Alesi Surgical Ultravision User manual

User Manual
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FR
ES
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Benutzerhandbuch
Manuel de l’utilisateur
Manual de usuario
Manuale Utente
Issue v7.0

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Foreword
This manual and the equipment it describes are for use only by qualied medical professionals who have been trained to use
electrosurgicalequipment.
Equipment covered in this manual:
Ultravision™ visual eld clearing system, comprising:
Item Part number
Ultravision™Generator DAD-001-010
Ultravision™ Battery(x2) DSD-001-034
Ultravision™Battery Recharging Station DAD-001-024
Ultravision™ Mains Converter Power Supply* DAD-004-009
Ultravision™ Mains Converter* DAD-004-012
Ultravision™ Power Supply Unit DSD-001-035
Ultravision™ Patient Return Adaptor (Solid) 0.75M DAD-001-006
Ultravision™ Patient Return Adaptor (Split) 0.75M DAD-001-007
Ultravision™ Patient Return Adaptor (Solid) 1.5M DAD-001-029
Ultravision™ Patient Return Adaptor (Split) 1.5M DAD-001-030
Ultravision™ Patient Return Adaptor (Euro) DAD-001-031
Ultravision™ 5mm Trocar* (single) DAD-003-013
Ultravision™ 5mm Trocar* (x6) DAD-003-014
Ultravision™ 5mm Trocar* (x60) DAD-003-015
Ultravision™ Ionwand™ Sterile Pack* DAD-001-003
*supplied separately or incorporated within a mains powered Ultravision™ visual eld clearing system starter pack variant
Patents pending
Worldwide patents are pending for the Ultravision™ system, including PCT/GB2010/051196 and PCT/GB2012/052707.
Trademarks
Ultravision™ and Ionwand™ are trademarks of Alesi Surgical Limited.
Manufacturer
Alesi Surgical Limited Cardiff Medicentre Heath Park
Cardiff, CF14 4UJ, U.K.
http://www.alesi-surgical.com
For information call [phone].
MEDICAL - GENERAL MEDICAL EQUIPMENT
AS TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH ANSI/AAMI
ES60601-1 (2005) + AMD 1 (2012), CAN/CSA-C22.2 No. 60601-1 (2014), IEC 60601-1-6 (2010, A1:2013) CAN/CSA-C22.2
No. 60601-1-6 (2011, A1:2015)
© Alesi Surgical Limited, 2018. All rights reserved.

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Terms Used in this Manual
Warning
Indicates a situation which, if not avoided, could result in death or serious injury.
Caution
Indicates a situation which, if not avoided, may result in minor or moderate injury.
Be aware
Indicates that the operator should be aware of a hazard that may damage the product.
Advice
Indicates advice to the operator to optimise performance of the system.
Statement on Electromagnetic Compatibility
The Ultravision generator and battery recharging station require special precautions regarding Electromagnetic Compatibility
(EMC) and need to be installed and put in to service according to the EMC information provided in Chapter 9.
Portable and mobile RF communications equipment can affect the Ultravision generator and battery recharging station.
Ultravision™ system warning
No modication of this equipment is allowed.
Warranty
Please consult term and conditions of sale for details of the warranty offered with the Ultravision system and its components.

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Table of contents
Foreword ....................................................................................................................................................................................2
Terms Used in this Manual..........................................................................................................................................................3
Statement on Electromagnetic Compatibility..............................................................................................................................3
Ultravision™ system warning......................................................................................................................................................3
Warranty......................................................................................................................................................................................3
Table of contents.........................................................................................................................................................................4
Chapter 1: Ultravision™ – overview and general features..........................................................................................................6
Indications for use...................................................................................................................................................................6
Contraindication ......................................................................................................................................................................6
Parts shipped with the Ultravision™ system ...........................................................................................................................6
The Ultravision™ system – principle of operation...................................................................................................................7
Operating Parameters.............................................................................................................................................................8
Transport and Storage.............................................................................................................................................................8
Patient, Operating Room and General Use Safety .................................................................................................................9
Maintenance..........................................................................................................................................................................10
Chapter 2: Controls, Sockets and Indicators ............................................................................................................................ 11
Ultravision™ generator – Front panel view ........................................................................................................................... 11
Ultravision™ generator – Side panel view ............................................................................................................................12
Ultravision™ generator – Rear view......................................................................................................................................13
Ultravision™ Battery Recharging Station Option – Top view .................................................................................................13
Ultravision™ Main Converter Option – Front panel view ......................................................................................................14
Chapter 3: Preparing the Ultravision™ system for use.............................................................................................................15
Periodic Inspection................................................................................................................................................................15
Charging the battery using the Ultravision™ Battery RechargingStation .............................................................................15
Inserting the battery into the Ultravision™ generator............................................................................................................16
Operation of the Ultravision™ Generator using the optional Ultravision™ Mains Converter................................................16
Inserting the Mains Converter into the Ultravision™ generator.............................................................................................16
Preparing Ultravision™ for use - Instruments requiring a patient returnelectrode................................................................17
Preparing Ultravision™ for use – Instruments that do not require a patient returnpath .......................................................17
Chapter 4: Using the Ultravision™system ...............................................................................................................................19
Inserting the Catheter, trocar and Ionwand ...........................................................................................................................19
Use of the Catheter, Trocar and Ionwand during surgery......................................................................................................20
End of surgery.......................................................................................................................................................................20
Insertion of the Ultravision 5mm Trocar .................................................................................................................................21
Use of the Ultravision 5mm Trocar during surgery ...............................................................................................................21
End of surgical procedure .....................................................................................................................................................21
Chapter 5: Aftersurgery............................................................................................................................................................23
Cleaning the Ultravision™ Patient ReturnAdaptor................................................................................................................23
Post surgery actions with the mains converter......................................................................................................................23
Cleaning the Ultravision™ Generator....................................................................................................................................23

