ACKERMANN 16-2000-700 User manual

USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
16-2000-700/701/702/703
ELECTROSURGICAL UNIT
INSTRUCTIONS FOR USE

USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
These operating instructions contain information that is subject to copyright.
All rights are reserved.
This manual should not be photo-copied, duplicated on microfilm or otherwise copied or distributed,
completely or in part, without the approval of the manufacturer. The manufacturer will appreciate any
errors or anything unclear in this operating manual being pointed out to us by users of our products.
Due to the continuing progress and development of our products, we reserve all rights for technical
alterations.
Rev. 05/2018
SERVICE ADDRESS:
Ackermann Instrumente mbH
Eisenbahnstrase 65-67
78604 Rietheim-Weilheim
ermany
SYMBOLS USED IN THIS MANUAL:
Impo tant notice
Recommendation
Caution
Wa ning
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
Contents
1. Areas of use for the HF 16-2000-700 syste .........................................................5
1.1 HF 16-2000-700 operating odes...................................................................5
2. Electrosurgery basics..........................................................................................6
2.1 Monopolar operation......................................................................................7
2.2 Bipolar operation..........................................................................................7
3. Sy bol..............................................................................................................8
4. Device appearance and construction.....................................................................9
4.1 Front panel..................................................................................................9
4.2 Back panel.................................................................................................12
4.3 Main panel.................................................................................................13
4.4 Active panel – detailed view for a given output...............................................15
5. HF 16-2000-700 technical specifications..............................................................16
6. HF 16-2000-700 accessories list.........................................................................19
7. Preparing the syste for work............................................................................20
7.1 Connecting power cables..............................................................................20
7.2 Pneu atic ducts connection..........................................................................23
7.3 Connecting accessories for electrosurgical procedures......................................25
7.3.1 Neutral electrode cable.......................................................................25
7.3.2 Instru ent cable for universal ASD sockets...........................................26
7.3.3 Monopolar electrode cable with 3-pin plug.............................................26
7.3.4 Bipolar instru ent cable for 2-pin sockets.............................................26
7.3.5 Argon duct........................................................................................27
7.4 Instru ent detection...................................................................................27
7.5 Wireless footswitch receiver..........................................................................29
7.5.1 Operation with 3-button footswitch.......................................................30
7.6 Settings.....................................................................................................30
7.6.1 Working para eter adjust ent............................................................32
7.6.2 Effect adjust ent...............................................................................33
7.6.3 Argon flow settings.............................................................................34
7.6.3.1 Cautions for using argon-enhanced coagulation...............................36
7.6.3.2 Suggested settings......................................................................37
8. Syste operation and surgical procedures...........................................................39
8.1 Turning the syste on.................................................................................39
8.2 Neutral electrode onitoring – the NEM SYSTEM.............................................39
8.2.1 Monitoring of application of split disposable neutral electrodes.................39
8.2.2 Split disposable electrodes..................................................................42
8.2.3 Non-split reusable electrodes...............................................................42
8.2.4 Neutral electrode application principles.................................................44
8.3 Operating ode selection.............................................................................46
8.4 HF 16-2000-700 syste activation ethods...................................................50
8.4.1 Activation fro handle........................................................................50
8.4.2 Activation fro footswitch:..................................................................50
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
8.4.3 Syste activation using the AutoStart function......................................51
8.5 Monopolar cutting.......................................................................................51
8.5.1 Drying cutting – MIXED CUT................................................................54
8.5.2 Polypecto y and Papilloto y...............................................................55
8.6 Monopolar coagulation.................................................................................59
8.6.1 Argon coagulation..............................................................................61
8.6.2 Argon-enhanced pulse coagulation.......................................................62
8.7 SIMULTANEOUS WORK (optional)..................................................................63
8.8 Bipolar cutting............................................................................................65
8.9 Bipolar coagulation......................................................................................66
8.9.1 The AutoStart and AutoStop functions in bipolar coagulation...................67
8.10 VesSeal....................................................................................................69
8.11 Syste overload control.............................................................................71
8.12 Progra setting........................................................................................71
8.12.1 Copying of progra s.........................................................................74
8.12.2 The MultiSwitch function....................................................................74
8.13 Menu content............................................................................................76
8.13.1 Catalogue........................................................................................77
8.13.2 Change of text and essage language................................................77
8.13.3 Style change....................................................................................78
8.13.4 Volu e adjust ent...........................................................................78
8.13.5 Screen brightness change..................................................................79
8.13.6 Service...........................................................................................80
8.13.7 Restoring the suggested settings........................................................80
8.13.8 Inspection due date..........................................................................81
8.13.9 Contact...........................................................................................81
8.13.10 Maxi u activation ti e.................................................................82
8.14 Turning the syste off...............................................................................82
9. Errors and essages.........................................................................................83
9.1 The ost co on errors during syste operation..........................................83
9.2 List of errors and essages..........................................................................83
10. Protection easures and warnings....................................................................92
11. Technical inspection, warranty and service..........................................................95
12. Syste and accessories aintenance..............................................................129
12.1 Reco ended cleaning and sterilising agents for non-disposable electrosurgical
accessories...............................................................................................129
12.1.1 Manual washing..............................................................................130
12.1.2 Mechanical washing........................................................................130
12.1.3 Autoclave sterilization.....................................................................131
12.1.4 For aldehyde sterilisation...............................................................131
13. Environ ental require ents...........................................................................131
13.1 Electro agnetic e issions.......................................................................131
14. Environ ental protection guidelines.................................................................134
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
IMPORTANT NOTICE
The attach ents to this Operating Manual contain the Safety Manual and the Catalogue of
Accessories. Please contact the anufacturer if there are no attach ents.
