Geister ESU-X 300 NT User manual

USER MANUAL FOR
ESU-X 300 NT (CL II BACCORDING TO CEE 93/42)
GEISTER Medizintechnik GmbH |Föhrenstrasse 2 |D-78532 Tuttlingen |Germany
Tel [phone] |Fax [phone] |Mail in[email protected]m |www.geister.com
Geister Medizintechnik GmbH
Föhrenstraße 2
78532 Tuttlingen / Germany
Tel.: [phone]
FAX: [phone]
E-Mail: [e-mail]
Read instruction for use
0123
Medical product higher class I and shortcut for Notified Body TÜV SÜD Production
Service GmbH, München, Germany
Non sterile
Batch code
Catalogue number
Prescription - U.S. federal law restricts this device to sale by or on the order of a
physician or properly licensed practitioner
Protect from rain
Do not expose to sunlight

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b7
b1
MODE
PURE
BLEND1
BLEND2
ENDO MODE MODE MODE
FULG
SOFT
SPRAY
PURE
BLEND
MICRO
AUTO
MACRO
MONOPOLAR BIPOLARMEMORY
ALARM
HFLEAKAGE MONO
BIP
BIP
BIP
MEM
A
A
B
B
A
A
B
B
ON
MONO
BIP
1
CUT COAG CUT COAG
PINPOINT
4 653 87 21
H
G
FEDCBA
I
Control devices, Connection sockets, and Symbols
AAlarm Led for the neutral plate safety circuit (red)
BArea for memories setting (storage key and selection/shifting keys )
CArea of selection and regulation UP/DOWN of the Monopolar Cut/Coagulating Cut
DArea of selection and regulation UP/DOWN of the Monopolar Coagulation
EArea of selection and regulation UP/DOWN of the Bipolar Cut/Coagulating Cut
FArea of selection and regulation UP/DOWN of the Bipolar Coagulation
GAlarm Led for the HF leakage currents control circuit
HSetting of the standard twin foot-switch pedal functioning ( PEDAL-1 )
ISetting of the connection sockets for the bipolar electrodes (left socket 8a / right socket 8b / Both)
1Socket PEDAL-1 for for connecting the twin foot-switch pedal (standard for the activation of the monopolar or
bipolar currents)
2Socket PEDAL-2 for connecting the twin foot-switch pedal (non standard, and only for the activation of the
bipolar currents)
3Socket Afor connecting monopolar hand-switch handles
4Socket Bfor connecting monopolar hand-switch handles
5Socket Afor connecting monopolar electrodes cables with activation by foot-switch
pedals
6Socket Bfor connecting monopolar electrodes cables with activation by foot-switch
pedals
7Socket NEUTRAL PLATE for for connecting the neutral electrode cable
8Socket BIPOLAR for connecting the bipolar electrodes cable
b1 Mains voltage selector
b2 General mains switch (green-0/I)
b3 Socket for the mains cable with fuse block
MEM
MODE
MODE
MODE
MODE

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b4 Plug for the equipotential connection
b5 Rotating regulator of the start delay of the bipolar AUTO coagulation (from instantaneous mode to 5sec max.)
b6 Rotating regulator of the acoustic signals intensity for the activation of the cut and
coagulation
Earth protection (inside) Alternating current Attention: read the user manual
GEISTER MEDIZINTECHNIK GMBH guarantees safety, reliability and performances of this unit only if
installation, recalibrations and repairs are carried out, using original spare parts, by personnel
authorized by GEISTER and if the unit is used in compliance with given instructions in an area that
meets all the applicable IEC or CEI requirements.
GEISTER is at disposal to supply, if requested, the electric diagrams and any further information
needed.
This manual must be kept where the unit is employed. Please read this entire manual carefully to become
familiar with each of the controls and features before making any attempt to use the equipment clinically and
ask it again in case missing.
If any questions arise regarding the information contained in this manual according to specific needs, please
contact the Manufacturer, directly or through the local distributor, before using the unit. In accordance with the
requirements of the European Directive for medical devices 93/42 CEE and with the procedures of Company
Quality System for the after-sale control of the production, the users are pleased to inform the Manufacturer
about every, even little, problem of this unit.
INTRODUCTION
In a biological tissue crossed by the electric current, three effects are usually generated: Thermal, Faradic, and
Electrolytic.
By using high frequency electric current, higher than 300kHz, the faradic effect is almost completely eliminated,
while the electrolytic one is kept, even if with no practical result. So, the most used is the thermal one. When an
electric current having such characteristics crosses with sufficient density the cellular liquid of the tissues, it warms
it and generates what follows:
1) a heating, which is so rapid that the vapour pressure into the cells breaks their membranes and provokes their
division (pure cut);
2) a heating, which is slower, and which permits to the liquid to evaporate very slowly; in this way, the coagulating
parts of the tissues can coagulate (coagulation);
3) a process which is in the middle between the two phenomena described above (coagulating cut).
The use of the HF current presents also some risks that must be known, because their possible reduction depends
also on users’ behaviour:
-undesired burns on the patient tissues (i.e. where the neutral electrode is placed because of non homogeneous
/ insufficient contact, or in any other zone because of anomalous contacts/use of water mattresses / contacts
of patient with the metallic parts of the operating table);
-undesired burns on the operator tissues (i.e. into the hand, because of an insulation leakage into the
coagulation monopolar forceps);
-interferences with the functioning of other equipments (i.e. video systems) or implanted devices (pace-makers);
-slight neuromuscular stimulations, notably with coagulation currents, both in the contact point of the
active electrode and in the contact point of the neutral electrode. These stimulations are felt bypatients
as “electrical discharges”.
DIRECTION FOR USE
In the field of normal electro-surgery, with only the High Frequency currents, the ESU-X 300NT allows to perform
all kinds of Monopolar Cut (Pure or Coagulating), Monopolar Coagulation (at low, medium, and high voltage),
Bipolar Cut (Pure or Coagulating), Bipolar Coagulation (Micro, Macro,etc.), during major and medium surgery
interventions into the operating theatre (open sky surgery, minimum invasive surgery, endoscopic surgery), or in
any other similar place. The application medical fields of this model are the following ones:
Apparatus of Class I Type CF, protected against the defibrillator effects (a CF type unit guarantees the highest safety level against
direct and indirect contacts, notably for the allowable leakage currents). The applied part type F (floating) is protected from the
earth at high and low frequencies. This kind of unit is especially indicated for direct heart application.

