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English user manual

1. Bubes O LOCL 001 02 0 unio au 006 008 002 009 006 oor 00 007 00L euotzejsodu 07 OF 09 08 001 001 021 roc abeba Bumas 06 021 001 061 joel Md Md 910euUJ07 7 JUBINOD 7 M n 7 9jueJ07 udo yj 006 008 002 009 00s oor 00 002 001 2 0 1 0 euorejsodu ebepe 091 Opl Ocl euotzesodui 02 Or 09 08 001 021 a ONITA 9 USLUO jUeINOD Juano ajuamog cuyo yj 006 008 002 009 008 oor 00 00z 001 07 0 eouepedui l I 0 oz 02 Or Hor 09 Log 08 Log 001 oo 021 Loz Ovi Lor MI Cd JH Nd 14 JUBINOD jueuno ejueJio2 WI 06 05V0 0 22 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Culo au 006 008 007 009 oos oor 00 002 001 mei E D 0 Or 0 6 OgLOZL 00 og 09 o oz u 1 i m 1 f Sipizisodui 5 uza e Poor 02 02 ooz ov Hor Hooe eee 09 o9 Loos 08 08 009 001 001 002 2 Hozi 008 06 Gd On dda ha CM d OYOVIN QUAD jueJno
2. L HOOK Hand Control Senza aspirazione With no suction Sans aspiration Sin aspiraci n EL MLH L Manipolo con controllo manuale taglio coagulazione Pencil with hand control cut coag Poigne porte electrodes avec commande manuelle coupe coagulation Mango porta electrodos para mando manual corte coagulacion e 5 m sistema di bloccaggio block system syst me de 2 sistema de blogugo MPE CMS 300 4 Elettrodo a lama per m manico o MPE CMS 300 4 Knife electrode for MPE CMS 300 4 handle Electrode lame droite pour poigne MPE CMS 300 4 Electrodo de cuchillo para mango MPE CMS 300 4 r 4 mm t gt SO i 34 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI BIPOLARI PER LAPAROSCOPIA BIPOLAR ACCESSORIES FOR LAPAROSCOPIC SURGERY 134 C ACCESSOIRES BIPOLAIRES POUR LAPAROSCOPIE Autoclave ACCESORIOS BIPOLARES PARA LAPAROSCOPIA Cavo Cable C ble Cable CPB E 3 m CPB E5 5m BA iub 17 45mm EL BL J BIPOLAR J HOOK EL BL L BIPOLAR L HOOK EL BL DL BIPOLAR DL HOOK Spina Plug Fiche Enchufe Tipo piatto europeo European flat type Type plate europ enne Tipo plano europeo m 35 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI BIPO
3. cm 18 ml NEUTRAL ELECTRODES ME EE NP A NP GA cm cm cm 19 8 1 mee a NP GP r cm12 cm12 NP A Stainless steel neutral electrode for adults cable 2 5m long NP GA Flexible rubber neutral electrode for adults cable 2 5m long NP GP Flexible rubber neutral electrode for children cable 2 5m long PEDAL FOOT SWITCHES DS E Twin pedal foot switch DS B Twin pedal foot switch for bipolar mode only DISPOSABLE NEUTRAL ELECTRODES CMS E CMS E Connection cable 2 5m long m WI 23 EIP DA Neutral electrode non split type for adults 134 cm pe EIP DP Neutral electrode non split type for children 72 em EIP SA Neutral electrode split type for adults 128 cm EIP SP Neutral electrode split type for children 71 cm r1 25 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D 4A 20 2 2007 in doc ELETTRODI MONOPOLARI MONOPOLAR ELECTRODES ELECTRODES MONOPOLAIRES ELECTRODOS MONOPOLARES NON STERILE NON STERILE ELETTRODO DESCRIZIONE NON ST RILE ELECTRODE DESCRIPTION NO EST RIL ELECTRODE DESCRIPTION ELECTRODO DESCRIPCI N A lama dritta e Straight knife A lame droite De cuchillo recto A lama spatola dritta isolata Insulated straight knife spatula A lame spatule droite isol De cuchillo esp tula recto aislado A lama angolata Bent knife spatula A lame courb e De cuchillo con angulo A lancetta retta
4. E16 A sfera O 6 mm angolata Ball 0 6 mm bent type A bille 6 mm courb e De bola 6 mm con angulo Diamante 5x10 mm Diamond 5x10 E18 Diamant 5x10 mm Diamante 5x10 ex EL14 E17 Diamante 10x10 mm Diamond 10x10 mm E19 Diamant 10x10 mm Diamante 10x10 mm ex EL15 Ansa a filo 5 mm Wire loop 5 mm E21 Anse a fil 5 mm Asa de alambre Y 5 mm Ansa a filo 10 mm Wire loop Y 10 mm Anse fil 10 mm Asa de alambre 10 mm FA Ansa a filo 15 mm Wire loop Y 15 mm Anse fil 15 mm Asa de alambre 15 mm SC Ansa a nastro 10 mm Ribbon loop 10 mm Anse bande Y 10 mm Asa de cinta 10 mm Ansa a nastro Y 15 mm Ribbon loop 15 mm Anse bande Y 15 mm Asa de cinta 15 mm E25 N A paletta 8x12 mm Plate electrode 8x12 mm E26 palette 8x12 mm De placa 8x12 mm 26 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ELETTRODI MONOPOLARI MONOPOLAR ELECTRODES ELECTRODES MONOPOLAIRES ELECTRODOS MONOPOLARES NON STERILE NON STERILE ELETTRODO DESCRIZIONE NON STERILE ELECTRODE DESCRIPTION NOESTERIL ELECTRODE DESCRIPTION ELECTRODO DESCRIPCI N 1 Prolunga Extension EXT 15 Rallonge Alargamiento A lama Knife A lame De cuchillo Ad ago Needle A aiguille De aguja Ad ago sottile Thin needle A aiguille fine De aguja fino Ansa a filo Wire loop Anse f
5. JUALIN QUALIOO 252594 ab a me 008 002 009 me 007 006 002 001 oet og EI og op or oz EC ogLozi 00 09 o 07 0 eouepedur Pos oz Lon Losi or 002 s Pos 08 Hooe Lose 001 oor 02 Hozi osr 061 Gd On dda Md CM d OUT IW 913091107 JUBINOD h n SJUS MOD Bep pe as M o8 te d KEE EE A WA WA 006 008 002 009 006 oor 00 Doz 001 euomzejsodul l l euoizejsodui 1 02 or 09 08 001 02 Hozi 008 06 Gd A dda Cn a Ch a DH 2 ju amp Jnoz jueun WI 06 05V0 0 23 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc mes 08 021 09 Or 07 euot jsodu 061 021 001 09 a 0 euotzeysoduu 02 or 09 08 001 021 ma unio yy 006 1 008 00 009 I Dos I DeL Md OH TWAS JUBINOO USINO WI 06 05V0 0 24 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORIES ELECTRODES HOLDER HANDLES MPE E Electrodes holder handle with cable 3 5m long MPE CMS Electrodes holder handle with hand switches reusable 100 times cm 17 MPE E 4 mm MPE CMS Y 4 L gt
6. use of water mattresses contacts of patient with the metallic parts of the operating table undesired burns on the operator tissues i e into the hand because of an insulation leakage into the coagulation monopolar forceps interferences with the functioning of other equipments i e video systems or implanted devices pace makers slight neuromuscular stimulations notably with coagulation currents both in the contact point of the active electrode and in the contact point of the neutral electrode These stimulations are felt by patients as electrical discharges DIRECTIONS FOR USE In the field of normal electro surgery with only the High Frequency currents the Excell NHP 350 D allow to perform all kinds of Monopolar Cut Pure or Coagulating Monopolar Coagulation at low medium and high voltage Bipolar Cut Pure or Coagulating Bipolar Coagulation Micro Macro sealing of vessels etc during major and medium surgery interventions into the operating theatre open sky surgery minimum invasive surgery endoscopic surgery or in any other similar place The application medical fields of this model are the following ones GYNAECOLOGY HEART SURGERY ORTHOPAEDICS NEUROSURGERY OTORHINOLARYNGOLOGY UROLOGY MAXILLOFACIAL SURGERY DERMATOLOGY PLASTIC SURGERY VASCULAR SURGERY GENERAL and THORACIC SURGERY PAEDIATRIC SURGERY EMERGENCY SURGERY GASTROENTEROLOGY VETERINARY and OTHER GENERAL PRECAUTIONS It is dangero
7. Choose the bipolar technique when operating on small portions of tissue or in cavities 15 Try to respect as much as possible the suggested working times and avoid useless short circuits between the active electrode and the neutral one 16 Get in contact with the Technical Service for the use of the disposable electrodes 17 When the device is switched on check all the settings before using it on the patient and remember that a failure can provoke an undesired increase of the power 18 Remember that also the use of too low powers if combined with some particular electrodes or accessories can cause side effects for example when using the Argon gas the risk of embolism raises if the power of the spray coagulation is not able to produce quickly a rapid and impermeable eschar on the target tissues 19 The unit must not be used for final purposes other than those listed in this manual THE HF LEAKAGE CURRENTS CONTROL CIRCUIT The unit is equipped with a leakage currents to hearth control circuit because these currents represent one possible source for undesired burns on the patient or the operators i e a patient who gets in touch with a metallic part of the operating table or with wet damp towels a patient who is placed on a water mattress for surgical needs an operator who gets in touch with instruments or endoscopes etc They all are possible causes of the increase of such currents When the leakage currents to hearth overcome
8. 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 SPRAY 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 or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current by simply closing the coagulation forceps just in case a hand switch forceps is used PMI P or PMI B Instructions for use adjustments and electrodes Use cutting and coagulation electrodes blade needle ball type and coagulation insulated forceps in laparoscopy conization electrodes in gynaecology from 40 50W ADVICE OPEN SKY SURGERY For the Cut use as follows Current PURE from 40 50W for a cut without the coagulating effect it is not very common in surgery where the coagulating cut is preferred Current BLEND 1 from 40 50W for a cut with a medium coagulating effect Current BLEND 2 from 40 50W for a cut with a very strong superficial coagulating effect spray type Current AUTO BLEND from 80 100W for a cut with a soft coagulating effect at constant voltage which is less efficacious than the previous ones but it reduces the superficial carbonizat
9. This kind of unit is especially indicated for direct heart application 1 Tel b4 b3 b2 Apparatus of Class 1 Type CF protected against the defibrillator effects a CF type unit guarantees the highest safety level against direct and indirect contacts notably for the allowable leakage currents The applied part type F floating is protected from the hearth at high and low VVI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc This unit is manufactured by ALSA Apparecchi Medicali s r l via C Bonazzi no 16 40013 Castel Maggiore Bologna Italy which is responsible for its safety reliability and performances but only if the additions the recalibrations the alterations or the repairs are carried out by its authorized personnel who uses original spare parts and only if the unit is installed according to the given instructions in an area that meets the norms IEC CEI On request ALSA can provide the user with the electric diagrams and or any further information which is necessary Keep this manual with the unit read it carefully before using the equipment and ask for it again in case of loss If it is not exhaustive for the specific needs of the application field get in touch with the Manufacturer directly or through the local distributor before using the apparatus According to the requirements of the European Directive for Medical Devices 93 42 CEE and in compliance with the procedures of the Company
