Force FX 8CAS Users Guide Dec 2014

User’s Guide

Force FX

TM

Electrosurgical Generator 8CAS

1081303

Preface

Preface This manual and the equipment it describes are for use only by qualified medical professionals trained in the particular technique and surgical procedure to be performed. It is intended as a guide for using the Covidien™ Force FX™ Electrosurgical Generator 8CAS only. Additional technical information is available in the Force FX-8CAS Electrosurgical Generator Service Manual. Equipment covered in this manual Force FX Electrosurgical Generator 8CAS 110 V ~ Nominal / 230 V ~ Nominal (auto selected)

Conventions Used in this Guide Warning Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury. Precaution Indicates a hazardous situation which, if not avoided, may result in minor or moderate injury. Important Indicates an operating tip or maintenance suggestion. Notice Indicates a hazard which may result in product damage.

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Force FX Electrosurgical Generator 8CAS User’s Guide

Limited Warranty

Limited Warranty Covidien warrants the covered product listed below to be free from defects in material and workmanship for normal use and service for the period(s) set forth below. Covidien’s obligation under this warranty is limited to the repair or replacement, at its sole option, of any product, or part thereof, which has been returned to it (or its authorized distributor) within the applicable time period shown below after delivery of the product to the original purchaser, and which examination discloses, to Covidien’s satisfaction, that the product is defective. This limited warranty does not apply to any product, or part thereof, which has been repaired or altered in a way so as, in Covidien’s judgment, to affect its stability or reliability, or which has been subjected to misuse, neglect, or accident. The warranty period for this Covidien product is as follows: Electrosurgical Generators

One year from date of shipment

Mounting Fixtures (all models)

One year from date of shipment

Footswitches (all models)

One year from date of shipment

Sterile Single Use Items

Sterility only as stated on packaging

Patent Return Electrodes

Shelf life only as stated on packaging

Notwithstanding any other provision herein or in any other document or communication, Covidien’s liability with respect to this limited warranty and the products sold hereunder shall be limited to the aggregate purchase price for the products sold to the customer. This limited warranty is non-transferable and runs only to the original purchaser of the covered product(s). There are no warranties which extend beyond the terms hereof. Covidien disclaims any liability hereunder or elsewhere in connection with the sale of products and for any form of indirect, tort, or consequential damages. This limited warranty and the rights and obligations hereunder shall be construed under and governed by the laws of the State of Colorado, USA. The sole forum for resolving disputes arising under or relating in any way to this limited warranty is the District Court of the County of Boulder, State of Colorado, USA. Covidien reserves the right to make changes in covered products built or sold by it at any time without incurring any obligation to make the same or similar changes to equipment previously built or sold by it. THE OBLIGATION TO REPAIR OR REPLACE A DEFECTIVE OR NONPERFORMING PRODUCT IS THE SOLE REMEDY OF THE CUSTOMER UNDER THIS LIMITED WARRANTY. EXCEPT AS EXPRESSLY PROVIDED HEREIN, COVIDIEN DISCLAIMS ALL OTHER WARRANTIES, WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WITH RESPECT TO PRODUCTS, INCLUDING WITHOUT LIMITATION ALL IMPLIED WARRANTIES, WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

