ALSA Alsatom SU-MPC SU50 User manual

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User Manual – Alsatom SU-MPC (SU50, SU100, SU140)
These devices are manufactured by ALSA Apparecchi Medicali s.r.l. – Castel Maggiore (Bologna - Italy) – Phone [phone].
which is responsible for their functioning, liability and safety only if devices are used in an area that meets IEC Standards, if the installation
and the use are performed in compliance with the information of this manual and if repairs or periodical checks are carried out by authorized
personnel who use original spare parts.
On request, ALSA will provide users with related electric diagrams and/or any further technical or practical information.
In accordance to the European MDD users are kindly invited to communicate to the company, directly or through the local distributor, any
problems of these devices in order to intervene as soon
BE CAREFUL – Not modifiy devices and use them only if the mains supply is provided with an efficient earth protection.
INTENDED USERS – USE OF THIS MANUAL – INDEX OF TOPICS
These devices must be used only for the purposes listed in this manual and only in OT / similar places by qualified operators who are
experienced in electro-surgery and all related problems, risks and undesired side effects. Users must do the following:
Before starting the use of this device, they must read this manual carefully; in addition they must check the unit performance without
considering only previous experiences with similar devices and contact the company if it is not clear for their specific needs.
They must keep the manual where the device is used and replace it in case of loss.
They must contact the company, either directly or through the local distributor, to obtain the needed information or replace the manual.
INDEX
HIGH FREQUENCY SURGERY- PRINCIPLES, RISKS AND DIRECTIONS FOR USE
IMPORTANT WARNINGS (vital to use in the best and safest way the device)
USE – IT INCLUDES FOLLOWING POINTS: Positioning, check of the mains supply and connection – Connection and use of foot-switches -
Connection of the neutral electrode and operation of the related alarm circuit - Connection of accessories -
Switching on and initial self-check – Setting and adjustement of currents - Temporization of the Micro coagulation (from 0.1 to 1 second) -
Activation of currents by foot and hand-switches - Memorization of settings and abnormal power delivery - Available currents, use and
starting settings -Adaptors and connecting cables for not standard accessories – Use of the RD/5 universal monopolar adaptors -
AUTOMATIC SELF-TEST SYSTEM (It includes a specific information about problems not detectable by self-checks).
HANDLING, STORAGE, CLEANING AND STERILIZATION, DISPOSAL
CONSUMABLES, PERIODICAL CHECKS AND FINAL DISPOSAL
TECHNICAL DATA – IT INCLUDES FOLLOWING POINTS: Technical features – Environmental conditions of use – Currents and powers – Controls
and symbols, Connection of the foot-switch - Currents diagrams
GENERAL LIST OF MONOPOLAR AND BIPOLAR ACCESSORIES
HIGH FREQUENCY SURGERY – PRINCIPLES, RISKS AND DIRECTIONS FOR USE
When electrical currents flow across biological tissues, they produce 3 effects: Electrolytic, Faradic and Thermal.
If the current has a frequency higher than 300kHz, the thermal effects remains above all and it is exploited to obtain the desired surgical
result; in fact when an electric current with such characteristics crosses with sufficient density the cellular liquid of tissues, it warms in
different ways and generates what follows:
 A vapor pressure into liquids of cells very high which is able to provoke the explosion/destruction of their membranes: Pure Cut;
 A slower heating of liquids which permits their evaporation; in this way, tissues and vessels shrink and stop the bleeding: Coagulation;
 A process that is in the middle between phenomena above: Coagulating Cut.
HF SURGICAL CURRENTS ARE USABLE IN TWO MODES: MONOPOLAR AND BIPOLAR.
MONOPOLAR MODE. It requires the use of two electrodes (the active one, small and used by the operator; the neutral one, large and fixed
on a different part of the patient’s body) and the current flows from the first to the second electrode.
Obviously, the thermal effect affects with different intensities all tissues included between electrodes.
BIPOLAR MODE. This mode requires the use of one instrument including both electrodes that are very close and the thermal effect affects
only a very small quantity of tissues.
RISKS CAUSED BY THE USE OF HF CURRENTS.
These currents are vital to solve many surgical needs, but they cause also some risks and unexpected side effects, mainly while using the
monopolar mode. For example:
Burns on the patient’s tissues where operators place the neutral electrode caused by not sufficient/bad contact.
Burns on the surgeon’s hand when the insulation of the active electrodes/instruments is damaged;
Severe burns of patients /users caused by the ignition/explosion of flammable/explosive gases or substances.
In fact, the normal sparks generated during the delivery of powers can ignite them.
Bad functioning of other devices (pace-maker, video systems) provoked by EMC interferences emitted during the power delivery;
Unexpected damages of the patient’s tissues caused by a delivery of too high powers.
Notably while using currents for coagulation, neuromuscular stimulations felt by patients or surgeons like “an electrical discharge”.
To reduce these risks, International IEC standards establish both all the hardware/software measures to apply and all warnings to include in
the User manual that users must comply carefully because their behavior is vital to eliminate or, at least, to reduce these risks.
ALSATOM SU-MPC - DIRECTIONS FOR USE
Alsatom are usable for following uses: Monopolar cut / coagulating cut, Monopolar coagulation, Monopolar cut or coagulation under liquid
by using small instruments and Bipolar coagulation during all operations of small/medium surgery in surgeries, OT and similar places.
Alsatom are usable for following fields: Gynaecology, Dermatology, Plastic and Aesthetic Surgery, ORL, Maxillofacial Surgery, Other
Surgeries, Gastroenterology, Veterinary.

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IMPORTANT WARNINGS
Following warnings are vital to use these devices in the best and safest possible way.
Some warnings are inserted for information completeness even if they refer only to devices for major surgery.
