Eickemeyer EICKTRON 120 User manual

EICKTRON
ELECTROSURGICAL UNIT
USER MANUAL
TELEFON [phone]
www.eickemeyer.com
Art. Nr. 323130
323135



EickTron120‐160
Eickemeyer

EN‐1
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

Summary
IMPORTANT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐3
INTRODUCTION‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐4
DestinationofUse/SectorsofApplication‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐4
StandardandOptionalComposition‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐5
GeneralDescription‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐7
ELECTROPHYSICALPRINCIPLES‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐8
OPERATIVETECHNICS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 12
MonopolarCut‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐12
MonopolarCoagulation‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐12
BipolarCoagulation‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐13
CONTRAINDICATIONSANDCOLLATERALEFFECTS‐‐‐‐‐‐‐‐‐‐14
SAFETY‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐15
General‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐15
Installation‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐18
SafetyforthePatient‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐19
HFElectrosurgicalinLaparoscopy‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐22
INSTALLATION‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐24
CONNECTORANDCONTROLS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 29
LabelontheRearPanel‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐29
Manufacturer’sIdentificationData‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐29
MeaningofGrafhicSymbols‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐29
FrontalPanel‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐30
OperationMode‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐31
SwitchOn‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐31
NeutralElectrode’sCircuit‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐31
PreselectionoftheDeliverableCurrent‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐32
CutCurrent(CUT)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐32
Coagulated‐CutCurrent(BLEND)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐32
SuperficialCoagulationCurrent(FORCEDCOAG)‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 32
DeepCoagulationCurrent(SOFTCOAG)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐33
BipolarCoagulationCurrent(BIPOLAR)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐33

EN‐2
MA510a_EN

Instruction’sManual



SignalingofExcessiveTimeofDelivery(OVT)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐33
SignalingofExcessiveImpedanceintheCircuitofNeutral
Electrode(OC)‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐34
AdjustmentoftheAcousticSignalLevel‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐34
AutomaticControloftheInternalParameters‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐34
Connectors‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐35
BackPanel‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐36
PowerSupplyModuleandVoltageSelector‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐36
PowerOn‐OffSwitch‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐36
TECHNICALCHARACTERISTICS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐37
MAINTENANCE‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐39
General‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐39
CleaningoftheCabinet‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐39
CleaningandSterilisationoftheAccessoriesItems‐‐‐‐‐‐‐‐‐‐‐‐39
GuidetotheSolutionoftheProblems‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐40
Repairs‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐41
FusesSubstitution‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 41
CheckingoftheEquipmentBeforeEachUse‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐41
FunctionandSafetyCheckandTest‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐43
DIAGRAMS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐44


EickTron120‐160

EN‐3
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

IMPORTANT
Theseoperatinginstructionsformanintegralpartoftheequipmentand
mustbeavailabletotheoperatingpersonnelatalltimes.

Allthesafetyinstructionsandadvicenotesaretobeobserved.Besure
thattheseoperatinginstructionsarefurnishedtogethertheequipment
whenthisistransferredtootheroperatingpeople.

Incaseofnecessityoftechnical,orothertype,assistancecontactyourown
retailer.

MA510A_EN Edition04.2014
Nopartofthisdocumentcouldbephotocopied,reproducedortranslatedinotherlanguage
withoutthewrittenconsentofmanufacturer.Allrightreserved.


EN‐4
MA510a_EN

Instruction’sManual



INTRODUCTION
DestinationofUse/SectorsofApplication
TheuseofHFelectrosurgicalequipmentSURTRON®80–120–160has
reservedtospecializedveterinarypersonnel.Theequipmenthasdestined
toatemporaryuse,forsurgicaloperationsinemergencyroom.Ithas
foreseenitsuseinthemonopolarcut,cutcoagulatedorcoagulationmode
orinbipolarcoagulationmode.