1. A eas of use fo the HF 16-2000-700 system
The HF 16-2000-700 syste can be used for cutting and coagulation in all surgical
procedures. It is intended for both open and laparoscopic surgery, as well as endoscopic
procedures.
HF 16-2000-700 enables work in a fluid environ ent, for instance in ono- and bipolar
TUR electroresection. The device is equipped with a CF output (floating), so that it can be
used on the central nervous syste and the heart. Depending on the purchased version
of the HF 16-2000-700 device, it can be equipped with an argon odule, allowing to
perfor argon-enhanced cutting and coagulation treat ents during open surgery,
laparoscopic procedures, and using flexible electrodes in endoscopic surgery.
It can also have the integrated VesSeal ode for sealing large blood vessels and for
preparing tissues using special instru ents.
1.1 HF 16-2000-700 ope ating modes
HF 16-2000-700 syste ay be equipped with the following operating odes:
MONO CUT (standard onopolar cutting)
PRECISE CUT (precise onopolar cutting)
MIXED CUT (drying onopolar cutting)
MUCO CUT ( onopolar cutting for ucosecto y procedures)
POLIPO CUT (endoscopic onopolar cutting – polypecto y)
PAPILLO CUT (endoscopic onopolar cutting – papilloto y)
ARTRO CUT (arthroscopic onopolar cutting in fluid environ ent)
URO CUT (urological onopolar cutting in fluid environ ent)
HYSTERO CUT (gynaecological onopolar cutting in fluid environ ent)
DUAL CUT ( onopolar cutting in si ultaneous work ode)
ARGON CUT (argon-enhanced onopolar cutting)
SOFT COAG (soft onopolar coagulation)
FORCED COAG (forced onopolar coagulation)
HYBRID COAG (forced onopolar coagulation with non-contact work function)
SPRAY COAG ( onopolar non-contact coagulation,)
ENDO SPRAY (endoscopic onopolar non-contact coagulation)
STANDARD ARGON (argon-enhanced onopolar coagulation)
ENDO ARGON (argon-enhanced endoscopic onopolar coagulation)
PULSE ARGON (argon-enhanced pulse endoscopic onopolar coagulation)
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
URO COAG (urological onopolar coagulation in fluid environ ent)
ARTRO COAG (arthroscopic onopolar coagulation in fluid environ ent)
HYSTERO COAG (gynaecological onopolar coagulation in fluid environ ent)
DUAL COAG (forced onopolar coagulation in si ultaneous work ode)
BI-CUT (bipolar cutting)
URO BI-CUT (urological bipolar cutting in fluid environ ent)
HYSTERO BI-CUT (gynaecological bipolar cutting in fluid environ ent )
ARTRO BI-CUT (arthroscopic bipolar cutting in fluid environ ent)
SOFT BI-COAG (soft bipolar coagulation)
FORCED BI-COAG (forced bipolar coagulation)
URO BI-COAG (urological bipolar coagulation in fluid environ ent)
HYSTERO BI-COAG (gynaecological bipolar coagulation in fluid environ ent)
ARTRO BI-COAG (artroscopic bipolar coagulation in fluid environ ent)
SCISS BI-COAG (soft bipolar coagulation for cutting with bipolar scissors)
VesSeal (bipolar syste for sealing large blood vessels)
IMPORTANT NOTICE
The availability of particular odes depends on the configuration of the unit.
