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ALSA 400 MCDSe - Monopolar Electrosurgery Mode; Monopolar Accessory Connection and Use; Monopolar Currents: Cut and Coagulation; Monopolar Currents for Cutting

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Veb- MN (Excell-MCDSe 400)#A(15-5-2007)(in).doc
5
- With 1 bipolar electrode (for coagulation) with automatic start/stop system (impedance sensing), by selecting the coagulation
Micro Auto;
All the electrodes mentioned above can be used at the same time and independently, but not simultaneously, except for the two monopolar
electrodes-holder handles, as specified at point 1). In this case, the first activation stops the other ones avoiding all possible errors and giving
the right signal to the users (See Par. “SELF-DIAGNOSIS and SELF-TEST” – Self-diagnosis system = Error Code uSr Act and block of
the unit).
MONOPOLAR MODE FOR ELECTROSURGERY
CONNECTION and USE of the ACCESSORIES
1. Socket (3-MAN-1): hand-switch handle (forceps for coagulation with hand-switch for coag only)
** in alternative **
Socket (5- PED-1): handle (forceps for coagulation, laparoscopy instrument) for the use by pedal foot-switches
(See Par. “CONNECTION and USE of the PEDAL FOOT-SWITCHES”)
Use only this socket to connect the instruments specified here above. If other sockets are used, a failure into the unit could occur.
Just in case of a cable with a different plug from Alsa standard type, ask for:
- ALSA cables, by specifying the model and the instrument connector type
- Adaptor (RD/5, for the cables with non insulated plugs from 2 to 8mm, or with insulated plug 4mm);
2. Socket (4-MAN-2): second hand-switch
handle (forceps for coagulation with hand-switch for coag only)
** in alternative ** (by selecting the pre-set programs 6, 7)
Socket (6- PED-2, lit Led): second handle (forceps for coagulation) for the use by pedal foot-switches
(See Par. “CONNECTION and USE of the PEDAL FOOT-SWITCHES”);
3. Socket (7- N.P.): neutral electrode
.
According to the connection possibilities specified here above, the operator can use:
A Obviously, one single active electrode (handle, forceps, instrument, etc.) by hand-switches or pedal foot-switches (press the mode
cut for the pure cut/coagulating cut currents, or the mode coag for the coagulation currents);
B Alternatively, two active electrodes (two handles, or one handle and one forceps for coagulation, or other), both of them by hand-
switches, or just one of them by hand-switches and the other by pedal foot-switches (press the mode cut for the pure
cut/coagulating cut currents, or the mode coag for the coagulation currents);
C At the same time, two active electrodes by two operators, both of them by hand-switches, or just one of them by hand-switches
and the other by pedal foot-switches, (This possibility is allowed only selecting the coagulation modes without contact “Fulg-
Forced and Spray”, as stated by the International Safety Rules for the HF electro-surgical equipments -IEC 60601-2-2, par. 46.103);
D Alternatively, two active electrodes (two handles, or one handle and one forceps for coagulation, or other), both of them by pedal
foot-switches (This mode is possible by selecting the pre-set programs 6 and 7 “See Par. “PROGRAMS and MEMORIES”
);
E. !!! BIPOLAR FUNCTIONING !!!
The unit can always be used for the bipolar functioning. See Par. “BIPOLAR MODE”.
MONOPOLAR CURRENTS, ELECTRODES, ADJUSTMENT of the POWERS, ADVICE
CURRENTS for CUT and COAGULATING CUT
PURE CUT (PURE) – Cut without coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the functioning, which guarantees that the power
selected by the operators remains constant according to the characteristics of the tissues.
Control devices to be used (area C):
- With the selection key, select the current PURE, then adjust the power with the regulation keys;
- For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch pedal, or the yellow key of
the hand-switch handle.
Instructions for use, adjustments and electrodes
Use cutting electrodes (blade, needle, loop, hook type, or the external part of the dissector, in laparoscopy) from 30-40W.
COAGULATING CUT (BLEND-1) – Cut with soft coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the functioning, which guarantees that the power
selected by the operators remains constant according to the characteristics of the tissues.
Control devices to be used (area C):
- With the selection key, select the current BLEND-1, then adjust the power with the regulation keys;
- For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the foot-switch pedal, or the yellow key of the
hand-switch handle.
Instructions for use, adjustments and electrodes
Use cutting electrodes (blade, needle, loop, hook type, or the external part of the dissector, in laparoscopy) from 30-40W.
COAGULATING CUT (BLEND-2) – Cut with a very strong spray coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the functioning, which guarantees that the power
selected by the operators remains constant according to the characteristics of the tissues.
Control devices to be used (area C):
- With the selection key, select the current BLEND-2, then adjust the power with the regulation keys;
- For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the foot-switch pedal, or the yellow key of the
hand-switch handle.
Instructions for use, adjustments and electrodes
Use cutting electrodes (blade, needle, hook type, or the external part of the dissector, in laparoscopy) from 30-40W.

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