a path for high frequency current even if the electrodes or probes are isolated at 50 –60 Hz, insulated, and/or battery operated.

Do not use needles as monitoring electrodes during electrosurgical procedures. Inadvertent electrosurgical burns may result.

Warnings and Precautions for

Patient and Operating Room

Safety

To reduce the risk of an inadvertent electrosurgical burn at the monitoring electrode or probe site, place the electrode and/or probe as far away as possible from the electrosurgical site and/or patient return electrode. Protective impedances (resistors or RF inductors) installed in the monitoring leads may reduce the risk of such burns. Consult the hospital biomedical engineer for further information.

In some circumstances, the potential exists for alternate site burns at points of skin contact (e.g., between the arm and the side of the body). This occurs when electrosurgical current seeks a path to the patient return electrode that includes the skin-to-skin contact point. Current passing through small skin-to-skin contact points is concentrated and may cause a burn. This is true for ground referenced and isolated output electrosurgical energy systems.

To reduce the potential for alternate site burns, do one or more of the following:

• Avoid skin-to-skin contact points, such as fingers touching leg or knee touching knee when positioning the patient.

• Place insulation, such as dry gauze or towel, between contact points to ensure that contact does not occur.

• Position the patient return electrode to provide a direct current route between the surgical site and the return electrode which avoids skin-to-skin contact areas.

• In addition, place patient return electrodes according to the manufacturer’s instructions.

Valleylab FT10 Energy Platform User’s Guide 2-11

Warnings and Cautions for Laparoscopic Procedures

Warning

For laparoscopic procedures, be alert to these potential hazards:

• Laparoscopic surgery may result in gas embolism due to insufflation of gas in the abdomen.

• The electrode tip or LigaSure jaws may remain hot enough to cause burns after the electrosurgical current is deactivated.

• Inadvertent activation or movement of the activated instrument electrode or jaws outside of the field of vision may result in injury to the patient.

• Localized burns to the patient or physician may result from electrical currents carried through conductive objects (such as other instrument, cannulas, or scopes). Electrical current may be generated in conductive objects through direct contact with the active electrode or jaws, capacitative coupling, or by the active instrument (electrode or cable) being in close proximity to the conductive object. Localized burns to the patient or physician may occur.

• Do not use hybrid trocars that have a non-conductive locking anchor placed over a conductive sleeve. For the operative channel, use all-metal or all-plastic systems. At no time should electrical energy pass through hybrid systems. Capacitive coupling of RF current may cause unintended burns.

• When using laparoscopic instrumentation with metal cannulas, the potential exists for burns to the abdominal wall due to direct electrode contact or capacitive coupling of RF current. This is most likely to occur in instances where the energy platform is activated for extended periods at high power levels inducing high current levels in the cannula.

• Carefully insert and withdraw LigaSure instruments from cannulas to avoid possible damage to the devices and/or injury to the patient.

• Ensure that the insulation of single-use and reusable laparoscopic instrumentation is intact and uncompromised. Compromised insulation may lead to inadvertent metal-to-metal sparking and neuromuscular stimulation and/or inadvertent sparking to adjacent tissue.

• Do not activate the LigaSure function in an open-circuit condition. Activate the energy platform only when the instrument is near or in direct contact with the target tissue to reduce the possibility of unintended burns.

Covidien recommends against the use of laparoscopic surgery on pregnant patients.

2-12 Valleylab FT10 Energy Platform User’s Guide

Warnings and Precautions for Bipolar Procedures

Warning

Use of different Covidien cord models or cords from other manufacturers may not achieve proper electrical output for this device, thereby failing to produce the desired clinical effect. For example, Auto Bipolar activation/deactivation settings may not work properly using cords other than those specified by Covidien.

In the Auto Bipolar setting, activation may occur with contact of any material. When not in use, place electrosurgical instruments in a safety holster or safely away from patients, the surgical team, and flammable materials

Precaution

Bipolar instruments must be connected to the bipolar instrument receptacle only. Improper connection may result in inadvertent system activation.

Do not use the FT0501 ForceTriad™ Bipolar Adapter with Auto Bipolar on the VLFT10GEN.

Bipolar forceps should not be set down while Autobipolar is active. Contact with any material may cause activation. Turn off Autobipolar before releasing an instrument.

Warnings and Precautions for LigaSure Procedures

Warning

LigaSure instruments are intended for use only with compatible Covidien generators and energy platforms. See the front cover of the instrument’s instructions for a list of compatible generators. Use of these instruments with other generators may not result in electrical output that they were designed for, and may not result in the desired clinical effect.

The tissue fusion function has not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures. Do not use this function for these procedures.

Warnings and Precautions for

Patient and Operating Room

Safety

Tissue fusion requires the application of RF energy and pressure from the instrument. Ensure grasping pressure is maintained until the seal cycle is complete.Tissue to be sealed must be firmly grasped between the instrument jaw electrodes. Tissue in the jaw hinge or outside the instrument jaw may not be sealed even if thermal blanching occurs.

If the seal-cycle-complete tone has not sounded, an optimal seal may not have been achieved. Reactivate the RF energy until a seal-cycle-complete tone is heard.

Do not activate the energy platform in LigaSure until the tissue-fusion instrument has been applied with the proper pressure. Do not release the pressure on the tissue until the end tone has sounded. Activating the energy platform under these conditions may result in an improper seal and may increase thermal spread to tissue outside the surgical site.

Valleylab FT10 Energy Platform User’s Guide 2-13

Servicing

Warning

Fluid in the body cavity should be kept to a minimum during treatment. Conductive fluids (e.g., blood or saline) in direct contact with, or in close proximity to, the instrument may carry electrical current or heat, which may cause unintended burns to the patient. Aspirate fluid from around the instrument jaws before activating the instrument.

Do not attempt to seal or cut over clips or staples as incomplete seals may be formed.

Precaution

Energy-based devices, such as electrosurgical pencils or ultrasonic scalpels, that are associated with thermal spread should not be used to transect seals.

Warnings and Precautions for Bipolar Resection

Warning

Bipolar Resection mode is intended to be used only with compatible resectoscopes for endoscopically controlled removal (resection) or coagulation of tissue using 0.9% NaCI solution (saline) as the irrigation medium

Precaution

Bipolar Resection mode is supported only if a Covidien-specified Bipolar Resection instrument is connected to the LigaSure/Bipolar receptacle with a Covidien Bipolar Resection cord. In addition, Bipolar Resection mode can be activated only with the Covidien Bipolar Resection foot pedal connected to the LigaSure/Bipolar foot-pedal receptacle. See the cords IFU listed in Accessories on page 1-10 for the list of supported Bipolar Resection instruments and cords.

Servicing

Warning

Electric Shock Hazard Do not remove the energy platform cover. Contact qualified personnel for

service.

Do not dispose of electrical appliances as unsorted municipal waste. Use separate collection facilities.

Electrical appliances that are incorrectly disposed in dumps or landfills can leach dangerous substances causing contamination of soil and groundwater, and damaging the environment.

Contact your local government, or point of sale for information regarding the collection of waste electrical appliances

2-14 Valleylab FT10 Energy Platform User’s Guide

Notice

Refer to this system’s service manual for maintenance recommendations, and function and outputpower verification procedures.

Do not spray cleaning fluids directly on the generator as damage to the generator may occur.

