ALSA Excell 400 MCDSe User manual

EXCELL
MCDSe System
ELETTROBISTURI ED ELETTROBISTURI CON GAS ARGON PER ALTA CHIRURGIA
DIATHERMY UNITS AND ARGON GAS ENHANCED DIATHERMY UNITS FOR MAJOR SURGERY
BISTOURIS ET BISTOURIS AVEC GAS ARGON POUR LA HAUTE CHIRURGIE
ELECTROBISTURÍES Y ELECTROBISTURÍES CON GAS ARGON PARA ALTA CIRUGÍA
CE 0051
ISO 9001 : 2000 ISO 13485 : 2003

The equipments of the series Excell MCDSe System are electrosurgi-
cal units for major surgery, suitable for all operations where the
monopolar and the bipolar techniques are used, as well as the
monopolar mode with the Argon gas flow. The units are available in 5
different models.
The models 400
MCDSe , 350 MCDSe , 250 MCDSe , and 200 MCDSe
are indicated for electrosurgery, but they can be also connected to an
external module for the Argon gas. By the contrary, the model 400/A
MCDSe is suitable both for electrosurgery and electrosurgery with
Argon gas. It is equipped with all the necessary functions for this type
of application, and so it is easier to use.
AUTO-CHECK AND SELF-REGULATION OF OUTPUT
POWERS MCDSE SYSTEM
A new system with double microprocessor Master Sleeve System
ensures a wide range of functions and performances at a very high
level.
Auto-Check : complete auto-control of the functioning, through:
•
Main Auto-Check , main auto-diagnosis procedure at the switching-
on and
Standard Auto-Check , continuous auto-diagnosis during the
functioning.
•
General Error Control and Output Error Control: the auto-check
systems interrupt the functioning and inform the operators through
specific
Error Codes in case of damages or errors in the function-
ing/switching on, or in case of problems that could provoke a
sudden delivery of power, which is higher than the selected one.
ADC System-constant power e Starting Impulse Control.
All the currents are automatically and dynamically self-regulated,
according to a continuous feed-back between the unit and the tissues
on which the operator intervenes, and according to the electrode used
and its rapidity of sliding on the tissues themselves.
All the cutting currents are characterized by a starting pulse, which is
controlled and automatically optimized to obtain the maximum efficacy.
These two systems guarantee the best results in all the operating
fields, by using the minimum possible power (the interventions under
liquid included).
10 PROGRAMMABLE MEMORIES
The MCDSe models have the possibility to memorize 10 functioning
programs that are selectable through a simple button. In this way, the
different performances can be personalized and then reproduced.
HIGH FREQUENCY LEAKAGE CURRENTS
CONTROL CIRCUIT
A specific circuit verifies that the HF leakage currents to hearth
always remain within the safety limits, in order to avoid all risks of
burns, even in dangerous situations like the contact between the
patient and a small part of the operating table.
SAFETY CIRCUIT OF THE NEUTRAL ELECTRODE
NPCC SYSTEM
The safety circuit of the neutral electrode guarantees its complete
control.
With the
twin section electrodes Split type, it fully checks the
connection and the quality of the contact between the electrode and
the patients’ tissues.
If the contact is not optimum (approx. 80% of a standard electrode for
adults), it gives the first luminous indication. If the contact decreases
to approx. 50% of a standard electrode for adults, it gives another
luminous indication, and automatically reduces the power at a safety
level of 200 W. If the contact is dangerous or the electrode cable is
broken / not connected at all, it interrupts the delivery of the power,
through a luminous and acoustic alarm.
With the
one single section electrodes Non Split type, it only controls
if the cable is integral and correctly connected.
PRACTICALNESS AND EASINESS
On the front panel, which is completely smooth and easily washable,
there are all the control devices with selection buttons for the functions
and adjustable buttons for the powers; there are also luminous
activation signals or alarm signals, as well as the powers control
displays. The outputs are characterized by luminous indications that
light up according to the usage modes that have been selected, in
order to favour the connection and the activation of the accessories.
GREAT RELIABILITY, TECHNICAL ASSISTANCE AND
TECHNOLOGICAL EVOLUTION
The Excell MCDSe models have been designed with interchangeable
boards, and they are equipped with a new generator
RF Mosfet
Powered Damped Oscillator
with alimentation device switching that
does not cause any problem of heating; the test procedures also
include a “stress test” of 100 hours of functioning at max. power.
The Auto-Check systems memorize the last 32
Error Codes for the
THE ELECTROSURGICAL UNITS EXCELL MCDSe System
future controls, while the functioning and the auto-check softwares
can be easily updated, through a serial port for a connection to a PC.
WIDE RANGE OF CURRENTS AND PERFORMANCES
All the Excell models are equipped with 13 currents to satisfy all
possible operating needs; these currents become 14 into the model
400/A
MCDSe .
Four for the monopolar cut, with sinusoidal wave, which can be
used even with the Argon gas flow into the model 400/A
MCDSe in
order to reduce the smokes and the smells. They ensure the
maximum rapidity and precision in all the operating fields, the
procedure under liquid included.
• Pure: Pure cut without any coagulating effect.
• Blend 1: Coagulating cut with normal haemostatic effect.
The two currents are characterized by special self-regulation
softwares, which are particularly useful for the TUR interventions,
the vaporisation, etc.
