MEGADYNE
Megadyne Service Manual Rev D
Service Manual
44 Pages
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Electrosurgical Generator (MEGEN1) Service Manual
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Megadyne™
Electrosurgical Generator MEGEN1 Service Manual
Table of Contents Overview...2 Scope...2 Standard Conventions Used...2 Chapter 1- General Information...3 A. Introduction & General Description...3 B. Indications for Use...3 C. Contraindications...3 D. Undesirable Side Effects / Residual Risk...3 E. Device Description...3 F. How Supplied...3 G. General Warnings...4 H. Precautions...5 I. Maintenance/Repair...6 J. Customer Service...6 Chapter 2- Preventative Maintenance and Calibration Check Instructions...7 Equipment Needed...7 Cut Modes...7 Coag Modes...8 Bipolar Modes...9 Contact Quality Monitoring (CQM) Test...10 Low Frequency Electrical Safety Test ...11 Chapter 3- Trouble Shooting and Error Codes...12 Chapter 4- Returning the Generator for Service... 15 Chapter 5-Conformation to Standards... 16 Appendix... 17 Technical Specification...17 Operating Environment...17 Transportation and Storage Environment...17 Output Power Characteristics...18 Declaration for Electronic Emissions...19 Declaration for Electromagnetic Immunity...20 Approved Accessories...21 Connection to External Systems...22 Disposing of Ethicon Megadyne™ ESU (Enviromental Protection)...22 Symbols...23 Power Curve Graphs...26 Ethicon Megadyne ESU Preventative Maintenance and Calibration Check...40
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Electrosurgical Generator MEGEN1 Service Manual
Overview Please read all information carefully.
Failure to properly follow the instructions may lead to serious surgical consequences. Important: This manual is designed to provide service and repair instructions for the Ethicon Megadyne™ Electrosurgical Generator MEGEN1. It is not a reference to surgical techniques. Go to www.e-ifu.com for the latest version of this manual
Scope This service manual is intended for maintaining and servicing the Ethicon Megadyne™ Electrosurgical Generator. For clinical and operational instructions for this system, please refer to the Ethicon Megadyne™ Electrosurgical Generator Operator’s Manual.
Standard Conventions Used The Use of WARNING, Precaution, and Note Statements Information relative to the completion of a task in a safe and thorough manner will be supplied in the form of a WARNING, a Precaution, or a Note statement. These statements are found throughout the documentation.
These statements should be read before continuing to the next step in a procedure. WARNING: A Warning statement indicates an operating or maintenance procedure, practice, or condition that, if not strictly observed, could result in personal injury or loss of life.
Precaution: Information regarding any special care users should exercise for the safe and effective use of the device, or to avoid damage to the device that could occur as a result of use, including misuse.
Note: A Note statement indicates an operating or maintenance procedure, practice, or condition that is necessary to accomplish a task efficiently.
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Electrosurgical Generator MEGEN1 Service Manual
Chapter1- General Information A. Introduction and General Description
This manual describes the attributes and specifications of the generator, and provides a guide to the procedures necessary for preventative maintenance and safety testing. For reasons of personnel safety and continuing reliability, the generator should not be calibrated, or internally examined by anyone except Ethicon or persons trained by Ethicon. If the work is not performed by trained persons, Ethicon accepts no liability and warranty rights become void. The equipment descrided herein is for use by qualified medical personnel skilled in the use particular techniques and procedures to be performed. Using the appropriate approved accessories, the qualified medical personnel identifies the part of the body and/or target tissue for cutting and/or coagulation during the procedure. The reusable Ethicon Megadyne™ ESU is to be used in an operating theatre or a surgical setting only. It is not to be used for home use , in ambulances, or during hospital transport. The Ethicon Megadyne™ ESU is not to be used as a permanent implant in a patient. It may be used for use on the general population (with multiple patients) with no patient age limit.
B. Indications for Use
The Ethicon Megadyne™ Electrosurgical Generator (ESU) is intended as a general-purpose electrosurgical generator designed to produce radio frequency (RF) current for cutting and coagulation to be delivered to target tissue through an accessory electrode during open and laparoscopic surgical procedures.
C. Contraindications None
D. Undesirable Side Effects / Residual Risk Any serious incident that has occurred in relation to the device should be reported to the manufacturer and the local competent authority of the country in which the user and/or patient is established. Undesirable side effects and risks associated with the Ethicon Megadyne™ Electrosurgical Generator may result from generator malfunction and/or inadequate uses, including the potential for bleeding, tissue injury, nerve injury, thermal damage, or electrical shock. Due to use of the integrated system, burn injury is possible in an oxygen rich environment with flammable materials and infection may occur from introduction of non-sterile surfaces.
E. Device Description
The Ethicon Megadyne™ Electrosurgical Generator is a microprocessor controlled, isolated output, high frequency generator designed to produce radio frequency (RF) current for use in monopolar cutting and coagulation and bipolar coagulation of tissue.
