Olypus Esg400
Olypus Esg400
ELECTROSURGICAL GENERATOR
ESG-400
USA: CAUTION: Federal Law restricts this device to use by, or on the order of,
a physician.
Contents i
Contents
Labels and Symbols.................................................................................................. 4
Important Information - Please Read Before Use ................................................... 5
Intended use .................................................................................................................................... 5
Application of high frequency treatment .......................................................................................... 5
Instruction manual ........................................................................................................................... 5
User qualifications ........................................................................................................................... 6
Electrosurgical generator compatibility............................................................................................ 6
Repair and modification ................................................................................................................... 6
Signal words .................................................................................................................................... 7
Dangers, warnings and cautions ..................................................................................................... 7
Legal information ............................................................................................................................ 16
Chapter 4 Inspection............................................................................................. 52
4.1 Flow chart for inspection work ............................................................................................... 53
4.2 Inspection of power................................................................................................................ 54
4.3 Inspection of connection between peripheral equipment and the electrosurgical generator 56
4.4 Inspection of touch-screen and push buttons........................................................................ 57
4.5 Inspection of footswitch connection....................................................................................... 60
4.6 Inspection of alarm system .................................................................................................... 61
4.7 Procedure after inspection..................................................................................................... 61
Chapter 5 Operation.............................................................................................. 62
5.1 Flow chart for operation work ............................................................................................... 63
5.2 Turn on the electrosurgical generator.................................................................................... 64
5.3 Automatic mist & smoke evacuation system/function (when using the compatible
high flow insufflation unit) ...................................................................................................... 65
5.4 Output setting ........................................................................................................................ 67
HF instrument recognition...................................................................................................... 69
Bipolar cut / coagulation mode – SalineCut / SalineCoag..................................................... 72
Bipolar coagulation mode – RFCoag..................................................................................... 72
Overview of all modes ........................................................................................................... 75
5.5 Output of energy .................................................................................................................... 79
5.6 Procedure after use ............................................................................................................... 84
List of abbreviations
AC Alternating Current
EMC Electromagnetic Compatibility
ESG Electrosurgical Generator
FSM Fast Spark Monitor
HF High Frequency
HPCS High Power Cut Support
ICD Implanted Cardioverter Defibrillator
IED Implanted Electronic Device
RCAP Resistance Controlled Automatic Power
Type plate
Date of
manufacture
CE marking
Non-ionizing electromagnetic
radiation
cTUVus marking
Manufacturer
Fuse rating
Instruction manual
This instruction manual contains essential information on using this
electrosurgical generator safely and effectively. Before use, thoroughly review
this instruction manual and the instruction manual of all equipment which will be
used during the procedure. Use the equipment as instructed. Keep this and all
related instruction manuals in a safe, accessible location. If you have any
questions or comments about any information in this instruction manual, please
contact Olympus.
User qualifications
If there is an official standard that defines the qualifications required for medical
personnel using electrosurgical generators as defined by a national or local
medical administration or other institution, such as an academic society, follow
this standard. If there is no such standard, the user must be a physician or
medical personnel under supervision of a physician and must have received
appropriate training in using this electrosurgical generator. This instruction
manual, therefore, does not explain or discuss endoscopic or electrosurgical
procedures.
In addition, the user must undergo an instruction / training for the use of this
electrosurgical generator. The instruction / training will be provided by
authorized representatives of Olympus during installation and commissioning.
Federal Law of the USA restricts this device to use by, or on the order of,
a physician.
Signal words
The following signal words are used throughout this instruction manual:
DANGER
Indicates an imminently hazardous situation
which, if not avoided, will result in death or serious
injury.
WARNING
Indicates a potentially hazardous situation which,
if not avoided, could result in death or serious
injury.
CAUTION
Indicates a potentially hazardous situation which,
if not avoided, may result in minor or moderate
injury. It may also be used to alert against unsafe
practices or potential equipment damage.
NOTE
Indicates additional helpful information.
Environmental conditions
CAUTION Interference with other equipment
Accessories
WARNING Mechanical stress
Electric shock
WARNING Grounding failure
Burns
WARNING Patient and / or user
Fire / Explosion
DANGER Ignitable anaesthetics and gases
Legal information
In the US and other countries, Celon and RCAP are registered trademarks of
Celon AG medical instruments and Olympus, RFCoag, ESG and AFU are
trademarks or registered trademarks of Olympus Corporation, Olympus Medical
Systems Corporation and / or their affiliates.
Ricoh TrueType and Bitmap fonts designed by RICOH Company, Ltd. are used.