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GYNAECOLOGY, HEART SURGERY, ORTHOPAEDICS, NEUROSURGERY,
OTORHINOLARYNGOLOGY, UROLOGY, MAXILLOFACIAL SURGERY,
DERMATOLOGY, PLASTIC SURGERY, VASCULAR SURGERY, GENERAL AND
THORACIC SURGERY, PAEDIATRIC SURGERY, EMERGENCY SURGERY,
GASTROENTEROLOGY, VETERINARY, AND OTHER.
GENERAL PRECAUTIONS –It is dangerous to ignore the following warnings!
1 Every electro-surgical unit has its own characteristics and therefore, before using it, it is advisable to check its
functioning, without taking into consideration the previous experiences with other devices only. Anyway, start
always with very low powers, and then raise them until the required one is reached;
2 It is extremely dangerous to use the device if the electrical plant and the installations of the operating theatre
do not comply with the current safety standards. Never use extensions for the mains cable and, if many devices
are connected at the same time, ask for their compatibility to the Technical Service;
3 It is extremely dangerous to use accessories or instruments which are not perfectly compliant with all the
applicable technical or legislative Rules, and which are not suitable for the working voltages of the device
(approx. 7600Vpp “4000Vp” for the monopolar currents with crest factors equal or higher than 2; 3600Vpp
“1800Vp” for the monopolar currents with crest factors lower than 2; approx. 1100Vpp “550Vp for the bipolar
currents with crest factors equal or lower than 2). Moreover, the accessories and instruments must not be old
nor worn. Check always their status before the use, notably if for endoscopy. Bear in mind that:
- All the old/worn active electrodes, accessories and cables do not work properly, and do not guarantee the
perfect insulation. In addition, their unstable functioning can lead the operator to increase the output
powers at dangerous levels;
- In the user manual, for each current, the maximum output voltage “Vpp” and its variation (see the curves)
according to the output power adjustment are specified. This allows the operators to choose the maximum
output power that must not be overcome, in order to not exceed the rated HF insulation voltage, which is
possible for each accessory;
- The standard monopolar active electrodes for normal surgery have a stem with Ø 2.3mm (so, thestandard
electrode-holder handles are suitable for the electrodes having stems with this diameter).
4. Do not activate the outputs before the active electrode is in contact with the tissues, as electrical arcs can be
created. They burn the tissues superficially and prevent the good effect ;
5. Keep the active electrode always clean, because otherwise it can provoke sparks or superficial carbonizations
on the tissues. A dirty active electrode, an electrode in bad conditions, or an electrode with connection defects
causes a reduction of the output power, as it does not have any good contact with the tissues;
6. Remember that, even if compliant with all the current standards about the electromagnetic compatibility, the
unit can have interferences with other electro-medical equipments;
7. Bear in mind that, when operating on patients with pace-makers or other implanted active devices, an
interference with their functioning can occur (fibrillations, etc.), and they can even be damaged (in this case, it
is advisable to ask for a specific qualified advice from the Cardiology Division);
8. Never use an electro-surgical unit in presence of flammable anaesthetic gases (i.e. oxygen and nitrogen
protoxide, etc.), notably when operating in cavities like thorax, abdomen, trachea, head, etc. Do not use any
cleaning substances, disinfectants or flammable solvents; if used, let them evaporate before the intervention.
Always remove their remaining traces from the hollow parts of the body or the cavities (i.e. umbilicus, vagina,
etc.), and from underneath the patient. Remember that during the use a spark may cause the explosion of
endogenous gases (intestine), or the fire of oxygen saturated materials (cotton, gauze, etc.);
9. Take always all the metallic objects off the patient (rings, etc.), and be sure he is not in contact with any metallic
part connected to the earth, or which may conduct electricity (table, supports, etc.). Insulate with dry towels the
strongly secreting parts of the body and the contacts skin-to-skin (i.e. between the arm and the body);
10. Place always all the monitoring electrodes, which are not specifically protected, as far away as possible from
the electrodes of the electrosurgical unit. It is not advisable to use needle type or very small monitoring
electrodes;
11. Use and place the neutral electrode as follows:
- Bear in mind that, if the neutral electrodes “Split” type double section are not used, the neutral electrode
safety circuit of the unit cannot control the contact between the electrode and the patient tissues (that is,
it does not grant the safety of a good contact);
- Make sure it is in perfect conditions (the worn/old neutral electrodes are extremely dangerous for the risk
of the burns on the patients), and choose an area of the body as close as possible to the intervention point
(the ideal would be a soft part without hairs, nor protuberant bones or superficial differences). Clean this
area, shave it and massage it, in order to favour the circulation;
- Fix it in a reliable way, without placing anything in-between, nor pressing too much, in order to avoid
ischemic zones. Establish the best possible contact over the entire surface, and make sure it remains
constant, especially if the patient is moved or when liquids are poured. As a matter of fact, a non
homogeneous and/or insufficient contact of the neutral electrode generates both an increase of the current
density in the contact points (which produces a higher temperature into the tissues, and creates burns),