F. How Supplied The shipping box contains:
Ethicon Megadyne™ Electrosurgical Generator ( REF MEGEN1)
Power Cord
Ethicon Megadyne™ ESU Operator’s Manual
Ethicon Megadyne™ ESU Service Manual
Other accessories are not included in this packaging and must be ordered separately. The Mega Cart ( REF 1300), The Mega Cart with Top Shelf ( REF 1300SJ), Mega Cart Shelf ( REF 1350), Mega Cart Unassembled ( REF 1300U), Monopolar Footswitch ( REF 1400JJ), Bipolar Footswitch ( REF 1450J), and Round Bipolar Footswitch ( REF 1459J) are also available for purchase separately.
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Electrosurgical Generator MEGEN1 Service Manual
G. General Warnings •
Use the lowest possible power settings to achieve the desired effects. Certain devices or accessories may present a safety hazard at low power settings. For example, with argon beam coagulation, the risk of gas embolism rises if there is insufficient high frequency power to produce a rapid impermeable eschar on the target tissue.
•
When the generator is operational, keep active accessories away from the patient and away from the return electrode when not in use. Alternatively, store the active accessories in an electrically isolated container in a clean, dry, highly visible area. Inadvertent contact with the patient may result in burns.
•
The use of flammable anesthetics or oxidizing gases such as nitrous oxide (N20) and oxygen shall be avoided if a surgical procedure is carried out in the region of the thorax or the head, unless these agents are aspirated from the area.
•
Non-flammable agents should be used for cleaning and disinfection wherever possible.
•
If flammable agents are used for cleaning or disinfecting, or as solvents of adhesives, evaporation should be allowed before the application of high frequency Electrosurgery. There is a risk of pooling of flammable solutions under the patient or in body depressions such as the umbilicus, and in body cavities such as the vagina. Any fluid pooled in these areas should be mopped up before high frequency surgical equipment is used. Attention should be called to the danger of ignition of endogenous gases. Some materials, for example cotton, wool and gauze, when saturated with oxygen may be ignited by sparks produced in normal use of the high frequency surgical equipment.
•
For surgical procedures where the HF current could flow through parts of the body having a relatively small crosssectional area (e.g. circumcisions), the use of bipolar techniques is recommended in order to avoid unwanted tissue damage.
•
Do not operate the electrosurgical generator with the cover removed. Removal of the generator cover may create the risk of an electrical shock. Please contact Ethicon, or your local representative for proper servicing.
•
Electrosurgical instruments used with the generator that are activated or hot from use can cause a fire. The surface of the instrument may remain hot enough to cause burns after the RF current is deactivated. Do not place them near or in contact with flammable materials and substances (e.g. drapes, flammable gases, endotracheal tubes, etc.).
•
Failure of the high frequency surgical equipment could result in an unintended increase of output power.
•
The use of accessories other than those specified in the approved accessory list may result in increased emissions or decreased immunity of the Ethicon Megadyne™ ESU. The accessory RF voltage rating should be ≥ 4.0 kV peak. If accessories do not meet this rating, please refer to accessory manufacturer’s instructions for recommended rated voltage. Power settings may need to be limited to accommodate accessory voltage ratings.
•
To avoid risk of electrical shock, use grounded AC outlets when connecting the generator power cord.
•
As with all medical systems generating high RF, the Ethicon Megadyne™ ESU may interfere or affect the functionality of other electronic equipment. Precautions should be taken during equipment installation to reduce this condition. Ethicon recommends moving other electronic equipment away from the generator and separating cables within the room from the RF carrying cables.
•
No modification to this equipment is allowed.
•
This device is not MRI safe and is not MRI compatible.
•
When using HF current there is a risk of neuromuscular stimulation, especially with modes which produce electrical arcs between the active electrode and tissue.
•
Use of equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, the equipment and the other equipment should be observed to verify that they are operating normally.
•
Portable RF communications equipment (including peripherals such as antenna cables and external antennae) should be used not closer than 12 inches (30 cm) to any part of the generator including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result. For patients with cardiac pacemakers, electrically conductive or other active implants, a possible hazard exists due to the concentration or re-direction of HF currents. The pacemaker or other active implant may be damaged due to the interference of HF currents. In case of doubt, approved qualified advice should be obtained from the device manufacturer.
•
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Electrosurgical Generator MEGEN1 Service Manual •
Electrosurgical cables should be positioned to minimize contact with the patient and avoid contact with other leads to avoid adversely influencing the operation of other electronic equipment.
•
Studies indicate smoke generated during Electrosurgery may be harmful to surgical staff. Use of appropriate personal protection equipment (PPE) and proper smoke ventilation as provided by a surgical smoke evacuation system is recommended. Skin-to-skin contact (i.e., between the arms and body of the patient) should be avoided. Insertion of non conductive materials between the skin-to-skin contact sites is recommended. Connect adapters and accessories to the Ethicon Megadyne™ ESU only when the energy is off. Failure to do so may result in an injury or electrical shock to the patient or operating room personnel.
• • •
Do not buzz the Hemostat during surgical procedures.
•
When practical, the patient should not be allowed to come into contact with earthed metal parts or parts with appreciable capacitance to earth (e.g. operating table supports, etc.). Use of antistatic sheeting recommended for this purpose. It is recognized that this recommendation may not be practical during certain procedures, however, to maximize patient safety during the use of electrosurgical devices, such practices should be minimized. The use and proper placement of a dispersive electrode is a key element in the safe and effective use of monopolar Electrosurgery, particularly in the prevention of pad site burns. Follow manufacturer’s directions and recommended practices for the preparation, placement, surveillance, and use of dispersive electrodes.