Instruction manual
Power on / off
Select procedure
Footswitch
Menu
BIPOLAR socket
MONOPOLAR 1 socket
UNIVERSAL socket
MONOPOLAR 2 socket
Touch-screen
Double footswitch
Single footswitch
Autostart
Plus
Minus
Return
OK
Cancel
Save procedure
Delete procedure
Languages
Touch tone on
Software version
Safety test
Service
Volume
Brightness
Toggle
Previous
Next
Numeric
Alphabetic
Uppercase / lowercase
Backspace
Caution
Communication indicator
Reset
Rear panel
Volume
Footswitch
1. Power switch
This switch turns the electrosurgical generator on and off.
2. BIPOLAR socket
This socket connects the plug of a bipolar HF instrument.
3. MONOPOLAR 2 socket
This socket connects the plug of a monopolar HF instrument.
4. MONOPOLAR 1 socket
This socket connects the plug of a monopolar HF instrument.
5. Touch-screen
Displays the connection status of the accessories and peripherals
connected to the electrosurgical generator. It is also used to show and
modify the output settings (e.g. mode, output power, effect) as well as to
control other functions (e.g. save procedures, delete procedures).
6. FOOTSWITCH push button
This button is used to open the “Footswitch screen” to assign one or two
footswitch(es) or the autostart function to a specific output socket.
7. SELECT PROCEDURE push button
This button is used to open the “Select Procedure screen” to recall saved
settings.
8. MENU push button
This button is used to open the “Menu screen” to control several functions
(save or delete a procedure, control the touch tone, output volume and
brightness as well as other functions).
1. 2. 1. 3.
7. 6. 5. 4.
1. Footswitch sockets
This socket connects the plug of a single or double pedal footswitch.
2. Volume control
This knob is used for adjusting the output volume.
3. Ventilation hole
Holes for air ventilation via a cooling fan; there are also ventilation holes on
each side of the electrosurgical generator.
4. Equipotential bonding point
To increase electrical safety, this point is used for potential equalization. All
equipment housings that come into contact with the patient are electrically
connected in order to prevent low-frequency electrical currents from
endangering the patient in the event of a defect in the conventional
protective conductor system.
5. AC power socket
This socket serves as a connection to the mains power supply via a power
cord.
6. LINK-OUT socket
This socket connects the plug (14-pin) of a cable connected to peripheral
equipment.
7. LINK-IN socket
This socket connects the plug (26-pin) of a cable connected to peripheral
equipment.
NOTE
1.
1. Docking socket
This socket connects the plug (7-pin) of a docking connector to connect
peripheral equipment.
6.
7.
8.
9.
11.
10.
2.
5.
3.
6. 2 4.
1. Mode button
The name of the output mode as selected in the “Mode screen” is displayed
here. Press this button to switch to the “Mode screen”. If “Off” is selected,
“--“ will be displayed instead of power level and effect.
2. Plus button / Minus button
These buttons increase / decrease the output power level.
3. Toggle button
This button switches to the next effect.
4. Return button
Press this button to save the settings and to return to the “All screen.”
5. Output power level
The number shows the selected output power level. If an output power level
is set to zero, “--” will be displayed instead of numbers.
6. Effect
The number shows the selected effect. For RFCoag mode the RCAP
function can be selected instead of an effect (refer to chapter 5.4, “Output
setting”)
2.
1. Mode button
These buttons allow the mode selection for a corresponding output socket
as shown in the title line. If a selection is already activated, this is
indicated by a gray button. If no mode shall be selected, press the “Off
button.”
2. Return button
Press this button to return to the “Set screen.”
1. 3.
2.
2.
1.
3.
2.
1. Lever-locking arm
This arm secures the connector of the neutral electrode with the clamp.
2. Clamp
This clamp connects the neutral electrode to the “P-cord”.
3. Plug on the electrosurgical generator side
This plug connects the “P-cord” to the electrosurgical generator.
1.
2.
1.
2.
Front Rear
1. 2. 3.
1. System plug
This plug connects the adapter for UHI-2/3 to the high flow insufflation unit
socket.
2. LINK-IN socket
This socket is used for communications with peripheral equipment
(26-pin).
3. LINK-OUT socket
This socket is used for communications with peripheral equipment
(14-pin).
NOTE
WARNING
NOTE
WARNING
CAUTION
NOTE
Figure 3.1
CAUTION
1. Preparation
Prepare the adapter for UHI-2/3 and the communication cable
The compatible high flow insufflation unit cannot be connected directly to
the electrosurgical generator. Use the adapter for UHI-2/3 (MAJ-1873) and
the communication cable (MAJ-1871 or 1872) to connect the UHI-2/3 with
the electrosurgical generator.
Correct connection
System connector
Incorrect connection
System connector
Figure 3.2
When you add the compatible ultrasonic generator to the compatible high flow
insufflation unit and the electrosurgical generator that have been already
connected, follow the steps below (see Figure 3.3).
