Olympus ESG-300 User manual

ESG-300 and APU-300 Display Interface
CAUTION: T his guide is only a summary of the instructions for use of the ESG-300 Electrosurgery Generator. Be sure to reference the instruction
manual that was included with your product purchase.
Electrosurgical Generator
(ESG-300)
Bipolar
Monopolar
On/Off
Neutral
Argon Plasma Unit
(APU-300)
On/Off
Argon
Graphical
User
Interface
Purge
button
Monopolar Home Screen
Active socket
Contact Quality Monitor
Active Mode
Change output socket
Procedure name
Setting name
Power adjustment
Effect level adjustment
Open user defined
settings
System setup
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ESG-300 (Electrosurgical Generator)
Quick Reference Guide

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
Bipolar Home Screen
Active Mode Name
Power adjustment
Effect level adjustment
Open user defined settings
System setup
Output Socket Name
Change Output Sockets
Argon Home Screen
Foot Switch Indicator
Contact Quality Monitor
Output Socket Name
Argon Gas Flow Rate
Type of Connected Argon Probe
Argon Supply Indicator
Communication Indicator
Setting Name
Power Level
Effect Level

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 System Operating Steps
1
2a
Turn on the ESG-300 & APU-300.
Select Mode: Monopolar; Bipolar; Argon
Monopolar Bipolar Argon
Select mode by tapping on the desired mode located on the bottom of the touch screen
2b (Optional) Select User Defined Setting or Procedure.
1.) Select “Open” 2.) Select setting or procedure 3.) Verify setting is correct

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 System Operating Steps
3Mode Menu
1.) Select the mode by tapping on
color bar on the touch screen
2.) In the menu screen, tap to
select the desired mode
3.) Once selected, the home
screen will display the change
4Changing the Power Level
Select to adjust power level
5Changing the Effect
Select to adjust effect
6Argon Plasma Applications
1.) Open the argon tank
2.) Confirm supply connection indicator
displays connection and tank status

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 System Operating Steps
7
1.) Apply the neutral electrode to the patient 2.) Connect to the ESG-300
8Monitor Neutral Electrodes: Contact Quality Monitor
If the red neutral electrode lights up
& alarm tone sounds:
• Is the neutral electrode correctly
connected to the device?
• Does the neutral electrode have
sufficient contact to the skin?
Correct = Green Error = Red

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 System Operating Steps
9
Bipolar Devices
Monopolar Devices
Neutral Electrodes
Argon Plasma Probes
Connect device in appropriate receptacle
Creating User Defined Settings
STEP 1
On the home screen
• Select Preferred Modes
• Select Power Level
• Select Effect Level
• Select Menu

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
Creating User Defined Settings
STEP 2
Edit Settings/Procedures screen
• Select “New” Setting
STEP 3
Save Setting Screen
• Enter the setting name
• Select “OK”
STEP 4
Edit Settings/Procedures screen
• Select “Return” to return to
the Home Screen
OK
STEP 1
On the Home screen
• Select Menu
STEP 2
Edit Settings/Procedures screen
• Select “New” Procedure
STEP 3
New Procedures screen
• Use up/down to highlight the setting
• Use arrow to move the setting on
the left into the procedure column
on the right
A user-defined procedure is a compilation of user-defined settings.
Creating User Defined Procedures
STEP 5
Save Procedure Screen
• Enter the procedure name
• Select “OK”
STEP 6
Edit Settings/Procedures screen
• Select “Return” to return to
the Home Screen
OK

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 Operation Settings
Basic Procedures
Procedure Instrument or Technique Mode Power Effect
Snare Polypectomy:
Sessile polyp Close the snare slowly and gently PulseCut Slow 120 2
Snare Polypectomy:
Pedunculated polyp Close the snare slowly and gently ForcedCoag 20 4
Endoscopic Mucosal
Resection (EMR) Close the snare slowly and gently PulseCut Slow 120 2
Hemostasis Coagrasper SoftCoag 50 3
Sphincterotomy Sphincterotome PulseCut Fast 120 2
Endoscopic Submucosal Dissection (ESD)
Procedure Instrument or Technique Mode Power Effect
Marking Knife (apply gentle pressure)
ForcedCoag 20 2
SoftCoag 50 3
Pre-Cut/Incision Knife
PulseCut Fast 120 2
BlendCut 30 2
Submucosal Dissection Knife PowerCoag 30 2
Hemostasis Closed Knife PowerCoag 30 2
Peroral Endoscopic Myotomy (POEM)
Procedure Instrument or Technique Mode Power Effect
Incision Knife PulseCut Fast 120 2
Dissection/Tunneling Knife SprayCoag 40 2
Myotomy Knife PulseCut Fast 120 2
Hemostasis Coagrasper SoftCoag 50 3
The above settings are examples based upon previous general clinical usage of the device. Please note that clinical staff are solely responsible for selection of an appropriate
mode and power level, dependent upon the instrument being used and the condition of the tissue being treated. Due to the heterogeneity of instruments and clinical conditions,
Olympus cannot accept liability for clinical risks arising from the use of these example settings.