ONLYFORVETERINARYUSE

EickTron120‐160

EN‐5
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

StandardandOptionalComposition
CodeDescriptionEickTron
120120
‐ ElectrosurgicalunitcodeEKM10100.201AEKM10100.301A
00100.03Powersupplycable2mSIEMENS‐IEC/1/1
00404.00Cableforconnect.neutralelectrodedisposa.type/5365 /1/1
5365ASteelneutralelectrode120x160mm/1/1
00500.00Kitofassortedelectrodes(10pcs)5cm/1/1
F4243Reusablehandlewithfingerswitches(HPSW112)/1/1
00304.00Waterprooffootswitch/1/1
152‐132Ballcurvedelectrode2mm6cm 
152‐142Ballcurvedelectrode3mm5cm 
152‐152Ballcurvedelectrode4mm6cm 
152‐162Ballcurvedelectrode5mm6cm 
152‐130Ballelectrode2mm6cm 
152‐145Ballelectrode3mm14cm 
152‐140Ballelectrode3mm6cm 
152‐150Ballelectrode4mm6cm 
152‐165Ballelectrode5mm14cm 
152‐160Ballelectrode5mm6cm 
500500.L10/LBentballelectro3mm(5Pz)10cm 
500500.L10Bentballelectro3mm(5Pz)5cm 
500500.L5/LBenthookelectrode(5Pz)10cm 
500500.L5Benthookelectrode(5Pz)5cm 
500500.L6/LBentthickwireelectrode(5Pz)10cm 
500500.L6Bentthickwireelectrode(5Pz)5cm 
500500.L2/LBentthinwireelectrode(5Pz)10cm 
500500.L2Bentthinwireelectrode(5Pz)5cm 
00498.04Bipolaradapter 
CB463EBipolarcable3mtEUR 
310‐550Bipolarelectrode20cm–curved  
310‐590Bipolarelectrode20cm–curved2 
310‐510Bipolarelectrode20cm–direct 
310‐110‐05BipolarForceps11,5cmTIP0.5mm 
310‐140‐10BipolarForceps20cmTIP1mm 
310‐140‐20BipolarForceps20cmTIP2mm 
310‐180‐10BipolarForcepsAngled20cmTIP1mm 
310‐180‐20BipolarForcepsAngled20cmTIP2mm 
310‐182‐10BipolarForcepsAngledCurved20cmTIP1mm 
310‐185‐10BipolarForcepsAngledCurved20cmTIP1mm 
310‐112‐05BipolarForcepsCurved11,5cmTIP0.5mm 
310‐142‐10BipolarForcepsCurved20cmTIP1mm 
310‐142‐20BipolarForcepsCurved20cmTIP2mm 
152‐112Bladecurvedelectrode7cm 
152‐115Bladeelectrode16cm 
152‐110Bladeelectrode7cm 
00404.07CableforconnectionneutralelectrodeF7915/F7930 
F7915Conductiverubberneutralelectrodewithoutcable 
F7930Conductiverubbersplitneutralelectrodewithoutcable 
152‐195Conizationelectrode13cm 
755VLDisposablehandlewithfingerswitches 
0350DisposableNeutralelectrode 
F7920DisposableSplitNeutralelectrode 
00305.03Doublewater‐prooffootswitch 
500500.L7/LDropelectrode(L7)(5pcs)10cm  
500500.L7Dropelectrode(L7)(5pcs)5cm  
F7520Electrodecleaningsponge47x50mm 