Correct connection
Compatible high flow Compatible ultrasonic Electrosurgical
insufflation unit (UHI-2, UHI-3) generator generator
System
connector
Adapter for
UHI-2/3
Communication cable Communication cable 0.25 m
10 m (MAJ-1872) (MAJ-1871)
Incorrect connection
System
connector
Figure 3.3
WARNING
Figure 3.4
WARNING
CAUTION
CAUTION
DANGER
CAUTION
NOTE
Figure 3.5
Figure 3.6
Confirmation window
Figure 3.7
WARNING
CAUTION
MONOPOLAR 1 socket
MONOPOLAR 2 socket
WARNING
WARNING
BIPOLAR socket
UNIVERSAL socket
Confirm that the HF instrument cable and HF instrument plug are not
damaged.
Chapter 4 Inspection
The inspection of this electrosurgical generator and other equipment to be used
with this electrosurgical generator is recommended before every operation.
Refer to the respective instruction manual for each item. Refer to the instruction
manual of the equipment and inspect all equipment as described on the
following pages.
WARNING
Start screen
Figure 4.1
All screen
Figure 4.2
Communication indicator
All screen
Figure 4.3
CAUTION
Figure 4.4
1. Press the “MENU push button” on the right side of the touch-screen as
shown in figure 4.5.
The “Menu screen” appears showing different control buttons.
MENU
Figure 4.5
Figure 4.6
2. Press the “FOOTSWITCH push button” on the right side of the touch-
screen as shown in figure 4.7.
The “Footswitch screen” appears.
FOOT
SWITCH
Figure 4.7
Footswitch screen
Figure 4.8
2. Confirm that an error window (E202, see figure 4.9) is displayed and an
audible signal can be heard.
3. The audible signal stops and after a few seconds the error window (E202)
disappears.
Error window
(E202: Insufficient neutral
electrode contact)
Figure 4.9
Chapter 5 Operation
Before starting an operating procedure, confirm that the connections of the
power cord, footswitch, neutral electrode and HF instruments are secure and
correct.
DANGER
High flow insufflation unit (UHI-2) High flow insufflation unit (UHI-3)
Figure 5.1
NOTE
While the handswitch or footswitch pedal is held
pressed, the automatic exhaust function of the
UHI-2 or UHI-3 is activated at the same time as
the output. The exhaust continues for about 5
seconds even after the output is stopped. In the
following cases, however, the safety function
disables the automatic exhaust function even
during output.
- When the abdominal cavity pressure is
below 3 mmHg.
- When the air flow mode of the UHI-2/UHI-3
is “Low.”
- When the UHI-2/UHI-3 is in the air flow stop
mode.
WARNING
CAUTION
NOTE
When the “Set screen” is displayed, the output power level and effect
settings can be changed.
Set the output power level by pressing the “Plus button” / “Minus button”
and the effect setting by pressing the “Toggle button”. The impact of
power level and effect setting on tissue for all modes is described in
table 5.1, “Overview of all modes”.
Figure 5.2
Figure 5.3
HF instrument recognition
(available only via the UNIVERSAL socket)
The electrosurgical generator is equipped with an UNIVERSAL socket that
allows the user to connect Olympus HF instruments or cables with HF
instrument recognition capabilities. Such HF instruments have stored
information about:
instrument name (will be displayed instead of “UNIVERSAL” in the “All, Set
or Mode screen”.),
default settings and safety margins for mode, power level and effect.
For detailed information about the settings, refer to the instructions for use of
the HF instruments or cables.
The next paragraph describes the display changes if an Olympus device with
HF instrument recognition capabilities will be connected via the UNIVERSAL
socket as depending on the current settings of the electrosurgical generator.
If the current displayed settings of mode, power level and effect are within
the allowed range of the connected Olympus HF instrument but not the
default instrument settings, a confirmation window according to figure 5.4 will
appear. Press the “OK button” to use the default instrument setting and the
display switches to the “All screen” or press the “Cancel button” to continue
without changing the current settings and the display returns to the last used
screen.
Confirmation window
Figure 5.4
If at least one displayed setting of mode, power level or effect is out of range
of the allowed Olympus HF instrument settings, a confirmation window
according to figure 5.5 will appear. Press the “OK button” to continue. The
default instrument settings will be taken and the display returns to the “All
screen”.
Confirmation window
Figure 5.5
Confirmation window
Figure 5.6
If the displayed settings are allowed for the Olympus HF instrument but at
least one setting of power level or effect of an unselected mode is out of
range of the allowed Olympus HF instrument settings, a confirmation window
according to figure 5.7 will appear. Press the “OK button” to continue. Just
the permitted settings will be changed to the default instrument settings and
the display returns to the “All screen”.
Confirmation window
Figure 5.7
NOTE
NOTE
In the deactivated state of the electrosurgical generator, the “Set screen” shows
an application time counter in minutes:seconds and an energy counter in
Kilojoules (see figure 5.8), indicating previous treatment parameters. Both
counters can be set to zero (“00:00”, “0.00 kJ”) either by switching off the
electrosurgical generator or by pressing the “Reset button”.
