Home
UES 40 Instruction Manual
Contents
1. C 0 BIPOLAR gt Cr SALINE MONOPOLAR O CUT O COAG 13 oO e FF T im H EE G6 s BEE GBB J l U low SWITCH BE imi PWZ 2 y E DO DAH Dita s O aD M MEMORY SELECT o 2 o o O GR a e A C E OOOOOO SOFT1 SOFT2 HARD SALINE PURE BLEND URO COST cee SPRAY L BIPOLART BIPOLAR2 Cr SALINE HAND PIECE1 co HAND PIECE2 PATIENT F Warning indicator lights Figure 7 2 76 OLYMPUS ELECTROSURGICAL UNIT UES 40 Output time error OLYMPUS Q Monopolar Saline Irregularity description Possible cause Chapter 7 Troubleshooting Solution The warning indicator lights the output setting indicator displays Er04 the alarm sounds and the high frequency output is stopped see Figure 7 3 O Bipolar Irregularity description Continuous output for more than 60 seconds Possible cause Immediately stop the output and wait for a while before restarting it Solution The warning indicator lights the output setting indicator displays Er04 the alarm sounds and the high frequency output is stopped see Figure 7 3 The electrodes on the distal end of the bipolar forceps are shorted In bipolar output mode HARD only Immediately stop the output Be sure to hold the treated site firmly during bipolar treatment Continuous output for more
2. Figure 4 3 Press either the SOFT 2 or HARD bipolar coagulation mode select switch and confirm that the respective bipolar coagulation mode indicator lights Press either the A or Y CUT output control switch and confirm that a short beep is generated as the operation tone and the output level shown in the bipolar CUT output setting indicator increases or decreases in 1 W increments when the level is below 20 W in 2 W increments when it is between 20 W and 30 W and in 5 W increments when it is above 30 W However if the HARD mode is selected the output level shown in the bipolar CUT output setting indicator is always 0 W and the bipolar CUT HF output cannot be performed The output setting indicator does not change and a short beep is generated two times even if you press either A or Vv Select the SOFT 1 or SOFT 2 mode press either the A or Y COAG output control switch and confirm that a short beep is generated The output level on the bipolar COAG output setting indicator increases or decreases in 1 W increments when the level is below 20 W in 2 W increments between 20 W and 30 W and in 5 W increments when it is above 30 W Select the HARD mode and confirm that the bipolar COAG output setting indicator displays 0 W OLYMPUS ELECTROSURGICAL UNIT UES 40 39 Chapter 4 Inspection 7
3. Flammable agents used for cleaning and disinfection must be allowed to evaporate before the UES 40 is used Also ensure that flammable solutions are neither on the patient s skin nor in the patient s body cavity when the UES 40 is used e For surgical procedures where the high frequency current could flow through parts of the body with a relatively small cross sectional area use of the bipolar mode may be desirable to avoid accidental coagulation To prevent patient burns when the UES 40 is used in conjunction with a non Olympus electrosurgical unit ensure that each unit is supplied with power from separate electrosurgical units Also ensure that each unit is supplied with power from separate breakers During operation temporarily unused electrodes should be stored in an electrically insulated container Unused electrodes should never be placed on the patient Otherwise it may cause patient and or operator burns Studies have shown that smoke generated during electrosurgical procedures can be irritating and potentially harmful to surgical personnel These studies recommend the use of surgical masks and adequate ventilation of smoke using surgical smoke evacuators or other means 10 OLYMPUS ELECTROSURGICAL UNIT UES 40 Important Information Please Read Before Use William S Sawchuk et al Infectious Papillomavirus in the Vapor of Warts Treated With Laser or Electrocoagulation Detection and Prote
4. The display of the selected preset number is lit from blinking and the settings and mode are stored under the selected preset number ELECTROSURGICAL UNIT UES 40 OLYMPUS NOTE Chapter 5 Operation The settings cannot be stored unless the memory switch is pressed The settings cannot be stored unless a preset number is displayed If the memory switch is not pressed while the preset number is blinking the setting and mode cannot be stored If the preset number disappears restart the procedure from Step 2 To preset another output setting restart the procedure from Step 1 0 BIPOLAR lt gt Cr SALINE MONOPOLAR A PRESET O CUT O COAG CUT O COAG gt gt T SWITCH 0 06 ELECT Li QD CDA i Yee a q2 a OOO B OO00 SOFT1 SOFT2 HARD SALINE PURE BLEND uso coed coag SPRAY q BIPOLAR BIPOLAR Cr SALINE HAND PIECE HAND PIECE2 PATIENT F Select switch Memory switch Figure 5 2 ELECTROSURGICAL UNIT UES 40 49 Chapter 5 Operation Recalling settings from memory Settings can be recalled as described below 1 Turn the power ON 2 Press the select switch to display the preset number containing the desired settings 3 The output setting indicators and the output mode indicators display the recalled output settings s
5. Press either the COAG 2 or SPRAY monopolar coagulation mode select switch and confirm that the respective monopolar coagulation mode indicator lights ELECTROSURGICAL UNIT UES 40 Chapter 4 Inspection 6 Press either the A or Y CUT output control switch and confirm that a short beep is generated The output level on the saline monopolar CUT output setting indicator increases or decreases in 5 W increments 7 Press either the A or Y COAG output control switch and confirm that the output level on the saline monopolar COAG output setting indicator increases or decreases in 5 W increments as in Step 6 above NOTE Pressing an output control switch once varies the output setting by one increment Holding an output control switch depressed varies the output setting continuously When you set the output exceeding the range of the output setting the output setting indicator does not change and a short deep is generated two times even if you press either A or w 4 6 Saline setting when saline output mode is used CAUTION NOTE Use an electroconductive physiological saline solution 0 9 sodium chloride irrigation Do not use a nonconductive solution as this makes it impossible to obtain the HF output The patient plate is not required for saline output because the high frequencies are recovered by the sheath section of
6. Connection of the bipolar electrode and bipolar cord for bipolar treatment The bipolar electrode is not a designated type Replace it with a designated bipolar electrode The bipolar cord is not connected Connect the bipolar cord as described in Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment The wires in the A cord are broken Replace the A cord with a new one The A cord is not a designated type Replace it with a designated A cord OLYMPUS Output continues The foot switch is short circuited Replace the foot switch with a new one The hand piece is short circuited ELECTROSURGICAL UNIT UES 40 Replace the hand piece with a new one 73 Chapter 7 Troubleshooting NOTE e Fora list of designated patient plates refer to Section 3 5 Connection of the patient plate for monopolar treatment Fora list of designated A cords refer to Section 3 7 Connection of the A cord for monopolar treatment Fora list of designated bipolar electrodes refer to Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment e Fora list of designated saline cords refer to Section 3 10 Connection of the saline electrode and saline cord for saline treatment 74 OLYMPUS ELECTROSURGICAL UNIT UES 40 OLYMPUS 7 2 Alarm functions Patient plate conne
7. 80 MH d JP IEC 61000 4 6 z z LV Radiated RF 3 V m 3 V m E4 r3 5 80 MHz 2 5 GH d P IEC 61000 4 3 80 MHZ 2 9 GHZ E E 80 MHz 800 MHz 7 d v f 800 MHz 2 5 GHz NOTE e Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m This instrument complies with the requirements of IEC 60601 1 2 However under the electromagnetic environment that exceeds its noise level electromagnetic interference may occur to this instrument e Electromagnetic interference may occur to this instrument near a high frequency electrosurgical equipment and or other equipment marked with the following symbol o 102 OLYMPUS ELECTROSURGICAL UNIT UES 40 Rated maximum output Appendix Q Recommended separation distance between portable and mobile RF communications equipment and this instrument Separation distance according to frequency of transmitter m calculated as V 3 and E 3 power of transmitter 150 kHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz P w d oP d 1 2 P d 2 84P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 OLYMPUS ELECTROSURGICAL UNIT UES 40 NOTE The guidances may not apply in some situations Electromagnetic propagation is affected by absorption and reflection from stru
8. High frequency Output Bipolar monopolar and saline modes output method Output types Monopolar Cut modes 3 modes PURE BLEND URO Coagulation modes 3 modes COAG 1 COAG 2 SPRAY Bipolar Cut mode 1 mode PURE Coagulation modes 3 modes SOFT1 SOFT2 HARD Saline Cut modes 2 modes PURE BLEND Coagulation modes 2 modes COAG 1 COAG 2 Fundamental 350 kHz 1 MHz for SPRAY frequency High frequency Output Monopolar output characteristics Monopolar Max sel GD 30 1 PURE URO 2 e 2 BLEND 3 COAG 1 200 E 5 4 COAG 2 a 4 5 SPRAY 100 5 50 3 b 0 0 5 1 0 1 5 2 0 2 5 RESISTANCE kQ Monopolar MAX 2 200 180 160 ba 1 CUT URO 140 2 2 BLEND 1 e 3 COAG 1 g 80 4 COAG 2 A 5 SPRAY g E ce 20 Om 0 l i 1 1 0 0 5 1 0 1 5 2 0 2 5 RESISTANCE kQ ELECTROSURGICAL UNIT UES 40 Item Specification Appendix High frequency Output output characteristics 140 120 100 80 60 40 20 Power W 60 50 40 30 20 Power W 10 70 Bipolar Bipolar MAX 1 1 PURE 2 SOFT1 SOFT2 0 5 1 0 1 5 2 0 RESISTANCE kQ Bipolar Half 2 5 m 1 PURE 2 SOFT1 SOFT2 2 0 5 1 0 1 5 2 0 RESISTANCE kQ Bipolar Hard 2 5 60 50 1 L1 L2 L3 40 1 Power W 30 20 10 OLYMPUS ELECTROSURGICAL UNIT UES 40
9. Additional Automatic memory Restores the previous output mode functions mode CUT COAG and setting Preset mode Stores settings in the memory for recalling them any time later Classification Electromedic al equipment Type of protection against electric shock Class I 3 pin power cord Degree of protection against electric shock Type CF applied part Note Direct application to the heart should not be attempted as spark discharge during electrosurgery may affect the cardiac function of the patient Refer to Dangers warnings and cautions and EN standard EN60601 1 Degree of protection against explosion Never use the UES 40 in an environment where flammable gases are present Additional Defibrillation proof Type CF applied part Output circuit ELECTROSURGICAL UNIT UES 40 Neutral electrode isolated from earth at high frequency 97 Appendix 98 OLYMPUS Item Specification Power supply Voltage 100 120 V Frequency 50 60 Hz Input current 12A Volt Rd Within 10 fluctuation Size Dimensions 350 W x 150 H x 400 L mm Dimensions 358 W x 153 2 H x 400 L mm maximum Weight 12 0 kg EMC Applied This instrument complies with the standard standards listed in the left column IEC 60601 1 2 2001 CISPR 11 of emission Group 1 Class B IEC 60601 2 2 Itis switched on but HF output is not activated 1998 under the test This ins
10. 0 5 1 0 1 5 2 0 RESISTANCE kQ 2 5 89 Appendix 90 OLYMPUS Item Specification High frequency Output output characteristics Power W Power W eee es a eS INS M O M O NPD M A ono u RESISTANCE kQ ELECTROSURGICAL UNIT UES 40 Saline Saline MAX N 1 PURE NM 2 BLEND 2 3 COAG 1 4 COAG 2 16 4 0 0 5 1 0 1 5 2 0 2 5 RESISTANCE kQ Saline Half 1 1 PURE 2 2 BLEND 3 COAG 1 i G 4 COAG 2 4 0 05 1 0 1 5 2 0 2 5 Appendix Item Specification Adjustment steps High frequency Maximum Monopolar 5 W increments output PURE 300 W BLEND 250 W URO 300 W COAG 1 120 W COAG 2 120 W SPRAY 120 W Bipolar PURE 90 W 0 20 W 1 W increments 20 30 W 2 W increments 30 90 W 5 W increments SOFT1 90 W SOFT2 90 W HARD 1 LEVEL increments L1 60W L2 60 W L3 60 W Saline 5 W increments PURE 320 W BLEND 320 W COAG 1 200 W COAG 2 80 W OLYMPUS ELECTROSURGICAL UNIT UES 40 91 Appendix Item Specification High frequency Output control output Control by foot switch hand switch or hand piece The following terminals can be controlled with the switches Foot switch for the UES 40 MAJ 1258 Bipolar connector 1 Hand piece connector 1 e Active connector e Saline connector Hand piece for monopolar Hand p
11. 6 Foot switch connector for MAJ 1259 5 Foot switch connector for MAJ 1258 7 System connector 4 Volume knob H q Foot Switch MAJ 1259 q Foot Switch D MAJ 1258 A i 12A q D q D 1 Potential equalization terminal 2 Circuit breakers 3 AC inlet 18 OLYMPUS ELECTROSURGICAL UNIT UES 40 OLYMPUS Chapter 2 Nomenclature and Functions Potential equalization terminal In case of equipotential connect this terminal to a potential equalization busbar of the electrical installation Circuit breakers Prevents short circuit within the unit if equipment malfunctions AC inlet Accepts the power cord Volume knob To adjust the sound volume Foot switch connector for MAJ 1258 To connect the foot switch for UES 40 which is a standard item Foot switch connector for MAJ 1259 To connect the bipolar foot switch for UES 40 which is available as an optional accessory System connector Accepts connection from an external control unit for remote access Do not connect non Olympus equipment to this connector ELECTROSURGICAL UNIT UES 40 19 Chapter 2 Nomenclature and Functions 2 3 Foot switch for UES 40 MAJ 1258 3 Foot switch plug 1 Cut pedal 2 Coagulation pedal 1 Cut pedal Turn ON OFF cutting output from hand piece co
12. than 15 seconds in bipolar output mode HARD only Confirm the treated tissue status If coagulation is not sufficient be sure to hold the treated site firmly before restarting the output The connection between the bipolar cord and UES 40 is incorrect in bipolar output mode HARD only ELECTROSURGICAL UNIT UES 40 Turn the electrosurgical unit OFF and connect the bipolar cord properly as described in Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment and Section 5 5 Selection of foot switch output 77 Chapter 7 Troubleshooting C 0 BIPOLAR lt gt Cr SALINE ES MONOPOLAR fr PRESET CUT l O COAG o y O cur O a A mp gm toor n HBH f Bl AB w Bl WIICH AoE O jw izi J w ES RES ZE ZA DDT gt E A Ce A 4 ly MEMORY SELECT o o o o 9 8 o Za A WARNING W O 5 ce D amp S a JC T Ch b cam SOFT1 SOFT2 HARD GALINE PURE BLEND URO COAG 1 COAG 2 SPRAY DO POWER N BIPOLAR1 O BIPOLAR2 SALINE HAND PIECE cL HANDPIECE L PATIENT F Warning indicator lights Figure 7 3 Output switch short circuit error NOTE This detection is active from the time the electrosurgical unit is turned ON until output settings are completed It is not active during output Irregularity des