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Cleaning the Ultravision™ Battery Rechargingstation..........................................................................................................23
Recharging the Ultravision™ battery.....................................................................................................................................24
Disposal ................................................................................................................................................................................24
Chapter 6:Troubleshooting.......................................................................................................................................................25
Chapter 7: Summary System Specications ............................................................................................................................27
Chapter 8: Accessories and replacement items........................................................................................................................29
Chapter 9: Electromagnetic guidance ......................................................................................................................................30
Symbols used on Ultravision ..................................................................................................................................................178

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Chapter 1: Ultravision™ – overview and general features
This section describes the indications for use for the Ultravision surgical smoke visual eld clearing system and its features.
Caution
Read all warnings, cautions, and instructions provided with the Ultravision system before use. Failure to do so could result in
death or serious injury to the patient or operator.
Read the following associated individual manuals as these contain safety relevant information.
Part No. Manual Description
DLU-001-002 Ionwand Pack IFU
DLU-001-003 Patient Return Adaptor IFU
DLU-001-004 Battery Recharging Station IFU
DLU-001-005 Battery IFU
DLU-001-009 Ultravision User Guide
DLU-003-001 Ultravision 5mm Trocar IFU
DLU-004-001 Mains Converter IFU
Indications for use
The Ultravision system is indicated for the clearance of smoke and other particulate matter that is created during laparoscop-
ic surgery by monopolar, bipolar and ultrasonic instruments.
Warning
Do not allow the Ionwand to come in to contact with the uninsulated portion of an electrosurgical instrument during opera-
tion. In such a situation the Ultravision generator issues a continual audio-visual proximity indication. Continued contact for
in excess of 10 minutes may result in an electrical discharge from the electrosurgical instrument that may be sufcient to
cause atrial brillation depending on proximity to the thoracic cavity.
Contraindication
The Ultravision system is an electrical energy-based system that must not be used on patients tted with a pacemaker or
implantable cardioverter debrillator (ICD).
Parts shipped with the Ultravision™ system
The Ultravision system comprises both reusable and single-use, sterile disposable items. The single-use, sterile dispos-
able items are supplied separately. Furthermore, the Mains Converter is an optional form of powering the generator that is
supplied separately or within an alternate Ultravision system starter pack variant. Contact your local sales representative in
order to establish a supply of these items. All other items required for Ultravision to function are shipped with the Ultravision
system.
Before use, conrm that the shipping carton contains the following items:
1. Generator x1
2. Battery x 2 (battery powered system only) x2
3. Recharging station (battery powered system only) x1
4. Mains Power supply unit for recharging station (battery powered system only) x1
5. Mains converter including power supply (mains powered system only) x1
6. Solid-plate patient return adaptor x1
7. Split-plate patient return adaptor x1
8. User manual x1
If any of the items listed above are not in the shipping carton, please contact your local sales representative before attempt-
ing to use the system.
Prior to use, inspect all of the above parts for any damage that may have occurred during shipping. If you have any con-
cerns, please contact your local sales representative before using the system.
The following reusable items will require replacement:

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Item Approximate number of uses before requiringreplacement
Battery First to occur of 2 years, 200 charging cycles at 20°C (68°F) or 1 year from last recharge
at 20°C (68°F).
Patient return adaptor (solid) 500 mating cycles with Ultravision generator and electrosurgical generator
Patient return adaptor (split) 500 mating cycles with Ultravision generator and electrosurgical generator
Battery recharging station 1000 mating cycles with Ultravision battery
Mains Converter 100 mating cycles with Ultravision generator
Replacement reusable items are available from Alesi Surgical or its local distributors.
The Ultravision™ system – principle of operation
The Ultravision system removes the particulate material that is created by energy-based instruments during laparoscopic
surgery from the visual eld. It achieves this by electrostatic precipitation, a process that transiently charges the particulate
matter and causes it to be rapidly precipitated inside the peritoneal cavity as it is created. The system has been specically
designed to improve the clarity of the visual eld and to minimise the release of particulate matter and gases into the operat-
ing theatre environment during laparoscopic surgery.
The Ultravision system requires a patient return pathway, similar to monopolar diathermy but at 5 orders less current magni-
tude. The system has been designed such it can be congured in two ways, depending upon the type of cutting instrument
that is used:
With monopolar instruments that require a patient returnelectrode
The Ultravision system is provided with a Patient Return Adaptor that allows the electrosurgical unit and the Ultravi-
sion generator to share a single patient return electrode with the monopolar instrument (Figure 1).
With bipolar and ultrasonic cutting instruments that do not require a patient returnpathway
The Ultravision patient return socket in the generator allows a standard patient return electrode to be used and con-
nected directly to the Ultravision generator (Figure 2).
The Ultravision system is not supplied with a patient return electrode but has been designed to be compatible with patient
return electrodes that have an “international” style connector. Please contact Alesi Surgical or your local distributor if you ex-
perience any problems with your preferred patient return electrode.
Figure 1: Ultravision™ set up for use with instruments that do
require a patient return electrode
Figure 2: Ultravision™ set up for instruments that do
not require a patient returnelectrode
The following components are required for Ultravision to function and are supplied with the system:
1. The generator unit
The generator unit is the source of the high voltage at low power. The output power is regulated automatically and cannot be
adjusted manually. The unit is operated with power provided by a removable and rechargeable battery or an optional.
mains converter.