EN‐6
MA510a_EN

Instruction’sManual



CodeDescriptionEickTron
120120
00201.01Handleformicrosurgicalneedle 
00500.00/LKitofassortedelectrodelength10cm(10pcs) 
500500.L3/LLoopelectrode4mm(5Pz)10cm  
500500.L3Loopelectrode4mm(5Pz)5cm 
500500.L4/LLoopelectrode8mm(5Pz)10cm 
500500.L4Loopelectrode8mm(5Pz)5cm 
152‐175‐10Loopelectrode10x10l.15cm 
152‐190‐13Loopelectrode20x13l.15cm 
152‐190‐20Loopelectrode20x20l.15cm 
190‐260MonopolarcableM4‐MP43mt 
330‐134‐20MonopolarForceps20cmTIP2mm 
330‐160MonopolarSurgicalScissors18cm 
152‐122Needlecurvedelectrode7cm 
152‐125Needleelectrode13cm 
152‐120Needleelectrode7cm 
500500.L11Needlesformicro‐surgery(10Pcs) 
500500.L8/LNooseelectrode(L8)(5pcs)10cm  
500500.L8Nooseelectrode(L8)(5pcs)5cm  
00100.01Powersupplycable5m3x1.5mmSIEMENS‐IEC 
F4814Reusablehandlewithoutfingerswitches 
00400.00Rodneutralelectrodewithcable 
500500.L9/LStraightballelectrode3mm(5pcs)10cm 
500500.L9Straightballelectrode3mm(5pcs)5cm 
500500.L1/LStraightthinwireelectrode(5pcs)10cm 
500500.L1Straightthinwireelectrode(5pcs)5cm  
TR003Trolley3shelves  
TR003WTrolley3shelveswide 
TR004Trolley4shelves 
TR005Trolley5shelves 
TR005WTrolley5shelveswide 
/Pcs=STANDARD=OPTIONAL=NOTCOMPATIBLE

EickTron120‐160

EN‐7
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

GeneralDescription
EickTron120‐160areelectro‐surgicalequipmentssuitedtodelivercurrent
formonopolarcut,softcoagulation,forcedcoagulationorbipolar
coagulation.Thecurrentcanbedeliveredforthewholetimeofactivation
oftheoutputcircuit.
Itispossibletouseeithersingleplateneutralreferenceelectrodesor
electrodeswithsplitconductivezonesotowatchtheplatetopatient
contactduringthesurgicalintervention.
Controloftheunitsisviafrontpanelkeysanddisplay;mainsinletis
locatedontherearpanel.
Theunitshaveautomaticcontrolsystemsthat,monitoringtheinternal
parameters,signalthepossibledamages/errorsthatarefound.
Theoperationalparametersthatareusedareconstantlystoredsothat,
everytimetheunitisswitchedonortheoperativemethodischanged,the
lastutilizedparametersarerecalled.
Theleveloftheemissionsoundcanvary;everyoperatorcanchoosehis
ownlevelaccordingtothenoiseofhisworkingambient.
Poweroutputcanbeactiveeitherthroughholder‐handleswith
pushbuttonsorthroughsingleordoublefootswitchcommand.Moreover,
applyingaspecialoptionaladapteritispossibletheunitconnectionto
bipolarforceps.

EN‐8
MA510a_EN

Instruction’sManual



ELECTROPHYSICALPRINCIPLES
Intheelectrosurgicalinterventationsthetraditionaluseofbladesurgicalis
substitutedbyelectrosurgicalneedlethatallowsmakinginafast,simple
andeffectivewaythecutandcoagulationof.
Theelectrosurgicalneedleismadeontheprincipleofelectricalenergy
conversioninheatandit’sconstitutedby:
asinusoidaloscillatorinradiofrequency;
ageneratorofwavepackets,withrepetitionfrequencyofpackets
equalto15–30kHz;
amixerforthetransfer,tothepoweramplificationblock,ofthe
onlywaveformadapttothecut,ortheonlywaveformforthe
coagulum,orasignalobtainedbyanopportunemixingofthe
two;
apoweramplificationblockabletosupplythenecessarypowerin
termsofcurrentandtotransmittotheelectrodes,by
transformer,theamplifiedsignal;
asecuritycircuitforthereturnelectrode,totakepossiblecable
interruptionsanddisarmtheradiofrequencysupply;
byanactiveelectrodeopportunelyshaped(handle);
byareturnelectrode(neutral)thatclosethecircuitbythepatient.
Thecurrentthatcrossesthebiologicaltissuecancause:
1. JouleEffect
2. FaradicEffect
3. ElectrolyticEffect
1)JouleEffect
Inthebiologicaltissue,crossedbyelectricalcurrent,it’sproduceda
heating(thermicaleffect),dependentbytheelectricalresistanceofthe
tissue,bythecurrentdensity,bytheapplicationtimeandthatcan
determinemanycellulartransformations.

