EasyManua.ls Logo

Covidien VNUS RFG2 - User Manual

Covidien VNUS RFG2
19 pages
Print Icon
To Next Page IconTo Next Page
To Next Page IconTo Next Page
Loading...
VNUS
Radio Frequency Generator
RFG
PLUS
Model RFG2 Operator’s Manual
Question and Answer IconNeed help?

Do you have a question about the Covidien VNUS RFG2 and is the answer not in the manual?

Summary

Introduction

General Safety Guidelines

Outlines essential guidelines for safe operation of the RF Generator and RF energy delivery.

RF Treatment Warnings and Cautions

Details specific warnings and cautions related to performing RF Treatment procedures.

Setup and Installation

Equipment Description

Labeling Symbols and Indicators

Explains the meaning of symbols, visual indicators, and audible tones used by the RF Generator.

LCD Screen Interface

ClosureFAST Screen Details

Explains the display areas and information presented on the LCD screen for ClosureFAST.

Instructions for Use

AC Power Connection

Provides instructions for connecting and turning on the RF Generator using AC power.

Connecting a VNUS Device

Explains the procedure for connecting a VNUS RF Device to the RF Generator.

RF Treatment - ClosureFAST

RF Treatment - ClosureRFS

Halting RF Treatment

RF Treatment Mode

Error Mode and RFG Setup

Error Mode Handling

Explains the Error Mode, which activates upon encountering unrecoverable errors.

Troubleshooting Guide

Error Code Interpretation

Explains the types of error codes displayed by the RF Generator and how to handle them.

RF Treatment Difficulties

Lists common difficulties encountered during RF Treatment and their corrective actions.

RF Treatment Difficulties - ClosureFAST

RF Treatment Difficulties - ClosureRFS

Summary

Introduction

General Safety Guidelines

Outlines essential guidelines for safe operation of the RF Generator and RF energy delivery.

RF Treatment Warnings and Cautions

Details specific warnings and cautions related to performing RF Treatment procedures.

Setup and Installation

Equipment Description

Labeling Symbols and Indicators

Explains the meaning of symbols, visual indicators, and audible tones used by the RF Generator.

LCD Screen Interface

ClosureFAST Screen Details

Explains the display areas and information presented on the LCD screen for ClosureFAST.

Instructions for Use

AC Power Connection

Provides instructions for connecting and turning on the RF Generator using AC power.

Connecting a VNUS Device

Explains the procedure for connecting a VNUS RF Device to the RF Generator.

RF Treatment - ClosureFAST

RF Treatment - ClosureRFS

Halting RF Treatment

RF Treatment Mode

Error Mode and RFG Setup

Error Mode Handling

Explains the Error Mode, which activates upon encountering unrecoverable errors.

Troubleshooting Guide

Error Code Interpretation

Explains the types of error codes displayed by the RF Generator and how to handle them.

RF Treatment Difficulties

Lists common difficulties encountered during RF Treatment and their corrective actions.

RF Treatment Difficulties - ClosureFAST

RF Treatment Difficulties - ClosureRFS

Overview

The VNUS RF Generator, model RFG2, is a medical device designed for radiofrequency (RF) energy delivery to compatible VNUS RF Devices, such as catheters, for vessel and tissue coagulation. It measures and displays RF output Power, load Impedance (for ClosureRFS only), and elapsed RF delivery time. The generator also interfaces with a sensor in the Device to continuously display measured Temperature during RF delivery.

General Safety Guidelines:

The RF Generator is classified as an electrosurgical product and is intended for prescription use only by trained clinicians in a hospital or clinical environment. It is crucial to read, understand, and follow all safety guidelines to ensure a safe environment and effective RF energy delivery. Failure to adhere to these guidelines may result in damage to the RF Generator and/or injury to the patient. The device contains no operator-serviceable parts and must be returned to the factory or repaired by qualified service personnel for service.

