
Electrosurgical
Units
for
Laparoscopy
IMPORTANT:
A)
Cardiac
B)
Not
to
Tubal
ligation
of
hospitals.
surgical
other
electrosurgical
electrosurgical
For
current
The
be
charge
voltage
A
coagulation
coagulation
operative
quency
unit.
complications
proper
for a shorter
spark-gap
as
low
of
the
of
smooth
bleeding
units,
as
the
radio-frequency
IMPORTANT
Contra-indications
patients
be
used
has
The
In
order
burns,
unit
coagulation
current
150
current
radio-frequency
temperature
temperature
has a frequency
wearing a pacemaker
in
the
become
Fallopian
to
produce a permanent
such
as
the
for
tubal
it
time.
may
to
200
V.
to
other
bewteen
may
and
inflammatory
for
presence
an
accepted
tube
is
“dehydrated”
inflammations
following
sterilization.
is
essential
operate
The
current
factors
as
high
instruments
current
with a frequency
120°
be
as
high
of
1.7
electrosurgery
of
combustible
clinical
to
high
voltage
reduces
and
as
processes.
Mhz,
procedure,
with
coagulation
caused
should
use
lower
as
7000
creates
such
160°C.
500°C.,
producing
or
inflammable
high
by
carbonization
be
taken
current
V,
while
significant
as
telescopes,
the
sparking
of
1,700000
If a spark-gap
carbonizing
The
“cold”
coagulation
and
is
now
frequency
free
from
into
consideration
for a longer
the
cold”
sparking,
causing
capability
the
current
at
anesthetics
performed
current,
post-operative
of
tissue,
time,
ーー
radio-frequency
which
burns.
and
Hz
(1.7
Mhz)
type
current
tissue,
which
used
low
temperatures.
in
in a large
involving
bleeding
as:
well
as
when
rather
may
The
relatively
thus
is
safer
makes
is
being
may
the
Wolf
number
an
electro-
to
prevent
selecting
than
higher
current
cause
to
possible
used,
lead
to
post-
high
and
an
may
dis-
low
use.
a
the
fre-
Do
not
use
electrosurgical
coagulation,
use
more
possibility
and
burns
units
do
given
when
unknown
of
smaller
An
added
chines. A warning
cable
between
TE
=
always
current
of
sparking
of
puncture
not
coordinate
the
to
the
high
frequency
safety
the
Correct
GROUND
With
use
than
dial
setting
user
system
buzzer
unit
Current
|
GE
Safety
lower
needed.
and
sites
with
of
high
and
A
TR
ANN
Circuit
machines
current
The
burning.
may
the
just
frequency
machines
(patient
starts
patient
Flow
/ELECTRODE
E
GROUND
which
for
higher
Through
occur.
proper
calls
immediately
for
current.
which
sentry)
plate
그
=
It
is
selected
60%
has
produce
longer
the
voltage
capacity
known
power.
do
not
been
and
becomes
much
times
current,
that
dial
setting,
These
We
therefore
exceed
incorporated
the
power
defective.
上
=
GROUND
higher
than
of
the
the
power
100
Incorrect
セー
で
Without
current
high
current
electrosurgical
even
with
output
and
it
is
possible
and
other
important
recommend
watt
power
into
newer
system
automatically
Current
©
AG
AA
NI
Safety
ГО
|
[CE
ves
than
needed.
for
shorter
unit,
insulated
of
some
in
laparoscopy
output
high
Flow
ELECTRODE
ー
つ
1%
+
GROUND
Circuit
times.
the
greater
shafts,
high
that
full
facts
are
maximum.
frequency
cuts
,
“À
=
For
proper
Never
heating
frequency
power
usually
the
ma-
off
if
the
is
use
the

Information
IN
UNIPOLAR
FREQUENCY
A
SMALL
RESULTING
UPON
DENSITY,
THE
CROSS
COAGULATION
AREA
TO
CABLE
EXCEEDING
CURRENT
SECTIONS
PATIENT
THE
GENERATOR
CONNECTION.
INSTRUMENTS
CURRENT
AREA
ELECTRODE
IN
HIGH
COAGULATION
EFFECT
PLATE
on
Unipolar
FLOWS
INTO
CURRENT
A
CERTAIN
WILL
RETURNS
OF
TISSUE — WITHOUT
—
AND
VIA
OVER
TO
FINALLY
THE
THE
THROUGH
TISSUE,
DENSITY.