10. notably the active and neutral ones get in contact with the patients tissues and therefore require a special attention SELF DIAGNOSIS and SELF TEST SYSTEM CONTROL of the ERROR CODES The unit is equipped with a self diagnosis system which automatically intervenes in case of functioning problems included the delivery of powers that are higher than the set ones It stops the device and informs the operators through specific alarm signals Error Codes which can be either acoustic loud and intermittent sound or also visual see the Tables Codes for Wrong Use or Activation Circuit Fault Codes for System Fault When the device is turned on this control system carries out a complete self test cycle over the hardware and the software all the Led and displays light up and the loudspeaker is activated If everything works properly this phase ends by a short acoustic signal If the system detects any problem the faults are indicated as described above and the operator must either try to eliminate all the possible causes or switch the equipment off and ask for a technical assistance When the device is running this control system checks the functioning of the unit included the output powers 2000 times per second by repeating the complete test on the functioning every 20 minutes in an activation interval Even in this case the problems are indicated as described above When the device is turned on Control of the Error Codes
11. CEI IEC Class I Type CF Classification 93 42 CEI EEC IIB Output circuit floating insulated from ground at high and low frequencies and protected against the use of the defibrillator Mains and Absorption 230 V 50 Hz 828 VA Mains Fuses T 5 A Monopolar mode with the possibility to connect 1 or 2 electrodes holder handles both of them with hand switches or just one with hand switches and the other one with pedal foot switches Bipolar mode with the possibility to connect 1 or 2 electrodes with pedal foot switches Bipolar mode in coagulation by pedal foot switch or with a particular selection by automatic start stop system according to the conditions of the tissue impedance sensing adjustable activation delay from 0 5sec to 5sec Typical working values 0 30 2 non activated system less than 90002 start from 1000 to 17009 stop Functioning memorisation system with 100 memories Setting by keys buttons for the functioning and the powers indicated on the display in centesimal scale Functioning control circuit by twin microprocessor Self control and self diagnosis circuit with delivery stop system acoustic signal visualization of the fault code Neutral electrode safety circuit with acoustic signal loud and intermittent luminous signal red and visualization of the code Protection against liquids standard non protected enclosure Cooling system by convection without fan Discontinuous funct
12. 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 specific electrodes for the resectoscope from 70 80W with wire loop electrodes for soft tissues i e into the bladder 90 100W with wire loop electrodes for strong tissues i e TUR 90 100W with ribbon loop cutting vaporization electrodes for soft tissues i e into the bladder 100 110W with ribbon loop cutting vaporization electrodes for strong tissues i e TUR 100 120W with vaporisation electrodes of small dimensions 150 170W with vaporisation electrodes of big dimensions 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 cu
13. NON STERILE ELECTRODE DESCRIPTION NO ESTERIL ELECTRODO DESCRIPCION r REA LOOP Leep Lletz procedures N mm Ansa a filo 10x10 mm Wire loop 10x10 mm m Anse fil 10x10 mm Asa de alambre 10x10 mm ex EL41 13 cm Ansa a filo 15x10 mm Wire loop 15x10 mm E52 LOOP Leep Lletz procedures Anse a fil 15x10 mm Asa de alambre 15x10 mm ex E Ansa a filo 20x8 mm Wire loop 20x8 mm E53 LOOP eu Lletz procedures Anse fil 20x8 mm Asa de alambre 20x8 mm ex El Ansa a filo 20x10 mm Wire loop 20x10 mm E54 LOOP mm Let procedures Anse fil 20x10 mm Asa de alambre 20x10 mm ex E Ansa a filo 20x20 mm Wire loop 20x20 mm E55 A a fil 20x2 eA lambre 20x2 E LOOP Leep Lletz procedures nse a fil 20x20 mm Asa de alambre 20x20 mm ex r sl Ansa a filo 10x5 mm Wire loop 10x5 mm E56 Anse a fil 10x5 mm e Asa de alambre 10x5 mm ex El SQUARE LOOP Ansa a filo 10x8 mm Wire loop 10x8 mm E57 Anse fil 10x8 mm Asa de alambre 10x8 mm ex El Ansa a filo 10x10 mm Wire loop 10x10 mm E58 Anse a fil 10x10 mm Asa de alambre 10x10 mm ex EL62 Elettrodi per microchirurgia e Microsurgical electrodes Electrodes pour microchirurgie Electrodos para microcirug a SQUARE LOOP SQUARE LOOP Ad ago sottile retto Straight thin needle aiguille fine droite De aguja fina recta Ad ago sottile angolato Thin bent needle A aiguille fine
14. Quality System for the after sale control of the production the users are kindly invited to inform ALSA about any problem even the smallest one related to the unit in order to allow ALSA to intervene as soon as possible INTRODUCTION In a biological tissue crossed by the electric current three effects are usually generated Thermal Faradic and Electrolytic By using high frequency electric current higher than 300kHz the faradic effect is almost completely eliminated while the electrolytic one is kept even if with no practical result So the most used is the thermal one When an electric current having such characteristics crosses with sufficient density the cellular liquid of the tissues it warms it and generates what follows 1 a heating which is so rapid that the vapour pressure into the cells breaks their membranes and provokes their division pure cut 2 aheating which is slower and which permits to the liquid to evaporate very slowly in this way the coagulating parts of the tissues can coagulate coagulation 3 aprocess which is in the middle between the two phenomena described above coagulating cut The use of the HF current presents also some risks that must be known because their possible reduction depends also on users behaviour undesired burns on the patient tissues i e where the neutral electrode is placed because of non homogeneous insufficient contact or in any other zone because of anomalous contacts
15. STERILISABLE MAX 80 100 FOIS ESTERILIZABLE MAX 80 100 VECES MPE CMSL 180 mm GEN Me i 30 8 mm E ND12 ANGLED NEEDLE E DR12 DAGGER E HK12 E HY14 HOCKEY 1 3mm CT E ND18 40 8 m ANGLED NEEDLE E DR18 DAGGER E HK18 E HY18 HOCKEY RD 424 ADATTATORE ADAPTOR ADAPTATEUR ADAPTADOR 33 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI MONOPOLARI PER LAPAROSCOPIA MONOPOLAR ACCESSORIES FOR LAPAROSCOPIC SURGERY ACCESSOIRES MONOPOLAIRES DE LAPAROSCOPIE ACCESORIOS MONOPOLARES DE LAPAROSCOPIA 5mm J HOOK Pedal Control Senzaaspirazione Without suction Sans aspiration Sin aspiraci n EL ML J mun L HOOK Pedal Control EL ML L 9 4 mm 9 5 cm 33 cm Ea mnh pu S 0 5 mm x a aspirazione With suction Avec aspiration Con aspiraci n EL ML JS L HOOK Pedal Control Cavo di collegamento per elettrodi EL ML Connecting cable for EL ML electrodes C ble de connection pour electrodes EL ML Cable de conexi n para electrodos EL ML 4 mm F 33 cm J HOOK Hand Control Senza aspirazione With no suction Sans aspiration Sin aspiraci n EL ML LS EL MLH J 0 5 mm 4 mm Smm EN Y em pum 1 4 mm i md 33 cm
16. Straight lancet Lancette droite e Lanceta recta A lancetta angolata Bent lancet Lancette courb e Lanceta con angulo Ad ago grosso retto e Straight needle thick type aiguille grosse droite De aguja grueso recto Ad ago grosso angolato Thick needle bent type A aiguille grosse courb e e De aguja grueso con angulo Ad ago sottile retto Straight needle thin type aiguille fine droite De aguja fino recto Ad ago sottile isolato Insulated thin needle A aiguille fine insul De aguja fino aislado Ad ago sottile angolato Thin needle bent type A aiguille fine courb e De aguja fino con angulo Ad ago finissimo Very thin needle A aiguille tr s fine e De aguja super fino Ad ago finissimo angolato Very thin needle bent type aiguille tr s fine courb e De aguja super fino con angulo en A sfera O 2 5 mm retto Ball 2 5 mm straight type A bille 2 5 mm droite De bola 2 5 mm recto A sfera 2 5 mm angolata Ball 2 5 mm bent type A bille Y 2 5 mm courb e De bola 2 5 mm con angulo E12 E13 A sfera 4 mm retto Ball 4 mm straight type A bille 4 mm droite De bola 4 mm recto Elg A sfera Y 4 mm angolata Ball Y 4 mm bent type bille 4 mm courb e De bola 4 mm con angulo A sfera 6 mm retto Ball 6 mm straight type A bille 6 mm droite De bola 6 mm recto E15
17. Y 6mm or more COAGULATING CUT BLEND 2 Not suitable at all PURE CUT AUTO PURE Cut without coagulating effect This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues Control devices to be used area C With the selection key select the current AUTO 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 70 80W for the papillotomy from 70 80W for the polipectomy with polypus O 5mm and from 90 100W approx for polypus O 6mm or more COAGULATING CUT AUTO BLEND Cut with soft coagulating effect This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues Control devices to be used area C With the selection key select the current AUTO BLEND 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 O 5mm and from 90 100W approx for po
18. by giving a second indication to the operators the 2 first small Led light up d When the contact decreases to less than approx 50 of the surface of a standard electrode for adults well attached the circuit intervenes by giving a third indication to the operators the 2 first small Led light up and the third bigger red Led blinks and by automatically reducing to max 200W the output powers if higher levels have been selected e When the contact further decreases the circuit completely stops the delivery of the power by giving a luminous alarm signal all the Led light up Error Code no Np and also a buzzer loud intermittent 3 When only the memories for the bipolar use it does not require any neutral electrode are selected memories from 96 to 99 the circuit does not intervene the 3 Led are lit but only to show that the electrode is not connected INITIAL CHECKS Initial checks 1 Make sure that the mains power supply corresponds to the technical data see the data label on the backside of the unit and connect the unit with the mains switch b2 green on the backside of the unit off 2 Fora possible equipotential connection use the plug b4 on the backside of the unit 3 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc 3 Adjust the functioning acoustic signals by the specific rotating control b6 on the backside of the unit the max is clockwise The alarm signals cannot be regulate
19. e coaxial MARTIN type BIPOLAR CURRENTS ELECTRODES ADJUSTMENT of the POWERS CURRENTS for CUT PURE CUT PURE Cut with minimum 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 L 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 specific electrodes from 40 50W with cutting electrodes needle type 90 100W with the bipolar loop electrodes of the bipolar resectoscope for soft tissues i e into the bladder 100 110W with the bipolar loop electrodes of the bipolar resectoscope i e for TUR COAGULATING CUT BLEND 1 Cut with 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 L 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 ye