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Software License

Software License Covidien llc, (collectively called “COVIDIEN” herein) own the entire right, title, and interest in and to all of the computer programs and all portions thereof, and associated documentation (collectively, the “Software”) provided to Customer as may be installed in the Products and equipment addressed herein or provided separately, and it has the sole right to grant licenses hereunder. The evaluation allowance herein and any ultimate price paid by Customer for the products incorporating the Software include as a portion of that evaluation allowance, or price, a license fee granting Customer only the rights set forth in this Software License. Customer further acknowledges and agrees that the Software is owned exclusively by COVIDIEN. The Software is licensed to be used on only one computing device or Product, and a valid license must be purchased for each computing device on which the Software is installed. Single User License Grant: COVIDIEN grants to Customer a limited, nonexclusive, nonsublicensable, nontransferable and revocable license to use the Software, exclusively at Customer’s location as identified by Customer as the ship-to location of the Product, solely in machine-readable object code form only on a single central processing unit owned or leased by Customer or otherwise embedded in equipment provided by COVIDIEN, and for the sole purpose of Customer’s internal business purpose in the operation of the Product or equipment purchased from, other otherwise provided by, COVIDIEN or its affiliates. Except to the extent expressly authorized in this Software License or by law, Customer shall not and shall not cause any third party to: (i) decompile, disassemble, or reverse engineer the Software; (ii) modify or create any derivative works (including, without limitation, translations, transformations, adaptations or other recast or altered versions) based on the Software, or alter the Software in any way; (iii) merge the Software with any other software or product not supplied by Supplier; (iv) use, copy, sell, sublicense, lease, rent, loan, assign, convey or otherwise transfer the Software except as expressly authorized by the Agreement; (v) distribute, disclose or allow use of the Software, in any format, through any timesharing service, service bureau, network or by any other means, to or by any third parties; (vi) remove or modify any copyright, confidential and/or proprietary markings, legends or restriction which are in the Software originally supplied to Customer; or (vii) violate any obligations with regard to COVIDIEN’s Confidential Information. To the extent that Customer is expressly permitted by applicable mandatory law to undertake any of the activities listed in the preceding sentence, Customer will not exercise those rights until Customer has given COVIDIEN thirty (30) days written notice of Customer’s intent to exercise any such rights unless an order of a government agency of competent jurisdiction will not so allow. Except for the limited license rights expressly granted in this Software License, COVIDIEN reserves all rights in and to the Software and any modifications thereto and derivations thereof, including, but not limited to, all title, ownership, intellectual property rights and all other rights and interests. Customer will own only the hardware or physical media on which the Software is stored or processed, if any. Customer agrees that the Software, including the specific design and structure of individual programs, constitute confidential information and trade secrets of COVIDIEN, whether or not the programs may be copyrighted or copyrightable, and/or patented or

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Force FX Electrosurgical Generator 8CAS User’s Guide

Software License

patentable. Customer agrees not to disclose, provide, or otherwise make available such confidential information, trade secrets or copyrighted material in any form to any third party. Customer agrees that it will make the Software available only to employees, contractors, or consultants with a need to know, who are obligated to comply with all license restrictions contained in this Software License Agreement and to maintain the secrecy of the Software and all other Confidential Information. Customer is responsible for the compliance of all users with these obligations. Customer may, from time to time, request that COVIDIEN incorporate certain features, enhancements or modifications into the Software. COVIDIEN may, in its sole discretion, undertake to incorporate such changes and distribute the Software so modified to all or any of COVIDIEN's customers. All such error corrections, bug fixes, patches, updates or other modifications provided to COVIDIEN shall be the sole property of COVIDIEN. This Software License is effective until terminated. Customer may terminate this License at any time by destroying all copies of Software including any documentation. This License will terminate immediately upon notice from COVIDIEN if Customer fails to comply with any provision of this License or any supplier agreement. COVIDIEN may terminate the Software licenses granted herein and exercise all available rights by giving written notice, effective immediately, if within ten (10) business days of Customer’s receipt of a reasonably detailed written request to cure, Customer has not cured all breaches of this License’s limitations or restrictions. Upon such termination, Customer will immediately pay all undisputed fees outstanding, cease use of all Software, return or delete, at COVIDIEN’s request, all copies of the Software in Customer’s possession, and certify compliance with all of the obligations herein to COVIDIEN in writing. Limited Warranty: COVIDIEN represents and warrants to Customer that the Software will perform substantially as described in COVIDIEN's then current documentation for such Software for the longer of (a) the remaining warranty applicable to the product with which such Software was delivered (not to exceed one year) or (b) ninety (90) days from the date such Software was shipped or first made available to Customer for electronic download from COVIDIEN’s service site. If you notify COVIDIEN of defects during the warranty period, COVIDIEN will replace the Software or, at its option, refund the purchase price. Your remedy for breach of this limited warranty shall be limited to replacement or refund and shall not encompass any other damages. No dealer, distributor, agent or employee of COVIDIEN is authorized to make any modification or addition to the warranty and remedies stated above. Notwithstanding these warranty provisions, all of COVIDIEN's obligations with respect to such warranties shall be contingent on Customer’s use of the Software in accordance with this Agreement and in accordance with COVIDIEN's instructions as provided by COVIDIEN in the documentation, as such instructions may be amended, supplemented, or modified by COVIDIEN from time to time. COVIDIEN shall have no warranty obligations with respect to any failures of the Software which are the result of accident, abuse, misapplication, extreme power surge or extreme electromagnetic field. This warranty does not apply to any damages, malfunctions, or non-conformities caused to or by: (i) Customer’s use of Software in violation of the license granted under the Agreement or in a manner inconsistent with any provided documentation; (ii) use of nonCOVIDIEN furnished equipment, software, or facilities with its equipment or Products; (iii) Customer’s failure to follow COVIDIEN’s installation, operation, repair or maintenance instructions; (iv) Customer’s failure to permit COVIDIEN timely access, remote or