Q=I2xRxT



EickTron120‐160

EN‐9
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

Thethermicaleffectinfluence(JouleEffect)ismadeby:

CurrentIntensityandoutputpower

Modulationlevel
Parametersinterpretablebythewaveformofthehighfrequencycurrent
producedbythegenerator.

Electrodeshape
Theelectrodeshapecanbeneedleorroundedaccordingtothenecessity,
ithasreduceddimension;forthisthecurrentdensityonthepointsurface
[A· m‐2]ishighest.Theelectrodeswithathinsectioncreateahighcurrent
density,andhightemperature,favoringthecutaction.Thosewithabig
surfacecreateasmallercurrentdensity,asmallertemperature,realizinga
coagulationeffect.
Stateofactiveelectrode
Thethermicaleffectscanbereportedtothehumanbodyresistance,to
whichmustbeaddedtheelectrodecontactresistance.It’sindispensable
tomaintaintheactiveelectrodesperfectlycleantonothaveareductionof
the.
Characteristicsofthetissue
Theresistivecharacteristicschangeaccordingtothebiologicaltissues.

Biologicaltissue
(rangefrom0,3to1MHz)
Metals
Blood0,16x103Silver0,16x10‐5
Muscle,kidney,heart0,2x103Branch0,17x10‐5
Liver0,3x103Gold0,22x10‐5
Brain0,7x103Aluminum0,29x10‐5
Lung1,0x103
Fat3,3x103
(Exampleofspecificresistancesoforganicandmetallicmaterials)


EN‐10
MA510a_EN

Instruction’sManual



Accordingtothecometemperatureandinfunctionofusedpulseform,it’s
possibletorecognizemanytypesofeffectsproducedbythecurrentin
radiofrequencyonthehumanbody:

Coagulation
Temperaturesfrom60to70ºCintheareaaroundtheactiveelectrode
causeaslowheatingofintra‐cellularliquid,thewatercontainedinthecell
evaporatesandanactionofcoagulumisobtained,sothebloodflowis
stopped.

Cut
Temperatureover100ºCintheareaaroundtheactiveelectrode
determinestheevaporationoftheintracellularliquidandthecell
explosion.Thevaporaroundtheelectrodebaitsachainreactioninthe
directionwheretheactiveelectrodeisworked,transmittingthe
evaporationenergytothetissuesaroundit.
Thecutisn’t,forthis,amechanicalresection.Ifthetemperaturecomesto
500°Cit’sverifythetissuewithanactionofcauterization.

Mixedcurrents
Theyareobtainedbythemixingofcoagulationandcuteffects.Thereisa
reductionofbloodlossduringthecutprocedure,orlikecutthatdevelops
asubstantialescharcoat.
Thehighfrequencyusedbyelectrosurgicalneedle,don’tallowtothe
electromagneticfieldtopenetratedeeplyinthematterandsothecurrent
crossestheconductormostlyintheexternalsurface,reducesinan
exponentialwayandbecomesnegligibleinthecentreoftheconductor
section.Thiseffect,called‘skin‐effect’causeareductionoftheuseful
sectionforthecurrentpassage,anincreaseoftheelectricalresistanceand
becomesanimportantproblemintheneutralelectrode.Infactinthis
electrodethecurrentdensityisveryhigh(KA/m2)ontheedge,wherethe
excessiveincreaseoftemperaturebyJouleeffectcausesburnsforthe
patient.Soitisn’taccidentalthattheburnsforthepatient,duringthe
electrosurgicalinterventations,havetheshapeoftheedgeneutral
electrode.Toreducetheburnsriskhavetodoseopportunelythesupply
power(I2·t)andtofollowtherulesfortheapplicationoftheneutral
electrodeonthepatient(seecap.SAFETY).