General Information -----------------------------------------------------------------------------------------------------------------------
Never use the unit if the installations of the place of use do not comply with the current safety standards. Do not use extensions for
the mains cord, when connecting many devices at the same time, ask the Technical Service about their compatibility.
The smoke produced during the use of HF units is biologically noxious. In many countries, the Official Bodies who safeguard the health
of patients and operators recommend the use of Smoke evacuators to evacuate and filter it.
The use of a suitable smoke evacuator is very useful during the laparoscopy since it allows the best vision of the operating area without
reducing the pressure inside the cavity.
When using an HF unit for endoscopic procedures under liquid, monitor the quantity of irrigation fluids in the patient (input and output
volumes), mainly if it has a poor renal function or cardiovascular insufficiency.
Flammable substances or explosive gases ---------------------------------------------------------------------------------
All HF units produce during the power delivery small sparks able to fire and explode endogenous gases (I.E. Inside the intestine),
flammable gases (i.e. oxygen, nitrogen protoxide) or materials (cotton, gauze, sheets) saturated by these gases and fire flammable
products (cleaning products, disinfectants or solvents) or materials (cotton, gauze, sheets) soaked by these products.
Standards require the complete evaporation of flammable products before starting the use of a HF unit.
Prudentially never use a HF unit in presence of all above gases/substances.
EMC- Electro-magnetic compatibility (Interferences, Disturbs) --------------------------------------------------
This HF devices complies with all international EMC standards and competent technical bodies have tested it by considering itsuse
environment (OT, similar places). Nevertheless and mainly during the power delivery, it can affect the functioning of following devices:
Planted pacemakers or neuromuscular stimulators/similar devices (i.e. they can cause fibrillations).
 Ask for a qualified advice (i.e. From the Cardiology Division before operating a patient holder the pace-maker)
 The bipolar mode is the best solution to operate a patient holder these devices.
Other medical equipment used together the HF device (i.e. monitoring devices, video cameras and so on).
 If possible, do not use the HF unit stacked with / adjacent to other equipment (Otherwise, check their proper functioning) and portable
communication devices at a distance of less 1 meter from it.
 The use of not original accessories (i.e. cables with different lengths) can cause EMC problems...
Preparation of the patient for the operation and use of the monopolar neutral electrode----------
Always place the patient properly for the operation, mainly if it is long since the risk of burns and decubitus lesion rises in this case.
HF currents, mainly monopolar ones, can cause unexpected burns if produce too high thermal effects both in crossed tissues and where
users place the neutral electrode. To reduce this risk do the following:
 Take all the metallic objects off the patient (rings, etc.) and remember that the metallic parts (prosthesis, catheters, etc.) on the path of
the current may cause increases of density of current.
 Check that the insulating parts of the operating table are good (Not able to cause a contact with a metallic part)
 With dry sheets or suitable materials, insulate the patient from any metallic part connected to earth or able to conduct electricity (table,
supports). In the same way, insulate both the patient from the heating mattress and the strongly secreting parts of the body (Sweat can
affect the insulation!) or the contacts skin-to-skin (i.e. between arms and body).
 During the operation, verify if the initial insulation remains good mainly when moving the patient or pouring liquids,
 When disinfecting the operating field, do not wet both the neutral electrode / the related area and the sheets under or around the
patient. Dry the traces of disinfectant on the skin also.
 Place all the not specifically protected monitoring electrodes as far away as possible from the electrodes of the HF unit. Avoid, if possible,
the use of needle type or very small monitoring electrodes.
 Check the neutral electrode if it is a reusable type (if worn/old they are extremely dangerous) and place it as close as possible to the
intervention point (the ideal is a soft part without hairs, protuberant bones or superficial differences), but which not get wet when
preparing or disinfecting the operating field. Clean this area, shave and massage it to improve the circulation.
Normally, the better points are the calf and the thigh, but only if the operation does not affect these areas!.
 If possible by considering all operation problems, avoid a current flow crossing the body /heart diagonally
 Fix the electrode with the best possible contact, without placing anything in between, but do not press it too much to avoid ischemic
zones. Avoid anomalous contacts with conductive parts and insulate arms, hands and fingers from the neutral electrode.
 Check that the contact remains constant during the operation, mainly when moving the patient or pouring liquids.
 Use “Split” neutral electrodes since they allow the check of the contact with the tissue and fix them with the same distance between both
parts and the operation area. (i.e. for an abdominal operation, place the electrode lengthwise on the leg if it is on the thigh).
 Contact the Technical Service to choose the best “disposable” neutral electrode according to specific surgical needs and use it only once in
accordance with its instructions. When the device is able to deliver 400W, the right dimensions are approximately 136 cm2 for patients
with body weight higher than 15 Kg and 84cm2 for children with body weight from 5 to 15 Kg.
 Do not rely on the only adhesiveness of disposable neutral electrodes. A supplementary fixing guarantees a more reliability (i.e. an elastic
bandage, able to cover the entire electrode, but without pressing it too much).
Use of all the active electrodes, pencils and instruments ---------------------------------------------------------
The standard monopolar pencils of the company are suitable to connect active electrodes with stems having a diameter of 2, 3 mm.
Never use accessories not compliant with all applicable Standards, not well insulated, not suitable for the following working voltages:
(About 4500/5000 Vpp. “2250/2500 Vp” for the monopolar currents) (About 400/450 Vpp “200/225 Vp” for the bipolar currents) and
worn or damaged. Damaged accessories do not work properly and can lead users to increase the output power at dangerous levels.
When starting the operation, check the status and the insulation of accessories and place all unused active accessories/cables on
insulating materials during the operation. In addition, avoid their contact both with the patient and with other cables or conductive parts.
 To avoid not useful carbonizations of tissues, do not activate the power delivery if the electrode does not touch the tissues.

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Use of bipolar scissors (For open and laparoscopic surgery) ----------------------------------------------------
Never cut tissues by a bipolar cut current. Cut tissues mechanically while coagulating them by the bipolar coagulation.