• •
Do not coil electrosurgical accessory cords, and do not wrap electrosurgical accessory cords around metal objects. This may induce current flow to unintentional areas causing, shocks, burns, or fires.
•
Inspect electrode cables and endoscopically used accessories for possible damage prior to use. Connect accessories (e.g. pencil, foot cord, bipolar instruments, return electrode, etc.) to the proper receptacle. Use connectors designed for the intended purpose. Follow the instructions for use provided by accessory manufacturers.
•
Do not activate an electrode until it is in contact with (for desiccation and the GEM Mode), or in close proximity (for fulguration) to the target tissue.
H. Precautions • •
Read all instructions prior to use. Federal (USA) law restricts this device to sale by or on the order of a physician.
•
Do not place containers of fluids on the generator or allow fluids to spill on the generator.
•
Do not operate the generator without adequate clearance for ventilation. The space between the bottom of the feet and floor of the generator should be clear of obstruction. At least two inches of air should separate sides, back, and top of the generator from any ventilation-obstructing surface.
•
The clinical use of Electrosurgery is by nature intermittent. This system should be operated intermittently as well. Prolonged use may cause overheating.
•
All associated equipment and active accessories should be inspected to determine the rated accessory voltage prior to use.
•
The maximum permissible length of any accessory connected to the generator, including its cord shall not exceed 15 feet (4.57 meters).
•
Apparent low power output or failure of the electrosurgical equipment to function correctly at normal settings may indicate faulty application of the dispersive electrode or failure of an electrical lead. Do not increase power output before checking for obvious defects or misapplication. For monopolar surgery, effective coupling between the patient and the dispersive electrode must be verified whenever the patient is repositioned.
•
If a compatible monitoring neutral electrode is not used with a contact quality monitor, loss of safe contact between the neutral electrode and the patient will not result in an auditory alarm.
•
The Mega Cart is recommended if the Ethicon Megadyne™ ESU is moved out of the operating room. Maintain control of the generator and cart when moving over thresholds or on incline surfaces.
•
Patient monitoring electrodes should be placed as far from the surgical electrodes as possible. Needle monitoring electrodes should be avoided. Patient monitoring systems using high frequency current-limiting devices are
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Electrosurgical Generator MEGEN1 Service Manual recommended. Follow manufacturers’ recommendations for proper application of monitoring electrodes. •
For disposable, adhesive type (“sticky”) return electrodes the entire area of the return electrode should be reliably attached to the patient’s body and as close to the operating field as possible. Place the adhesive type return electrode over good muscular, vascular, tissue. Avoid areas of hair, fat, bony prominences and metal implants.
•
For the Mega SoftTM family of Reusable Patient Return Electrodes, maximize the patient weight bearing area on the pad and minimize the materials placed between the pad and patient.
•
Regularly inspect electrosurgical accessories for damage. In particular, electrode cables and endoscopic accessories should be checked for damaged insulation.
•
Avoid high frequency output settings where the maximum output voltage may exceed the rated accessory voltage.
•
In the Auto Bipolar setting, activation may occur with contact of any material and without the use of a switch sensor. When not in use, place electrosurgical instruments in a safety holster or safely away from patients, the surgical team, and flammable materials.
•
Bipolar forceps should not be set down while Auto bipolar is active. Contact with any material may cause activation. Turn off Auto bipolar before releasing an instrument.
I. Maintenance/Repair It is recommended that safety checks, preventive maintenance, and calibration testing be performed at annual intervals by personnel that have training in electronics such as Biomeds in hospitals. Service of the Ethicon Megadyne™ ESU would be required if safety checks and preventative maintenance show the generator is out of tolerance. For servicing activities, the Ethicon Megadyne™ ESU may be returned to an authorized EES service facility at any time. Contact the Ethicon Endo-Surgery Customer Service Department or your local representative for any customer or technical support. Call 1-877-ETHICON (1-877-384-4266) in U.S. only
J. Customer Service Warranty The Ethicon Megadyne™ ESU is warranted to be free of defects under normal use and maintenance for one year from the date of purchase. Ethicon will repair or replace any defective parts free of charge during this time. Limited Warranty For the periods and the conditions specified below, Ethicon warrants to the original purchaser that the Ethicon Megadyne™ ESU will perform to our published specifications when used and maintained in accordance with our written instructions. The Ethicon Megadyne™ ESU is warranted to be free of defects under normal use and maintenance for one year from the date of purchase. Ethicon will, at its option, repair or replace the defective product without charge, using new or remanufactured parts. Ethicon reserves the right to make a repair in its factory, at any authorized repair facility, or at the purchaser’s premises. An unauthorized repair of the Ethicon Megadyne™ ESU will void this warranty. In addition, the warranty is null and void if the Ethicon Megadyne™ ESU is used other than is specified in the Operator’s Manual. Without limitation, the warranty does not cover damage caused by customer misuse of the Ethicon Megadyne™ ESU. THIS WARRANTY IS IN LIEU OF ANY OTHER WARRANTIES EXPRESSED OR IMPLIED, AND ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE IS EXPRESSLY DISCLAIMED. Purchaser’s exclusive remedy for any failure of the Ethicon Megadyne ESU is as provided in this Limited Warranty. In no event shall Ethicon be liable for any special, incidental, consequential, indirect or other similar damages arising from break of warranty, break of contract, negligence or any other legal theory.