• Blend 2: Coagulating cut, with strong haemostatic effect,
spray
type.
• Endo: Coagulating cut, with cut phases alternated to coagulation
phases and a special self-regulation software for its usage in flexible
endoscopy.
Four for the monopolar coagulation, which allow to obtain different
coagulation effects.
• Soft: Very delicate, with soft superficial effect and strong deep
action.
• Fulg Forced: With strong superficial and deep effect.
• Pin Point Contact: Similar to the previous one, but softer.
• Spray: Without any contact and with a very strong superficial effect.
One for the Argon gas coagulation, into the model 400/A
MCDSe
This current consists of a special coagulation without any contact,
which can be obtained by combining the spray coagulation with an
Argon gas flow through specific electrodes that guarantee a very
rapid superficial effect, a very small deep action (3mm max.), an
absolute absence of the sticking effect of the electrode on the tissues,
and a minimum risk of perforation.
Two for the bipolar cut, which allow to use this technique with
scissors, hooks for laparoscopy, etc.
• Pure: Pure cut with minimum coagulating effect.
• Blend: Coagulating cut with strong coagulating effect.
Three for the bipolar coagulation.
• Micro: Very delicate,
Micro Precise type, with a minimum sticking
effect of the tissues on the tips of the forceps.
• Micro Auto: The same as Micro, but with
Impedance Sensing
automatic Auto Start / Auto Stop device.
• Macro:
Standard type, which is very rapid and efficacious, ideal for
forceps with bigger section (i.e. laparoscopy).
TWO MONOPOLAR AND ONE BIPOLAR OUTPUTS
The two monopolar outputs, which can be used at the same time
by two different operators, can be activated by three modes:
• Both of them by the hand-switch electrodes holder handles, both of
them by the double pedal foot-switch or one by the hand-switchs
and one by the double pedal foot-switch.
Into the model 400/A
MCDSe , when also the functioning with Argon
gas is selected, the outputs are activated alternatively:
• Both of them by the hand-switch electrodes holder handles or both
of them by the double pedal foot-switch, one for the norma
electrosurgery and one for the Argon gas enhanced electrosurgery.
The bipolar output, which can be used independently and at the
same time as the monopolar ones, can be activated by two modes:
• For the cut or the coagulation, by the double pedal foot-switch.
• For the coagulation, by selecting the current
Micro Auto with
Impedance Sensing automatic Auto Start / Auto Stop device with
Start Delay adjustable from 0 to 5sec. This represents a very useful
system, which allows obtaining coagulation by the hand-switch
activation without using any special forceps.
THE PEDAL FOOT-SWITCHES
The Excell units can be used by one double foot-switch pedal for the
activation of the monopolar or bipolar functions and by two double
foot-switch pedals, one for the monopolar functions and the other for
the bipolar functions.
ELIMINATION AND FILTERING OF THE
ELECTROSURGICAL SMOKES
In order to eliminate the bacterial/viral contamination, the Excell units
can be used together with electrosurgical smoke evacuators, which
are equipped with suction functions expressly studied for the
laparoscopic procedures and for solving the problem of a perfect
visual field while operating.

EXCELL 400/A MCDSe

H 23/SE
H 25
H 10/AB

Generatore elettronico conforme a Norme: IEC 601-1 e IEC 60601-2-2.
Classificazione 93/42 CEE: IIB - Certificazione 93/42 CEE: 187/MDD - IMQ 0051.
Compatibilità elettromagnetica: Conforme a IEC 60601-1-2,
Test report IMQ nr.80SF00709/1, 80SF00709/2.
Classificazione e tipo IEC 601-1: Classe I, tipo CF.
Correnti tipiche di dispersione BF nel paziente: 4 µA= 0,004mA,
nell’involucro: 1 µA= 0,001mA, verso terra: 30 µA= 0,3mA.
Circuito d'uscita in base a IEC 601-2-2:
“Floating“ Isolato alle alte e basse frequenza, protetto contro l’uso del defibrillatore.
Correnti tipiche di dispersione in alta frequenza: 100 mA.
Sistema di qualità ALSA: Certificato ISO 9001:2000 e ISO 13485:2003.
Frequenza di lavoro monopolare e bipolare: 440kHz.
Sistema di autocontrollo a doppio microprocessore Master Sleeve
System
con:
Auto-Check, completo autocontrollo del funzionamento con:
•
Main Auto-Check: procedura principale di autodiagnosi all’accensione.
•
Standard Auto-Check: continua autodiagnosi durante il funzionamento.
•
General Error Control e Output Error Control : I sistemi di auto-check bloccano il
funzionamento e informano gli operatori mediante Error Codes nel caso di errori
di attivazione, di guasti di funzionamento o di guasti che possano causare
un’erogazione di potenza superiore a quella selezionata.
ADC System-constant power e Starting Impulse Control
Autoregolazione automatica di tutte le correnti in base ad un continuo feed-back in
tempo reale (7000 controlli/sec) fra l’apparecchio e i tessuti su cui si interviene, al
tipo di elettrodo usato ed alla sua velocità di scorrimento sui tessuti.
L’impulso iniziale delle correnti di taglio è ottimizzato automaticamente per ottenere
la massima efficacia.
Memorizzazione funzionamento: 10 programmi.