The latest version of the Valleylab FT10 Energy Platform Service Manual is available at www.BioMedConnect.com. Call these numbers to request a hardcopy of the service manual

• USA and Canada: 1-800-255-8522 Option 2

• International: 1-303-476-7996

Shunt Cords

Patient and Operating Room

Safety

Warnings and Precautions for

Warning

Some surgical instruments (e.g., colonoscopes) may allow substantial leakage current that could burn the surgeon. If the instrument manufacturer recommends the use of a shunt cord (s-cord) to direct the current back to the energy platform, an E0507-B adaptor must also be used. To avoid a REM alarm, a REM Polyhesive patient return electrode with the E0507-B adaptor must be used.

Conductive Fluid In the Surgical Site

Warning

When this energy platform is used in monopolar procedures where conductive fluid (including, but not limited to saline or lactated Ringer’s) is introduced into the surgical site for distention or to conduct RF current, higher than normal currents (greater than one amp) may be produced. In this situation, use one or more adult-size return electrode. Do not use return electrodes labeled for children, infants, babies, neonatal use, or pediatric use.

Valleylab FT10 Energy Platform User’s Guide 2-15

Chapter 3

System Setup

This chapter describes how to set up the energy platform, turn it on, and configure system settings.

Precaution

Valleylab FT10 Energy Platform User’s Guide 3-1

Setup

Unpacking the System

Carefully unpack the contents of the shipping container. The container contains the following items:

• Valleylab FT10 FT Series Energy Platform

• Power cord

• First-time setup guide

• Quick reference card

• User’s guide

• DVD with user’s guide translations and service manual

• Ethernet cable

• Monopolar foot-pedal adapter

• Bipolar Resection foot-pedal adapter

Before Starting the System

Important

The VLFT10GEN is intended for use in a hospital environment.

The operator of the generator may be as far away from the generator as 2 ft. (60 cm) [direct product interaction], 5 ft. (1.5 m) [inside the sterile field], and 13 ft. (4 m) [across the room working with other equipment].

1. Verify the system is off and the power cord is unplugged.

2. Place the energy platform on a flat, stable surface such as a table, platform, boom system, or Valleylab Universal Generator Cart (VLFTCRT). Refer to the procedures for the local institution or local codes.

3. If necessary, connect the equipotential grounding lug to a ground source.

4. Plug the system power cord into the rear panel receptacle.

5. Plug the system power cord into a grounded power receptacle. The On/Off button illuminates yellow.

Precaution

Do not plug the system power cord into a power strip or extension cord.

3-2 Valleylab FT10 Energy Platform User’s Guide

Turning On the VLFT10GEN

1. Turn on the system by depressing the On/Off button on the front panel. Observe the following during the power-on self-test (POST):

• The Covidien logo appears on screen.

• A status bar indicates authentication activity.

• The system revision code appears.

• A tone sounds upon completion of the power-on self-test (POST).

• The REM (Return Electrode Monitoring) indicator appears on the touchscreen: red

if a REM-alarm condition exists; green if no REM-alarm condition.

• If the system does not pass the power-on self-test and an error code is displayed,

refer to Correcting a REM-Alarm Condition on page 8-2.

2. If the self-test is not successful, an alarm tone sounds. An error screen appears on the touchscreen. Note the information on the display and refer to Chapter 8,

Troubleshooting

Setup

Warning

Patient Safety Use the energy platform only if the power-on self-test has been completed as

described in this manual, otherwise inaccurate power outputs may result.

3. Required for initial start up—The generator must be set up using the Valleylab Exchange Remote Software System. For instructions, refer to the First-Time Setup Guide and the Valleylab Exchange Remote Software System User’s Guide.

These documents are available online at

www.covidien.com/valleylabexchange.

Turning Off the VLFT10GEN (Normal Power-off)

1. Turn off the system by depressing the On/Off button (illuminated green) on the front panel for at least 1 second. Observe the following during the power-off:

• The system exits the screen.

• The screen displays the power-down sequence.

• Once the power-down is complete, the screen turns off and the On/Off button

illuminates yellow.

• Power-down is complete.

2. If the system was powered up but non-responsive, press and hold the On/Off button for at least 10 seconds and observe the following:

System Setup

• The screen turns off and the On/Off button illuminates yellow.

• Power-down is complete.

Valleylab FT10 Energy Platform User’s Guide 3-3

System Functions

The VLFT10GEN system functions are accessed from buttons on the front panel: On/Off, Restore, Audio Volume, and Service and Settings.

On/Off

When the system is plugged into a power source, the On/Off button appears yellow. Turn on power to the energy platform by pressing and holding the On/Off button for 0.25 seconds. After a successful power-on self-test, the On/Off button illuminates green. A tone sounds to signal a successful system power up.

Press and hold the button for 1 second to turn power off. The button illuminates yellow when the system is powered down. If a system is non-responsive, holding the button for 10 seconds will power down the system.

Restore

Select the restore button on the front panel to reset the system to the settings in use when the system was last powered down using the On/Off button. Accepting the prompt in the dialog box will reset all quadrants to their last setting. All modes and values are reset with the exception of volume and Auto Bipolar setting.

Touch OK and the touchscreen will display the last settings entered into each of the quadrants prior to shutting off the system.

3-4 Valleylab FT10 Energy Platform User’s Guide

Audio Volume

The VLFT10GEN has five levels of audio volume. Press the audio-volume button on the front panel to view the volume-select menu.

System Functions

The factory setting is as shown with the volume set at it’s highest level. Adjust the volume using the + or - buttons. Dismiss the dialog box by touching the screen outside of the volume menu.

Language Selection Menu

The Language Selection menu presents 25 buttons; each labeled with a language available for all software screens and options in the software interface. To change the language, select the button labeled with the desired language. The software interface changes the non-service windows to the selected language after the language button is selected. Some service screens are not translated.

System Setup

Valleylab FT10 Energy Platform User’s Guide 3-5

Service and Settings

The Service and Settings menu is accessed by pressing the gears button on the front panel.

The Service and Settings menu displays the generator serial number, IP address (if connected to the network), software version number, and contact information for the Covidien Service Center.

It provides available options for

• Viewing logs

– Events Log

– Error Log

– Error Histogram

• Enabling DEMO Mode

• Selecting system settings

– System Config

– Diagnostics

– Network

– Time Zone

– Calibration Info

• Accessing system service functions

– Qualified service personnel can access service functions from a password-protected

menu. Refer to the Valleylab FT10 Energy Platform Service Manual for service instructions.

• Selecting a language

3-6 Valleylab FT10 Energy Platform User’s Guide

Logs

The LOGS button displays the LOGS menu with three options.

1. Touch the LOGS button to view the Logs menu:

• EVENTS—A detailed display of all user actions and generator events on the

VLFT10GEN

• ERROR—A display of all recorded system errors with details

• ERROR HISTOGRAM—A summary of how often an error has occurred

2. Touch entries to view available details:

• EVENTS—Touch an event entry to view details. Touch BACK to return to the

EVENTS screen.

• ERROR LOG—Touch an error to view its details in the Error Details dialog box. Touch

the SHOW EVENTS button to view related events in the Events log entries. Touch

BACK to return to the Error Log screen.

Service and Settings

• ERROR HISTROGRAM—Entries in the Error Histogram dialog box are not linked to

other logs.

Important

Log files are maintained when the system is powered down. The time when the system was powered down or experiences a total loss of power is also logged.

When log files reach capacity, the earliest log is deleted to make room for the newest log.