EickTron120‐160

EN‐11
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

2)FaradicEffect
Thepulsedcurrentcausestheneuro‐muscularstimulation,originatedby
stimulationofphysiologicprocessofionicexchange,responsibleofthe
transmissionofstimulusthatcausemuscularspasmsandcardiac
symptomsofextrasystoleandventricularfibrillation.
Theeffectofthisstimulusisknownlikefaradiceffectanditisexpressed
by:
R=I/√F

Thephysiologicsystemofstimulustransmissionfollowsalimitcurvein
whichthepulsedcurrentsorbylowfrequencyproduceanimpulseof
stimulation.Byalternatingcurrentinhighfrequency(higherthan200kHz),
usedintheelectrosurgicalneedle,don’thaveneuro‐muscularreactions
(thechangeofpolarityissofastthatthepatientdoesn’thave
consequencesataleveloftheneuro‐muscularreactions),andthereisn’t
anelectrolyticdamageoftheorganism.
Forthisreasonalltheequipmentsgeneratorofthehighfrequencyfor
surgicaluse(electrosurgicalneedle)workonbasefrequencieshigherthan
300kHzsothattheydon’tproduceelectricstimulation.
3)ElectrolyticEffect
Theuseofhighfrequencycurrentsreducestheelectrolyticeffect(ionic
division)inthetissues,causedbytheshortestperiodofunidirectional
conductionofthecurrent.

EN‐12
MA510a_EN

Instruction’sManual



OPERATIVETECHNICS
MonopolarCut
Monopolarcutisthesectioningofthebiologicaltissueachievedbythe
high‐densitypassageofHFcurrent,whichisconcentratedatpointofthe
activeelectrode.TheHFcurrent,whenitisappliedtothetissue,through
thepointoftheactiveelectrode,itcreatesintensemolecularheatinthe
cellssohighthatexplosionofitiscaused.Thecuteffectisachievedby
movingtheelectrodethroughthetissueanddestroyingthecellsoneafter
theother.Themovementoftheelectrodepreventsthepropagationofthe
sideheatinthetissue,thuslimitingtoasinglelinethecells’destruction.
ThebestHFcurrentforcuttingispuresinewavewithoutanymodulation
thatcutsverysmoothlyandprovidestheleastthermaleffectwithpoor
haemostasiswhilecutting.Becauseitseffectscanbepreciselycontrolled,
itcanbeusedsafelywithoutdamagetothebone,butsincegood
coagulationwhilecuttingisoneofprincipalbenefitsofusingelectro
surgeryacurrentwithacertainamountofmodulationisdesirable.
Thefollowingruleshelptheoperatortoobtaingoodcutting,however
everyusermustfollowfirstofallhisprofessionaljudgmentashedoes
everytimeinhispractice.
Keepthetissuesmoistbutnotwet;
Surveythestrokebeforeactivatetheelectrode;
Keeptheelectrodeperpendiculartothetissue;
Activatetheelectrodebeforemakingcontactwiththetissue;
Maintaincleantheelectrode’stip(theoptionalspongesF7520to
cleantheelectrodesareadvised);
Waitatleastfivesecondsbeforetorepeatastroke.
Whentheoutputpowerisproperlysetthereshouldbe:
noresistancetotheelectrodemovementthroughthetissue;
nochangeinthecutsurfacescolor;
nofibersoftissueremainedontotheelectrode.
MonopolarCoagulation
Monopolarcoagulationisthehaemostasisofsmallbloodvesselofthe
bodilytissuethroughpassingofhighfrequencycurrentincorrespondence