Controllo delle correnti di dispersione di alta frequenza verso terra: specifico
circuito con segnale di allarme e diminuzione automatica delle potenze erogate.
Uscite, attivazioni e comandi a pedale
Due uscite monopolari usabili contemporaneamente da due operatori:
• Entrambe con comandi manuali, entrambe con comando a doppio pedale, una
con comandi manuali ed una con comando a doppio pedale.
Nel modello 400/A, quando si seleziona il funzionamento con il gas argon:
• Entrambe con comandi manuali o con comando a doppio pedale, una per la
normale elettrochirurgia ed una per elettrochirurgia con gas argon.
Un uscita bipolare, usabile indipendentemente e contemporaneamente:
• Per taglio o coagulazione con comando a doppio pedale.
• Per coagulazione, usando la corrente
MicroAuto con AutoStart/AutoStop
automatico Impedance Sensing e Start Delay regolabile da 0 a 5 sec.
Gli Excell sono dotabili di:
• Un comando a doppio pedale selezionabile per le funzioni monopolari o bipolari.
• Due comandi a doppio pedale, uno per le funzioni monopolari ed uno per quelle
bipolari.
I pedali sono conformi a IEC 60601-2-2, stagni all’immersione (IPX7) con
alimentazione a bassa tensione di sicurezza medicale 12VDC.
Regolazione micro/macro delle potenze a tasti con variazione lenta
e veloce e passi:
Monopolari: 0/30W=1W, 30/100W= 2W, 100/200W=5W, da 200W=10W.
Bipolari: 0/10W=0,5W, 10/30W=1W, 30/100=2W, da 100 W=5W.
Controllo potenze: mediante displays.
Circuito di sicurezza dell’elettrodo neutro NPCC System
Controllo del collegamento/contatto degli elettrodi neutri sia del tipo Split a doppia
sezione che
Non Split a sezione unica.
Con elettrodi Split controlla il collegamento ed il buon contatto dell’elettrodo. Se è
ben attaccato solo l’ 80% della superficie di un elettrodo standard per adulti da una
primo allarme luminoso. Se il contatto scende al 50% da una ulteriore allarme lumi-
noso e riduce automaticamente la potenza erogata a 200 W max. Se il contatto è
pericoloso o il cavo è rotto/scollegato blocca l’erogazione della potenza con allarme
luminoso (rosso, continuo) ed acustico (forte, intermittente, non regolabile).
Con elettrodi non Split controlla solo, come sopra, se il cavo è rotto/scollegato.
Segnali acustici e luminosi conformi a IEC 60601-2-2
Attivazione taglio (luce gialla/tono grave), Attivazione coagulazione (luce blu/tono acuto).
Allarme elettrodo neutro (luce rossa/tono forte ed intermittente, non regolabile).
Alimentazione: 230/115V± 10% ~ 50/60Hz.
Assorbimento di rete a 230V: Max potenza 3,6A=828VA, Stand-by 0,4A= 92VA.
Involucro: protetto contro l’ingresso di liquidi secondo IEC 60601-2.
Raffreddamento: per convezione, senza ventilatore.
Collegamento equipotenziale: spinotto standard DIN 42801.
Dimensioni e peso (LxPxA): 400/A
MCDSe : cm 38x38x16 – Kg 16
400
MCDSe , 350 MCDSe , 250 MCDSe , 200 MCDSe : cm 38x35x16 – Kg 15.
Predisposizione per l’uso con un modulo esterno per il gas argon
Tutti i modelli 400
MCDSe , 350 MCDSe , 250 MCDSe , 200 MCDSe.
Sezione gas argon (solo nel modello Excell 400/A MCDSe )
Alimentazione: sia con 1 o 2 bombole da 5 lt che con sistema centralizzato.
Max flusso e pressione gas: 15lt/min - In ingresso 2,5 atm, di lavoro 1 atm.
Controllo del flusso con
Constant flow System :da 1 a 15 lt/min mediante
sensore elettronico con pulsanti di regolazione, controllo visivo su bar-led, e
autocompensazione automatica in base al tipo di elettrodo usato ed allarme nel
caso di assenza gas.
Controllo della pressione nel circuito
Safety gas System :Riduttore di pressione
sulla bombola, Riduttore di pressione interno con valvola di sicurezza, Sensore di
pressione collegato al sistema elettronico di controllo con Auto-Check quando si
accende la sezione gas.
Protezione del flusso di gas erogato: l’uscita del gas è dotata di filtro antibatterico.
CARATTERISTICHE TECNICHE TECHNICAL FEATURES
Electronic generator, compliant with: IEC 601-1 and IEC 60601-2-2 Standards.
Classification 93/42 EEC: IIB - Approval 93/42 EEC: 187 MDD - IMQ 0051.
Electromagnetic compatibility: Unit is compliant with IEC 60601-1-2,
Test report IMQ nr.80SF00709/1, 80SF00709/2.
Classification and type IEC 601-1: Class I, Type CF.
Typical LF leakage currents: on the patient: 4 µA= 0,004mA,
into the enclosure: 1 µA= 0,001mA, to earth: 30 µA= 0,3mA.
Output circuit according to IEC 60601-2-2:
“Floating”Insulated at low and high frequencies, protected against the use of the defibrillator.
Typical high frequency leakage currents : 100 mA .
ALSA quality system: Approved ISO 9001:2000 and ISO 13485:2003.