The sticking of the bipolar instruments for coagulation and vessel sealing -----------------------------
The sticking of tissues on the tips of instruments is a normal and not avoidable problem. It is possible to reduce as follows:
While using all instruments for coagulation or vessel sealing both clean their tips /jaws and wet or damp them as follows:
If possible, use instruments with no-stick ends.
Before and during use, clean the ends of all instruments and wet / damp them.
Wet them in a bowl with physiological solution before the use and after 3/4 deliveries of power.
Damp them by a gauze soaked in physiological solution before the use and after 3/4 deliveries of power.
 If possible, irrigate the tissue by physiological solution and deliver the power intermittently without pressing the ends too much.
The specific use of the monopolar and bipolar instruments for laparoscopy ---------------------------
The use of these instruments require a special care! Apply the following warnings in addition to those detailed in previous paragraphs.
Always check the good insulation of trocar cannulas.
Use the instrument under visual control and, after each withdrawl; check that all parts are present.
Maintain a correct distance between the ends of the instrument and sensitive structures of the tissue.
Activate the current only if the ends of the instrument are in contact with tissues.
Never use, during the operation, a hot instrument (An instrument with hot ends) as instrument for preparing.
Never use currents for coagulation with automatic start/stop system.
When using bipolar instruments for coagulation and vessel sealing, do also the following:
Prudentially perform at least two coagulations / seals (to the left and to the right of the point to cut) and verify if vessels are
well coagulated / sealed before performing the cut.
Use of currents and powers ---------------------------------------------------------------------------------------------------------
When start using a new HF unit, check its performance without considering previous experiences with similar devices.
When start an operation with a new unit, set very low powers and then raise them progressively.
Always use the lowest possible power and never use a monopolar power higher than 100W when using neutral electrodes for pediatrics
and 50/70W using electrodes for new-born.
Use the bipolar mode when operating on delicate or much innervated tissues, on small portions of tissue, on cavities and when operating
on patients with pacemakers or similar implanted devices.
Use the bipolar mode if the positioning of the neutral electrode for the monopolar mode is difficult.
Remember that the use of too low powers can cause unexpected risks.
Try to follow the suggested working times, and avoid useless short-circuits between active and neutral electrodes.
Regarding powers, the device is provided with an automatic self-test system with self-checks both at the switching ON and
during the functioning, (See the point AUTOMATIC SELF-TEST SYSTEM AND PROBLEMS NOT DETECTABLE BY SELF-CHECKS.
The system blocks the functioning and informs users by ERROR CODES or acoustic/visual ALARMS in following cases:
If it detects wrong activations (For example if the user pushes two activation switches simultaneously).
In this case users can intervene by eliminating the mistake immediately.
 If it detects failures that cause: Absence of output power /Anomalous power delivery.
In this case users can switch the device OFF and ON again (ask for technical assistance if the problem continues).
Therefore, if during use the device doesn’t deliver the power (The normal powers appear less efficacious), but it has
properly passed the self-check at the switching on and the systems do not signal problems by ERROR CODES or ALARMS,
do not both increase too much the power and think that the problem depends on the unit. Do as follows:
Check the good contact between the neutral electrode and patient’s tissues while using monopolar currents.
Check cables and connectors by bending and pulling them (They mainly break close to the instrument).
Check the assembly and the internal connections of all instruments, mainly if for endoscopy or laparoscopy.
Check the insulation of the blades of all bipolar scissors (If damaged by the sliding a short circuit occurs and the current to reach tissues).
Clean the tips of all electrodes and instruments (If dirty, the current doesn’t reach tissues).
Clean the joints of the bipolar instruments for laparoscopy (If dirty the current doesn’t reach tissues).
Specific problems (Minor surgery, Veterinary) ----------------------------------------------------------------------------.
During the use in minor surgery and the patient is not fully anesthetized, a phenomenon felt like “electrical discharge” can occur.
It is not a dangerous electrical discharge since HF currents can only cause burns, but it is a slight neuromuscular stimulation that is a
normal side effect of the HF current (mainly while delivering monopolar coagulations). To avoid / reduce it, do the following:
 Use surgical gloves to insulate the hand.
If possible, avoid the contact with the ground (For example by using clogs, insulating chairs and so on).
While using HF monopolar currents in veterinary, the risk of unexpected burns either where the animal touches the operating table or
where operators place the neutral electrode is quite high because of that follows:
The fur does not allow operators to obtain the good contact of the neutral electrode (Operators have to cut it).
Sometimes animal dimensions do not allow the good positioning of the neutral electrode.
Many times operators cannot insulate the animal from the conductive parts of the operating table.
The disinfectants / liquids that come down through the fur produce anomalous paths of current that can cause burns.
To avoid or reduce this risk, do the following:
Apply very carefully all the warnings of this paragraph about the use of the neutral electrode.
If possible, use the bipolar coagulation (Forceps with large tips allow the obtaining of a very efficacious coagulation).

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USE
Place the unit on a shelf at not less than 30cm from the wall or other objects that can obstruct the ventilation areas.
Check that the mains supply corresponds to technical data (See the data label on the back)
Connect the device with the mains switch OFF = 0 (On the back).
Connection of the foot-switch ------------------------------------------------------------------------------------------------------
 The foot-switch is pneumatic without electrical current; it means water-proof and explosion-proof usable in OT.
Connect it as the paragraph Controls and Symbols details.
Connection of the neutral electrode and operation of its control circuit -----------------------------------
The electrode is not needed to use the bipolar coagulation (The light 11 ON signals only that the electrode is not connected).
The cable connector is the international plug Ø 6, 35 mm.
 Connect the cable to the socket 6 (If needed, connect the cable to the electrode).
OPERATION OF THE CONTROL CIRCUIT WHILE USING A SINGLE AREA NEUTRAL ELECTRODE.