13. ARIE A LA MEMORY SELECT o o o o pl WARNING Mie SSD DO I CQM SOFTI SOFT2 HARD SALINE PURE BLEND URO COAG 1 GOAG 2 SPRAY OOPER Se BIPOLAR BIPOLAR2 Cr SALINE gt gt HAND PIECE1 HAND PIECE2 L PATIENT F Warning indicator lights Figure 5 10 58 OLYMPUS ELECTROSURGICAL UNIT UES 40 5 9 Maximum output Chapter 5 Operation Monopolar Q Cut mode PURE BLEND URO 300 W 250 W 300 W Q Coagulation mode COAG 1 COAG 2 SPRAY 120 W 120 W 120 W Bipolar Q Cut mode PURE 90 W Q Coagulation mode SOFT1 SOFT2 HARD 90 W 90 W 60 W Saline Q Cut mode PURE BLEND 320 W 320 W Q Coagulation mode COAG 1 COAG 2 200 W 80 W OLYMPUS ELECTROSURGICAL UNIT UES 40 59 Chapter 5 Operation 5 10 Electrosurgery WARNING If the output does not stop when the switch is released immediately turn the electrosurgical unit OFF to prevent patient burns e Ifa function is not working as expected during the procedure do not increase the output patient burns could result Inspect the cord connections the contact between the patient and the patient plate and the UES 40 settings for any abnormalities e Ifthe output indicator lights or the output sound is heard when the control switch is not operating immediately stop the procedure turn the power OFF to prevent patient burns Ifthe tissue and the bubble adhere to the surface of the electrode immediately remove them and use the
14. After confirming that the patient plate cable and plug are free of scratches and cracks fully insert the plug into the patient plate connector on the front panel of the UES 40 see Figure 3 4 j E ES EJPATIENT E 9000 o o o waj Figure 3 4 28 OLYMPUS ELECTROSURGICALUNITUES40 gt OLYMPUS Chapter 3 Installation and Connection 3 Whena split type patient plate is connected verify that the CQM indicator is illuminated after the power is turned ON see Figure 3 5 OLYMPUS 0 BIPOLAR A PRESET O COAG U oo DIO MEMORY SELECT x d 1 WARNING IT 60M X BD NPOwER BIPOLART G 5 SOFT SOFT2 HARD BIPO AR2 00 SALINE CQM indicator lights Figure 3 5 NOTE When a split type patient plate is connected to the UES 40 it is possible to detect separation of the patient plate from the patient ELECTROSURGICAL UNIT UES 40 29 Chapter 3 Installation and Connection 3 6 Connection of the hand piece for monopolar treatment WARNING Use a hand piece that complies with IEC 60601 2 2 1 Confirm that the cable and plug of the reusable hand piece are free of scratches and cracks Insert an electrode into the tip of the hand piece and tighten securely Insert the hand piece plug firmly into the hand piece connector 1 or han
15. Chapter 4 Inspection 4 7 Inspection of warning function Inspection of patient plate warning WARNING Be sure to inspect the warning functions before use If the warning functions are not normal the unit s failure to detect equipment errors may result in unexpected burns perforation and or bleeding e If the foot switch is not working properly it may be impossible to start or stop high frequency output If output cannot be stopped it could result in unexpected burns bleeding and or perforation of the patient 1 Disconnect the patient plate plug from the patient plate connector on the front panel of the UES 40 2 Confirm that the warning indicator lights the output setting indicator displays Er01 and a warning tone is heard see Figure 4 7 4 0 BIPOLAR a Cr SALINE MONOPOLAR A PRESET C O cur l O cone i SK O CUT l O COAG ff fa im 0O O Er Eder nf in pi AE g O w G w guid Hi F H y O i zz DA FETS MOSES Q Q D DWG O G DL MEMORY SELECT o o a E RNIN D D E a e SOFT 1 SOFT2 HARD SALINE PURE BLEND URO caia colas SPRAY L BIPOLART BIPOLAR2 Cr SALINE HAND PIECE1 c HAND PIECE2 PATIENT F Warning indicator lights Figure 4 7 3 Re insert the patient plate plug into the patient plate connector on the front panel and confirm that the warning indicator and the warning alar
16. Safety Be sure to read this information before use sesssssaaaaaaaaaazzazzazzzeeeweeeeaaasnace i Labels and Symbols ii sssssssssssesesesesenenenenanenenanananaa 1 Important Information Please Read Before Use 3 Intended seas et cere CER EN AWD WA 3 Instruction ma Ual etz lie dans EE AO eee 3 User qualifications aaa aaa aaa araea aaea aa 3 Instrument compatibility eee ee ea aaa aaa aaa aaa 4 Repair and modification oaza aaa ewa aaa eene 4 Signal Worde ec yczenie eeN REE E EEEE 4 Dangers warnings and cautions errar 5 Chapter 1 Checking the Package Contents 12 Chapter 2 Nomenclature and Functions 22112 z 1xx 14 2 14 lt Frontpanel E E E E es ea oe ace Se REWA 14 2 2 Rear panela ad Sana LIS qa eile eae eed eee ES 18 2 3 Foot switch for UES 40 MAJ 1258 aaa aaaaaenae 20 2 4 Bipolar foot switch for UES 40 MAJ 1259 eeens 21 2 5 A adapter 2 MAJ 619 eee eee aaa aaa eee aaa c 22 Chapter 3 Installation and Connection 2212112 1 22 23 3 1 Installation of equipment eee cee aaa aaa aaa cna 23 3 2 Connection to an AC mains power supply e seesszeaana 24 3 3 Connection of foot switch MAJ 1258 aaa ea aeeaaea 25 3 4 Connection of foot switch MAJ 1259 aa
17. Select the HARD mode press either the A or Y COAG output control switch and confirm that a short beep is generated The value on the bipolar COAG output setting indicator changes between L1 and L3 By increasing the output level the time until the output tone changes gets longer and the total output energy supplied to the tissue is increased NOTE e Pressing an output control switch once varies the output setting by one increment Holding an output control switch depressed varies the output setting continuously When you set the output exceeding the range of the output setting the output setting indicator does not change and a short deep is generated two times even if you press either A or 4 5 Monopolar setting 1 2 40 OLYMPUS Press the power switch and confirm that the monopolar CUT and COAG output setting indicators display 0 W Confirm that the PURE monopolar cut mode indicator is lit see Figure 4 4 C SALINE MONOPOLAR C CUT O COAG 000 gag oo As AZ gee a DN DA Q Q o OCE KA al Indicators lights Figure 4 4 Confirm that the COAG 1 monopolar coagulation mode indicator is lit Press either the BLEND or URO monopolar cut mode select switch and confirm that the respective monopolar cut mode indicator lights
18. also refer to the instruction manual of the high flow insufflation unit UHI 2 or UHI 3 Incorrect usage or equipment connection may compromise the functionality and performance of this feature and could lead to equipment damage and or patient injury Attach the both connectors of the interactive cable MAJ 877 to the system connector of the UHI 3 or UHI 2 and the system connector of the UES 40 Then tighten the fixing screws on both connectors see Figure 5 11 UES 40 Interactive cable MAJ 877 Figure 5 11 When the pedal of the foot switch for UES 40 MAJ 1258 is pressed the exhaust function of the UHI 3 UHI 2 is activated to exhaust fumes After the pedal is released the exhaust function continues operating for about 5 seconds When UHI 3 UHI 2 is set to stop mode its flow setting is LOW or abdominal pressure is below 3 mmHg this function is disabled 62 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation NOTE When the abdominal pressure exceeds the set pressure of the UHI 3 UHI 2 by 5 mmHg the excessive pressure warning lamp of the UHI 3 UHI 2 will light and an alarm will sound e High frequency output is performed under the assumption that only the insufflation tube is inserted into the patient after the first trocar is inserted therefore no suction tube is connected In this case select the LOW flow setting or press the S
19. for input output lines environment Surge Differential mode Same as left Mains power quality should be that of a IEC 61000 4 5 0 5 1 kV typical commercial or hospital Common mode environment 0 5 1 2 kV Voltage dips Short lt 5 Ur Same as left Mains power quality should be that of a interruptions and gt 95 dip in Ur typical commercial or hospital voltage variations on for 0 5 cycle environment If the user of this power supply input 40 U instrument required continued operation lines E during power mains interruptions it is 60 dip in Ur m IEC 61000 4 11 recommended that this instrument be for 5 cycles powered from an uninterruptible power 70 Ur supply or a battery 30 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Uy for 5 sec Power frequency 3 A m Same as left It is recommended to use this instrument 50 60 Hz by maintaining enough distance from magnetic field any equipment that operates with high IEC 61000 4 8 current NOTE OLYMPUS ELECTROSURGICAL UNIT UES 40 Ur is the a c mains voltage prior to application of the test level 101 Appendix Q Cautions and recommended electromagnetic environment regarding portable and mobile RF communications equipment such as a cellular phone IEC 60601 1 2 Compliance Immunity test Guidance test level level Formula for recommended separation distance V4 E4 3 according to the compliance level Conducted RF 3 Vrms 3 V V4 r3 5 150 kHz
20. increase in output To prevent operator shock and instrument damage keep liquids away from all electrical equipment If liquid gets on or into the UES 40 terminate operation immediately and contact Olympus To prevent patient burns the patient s skin surfaces should not touch each other e g bare arm and side of chest To prevent patient burns the operator and assistant should wear protective gloves during the procedure To prevent patient burns during fiberscopic or videoscopic treatment the patient s clothes must be dry If the intestines contain a flammable gas replace it with air or a non flammable gas before performing the operation to minimize the risk of fire or explosion ELECTROSURGICAL UNIT UES 40 7 Important Information Please Read Before Use During fiberscopic or videoscopic treatment be sure that the distal end of the endoscope and metallic parts of the accessory do not touch the normal tissue surrounding the target tissue as this may cause severe burns e During fiberscopic or videoscopic treatment be sure that the distal end of the endoscope or accessory does not contact bridging fluids surrounding the target tissue Electric current may flow to the surrounding normal tissue via the fluids and cause burns e During fiberscopic or videoscopic treatment never grasp the target tissue with non insulated grasping forceps Non insulated grasping forceps will disperse the electric current and normal
21. instrument Otherwise the function might not be working as expected CAUTION e Short circuiting electrodes accessories hand piece and patient plate while current is activated will cause the UES 40 to malfunction To prevent patient burns be sure that you see the tips of the electrosurgical accessories in the endoscopic image during output The sound volume can be adjusted by turning the volume knob on the rear panel of the UES 40 The sound serves as an important reminder while output is active and should always be audible The volume knob does not adjust the volume of the warning alarm The maximum output time should be 10 seconds and there should be an interval of 30 seconds between outputs When the continuous output time exceeds 10 seconds in the Saline cut mode the active tone will changes from continuous into intermittent When the intermittent tone goes off release the output control switch and take an interval between the output Otherwise it may cause a malfunction of the electrosurgical unit e Hold the treated site firmly during bipolar treatment If the electrodes on the distal end are shorted it would become impossible to obtain the intended output level and the bipolar forceps may be damaged 60 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation e Hold the targeted tissue firmly during coagulation output in the HARD mode If the tissue is not holded firmly it will become impossibl
22. operation may be impeded To ensure electrical safety the UES 40 should not be used in conjunction with Electrical equipment whose safety against leakage current is not guaranteed Electrosurgical equipment whose safety in combined use is not guaranteed The UES 40 should only be used under the conditions described in Operating environment in the Appendix Use under other conditions may impede normal performance and or result in equipment damage e If the UES 40 is used in conjunction with a non Olympus electrosurgical unit keep the electrosurgical accessory away from the target area while the UES 40 is in operation Do not activate output of both units simultaneously Patient or operator injury may occur due to the concentration of electric current When using an electrocardiograph or other physiological monitoring equipment simultaneously with the UES 40 on a patient any monitoring electrodes should be placed as far away as possible from the electrodes accessories hand piece and patient plate used with the UES 40 If placed too close high frequency signals or spark discharge noise from the UES 40 may interfere with the operation of an electrocardiograph or other physiological monitoring equipment Needle monitoring electrodes should not be used as they may cause patient burns Physiological monitoring equipment incorporating high frequency current limiting devices is recommended 8 OLYMPUS ELECTROSUR
23. performing as intended it can cause patient or operator injury and or equipment damage When you intend to use the unit in a configuration that includes equipment other than that shown in the System chart confirm that the unit functions safely in that system configuration before proceeding Never bring the electrocautery tip in contact with a metallic clip electrosurgical accessory or retractor Doing so could cause burns to tissue in the vicinity CAUTION To prevent instrument damage never short circuit electrodes accessories hand piece or patient plate e Repairs should be performed only by Olympus OLYMPUS ELECTROSURGICAL UNIT UES 40 11 Chapter 1 Checking the Package Contents Chapter 1 Checking the Package Contents Match all items in the package with the components shown below Inspect each item for damage If the instrument is damaged a component is missing or you have any questions do not use the instrument immediately contact Olympus Power cord 9 05 tes e Electrosurgical unit UES 40 Instruction manual Foot switch for UES 40 MAJ 1258 12 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 1 Checking the Package Contents The following Olympus items are optional items which may be purchased separately A cord A00012A A00506A A02915A MAJ 860 A0335 1 A0336 1 A0358 A0393 Bipolar electrode A5380 A5382 A5384 A5386 A5388 A5390 A5392 A5394 0511