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and a decrease of the output power into the application point (which leads the operator to raise it,
dangerously);
- Never exceed 1/3 of the max. output power for each monopolar current when using the paediatric neutral
electrodes, or 1/5 when using the electrodes for babies;
- Use the disposable neutral electrodes only once, by paying attention to the instructions on the packaging.
Make sure they have the right dimensions (standard for adults with “weight body higher than 15 Kg”:
approx. 136cm2; standard for children with “weight body from 5 to 15 Kg”: approx. 84cm2);
- As the space between the neutral electrode and the operating area represents a sort of “path” for the HF
current, be sure that it is not diagonal as regards the body, nor on the heart. Remember also that the
metallic elements (prosthesis, catheters, etc.) on the path of the current may cause accumulations of
current with consequent heating/burns of the surrounding tissue;
12. Position the cables of the electrodes in a way that they do not touch the patient or any other conducting part.
During the operations, place the unused active electrodes on insulating materials, far away from the patient;
13. Always use the lowest possible power. Bear this warning in mind when intervening on patients (children or
babies) for whom small neutral electrodes are used (see also point 11);
14. Choose the bipolar technique, when operating on small portions of tissue or in cavities;
15. Try to respect as much as possible the suggested working times, and avoid useless short-circuits between the
active electrode and the neutral one;
16. Get in contact with the Technical Service for the use of the “disposable” electrodes;
17. When the device is switched on, check all the settings before using it on the patient, and remember that a
failure can provoke an undesired increase of the power;
18. Remember that also the use of too low powers, if combined with some particular electrodes or accessories,
can cause side effects: for example, when using the Argon gas, the risk of embolism raises if the power of the
spray coagulation is not able to produce quickly a rapid and impermeable eschar on the target tissues;
19. The unit must not be used for final purposes other than those listed in this manual.
THE HF LEAKAGE CURRENTS CONTROL CIRCUIT
The unit is equipped with a leakage currents to earth control circuit because these currents represent one possible
source for undesired burns on the patient or the operators (i.e. a patient who gets in touch with a metallic part of
the operating table or with wet/damp towels, a patient who is placed on a water mattress for surgical needs, an
operator who gets in touch with instruments or endoscopes, etc. They all are possible causes of the increase of
such currents).
When the leakage currents to earth overcome 150mA (limit established by the rules), the circuit intervenes as
follows:
- It automatically reduces the output power, so that the leakage currents come back within the agreed limits;
- It gives an alarm signal to the operators (red Led G-HF LEAKAGE on).
SAFETY CIRCUIT OF THE NEUTRAL ELECTRODE
The neutral electrode connection control circuit (Red Led - area A) operates in the following manners:
1) With disposable/reusable electrodes with one single section (non split). The circuit controls if the neutral
electrode is connected to the cable, and if the latter is integral and correctly connected to the unit
(socket NEUTRAL PLATE-7). If this is not the case, it stops the delivery of the power and gives a luminous
alarm signal (the Red Led is lit, Error Code “no Np”) and a buzzer (loud, intermittent);
2) With disposable/reusable electrodes with twin section (split). The circuit works as described above at
point 1, but it also checks if the quality of the contact between the electrode and the patient tissues is good
enough. It operates as follows:
a) When the contact is optimum, the circuit does not intervene;
b) When the contact decreases to less than approx. 50% of the surface of a standard electrode for adults
well attached, the circuit intervenes automatically reducing to max. 200W the output powers (if higher
levels have been selected);
c) When the contact further decreases, the circuit completely stops the delivery of the power, by giving a
luminous alarm signal (The Red Led is lit, Error Code “no Np”) and also a buzzer (loud, intermittent).
3) When only the memories for the bipolar use (it does not require any neutral electrode) are selected
(memories from 96 to 99),
the circuit does not intervene (the 3 Led are lit, but only to show that the electrode is not connected).
INITIAL CHECKS
Initial checks
1. Make sure that the mains power supply corresponds to the technical data (see the data label on the backside
of the unit), and connect the unit with the mains switch (b2-green- on the backside of the unit) off;
2. For a possible equipotential connection, use the plug (b4 on the backside of the unit), and the device (b6 on
the backside of the unit) to adjust the functioning acoustic signals (the max. is clockwise). The alarm signals
cannot be regulated.

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DATA STORING AT THE SWITCHING ON
When switched on, or after a temporary leak of current:
The unit always stores all the settings/regulations used when switched off (see also Par. “PROGRAMS AND
MEMORIES”);
The unit does not keep the selection of the bipolar coagulation AUTO, and it automatically sets the coagulation
MICRO.
The operators must select the current AUTO every time the device is switched on, as the safety rules for the
electro-surgical units do not allow that, when switching on, a current with automatic start/stop system is
applied without having been intentionally chosen by the users.
CONNECTION AND USE OF THE FOOT-SWITCH PEDALS
The unit is equipped with a standard twin foot-switch pedal (34-9330), which allows to activate or the monopolar
currents or the bipolar currents (cut/coagulating cut or coagulations).
On request, the unit can also be equipped with another twin foot-switch pedal (34-9331), which allows the
independent use of the bipolar currents, and therefore it can be very useful in the following cases:
- When surgeons want to continuously alternate the use of monopolar and bipolar currents by simply pressing
on the different pedals at each time (notably in laparoscopic procedures);
- When surgeons want to use the bipolar currents through an independent pedal foot-switch, which is not the
one used for the monopolar currents.
Use of the standard twin pedal foot-switch (34-9330)
Connect the pedal to the socket PEDAL -1 (MONO/BIP) and, by pressing on the key of the area 1-H, select the
functioning mode:
- MONO to activate the monopolar currents of cut/coagulating cut (yellow pedal), or coagulation (blue pedal);
- BIP to activate the bipolar currents of cut/coagulating cut (yellow pedal), or coagulation (blue pedal), except
for the coagulation AUTO (which is not activated by any pedal foot-switch).
Use of two twin pedal foot-switches (34-9330 and 34-9331)
Connect the pedal 34-9330 to the socket PEDAL-1 (MONO/BIP) and the pedal 34-9331 to the socket PEDAL-2
(BIP)). When the pedal 34-9331 is connected, the Led of the area 1–H automatically sets itself on MONO mode,
and the unit works as follows:
- The pedal 34-9330 activates the monopolar currents of cut/coagulating cut (yellow pedal), or coagulation (blue
pedal);
- The pedal 34-9331 activates the bipolar currents of cut/coagulating cut (yellow pedal), or coagulation (blue
pedal), except for the coagulation AUTO (which is not activated by any foot-switch pedal).
FUNCTIONING, NUMBER OF USABLE ELECTRODES, AND ACTIVATION MODES
1) Monopolar functioning with HF currents
The monopolar functioning requires the use of two electrodes (an active one, and a neutral one). The current
flows from the active electrode towards the neutral electrode, so that the process concerns all the tissues
around the specific point where the active electrode operates.
For the use with HF currents in open sky surgery or in laparoscopy, the unit can be used:
- With 1 or 2 electrodes-holder handle/s (they can be both hand-switch type with twin key cut/coag, or just
one can be hand-switch type with twin key cut/coag, while the other is normal type for use by twin pedal
foot-switch cut/coag).
It can be used with two electrodes-holder handles (as above described) at the same time by two
different operators. In order to use the unit in this way, it must be selected a coagulation mode without
contact (Fulg or Spray), as stated by the International Safety Rules for the HF electro-surgical equipments
(IEC 60601-2-2, par. 46.103).
When the unit is on, the bipolar modes are always possible, as specified here below at point 2).