The circuit intervenes, activates alarms (Intermittent sound, light 11 and signal Err n-P ON) and blocks the power delivery
if the cable is broken or not connected to the electrode and/or to the device.
In this case check the cable and its connection to the electrode or to the device.
OPERATION OF THE CONTROL CIRCUIT WHILE USING A DOUBLE AREA “SPLIT” NEUTRAL ELECTRODE.
The circuit intervenes as above if the cable is broken, if it is not connected to the electrode and/or to the device and if the
contact between the electrode and patient tissues is poor and dangerous.
In this case check the cable, its connection to the electrode or to the device and the contact between electrode and patient tissues.
Connection of accessories -------------------------------------------------------------------------------------------------------
MONOPOLAR HANDLE / INSTRUMENT
The cable connector is a plug Ø 6 with an hole Ø 4 mm.
 Connect the accessory to the socket 7 (To insert the electrode into the pencil unscrew the two parts of the handle).
To connect monopolar accessories either not standard or for flexible endoscopy / minor cistoscopy,
see the paragraph “Adaptors and connecting cables for not standard accessories”
BIPOLAR INSTRUMENT
The standard cable(CPB/E) has a connector with 2 plugs Ø 6 mm with holes Ø 2 mm
The cable is usable with all instruments with european standard “flat” connector.
 Connect the accessory to the socket 8
The connection does not require a specific polarity.
To connect bipolar accessories either not standard or for flexible endoscopy / minor cistoscopy,
see the paragraph “Adaptors and connecting cables for not standard accessories”
Switching ON and automatic starting self-test ----------------------------------------------------------------------------
 Switch the device ON by the switch 1 (on the back) and the starting self-test runs immediately. On displays, numbers and codes
(for example, internal temperatures) signaling each self-test phase appear. THEY ARE NOT ALARMS!
It the system detects failures it blocks the operation (See the paragraph AUTOMATIC SELF-TEST SYSTEM).
Otherwise, the self-check ends with an acoustic signal (on displays the software release appears for an instant).
After that, displays show the following:
 The first time users switch the device ON, displays show the number 1.
 At each new switching ON, displays show the poker of currents used at the switching OFF.

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Setting and adjustment of currents ----------------------------------------------------------------------------------------------
SETTING OF THE CURRENTS FOR CUT / COAGULATING CUT
 Select the area 10 - CUT of currents by pushing the keys 4A or 5A(The display of the deactivated area blinks).
 Push the key 4A and select the first current you like. For example, PURE = pure cut (the related led switches on).
 Adjust by keys 5A the power (The display shows it). You can change the power always, even during the power delivery.
 If you like, push again the key 4A to select a second current and adjust its power in the same way.
 In the same way you can set all currents
By pushing the key 4A, all currents can be selected progressively (PURE > PPULSED > BLEND > BPULSED 1 > BPULSED 2 > PURE >>)
PURE – Pure cut P PULSED – Pulsed pure cut
BLEND – Coagulating cut B PULSED 1 – Pulsed coagulating cut BPULSED 2 – Slowly pulsed coagulating cut
 At the end push the key 4A and select the first current you prefer to start the operation.
As above detailed, you can always change currents and/or powers during use.
SETTING OF THE CURRENTS FOR MONOPOLAR OR BIPOLAR COAGULATION.
Select the area 9- COAG of currents by pushing the keys 4B or 5B (The display of the deactivated area blinks).
Push the key 4B and select the first current you like. For example, MICRO – micro coagulation (the related led switches on).
 Adjust by keys 5B the power (The display shows it). You can change the power always, even during the power delivery.
 If you like, push again the key 4B to select a second current and adjust its power in the same way.
 In the same way you can set all currents
By pushing the key 4B, all currents can be selected progressively (MICRO > MPULSED > FULG > FPULSED > BIPOLAR > MICRO >>)
MICRO – Delicate coagulation MPULSED – Pulsed delicate coagulation
FULG - Macro coagulation “fulguration” FPULSED – Pulsed macro coagulation “fulguration”
BIPOLAR – Bipolar coagulation
 At the end push the key 4BA and select the first current you prefer to start the operation.
As above detailed, you can always change currents and/or powers during use.
Temporization of the Micro coagulation (from 0.1 to 1 sec) --------------------------------------------------------
 Push the key 4B and select the M PULSED current.
 Push again the key 4B for 3/4 seconds
The display changes and shows times: from one tenth of second (1.) to one second (10).
 Adjust the time by keys 5B and push again the key 4B (The display shows again the power level).
The device memorizes the set time that can be always changed in the same way to set the best value in order to obtain the
proper result.
Activation of all currents by the foot-switch ------------------------------------------------------------------------
To activate a cut current select the area 10-CUT by pushing keys 4A or 5A (The display of the deactivated area blinks).
If you want to use a current different from the already memorized one, select it by the key 4A
Push the foot-switch (the unit signals the activation by the yellow light ON and a grave sound).
 To activate a coagulation current select the area 10-COAG by pushing keys 4B or 5B (The display of the deactivated area
blinks).
If you want to use a current different from the already memorized one, select it by the key 4B
Push the foot-switch (the unit signals the activation by the blue light ON and an acute sound).
To use pulsed currents (PPULSED, BPULSED 1, BPULSED 2 and FPULSED) push the pedal continuously.
The delivery is automatically pulsed.
To use the temporized monopolar coagulation MPULSED push the pedal.
Each time you push the pedal the delivery is very short (from 0,1 to 1 second) automatically.
By pushing both pedals together the self-test system blocks the device (See: AUTOMATIC SELF-TEST SYSTEM).
Activation of monopolar currents by the hand-switch pencil (Only in the model SU140-MPC)-
 Activate the power delivery directly by pushing the buttons of the pencil (yellow = cut) (blue = coagulation).
