esg-400_electrosurgical_unit_instructions_march_201.pdf
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INSTRUCTIONS
ELECTROSURGICAL GENERATOR
ESG-400
USA: CAUTION: Federal Law restricts this device to use by, or on the order of,
a physician.
0197
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Contents
i
Contents
List of abbreviations......................................................................................................iii
Labels and symbols........................................................................................................4
Important information – Please Read Before Use........................................................6
Intended use..........................................................................................................................................6
Application of high frequency treatment................................................................................................6
Instruction manual.................................................................................................................................6
User qualifications.................................................................................................................................7
Electrosurgical generator compatibility..................................................................................................7
Repair and modification.........................................................................................................................7
Signal words..........................................................................................................................................7
Dangers, warnings and cautions...........................................................................................................8
Legal information.................................................................................................................................16
Chapter 1 Checking the Package Contents...............................................................17
Chapter 2 Nomenclature and Functions....................................................................18
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
2.10
2.11
Symbols and descriptions.........................................................................................................18
Front panel................................................................................................................................21
Rear panel.................................................................................................................................22
Bottom panel.............................................................................................................................23
All screen..................................................................................................................................23
Set screen.................................................................................................................................24
Mode screen.............................................................................................................................25
Footswitch with two pedals.......................................................................................................26
Footswitch with one pedal (optional).........................................................................................26
Neutral electrode cable “P-cord” (optional)...............................................................................27
Communication cable 0.25 m (MAJ-1871, optional, this cable is required for the connection
with the compatible ultrasonic generator).................................................................................27
2.12 Communication cable 10 m (MAJ-1872, optional, this cable is required for the connection with
the adapter for the compatible high flow insufflation unit (UHI-2/3)).........................................28
2.13 Adapter for UHI-2/3 (MAJ-1873, optional, this adapter is required for the connection with the
compatible high flow insufflation unit (UHI-2/3))........................................................................28
Chapter 3 Installation and Connections.....................................................................30
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
Flow chart for installation work..................................................................................................30
Installation of electrosurgical generator....................................................................................31
Connection of peripheral equipment.........................................................................................31
Connection to an AC mains power supply................................................................................32
Automatic mist & smoke evacuation system/function (when using the compatible high flow
insufflation unit).........................................................................................................................33
Connection of footswitch...........................................................................................................37
Connection of neutral electrode (for monopolar treatment only)...............................................39
Connection of HF instruments...................................................................................................44
Chapter 4 Inspection....................................................................................................47
4.1
4.2
4.3
4.4
Flow chart for inspection work...................................................................................................48
Inspection of power...................................................................................................................48
Inspection of connection between peripheral equipment and the electrosurgical generator....50
Inspection of touch-screen and push buttons...........................................................................51
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Contents
4.5
4.6
4.7
Inspection of footswitch connection..........................................................................................53
Inspection of alarm function......................................................................................................54
Procedure after inspection........................................................................................................55
Chapter 5 Operation.....................................................................................................56
5.1
5.2
5.3
5.4
5.5
5.6
Flow chart for operation work....................................................................................................56
Turn on the electrosurgical generator.......................................................................................57
Automatic mist & smoke evacuation system/function (when using the compatible high flow
insufflation unit).........................................................................................................................57
Output setting............................................................................................................................58
Output of energy.......................................................................................................................70
Procedure after use...................................................................................................................73
Chapter 6 Push Button Functions..............................................................................75
6.1
6.2
6.3
6.4
6.5
Function list...............................................................................................................................75
Push button hierarchy list..........................................................................................................76
Select procedure.......................................................................................................................77
Assign footswitch and autostart function...................................................................................78
Menu.........................................................................................................................................80
Chapter 7 Care, Storage and Disposal.......................................................................96
7.1
7.2
7.3
Care..........................................................................................................................................96
Storage......................................................................................................................................97
Disposal....................................................................................................................................97
Chapter 8 Troubleshooting.........................................................................................99
8.1
8.2
8.3
8.4
Neutral electrode operation.......................................................................................................99
Error screen, codes and measures.........................................................................................100
Periodic safety check.............................................................................................................. 110
Returning the electrosurgical generator for repair................................................................... 111
Appendix 112
System chart..................................................................................................................................... 112
Mode characteristics......................................................................................................................... 114
Output characteristics........................................................................................................................ 117
Transportation, storage and operating environment.........................................................................143
Specifications....................................................................................................................................144
Electromagnetic compatibility (EMC) information..............................................................................149
Alarm information..............................................................................................................................153
Tone information................................................................................................................................154
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Contents
iii
List of abbreviations
AC
EMC
ESG
FSM
HF
HPCS
ICD
IED
RCAP
UDI
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Alternating Current
Electromagnetic Compatibility
Electrosurgical Generator
Fast Spark Monitor
High Frequency
High Power Cut Support
Implanted Cardioverter Defibrillator
Implanted Electronic Device
Resistance Controlled Automatic Power
Unique Device Identifier
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Important information – Please read before use
Labels and symbols
Safety related labels are attached on the housing of the ESG-400. If labels or
symbols are missing or illegible, contact Olympus. Function-related symbols are
described in chapter “2.1 Symbols and descriptions”.
