ESG-400 ELECTROSURGICAL GENERATOR Instructions for Use Nov 2021

Contents 1 Using this document...5 1.1 User instructions...5 1.2 Conventions throughout this document...5 1.3 Safety-related information in this document...5 2 Safety information...7 2.1 Intended purpose...7 2.2 Contact...8 2.3 General safety notes...8 3 Product description...16 3.1 Scope of delivery...16 3.2 Product functions...16 3.3 Features...17 3.4 Operating elements on the hardware...18 3.5 Operating elements of the touchscreen...21 3.6 Double-pedal foot switch...24 3.7 Optional accessories...25 3.8 Symbols...28 3.9 Warranty...29 4 Installation...30 4.1 Safety notes for installation...30 4.2 Connection of peripheral equipment...30 4.3 Connection to the mains electricity...31 4.4 Automatic mist and smoke evacuation...32 4.5 Connecting the foot switch...35 5 Basic settings and menu...37 5.1 Function list...37 5.2 Push button hierarchy...38 5.3 Select procedure...39 5.4 Assign foot switch and autostart function...40 5.5 MENU push button...42 6 Using the ESG‑400 with a neutral electrode...57 6.1 Safety notes for neutral electrode use...57 6.2 Correct usage of neutral electrodes...57 6.3 Conditions of the CQM indicator...59 6.4 Connecting to the electrosurgical generator...59 6.5 Verifying the CQM indicator...61 7 Before use...62 7.1 Inspection...62 7.2 Procedure after inspection...67 7.3 Power settings...68 7.4 Tissue effects depending on the power level and effect level...75 8 Use...77 8.1 Safety notes for use...77 8.2 Description of the output sockets...79 8.3 Connecting HF instruments...80

8.4 Switching on the electrosurgical generator...80 8.5 Automatic mist and smoke evacuation...80 8.6 Selecting output settings...81 8.7 HF instrument recognition...83 8.8 Bipolar modes SalineCut and SalineCoag...86 8.9 Bipolar coagulation mode RFCoag...86 8.10 Activating...88 8.11 Troubleshooting...91 9 After use...104 9.1 Safety notes for after use...104 9.2 Disconnecting...104 10 Reprocessing...105 10.1 Safety notes for reprocessing...105 10.2 General information for reprocessing...105 10.3 Cleaning...105 10.4 Disinfection...106 10.5 Other HF equipment...106 11 Maintenance, repair and shipment...107 11.1 Maintenance...107 11.2 Repair...107 11.3 Shipment...108 12 Storage and disposal...109 12.1 Storage...109 12.2 Disposal...109 13 Ordering information...110 14 Compatible equipment...111 14.1 System chart...111 14.2 Compatible neutral electrodes...113 15 Technical data...115 15.1 Specifications for the ESG‑400...115 15.2 Ambient conditions for operation, storage and transport...115 15.3 Sockets...116 15.4 Resistance range for CQM...116 15.5 Specifications for cables...116 16 Electromagnetic compatibility...117 17 Additional information...120 17.1 Alarm system...120 17.2 Tone information...121 17.3 Mode characteristics according to IEC 60601-2-2...123 17.4 Characteristics of High Power Cut Support (HPCS)...124 17.5 Output characteristic diagrams...124 18 Glossary...151 19 Index...155

Using this document

1 Using this document 1.1 User instructions Before use, thoroughly read these instructions for use and the instructions for use of all other products that will be used during the procedure. If the required instructions for use are missing, immediately contact an Olympus representative. Keep the instructions for use in a safe, accessible location.