The device operates as above detailed for the single foot-switch.
Memorization of settings and abnormal power delivery ------------------------------------------------------------
The device memorizes all settings automatically and it resets at the switching ON those used at the switching OFF.
In case of abnormal power deliveries see paragraphs AUTOMATIC SELF-TEST SYSTEM and IMPORTANT WARNINGS (Specially
the point Use of currents and powers)

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Available currents, use and starting settings -----------------------------------------------------------------------------
PURE (monopolar pure cut without coagulating effect).
It is suitable to obtain each pure cut: uterine conization in gynaecology, papillotomy in flexible endoscopy, cut under liquid
for minor isteroscopy and so on. It gives better results by using thin electrodes:
 Needle, knife electrodes (Starting settings from 3-4W).
 Thin loop electrodes or very thin needle electrodes: SAD, SAD/1, SAD/2, SAD/3  from 0.1 to 0.4 mm. (Starting setting from 3-4 W).
 LLETZ/LEEP electrodes for conization (Starting setting from 10 W).
 Electrodes for papillotomy (Starting setting from 20/30 W).
P PULSED (monopolar pulsed pure cut- fast).
It is identical to the PURE cut and is usable with same electrodes and powers, but it is more suitable to obtain very fine cuts.
BLEND (monopolar coagulating cut).
It is suitable to obtain a properly coagulating cut and it is usable with the identical electrodes and settings of the PURE cut.
It is also suitable to perform polipectomies (starting setting from 20/30W).
B PULSED 1 (pulsed monopolar coagulating cut - fast)
It is identical to the BLEND cut and is usable with same electrodes and powers, but it is more delicate.
B PULSED 2 (pulsed monopolar coagulating cut - slow)
It is identical to the BLEND cut, but it is especially suitable to perform polypectomies (starting setting from 20/30W).
MICRO (delicate coagulation with minimum sparking).
It is suitable to perform all micro coagulations (i.e. the epilation) and the coagulation of not bleeding tissues by using
following electrodes:
 AID: insulated thin needle for epilation (starting setting from 1-2 W).
 SAD, SAD/1, SAD/2, SAD/3: very thin not insulated needles  from 0.1 to 0.4 mm. (starting setting from 3-4 W).
 Ball electrodes  2-2,5mm (starting setting from 15-20 W).
 Ball electrodes  3-4mm (starting setting from 20-30 W).
M PULSED (Temporized delicate coagulation with delivery time adjustable from one tenth of second (1) to 1 second (10).
It is identical to the MICRO coagulation, but grants to its very short delivery time is the best to perform all
microcoagulations.
FULG (macro coagulation “fulguration” with high sparking)
It is suitable to coagulate all both bleeding and not bleeding tissues by using following electrodes:
 Needle, knife or loop electrodes, ball electrodes and surgical forceps (starting setting from 20-30 W).
 LLETZ/LEEP electrodes for conization (starting setting from 20-30 W).
 Loops for flexible endoscopy (starting setting from 20-30 W).
It is perfect to perform a cut with strong coagulating effect by using needle or knife electrodes (starting setting 20-30 W).
FULG PULSED (Pulsed macro coagulation “fulguration)
It is identical to the FULG coagulation, but it is more suitable for same uses if users like a more delicate result.
BIPOLAR (bipolar coagulation).
It is suitable to perform bipolar coagulations with following instruments:
 Bipolar forceps (If provided with tips 0,5/1mm, starting setting 1-2W) (If provided with tips 1,5/2mm, starting setting 4-5 W)
 Needles for turbinals or similar uses (starting setting from 20 – 30 W).
 Forceps for laparoscopy (starting setting from 20 – 40 W)).
Adaptors and connecting cables for not standard accessories - Use of the RD/5 adaptor -------
MONOPOLAR CABLES AND ADAPTORS:
ALSA cables (Specify model and connector of the instrument).
ALSA cables for electrodes for flexible endoscopy:
CEP/3: cable (3 mt) for electrodes with male plug Ø 3mm.
CEP/3-5: ditto (5 mt).
CEP/4: cable (3 mt) for electrodes with female connector Ø 4mm.
CEP/4-5: ditto (5 mt).
RD/5: Universal adaptor to use all cables.
BIPOLAR CABLES AND ADAPTORS:
ALSA cables (Specify model and connector of the instrument).
Adaptors to use all following cables:
RD/BF: Cables with Valleylab connector or with 2 flying plugsØ 4 mm.
RD/BF1: Cables with coaxial connector Ø 12,5 mm – ERBE, STORZ).
RD/BF2: Cables with coaxial connector Ø 9 mm – Martin).
USE OF THE RD/5 ADAPTOR
1.To use cables with plug Ø 4 mm.
Unscrew the knob, take away the first metallic part and insert the cable.
2.To use cables with plug Ø from 2 to 3 mm.
Unscrew the knob, take away the first metallic part, insert the plug and screw the knob again.
3.To use cable with plug Ø from 4,5 to 8 mm. (ERBE, STORZ, VALLEYLAB, CONMED, others)
Unscrew the knob, take away both metallic parts , insert the plug and screw the knob again

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AUTOMATIC SELF-TEST SYSTEM---------------------------------------------------------------------------
The device is provided with a self-test system that checks its operation, its failures and wrong usages by users. It operates as follows:
At the switching ON. It performs a complete self-check that ends, if the device has properly passed it, with a short sound (on displays, the
code of the software release appears for a brief moment).
During use. It goes on checking the device operation, any wrong usages and output powers.
In both cases in the system detects both wrong usages and failures, it bloks the power delivery by informing users with acoustic and/or
visual signals named ERROR CODES.
Short list of ERROR CODES with possible countermeasures by users.
Error code Err OtA with intermittent sound.
It does not signal problems or failures, but it is only an information for users about the continuous power activation for a time < 40 sec.
