ConMed ExcaliburPLUS PC - Unit Operation; Program Mode Functionality

Excalibyrius,
the Program select keys to scroll to the desired
program location. Refer to Section 2.5.3 for
details on programming. At this point, the unit is
ready for operation. Otherwise, continue setup
instructions below.
CAUTION: Confirm the Program settings are
correct before using.
9. Set the Monopolar Cut Mode to Pure for cut-
ting or one of three Blend modes for desired cut-
ting with hemostasis.
10. Set the Monopolar Coag Mode to STAN-
DARD to provide pinpoint hemostasis or to
SPRAY to provide fulguration.
11. Select the desired Bipolar mode.
12. Adjust the CUT, COAG, and BIPOLAR
power level controls to the desired levels. If
unsure of the proper settings, use low power set-
tings initially and make adjustments intraopera-
tively according to the surgeon's requests. Use of
program mode or a written record of each sur-
geon's preferred power setting for various pro
dures will expedite subsequent pre-op setup.
2.5.2 Operation
Activate the electrosurgical unit in the desired
operating mode by depressing the appropriate
treadle of the foot switch or switch of a hand
switching accessory. Adjust the corresponding
power level until the desired surgical effects are
obtained. Remember that power setting changes
are limited when the unit is keyed. The available
power in watts will be displayed on the digital
display corresponding to activation mode.
Noting this wattage may be useful in attempting
to derive similar surgical effects from several
machines of different manufacturers. The surgical
effects obtained are dependent on a number of
factors including waveform, electrode size, elec-
trode geometry, power level and surgical tech-
nique.
The size and geometry of monopolar electrodes
are significant in that a large electrode, absent of
sharp features (e.g., a ball electrode) will have no
tendency to cut, regardless of the waveform
power level. Conversely, a small, sharp electrode,
such as a needle or wire loop, will be likely to cut
simply from mechanical pressure.
The activation mode is selected by the user via
hand or foot switch and the setting of the active
Mode Select switch.
The Bipolar Coagulation waveform is designed to
minimize tissue sticking and popping by limiting
the output voltage regardless of power setting.
Bipolar hemostasis is more localized than in
monopolar, since only the tissue grasped betwe
the forceps tips is affected. This is particularly
desirable in vascular surgery, where monopolar
current may concentrate in the affected vessel and
result in undesired tissue effects. This easily con-
trolled localization is also of benefit in plastic
surgery and neurosurgery.
The Bipolar Cut waveform is essentially identical
to that for monopolar Pure cut, but is delivered at
a lower voltage and higher frequency.
2.5.3 Program Mode
Up to 9 complete mode and power settings can
be easily stored and recalled at any time.
Additionally, there are two settings that the unit
automatically sets, "P" and "0" (zero).
The unit automatically stores the most recent set-
tings at power down and will restore thos
tings when the unit is turned ON. A "P" (for
Previous) will be displayed in the Program
Location Indicator. Note that if a power loss
occurs during activation, the values stored in the
"P" location will be those just prior to the activa-
tion.
set-
The "0" (zero) location sets all power settings to
zero, and the activation modes to Pure Cut,
Standard Coag and Bipolar Coag. The pad mode
will remain at the last setting. The settings 1-9
contain user stored settings.