24. symbols are attached to the instrument at the location shown below If labels or symbols are missing or illegible contact Olympus O Rear side Serial number Electrical rating plate Product name and rated voltage are displayed OLYMPUS ELECTROSURGICAL UNIT UES 40 1 Labels and Symbols Electrical rating plate ELECTROSURGICAL UNIT MODEL UES 40 MONO 300W 30022 BI 90W 1000 SALINE 320W 1002 350kHz INT 10S 30S INPUT 100 120V 12A 50 60Hz O Back cover of this instruction manual ull Manufacturer ec Rep Authorized representative in the European Community 2 OLYMPUS ELECTROSURGICAL UNIT UES 40 Important Information Please Read Before Use Important Information Please Read Before Use Intended use This instrument has been designed for use in a medical facility under the supervision of a trained physician It has been designed for general open and endoscopic surgery including urology gynecology respiratory and gastroenterology in conjunction with Olympus designed electrosurgical accessories endoscopes fiberscopes videoscopes and rigid scopes applicable for electrosurgery cutting and coagulation light sources and other ancillary equipment Do not use this instrument for any purpose other than its intended use Instruction manual This instruction manual contains essential information on using this instrument safely and effectively Be
25. the front panel of the UES 40 4 Following monopolar treatment disconnect the A cord s plug from the accessory for use with fiberscopes videoscopes or rigid endoscopes Then disconnect the A adapter s plug from the active connector on the front panel of the UES 40 5 Turn the clamping screw counterclockwise and pull the A cord out from the A cord end connection of the A adapter MAJ 619 MAJ 620 Q Following bipolar treatment Following bipolar treatment disconnect the bipolar cord s plug on the electrode side from the bipolar electrode and disconnect the bipolar cord s plug on the UES 40 side from bipolar connector 1 or bipolar connector 2 on the front panel of the UES 40 Q Following saline treatment Following saline treatment disconnect the saline cord s plug on the electrode side from the saline electrode and disconnect the saline cord s plug on the UES 40 side from the saline connector on the front panel of the UES 40 64 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 6 Care Storage and Disposal Chapter 6 Care Storage and Disposal After each use perform the following cleaning procedures immediately If cleaning is delayed debris encrustation may become a source of infection Encrustation may also result in electrosurgical unit malfunction For maintenance and storage of other optional items than those described below refer to the respective instruction manuals 6 1 Care WARNING After cleaning the electro
26. very low and are not likely to cause any interference in nearby electronic equipment Radiated emissions Class B This instrument s RF emissions are very low and are not likely to CISPR 11 cause any interference in nearby electronic equipment Main terminal conducted emissions CISPR 11 Harmonic emissions Not applicable Power supply specification of this instrument is less than IEC 61000 3 2 220 VAC and this instrument is exempt from requirements of IEC 61000 3 2 Voltage fluctuations Same as above Power supply specification of this instrument is less than flicker emissions 220 VAC and this instrument is exempt from requirements of IEC 61000 3 3 IEC 61000 3 3 100 OLYMPUS ELECTROSURGICAL UNIT UES 40 Immunity test Appendix Q Electromagnetic immunity compliance information and recommended electromagnetic circumstances IEC 60601 1 2 test level Compliance level Guidance Electrostatic Discharge ESD IEC 61000 4 2 Contact 2 4 t6kV Same as left Air 2 4 8 kV Floors should be made of wood concrete or ceramic tile that hardly produce static If floors are covered with synthetic material that tends to produces static the relative humidity should be at least 30 Electrical fast 2 kV Same as left Mains power quality should be that of a transient burst for power supply lines typical commercial original condition IEC 61000 4 4 1 kV feeding the facilities or hospital
27. 1 NOTE Be sure to connect the saline cord to the saline connector and use it in combination with the saline working element and saline electrode If the other cord working element or electrode is used the high frequency output cannot be performed OLYMPUS ELECTROSURGICAL UNIT UES 40 35 Chapter 4 Inspection Chapter 4 Inspection WARNING Before each case inspect this instrument as instructed below Inspect other equipment to be used with this instrument as instructed in their respective instruction manuals Should the slightest irregularity be suspected do not use the instrument and see Chapter 7 Troubleshooting If the irregularity is still suspected after consulting Chapter 7 contact Olympus Damage or irregularity may compromise patient or user safety and may result in more severe equipment damage 4 1 Inspecting the connections Prepare this instrument and other equipment to be used with this instrument shown in the System chart in the Appendix for the particular case Refer to the respective instruction manuals for each item Confirm that the connections of the power cord foot switch patient plate A cord hand piece adapter bipolar electrode bipolar cord and saline cord are secure and correct 36 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 4 Inspection 4 2 Inspection of the UES 40 Power supply WARNING When the power is turned ON confirm that the output tone is wo
28. 3 Chapter 2 Nomenclature and Functions Chapter 2 Nomenclature and Functions 2 1 Front panel 16 Memory switch 15 Select switch 14 Bipolar coagulation mode select switch 11 Monopolar saline cut mode select switch 10 Monopolar saline coagulation mode select switch 13 Saline switch 12 Foot switch select switch 9 Output control switches OLYMPUS 7 C AADA lt gt ZS GNE Aza wonerotant UES 40 p ser a Car XK Oq boy c por Nen SurgMaster f SEE J NA Fo iw Af MJ SIC SA FA MEMORY SELECT i CA WARNING y O A CGM SOFTI SOFT2 HARD SALINE PURE BLEND URO COAG 1 COAG 2 SPRAY O OPOWER E SPO I BIPOLAARI BIPOLAR2 Cr SALINE co HAND PIECE c HANDPIECE C PATIENT F Lo fe m aS pe m q i O o e e o lo o E oo o G o o A A 3 Bipolar connector 2 8 Patient plate connector 2 Bipolar 7 Hand piece connector 1 1 Power switch connector 2 6 Hand piece connector 1 5 Active connector 4 Saline connector ELECTROSURGICAL UNIT UES 40 14 OLYMPUS Chapter 2 Nomenclature and Functions 27 Bipolar cut output setting indicator 28 Output indicators 30 CQM indicator 29 Warning indicator PX 26 Bipolar coagulation output sett
29. 465677 Telephone 01702 616333 OLYMPUS MOSCOW LIMITED LIABILITY COMPANY 117071 Moscow Malaya Kaluzhskaya 19 bld 1 fl 2 Russia Fax 095 958 2277 Telephone 095 958 2245 OLYMPUS BEIJING SALES amp SERVICE CO LTD A8F Ping An International Financial Center No 1 3 Xinyuan South Road Chaoyang District Beijing 100027 P R C Fax 86 10 5976 1299 Telephone 86 10 5819 9000 OLYMPUS KOREA CoO LTD Olympus Tower 114 9 Samseong Dong Gangnam Gu Seoul 135 090 Korea Fax 02 6255 3494 Telephone 02 6255 3210 OLYMPUS SINGAPORE PTE LTD 491B River Valley Road 12 01 04 Valley Point Office Tower Singapore 248373 Fax 6834 2438 Telephone 6834 0010 OLYMPUS AUSTRALIA PTY LTD 31 Gilby Road Mount Waverley VIC 3149 Australia Fax 03 9543 1350 Telephone 03 9265 5400 GT2902 07 Printed in Japan 20110624 0000
30. 9 Bipolar cord A0O0500A A00504A A5121 1 A5376 A5377 Bipolar foot switch for UES 40 MAJ 1259 A adapter 2 MAJ 619 Interactive cable MAJ 877 Saline cord WA00013A Patient plate MAJ 897 P cord MAJ 814 The following recommended non Olympus items may also be purchased separately Hand piece for connection method refer to Section 3 6 Connection of the hand piece for monopolar treatment The patient plate for compatible patient plates refer to Section 3 5 Connection of the patient plate for monopolar treatment The bipolar electrode for compatible bipolar electrodes refer to Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment Bipolar cord for compatible bipolar cords refer to Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment For other equipment combinations refer to the System chart in the Appendix NOTE e Place the instruction manual next to the UES 40 or in another easily accessible place e Before using an optional item thoroughly review and understand the instruction manual provided with that item Some products may not be available in some regions Please contact the nearest Olympus office for details e Specifications design and accessories are subject to change without any notice or obligation on the part of the manufacturer OLYMPUS ELECTROSURGICAL UNIT UES 40 1
31. Electrode 5 mm x 450 mm Bipolar Suction channel Applicable bipolar cords are A5121 1 A5377 OLYMPUS ELECTROSURGICAL UNIT UES 40 33 Chapter 3 Installation and Connection e When using both monopolar and bipolar connect bipolar electrode to connector 2 and control by foot switch MAJ 1259 Also select monopolar by foot switch selection button on the front panel When using two bipolar electrodes the electrode connected to connector 1 can be controlled by the foot switch MAJ 1258 And the electrode connected to connector 2 can be controlled by foot switch MAJ 1259 Confirm that the cable and plug of the bipolar cord are free of scratches and cracks Insert the bipolar cord plug on the UES 40 side firmly into the bipolar connector 1 or bipolar connector 2 on the front panel of the UES 40 see Figure 3 10 BIPOLAR1 oO Figure 3 10 34 OLYMPUS ELECTROSURGICALUNITUES40 gt Chapter 3 Installation and Connection 3 10 Connection of the saline electrode and saline cord for saline treatment When performing saline treatment always remove the patient plate Failure to do so may result in unexpected burns Confirm that the cable and plug of the saline cord are free of scratches and cracks Insert the saline cord plug on the UES 40 side firmly into the saline connector on the front panel of the UES 40 see Figure 3 11 0 G SALINE Figure 3 1
32. GICAL UNIT UES 40 Important Information Please Read Before Use The open circuit voltage output characteristics of the UES 40 are shown below When setting the output level first set it to a low level and increase it gradually If the output is initially set to a high level the electrode s insulation may be damaged and cause operator and or patient burns Furthermore it is recommended that you perform basic experiments before using the UES 40 If the instruction manual for the endoscopic accessory to be used stipulates a rated voltage the output should be set so that it does not exceed that voltage Monopolar S 3500 5 u 3000 a 1 PURE URO 4 2500 2 BLEND ur 3 3 COAG 1 gt 2000 4 COAG 2 gt 5 1500 2 5 SPRAY 1000 1 2 g3 50 00 100 200 300 400 POWER SETTING W Bipolar _ 500 z 1 400 1 PURE lt 2 SOFT1 SOFT2 300 S 2 2E 200 me a 25 100 so Ji i i 05 20 40 60 80 POWER SETTING W Bipolar 300 m gt 3 9 3 HARD H 200 S ZL 150 ER 100 x 25 ZO 50 I l ji g L1 L2 L3 SETTING OLYMPUS ELECTROSURGICAL UNIT UES 40 9 Important Information Please Read Before Use Saline z W 1000 q W 2 1 PURE 200 2 BLEND 2 60 3 COAG 1 55 400 1 4 COAG 2 x E 200 3 o so A 0 100 200 300 400 POWER SETTING W
33. He gt O 0 45 90 SETTING W SOFT1 _ 90 14 Lu z O a 45 gt a gt O 0 45 90 SETTING W 90 SOFT2 3 5 a 45 gt O 0 45 90 SETTING W HARD 120 3 gt 60 gt gt O L1 L2 SETTING 94 OLYMPUS ELECTROSURGICAL UNIT UES 40 Appendix Item Specification High frequency Output power Saline Rated load resistance 100 Q COAG 1 50 Q tput tti outpu vs setting PURE _ 320 a Lu z O a 160 gt a oe gt O 0 160 320 SETTING W BLEND _ 320 x W z E 160 gt a gt O 0 160 320 SETTING W 200 COAG 1 3 5 o 100 gt O 0 100 200 SETTING W 80 COAG 2 3 2 40 gt O 0 40 80 SETTING W OLYMPUS ELECTROSURGICAL UNIT UES 40 95 Appendix Item Specification Safety Patient monitor Detects improper connections of cords and or broken functions monopolar wires in the patient plate Activates the following mode functions if irregularities are detected An error code will be displayed e Warning indicator will light or flash An alarm will sound Output will be disabled High frequency output monitor Determines whether the output level matches the output setting Activates the following functions if irregularities are detected An error code will be displayed Warn
34. OLYMPUS INSTRUCTIONS Su 1raMastor Vas e FEJE ELECTROSURGICAL UNIT UES 40 USA CAUTION Federal law restricts this device to sale by or on the order of a physician Important Precautions Critical for Safety Be sure to read this information before use Important Precautions Critical for Safety Be sure to read this information before use OLYMPUS Before performing electrosurgical therapy thoroughly study the properties purposes effects and possible risks the nature extent and probability of the planned treatment and any alternative therapeutic method that can be performed Perform therapy only when its benefits outweigh its risks During endoscopic treatment continue to evaluate the potential benefits and risks and stop the treatment if the risks become greater than the possible benefit to the patient The flow or discharge of high frequency current could injure the patient operator and or assistant When handling this product also pay close attention to all DANGER WARNING and CAUTION statements given in this manual Make sufficient preparations for treatment of unexpected emergencies such as burns bleeding and puncturing before using this product ELECTROSURGICAL UNIT UES 40 i Important Precautions Critical for Safety Be sure to read this information before use ii OLYMPUS ELECTROSURGICAL UNIT UES 40 Contents Contents Important Precautions Critical for