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2. The battery
The generator is powered by a battery that allows approximately 10 hours of continuous generator operation. The system is
supplied with two batteries and a recharging station. As with all batteries of this type, the life will depend upon the number of
recharges. It is recommended that batteries should be replaced every 12 months or when a fully charged battery no longer
delivers six hours of generator power.
3. The mains converter
Depending on customer preference, the generator can also be powered by a mains converter that allows the unit to be pow-
ered the mains supply using its bespoke power supply unit. This power supply unit has a choice of four different plug styles
that allows it to be used in most countries and has a universal input allowing 90-264V AC. The Mains Converter is designed
so that it can be stored within the battery bay of the Ultravision generator when not in use.
4. Battery recharging station
The Ultravision system is supplied with a twin-bay recharging station and a mains power supply unit different from that de-
signed for use with the mains converter. The battery recharger mains power supply unit has four different plugs that allow it
to be used in most countries and has a universal input allowing 90-264V AC.
5. Patient return adaptor – solid plate
The Ultravision system requires a patient return electrode. The patient return electrode can be shared with the solid or split
plate return electrode of the electrosurgical generator if one is required, by using the patient return adaptor. The “solid plate”
patient return adaptor is used with solid plate patient return electrodes. The blue end of the adaptor plugs into the socket on
the front of the electrosurgical generator. The orange connector at the other end of the cable plugs into the front of the Ultra-
vision generator. These are available with 0.75 or 1.5M leads.
6. Patient return adaptor – split plate
This is the same as the solid plate patient return adaptor but is used with split plates. It has the same central pin that acti-
vates the sensing function of the electrosurgical generator (if present). The split plate adaptor end is red in colour. These are
available with 0.75 or 1.5M leads.
The following single-use, sterile disposable components are required for Ultravision to function and are supplied as separate
items:
7. Ionwand™
The Ionwand is the active cable that carries the current from the Ultravision generator to the patient. It terminates in an
atraumatic stainless steel brush that is responsible for the electrostatic charging of the particles created during surgery.
8. Catheter and trocar
The catheter allows the Ionwand to be inserted into the patient’s peritoneal cavity during surgery. It is introduced percutane-
ously using the trocar.
9. Ultravision 5mm Trocar
The Ultravsiion 5mm Trocar is an alternative to the Ionwand™, catheter and trocar and comprises a laparoscopic port that
can accept 5mm surgical instruments. This port also has a separate lumen that accepts a dedicated Ionwand™
Operating Parameters
The Ultravision system may be used within the following ranges
• Ambient temperature range 10°C to 40°C (50°F to 104°F)
• Relative humidity 20% to 75%, non-condensing operating room conditions
• Altitude below or equal to 3000m (above 70kPa)
Transport and Storage
• Ambient temperature range -10°C to 40°C (14°F to 104°F) except batteries
• Relative humidity 20% to 85%, non-condensing
• Battery ambient temperature range 0°C to 40°C (32°F to 104°F). Prolonged exposure to higher temperatures will
signicantly reduce battery shelf life.
• Battery shelf life – 1 year from last recharge at 20°C (68°F)
• Altitude below or equal to 3000m (above 70kPa)