System Setup

Valleylab FT10 Energy Platform User’s Guide 3-7

Service and Settings

DEMO Mode

DEMO mode is used for demonstration of the generator and accessories only. DEMO mode enables monopolar activation through an attached instrument without the use of a REM patient return electrode. When the monopolar surgery is performed clinically, the required return electrode provides a safe path for the current introduced to the patient’s body.

Warning

The use of a non-REM return electrode while in DEMO mode will prevent the generator from warning the user if the return electrode is peeling.

Enable DEMO Mode

1. Touch DEMO MODE in the Service and Settings screen.

2. Click the Enable DEMO MODE button to place the monopolar quadrant in DEMO mode. A reminder is posted: “NOT FOR CLINICAL USE.”

3. Touch the screen anywhere outside the EXIT DEMO MODE BUTTON to temporarily remove the message, allowing full access to the controls.

4. Proceed with any practice or demonstration scenarios. While in DEMO mode, the REM alarm is deactivated, but RF power is still delivered.

Note: The energy platform does not sense instrument type while in DEMO mode. The appropriate mode setting must be selected manually for the connected instrument.

3-8 Valleylab FT10 Energy Platform User’s Guide

Warning

Use of a non-REM return electrode while in DEMO mode does not monitor the quality of pad contact with the patient. Therefore, no warning will be issued from the generator when pad-topatient contact degrades.

5. Touch EXIT DEMO to close DEMO mode and return to the functional monopolar screen. This will enable REM.

System Menu

The System button accesses settings for

• System Config

• Diagnostics

• Network

Service and Settings

• Time Zone

• Calibration Info

System Configuration

System Configuration displays the hardware, software, and firmware components of the VLFT10GEN. This information is for reference only. No changes to the configuration can be performed from this screen.

Diagnostics

• Instrument Bar Code Reader—Insert a Covidien device with a scannable bar code. When the SCAN button is touched, the bar-code reader displays the current view from the reader’s camera to verify it is working properly.

• Self Test—Runs the same system test as the power-on self-test when the system is turned on. Current power and mode settings in each quadrant will be lost as the system is reset to run the power-on self-test. These settings can be retrieved by pressing the Restore Settings button on the front panel. If the self-test is successful, a tone sounds.

System Setup

Valleylab FT10 Energy Platform User’s Guide 3-9

Service and Settings

Network

The Network button allows the technician to select a network connection to the Valleylab Exchange server for service operations. There are 4 ways to connect to the IT network:

• Wired Point-to-Point

• Wired Automatic

• Wired Manual

• Wireless

Wired Point-to-Point

This selection allows the generator to communicate directly with another computer through an Ethernet cable that is connected from the generator to the computer.

Wired Automatic

This selection allows the generator to communicate on the IT network through an Ethernet cable that is connected from the generator to a router or the facility’s DHCP server. The generator is automatically assigned an IP address by the facility’s DHCP server.

Wired Manual

This selection allows the generator to communicate on the IT network through an Ethernet cable that is connected from the generator to a router or the facility’s DHCP server. The technician can manually set a static IP address, network mask, and default gateway address.

Wireless

This selection allows a wireless connection from the generator to a router or to a DHCP server via a WiFi access point broadcasting a non-hidden SSID. The technician selects which SSID to connect to and enters a WPA2 password to enable the connection. The generator is automatically assigned an IP address by the facility’s DHCP server.

Time Zone

Select a region from the drop-down menu to set the time zone used by the system clock. The time and date are originally set during the initial connection to Valleylab Exchange (see page 3-3).

Calibration Info

Calibration Info displays all of the energy calibration values stored in the VLFT10GEN. This information is for reference only. No changes to the calibration values can be performed from this screen.

3-10 Valleylab FT10 Energy Platform User’s Guide

Service Menu

Items in the Covidien Service menu are specifically for qualified service personnel and are password protected. The password is 423213. The Service Menu button accesses settings for

• RF Output Test

• Touchscreen Calibration

• Energy Calibration

• Country Setup

• RFID Antenna Control

RF Output Test

Service and Settings

The RF Output Test Screen is used to test the RF output of the generator. It allows a technician to output RF in a specified mode, to a specified energy channel, at a specified power level. While RF is output, the RF Output Test Screen displays the internal sensor readings of average power, RMS voltage, RMS current, impedance magnitude, impedance phase angle, REM impedance magnitude, and REM impedance phase angle.

Touchscreen Calibration

The Touchscreen Calibration screen allows the technician to calibrate the touchscreen. See the Valleylab FT10 Energy Platform Service Manual for more information.

Energy Calibration

The Energy Calibration screen allows the technician to calibrate the RF output. See the Valleylab FT10 Energy Platform Service Manual for more information.

Country Setup

The Country Setup screen allows the technician to identify in which country the generator is set up to operate. If this is the first time using the generator, the country code needs to be selected before the LigaSure/Bipolar energy channel will function. See the First Time Setup Guide for instructions on how to set the country code.

RFID Antenna Control

System Setup

The RFID Antenna Control screen allows the technician to manually initiate an RFID scan of an instrument connected to the LigaSure receptacle.

Valleylab FT10 Energy Platform User’s Guide 3-11

Chapter 4

Monopolar

This chapter describes the Monopolar function of the VLFT10GEN.

Precaution

Valleylab FT10 Energy Platform User’s Guide 4-1

Front Panel Monopolar Features

FT10

཰ Monopolar 1 Universal Foot Pedal Port (UFP) receptacle

ཱ Monopolar 1 touchscreen quadrant

ི Monopolar 2 touchscreen quadrant

ཱི Monopolar 2 instrument receptacle

ུ REM Patient return electrode receptacle

ཱུ Return electrode monitoring (REM) indicator

4-2 Valleylab FT10 Energy Platform User’s Guide

Rear Panel Monopolar Features

Monopolar1Monopolar

Monopolar 2 Monopolar 1

Bipolar

Warning: Risk of Fire.

Replace Fuse as Marked 250V, F10.0A (100-127Vac) 250V, F6.3A (220-240Vac)

Avertissement: Risque du feu.

Remplacez les fusibles

comme marqués. 250V, F10.0A (100-127Vac) 250V, F6.3A (220-240Vac)

཰ Monopolar 2 foot-pedal receptacle (requires adapter to connect standard four-pin

monopolar foot pedal)

ཱ Monopolar 1 foot-pedal receptacle

ི Interlink cable receptacle for EKG smoke-evacuation control devices

ཱི Power cord receptacle

Valleylab FT10 Energy Platform User’s Guide 4-3

Monopolar

Monopolar Quick Setup Instructions

If familiar with the VLFT10GEN, follow this abbreviated procedure to set up the system for monopolar surgery.

If more detailed instructions are required, refer to the following sections in this chapter for detailed instructions.

1. Plug the system power cord into the rear panel receptacle.

2. Plug the system power cord into a grounded power outlet.

Important

Do not plug the system power cord into a power strip or extension cord.

3. Turn on the energy platform and verify that the power-on self-test is successfully completed.

4. If using a foot pedal, connect it to a monopolar foot-pedal receptacle on the rear panel. The Monopolar 2 receptacle requires an adapter to connect a standard 4-pin monopolar foot pedal.

Warning

Use only Covidien foot pedals. Use of other manufacturer’s foot pedals is not recommended; unexpected output may occur.

5. Apply the patient return electrode to the patient and connect it to the patient return electrode receptacle on the generator’s front panel.