During activation of the electrosurgical generator, the total amount of energy
emitted is constantly updated in the energy counter and the total duration of
power application is constantly updated in the time counter, either in the “Set
screen” or in the “All screen” (see figures 5.8 and 5.9 respectively).
Without RCAP
The medical purpose of RFCoag without RCAP (“Resistance Controlled
Automatic Power”) mode is to achieve controlled tissue coagulation. To select
the RFCoag without RCAP mode, press the “RCAP button” until the “RCAP
button” is not in gray color.
During activation, the electrosurgical generator provides audible feedback of the
coagulation status. The frequency of the output tone is proportional to the tissue
resistance at any particular moment. As the measured tissue resistance
increases, the frequency of the audible feedback tone also increases. This
permits audible monitoring of the coagulation status, since the latter is directly
connected with the tissue resistance.
Energy is applied until the tissue resistance exceeds a limit value (see
“Specifications” in the Appendix). Then the power output is automatically
stopped because the coagulation process is completed due to desiccation of
the tissue (see “Output characteristics” in the Appendix). This is indicated by an
intermittent audible signal.
With RCAP
The medical purpose of RFCoag with RCAP mode is used to achieve deep
tissue coagulation without significant tissue desiccation. To activate the
RFCoag with RCAP mode, press the “RCAP button” until the “RCAP button” is
in gray color.
Once the tissue resistance increases significantly, which indicates beginning
tissue desiccation, the power is reduced automatically. This enables the tissue
to rehydrate, resulting in normal electrical resistance of the tissue after a few
seconds. Detecting this decrease of resistance, the electrosurgical generator
automatically increases the power again to the preset level and continues the
heating process. This cycle will be repeated until the activation is stopped or the
tissue resistance exceeds a limit value. In the latter case, the power output is
automatically stopped. This is indicated by an intermittent audible signal.
Figure 5.8
Figure 5.9
Bipolar cut BipolarCut 1, 2, 3 − All bipolar cutting − High Power Cut Support
procedures of tissue (HPCS)
structures
− Bipolar cutting
electrodes, e.g. needle
electrodes
Table 5.2: Change of the power level with the resulting tissue effects
DANGER
WARNING
CAUTION
NOTE
Figure 5.10
Figure 5.11
CAUTION
Functions Contents
Select Procedure Selection of previously saved preferred settings
Select Language
Languages Available languages: English, Japanese, German, Chinese,
French, Italian, Spanish and Portuguese.
Push buttons
Touch-screen
2. Selecting a procedure
Press a button for a procedure to be recalled as shown in figure 6.2 (e.g.
“Lap. Coletomy”).
The selected procedure is recalled.
The “All screen” shows the output settings saved for that procedure.
The name of the recalled procedure is shown in the headline of the “All
screen”.
SELECT
PROCEDURE
Figure 6.1
Figure 6.2
NOTE
FOOT
SWITCH
Figure 6.3
6.5 Menu
Press the “MENU push button” to display the “Select Menu screen” on the
touch-screen. All available menu functions are displayed on two pages (see
figure 6.4). To switch between the menu pages, press the “Previous button” /
“Next button”. The different menu functions are described on the following
pages.
MENU
Figure 6.4
Figure 6.5
Deletion of characters
Press the “Backspace button” to delete the last character being displayed in
the procedure name area (see figure 6.7).
Numeric button
Procedure name area Alphabetic button
Figure 6.6
Figure 6.7
Information
window
Figure 6.8
If the procedure name already exists.
A confirmation window will appear and ask to overwrite the procedure.
To overwrite the procedure, press the “OK button” (see figure 6.9).
An information window will appear for a few seconds confirming the
procedure is being overwritten.
After the information window disappears, the “All screen” will be displayed.
If an incorrect procedure name has been entered, press the “Cancel button”.
The display returns either to the “Keyboard screen (uppercase / lowercase)
or “Keyboard screen (numeric)”. Enter the correct procedure name and
press the “OK button”.
Information
window
Figure 6.9
Figure 6.10
Figure 6.11
Figure 6.12
Information
window
Figure 6.13
Figure 6.14
Information
window
Figure 6.15
Languages
The touch-screen is capable of displaying 8 languages. This function is used to
select the desired language.
Available languages: English, Japanese, German, Chinese, French, Italian,
Spanish, and Portuguese.
1. Select Menu screen
After pressing the “MENU push button”, press the “Languages button” on
the left side of the screen (see figure 6.16).
The screen changes from the “Select Menu screen” to the “Select
Language screen” (see figure 6.16).
Figure 6.16
Figure 6.17
Figure 6.18
Touch tone
This function activates / deactivates an audible feedback tone when a touch-
screen button is pressed.