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Patient, Operating Room and General Use Safety
Warning
Only surgical staff trained to use electrosurgical equipment may operate the Ultravision system.
During initial set up and before each use, inspect the Ultravision system and battery recharging station for any damage. If
damaged, do not use or attempt to repair. Call Alesi Surgical or your local distributor for assistance.
The enclosures for the Ultravision generator, Mains Converter and its Power supply units are plastic with internal isolation
barriers that provide complete insulation to the patient and operator from any internal electrical hazards. In addition, the
patient connections are Cardiac Floating. Consequently, the Ultravision system requires no connection to an equipotential
point or protective earth.
To maximise patient safety, contact between the Ionwand and metallic instruments should be minimised. Otherwise, the
metal instrument may be charged resulting in an electrostatic discharge to the patient or operator. This may be sufcient to
cause atrial brillation depending upon proximity to the thoracic cavity.
If the Ultravision generator, Mains Converter, Power supply units or battery recharging station become wet for any reason,
switch off and air-dry thoroughly before reusing.
Do not position the equipment so that it is difcult to disconnect the direct plug in Power Supply units from the mains.
Do not remove any covers or panels exposing the internal components of the Ultravision system and battery recharging
station. Removal of covers or panels will void any Warranty.
Ensure that the battery is correctly inserted into the Ultravision generator. Failure to do so may result in a re hazard.
Ensure that the UltravisionTM Mains Converter is always inserted into the Ultravision Generator in the correct orientation.
Failure to do so may damage the Mains Converter and equipment.
Do not use the Mains Converter to power equipment other than the Ultravision Generator. This may damage the Mains Con-
verter and equipment.
Do not use any other third party Power Supply to power the Ultravision Generator. This may cause damage to the Ultravision
generator and the third party power supply. The operator is also at risk of electrostatic shock or burn, due to charge build up
in external capacitances.
Do not mechanically shock or drop a Mains Converter. This may damage or reduce the life of the Mains Converter.
Do not hold or suspend the Mains Converter or its power supply by its cable – this may damage the equipment.
Do not operate this device in potentially explosive environments, such as in the presence of ammable anaesthetics.
The battery recharging station has only been certied for use outside the immediate operating theatre environment. It does
not have sufcient redundant voltage or current protection to allow safe contact with the patient.
Use the battery recharging station and the mains converter with their specic mains power supply units. They are not me-
chanically interchangeable and provide different types of electrical protection.
Plug the power cable directly into the power socket without any extension cords or adaptor plugs.
The power cable assembly should be checked periodically for damaged insulation or connectors. Do not use a damaged
power cable.
Do not connect a wet power cable to a power socket.
Inspect any sterile component for damage to the packaging before use. If any damage is present, do not use.
Do not reuse or re-sterilise the Ionwand, trocar, catheter or the Ultravision 5mm Trocar. Doing so may result in cross contam-
ination, infection or injury to the patient or medical staff and may damage the Ultravision system.
Caution
Read all warnings, cautions, and instructions provided with the Ultravision system before using. Do not stack equipment on
top of the Ultravision system.
To maximise patient safety, contact between the Ionwand and patient tissue should be minimised. Otherwise, performance

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will be compromised and visibility will be impaired.
Be aware of trip hazards with the cable of the Ultravision Mains Converter.
Be Aware
For battery powered operation:
• Using any unapproved battery with the Ultravision system may cause damage and will void the warranty.
• Connect the battery charger power cable to a wall socket having the correct voltage. Otherwise, product damage
to the recharger or battery may result.
• Power supply voltages below 90V AC will signicantly reduce the rate of recharging.
For Mains Converter Operation:
• Power supply voltages below 90Vac (to the Mains Converter Power Supply unit) will cause unpredictable genera-
tor behavior (low battery warning or no operation).
Maintenance
Warning
Inspect the Ultravision generator, battery recharging station or mains converter before each use. If there is evidence of dam-
age, do not use. Call Alesi Surgical or its local distributor for assistance.
Always turn off the Ultravision generator before cleaning.
Always unplug the battery recharging station before cleaning.
Always unplug the mains converter power supply unit and remove cable from the mains converter before cleaning.
Caution
Dispose of the Ionwand, trocar and catheter along with other operative waste materials, following the procedures for your
institution.
Be Aware
Use only detergents that are already routinely used in your hospital to clean non-sterile electrosurgical generators and ca-
bles to clean the Ultravision generator, battery recharging station and patient return adaptors. Do not apply alcohol, caustic,
corrosive, or abrasive cleaning or disinfectant compounds, solvents, or other materials that could cause damage.
Do not attempt to sterilise the Ultravision generator or patient return adaptors in any way.
Keep the Ultravision generator and battery recharging station away from liquid. These may damage internal components.

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Chapter 2: Controls, Sockets and Indicators
This section describes all of the controls, sockets and indicators on the front and side panels of the Ultravision generator,
Ultravision battery recharging station and Ultravision Mains Converter.
Warning
Read all instructions before operating this equipment. Failure to do so may result in damage to the generator and/or injury to
the patient or operator.
Ultravision™ generator – Front panel view
1 – Power On/Off switch and indicator LED
2 – Patient return socket
3 – Ionwand socket
4 – Proximity indicator LEDs
5 – Battery level indicator
6 – Generator fault indicator LED
Warning
All third-party equipment used with Ultravision must be certied according to the relevant particular standards associat-
ed with IEC 60601. The user is responsible for verifying that any accessory equipment complies with the requirements of
IEC 60601.
Be Aware
Connect accessories to the proper socket type. Otherwise, the system will not function properly.
1 – Power On/Off Switch and indicator LED
The power switch that controls power to the generator is located in the lower-left corner of the front panel (see Front Panel
View, above). To switch the generator on, place the power switch in the ON position (l). The indicator light should illuminate
green.
Turn the generator power off by placing the power switch in the OFF position (O). The indicator light should no longer be lit.
2 – Patient return socket and proximity indicator LED
The solid or split plate patient return electrode or Ultravision Patient ReturnAdaptor is inserted into this socket in order to
establish the return path.
Be Aware
The Ultravision Patient Return Adaptor must be inserted the correct way up. Failure to do so may cause damage to the
connector or Socket.
3 – Ionwand socket
The Ionwand connector is inserted into the Ionwand socket. This delivers the power to the Ionwand and causes the electro-
static precipitation of the particulates.