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Software License

otherwise, to Products; (v) failure to implement all new Updates to Software provided under the Agreement; (vi) Products or equipment with their original manufacturer’s serial numbers altered, defaced or deleted; (vii) Products or equipment that have been altered, serviced or modified by a party other than COVIDIEN; or (viii) Software that has been subjected to abnormal physical or electrical stress, misuse, negligence or accident by Customer or a third party. DISCLAIMER: EXCEPT AS SPECIFIED IN THIS WARRANTY, ALL EXPRESS OR IMPLIED CONDITIONS, REPRESENTATIONS, AND WARRANTIES INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR ARISING FROM A COURSE OF DEALING, USAGE, OR TRADE PRACTICE, ARE HEREBY EXCLUDED TO THE EXTENT ALLOWED BY APPLICABLE LAW. IN NO EVENT WILL EITHER PARTY BE LIABLE FOR ANY LOST REVENUE, PROFIT, OR DATA, OR FOR SPECIAL, INDIRECT, CONSEQUENTIAL, INCIDENTAL, OR PUNITIVE DAMAGES HOWEVER CAUSED AND REGARDLESS OF THE THEORY OF LIABILITY ARISING OUT OF THIS SOFTWARE LICENSE EVEN IF SUCH PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. IN NO EVENT SHALL ONE PARTY’S LIABILITY TO THE OTHER PARTY, WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR OTHERWISE, EXCEED THE PRICE PAID OR TO HAVE BEEN PAID BY CUSTOMER. THE FOREGOING LIMITATIONS SHALL APPLY EVEN IF THE ABOVE-STATED WARRANTY FAILS OF ITS ESSENTIAL PURPOSE. SOME STATES DO NOT ALLOW LIMITATION OR EXCLUSION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES. U.S. Government Rights. The Software is a “commercial item” developed exclusively at private expense, consisting of “commercial computer software” and “commercial computer software documentation” as such terms are defined or used in the applicable U.S. acquisition regulations. The Software is licensed hereunder (i) only as a commercial item and (ii) with only those rights as are granted to all other customers pursuant to the terms and conditions of this License. Customer shall not use, duplicate, or disclose the Software in any way not specifically permitted by this License. Nothing in this License requires COVIDIEN to produce or furnish technical data for or to Customer. If any provision of this Agreement shall be held by a court of competent jurisdiction to be illegal, invalid or unenforceable, the remaining provisions shall remain in full force and effect. This License Agreement contains the entire understanding and agreement between the parties respecting the Software. This Agreement may not be supplemented, modified, amended, released or discharged except by an instrument in writing signed by each party's duly authorized representative. All captions and headings in this Agreement are for purposes of convenience only and shall not affect the construction or interpretation of any of its provisions. Any waiver by either party of any default or breach hereunder shall not constitute a waiver of any provision of this Agreement or of any subsequent default or breach of the same or a different kind. The construction and performance of this Agreement will be governed by the laws of the State of Colorado without reference to its choice of law principles. The parties hereby submit to the jurisdiction of the courts of the State of Colorado.