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For the use with HF currents in flexible endoscopic surgery, the unit can be used:
-With 1 flexible electrode for electro-surgery only (i.e. loop type for polipectomy) with twin pedal foot-switch
cut/coag;
When the unit is on, the bipolar modes are always possible, as specified here below at point 2).
For the use with HF currents in endoscopic surgery under liquid in urology or gynaecology (TUR), the
unit can be used:
-With 1 electrode of the monopolar resectoscope by twin pedal foot-switch cut/coag;
When the unit is on, the bipolar modes are always possible, as specified here below at point 2).
2) Bipolar functioning with HF currents
The bipolar functioning does not require the use of the neutral electrode, as the current flows between the tips
of the bipolar electrode, and it only affects the tissues of this specific area.
The unit always allows this kind of use as follows:
-With 1 bipolar electrode (for cut/coagulating cut and/or coagulation connected to the socket BIPOLAR by
twin pedal foot-switch cut/coag;
-With 1 bipolar electrode (for coagulation connected to the socket BIPOLAR) with automatic start/stop
system (impedance sensing), by selecting the coagulation AUTO;
All the electrodes mentioned above can be used at the same time and independently, but not
simultaneously, except for the two monopolar electrodes-holder handles, as specified at point 1). In
this case, the first activation stops the other ones avoiding all possible errors and giving the right
signal to the users (See Par. “SELF-DIAGNOSIS and SELF-TEST” – Self-diagnosis system = Error
Code uSr Act and block of the unit).
MONOPOLAR MODE FOR ELECTROSURGERY
CONNECTION AND USE OF THE ACCESSORIES
1. Socket (3-A, the led A above is lighted on): hand-switch handle (forceps for coagulation with hand-switch
for coag only) ** in alternative **
Socket (5- A, the led A under is lighted on): handle (forceps for coagulation, laparoscopic instrument) for the
use by foot-switches
(See Par. “CONNECTION AND USE OF THE PEDAL FOOT-SWITCHES”)
Use only this socket to connect the instruments specified here above. If other sockets are used, a failure into
the unit could occur.
Just in case of a cable with a different plug from Alsa standard type, ask for:
- GEISTER cables, by specifying the model and the instrument connector type
- Adaptor (34-9590), for the cables with non insulated plugs from 2 to 8mm, or with insulated plug 4mm);
2. Socket (4-Bthe led B above is lighted up): second hand-switch handle (forceps for coagulation with hand-
switch for coag only) ** in alternative ** (by selecting the pre-set programs 6, 7)
Socket (6- B the led B under is lighted up): second handle (forceps for coagulation) for the use by foot-
switches
(See Par. “CONNECTION AND USE OF THE PEDAL FOOT-SWITCHES”);
3. Socket (7- NEUTRAL PLATE): neutral electrode.
According to the connection possibilities specified here above, the operator can use:
AObviously, one single active electrode (handle, forceps, instrument, etc.) by hand-switches or foot-
switches (press on the key/pedal yellow for the pure cut/coagulating cut currents, or the key/pedal blue for
the coagulation currents);
BAlternatively, two active electrodes (two handles, or one handle and one forceps for coagulation, or other),
both of them by hand-switches, or just one of them by hand-switches and the other by foot-switches
(press on the key/pedal yellow for the pure cut/coagulating cut currents, or the key/pedal blue for the
coagulation currents)
CAt the same time, two active electrodes by two operators, both of them by hand-switches, or just one
of them by hand-switches and the other by foot-switches, (This possibility is allowed only selecting the
coagulation modes without contact “Fulg and Spray”, as stated by the International Safety Rules for the HF
electro-surgical equipments -IEC 60601-2-2, par. 46.103);

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DAlternatively, two active electrodes (two handles, or one handle and one forceps for coagulation, or other),
both of them by foot-switches (This mode is possible by selecting the pre-set programs 6 and 7 “See Par.
“PROGRAMS AND MEMORIES”);
E. !!! BIPOLAR FUNCTIONING !!!
The unit can always be used for the bipolar functioning. See Par. “BIPOLAR MODE”.
In order to favour this kind of use, the unit is equipped with 3 specific pre-set programs (See Par.
“PROGRAMS AND MEMORIES”, programs from 3 to 5), where the following features are already
memorized:
1. Activation modes and outputs available
2. Starting settings of the output powers (1 program for cardiosurgery, 1 program for neurosurgery, 1 program for
general/different surgeries)
In all cases, it is possible to change all the above specified pre-settings, according to the personal
need/desire, and therefore memorize these variations into the different programs (See Par. “PROGRAMS
AND MEMORIES”).
MONOPOLAR CURRENTS, ELECTRODES, ADJUSTMENT OF THE POWERS, ADVICE
CURRENTS FOR CUT AND COAGULATING CUT
PURE CUT (PURE) –Cut without coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key MODE, select the current PURE, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch, or
the yellow key of the hand-switch handle.
Instructions for use, adjustments and electrodes
Use cutting electrodes (blade, needle, loop, Hook type, or the external part of the dissector, in laparoscopy) from
30-40W.
COAGULATING CUT (BLEND-1) –Cut with soft coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key, select the current BLEND-1, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the foot-switch, or the
yellow key of the hand-switch handle.
Instructions for use, adjustments and electrodes
Use cutting electrodes (blade, needle, loop, Hook type, or the external part of the dissector, in laparoscopy) from
30-40W.
COAGULATING CUT (BLEND-2) –Cut with a very strong spray coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key, select the current BLEND-2, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the foot-switch, or the
yellow key of the hand-switch handle.
Instructions for use, adjustments and electrodes