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Be Aware
The Ultravision Ionwand must be inserted in the correct orientation. Failure to do so may cause damage to the connector
or socket.
4 – Proximity indicator LEDs
When the generator is switched on, the proximity indicator LEDs illuminate green. In order to function correctly, contact be-
tween the Ionwand and patient tissue or other surgical instruments should be minimised. Both proximity indicator LEDs will
ash when the Ionwand comes within approximately 2mm (1/12”) of patient tissue. There is also an audible indicator that will
sound. When the contact is removed the LEDs will stop ashing and the audible alarm will stop sounding.
Warning
Do not allow the Ionwand to come in to contact with the uninsulated portion of an electrosurgical instrument during operation.
Continued contact for in excess of 10 minutes may result in an electrical discharge from the electrosurgical instrument that
may be sufcient to cause atrial brillation depending on proximity to the thoracic cavity.
5 – Battery level indicator
With a new, fully-charged battery, the battery level indicator displays the approximate power remaining as follows:
Green LED >8hr power remaining
Amber LED 2-8hr power remaining
Red LED <2hr power remaining
Red ashing LED <30min power remaining
The red ashing LED is also accompanied by an audible indicator.
Where the Ultravision Mains Converter is used to power the Ultravision system, the Green LED is permanently illuminated
on this indicator when the unit is switched on. If the Yellow or Red LED is illuminated, then the Mains Converter should be
replaced.
Caution
The battery should not be used for a surgical procedure when the red ashing LED is present and should be re-charged.
Failure to do so may result in loss of power during the procedure, leading to impaired visibility.
Be Aware
The battery may lose energy during transportation, storage and delivery particularly with prolonged exposure to higher ambi-
ent temperatures. It is recommended that the battery be fully charged before rst use of the Ultravision system.
It is recommended that the battery be replaced once it is no longer able to deliver 6 hours of power when fully charged. Con-
tact Alesi Surgical or its local distributor to purchase replacements.
6 – Generator fault indicator LED
This LED is not illuminated during use. If there is a problem within the generator, the LED will illuminate red and ash. This is
also accompanied by an audible indicator.
Warning
Do not attempt to use the Ultravision generator when the generator fault indicator is lit. Contact Alesi Surgical or its local
distributor to arrange for repair or replacement of the generator unit.
Ultravision™ generator – Side panel view
1 – Battery/Mains Converter insertion mechanism
1 – Battery/Mains Converter insertion slot and releasemechanism
The battery or Mains Converter is inserted into the slot on the right-hand side of the Ultravision generator. It is subsequently

13
ejected from the Ultravision generator by pulling the ejection trigger toward the front of the generator.
Caution
The battery or Mains Converter must be inserted in the correct orientation. If not, damage to the battery, Mains Converter
and/or generator may result and create a re hazard.
Risk of re, explosion or burns. Do not heat batteries above 60°C.
Ultravision™ generator – Rear view
1 – Volume control
1 – Volume control for audible indicators
The Ultravision generator has four audible indicators that accompany the visual indicators:
Indicator Tone Description Frequency Visual indicator
Low battery High (1047 Hz) A single 1 second tone 2 seconds Low battery LED
Proximity Medium (523.3 Hz) A single 0.3 second tone 6 seconds Proximity LEDs
Generator fault Low (261.6 Hz) A single 1 second tone 2 seconds Fault (!) LED
Power ON reminder Low (261.6 Hz) A single 1 second tone 15 minutes None
The generator sounds the three different tones in sequence when switched on. The volume of these indicators may be
adjusted by twisting the volume control on the rear of the generator. The volume is increased by turning the volume control
clockwise, and reduced by turning anti-clockwise.
Warning
Ensure that the audible indicator can be heard within the operating theatre environment, and that the output LED indicators
are visible to the operating personnel. Failure to observe indications so may result in:
• Capacitive charging of electrosurgical instruments and the risk of atrial brillation.
• Loss of function caused by power failure or a fault within the generator.
Ultravision™ Battery Recharging Station Option – Top view
1 – Power and fault indicator
2 – Battery docking bay 1 and bay 2

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3 – Battery charging status indicators
4 – Power supply socket
1 – Power/fault indicator
The power indicator lights green when power is being correctly supplied to the recharging station. If there is a fault within the
recharging station it may still charge the batteries but it may be possible to over-charge them. This is indicated by the light
changing colour from green to red.
2 – Battery docking bay 1 and 2
The recharging station is able to recharge up to two batteries at the same time. Batteries should be inserted such that the
battery terminals engage with the terminals on the recharging station.
3 – Battery charging status indicators
When power is being supplied to the recharging station and a battery is inserted in the correct orientation the status indicator
will illuminate. The indicator will be orange until the battery is fully charged. When the battery is fully charged the light will
extinguish.
4 – Power supply socket
The battery recharging station is supplied with a power supply unit. The power supply unit has different plugs that can be
attached to the power supply unit. Select the correct plug for your local power supply.
Be aware
If the power supply unit supplied with the recharging station does not have a suitable plug that works with your local power
supply, please contact Alesi Surgical or your local distributor.
Only use the power supply unit provided with the battery recharging station. The use of other power supply units may dam-
age batteries and recharging station.
When the power/fault indicator is red there is a fault with the recharger that may damage the batteries and the re-
charger should not be used. Contact Alesi Surgical to purchase a replacement recharger.
Ultravision™ Main Converter Option – Front panel view
1. Input socket for DC Power supply jack.
2. Generator battery contact (positive)