Precautions/Operation Warnings and Cautions:

Before operation, users must ensure the AC Power cord is undamaged and inspect all cords and cables regularly for wear. The device should not be used with 3-to-2 prong grounding adapters, and a 240V system in the U.S. requires an AC Power center-tap configuration. It must not be operated in contact with flammable materials, chemicals, or substances, and should be protected from extreme moisture. The RF Generator's vent opening, located at the bottom, must not be obstructed, and the speaker opening should not be covered to ensure auditory tones are detectable. Removing the cover can result in electrical shock. A failure of the RF Generator could lead to an unwanted increase in RF Power. The device produces high voltages on the Device.

RF Treatment Warnings and Cautions:

Prior to RF Treatment, users must review the Device's Instructions for Use and confirm the connected Device matches the Device ID displayed. The RF Generator should only be used with VNUS ClosureFAST or ClosureRFS Devices; using Devices from other manufacturers may increase emissions or decrease immunity. Contact between cords, cables, patient, leads, or other equipment should be avoided. Wrapping the Device cable around metal objects can induce hazardous currents into the patient. Users should be aware of potential interference with pacemakers and other active implants. To prevent patient injury, measured Temperature, Impedance (not displayed for ClosureFAST), and RF Power must be within safe ranges. Patients should not come into direct contact with grounded metal objects during procedures. Activated RF Generator's electrical fields may interfere with other medical equipment; refer to the "Electromagnetic Interference (EMI)" section. RF Power should not be activated until the Device is properly positioned in the patient. RF Power activation tones and lights are critical safety features and should not be obstructed or disabled.

Environmental Conditions:

The RF Generator should be stored at temperatures between -20°C and 70°C and non-condensing relative humidity ≤ 90%. It should not be stacked, and the AC Power outlet and cord wrap area should be clear. The unit should not be lifted by the AC Power cord. Broken LCD screens contain liquid crystals, which are toxic if ingested; handle with care and seek medical attention if accidentally ingested. For operation, temperatures should be between 10°C and 40°C with relative humidity (non-condensing) between 0% and 90%. If the RF Generator is moved from storage to a new environment, allow it to fully acclimate to the new environmental conditions before turning it on.

Unpacking and Inspection of Components:

Upon receiving, unpack and inspect the following: RF Generator without physical damage to the front or back panels, cover, or screen; approved hospital-grade AC Power cord without cracks, frays, or any visible cord or plug damage; and CD-ROM containing the Operator's Manual and Service Manual. Damaged items must be repacked and returned to VNUS Customer Service Department.

Setup and Installation:

The RF Generator must be installed and put into service according to the guidance provided in this document and should only be used with a Hospital Grade power cord. It can be placed on any stable cart, table, or platform that can hold at least 11.5 kg (25 lbs). Allow at least 10 to 15 cm (4-6 in.) of space around the sides and top for air circulation and cooling. Do not block vent openings. The RF Generator should not be used adjacent to other equipment, and if adjacent or stacked use is necessary, the RF Generator should be observed to verify normal operation.

Mechanical Specifications:

The RF Generator measures 38 cm x 19 cm x 15 cm (15 in. x 7.5 in. x 6 in.) and weighs 9 kg (20 lbs).

Equipment Type:

The RF Generator is a Class I RF Generator designed to work with Type CF, Defibrillator-Proof RF Devices. It is designed to withstand the application of an external defibrillator while the RF Device is in use.

Visual Indicators:

The RF Generator includes visual indicators for AC Power (on) and RF Power status (changing color and illumination).

  • RF Power Button Status:
    • OFF (None): RF Power is disabled (Identification or Measure mode).
    • ON (Green): RF Power is enabled (ready for use) (Measure mode).
    • ON (Flashing Green): RF Power is enabled, ready for a catheter or button press to activate RF treatment (Ready mode).
    • ON (White): RF Power is activated (in use) and currently delivering RF Power (RF Treatment mode). Treatment RF Power cannot be enabled until a Device is connected.

Audible Indicators:

The RF Generator has several audible indicators:

  • Alarm: Three rapid, high-frequency tones (> 45dB at quietest setting, > 80dB at loudest setting).
  • Informational: Single short, low-frequency tone.
  • Invalid: Single short, low-frequency tone.
  • Power On: Three ascending-scale tones.
  • RF Power On - Treatment: Two descending-scale tones.
  • RF Power On - Alert: Two rapid groups of two high-frequency tones.
  • RF Start: Single, long low-frequency tone.
  • RF Stop: Single, long low-frequency tone.
  • Valid: Single short, high-frequency tone. Each button press produces a valid or invalid tone. If a button fails to sound, it indicates a malfunction and requires servicing.

Front Panel:

The front panel includes an AC Power Indicator, LCD Screen, Increment/UP and Decrement/DOWN Buttons, RF Power Button and Indicator, Vent Slots, Soft Key Menu Buttons, and a Delivery Device Receptacle.

  • Soft Key Menu: Activates the Soft Key Menus displayed directly above the buttons on the LCD display.
  • Increment/UP (▲) and Decrement/DOWN (▼): Cycles up or down through menu choices and increases/decreases/toggles values.
  • RF Power: Activates or deactivates RF Power.

Rear Panel:

The rear panel features a Handle on each side, AC Power Cord Wrap, Fuse Holder, AC Power Switch, AC Power Inlet, Equipotential Grounding Lug, MMC Service Slot, and Vent Openings.

  • AC Power Switch: Turns the RF Generator's AC Power on or off.
  • AC Power Cord Wrap: For storing the cord when not in use.
  • AC Power Inlet: Connects the AC Power cord to the RF Generator.
  • Equipotential Grounding Lug: Provides a point for an auxiliary Earth Ground connection.
  • Fuse Holder: Includes two 4A/250V, slo-blo, 5x20 mm fuses.
  • Handle: For carrying or lifting the unit.
  • MultiMediaCard (MMC) Slot: Accepts a MultiMediaCard for storing procedure data and software upgrades.
  • Service Port: Used for calibration and repairs by qualified service personnel only.
  • Vent Openings: Must not be blocked.

LCD Screen - ClosureFAST:

The LCD screen consists of three areas: Data Display area, Operator Message area, and Soft Key Menu area.

  • Data Logging Indicator: Indicates if a MultiMediaCard is inserted and data is being logged.
  • Device ID: Indicates the type of Device connected.
  • Device Temperature: Indicates the current Temperature of the connected Device.
  • Gauges: Indicates Temperature and RF Power with an acceptable range shown for Temperature.
  • Progress Meter: Indicates remaining treatment time.
  • Timer: Counts down from the selected treatment time.
  • RF Power: Indicates current RF Power delivered to the Device. The Temperature gauge's needle points to green (within normal range), red (above Advisory Limit), or blue (below Advisory Limit). The Power gauge's illumination is green (within normal range) or red (above Advisory Limit).

LCD Screen - ClosureRFS:

Similar to ClosureFAST, but also displays Device Impedance.

  • Device Impedance: Indicates current Impedance of the connected Device.
  • Gauges: Indicates whether Temperature, Impedance, and RF Power are within or outside of preset limits.
  • Timer: Indicates the amount of time RF Power has been delivered during the current RF Power On cycle. The gauge's needle points to green (within normal range), yellow (violation of Advisory Limits), or red (violation of Functional Limits).

Instructions for Use:

To ensure safe RF delivery, familiarity with the RF Generator's operation, settings, and display interpretation is essential.

  • AC Power: Use an approved hospital-grade AC Power cord. Inspect the cord, inlet, and outlet before each use. To turn on, plug the cord into the inlet and a grounded outlet, then press the AC Power switch UP. Verify the AC Power indicator is lit and all LCD screen pixels illuminate white. Do not plug into cracked or damaged outlets, or use damaged cords, extension cords, or adapter plugs.
  • Changing Settings: Use Soft Key Menu buttons (DEVICE SETUP or RFG SETUP) to access sub-menus. Use Increment/UP (▲) and Decrement/DOWN (▼) buttons to highlight and change settings. Press SELECT to confirm, ACCEPT to save, and EXIT to return.
  • Connecting a Device: Insert the Device's connector into the receptacle, aligning the red dot on the receptacle with the red mark/raised line on the connector. If the unit is on before connection, it prompts the operator to connect a Device.

Measure Mode:

Starts when a Device is attached. The Data Display area shows current parameters. For ClosureFAST, violating Functional Limits results in an advisory message, preventing RF Treatment. For ClosureRFS, Measure, Saline Test, and Body Test modes use a small amount of RF energy (2.3 mWRMS) to measure Impedance at the Device tip. This power is insufficient to cause tissue heating, but operators should be alert for interference to nearby equipment.

RF Treatment - ClosureFAST:

Review "General Safety Guidelines" before starting. Confirm the connected Device matches the Device ID.

  • Entering Ready Mode: Press the RF Power button (changes to flashing green).
  • Initiating RF Treatment: Press START RF button or Device handle button. The RF Power button illuminates white. The Device will increase to the set temperature and hold until treatment time completes. RF Power delivery stops automatically, and the button flashes green (Ready Mode). Pressing START RF or the handle button restarts the next treatment. Do not activate RF Power until the Device is properly positioned in the patient.

Halting RF Treatment:

During RF Delivery, press STOP RF or the Device handle button. RF Treatment halts automatically if: time set has elapsed, a Functional Limit is violated, an error is detected, or the Device is disconnected. If treatment does not halt automatically, disconnect the Device.

Restarting RF Treatment:

Correct any alarm condition before restarting. If a Device is unplugged and reconnected, the unit prompts to retain or discard the Timer Value. If the unit was turned off, a new Timer Value starts at 0:00. Total Treatment Time displays in the Operator Message area after RF Power halts.

Using MultiMediaCards (MMCs):

MMCs store data from procedures, log generator errors, and perform software updates. Use VNUS part number MMC.

  • ESD Precautionary Procedures: Use proper ESD procedures when handling, inserting, or removing the MMC card. Touch the metal frame of the RFG2 to discharge static electricity, or use an ESD wrist strap. All personnel handling MMC cards should receive ESD training.

Functional and Advisory Limits:

The RF Generator monitors Device parameters (Temperature, Impedance, RF Power) within Functional Limits, which must be met before RF Treatment can start. Advisory Limits are within Functional Limits. Operation below these values may cause inaccurate results, and the RF Generator will not allow treatment if measurements persist outside of limits. Limits can be affected by Set Points defined in the Device Setup menu.

  • Functional Limits for ClosureFAST: Patient Temperature: 10°C to 130°C.
  • Functional Limits for ClosureRFS: Patient Temperature: 10°C to 110°C; Device Impedance in Treatment, Saline, or Body Test Modes: 25-1000 Ω; Device Impedance in Measure Mode: ≥10 Ω. If a parameter violates Functional Limits, the gauge displays red, an Alarm Tone sounds (Informational Tone for Impedance), Alarm Acknowledge Mode is entered, and an Alarm Message displays.
  • Advisory Limits - ClosureFAST: During RF treatment, if the set temperature is not reached within a predetermined time, RF power stops. If temperature is below the Advisory Limit, the gauge displays blue, an Informational Tone sounds, and a message displays.
  • Advisory Limits - ClosureRFS: If a parameter violates Advisory Limits, the gauge displays yellow, an Informational Tone sounds, and a message displays.

Operating Modes:

The RF Generator has several operating modes, requiring attention to the Data Display and Operator Message areas during Body Test, Saline Test, Measure, and RF Treatment modes. Failure in any mode results in the RF Generator not starting or automatically halting RF Treatment.

  • Power On Self Test (POST) Mode: Performs internal self-tests: verifies RAM/ROM integrity, activates visual indicators (LCD screen, backlit Soft Key Menu buttons), sounds Power On tone, verifies RF generation/measurement circuits, and displays notice if factory defaults are restored. Observe screen, lights, and alarms cycle. If an error occurs, power off and contact Customer Service.
  • Identification Mode: Checks for a connected Device. Displays "Please connect device" if none, "The connected device is unsupported" or "The device is invalid" if unsupported/unknown. Displays current software version and VNUS logo.
  • Measure Mode: Displays current parameters when a Device is attached. For ClosureFAST, functional limit violations result in an advisory message. For ClosureRFS, Measure, Saline Test, and Body Test modes use low RF energy (2.3 mWRMS) for impedance measurement.
  • Saline Test Mode - ClosureRFS only: Performs Temperature and Impedance measurements using 0.9% saline solution for ~10 seconds. Displays measured Impedance/Temperature against expected ranges. Values can vary due to actual saline temperature. Advisory conditions may indicate a faulty Device.
  • Body Test Mode - ClosureRFS only: Performs Temperature and Impedance measurements with the Device positioned in the patient for RF Treatment for ~15 seconds. Displays measured Impedance/Temperature against expected ranges. Advisory conditions may indicate a faulty Device.
  • Alarm Acknowledge Mode: Starts when RF Treatment halts due to an alarm or unrecoverable error. Ends by pressing OK or after 30 seconds.
  • Ready Mode - ClosureFAST only: Starts after a ClosureFAST Device is attached and RF Power button is depressed. Displays current parameters and enables RF power delivery when START RF or Device handle button is pressed.
  • RF Treatment Mode: Delivers RF Power. Active when Temperature/Impedance are within Functional range, RF Power button is pressed (ready mode), and START RF or Device handle button is pressed.

Error Mode:

Displays error messages for unrecoverable errors. Active if an unexpected internal error or POST fails. RF Treatment halts, and an entry is logged. For non-recoverable errors, turn off, wait, and turn on the unit. If errors persist, contact Customer Service.

RFG Setup Mode:

Provides settings for the RF Generator.

  • Proc Tone Vol: Adjusts Procedural Tone Volume (2-10). Controls alarm tones and RF Power delivery tones. Cannot be quieter than Informational Tone Volume.
  • Info Tone Vol: Adjusts Informational Tone Volume (1-9). Controls button acknowledgement and informational tones.
  • Gauges - ClosureRFS only: Adjusts Parameter Range Indication gauges (ON/OFF).
  • Brightness: Adjusts screen Brightness (1-10).
  • Language: Selects display language (default English). Can be changed in RFG Setup Mode or during POST.
  • Date/Time: Adjusts current Date and Time.

Device Setup Mode:

Provides settings for the connected Device. Settings differ by Device.

  • Phase (1 or 2) (ClosureFAST only): Adjusts RF Treatment time (in seconds) for initial heating and temperature maintenance. Total treatment time is the sum of Phase 1 and Phase 2 values.
  • Maximum Power (W): Adjusts maximum RF Power.
  • Temperature (°C): Adjusts desired target Temperature.
  • RFS Advisory Interval (s) (ClosureRFS only): Adjusts time between advisory tones.

Maintenance:

  • Cleaning and Disinfection: Unplug AC Power cord before cleaning. Avoid spilling liquids into the RF Generator or getting cleaning materials inside the Device receptacle. No scheduled maintenance other than cleaning external surfaces. Clean prior to each use. Recommended agents for surfaces (not LCD screen): 5% household bleach (approx. 2,500 ppm Sodium Hypochlorite), Sporicidin®, IPA 70/30. Recommended agent for LCD screen: IPA 70/30. The RF Generator cannot be sterilized and must not enter a sterile surgical field.
  • Disposal: Follow local governing ordinances and recycling plans. The RF Generator includes a lithium battery (marked with a symbol). Do not incinerate or dispose of lithium batteries in general trash. Check state and local regulations for disposal.

Troubleshooting:

  • Technical Assistance: Contact VNUS Customer Service or a local distributor.
  • Error Codes: Displays unrecoverable (requires AC Power reset) or recoverable errors (requires operator response).
  • RF Treatment Difficulties: Tables 4 and 5 provide general recommendations for situations where Temperature, Impedance, or RF Power are too high or low, or if RF Treatment halts.

Electromagnetic Interference (EMI):

The RF Generator might cause interference with other equipment during RF Treatment or low power measurement modes. If interference occurs, move the RF Generator and its cords/cables away from susceptible equipment. The RF Generator is susceptible to EMI from other equipment, which could result in inaccurate RF Power delivery, patient injury, or unit restart. Possible sources include cellular phones, radio transmitters, motors, telephones, lamps, electrosurgical products, and defibrillators. Restrict use of such equipment near the RF Generator.

Covidien VNUS RFG2 Specifications

General IconGeneral
BrandCovidien
ModelVNUS RFG2
CategoryInverter
LanguageEnglish