EickTron120‐160

EN‐13
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

ofactiveelectrode.Whenthecurrentdensityisreducedandabroad‐
surfacedelectrodeisused,todissipatetheenergyoveralargerarea,the
effectistodryoutthesurfacecells,withoutdeeppenetration,resultingin
coagulation.Thesecoagulatesurfacecellsthenserveasalayerof
insulation,preventingheatderivedbysuccessiveapplicationsofcurrent
frompenetratingtoodeeply.Thecurrentnormallyusedforcoagulationis
modulatedanddependingfromthemodulationpercentageisthe
smoothnessofcutting,goodnessofhaemostasisandlikelihoodoftissue
destruction.Deepercurrentmodulationbringstosomewhatroughly
cuttingandthechanceofsomeslightdepthoftissuedestructionbutmore
efficientcoagulation.
Thefollowingruleshelptheoperatortoobtaingoodcoagulation:however
everyusermustfollowfirstofallhisprofessionaljudgmentashedoes
everytimeinhispractice.
Selectaballorheavywireelectrode;
Locatethebleeder,afterhavewipedtheexcessbloodfromthearea,
contactlightlythebleederbeforeactivatingtheelectrode;
Stoptheelectrodeactivationassoonasthetissueblanchestoavoid
tissuedamage;
Maintaincleantheelectrode’stip(theoptionalspongesF7520to
cleantheelectrodesareadvised).
BipolarCoagulation
Bipolarcoagulationconsistsinthehemostaisofsmallbloodvesselsofthe
bodytissuebetweenthetwotipsoftheforceps.
Whenthecurrentdensityisreduced,thedryingofthecellularsurfaceis
obtained,withoutdeeppenetrationanditsconsequentcoagulation.These
superficiallycoagulatedcellsactasalayerofinsulationthatpreventsthe
heat,duetosuccessivecurrentapplications,topenetratetoodeeply.

EN‐14
MA510a_EN

Instruction’sManual



CONTRAINDICATIONSANDCOLLATERAL
EFFECTS
Electrosurgeryisnotrecommendedinthefollowingsubjects:
havingpacemaker;
withstimulatingelectrodes;
withmetalprosthesisplant;
withimportantarterialpressureunbalance;
withimportantnervousdisorders;
withrenalinsufficiency;
instateofpregnancy.

BurnsarethemostconsequencesoftheHFelectrosurgeryforthepatient,
evenifthesearenottheonlyone.Infactnecrosisbycompression,allergic
reactionstothedisinfectant,gasorinflammableliquidsignition.
Someimportantcausesofburnsareby:
insufficientmedicalequipetrainingaboutallmodalitiestoavoidor
reducetherisksofburnsbyusingHFelectrosurgicalunits;
useofdisinfectantswithhighalcolcontent;
incorrectpositionofthepatientduringtheelectrosurgical
operation;
contactbetweenactiveelectrodeandtheskin;
contactwithliquid;
longapplicationofHFcurrents;
incorrectapplicationofthepatient‐plate.

ToavoidorreducethecommonHFelectrosurgicalrisksitisveryimportant
torespecttherulesandsafetymeasurementsexposedillustrateonthe
nextchapter.

EickTron120‐160

EN‐15
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

SAFETY
WARNING:Electro‐surgerycanbedangerous.Carelessuseofanyelement
intheelectrosurgicalsystemmaysubjectthepatienttoaseriousburn.
Readandunderstandallwarnings,precautions,anddirectionsforuse
beforeattempttouseanyactiveelectrode.Neithermanufacturer,canbe
consideredresponsibleforpersonal,materialorconsequentialinjury,loss
ordamagethatresultsfromimproperuseoftheequipmentand
accessories.