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Chapter 3: Preparing the Ultravision™ system for use
This section describes how to prepare the Ultravision system for use, specically:
• Periodic inspection
• Charging a battery using the battery charging station
• Inserting and removing a battery
• Preparing the mains converter for use.
• Preparing the Ultravision system for use:
○ Use with instruments requiring a patient return electrode
○ Use with instruments that do not require a patient return electrode
Warning
Read all warnings, cautions and instructions provided with the system and its accessories before use. Failure to do so could
result in death serious injury to the patient or operator.
Periodic Inspection
The Ultravision system should be visually inspected at least once every year regardless of use. This inspection should
include checks for:
• Damage to the generator and recharging station.
• Damage to the battery recharging station power cable and plug.
• Damage to the mains converter and its power supply including the cable and jack.
• Damage to the patient return adaptors cable or connectors.
• Proper mating between the patient return adaptors and the Ultravision generator and electrosurgical generator.
Warning
Do not use the Ultravision system with any damaged component. Damaged cables must be replaced before use. If there is
any damage to the Ultravision generator or battery recharging station, contact Alesi Surgical or its local distributor.
Charging the battery using the Ultravision™ Battery Recharging Station
A battery should be recharged when purchased and whenever the Ultravision generator battery level indicator is red or ash-
ing red. To fully charge a battery from zero to full power takes approximately 12 hours. A fully charged, new battery should
provide at least 10 hours use of the Ultravision system.
1. Inspect the battery recharging station power cable for any signs of damage.
2. If there is no evidence of damage, attach the power cable to the recharging station.
3. Attach the correct face plate to the power cable plug and insert into a grounded, hospital-grade wall socket and
conrm that the power/fault indicator light is illuminated green.
4. Insert a battery into a docking bay, ensuring that the battery terminals engage fully with the recharging station
terminals. Conrm that the battery charging indicator is illuminated orange.
5. Allow the battery to charge until the charging indicator is extinguished. Remove the battery from the docking bay.
6. Unplug the power cable from the wall socket.
Batteries should be stored in a dry, clean environment when not in use.
Warning
Connect the battery charger power cable to a properly grounded, hospital-grade power socket of the correct voltage. Plug
the power cable directly into the power socket without any extension cables and/or adaptors. The use of extension cables
may increase the risk of a re hazard.
The battery recharging station has been certied for use outside the immediate operating theatre environment. It does not
have sufcient reserve voltage or current protection to allow safe contact with the patient.
Caution
Batteries must be recycled and not incinerated or disposed of in general hospital waste disposal. Do not attempt to directly
connect the negative and positive terminals of a battery.
The battery contains acid and no attempt should be made to disassemble abattery.

16
Be aware
If the power supply units supplied with the recharging station does not have a suitable face plate that works with your local
power supply, please contact Alesi Surgical or your local distributor.
The recharging station includes temperature-compensated characteristics and has been designed for optimal charging and
life preservation of the batteries supplied with your Ultravision system. The use of other recharging stations even if mechan-
ically compatible is likely to dramatically shorten the operating life of your Ultravision system batteries. Do not use batteries
other than those supplied by Alesi Surgical with the recharging station.
Only use the power supply unit provided with the battery recharging station. The use of other power supply units may dam-
age batteries and recharging station.
Do not mechanically shock or drop a battery. This may damage or reduce the life of the battery.
Do not use the battery to power equipment other than the Ultravision generator. This may damage the battery and equip-
ment.
When the power indicator is red there is a fault with the recharger that may damage the batteries and the recharger should
not be used.
It is recommended that the battery is removed from the generator if the generator is not to be used for some time.
Advice
To maximise battery life, batteries should be returned to the recharging station at the end of use, such as at the end of each
day, and should be stored in as cool an environment as is possible. Leaving a battery uncharged over a weekend or holiday
break is not advised.
Do not discharge battery completely. This will greatly shorten battery life.
Inserting the battery into the Ultravision™ generator
To insert a battery into the generator:
1. Locate the battery slot on the right hand side of the Ultravision generator.
2. Ensure that the battery bay is empty by pulling the battery ejection trigger towards the front of the generator.
3. Ensure that the battery is oriented with the battery terminals closest to the generator, with the arrow facing up-
wards and pointing to the generator.
4. Insert the battery until it engages with the contact terminals in the generator.
5. Switch on power to the generator by pressing the on switch located on the front panel.
6. Switch off the device until set up is complete.
Caution
Ensure that battery is always inserted into the Ultravision generator and battery recharging station in the correct orientation.
Failure to do so may damage the battery and equipment and may cause a re hazard.
Operation of the Ultravision™ Generator using the optional Ultravision™
Mains Converter
Inserting the Mains Converter into the Ultravision™ generator
To insert the mans converter into the generator:
1. Plug the power supply of the Mains Converter into the appropriate mains socket (this may require the use of one
of the regional adapters supplied with the Mains Converter). If the power supply units supplied with the Mains
Converter does not have a suitable face plate that works with your local power supply, please contact Alesi Surgi-
cal or your local distributor.
2. Insert the jack at the end of the power supply unit into the Mains Converter inlet socket.
3. Locate the battery slot on the right hand side of the Ultravision generator.
4. Ensure that the battery bay is empty by pulling the battery ejection trigger towards the front of the generator.
5. Ensure that the Mains Converter is oriented with the terminals closest to the generator, with the arrow facing
upwards and pointing to the generator.
6. Insert the Mains Converter until it engages with the contact terminals in the generator.
7. Turn on the mains power switch.
8. Turn the Ultravision generator fascia switch on when required and conrm that the LED on the generator fascia