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Force FX Electrosurgical Generator 8CAS User’s Guide

Table of Contents Preface... ii Conventions Used in this Guide... ii Limited Warranty...iii Software License...iv

Chapter 1. Introduction Overview... 1-2 Indications for Use... 1-2 Instant Response Technology... 1-3 Bipolar Modes... 1-3 Autobipolar Mode... 1-3 Monopolar Cut and Coag Modes... 1-4 Simultaneous Coag... 1-4 REM Contact Quality Monitoring System... 1-4 How the REM System Works... 1-5 Electrodes Without the REM Safety Feature... 1-5 Ultrasonic Electrosurgery... 1-5

Chapter 2. Controls, Indicators, and Receptacles Front Panel... 2-2 Bipolar Controls... 2-3 Bipolar Instrument Receptacle... 2-4 Monopolar Cut Controls... 2-5 Monopolar Coag Controls... 2-6 Monopolar Instrument Receptacles... 2-7 REM Alarm Indicator... 2-8 Rear Panel... 2-9 Footswitch Receptacles... 2-10 Monopolar Footswitch Receptacles... 2-10 Bipolar Footswitch Receptacle... 2-10 Power Entry Module... 2-11 Activation Tone Volume Control... 2-11 Option Panel... 2-12

Chapter 3. Patient and Operating Room Safety General... 3-2 Fire/Explosion... 3-3 Fire Hazard with Oxygen Circuit Connections... 3-3

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Electrosurgical Smoke... 3-3 Inadvertent Radio Frequency Burns... 3-4 Ensure Proper Connections... 3-4 Accessories... 3-5 Servicing... 3-5 Before Surgery... 3-5 Active Accessories... 3-5 Patient Return Electrodes... 3-6 Shunt Cords... 3-7 Generator... 3-7 During Surgery... 3-8 Generator Power Settings... 3-8 Forceps... 3-8 Suction Coagulators... 3-8 Contact with Metal Objects... 3-9 Active Accessories... 3-9 Patient Return Electrodes... 3-10 Laparoscopic Procedures... 3-11 After Surgery... 3-12

Chapter 4. Before Surgery Quick Setup Instructions... 4-2 Setting Up the Generator... 4-3 Preparing for Bipolar or Macrobipolar Surgery... 4-5 Connections for Bipolar or Macrobipolar Surgery... 4-5 Setting the Bipolar Output... 4-6 Preparing for Monopolar Surgery... 4-7 Connections for Monopolar Surgery... 4-7 Applying a Patient Return Electrode to the Patient... 4-9 Using Two Generators Simultaneously... 4-10 Pacemakers... 4-10 Selecting Cut and Coag Modes... 4-11 Changing the Desiccate Mode... 4-11 Simultaneous Coag... 4-12 Preparing for Ultrasonic Electrosurgery... 4-13 Connecting the Patient Return Electrode... 4-13 Connecting the CUSA Handpiece with CEM Nosecone. . 4-13 Setting the Output Power... 4-15

Chapter 5. During Surgery Checking Accessory Connections... 5-2 Checking the Patient Return Electrode... 5-2

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Force FX Electrosurgical Generator 8CAS User’s Guide

Changing the Mode... 5-2 Selecting the Power Setting... 5-3 Changing the Power Setting... 5-3 Techniques for Keeping Power Settings Low... 5-4 Typical Power Settings... 5-5 Activating the Surgical Instrument... 5-6 Autobipolar Activation... 5-6 Autobipolar Setup Mode... 5-7 Activation Indicators... 5-9 Adjusting the Volume of Activation Tones... 5-10 Responding to Alarms... 5-10 REM Alarm... 5-10 Non-REM Patient Return Electrode Alarm... 5-10 System Alarm... 5-11

Chapter 6. After Surgery Preparing the Generator for Reuse... 6-2 Storing the Generator... 6-2

Chapter 7. Troubleshooting General Troubleshooting Guidelines... 7-2 Correcting a REM Alarm Condition... 7-2 Applying Additional Patient Return Electrodes... 7-3 Correcting Malfunctions... 7-5 Responding to System Alarms... 7-10