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ESG-300 (Electrosurgical Generator)
Quick Reference Guide
ESG-300 Operation Settings
Argon Plasma Coagulation (APC)
Procedure Instrument or Technique Mode Power Effect
Diffuse bleeding in the
right colon/duodenum
Activate MAPC probe within a
2-5 mm distance from tissue SmartArgon 120 4
Diffuse bleeding in the
remaining colon and rectum
Activate MAPC probe within a
2-5 mm distance from tissue PulsedArgon Fast 30 N/A
GAVE/radioproctitis Activate MAPC probe within a
2-5 mm distance from tissue PulsedArgon Fast 30 N/A
Angiodysplasia Activate MAPC probe within a
2-5 mm distance from tissue PulsedArgon Fast 30 N/A
Tumor Reduction Activate MAPC probe within a
2-5 mm distance from tissue ForcedArgon 50 N/A
Barrett’s Esophagus Activate MAPC probe within a
2-5 mm distance from tissue PulsedArgon Fast 40 N/A
Pulmonary Procedures
Procedure Instrument or Technique Mode Power Effect
Less extended lesion,
bleeding CD-6C-1 SoftCoag 40 3
Polypoid Lesion
(intraluminal mass) SD-7C-1 PulseCut Slow 50 2
Web-like Stenosis KD-31C-1 PulseCut Fast
ForcedCoag
40
40
2
3
Tissue Ablation Activate MAPC probe within a
2-5 mm distance from tissue ForcedArgon 35 N/A
The above settings are examples based upon previous general clinical usage of the device. Please note that clinical staff are solely responsible for selection of an appropriate
mode and power level, dependent upon the instrument being used and the condition of the tissue being treated. Due to the heterogeneity of instruments and clinical conditions,
Olympus cannot accept liability for clinical risks arising from the use of these example settings.

For more information, contact your Olympus
sales representative, or call 800-848-9024.
www.medical.olympusamerica.com
©2018 Olympus America Inc. All rights reserved.
Printed in USA OAIET0818QRG27107
3500 Corporate Parkway, PO Box 610, Center Valley, PA 18034
Olympus is a registered trademark of Olympus Corporation, Olympus America Inc., and/or their affiliates. I Medical devices listed may not be available for sale in all countries.
ESG-300 Monopolar Modes
BLUE PEDAL
Press to activate the
selected COAGULATION mode
YELLOW PEDAL
Press to activate the
selected CUTTING mode
CUT MODES COAGULATION MODES
PureCut PulseCut BlendCut PowerCoag ForcedCoag SprayCoag SoftCoag
Continuous cutting
Controlled cutting
with an intermittent
duty cycle of
different duration
Cutting of varying
tissue structures
with increased
hemostasis
capacities
Supercial
coagulation
with increased
dissection
capability
Supercial
pinpoint
coagulation
High peak
voltage for
supercial
coagulation
without contact
between the HF
instrument and
the tissue
Deeper
coagulation
High Power Cut Support (HPCS) – immediate cutting
Fast Spark Monitor (FSM) – optimized cutting power Versatile coagulation technology
The foot switch consists of:
• Yellow cut pedal to activate the selected cutting mode.
• Blue coagulation pedal to activate the selected coagulation mode.
• Toggle button to switch between user-dened settings within
the procedure.
• Foot switch plug (7-pin connector) to connect the foot switch
with the ESG-300. The length of the connecting cable is 4m.
The wired foot switch is an accessory and must only be used in
conjunction with the compatible ESG-300 to activate the generator.
ESG-300 (Electrosurgical Generator)
Quick Reference Guide