1.2 Conventions throughout this document This is the safety alert symbol. It is used to alert the user to potential physical injury hazards. Observe all safety messages that follow this symbol to avoid possible injury. This symbol indicates additional helpful information. 1. A numeration indicates a sequence of actions. 2. 3. ● Bullet points indicate individual actions or different options for action. – Dashes indicate the listing of data, options or objects. – – 1) Numbers with right parenthesis name elements in illustrations. 2) 3) […] Bracketed terms refer to elements in the graphical user interface or keys. Elements in the graphical user interface can be: - buttons - menu items - dialog elements

1.3 Safety-related information in this document For safe and efficient use of this product it is important to read the complete instructions for use. The safety related information of these instructions for use is not only described in this chapter. All information and instructions in this document are to ensure a safe and efficient use. Safety information are described in 3 categories: ‒ General safety notes ‒ Specific safety notes ‒ Safety messages

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Using this document

1.3.1 General safety notes General safety notes are located at the beginning of the instructions for use. They address safety issues that apply to the general use and handling of the product. 1.3.2 Specific safety notes Specific safety notes are located at the beginning of a chapter or section. They address safety issues that are specific to the information and actions described in the chapter or section. 1.3.3 Safety messages Safety messages focus on unexpected incidents that can occur during the intended use. They are placed in the context of such risks and actions. The safety messages are highlighted by a signal word. DANGER Indicates a hazardous situation which, if not avoided, will result in death or serious injury. WARNING Indicates a potentially hazardous situation which, if not avoided, can result in death or serious injury. CAUTION Indicates a potentially hazardous situation which, if not avoided, can result in minor or moderate injury. NOTICE Indicates a property damage message.

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Safety information

2 Safety information This chapter provides general safety information for using the product. The safety information includes: ‒ Intended purpose ‒ Contact and manufacturer information ‒ General safety notes

2.1 Intended purpose Intended use and indications The ESG‑400 is an electrosurgical generator intended for tissue cutting and coagulation in open, laparoscopic and endoscopic surgery in conjunction with electrosurgical accessories and ancillary equipment. 2.1.1 Relative contraindications Relative contraindications of electrosurgical interventions: ‒ If electrosurgery could have a negative effect on the state of the patient. ‒ Patients with implanted electronic devices (e.g. pacemakers or cardioverter-defibrillators) ‒ Patients with a weakened immune system ‒ Patients with blood coagulation disorders. 2.1.2 Patient target group Not dedicated to a specific patient population. Patient target groups are defined by the individual applicator used with the device. 2.1.3 Intended users Medical use Only for use by a qualified physician or medical personnel under the supervision of a physician. Only for use in an adequate medical environment. These instructions for use do not explain or discuss clinical procedures. Reprocessing Reprocessing of reusable products may only be performed by qualified hygiene personnel. Repair Repair of the product may only be performed by trained qualified servicing personnel that has been authorized by Olympus. Otherwise, Olympus cannot be held responsible for the safety and performance of the product. Commissioning The electrosurgical generator must be properly installed and commissioned by Olympus or by a person or firm commissioned and authorized by the manufacturer. 2.1.4 Clinical benefits Clinical benefits depend on the applied part used with the device.

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Safety information

2.2 Contact 2.2.1 Manufacturer Olympus Winter & Ibe GmbH Kuehnstr. 61 22045 Hamburg Germany Country-specific information Refer to the contact information for customers included in the scope of delivery for countryspecific information. 2.2.2 Incident reporting If a serious incident occurs with the device, report it to the manufacturer and/or the relevant national authority according to national legislation.

2.3 General safety notes Application of high frequency treatment If there is an official standard on the applicability of high frequency treatment as defined by a national or local medical administration, or other institution, such as an academic society, follow that standard when performing the procedure. Before performing any high frequency treatment, study the properties, purposes, effects and possible risks thoroughly (nature, extent, probability and imminence) associated with the planned treatment and any alternative therapeutic method that can be performed. Carry out high frequency treatment only when its benefits outweigh its risks. Fully explain to the patient the possible benefits and risks of high frequency treatment as well as those of any therapeutic method(s) that can be performed instead of electrosurgery, and perform high frequency treatment only after patient consent is granted. During high frequency treatment, continue to evaluate the potential benefits and risks, and stop the treatment if the risks become greater than the possible benefits to the patient. High frequency leakage current or spark discharge may cause user and/or patient burns. Always prepare for an emergency operation in case of unintentional patient burn, bleeding and perforation. Read all instructions for use thoroughly Before use, read this instructions for use and the instructions for use for all other equipment which will be used during the procedure. An insufficient understanding of the safety information in these instructions for use can result in death, serious injury, or equipment damage. Troubleshooting Some problems that appear to be malfunctions may be corrected by referring to section “8.11 Troubleshooting” on page 91. If the problem cannot be resolved using the information in this chapter, contact Olympus. ● Do not service or maintain any part of the product while in use with a patient.