35. TOP switch to temporarily disable the automatic exhaust function 5 12 Procedure after use WARNING Always discard used disposable patient plates Never attempt to reprocess or reuse them It may cause patient burns e Do not use the patient plate cable as a tool to remove the patient plate from the patient If utilized in this fashion skin injuries can occur CAUTION If the UES 40 is not to be used for a long period disconnect the power cord plug from the hospital grade receptacle wall mains outlet 1 Turn the power OFF en the foot switch is no longer needed pull the ring on the foot switc 2 When the foot switch i l ded pull the ri the foot switch plug outward and disconnect the foot switch from the foot switch connector on the rear panel of the UES 40 O Following monopolar treatment 1 Following monopolar treatment remove the patient plate from the patient and disconnect the patient plate plug from the patient connector on the front panel of the UES 40 2 Following monopolar treatment disconnect the plug of the hand piece from hand piece connector 1 or hand piece connector 2 on the front panel of the UES 40 OLYMPUS ELECTROSURGICAL UNIT UES 40 63 Chapter 5 Operation 3 Following monopolar treatment disconnect the A cord s plug on the accessory side from the accessory for the rigid endoscope fiberscope or videoscope Disconnect the A cord s plug on the UES 40 side from the active connector on
36. Warning indicator lights Figure 7 1 ELECTROSURGICAL UNIT UES 40 75 Chapter 7 Troubleshooting Saline output error NOTE The saline output warning does not work when monopolar mode or bipolar mode is selected Irregularity description Possible Solution The warning indicator lights the output setting indicator displays Er02 the alarm sounds and the neutral the air high frequency output is stopped The saline is activated while the active and or electrode is put in Use an electroconductive physiological saline solution 0 9 sodium chloride irrigation and always immerse the active and or neutral electrode sheath in saline If the problem still persists contact Olympus The saline electrode and saline cord is not connected Turn the electrosurgical unit OFF and connect the saline electrode and saline cord as described in Section 3 10 Connection of the saline electrode and saline cord for saline treatment The saline cord is broken Replace the saline cord with a new one The saline cord is not a designated type Replace it with a designated saline cord The saline electrode is not a designated type Replace it with a designated saline electrode The tissue and the bubble adhere to the surface of the electrode Remove the adhesion from the surface of the electrode and make the output actively again
37. a aaaaeaaea 26 3 5 Connection of the patient plate for monopolar treatment 27 3 6 Connection of the hand piece for monopolar treatment 30 3 7 Connection of the A cord for monopolar treatment 31 3 8 Connection of the A adapter 2 MAJ 619 1 21111 32 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment rrenan 33 3 10 Connection of the saline electrode and saline cord for saline treatment eieiei rann ekk saa 35 OLYMPUS ELECTROSURGICAL UNIT UES 40 iii Contents iv Chapter 4 Inspection irrrenenaceneeeaaaaaeeneaaaaa 4 1 Inspecting the connections rea 4 2 Inspection of the UES 40 a 4 3 Inspection of the foot switch operation 4 4 Bipolar Settings ad A Ad RZA AE AAAA 4 5 Monopolar setting eroa ieena E AEA EEA E RAAE AAR aT 4 6 Saline setting when saline output mode is used 4 7 Inspection of warning function aaa aaa aaa wania Chapter 5 OBeralGo dwa ces a EO WO o 5 1 Turn the power ON e aaa aaa aaeaeceea 5 2 Automatic memory mode aaa aaa aaa aaa aaaaaa nica Da Preset moda ze nadia W Wad nh eat pasa Ota nad 5 4 Selection of saline mode 5 5 Selection of foot switch output aaa aaa aaa cwcaea 5 6 Selection of cut mode rrenan 5 7 Selection o
38. agnetic radiation e g near microwave medical treatment equipment short wave medical treatment equipment MRI equipment radio or mobile phones Damage to the electrosurgical unit may result Do not apply excessive bending straining or squeezing force to any cords during storage It may cause malfunction 1 Disconnect the power cord 2 Store the equipment at room temperature in the horizontal position in a clean dry and stable location 6 3 Care of A adapter 2 CAUTION The A adapter cannot be sterilized by ETO gas or autoclaving These methods will cause deformation and damage that will render the A adapter useless Make sure that foreign matter does not enter the A cord end connection as this will result in poor connection 1 After each procedure wipe with a soft clean lint free cloth If dirt persists moisten the cloth with 70 ethyl or isopropyl alcohol and wipe again 2 Dry thoroughly after wiping An A adapter that is not completely dry may cause an electric shock 66 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 6 Care Storage and Disposal 6 4 Storage of A adapter 2 WARNING Never store the A adapter in the shipping box as this may pose an infection control risk 1 Store under the conditions given in Specifications in the Appendix away from direct sunlight and sources of liquids 2 Store the A adapter with the clamping screw attached 6 5 Disposal When disposing of this electrosurg
39. ase Read Before Use Be sure that this instrument is not used adjacent to or stacked with other equipment other than the components of this instrument or system to avoid electromagnetic interference Electromagnetic may occur to this instrument near equipment marked with the following symbol or other portable and mobile RF communications equipment such as cellular phones If radio interference occurs mitigation measures may be necessary such as reorienting or relocating this instrument or shielding the location o Keep the UES 40 and ancillary cords A cord bipolar cord patient plate cord hand piece cord as far away as possible from other electromedical equipment and cords If placed too close high frequency signals or spark discharge noise from the UES 40 may interfere with the operation of other equipment To prevent patient burns the UES 40 and ancillary cords A cord bipolar cord patient plate cord hand piece cord should not come in contact with the patient or metal parts of the operating table Furthermore the patient should also be kept away from metallic parts of the operating table or other devices Never loop the cords A cord bipolar cord patient plate cord hand piece cord or bundle cords together with cords belonging to other medical equipment The high frequency signals or spark discharge noise generated by the UES 40 may interfere with the operation of other medical equipment Do not apply excessiv
40. cription Possible cause Solution The warning indicator lights the output setting indicator displays Er08 the alarm sounds and the The output level is set to OW Set the output level to a value above 0 W If the problem persists contact Olympus high frequency output is stopped see Figure 7 4 The power switch is set to ON while one of the output switches is pressed The output switch has Turn the power switch ON while none of the output switches are pressed If the hand piece is in use replace it If the problem failed persists contact Olympus F I BIPOLAR a gt Cr SALINE MONOPOLAR A PRESET 4 O cur GOAG IVAN C O CUT O COAG JE j gt fy Ef 1 Dor Bl GH G s Sp oo p w WIGH U BE w B w ANSA a LEO CDH 3 u Ch BE A A MEMORY SELECT o 2 o o m amina DOS O G DA DE DOOO 4 W CQM SOFTI SOFT2 HARD SALINE PURE BLEND URO caos OZ SPRAY N POPOWER ion DBIPoLam BIPOLAR SALINE c HAND PIECE PATIENT F HAND PIECE2 Warning indicator lights Figure 7 4 ELECTROSURGICAL UNIT UES 40 78 OLYMPUS Chapter 7 Troubleshooting 7 3 Returning the UES 40 for repair Thoroughly clean this product before returning it for repair Improperly reprocessed equipment presents an infection control risk to each person who handle
41. ction Journal of American Academy of Dermatology Vol 21 No 1 July 1989 41 49 Yoshifumi Tomita et al Mutagencity of Smoke Condensates Induced by CO gt Laser Irradiation and Electrocauterization Mutation Research Vol 89 1989 145 149 Evaluation Report No 85 126 National Technical Information Service 1985 1 28 When the patient is moved after the dispersive electrode has been attached confirm that the dispersive electrode is still in proper contact with the patient Otherwise it may cause patient and or operator burns This instrument cannot be used with an endoscope equipped with the S cord connector receptacle Ifthe UES 40 is used with a rigid endoscope and is providing monopolar output activation of the UES 40 when not in contact with target tissue or in a position to deliver energy to target tissue fulguration may cause capacitive coupling Do not use the UES 40 in a location exposed to strong electromagnetic radiation microwave or short wave medical treatment equipment MRI radio or mobile phone equipment These can impair operation of the unit e Always confirm that the unit is safe to use in the system configuration that you have arranged In general the unit should be used only with equipment shown in the System chart in the Appendix Using the unit in a configuration that includes equipment not shown in the System chart may not only prevent the unit from
42. ction error NOTE Chapter 7 Troubleshooting The patient plate connection warning does not work when bipolar mode or saline mode is selected Irregularity description Possible cause Solution The warning indicator lights the output setting indicator displays Er01 the alarm sounds and the The wires in the patient plate cord are broken The connection of the patient plate is incorrect high frequency output is Turn the electrosurgical unit OFF and refer to Section 3 5 Connection of the patient plate for monopolar treatment stopped see Figure 7 1 The split type of patient plate is not in proper contact with patient s skin Turn the electrosurgical unit OFF and refer to Section 3 5 Connection of the patient plate for monopolar treatment Reattach the patient plate or replace it with a designated patient plate D rota a gt Cr SALINE MONOPOLAR APRESET CUT O GOAG O E D yi o cur COAG j alts S il En 0 o 0 Lj H A H H E W m is i no ji i w j i w les res ES i os IGOIO GWOOLGW Pa ay DCD MEMORY SELECT o E za O o gt BER za z pe ZA DOC DO 7p gt cam sorri SOFT2 HARD SALINE PURE BLEND URO copa cona 2 SPRAY vy POWER Ff A L BIPOLAR BIPOLAR2 CM SALINE co HAND PIECET co HAND PIECE2 PATIENT F
43. ctures objects and people Portable and mobile RF communications equipment such as cellular phones should be used no closer to any part of this instrument including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter 103 1998 OLYMPUS MEDICAL SYSTEMS CORP All rights reserved No part of this publication may be reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP OLYMPUS is a registered trademark of OLYMPUS CORPORATION Trademarks product names logos or trade names used in this document are generally registered trademarks or trademarks of each company OLYMPUS Manufactured by Mal OLYMPUS MEDICAL SYSTEMS CORP 2951 Ishikawa cho Hachioji shi Tokyo 192 8507 Japan Fax 042 646 2429 Telephone 042 642 2111 Distributed by OLYMPUS AMERICA INC 3500 Corporate Parkway P O Box 610 Center Valley PA 18034 0610 U S A Fax 484 896 7128 Telephone 484 896 5000 OLYMPUS LATIN AMERICA INC 5301 Blue Lagoon Drive Suite 290 Miami FL 33126 2097 U S A Fax 305 261 4421 Telephone 305 266 2332 OLYMPUS EUROPA HOLDING GMBH Premises Goods delivery Wendenstrasse 14 18 20097 Hamburg Germany Letters Postfach 10 49 08 20034 Hamburg Germany Fax 040 23773 4656 Telephone 040 23773 0 KEYMED LTD KeyMed House Stock Road Southend on Sea Essex SS2 5QH United Kingdom Fax 01702
44. d piece connector 2 on the front panel of the UES 40 see Figure 3 6 2 When using a disposable hand piece confirm that the cable and the plug are free of scratches and cracks Insert the hand piece plug firmly into the hand piece connector 1 or hand piece connector 2 on the front panel of the UES 40 see Figure 3 6 oO oo HAND PIECE1 co UJ RAJ lo ce Figure 3 6 30 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 3 Installation and Connection 3 7 Connection of the A cord for monopolar treatment OLYMPUS Use only Olympus hand instruments for rigid scopes and endo therapy accessories for fiberscopes or videoscopes For further details on the accessory refer to its instruction manual If you have any questions concerning the compatibility of your accessory please contact Olympus e Wire disconnection in the A cord may result in abnormal heating spark generation and decrease in the output level which may also lead to unexpected burns neural stimulation and or bleeding To prevent this be sure to confirm that the A cord is not buckled damaged or bent before use If the cutting performance drops or noise is observed in the endoscopic image during operation this may be an indication of wire disconnection of the A cord In this case do not use the A cord replace it with a new one e Connect the A cord securely as described in the following procedure Incomplete connection may res
45. described in mode HARD only Section 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment and Section 5 5 Selection of foot switch output The electrode on the distal Immediately stop the output end of the bipolar forceps are Be sure to hold the treated site shorted in bipolar output firmly during bipolar treatment mode HARD only Er DB The output level is set to OW Set the output level to a value above 0 W If the problem persists contact Olympus The power switch is setto Turn the power switch ON ON while one of the output while none of the output switches is pressed switches are pressed If the The output switch has hand piece is in use replace failed it If the problem persists contact Olympus Er ip More than one switch was Make sure to press only the 70 OLYMPUS pressed on the foot switch or hand piece ELECTROSURGICAL UNIT UES 40 target switch on the foot switch or hand piece Chapter 7 Troubleshooting Indication R oo Indication of Indication of monopolar of bipolar monopolar saline i cut output saline cut Possible cause Solution p coagulation setting output E Se output setting indicator setting SE aie indicator indicator Er en The power switch is setto Turn the power switch ON ON while one of the front while none of the front panel panel switches is pressed switches is pressed If the One of the front panel pr