Chapter 8. Maintenance and Repair Responsibility of the Manufacturer... 8-2 Routine Maintenance... 8-2 Returning the Generator for Service... 8-3 Technical Service... 8-4

Chapter 9. Technical Specifications Performance Characteristics... 9-2 General... 9-2 Dimensions and Weight... 9-2 Operating Parameters... 9-3 Transport and Storage... 9-3 Duty Cycle... 9-3 Internal Memory... 9-4 Audio Volume... 9-4 REM Contact Quality Monitor... 9-5

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Serial Port... 9-6 RF Activation Port... 9-6 Expansion Port... 9-7 Low Frequency (50–60 Hz) Leakage Current... 9-7 High Frequency (RF) Leakage Current... 9-8 Input Power... 9-8 Power Cord Specification... 9-8 Standards and IEC Classifications... 9-10 Class I Equipment (IEC 60601-1)... 9-17 Type CF Equipment (IEC 60601-1)/Defibrillator Proof . . . 9-17 Liquid Spillage... 9-17 Electromagnetic Interference... 9-17 Electromagnetic Compatibility... 9-18 Voltage Transients (Emergency Generator Mains Transfer)... 9-18 Output Characteristics... 9-19 Maximum Output for Bipolar and Monopolar Modes . . 9-19 Maximum Output for Ultrasonic Electrosurgery... 9-20 Available Power Settings in Watts... 9-20 Output Waveforms... 9-22 Output Power vs. Resistance Graphs... 9-24 Bipolar Graphs... 9-24 Monopolar Cut Graphs... 9-31 Monopolar Coag Graphs... 9-37

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Force FX Electrosurgical Generator 8CAS User’s Guide

Chapter 1 Introduction

This chapter includes information about •

Instant Response Technology

•

Bipolar modes

•

Monopolar cut and coag modes

•

Simultaneous coag

•

REM™ Contact Quality Monitoring System

•

Ultrasonic electrosurgery Precaution

Read all warnings, cautions, and instructions provided with this generator before using. Read the instructions, warnings, and cautions provided with electrosurgical accessories before using. Specific instructions are not included in this manual.

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Overview

Overview The Force FX Electrosurgical Generator 8CAS with Instant Response Technology is an isolated output electrosurgical generator that provides power for cutting, desiccating, and fulgurating tissue during bipolar and monopolar surgery. It includes the following features: •

Instant Response Technology

•

Three bipolar modes: precise (low), standard (medium), and macro (macrobipolar)

•

Autobipolar mode

•

Three monopolar cut modes: low, pure, and blend

•

Three monopolar coag modes: desiccate (low), fulgurate (medium), and spray (high)

•

Support for simultaneous coagulation

•

REM Contact Quality Monitoring System

•

Support for ultrasonic electrosurgery using the CUSATM* System 200 or CUSA EXcelTM* system and a CUSA handpiece with CEMTM* nosecone

•

Handswitch or footswitch activation

•

Recall of most recently used mode and power settings

•

Adjustable activation tone volume

•

An RF activation port, RS-232 serial port, and expansion port

•

Valleylab™ Argon Gas Delivery Unit II compatibility.

Covidien electrosurgical generators, patient return electrodes, and active accessories are designed to work as a system. Covidien offers a selection of patient return electrodes and electrosurgical instruments that are fully compatible with this generator. When considering other manufacturer’s patient return electrodes and/or active accessories, customers should seek detailed user instructions and warning information from the manufacturer.

Indications for Use The Force FX-8CAS is an electrosurgical generator containing monopolar and bipolar technology. It is intended for use with accessories during surgical procedures where the surgeon requires electrosurgical cutting (resecting, dividing, or separating) and coagulating (hemostasis).

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Force FX Electrosurgical Generator 8CAS User’s Guide

Instant Response Technology

The Force FX-8CAS generator automatically senses resistance and adjusts the output voltage to maintain a consistent effect across different tissue density. This adjustment is based on the selected mode (bipolar or cut modes only), power setting, and level of tissue resistance. The maximum output voltage is controlled to reduce capacitive coupling and video interference and to minimize sparking.