20. hand switches or pedal foot switches press the mode cut for the pure cut coagulating cut currents or the mode coag for the coagulation currents B Alternatively two active electrodes two handles or one handle and one forceps for coagulation or other both of them by hand switches or just one of them by hand switches and the other by pedal foot switches press the mode cut for the pure cut coagulating cut currents or the mode coag for the coagulation currents C At the same time two active electrodes by two operators both of them by hand switches or just one of them by hand switches and the other by pedal foot switches This possibility is allowed only selecting the coagulation modes without contact Fulg Forced and Spray as stated by the International Safety Rules for the HF electro surgical equipments IEC 60601 2 2 par 46 103 D Alternatively two active electrodes two handles or one handle and one forceps for coagulation or other both of them by pedal foot switches This mode is possible by selecting the pre set programs 89 and 90 See Par PROGRAMS and MEMORIES E BIPOLAR FUNCTIONING The unit can always be used for the bipolar functioning See Par BIPOLAR MODE MONOPOLAR CURRENTS ELECTRODES ADJUSTMENT of the POWERS ADVICE CURRENTS for CUT and COAGULATING CUT PURE CUT PURE Cut without coagulating effect This current is controlled by an automatic system ADC System for the self regulatio
21. le par example PBC R14 PBC R longue 14 cm Pinzas de longitud distinta se pueden suministrar bajo pedido detallar por favor longitud y modelo por ejemplo PBC R14 PBC R con 14 cm de longitud Punte Tips Pointes Puntas Spina Plug Fiche Enchufe A punta Pointed Pointu Con la Smussate Blunted Tipo piatto europeo European flat type punta Arrondies Redondeadas Type plate europ enne Tipo plano europeo 0 1 mm 1 0 7mm i 1mm E 1 v MEME A C i mm NENNEN 1 1 Pinza isolata Cushing Potts Smith nsulated forceps Cushing Potts Smith ALSA ALSA Pince isolee Cushing Potts Smith standard con irrigazione with irrigation Pinza recubierta Cushing Potts Smith avec irrigation con irrigaci n PMC RS PMC RSL PMC R18 PMC R PMC RL PMC R25 PMC R25L PBC R18 PBC R PBC RL PBC R25 PBC R25L 1 Retta Straight type Droite Recta 0100 w PMC CS PMC CSL PMC C18 PMC C PMC CL PMC C25 PMC C25L PBC C18 PBC C PBC CL PBC C25 PBC C25L 2 Curva Bent type Courb e Curva UUUOOOU 77 0 000 29 VVI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI PER BICOAGULAZIONE ACCESSORIES FOR BICOAGULATION ACCESSOIRES POUR LA BICOAGULATION ACCESORIOS DE BICOAGULACION Pinza isolata Jeweler Insulated forceps Jeweler Pin
22. o euorejsoduuj or 08 021 091 002 orz 087 Md Bumes 092 002 OSI 001 09 uolzeysoduuy 0S 001 OSL 002 092 MA abepboy Bumes 051 DL 06 09 oe 0 uolze soduuy 0 09 06 021 OSL Md uto ve xe 48 L 42 eouepedu V 9L ASL ATL HEL Z L AL 1 1 1 1 L 1 AL 006 008 00 009 006 OOF 006 002 001 mU C a u IOAOd S nz 91910 JULINO JUSUND WI 06 05V0 0 20 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc abejbey bum s uorze3soduuy u oct oo oF 0001 weila 000 0007 0008 0009 0004 1 006 On dda Bues Ot L 021 001 euoizeysodui 07 Op 09 08 001 OZL Md BEE pp e dot ac B 001 roc orl Ma JAWedS 91091407 JUBINOJ UA INI WI 06 05V0 0 21 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Increase in the output power with nominal load according to the power adjustment Increase of the Voltage according to the power adjustment ariation of the output power from to selectin o an of maximum power Variati f th put p fi 10 to 10002 by selecting 100 and 50 of i p BIPOLAR CURRENTS Buhes Del euotzejsodu abeboy euorejsodul befp y Bulnes ogl 2
23. 01 os 0 exuspedui 6 d 18 AL AT t AS i ME li x i AL i be wo por Gi w m m Se uolze soduuy euotzeysoduuj moos Los 0001 rO0L HO0SL 1091 0007 1002 0092 Loooe mose 0096 00 C A dda Ma nd ak ONITA 27491409 JUBINOO JUSJIND abefoy wo K ATL ATL ALL AVL ASL APL MEL ATL ALL AL 006 008 002 009 00S 007 00 002 001 Sindee ose oe Oe ore ont eot og P OSE 005 Pre is cont PR 0 PE I oq oq go gogo do do do loo lo lo lo lo lo lll 0 oos 06 Bu 0001 001 Pool 0051 061 pos 0007 007 oo Fo0sc 062 2001 092 0006 006 0096 e 096 Cn dda Md Cha uefYd SIUSLLIOS JUBINOD WI 06 05V0 0 18 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc abelboy bumes abelboy upes SUDIZEJSOdUJ abejboy Bumes euozeysodu 022 097 og ool QE ome ote ogh 0021 0091 IS 00 oge DU EA F 0021 0051 CA ddA L Ag DSZ Ma 1 JUBINOD JUBUND 28 1 LLL AOL AGL AWE HEL ZL ALL ML 006 008 00 009 00G OOF 00 002 001 1 I 1 1 1 i 1 1 1 I 1 I 1 1 1 1 1 1 40 Md 3 8 jU amp no jueJn 7 J
24. 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc FUNCTIONING for the FLEXIBLE ENDOSCOPIC SURGERY See Par PROGRAMS and MEMORIES programs from 91 to 95 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 O 4mm The adaptors for the cables with different plug RD 5 for cables with non insulated plugs O from 2 to 8mm or with insulated plug O 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 effec
25. 150mA limit established by the rules the circuit intervenes as follows It automatically reduces the output power so that the currents come back within the agreed limits Itgives an alarm signal to the operators red Led G HF LEAKAGE on SAFETY CIRCUIT OF THE NEUTRAL ELECTRODE The neutral electrode connection control circuit area A with 3 Led operates in the three following manners 1 With disposable reusable electrodes with one single section non split The circuit controls if the neutral electrode is connected to the cable and if the latter is integral and correctly connected to the unit socket N P 7 If this is not the case it stops the delivery of the power and gives a luminous alarm signal all the Led are lit Error Code no Np and a buzzer loud intermittent 2 With disposable reusable electrodes with twin section split The circuit works as described above at point 1 but it also checks if the quality of the contact between the electrode and the patient tissues is good enough It operates as follows a When the contact is optimum the circuit does not intervene b When the contact is not optimum approx 70 80 of the surface of a standard electrode for adults is well attached the circuit intervenes by giving a first indication to the operators the first small Led lights up c When the contact decreases to approx 50 60 of the surface of a standard electrode for adults well attached the circuit intervenes
26. IG VESSELS SEAL HC Strong coagulating effect and sealing of big vessels 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 It is the most suitable current for a strong coagulating effect with sealing of big vessels through big dimensions forceps with strong mechanic pressure Control devices to be used area F With the selection key select the current SEAL HC 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 or the single foot switch pedal The delivery disconnects automatically once the vessel is coagulated closed Instructions for use adjustments and electrodes Use coagulation forceps with strong mechanic pressure from 40 50W ADVICE For the Cut In order to optimize the functioning of the bipolar cut under liquid TUR and obtain the perfect cut without any sticking of the tissues on the electrode the above mentioned powers maybe have to be changed through small variations of 10 15W each time For the Coagulation When bipolar forceps are used it is advisable to keep their tips damp for example with physiologic solution in order to reduce the omnipresent phenomenon of the sticking of the tissues It is also possible to use forceps with a
27. LARI PER LAPAROSCOPIA BIPOLAR ACCESSORIES FOR LAPAROSCOPIC SURGERY 134 C ACCESSOIRES BIPOLAIRES POUR LAPAROSCOPIE Autoclave ACCESORIOS BIPOLARES PARA LAPAROSCOPIA FLU _ 1 707 013 707 014 Tubo interno Innertube Aste Shaft Tube int rieur Tubo interior Axe Asta 707 016 Pinza completa Forceps complete Solo elettrodo Electrode only Pince complet Pinza completa Seul electrode Solo electrodo tk 707 100 ZDR tk 707 100 E tk 707 101 ZDR tk 707 101 E tk 707 103 ZDR tk 707 103 E tk 707 105 ZDR tk 707 105 E tk 707 106 ZDR tk 707 106 E Carburo di tungsteno Tungsten carbide Carbure de tungst ne Carburo de tungsteno tk 707 108 ZDR tk 707 108 E tk 707 109 ZDR tk 707 109 E 36 WI 06 05V0 0
28. NOPOLARES RECUBIERTAS Punte e Tips e Pointes e Puntas ERR GH pom 1 5 mm Wm p kr Sm o Sm e amm ww summ Pinze e forbici monopolari e Monopolar forceps and scissors Pinces et ciseaux n monopolaires Pinzas y tijeras monopolares l L cm ALSA A 25 PMI 2 1 Potts Smith Retta Straight Droite Recta B 18 PMI 1 B 20 PMI 1 20 B 25 PMI 1 25 2 Curva e Bent type e Courb e e Curva B 25 PMI 1C25 C 20 PMI DB2 20 C 25 PMI DB2 25 DeBakey AT Atraumatic Retta e Straight Droite Recta D 20 PMIDB1 20 D 25 PMI DB1 25 3 Baionetta e Bayonet e Bayonette Baioneta A 20 PMI B B 18 PMI B1 18 4 Retta Straight Droite e Recta 18 FI 18 24 FI 24 PA Pri 134 C Autoclave Cannule d aspirazione Frazier e Sucting cannulae Frazier Canules pour aspiration Frazier Canulas para aspiracion Frazier Y Autoclave b gt 4 1 mm Cavo Cable C ble Cable El El Ei EN 134 C Autoclave 31 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc PINZE FORBICI E CANNULE D ASPIRAZIONE ISOLATE MONOPOLARI MONOPOLAR INSULATED FORCEPS SCISSORS AND SUCTING CANNULAE PINCES CISEAUX ET CANULES POUR ASPIRATION MONOPOLAIRE ISOLEES PINZAS TIJERAS Y CANULAS PARA ASPIRACI
29. ON MONOPOLARES RECUBIERTAS Punte e Tips e Pointes e Puntas e di 1 mm F 2 mm 1 5 mm I 1 5 12 mm qam n y A I B D c D m lt gt sum Ww Pinze senza cavo di collegamento Forceps without connecting cable Pinces sans cable de raccordement Pinzas sin cable de conexi n L cm ALSA A 25 PIC 2 B 18 PIC 1 Potts Smith Retta Straight Droite Recta B 25 PIC 1 25 D 20 PIC DB1 20 C 20 PIC DB2 20 DeBakey AT Atraumatic Retta Straight Droite Recta C 25 PIC DB2 25 D 25 PIC DB1 25 134 C Autoclave Pinze con comando manuale Hand controlled forceps Pinces avec commande manuelle Pinzas con mando manuale L cm ALSA PMI PJ20 PMI PJ25 1 Potts Smith Retta Straight Droite Recta gt gt gt 2 Jansen Yasargil A baionetta e Bayonet type A bayonette De bayoneta PMI B Spina e Plug e Fiche e Enchufe Cavo 3 m Cable m 3 s Cable 3 m Cable 3 m 134 Autoclave 32 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI ARTROSCOPICI ARTHROSCOPIC ACCESSORIES ACCESSOIRES ARTHROSCOPIQUES 1940 ACCESORIOS DE ARTROSCOPI CE STERILIZZABILE MAX 80 100 VOLTE STERILIZABLE MAX 80 100 TIMES
30. The unit stores the last 32 Error Codes that have been detected in order to help the operators in finding a solution for the problems faults The procedure to follow for this control is detailed into the Service Manual ERROR CODES TABLE Stored code in Error description Error code E PROM select Od In CAL mode Codes for Wrong Use or Activation Circuits Fault For all the U problems the operators can act by eliminating the cause of the intervention of the self diagnosis system In all the other cases ask for the technical assistance after having checked the signal by switching off and on the unit U Problem into the neutral electrode broken cable non connected cable to the unit or p a a EE the neutral electrode neutral electrode split type not attached to the tissues MEC H Failure into the neutral electrode control circuit internal faul into the neutral electrode control circuit internal fault Err at of Failure into the control circuit of the contact between the neutral electrode the patient E 83 internal fault 25 Failure of an activation hand switch at the switching on E Had U Activation hand switch pressed at the switching on PELA Failure of a pedal foot switch at the switching on E PE e Pedal foot switch pressed at the switching on d U Contemporary activation not allowed of the two activation devices Contemporary activation not allowed of the two activation devices U Key on the control p