17
is lit green and that the start up tone cycle is completed correctly. If this does not occur then consult the trouble-
shooting section (Chapter 6).
Warnings and Cautions
Ensure that the UltravisionTM Mains Converter is always inserted into the Ultravision Generator in the correct orientation.
Failure to do so may damage the Mains Converter and equipment.
Do not use the Mains Converter to power equipment other than the Ultravision Generator. This may damage the Mains Con-
verter and equipment.
Do not use any other third party Power Supply including the Battery Charging Station Power Supply to power the Ultravision
Mains Converter. This may cause damage to the Ultravision generator and the third party power supply. The operator is also
at risk of electrostatic shock or burn, due to charge build up in external capacitances.
Do not mechanically shock or drop a Mains Converter. This may damage or reduce the life of the Mains Converter.
Do not hold or suspend the Mains Converter or its power supply by its cable – this may damage the equipment.
Preparing Ultravision™ for use - Instruments requiring a patient return electrode
Before use, conrm that the following components are available:
• Ultravision generator with the mains converter or an adequately charged battery
• Patient return electrode with “international” style connector: solid or split type
• Correct Ultravision Patient Return Adaptor: solid or split
• Electrosurgical generator unit compatible with the patient return electrode Set up the system as follows:
1. Connect the patient return electrode to the patient using standard surgical practice. Either solid or split variants
may be used.
2. Connect the patient return electrode to the patient return adaptor. Select the solid patient return adaptor for use
with a solid return electrode. Select a split plate adaptor for use with a split plate.
3. Connect the patient return adaptor end (BLUE – solid plate; RED – split plate) to the electrosurgical generator.
4. Switch on the electrosurgical generator and ensure that the patient return path is recognised by the electrosurgi-
calgenerator.
5. Connect the other end of the patient return adaptor (ORANGE) to the Ultravision generator. The connector must
be inserted in the correct orientation.
If the electrosurgical generator does not recognise the return electrode when using the patient return adaptor, follow the
following procedure:
• Attach the patient return electrode directly into the electrosurgical generator. If this resolves the problem the pa-
tient return adaptor is worn and should be replaced.
• If this does not resolve the problem then replace the patient return electrode and repeat steps 1-4 above.
• If this does not resolve the problem then there is a problem with the electrosurgical generator.
Warnings and Cautions
Ensure that the selected patient return adaptor (solid or split) matches the patient return electrode that is attached to the
patient. The patient return adaptor allows a solid patient return electrode to be inserted into a split patient return adaptor.
Incorrect use may bypass any return pad sensing functionality of the electrosurgical generator.
Ensure that the Ultravision Patient Return Adaptor is used in the correct orientation.
Advice
If the surgical procedure may require both instrument types i.e. those that require a return pathway (e.g. monopolar) and
those that do not (e.g. bipolar or ultrasonic) it is recommended that the system is set up in this way. This avoids the need to
delay the procedure whilst reconguring Ultravision so that it can share the same patient return electrode.
The Ultravision system has been veried to have no effect on the split plate patient return contact monitoring systems em-
ployed in the monopolar generators listed on page27.
Preparing Ultravision™ for use – Instruments that do not require a patient return path
Before use, conrm that the following components are available:
• Ultravision generator with the mains converter or an adequately charged battery

18
• Patient return electrode with “international” style connector (solid or split type) Set up the system as follows:
1. Connect the patient return electrode to the patient using standard surgical practice. Either solid or split variants
may be used.
2. Connect the other end of the patient return electrode directly to the Ultravision generator by inserting it into the
return socket on the face of the Ultravision generator. The connector must be inserted in the correct orientation.
Advice
Patient return adaptors should be made readily available in case the surgical procedure demands the use of an instrument
that requires a patient return electrode.