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Safety information

2.3.1 User-related error prevention WARNING Improper use ‒ The safety and effectiveness of electrosurgical interventions depend not only on the design of the equipment used, but also to a major extent on factors which are under the control of the user. It is therefore extremely important to read, understand and follow the instructions supplied with the electrosurgical generator and the accessories in order to ensure safety and effectiveness. ‒ Always use the electrosurgical generator 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. WARNING Unauthorized repairs and product modification Unauthorized repairs and product modification can cause injury to the patient and the user. Repairs must only be performed by qualified servicing personnel that has been authorized by Olympus. Refer to the section “11.2 Repair” on page 107 for more details. Do not attempt to repair or modify the product. CAUTION Regular safety checks The electrosurgical generator and the foot switch must undergo a safety check in yearly intervals in accordance with the national statutory regulations. 2.3.2 Risks regarding environmental conditions CAUTION Interference with other equipment The electrosurgical generator complies with the electromagnetic compatibility (EMC) standard. Nevertheless, when the electrosurgical generator is active it may disturb neighboring electronic equipment. If an auxiliary computer system is in use together with the electrosurgical generator and endoscopic imaging techniques, the image on the monitor might freeze or blackout. Follow the instructions in chapter “16 Electromagnetic compatibility” on page 117 regarding electromagnetic ambient conditions. ‒ Be sure that this electrosurgical generator is not used adjacent to or stacked with other equipment (other than the components of this electrosurgical generator or system) to avoid electromagnetic interference. ‒ Before use, thoroughly confirm the compatibility of all equipment. ‒ To ensure electrical safety, the electrosurgical generator 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. ‒ Never loop the cables (active cable, bipolar cable, neutral electrode cable) or bundle cables together with cables belonging to other medical equipment. The high frequency signals or spark discharge noise generated by the electrosurgical generator may interfere with the operation of other medical equipment. ‒ Do not use the electrosurgical generator in a location exposed to strong electromagnetic radiation (microwave or short-wave medical treatment equipment, magnetic resonance imaging, radio or mobile phone equipment). Electrosurgical generator malfunction can occur.

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Safety information

NOTICE Unsuitable temperature and humidity The electrosurgical generator should only be used under the conditions as described in section “15.2 Ambient conditions for operation, storage and transport” on page 115. Use under other conditions may impede normal performance and/or result in equipment damage. 2.3.3 Risks regarding accessories WARNING Mechanical stress Do not apply excessive bending, straining, or squeezing force to any cords. It may cause malfunction. WARNING Non-compatible and damaged accessories ‒ The electrosurgical generator shall only be used with compatible accessories. ‒ When connecting accessories (cords, electrodes, HF instruments) avoid output settings where the maximum output voltage of the electrosurgical generator may exceed the rated accessory voltage (refer to section “7.3 Power settings” on page 68, and the instruction manual of the accessory). ‒ For a list of compatible neutral electrodes refer to section “14.2 Compatible neutral electrodes” on page 113. For compatible plugs and sockets refer to section “8.2 Description of the output sockets” on page 79. ‒ Before use, the electrosurgical generator and accessories must be examined for damage. All cables and its plugs must be free of scratches and cracks. Cables and accessories with damaged insulation or connections must not be used. 2.3.4 Risks regarding electric shock WARNING Grounding failure There is a risk of electric shock if the housing of the electrosurgical generator is not grounded. ‒ Only connect the power cable to a properly grounded fixed socket outlet. ‒ Do not use an adapter for an incompatible grounded fixed socket outlet as it can impair safe operation of the electrosurgical generator. WARNING User shock To prevent user shock, malfunction and damage of the electrosurgical generator, keep liquids away from all electrical equipment. If liquid gets on or into the electrosurgical generator, terminate operation immediately and contact Olympus. CAUTION Injury during servicing When the housing is opened, there is a danger of electric shock. The electrosurgical generator must only be serviced by authorized technicians.