1.
2.
3.
4.
Caution, read instructions
Defibrillation proof type CF applied part (cardiac application)
UDI (unique device identifier)
Output insulated from earth (connection for neutral electrode)
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Important information – Please read before use
LINK-IN
LINK-OUT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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Non-ionizing electromagnetic radiation
Type plate
Date of manufacture
CE marking
Potential equalization terminal
Refer to instructions
Fuse rating
Manufacturer
cTUVus marking
Waste electrical and electronic equipment
ELECTROSURGICAL GENERATOR ESG-400
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Important information – Please read before use
Important information – Please Read
Before Use
Intended use
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.
Contraindications:
Electrosurgical interventions are contraindicated if, in the judgment of the physician,
tissue coagulation and cutting could have a negative effect on the state of the
patient. Electrosurgical tissue coagulation and cutting may be contraindicated
for patients with cardiac pacemakers, a weakened immune system or blood
coagulation disorders.
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.
Instruction manual
This instruction manual contains essential information on using this electrosurgical
generator safely and effectively. Before use, thoroughly review this instruction
manual and the instruction manual of all equipment which will be used during the
procedure. 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 instruction manual, please contact Olympus.
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Important information – Please read before use
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User qualifications
If there is an official standard that defines the qualifications required for medical
personnel using electrosurgical generators as defined by a national or local
medical administration or other institution, such as an academic society, follow
this standard. If there is no such standard, the user must be a physician or medical
personnel under supervision of a physician and must have received appropriate
training in using this electrosurgical generator. This instruction manual, therefore,
does not explain or discuss endoscopic or electrosurgical procedures.
In addition, the user must undergo an instruction / training for the use of this
electrosurgical generator. The instruction / training will be provided by authorised
representatives of Olympus during installation and commissioning.
Federal Law of the USA restricts this device to use by, or on the order of, a
physician.
Electrosurgical generator compatibility
Refer to the “System chart” and “Specifications” in the Appendix to confirm that
this electrosurgical generator is compatible with the ancillary equipment being
used. Using incompatible equipment can result in patient injury and / or equipment
damage.
For the electromagnetic compatibility (EMC), this electrosurgical generator
complies with IEC 60601-1-2.
Repair and modification
This electrosurgical generator does not contain any user-serviceable parts. Do
not disassemble, modify, or attempt to repair it; patient or user injury and / or
equipment damage may result. Repairs must only be carried out by Olympus or a
firm authorised by Olympus. Some problems that appear to be malfunctions may
be corrected by referring to “Chapter 8 Troubleshooting”. If the problem cannot
be resolved using the information in this chapter, contact Olympus.
Signal words
The following signal words are used throughout this instruction 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.
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Important information – Please read before use
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.
Dangers, warnings and cautions
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.
Follow the dangers, warnings and cautions given below when handling this
electrosurgical generator. This information is to be supplemented by the dangers,
warnings and cautions given in each chapter.
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
There is a risk of injury to the patient and/or the
user caused by unauthorized repairs and product
modification.
•• Do not attempt to repair or modify the product.
CAUTION
Annual safety checks
The electrosurgical generator and the footswitch
must undergo a safety check in yearly intervals in
accordance with the national statutory regulations
(refer to chapter “8.3 Periodic safety check”).
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Important information – Please read before use
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Environmental conditions
CAUTION
Interference with other equipment
•• 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
leakage current is not guaranteed.
-- Electrosurgical equipment whose
combined use is not guaranteed.
against
safety
in
•• 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 “Electromagnetic compatibility
(EMC) information” in the Appendix regarding
electromagnetic ambient conditions.