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Electrosurgical Generator MEGEN1 Service Manual
Chapter 2- Preventative Maintenance and Calibration Check Instructions It is recommended that Preventative Maintenance and calibration testing be performed at annual intervals. Refer to Equipment Needed Section Below for a list of equipment necessary to perform this testing. All measurement equipment used must be able to measure true RMS. Refer to the Ethicon Megadyne™ ESU Preventative Maintenance and Calibration Check Form in the appendix of this manual (Pg. 41). Equipment Needed ●
ESU analyser capable of measuring true RMS with load range of at least 100-500 ohms.
●
Test Leads for connection to generator.
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Return electrode cable with leads shortened.
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Monopolar Footswitch (1400JJ).
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Bipolar Footswitch (1450J or 1459J).
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Variable load resistor (0-200 ohms).
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Electrical Safety Analyzer.
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Monopolar hand switching pencil (0030 or similar).
●
Digital Multimeter
Visual Inspection and Activation 1. Visually inspect the Front Panel and Top cover for physical damage including chips and cracks. 2. Visually inspect the Power cord, footswitch cords, and footswitch connectors for physical damage, cracks or frayed insulation. 3. Power on the ESU and observe the display. All lights should illuminate and activation tones should sound during the start up routine.
Active Outputs CUT 4. Connect the Ethicon Megadyne™ ESU monopolar A output (circled in red below) to the ESU analyzer.
5. Connect the monopolar footswitch to the monopolar A footswitch recepticle. Using a return electrode cable, short the two leads from the return electrode and connect them to the ESU analyzer. 6. Set the Ethicon Megadyne™ ESU to the GEM “H” Mode, and set the ESU analyzer to 200 Ohms. 7. Activate the Ethicon Megadyne™ ESU using the footswitch. Verify the ESU output power is 120 to 180 Watts using the ESU analyzer. 8. Set the Ethicon Megadyne™ ESU to GEM “L” Mode and set the ESU analyzer to 200 Ohms. 9. Activate the Ethicon Megadyne™ ESU using the footswitch. Verify the ESU output power is 52 to 80 Watts using the ESU analyzer. 10. Set the Ethicon Megadyne™ ESU to PURE CUT @ 20 Watts, and set the ESU analyzer to 300 Ohms. Go to www.e-ifu.com for latest revision of manual
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Electrosurgical Generator MEGEN1 Service Manual 11. Activate the Ethicon Megadyne™ ESU and verify the output power is 15 to 25 Watts using the ESU 12. Change the power setting on the Ethicon Megadyne™ ESU to PURE CUT @ 300 Watts and set the ESU analyzer to 300 Ohms 13. Activate the Ethicon Megadyne™ ESU and verify the output power is 240 to 360 Watts using the ESU analyzer. 14. Activate the Ethicon Megadyne™ ESU and verify an audible tone while the ESU is activated. 15. Set the Ethicon Megadyne™ ESU to BLEND CUT @ 20 Watts, and set the ESU analyzer to 300 Ohms. 16. Activate the Ethicon Megadyne™ ESU and verify the output power is 15 to 25 Watts using the ESU analyzer. 17. Change the power setting on the Ethicon Megadyne™ ESU to BLEND CUT @ 200 Watts and set the analyzer to 300 Ohms. 18. Activate the Ethicon Megadyne™ ESU and verify the output power is 160 to 240 Watts using the ESU analyzer.
COAG 19. Set the Ethicon Megadyne™ ESU to COAG 1 @ 20 Watts, and set the ESU analyzer to 500 Ohms. 20. Activate the Ethicon Megadyne™ ESU using the footswitch and verify the output power is 15 to 25 Watts using the ESU analyzer. 21. Change the power setting on the Ethicon Megadyne ESU to COAG 1 @ 120 Watts and set the ESU analyzer to 500 Ohms. 22. Activate the Ethicon Megadyne™ ESU and verify the output power is 96 to 144 Watts using the ESU analyzer. 23. Activate the Ethicon Megadyne™ ESU and verify an audible tone while the ESU is activated. 24. Set the Ethicon Megadyne™ ESU to COAG 2 @ 20 Watts, and set the ESU analyzer to 500 Ohms. 25. Activate the Ethicon Megadyne™ ESU and verify the output power is 15 to 25 Watts using the ESU analyzer. 26. Change the power setting on the Ethicon Megadyne™ ESU to COAG 2 @ 120 Watts and set the ESU analyzer to 500 Ohms. 27. Activate the Ethicon Megadyne™ ESU and verify the output power is 96 to 144 Watts using the ESU analyzer. 28. Set the Ethicon Megadyne™ ESU to SPRAY COAG @ 20 Watts, and set the ESU analyzer to 500 Ohms. 29. Activate the Ethicon Megadyne™ ESU and verify the output power is 15 to 25 watts using the ESU analyzer. 30. Change the power setting on the Ethicon Megadyne™ ESU to SPRAY COAG @ 120 Watts and set the ESU analyzer to 500 Ohms. 31. Activate the Ethicon Megadyne™ ESU and verify the output power is 96 to 144 Watts using the ESU analyzer. 32. Set the Ethicon Megadyne™ ESU to SOFT COAG @ 20 Watts, and set the ESU analyzer to 140 Ohms. 33. Activate the Ethicon Megadyne™ ESU and verify the output is 15 to 25 Watts using the ESU analyzer. 34. Change the power setting on the Ethicon Megadyne™ ESU to SOFT COAG @ 120 Watts and set the ESU analyzer to 140 Ohms. 35. Activate the Ethicon Megadyne™ ESU and verify the putput power is 96 to 144 Watts using the ESU analyzer. 36. Disconnect the Ethicon Megadyne™ ESU monopolar A output from the ESU analyzer and connect a hand switching monopolar pencil to monopolar A. Go to www.e-ifu.com for latest revision of manual
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Electrosurgical Generator MEGEN1 Service Manual 37. Change the power setting of CUT and COAG to 1 Watt. Activate the Ethicon Megadyne™ ESU using the hand switch on both CUT and COAG and verify the generator is activated and an audible tone is present for each activation. 38. To test the Monopolar B channel, connect the Ethicon Megadyne™ ESU monopolar B output (circled in red below) to ESU analyzer and connect the monopolar footswitch to the monopolar B footswitch receptacle. Repeat steps 6 through 37.