31. US 128 1 Z AOL AGL AL HEL LAFL AL 006 008 002 009 006 OOF 00 002 001 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 I abefioy uo ve 46 Bumes 022 002 OSL 001 0 eouepedw L euomzejsoduij 05 001 091 002 022 Ma bep y ultio ve ye Bumes 002 092 002 OSL 001 0G 0 esuepeduw euorzejsodui i 0S 001 OSL 002 092 00 Ma UO we Bumes OSE 062 002 OGL L 05 0 ssuepadu w du i 09 001 OSL 007 057 00 OSE CM d 066 4 9 u9uJ07 JUBINOD JUBUNI QUALI WI 06 05V0 0 19 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ebebeq Bumes euorejsoduu abe Gey Bumeg suorze sodul abep y Bumas 0 uorze soduul id ore oc ogl or TE Oe 0001 SL al 008 0001 00s 0001 ebebeq uit e eouepeduuj 1 LABL ALL MOL AGL APL MEL ATL ALL AL OI 1 1 1 1 I 1 1 1 1 1 06 008 00 009 005 007 00 002 001 Loez Ma ul 406 2JUauJo gt jueJno USINO UL e we evuepeduj 1 V 8L ALL MOL AGL APL MEL ATL ALL AL OI 06 008 00 009 006 OOF 00 002 001 DSZ hd u LNIOd Nida S USLUOG ju amp Jno JUSJINI 9jue J07 Bumes 082 002 09 042 8 or
32. USER MANUAL FOR EXCELL NHP 350 D A B C D WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc C 0051 N P PROGRAM MONOPOLAR BIPOLAR m O O O mo O Pure LG FORCED O Pure tu MICRO CY 5 nos i 2 A D suna Gem MICROAUTO KAL 3 ae Se See NHP350 D AUTO ENDO ah G IC frre m UTR HFLEAKAGE PED kd MONOPOLAR BIPOLAR o ZN aec m PED PEDA mare Lei H m Jor Monopolin ml NP BIPOLAR ms rh ie ale I I I I Le 9100 19 9100 1 o e o o ip peoa a pepe a e che in W m VW PN 1 3 5 Control devices Connection sockets and Symbols Alarm Led for the neutral plate D o mg P Do ZS Socket MAN 1 Socket MAN 2 Socket PED 1 Socket PED 2 Socket N P NA U b Y N E 8a Socket BIP 1 for the connection of the bipolar electrodes cable Sb Socket BIP 2 d for the connection of the bipolar electrodes cable b1 At disposal Area of selection gt and regulation A W Area of selection O and regulation A Y Area of selection O and regulation A Y Area of selection and regulation A Y safety circuit red Alarm Led for the HF leakage currents control circuit 4 6 7 of the Bipolar Coagulation Setting of the standard twin foot switch pedal functioning PED O of the Monopolar Coagulation 8a Area for me
33. anel pressed at the switching on Failure of a key on the control panel Codes for System Fault For this kind of problems ask for the technical assistance after having checked the signal by switching off and on the unit 15 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Errors related to Master microcontroller Errors related to power supply section HF power supply higher than setting value during activation Ere 8i 6t Errors related to serial communication Stored code in E PROM select Od In CAL mode Failure regarding serial communication peripheral placed on mother board alsa code 801463 2 audio slow repetitions then quick intermittence Failure regarding serial communication peripheral placed on power supply board alsa code 801471 Failure regarding serial communication peripheral placed on double hand switch amp NP control board alsa code 801462 E PROM communication error CBUS connection lost during the use Master Slave connection lost during self test phase Slave microcontroller failure Errors related to slave microcontroller Failure in a Slave microcontroller internal peripheral Slave microcontroller connection failed Errors related to HF power section Failure in internal dummy load used for self test Failure in HF output current measurement lower than expected Failure in HF output current measurement higher than expected Failure in bipolar output power lower tha
34. arkling 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 or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current by simply closing the coagulation forceps just in case a hand switch forceps is used PMI P or PMI B Instructions for use adjustments and electrodes It can be used with all types of electrodes ball blade or needle type insulated coagulation forceps loop electrodes in conization hook electrodes dissectors and forceps in laparoscopy from 40 50W PIN POINT CONTACT COAGULATION PIN POINT CONTACT Medium Low superficial sparkling effect and optimum deep coagulating effect This current guarantees a strong deep coagulating effect and a normal superficial
35. before the variation Is it possible to come back to the power and or functioning adjustments if changed but not confirmed while the number of the memory is blinking Yes it is One of the two selection keys UP DOWN of the area B must be pressed the number of the memory stops blinking and the original data are set again Is it possible to use the unit without setting any memory Yes it is but it is less practical as each type of intervention may require different parameters Bear in mind that if during the switching off the number of the memory is blinking at the moment of the switching on the unit starts with the same memory number which is still blinking PRE SET MEMORIES 89 and 90 Use in open sky surgery with two handles or one handle and one forceps with connecting cable to the unit both of them with twin foot switch pedal The pre setting does not concern the current types that have to be used nor their powers which have to be set according to the operators needs and therefore memorised as shown at points 3 and 4 of the previous paragraph for this kind of use it is advisable to select and set the same currents and the same powers in both memories The pre setting of these memories allows to use the unit as follows A With memory 89 the electrodes holder handle connected to the socket 5 can be used by the foot switch pedal See Par CONNECTION and USE of the PEDAL FOOT SWITCHES press on the cut
36. ce isol e Jeweler Pinza recubierta Jeweler ALSA standard con irrigazione with irrigation avec irrigation con irrigaci n 1 Retta Staight type Droite Recta PMC JR 2 Curva Bent type Courb e Curva PMC JC Pinza isolata a baionetta Jansen Ysargil Insulated forceps bayonet type Jansen Ysargil ALSA ALSA Pince isol e a bayonette Jansen Ysargil standard con irrigazione with irrigation Pinza recubierta de baioneta Jansen Ysargil avec irrigation con irrigaci n PMC RSB PMC B17 PMC B PMC BL 1 Retta Straight type Droite Recta PMC B25 PBC B17 PBC B PBC BL PBC B25 PMC BCD 2 Curva Bent type Courbee Curva PBC BCD PMC BCU 3 Curva Bent type Courb e Curva PBC BCU Elettrodo bipolare Bipolar electrode Electrode bipolaire Electrodo bipolar 1 Ad ago per turbinati Binner Needle type for turbinals Binner A aiguille pour cornets Binner De aguja para cornetes Binner 2 Per laringe For larynx Pour larynx Para laringe 30 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc PINZE FORBICI E CANNULE D ASPIRAZIONE ISOLATE MONOPOLARI MONOPOLAR INSULATED FORCEPS SCISSORS AND SUCTING CANNULAE PINCES CISEAUX ET CANULES POUR ASPIRATION MONOPOLAIRE ISOLEES PINZAS TIJERAS Y CANULAS PARA ASPIRACION MO
37. coagulating effect It is suitable both for coagulations performed with forceps surgical instrument and for coagulations performed directly with the active electrode just in case the operators prefer a superficial effect which is less strong than the one of the FULG FORCED coagulation 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 PIN POINT CONTACT 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 or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current by simply closing the coagulation forceps just in case a hand switch forceps is used PMI P or PMI B Instructions for use adjustments and electrodes It can be used with all types of electrodes ball blade or needle type insulated coagulation forceps loop electrodes in conization hook electrodes dissectors and forceps in laparoscopy from 40 50W SOFT COAGULATION SOFT Low superficial sparkling effect and good deep coagulating effect 6 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc This current guarantees a good deep coagulating effect a
38. courb e De aguja fina acodada Ad ago sottile angolato Thin bent needle A aiguille fine coud e e De aguja fina acodada Ad ago grosso Thick needle A aiguille grosse De aguja gruesa Ad ago grosso angolato Thick angled needle A aiguille grosse courb e De aguja gruesa acodada Ansa a filo 5 mm Wire loop Y 5 mm Anse fil 5 mm Asa de alambre Y 5 mm Ansa Y 5 mm angolata Angled loop 5 mm Anse coud e 5 mm Asa acodada 5 mm Laccio allungato 5 mm Long wire loop 5 mm Anse fil long 5 mm e Asa de alambre 5 mm Laccio allungato 5 mm Long wire loop 5 mm Anse a fil long Y 5 mm Asa de alambre Y 5 mm A sfera Y 2 5 mm Ball Y 2 5 mm A bille 2 5 mm De bola Y 2 5 mm A sfera Y 2 5 mm Ball Y 2 5 mm A bille 2 5 mm De bola Y 2 5 mm 28 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ACCESSORI PER BICOAGULAZIONE ACCESSORIES FOR BICOAGULATION ACCESSOIRES POUR LA BICOAGULATION ACCESORIOS DE BICOAGULACION Cavo Cable Cable Cable ALSA CPB E 3 m CPB E5 5 m Pinze di lunghezza diversa sono fornibili a richiesta specificare tipo e lunghezza es PBC R14 PBC R lunga 14 cm Forceps of different lenght are available on request please specify lenght and type i e PBC R14 PBC R 14 cm long Pinces avec differente longueure peuvent etr fournis sur demande veullez sp cifier longueur et mod
39. cs can be created They burn the tissues superficially and prevent the good effect 5 Keep the active electrode always clean because otherwise it can provoke sparks or superficial carbonizations on the tissues A dirty active electrode an electrode in bad conditions or an electrode with connection defects causes a reduction of the output power as it does not have any good contact with the tissues 6 Remember that even if compliant with all the current standards about the electromagnetic compatibility the unit can have interferences with other electro medical equipments 7 Bear in mind that when operating on patients with pace makers or other implanted active devices an interference with their functioning can occur fibrillations etc and they can even be damaged in this case it is advisable to ask for a specific qualified advice from the Cardiology Division 8 Never use an electro surgical unit in presence of flammable anaesthetic gases i e oxygen and nitrogen protoxide etc notably when operating in cavities like thorax abdomen trachea head etc Do not use any cleaning substances disinfectants or flammable solvents if used let them evaporate before the intervention Always remove their remaining traces from the hollow parts of the body or the cavities i e umbilicus vagina etc and from underneath the patient Remember that during the use a spark may cause the explosion of endogenous gases intestine or the fire of oxyg