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Use cutting electrodes (blade, needle, Hook type, or the external part of the dissector, in laparoscopy) from 30-
40W.
COMBINATED CUT (CUT ALTERNATED TO COAGULATION) (ENDO) –For flexible endoscopy with
cutting phases alternated to coagulation phases
This is a constant voltage current and it is controlled by an automatic power self
adjustment system (APC System) according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key, select the current ENDO, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the foot-switch, or the
yellow key of the hand-switch handle.
Instructions for use, adjustments and electrodes
Ideal only for flexible endoscopic surgery (i.e. polipectomy or papillotomy).
CURRENTS FOR COAGULATION
“FULGURATION” COAGULATION– Strong superficial sparkling effect, and optimum deep coagulating
effect
This current guarantees a strong coagulating effect, both deep and superficial, and therefore it
is suitable both for coagulations performed with forceps/surgical instrument, and for
coagulations performed by grazing the tissues with the active electrode.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
- With the selection key, select the current FULG, then adjust the power with the regulation keys UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch , or the
blue key of the hand-switch electrodes-holder handle. It is also possible to deliver thecurrent by simply closing
the coagulation forceps, just in case a hand-switch forceps.
Instructions for use, adjustments and electrodes
It can be used with all types of electrodes (ball, blade, or needle type, insulated coagulation forceps, loop
electrodes in conization,
Hook electrodes, dissectors, and forceps in laparoscopy) from 40-50W.
“PIN POINT” COAGULATION – Medium-Low superficial sparkling effect, and optimum deep
coagulating effect
This current guarantees a strong deep coagulating effect and a normal superficial coagulating
effect. It is suitable both for coagulations performed with forceps/surgical instrument and for
coagulations performed directly with the active electrode, just in case the operators prefer a
superficial effect which is less strong than the one of the FULG coagulation.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current PIN POINT, then adjust the power with the regulation keys UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch, or the
blue key of the hand-switch electrodes-holder handle. It is also possible to deliver thecurrent by simply closing
the coagulation forceps, just in case a hand-switch forceps is used.
Instructions for use, adjustments and electrodes
It can be used with all types of electrodes (ball, blade, or needle type, insulated coagulation forceps, loop
electrodes in conization,
Hook electrodes, dissectors, and forceps in laparoscopy) from 40-50W.

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“SOFT” COAGULATION – Low superficial sparkling effect, and good deep coagulating effect
This current guarantees a good deep coagulating effect, and a very low superficial coagulating
effect.. It is suitable for coagulations performed or by forceps/surgical instrument or touching
the tissues by an active ball electrode of 4-5mm at least.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current SOFT, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch, or the
blue key of the hand-switch electrodes-holder handle. It is also possible to deliver thecurrent by simply closing
the coagulation forceps, just in case a hand-switch forceps is used.
Instructions for use, adjustments and electrodes
Use coagulation electrodes (ball type, coagulation insulated forceps in laparoscopy) from 50-60W.
“SPRAY” COAGULATION – Very strong superficial sparkling effect, and good deep coagulating effect
This current guarantees a good deep coagulating effect, and a very strong superficial
coagulating effect. It is suitable both for the coagulations performed with forceps/surgical
instrument, and for coagulations performed directly with the active electrode, even far away
from the tissues.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current SPRAY, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch, or the
blue key of the hand-switch electrodes-holder handle. It is also possible to deliver thecurrent by simply closing
the coagulation forceps, just in case a hand-switch forceps is used.
Instructions for use, adjustments and electrodes
Use cutting and coagulation electrodes (blade, needle, ball type, and coagulation insulated forceps, in
laparoscopy,
conization electrodes in gynaecology) from 40-50W.
ADVICE
OPEN SKY SURGERY
For the Cut, use as follows:
Current PURE, from 40-50W, for a cut without the coagulating effect (it is not very common in surgery, where the
coagulating cut is preferred);
Current BLEND-1, from 40-50W, for a cut with a medium coagulating effect;
Current BLEND-2, from 40-50W, for a cut with a very strong superficial coagulating effect, spray type;
For the Coagulation, use as follows:
Current FULG,from 40-50W, for superficial coagulations or deep coagulations with the active electrode or the
forceps. It is the most suitable coagulation mode when a forceps or an electrode is used;
Current PIN POINT, from 40-50W, for superficial coagulations or deep coagulations with the active electrode or the
forceps, if a softer superficial effect is desired, compared to the FULG coagulation;
Current SOFT,from 40-50W, for superficial or deep coagulations, which are softer than those of the PIN POINT
coagulation, which is not suitable at all for the use with small electrodes with which it tends to cut;
Current SPRAY, from 40-50W, for a very strong superficial coagulation with the active electrode (without any
contact with the tissues), and a good deep coagulation with the forceps (it is the ideal coagulation mode for the
operators who prefer the active electrode to coagulate).
LAPAROSCOPIC SURGERY
For the Cut, use as follows:
See above “OPEN SKY SURGERY” PURE, BLEND-1, BLEND-2. The current BLEND-2 is very efficacious when
using the Hooks or the external part of the forceps/dissectors to cut with a strong coagulating effect.
For the Coagulation, use as follows:
See above “OPEN SKY SURGERY” FULG, PIN POINT, SPRAY. The current SPRAY is very efficacious when
using the Hooks or the external part of the forceps/dissectors to coagulate.