BIPOLAR 39. Disconnect the Ethicon Megadyne™ ESU monopolar output to the ESU analyzer and connect the Bipolar output (circled in red below) to the ESU analyzer.
40. Connect the bipolar footswitch to the bipolar footswitch recepticle. 41. Set the Ethicon Megadyne™ ESU to MICRO BIPOLAR @ 10 Watts, and set the ESU analyzer to 100 Ohms. 42. Activate the Ethicon Megadyne™ ESU and verify the output power is 5 to 15 Watts using the ESU analyzer. 43. Change the power setting on the Ethicon Megadyne™ ESU to MICRO BIPOLAR @ 80 Watts and set the ESU analyzer to 100 Ohms. 44. Activate the Ethicon Megadyne™ ESU and verify the output power is 64 to 96 Watts using the ESU analyzer. 45. Activate the Ethicon Megadyne™ ESU using the bipolar footswitch, verify an audible tone while the ESU is activated. 46. Set the Ethicon Megadyne™ ESU to MACRO BIPOLAR @ 10 Watts, and set the ESU analyzer to 100 Ohms. 47. Activate the Ethicon Megadyne™ ESU and verify the output power is 5 to 15 Watts using the ESU analyzer. 48. Change the power setting on the Ethicon Megadyne™ ESU to MACRO BIPOLAR @ 80 Watts and set the ESU analyzer to 100 Ohms. 49. Activate the Ethicon Megadyne™ ESU and verify the output power is 64 to 96 Watts using the ESU analyze.
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Electrosurgical Generator MEGEN1 Service Manual Contact Quality Monitoring (CQM) Test. This test requires test leads to connect to the CQM receptacle, fixed load resistors, a multimeter, and a variable load resistor. 50. Set the potentiometer to resistance called out in the “Verify Potentiometer Calibration” Table of the test form. 51. With a digital multi meter measure the resistance across the potentiometer. 52. Turn on the Ethicon Megadyne™ ESU without a return electrode plugged in. The alarm light should be red. 53. Attach a 50 Ohm load across the two wires of the test lead. Plug the CQM Test lead into the Patient Return Receptacle. The alarm light should turn green. 54. Unplug the CQM Test lead from the ESU, the alarm should sound and the light should turn red. 55. Attach a 150 Ohm load across the two wires of the test lead. Plug the CQM Test lead into the Patient Return Receptacle. The alarm light should remain red. 56. Unplug the CQM Test lead from the ESU. 57. Attach a variable resistor set at 50 Ohms across the two wires of the CQM test lead. Plug the CQM Test lead into the Patient Return Receptacle. The light should turn green. 58. Adjust the variable resistor to increase the resistance until the alarm sounds and the light turns red. Read the variable resistor, it should be between 63 and 77 Ohms.
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Electrosurgical Generator MEGEN1 Service Manual
Low Frequency Electrical Safety Test Using a safety capable of testing per IEC 60601-1:2005/(R) 2012 & A1, test low frequency (50 – 60 Hz) as follows: Protective Earth Connection Test (NC) 1. Test from protective earth ground to power entry. 2. Apply 25A of current with safety analyzer. 3. Measure impedance and record it on test form (see test form in the Appendix). Enclosure Leakage Test 1 (NC) 1. Test from protective earth ground to power entry, with ground open. 2. Apply mains voltage. 3. Measure current and record it on test form. Enclosure Leakage Test 2 (NC) 1. Test from protective earth ground to power entry, with reverse polarity and ground open. 2. Apply mains voltage. 3. Measure current and record it on test form. Enclosure Leakage Test 3 (SFC) 1. Test from protective earth ground to power entry, with neutral and ground open. 2. Apply mains voltage. 3. Measure current and record it on test form. Enclosure Leakage Test 4 (SFC) 1. Test from protective earth ground to power entry, with reverse polarity and neutral and ground open. 2. Apply mains voltage. 3. Measure current and record it on test form. Patient Leakage Test 1. Test from all patient connections to power entry. 2. Apply mains voltage. 3. Measure current and record it on test form.