46. described in Section 3 10 Connection of the saline electrode and saline cord for saline treatment The saline cord is broken Replace the saline cord with a new one The saline cord is not a designated type Replace it with a designated saline cord The saline electrode is not a designated type ELECTROSURGICAL UNIT UES 40 Replace it with a designated saline electrode 69 Chapter 7 Troubleshooting Indication Ke Indication of Indication of monopolar of bipolar monopolar saline cut output saline cut i Possible cause Solution setting output sodu Sz i outputsetting indicator setting RARE dicas indicator Er fe The tissue and the bubble Remove the adhesion from adhere to the surface of the the surface of the electrode electrode and make the output actively again Er ny Output has been continued Immediately stop the output for more than 60 seconds and wait for a while before in monopolar saline output restarting it If the problem still mode only persists contact Olympus Output has been continued Confirm the treated tissue for more than 15 seconds in status If coagulation is not bipolar output mode HARD sufficient be sure to hold the only treated site firmly before restarting the output The connection between the Turn the electrosurgical unit bipolar cord and UES 40 is OFF and connect the bipolar incorrect in bipolar output cord properly as
47. dicator will light Set the power switch to OFF and reattach the patient plate or use a new plate Incomplete contact between the patient plate and the patient s skin may result in burns If the connection of the patient plate is improper an alarm will sound the warning indicator will light and the output setting indicator will display an error code when the monopolar output mode is selected In this case turn the power OFF and reconnect the patient plate For further details on patient plates refer to their respective instruction manuals Please use the following patient plates when you use the patient plate other than the regular combination in System chart of Appendix OLYMPUS ELECTROSURGICAL UNIT UES 40 27 Chapter 3 Installation and Connection The connectable patient plates are listed below 3M 7179 9165 These have been tested and found to be safe When you intend to use the unit in a configuration that is not listed in the System chart in the Appendix confirm that the unit functions safely in that system configuration before proceeding Note that with certain patient plates the CQM monitor may malfunction even when the power supply is normal e Do not cut a patient plate to reduce its size Patient burns due to high current density may result 1 After peeling off the protective paper from the patient plate attach the plate to the patient s thigh or place it under the patient s buttocks 2
48. e bending straining or squeezing force to any cords It may cause malfunction Always use the UES 40 as outlined in this instruction manual Improper use will not only impede functions and prevent optimum performance but may cause equipment damage and or complications Before each use always inspect the equipment as outlined in this instruction manual The UES 40 may interfere with electromedical equipment used in conjunction with it Before use thoroughly confirm the compatibility of all equipment 6 OLYMPUS ELECTROSURGICAL UNIT UES 40 OLYMPUS Important Information Please Read Before Use To prevent the risk of electric shock the housing of the UES 40 must be grounded Always connect the power cord plug to a properly grounded hospital grade AC receptacle wall mains outlet as shown in the figure below Do not use a 3 pin 2 pin adapter as it can impair safe operation of the unit Hospital grade AC receptacle To prevent electric shock the UES 40 is designed to function with insulated connectors that have Type CF applied parts A cord hand piece patient plate Therefore to prevent shock caused by leakage current from other electrical equipment applied to the patient the connectors should not be grounded Should any abnormal output be suspected during operation immediately terminate the use of the equipment and tum OFF the power switch Otherwise malfunction of the equipment may cause an unintended
49. e to obtain the intended output energy and the tissue may not be coagulate sufficiently Do not apply excessive bending straining or squeezing force to any cords It may cause malfunction NOTE e Simultaneous outputs from more than one connector are not available When using the foot switch or hand piece the output controlled by the first switch pedal pressed will be activated e Panel settings cannot be changed during output 1 Confirm that the settings on the front panel are correct before activating the output 2 Individual control switches foot switch and hand piece control the output terminals as follows Control switch Output terminal Foot switch for the UES 40 Bipolar connector 1 MAJ 1258 Hand piece connector 1 Active connector Saline connector Hand piece Hand piece connector 1 Hand piece connector 2 Bipolar foot switch for the UES 40 Bipolar connector 2 MAJ 1259 3 Output will be active while the control switch is pressed During output the output indicator will light and an output sound will be heard Output will stop when the switch is released OLYMPUS ELECTROSURGICAL UNIT UES 40 61 Chapter 5 Operation 5 11 Automatic exhaust This product combined with the UHI 3 UHI 2 via aeration cable MAJ 877 can exhaust fumes and mist generated in the body cavity by synchronizing the high frequency output and the exhaust function CAUTION When using the automatic exhaust
50. ee Figure 5 3 C 0 BIPOLAR 5 gt Cr SALINE MONOPOLAR A PRESET O GUT O COAG ac O C O CUT COAG gt s B B U amp 8 e agg a E SELECT E a sj gt gt GQ A GDA MEMORY SELECT o A WARNING A I DC iS D A CQM COAG 1 conge SPRAY 2 POWER 7 BiPOLART T HAND PIECE2 C PATIENT F The output setting indicators and the output mode indicators display recalled output settings Figure 5 3 NOTE When preset settings are recalled while the saline output selection indicator is not lit the bipolar and monopolar settings are displayed together with the current mode indication e To recall preset settings in the saline mode light up the saline output selection indicator as described in Section 4 6 Saline setting when saline output mode is used on page 41 50 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation Changing settings in memory Stored settings can be modified as described below 1 Press the select switch to display the preset number containing the modified settings 2 Select the preset number and activate the desired output setting and output mode 3 Press the memory switch 4 Press the select switch select the preset number in which you want to store the new settings and mode 5 Press the memory switch while the preset number indicat
51. eft foot switch setting indicator lights see Figure 5 5 4 In this mode the bipolar output is available from bipolar connector 1 OD 7 CV CZ SALINE PURE BLEND URO AR2 Cr SALINE HAND PIECE HAND The right foot switch setting indicator lights Figure 5 4 ty OLAR p Co SALINE E GOAG 7 PSN 4 cur e FOOT WITCH g 5 g w SELECT ml Sm Ss Std Se o o is AS E CG P to GD G SALINE PURE BLEND URO SALINE AR2 S sfune c HAND PIECE1 o gt HAND The left foot switch setting indicator lights Figure 5 5 52 OLYMPUS ELECTROSURGICAL UNIT UES 40 NOTE Chapter 5 Operation Thefoot switch for the UES 40 MAJ 1258 cannot switch the outputs from the hand piece 2 and bipolar 2 connectors To switch the output from the bipolar 2 connector use the bipolar foot switch MAJ 1259 optional 5 6 Selection of cut mode NOTE Please refer to the Output mode chart in the Appendix for more detailed information on each mode Q Following monopolar treatment Using the monopolar cut mode select switches on the front panel of the UES 40 select the appropriate cut mode PURE BLEND or URO for the type of surgery to be performed and the accessories to be used see Figure 5 6 The indicator corresp
52. f coagulation mode 9 6 Setting oUi eian dna R PO a PRAIA 5 9 Maximum Output ernis OLA teen cdo 5 10 Electrosurgery czacie dd wn add dada 5 11 Automatic exhaust eee eee aaa aaa aaa 5 12 Procedure after use aaa aaa aaa ania Chapter 6 Care Storage and Disposal Gil Care SPP i a RNP RO A Oi ene 6 2 Storage a cat te ad zna Z eden Ret eee eee 6 3 Care of A adapter2 une dena deisel A AE 6 4 Storage of A adapter 2 eeee eee ae aaa aaa aaa 6 9 DISPOSAL sais tte Ao an Zza zt biada sky ack Chapter 7 Troubleshooting sssrsaaaaaaaazenennnne 7 1 Troubleshooting guide eee aaa aaa aaa aaa 1 2 gt Alarm functions a z ZE Z a A o AE atada casado 7 3 Returning the UES 40 for repair OLYMPUS ELECTROSURGICAL UNIT UES 40 36 37 38 39 40 41 44 47 47 48 51 52 53 55 58 59 60 62 63 65 66 66 67 67 68 75 79 Contents ADDENUIX doco kC OG R akcie 80 CONSUUCHON gt eee R A EO ines ta a e E 80 Output mode chart iea OO AO a aaa EA 82 System Chart za aiii t oe a Ede sala PORE ada yy W LEE 83 Operating and storage environments 87 SPeEciCationS atresia aa WAL ae 88 EMC information uu eres AN AE ge aaa 100 OLYMPUS ELECTROSURGICAL UNIT UES 40 v Contents vi OLYMPUS ELECTROSURGICAL UNIT UES 40 Labels and Symbols Labels and Symbols Safety related labels and
53. fore use thoroughly review this manual and the manuals of all equipment which will be used during the procedure and use the equipment as instructed Keep this and all related instruction manuals in a safe accessible location If you have any questions or comments about any information in this manual please contact Olympus O Terms used in this manual Wall mains outlet An electrical outlet that has a terminal used exclusively for grounding User qualifications OLYMPUS The operator of this instrument must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in electrosurgical procedures This manual therefore does not explain or discuss endoscopic or electrosurgical procedures ELECTROSURGICAL UNIT UES 40 3 Important Information Please Read Before Use Instrument compatibility Refer to the System chart in the Appendix to confirm that this instrument is compatible with the ancillary equipment being used Using incompatible equipment can result in patient injury and or equipment damage This instrument complies with the EMC standard for medical electrical equipment edition 2 IEC 60601 1 2 2001 However when connecting to an instrument that complies with the EMC standard for medical electrical equipment edition 1 IEC 60601 1 2 1993 the whole system complies with edition 1 Repair and modification This instrument does not contain any use
54. h Fiberscope without MAJ 1258 the S cord connector mount Hel High flow insufflation Interactive cable unit UHI 2 MAJ 877 TE CEER High flow insufflation unit UHI 3 m 60 7 gt C A adapter 2 Acord MAJ 619 A02915A MAJ 860 A02916A MAJ 861 2 E A8406 MH 969 BDE MA 255 1 A adapter 3 MAJ 620 High frequency accessory Disposable P plate Some products may not be available in some regions Please contact the nearest Olympus office for details Specifications design and accessories are subject to change without any notice or obligation on the part of the manufacturer 86 OLYMPUS ELECTROSURGICAL UNIT UES 40 Operating and storage environments OLYMPUS Operating environment Ambient temperature Appendix 10 40 C 50 104 F Relative humidity 30 85 Atmospheric pressure 700 1060 hPa Storage environment Ambient temperature 25 to 70 C 13 to 158 F Relative humidity 10 90 Atmospheric pressure ELECTROSURGICAL UNIT UES 40 700 1060 hPa 87 Appendix Specifications 58 OLYMPUS O UES 40 main unit Item Specification Applicability Applicable General and endoscopic electrosurgery restricted to endoscopes fields suitable for electrosurgery
55. han COAG1 SOFT1 with automatic output reduction Appendix System chart The recommended combinations of equipment and accessories that can be used with this instrument are listed below New products released after the introduction of this instrument may also be compatible for use in combination with this instrument For further details contact Olympus WARNING If combinations of equipment other than those shown below are used the full responsibility is assumed by the medical treatment facility OLYMPUS ELECTROSURGICAL UNIT UES 40 83 Appendix Electrosurgical treatment with UES 40 system chart Resectoscope for saline Saline electrodes Saline working elements WA22301D WA22302D WA22060B Sheath WA22305D WA22306D WA22061B WA22331D WA22332D WA22351A WA22351C WA22355A WA22355C Working elements A22060A A22061A A20063A a e Working elements Sheath Electrode A2760 A2761 GO Working elements VU A2749 A2750 E and other cystourethroscopes A2751 A2752 A2753 A2754 A2755 A2757 A3752 A4512 mt Yo 453 mm adapter te A0101 Laparoscopic E instrument Trocar 4 mm connector tube Laparoscopic 7 f A0100 instrument 3 mm c
56. he foot switch pedals are not damaged With the arrow on the plug facing upward insert the foot switch plug into the foot switch connector for MAJ 1259 on the rear panel of the UES 40 until it clicks see Figure 3 3 Figure 3 3 ELECTROSURGICAL UNIT UES 40 Chapter 3 Installation and Connection 3 5 Connection of the patient plate for monopolar treatment Improper connection between the patient plate and the patient s skin surface may cause burns Always attach the patient plate as described below WARNING Do not use the patient plate if it has been damaged or modified This may cause patient burns Never attach the patient plate in the vicinity of a metal implant The tissue in the vicinity of the metal implant may get burned Ensure that the area of the patient s skin that will come in contact with the patient plate is completely dry Body hair will impede proper contact with the patient plate If necessary shave all hair from the area to which the patient plate will be attached Avoid placing the patient plate over bony prominences or scar tissue as proper contact will not be obtained Do not fold or wrinkle the patient plate Its entire surface should be in direct contact with the patient s skin The patient plate should not be reused Do not attach a patient plate for a bipolar only procedure If the contact between the patient plate and the patient s skin is insufficient the patient warning in
57. ical unit or any of its components such as fuses follow all applicable national and local laws and guidelines OLYMPUS ELECTROSURGICAL UNIT UES 40 67 Chapter 7 Troubleshooting Chapter 7 Troubleshooting 7 1 68 If the electrosurgical unit is visibly damaged does not function as expected or is found to have other irregularities during the inspection described in Chapter 3 Installation and Connection and Chapter 4 Inspection do not use the electrosurgical unit Contact Olympus Some problems that appear to be malfunctions may be correctable by referring to Section 7 1 Troubleshooting guide If the problem cannot be resolved by the described remedial action stop using the electrosurgical unit and send it to Olympus for repair Olympus does not repair accessory parts If an accessory part becomes damaged contact Olympus to purchase a replacement Never use the electrosurgical unit if an abnormality is suspected The patient can be fatally or seriously injured Troubleshooting guide OLYMPUS The following table shows the possible causes of and counter measures against troubles that may occur due to equipment setting errors or deterioration of consumables Troubles or failures due to other causes than those listed below should be serviced As repair performed by persons who are not qualified by Olympus could cause patient or user injury and or equipment damage be sure to contact Olympus for repair acc