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FUNCTIONING FOR THE FLEXIBLE ENDOSCOPIC SURGERY
In order to favour this kind of use, the unit is equipped with 1 specific pre-set program (See Par.
“PROGRAMS AND MEMORIES”, program 8), where the following features are already memorized:
1. Activation mode and output available
2. In this program are not set output powers or currents for the normal monopolar use because this choice
depends on the operator.
3. In all cases, it is possible to set standard pre-set currents/output powers and therefore memorize these
settings into the program (See Par. “PROGRAMS AND MEMORIES”).
CONNECTION AND USE OF THE ACCESSORIES
1. Socket (5-A, the led A under is lighted on): flexible electrode for electro-
surgery with pedal foot-switch (See Par. “CONNECTION AND USE OF
THE PEDAL FOOT-SWITCHES”).
Use only this socket to connect the above mentioned instruments. The use of different sockets provokes a
damage to the unit.
Just in case, ask for:
The adaptors for the cables with different plug:
Adaptor- 34-9590, for cables with non insulated plugs from 2 to 8mm, or with insulated plug 4mm;
2. Socket (7- NEUTRAL PLATE): neutral electrode.
According to the connection possibilities listed above, the unit allows to:
A. Use the flexible electrode for the normal HF electro-surgery by foot-switch activation
(See Par. “CONNECTION AND USE OF THE PEDAL FOOT-SWITCHES” ). Press on the yellow pedal for the
pure/coagulating
cut currents, and the blue pedal for the coagulation currents.
C. !!! BIPOLAR FUNCTIONING!!!
The bipolar functioning is always possible. See Par. “BIPOLAR MODE”.
MONOPOLAR CURRENTS, ELECTRODES, ADJUSTMENT OF THE POWERS, ADVICE
CURRENTS FOR CUT
PURE CUT –Cut without coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key MODE, select the current PURE, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin
foot-switch Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W for the papillotomy, from 20-30W for the
polipectomy with polypus
5mm, and from 40-50W for polypus 6mm or more.
COAGULATING CUT (BLEND-1) –Cut with soft coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key, select the current BLEND-1, then adjust the power with the regulation keys UP/DOWN;
- For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes

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Use the flexible electrodes of the endoscopes, from 20-30W for the papillotomy, from 20-30W for the
polipectomy with polypus
5mm, and from 40-50W for polypus 6mm or more.
COAGULATING CUT (BLEND-2) –Not suitable at all.
COMBINATED CUT (CUT ALTERNATED TO COAGULATION) (ENDO) –For flexible endoscopy with
cutting phases alternated to coagulation phases
This is a constant voltage current and it is controlled by an automatic power self adjustment
system (APC System) according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key, select the current ENDO, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 70-80W for the papillotomy, from 70-80W for the
polipectomy with polypus
5mm, and from 90-100W for polypus 6mm or more.
CURRENTS FOR COAGULATION
“FULGURATION” COAGULATION AT HIGH VOLTAGE - Strong superficial sparkling effect, and
optimum deep coagulating effect
This current guarantees a strong coagulating effect, both deep and superficial, and therefore it
is suitable both for coagulations performed with forceps/surgical instrument, and for
coagulations performed by grazing the tissues with the active electrode.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
- With the selection key, select the current FULG, then adjust the power with the regulation keys UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue
pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W.
“PIN POINT” COAGULATION AT MEDIUM VOLTAGE – Medium-Low superficial sparkling effect, and
optimum deep coagulating effect
This current guarantees a strong deep coagulating effect, and a normal superficial coagulating
effect. It is suitable both for coagulations performed with forceps/surgical instrument, and for
coagulations performed by grazing the tissues with the active electrode, just in case the
operators prefer a superficial effect which is less strong than the one of the FULG coagulation.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current PIN POINT, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue
pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W.

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“SOFT” COAGULATION AT LOW VOLTAGE – Low superficial sparkling effect, and good deep
coagulating effect
This current guarantees a good deep coagulating effect, and a very low superficial coagulating
effect. It is suitable for coagulations performed or by forceps/surgical instrument or by
touching the tissues with an active ball electrode of 4-5mm at least.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current SOFT, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue
pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 30-40W.
“SPRAY” COAGULATION AT VERY HIGH VOLTAGE – Very strong superficial sparkling effect, and
good deep coagulating effect
This current guarantees a good deep coagulating effect, and a very strong superficial
coagulating effect. It is suitable both for the coagulations performed with forceps/surgical
instrument, and for coagulations performed directly with the active electrode, even far away
from the tissues.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key, select the current SPRAY, then adjust the power with the regulation keys UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue
pedal of the twin foot-switch.
Instructions for use, adjustments and electrodes
Use the flexible electrodes of the endoscopes, from 20-30W.
ADVICE
For the Cut, use as follows:
Current PURE, for a cut without coagulating effect and constant delivery of the power (from 20-30W for papillotomy
or polipectomy with polypus until 5mm, and from 30-40W with polypus 6mm or more);
Current BLEND-1, for a cut with a soft coagulating effect and constant delivery of the power (from 20-30W for
papillotomy or polipectomy with polypus until 5mm, and from 30-40W with polypus 6mm or more);
Current ENDO,for a cut-coagulation combination (alternated phases of cut and coagulation), and self regulation of
the power (from 40-50W for papillotomy or polipectomy with polypus until 5mm, and from 70-80W with polypus
6mm or more).
For the Coagulation, use as follows:
Current FULG,from 30-40W;
Current PIN POINT, from 40-50W, for a superficial effect which is softer than the one of the FULG coagulation.