Monopolar and bipolar working frequency: 440kHz.
Self-Regulation System with double micro-processor Master Sleeve
System
:
Auto-Check, complete auto-control of the functioning, through:
•
Main Auto-Check: main auto-diagnosis procedure at the switching-on;
•
Standard Auto-Check: continuous auto-diagnosis during the functioning;
•
General Error Control and Output Error Control: the auto-check systems interrupt
the functioning and inform the operators through specific Error Codes in case of
errors in the activation, damages in the functioning or in case of problems that
could provoke a delivery of power, which is higher than the selected one.
ADC System-constant power e Starting Impulse Control
All the currents are automatically self-regulated, according to a continuous feed-
back in real time (7,000 checks / sec) between the unit and the tissues on which the
operator intervenes, and according to the electrode used and its rapidity of sliding
on the tissues themselves.
The initial pulse of the cut currents is optimized automatically in order to obtain the
maximum efficacy.
Functioning memorization: 10 programs.
Control of high frequency leakage currents: by a specific circuit with alarm signal
and automatic decrease of output powers.
Outputs, activations, and pedal foot-switches
There are two monopolar outputs that can be used at the same time by two operators:
• Both of them by the hand-switches, both of them by the double foot-switch pedal
or one by the hand-switches and one by the double foot-switch pedal.
Into the model
MCDSe 400/A, when also the functioning with Argon gas is selected:
• Both of them by the hand-switches or by the double foot-switch pedal, one for the
normal electrosurgery and the other for the electrosurgery with Argon gas.
There is one bipolar output, which can be used independently and at the same time
as the monopolar ones:
• For the cut or the coagulation, by the double foot-switch pedal.
• For the coagulation, by selecting the current
Micro Auto with Impedance Sensing
automatic Auto Start / Auto Stop device with Start Delay adjustable from 0 to 5sec.
The Excell units can be equipped with:
• One double foot-switch pedal for the activation of the monopolar or bipolar functions.
• Two double foot-switch pedals (one for the monopolar functions and the other for
the bipolar functions).
The pedals are compliant with the Standard IEC 60601-2-2, they are waterproof
(IPX7) with low voltage 12VDC supply for medical safety.
Micro/macro adjusting powers by push-buttons with low/fast changing and steps:
Monopolar: 0/30W=1W, 30/100W= 2W, 100/200W=5W, da 200W=10W.
Bipolar: 0/10W=0,5W, 10/30W=1W, 30/100=2W, da 100 W=5W.
Powers control: by displays.
Safety circuit of the neutral electrode NPCC System
Control of the connection/contact of the neutral electrodes Split - twin section type,
as well as of the electrodes
Non Split - one single section type.
With the Split type, it fully checks the connection and the good contact of the electrode.
If the contact is not optimum (approx. 80% of the surface of a standard electrode for
adults), it gives the first luminous indication. If the contact decreases to approx. 50%,
it gives another luminous indication, and automatically reduces the output power at
max. 200W. If the contact is dangerous or the electrode cable is broken / not connect-
ed at all, it interrupts the delivery of the power and gives a luminous (red) and
acoustic (loud, intermittent, not adjustable) alarm.
With the
Non Split type, it only controls if the cable is integral and correctly connected.
The acoustic and luminous signals are compliant with IEC 60601-2-2
Activation of the Cut (yellow light - loud sound); Activation of the Coagulation (blue light -
acute sound); Neutral Electrode (red light - loud, intermittent and not adjustable sound).
Mains: 230/115V± 10% ~ 50/60Hz.
Absorption at 230V: Max power 3,6A=828VA, Stand-by 0,4A= 92VA.
Enclosure: protected against the penetration of liquids, according to IEC 60601-2.
Cooling: by convection, without fan.
Equipotential Connection: standard plug DIN 42801.
Dimensions and Weight (LxDxH): 400/A
MCDSe : 38x38x16cm. – 16kgs.
400
MCDSe , 350 MCDSe , 250 MCDSe , 200 MCDSe : 38x35x16cm. – 15kgs.
Facility to use an external module for Argon gas
All the models: 400
MCDSe , 350 MCDSe , 250 MCDSe , 200 MCDSe.
Argon gas section (only into the model Excell 400/A MCDSe )
Supply: Both with 1 or 2 cylinders of 5lt. and with centralized system.
Max. Flow and Gas Pressure: 15lt/min. At the entrance: 2.5atm; during the
functioning: 1atm.
Control of the flow through
Constant Flow System :from 1 to 15lt/min, through an
electronic sensor with adjusting buttons, visual check on the bar-led, automatic
auto-compensation according to the used electrode, and alarm just in case of
absence of gas.
Control of the pressure into the circuit
Safety Gas System :Reducer of the pres-
sure on the cylinder; internal reducer of the pressure with safety valve; pressure
sensor connected to the electronic control system with Auto-Check when the gas
section is switched on.
Protection of the delivered gas flow: The gas output is equipped with
antibacterial filter.