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Safety information

2.3.5 Risks regarding burns WARNING Burns to the patient and/or the user ‒ The maximum output voltage characteristics of the electrosurgical generator are shown in the diagrams in section “17.5 Output characteristic diagrams” on page 124. When setting the power 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 user and/or patient burns. However, certain modes may present an unacceptable risk at low output power settings. For example, with the PulseCut fast mode or PulseCut slow mode, the risk of an excessive thermal effect rises if the output power setting is too low. Therefore, it is recommended that you perform basic testing before using the electrosurgical generator. If the instruction manual of the HF instrument to be used stipulate a rated voltage, the output should be set so that it does not exceed that voltage. ‒ Contact with the tip of the electrodes may cause burns when the electrosurgical generator is active. ‒ During operation, temporarily unused electrodes should be stored in an electrically insulated container. Unused electrodes or HF instruments should never be placed on the patient. Otherwise, it may cause patient and/or user burns. ‒ To prevent patient burns, the electrosurgical generator and ancillary cords 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. Remove any metallic items from the patient (wristwatches, jewelry, etc.) before starting the procedure. ‒ If the electrosurgical generator is used in conjunction with another electrosurgical generator, never use both generators simultaneously. Keep the HF instrument connected to the not-used electrosurgical generator away from the target area while the other generator is in operation. Do not activate output of both generators simultaneously. Patient or user injury may occur due to the concentration of electric current. ‒ To prevent patient burns, the patient’s skin surfaces should not touch each other (e.g. bare arm and side of chest) or any metal items in the procedure room. ‒ To prevent patient burns during high frequency treatment, the patient’s clothes must be dry. ‒ During endoscopic treatment be sure that the distal end of the endoscope and/or HF instruments do/does not contact bridging fluids surrounding the target tissue. Electric current may flow to the surrounding tissue via the fluids and cause burns. This does not apply to instruments intended for use in conjunction with conductive fluids. ‒ The endoscopic treatment performed should not include an operation in which part of the treated tissue (polyp head, etc.) or part of the endoscope distal end or endotherapy instrument is in contact with or close to surrounding tissue during high frequency exposure. Otherwise, current flows to the tissue through the part of the treated tissue, the metallic parts at the endoscope’s distal end or endotherapy instrument and may cause burns. ‒ When using an electrocardiograph or other physiological monitoring equipment simultaneously with the electrosurgical generator on a patient, any monitoring electrodes should be placed as far away as possible from the electrodes used with the electrosurgical generator. If placed too close, high frequency signals or spark discharge noise from the electrosurgical generator 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 measures is recommended. ‒ To prevent burns, the user and assistant should wear surgical gloves during the procedure.

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Safety information

CAUTION High frequency leakage current Wherever possible, the patient should not be able to come into contact with electrically conductive components that are grounded. Route all connecting cables so that they are not in direct contact with the patient or other cables. Capacitive coupling may occur. 2.3.6 Potential hazards to the heart DANGER Shock hazards to the heart To prevent shock hazards, never apply the electrosurgical generator to the heart in combination with type B or BF applied parts. When using the electrosurgical generator 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. WARNING Cardiac emergency ● Always keep a defibrillator ready in case of a cardiac emergency. During operation of the defibrillator, remove the endoscope and/or laparoscope and HF instruments from the patient. 2.3.7 Risks regarding implants DANGER Pacemaker/Defibrillator malfunction The high frequency equipment, when applied to a patient with a cardiac pacemaker, an implanted cardioverter defibrillator (ICD) or other implanted electronic devices (IED), may cause malfunctioning or failure of the implanted electronic device and may seriously affect the patient. ‒ Always confirm that it is safe to proceed with a cardiologist or the manufacturer of the implanted electronic device before proceeding. ‒ If monopolar modes of the electrosurgical generator are used, position the neutral electrode so that the current pathway does not pass through or near the implanted electronic device and its lead system. ‒ The risk of malfunction or failure of an implanted electronic device is reduced by the use of a bipolar mode. A risk does exist, however, if the application is in close proximity to the implanted electronic device. Other electrically conductive implants All electrically conductive implants present a hazard due to concentration or re-direction of HF currents. Qualified advice should be obtained before the electrosurgical procedure. 2.3.8 Risks regarding fire and explosion WARNING Ignitable gases in the bladder Electrolysis that occurs during TCR/is (Transcervical endometrial Resection) and TURis (Transurethral Resection) can produce flammable gases. These gases can ascend into the upper part of the uterus or bladder and can come in contact with the electrode.