58. iece connector 1 Hand piece connector 2 Bipolar foot switch for the UES 40 MAJ 1259 Bipolar connector 2 Output time 10 seconds ON 30 seconds OFF in case of continuous output keep the output time below 10 seconds Output power vs setting Monopolar Rated load resistance 300 Q PURE 300 14 150 a ZJ a o 0 150 300 SETTING W BLEND 250 w S 125 a D2 o 2 o 0 125 250 SETTING W 92 OLYMPUS ELECTROSURGICAL UNIT UES 40 Appendix Item Specification High frequency Output power Monopolar Rated load resistance 300 Q output vs setting URO 300 3 a Lu 5 150 a H gt a gt O 0 150 300 SETTING W 120 COAG 1 a O 60 a gt a gt O 0 60 120 SETTING W _ 120 COAG 2 a Lu E 60 gt a H gt O 0 60 120 SETTING W 120 SPRAY x W z O a 60 gt a gt O 0 60 120 SETTING W OLYMPUS ELECTROSURGICAL UNIT UES 40 93 Appendix Item Specification High frequency Output power Bipolar Rated load resistance 100 Q HARD 50 Q output vs setting PURE 90 14 Lu O a 45 gt a
59. ing indicator 25 Foot switch setting indicators 24 Monopolar saline cut output setting indicator 23 Monopolar saline coagulation output setting indicator oO o NX p MPUS C 7 SPOON a E SANE SX MONOPO AR 140 emeser C Ofur NO GOAG O Yo er 0 COAG ur ff 0 gt y sit A B UO s UGO Gad ae w w SELECT f a gt E E en E gt QD D a OEO a DO CH O pee SELECT LQ Q ff A ro e SA G O ale Ae q Rao SALINE PURE BLEND URO COAG conas SPRAY AG E E BIPOLART cc HAND PIECE1 HAND PI CE2 IPATIENT F 20 Saline mode indicator 22 Monopolar saline coagulation mode indicators 19 Bipolar coagulation mode indicators 18 Preset number indicator 17 Power switch indicator OLYMPUS ELECTROSURGICAL UNIT UES 40 21 Monopolar saline cut mode indicators 15 Chapter 2 Nomenclature and Functions 10 11 12 13 14 15 16 17 18 Power switch Press this switch to turn the power ON The power switch indicator will illuminate Bipolar connector 1 Connect the plug of bipolar electrodes here Bipolar connector 2 Connect the plug of bipolar electrodes here Saline connector Connect the
60. ing indicator will light An alarm will sound Output will be disabled Output time monitor monopolar mode Detects the high frequency output time Activates the following functions if the continuous output time exceeds 60 seconds An error code will be displayed Warning indicator will light An alarm will sound Output will be disabled Control switch monitor Detects short circuit of the control switches foot switch hand piece Activates the following functions ifa short circuit is detected An error code will be displayed Warning indicator will light An alarm will sound Output will be disabled CQM monitor OLYMPUS The CQM indicator is turned on when a split type patient plate is used and the connection between the patient and patient plate is correct This function activates the following operations upon detection of separation of the split patient plate An error code will be displayed e Warning indicator will light An alarm will sound Output will be disabled ELECTROSURGICAL UNIT UES 40 OLYMPUS Appendix Item Specification Safety Self check monitor The function detects whether the safety functions monitor functions mentioned above are working correctly or not It activates the following functions if abnormalities are detected An error code will be displayed Warning indicator will light An alarm will sound Output will be disabled
61. ist and the manufacturer of the pacemaker that it is safe to do so To prevent shock hazards never apply the UES 40 to the heart in combination with type B or type BF applied part When using the UES 40 on or in the vicinity of the heart be sure to use it with the minimum necessary output Spark discharge during operation may affect the heart The UES 40 is not explosion proof construction Never install or operate it where flammable gases are present e Never install or operate the UES 40 where the concentration of oxygen is high oxidizing agents such as nitrous oxide N50 are present in the atmosphere flammable anesthetics and or gases are present in the atmosphere WARNING e If absorbent cotton or gauze is used during the procedure it can be ignited by a spark generated in the normal operation of the equipment e Prepare a spare UES 40 as a backup to ensure that the procedure can be completed without complication in case of a malfunction If therapy is possible using non electrosurgical equipment it is also acceptable to prepare such equipment as a backup e Always have a defibrillator ready in case of a cardiac emergency During operation of the defibrillator remove the endoscope from the patient Never attach the patient plate in the vicinity of a metal implant The tissue in the vicinity of the metal implant may be burned ELECTROSURGICAL UNIT UES 40 5 Important Information Ple
62. m chart in the Appendix before each use Refer to the instruction manuals for each piece of equipment and install and connect all equipment as follows 3 1 Installation of equipment CAUTION NOTE Provide adequate ventilation for the rear side of the UES 40 ensuring that the airflow from the unit s exhaust fan is directed away from the patient Ensure that the air vents on the sides of the UES 40 are not obstructed Obstructed air vents will result in instrument damage If the UES 40 is placed on a cart the cart must be of adequate strength and size to hold the unit securely Never place the UES 40 on its side or upside down Place the instruction manual near the UES 40 or in another easily accessible place 1 Thoroughly read and understand the precautions given in Dangers warnings and cautions and operate the UES 40 accordingly 2 Place the UES 40 on a level stable bench or cart OLYMPUS ELECTROSURGICAL UNIT UES 40 23 Chapter 3 Installation and Connection 3 2 Connection to an AC mains power supply Connect the power plug of the power cord directly to a grounded wall mains outlet If the electrosurgical unit is not grounded properly it can cause an electric shock and or fire WARNING Firmly plug in the power cord so it will not accidentally be dislodged during the operation e Never apply excessive force to the power cord by bending straining twisting or pressing it e Always plug the p
63. m go off 44 OLYMPUS ELECTROSURGICAL UNIT UES 40 OLYMPUS Chapter 4 Inspection 4 Whena split type patient plate is used confirm that the CQM indicator lights The CQM indicator only lights when the contact between the patient plate and the skin of the patient is correct see Figure 4 8 UES 40 Ni HZ lt TOM OLYMPUS U BIPOLAR PRESET 2 COAG gt CUT a MEMORY SELECT WARNING SOFT1 SOFT2 HARD 88 BA PW QD 4 SALINE CQM indicator lights Figure 4 8 ELECTROSURGICAL UNIT UES 40 45 Chapter 5 Operation Chapter 5 Operation The operator of this instrument must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in clinical endoscopic technique This manual therefore does not explain or discuss clinical endoscopic procedures It only describes basic operation and precautions related to the operation of this instrument DANGER The HF equipment when applied to a patient with a pacemaker implanted may cause malfunctioning or failure of the pacemaker seriously affecting the patient Before proceeding confirm with a cardiologist and the manufacturer of the pacemaker that it is safe to do so Wear personal protective equipment to guard against dangerous chemicals and potentially infectious material During operation wea
64. nnector 1 active connector saline output connector or bipolar connector 1 2 Coagulation pedal Turn ON OFF the coagulation output from hand piece connector 1 active connector saline output connector or bipolar connector 1 3 Foot switch plug Connect to the foot switch connector for MAJ 1258 on the rear panel of the UES 40 20 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 2 Nomenclature and Functions 2 4 Bipolar foot switch for UES 40 MAJ 1259 1 Coagulation pedal 2 Foot switch plug 1 Coagulation pedal Turn ON OFF the coagulation output from bipolar connector 2 2 Foot switch plug Connect to the foot switch connector for MAJ 1259 on the rear panel of the UES 40 OLYMPUS ELECTROSURGICAL UNIT UES 40 21 Chapter 2 Nomenclature and Functions 2 5 A adapter 2 MAJ 619 This adapter makes it possible to connect one of the following A cords to the UES 40 e A00010A e A00505A A0130 1 e A0130 2 A0139 1 e A0139 2 A0355 A0391 e A8406 MH 969 MA 255 Clamping screw Turn clockwise to clamp the A CORD A cord end connection Plug to the UES 40 The metal portion of the A cord is Connects to the active connector inserted here on the front panel of the UES 40 22 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 3 Installation and Connection Chapter 3 Installation and Connection Prepare the instrument and other equipment to be used with this instrument shown in the Syste
65. nopolar cut mode select switch and confirm that the respective monopolar cut mode indicator lights 8 Press the COAG 2 monopolar coagulation mode select switch and confirm that the respective monopolar coagulation mode indicator lights 42 OLYMPUS ELECTROSURGICAL UNIT UES 40 OLYMPUS Chapter 4 Inspection 9 Press either the A or W CUT output control switch and confirm that a short beep is generated The output level on the saline monopolar CUT output setting indicator increases or decreases in 5 W increments 10 Press either the A or Y COAG output control switch and confirm that the output level on the saline monopolar COAG output setting indicator increases or decreases in 5 W increments as in Step 9 above NOTE Inthe saline output mode it is not possible to use the bipolar cut and coagulation modes as well as the URO monopolar cut mode and SPRAY monopolar coagulation mode The foot switch select switch is disabled in the saline output mode e Pressing an output control switch once varies the output setting by one increment Holding an output control switch depressed varies the output setting continuously When you set the output exceeding the range of the output setting the output setting indicator does not change and a short deep is generated two times even if you press either A or w ELECTROSURGICAL UNIT UES 40 43
66. oblem persists contact switches has failed Olympus Er of Circuitry inside the instrument Turn the electrosurgical unit E no has failed OFF and then ON again If the f problem persists contact Er LH Olympus Er oa Er ic Er 20 Er UB NOTE When one of the above error codes is displayed the warning indicator lights up the warning tone is produced and the high frequency output stops When an error code other than the above is displayed inspect the instrument again as described in Chapter 4 Inspection If the problem should still be solved contact Olympus OLYMPUS ELECTROSURGICAL UNIT UES 40 71 Chapter 7 Troubleshooting 72 OLYMPUS Irregularity description Possible cause Solution The power fails to come on The power cord is not connected Connect the power cord to a wall mains outlet as described in Section 3 2 Connection to an AC mains power supply The power cord is broken Replace the power cord with a new one The electrosurgical unit is not turned ON Turn the electrosurgical unit ON The circuit breaker has tripped Reset the circuit breaker Indicators do not light The power cord is not connected Connect the power cord to a wall mains outlet as described in Section 3 2 Connection to an AC mains power supply The power cord is broken Replace the power cord with a new one The electrosurgical unit is not
67. on To inspect the foot switch operation confirm the each output indicators display 0 W after the power switch is turned ON press the cut pedal or coagulation pedal and confirm that the warning tone is produced and the display of the instrument becomes as shown below If the display is not as shown below or the display shown below does not disappear after the foot switch pedal is released the foot switch may be failed Replace the foot switch in this case see Figure 4 2 C a BIPOLAR q gt Cr SALINE ES MONOPOLAR __ A PRESET CUT GOAG O C O cur O COAG E NIE FI j ADA HI HH gt Bi FOOT O H f H H A ae a w i SWITCH ZE w JU w q SELECT OO Daw OM oj DG Dx MEMORY SELECT e Q P RT ae L DOO SOFT 1 SOFT2 HARD SALINE PURE BLEND bs cons COAG 2 SPRAY PE wo T AS A S BIPOLAR2 lt r SALINE gt HAND PIECE HAND PIECE2 C PATIENT F Warning indicator lights Figure 4 2 ELECTROSURGICAL UNIT UES 40 Chapter 4 Inspection 4 4 Bipolar setting 1 Press the power switch and confirm that the bipolar CUT and COAG 2 output setting indicators display 0 W Confirm that the SOFT 1 bipolar coagulation mode indicator is lit see Figure 4 3 0 BIPOLAR OFT SOFT2 HARD SOFT bipolar coagulation mode indicator lights
68. on mode select switch is pressed Saline mode indicator Lights when the corresponding saline mode switch is pressed Monopolar saline cut mode indicators Lights when the corresponding monopolar saline cut mode select switch is pressed Monopolar saline coagulation mode indicators Lights when the corresponding monopolar saline coagulation mode select switch is pressed Monopolar saline coagulation output setting indicator Displays the value set with the monopolar saline output control switches Monopolar saline cut output setting indicator Displays the value set with the monopolar saline output control switches Foot switch setting indicators The lit indicator corresponds to the type of output that can be activated using the foot switch for the UES 40 MAJ 1258 Bipolar coagulation output setting indicator Displays the value set with the bipolar output control switches Bipolar cut output setting indicator Displays the value set with the bipolar output control switches Output indicators During output the indicator corresponding to the selected output cut or coagulation is lit Warning indicator Lights to indicate a defective device or broken wires in the patient plate CQM indicator Lights to indicate that the connection between the patient and the patient plate is correct when a split type patient plate is connected OLYMPUS ELECTROSURGICAL UNIT UES 40 17 Chapter 2 Nomenclature and Functions 2 2 Rear panel