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FUNCTIONING FOR THE UNDER LIQUID ENDOSCOPIC SURGERY
(TUR, TURP, TURV, etc.)
In order to favour this kind of use, the unit is equipped with 1 specific pre-set program (See Par. “PROGRAMS AND
MEMORIES”, programs 8), where the following features are already memorized:
1. Activation mode and output available for the connection of the resectoscope
2. In this program are not set output powers or currents because this choice depends on the operator.
In all cases, it is possible to set standard pre-set currents/output powers and therefore memorize these
settings into the different programs (See Par. “PROGRAMS AND MEMORIES”).
CONNECTION AND USE OF THE ACCESSORIES
A) Socket (5-A, the led A under is lighted on): monopolar rigid resectoscope
with pedal foot-switch (See Par. “CONNECTION AND USE OF THE
PEDAL FOOT-SWITCHES”).
Use only this socket to connect the above mentioned instruments. The use of different sockets provokes a
damage to the unit.
Just in case, ask for:
The adaptors for the cables with different plug:
Adaptor- 34-9590, for cables with non insulated plugs from 2 to 8mm, or with insulated plug 4mm;
B) Socket (7- NEUTRAL PLATE): neutral electrode.
According to the connection possibilities listed above, the unit allows to:
A. Use the resectoscope by foot-switch activation (See PAR. “CONNECTION AND USE OF THE PEDAL
FOOT-SWITCHES” ).
Just press on the yellow pedal for the pure cutting/coagulating cutting currents, and on the blue pedal for the
coagulation currents.
B. !!! BIPOLAR FUNCTIONING!!!
The bipolar functioning is always possible. See Par. “BIPOLAR MODE”.
MONOPOLAR CURRENTS, ELECTRODES, ADJUSTMENT OF THE POWERS, ADVICE
CURRENTS FOR CUT
PURE CUT (PURE) –Cut without coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key MODE , select the current PURE, then adjust the power with the regulation keys
UP/DOWN;
- For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
Use the specific electrodes for the resectoscope from:
70-80W with wire loop electrodes, for soft tissues (i.e. into the bladder);
90-100W with wire loop electrodes, for strong tissues (i.e. TUR);
160-180W with ribbon loop (cutting/vaporization) electrodes, for soft tissues (i.e. into the bladder);
200-210W with ribbon loop (cutting/vaporization) electrodes, for strong tissues (i.e. TUR);
100-120W with small rolls for vaporisation;
200-210W with big rolls for vaporisation.
COAGULATING CUT (BLEND-1) –Cut with soft coagulating effect

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This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area C):
-With the selection key MODE, select the current BLEND-1, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch
pedal Instructions for use, adjustments, and electrodes
As it is detailed for the current PURE.
COAGULATING CUT (BLEND-2) –Not suitable at all.
COMBINATED CUT (CUT ALTERNATED TO COAGULATION) (ENDO) –Not suitable at all.
CURRENTS FOR COAGULATION
“FULGURATION” COAGULATION AT HIGH VOLTAGE - Strong superficial sparkling effect, and
optimum deep coagulating effect
This current guarantees a strong coagulating effect, both deep and superficial. It is suitable
both for coagulations performed with forceps/surgical instrument, and for coagulations
performed by grazing the tissues with the active electrode.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
- With the selection key, select the current FULG, then adjust the power with the regulation keys UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
Use the loop/ball electrodes for the resectoscope from 60-70W.
“PIN POINT” COAGULATION AT MEDIUM VOLTAGE – Medium-Low superficial sparkling effect, and
optimum deep coagulating effect
This current guarantees a strong deep coagulating effect and a normal superficial coagulating
effect. It is suitable both for coagulations performed with forceps/surgical instrument, and for
coagulations performed by grazing the tissues with the active electrode, just in case the
operators prefer a superficial effect which is less strong than the one of the FULG coagulation.
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key MODE, select the current PIN POINT, then adjust the power with the regulation keys
UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch .
Instructions for use, adjustments, and electrodes
Use the loop/ball electrodes for the resectoscope from 60-70W.
“SOFT” COAGULATION AT LOW VOLTAGE –Not suitable.
“SPRAY” COAGULATION AT VERY HIGH COLTAGE (SPRAY) –Very strong superficial sparkling
effect, and good deep coagulating effect
This current guarantees a good deep coagulating effect, and a very strong superficial
coagulating effect. It is suitable both for the coagulations performed with forceps/surgical
instrument, and for coagulations performed directly with the active electrode, even far away
from the tissues.

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This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area D):
-With the selection key MODE, select the current SPRAY, then adjust the power with the regulation keys
UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
Use the loop/ball electrodes for the resectoscope from 60-70W.
ADVICE
For the Cut with wire loop electrodes, use as follows:
Current PURE, from 70-80W into the bladder or on soft tissues, for a cut without coagulating effect;
Current BLEND-1, from 70-80W into the bladder or on soft tissues, for a cut with soft coagulating effect;
Current PURE,from 90-100W on the prostate, for a cut without coagulating effect;
Current BLEND-1, from 90-100W on the prostate, for a cut with soft coagulating effect.
For the Cut with ribbon loop electrodes, use as follows:
Current PURE,from 160-180W into the bladder or on soft tissues, for a coagulating cut;
Current BLEND-1, from 160-180W into the bladder or on soft tissues, for a cut with stronger coagulating effect;
Current PURE,from 200-210W on the prostate, for a coagulating cut;
Current BLEND-1, from 200-210W on the prostate, for a cut with stronger coagulating effect.
NB: In order to optimize the functioning and obtain the perfect cut without any “sticking” of the tissues on
the electrode, the above mentioned powers maybe have to be changed through small variations of 10-15W
each time.
For the Vaporisation with rolls, use as follows:
Current PURE, from 100-120W with small rolls, and from 200-210W with big rolls.
For the Coagulation, use as follows:
Current SPRAY from 40-50W. Optimum to coagulate or by loop/blade/ball electrodes, even without any contact
with the tissues;
Current FULG, from 60-70W, for a coagulation by loop/blade/ball electrodes.
Current PIN POINT, from 60-70W, for a coagulation by loop/blade/ball electrodes with contact between the
electrode and the tissues.