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Safety information

Activating the HF current while flammable gases are present can cause the gases to ignite or explode. This can result in uterine or bladder perforation or puncture, exogenous burns or other injury. ‒ Before activating the HF current, use the endoscopic image to make sure that the distal end of the resectoscope is not located in the flammable gases. The gases are visible as bubbles in the irrigation fluid. ‒ Do not activate the HF current while the distal end of the resectoscope is located in the gases or in their direct vicinity. ‒ Before activating the HF current, evacuate or move the gases or allow the gases to escape from the uterus or bladder as necessary, e.g. by evacuating the gases through the sheath of the resectoscope. WARNING Ignitable anaesthetics and gases The risk of flammable gases or other materials being ignited exists with any surgical application of electrical energy. ‒ Precautionary measures must be taken to keep flammable materials and substances away from the site of intervention (do not use flammable anaesthetics, nitrous oxide or oxygen). Otherwise, explosion or fire may result and cause serious injuries. ‒ Do not use the electrosurgical generator within an explosion zone. This electrosurgical generator is not explosion-proof. WARNING Ignitable gas in the gastro-intestinal tract If the intestines contain a flammable gas, replace this gas with air or a non-flammable gas before performing the operation, to minimize the risk of fire or explosion. WARNING Ignitable cleaning and disinfection agents ‒ Flammable agents used for cleaning and disinfection must be allowed to evaporate before the electrosurgical generator is used. Also ensure that flammable solutions are neither on the patient’s skin (e.g. under neutral electrode) nor in the patient’s body cavity when the electrosurgical generator is used. ‒ Non-flammable agents should be used for cleaning and disinfection wherever possible. WARNING Ignitable materials ‒ 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. ‒ When performing electrosurgery, sparks occur which could lead to burning or deflagration of combustible materials. ‒ Body hair is flammable. Water soluble surgical lubricating jelly may be used to cover hair close to the surgical site to decrease flammability. WARNING Risk of fire Disconnect the power plug before changing the fuses. Replace fuses as marked. The fuses must only be replaced by authorized technicians.