Applicable countermeasures: Stop the power activation for a brief moment and start it again immediately.
Error code Err ACt with intermittent sound.
It signals that users are pushing either two activation switches simultaneously or an activation switch not usable with that use mode.
Applicable countermeasures: Stop the wrong use.
Error codes 12, 13 and 14 with intermittent sound.
It signals during the starting self-check a failure or an inadvertent pressure of the following:
12 = Pedals of the foot-switch, 13 = Buttons of the hand-switch pencil , 14 = Keys of the front panel.
Applicable countermeasures: Switch the device OFF and ON again to verify the signaling (If confirmed, ask for the technical assistance).
Error code to2 + the detected temperature with intermittent sound
It signals that the device internal temperature is too high and could signal a failure.
Applicable countermeasures: Switch the device OFF and ON again to verify the signaling (eventually after 20/30 seconds).
Other Error Codes
They signal failures or technical problems
Applicable countermeasures: Switch the device OFF and ON again to verify the signaling (If confirmed, ask for the technical assistance).
Problems not detectable by the self-test system.
The unit is ON and it does not signal problems, but by pushing foot-switches it either does not deliver
the power (None acoustic and visual signal) or it operates in a not constant way.
Verify if the foot-switch (related tubing) is broken by inserting and pushing into the central hole of the socket a rounded tip .
The unit is ON, it does not signal problems and emits all activation signals, but it does not deliver the power or the normal power
appears less efficacious.
Verify accessories, cables and the proper connection of the monopolar neutral electrode as detailed in the paragraph
IMPORTANT WARNINGS (Mainly points: Use of currents and powers and Specific problems (Minor surgery, Veterinary)
HANDLING, STORAGE, CLEANING AND STERILIZATION --------------------------------------------
 When not used, kept the device in a dry and not dusty place. Be careful that no liquid is poured on it.
 Always store with care the device and all accessories in order to avoid damages. To ship it, use the original packaging.
 Clean the unit with a simple soap solution, by taking care that no liquid goes inside and then wipe it with a dry cloth.
 Clean the foot-switches in the same way or by using a cold disinfecting solution. Not use flammable products!
At the moment of the sale accessories are not sterile.
Sterilize monopolar and bipolar active accessories with related cables by steam autoclave at 121 °C
or with suitable cold solutions, the neutral ones by suitable cold solutions.
The packaging of each accessory includes a label with the instructions for use and the sterilization
mode (allowable number of cycles and time of each cycle).
DO NOT STERILIZE BY DRY HOT AIR DEVICES, THEY BREAK PLASTICS AND INSULATIONS!
 During the sterilization, do not bend connection cables too much and wipe, before use, all the parts of the accessories very well in order
to eliminate all the humidity. The best thing to do is to centrifuge them.
CONSUMABLES, TECHNICAL CHECKS AND FINAL DISPOSAL ---------------------------------------
 The device does not include consumables or materials with limited service life.
 IEC standards require the performing by qualified personnel, even better by the Manufacturer, of a regular check of
these devices (Theoretically once per year) including the following:
In accordance with general standards IEC 60601-1.
 The check of the electrical safety (Low Frequency Leakage currents, Resistance of the protective earth conductor and so on).
 The check of the general operation, of the mains fuses, of the supply cord and so on.
In accordance with specific standards IEC 60601-2-2 for HF surgical equipment.
 The check of electrical safety (High Frequency Leakage currents and so on).
 The check of the operation of the control circuit of the neutral electrode.
 The check of powers by considering the values specified in the diagrams included in this manual (the tolerance is 20% about the
powers higher than 10% of the maximum power of each current,
 Perform the final disposal according to the specific National Laws, but remember that the unit does not include
dangerous substances or materials.
Sterilize before the disposal all accessories used on patients.

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TECHNICAL DATA ----------------------------------------------------------------------------------------------
Technical features
Generator: Electronic type, compliant with IEC 601-2-2 standards and suitable for monopolar and bipolar usesl
Working frequency: Monopolar/bipolar working frequency 440kHz +- 10%.
Generator PER: 97%.
Classification: (CE2007/47= IIB) (IEC= Class I - Type CF) (EMC= Cat. A).
Output circuit: “floating” insulated from earth at high/low frequencies and protected against the use of the defibrillator.
Supply, absorption and fuses: See the data label on the back.
Intended use: Up to ≤2000mt, in environment with pollution degree = Cat II, with a supply network with overvoltage = Cat 2.
Enclosure IPN3N2, = Protected against the ingress of solid objects  ≥ 2,5 mm and against water drops when tilted up to 15°.
Foot-switch IPN6N7 = Protected against both the dust and effects of a momentary immersion in water.
Cooling: By convection without fan.
Activation signals Cut (yellow light and grave sound), Coagulation ( blue light and acute sound)
Operation control: By microprocessor
Self-test system: By microprocessor with self-checks and ERROR CODES
Neutral electrode (single area and double area) control: Specific circuit with power delivery block and alarm signals.
Supply cord: 2meters, section 3x0,75 mm2.
Dimensions and weight: cm (WxDxH) 22x24x12 – about Kg 4.5
Environmental and atmospheric conditions for use, transport and storage
For the use: Temperature (°C) +10 ÷ +40. Humidity 30% ÷ 75%. Pressure (hPa): 700 ÷ 1060.
For the transport and storage: Temperature (°C) -40 ÷ +70. Humidity 10% ÷ 95%. Pressure (hPa): 500 ÷ 1060.
