ALSA 400 MCDSe - Flexible Endoscopic Surgery Operation

Veb- MN (Excell-MCDSe 400)#A(15-5-2007)(in).doc
8
FUNCTIONING for the FLEXIBLE ENDOSCOPIC SURGERY
(See Par. “PROGRAMS and MEMORIES”, program nr. 8).
CONNECTION and USE of the ACCESSORIES
1. Socket (5-PED-1): flexible electrode with pedal foot-switch (See Par. “CONNECTION and USE of the PEDAL FOOT-
SWITCHES”).
Use only this socket to connect the above mentioned instruments. The use of different sockets provokes a damage to the unit.
Just in case, ask for:
ALSA cables for the flexible electrodes:
- CEP3, 3mt long or CEP3/5, 5mt long, for the disposable instruments with male connector  3mm;
- CEP4, 3mt long or CEP4/5, 5mt long, for the reusable instruments with female connector  4mm.
The adaptors for the cables with different plug:
- RD/5, for cables with non insulated plugs  from 2 to 8mm, or with insulated plug  4mm;
2. Socket (7- N.P.): neutral electrode.
According to the connection possibilities listed above, the unit allows to:
A. Use the flexible electrode by foot-switch activation (See Par. “CONNECTION and USE of the PEDAL FOOT-SWITCHES”).
Just press on the yellow pedal for the pure/coagulating cut currents, and on the blue pedal for the coagulation currents.
B. !!! BIPOLAR FUNCTIONING!!!
The bipolar functioning is always possible. See Par. “BIPOLAR MODE”.
MONOPOLAR CURRENTS, ELECTRODES, ADJUSTMENT of the POWERS, ADVICE
CURRENTS for 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
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W for the papillotomy, from 20-30W for the polipectomy with polypus
 5mm, and from 40-50W approx. for polypus  6mm or more.
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 twin foot-switch pedal .
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W for the papillotomy, from 20-30W for the polipectomy with polypus
 5mm, and from 40-50W approx. for polypus  6mm or more.
COAGULATING CUT (BLEND-2) – Not suitable at all.
COMBINATED CUT (CUT ALTERNATED TO COAGULATION) (ENDO) – For flexible endoscopy with cutting phases
alternated to coagulation phases
This is a constant voltage current and it is controlled by a special automatic power self adjustment system (ADC System) according to the
characteristics of the tissues.
Control devices to be used (area C):
- With the selection key, select the current ENDO, 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 .
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 70-80W for the papillotomy, from 70-80W for the polipectomy with polypus
 5mm, and from 90-100W approx. for polypus  6mm or more.
CURRENTS for COAGULATION
“FULGURATION” COAGULATION AT HIGH VOLTAGE (FULG FORCED) - Strong superficial sparkling effect, and optimum
deep coagulating effect
This current guarantees a strong coagulating effect, both deep and superficial, and therefore it is suitable both for coagulations performed
with forceps/surgical instrument, and for coagulations performed by grazing the tissues with the active electrode.
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 D):
- With the selection key, select the current FULG FORCED, then adjust the power with the regulation keys;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch pedal.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W.