40. d DATA STORING AT THE SWITCHING ON When switched on or after a temporary leak of current The unit always stores all the settings regulations used when switched off see also Par PROGRAMS and MEMORIES The unit does not keep the selection of the bipolar coagulation Micro Auto and it automatically sets the coagulation Micro CV The operators must select the current Micro Auto every time the device is switched on as the safety rules for the electro surgical units do not allow that when switching on a current with automatic start stop system is applied without having been intentionally chosen by the users CONNECTION and USE OF THE FOOT SWITCH PEDALS The unit is equipped with a standard twin foot switch pedal DS E which allows to activate the monopolar currents cut coagulating cut or coagulations or the bipolar currents cut coagulating cut or coagulations On request the unit can also be equipped with another foot switch pedal DS B twin foot switch pedal to activate cut coagulating currents which allows to activate the bipolar currents only and therefore it can be very useful in the following cases When surgeons want to continuously alternate the use of monopolar and bipolar currents by simply pressing on the different pedals at each time notably in laparoscopic procedures When surgeons want to use the bipolar currents through an independent pedal foot switch which is not the one used for the monopolar current
41. ed at the same time the currents of cut coagulating cut are delivered on the electrode connected to the socket 8a BIP 1 while the currents of coagulation are delivered on the electrode connected to the socket 8b BIP 2 1 Socket 8a BIP 1 first bipolar electrode connected cable without any particular polarity for use by foot switch pedal for cutting and or coagulation The foot switch pedal for the Micro auto coagulation with automatic start stop system is not used 2 Socket 8b BIP 2 second bipolar electrode connected cable without any particular polarity for use by foot switche pedal for coagulation only In this case too the pedal foot switch for the Micro auto coagulation is not used In order to facilitate the bipolar use the unit is equipped with 4 pre set programs See Par PROGRAMS and MEMORIES programs from 96 to 99 which are characterised by what follows Disconnection of the neutral electrode safety circuit which is not required for the bipolar use only as a matter of fact through the 3 lit alarm Led the circuit just informs the operators that the neutral electrode is not connected Impossibility to use the monopolar currents the displays for the monopolar currents powers are switched off Just in case of cables with connection plugs which are different from ALSA standard type ask for ALSA cables by specifying the model and the instrument connector type Adaptor by specifying the type of the cable plug i
42. effect and a very strong superficial coagulating effect It is suitable both for the coagulations performed with forceps surgical instrument and for coagulations performed directly with the active electrode even far away from the tissues 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 SPRAY 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 specific electrodes for resectoscope from 60 70W ADVICE For the Cut with wire loop electrodes use as follows Current PURE from 70 80W into the bladder or on soft tissues for a cut without coagulating effect Current BLEND 1 from 70 80W into the bladder or on soft tissues for a cut with soft coagulating effect Current PURE from 90 100W on the prostate for a cut without coagulating effect Current BLEND 1 from 90 100W on the prostate for a cut with soft coagulating effect For the Cut with ribbon loop electrodes use as follows Current PURE from 90 100W into the bladder or on soft tissues for a coagulating cut Current BLEND 1 from 90 100W into the bladder or on soft
43. efore memorised as shown at points 3 and 4 of the previous paragraph The pre setting of these memories allows to use the unit as follows A With one or two bipolar electrodes connected and activated as specified in Par BIPOLAR MODE B Without connecting the neutral electrode as it is not required as a matter of fact through the 3 lit alarm Led the safety circuit just informs the operators that the neutral electrode is not connected C Without using the monopolar currents the displays for their powers are switched off 14 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc CLEANING AND STERILIZATION 1 Clean the unit with a neutral soap solution by taking care that no liquid goes inside and then wipe it by a dry cloth Clean the pedal foot switches in the same way or with a cold disinfectant solution i e Amuchina 2 Attention at the moment of the sale the accessories are not sterile The following accessories can be sterilized in autoclave gloves cycle at 121 C for 20min 134 C for 10min or with cold solutions i e Amuchina The electrodes holder handles MPE E MPE CMS and all the active electrodes The cables and the forceps for bi coagulation the cables and the forceps scissors cannulae for monopolar coagulation The cables and the monopolar bipolar electrodes for laparoscopy The neutral electrodes NP A with its cable CMS E NP GP NP GA can be sterilized only with cold solut
44. en saturated materials cotton gauze etc 2 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc 9 Take always all the metallic objects off the patient rings etc and be sure he is not in contact with any metallic part connected to the hearth or which may conduct electricity table supports etc Insulate with dry towels the strongly secreting parts of the body and the contacts skin to skin i e between the arm and the body 10 Place always all the monitoring electrodes which are not specifically protected as far away as possible from the electrodes of the electrosurgical unit It is not advisable to use needle type or very small monitoring electrodes 11 Use and place the neutral electrode as follows Make sure it is in perfect conditions the worn old neutral electrodes are extremely dangerous for the risk of the burns on the patients and choose an area of the body as close as possible to the intervention point the ideal would be a soft part without hairs nor protuberant bones or superficial differences Clean this area shave it and massage it in order to favour the circulation Fix it ina reliable way without placing anything in between nor pressing too much in order to avoid ischemic zones Establish the best possible contact over the entire surface and make sure it remains constant especially if the patient is moved or when liquids are poured As a matter of fact a non homogeneous and or insufficien
45. es GSM NMT Europe 2 6 DECS 1800 8 11 Walkie talkie police firemen protection maintenance Bag mobile telephones 16 Mobile radio police firemen protection 100 For broadcasting stations which use frequencies less than 800MHz the distance can be established by using the equation A d 4NP For broadcasting stations which use frequencies between 800MHz and 2 5GHz the distance can be established by using the equation B d 2 3 P P Nominal power of the transmitter in watt W established by the manufacturer 17 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Variation of the output power from 50 to 2000Q by selecting 100 and 50 of maximum power Increase in the output power with nominal load according to the power adjustment Increase of the Voltageaccording to the power adjustment MONOPOLAR CURRENTS ebejbe abepoy uo j d e 3 op x 091 08 09 or x Buyes DL EL 001 08 09 oz 3 sowepedui lt 6 18 AL t AT 4 AF k Ka ME i Az i AL Ce 5 5 a at e DA euot jsodu euotzeysoduuj poz por 109 1 08 1001 1021 m moti Adda Ema EM a aZ ONITA 97491409 JUBINOO JUSJIND ebejbe ebepeu wyo 6 3 5 R b 3 me ogz 09 ogi BI og Buses 00 092 002 061 0
46. ey select the current MICRO CV 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 or the single foot switch pedal Instructions for use adjustments and electrodes Use coagulation forceps with tips of 0 5mm from 0 5 1W 1mm from 1 2W and 2mm from 2 4W Use coagulation forceps for laparoscopy from 10 20W Use the bipolar electrodes of the bipolar resectoscope from 50 60W MICRO AUTO COAGULATION MICRO AUTO Very soft coagulating effect and automatic start stop system impedance sensing type This current is the same as the MICRO CV current as far as the performances and the indications are concerned Control devices to be used area F With the selection key select the current MICRO AUTO then adjust the power with the regulation keys For the delivery acute acoustic signal and blue Led touch the tissues with the forceps tips after having regulated the starting delay from 0 5 to 5sec by turning the control device b5 on the backside of the unit 0 5sec on the left 5sec on the right For the switching off it is possible either to disconnect the forceps from the tissues or wait until the current disconnects automatically once the tissues are coagulated For safety reasons the unit is also provided with an automatic stop control which is activated after approximately 6 seconds of functioning if the forceps remai
47. from the tissues 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 SPRAY 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 ADVICE For the Cut use as follows Current PURE for a cut without coagulating effect and constant delivery of the power from 20 30W for papillotomy or polipectomy with polypus O until 5mm and from 30 40W with polypus O 6mm or more Current AUTO PURE for a cut without coagulating effect nor self regulation of the power from 40 50W for papillotomy or polipectomy with polypus O until 5mm and from 70 80W with polypus O 6mm or more Current BLEND 1 for a cut with a soft coagulating effect and constant delivery of the power from 20 30W for papillotomy or polipectomy with polypus O until 5mm and from 30 40W with polypus O 6mm or more Current AUTO ENDO for a cut coagulation combination alternated phases of cut and coagulation and self regulation of the power from 40 50W for papillotomy or polipectomy with polypus O until 5mm and from 70 80W w
48. il Asa de alambre Ansa a filo Wire loop Anse a fil Asa de alambre A sfera Y 2 5 mm Ball 2 5 mm Y A bille 2 5 mm De bola 2 5 mm A sfera Y 4 mm Ball 4 mm Y A bille 4 mm De bola 4 mm A sfera 6 mm Ball 6 mm Y A bille 6 mm De bola 6 mm A lama Knife E40 A lame De cuchillo ex EL18 A lama spatola isolata Insulated knife spatula A lame spatule isol De cuchillo esp tula aislado SI Ad ago grosso Thick needle E41 A aiguille grosse De aguja grueso ex EL19 Ad ago sottile Thin needle E42 aiguille fine De aguja fino ex EL20 Ad ago sottile isolato Insulated thin needle i E42 1 A aiguille fine isol e De aguja fino aislado Ansa a filo Y 5 Wire loop Y 5 mm E43 Anse fil 5 Asa de alambre Y 5 ex EL21 Ansa a filo 10 Wire loop 10 mm E44 Anse a fil 10 Asa de alambre 10 ex EL24 Ansa a filo 15 Wire loop 15 mm E45 Anse fil 15 Asa de alambre 15 ex EL25 A sfera 2 5 mm Ball Y 2 5 mm E46 bille 2 5 mm De bola 2 5 mm ex EL27 A sfera 4 mm Ball 4 mm E47 A bille 3 4 mm De bola 4 mm ex EL30 27 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc ELETTRODI MONOPOLARI MONOPOLAR ELECTRODES ELECTRODES MONOPOLAIRES ELECTRODOS MONOPOLARES NON STERILE ELETTRODO DESCRIZIONE NON STERILE ELECTRODE DESCRIPTION