Currents and Powers
W: Power (Watts) - : Rated load –
Vpp: Open circuit peak to peak voltage - CF: Crest factor – M: Modulation - DT: Duty Cycle –
SU50-MPC SU100-MPC
Pure 80 W 500  Vpp 980 - CF 1.5 - M 0% - DT 100% Pure 160 W 500 Vpp 1000 - CF 1.5 - M 0% - DT 100%
PPULSED 40 W “ Vpp 1350 - CF 3 - M 50% - DT 100% PPULSED 80 W“Vpp 1360 - CF 3 - M 50% - DT 100%
Blend 80 W “ Vpp 1400 - CF 2.3 - M 0%, DT 80% Blend 140 W“Vpp 1400 - CF 2.3 - M 0%, DT 80%
BPULSED 1 40 W “ Vpp 1550 - CF 3.5 - M 50%, DT 80% BPULSED 170 W“Vpp 1550 - CF 3.5 - M 50%, DT 80%
BPULSED 2 33 W “ Vpp 1580 - CF 3.6 - M 50% - DT 80% BPULSED 238 W“Vpp 1580 - CF 3.6 - M 50% - DT 80%
Micro 80 W “ Vpp 1530 - CF 3.4
–
M 0% - DT 50% Micro 80 W“Vpp 1530 - CF 3.4
–
M 0% - DT 50%
MPULSED 80 W “ Vpp 1530 - CF 3.4
–
M 0% - DT 50% MPULSED 80 W“Vpp 1530 - CF 3.4
–
M 0% - DT 50%
Ful
g
75 W 750  Vpp 2250 - CF 3.5 - M 0% - DT 50% Ful
g
100 W750 Vpp 2300 - CF 3.5 - M 0% - DT 50%
FPULSED 40 W “ Vpp 2300 - CF 5 - M 50% - DT 50% FPULSED 40 W“Vpp 2300 - CF 5 - M 50% - DT 50%
Bi
p
olar 80 W 100  Vpp 500 - CF 2.8 - M 0% - DT 100% Bi
p
olar 100 W100 Vpp 500 - CF 2.8 - M 0% - DT 100%
SU140-MPC
Pure 140 W 500  Vpp 1000 - CF 1.5 - M 0% - DT 100%
PPULSED 80 W “ Vpp 1380 - CF 3 - M 50% - DT 100%
Blend 140 W “ Vpp 1400 - CF 2.3 - M 0%, DT 80%
BPULSED 1 70 W “ Vpp 1550 - CF 3.5 - M 50%, DT 80%
BPULSED 2 38 W “ Vpp 1580 - CF 3.6 - M 50% - DT 80%
Micro 90 W “ Vpp 1530 - CF 3.4
–
M 0% - DT 50%
MPULSED 90 W “ Vpp 1530 - CF 3.4
–
M 0% - DT 50%
Ful
g
120 W 750  Vpp 2300 - CF 3.5 - M 0% - DT 50%
FPULSED 60 W “ Vpp 2300 - CF 5 - M 50% - DT 50%
Bi
p
olar 100 W 100  Vpp 500 - CF 2.8 - M 0% - DT 100%

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Controls and symbols
FRONT PANEL - SU50-MPC and SU100-MPC
FRONT PANEL - SU140-MPC
FRONT PANEL
4) Key of currents selection
4A- Pure cut / coagulating cut (yellow).
4B- Monopolar and bipolar coagulation /blue).
5) Keys of power adjustment
5A- Pure cut / coagulating cut (yellow).
5B- Monopolar and bipolar coagulation (blue).
6) Socket for the neutral electrode
7) Socket for the monopolar instrument.
Models SU50 and SU100: 7) Pencil to use by the foot-switch.
Model SU140: 7A) Pencil to use by the foot-switch.7B) Hand-
switch pencil
8) Socket for the bipolar instrument
9) Display and light COAG (coagulation)
10) Display and light CUT (cut)
11) Alarm light of the neutral electrode (red).
BACK
1) Mains switch.
2) Mains cord appliance inlet with fuses.
3) Socket for the foot-switch
Connection of the foot-switch (STOP/PN)
Unscrew from each socket C the nut E and take away the conic gasket D inside the socket.
 Insert tubings of the pedal (Yellow = cut Blue = coagulation) into nuts and gaskets.
 Without pushing pedals insert tubings and gaskets into sockets.
 Screw nuts E to sockets C tightly.
I - O ON - OFF Alternated
current
Separate waste Be careful
Read the User manual
Device of Class I - Type CF protected against the use of the defibrillator. This type grants the highest level of safety against direct
and not direct contacts, for leakage currents specially.
An floating applied part is insulated from earth at high and low frequencies.
CONFORMITY EMC/DIRECTIVE 89/336/CEE: CATEGORY A (Distances to be kept from not vital devices)
Source of the Current RF Typical Power (W) Distance (m) For broadcasting stations which use
frequencies less than 800MHz, the distance
can be established by using the equation: A:
d = 4√P
For broadcasting stations which use
frequencies between 800MHz and 2.5GHz,
the distance can be established by using the
equation: B : d =2.3√P
P = Nominal power of the transmitter in watt
(W), established by the manufacturer.
Microcellular telephones CT1,CT2,CT3 0.01 0.4
Mobile telephones DECT, Wireless devices
(modems, LANs) 0.25 2
Mobile telephones (USA) 0.6 3
Hand mobile telephones (GSM, NMT, Europe)
(DECS 1800)
2
8
6
11
Walkie-talkie (police, firemen, protection, maintenance) 5 9
Bag mobile telephones 16 16
Mobile radio (police, firemen, protection) 100 40

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Currents diagrams (tolerance ± 20%)- They include following diagrams:
1- The change of the monopolar output power (with loads from 50 to 2000 Ω) by setting the 100% and the 50% of the maximum power
Maximum power W (power) ▲ /  (loads) ►
The change of the bipolar output power (with loads from 10 to 1000 Ω) by setting the 100% and the 50% of the maximum power
Maximum power W (power) ▲ /  (loads) ►
2- The increase of the output power (with the rated load) versus the power setting increase W ▲ / Setting ►
3- The change of the peak to peak voltage versus the power setting increase Vpp ▲ / Setting ►
The measurement is performed in accordance with IEC 60601-2-2 (Values detected within a 1 second by excluding lower transients).