Introduction

Instant Response Technology

Bipolar Modes Delicate tissue requires less heat to desiccate quickly. The Force FX-8CAS generator provides low voltage, continuous current for faster desiccation without sparking. The possibility of sparking increases as desiccated tissue dries and becomes more resistant. The generator protects against sparking by limiting the bipolar voltage at relatively high levels of tissue resistance. Three bipolar modes are available: precise, standard, and macrobipolar. •

Force r (low) may be used when a high degree of precision and fine control over the amount of desiccation are essential. Voltage is kept low to prevent sparking. The power remains constant over a specific range of tissue resistance, allowing a consistent tissue effect.

•

XEltslo s (medium) may be used for most bipolar applications. The voltage is kept low to prevent sparking. The power remains constant over a specific range of tissue resistance, allowing a consistent tissue effect.

•

ulco g (macrobipolar) may be used for bipolar cutting or rapid coagulation. Voltage is higher and there is more power than with the other two bipolar modes.

For details about the output characteristics, refer to Chapter 9, Technical Specifications.

Autobipolar Mode The autobipolar feature senses tissue impedance between the two bipolar electrodes, then uses the impedance information to automatically start or stop bipolar RF keying. Optionally, the user may choose between footswitch start and auto start, or program a delay between auto start and RF activation. The autobipolar function is available only in the Precise and Standard bipolar modes on the Force FX-8CAS generator. It is not available in the Macrobipolar mode.

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Monopolar Cut and Coag Modes

Monopolar Cut and Coag Modes Three cut modes-low, pure, and blend-allow a wide range of power settings necessary to perform diverse surgical procedures. •

Low may be used for a cut with little or no sparking; useful for delicate tissue or laparoscopic surgery.

•

Pure may be used when you desire a clean, precise cut in any tissue with little or no hemostasis.

•

Blend may be used where slower cutting and additional hemostasis is desired.

The three coagulation modes-desiccate, fulgurate, and spray-help control the size of the area and the depth of penetration during tissue coagulation. •

Desiccate dehydrates and destroys tissue without sparking or cutting. Because the active electrode directly touches the tissue, more current reaches the patient. Desiccation places the greatest demand on the patient return electrode.

•

Fulgurate coagulates tissue by sparking from the active electrode, through air, to the patient tissue. Since sparks may spray unpredictably from the electrode during fulguration, using fulguration for delicate tissue or in confined areas can complicate surgery. Accidental sparking to adjacent areas can occur as tissue at the surgical site dries and becomes more resistant to current flow.

•

Spray affords optimum fulguration; penetration is shallower and the tissue area is larger than with the fulgurate mode.

For details about the output characteristics, refer to Chapter 9, Technical Specifications.

Simultaneous Coag If you connect an instrument to each monopolar receptacle and activate them for coag simultaneously, each receives a percentage of the power set for the particular coag mode, dependent on the tissue resistance sensed by the generator at each surgical site. The Force FX-8CAS generator will only activate in fulgurate and spray coag modes. Generally, the site with lower resistance receives proportionately more power. The combined total output power does not exceed the coag power setting. You can also use a CUSA handpiece with a CEM nosecone for simultaneous coag when you connect a monopolar instrument to the Monopolar 2 Instrument receptacle. For the Force FX-8CAS generator, only Desiccate 1 coag is available. The maximum power is 70 watts.

REM Contact Quality Monitoring System During monopolar electrosurgery, a patient return electrode is always required to safely recover the current that flows through the patient’s body and return it to the generator. A reduction in surface area contact or poor conductivity between the patient and the return

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Force FX Electrosurgical Generator 8CAS User’s Guide

Ultrasonic Electrosurgery

The Force FX-8CAS generator uses the REM Contact Quality Monitoring System to monitor the quality of electrical contact between the patient return electrode and the patient. The REM system is designed to minimize the risk of burns at the return electrode site due to a reduction in patient contact area during monopolar electrosurgery. Use of any return electrode other than a REM PolyhesiveTM patient return electrode may compromise the REM safety feature. This could result in a patient burn.