6. Connect the instrument to the appropriate instrument receptacle on the front panel. Align the connector pins with the dots below each Monopolar receptacle to ensure full functionality of the instrument. Inserting an instrument into the Monopolar 1 receptacle will require additional force.

7. Verify or change the mode and power settings in the corresponding quadrant of the touchscreen.

4-4 Valleylab FT10 Energy Platform User’s Guide

Monopolar Function Overview

Monopolar Power Output Modes

The monopolar energy channels can be configured to these modes: PURE CUT, BLEND, VALLEYLAB, SOFT, FULGURATE, and SPRAY.

Warning

Electric Shock Hazard

• Do not connect wet instruments to the system.

• Ensure that all instruments and adapters are correctly connected and that no metal is exposed at any connection point.

Connect instruments to the proper receptacle. Improper connection may result in inadvertent instrument activation or other potentially hazardous conditions. Follow the instructions provided with electrosurgical instruments for proper connection and use.

Precaution

Read the instructions, warnings, and precautions provided with electrosurgical instruments before use. Specific instructions are not included in this manual.

Important

Avoid switching rapidly between CUT and COAG with the monopolar handpiece controls as this may cause the generator to temporarily ignore the handpiece control. Release the handpiece control momentarily and then press it again to rectify this situation.

Foot Pedal

Monopolar foot pedals connect to the rear panel and correspond to either the Monopolar 1 or Monopolar 2 receptacles on the front panel.

Monopolar

Standard foot-pedal devices attached to the Monopolar 1 Universal Foot Pedal Port receptacle on the front panel can be controlled with a Covidien foot pedal attached to the Monopolar 1 foot-pedal receptacle on the back panel.

Valleylab FT10 Energy Platform User’s Guide 4-5

Foot Pedal

Precaution

Connect only Covidien foot pedals. Using foot pedals from other manufacturers may cause equipment malfunction or patient injury. See the list of compatible Covidien foot pedals on page 1-

Monopolar Foot-Pedal Activation

All devices attached to the Monopolar 1 or Monopolar 2 receptacle—whether handswitching or foot-pedal-activated accessories—can be controlled with a foot pedal.

Standard monopolar foot pedals can be set up using compatible accessories:

• Pedal-activated instrument

• Two- or three-pedal foot pedal

• Foot-pedal adapter 1017577 for Monopolar 2 (shown below)

Setup:

1. Plug the two-pedal foot-pedal connector into the Monopolar 1 foot-pedal receptacle on the rear panel.

2. Plug a two-button pencil into the Monopolar 1 receptacle, or plug a pedal-activated instrument cord into the Universal Foot Pedal Port (UFP) portion of the Monopolar 1 receptacle (identified by a blue ring). A UFP adapter is required for UFP-instrument connectors that have a plug diameter less than 4 mm.

3. Attach a FT6003 three-pedal foot pedal or standard foot pedal with 6-pin-to-4-pin adapter 1017577 to the Monopolar 2 foot-pedal receptacle on the back panel.

Important

CUT and COAG foot-pedal activation is also available at this point for Force TriVerse™ instruments controlled by a two-pedal foot pedal.

4. Plug the two-button pencil or a Force TriVerse instrument into the Monopolar 2 receptacle.

5. Select settings for the procedure.

6. Step on the appropriate pedal to deliver monopolar power.

4-6 Valleylab FT10 Energy Platform User’s Guide

Return Electrodes – REM Contact Quality Monitoring System

Notice

Only contact-quality-monitoring-system patient return electrodes can be used with the VLFT10GEN.

Patient Return Electrode Considerations

Warning

During monopolar electrosurgery, a patient return electrode is always required to safely recover the current that flows through the patient’s body and return it to the energy platform. A reduction in surface area contact or poor conductivity between the patient and the return electrode can cause the current to become concentrated, potentially resulting in burns at the return-electrode site.

During a surgical procedure, the amount of current delivered in a given time determines the amount of heating that occurs under the return electrode. REM Polyhesive patient return electrodes are designed for use during conventional electrosurgical procedures and duty cycles (on time compared to off time). Users should consult Chapter 10, Technical Specifications for the recommended maximum duty cycle specifications.

How the REM System Works

The VLFT10GEN uses the REM contact-quality monitoring system to monitor the quality of electrical contact between the patient return electrode and the patient. The REM system is designed to reduce the risk of burns at the return electrode site. A non-REM return electrode is not to be used with the VLFT10GEN.

Monopolar

The REM system continuously measures the resistance at the return electrode site and compares it to a standard range of safe resistance (between 5 Ω and 135 Ω), thus eliminating intermittent false alarms that could result from small changes in resistance.

The REM system also adapts to individual patients by measuring the initial contact resistance between the patient and the patient return electrode and lowering the baseline resistance if the contact resistance drops.

Valleylab FT10 Energy Platform User’s Guide 4-7

Return Electrodes – REM Contact Quality Monitoring System

A REM alarm sounds and the system stops producing output power when either of the following occurs:

• The measured resistance is below 5 Ω or above 135 Ω, the limits of the standard range of safe resistance.

• An increase in contact resistance is greater than 40% from the baseline measurement.

Patient Return Electrode Setup

The REM icon appears on the main screen each time the FT10 system is started. When the power-on self-test is complete, the icon remains if a REM return electrode is not connected to the energy platform or incorrectly attached to a patient. The icon is removed when the return

electrode is correctly attached to the system and patient.

཰ REM icon

ཱ REM LED indicator

A REM indicator, located below the touchscreen also displays the status of the return electrode by illuminating red when not connected or improperly applied to the patient.

The REM indicator illuminates green when the system senses that the patient return electrode is properly connected to the energy platform and patient.

Warning

4-8 Valleylab FT10 Energy Platform User’s Guide

Return Electrodes – REM Contact Quality Monitoring System

Warning

Do not cut a patient return electrode to reduce its size. Patient burns due to high-current density may result.

1. Select a well vascularized, convex area in close proximity to the surgical site for electrode application. Avoid scar tissue, bony prominences, excessive adipose tissue, and areas where fluid may pool.

2. The patient return electrode site should be free of excessive hair. Remove hair from the selected application site in accordance with the policies and procedures of your facility.

3. Clean and dry the application site as needed. The application site must be free of oils, lotions, and other topically applied products to ensure secure contact between the patient’s skin and the return electrode.

4. Remove the return electrode from its pouch.

5. Remove the liner from the electrode and apply it to the patient.

6. Turn on the generator and allow it to complete the self test.

7. Insert the return-electrode connector into the REM patient return electrode receptacle on the front panel. See page 4-2 for the receptacle location.

Monopolar

Valleylab FT10 Energy Platform User’s Guide 4-9

Monopolar Electrodes

REM Alarm (Visual and Audible)

If the REM system senses an alarm condition during the activation of an instrument, RF power delivery stops. An error message is displayed on the touchscreen and two audible warnings sound. The indicator below the screen illuminates red.

When the alarm condition has been corrected, the error message closes and the REM LED illuminates green.

For instructions to correct REM alarms, refer to Chapter 8, Troubleshooting and the troubleshooting flow chart in the REM Polyhesive patient return electrode instructions for use.

Monopolar Electrodes

Connect a monopolar instrument to the Monopolar 1 or Monopolar 2 instrument receptacle on the front of the energy platform. See the Covidien instrument’s instructions for use for recommendations on which receptacle to use.