CURRENT
OCCUR.
LARGE
THE
LARGE
NEUTRAL
Instruments
HIGH
BACK
for
Coagulation
—
Use
the
2.
Donot
the
3.
Connecting
each
4.
Insulated
strument
5.
Use a power
cedure.
desired
ting
(a)
(b)
(c)
(d)
6.
Unwanted
Instructions
high
frequency
following
use
kinked
patient’s
use
to
insure
instruments
potentially
Consult
effects
before
the
all
all
instrument
verifying
patient
insulation
cables
coagulation
Wolf
thigh
cables
setting
and
electrosurgical
electrosurgical
or
bent
to
insure a large
for
their
dangerous.
(on
the
are
not
the
plate
is
is
faultless
plugs
tips
are
for
Use
units
patient
the
faultlessness.
must
the
manufacturer
achieved
following:
properly
are
free
may
plates.
patient
be
checked
electrosurgical
within
fastened
faultless
of
encrusted
be
avoided
units
with a maximum
2083.00,
Affix
skin
contact
plate
before
of
the
the
tissue
by
of
Unipolar
2083.40).
the
plate
area.
and
the
active
each
use.
unit)
only
electrosurgical
suggested
observing
the
power
(or
disposable
electrodes
Any
as
high
setting
following
Instruments
output
breaks
as
required
unit
ranges,
rules:
grounding
must
in
for
suggested
do
of
100
watts
be
checked
insulation
by
the
not
increase
(such
pad)
firmly
before
make
surgical
settings.
the
an
pro-
set-
as
to
in-
If
(a)
apply
tissue
(b)
do
strument
(c)
do
(0)
coagulate
7.
Follow
electrosurgical
electrosurgical
high
frequency
to
be
not
allow
not
allow
tubular
the
recommendations
coagulated
the
active
the
tissue
tissue
unit
and
unit.
current
electrode
to
be
(e.g.,
contact
only
after
to
coagulated
Fallopian
and
instructions
that
the
active
come
in
contact
to
come
tubes)
of
manufacturer
electrode
in
contact
at
the
the
if
is
in
with
any
metal
with
thinnest
manufacturer
you
portion
have
complete
portion
any other tissue
of
any
contact
of
the
high
questions
with
any
other
frequency
about
the
in-
your

The
OB-GYN
A
metal
trocar
electrosurgical
Advisory
sleeve
unit
of
Panel
for
600
to
the
insertion
volts
peak,
F.D.A.
of
7mm
100
watts
has
and
made
of
larger
power
the
following
laparoscopes
at
between
recommendation:
should
200-500
be
ohms
used
with
an
non-reactive.
As a result
2083.00,
If
an
should
of
this
2083.40
electrosurgical
be
used
for
Information
recommendation,
Mini
Combination
unit
of
higher
the
primary
on
Bipolar
Richard
Unit
output
puncture.
Wolf
or
the
rating
Medical
Wolf
is
used
Instruments
2075.00,
then a non-conductive
Instruments
2078.40
for
suggests
Bipolar
using
the
Generator.
Trocar
sleeve
Coagulation
Wolf
1.
Use
output
and
avoid any
2.
IMPORTANT:
Instructions
high
frequency
of
50
watts
(such
2075.00).
The
receptacles
possibility
Do
not
for
electrosurgical
as
the
following
for
bipolar
of
plugging a bipolar
affix
patient
Use
units
plate
WITH
TRODES
BE
COAGULATED.
TWEEN
RENT
COAGULATION
WANTED
BODY
WITH
of
Bipolar
with a separate
Wolf
electrosurgical
and
unipolar
cable
into a unipolar
with
Bipolar
THE
BIPOLAR
ARE
THE
DENSITY
CURRENT
IS
AVOIDED
THIS
METHOD.
bipolar
units;
cables
technique.
should
METHOD, TWO
APPLIED
ELECTRODES
IS
TO
THE
IN
THE
TISSUE
A
SUFFICIENT
CREATED.
FLOW
TO A LARGE
THROUGH
Instruments
circuit
outlet
and a maximum
2083.00,
be
distinct
and
vice
2083.40,
and
versa.
TISSUE
HIGH
ANY
EXTENT
different
ELEC-
TO
BE-
CUR-
FOR
UN-
THE
power
2078.40
to
3.
For
secondary
puncture a non-conductive
trocar
sleeve
should
be
used.