LE CORRENTI / THE CURRENTS / LES COURANTS / LAS CORRIENTES
POTENZE EROGATE – W, CARICHI NOMINALI – W, TENSIONI PICCO/ PICCO A VUOTO – Vpp
FATTORI DI CRESTA – CF, MODULAZIONI – M, DUTY CYCLE – DC
OUTPUT POWERS – W, NOMINAL LOADS – W, OPEN CIRCUIT PEAK TO PEAK VOLTAGES – Vpp,
CREST FACTORS – CF, MODULATIONS – M, DUTY CYCLE – DC
PUISSANCES EMISES – W, CHARGES NOMINALES – W, TENSIONS PIC A PIC A VIDE – Vpp,
FACTEURS DE CRETE – CF, MODULATIONS – M, DUTY CYCLE – DC
POTENCIAS EMITIDAS –W, CARGAS NOMINALES – W , VOLTAGES PICO PICO DE VACIO – Vpp,
FACTORES DE CRESTA – CF, MODULACIONES – M, DUTY CYCLE – DC
Correnti monopolari / Monopolar currents
Courants monopolaires / Corrientes monopolares
Excell 400 MCDSe Excell 350 MCDSe Excell 250 MCDSe Excell 200 MCDSe Excell 400/A MCDSe
PURE – Taglio / Cut / Coupe / Corte
BLEND 1 –
Taglio coagulante / Blend cut
Coupe coagulante / Corte coagulante
BLEND 2 – Taglio coagulante / Blend cut
Coupe coagulante / Corte coagulante
ENDO – Taglio coagulante / Blend Cut
Coupe coagulante / Corte coagulante
FULG FORCED – Coag Fulguration
PIN POINT CONTACT – Coag contact
SOFT – Coag soft
SPRAY – Coag spray
Argon Coag SPRAY+ ARGON GAS
400 W – 350 W
3450 Vpp – CF: 1.6
M: no – DT: no
350 W – 350
W
3450 Vpp – CF: 1.6
M: no – DT: no
280 W – 350
W
3450 Vpp – CF: 1.6
M: no – DT: no
200 W – 350
W
3450 Vpp – CF: 1.6
M: no – DT: no
400 W – 350
W
3450 Vpp – CF: 1.6
M: no – DT: no
300 W – 350 W
3600 Vpp – CF: 2.3
M: 29 kHz – DT: 65%o
300 W – 350
W
3600 Vpp – CF: 2.3
M: 29 kHz – DT: 65%o
280 W – 350
W
3540 Vpp – CF: 2.3
M: 29 kHz – DT: 65%o
200 W – 350
W
3500 Vpp – CF: 2.3
M: 29 kHz – DT: 65%o
300 W – 350
W
3600 Vpp – CF: 2.3
M: 29 kHz – DT: 65%o
140 W – 600 W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
250 W – 350 W
1880 Vpp – CF: 2.2
50% Pure / 50% Coag
220 W – 350
W
1880 Vpp – CF: 2.2
50% Pure / 50% Coag
220 W – 350
W
1880 Vpp – CF: 2.2
50% Pure / 50% Coag
200 W – 350
W
1880 Vpp – CF: 2.2
50% Pure / 50% Coag
250 W – 350
W
1880 Vpp – CF: 2.2
50% Pure / 50% Coag
150 W – 350 W
4700 Vpp – CF: 4.5
M: 78 kHz – DT: 35%
150 W – 350
W
4700 Vpp – CF: 4.5
M: 78 kHz – DT: 35%
150 W – 350 Ω
4700 Vpp – CF: 4.5
M: 78 kHz – DT: 35%
150 W – 350
W
4700 Vpp – CF: 4.5
M: 78 kHz – DT: 35%
150 W – 350
W
4700 Vpp – CF: 4.5
M: 78 kHz – DT: 35%
250 W – 250
W
3460 Vpp – CF: 2.6
M: 29 kHz – DT: 56%
250 W – 250
W
3460 Vpp – CF: 2.6
M: 29 kHz – DT: 56%
250 W – 250
W
3460 Vpp – CF: 2.6
M: 29 kHz – DT: 56%
200 W – 250
W
3400 Vpp – CF: 2.6
M: 29 kHz – DT: 56%
250 W – 250
W
3460 Vpp – CF: 2.6
M: 29 kHz – DT: 56%
280 W – 250
W
3440 Vpp – CF: 2.5
M: 29 kHz – DT: 56%
280 W – 250
W
3440 Vpp – CF: 2.5
M: 29 kHz – DT: 56%
280 W – 250
W
3440 Vpp – CF: 2.5
M: 29 kHz – DT: 56%
200 W – 250
W
3020 Vpp – CF: 2,5
M: 29 kHz – DT: 56%
280 W – 250
W
3440 Vpp – CF: 2.5
M: 29 kHz – DT: 56%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 600
W
7600 Vpp – CF: 8,1
M: 19 kHz – DT: 9%
140 W – 300
W
790 Vpp – CF: 1.5
M: no – DT: no
140 W – 300
W
790 Vpp – CF: 1.5
M: no – DT: no
140 W – 300 W
790 Vpp – CF: 1.5
M: no – DT: no
140 W – 300
W
790 Vpp – CF: 1.5
M: no – DT: no
140 W – 300
W
790 Vpp – CF: 1.5
M: no – DT: no
120 W – 300
W
980 Vpp – CF: 1.8
M: 29 kHz – DT:75%
120 W – 300
W
980 Vpp – CF: 1.8
M: 29 kHz – DT:75%
120 W – 300
W
980 Vpp – CF: 1.8
M: 29 kHz – DT:75%
120 W – 300
W
980 Vpp – CF: 1.8
M: 29 kHz – DT:75%
120 W – 300
W
980 Vpp – CF: 1.8
M: 29 kHz – DT:75%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100 Ω
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
450 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100 W
760 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
760 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
760 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
760 Vpp – CF: 1.7
M: no – DT: no%
120 W – 100
W
760 Vpp – CF: 1.7
M: no – DT: no%
Correnti bipolari / Bipolar Currents
Courants bipolaires / Corrientes bipolares
Excell 400 MCDSe Excell 350 MCDSe Excell 250 MCDSe Excell 200 MCDSe Excell 400/A MCDSe
Pure – Taglio / Coupe / Tomie / Corte
BLEND –
Taglio coagulante / Blend Cut
Coupe coagulante / Corte coagulante
MICRO – Coag micro precise
MICRO AUTO –
Coag micro precise
Automatic Start/Stop
MACRO – Coag standard macro

Pinze bipolari isolate: PMC - PBC standard, PMC/L - PBC/L con irrigazione,
PMC/ns - PBC/ns con punte no-stick.
