Valleylab SSE3B User manual

TN

Valleylab

Prior

(General)

1.

2.

3.

4.

5.

6.

To

Know instruction

Have

designed

Check

operation electrode

Replace

return

Do

not

Avoid or

ether.

Use

which

all

the

E.S.U.

equipment

and

operation

of on

all

electrodes.

cut,

use

will

manual.

approved

the

return

the

patient.

broken,

crease

of

flammable

ELECTROSURGICAL

be

used

and

accessories

for

the

unit.

of

the

alarm

bent,

or

sharply

cable

sentry

excessively

bend a disposable

prep

SAFETY

how

available

systems.

prior

scratched

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to

TIPS

use

it.

and use

If

applicable,

to

placement

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or

return

as

acetone,

Consult

only

accessories

check

of

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electrode.

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damaged

alcohol

7.

Avoid should

8.

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as

9.

Do

10.

Replace

11.

Check

not:

12.

Do frayed

13.

Use a conductive

14.

Have

(Patient

Always

15.

electrosurgical scarred

the

be

place

possible.

not

use

uninsulated

the

be

used.

not

use any or

back-up

Returr

place

areas

use

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needle

line

cord

power

taped.

equipment

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the

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instruments

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plug

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electrodes.

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cord that

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patient

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surgery

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16.

17.

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not

should

placing

slide

be

lifted

the

return

and

placed

electrode

on

the

where

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return

fluids

the

patient.

electrode.

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patient

18.

During

1.

2.

3.

4.

5.

If

the

patient

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from

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the

effect.

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wheel

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equipment

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patient

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and

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cords

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up

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the

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6.

7.

8.

9.

10.

11.

After

1.

2.

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the

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surgeon.)

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supply

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the

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disconnect

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replace

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their

-

SSE3B

INSTRUCTION

MANUAL

EFFECTIVITY:

VALLEYLAB

PART

PRINTED

NUMBER

AUGUST

IN

A

USA

1,

945

1984

110

016

A

~

ELECTROSURGICAL

VALLEYLAB

GENERATOR

SSE3B

PRODUCT

INFORMATION

INTENDED

The

Model generator monopolar for

cutting

BLEND degrees respectively.

procedures

cutting settings for

details. desiccation

independently

instruments, instruments.

CONTRAINDICATIONS

There

The

patient's

use

with

and

#3

or

are

USES

SSE3B

intended

and

of

must

no

of

condition

Electrosurgical

bipolar

a

patient

fulguration.

COAG

hemostatis,

The

including

fulguration

be

used

The

bipolar

without

controlled.

it

is

known

external

for

output

return

are

intended

monopolar

transurethral

and

fulguration

also

absolute

or

may

require

Generator

use.

in connections.

electrode

Its

voltage

and

output

using

output

possible

internal

the

surgeon

Although

contraindications

special

the

operating

for

smooth

fulguration

is

resections.

monopolar

is

an

isolated

or

cutting.

designed

to

use the

pacemakers,

precautions.

is a general

The

and

is

waveforms,

cutting,

with

powerful

output

referred

The

primarily

bipolar

to

monitoring

room.

monopolar

designed

CUT,

cutting

a

enough

Desiccation

to

output

bipolar

the use

purpose

The

output

for

BLEND.

minimum

is

practical,

the

which

for

output

equipment,

electrosurgical

SSE3B

is

electrosurgical

fl,

with

of

for

Instruction

output

use

of

all

with

is

intended

with

electrosurgery.

has

BLEND

increasing

power

monopolar

both

intended

cutting,

common

minimal

but

Manual

bipolar

and

#2,

low

for

is

the

WARNINGS

Never

both

Burns

monopolar

surgeon's inherently

or

Electrosurgical

一

一一

pacemaker

the electrosurgical mode

increase

the

to

objects.

heart

or

active

the

active

hands.