Figure 6.19
Autostart setup
This function is used to change the time delay before the electrosurgical
generator will activate the output after the electrodes touch the tissue and if the
autostart feature has been assigned to a corresponding output socket within the
“Assign Footswitch screen” (see chapter 6.4, “Assign footswitch and autostart
function”).
Figure 6.20
Figure 6.21
Software version
This function displays the current installed software version of the
electrosurgical generator.
Figure 6.22
Figure 6.23
Safety test
This function closes the output relays to perform the measurement(s) required
during the periodic safety check. Activation of this function disables the
electrosurgical generator for normal operation. Refer to the maintenance
manual of the electrosurgical generator for a detailed safety test description.
NOTE
Figure 6.24
Figure 6.25
Service
This function can be accessed by Olympus staff and service technician only. It
is password protected and not intended for customer use.
WARNING
NOTE
Common area
Figure 6.26
The “Plus button” increases the output tone volume.
The “Minus button” decreases the output tone volume.
The volume level range is from 1 to 10.
The default setting is a volume level of 7.
The volume level is displayed in the common area for both menu
screens so that it can be controlled from either screen.
Brightness control
This function controls the brightness of the touch-screen.
After pressing the “MENU push button”, press the “Plus button” or “Minus
button” in the “Brightness” section of the “Select Menu screen” (see figure
6.27).
Common area
Figure 6.27
The “Plus button” increases the brightness of the touch-screen.
The “Minus button” decreases the brightness of the touch-screen.
The brightness level range is from 1 to 10.
The default setting is a brightness level of 5.
The brightness level is displayed in the common area for both menu
screens so that it can be controlled from either screen.
CAUTION
1. Powering off
Switch off the electrosurgical generator with the power switch.
The illumination of the power switch is turned off.
The touch-screen is turned off.
The illumination of the push buttons is turned off.
The contact quality monitor indicator for non-split neutral electrodes and
for split neutral electrodes is turned off.
7.2 Storage
CAUTION
1. Storage location
Place the electrosurgical generator on a stable, level surface.
2. Storage environment
Store the electrosurgical generator properly according to the environmental
conditions described in the “Transportation, storage and operating
environment” in the Appendix.
7.3 Disposal
When disposing of this electrosurgical generator, or any of its components
(such as fuses), follow all applicable national and local laws and guidelines. The
packaging materials can be separated for adequate recycling.
Chapter 8 Troubleshooting
CAUTION
Remedial actions
Error window
(Example: E002 Short circuit)
Figure 8.1
Table 8.1: Error priorities and the corresponding indicator symbol condition
NOTE
The grounded wall outlet has wrong Check the grounded wall outlet or use
or not output voltage. an alternative grounded wall outlet.
The power cord is damaged. Check the power cord for damages
and, if necessary, replace the power
cord.
The touch-screen An object is in contact with the touch- Remove the object.
cannot be screen.
controlled.
The touch-screen is not properly Contact Olympus.
calibrated.
The electrosurgical A push button is already pressed. Release the push button.
generator does not
Malfunction of the electrosurgical Contact Olympus.
react when a push
generator.
button on the front
panel is pressed
during standby.
The electrosurgical The (push) buttons are not available Release the footswitch or handswitch
generator does not during activation. to stop the activation.
react when a (push)
button on the front
panel is pressed
during activation.
The volume can not The volume of the error-related No action required.
be adjusted via the audible signal is not adjustable.
volume control
Malfunction of the electrosurgical Contact Olympus.
within the “Menu
generator.
screen” or at the
rear panel.
The electrosurgical Improper connection of the Check the footswitch and the HF
generator does not footswitch to one of the footswitch instrument for correct connection.
respond to sockets on the rear panel of the
footswitch or electrosurgical generator or the HF
handswitch instrument to the output socket.
activation.
The footswitch or the handswitch of Check the footswitch or the handswitch
the HF instrument and / or the of the HF instrument and / or the
connection cable are damaged. connection cable for damages and, if
necessary, replace the footswitch, the
HF instrument or the connection cable.
The “All screen” or “Set screen is not Return to the “All screen” or “Set
displayed on the touch-screen. screen”.
If the autostart The autostart function is assigned to Check the correct assignment of the
function is another output socket. autostart function (refer to chapter 6.4,
selected, the “Assign footswitch and autostart
electrosurgical function”).
generator does not
Long time delay of the autostart Set a shorter time delay in the
activate the output
function has been selected in the “Autostart screen” (refer to chapter 6.5,
when the electrode
“Autostart screen”. “Menu - Autostart setup”).
has contact with
the tissue. Malfunction of the electrosurgical Contact Olympus.
generator.