Insulated bipolar forceps: PMC - PBC standard, PMC/L - PBC/L with irrigation,
PMC/ns - PBC/ns with no-stick tips.
Pinces bipolaires isolées: PMC - PBC standard, PMC/L - PBC/L avec irrigation,
PMC/ns - PBC/ns avec pointes no-stick.
Pinzas bipolares aisladas: PMC - PBC estándard, PMC/L - PBC/L con irrigación,
PMC/ns - PBC/ns con puntas no-stick.
Forbici bipolari isolate: BlTec con lame standard - BlTecD con lame delicate (tutte isolate
eccetto le punte).
Insulated bipolar scissors: BlTec with standard blades - BlTecD with delicate blades
(all insulated except the tips)
Ciseaux bipolaires isolées: BlTec avec lames standard - BlTecD avec lames délicates
(isolées sauf les pointes)
Tijeras bipolares aisladas: BlTec con hojas estándard - BlTecD con hojas delicadas
(todas aisladas excepto las puntas).
E1
E3
E1 I
E1/L
E3/L
E5
E6
E7
E8
E7 I
E12
E13
E14
E15
E16
E17
E18
E19
E21
E23
E25
E23N
E25N
E26
EXT/15
E42
E41
E40
E43
E44
E45
E46
E47
E47/6
E40 I
E41 I
BlTecD - 28
BlTec - 23
BlTecD - 18
STANDARD: PMC - PBC
IRRIGAZIONE:
PMC/L - PBC/L
NO-STICK: PMC/ns - PBC/ns

UNITS AND STANDARD SETS OF ACCESSORIES
B900 EXCELL 400 MCDSe ,without accessories
B910 EXCELL 350
MCDSe ,without accessories
B920 EXCELL 250
MCDSe , without accessories
B930 EXCELL 200
MCDSe , without accessories
B940 EXCELL 400/A
MCDSe , without accessories
B610/A SET OF STANDARD ACCESSORIES as follows:
1 DS/E Double waterproof foot-switch pedal
1 NP/A Stainless steel neutral electrode for adult - cable 2.5mt. long
2 MPE/E Sterilizable electrodes-holder handle, cable 3.5mt. long
1 SEL/E Composed by: 2 E1 - Straight knife (blade) electrode, 2 E5 - Thick needle
electrode, 1 E7 - Thin needle electrode, 1 E12 - Straight ball electrode Ø 2.5
mm, 2 E14 - Straight ball electrode Ø 4mm
B610/B SET OF STANDARD ACCESSORIES same as B610/A but with flexible neutral
electrode made of conductive rubber for adult NP/GA
B610/P Ditto, but with paediatric neutral electrode NP/GP
GENERAL LIST OF ACCESSORIES
HANDLES FOR USE BY FOOT-SWITCH PEDALS
MPE/E Handle, cable 3.5mt. long, sterilizable
MPE/E5 Ditto, cable 5mt. long
HAND-SWITCH HANDLES
MPE/CMS Double push-button handle with knife electrode, cable mt.3 (100 times sterilizable)
MPE/CMS5 Ditto, cable mt.5
MP/CM Ditto, disposable type, cable mt. 3 (*)
ACTIVE ELECTRODES , made of stainless steel, insulated stem Ø 2.3÷2.4mm. sterilizable
SHORT TYPE, STEM 70 mm. LONG
E1 Straight knife (blade) electrode
E1/l Totally insulated except final 5 mm. straight knife (blade) electrode
E3 Angled knife (blade) electrode
E1/L Straight lancet electrode
E3/L Ditto, angled
E5 Straight thick needle electrode
E6 Ditto, angled
E7 Straight thin needle electrode
E7/l Totally insulated except final 5 mm straight thin needle electrode
E8 Angled thin needle electrode
E10 Very fine needle electrode, Ø 0.40 mm.
E12 Straight ball electrode Ø 2.5 mm.
E13 Ditto, angled
E14 Straight ball electrode Ø 4 mm.
E15 Ditto, angled
E16 Straight ball electrode Ø 6 mm.
E17 Ditto, angled
E18 Wire diamond loop electrode, 5x10 mm.
E19 Ditto, 10x10mm
E21 Round wire loop electrode Ø 5 mm.
E23 Ditto, Ø 10mm.
E25 Ditto, Ø 15mm.