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Safety information

2.3.9 Procedural hazards and complications DANGER Procedural hazards and complications The safety of electrosurgery will be greatly enhanced by a thorough knowledge of the medical literature on the subject. Study of specific information on the hazards and complications of the procedure in question is especially recommended. ‒ To respond to possible patient bleeding, prepare at least one of the following three haemostatic procedures: coagulation, clipping or local injection. ‒ To prepare for possible accidents, emergency equipment for life-saving, intubation and appropriate pharmaceuticals should be located in or near the procedure room. ‒ Always prepare a spare electrosurgical generator or an alternative procedure to avoid interruption of treatment due to an unexpected electrosurgical generator failure during treatment. ‒ Should any abnormal output be suspected during operation, immediately terminate the use of the equipment by releasing the foot switch. If the foot switch does not react, switch off the electrosurgical generator. Otherwise, malfunction of the equipment may cause an unintended increase in output. ‒ Use physiological monitoring equipment throughout the entire procedure, for continuous observation of the patient’s condition. ‒ For procedures where the high frequency electrical current could flow through parts of the body with a relatively small cross sectional area, the use of a bipolar mode may be desirable in order to avoid unwanted tissue damage. ‒ It is not recommended to use electrosurgery for circumcisions because of the risk of thermal injuries. The risk can be reduced if metal parts of any kind (e.g. clamps) and/or monopolar HF instruments are avoided. WARNING Safety measures during the procedure ‒ Wear personal protective equipment to guard against dangerous chemicals and potentially infectious material. During operation, wear appropriate personal protective equipment, such as eye wear, face mask, moisture-resistant clothing and surgical gloves that fit properly and are long enough so that your skin is not exposed. ‒ 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 by the use of surgical smoke evacuators or other means. WARNING Output performance ‒ If the electrosurgical generator fails and the output is stopped during treatment, it may be impossible to continue treatment due to tissue or coagulum build‑up on the HF instrument or other similar condition. ‒ During endoscopic treatment never grasp the target tissue with non-insulated grasping forceps. Non-insulated grasping forceps will disperse the electric current and normal operation may be impeded. WARNING Electrical stimulation of nerves and muscles Nerves and muscles can be stimulated by low frequency electrical currents or intense high frequency electrical currents. Low frequency electrical currents may be generated by a partial rectification of intense high frequency electrical current, in particular when there is a spark discharge to the tissue or to another metallic object. Intense high frequency electrical currents can occur at the beginning of an electrosurgical cut or when using high output power settings. This may cause violent spasms or muscle contractions.

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Safety information

Use the lowest appropriate power level and effect (e.g. effect 1 instead of effect 3). However, for certain modes a low output power setting may present an unacceptable risk for the patient. For example, with the PulseCut fast mode or PulseCut slow mode, the risk of an excessive thermal effect rises if the output power setting is too low. CAUTION Generator defect To prevent electrosurgical generator damage, never short-circuit electrodes (accessories, neutral electrodes). In the event of a defect or malfunction in the electrosurgical generator, an undesirably high output power may be emitted.

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Product description

3 Product description This chapter provides a general overview of the product and its functions. This includes the following information: ‒ Scope of delivery ‒ Product functions and features ‒ Operating elements ‒ Description of foot switches and optional accessories ‒ Explanation of symbols ‒ Warranty information

3.1 Scope of delivery Before use, check that all items are available. Contact an Olympus representative or an authorized service center if any items are missing or damaged.

1) Electrosurgical generator ESG‑400 2) Double-pedal foot switch WB50402W 3) Instructions for use and Contact information for customers

3.2 Product functions The electrosurgical generator ESG‑400 is designed to be used for the following electrosurgical applications: ‒ Bipolar electrosurgical cutting and coagulation. ‒ Monopolar electrosurgical cutting and coagulation, which requires a neutral electrode. The ESG‑400 is equipped with several cutting and coagulation modes. All settings of the device are done via the touchscreen on the front panel. The ESG‑400 is activated by a compatible foot switch or by a hand switch at the connected HF instrument. The bipolar coagulation mode BiSoftCoag also provides activation via Autostart.

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Product description

The ESG‑400 is connected to the local power supply. The ESG‑400 can be mounted on the compatible TC‑E400 Energy Cart. Details on the hardware and software, on the correct handling and use of the device are described in the following chapters.

3.3 Features The electrosurgical generator is equipped with the following features: ‒ Contact Quality Monitor (CQM) ‒ High Power Cut Support (HPCS) ‒ Fast Spark Monitor (FSM) ‒ Resistance Controlled Automatic Power (RCAP) ‒ Automatic end of procedure detection 3.3.1 CQM – Contact Quality Monitoring for the neutral electrode When using split type neutral electrodes for monopolar electrosurgery, the ESG‑400 is able to detect unintended detachment of the neutral electrode from the patient. The indicator for the contact quality monitor (CQM) shines green while the contact between the split type neutral electrode and the skin of the patient is within an acceptable resistance range. If the contact between the split type neutral electrode and the patient’s skin is insufficient, then an alarm tone sounds, a warning message is displayed and the CQM indicator shines red. Using non-split type neutral electrodes is not as safe as using split type ones, because CQM is not able to detect any detachment of non-split type neutral electrodes from the patient. For detailed information on the safe and correct use of neutral electrodes refer to chapter “6 Using the ESG‑400 with a neutral electrode” on page 57. 3.3.2 HPCS – High Power Cut Support This feature optimizes the start of the cutting procedure by applying high power to the tissue to support immediate spark ignition and to reduce the risk of mechanical cutting. 3.3.3 FSM – Fast Spark Monitor This feature ensures smooth and reproducible cutting although the tissue characteristics are varying, e.g. in muscle and fat. 3.3.4 RCAP – Resistance Controlled Automatic Power RCAP is a feature that supports the bipolar mode RFCoag. Deep tissue coagulation without significant desiccation is achieved with RCAP.