unsafe

because

which

inhibit

the

and

the

surgeon's

electrode

Electrosurgery for

units

of

could

current

the

pacemaker

power

use

the

beyond

patient

hands

with

should

danger

cause

can

return

are

is

touched

involves

flammable

be

of

fibrillation.

cause

entirely.

the

normal

electrodes

possible

used

introducing

a

pacemaker

settings

in

to

a

electric

anesthetics

with

caution

without

and

their

most

metal

clinical

instrument

sparking

or

in

electrosurgical

Also,

to

interference

revert

connections.

situations

to

near

flammable

the

to

first

held

tissue

presence

currents

an

asynchronous

checking

in

and

fluids

from

if

of

into

a

the

is

a

the

PRECAUTIONS

The

surgeon such standby a cannot higher Low return

pass

as

significant

frequency

directly

should random generator

detect

than

electrode

normal

component

and

risk

loose

current

should

through

be

aware

failure

accessories

to

the

connections

low

frequency

components

be

the

region

that

patient.

placed

the

or

defective

are

in

the

components

could

so

that

of

the

Model

recommended

The

SSE3B

active

cause

the

heart.

can

malfunction

active

electrode

in

electrosurgical

or

patient

if

generator

Return

the

electrosurgical

fibrillation,

Fault

which

for

electrodes.

malfunction

safety system

may

result

current.

so

the

current

will

reasons

A

is

in

patient

not

POTENTIAL

The

most

unintended

patient

combinations complication bipolar

PREVENTATIVE

To

insure

checked

Of

particular

lint

A

steps

Test

thorough

that

to

insure

and

taken

the

Procedure,"

COMPLICATIONS

common

burns

return

of

is

the

electrosurgery

MAINTENANCE

safe

and

for

wear

and

importance

dirt

build-up,

visual

to

correct

generator

outlined

continued

complications

to

the

patient

electrodes,

fault

dependable

inspection

be

efficacy

conditions,

explosion

are

tear.

are:

power

any

inspected

in

very

operation,

printed

cord

of

and

the

and

associated

and

insufficient

of

flammable

unusual.

wear,

the

all

of

at

least twice

service

safety.

surgeon

or

poor

this

circuit

and

generator

the

above

manual,

with

monopolar

caused

patient

surgical

bowel

generator

board

looseness

should

conditions.

a

year

be

by

gas.

should

contact

of

mechanical

be

made

and

performed

electrosurgery

defective

electrode technique.

Complications

be

finger

and

It

is

that

the

at

active

contact,

À

rare with

periodically

corrosion,

parts.

appropriate.

recommended

"Acceptance

these

times

are

or

ii

THE

SSE3B

SYSTEM

Congratulations. generator available rivals effect. cutting irrigated directly separate, characteristic applications. bipolar

SSE3B

safety grounded

Electrode

In

order capabilities information facts understanding situations

For

the Sections and

limitations

should

must

be

ever in

the

The

and

procedures.

in

isolated

instruments

is

equipped

system

electrosurgery.

Monitoring

to

and

surgeon

1

be

able

used

Your

built.

a

single

best

PURE

watts

spark

variable

CUT

with

bipolar

which

Hand-switch

with

which

instruct

and

must

specifications.

and

to

limitations

be

of

his

recognize

the

2.

These

of

the

to

decide

accomplish

new

It

generator.

gap

BLEND

is

exceptionally

For

a

large

is

ideal

as

well

the

combines

System

the

provided.

equipment

potential

most

sections

generator.

what

SSE3B

offers

generators

gives

your

lighted,

output

for

activation

as

conventional

"Balanced

the

The

SSE3B

(REM).

user

Ideally,

important

procedures

them.

is

the

features

The

a

convenience

which

neurosurgery,

may

significant

may

of

an

of

his

The

user

so

he

hazards

contain

After

most

and

SSE3B

and

wide

smooth

digital

has

Output"

also

electrosurgical

he

can

parts

reading his

has

with

range

and

the

display.