E23/N Round ribbon loop electrode Ø 10 mm.
E25/N Ditto, Ø 15mm.
E26 Plate electrode
EXT/15 Extension, long 15cm. for all the electrodes with stems Ø2.3÷2.4 mm.
LONG TYPE, FLEXIBLE STEM 130 mm. LONG
E40 Straight knife (blade) electrode
E40/l Totally insulated except final 5 mm. straight knife (blade) electrode
E41 Straight thick needle electrode
E42 Straight thin needle electrode
E42/l Totally insulated except final 5 mm straight thin needle electrode
E43 Round wire loop electrode Ø 5 mm.
E44 Ditto, Ø 10 mm.
E45 Ditto, Ø 15 mm.
E46 Straight ball electrode Ø 2.5 mm.
E47 Straight ball electrode Ø 4 mm.
E47/6 Straight ball electrode Ø 6 mm.
ELECTRODES FOR MICROSURGERY, STERILIZABLE
MID Reducer for needles (for all the electrode holders)
SAD Series of 12 needles Ø 0.10 mm.
SAD/1 Ditto, Ø 0.15 mm.
SAD/2 Ditto, Ø 0.20 mm.
SAD/3 Ditto, Ø 0.40 mm.
RE-USABLE NEUTRAL ELECTRODES
NP/A Stainless steel electrode for adult (cm. 25x13), cable 2.5 mt. long
NP/GA Electrode for adults (25x12cm.), flexible conductive rubber, cable 2.5 mt.
NP/GA5 Ditto, cable 5mt. long
NP/GP Ditto, pediatric type (18x8 cm.), cable 2.5 mt. long
NP/GP5 Ditto, cable 5mt. long
FGE Fixing belt for electrodes with 2 buttons (*)
DISPOSABLE, ADHESIVE, NEUTRAL ELECTRODES
CMS/E Re-usable connection cable 2.5 mt. long
CMS/E5 Ditto, cable 5 mt. long
EIP/DA Adhesive, no-Split single section, adult type (25pcs, each pack.) (*)
EIP/SA Ditto, paediatric type (25pcs. each pack.) (*)
EIP/DP Adhesive, Split double section, adult type (25pcs, each pack.) (*)
EIP/SP Ditto, paediatric type (25pcs. each pack.) (*)
INSULATED MONOPOLAR FORCEPS FOR COAGULATION, WHITHOUT
CONNECTING CABLES TO THE UNIT, STERILIZABLE
PIC/1 Straight forceps (Cushing/Potts-Smith) (”grasping” tips 1mm. - L. 18cm.)
PIC/1-25 Ditto, L. 25cm.
PIC/2 Straight forceps (Cushing/Potts-Smith) (”grasping” tips 2mm. - L. 25cm.)
INSULATED MONOPOLAR FORCEPS FOR COAGULATION, WITH CONNEC-
TING CABLES TO THE UNIT, STERILIZABLE
CPI Connecting cable for PMI, 3.5 mt.
CPI/5 Ditto, 5mt. long
PMI/1 Straight forceps (Cushing/Potts-Smith) (”grasping” tips 1mm. - L. 18cm.)
THE UNITS AND THE ACCESSORIES
PMI/1-20 Ditto, 20cm. long
PMI/1-25 Ditto, 25cm. long
PMI/2 Straight forceps (Cushing/Potts-Smith) (”grasping” tips 2mm. - L. 25cm.)
PMI/B Bayonet forceps (Jansen/Yasargil) (“grasping” tips 2mm. - L. 20cm.)
HAND-SWITCH INSULATED MONOPOLAR FORCEPS FOR COAGULATION,
WITH CONNECTING CABLE TO THE UNIT, STERILIZABLE
PMI/BJ21 Bayonet forceps, cable 3.5mt. long (“grasping” tips 2mm. - L. 21cm.)
PMI/PJ21 Straight forceps, cable 3,5mt long (“grasping” tips 2mm. - L. 21cm.)
PMI/PJ24 Ditto (“grasping” tips 2mm. - L. 24cm.)
Monopolar accessories for laparoscopy , please ask for specific detail.
CONNECTING CABLES FOR INSTRUMENTS FOR LAPAROSCOPY
CPE Connecting cable for instruments with male / female connector Ø 4 mm, mt. 3,5
CPE/5 Ditto, L. mt. 5
Bipolar scissors for surgery with their cables , please ask for specific detail.
CONNECTING CABLES FOR BIPOLAR FORCEPS/ELECTRODES AND FOR
BIPOLAR HOOKS, FORCEPS, SCISSORS FOR LAPAROSCOPY, STERILIZABLEI
CPB/E Connecting cables, 3mt
CPB/E5 Ditto, L. mt. 5
INSULATED BIPOLAR FORCEPS AND RIGID ELECTRODES, STERILIZABLE
Standard forceps for bipolar coagulation
PMC/JR Straight forceps (Jeweler) (straight tips 0.5mm. - L. 11.5/12 cm.)
PMC/JC Ditto, angled tips
PMC/RS Straight forceps (Cushing/Potts-Smith) (straight tips 0.7mm. - L. 15.5/16 cm.)
PMC/CS Ditto, angled tips
PMC/R Straight forceps (Cushing/Potts-Smith) (straight tips 1mm. - L. 20cm.)