49. ion at maximum For the Coagulation use as follows Current FULG FORCED from 40 50W for superficial coagulations or deep coagulations with the active electrode or the forceps It is the most suitable coagulation mode when a forceps or an electrode is used Current PIN POINT CONTACT from 40 50W for superficial coagulations or deep coagulations with the active electrode or the forceps if a softer superficial effect is desired compared to the FULG FORCED coagulation Current SOFT from 40 50W for superficial or deep coagulations which are softer than those of the PIN POINT CONTACT coagulation which is not suitable at all for the use with small electrodes with which it tends to cut Current SPRAY from 40 50W for a very strong superficial coagulation with the active electrode without any contact with the tissues and a good deep coagulation with the forceps it is the ideal coagulation mode for the operators who prefer the active electrode to coagulate LAPAROSCOPIC SURGERY For the Cut use as follows See above OPEN SKY SURGERY PURE BLEND 1 BLEND 2 The current BLEND 2 is very efficacious when using the hooks or the external part of the forceps dissectors to cut with a strong coagulating effect For the Coagulation use as follows See above OPEN SKY SURGERY FULG FORCED PIN POINT CONTACT SPRAY The current SPRAY is very efficacious when using the hooks or the external part of the forceps dissectors to coagulate vi WI 06
50. ioning max 1 hour 10s ON 30s OFF Shelf life 5 years Dimensions and weight LxDxH 38x35x17cm 15Kg Mains cable 3m long section 3x 1mm Monopolar Currents Characteristics Maximum Freguency F Acoustic and Function Power Load Vp p Crest Factor CF Modulation M Euminons Simli Duty Cyele DT 5 350 W 3450 V_ F 440 kHz CF 16 M No DT no 300 W 3502 3600 V_ F 440 kHz CF 2 3 M 29 kHz DT 65 140 W 600 Q 7600 V_ 440 kHz CF 8 1 M 19 kHz DT 9 F 440 KHz CF 2 3 M 29 KHz DT 65 Alteration 50 of Pure and Blend CF2 2 F 440 KHz CF 45 M 78 KHz DT 35 F 440 KHz CF 2 6 M 29 kHz DT 50 F 440 KHz CF 25 M 29 kHz DT 56 F 440 kH GF 81 M 19 kHz DT 9 Bipolar Currents Characteristics Frequency F E Function Load Vp p Crest Factor CF Modulation M 25 Duty Cyele DT 5 F MO KHZ CF 15 M No DT no F 440 KHz CF 18 M 29 Wiz DT 75 F 440 kHz CF L7 M No DT no F 440 KHz CF 1 7 M No DT no Micro Coagulation Automatic Start Stop See Micro CV Micro Auto Macro Coagulation Macro F 440 kHz CF 1 7 M No DT no High tone Blue light 130W 10062 710V 440 KHz CF 1 7 M No DT no Conformity EMC Directive 89 336 CEE Category A Suggested distances to keep from not vital devices Source of the Current RF Microcellular telephones CT1 CT2 CT3 Mobile telephones USA Hand mobile telephon
51. ions i e Amuchina During the sterilisation do not bend too much the connection cables and wipe perfectly all the parts of the accessories before using them in order to eliminate all traces of humidity The best thing to do is to centrifuge them ENVIRONMENTAL and ATMOSPHERIC CONDITIONS for USE TRANSPORT and STORAGE The environmental use and preservation conditions are the following ones Temperature C 10 40 Humidity 30 75 Pressure hPa 700 1060 The unit must not be used at less than 30cm from the wall or other objects that can obstruct the ventilation areas and it must be placed on a trolley or a support there are two screwed points under the basis for the fixing When the unit is not used it must be kept in a dry place not dusty Be aware that no liquid is poured on it The environmental transport and storage conditions are the following ones Temperature C 40 70 Humidity 10 95 Pressure hPa 500 1060 For the shipment of the unit we suggest to use the original packaging or at least a new one that can guarantee the same reliability MAINTENANCE and DISPOSAL The unit must be regularly checked once per year by qualified personnel even better if by the Manufacturer himself Check always the perfect condition of the accessories because otherwise their use can be dangerous Its disposal must be done according to the different National Rules by bearing in mind that the accessories
52. ith polypus O 6mm or more For the Coagulation use as follows Current FULG FORCED from 30 40W 9 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Current PIN POINT CONTACT from 40 50W for a superficial effect which is softer than the one of the FULG FORCED coagulation FUNCTIONING for the UNDER LIQUID ENDOSCOPIC SURGERY TUR TURP TURV etc See Par PROGRAMS and MEMORIES programs from 91 to 95 CONNECTION and USE of the ACCESSORIES 1 Socket 5 PED 1 electrode of the monopolar resectoscope for the use by foot switch pedal See Par CONNECTION and USE of the PEDAL FOOT SWITCHES Use only this socket to connect the above mentioned instrument The use of different sockets provokes a damage to the unit Just in case of a cable with a plug which is different from ALSA standard type ask for Adaptor RD 5 for cables with non insulated plugs O from 2 to 8mm or with insulated plug O 4mm 2 Socket 7 N P neutral electrode According to the connection possibilities listed above the unit allows to A Use the resectoscope 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 C BIPOLAR FUNCTIONING The bipolar functioning is always possible See Par BIPOLAR MODE MONOLAR CURRENTS ELECTRODES ADJUSTMENT of the POWERS
53. llow pedal of the twin foot switch pedal Instructions for use adjustments and electrodes As per the current PURE CURRENTS for COAGULATION MICRO COAGULATION MICRO CV Very soft coagulating effect This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues It is the most suitable current when operating on extremely delicate tissues Control devices to be used area F With the selection key select the current MICRO CV 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 or the single foot switch pedal Instructions for use adjustments and electrodes Use coagulation forceps with tips of 0 5mm from 0 5 1W 1mm from 1 2W and 2mm from 2 4W 12 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Use coagulation forceps for laparoscopy from 20 30W MICRO COAGULATION MICRO HC 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 It is the most suitable current for various applications and it is slightly stronger than the MICRO CV current Control devices to be used area F With the selection k
54. lypus O 6mm or more COMBINATED CUT CUT ALTERNATED TO COAGULATION AUTO ENDO For flexible endoscopy with cutting phases alternated to coagulation phases This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues 8 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc Control devices to be used area C With the selection key select the current AUTO 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 O 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 remain
55. mode for the pure coagulating cut currents or on the coag mode for the coagulation currents B With memory 90 the coagulation forceps connected to the socket 6 can be used by the foot switch pedal See Par CONNECTION and USE of the PEDAL FOOT SWITCHES press on the cut mode for the pure coagulating cut currents or on the coag mode for the coagulation currents PRE SET MEMORIES from 91 to 95 Use in flexible endoscopic surgery or in endoscopic surgery under liquid The pre setting does not concern the current types that have to be used nor their powers which have to be set according to the operators needs and therefore memorised as shown at points 3 and 4 of the previous paragraph The pre setting of these memories allows to use the unit as follows A With the flexible electrode for flexible endoscopic surgery or the resectoscope for endoscopic surgery under liquid connected to the socket 5 by pedal foot switches See Par CONNECTION and USE of the PEDAL FOOT SWITCHES press on the yellow pedal for the pure coagulating cut currents or on the blue pedal for the coagulation currents B H BIPOLAR FUNCTIONING The bipolar functioning is always available See Par BIPOLAR MODE PRE SET MEMORIES from 96 to 99 Use in bipolar mode only The pre setting does not concern the current types that have to be used nor their powers which have to be set according to the operators needs and ther
56. mories setting storage key 2 and selection shifting keys A YI of the Monopolar Cut Coagulating Cut of the Bipolar Cut Coagulating Cut for the connection of the monopolar hand switch handles for the connection of the monopolar hand switch handles Setting of the connection sockets for the bipolar electrodes left socket 8a right socket 8b Both Socket PED co for the twin foot switch pedal connection standard for the activation of the monopolar or bipolar currents Socket PED BIP co for the twin foot switch pedal connection non standard and only for the activation of the bipolar currents for the connection of the monopolar electrodes cables with activation by foot switch pedals for the connection of the monopolar electrodes cables with activation by foot switch pedals for the connection of the neutral electrode cable b2 General mains switch green 0 I b3 Socket for the mains cable with fuse block b4 Plug for the equipotential connection E y e 1 b7 bl b6 b5 Rotating regulator of the start delay of the bipolar Micro Auto coagulation from instantaneous mode to 5sec max b6 Rotating regulator of the acoustic signals intensity for the activation of the cut and coagulation b7 Connector for interconnection to the Argon gas module D Hearth protection inside W gf Alternating current b5 A Attention read the user manual frequencies
57. n expected Failure in bipolar output power higher than expected Failure in monopolar circuit when PURE mode is used Failure in monopolar circuit when SPRAY COAG mode is used Failed modulation signal for monopolar BLEND 1 mode Failed modulation signal for monopolar FULG FORCED mode Failed modulation signal for monopolar SPRAY mode Output peak voltage reading failed lower than expected Output peak voltage reading failed higher than expected Output peak current reading failed lower than expected Output peak current reading failed higher than expected HF Output power higher than expected Errors into the thermal protections Power supply thermal protection HF power section thermal protection 16 3 audio slow repetitions then quick intermittence 4 audio slow repetitions then quick intermittence 5 audio slow repetitions then quick intermittence 6 audio slow repetitions then quick intermittence 7 audio slow repetitions then quick intermittence 8 audio slow repetitions then quick intermittence id 3E p o x e 1 ees es 0 c l 0 c l 0 ecel 0 m1 esl el es ee1 Een eee 0 c l 0 ul 2 cms1 0 ii WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc TECHNICAL FEATURES Electronic generator according to the Standards CEI EN 60601 2 2 IEC 601 2 2 ed 1991 General mains switch Monopolar and Bipolar working frequency 440kHz 10 Classification