Footswitch or The footswitch is assigned to another Check the correct assignment of the
handswitch of the output socket. footswitch (refer to chapter 6.4,
HF instrument is “Assign footswitch and autostart
pressed and function”).
activation sound is
Improper connection of the HF Check the HF instrument plug for
audible but no
instrument plug with the output correct connection.
output power is
socket on the front panel of the
delivered.
electrosurgical generator.
The output of the The autostart function is selected to Remove the electrode from the tissue.
electrosurgical the current used output socket and
generator cannot both electrodes touch the tissue.
be deactivated.
Malfunction of the footswitch or Immediately switch off the
handswitch. electrosurgical generator by pressing
the power switch. Replace the
footswitch or HF instrument with
handswitch.
The electrosurgical Malfunction of the electrosurgical Disconnect the power cord plug from
generator cannot generator. the AC power socket on the rear panel
be switched off. of the electrosurgical generator or from
the grounded wall outlet. Contact
Olympus.
Automatic mist & The settings are erroneous. Correct the settings of the compatible
smoke evacuation high flow insufflation unit.
system/function
The communication cable is not Connect the communication cable.
does not work.
connected. Refer to 3.5, “Automatic mist & smoke
evacuation system/function (when
using the compatible high flow
insufflation unit)”.
Error
Error message Possible cause Remedial action
no.
E001 Open circuit
1. Check if the electrodes Electrodes of the HF Ensure that the electrodes of the
of the instrument have instrument may have no HF instrument have proper
proper tissue contact. proper tissue contact. tissue contact.
2. If the problem persists, Malfunction of the HF Replace the HF instrument
replace the instrument. instrument and / or the and / or the connection cable.
connection cable.
3. If the problem persists,
contact Olympus. Malfunction of the If the problem persists, contact
electrosurgical generator. Olympus.
2. If the problem persists, The electrode might be Check the electrodes for
contact Olympus. contaminated and contamination and encrustation
encrusted. before use and, if necessary,
clean the electrodes.
Error
Error message Possible cause Remedial action
no.
E019 Footswitch combination
1. Connection of only one Two single pedal or two Ensure that only one single
single pedal and / or only double pedal footswitches pedal and / or only one double
one double pedal have been connected. pedal footswitch are connected.
footswitch is allowed.
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.
Error
Error message Possible cause Remedial action
no.
E135 Single pedal footswitch
not assigned
1. Assign the single pedal The single pedal footswitch Assign the single pedal
footswitch to the has not been assigned to footswitch via the “Assign
designated output socket. the corresponding output Footswitch screen” (refer to
socket. chapter 6.4, “Assign footswitch
and autostart function”).
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.
Error
Error message Possible cause Remedial action
no.
E179 Temperature below limit
E181 1. Switch off ESG-400 and The electrosurgical Switch off the electrosurgical
E396 wait until operating generator has fallen below generator and wait until it has
E398 temperature is reached. the minimum operating reached the specified operating
temperature. temperature (refer to
“Transportation, storage and
operating environment” in the
Appendix).
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.
Error
Error message Possible cause Remedial action
no.
E202 Insufficient neutral
electrode contact
1. Check the connection The contact resistance of Check the connection /
and attachment of the the neutral electrode is too attachment of the neutral
neutral electrode. high or the neutral electrode.
electrode is not connected.
2. If the problem persists, Malfunction of the neutral Replace the neutral electrode
attach a new neutral electrode and / or the and / or the cable.
electrode. neutral electrode cable.
Error
Error message Possible cause Remedial action
no.
E486 No instrument connected
1. Connect an instrument to An Olympus HF instrument Ensure the proper connection of
the UNIVERSAL socket. and / or connection cable the Olympus HF instrument
has not been properly and / or the connection cable to
connected to the the UNIVERSAL socket.
UNIVERSAL socket.
2. If the problem persists, Malfunction of the Olympus Replace the Olympus HF
replace the instrument. HF instrument and / or the instrument and / or the
connection cable. connection cable.
E### Error
ESG-400 will automatically Malfunction of the The electrosurgical generator
restart. electrosurgical generator. will automatically restart.
If the problem persists, If any error occurs permanently
contact Olympus. or repetitively, contact Olympus.
Appendix
System chart
The recommended combinations of ancillary equipment and accessories that
can be used with the electrosurgical generator are listed in the system chart
below. In addition, new products released after the introduction of this product
may also become compatible with this electrosurgical generator. For further
details, contact Olympus.
WARNING
Electrosurgical
generator
(ESG-400)
Bipolar / Monopolar
instruments
Footswitch Footswitch
(one pedal) (two pedals)
(WB950355) (WB950356) Power cable
Type E/F
(WA95621A) High flow insufflation
Type B unit (UHI-2)
(WA95622A) High flow insufflation
Type G unit (UHI-3)
(WA95623A)
Mode characteristics
Mode Touch- Crest Default Min.** Max.** Default Num- Rated Max.** Waveform
screen factor* at power power power effect ber of load output
rated level level level effects [Ohm] voltage
load [W]*** [W]*** [Vp]
Mode Touch- Crest Default Min.** Max.** Default Num- Rated Max.** Waveform
screen factor* at power power power effect ber of load output
rated level level level effects [Ohm] voltage
load [W]*** [W]*** [Vp]
Bipolar BiSoft N/A 55 1 120 2 3 75 220 Continuous
coagulation Coag sinusoidal
alternating
current
*Crest factor at rated load specified for modulated sinusoidal alternating current modes only.