PMC/C Ditto, angled tips
PBC/R Straight forceps (Cushing/Potts-Smith) (straight tips 2mm. - L. 20cm.)
PBC/C Ditto, angled tips
PMC/R25 Straight forceps (Cushing/Potts-Smith) (straight tips 1mm. - L. 25cm.)
PMC/C25 Ditto, angled tips
PBC/R25 Straight forceps (Cushing/Potts-Smith) (straight tips 2mm. - L. 25cm.)
PBC/C25 Ditto, angled tips
PMC/RSB Bayonet forceps (Jensen/Yasargil) (straight tips 0.7mm. - L. 16.5/17cm.)
PMC/B Bayonet forceps (Jensen/Yasargil) (straight tips 1mm. - L. 20cm.)
PMC/BCD Ditto, angled tips down
PMC/BCU Ditto, angled tips up
PBC/B Bayonet forceps (Jensen/Yasargil) (straight tips 1mm. - L. 20cm.)
PBC/BCD Ditto, angled tips down
PBC/BCU Ditto, angled tips up
PMC/B25 Bayonet forceps (Jensen/Yasargil) (straight tips 1mm. - L. 25cm.)
PBC/B25 Bayonet forceps (Jensen/Yasargil) (straight tips 2mm. - L. 25cm.)
Forceps with irrigation for bipolar coagulation, please ask for specific detail.
Forceps with no-stick tips for bipolar coagulation, please ask for specific detail.
Rigid electrodes for bipolar coagulation of turbinal or larynx, please ask for specific detail.
Bipolar hooks, forceps and scissors for laparoscopy ,please ask for specific detail.
Accessories and cables for flexible endoscopy, please ask for specific detail.
ADAPTORS FOR USING CABLES WITH NON ALSA STANDARD PLUG
RD5 For monopolar cables with plug Ø from 2 to 8 mm or Martin standard.
RD/BF For bipolar cables with double plug Ø 4 mm (international standard) or with
plug Valleylab /Conmed standard.
RD/BF1 For bipolar cables with coaxial plug Ø 12,5 mm (Erbe/Storz standard)
RD/BF2 For bipolar cables with coaxial plug Ø 8 mm (Martin/Bertchold standard)
TROLLEYS, FOOT-SWITCH PEDALS, BOXES FOR ACCESSORIES
H23/SE Trolley angled with compartment for accessories,
Dimensions: 45x45x74 cm. antistatic wheels, 2 with brakes
H10/AB Economic trolley with 2 shelves 40x40cm. antistatic wheels, 2 with brakes
H25 Trolley for electrosurgical unit and smoke evacuator.
3 shelves for units and foot-switch pedals, compartment for accessories.
Dimensions: 50x60X100 cm. antistatic wheels, 2 with brakes
H26 Ditto, with compartment for gas cylinders (for mod. Excell 400/A only)
DS/E Double foot-switch pedal, water-proof (IPX7)
DS/B Ditto, for bipolar activation only
BOX-TE Stainless steel round box for electrodes
BOX-RA Stainless steel rectangular box for accessories, 21x10x5 cm.
ACCESSORIES FOR ARGON GAS SURGERY
For model 400/A MCDSe only
HAND-SWITCH HANDLE AND ELECTRODES FOR SURGERY /
LAPAROSCOPY
AC/HANDLE Double push-button electrode-holder, sterilizable, cable 3.5mt.
AC/E25-C Rigid electrode for coagulation, 25mm. long, sterilizable
AC/E100-C Ditto, 100mm. long
AC/E320-C Ditto, 320mm. long (for laparoscopy only)
AC/E 320-H L Hook rigid electrode, mm. 320 long, sterilizable (for laparoscopy only)
AC/E40-A Rigid needle electrode, 40mm. long, sterilizable
AC/E100-A Idem, 100mm. long
AC/E40-L Rigid knife electrode, 40mm. long, sterilizable
AC/E100-L Ditto, 100mm. long
CABLE AND FLEXIBLE ELECTRODES / PROBES FOR FLEXIBLE ENDOSCOPY
AC/CABLE Connecting cable for flexible electrodes/probes, sterilizable, 3.5mt. long
ELECTRODES / FLEXIBLE PROBES: please ask for specific detail.
TROLLEY, GAS CYLINDER, PRESSURE REDUCER, BACTERIAL FILTER
H26 See above
B5 Argon gas cylinder, capacity 5lt (RD/P - Pressure reducer for cylinder)
ESU/TG Tube for gas input with quick-action coupling (for B5)
ESU/F Bacterial filter for gas output (ESU/FC - Metallic connector for filter)

MCDSe/REV B - Edizione 03-2008
•È fatta riserva di apportare tutte le varianti a miglioria che si riterranno opportune, senza preavviso.
•The manufacturer has the right to change the specifications to improve the quality of the products without notice.
•La maison constructrice se reserve le droit d’apporter toutes les modifications nécessaries pour améliorer ses produits, sans préavis.
•El productor se reserva el derecho de aportar las modificaciones necesarias sin aviso.
(*) Possono non essere certificati CE0051.
alsa apparecchi medicali s.r.l.
Via C. Bonazzi, 16
40013 CASTEL MAGGIORE (BO) - ITALIA
Tel. [phone] (r.a.) Fax [phone]
Sito web: www.alsamed.com
E-mail: [email protected]