a

non-sparking

be

used with

footswitch

patient

advantages

be

generator,

must

before

the

be

should

use the

of

basic

SSE3B

versatile

performance

COAG

a

minimum

of

starts

output

laparoscopy,

both

equipped

a

given

be

given

they

occur.

these

surgical

these

sections

can

electrosurgical

never

fulguration

of

hemostasis

promptly

is

The

SSE3B

(desiccation)

monopolar

activation.

return

of

isolated

with

generator

great

more

a

generator

instructions

capabilities

handle

and

before

which

cutting

while

even

calibrated

has

or

other

electrode

the

Return

of

deal

than

a

just

complete

in

surgeon

how

in

a

and

The

and

the

of

new

are

it

The

basic their Section

electrical

The

technical increasingly such

Sections

If

Valleylab

hesitate Service Department problems.

generator

remainder

as

any

problem

is a lack

9

is

a

layman

of

topics

relevant

the

circulating

3

through

questions

representative.

to

call

Department,

are

always

most

short

and

the

which

8

as

arise

or

surgeons

of

primer

Section

Instruction

are

for

the

nurse

well

about using

If

write

Maintenance

our

happy

and

knowledge

on

10

is a glossary

of

less

hospital

and

as

Sections

there

factory.

Service

to

nurses

of

electricity.

electricity

Manual,

concern

engineer.

OR

supervisor

1

and

your

are

questions

The

help

you

have

Sections

new

Department,

in

and

of

terms.

to

will

2.

SSE3B,

he

personnel

with

trying

To

fill

electronics

3

through

the

surgeon

Other

be

call

can't

in

and

your

electrosurgical

to

understand this

8,

OR

personnel

interested

your

answer,

our

Customer

Engineering

for

but

need,

cover

local

do

the

are

in

not

iii

SECTION

1.

Electrosurgical

Theory

Applied

CONTENTS

to

the

LOM,

SSE3B

Electrosurgery

-

Gastrointestinal

-

Laparoscopic

-

Urologic

-

Neurosurgery

-

Patients

-

General

Description

The

SSE3B

Patient

REM/CoHesive

Surgery

with

Electrosurgery

of

Patient

Return

in

the

Endoscopy

Sterilization

Pacemakers

Controls

Return

Electrode

System

Operating

and

Generator

Electrode

Recommendations

Room

Safety

Design

System

26

27

36

45

49

51

53

57

66

85

89

Interference

Technical

A

of

Glossary

10.

Warranty

il.

Specifications

Primer

Electrosurgery

on

to

Basic

Monitoring

Electricity

Equipment

for

iv

Better

92

96

Understanding

109

122

131

一一

一

SECTION

1

ELECTROSURGICAL

Electrosurgery

to

sever

a

low

muscles

could

Although

to

4,000,000 become confine

operates extremes.

Medical

is

passed

used

is

never

diathermy" difference electric

tissue

frequency,

and

electrocute

a

quite

these

at

diathermy

so

that

high

current.

THEORY

can

or

nerves.

generator

Hz

prominent

radio

750,000

through

the

enough

for

electrosurgery.

between

be

achieve

say

Putting

the

patient.

could

(4

MHz),

frequency

Hz

is

similar

the

current

these

APPLIED

defined

below

at

(750

patient's

density

to

cause

two

TO

THE

as

the

hemostasis,

100,000

it

another

perform

reactive

such

high

currents

KHz)

to

electrosurgery

body.

is

necrosis.

This

techniques

SSE3B

use

of a radio

A

high

Hz

(cycles

way,

electrosurgery

phenomena,

frequencies

to

wires.

which

kept

is

Large

low

The

is

very

is

the

radio

per

a

low

quite capacitance and

For

a

compromise

in

that

entry

and

the

British

descriptive.

density

frequency

second)

frequency

well

it

becomes

these

radio

and

resulting

use

of

at

reasons

between

frequency

exit

the

electric

is

used

will

electric

frequencies

and

difficult

electrodes

tissue

term

since

radio

current

because

stimulate

current

inductance,

the

SSE3B

these

current

heating

"surgical

the

major

frequency

up

to

two

are

There

electrosurgery.