69. onding to the pressed monopolar cut mode select switches should light CS SALINE f MONOPOLAR o cur O COAG gad 066 Jay SOW LCA y N AD i Ee E gt O gt QD S 2 Mo do GW GD COAG 1 COAG 2 SPRAY Select the appropriate cut mode CPURE BLEND or URO Figure 5 6 OLYMPUS ELECTROSURGICAL UNIT UES 40 53 Chapter 5 Operation The PURE BLEND and URO modes have the following characteristics PURE Cut wave form containing virtually no hemostatic elements BLEND Cut wave form containing some hemostatic elements URO Cut wave form suitable for cutting tissue in non electrolyte solution Q Following bipolar treatment Use the PURE cut mode according to the technique and treated region The PURE cut mode has the following characteristics PURE Cut wave form containing virtually no hemostatic elements NOTE In bipolar treatment the mode is not able to be selected but fixed at PURE Q Following saline treatment Select the optimum cut mode PURE or BLEND according to the technique and treated region using the monopolar cut mode select switch on the front panel The PURE and BLEND cut modes have the following characteristics PURE Cut wave form containing virtually no hemostatic elements in the conductive solution BLEND Cut wave form c
70. onnector Bipolar forceps 05119 E rega Bipolar forceps A A5380 A5382 SZ Mim A5384 A5386 w A53 A5390 Bipolar forceps 2 peer 84 OLYMPUS ELECTROSURGICAL UNIT UES 40 A adapter MAJ 1 is not available in some countries 1 A adapter 2 MAJ 619 is required when the A cord marked 1 is used 2 A adapter 3 MAJ 620 is required when the A cord marked 2 is used O WA00013A m A cord AO0010A 1 A00011A 2 A00012A O cord A0391 1 A0392 2 A0393 e o A w A adapter 2 A0139 1 1 MAJ 619 A0139 2 1 A0336 1 as 67M gt a No A adapter 3 MAJ 620 Cy Acord 3 mm type A0130 1 1 A0130 2 A0335 1 00120 1 1 O A cord 4 zmm type A0355 1 A0357 2 A0358 A00503A A00505A A00506A q Bipolar cord A5121 1 TL To Bipolar cord A5377 com lt mm O Bipolar cord OLYMPUS ELECTROSURGICAL UNIT UES 40 Appendix Foot switch MAJ 1259 Foot switch MAJ 1258 Disposable P plate 85 Appendix Endoscopic treatment with UES 40 system chart Videoscope without the S cord connector mount O Bipolar foot switch for UES 40 MAJ 1259 S Foot switc
71. ontaining some hemostatic elements in the conductive solution NOTE The URO monopolar cut mode cannot be selected in the saline mode 54 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation 5 7 Selection of coagulation mode NOTE Please refer to the Output mode chart in the Appendix for more detailed information on each mode Q Following monopolar treatment Using the monopolar coagulation mode select switches on the front panel of the UES 40 select the appropriate coagulation mode COAG 1 COAG 2 or SPRAY for the type of surgery and accessories to be used see Figure 5 7 The indicator corresponding to the pressed monopolar coagulation mode select switches should light Cr SALINE E MONOPOLAR O CUT q COAG 000 000 PURE BLEND URO cena COAG 2 SPRAY Select the appropriate coagulation mode COAG 1 COAG 2 or SPRAY Figure 5 7 The COAG 1 COAG 2 and SPRAY coagulation modes have the following characteristics COAG 1 COAG 2 SPRAY Coagulation output with weak separation elements Coagulation output with strong separation elements Select to evenly coagulate a wide area of tissue with a spray of sparks This mode offers optimum fulguration over a wider area and with less spot penetration than normal OLYMPUS ELECTROSURGICAL UNIT UES 40 55 Chapter 5 Operation Q Following bipolar trea
72. opolar coagulation mode cannot be selected in the saline mode OLYMPUS ELECTROSURGICAL UNIT UES 40 57 Chapter 5 Operation 5 8 Setting output WARNING Use the lowest appropriate output level to achieve the desired effect Using a higher output level than required may result in unexpected burns to the patient or operator or perforation and or bleeding of the patient Press the CUT and COAG output control switches to set the output levels see Figure 5 9 U BIPOLAR A gt CZ SALINE E MONOPOLAR CUT O COAG FA O CUT O COAG FOOT BU 3a ge OSO B5B SELECT Li CDA AE OD 2 DA CY 4 DOO Output control switches Figure 5 9 NOTE e Ifa control switch is pressed while the output setting is 0 W output is not activated Instead the alarm tone is generated the alarm indicator lights and the output setting indicator displays Er08 see Figure 5 10 The output level setting cannot be changed while output is active The maximum possible output level in all output modes is as shown in Section 5 9 Maximum output 0 BIPOLAR lt Cr SALINE MONOPOLAR 7 PRESET O CUT l O COAG v CUT O COAG A RL A B R d GEE E im O Et w I w SWITCH DE ZE Iw a w AR ia ar A A CO 1 ERRATA
73. or is blinking for 5 seconds 6 The display of the selected preset number is lit from blinking and the settings and mode are stored under the selected preset number 5 4 Selection of saline mode The UES 40 has a switch for selecting the saline mode 1 When the saline cord is connected to the saline output connector the saline output indicator lights and the UES 40 is ready for saline output 2 When the saline mode select switch is pressed the saline output indicator is extinguished and the UES 40 is ready for monopolar or bipolar output 3 When the saline mode select switch is pressed again the saline output indicator is lit and the UES 40 is ready for saline output again NOTE Check the saline mode indicator and select the output when using the saline switch OLYMPUS ELECTROSURGICAL UNIT UES 40 51 Chapter 5 Operation 5 5 Selection of foot switch output The UES 40 has a switch for selecting the foot switch output This feature allows the foot switch for the UES 40 MAJ 1258 to supply either monopolar bipolar or saline output 1 When the monopolar or saline output is required press the foot switch select switch so that the right foot switch setting indicator lights see Figure 5 4 2 In this mode the monopolar output is available from hand piece connector 1 the A cord connector and saline connector 3 When the bipolar output is required press the foot switch select switch so that the l
74. ording to Section 7 3 Returning the UES 40 for repair ELECTROSURGICAL UNIT UES 40 Chapter 7 Troubleshooting Q When the error code is displayed Indication zk ME Indication of Indication of monopolar of bipolar monopolar saline i cut output saline cut Possible cause Solution coagulation setting output A s output setting indicator setting Eus NE indicator indicator Er ny The wires in the patient Turn the electrosurgical unit plate cord are broken OFF and refer to Section 3 5 The connection of the Connection of the patient patient plate is incorrect plate for monopolar treatment The split type of patient plate Turn the electrosurgical unit is not in proper contact with OFF and connect the patient the patient s skin in plate properly as described in monopolar output mode only Section 3 5 Connection of the patient plate for monopolar treatment Reattach the patient plate or replace it with a designated patient plate Er ne The saline is activated while Use an electroconductive OLYMPUS the active and or neutral electrode is put in the air physiological saline solution 0 9 sodium chloride irrigation and always immerse the active and or neutral electrode sheath in saline If the problem still persists contact Olympus The saline electrode and saline cord is not connected Turn the electrosurgical unit OFF and connect the saline electrode and saline cord as
75. ower cord into a 3 pin outlet Do not use a 3 pin 2 pin adapter as it can impair the safe operation of the unit Do not allow the power cord to become wet Electric shock equipment damage or fire can result CAUTION e Always use the power cord provided with the UES 40 Never attempt to modify the power cord Ifthe same circuit breaker is used to supply power to other electrosurgical equipment carefully consider the power requirements of the additional equipment and use circuit breakers that have ample capacity Ifthe voltage of the facility is different from the voltage indicated on the rating plate of the UES 40 contact Olympus e Connect the UES 40 directly to a hospital grade AC receptacle wall mains outlet rather than to a table tap 1 Confirm that the power is OFF 2 Connect the power cord to the AC inlet of the UES 40 3 Connect the power cord plug directly to a hospital grade receptacle wall mains outlet which meets the power requirements indicated on the electrical rating plate on the rear panel of the UES 40 see Figure 3 1 24 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 3 Installation and Connection Figure 3 1 3 3 Connection of foot switch MAJ 1258 WARNING The foot switch plug is not waterproof and liquid such as water must not get into the plug Please do not connect products other than the foot switch for UES 40 MAJ 1258 to the foot switch connecto
76. r com _APRESET C OGU CONG BB BA CH Ch CH CD MEMORY SELE E 5 DIG LIA WARNING gt CE SOFT SOFT2 HARD 14 GOPOWER E A CRM ER BIPOLAR2 SALINE ZJ Select switch Figure 5 1 NOTE The output mode and output settings are stored in memory only after output has been activated They are not stored if the output is not activated OLYMPUS ELECTROSURGICAL UNIT UES 40 47 Chapter 5 Operation 5 3 Preset mode 48 To set the output using the preset mode it is required to store the output setting values to be used in advance Preset each output setting value as described in the following procedure Storing settings in memory OLYMPUS Preset mode is divided into memory areas 1 to 5 The default initial output settings are O W 1 2 Turn the power ON Press the mode select switch and output control switch so that the desired output setting and output mode are displayed on the output setting indicator Display the desired output settings and output mode on the indicators and press the memory switch Press the select switch and confirm that the preset number indicator cycles through 1 gt 2 gt 3 gt 4 gt 5 gt 1 in this order and then select the preset number to be used Press the memory switch while the preset number indicator is blinking for 5 seconds
77. r appropriate protective equipment such as eye wear face mask moisture resistant clothing and chemical resistant gloves that fit properly and are long enough so that your skin is not exposed e Laparoscopic surgery presents a risk of gas embolism because the procedure introduces gas into the abdominal cavity by the pneumoperitoneum technique Before performing the procedure confirm that the pneumoperitoneum equipment to be used is working properly e Avoid unintended contact of the electrode tip with patient tissue when high frequencies are not output Otherwise the heat of the electrode tip may cause burns Do not activate high frequency output while the electrode is in contact with a piece of electroconductive equipment Otherwise unexpected burns may result 46 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation 5 1 Turn the power ON After confirming that the accessories for the procedure have been connected correctly as described in Chapter 3 Installation and Connection turn the power ON as described in Chapter 4 Inspection 5 2 Automatic memory mode The automatic memory mode enables previous output modes and settings to be recalled automatically To retrieve settings stored in memory press the select switch see Figure 5 1 P is displayed The saved output mode cut mode coagulation mode saline mode and output setting will be displayed OLYMPUS I BIPOLAR UES 40 C oa
78. r for MAJ 1258 Otherwise the foot switch might not function and may cause patient injury and or damage of the equipment Before connecting confirm that the foot switch plug is free of scratches and cracks and that the foot switch pedals are not damaged With the arrow on the plug facing upward insert the foot switch plug into the foot switch connector for MAJ 1258 on the rear panel of the UES 40 until it clicks see Figure 3 2 Figure 3 2 OLYMPUS ELECTROSURGICAL UNIT UES 40 25 Chapter 3 Installation and Connection 3 4 Connection of foot switch MAJ 1259 26 OLYMPUS WARNING The foot switch plug is not waterproof and liquid such as water must not get into the plug Please do not connect products other than the foot switch for UES 40 MAJ 1259 to the foot switch connector for MAJ 1259 Otherwise the foot switch might not function and may cause patient injury and or damage of the equipment NOTE e When using both monopolar and bipolar connect bipolar electrode to connector 2 and control by foot switch MAJ 1259 Also select monopolar by foot switch selection button on the front panel When using two bipolar electrodes the electrode connected to connector 1 can be controlled by the foot switch MAJ 1258 And the electrode connected to connector 2 can be controlled by foot switch MAJ 1259 Before connecting confirm that the foot switch plug is free of scratches and cracks and that t
79. r serviceable parts Do not disassemble modify or attempt to repair it patient or user injury and or equipment damage can result Some problems that appear to be malfunctions may be correctable by referring to Chapter 7 Troubleshooting If the problem cannot be resolved using the information in Chapter 7 contact Olympus Signal words The following signal words are used throughout this manual DANGER Indicates an imminently hazardous situation which if not avoided will result in death or serious injury WARNING Indicates a potentially hazardous situation which if not avoided could result in death or serious injury CAUTION Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury It may also be used to alert against unsafe practices or potential equipment damage NOTE Indicates additional helpful information 4 OLYMPUS ELECTROSURGICAL UNIT UES 40 Important Information Please Read Before Use Dangers warnings and cautions OLYMPUS Follow the dangers warning and cautions given below when handling this instrument This information is to be supplemented by the dangers warnings and cautions given in each chapter DANGER The high frequency HF equipment when applied to a patient with a pacemaker implanted may cause malfunction or failure of the pacemaker seriously affecting the patient Before proceeding confirm with a cardiolog