•• Never loop the cords (active cord, bipolar cord,
neutral electrode cord) or bundle cords together
with cords 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.
CAUTION
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Unsuitable temperature and humidity
The electrosurgical generator should only be used
under the conditions as described in the section
“Transportation, storage and operating environment”
in the Appendix. Use under other conditions may
impede normal performance and / or result in
equipment damage.
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Important information – Please read before use
Accessories
WARNING
Mechanical stress
Do not apply excessive bending, straining, or
squeezing force to any cords. It may cause
malfunction.
CAUTION
Damaged and non-compatible 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
“Mode characteristics”, “Output characteristics”
in the Appendix, and the instruction manual of
the accessory). For a list of compatible neutral
electrodes refer to “Specifications” in the Appendix.
For compatible plugs and sockets refer to chapter
“3.8 Connection of HF instruments”.
•• 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.
Electric shock
WARNING
Grounding failure
To prevent the risk of electric shock, the housing of the
electrosurgical generator must be grounded. Always
connect the power cord plug to a properly grounded
wall outlet. Do not use a 3-pin / 2-pin adapter, 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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Important information – Please read before use
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Burns
WARNING
Patient and / or user
•• The maximum output voltage characteristics of the
electrosurgical generator are shown in the diagrams
in “Output characteristics” in the Appendix. 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.
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Important information – Please read before use
•• 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.
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.
Potential hazards for 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.
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Important information – Please read before use
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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.
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.
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.
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.
Fire / Explosion
•• 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.
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Important information – Please read before use
DANGER
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.
This electrosurgical generator is not explosion-proof.
Do not use the electrosurgical generator within an
explosion zone.
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!
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.
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Important information – Please read before use
15
•• 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 footswitch.
If the footswitch 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.
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Important information – Please read before use
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. Noninsulated 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. 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.
Legal information
Olympus, RFCoag, ESG, RCAP and AFU are trademarks or registered trademarks
of Olympus Corporation, Olympus Medical Systems Corporation and / or their
affiliates, in the US and / or other countries.
Ricoh TrueType and Bitmap fonts designed by RICOH Company, Ltd. are used.
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Chapter 1 Checking the Package Contents
17
Chapter 1 Checking the Package
Contents
Verify that all items shown below are contained in the package. Inspect each item
for damage. If the electrosurgical generator is damaged, a component is missing
or you have any questions, do not use the electrosurgical generator and contact
Olympus.
1. Electrosurgical generator (ESG-400)
2. Footswitch with cable (WB50402W)
3. Instruction manual
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Chapter 2 Nomenclature and Functions
Chapter 2 Nomenclature and Functions
2.1 Symbols and descriptions
Front panel
Power on / off
Neutral electrode – non-split type
Neutral electrode – split type
Select procedure
Footswitch
Menu
BIPOLAR socket
MONOPOLAR 1 socket
UNIVERSAL socket
MONOPOLAR 2 socket
Touch-screen
Double footswitch
Single footswitch
Autostart
Plus
Minus
Return
OK
Cancel
Save procedure
Delete procedure
Languages
Touch tone on
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Chapter 2 Nomenclature and Functions
19
Touch tone off
Software version
Safety test
Service
Volume
Brightness
Select procedure (in title line)
Menu (in title line)
Toggle
Previous
Next
Numeric
Alphabetic
Uppercase / lowercase
Backspace
Caution
Communication indicator
Reset
Resistance Controlled Automatic Power
Reference to BIPOLAR socket
Reference to MONOPOLAR 1 socket
Reference to UNIVERSAL socket
Reference to MONOPOLAR 2 socket
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Chapter 2 Nomenclature and Functions
Rear panel
Volume
Footswitch
LINK-IN socket
LINK-OUT socket
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Chapter 2 Nomenclature and Functions
21
2.2 Front panel
1. Power switch
This switch turns the electrosurgical generator on and off.
2. BIPOLAR socket
This socket connects the plug of a bipolar HF instrument (applied part).
3. MONOPOLAR 2 socket
This socket connects the plug of a monopolar HF instrument (applied part).
4. MONOPOLAR 1 socket
This socket connects the plug of a monopolar HF instrument (applied part).
5. Touch-screen
Displays the connection status of the accessories and peripherals connected
to the electrosurgical generator. It is also used to show and modify the output
settings (e.g. mode, output power, effect) as well as to control other functions
(e.g. save procedures, delete procedures).