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Electrosurgical Generator MEGEN1 Service Manual
Chapter 3- Troubleshooting and Error Codes Troubleshooting - follow the steps in the order listed for the appropriate problem. No output power: 1. Check that the generator power switch is in the “ON” position. 2. Ensure the generator is plugged into a grounded, functioning outlet and that the power cord is securely attached to the receptacle at the rear of the generator. 3. Check the cables and connections to insure that they are intact and securely connected. 4. Ensure the patient return electrode is properly installed and connected to the generator. If the patient return electrode alarm light stays illuminated red, see Patient Return Electrode Alarm Stays On section. Check that the active accessories are attached. If using a Mega Soft™ reusable patient return pad refer to the instructions for use for additional trouble shooting information. 5. Check to see if the unit is in the “Standby” mode (dashed lines in display) or if the power setting is too low. Adjust the power accordingly. 6. Turn the generator to the “OFF” position and then back to the “ON” position. 7. Replace the accessory devices (i.e. pencil, or footswitch). 8. Check the fuse and replace it if necessary. 9. If the problem is not corrected with the above steps, use a backup generator and return the unit for service. 10. Check to confirm the foot pedal is plugged into the correct port. 11. Check for a short in the footswitch cable. 12. Check that the active accessories are attached. Diminished Power Output: 1. Check all accessories for proper set-up and installation. If using a Mega Soft™ reusable patient return pad refer to the instructions for use for additional trouble shooting information. Patient Return Electrode Alarm Stays On: 1. Check the return electrode cables to ensure that they are securely attached to the pad and generator. 2. Make sure “sticky” pads are securely attached to the patient over a good muscular, vascular area. 3. If the patient return electrode alarm light remains illuminated red, replace the return electrode and/or return electrode cable. 4. If the alarm condition cannot be immediately corrected use a backup generator. Greater than Expected Neuromuscular Stimulation: 1. Discontinue use of active accessories. 2. Check all connections for secure fit before continuing use of the generator. 3. Decrease the power setting or change to COAG 1 or COAG 2 from SPRAY COAG as relevant. 4. If neuromuscular stimulation continues replace the generator with a backup unit. 5. Have qualified service personnel test the generator for abnormal low frequency current leakage. 6. If excessive low frequency current leakage is detected return for service. Monitor Interference: Monitor interference can be an artifact of Electrosurgery. Steps to minimize interference are as follows: 1. Ensure that the ECG electrode is well attached to the patient through proper skin preparation prior to electrode placement. 2. Ensure the electrosurgical cables (active and return) do not cross the cables of the affected equipment. 3. Plug the affected equipment into a separate power outlet. 4. Use the lowest possible power setting to achieve the desired effect. 5. Interference is usually greatest in the SPRAY COAG mode; it can be reduced by using a lower voltage mode such as COAG 1 or COAG 2. 6. Check all connections to the generator, patient return electrode, and accessories. 7. Some manufacturers of ECG electrodes offer RF (radio frequency) choke filters for use in the monitor leads, digital filters and ECG electrodes specific for use in the operating room. Consult manufacturers of ECG equipment for more information about filtering options. These filters reduce interference while the generator is activated. RF filters minimize the potential for an electrosurgical burn at the site of the monitor electrode.
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Electrosurgical Generator MEGEN1 Service Manual
Error Codes The Ethicon Megadyne™ ESU is designed to assist the user in identifying failure modes. When specific conditions are met an error code will be shown in the large displays. If any of the following errors are displayed and are not cleared by turning the system off then on, record the error displayed and contact the Ethicon Customer Support Center or your local representative for any customer or technical support. Call 1-877-ETHICON (1-877-384-4266) in the US only. Error Description Explanation Trouble Shooting Code 103
Dosage Error
The software has detected a problem with the High Voltage Power Supply during activation
104
Power On Self Test (POST) Relay
A relay error occured during POST
105
POST Activation
An activation request (handswitch or footswitch) was detected during POST
106
POST CQM
A CQM circuit error occured during POST
107
POST Stuck Button
A button was detected during POST
108
POST B Plus
An error was detected in the variable power supply during POST
119
Power Control
An output was detected on the variable power supply that was outside normal operating limits
120
POST I Plus
Current from the variable power supply that was outside normal operating limits during POST
121
POST Voltage
Monopolar voltage feedback measurement were outside normal operating limits during POST
122
MP Common Relay
An error was detected in the common monopolar relay during activation
125
BP Common Relay
An error was detected in the common bipolar relay during activation
126
BP Relay
An error was detected in the bipolar relay during activation
127
Primary Relay
An error was detected in the primary relay during activation
128
MP1 Relay
An error was detected in the monopolar 1 relay during activation
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Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Unplug all accessories footswitches and devices and restart generator and if error persists return generator for service. If error does not persist check the foot switch or instrument for inadvertent activation and replace as necessary. Restart generator and if error persists return generator for service Ensure no buttons are being depressed and restart generator. If error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service
Electrosurgical Generator MEGEN1 Service Manual 129
MP2 Relay
An error was detected in the monopolar 2 relay during activation
130
Current Balance
Monopolar active current did not match return current during activation
131
Current Stop