The Monopolar 1 UFP receptacle, identified by a blue ring, accepts connectors of various sizes when coupled with the E05021 and E050212 UFP adapters. UFP connectors can vary in diameter from 3 mm to 8 mm plugs. UFP plugs with diameters less than 4 mm require an adapter to connect to the Monopolar 1 UFP receptacle.

If a two-button instrument is connected to the energy platform, proceed to the Standard Monopolar Mode Functionality section that follows.

If a VALLEYLAB-mode enabled three-button instrument is connected to the energy platform, proceed to VALLEYLAB Mode Functionality on page 4-12.

4-10 Valleylab FT10 Energy Platform User’s Guide

Monopolar Electrodes

Standard Monopolar Mode Functionality

Monopolar settings can be selected for an instrument by three methods:

• User Input - Modes and power levels are selected before attaching the instrument.

• Automatic - Settings are selected by the system when an attached instrument is identified. Most Automatic settings override Preset settings.

• Restore Settings - Using the Restore Settings button to reset the system to the settings in use when the system was last powered down.

User Input Instrument Settings

Monopolar settings can be preset on the main screen of the energy platform before or after inserting an instrument. The settings will be in effect when the instrument is attached to the Monopolar 2 receptacle unless the FT10 detects an instrument type that includes automatic settings.

1. Place the energy platform in the edit state (power on, no instrument attached).

2. Manually select a mode and power-output level for a monopolar instrument from the touch screen.

3. Attach an instrument to the monopolar receptacle that corresponds to the edited quadrant (left for Monopolar 1 and right for Monopolar 2). Inserting an instrument into the Monopolar 1 receptacle will require additional force.

The pre-set settings are active for the attached instrument only if the instrument does not include automatic settings.

Automatic Settings for a Recognized Instrument

Some Covidien instruments compatible with the FT10 have an identification that is recognized by the system when attached to the Monopolar 2 receptacle. The energy platform automatically sets the default mode and power level assigned to the instrument. These settings are displayed on screen. Settings can be changed prior to activation.

Note: Inserting a monopolar instrument that is not recognized by the system will result in the existing settings for a two-button pencil. If the settings have been manually changed prior to insertion or the Restore Settings button was used, those settings remain in effect.

Monopolar

Valleylab FT10 Energy Platform User’s Guide 4-11

Monopolar Electrodes

Monopolar Default Settings

Monopolar Instrument Default

Two-button Pencil

Force TriVerse

PURE CUT (CUT mode) and FULGURATE (COAG mode)

Power setting defaults to disabled (--)

PURE CUT, VALLEYLAB, COAG

Power setting is 1 power bar

CUT mode is on (enabled)

Restore to the Last Settings Used

Use the Restore button to enter the settings when the system was last powered down. The Restore button can be used prior to and after insertion of the instrument.

1. Press the Restore button. A dialog box appears indicating the current settings will be replaced with those from the last time the energy platform was powered down.

All quadrants are populated with previous settings for each.

2. Press OK to confirm the use of the last settings

Inserting an instrument highlights the corresponding quadrant.

VALLEYLAB Mode Functionality

Covidien instruments featuring the VALLEYLAB mode—a unique combination of hemostasis and dissection—are specialty devices providing output control from the sterile field. Some have a sliding power control on the instrument that enables direct adjustments to power output during surgery.

These output modes, if available on the instrument, are selected at the handset with the following buttons:

• The yellow CUT button enables a cutting function.

• The clear VALLEYLAB button enables a hemostasis function while providing dissection.

• The blue COAG button enables a coagulation function.

If available on the instrument, a dual slider control adjusts power output in all available modes.

Note: Monopolar 1 does not support VALLEYLAB mode and Force TriVerse.

Note: When a Force TriVerse instrument is inserted, the screen changes from the default

two-button instrument display to the Force TriVerse edit state in which the screen brightens and controls are highlighted.

4-12 Valleylab FT10 Energy Platform User’s Guide

Monopolar Electrodes

When an instrument with VALLEYLAB-mode capability is attached to the Monopolar 2 receptacle, the energy platform detects the instrument type and changes the screen from the default two-button to the corresponding screen.

Force TriVerse Screen

཰ Power bar indicator

ཱ Slider position indicator

ི CUT mode ON/OFF switch

ཱི CUT mode power indicator (watts)

ུ VALLEYLAB mode power indicator (watts)

ཱུ COAG mode power indicator (watts)

Power Bars—The five power bars represent the range of power available for the instrument attached to the energy platform receptacle. The system automatically identifies the instrument and selects the default power-bar setting. The power bars represent power available to the instrument and can be set independently from the slider bars indicated in the slider-position indicator. Power bars can only be changed at the touchscreen interface on the energy platform.

Note: Refer to the individual instrument instructions for power-bar output in watts.

ON/OFF Switch for CUT—Enable or disable CUT. CUT will not be available from the

yellow button on the instrument when disabled on the touchscreen.

Slider Position (if available on the instrument)—The energy platform detects the position of the instrument’s slider switch, and the slider position indicator displays this position. Slider position can only be changed by the instrument user in the sterile field.

Valleylab FT10 Energy Platform User’s Guide 4-13

Monopolar

Monopolar Electrodes

Using a VALLEYLAB-Mode Instrument

1. Select the desired power level by touching the up and down arrows on the power-

The power-selecting slider, if available on the instrument, increases and decreases power output. Verify the slider position prior to activation.

2. Activate power output by pressing the desired button on the instrument.

output mode. A brief double tone sounds. Power output is displayed in watts. The power level cannot be changed during instrument activation.

Warning

• Activate the CUT mode by pressing the yellow button on the electrosurgical

instrument. The CUT display illuminates yellow and a tone sounds for the duration of the activation.

Note: CUT mode is not available when disabled on the touchscreen with the ON/ OFF switch.

• Activate the VALLEYLAB mode by pressing the clear button on the electrosurgical

instrument. The VALLEYLAB display illuminates white and a tone sounds for the duration of the activation. VALLEYLAB mode can also be activated with the middle (white) pedal of the FT6003 Three-Pedal Footswitch.

• Activate the COAG mode by pressing the blue button on the electrosurgical

instrument. The COAG display illuminates blue and a tone sounds for the duration of the activation.

3. If the instrument has a slider, the power output can be changed while in the sterile field by adjusting the slider position on the electrosurgical instrument. A double tone will sound when slider position is changed. Slider position cannot be changed while RF energy is being delivered.

CUT Mode Disable (Force TriVerse only)

Power output can be disabled in the CUT mode using the ON/OFF switch.

1. Disable the CUT mode by touching the screen ON/OFF selector below CUT. The power level is grayed out when disabled.

2. Enable the CUT mode by touching the ON/OFF switch below CUT on the screen. The CUT box will display the power setting of the instrument slider position. The CUT mode is also re-enabled when the energy platform is restarted.

4-14 Valleylab FT10 Energy Platform User’s Guide

After Surgery

Disconnect the instruments

1. Turn off the energy platform.

2. Disconnect all instruments from the front panel.

3. Dispose of the instrument according to the procedures for your institution.

4. Disconnect and store any foot pedals used.

5. Disconnect the power plug from the wall receptacle by pulling the plug, not the cable.

After Surgery

Valleylab FT10 Energy Platform User’s Guide 4-15

Monopolar

Chapter 5

Bipolar

This chapter describes the Bipolar function of the VLFT10GEN.

