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ALSA Excell 250 MCDSe - Key System Functionalities; Auto-Check and Self-Regulation; Programmable Memories and Safety Circuits; Performance and Current Variety

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The equipments of the series Excell
MCDSe
System are electrosurgi-
cal units for major surgery, suitable for all operations where the
monopolar and the bipolar techniques are used, as well as the
monopolar mode with the Argon gas flow. The units are available in 5
different models.
The models 400
MCDSe
, 350
MCDSe
, 250
MCDSe
, and 200
MCDSe
are indicated for electrosurgery, but they can be also connected to an
external module for the Argon gas. By the contrary, the model 400/A
MCDSe
is suitable both for electrosurgery and electrosurgery with
Argon gas. It is equipped with all the necessary functions for this type
of application, and so it is easier to use.
AUTO-CHECK AND SELF-REGULATION OF OUTPUT
POWERS MCDSE SYSTEM
A new system with double microprocessor
Master Sleeve System
ensures a wide range of functions and performances at a very high
level.
Auto-Check
: complete auto-control of the functioning, through:
Main Auto-Check
, main auto-diagnosis procedure at the switching-
on and
Standard Auto-Check
, continuous auto-diagnosis during the
functioning.
General Error Control and Output Error Control:
the auto-check
systems interrupt the functioning and inform the operators through
specific
Error Codes
in case of damages or errors in the function-
ing/switching on, or in case of problems that could provoke a
sudden delivery of power, which is higher than the selected one.
ADC System-constant power e Starting Impulse Control.
All the currents are automatically and dynamically self-regulated,
according to a continuous feed-back between the unit and the tissues
on which the operator intervenes, and according to the electrode used
and its rapidity of sliding on the tissues themselves.
All the cutting currents are characterized by a starting pulse, which is
controlled and automatically optimized to obtain the maximum efficacy.
These two systems guarantee the best results in all the operating
fields, by using the minimum possible power (the interventions under
liquid included).
10 PROGRAMMABLE MEMORIES
The
MCDSe
models have the possibility to memorize 10 functioning
programs that are selectable through a simple button. In this way, the
different performances can be personalized and then reproduced.
HIGH FREQUENCY LEAKAGE CURRENTS
CONTROL CIRCUIT
A specific circuit verifies that the HF leakage currents to hearth
always remain within the safety limits, in order to avoid all risks of
burns, even in dangerous situations like the contact between the
patient and a small part of the operating table.
SAFETY CIRCUIT OF THE NEUTRAL ELECTRODE
NPCC SYSTEM
The safety circuit of the neutral electrode guarantees its complete
control.
With the
twin section electrodes Split
type, it fully checks the
connection and the quality of the contact between the electrode and
the patients’ tissues.
If the contact is not optimum (approx. 80% of a standard electrode for
adults), it gives the first luminous indication. If the contact decreases
to approx. 50% of a standard electrode for adults, it gives another
luminous indication, and automatically reduces the power at a safety
level of 200 W. If the contact is dangerous or the electrode cable is
broken / not connected at all, it interrupts the delivery of the power,
through a luminous and acoustic alarm.
With the
one single section electrodes Non Split
type, it only controls
if the cable is integral and correctly connected.
PRACTICALNESS AND EASINESS
On the front panel, which is completely smooth and easily washable,
there are all the control devices with selection buttons for the functions
and adjustable buttons for the powers; there are also luminous
activation signals or alarm signals, as well as the powers control
displays. The outputs are characterized by luminous indications that
light up according to the usage modes that have been selected, in
order to favour the connection and the activation of the accessories.
GREAT RELIABILITY, TECHNICAL ASSISTANCE AND
TECHNOLOGICAL EVOLUTION
The Excell
MCDSe
models have been designed with interchangeable
boards, and they are equipped with a new generator
RF Mosfet
Powered Damped Oscillator
with alimentation device
switching
that
does not cause any problem of heating; the test procedures also
include a “stress test” of 100 hours of functioning at max. power.