6. FOOTSWITCH push button
This button is used to open the “Footswitch screen” to assign one or two
footswitch(es) or the autostart function to a specific output socket.
7. SELECT PROCEDURE push button
This button is used to open the “Select Procedure screen” to recall saved
settings.
8. MENU push button
This button is used 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 neutral electrode
This indicator illuminates green if a split neutral electrode is connected and
the contact resistance is within an acceptable range. The indicator illuminates
red if the split neutral electrode is not connected or not applied properly (e.g.
bad contact quality or partly dislocated) or no neutral electrode is connected
(in both cases the activation of monopolar output is disabled).
10. Contact quality monitor indicator for non-split neutral electrode
This indicator illuminates green if a non-split neutral electrode is connected.
11. Neutral electrode socket
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Chapter 2 Nomenclature and Functions
This socket connects the plug of a neutral electrode for monopolar application
(applied part).
12. UNIVERSAL socket
This socket connects the plug of an Olympus HF instrument with HF instrument
recognition (applied part).
2.3 Rear panel
LINK-IN
LINK-OUT
1. Volume control
This knob is used for adjusting the output volume.
2. Ventilation hole
Holes for air ventilation via a cooling fan; there are also ventilation holes on
each side of the electrosurgical generator.
3. Equipotential bonding point
To increase electrical safety, this point is used for potential equalization. All
equipment housings that come into contact with the patient are electrically
connected in order to prevent low-frequency electrical currents from
endangering the patient in the event of a defect in the conventional protective
conductor system.
4. AC power socket
This socket serves as a connection to the mains power supply via a power
cord.
5. LINK-OUT socket
This socket connects the plug (14-pin) of a cable connected to peripheral
equipment.
6. Footswitch sockets
This socket connects the plug of a single or double pedal footswitch.
7. LINK-IN socket
This socket connects the plug (26-pin) of a cable connected to peripheral
equipment.
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Chapter 2 Nomenclature and Functions
NOTE
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•• The touch-screen messages may depend on the
language setting of the electrosurgical generator.
•• For a detailed explanation of the different types of
sockets refer to chapter “3.7 Connection of neutral
electrode (for monopolar treatment only)” and “3.8
Connection of HF instruments”.
2.4 Bottom panel
1. Docking socket
This socket connects the plug (7-pin) of a docking connector to connect
peripheral equipment.
2.5 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.
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2. Output socket name
The name of the corresponding output socket is displayed here.
3. Autostart indicator
This symbol indicates if the autostart function is assigned to the corresponding
output socket. Blank if autostart or footswitch is not assigned. Refer to chapter
“6.4 Assign footswitch and autostart function”.
4. Procedure name
The name of the selected procedure is displayed here. Blank if no procedure
is selected.
5. Communication indicator
This symbol indicates if communication with peripheral equipment connected
to the docking socket is established.
6. Footswitch indicator (double pedal)
This symbol indicates if a connected double pedal footswitch is assigned to the
corresponding output socket. Blank if autostart or footswitch is not assigned.
Refer to chapter “6.4 Assign footswitch and autostart function”.
7. Output mode
The name of the output mode as selected in the “Mode screen” is displayed
here. If “Off” is selected, “--“ will be displayed instead of power level and effect.
8. Output power level
The number shows the output power level as selected in the “Set screen”. If
an output power level is set to zero, “--” will be displayed instead of numbers.
9. Effect
The number shows the effect as selected in the “Set screen”. For RFCoag
mode the RCAP function can be selected instead of an effect (refer to chapter
“5.4 Output setting”).
10. Button area
Each button covers the entire area including all output socket related
information as described above (3. to 10.). Press the button, to switch to the
corresponding “Set screen” to select the mode, power levels and effects for
the corresponding output socket.
11. Footswitch indicator (single pedal)
This symbol indicates if a connected single pedal footswitch is assigned to the
corresponding output socket. Blank if autostart or footswitch is not assigned.
Refer to chapter “6.4 Assign footswitch and autostart function”.
12. Instrument / cable name or output socket name UNIVERSAL
If an instrument with instrument recognition or a cable with instrument
recognition is connected to the UNIVERSAL socket, then the name of the
instrument or cable will be displayed instead of the name of the output socket.
2.6 Set screen
1. Mode button
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