Theaccessoriessuppliedwiththeunithavecharacteristicscompatiblewith
thissuppliedunit,theycouldbeincompatiblewithotherselectrosurgical
units;theusermustcheck,beforeconnectingotheraccessoriestothis
unit,thattheyhavecharacteristicsofinsulationcompatiblewiththoseof
thisunitandutilizedfunction(seeTechnicalCharacteristics).
Itisrecommendedtoinspecttheintegrityofthepackagingofthesterile
products.
General
Thefollowingprecautionsreducetheriskofaccidentalburnings
Thewholesurfaceofthepatientplatemustbeplacedonawell‐
vascularizedmuscleasnextaspossibletosurgicalarea.Avoid
connectingthepatientplatetobonyprotrusions,prosthesis,cicatricial
tissues,andpartsofthebodysubjectedtoliquidaccumulationorthat
presentsubcutaneousadiposetissue.Thepartofthebodymustbe
withouthair,dryandclean.Donotusealcoholtocleantheskin.Unless
forveterinaryuse,theuseofgelatinoidssubstancesfortheelectrodes
isnotadvised.
Byusingthedisposableneutralelectrodesrespectthedateofexpire.
By usingthereusableelectrodesascertainthatthefixingsystemsgive
warrantyofstability.
Whenyouapplytheneutralelectrodeavoidthetransversalcourse
andprefertheverticalordiagonalcourse,inparticularifasplitneutral
electrodeisused.Thattoallowauniformdistributionofthecurrent
onthesurfaceoftheneutralelectrodeandreducetheriskofburnto
thepatient.

EN‐16
MA510a_EN

Instruction’sManual



Ifitisn’tpossibletousecorrectlytheneutralelectrode,consider,ifit’s
possible,thebipolartechniqueinsteadofthemonopolarone.
Thepatientdoesnotmustbeincontactwithmetalpartsthatare
connectedtotheearthorhavealargeelectricalcouplingcapacityto
theearth(forexample:operating‐tableormetallicsupport).Theuse
ofantistaticsheetsisadvised.
Avoidtheskintoskincontact(forexamplebetweenarmandbodyof
thepatient).Insertaninterfacemateriallikedrysurgicalgauze.
Moreover,thepartsofthebodysubjectedtoabundantperspiration
mustbemaintaineddry.
Whenhighfrequencyelectrosurgicalunitandphysiologicalmonitoring
devicesareusedatatimeinthesamepatient,allthemonitoring
electrodes,thathavenotresistiveorinductiveelementstestedinhigh
frequencyinterferenceenvironment,mustbeasfaraspossiblefrom
theelectrodesoftheelectrosurgicalunit.Avoidtheuseofmonitoring
needles.
Theconnectiontotheelectrodesshouldbelocatedinsuchawayto
avoidthecontactbothwiththepatientandwithothercables.
ForsurgicalprocedureswheretheHFcurrentcouldflowthroughparts
ofthebodyhavingarelativelysmallcross‐sectionalarea;theuseof
bipolartechniquesmaybedesiderableinordertoavoidunwanted
coagulation.
Thepowerlevelshouldbethelowestusefultotheworktodo.
Alwayscheckthereturnplatewheneverelectrosurgicalunitfailsto
producethedesiredeffect.Reasonforalowoutputpowerlevel,orfor
anincorrectfunctioningoftheelectrosurgicalunitwhenarrangedfor
anormaloutput,maybelackofconnectionofthereturnplateorits
imperfectplacement.
Theuseofflammableanesthetics,ofoxygenandofnitrogenprotoxide
shouldbeavoidedinthecaseofoperationattheheadoratchest
levelexceptthepossibilityofevacuatinggas.Flammablematerials
usedtoclean,ortodisinfect,shouldbelettoevaporatebeforethe
useoftheelectrosurgicalunit.Thereisriskofstagnationofflammable
solutionsunderthepatientorinbodycavitiesastheumbilicusandthe
vagina.Thefluidthatdepositsintheseareasshouldberemoved
beforetheequipmentuse.Thedangerofendogenousgasignitionhas
tobeconsidered.Somematerialslikecottonwoolorgauze,when
saturatedwithoxygen,mayburstintoflamesbecauseofthesparks
producedbytheequipmentinthenormaluse.