Monopolar active current did not match return current during idle state
132
Current Path
Current was detected in a non active relay during activation
133
Bplus
An incorrect voltage was detected in the variable power supply during activation
134
Voltage Ratio
The ratio between the variable power supply and the RF output voltages was outside normal operating limits during activation
136
PFC Over Current
Current from the 360V DC power supply was outside normal operating limits during activation
137
Iplus Over Current
Current from the variable power supply was outside normal operating limits during activation
139
PFC Shutdown
An overheat condition was detected, causing the 360V DC power supply to shutdown
149
Calibration Coag
An error was detected during coag calibration
150
Calibration BP
An error was detected during bipolar calibration
152
Calibration CQM
An error was detected during CQM calibration
153
Calibration High Z
An open circuit was detected during calibration
155
Calibration
A check sum error was detected during calibration
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Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Power down the generator and allow it to cool for 10 minutes before restarting. If error persists return the generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service Restart generator and if error persists return generator for service
Electrosurgical Generator MEGEN1 Service Manual
Chapter 4- Returning the Generator for Service Before you return the generator, call Ethicon for assistance. If you are instructed to send the generator to Ethicon for service, obtain a Return Authorization Number. Then, clean the generator and ship it to Ethicon for service. Step 1 - Obtain a Return Authorization Number Call the Ethicon Customer Service Center for your area to obtain a Return Authorization Number. Have the following information ready. •
Hospital / clinic name / customer number
•
Telephone Number
•
Department / address, city, state, and zip code
•
Serial number
•
Description of problem
Step 2 - Clean the generator A. Turn off the generator, and unplug the power cord from the wall outlet. B. Thoroughly wipe all surfaces of the generator and power cord with a mild cleaning solution or disinfectant and a damp cloth. Follow the procedures approved by your institution or use a validated infection control procedure. Do not allow fluids to enter the chassis. The generator cannot be sterilized. Step 3 - Ship the generator A. Attach a tag to the generator that includes the Return Authorization Number and the information (hospital, phone number, etc.) listed in Step 1 - Obtain a Return Authorization Number. B. Package in the original Ethicon Megadyne ESU shipping container, if available. C. Ship the generator to Ethicon Service Center. Request approved shipping materials if necessary from Ethicon.
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Electrosurgical Generator MEGEN1 Service Manual
Chapter 5- Conformation to Standards The Generator MEGEN1 conforms to the following international standards: EN (IEC) 60601-1 (with Canadian and US National Deviations) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance EN (IEC) 60601-1-2 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests EN (IEC) 60601-2-2 Medical electrical equipment - Part 2-2: Particular requirements for the safety of high frequency surgical equipment EN (IEC) 60601-1-8 Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
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Electrosurgical Generator MEGEN1 Service Manual
Appendix Technical Specifications Equipment Classification IEC 60601-1 Class I Equipment Type IEC 60601-1 Edition 3.1 Type CF Degree of protection against ingress of water
UL 60601-1 IEC 60601-2-2 Edition 6 IP68 Isolated from Earth Ground Natural Convection, Modulated Internal Fans
Ingress protection of foot switches Patient Circuit Cooling Physical Characteristics Width 36.8 cm (14.5 inches) Depth 43.9 cm (17.3 inches) Height 17.9 cm (7.1 inches) Weight 7.71 kg (17 lbs) Operating Environment The Ethicon Megadyne ESU is designed and tested to operate within the following environmental parameters: Temperature Range: +10°C (+50°F) to +40°C (+104°F) Humidity Range: 15% to 75% Non-condensing Atmospheric Pressure: 700 hPa (10.2 psi) to 1060 hPa (15.37 psi) Warm-up Requirements If the Ethicon Megadyne™ ESU is stored outside of the above range, allow the unit to stabilize at room temperature for a minimum of one hour before use. Transportation and Storage Environment The Ethicon Megadyne™ ESU is designed and tested for storage within the following environmental parameters. Temperature Range: -40°C (-40°F) to +70°C (+158°F) Humidity Range: 10% to 95%, Condensing Atmospheric Pressure: 500 hPa (7.25 psi) to 1060 hPa (15.37 psi) Audio frequencies GEM Cut, Pure CUT and Blend 840 Hz ± 10% Coag 1, Coag 2 ,and Spray Coag 520 Hz ± 10% Micro and Macro Bipolar 480 Hz ± 10% Alarms Power Limit (One beep) 1980 Hz ± 10% Errors (Two beeps) 1980 Hz ± 10% CQM (Three Beeps) 2550 Hz ± 10% The volume of the CUT, COAG and BIPOLAR active signals can be and adjusted up and down. They have a minimum volume of 40 dB measured from the rear of the ESU at a distance of one meter. The alarm volume is fixed to exceed 65 dB at a distance of one meter per the requirements of IEC 60601-2-2 Edition 6. Type and Rating of Fuses: 2 each F10.0AH/250VAC, Schurter Inc. Type FSF Electrical properties Nominal Operating Voltage: 100 – 240 VAC Nominal Operating Frequency: 50-60 Hz Rated Input Power: 550 W Output Power Variation Output variation as a function of input variation <5%
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Electrosurgical Generator MEGEN1 Service Manual
Output Power Characteristics
Mode
Power (Watts)
Output Tolerance* (Rated Load)
Rated Load (Ohms)
Maximum Open Circuit Voltage (Vp-p)
Maximum Current (Amps)
Operating Frequency (Rated Load)
Crest Factor Nominal @ (Rated Load)
Monopolar CUT GEM
150
20%
200
860
1.2
400kHz
1.6
Pure Cut
300
20%
300
1500
1.1
400kHz
1.6
Blend Monopolar COAG
200
20%
300
2500
1.0
400kHz
2.5
COAG 1
120
20%
500
5000
1.4
COAG 2
120
20%
500
4900
1.4
Spray
120
20%
500
5800
1.4
SOFT COAG
120
20%
140
470
1.1
400kHz
1.6
Bipolar Micro Macro
80 80
20% 20%
100 100
450 590
1.7 1.7
400kHz 400kHz
1.6 1.6
Low Frequency (50 - 60 Hz) Leakage Current Earth Leakage Current general
NC < 300 μA
SFC < 1.0 mA
Enclosure
< 100 μA
< 500 μA
Patient Leakage Current
< 10 μA
< 50 μA
Patient Auxiliary Current d.c.