58. n 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 or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Use cutting electrodes blade needle loop hook type or the external part of the dissector in laparoscopy from 30 40W 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 foot switch pedal or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Use cutting electrodes blade needle loop hook type or the external part of the dissector in laparoscopy from 30 40W COAGULATING CUT BLEND 2 Cut with a very strong spray coagulating effect This current is contr
59. nd a very low superficial coagulating effect It is suitable above all for the coagulations performed with forceps surgical instrument and for coagulations performed by touching the tissues with an active ball electrode of at least 4 5mm 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 SOFT 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 or the blue key of the hand switch electrodes holder handle It is also possible to deliver the current by simply closing the coagulation forceps just in case a hand switch forceps is used PMI P or PMI B Instructions for use adjustments and electrodes Use coagulation electrodes ball type coagulation insulated forceps in laparoscopy from 50 60W SPRAY COAGULATION SPRAY Very strong superficial sparkling effect and good deep coagulating effect This current guarantees a good deep coagulating effect and a very strong superficial coagulating effect It is suitable both for the coagulations performed with forceps surgical instrument and for coagulations performed directly with the active electrode even far away from the tissues
60. ns on the tissues it starts again after a stop interval which is exactly the same as the delay set for the start Instructions for use adjustments and electrodes Use coagulation forceps with tips of 0 5mm from 0 5 1W Imm from 1 2W and 2mm from 2 4W Not suitable for the use in laparoscopy MACRO COAGULATION MACRO Strong 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 It is the most suitable current for a strong coagulating effect on big dimensions electrodes and therefore it is ideal both for the operators who desire a bipolar coagulation with an effect which is similar to the monopolar coagulation and for those who want to coagulate in laparoscopy or on big tissues areas Control devices to be used area F With the selection key select the current MACRO 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 svvitch pedal or the single foot switch pedal Instructions for use adjustments and electrodes Use coagulation forceps with tips of 1mm from 5 10W 2mm from 7 15W Use coagulation forceps for laparoscopy from 10 20W Use the bipolar electrodes of the bipolar resectoscope from 50 60W COAGULATION for the SEALING of B
61. nti sticking tips or better with irrigation system 13 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc PROGRAMS and MEMORIES The unit is provided with 100 memories 99 programmable memories and 1 for the storage of the data at the switching off which allow to set 99 complete functioning programs that can be selected by simply pressing the shifting keys UP DOWN until the desired memory is chosen 88 memories are totally free and can be set by the operators while the remaining ones are pre set in order to facilitate the use of the unit How setting a free memory 1 Select the desired memory with the selection keys UP DOWN of the area B As a matter of fact it is possible to shift the complete range of memories from 1 to 99 1 2 3 4 and so on with the key UP but also to shift them in the opposite direction from 99 to 1 with the key DOWN 2 Make all the adjustments related to the desired functioning modes i e the selection of the functioning for the twin pedal foot switch except for the selection of the current for the Micro Auto bipolar coagulation 3 Choose the desired currents and the adjustment of their powers For example as the unit is equipped with 4 different monopolar coagulation currents it is possible to set a memory through the keys of the area D with one single current and its power or with the four currents and their different powers which can be then applied changed during the use by
62. oft coagulating effect This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues Control devices to be used area C With the selection key select the current AUTO BLEND then adjust the power with the regulation keys For the delivery loud acoustic signal and yellow Led press on the yellow pedal of the foot switch pedal or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Use cutting electrodes blade needle hook type or the external part of the dissector in laparoscopy from 80W COMBINATED CUT CUT ALTERNATED TO COAGULATION AUTO ENDO For flexible endoscopy with cutting phases alternated to coagulation phases This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues Control devices to be used area C With the selection key select the current AUTO 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 foot switch pedal or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Ideal only for flexible endoscopic surgery i e polipectomy or papillotomy CURRENTS for COAGULATION FULGURATION COAGULATION FULG FORCED Strong superficial sp
63. olled 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 2 then adjust the power with the regulation keys 5 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc For the delivery loud acoustic signal and yellow Led press on the yellow pedal of the foot switch pedal or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Use cutting electrodes blade needle hook type or the external part of the dissector in laparoscopy from 30 40W PURE CUT AUTO PURE Cut without coagulating effect This is a constant voltage current and it is controlled by an automatic power self adjustment system APC System according to the characteristics of the tissues Control devices to be used area C With the selection key select the current AUTO 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 foot switch pedal or the yellow key of the hand switch handle Instructions for use adjustments and electrodes Use cutting electrodes blade needle hook type or the external part of the dissector in laparoscopy from approx 80W COAGULATING CUT AUTO BLEND Cut with s
64. operates For the open sky surgery or the laparoscopy the unit can be used With 1 or 2 electrodes holder handle s they can be both hand switch type with twin key cut coag or just one can be hand switch type with twin key cut coag while the other is normal type for use by twin pedal foot switch cut coag It can be used with two electrodes holder handles as above described at the same time by two different operators In order to use the unit in this way it must be selected a coagulation mode without contact Fulg Forced or Spray as stated by the International Safety Rules for the HF electro surgical equipments IEC 60601 2 2 par 46 103 When the unit is on the bipolar modes are always possible as specified here below at point 2 For the flexible endoscopic surgery the unit can be used With 1 flexible electrode i e loop for polipectomy by twin pedal foot switch cut coag When the unit is on the bipolar modes are always possible as specified here below at point 2 For the endoscopic surgery under liquid in urology or gynaecology TUR the unit can be used With the monopolar resectoscope by twin pedal foot switch cut coag When the unit is on the bipolar modes are always possible as specified here below at point 2 2 Bipolar functioning The bipolar functioning does not require the use of the neutral electrode as the current flows between the tips of the bipolar electrode and it only affects the tissues of thi
65. r with another pedal DS B twin pedal for bipolar cutting coagulating functions or SS B single pedal for coagulating currents only on request See Par CONNECTION and USE of the PEDAL FOOT SWITCHES The unit is equipped with a coagulating current Micro Auto impedance sensing type with automatic start stop system switching on with adjustable delay from 0 5 to 5sec by the control device b5 which is placed on the backside of the unit when the tips of the forceps get in touch with the non coagulated tissues switching off when the tissues are coagulated This system does not require any pedal foot switch The unit is equipped with a coagulating current Seal HC for the sealing of the big vessels which is activated by the foot switch pedal but it switches off automatically once the vessel is coagulated CONNECTION and USE of the ACCESSORIES The unit is equipped with two sockets for the connection of the bipolar electrodes which can be selected with the selection key area I By pressing the key it is possible to select first the socket 8a BIP 1 then the socket 8b BIP 2 and finally both of them at the same time normally when the unit is switched on the socket 8a BIP 1 is already selected When one single socket is selected all the currents of cut coagulating cut or coagulation selected and activated by the control devices are delivered on the electrode connected to the socket itself When the two sockets are select
66. rrent 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 As per the current PURE COAGULATING CUT BLEND 2 Not suitable at all PURE CUT AUTO PURE Not suitable at all COAGULATING CUT AUTO BLEND Not suitable at all COMBINATED CUT CUT ALTERNATED TO COAGULATION AUTO ENDO Not suitable at all 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 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 specific electrodes for the resecto
67. s Use of the standard twin pedal foot switch DS E Connect the pedal to the socket PED 1 and by pressing on the key of the area PED H select the functioning mode MONO to activate the monopolar currents of cut coagulating cut yellow pedal or coagulation blue pedal BIP to activate the bipolar currents of cut coagulating cut yellow pedal or coagulation blue pedal except for the coagulation Micro Auto which is not activated by any pedal foot switch Use of two twin pedal foot switches DS E and DS B Connect the pedal DS E to the socket PED 1 and the pedal DS B to the socket PED BIP 2 When the pedal DS B is connected the Led of the area PED H automatically sets itself on MONO mode and the unit works as follows The pedal DS E activates the monopolar currents of cut coagulating cut yellow pedal or coagulation blue pedal The pedal DS B activates the bipolar currents of cut coagulating cut yellow pedal or coagulation blue pedal except for the coagulation Micro Auto which is not activated by any foot switch pedal FUNCTIONING NUMBER OF USABLE ELECTRODES and ACTIVATION MODES 14 25 oe 1 Monopolar functioning The monopolar functioning requires the use of two electrodes an active one and a neutral one The current flows from the active electrode towards the neutral electrode so that the process concerns all the tissues around the specific point where the active electrode
68. s 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 PIN POINT CONTACT COAGULATION AT MEDIUM VOLTAGE PIN POINT CONTACT Medium Low superficial sparkling effect and optimum deep coagulating effect This current guarantees a strong deep coagulating effect and a normal superficial coagulating effect It is suitable both for coagulations performed with forceps surgical instrument and for coagulations performed by grazing the tissues with the active electrode just in case the operators prefer a superficial effect which is less strong than the one of the FULG FORCED coagulation 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 PIN POINT CONTACT 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 adj