Precaution

Valleylab FT10 Energy Platform User’s Guide 5-1

Front Panel Bipolar Features

FT10

཰ Bipolar receptacle

ཱ Bipolar touchscreen quadrant

ི Bipolar settings button

5-2 Valleylab FT10 Energy Platform User’s Guide

Rear Panel Bipolar Features

Monopolar 2 Monopolar 1

Monopolar1Monopolar

཰ Bipolar foot-pedal receptacle

ཱ Power cord receptacle

Bipolar

Warning: Risk of Fire.

Replace Fuse as Marked 250V, F10.0A (100-127Vac) 250V, F6.3A (220-240Vac)

Avertissement: Risque du feu.

Remplacez les fusibles

comme marqués.

250V, F10.0A (100-127Vac)

250V, F6.3A (220-240Vac)

Bipolar Quick Setup Instructions

If you are familiar with the VLFT10GEN, follow this abbreviated procedure to set up the system for bipolar surgery.

If you are not familiar with the VLFT10GEN, refer to the following sections in this chapter for detailed instructions.

1. Plug the system power cord into the rear panel receptacle.

2. Plug the system power cord into a grounded wall receptacle.

Important

Do not plug the system power cord into a power strip or extension cord.

3. Turn on the system and verify that the power-on self-test successfully completes.

4. If using a foot pedal, connect it to the Bipolar foot-pedal receptacle on the rear panel.

Warning

Use only Covidien foot pedals. Use of other manufacturer’s foot pedals is not recommended; unexpected output may occur.

5. Connect the instrument to the Bipolar instrument receptacle on the front panel.

6. Verify or change the mode and power settings.

Valleylab FT10 Energy Platform User’s Guide 5-3

Bipolar Function Overview

Delicate tissue requires less energy to desiccate. The VLFT10GEN provides low-voltage, continuous current for faster dessication without sparking.

The possibility of sparking increases as desiccated tissue becomes more resistant to energy flow. The system protects against sparking by limiting the bipolar voltage at relatively high levels of tissue impedance.

Bipolar Power Output Modes

The VLFT10GEN produces one Bipolar mode with three possible effects: LOW (1-15 watts), MEDIUM (15–40 watts), and HIGH (45-95 watts).

Warning

Electric Shock Hazard

• Do not connect wet instruments to the energy platform.

• Ensure that all instruments and adapters are correctly connected and that no metal is exposed at any connection point.

The instrument receptacles on this system are designed to accept only one instrument at a time.

Precaution

Read the instructions, warnings, and precautions provided with electrosurgical instruments before use. Specific instructions are not included in this manual.

Bipolar Default Settings

Output Default

Bipolar • LOW effect

• Power—disabled (--)

• Ammeter—off

5-4 Valleylab FT10 Energy Platform User’s Guide

Foot Pedal

The VLFT10GEN in Bipolar mode can accommodate a three-pin, single-pedal bipolar foot pedal.

If pedal activation is to be used with a bipolar instrument, attach the bipolar foot-pedal connector to the Bipolar foot-pedal receptacle on the rear panel.

Warning

Use only Covidien foot pedals. Use of other manufacturer’s foot pedals is not recommended; unexpected output may occur.

Virtual Ammeter

The virtual ammeter on the bipolar quadrant displays the current delivered during bipolarinstrument activation. The ammeter registers current between 1 and 1,000 milliamps. An audio tone sounds to indicate increases and decreases in current delivery.

Setting the Ammeter

To setup the ammeter to display during Bipolar procedures:

1. Access Bipolar settings by touching the settings button in the Bipolar quadrant. The Bipolar Settings window appears with the ammeter default setting OFF.

Bipolar

Valleylab FT10 Energy Platform User’s Guide 5-5

Auto Bipolar Function

2. Touch the ammeter ON/OFF switch to enable the visual ammeter and audio ammeter tones for Bipolar procedures.

3. Touch OK to close the ammeter settings window and retain any changes. The visual ammeter is added to the Bipolar screen and the audio and visual feedback is in use during Bipolar activation.

Ammeter settings are retained in the Bipolar quadrant until the system is powered down.

Auto Bipolar Function

The VLFT10GEN is equipped with an Auto Bipolar feature that configures the system for automatic activation and cessation of bipolar energy.

Auto Bipolar must be enabled in the feature menu before the Auto Bipolar function can be used as the default setting is OFF.

5-6 Valleylab FT10 Energy Platform User’s Guide

Auto Bipolar Function

Enable/Disable Auto Bipolar

1. Access Bipolar settings by touching the settings button in the Bipolar quadrant. The Bipolar settings appear with the default Auto Bipolar setting OFF

2. Touch the AUTO ON/OFF switch.

3. A confirmation screen appears over the Bipolar quadrant. Touch Yes to enable, or No to reject.

When confirmed, the Bipolar settings reappear with Auto Bipolar set to ON.

Important

When Auto Bipolar is turned ON, the ammeter setting option disappears. If the ammeter was ON before, it will automatically be turned OFF.

4. Set the Auto Bipolar activation delay and touch OK. The Bipolar quadrant shows the Auto Bipolar symbol and the delay time (if greater than 0 seconds) to indicate that Auto Bipolar is ON.

Bipolar

Auto Bipolar Activation Impedance

The impedance of the tissue grasped by the bipolar device must be within a factory-set range of up to 2200 Ω to activate. If impedance during activation increases to greater than 4000 Ω, RF energy will deactivate. The activation impedance range is a safety feature that prevents power delivery if the grasped tissue is not within the anticipated range.

Tissues such as scar tissue, moles, and others with low blood flow are likely to have impedance greater than 2200 Ω. While grasping high-impedance tissue, the Valleylab FT10 will not activate regardless of customer-set preferences.

Valleylab FT10 Energy Platform User’s Guide 5-7

Auto Bipolar Function

Setting the Auto Bipolar Activation Delay

Specify a delay between the instrument’s initial contact with tissue and delivery of bipolar energy.

1. When Auto Bipolar is ON, access the activation delay settings by touching the settings

2. Use the up or down arrows to set the activation delay time (in seconds). Delay

Warning

button in the Bipolar quadrant

selections are 0.0 (default), 0.5, 1.0, 1.5, 2.0, and 2.5 sec.

3. Touch OK to close the window and save the delay setting. If the delay selected is greater than 0.0 seconds, the delay time will be displayed in the bipolar quadrant.

Precaution

Do not use the FT0501 ForceTriad Bipolar Adapter with Auto Bipolar on the VLFT10GEN.

Important

The tines of the bipolar instrument must be removed from the tissue between each Auto Bipolar activation.

5-8 Valleylab FT10 Energy Platform User’s Guide

Shutting Down Bipolar Functions

The Auto Bipolar settings can be exited quickly to change non-setting controls in response to the surgeon’s needs. Any of the following actions closes the window and reopens it with the last saved settings.

• Touch the screen outside the settings window

• Activate RF energy by an instrument

• Select Cancel

• Select a system control

• Time out after 10 seconds

• Activate any mode

• Connect a bipolar instrument

• Remove a bipolar instrument

When an instrument is unplugged from the Bipolar receptacle, the display reverts to the last set values.

After Surgery

Bipolar

Disconnect the instruments

1. Turn off the energy platform.

2. Disconnect all instruments from the front panel.

3. Dispose of the instrument according to the procedures for your institution.

4. Disconnect and store any foot pedals used.

5. Disconnect the power plug from the wall receptacle by pulling the plug, not the cable.

Valleylab FT10 Energy Platform User’s Guide 5-9

Chapter 6

LigaSure

This chapter describes how to set up and operate the LigaSure tissue-fusion function of the VLFT10GEN.