80. re not to overtighten the clamping screw as this could damage it see Figure 3 8 4 Connect the A cord s plug to the accessory being used with the fiberscope videoscope or rigid endoscope After confirming that the power switch of the UES 40 is set to OFF insert the A adapter s plug into the active connector on the front panel of the UES 40 until it clicks into place see Figure 3 9 Clamping screw Clamp A adapter 2 Connecting the A cord Figure 3 8 32 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 3 Installation and Connection oOo gt gt HAND PIECE1 gt Figure 3 9 3 9 Connection of the bipolar electrode and bipolar cord for bipolar treatment Do not insert the bipolar cord plug on the UES 40 side into the wrong connectors on the UES 40 e g saline connector hand piece connector 1 or hand piece connector 2 as this may result in unexpected output and equipment damage NOTE e Applicable bipolar electrodes are A5380 Bipolar forceps 5 mm x 330 mm Micro Tweezers A5382 Bipolar forceps 5 mm x 450 mm Micro Tweezers A5384 Bipolar forceps 5 mm x 330 mm Tweezers Thin A5386 Bipolar forceps 5 mm x 450 mm Tweezers Thin A5388 Bipolar forceps 5 mm x 330 mm Tweezers Thick A5390 Bipolar forceps 5 mm x 450 mm Tweezers Thick A5392 Bipolar forceps 5 mm x 330 mm Hirsch A5394 Bipolar forceps 5 mm x 450 mm Hirsch 05119 HF
81. rking If electrosurgical therapy is started when the output tone is not working you may not notice the high frequency output and cause unintended burns bleeding and or perforation If the output tone is not produced contact Olympus 1 Set the power switch to ON Confirm that the power switch illuminates see Figure 4 1 Power switch indicator lights LYMPUS 2 BIPOLAR UES 40 mara l 5 cur ocre SurgMaster n E B a u 00 Gd Y A y A MEMORY SELECT c i SE K WARNING 1 CP NE a CQM SOFT1 SOFT2 HARD 1 C POWER A SRG BIPOLARI BIPOLAR 1 SALINE Power switch Figure 4 1 2 Confirm that a 2 step output tone low high is heard after the power is turned ON At the same time all the indicators should light for approximately 3 seconds then the output mode indicators should light alternately Confirm that all the indicators are working correctly OLYMPUS ELECTROSURGICAL UNIT UES 40 37 Chapter 4 Inspection 4 3 38 Inspection of the foot switch operation OLYMPUS WARNING If there is a malfunction at the foot switch used in electrosurgical therapy continuous output of high frequency may cause unintended burns bleeding and or perforation of the patient and or operator If the high frequency is not output during therapy the endo therapy accessory may cut the tissue mechanically cause bleeding and or perforati
82. s SOFT1 Coagulation for desiccating the area of tissue that is pinched between the two electrodes without burning the tissue SOFT2 Coagulation for use in hemostasis with a stronger tissue burn prevention effect than SOFT1 HARD Coagulation featuring repetition of indirect outputs to apply a high energy output Always select the SOFT1 coagulation mode to prevent insufficient when using bipolar cutting scissors and similar instruments Select the SOFT1 or SOFT2 coagulation mode to prevent insufficient when using bipolar When a change in the tissue status is detected during coagulation output in the SOFT2 or HARD mode the output tone changes and the output is decreased automatically The time to change the output tone depends on the targeted tissue the operative field the holding condition the output setting and so on The output tone change is a reference to indicate the tissue status changed Confirm the tissue status with your own eyes whether the tissue is coagulated sufficiently Q Following saline treatment Using the saline coagulation mode select switches on the front panel of the UES 40 select the appropriate coagulation mode COAG 1 COAG 2 for the type of surgery and accessories to be used The COAG 1 COAG 2 modes have the following characteristics COAG 1 Coagulation without spark discharge COAG 2 Coagulation with spark discharge NOTE The SPRAY mon
83. s the product within the hospital or at Olympus Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non Olympus personnel When returning the UES 40 for repair include a description of the malfunction or damage and the name and telephone number of the individual at your location who is most familiar with the problem Also include a repair purchase order OLYMPUS ELECTROSURGICAL UNIT UES 40 79 Appendix Appendix Construction High frequency current O Monopolar z Patient UES 40 Patient plate a O Bipolar UES 40 Electrode 2 Electrode 1 Patient 80 OLYMPUS ELECTROSURGICAL UNIT UES 40 Appendix Q Saline UES 40 a Active electrode Neutral electrode Human tissue OLYMPUS ELECTROSURGICAL UNIT UES 40 81 Appendix Output mode chart PURE CUT BLEND URO MONOPOLAR COAG1 COAG lt COAG2 SPRAY PURE CUT K BLEND SALINE COAG1 COAG lt COAG2 CUT CUT BIPOLAR SOFT1 COAG SOFT2 HARD 82 OLYMPUS ELECTROSURGICAL UNIT UES 40 Monopolar coagulation with little cutting ability Monopolar coagulation with greater cutting ability t
84. saline cord plug here Active connector Connect the plug of the active electrode of the A cord here Hand piece connector 1 Connect the hand piece plug here Hand piece connector 2 Connect the hand piece plug here Patient plate connector Connect the patient plate plug here Output control switches When the A switch is pressed the value displayed on the output setting indicator increases When the W switch is pressed the value displayed on the output setting indicator decreases Monopolar saline coagulation mode select switch Press to select the coagulation mode Monopolar saline cut mode select switch Press to select the cut mode Foot switch select switch Press to select either the saline monopolar output or the bipolar output Saline switch Press to select the saline mode Bipolar coagulation mode select switch Press to select the coagulation mode Select switch Press to recall output settings and modes from memory Memory switch Press to store the current output settings and modes in memory Power switch indicator Lights when the power is ON Preset number indicator Displays the number of a memory preset 1 to 5 or P 16 OLYMPUS ELECTROSURGICAL UNIT UES 40 19 20 21 22 23 24 25 26 27 28 29 30 Chapter 2 Nomenclature and Functions Bipolar coagulation mode indicators Lights when the corresponding coagulati
85. surgical unit dry it thoroughly before using it again If it is used when wet there is the risk of an electric shock CAUTION e Never immerse the electrosurgical unit in water clean or disinfect by immersion gas sterilization or autoclaving It may cause equipment damage Do not wipe the external surface with hard or abrasive wiping material The surface will be scratched 1 Turn the electrosurgical unit OFF and disconnect the power cord from the receptacle wall mains outlet 2 Ifthe equipment is soiled with blood or other potentially infectious materials first wipe off all gross debris using neutral detergent then wipe its surface with a lint free cloth moistened with a surface disinfectant 3 To remove dust dirt and non patient debris wipe the electrosurgical unit and foot switch using a soft lint free cloth moistened with 70 ethyl or isopropyl alcohol 4 Make sure that the electrosurgical unit and foot switch are completely dry before storage OLYMPUS ELECTROSURGICAL UNIT UES 40 65 Chapter 6 Care Storage and Disposal 6 2 Storage WARNING CAUTION Do not store the electrosurgical unit in the shipping case Storing these devices in the humid and unventilated environments of their shipping cases may encourage the growth of microorganisms and pose an infection control risk Do not store the electrosurgical unit in a location exposed to direct sunlight X ray radioactivity liquids or strong electrom
86. the resectoscope system for saline output Please use an Olympus resectoscope system for saline output The high frequency output flows through the saline rather than the human tissue as shown below see Figure 4 5 UES 40 gt Active electrode human tissue gt Saline solution gt Neutral electrode sheath gt UES 40 OLYMPUS ELECTROSURGICAL UNIT UES 40 4 Chapter 4 Inspection UES 40 Active electrode Human tissue Figure 4 5 1 Connect the saline cord to the saline connector This should cause the saline mode indicator to light see Figure 4 6 lt gt Cr SALINE MONOPOLAR FS q O CUT O COAG ae 000 GOD SELECT sj w A ee j m s a N ft WMA MA O e a ATT Tg ATT do INS RZARE L 17 SALINE PDRE E F COAG 1 COAG 2 SPRAY Indicators light Figure 4 6 2 Press the saline output select switch and confirm that the indicators go out 3 Press the same switch again and confirm that the indicators light 4 Confirm that the saline CUT and COAG output setting indicators display 0 W 5 Confirm that the bipolar output setting indicators display W 6 Confirm that the PURE monopolar cut mode indicator and COAG 1 monopolar coagulation mode indicator in the saline monopolar section are lit 7 Press the BLEND mo
87. tment CAUTION Hold the targeted tissue firmly during bipolar treatment If the electrodes on the distal end are shorted it will not be possible to obtain the intended output level and the bipolar forceps may be damaged When using tweezers forceps with a small grasping tip do not select HARD mode Doing so could cause spark discharge from the electrode and burns to tissue Hold the targeted tissue firmly during coagulation output in the HARD mode If the tissue is not holded firmly it will become impossible to obtain the intended output energy and the tissue may not be coagulate sufficiently When the tissue is sticking to the forceps do not remove the tissue by main force from the forceps If the tissue removed by main force from forceps it may result in unintended damages and or bleeding Using the bipolar coagulation mode select switches on the front panel of the UES 40 select the appropriate coagulation mode SOFT1 SOFT2 or HARD for the type of surgery and accessories to be used see Figure 5 8 The indicator corresponding to the pressed bipolar coagulation mode select switches should light Select the appropriate coagulation mode SOFT1 SOFT2 or HARD a BIPOLA O CUT O COAG 00 BO Figure 5 8 56 OLYMPUS ELECTROSURGICAL UNIT UES 40 Chapter 5 Operation The SOFT1 SOFT2 and HARD coagulation modes have the following characteristic
88. trument complies with the EMC standard for medical electrical equipment edition 2 IEC 60601 1 2 2001 However when connecting to an instrument that complies with the EMC standard for medical electrical equipment edition 1 IEC 60601 1 2 1993 the whole system complies with edition 1 Year of 1412345 manufacture the tast digit of the manufacturing year is the ELECTROSURGICAL UNIT UES 40 second digit of the serial number OLYMPUS Appendix Q Foot switch for UES 40 MAJ 1258 Item Specification Classification Protection Electromedical against fluid IEC 60529 IPX8 except for connector section equipment ingress Protection againsthazardof IEC 60601 1 AP equipment ignition Size Dimensions 256 W x 135 H x 182 D mm Weight 2 15 kg Cord length 4m O Bipolar foot switch for UES 40 MAJ 1259 Item Specification Classification Protection Electromedical against fluid IEC 60529 IPX8 except for connector section equipment ingress Protection againsthazardof IEC 60601 1 AP equipment ignition Size Dimensions 190 W x 119 H x 165 D mm Weight 1 2 kg Cord length 4m ELECTROSURGICAL UNIT UES 40 99 Appendix EMC information Q Magnetic emission compliance information and recommended electromagnetic circumstances Emission standard Compliance Guidance RF emissions Group 1 This instrument uses RF energy only for its internal function CISPR 11 Therefore its RF emissions are
89. turned ON Turn the electrosurgical unit ON The circuit breaker is open Reset the circuit breaker No output The foot switch is not connected Connect the foot switch as described in Sections 3 3 Connection of foot switch MAJ 1258 and 3 4 Connection of the foot switch for MAJ 1258 MAJ 1259 The hand piece is not connected Connect the hand piece as described in Section 3 6 Connection of the hand piece for monopolar treatment The bipolar cord is not a designated type ELECTROSURGICAL UNIT UES 40 Replace it with a designated bipolar cord Irregularity description Possible cause Chapter 7 Troubleshooting Solution Output sounds and output is inhibited The A cord is not connected to the UES 40 Connect the A cord as described in Section 3 7 Connection of the A cord for monopolar treatment The A cord is not connected to the accessory Connect the A cord as described in Section 3 7 Connection of the A cord for monopolar treatment The patient plate is in contact with metal Separate the patient plate and the metal The patient plate is not in proper contact with the patient s skin Reattach the patient plate The patient plate is not a designated type Replace it with a designated patient plate The bipolar electrode is not connected Connect the bipolar electrode as described in Section 3 9
90. ult in abnormal heating spark generation and decrease in the output level which may also lead to unexpected burns neural stimulation and or bleeding Confirm that the A cord s cable and plugs are free of scratches and cracks Insert the UES 40 side of the A cord plug all the way into the active connector on the UES 40 s front panel until it clicks see Figure 3 7 Attach the accessory side of the A cord plug to the accessory to be used with the fiberscope videoscope or rigid endoscope Cr c HAND PIECE1 ot Figure 3 7 ELECTROSURGICAL UNIT UES 40 31 Chapter 3 Installation and Connection 3 8 Connection of the A adapter 2 MAJ 619 CAUTION Be careful not to drop the A adapter 2 Otherwise the clamping screw may be damaged NOTE The A adapter MAJ 619 allows the following A cord models to be connected to the UES 40 A00010A A00505A A0130 1 A0130 2 A0139 1 A0139 2 A0355 A0391 e A8406 MH 969 MA 255 Before use make sure the instruction manuals of the above mentioned A cord models are thoroughly reviewed and closely follow the instructions contained in these manuals 1 Turn the clamping screw of the A adapter 2 counterclockwise to loosen it 2 Insert the metal portion of the A cord plug fully and properly into the A cord end connection of the A adapter 3 Turn the clamping screw of the A adapter 2 clockwise to securely clamp the A cord Take ca
Download Pdf Manuals
Related Search
Related Contents
F-07Bカタログダウンロード Self-cleaning detergent dispenser inside the door. 4 DT SYSTEM USER MANUAL Philips SWS2283W Manual Composite A/V Connections A/V switcher AEG MC2664E-M User`s Manual - PDF file. Slendertone Gymbody Plus User Manual Copyright © All rights reserved.
Failed to retrieve file