Introduction

electrode can cause the current to become concentrated, potentially resulting in burns at the return electrode site.

How the REM System Works The REM system continuously measures the resistance at the return electrode site and compares it to a standard range of safe resistance (between 5 and 135 ohms), thus eliminating intermittent false alarms that could result from small changes in resistance. The REM system also adapts to individual patients by measuring the initial contact resistance between the patient and the patient return electrode. A REM alarm sounds and the generator stops producing output power when either of the following occurs: •

The measured resistance is below 5 ohms or above 135 ohms, the limits of the standard range of safe resistance.

•

An increase in contact resistance is greater than 40% from the initial measurement.

Electrodes Without the REM Safety Feature Warning Using a conventional patient return electrode without the REM safety feature will not activate the REM Contact Quality Monitoring System.

When you use a patient return electrode that does not have the REM safety feature, the REM system cannot monitor the patient contact area as previously described. The REM system can monitor only the pin-to-pin resistance at the connector and can detect broken wires or connectors in the return electrode cord.

Ultrasonic Electrosurgery The Force FX-8CAS generator works in conjunction with the CUSA System 200 and CUSA EXcel system for procedures where combined ultrasonic dissection and electrosurgical cutting and coagulation is desired, either simultaneously or independently. In addition to convenience, the combination of ultrasonic vibration plus simultaneous electrosurgical current prevents charring of the tip and decreases sticking and disruption of coagulum, leading to more effective hemostasis.

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Ultrasonic Electrosurgery

When you connect a CUSA handpiece with a CEM nosecone to the generator for ultrasonic electrosurgery, it limits the monopolar output power automatically. •

The maximum power you can set for monopolar cut is 100 watts.

•

The maximum power you can set for monopolar coag is 70 watts.

When you activate the handpiece for cut or coag output, the Low cut mode or the Desiccate 1 coag mode is in effect automatically. The remaining cut modes and coag modes are not available.

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Force FX Electrosurgical Generator 8CAS User’s Guide

Chapter 2 Controls, Indicators, and Receptacles

This chapter describes the front and rear panels, including all controls, indicators, receptacles, the fuse drawer, and ports.

Force FX Electrosurgical Generator 8CAS User’s Guide

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Front Panel

Front Panel 1

2

11

4

3

10

9

5

8

6

7

཰ Recall button Pressing this button sets the generator to the most recently used mode and power settings.

ཱ Bipolar controls ི Cut controls ཱི Coag controls ུ CEM indicator ཱུ REM alarm indicator ྲྀ Patient return electrode receptacle For monopolar electrosurgery, connect a patient return electrode to this receptacle.

ཷ Monopolar 2 instrument receptacle ླྀ Monopolar 1/CEM instrument receptacle ཹ Bipolar instrument receptacle ེ Power switch This switch supplies power to the generator.

2-2

•

To turn on the generator, press (|).

•

To turn off the generator, press (O).

Force FX Electrosurgical Generator 8CAS User’s Guide

Bipolar Controls

Bipolar Controls 1

8

2

7

6

5

4

཰ Bipolar indicator When you activate bipolar, this indicator illuminates blue and an activation tone sounds.

Controls, Indicators, and Receptacles

3

ཱ Autobipolar Button Select for autobipolar mode. Note: When this mode is selected, the leftmost Bipolar digit will display either an uppercase “A” or “P” indicating whether keying is automatic (A) or accomplished through a footswitch pedal (P).

ི Power buttons Press ▲ to increase the power. Press ▼ to decrease the power.

ཱི Macro mode button Select for macrobipolar output.

ུ Standard mode button Select for standard bipolar tissue desiccation. This is the default bipolar mode.

ཱུ Precise mode button Select for fine bipolar tissue desiccation.

ྲྀ Mode indicators Illuminate green when you press the corresponding mode button.

ཷ Bipolar display Shows the power setting, in watts, for the selected mode.

Force FX Electrosurgical Generator 8CAS User’s Guide

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