**min. = minimum; max. = maximum
***The power level is the maximum power (watts) which can be applied during the activation of the
electrosurgical generator. The actual applied power depends on the tissue characteristics (e.g.
resistance).
All cutting modes (except BlendCut) are supported by the High Power Cut
Support (HPCS) according to figure 9.1. The high power cut support optimizes
the start of the cutting procedure by applying high power to the tissue to support
immediate spark ignition and reduces the risk of mechanical cutting.
P
HPCS
Spark Spark
CUT
C O AG
t1 time
Figure 9.1
Output characteristics
The power output data of this electrosurgical generator for all modes are shown below. Table 9.1 shows
the legend of the diagrams.
Effect 3
Effect 2
Effect 1
Effect 3
Effect 2
Effect 1
Table 9.1
Please note that the half-power lines in the power diagrams may lay over each other. In this case, only
effect 3 is visible.
Monopolar PureCut
350
300
250
Power [W]
200
150
100
50
0
10 100 1000 10000
Load [Ohm]
300
Load = 500 Ohm
250
Power output [W]
200
150
100
50
0
0 50 100 150 200 250 300
Power level
700
600
High frequency voltage [Vp]
500
400
300
200
100
0
0 50 100 150 200 250 300
Power level
Monopolar BlendCut
250
200
Power [W]
150
100
50
0
10 100 1000 10000
Load [Ohm]
200
100
50
0
0 50 100 150 200
Power level
1400
1200
High frequency voltage [Vp]
1000
800
600
400
200
0
0 50 100 150 200
Power level
160
140
120
100
Power [W]
80
60
40
During „cut phase“
20
0
10 100 1000 10000
Load [Ohm]
Monopolar SoftCoag
250
200
Power [W]
150
100
50
0
10 100 1000 10000
Load [Ohm]
200
Load = 50 Ohm
150
Power output [W]
100
50
0
0 50 100 150 200
Power level
220
200
180
High frequency voltage [Vp]
160
140
120
100
80
60
40
20
0
0 50 100 150 200
Power level
Monopolar ForcedCoag
140
120
100
Power [W] 80
60
40
20
0
10 100 1000 10000
Load [Ohm]
120
Load = 500 Ohm
90
Power output [W]
60
30
0
0 30 60 90 120
Power level
2000
High frequency voltage [Vp]
1500
1000
500
0
0 30 60 90 120
Power level
Monopolar SprayCoag
150
120
Power [W]
90
60
30
0
10 100 1000 10000
Load [Ohm]
120
Load = 500 Ohm
90
Power output [W]
60
30
0
0 30 60 90 120
Power level
4300
3440
High frequency voltage [Vp]
2580
1720
860
0
0 30 60 90 120
Power level
Monopolar PowerCoag
140
120
100
Power [W] 80
60
40
20
0
10 100 1000 10000
Load [Ohm]
120
Load = 500 Ohm
100
Power output [W]
80
60
40
20
0
0 20 40 60 80 100 120
Power level
2500
2000
High frequency voltage [Vp]
1500
1000
500
0
0 20 40 60 80 100 120
Power level
Bipolar Cut
120
100
80
Power [W] 60
40
20
0
10 100 1000 10000
Load [Ohm]
100
Load = 500 Ohm
80
Power output [W]
60
40
20
0
0 20 40 60 80 100
Power level
700
600
High frequency voltage [Vp]
500
400
300
200
100
0
0 20 40 60 80 100
Power level
Bipolar SalineCut
350
300
During „cut phase“
250
150
100
50
0
10 100 1000 10000
Load [Ohm]
320
Load = 75 Ohm
280
240
Power output [W]
200
160
120
80
40
0
0 40 80 120 160 200 240 280 320
Power level
700
600
High frequency voltage [Vp]
500
400
300
200
100
0
0 40 80 120 160 200 240 280 320
Power level
Bipolar BiSoftCoag
140
120
100
Power [W]
80
60
40
20
0
10 100 1000 10000
Load [Ohm]
120
Load = 75 Ohm
100
Power output [W]
80
60
40
20
0
0 20 40 60 80 100 120
Power level
220
200
180
High frequency voltage [Vp]
160
140
120
100
80
60
40
20
0
0 20 40 60 80 100 120
Power level
Bipolar AutoCoag
140
120
100
Power [W] 80
60
40
20
0
10 100 1000 10000
Load [Ohm]
120
Load = 75 Ohm
100
Power output [W]
80
60
40
20
0
0 20 40 60 80 100 120
Power level
220
200
180
High frequency voltage [Vp]
160
140
120
100
80
60
40
20
0
0 20 40 60 80 100 120
Power level
Bipolar SalineCoag
250
200
Power [W]
150
100
50
0
10 100 1000 10000
Load [Ohm]
200
Load = 75 Ohm
150
Power output [W]
100
50
0
0 50 100 150 200
Power level
250
200
High frequency voltage [Vp]
150
100
50
0
0 50 100 150 200
Power level
Bipolar HardCoag
140
120
100