EickTron120‐160

EN‐17
MA510a_EN

   Instruction’sManualManualed’Istruzioni
DEUTSCHPORTUGUES FRANCOIS ESPANOL ENGLISH ITALIANO

Thereisariskforthepatientsfittedwithheartpacemakerorother
stimulationelectrode:interferencemayoccurwiththestimulator
signalorthestimulatoritselfcanbedamaged.Pleasereferto
CardiologyUnitwhenindoubt.
Electrosurgicalequipmentdoesemitunnoticedradiationofhigh
frequencyenergythatmayeffectothermedicalequipment,unrelated
electronics,telecommunications,andnavigationalsystems.
Theaccessorymustberegularlychecked,particularlythecablesfor
theelectrodesandthepossibleaccessoriesfortheendoscopytoverify
thattheinsulationisnotdamaged.
Toavoidtheconnectionofincompatibleaccessoriestotheunit,the
insulationcharacteristicsoftheitemstobereplacedmustbe
requestedtothemanufacturerandcomparedtothoseofthesupplied
unit(seeTechnicalCharacteristics)).
Attention:adamageoftheelectrosurgicalunitcouldresultinan
unwantedincreaseoftheoutputpower.
Inadvertentstimulationofapatient'smuscleandnervescanbe
causedbylowfrequencycurrentsoriginatinginelectricsparks
betweenelectrodeandtissueofthepatient.Shouldneuromuscular
stimulationoccurstopsurgeryandcheckallconnectionstogenerator.
Ifthisdoesnotsolvetheproblem,qualifiedservicepersonnelmust
inspectgenerator.

EN‐18
MA510a_EN

Instruction’sManual



Installation
Theelectricsafetyisinsuredonlywhenthesamearecorrectly
connectedtoanefficientnetlinkedtotheearthinconformitywith
theactualsafetyrequirements.Itisnecessarytoverifythis
fundamentalsafetyrequisiteand,incaseofdoubt,torequirean
accuratecontroloftheplantfrompartofqualifiedpersonnel.The
manufacturercannotbeconsideredresponsibleforpossibledamages
causedfromthelackofefficientconnectiontoearthofthe
installation.Operationwithoutaprotectiveearthconnectionis
forbidden.
Beforeconnecttheequipmentascertainthattherequiredvoltage
(showedontherearpanel)correspondstotheavailablemains.
Incaseofincompatibilitybetweentheavailablewallsocketandthe
feedingcableoftheequipment,replaceonlywithlegallyapproved
connectorsandaccessoryitems.Theuseofadapters,multiple
connectionsorcableextensionsisnotadvised.Shouldtheiruse
becomenecessaryitismandatorytouseonlysimpleormultiple
adapterconformingtotheactualsafetyrequirements.
Don'tlettheapparatusexposedtoatmosphericagents.Theunitmust
beprotectedfromseepageofliquids.Don'tobstructopeningsor
cracksofventilationorheathsink
Don'tleavetheequipmentuselesslyinserted.Switchoffthe
equipmentwhennotinuse.
Theuseoftheunitisnotsuitedinexplosiverooms.
Equipmentmustbedestinedonlytotheuseforthathavebeen
expresslydesigned.Anyotheruseistobeconsideredimproperand
dangerous.Themanufacturercannotbeconsideredresponsiblefor
possibledamagesduetoimproper,wrongandunreasonableuses.
Itisdangeroustomodifyortrymodifyingthecharacteristicofthe
equipment.
Beforeeffectanyoperationofcleaningormaintenance,disconnect
theapparatusfromtheelectricnet,eitherunpluggingitfromthe
mainsorswitchingoffthemainsswitchoftheplant.
Incasefailureand/orbadoperationofequipmentswitchoffit.Forthe
possiblereparationaddressonlytoanauthorizedservicecentreand
askfortheuseoforiginalspareparts.Thelacktofollowtheabove
requirementscouldriskthesafetyoftheequipmentandcanbe
dangerousfortheuser.