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Product description

Depending on the momentary tissue status, RCAP determines the maximum power uptake of the tissue and automatically adjusts the electrosurgical generator. For this process the geometry of the used bipolar applicator and also the individual tissue characteristics, e.g. blood perfusion, are considered. Therefore, premature tissue desiccation is effectively avoided and it is not necessary to manually adapt the power settings. 3.3.5 Automatic end of procedure detection Certain bipolar coagulation modes are supported by an automatic end of procedure detection. When coagulating tissue the electrical resistance of the tissue increases. Tissue resistance is continuously measured by the electrosurgical generator so that it is able to detect when coagulation is completed. As soon as a limited value of tissue resistance is exceeded, the electrosurgical generator automatically stops the HF output. Depending on the mode, the end of procedure is indicated by a special end tone.

3.4 Operating elements on the hardware 3.4.1 The front panel

1) Power switch To switch the electrosurgical generator on and off. 2) *BIPOLAR output socket To connect a bipolar HF instrument. 3) *MONOPOLAR 2 output socket To connect a monopolar HF instrument. 4) *MONOPOLAR 1 output socket To connect a monopolar HF instrument.

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Product description

5) Touchscreen To display the status of connected accessories. To show and modify settings. 6) FOOT SWITCH push button To open the “Foot switch screen” to assign one or two foot switch(es) or the autostart function to a specific output socket. 7) SELECT PROCEDURE push button To open the “Select Procedure screen” to recall saved settings. 8) MENU push button To open the “Menu screen” to control several functions (save or delete a procedure, control the touch tone, output volume and brightness as well as other functions). 9) Contact quality monitor indicator for split type neutral electrode Indicates the connection status of a split type neutral electrode. 10) Contact quality monitor indicator for non-split type neutral electrode Indicates the connection status of a non-split type neutral electrode. 11) *Neutral electrode socket To connect a neutral electrode. 12) *UNIVERSAL socket To connect the plug of an Olympus HF instrument with HF instrument recognition. 13) UDI (unique device identifier) *Applied part according to standard IEC 60601-1. For a detailed explanation of the different types of sockets refer to section “8.2 Description of the output sockets” on page 79 and to chapter “6 Using the ESG‑400 with a neutral electrode” on page 57.

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Product description

3.4.2 The rear panel

LINK-IN

LINK-OUT

1) Volume control To adjust the volume of the activation tone. 2) Ventilation slots 3) Identification plate 4) Potential equalization connector To increase electrical safety by potential equalization. 5) Power socket For connection to the mains electricity. 6) Fuse holder Compartment for the replaceable fuses. 7) LINK-OUT socket To connect peripheral equipment via a communication cable with a 14-pin plug. 8) Foot switch sockets To connect a compatible foot switch. 9) LINK-IN socket To connect peripheral equipment via a communication cable with a 26-pin plug.

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Product description

3.4.3 The docking connector at the bottom

1) Docking connector To connect peripheral equipment with a 7-pin plug.

3.5 Operating elements of the touchscreen The electrosurgical generator is equipped with a user friendly touchscreen. The control buttons are activated by tapping the corresponding part on the screen with the finger tip. 3.5.1 All screen

1) Reference to output sockets indicator This indicator shows the corresponding output socket where the same symbol is printed on the front panel. 2) Output socket name The name of the corresponding output socket is displayed here.

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