19
Chapter 4: Using the Ultravision™ system
This section describes the use of the Ultravision system to clear the visual eld of surgical smoke. This step requires the
following consumable items:
• Ultravision catheter, and trocar
• Ionwand
Or
• Ultravision 5mm Trocar
These items are supplied separately.
The use of these accessories is desrcribed separately below:
Inserting the Catheter, trocar and Ionwand
The catheter is inserted using the trocar. The catheter and trocar are supplied assembled and ready for use.
The peritoneal cavity must be insufated using standard practice before attempting to insert the catheter. Once insufation
has been achieved:
1. Open the Ionwand sterile packaging.
2. Remove the catheter/trocar assembly and the Ionwand from the packaging. Remove the protective sheaths from
the trocar/catheter and Ionwand cable and check the integrity of the components.
3. Introduce the catheter by positioning at 90° to the abdominal wall and piercing with the catheter/trocar assembly
a.Always insert after the abdomen has been insufated.
b.Always insert using direct vision to avoid iatrogenic injury to abdominal structures.
4. Remove the trocar from the catheter by holding the catheter and rotating the trocar anti-clockwise and dispose of
safely.
5. Carefully insert the Ionwand down the catheter until it protrudes from the tip and can be visualised internally within
the patient with the laparoscopic camera.
6. Secure the Ionwand in place by holding the catheter and rotating the hub of the Ionwand clockwise until it tight-
ens. Do not overtighten:
7. Adjust the height of the catheter so that the Ionwand is free from contact with patient tissue and surgical instru-
ments.
8. Connect the Ionwand connector to the active socket on the face of the Ultravision generator.
Warning
Single use only – the components have not been designed for re-sterilisation and re-use of this device poses a severe risk of
cross-infection and/or device malfunction.
If the sterile packaging is open or damaged, do not use and discard safely.
If there is evidence of damage to any of the components, do not use and discard safely.
Always insert the catheter or trocar under direct vision once the abdominal cavity has been insufated. Failure to do so may
result in damage to internal tissue, blood vessels or organs.
Avoid major arteries and veins when inserting the catheter or trocar.
Never attempt to re-insert a partially or fully withdrawn trocar in the abdomen.
Do not switch on the Ultravision generator before inserting the Ionwand into the catheter.
As with electrosurgical instruments, contact between the Ionwand
and uninsulated metallic instruments should be minimised to prevent electrostatic discharge to the operator or patient that
may also transiently interfere with an ECG signal.
Repeated contact of the Ionwand with a video laparoscope may lead to temporary interference with the visual display and/or
damage to the laparoscope.

20
Caution
The sterile components have been design specically for use with this system. Only use items supplied by Alesi Surgical.
Advice
Insert the catheter in a position where it will not impair the surgical procedure and where it is least likely to come in to contact
with other surgical instruments. Smoke clearing is most efcient when placed between the laparoscope and the site of sur-
gery.
Ensure that the tip of the catheter is at least 25mm (1”) from patient tissue to reduce the risk of accidentally activating the
proximityindicator.
Cover the lumen of the catheter with a nger prior to inserting Ionwand to minimise loss of pneumoperitoneum. Ensure that
the Ionwand brush is straight before insertion into the catheter.
Use of the Catheter, Trocar and Ionwand during surgery
Before starting to cut or coagulate tissue and creating smoke:
1. Ensure that the Ionwand is free of surgical debris and not touching patient tissue or a surgical instrument.
2. Switch on the Ultravision generator. If the battery status light indicator is ashing red and the battery alarm is
sounding, replace the battery with a fully charged unit.
3. Perform surgical procedure.
4. In the event that the proximity indicator sounds when the Ionwand™ is not touching patient tissue or a surgical
instrument, perform the following steps:
5. Switch off the Ultravision generator.
6. Remove the Ionwand™ from the catheter by holding the catheter and twisting the Ionwand anti-clockwise, ensur-
ing the catheter is not displaced.
7. Clean the Ionwand™ and brush laments by enclosing it within a sterile swab moistened with sterile saline and
gently wiping it, moving the swab from the insulated portion of the Ionwand towards the metal brush. Repeat until
all contamination has been removed and the brush isclean.
8. Re-introduce the Ionwand into the catheter and secure by holding the catheter and twisting the Ionwand in a
clockwise direction.
9. Switch on the Ultravision generator and conrm that the indicator condition has resolved and that smoke clearing
has been resumed.
10. If the alarm continues to sound, remove and replace the Ionwand.
Warning
To maximise patient safety, contact between the Ionwand and metallic instruments should be minimised. Otherwise, the
metal instrument may be charged resulting in an electrostatic discharge to the patient or operator. This may be sufcient to
cause atrial brillation depending upon proximity to the thoracic cavity.
Accidental activation of a monopolar electrode in contact with the Ionwand should be avoided. Provided the Ionwand cable is
connected to the Ultravision generator there is no risk of accidental burn or shock to the patient or surgical staff, but there is
no proven redundancy in this protective insulation.
As with electrosurgical instruments, contact between the Ionwand
and uninsulated metallic instruments should be minimised to prevent electrostatic discharge to the operator or patient that
may also transiently interfere with an ECG signal.
Repeated contact of the Ionwand with a video laparoscope may lead to temporary interference with the visual display and/or
damage to the laparoscope.
If the Ultravision catheter becomes disengaged from its position during use replace with a new device.
The system should not be used unless the user has been trained in its use.
End of surgery
When the surgical procedure has been completed or there is no longer any requirement for the Ultravision to be active:
1. Turn off the Ultravisiongenerator.
2. Disconnect the Ionwand cable from the generator.
3. Carefully remove the Ionwand from the catheter