The Auto-Check systems memorize the last 32
Error Codes
for the
THE ELECTROSURGICAL UNITS EXCELL MCDSe System
future controls, while the functioning and the auto-check softwares
can be easily updated, through a serial port for a connection to a PC.
WIDE RANGE OF CURRENTS AND PERFORMANCES
All the Excell models are equipped with 13 currents to satisfy all
possible operating needs; these currents become 14 into the model
400/A
MCDSe
.
Four for the monopolar cut, with sinusoidal wave, which can be
used even with the Argon gas flow into the model 400/A
MCDSe
in
order to reduce the smokes and the smells. They ensure the
maximum rapidity and precision in all the operating fields, the
procedure under liquid included.
Pure: Pure cut without any coagulating effect.
Blend 1: Coagulating cut with normal haemostatic effect.
The two currents are characterized by special self-regulation
softwares, which are particularly useful for the TUR interventions,
the vaporisation, etc.
Blend 2: Coagulating cut, with strong haemostatic effect,
spray
type.
Endo: Coagulating cut, with cut phases alternated to coagulation
phases and a special self-regulation software for its usage in flexible
endoscopy.
Four for the monopolar coagulation, which allow to obtain different
coagulation effects.
Soft: Very delicate, with soft superficial effect and strong deep
action.
Fulg Forced: With strong superficial and deep effect.
Pin Point Contact: Similar to the previous one, but softer.
Spray: Without any contact and with a very strong superficial effect.
One for the Argon gas coagulation, into the model 400/A
MCDSe
This current consists of a special coagulation without any contact,
which can be obtained by combining the spray coagulation with an
Argon gas flow through specific electrodes that guarantee a very
rapid superficial effect, a very small deep action (3mm max.), an
absolute absence of the sticking effect of the electrode on the tissues,
and a minimum risk of perforation.
Two for the bipolar cut, which allow to use this technique with
scissors, hooks for laparoscopy, etc.
Pure: Pure cut with minimum coagulating effect.
Blend: Coagulating cut with strong coagulating effect.
Three for the bipolar coagulation.
Micro: Very delicate,
Micro Precise
type, with a minimum sticking
effect of the tissues on the tips of the forceps.
Micro Auto: The same as Micro, but with
Impedance Sensing
automatic
Auto Start / Auto Stop
device.
Macro:
Standard
type, which is very rapid and efficacious, ideal for
forceps with bigger section (i.e. laparoscopy).
TWO MONOPOLAR AND ONE BIPOLAR OUTPUTS
The two monopolar outputs, which can be used at the same time
by two different operators, can be activated by three modes:
• Both of them by the hand-switch electrodes holder handles, both of
them by the double pedal foot-switch or one by the hand-switchs
and one by the double pedal foot-switch.
Into the model 400/A
MCDSe
, when also the functioning with Argon
gas is selected, the outputs are activated alternatively:
• Both of them by the hand-switch electrodes holder handles or both
of them by the double pedal foot-switch, one for the norma
electrosurgery and one for the Argon gas enhanced electrosurgery.
The bipolar output, which can be used independently and at the
same time as the monopolar ones, can be activated by two modes:
• For the cut or the coagulation, by the double pedal foot-switch.
• For the coagulation, by selecting the current
Micro Auto
with
Impedance Sensing
automatic
Auto Start / Auto Stop
device with
Start Delay
adjustable from 0 to 5sec. This represents a very useful
system, which allows obtaining coagulation by the hand-switch
activation without using any special forceps.
THE PEDAL FOOT-SWITCHES
The Excell units can be used by one double foot-switch pedal for the
activation of the monopolar or bipolar functions and by two double
foot-switch pedals, one for the monopolar functions and the other for
the bipolar functions.
ELIMINATION AND FILTERING OF THE
ELECTROSURGICAL SMOKES
In order to eliminate the bacterial/viral contamination, the Excell units
can be used together with electrosurgical smoke evacuators, which
are equipped with suction functions expressly studied for the
laparoscopic procedures and for solving the problem of a perfect
visual field while operating.

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