2. Elect osu ge y basics
Currently, electrosurgery is a technique used in virtually all kinds of surgical procedures.
In order to use electrosurgery effectively, it is necessary to learn and understand it, and
to apply the safety rules designed for axi u protection of both the surgeon and the
patient.
An elect osu gical unit is a device that uses electricity to generate high-frequency (HF)
alternating current. The ther al effect caused by the HF current flowing through the
tissue is used for tissue cutting or coagulation. An electrosurgical unit generates
alternating current at frequencies higher than 300 kHz, so there is no risk of unintended
effects of uscle and nerve electrolysis/sti ulation.
WARNING
When working with an electrosurgical unit generating high-frequency current, always
re e ber the two funda ental rules:
the current flows along all the available paths
HF leakage current flows between two adjacent conductors even if they are separated
fro each other
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
2.1 Monopola ope ation
In the onopolar ode, the HF current is
delivered to the tissue by the active electrode.
The cutting or coagulation effect results fro
the concentration of the high density HF
current on the s all surface of the active
electrode. This causes the increase in
te perature and evaporation of water fro the
tissue in the direct vicinity of the active
electrode and eventually results in hae ostasis
and arrest of bleeding, or cutting of tissue.
Subsequently, the HF current flows to the
neutral electrode where it is dispersed. In this
way, the density of the HF current decreases
and no unintended ther al effect occurs at the
site of the neutral electrode application. Fro
the neutral electrode the HF current returns to
the unit.
2.2 Bipola ope ation
When the device operates in the bipolar ode,
HF current flows between two jaws of a bipolar
instru ent and concentrates exclusively on the
s all area located between the . In the
bipolar ode the dangerous flow of current
through the patient’s body to the neutral
electrode does not occur, so the risk of burns
occurring outside the i ediate surgical area
is ini ised. Thus, bipolar coagulation odes
are safer than the onopolar odes and they
are particularly reco ended for procedures
involving patients with cardiac pace akers or
for procedures perfor ed on organs with a
s all cross-sectional area. In the bipolar
ode, the neutral electrode is not required.
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
3. Symbol
Defibrillation-proof type CF applied
part
Non-Ionizing Radiation
The generator output is floating
(isolated) with respect to ground
Serial nu ber
Caution Catalogue nu ber
Dangerous voltage Equipotentiality
Manufacturer Confor s to Directive 93/42/EEC
Consult instructions for use The product ay not be disposed
of as nor al do estic waste
Follow the Instructions for Use Batch code
Date of anufacture "Fragile, handle with care"
Do not use if package is da aged
Acker ann electrosurgical devices are anufactured in protection class I CF. It is the
highest class of patient protection against electric shock fro electro edical devices.
Type CF applied parts can be used in contact with any part of the patient body including
the heart.
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
4. Device appea ance and const uction
The generator casing is ade of etal without ventilation holes. The front panel is ade
of plastic. The device can easily be kept clean; generally available disinfection agents
ay be used for cleaning.
4.1 F ont panel
In the basic configuration (Version I), the HF 16-2000-700 syste has three
universal ASD outputs with instru ent detection (Fig. 1, items 1, 3 and 4) and one
onopolar output (item 2).
Fig. 1. HF 16-2000-700 frontside view (Version I)
The front panel of the HF 16-2000-700 syste (Version I) contains the following
ite s (Fig. 1):
stand-by button (7)
ain view button (8)
touch panel screen (9)
universal ASD output with instru ent detection – socket one (1)
onopolar output – socket two (2)
universal ASD output with instru ent detection – socket three (3)
universal ASD output with instru ent detection – socket four (4)
argon output (5)
neutral electrode socket (6)
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USER MANUAL 16-2000-700/701/702/703 Rev. 05/2018
In Version II, the HF 16-2000-700 syste has four universal ASD outputs with
instru ent detection (Fig. 2 items 1, 2, 3, 4).
Fig. 2. HF 16-2000-700 frontside view (Version II).
The front panel of the HF 16-2000-700 syste (Version II) contains the following
ite s (Fig. 2):
universal ASD output with instru ent detection – socket one (1)
universal ASD output with instru ent detection – socket two (2)
universal ASD output with instru ent detection – socket three (3)
universal ASD output with instru ent detection – socket four (4)
argon output (5)
neutral electrode socket (6)
stand-by button (7)
ain view button (8)
Version III of the HF 16-2000-700 syste is also available with the following
configuration of outputs:
ASD – MONOPOLAR – ASD – BIPOLAR (Fig. 3).
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