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BIPOLAR MODE
INTRODUCTION
As far as the bipolar functions, please note as follows:
- They are always available, as alternative to all the other monopolar functioning modes;
- They can be used alone, without connecting the neutral electrode. See. the pre-set programsin next paragraph;
- Besides the standard twin foot-switch (93-9330, for the monopolar orbipolar use), the unit can also be equipped
or with another twin foot-switch (34-9331, for the bipolar use only), on request. (See Par. “CONNECTION AND
USE OF THE PEDAL FOOT-SWITCHES”);
- The unit is equipped with a coagulating current AUTO (impedance sensing type) with automatic start/stop
system (switching on with adjustable delay from 0.5 to 5sec by the control device b5 which is placed on the
backside of the unit, when the tips of the forceps get in touch with the non coagulated tissues –switching off
when the tissues are coagulated). This system does not require any pedal foot-switch;
CONNECTION AND USE OF THE ACCESSORIES
The unit is equipped with one socket for the connection of the bipolar electrodes (8-BIPOLAR).
1. Socket 8- BIPOLAR-A : bipolar electrode (connected cable without any particular polarity) for use by foot-
switch for cutting and/or coagulation. The foot-switch for the AUTO coagulation with automatic start/stop
system is not used;
In order to facilitate the bipolar use, the unit is equipped with 1 pre-set program (See Par. “PROGRAMS AND
MEMORIES”,
program 9) where the following features are already memorized :
- Disconnection of the neutral electrode safety circuit, which is not required for the bipolar use only (as a matter
of fact, through the 3 lit alarm Led, the circuit just informs the operators that the neutral electrode is not
connected);
- Impossibility to use the monopolar currents (the displays for the monopolar currents powers are switched off);
- Activation modes and outputs available according to the different settings
Just in case of cables with connection plugs which are different from GEISTER standard type, ask for:
- GEISTER cables, by specifying the model and the instrument connector type;
- Adaptor, 34-9591V for cables with connector (Valleylab type).
- Adaptor, 34-9591E for cables with connector (coaxial type, Erbe or Storz type).
- Adaptor, 34-9591M for cables with connector (coaxial type, Martin or Bertchold type).
BIPOLAR CURRENTS, ELECTRODES, ADJUSTMENT OF THE POWERS, ADVICE
CURRENTS FOR CUT
PURE CUT–Cut with minimum coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area L):
-With the selection key MODE, select the current PURE, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
Use the specific electrodes, from:
40-50W, with cutting electrodes, needle type;
COAGULATING CUT –Cut with coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the
functioning, which guarantees that the power selected by the operators remains constant
according to the characteristics of the tissues.
Control devices to be used (area L):
-With the selection key MODE, select the current BLEND, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (loud acoustic signal, and yellow Led), press on the yellow pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
As it is detailed for current PURE.

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CURRENTS FOR COAGULATION
“MICRO” COAGULATION –Very soft coagulating effect
This is a constant voltage current and it is controlled by an automatic power self adjustment system (APC System)
according to the characteristics of the tissues. It is the most suitable current when operating on extremely delicate
tissues (i.e for neurosurgery).
Control devices to be used (area F):
-With the selection key MODE, select the current MICRO, then adjust the power with the regulation keys
UP/DOWN;
-For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch.
Instructions for use, adjustments, and electrodes
Use coagulation forceps with tips of: 0.5mm (from 0.5-1W), 1mm (from 1-2W), and 2mm (from 2-4W);
Use coagulation forceps for laparoscopy, from 30-40W.
“AUTO” COAGULATION –Very soft coagulating effect and automatic start/stop system (impedance
sensing type)
This current is the same as the MICRO current, as far as the performances and the indications
are concerned.
Control devices to be used (area F):
- With the selection key MODE, select the current AUTO, then adjust the power with the regulation key
UP/DOWN s;
- For the delivery (acute acoustic signal, and blue Led), touch the tissues with the forceps tips after having
regulated the starting delay (from 0.5 to 5sec) by turning the control device b5 on the backside of the unit
(0.5sec on the left, 5sec on the right);
- For the switching off it is possible either to disconnect the forceps from the tissues or wait until the current
disconnects automatically, once the tissues are coagulated
For safety reasons, the unit is also provided with an automatic stop control,
which is activated after approximately 6 seconds of functioning (if the forceps
remains on the tissues, it starts again after a stop interval which is exactly the
same as the delay set for the start).
Instructions for use, adjustments, and electrodes
Use coagulation forceps with tips of: 0.5mm (from 0.5-1W), 1mm (from 1-2W), and 2mm (from 2-4W);
Not suitable for the use in laparoscopy.
“MACRO” COAGULATION – Strong coagulating effect
This current is controlled by an automatic system (ADC System) for the self regulation of the functioning, which
guarantees that the power selected by the operators remains constant according to the characteristics of the
tissues. It is the most suitable current for a strong coagulating effect on big dimensions electrodes, and therefore it
is ideal both for the operators who desire a bipolar coagulation with an effect which is “similar” to the monopolar
coagulation, and for those who want to coagulate in laparoscopy or on big tissues areas.
Control devices to be used (area F):
-With the selection key MODE, select the current MACRO, then adjust the power with the regulation keys
UP/DOWN;
- For the delivery (acute acoustic signal, and blue Led), press on the blue pedal of the twin foot-switch .
Instructions for use, adjustments, and electrodes
Use coagulation forceps with tips of: 1mm (from 5-10W), 2mm (from 7-15W);
Use coagulation forceps for laparoscopy, from 40-50W;

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ADVICE
For the Cut:
In order to optimize the functioning of the bipolar cut and obtain the perfect cut without any “sticking” of the
tissues on the electrode, the above mentioned powers maybe have to be changed through small variations of
10/15W each time.
For the Coagulation:
When bipolar forceps are used, it is advisable to keep their tips damp, for example with physiologic solution, in
order to reduce the omnipresent phenomenon of the “sticking” of the tissues. It is also possible to use forceps
with “anti-sticking” tips, or better with irrigation system.