Precaution

Valleylab FT10 Energy Platform User’s Guide 6-1

Front Panel LigaSure Features

FT10

཰ LigaSure quadrant

ཱ LigaSure/Bipolar receptacle

ི Monopolar 2 quadrant (for LigaSure dual-plug instruments)

ཱི Monopolar 2 receptacle (for LigaSure dual-plug instruments)

Rear Panel LigaSure Features

Monopolar 2 Monopolar 1

Bipolar

Warning: Risk of Fire.

Replace Fuse as Marked

250V, F10.0A (100-127Vac)

250V, F6.3A (220-240Vac)

Monopolar1Monopolar

Avertissement: Risque du feu.

Remplacez les fusibles

comme marqués.

250V, F10.0A (100-127Vac)

250V, F6.3A (220-240Vac)

཰ LigaSure/Bipolar foot-pedal receptacle

ཱ Power cord receptacle

6-2 Valleylab FT10 Energy Platform User’s Guide

LigaSure Quick Setup Instructions

If you are familiar with the VLFT10GEN, follow this abbreviated procedure to setup the system for LigaSure tissue fusion.

The following instructions are for a single-plug instrument, which covers most LigaSure devices. For devices that have two plugs and provide both LigaSure and monopolar functionality, see Connecting Dual-Plug LigaSure Instruments on page 6-8.

If you are not familiar with the VLFT10GEN, refer to the following sections in this chapter for detailed instructions.

1. Plug the system power cord into the rear panel receptacle.

2. Plug the system power cord into a grounded wall receptacle.

Important

Do not plug the system power cord into a power strip or extension cord.

LigaSure

3. Turn on the system and verify that the power-on self-test has successfully completed.

4. If using a foot pedal, connect it to the LigaSure/Bipolar foot-pedal receptacle on the rear panel.

5. Connect the instrument to the LigaSure/Bipolar instrument receptacle on the front panel.

Valleylab FT10 Energy Platform User’s Guide 6-3

LigaSure Function Overview

LigaSure tissue fusion can be used on arteries, veins, and lymphatics, up to and including, 7 mm in diameter and tissue bundles. This system provides precise energy delivery and electrode pressure to tissues for a controlled time period to achieve a complete and permanent fusion of tissues and vessel lumens. The system has been designed to produce minimal sticking, charring, or thermal spread to adjacent tissue.

There are no editable parameters in the LigaSure quadrant.

During instrument activation, the progress wheel in the LigaSure display control panel illuminates, and a tone sounds for the duration of energy delivery.

Some instruments cause the hand-activation ON/OFF switch to appear on the control panel when the instrument is recognized.

Important

If using an instrument that causes the hand-activation button to appear on the LigaSure control panel, see Hand-Activation ON/OFF Switch on page 6-9.

6-4 Valleylab FT10 Energy Platform User’s Guide

LigaSure Default Settings

Output or Instrument Default

LigaSure Handswitching—enabled (On)

LF5544 Pistol Grip • MONOPOLAR mode—VALLEYLAB

– 15 W

LF5637 and LF5644 • MONOPOLAR mode—VALLEYLAB

• Monopolar power

LigaSure Function Overview

– CUT—15 W

– VALLEYLAB—15 W

– COAG—15 W

LigaSure/Bipolar Receptacle

The LigaSure/Bipolar receptacle is located adjacent to the lower-right quadrant of the screen. This receptacle accepts LigaSure instruments and can read bar codes on the RFID chip or the LigaSure connector.

Warning

Electric Shock Hazard

• Do not connect wet instruments to the energy platform.

• Ensure that all instruments are correctly connected and that no metal is exposed at any connection point.

Connect instruments to the proper receptacle. Improper connection may result in inadvertent instrument activation or other potentially hazardous conditions. Follow the instructions provided with LigaSure instruments for proper connection and use.

Each instrument receptacle on the energy platform is designed to accept only one instrument at a time. Follow the instructions provided with electrosurgical instruments for proper connection and use.

LigaSure

Precaution

Read the instructions, warnings, and precautions provided with LigaSure instruments before use. Specific instructions are not included in this manual.

Valleylab FT10 Energy Platform User’s Guide 6-5

LigaSure Instruments

Foot Pedal

A single-pedal LigaSure foot pedal can be used when the energy platform is using the LigaSure quadrant.

LigaSure Instruments

Reusable-Instrument Assembly

To prepare the reusable LigaSure instruments for use in a procedure, refer to the following steps for the general preparation. To find detailed directions for each instrument, refer to the individual instrument instructions that accompany the instrument electrode.

1. Slip the base of the disposable electrode’s white shaft onto the retaining post on the instrument ring handle.

2. Attach the body of the electrode shaft to the instrument handle. The white shaft of the electrode must be completely flush with the reusable-instrument shaft.

3. Attach each electrode to the appropriate instrument jaw, matching electrode curvature to jaw curvature. Insert the proximal pin first. Verify that there is no gap between the electrode and the instrument jaw.

Important

Bent or broken electrode pins will not function properly and may result in an alert situation. In this case, the electrode must be discarded.

4. Gently rachet the instrument closed on a folded 4"x 4" gauze pad to ensure the electrodes are properly seated in the instrument jaws.

Connecting LigaSure Instruments to the Energy Platform

Connect the LigaSure instrument’s purple connector to the LigaSure/Bipolar receptacle on the front panel of the VLFT10GEN. The system detects and sets the appropriate settings.

Other than the handswitching ON/OFF switch, there are no editable settings in the LigaSure quadrant.

6-6 Valleylab FT10 Energy Platform User’s Guide

If applicable, refer to the following sections:

• Hand-Activation ON/OFF Switch on page 6-9

• Invalid Instrument on page 6-9

Connecting Single-Plug LigaSure Instruments

There are multiple instrument designs, but the general LigaSure-instrument connection process is the same for LigaSure instruments with a single purple LigaSure connector. For devices that have two plugs and provide both LigaSure and monopolar functionality, see Connecting Dual-Plug LigaSure Instruments on page 6-8.

Setup for LigaSure Instruments with a Single Connector

LigaSure Instruments

LigaSure

཰ LigaSure purple connector

Setup

1. With the bar code on the purple connector (1) facing up, firmly insert it into the LigaSure/Bipolar receptacle (2) on the energy platform front panel.

FT10

ཱ LigaSure/Bipolar receptacle

2. The energy platform detects the instrument type and selects the intensity setting. The settings cannot be changed.

Valleylab FT10 Energy Platform User’s Guide 6-7

LigaSure Instruments

Connecting Dual-Plug LigaSure Instruments

཰ LigaSure connector (purple)

ཱ LigaSure/Bipolar instrument receptacle

ི Monopolar connector (blue)

ཱི Monopolar 2 instrument receptacle

ུ LigaSure touchscreen quadrant

ཱུ Monopolar 2 touchscreen quadrant

ྲྀ REM patient return electrode

Setup

1. With the bar code on the purple LigaSure connector (1) facing up, firmly insert it into the LigaSure/Bipolar receptacle (2) next to the LigaSure touchscreen quadrant (5).

2. With the bar code on the blue Monopolar connector (3) facing up, firmly insert it into the Monopolar 2 receptacle (4) next to the Monopolar 2 quadrant (6).

The energy platform reads the information from the two connectors and sets the power output accordingly:

• LigaSure – Power output is selected automatically and cannot be changed from

the LigaSure touchscreen.