69. s specific area The unit always allows this kind of use as follows With 1 bipolar electrode for cut coagulating cut and or coagulation by twin pedal foot switch cut coag With 1 bipolar electrode for coagulation with automatic start stop system impedance sensing by selecting the coagulation Micro Auto With 1 bipolar electrode for coagulation sealing of big vessels with foot switch activation but automatic stop system impedance sensing by selecting the coagulation Seal HC With 2 bipolar electrodes one for the cut coagulating cut and one for the coagulation with twin pedal foot switch cut coag 4 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc When 2 electrodes are used by pressing on the pedal cut the first electrode is activated and the cut currents are delivered while by pressing on the pedal coag the second electrode is activated and the coagulation currents are delivered Even in this case the coagulation electrode can be used with the automatic start stop system impedance sensing by selecting the coagulation Micro Auto or with foot switch activation but automatic stop system impedance sensing by selecting the coagulation Seal HC All the electrodes mentioned above can be used at the same time and independently but not simultaneously except for the two monopolar electrodes holder handles as specified at point 1 In this case the first activation stops the other ones avoiding all po
70. scope from 60 70W 10 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc PIN POINT CONTACT COAGULATION AT MEDIUM VOLTAGE PIN POINT CONTACT Medium Low superficial sparkling effect and optimum deep coagulating effect This current guarantees a strong deep coagulating effect and a normal superficial coagulating effect It is suitable both for coagulations performed with forceps surgical instrument and for coagulations performed by grazing the tissues with the active electrode just in case the operators prefer a superficial effect which is less strong than the one of the FULG FORCED coagulation 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 PIN POINT CONTACT 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 specific electrodes for the resectoscope from 60 70W SOFT COAGULATION AT LOW VOLTAGE SOFT Not suitable SPRAY COAGULATION AT VERY HIGH COLTAGE SPRAY Very strong superficial sparkling effect and good deep coagulating effect This current guarantees a good deep coagulating
71. simply pressing the selection key In the first case the selection key only allows to choose the desired current while with the adjustment keys it is possible to set its power In the second case the selection key allows to select all the available currents by setting the power for each of them 4 After having set all the parameters the program has to be confirmed by pressing the storage key of the area B Is it possible to modify during the use the adjustments of the powers already set in a memory Yes it is always possible through the adjustment keys of the power of the used current and this variation is shown by the number of the memory which blinks This number stops blinking if The storage key of the area B is pressed in order to confirm the variation done One of the two selection keys UP DOWN of the area B is pressed in order to come back to the powers and or the functioning mode which was set before the variation Is it possible to modify the adjustments of the power s and or the selected settings of a memory before the use Yes it is always possible through the different adjustment selection keys and this variation is shown by the number of the memory which blinks This number stops blinking if The storage key of the area B is pressed in order to confirm the variation done One of the two selection keys UP DOWN of the area B is pressed in order to come back to the powers and or the functioning mode which was set
72. ssible errors and givin the right signal to the users See Par SELF DIAGNOSIS and SELF TEST Self diagnosis system Error Code uSr Act and block of the unit MONOPOLAR MODE FOR ELECTROSURGERY CONNECTION and USE of the ACCESSORIES 1 Socket 3 MAN 1 hand switch handle forceps for coagulation with hand switch for coag only in alternative Socket 5 PED 1 handle forceps for coagulation laparoscopy instrument for the use by pedal foot switches See Par CONNECTION and USE of the PEDAL FOOT SWITCHES Use only this socket to connect the instruments specified here above If other sockets are used a failure into the unit could occur Just in case of a cable with a different plug from Alsa standard type ask for ALSA cables by specifying the model and the instrument connector type Adaptor RD 5 for the cables with non insulated plugs from 2 to 8mm or with insulated plug O 4mm 2 Socket 4 MAN 2 second hand switch handle forceps for coagulation with hand switch for coag only in alternative by selecting the pre set programs 89 90 Socket 6 PED 2 lit Led second handle forceps for coagulation for the use by pedal foot switches See Par CONNECTION and USE of the PEDAL FOOT SWITCHES 4 Socket 7 N P neutral electrode According to the connection possibilities specified here above the operator can use A Obviously one single active electrode handle forceps instrument etc by
73. t 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 O 5mm and from 40 50W approx for polypus O 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 O 5mm and from 40 50W approx for polypus
74. t contact of the neutral electrode generates both an increase of the current density in the contact points which produces a higher temperature into the tissues and creates burns and a decrease of the output power into the application point which leads the operator to raise it dangerously Never exceed 1 3 of the max output power for each monopolar current when using the paediatric neutral electrodes or 1 5 when using the electrodes for babies Use the disposable neutral electrodes only once by paying attention to the instructions on the packaging Make sure they have the right dimensions standard for adults approx 136cm standard for children approx 84cm As the space between the neutral electrode and the operating area represents a sort of path for the HF current be sure that it is not diagonal as regards the body nor on the heart Remember also that the metallic elements prosthesis catheters etc on the path of the current may cause accumulations of current with consequent heating burns of the surrounding tissue 12 Position the cables of the electrodes in a way that they do not touch the patient or any other conducting part During the operations place the unused active electrodes on insulating materials far away from the patient 13 Always use the lowest possible power Bear this warning in mind when intervening on patients children or babies for whom small neutral electrodes are used see also point 11 14
75. tissues for a cut with stronger coagulating effect Current PURE from 100 110W on the prostate for a coagulating cut Current BLEND 1 from 100 110W on the prostate for a cut with stronger coagulating effect NB In order to optimize the functioning and obtain the perfect cut without any sticking of the tissues on the electrode the above mentioned powers maybe have to be changed through small variations of 10 15W each time For the Vaporisation with rolls use as follows Current PURE from 100 120W with small rolls and from 150 170W with bigger rolls For the Coagulation use as follows Current SPRAY from 40 50W Optimum to coagulate both with cutting electrodes loop blade type and coagulation electrodes even without any contact with the tissues Current FULG FORCED from 60 70W for a coagulation both with cutting and coagulation electrodes Current PIN POINT CONTACT from 60 70W for a coagulation with the contact between the electrode and the tissues 11 WI 06 05V0 0 WI 06 05V0 0 Excell NHP 350 D A 20 2 2007 in doc BIPOLAR MODE INTRODUCTION As far as the bipolar functions please note as follows They are always available as alternative to all the other monopolar functioning modes They can be used alone without connecting the neutral electrode See the pre set programs in next paragraph Besides the standard twin pedal foot switch DS E for the monopolar or bipolar use the unit can also be equipped o
76. us to ignore the following warnings Every electro surgical unit has its own characteristics and therefore before using it it is advisable to check its functioning without taking into consideration the previous experiences with other devices only Anyway start always with very low powers and then raise them until the required one is reached 2 Itis extremely dangerous to use the device if the electrical plant and the installations of the operating theatre do not comply with the current safety standards Never use extensions for the mains cable and if many devices are connected at the same time ask for their compatibility to the Technical Service 3 Itis extremely dangerous to use accessories or instruments which have not been supplied by the Manufacturer as it can happen that they are not suitable for the working voltages of the device which are as follows approx 7600ppV for the monopolar currents and approx 1100ppV for the bipolar currents It is also dangerous to use old and worn accessories or instruments So check always their status before the use notably if for endoscopy Bear in mind that All the old worn active electrodes accessories and cables do not work properly and do not guarantee the perfect insulation Moreover their unstable functioning can convince the operator to increase the output powers at dangerous levels 4 Do not activate the outputs before the active electrode is in contact with the tissues as electrical ar
77. ustments and electrodes Use the flexible electrodes of the endoscopes from 20 30W SOFT COAGULATION AT LOW VOLTAGE SOFT Low superficial sparkling effect and good deep coagulating effect This current guarantees a good deep coagulating effect and a very low superficial coagulating effect Is suitable above all for coagulations performed with forceps surgical instrument and for coagulations performed by touching the tissues with an active ball electrode of 4 5mm at least 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 SOFT 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 30 40W SPRAY COAGULATION AT VERY HIGH VOLTAGE SPRAY Very strong superficial sparkling effect and good deep coagulating effect This current guarantees a good deep coagulating effect and a very strong superficial coagulating effect It is suitable both for the coagulations performed with forceps surgical instrument and for coagulations performed directly with the active electrode even far away

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