Power [W] 80
60
40
20
0
10 100 1000 10000
Load [Ohm]
60
Power level setting = 42
50
40
Power [W]
30
20
10
0
10 100 1000 10000
Load [Ohm]
120
Load = 25 Ohm
100
Power output [W]
80
60
40
20
0
0 20 40 60 80 100 120
Power level
220
200
180
60
50
40
Power [W]
30
20
10
0
10 100 1000 10000
Load [Ohm]
50
Load = 75 Ohm
40
Power output [W]
30
20
10
0
0 10 20 30 40 50
Power level
220
200
180
High frequency voltage [Vp]
160
140
120
100
80
60
40
20
0
0 10 20 30 40 50
Power level
Bipolar FineCoag
60
50
40
Power [W] 30
20
10
0
10 100 1000 10000
Load [Ohm]
60
Power level setting = 39
50
40
Power [W]
30
20
10
0
10 100 1000 10000
Load [Ohm]
40
Load = 50 Ohm
30
Power output [W]
20
10
0
0 10 20 30 40
Power level
220
200
180
Specifications
Electrosurgical generator ESG-400
Frequency 50 / 60 Hz
Length of cord 4m
Length of cord 4m
Length of cord 10 m
Weight 0.35 kg
High frequency emissions Group 1 During standby the electrosurgical generator uses
CISPR 11 high frequency energy only for its internal function.
Therefore, its high frequency emissions are very low
and are not likely to cause any interference in
nearby electronic equipment.
High frequency emissions Class A The electrosurgical generator is suitable for use in all
CISPR 11 establishments other than domestic, and may be
used in domestic establishments and those directly
Harmonic emissions Class A
connected to the public low-voltage power supply
IEC 61000-3-2
network that supplies buildings used for domestic
Voltage fluctuations / flicker complies purposes, provided the following warning is heeded:
emissions IEC 61000-3-3 Warning: This electrosurgical generator is
intended for use by healthcare professionals only.
This electrosurgical generator may cause radio
interference or may disrupt the operation of
nearby equipment. It may be necessary to take
mitigation measures, such as re-orienting or
relocating the electrosurgical generator or
shielding the location.
CAUTION
Voltage dips, short < 5% < 5% The quality of the power supply
interruptions and for 5 s for 5 s voltage should comply with a typical
voltage variations of commercial or hospital environment. If
< 5% < 5%
power supply input the user of the electrosurgical
for 0.5 periods for 10 ms
lines according to generator requires continuous
IEC 61000-4-11 40% 40% operation during power supply
for 5 periods for 100 ms interruption, it is recommended that
70% 70% the electrosurgical generator should
for 25 periods for 500 ms be powered from an uninterruptible
power supply or a battery.
Interference may occur in the vicinity of equipment marked with the symbol “non-ionizing radiation“.
NOTE
The field strength from fixed transmitters, such as base stations from radio
(cellular / cordless) telephones and land mobile radios, amateur radio, AM and
FM radio broadcast and TV broadcast, cannot be theoretical predicted with
exact accuracy.
Over the frequency range 150 kHz to 80 MHz, the field strength should be less
than 3 V/m.
general 1.2 * Square root (P) 1.2 * Square root (P) 2.3 * Square root (P)
0.01 0.1 m 0.1 m 0.2 m
0.1 0.4 m 0.4 m 0.7 m
1 1.2 m 1.2 m 2.3 m
10 3.7 m 3.7 m 7.4 m
100 11.7 m 11.7 m 23.3 m
For transmitters rated at a maximum output power not listed above, the
recommended separation distance (d) in meters (m) can be determined using
the equation applicable to the frequency of the transmitter, where (P) is the
maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer.
NOTE
Alarm information
The electrosurgical generator complies with the IEC 60601-1-8: 2006. The
following table shows the priority relationship between errors and the output
tone frequency.
Tone information
Frequencies, duty cycles and pressure levels of output
tones
KEYMED LTD.
KeyMed House, Stock Road, Southend-on-Sea, Essex, SS2 5QH, United Kingdom
Fax: +44 1 702 465 677, Phone: +44 1 702 616 333
http://www.keymed.co.uk/