• Monopolar – Power output is set to the default values and can be edited in the

Monopolar 2 quadrant.

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Hand-Activation ON/OFF Switch

Some LigaSure instruments cause the hand-activation icon to appear in the lower left corner of the LigaSure control panel. The hand-activation switch toggles between the ON and OFF setting.

For example, the LF1212 Curved, Small Jaw, Open Sealer/Divider, is a LigaSure instrument that can be used with hand-activation on or off. When hand-activation is off, a foot pedal is used to initiate energy delivery.

LigaSure Instruments

LigaSure

཰ Hand activation enabled

In this example, the enabled hand activation appears in the lower-left corner of the LigaSure quadrant. Touching the ON/OFF switch turns off the hand activation, requiring the use of a foot pedal.

Invalid Instrument

If the VLFT10GEN does not recognize the attached instrument, a pop-up will display the words “INVALID INSTRUMENT.” Refer to the following steps to resolve the issue.

1. Confirm that a LigaSure instrument is in use.

2. Reconnect the instrument using firm pressure to insert the instrument into the LigaSure/Bipolar instrument receptacle.

3. If “INVALID INSTRUMENT” continues to appear in the status bar, use a new LigaSure instrument or electrode.

Valleylab FT10 Energy Platform User’s Guide 6-9

Activating the LigaSure Instrument

1. Fully grasp the target tissue in accordance with the LigaSure instrument’s IFU.

2. Activate the LigaSure instrument either by pressing and holding the activation button on the instrument or by depressing the foot pedal. During instrument activation, the LigaSure quadrant of the display illuminates purple and rotates clockwise, and an activation tone sounds for the duration of energy delivery.

3. When the end tone sounds, release the activation button or foot pedal. In the case of an alert condition, refer to the following section.

4. Inspect the vessel or tissue prior to cutting by releasing the tissue from between the instrument jaws.

Alert Situations

A four-pulsed tone will sound when an alert condition occurs, and the LigaSure quadrant will display an alert message with a list of corrective actions. When an alert condition occurs, energy delivery is interrupted, but is available immediately after correcting the alert condition.

Incomplete Seal Cycle - Interrupted

The seal cycle was interrupted before completion. The handswitch or foot pedal was released before the end tone activated.

If this message appears the user should

1. Release the foot pedal or handswitch button.

2. Open the instrument jaws and inspect for a successful seal.

3. If the seal is incomplete, regrasp the tissue (with the jaws in the same position or overlapping the first seal, if possible).

4. Reactivate the seal cycle.

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Activating the LigaSure Instrument

Incomplete Seal Cycle - Short

The generator detected a short circuit between the LigaSure jaws—possibly due to contact with a metal object or excess fluid around the surgical site.

If this message appears the user should

1. Release the foot pedal or handswitch button.

2. Check for metal clips or staples.

3. Reposition the instrument to avoid contact with metal.

4. Remove excess fluids from the surgical site.

5. Reactivate the seal cycle.

Incomplete Seal Cycle - Open Circuit

The LigaSure jaws were not fully closed or the grasped tissue was too thin.

If this message appears, the user should

LigaSure

1. Release the foot pedal or activation button.

2. Open the instrument jaws and inspect for a successful seal.

3. Clean and dry the LigaSure jaws.

4. If possible, regrasp thicker tissue.

5. Fully close the instrument jaws.

6. Reactivate the seal cycle.

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After Surgery

Incomplete Seal Cycle - Time Out

Additional time and energy are needed to complete the seal cycle.

If this message appears, the user should

1. Release the foot pedal or activation button.

2. Open the instrument jaws and inspect for a successful seal.

3. Remove excess fluids from the surgical site.

4. Clean and dry the LigaSure jaws.

5. Regrasp the tissue.

6. Reactivate the seal cycle.

After Surgery

Disconnect the instruments

1. Turn off the energy platform.

2. Disconnect all instrument cords from the front panel.

• If the instrument is single-use only (disposable), dispose of it according to the

procedures for your institution.

• If the instrument is reusable, clean and sterilize it according to the manufacturer’s

instructions for use.

3. Disconnect and clean the foot pedal (if used) according to the instructions for use.

4. Disconnect the power plug from the wall receptacle by pulling the plug, not the cable.

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Chapter 7

Bipolar Resection

This chapter describes how to set up and operate the Bipolar Resection application on the energy platform.

For information about setting up and using the Bipolar Resection application, refer to these documents:

• This chapter.

• ForceTriad Bipolar Resection Footswitch Instructions for Use (FT6009) - Instructions for the only foot pedal that supports Bipolar Resection mode.

• ForceTriad Bipolar Resection Cord Instructions for Use (FT0021S or FT0022W) - Instructions for the two types of cords supported for use with supported Bipolar Resection instruments. Also contains a list of supported Bipolar Resection instruments.

Precaution

Valleylab FT10 Energy Platform User’s Guide 7-1

Front Panel Bipolar Resection Features

FT10

཰ LigaSure/Bipolar receptacle

ཱ Bipolar Resection quadrant (appears upon insertion of Bipolar Resection instrument)

Rear Panel Bipolar Resection Features

Monopolar 2 Monopolar 1

Bipolar

Warning: Risk of Fire.

Replace Fuse as Marked

250V, F10.0A (100-127Vac)

250V, F6.3A (220-240Vac)

Monopolar1Monopolar

Avertissement: Risque du feu.

Remplacez les fusibles

comme marqués.

250V, F10.0A (100-127Vac)

250V, F6.3A (220-240Vac)

཰ LigaSure/Bipolar foot-pedal receptacle

ཱ Power cord receptacle

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Bipolar Resection Function Overview

Certain urology and gynecology procedures use resection electrodes in a saline environment requiring high bipolar-power outputs to obtain resection and hemostasis performance.

Bipolar Resection function provides two different effect modes:

• CUT effect for resection, activated by the yellow (left) foot pedal

• COAG effect for desiccation, activated by the blue (right) foot pedal

When a compatible Bipolar Resection cord is plugged into the LigaSure/Bipolar receptacle on the front panel, the Bipolar Resection screen appears in the LigaSure quadrant.

The Bipolar Resection screen has controls for both CUT and COAG modes. The effect setting may be adjusted for either mode from 1 to 6—1 being the minimum effect for the selected mode. During instrument activation, the Bipolar Resection screen illuminates brightly as yellow for CUT and blue for COAG. A tone sounds for the duration of energy delivery.

LigaSure/Bipolar Receptacle

The LigaSure/Bipolar receptacle accepts both LigaSure and Bipolar Resection instruments. The connector recognizes codes from an instrument’s RFID chip or bar codes printed on the connector.

Bipolar Resection

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Bipolar Resection Function Overview

Bipolar Resection Default Settings

Output or Instrument Default

Bipolar Resection • CUT effect—1

Warning

Electric Shock Hazard

• Do not connect wet instruments to the energy platform.

• Ensure that all instruments are correctly connected and that no metal is exposed at any connection point.

Connect instruments to the proper receptacle. Improper connection may result in inadvertent instrument activation or other potentially hazardous conditions. Follow the instructions provided with Bipolar Resection instruments for proper connection and use.

• COAG effect—1

The instrument receptacles on this system are designed to accept only one instrument at a time.

Precaution

Read the instructions, warnings, and precautions provided with Bipolar Resection instruments before use. Instrument instructions are not included in this manual.

7-4 Valleylab FT10 Energy Platform User’s Guide

ValleyLab FT-10 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual