E-IM54f P19/37
TD830
ELECTROSURGICAL UNIT
not become available to the second user until the first user
has finished using power and the second user has released
and reapplied demand (via footswitch or fingerswitch) after
the first user has finished.
Plate electrode (required for monopolar mode only)
5.22 If the electrosurgical unit is to be used in monopolar
mode and a plate electrode is not connected to the plate
electrode connector socket (30), the unit will alarm (PCM
or PAM) and the audible two-note tone will sound and the
displays will flash. If a non-divided plate cable is being used,
then connecting a non-divided plate electrode will stop the
alarm. If a divided plate cable is being used then connecting
a divided plate electrode and applying the divided plate
electrode correctly to the patient’s body will stop the alarm.
WARNINGS
1) Whichever type of plate electrode is used,
it is most important that the application
instructions, issued with the plate electrode,
are strictly followed.
2) Ensure the pin on the plate connector (or
adapter) is fully inserted into the plate electrode
socket (item 30, Fig. 11) before energising the
output.
5.23 A plate continuity monitoring circuit (PCM) initiates
the audiovisual alarm system if there is a break in the non-
divided plate cable, or a faulty connection in the non-divided
plate electrode circuit. The electrosurgical output will be
instantly cut off and will not be restored until the fault is
corrected.
5.24 If a divided plate cable and divided plate electrode
are being used, the unit will alarm (PAM) if the divided
plate electrode is not making sufficiently good contact with
the patient’s body or if the divided plate electrode or its
connector system is faulty.
5.25 Apply a plate electrode to the patient in strict
accordance with the application instructions supplied with
the plate electrode and connect the plug to the plate
electrode socket (30) on the front panel of the unit.
Note: The Eschmann Flexoplate must be used with
adapter REF 83-207-56, Fig. 1.
5.26 If the required surgical effect is not obtained with
the normal power setting, check the following before
increasing power:
♦ The plate electrode is correctly positioned, and is in
contact with the patient.
♦ The plate electrode cable is intact, and is plugged into
unit plate electrode socket (30).
♦ The active electrode is correctly fitted in its holder and
the active cable is correctly connected to the unit.
Check that the cable is in good condition.
Guidance on power output settings is given in sections
5.53 to 5.55 and in Table 1.
Fingerswitch / active electrode handle
5.27 A fingerswitch or active electrode handle must be
treated with extreme care at all times.
WARNINGS
1) When either a fingerswitch or an active
electrode handle is connected to the unit, its
location should be closely noted. It should
never be allowed to contact other instruments.
2) During surgery, when an active electrode
is not in use, it should always be put in an
electrosurgical quiver or similar receptacle.
This is most important when both bipolar and
monopolar electrodes are required for the same
surgical procedure.
3) Similarly do not touch USER 1 active
electrode when USER 2 output is activated and
visa versa.
4) Do not touch a bipolar active electrode
when monopolar is activated and visa versa.
5.28 Connect the required cable and active fingerswitch
to the fingerswitch sockets (27 and 28) for USER 2 and
fingerswitch sockets (25 and 26) for USER 1 as detailed
in sections 5.3 to 5.7.
5.29 Alternatively for USER 1 connect an active cable
with a 4mm plug into active socket (26) or an active cable
with an 8mm plug (BOVIE) to active socket (24) as detailed
in sections 5.5 to 5.7.
Footswitches
5.30 Eschmann footswitch(es) (Fig. 4) can be plugged
into either footswitch socket (38). With either cut (11), blend
(13) or specialist cut (15) output selected, pressing a yellow
(cut) footswitch illuminates the yellow power activated
indicator (9), and the cutting running tone will sound.
5.31 With either pinpoint coag (19) or spray coag (20)
selected, pressing a blue (coag) footswitch illuminates the
blue power activated indicator (22), and the coag running
tone will sound.
5.32 The Eschmann twin footswitch (Fig. 4) has an angled
platform with two light-action switches for cut and coag.
Colour coded bars provide foot location and protection
against accidental operation.