Electrosurgical

effect.

Electrosurgical

significant char

The

1.

Electrosurgical

Of

waveform

passed

in wire through

are

tissue.

SSE3B

the

is

three,

(either

through tissue.

in a toaster

it.

only

Desiccation

Cutting

Fulguration

cutting.

optimized

Desiccation

desiccation

the

This

three

They

CUT

or

electrical

is

or

surgical

are:

-

Electric

Fulguration

to

perform

COAG)

exactly

stove

which

Low

-

Electric

is

technically

can

resistance

the

effects

power

sparking

can

all

three

be

used.

same

becomes

which

coagulation

to

sparking

coagulate

of

these

the

In

of

the

phenomenon

hot

when

can

be

without

tissue

to

large

functions,

simplest

desiccation,

tissue

as

the

achieved

with

tissue

bleeders

because

and

the

current

sparking.

a

cutting

without

current

heat

arises

resistance

passes

with

and

ANY

is

When

tissue the

the active imperative

A

the

tissue

water

dirty

tissue

and

hence

turns

is

electrode

that

or

charred

becomes

the

a

driven

in

the

electrode

light

electrode

name,

off.

good

hot,

the

desiccation.

‘brown

Since

electrical

be

desiccates

water

color,

desiccation

kept

DESICCATION

is

.

What

then

contact

clean

poorly.

slowly

one

it

steams

with

and

sees

takes

free

[1]

driven

and

place

the

of

out

is

that

bubbles

tissue,

dried

of

with

tissue.

the

first

as

the

it is

Electrode

contact

Deep spreads Relatively

brown

Desiccation be

performed

to

desiccate

larger

produce

setting,

desiccation

in

good

with

the

coagulation

radially.

soft,

eschar.

TYPICAL

with

depends

the

electrode

the

same

the

more

will

tissue.

light

CURRENT

the

SSE3B

either

current

proceed.

CUT,

on

the

contact

density.

using

BLEND

area

area,

that

ELECTRODE

=

0.5

AMP

either

or

COAG.

of

the

Then

is

delivered

of

active

more

too,

RMS

the

The

current

monopolar

exact

electrode

the

higher

and

TISSUE

setting

is

the

outputs

since

required

the

control

faster

can

needed

the

to

the

The

bipolar

panel)

to

electrode

currents,

Shortly,

fulguration.

Desiccation long

is

deliver

group

output

optimized

large

is in

the

maximum

the

bipolar

can

of

five

(the

for

currents

firm

also

contact

receptacles

four

desiccation.

voltage

output

be

done

receptacles

to

low

with

is

with

at

resistance,

the

very

poor

the

lower

at

This

tissue.

for

means

low,

electrosurgical

monopolar

left

the

and

that

moist

In

as

output

of

lower

spite

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the

right

it

tissue

of be

which

panel.

is

designed

when

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explained

cutting

of

large

is

the

or

the

The

and

the

BLEND,

monopolar

thus

surgery

or

very

COAG

in

output

low

the

may

is

primarily

settings

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be

used

(less

for

designed

than

mode.

desiccation.

30

As

for

watts)

stated

fulguration

must

above,

be

any

and

used

mode,

cutting

to

keep CUT,

Electrosurgical

In

electrosurgical

so

rapidly

matrix.

conduct

The

through

electrode

exploded

It

is

electrosurgical

tissues,

and

also

much

electrode

considerably electrosurgical be

mentioned current cells

When the

that

the

bright

passing

radio

"spark".

intervals Significant

Cutting

that

heat

is

moved

the

possible,

the

is

pressed helped

that

it

contacts.

frequency

light

An

"arc"

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Valleylab SSE3B User manual

Specifications and Main Features

Frequently Asked Questions

User Manual