CUT- Pure 1 2 3
▲► ▲► ▲►
CUT- PPULSED 1 2 3
▲► ▲► ▲►
CUT- Blend 1 2 3
▲► ▲► ▲►
CUT- BPULSED 1 (fast) 1 2 3
▲►
▲► ▲►

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CUT- BPULSED 2 (slow) 1 2 3
▲► ▲► ▲►
COAG- Micro 1 2 3
COAG- MPULSED. It is identical to the Micro current.
▲► ▲► ▲►
COAG- Fulg 1 2 3
▲► ▲► ▲►
COAG- FPULSED 1
▲►
2 3
▲► ▲►
COAG- Bipolar 1 2 3
▲► ▲► ▲►

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GENERAL LIST OF MONOPOLAR AND BIPOLAR ACCESSORIES
Monopolar accessories
Monopolar Pencils – (Insulation: 4000Vp).
MPE/F: Foot - switched pencil - Cable 2, 5 mt.
Autoclavable 300 times
MPE/CMS: Hand - switched pencil - Cable 3 mt.
Autoclavable 100 times
Reusable monopolar neutral electrodes
EIP/9: Stainless steel rigid electrode (25 x 12 cm) with CMS/E cable 2, 5 mt.
The CMS/C is suitable to connect the disposable, single-use,
neutral electrodes with the standard, international connection.
NP/GP: Conductive, flexible and autoclavable, neutral electrode (19 x 8 cm) with cable 2, 5 mt.
Monopolar active electrodes E series (Insulation: 4000Vp - Autoclavable 200 times)
From E1 to E26
Short electrodes for general uses
(Insulated stem = 5/6 cm)
EXT/ 1:
Extension for electrodes

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From E40 to E47
Long electrodes for general uses
and gynaecology
(Insulated stem = 13 cm)
From E40 to E47
Long electrodes for
Conization
(Leep /Lletz procedures)
(Insulated stem = 13 cm)
From E101 to E121
Short electrodes
for Micro surgery
and dental surgery
(Insulated stem = 5/7 cm)

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Bipolar accessories
Cables for bipolar instruments (Insulation 650Vp)
CPB/E - Cable (3 mt long) for all the bipolar instruments having the
European/International, standard “flat” connector.
Connector to the unit: Rigid with 2 plugs Ø 6 mm.
CPB/E5 - Ditto, 5 mt long.
European/International standard “flat” connector.
Insulated Bipolar Forceps - (Insulation 650Vp)
S
traight type “Jeweler”
Forceps with NORMAL tips Forcesps with NO-STICK tips
Cod.
PMC/JR
PMC/JC
L. (cm)
11,5
11,5
Tips (mm)
Straight: 0,5.
Angled: 0,5.
Cod.
PMC/JRns
PMC/JCns
L (cm)
11,5
11,5
Tips (mm)
Straight: 0,5.
Angled: 0,5.
S
traight type “Cushing/Potts-
S
mith”
Forceps with NORMAL tips Forcesps with NO-STICK tips
Cod.
PMC/RS
PMC/CS
PMC/R
PMC/C
PBC/R
PMC/C
PMC/R25
PMC/C25
PBC/R25
PBC/C25
L. (cm)
15,5
15,5
20
20
20
20
25
25
25
25
Tips (mm)
Straight: 0,5.
Angled: 0,5.
Straight: 1.
Angled: 1.
Straight: 2.
Angled: 2.
Straight: 2.
Angled: 2.
Straight: 1.
Angled: 1.
Co
d
.
PMC/RSns
PMC/CSns
PMC/Rns
PMC/Cns
PBC/Rns
PMC/Cns
PMC/R25ns
PMC/C25ns
PBC/R25ns
PBC/C25ns
L (cm)
15,5
15,5
20
20
20
20
25
25
25
25
Punte (mm)
Straight: 0,5.
Angled: 0,5.
Straight: 1.
Angled: 1.
Straight: 2.
Angled: 2.
Straight: 2.
Angled: 2.
Straight: 1.
Angled: 1.
Bayonet type. “Jansen/Yasargil”
Forceps with NORMAL tips Forcesps with NO-STICK tips
Cod.
PMC/RSB
PMC/B
PMC/B25
PBC/B
PBC/B25
PMC/BCD
PMC/BCU
PBC/BCD
PBC/BCU
L. (cm)
15
20
25
20
25
20
20
20
20
Tips (mm)
Straight: 0,5
Straight: 1.
Straight: 1.
Straight: 2.
Straight : 2.
Angled down: 1.
Angled up: 1.
Angled down: 2.
Angled up: 2.
Cod.
PMC/RSBns
PMC/Bns
PMC/B25ns
PBC/Bns
PBC/B25ns
PMC/BCDns
PMC/BCUns
PBC/BCDns
PBC/BCUns
L (cm)
15
20
25
20
25
20
20
20
20
Tips (mm)
Straight: 0,5
Straight: 1.
Straight: 1.
Straight: 2.
Straight : 2.
Angled down: 1.
Angled up: 1.
Angled down: 2.
Angled up: 2.
Insulated, Bipolar, Rigid Needles (Insulation 650Vp)
EBD 18
–
Straight stem with straight needles
–
Lenght 18 cm
EBD 20 - Ditto- 20 cm
EBD 22 - Ditto - 22 cm
EBT - Angled stem for turbinals with straight needles –Length 18 cm.
EBT20 - Ditto - 22 cm
EBT22 - Ditto – 20 cm
EBL- Angled stem for larynx with straight needles
–
Length 16,5 cm.
EBL 16, 5 - Ditto with angled up needles – 16,5 cm.