< 10 μA
< 50 μA
Patient Auxiliary Current a.c.
< 100 μA
< 500 μA
2.5μs Pulse @ 32kHz 2.5μs Pulse @ 30kHz 2.5μs Pulse @ 22kHz
* or 5 watts, whichever is greater.
High Frequency (RF) Leakage Current Monopolar Modes (all settings at the maximum) Patient Return to Ground
<150 mA
Active to Ground
<150 mA
Bipolar Mode (Maximum setting) Each Lead to Ground
< 63 mA
Power Consumption Maximum mains current 100-120 VAC 220-240 VAC Idle 0.3 A 0.15 A Cut 5.0 A 2.5 A Coag 2.4 A 1.2 A Bipolar 1.3 A 0.65 A Power Factor Correction Idle 0.85 0.70 Cut 0.99 0.98 Coag 0.98 0.97 Bipolar 0.95 0.93
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6.9 7.1 8.2
Electrosurgical Generator MEGEN1 Service Manual Power Cord 100V to 120V Supply - Power Cord Rating 150V~, minimum 8A, 16 AWG, 3 conductor type SJT with Hospital Grade Plug, detachable type 4.6m (15 feet ) long. 2 220V to 240V Supply - Power Cord Rating 250V~, minimum 10A, 1.0 mm , 3 conductor, detachable type 4.6m (15 feet) long. Power Duty Cycle Under maximum power conditions, the Ethicon Megadyne™ ESU is designed to operate safely with activation times of 10 seconds on, 30 seconds off for one hour. Audio Volume The Ethicon Megadyne™ ESU system is designed to generate the following audio levels, measured from the rear of the ESU at a distance of one meter Mode Frequency Volume Adjustability Pure Cut 840 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB GEM 840 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB Blend 840 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB COAG 1 520 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB COAG 2 520 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB Coag Spray 520 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB SOFT COAG 520 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB Bipolar(Micro and Macro) 480 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB Bipolar Monitor 480 Hz ± 10 % Volume Control at Min >40 dB at Max >65 dB Power Limit Alarm 1980 Hz ± 10 % > 65 dB non-adjustable (One beep) Errors (Two beeps) 1980 Hz ± 10 % > 65 dB non-adjustable CQM (Three Beeps) 2550 Hz ± 10 % > 65 dB non-adjustable Contact Quality Monitor (CQM) Ethicon commends the use of the Mega Soft Reusable Patient Return Electrode. Due to the built-in safety (self current limiting) of the Megadyne™ Mega Soft Reusable Patient Return Electrode, the CQM limitation is no longer essential. Acceptable Resistance Range 0 to 135 ohms CQM Alarm Activation If a disposable split pad is used with the Ethicon Megadyne™ ESU, the system will perform as follows: CQM alarm activation occurs in the resistance range from 10 to 135 ohms. An increase in resistance of 40% will cause the CQM indicator to turn red, an alarm tone will sound three times and the RF output will be disabled. The Ethicon Megadyne™ ESU system will remain in this mode until the unsafe condition is corrected. RS232 and USB Ports This communication port is located in the back panel behind a removable plate. Both Ports are provided for use by authorized Service Centers or authorized personnel only.
Declaration for Electronic Emissions
The Ethicon Megadyne™ ESU is intended for use in the electromagnetic environment specified below. The user of the Ethicon Megadyne™ ESU should ensure that the Ethicon Megadyne™ ESU is used in such environment. The Ethicon Megadyne™ ESU must emit RF Emissions CISPR 11 Group 2 electromagnetic energy in order to perform its intended function. RF Emissions CISPR 11 Class A The Ethicon Megadyne™ ESU is suitable for Harmonic Emissions IEC 61000-3-2 Class A use in all establishments other than domestic and those directly connected to the public lowVoltage Fluctuations/Flicker Emissions Complies voltage power supply network that supplies IEC 61000-3-3 buildings used for domestic purposes.
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